Miscellaneous Permit
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426-4191 – Phone
(402) 426-4195 – FAX
building@blairnebraska.org
www.blairnebraska.org
MISCELLANEOUS PERMIT
PERMIT NUMBER: EXPIRATION DATE:
MS-2020-00090 8/08/2022
ISSUED: PAID AMOUNT:
08/10/2020 $105.00
PERMIT TYPE: RECEIPT #:
31251
JOB SITE ADDRESS: 2121 CRESTRIDGE DR PARCEL #
890081732
TYPE OF WORK: LEGALDESCRIPTION
BC Deerfield Add Lot 38
MISCELLANEOUS
VALUATION:
$500.00
ZONING DISTRICT: CONSTRUCTION TYPE
PAVEMENT
RESIDENTIAL MEDIUM DENSITY
IN ACCORDANCE WITH THE APPROVED PLANS AND SPECIFICATIONS AND PAYMENT FOR THIS APPLICATION BY:
PRIME CONTRACTOR:OWNER:
OWNER AS GEN CONTRACTOR THERESA GERLING
2121 CRESTRIDGE DR
BLAIR NE 68008-3692
PERMISSION IS HEREBY GRANTED TO:
8' x 14' cement patio
Fee Description Quantity Price
PERMIT ISSUANCE FEE 1 25.00
MISCELLANEOUS PERMIT FEE 1 80.00
TOTAL
105.00
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN SIX (6) MONTHS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF SIX (6) MONTHS AT ANY TIME AFTER WORK IS STARTED, OR IF
WORK IS NOT COMPLETED WITHIN TWO (2) YEARS OF DATE OF ISSUE.
NO PREMISES SHALL BE OCCUPIED UNTIL A CERTIFICATE OF USE AND OCCUPANCY OR A WRITTEN CONDITIONAL OCCUPANCY APPROVAL BY THE
BUILDING OFFICIAL HAS BEEN ISSUED. THIS PERMIT DOES NOT AUTHORIZE ANY ENCROACHMENT ON PUBLIC PROPERTY.
SEPARATE PERMITS ARE REQUIRED FOR BUILDING; ELECTRICAL; PLUMBING; HEATING, VENTILATING AND AIR CONDITIONING; SEPTIC SYSTEMS;
AND SPECIFIC MISCELLANIOUS WORK. ALL WORK SHALL BE PERFORMED IN ACCORDANCE WITH THE SPECIFICATIONS SET FORTH ABOVE AND IN
ACCORDANCE WITH THE CODES & ORDINANCES OF THE CITY OF BLAIR AND THE STATE OF NEBRASKA.
THE ISSUANCE OF THIS PERMIT IS FOR THE WORK SPECIFIED IN THE APPLICATION FILED. THEREFORE ANY UNAUTHORIZED CHANGE OR
ALTERATION FROM THE AFORESAID APPLICATION OR PLANS WILL RENDER THIS PERMIT NULL AND VOID. ALL CORRECTIONS OR ALTERATIONS
NOTED IN ANY ADDENDUMS ISSUED BY THIS DEPARTMENT SHALL BE MADE A PART OF THE APPROVED PLANS AND SHALL BE PERFORMED AND
INCORPORATED INTO THE WORK. THE ISSUANCE OF A BUILDING PERMIT, OR THE ISSUANCE OF AN APPROVED SET OF PLANS DOES NOT
ABSOLVE THE OWNER, OR CONTRACTOR, FROM COMPLYING WITH ALL REQUIRED CODES & ORDINANCES.