2848 College Application.tifBuilding Permit Application
MS -2016-00032
0112612016 is
LOCATfONOF1MPROVEMENT: 2848 College Dr, Blair, NE 68008
ARCHITECT:
OWNER: Krejci Development, LIC
1505 N 203rd St
ELKHORN, NE 68022-0000
NATURE OF WORK
Storm Repair
PROJECT NAME
2848CollegeDr-160125-2014 Storm Damage
DESCRIPTION OF WORK
SBS modified system, 60 mil EPDM
DEPOSIT PAID BY:
McKinnis
DEPOSIT STATUS:
$50
Commercial
CITYCFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 4264191 - Phone
(402) 426-4195 - FAX
www.blairnabraska.org
January 26, 2016
GENERAL McKinnis Roofing & Sheet Metal
CONTRACTOR:
164 S 1st St
Blair, NE 68008
STRUCTURE
Primary
I PERMIT EXPIRES
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SITE PLAN SUBMITTED: NA
REScheck/COMcheck SUBMITTED: NA
BUILDING PLANS SUBMITTED: NA
0125/2018
1. No work will be started before a permit is ISSUED AND POSTED.
2. For commercial permits, a set of plans for this project must be submitted to the Nebraska State Fire Marshal's Office for review.
3. Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic system.
4. The undersigned owner or agent understands and acknowledges this building permit application does not constitute issuance of
this building permit. It is further understood that construction covered by this permit application shall not be commenced until a
copy of a permit signed by the Building Inspector is issued.
5. The undersigned owner or agent agrees to perform the proposed work 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. Any omission of or misrepresentation of
fact with or without the intention of the undersigned or any alteration or change from this application without approval of the
Building Official, shall_ constitute_ sufficient ground for -the -revocation of any permit issued whichwasbased on the approvalofthis
application.
Sfgn ure of applicant Date