RE-2010-00044-1.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application
(402) 426 -4191- Phone
(402) 426 -4195 - FAX
RE -2010 - 00044 Se os �o www.blairnebraska.org
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08/1312010 REMODEL Residential August 13,
\, LOCATION OF IMPROVEMENT: 575 S 16th St, Blair, NE 68008
\� ARCHITECT: GENERAL
� OWNER: David Heer
CONTRACTOR: Heer Remodeling
8837 Co. 37 Rd
8837 Co 37 Rd Blair, NE 68008
\ Blair, NE 68008
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NATURE OF WORK PROPOSED USE
Remodel Primary Residence
PROJECT NAME PERMIT EXPIRES 08/12/2012
575S16thSt- 100813 -Roof Upgrade I
ESTIMATED COMPLETION DATE 2010 -10 -31
DESCRIPTION OF WORK
Going from a flat roof on the garage to and angled roof
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
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Contractor REScheck /COMcheck SUBMITTED: NA
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DEPOSIT HELD: BUILDING PLANS SUBMITTED: Received j
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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 Zsuffiic/ieground for the revocation of any permit issued which was based on the approval of this
applicati
Signature of Applicant Date