MS-2010-00135_0001.tif From:MCKINNIS ROOFING & SHEET METAL 402 426 2344 09/27/2010 14:56 #716 P.001/003
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
IRMO Building Permit Application (442)426- 4191 -Phone
(402)4264196-FAX
MS-2010-00135 www.blaimebraska.org
ONO=
09127/2010 MiSC Residential Septembe
LOCATIONOFIMPROVEMEW* 444 S 17th St, Blair, NE 68008
ARCHTECT:
GENERAL McKinnis Rooting Sheet Metal
OMER: Campbell -Amen Funeral Home Inc CONTRACTOR 9646 IstSt
PO Box 501 Blair, NE 68008
BLAIR, NE 60008-0000
NATURE OF WORK PROPOSED USE
Primary StructuratMortuary
Roofing/Soffit/Eaves/Gutters
PROJECT NAME PERMIT EXPIRES 0912612012
444817tbSt-100927-Root
ESTIMATED COMPLETION DATE 20*10-10-01
DESCRIPTION OF WORK
Partially Re-Roofing building with Rubber Membrane
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS. BUILDING PLANS SUBMITTED: NA
$50
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.
6. 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 which was based on the approval of this
Anti
SIgn,ture A `n) Date