MS-2010-00172_0001.tif FromACKINNIS ROOFING & SHEET METAL 402 426 2344 10/19/2010 14:33 #783 P.0011001
i
CITY OF BLAIR
218 S. 16TH STREET j
BLAIR, NEBRASKA 68008
B uilding Perm Application (402)426- 4191 -Phone
l (402) 426 -4195 - FAX
MS - 2010.00172 �m4o of www.blaimebraska.org
10/19/2010
MISC Commercial October 19, 2010
I
<_
LOCATIONOFIMPROVEMENT: 1526 Washington St, Blair, NE 68008
ff
_
ARCHiTECr: GENERAL McKinnis Roofing & Sheet Metal
OWNER: Emerald Rock investments, LIC CONTRACTOR: 164 S 1st St
6910 County Rd 35 Blair, NE 68008
FORT CALHOUN, NE 68023.0000 I
T r mary .,5 a (�''i[� N'`T�l` Ar� p 3 � aT�"� � �. 3 � a � � F% � �"�`E�� '4, 4 � � .���w � 5' �� {�,f'�c�,�d"� � u -� _ * .;E'?�'�:e r
- s � �p�p°�® OF YYVI`K PROPOSED USE affitlEaveslGutters Primary Commercial
PERMIT EXPIRES 10/18/2012
NAME
1 s26WashingtonSt- 101019 °Roofing ESTIMATED COMPLETION DATE 2010 -10 -31
i
i
DESCRIPTION OF WORK
I
Installing a flat roof
I
I
I
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RESchecklCOMcheckSUBMITTED: NA
s
DEPOSIT STATUS: BUILDING PLANS SUBMIT'T'ED: NA
i
I
I
i
£r'z . ' ^: Ro ` t R r l l arw T ;.�'iY �.(,o .,e
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. l
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 which was based on the approval of this
applicati
Date
Signature of Applicant