MS-2011-00059_0001-1.tif i
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From:MCKINNIS ROOFING & SHEET METAL 402 426 2344 03/14/2011 07:39 #083 P.001 /001
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426-4191 -Ph...
y - (402) 426 -4195 - FAX
MS -2011 -00059 °��0,r5 o< Q �o���'
03/1112011 bpeterse MISC Residential March 11, 2011
LOCATIONOFIMPROVEMENT: 1367 Colfax St, Blair, NE 68008
ARCHITECT:
� GENERAL McKinnis Roofing & Sheet Metal
OWNER: Justin B And Kell! J Baker CONTRACTOR: 164 S 1st St
1367 Colfax St Blair, NE 68008
BLAIR, NE 68008 -0000
NATURE OF WORK PROPOSED USE
Roofing /Soffit/Eaves /Gutters Primary Residence
PROJECT NAME PERMIT EXPIRES 03110/2013
1367ColfaxSt- 110311 -Roof ESTIMATED COMPLETION DATE 2011-03-21
DESCRIPTION OF WORK
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Reroof entire home and replace guttering and some window wraps. Asphalt shingles.
DEPOSIT PAID BY: SITE PLAN SUBMITTED. NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLAINS 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.
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
Buildin ial shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
applic jon.
Date
Signature of Applicant