MS-2011-00089_0001.tif FromACKINNIS ROOFING & SHEET METAL 402 426 2344 04/05/2011 12:37 #144 P.0011003
I
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426-4191 -Ph---
(Building Permit Application (402)426- 4196 -FAX
MS- 2011 -00089 A `'mr : O , 4 ° °�� www.�falrn�brasKa.vrg
03/28/2011 bpeterse MiSC Residential March 28, 2011
LOCATIONOFIMPROVEMENT: 936 N 28th St, Blair, NE 68008
ARCHITECT:
� GENERAL McKinnis Roofing & Sheet Metal
OWNER Trent M And Ellie J Richardson Vakiner CONTRACTOR: 164 S 1st St
936 N 28th St Blair, NE 68008
BLAIR, NE 68008 -1016
m PROPOSED USE
NATURE OF WORK
Primary Residence
Siding
PERMIT EXPIRES 03/2712
PROJECT NAME i
936N28th5t- 110328 - Siding ESTIMATED COMPLETION DATE 2011 -05-01
DESCRIPTION OF WORK
Replacing some siding and some gutters.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
NOE
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 s all constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
application/
Date
Signature of Applicant