ac-2011-00119_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
° 'o ( www ) www.blairnebraska.
AC -2011 -00119 �+lse of a g
04/12/2011 ACCESS Residential April 12, 2011
LOCATIONOFIMPROVEMENT: 2641 College Dr, Blair, NE 68008
ARCHITECT:
® GENERAL Hoffschneider Construction Co.
OWNER: Kevin J And Pamela S Hindley CONTRACTOR:
2641 College Dr Blair, NE 68008
BLAIR, NE 68008 -0000
SELECTE CHARA CTERISTICS
NATURE OF WORK PROPOSED USE
Remodel
PROJECT NAME PERMIT EXPIRES 04/11/2013
2641 CollegeDr-1 10412-1 ESTIMATED COMPLETION DATE 2011 -08 -01
DESCRIPTION OF WORK
Modiifying existing garage, siding and reroofing
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
AFFA DAVIT O
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 sufficient ground for the revocation of any permit issued which was based on the approval of this
lica 'o .
0
Signature ofApplic n Date