MS-2011-00177_0003.tif i
CITY OF BLAIR
218 S. 16TH STREET j
BLAIR, NEBRASKA 68008 /
(402) 426 -4191- Phone {1
(402) 426 -4195 - FAX
www.blairnebraska.org
MISC. BUILDING PERMIT 1 -10 Jse 01
PERMITNUMBER: MS- 2011 -00177 EXPIRATIONDATE: 05/19/2013
ISSUED: 05/20/2011 PAYMENTMETHOD: Check
PERMITTYPE: MISC RECEIPT NO: 2011 -00803
NAME OF PROJECT: 1228SouthSt- 110520 -1 PARCEL #
JOB SITE ADDRESS: 1228 South St
Blair, NE 68008 LOT
TYPE OF WORK: BLOCK
Siding
JOB COST: $9200.00 TOTALFEE: $ 65.00
USE GROUP: CL (Commercial Limited District) DEPOSIT:
IN PURSUANCE OF THE FILING OF THE REQUIRED APPLICATION AND PLANS AND SPECIFICATIONS BY:
PRIME CONTRACTOR: OWNER:
Dan Militti Jason C Shryock
1641 Monroe 11361 Rambleridge Dr
OMAHA, NE 68135 BLAIR, NE 68008 -0000
402 551 4436
Occupancy Type: Construction Type:
PERMISSION IS HEREBY GRANTED TO:
Siding entire house with vinyl, soffits, gutters and window trim
i
,210 4-
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED
WITHIN SIX (6) MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
OF SIX (6) MONTHS AT ANY TIME AFTER WORK IS STARTED, OR IF WORK IS NOT COMPLETED WITHIN TWO
(2) YEARS OF DATE OF ISSUE.
NO PREMISES SHALL BE OCCUPIED UNTIL A CERTIFICATE OF USE AND OCCUPANCY OR A WRITTEN
CONDITIONAL OCCUPANCY APPROVAL BY THE BUILDING OFFICIAL HAS BEEN ISSUED. THIS PERMIT DOES
NOTAUTHORIZE ANY ENCROACHMENT ON PUBLIC PROPERTY.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING AND AIR
CONDITIONING AND SEPTIC SYSTEMS. ALL WORK WILL BE PERFORMED IN ACCORDANCE WITH THE
SPECIFICATIONS SET FORTH ABOVE AND IN ACCORDANCE WITH THE CODES & ORDINANCES OF THE CITY
OF BLAIRAND THE STATE OF NEBRASKA.
THE ISSUANCE OF THIS PERMIT IS FOR THE WORK SPECIFIED IN THE APPLICATION FILED. THEREFORE
ANY UNAUTHORIZED CHANGE OR ALTERATION FROM THE AFORESAID APPLICATION OR PLANS WILL
RENDER THIS PERMIT NULL AND VOID. ALL CORRECTIONS OR ALTERATIONS NOTED IN ANY ADDENDUMS
ISSUED BY THIS DEPARTMENT SHALL BE MADE A PART OF THE APPROVED PLANS AND SHALL BE
PERFORMED AND INCORPORATED INTO THE WORK. THE ISSUANCE OF A BUILDING PERMIT, OR THE
ISSUANCE OF AN APPROVED SET OF PLANS DOES NOT ABSOLVE THE OWNER, OR CONTRACTOR FROM
COMPLYING WITH ALL.
MUST POST ON JOB SITE IN A VISIBLE LOCATION