ad-2011-00269_0001-1.jpg CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
1t B uilding Permit Application (402)426- 4191 -Phone
a \\ �� (402) 426 -4195 - FAX
AD- 2011 -00269 10 Ise of q�° www.blairnebraska.org
07/11/2011 ADDITION Industrial July 11, 2011
LOCATIONOFIMPROVEMENT: 650 Industrial Park Dr, Blair, NE 68008
ARCHITECT:
� GENERAL Gethmann Construction Co., Inc.
OWNER: Cargill Inc CONTRACTOR: PO Box 220
PO Box 5626 Gladbrook, IA 50635
MINNEAPOLIS, MN 55440 -5626
NATURE OF WORK PROPOSED USE
Addition
PROJECT NAME PERMIT EXPIRES 07/10/2013
6501ndustrial ParkDr-1 10711 -1
ESTIMATED COMPLETION DATE 2011 -08 -30
DESCRIPTION OF WORK
Addition to Polyols building -10 Room office space
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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
appli n.
nature of Applicant _ Dat