SD-2011-00385_0001.tif i
CITY OF BLAIR
vJ ' 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426 -4191 -Phone
(402) 426- 4195 - FAX
SD -2011 -00385 fo i5 0 1 a J4`\ www.blairnebraska.org
09/13/2011 DECKRAMP Residential September 23, 2011
LOCATIONOFIMPROVEMENT: 1458 Butler St, Blair, NE 68008
V "
ARCHITECT:
r GENERAL Shore to Shore Home Improvement LLC !
OWNER: John S And Connie L Buller CONTRACTOR: 4812 Circle Dr
1458 Butler Blair, NE 68008
1 , BLAIR, NE 68008 -0000
I
NATURE OF WORK PROPOSED USE
Deck Primary Residence
PROJECT NAME PERMIT EXPIRES 09/12/2013
1458 ButlerSt- 110913 -Dec k
ESTIMATED COMPLETION DATE 2011 -09 -30
DESCRIPTION OF WORK
Deck onto the back of the house.
DEPOSIT PAID BY. SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS. BUILDING PLANS SUBMITTED: Received
I
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
wilding Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
l ppli ation.
ignature of Applicant Date