SD-2011-00262_0001 (2).tif CITY OF BLAIR
r�e 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building er It Application (402)426 -4191 -Phone
(402) 426 -4195 -FAX
SD- 2011- 00262ro� �°
°j1S� �, www.blairnebraska.org
07/06/2011 SIGNDECK Residential July 20, 2011
LOCATIONOFIMPROVEMENT: 2316 Elm Dr, Blair, NE 68008
ARCHITECT: GENERAL SELF
rf. OWNER: Stephen A And Wf Hollis CONTRACTOR:
2316 Elm Dr Blair, NE 68008
BLAIR, NE 68008 -0000
NATURE OF WORK PROPOSED USE
Deck Primary Residence
PROJECT NAME PERMIT EXPIRES 07/05/2013
2316EImDr- 110706 -Deck ESTIMATED COMPLETION DATE 2011 -09 -01
DESCRIPTION OF WORK
12'x 18° wood deck off of back of the house.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheck SUBMITTED: 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 intentio f the undersigned or any alteration or change from this application without approval of the
- 1uildin Off e' I, s all nstit s fflcient ground for the revocation of any permit issued which was based on the approval of this
�s I 1J
Sign ure of A lican Da e