MS-2011-00475_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426 -4191 -Phone
A \\� (402) 426 -4195 - FAX
MS - 2011 - 00475 Ise of www.blairnebraska.org
10/24/2011 MISC Commercial October 24, 2011
t LOCATIONOFIMPROVEMENT: 1020 S Hwy 30, Blair, NE 68008
ARCHITECT: GENERAL Olson & Stewart Construction Inc.
OWNER: Gelb Real Estate Llc CONTRACTOR: PO Box 271
10911 Harrison St Blair, NE 68008
LA VISTA, NE 68128 -0000
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NATURE OF WORK PROPOSED USE
Patio /Driveway Parking Lot
PROJECT NAME PERMIT EXPIRES 10/23/2013
1020SHwy 30- 111024 -1- Parking Lot
ESTIMATED C OMPLETI ON DATE 2011 -11 -10
DESCRIPTION OF WORK
Constructing a new parking lot
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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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 nderstands and acknowledges this building permit application does not constitute issuance of
this ilding permit. It is f her derstood that construction covered by this permit application shall not be commenced until a
copy of a permit signed b he u' ding Inspector is issued.
5. The undersigned owner a en agrees to perform the proposed work in accordance with the specifications set forth above and
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i n n with tt ode /o dinanc's of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
� with or Litho Y e Mt on of he undersigned or any alteration or change from this application without approval of the
u Iding O cia7, sh cons i t ground for the revocation of any permit issued which was based on the approval of this
p licatio
Date
Signat re of Applicant