MS-2011-00175
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application
PERMIT NUMBER
(402) 426-4191 - Phone
4.
(402) 426-4195 - FAX
MS-2011-00175
www.blairnebraska.org
CITY OF BLAIR
APPLIED DATEPERMIT TYPETODAYS DATE
ISSUED BYWORK CLASS
\
bpeterseMISCResidentialFebruary 6, 2012
05/19/2011
LOCATION OF IMPROVEMENT:
A862 N 14th Ave, Blair, NE 68008
D
ARCHITECT:
N
DAcreage Fences
GENERAL
A
CONTRACTOR:
OWNER:
DRobert J And Linda M Limbach
8635 Military Rd
M
R
862 N 14th Ave
Omaha, NE 68134
E
E
BLAIR, NE 68008-0000
+
S
S
SELECTED CHARACTERISTICS OF WORK
PROPOSED USE
NATURE OF WORK
Primary Residence
Fence
PERMIT EXPIRES
12/26/2011
PROJECT NAME
862N14thAve-110519-Fence
ESTIMATED COMPLETION DATE 2011-08-19
DESCRIPTION OF WORK
177' of 4' Almond fence with 3 gates. To enclose backyard 3' from south property line, 40" from east property line, on
property line on north side.
DEPOSIT PAID BY:Received
SITE PLAN SUBMITTED:
Contractor
REScheck/COMcheck SUBMITTED:
NA
DEPOSIT STATUS:
BUILDING PLANS SUBMITTED:
NA
AFFADAVIT OF APPLICANT
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
application.
Date
Signature of Applicant