AC-2012-00149_0001.tif CITY OF BLAIR
err ' fir' 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
i
Building Ap
(402)426- 4191 -Phone
g p p (402) 426 -4195 - FAX
AC -2012 -00149 `Q'" o g G' www.blairnebraska.org
04/2312012 ACCESS Residential April 24, 2012
LOCATION OF IMPROVEMENT: 1340 Colfax St, Blair, NE 68008
ARCHITECT:
° GENERAL Scott Erectors
OWNER: 7 CONTRACTOR: 2165 Park St
" f Blair, NE 68008
BLAIR, NE 68008 -0012
Y
NATURE OF WORK PROPOSED USE
Addition Accessory Building
PROJECT NAME PERMIT EXPIRES 04/23/2014
1340ColfaxSt- 120423 - Garage Addition 6/15/2012
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Garage Addition to existing garage.
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 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
tr k - application.
Sip Date
ture of Applicant