AC-2012-00221_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
(402) 426 -4195 - FAX
AC- 2012 - 00221 °M Ise Qt a www.blairnebraska.org
05/31/2012 ACCESS Residential July 18, 2012
i
t> LOCATIONORMPROVEMENT: 408 E Baronage Dr, Blair, NE 68008
ARCHITECT:
GENERAL SELF
OWNER. Scott L And Tiffany A Hicks CONTRACTOR:
�1 408 E Baronage Dr
g Blair, NE 68008
BLAIR, NE 68008 -0000
NATURE OF WORK PROPOSED USE
New Construction Accessory Structure
PROJECT NAME PERMIT EXPIRES 05131/2014
i
408EBaronageDr- 120531 - Accessory Shed
ESTIMATED COMPLETION DATE 8/31/2012
DESCRIPTION OF WORK
12 x 16 accessory shed on steel skids. Must have ground tie downs. Does not require concrete foundation.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Pending
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Pending
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 with t the intention of the undersigned or any alteration or change from this application without approval of the
uil g Official, hall con stitut sufficient ground for the revocation of any permit issued which was based on the approval of this
,;! Pprc tion.
S tureofAppflcant Date