MS-2012-00210_0002.tif ' I I
CITY OF BLAIR
218 S. 16Th STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
MS -2012 -00210 Aft °� (402) 426 -4195 - FAX
° wise °, av www.blairnebraska.org
05/24/2012 bpeterse MISC Residential May 24, 2012
LOCATIONOFIMPROVEMENT: 1005 Colfax St, Blair, NE 68008
ARCHITECT:
GENERAL J Nielsen Construction LLC
r OWNER: Nielsen Homes and Development Inc CONTRACTOR: 1730 State St
A 1730 State St BLAIR, NE 68008 -1568
BLAIR, NE 68008 -0000
rA
r
r� "<
s G (yx ° i e ( 'f "
� r "—
a ¢ Il ��t tl� a III
gg dd (
NATURE OF WORK PROPOSED USE
Fence Primary Residence
PROJECT NAME PERMIT EXPIRES 05/24/2014
1 005CoIfaxSt-1 20524-Fence
ESTIMATED COMPLETION DATE 8/112012
DESCRIPTION OF WORK
48" Brick Pillar on SE side of the property. No fencing in between.
i
i
I
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
NA
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
N/A
�� :v` f v;
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 s lent ground for the revocation of any permit issued which was based on the approval of this
a� cation -`
s _
Signature ofA licant Date
i
l