MS-2012-00209_0001.tif i
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402 ) 426 - 4191 -Phone
(402) 426 -4195 - FAX
MS - 2012 - 00209 °�s www.blairnebraska.org
05/2412012 bpeterse MISC Residential May 24, 2012
LOCATIONOF IMPROVEMENT. 1017 Colfax St, Blair, NE 68008
.
j ARCHITECT:
GENERAL J Nielsen Construction LLC
OWNER: Nielsen Homes and Development Inc CONTRACTOR: 1730 State St
1730 State St
BLAIR, NE 68008 -1568
BLAIR, NE 68008 -0000
1 ,,� ;� � `� � � 3 r 1 i � P � ! i R f 7 { .r , � S yr � y a ✓
NATURE OF WORK PROPOSED USE
Fence Primary Residence
PROJECT NAME PERMIT EXPIRES 0512412014
1017 ColfaxSt- 120524 -Fence
ESTIMATED COMPLETI DATE 8/1/2012
DESCRIPTION OF WORK
6° vinyl fencing between 2 -6° brick pillars on south side of the property.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
NA
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS:
BUILDING PLANS SUBMITTED: NA
N/A
P
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 fficient ground for the revocation of any permit issued which was based on the approval of this
applic io . p ,.'
Date
Signature of plicant