MS-2012-00360_0001.tif CITY OF BLAIR
1 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
�a�';�i� < "� Building Permit d4 flC�tl ®I� (402)426- 4191 -Phone
Ap (402) 426 -4195 - FAX
MS -20'12 -00360 � 1 0 /�
fi,s 01 a www.blairnebraska.org
08/31/2012 MISC Residential August 31, 2012
j
, LOCATIONOFIMPROVEMENT: 1155 South St, Blair, NE 68008
ARCHITECT: GENERAL F/S Contracting
,?> OVMER: Edmond Earl Iii And Pamela Susan Talbot CONTRACTOR: 324 S 13th St
1155 South St Tekamah, NE 68061
BLAIR, NE 68008 -0000
NATURE OF WORK PROPOSED USE
Roofing /Soffit/Eaves /Gutters Primary Residence
PR OJECT NAME PERMIT EXPIRES 08/31/2014
I
11 55SouthSt-1 20831 -Roofing ESTIMATED COMPLETION DALE 9/15/2012
DESCRIPTION OF WORK
I
Re- roofing with asphalt shingles.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS
BUILDING PLANS SUBMITTED: NA
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
r;applicatiop. l
ature of A poi nt