RE-2012-00380_0001.tif CITY OF BLAIR
218 S. 16TH STREET
GLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
(402) 426 -4195 - FAX
RE- 2012 -00380 ° �;;5 a� �� °�� www.blairnebraska.org
09/12/2012 REMODEL Commercial September 21, 2012
LOCATIONOFIMPROVEMENT: 9330 Hwy 133, Blair, NE 68008
p ARCHITECT:
f; GENERAL AOI Corporation
i� OWNER: Mutual Of Omaha Insurance Co CONTRACTOR: 8801 S 137th St
Mutual Of Omaha Piz OMAHA, NE 68138
_~ OMAHA, NE 68175 -0000
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NATURE OF WORK PROPOSED USE
Remodel Primary Commercial - Mutual of Omaha Bldg
PROJECT NAME PERMIT EXPIRES 09/1212014
9330Hwy 133 - 120912 - Commercial Remodel ESTIMATED COMPLETION DATE 3/31/2013
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DESCRIPTION OF WORK
4,015 sf interior renovation on the first floor of the existing warehouse building. Open office area will be partitioned j
off to create an enclosed adjacent open office work space by full height partitions and automatic doors.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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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
applica i6*
Signature of Applicant Date