RE-2012-00365_0001.tif v
CITY OF BLAIR j
s 218 S. 16TH STREET j
BLAIR, NEBRASKA 68008
d Com Building Permit Application (402)426- 4191 -Phone
® � (402) 426 -4195 - FAX
RE - 2012 - 00365 A '�n jse o� www.blairnebraska.org
09/07/2012 kbedmins REMODEL mercial October 9, 2012
LOCATIONOFIMPROVEMENT: 2242 Wright St, Blair, NE 68008
ARCHITECT: k _
®: GENERAL The Weitz Company, LLC.
5 OWNER: Good Shepherd Lutheran Home CONTRACTOR: 10707 Pacific St Ste 201
2242 Wright St Omaha, NE 68114
Blair, NE 68008
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NATURE OF WORK
PROPOSED USE
Remodel Commercial Remodel -Good Sheperd Senior Facility
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PROJECT NAME PERMIT EXPIRES 10/0912014
2242WrightSt- 120907 - Commercial Remodel ESTIMATED COMPLETION DATE 5131/2012
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DESCRIPTION OF WORK
Hallways, Nurse's Station, and residence rooms will be remodeled and updated.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COM check SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
$500
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 j
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
app licatior��
/c:)
Date
Sign ture of Applicant