MS-2013-00518.tif CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBIZASKA68008
(402) 426-4191 - Phone
Building Permit Application
(402) 4264195 - FAX
0i www.blairnebraska.org
10/31/2013 ISC Commercial November
4,201377
LOCATIONORIMPROVEIVIENT 615 S 13th St, Blair, NE 68008
ARCHRECT
GENERAL Paul Davis Systems, Inc.
OWNER Blair Church Of Christ CONTRACTOR 3505 S 61 st Ave Cir
PO Box 144 Omaha, NE 68106
BLAIR, NE 68008-0000
NATURE OF WORK PROPOSED USE
Misc. Permit Blair Church of Christ
PERMIT EXPIRES 10/31/2015
PROJECT NAME
61 5S1 3thSt-1 31031 -Commercial Restoration ESTIMATED COMPLETION DATE 4/30/2014
DESCRIPTION OF WORK
Repairing Structural damage due to a tree failing on church during August 2013 Storm.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
0
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
ff frai t with or witho_4t the intention of the undersigned or any alteration or change from this application without approval of the
BI - dipl;�shall constitute sufficient gr und for the revocation of any permit issued which was based on the approval of this
u ding 0 0
app ic
ture of Applicant Date
i
i
i
F
C
vr® " i S e 01
I
BUILDING PERMIT SUPPORTING DOCUMENTS
I
This building permit packet includes various items dealing with particular code
requirements and /or building permit requirements. It in no way includes ALL particular
code items. Also, it is your responsibility to know the 2009 International Building
Code requirements that apply to your project. Please understand this packet is only
designed and distributed to aid you in your building permit process. A copy of the
International Building Code is available for your use at the Blair Public Library.
I have read the above disclosure and accept this building permit documentation on my
own behalf assuming full responsibility as the owner /contractor r this project.
Owner /Occupant Contractor
I
'I
I
/.� Ll - 1
City of Blair ate
—
��,
o.oa'�� "'
218 South 16th Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 -426 -4195 E-mail cltyofblalr @cl,blalr.ne.us o