MS-2014-00138_0001.tif CITYOFBLAIR
218S.16THSTREET
SLAIP NEB RASKA68008
F. (402) 426-4191 - Phone
1 �71 R RU Building Permit Application
(402) 426.4196 - FAX
M5-2014-00138 h t www.blairnebraska.org
MOONS=
MISC C 0411W014 C mmer " April 14, 2014 ,at
LocAmONOFIMPROVEMENT: 1278 Wilbur St, Blair, NE 68008
ARCHrrECT'
GENERAL McKinnis Roofing & Sheet Metal
OWNER: Blair Area Young Mons Christian Associatio i OONTRACTOR 164 S 1st St
PO Box 384 Blair, NE 68008
BLAIR, NE 680080000
7 �
7
NATURE OF WORK PROPOSED USE
Blair Family YMCA
Roofing/SollfitlEaves/Otitters
P JECT N E PERMIT EXPIRES 0411012016
ROAM
1278WIlburSt-14041 1 -Roofing
ESTIMATED COMPLETION DATE 6/3012014
DESCRIPTION OF WORK
Re-roofing with 60 mil EPDM Roofing
DEPOSIT PAID BY SITE PLAN SUBMITTED* NA
Contractor
RESchockICOMehock SUBMITTED NA
DEPOSIT STATUS., BUILDING PLANS SUBMITTED: NA
' R
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 pen 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
application.
Signature ® ppllcant Data