452.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008 r
B uilding Permit Application (402) 426 -4191 - Phone
I
(402) 426 -4195 - FAX
MS - 2014 -00452 ,se Ot a ��" www.blairnebraska.org
06/2012014 bpeterse MISC =Residential June 20, 2014
LOCATION OF IMPROVEMENT: 1085 S 13th Ave Unit 401, Blair, NE 68008
ARCHITECT:
GENERAL TIJ Construction
1, i
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OWNER: Jeff Nelson CONTRACTOR: 1 -D Ave
t. Missouri Valley, IA 51555
1085 S 13th Ave
Blair, NE 68008
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NATURE OF WORK STRUCTURE
Storm Repair Apartment Complex
PROJECT NAME PERMIT EXPIR 06/19/2016
1085S13thAve- 140620 -2014 Storm Damage E STIM ATED COMPLETION DATE 12/3112014.
DE OF WORK
Re- roofing asphalt soffit and fascia gutters 401,402,403,404 units
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
RE, 11
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
"'app lication.
Signature of Applicant Date