569.tif CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
0 I I App (402) 426 -4191 - Phone
a, (402) 426 -4195 - FAX
MS -2014 -00569 �n„ of a � ° www.blairnebraska.org
06/25/2014 MISC Residential June 25, 2014
LOCATION OF IMPROVEMENT: 1449 Park St, Blair, NE 68008
ARCHITECT:
GENERAL Triton Exterior
OWNER: David S And Carol L Barrier CONTRACTOR: 1625 N 203rd St
ELKHORN, NE 68022
1449 Park St
` BLAIR, NE 68008 -0000
... F ,.
J J :
NATURE OF WORK STRUCTURE
Storm Repair Priamry Residence
PROJECT NAME PERMIT EXPIRES 06/24/2016
1449ParkSt- 140625 -2014 Storm Damage
ES TIMATED COMPLETION DATE 12131/2014
DE O K
Roofing, siding, gutters
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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 or the
Build' g fficial sha onstitute sufficient ground for the revocation of any permit issued which was based on the ap roval of this
ap c n.
V
D e
Signature of Applicant