1000.tif i
_ CITYOFBLAIR
r 1 � 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426 -4191 - Phone
..� .�� Building Permit Application
y \ (402) 426 -4195 FAX
MS- 2014 -01000 www.blairnebraska.org
07/08/2014 MISC R esidential July 8, 2014
i
LOCATIONORMPROVEMENT: 1103 Nebraska St, Blair, NE 68008
�. ARCHITECT: GENERAL Dr Exteriors, LLC
CONTRACTOR:
OWNER: Margaret Crogan 6612 N 96th St
OMAHA, NE 68134
1103 Nebraska St
BLAIR, NE 68008 -0000
«l.Mr
ti psi .,. r� 4 >t.- tt :3 Sx2 �1 f, , t # d L f ht a:.p. I s4j, ; # , �.: f{Ifa' d �-££{ 5' tz ? <%"�.
P,
+ �.. r �,c, "fi��;k.Z S4i<, r, t ¢ >. r s�sr
a ti- ^ .,r- e { X -,, .� ' c` . ,' ?a ;,f .Y�`& �' `r6T x ' ha;7R , is „fr+ `'t „ at? Y`^fir r '` "C•. " a;'k , . 't 3 2,�
,f vvf qz a si ,r �.u1"a a.+ ': `�4 �'f I. fi p"+�'� �' . ` it
a a .A ?' za #'."' hv+•'',
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PERMIT EXPIRES 07/07/2016
PROJECT NAME
1103NebraskaSt- 140708 -2014 Storm Damage ESTIMATED COMPLETION DATE 1213112014
DESCRIPTION OF WORK
Roof, gutters, wrap, painting, windows, siding
i
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
I
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED; NA
` ;> a f ti k i 'U ,' 45 i` N
r fil ,.<. 't'e.
�& a�. x _a
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 codeslordinances 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
plication.
Date
Signature of Applicant
i