MS-2014-01776_0001.tif — — CITYOFBLAIR
218 S.16TH STREET
BLAIR, NEBRASKA 68008
,1 Building Permit Application (402) 426.4191 - Phone
NAR
(402) 426 -4195 - FAX
MS- 2094 -01776 �'` °�, °t q ° wvvw.biairnebraska,arg
07130/2014 MISC Residential July 30, 2094
t_OCATIONOFIMPROVEMENT: 1635 Washington St, Blair, NE 68008
ARCHITECT: GENERAL McKinnis Roofing &'Sheet Metal
' 'OWNER: Stanley And Betty Carnes CONTRACTOR:
164 S 1st St
i 1635 Washington St Blair, NE 68008
BLAIR, NE 68008 -0000
P ,20 ,11-
NATURE .o
3
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 07129/2016
163SWashingtonSt- 140730 -2014 Storm 12131/2014
Damage ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Roof, 60mil TPO
I
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RESchecklCOMcheck SUBMITTED: NA
i
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 of the
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
aptal ication.
Signature of Ap iicanE Date