MS-2014-01641.tif i
r
CITYOF BLAIR
1
218 S. 16TH STREET E
BLAIR, NEBRASKA 68008
"4 =k 7o� Building Pe rmit Applica ( )
402 426,4191 -Phone E
o . n, a�' (402) 426 -4195 - FAX
M S - 2014-01641 a ` � 4Y www.blairnebraska.org
07/2412014 _ MiSC Residential July 24, 2014
LOCATIONOFIMPROVEMENT. 1433 Colfax St, Blair, NE 68
n ARCHITECT:
r. GENERAL M cKinnis Roofing S Sheet Metal
OWNER: Christopher And Emily J Chance
CONTRACTOR:
' 164 S 1st St
. 1433 Colfax St Blair, NE 68008
BLAIR, NE 68008 -0000
1- r 6 4,
,,y� [� � / i { �h fi L.•a 't �� � r1� -�
NATURE OF WORK STRUCTURE �
Storm Repair Primary Residence
i
i
PROJECT 111 E
PERMIT EXPIRES 07123/2016
1433Co1faxSt- 140724 -2014 Storm Damage
ES TIMATED O L TiON DATE 12/31/2014
DE OF WORK
Roof, siding, gutters, windows
DEPOSIT PAID BY: SiTE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
L..
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
application.
Signatu f Applicant Data
G