MS-2014-01393_0001.tif I
CITYOF BLAIR
s 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
.I
Buil Permit App (402) 426 -4191 - Phone
(402) 426 -4195 - FAX
MS- 2014 -01393 QO M /Se 01 a www.blairnebraska.org
i
07/1712014 MISC Residential July 17, 2014
i
LOCATIONOFIMPROVEMENT: 11122 Co Rd P29, Blair, NE 68008
ARCHITECT:
g y GENERAL Jim Steinke Construction
OWNER: Jim Steinke CONTRACTOR: 11122 C Rd P29
� Blair, NE 68008
3051 College Dr
Blair, NE 68008
-'� �.�- .�- ��""�:r�`�..� -�:;+ � �.�.�'1x �r..��;.. �,�sr x. ti c ,� , — r` :: ,;.„� � :� � ,.G °,,,F;:';, -: '� n- „. � . .� "t t ✓�� `� � --.
" � r. =
-.:�
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME
PERMIT EXPIRES 07116/2016
i
11 122C Rd P29- 140717 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12131/2014
DESCRIPTION OF WORK
Siding and shed
I
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
r ".
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 ith or without the intention of the ndersigned or any alteration or change from this application without approval of the
B dd' ig Official, shall constitute u ' roun for the revocation of any permit issued which was based on the approval of this
pp 'cation.
i Date
ature of Applicant
i