MS-2014-02039_0001.tif i
CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
rBuilding Permit A pplicat ion (402) 426 -4191 -Phone
(402) 426 -4195 -FAX
-2014 -02039 pro /Se of aJQ�� www.blairnebraska.org
I
08111/2014 MISC Residential August 11, 2014
A� LOCATION OF IMPROVEMENT: 1838 Colfax St, Blair, NE 68008
r ARCHITECT:
GENERAL Bennett Construction
OWNER: Joseph A And Danyele L Schmidt CONTRACTOR:
205 Main St
1838 Colfax St Kennard, NE 68039
BLAIR, NE 68008 -0000
f
r zn _
a e „
... a MIA In
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 08/10/2016
1838ColfaxSt- 140811 -2014 Storm Damage 12/31/2014
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
1 layer t/o, 30 yr DIM
i
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RES check/CO Mcheck 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 of the I
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based On the approval of this
applica 7
F //3/Z-
Signatu � of pplicant a Date