2131.tif CITYOF BLAIR
218 S. 16TH STREET
w BLAIR, NEBRASKA 68008
Building Permit Applica (402) 426 -4191 - Phone
9 r _ (402) 426 -4195 - FAX
MS- 2014 -02131 p � ° else of www.blairnebraska.org
1111111 a
08112/2014 ShellyJ MISC Residential August 12, 2014
p LOCATION OF IMPROVEMENT: 1061 -1065 State St, Blair, NE 68008
ARCHITECT:
GENERAL Midwest Construction Concept
OWNER: John J And Kristen R Lamontia
CONTRACTOR:
13801 N 126th St
10366 Cheshire Ave OMAHA, NE 68142
OMAHA, NE 68142 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary
PERMIT EXPIRES 08/11/2016
PROJECT NAME
1061- 1065StateSt- 140812- 2014Storm ESTIMATED COMPLETION DATE 1213112014
Damage
DESCRIPTION OF WORK
Reroof and gutters for house and shed
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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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 rhange from this application without approval of the
Building Official, shall co stitute sufficient ground for the revocation of any permit issued which was based on the approval of this
application.
Date
Signature of Applicant