MS-2014-02344.tif I
CITYOF BLAIR C
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
B uilding Permit Application (402) 426 -4191 - Phone
(402) 426-4195 - FAX I
MS -2014 -02344 pr °n�js os www.blairnebraska.org
08/20/2014 ShellyJ MISC Residential August 20, 2014
A LOCATION OF IMPROVEMENT: 2316 Fieldcrest Dr, Blair, NE 68008
ARCHITECT: GENERAL Royalty Roofing
-� OWNER: Kevin S And Erika L Cada CONTRACTOR:
3519 N 53rd St
2316 Fieldcrest Dr OMAHA, NE 68104
BLAIR, NE 68008 -3726
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NATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 0811912016
2316FieldcrestDr- 140820 -2014 Storm
Damage ESTIMATED COMPLETION DATE 12/31/2014
DESCRIPTION OF WORK
Reroof, gutters and siding
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: 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 co s /ordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with or without e in ration of the undersigned or any alteration or change from this application without approval of the
Building O I, II co titute sufficient ground for the revocation of any permit issued which was based on the approval of this
applicat'
I
Date
Signature of Applicant