MS-2014-02812.tif i
i
CITYOF BLAIR I�
218 S. 16TH STREET h
BLAIR, NEBRASKA 68008
Building I" 1 Application (402) 426 -4191 - Phone
MS- 2014 02812 p�o�h a�o`�� (402) 426 -4195 -FAX
ls
e of www.blairnebraska.org
i
I
09/1912014 ShellyJ MISC Residential September 19, 2014
LOCATIONOFIMPROVEMENT: 11107 Bridgeview Dr, Blair, NE 68008
ARCHITECT:
GENERAL Denny's Roofing
OWNER: Robert L And Cindy L Hollingshead CONTRACTOR:
2400 Hollow Rd
11107 Bridgeview Dr Blair, NE 68008
r BLAIR, NE 68008 -0000
"I FN I
..%" 1. ✓ _ f
u ✓i .. .. .y-y
y
w
NATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 0911812016
11107BridgeviewDr- 140919 -2014 Storm ESTIMATED COMPLETION DATE 12/3112014
Damage
DESCRIPTION OF WORK
Reroof
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RES check/CO Mcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
90
1.
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.
Z Z
l r
Date
Signature of Applicant