2786.tif CITYOF BLAIR
f 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
� r ,_! �{ tl,fi k p 7 Building Permit Application (402) -4191 Phone E
� ` �\ � (402) 426.4'[ 95 -FAX
MS-2014-02786 °�fse of a`' www.blairnebraska.org
09/18/2014 MISC Residential September 18, 2014
�A LOCATION OF IMPROVEMENT. 2140 Drestridge Dr, Blair, NE 68008
ARCHITECT:
�: c? GENERAL McKinnis Roofing & Sheet Metal
OWNER: Jamie L And Orlando Cueva Smith CONTRACTOR:
164 S 1st St
2140 Crestridge Dr Blair, NE 68008
BLAIR, NE 68008 -4000
t k C_
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME P EXPIRES 09/1712016
2140CrestridgeDr- '140918- 2014Storm ES TIMATED COMPLETION DATE 12/31/2014
Damage
DESCRIPTION OF WORK
Roof, windows, gutters, siding, paint
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck 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
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
app ' anon.
Signature of Ap cant Date