2851.tif i
I
G
i
CrrYOFB I
f
218 S. 16TH STREET i
BLAIR, NEBRASKA 68008 c
Build Appl 426 -4191 - Phone I
- � &014 {402} 42 195 - F
www.blairnebraska.or
09123/2014 bpeterse MISC
Commercial September 23, 2094
LOCATIONOFIMPROVEMENT: 1526 Washington St, Blair, NE 68008
ARCHITECT.
GENERA McKlnnis Roofing & Sheet Metal
OWNER:
Emerald Rock Investments, Llc CONTRACTOR
164 S 1st St
39 6910 Co Rd lair, E 68008
` FT CALHOUN, NE 68023 -0000
777 77,1111'
f ..
a
NATURE OF WORK STRUCTURE
Storm Repair Blair One Place
PERM PROJECT NAME f E 09122/2016
1526Wash intonSt- 140923 -201 for
Damage ESTIMATED COMP D 1213112014
DESCR
Remove and replace 60 mil EPDM Roof and shingle roof.
D PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheckl QMcheck SUBMITTED: NA
D EPOSIT STATUS: B UILDING PLANS SUBMITTED: NA
$50
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 g 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.
Signature of A plicant Date