2857.tif CITT0FBLAIR
2188.1GTHSTREET
BLA|R, NEBRASKA 68008
i P ^t A (402)42G-u191 Phone
MS-2014-02857 Ise of wvvw.blairnebraska.org
09124/2014 ShellyJ MISC Residential September 24, 2014
LOCATION OFIMPROVEMENT: 1154 Nebraska St, Blair, NE 68008
GENERAL Hoffman Weber Construction Inc
OV\NER: Anthony B And Holly J Silva CONTRACTOR:
D 3515 48th Ave N
1154 Nebraska St MINNEAPOLIS, MN 55429
BLAIR, NE 68008-0000
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'110 ME
NATURE OF WORK iTRUCTURE
Storm Repair Primary
PERMIT EXPIRES 0912312016
PROJECT NAME
1154NebraskaSt-140924-2014 Storm Damage ESTIMATED COMPLETION DATE 1213112014
DESCRIPTION OF WORK
Reroof, siding and gutters
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 o permit in |88UEO AND POSTED.
2. For commercial permits, a set of plans for this project must be submitted to the Nebraska State Fire N1anahe|'n Office for review.
3. Separate permits are required for electrical, p|umbing, heating, ventilating and air conditioning, and septic system.
4. The undersigned owner oragent 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 e
copy of permit signed by the Building Inspector is issued.
5. The undersigned owner nr agent agrees to perform the proposed work in accordance with the specifications set forth above and
in accordance with the cndoslondinnncen of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fant -' without ith ith t th i � tion of undersigned or any alteration or change from this application without approval of the
Building Official, shall co itute sufficient ground '' r the revocation of any permit issued which was boned on the approval of this
q/2
Date
Signature of Applicant