MS-2014-03337_0001.tif i
CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4191 - Phone
(402) 426 -4195 - FAX
MS-2014-03337 , se of www.blairnebraska.org
12/09/2014 intern MISC 777esidential December 11, 2014
LOCATIONOFIMPROVEMENT: 13623 Cord 26, Blair, NE 68008
ARCHITECT:
i
GENERAL Jorgensen Contracting, Inc.
OWNER: Jp Olsen Farms, Llc CONTRACTOR:
530 Front St
BLAIR, NE 68008 -0000 Blair, NE 68008
NATURE OF WORK STRUCTURE
Storm Repair Accessory
i
PROJECT NAME PERMIT EXPIRES 12/10/2016
13623Cord 26- 141209 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12/31/2014
DESCRIPTION OF WORK
i
Roof, metal walls on Out Buildings
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS:
$50 BUILDING PLANS SUBMITTED: NA
®= a
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
Buil ' Official, shall constitutes cient ground for the revocation of any permit issued which was based on the approval of this
,- applic ti
� tur of A hca � ��'� J Date
pp