MS-2015-00083_0001.tif f � C1TYOFBL.AIR
t 218 S. 16TH STREET
BLAIR, NEBRASKA68008
Building Pe rmit lip 1 (402) -4191 -Phone L
- 2015 -00083 ter �� °�,� "�° (402) 426-4195 FAX
www.blairnebraska.org
02/24/2415 MISC Residential February 24, 2015
LOCATIONOFIMPROVEMENT: 14329 Co Rd 22, Blair, NE 68008
ARCHITECT:
GENERAL Jorgensen Contracting, Inc.
OWNER: David A Bloemer CONTRACTOR:
530 Front St
2214329 Cc Rd Blair, NE 68008
BL.AIR, NE 68008-0000
NATURE OF WORK STRUCTUR
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 02/2312017
14329Co Rd 22- 150224 -2014 Storm Damage ESTIMATED COMPLETION DATE 5 /2412015
DESCRIPTION OF WORK
Replace north and west wails and roof of pole barn. Metal building.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING 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 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 t ' ention of the undersigned or any alteration or change from this application without approval of the
Buiidi Wicia II con e s uff" lent ground for the revocation of any permit issued which was based on the approval of this
a Sign o Date