MS-2015-00175_0001.tif i
CITYOFBLAIR
218 S.16TH STREET
BLAIR, NEBRASKA 68008
a
Building Permit Applic (402) 426 -4191 - Phone
MS- 2015 -00775 Jo``�F (402) 426- 4195 - FAX
www.blairnebraska.org
03/1912015 bpeterse MISC Residential March 20, 2015
LOCATIONOFIMPROVEMENP 2608 Sunrise Dr, Blair, NE 68008
� ARCHITECT:
GENERAL Jorgensen Contracting, Inc.
OWNER: Brad A And Jean B Garner CONTRACTOR;
530 Front St
2608 Sunrise Dr Blair, NE 68008
BLAIR, NE 68008 -0000
I
- i
i
I
NATURE OF WORK STRUCTURE J
Misc. Permit Accessory Building
PROJECT NAME PERMIT EXPIRES 0311912017
2608SunriseDr- 150319 -2014 Storm Damage ESTIMATED COMPLETION DATE 1213112015
i
I
I
DESCRIPTION OF WORK
Replace roof, west & north wall metal.
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
i
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
i ding fficial, shall co i ut su . lent ground for the revocation of any permit issued which was based on the approval of this
applica
i ature of Applicant Date