MS-2015-00471.tif CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
UIl I11 Permit Application (402) 426- 4191 -Phone
(402) 426 -4195 - FAX
MS- 2015 - 00471 ise of a www.blairnebraska.org
06/09/2015 bpeterse MISC Residential June 9, 2015
I
LOCATION OF IMPROVEMENT: 13887 Hwy 75, Blair, NE 68008
ARCHITECT:
GENERAL F/S Contracting
j OWNER: S Michael, Trustee Jensen CONTRACTOR:
324 S 13th St
>r 75 13887 Us Hwy Tekamah, NE 68061
BLAIR, NE 68008 -0000
%:� /r r ✓` t rr �r<
✓ . ,z ✓, ,, r r r ;✓ ✓�
...... .. ✓/ r. rrr ., r �'. / r ,. /( „r .; /r r r✓r r ,.,. r ,,. r. ✓; -.: r- ✓i✓'/
,,. ,..,. .,. r r / /`r:,. ✓ i .�` .. . _ � .: ;,. -,�� ✓�r„ .... .,.>
..: f,. r r . r /r' ,: .- ✓,L., _ :� p✓r'/ , ..r:.. *e /Yf,' ..'%: /r .r` fi./l ..r 1 ✓ ✓.. .i ,. 1 r r'l..
,,. r.,. s ✓/✓ e- ✓,.`s .. ... „. .. .F_ r r•.: ,.,_,., e<.r l ✓cr .f f/ ..,r rr,. ,. y:
rr'�,. .:.,:, '� r. F .: , a _ a - ..,. . ,. - ,. ,. ,.., � ..✓ rr � f i'/ /' ,. ,G'` .., ./ ,,1' / r' ✓�;
.., c l r r ./ ' r:: �' I -. �S� - , � ,,. e � i �. .. V%- -._, ... w . : �� ,.- .,,:.. .'fi✓ r ,/ rr r/ ry"f ,r,^ r;, /r'r/ ,,�: � r
/ / ✓rr' ✓r; °,f
/ ..,✓ r'"..... // .,r, ,: ,. i.� , > f .: r:. �.t �- '1'„ ,,, �rl/ ✓ /f .. .r l.✓�./:✓.r i'. ...:
,.,..,.,: , , ✓r/ : ✓; /;:. r r n.. v, ,,r -. F .,?: j . ,,. r � ✓ . � ,,. �r' „,r .� / rr... r ,r , ,,. ,rr ,r"".. r
r'... , r�✓
.,.,. , , r -, / r r�. / ,,:, r. / r; ✓r,. -%.r . /�. ..rr ,r,�r ✓. /F .✓i" r.. r
.,,:., ,,,,;,.,,,.,„...., -� .w,. ,,,..,.:.. ✓ /r ✓r ,.l w. ,.r;: _ ,�/ .d,� x.r';;, „ ...: /�/',,,,,,, �✓` r�.::�...�, .,��, ..- ,.�„h...;. /.�.., �,,..a.^d rte.✓
/i✓f�.� „ra< /�>��'l:y /:5 ,ref ,,..,c;,l✓ .
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 06/0812017
13887Hwy 75- 150609 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12/31/2015
DESCRIPTION OF WORK
Re -roof.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
✓ r, ✓ r
,...., .,...., r r .✓ r ,-' ,., ✓, a a ;rt A `i € , .✓.rl, ✓✓ f. ' . rfif /y ..r �,.- .- r,.ar�rir � ,> ,.,,,s,- rs lf,.. r .. r✓'`,<
z rr.. s...
,..., r r r � r r /: r/c �.�,. / �.... fr✓ ,.. � „ .
/ / ;' r,., /.., f � p �� ., �.0 G ,, //✓ / �✓/i�/ /�� r r ter° fir'' {r
r i r../ .r ✓�'� � t.�.G3G P;'Y J � �.,�,.N .f /rr r r✓ ✓r r f/. .f rr .G' ✓ r%. r r'
,.,., , ...r: -rr .,., ,;,, ., - ,r /rr,.:;, ,, ,., �r -r .,,,,� „f,,:...,�r ✓_/� /�i�. xF;,� :�.. ,✓,',�� a,,. ,� / /., r/r/c .>✓�✓r.r;✓: .lr�,�r✓ �,,,r, / /.,...
r, r _,� ��,!r rf:..,.:�, .. rl r~r..
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
Building OfficiI? shall constitute sufficient ground for the revocation of any permit issued which was based n
7 the approval of this
V p lication. %' ,�..-
I
G��.. ,..r -
��
- - � - K
k_Sj&at)jfb of Applicant ate
I