MS-2015-00610_0001.tif i
CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
B uilding P Application (402) 426 -4191 - Phone
MS -2015 -00610 (402) 426 -4195. FAX
Ise of a www.blairnebraska.org
07/2812015 ShellyJ MISC Residential July 28, 2015
LOCATIONOFIMPROVEMENT: 13784 Barn Hill Ln, Blair, NE 68008
-r ARCHITECT: GENERAL McKinnis Roofing & Sheet Metal
OWNER: Leroy And Sandra T Wigdahl CONTRACTOR:
164 S 1st St
13784 Barn Hill Ln Blair, NE 68008
BLAIR,NE 6800$ -0000
f t
NATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 07/27/2017
13784Barn HiIILn- 150728 -2014 Storm ESTI COMPLETION DATE 1 213112 0 15
Damage
DESCRIPTION OF WORK
Reroof and siding on metal outbuilding
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheckiCOMeheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
i
V�.= a7 " It �rtI
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 Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
ap cation.
Date
Signature of A leant