PB-2015-00307.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008 j
wilding Permit Application (402) 426 -4191 - Phone
(402) 426 -4195 - FAX
B- 2015 -00307 �n,, d a www.blairnebraska.org
1/27/2015 POLEBARN Residential May 4, 2015
LOCATION OF IMPROVEMENT: 9208, Blair, NE 68008
ARCHITECT: GENERAL SELF
OWNER: Michael R And Rachelle A Heser CONTRACTOR:
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I 9i 4513 S 174th Ave Blair, NE 68008
OMAHA, NE 68135 -0000
NATURE OF WORK STRUCTURE
New Construction Pole Barn
IROJECT NAME PERMIT EXPIRES 04/2612017
9208Co Rd P33- 150306 -1
ESTIMATED COMPLETION DATE 1012712015
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)ESCRIPTION OF WORK
Pole barn to go up and be completed by the time the house is finished.
)EPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: NA
)EPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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No work will be started before a permit is ISSUED AND POSTED.
'. For commercial permits, a set of plans for this project must be submitted to the Nebraska State Fire Marshal's Office for review.
Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic system.
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.
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 j
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
application.
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THANK YOU KEEP THIS COPY FOR YOUR RECORDS.
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RECEIVED BY
Pounds Printing, Blair, NE 68008
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Cl', Of BLAIQ
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BUILDING PERMIT SUPPORTING DOCUMENTS
This building permit packet includes various items dealing with particular code
requirements and /or building permit requirements. It in no way includes ALL particular
code items. Also, it is your responsibility 'to know the 2009 International Building
Code requirements that apply to your project. Please understand this packet is only
designed and distributed to aid you in your building permit process. A copy of the
International Building Code is available for your use at the Blair Public Library.
I have read the above disclosure and accept this building permit documentation on my
own behalf assuming full responsibility as the owner /contractor for this project.
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caner /Occupant ontractor
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City of Blair Date
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218 South 16th Street • Blair, Nebraska 68008 • 402- 426 -4191 • Pax 402 -426 -4195 E-mail cltyofblalr @cl,blalr,ne,us