MS-2015-00776.tif 09-14-'15 11;18 FROM-Absolute Customs T-405 P0001/0001 F-882
t'1s.'a.'1DInbIli1
BLAIR,NEBRASKA68008
I:II 11"9 Permit Application
(402)426.4191 -Phone
(482)4261195-FAX
AS®24'15- 0776 �`�mr$� ¢,q�l� www.blairnebraska.org
911'1/2015 MISC Residenkiai September 11,2015
LOCATIONOFIMPROVEMENT: 1952 Colfax St, Blair, NE 68008
rARCHrl QENERAL Absolute Roofing
e OWNED David J Barr CONTRACTOR;
17330 W Center Rd Ste 110-145
1952 Colfax St OMAHA,NE 68130
BLAIR,NE 680080000
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 09/10/2017
1952CoifaxSk�150911-2014 Storm Damage ESTIMATED COMPLETION DATE 12/31/2015
I
I
DESCRIPTION OF WORK
Re-siding house.
DEPOSIT LAID BY: SITE FLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
. , ,
1. No work will be started before a permit is ISSIJEb 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.
I.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
application.
Ignature of Applicant Data