ms-2015-00987.tif CITYOFBLAIR
218 S.16TH STREET
BLAIR,N s 68008
Building11 (402)426-4199 Phone
(402)426-4195-FAX
WS-2015-00987
.blairnebraska.org
ii Will lluii;&''11�1
-----
12/08/2015 ShellyJ ► i C Tcommercial December 8,2015 I
LOCATIONOFIMPROVEMENT: 925 E Dixon Rd,Blair, NE 6800$
'ARCHITECT:
GENERAL McKinnis Roofing &Sheet Metal
y OWNER: Luxa Construction Co,Inc CO>uTRACToP,
164 S let St
Blair,NE 68008
BLAIR,NE 6800"000
F"
3 ,
NATURE OF WORK STRUCTURE
Storm Repair Primary
PERMITPROJECT NAME 1 1210712017
925EbixonRd-151208-2014 Storm Damage
ESTIMATED I T 613012016
DESCRIPTION _ F WORK
Remove and replace metal roof, wall panels and soffit on office, shop and shed. Not a full replacement.
DEPOSIT PAID Y: SITE PLAN SUBMITTED: NA
McKinnis Roofing
R Scheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
Ire 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 codestordinances 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.
i
r�� )i2A/ 15
Date
sign urs of Applicant