RN-2011-00319_0001 (2).tif i
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
building Permit Application (402)426 - 4191 -Phone
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(402) 426 -4195 - FAX
RN -2011 - 00319 alO mIse os Q° www.blairnebraska.org
08/18/2011
RES -NEW Residential August 18, 2011
LOCATIONOFIMPROVEMENT: 1319 Linden Dr, Blair, NE 68008
ARCHITECT:
GENERAL Diamond Homes LLC
OWNER: Jcm Investments Inc CONTRACTOR: 12367 Merriam Dr
= 7110 Morgan Cir BLAIR, NE 68008 -0000
OMAHA, NE 68152 -0000
5 y��
NATURE OF WORK PROPOSED USE
New Construction Primary Structure
PROJECT NAME PERMIT EXPIRES 08/17/2013
1319LindenDr-1 10818-1 -New House
ESTIMATED COMPLETION DATE 2012 -03 -01
DESCRIPTION OF WORK
i
3 bedroom, 2 bath, 3 car garage, unfinished basement 3/4 rough -in in basement
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COM check SUBMITTED: Received
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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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 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.
0 AID
Date
Signature of Applicant