RN-2011-00350_0001 (2).tif =v
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426 - 4191 -Phone
(402) 426 -4195 -FAX
RN 20'1'1 00350 e o a a www.blairnebraska.org
08130/2011 RES -NEW Residential September 6, 2011
LOCATIONOFIMPROVEMENT: 835 Pheasant Cir, Blair, NE 68008
ARCHITECT.
GENERAL McCaig Construction Inc.
OWNER: Jeff M And Penny L Kment CONTRACTOR: 1070 James Dr
2151 South St Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
New Construction Primary Residence
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PROJECT NAME
PERMIT EXPIRES 08/29/2013
835PheasantCir- 110830 -New Residential 2012 -05 -30
ESTIMATED COMPLETION DATE
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DESCRIPTION OF WORK
3 bedroom, 2 bath, 3 car garage ranch style home.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: Received
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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
ding Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
" ofApplicant gnature Date
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