RN-2011-00538_0001 (2).tif CITY OF BLAIR
' } 218 S. 16TH STREET
j BLAIR, NEBRASKA 68008
` -liO �I t'��j �r� �� BUI�C�IIIg P @P1111t/�1pp�ICat10�1 (402)426- 4191 -Phone
(402 ) 426 -4195 - FAX
RN- 2011 -00535 ���, �� °` www.blairnebraska.org
12/0212011 RES -NEW Residential December 12, 2011
LOCATIONOFIMPROVEMENT: 1440 Fieldcrest Dr, Blair, NE 68008
k ARCHITECT:
GENERAL J Nielsen Construction LLC
u: OWNER: Jcm Investments Inc CONTRACTOR: 1730 State St
7110 Morgan Cir BLAIR, NE 68008 -1568
OMAHA, NE 68152 -0000
aYf
z r
c
NATURE OF WORK PROPOSED USE
New Construction
Primary Residence
PROJECT NAME PERMIT EXPIRES 12/01/2013
1440FieldcrestDr- 111202 -New Residential ESTIMATED COMPLETION DATE 2012 -07 -31
I
DESCRIPTION OF WORK
4 bedroom 2 story, 3 baths, 3 car garage, unfinished basement.
I
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: Received
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
i
I
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
Building Official, shall constitute suffi nt ground for the revocation of any permit issued which was based on the approval of this
plication�
ignature of Applican Date