RN-2012-00077_0001.tif i
CITY OF BLAIR
` 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
j ,lE�: P _ wilding Permit Application (402)426- 4191 -Phone
��t; (402) 426 -4195 - FAX
RN- 2012 -00077 0 4 S qt q www.blairnebraska.org
i
03/19/2012 MMM0 7RES-NEW Residential March 23, 2012
LOCATIONOFIMPROVEMENT: 9999 -1 Springridge Lip, Blair, NE 68008
ARCHITECT:
GENERAL J Nielsen Construction LLC
OWNER: Data Unavailable CONTRACTOR: 1730 State St
ti BLAIR, NE 68008 -1568
1
�T
,, �� � , }i•rsi ���,1� ,�I {. 1 ra. 4t .il + `b 'i��Cr., ' t`', 1V '�� +. &�1.��,`.;
NATURE OF WORK PROPOSED USE
New Construction Primary Residence
PROJECT NAME PERMIT EXPIRES 03/1912014
9999- 1Springridge Lp- 120319 -New
Residential ESTIMATED COMPLETION DATE 2012 -11 -01
DESCRIPTION OF WORK
3 bedroom ranch, 2.5 bath, unfinished basement with rough in bath, 3 car garage and walk out basement.
i
i
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: Received
DEPOSIT STATUS:
BUILDING PLANS SUBMITTED: Received
i
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. j
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
/ Buillding Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
V a ' tu ' re licatio �. of Appl cant
Date