RN-2012-00148_0001 (2).tif CITY OF BLAIR
218 S. 16TH STREET
II BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
s' (402) 426 -4195 -FAX
RN -2012 - 001413 �m,s of �a�` www.blairnebraska.org
04/23/2012 RES -NEW Residential May 1, 2012
LOCATIONOFIMPROVEMENT: 2130 Fieldcrest Dr, Blair, NE 68008
ARCHITECT:
GENERAL McCaig Construction Inc.
OV\NER: Jcm Investments Inc CONTRACTOR: 1070 James Dr
7110 Morgan Cir Blair, NE 68008
OMAHA, NE 68152 -0000
I ,
NATURE OF WORK PROPOSED USE
New Construction Primary Residence
PROJECT NAME PERMIT EXPIRES 04/23/2014
2130FieldcrestDr- 120423 -New Residential
ESTIMATED COMPLETION DATE 8/15/2012
DESCRIPTION OF WORK
3 bedroom new ranch style home, 2 bathroom, 2 car garage with unfinished basement.
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
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
ppltion
S' nature of Applicant Date