RN-2012-00251_0001 (2).tif CITY OF BLAIR
ti 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application
(402)426- 4191 -Phone
a (402) 426 -4195 - FAX
RN 2012 - 00251 '��,�a www.blairnebraska.org
06/21/2012 RES -NEW Residential June 29, 2012
LOCATIONOFIMPROVEMENT: 1980 Crestridge Dr, Blair, NE 68008
t ARCHITECT:
GENERAL ProLine Homes
OWNER: Jcm Investments Inc CONTRACTOR: PO Box 390427
7110 Morgan Cir OMAHA, NE 68139
OMAHA, NE 68152 -0000 l
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NATURE OF WORK PROPOSED USE
New Construction
Primary Residence
PROJECT NAME
PERMIT EXPIRES 06/2112014
1980CrestridgeDr- 120621 -New Residential ESTIMATED COMPLETION DATE 11/30/2012
DESCRIPTION OF WORK
4 bedroom 2 story, 3 baths, unfinished basement with 3/4 RI bath in basement, 3 car garage.
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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
4 Official, shall constitute sufficient ground for the revocation of any permit issued which was based ndthe approval of this
at
o . pplicant