TRANSMITTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID #: -7^f>^.3>-7 Date: 

O^I^L^jla_ 

Address: ?>ll °) ^ ^ AH 

Stabilization Contractor: Pruden t Technologies, Inc. Year: 2010 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

Video of property (DVD) prg ^ /^.f\Q. phSPT 

Executive Summary 

S/ Signed Access Agreement for subject property 

Pre-Renovation Form signed by Property Owner 

• Pre-Renovation Form for Occupant/Tenant, if applicable 

Painting Agreement 

• 

Settlement documents (i.e., for damage or to replace plants, etc.) 

Renovation Recordkeeping Checklist signed by Certified Renovator 

Photographs 

Satisfactory close-out check list signed by Property Owner 

Property close-out check list signed by EPA 

Property information from Douglas County Assessor's Office 

Hazard analysis, if prepared 

D 

Safety Audit 

D 

Othe 30203990 r (describe): 

Superfund 

c^Jjuuj 

PrudentTecnnology, fnc. Signature 

lohjl 

Oat/ (afteierr file file folde folaerr review review)) 
TBCHNOLOGIBS. INC. 

Property Summary 

Date: 6/29/2010 LBP STABILIZATION EPA CONTRACT EP-R7-08-07 Month of: June 

Propert> Address: 311^ N 49 Av. SAID #: 74237 

A. Executive Summary: 

a. Issues Encountered: NONE 

b. Issues Resolved: NONE 

c. Unique Findings: NONE 

d. Other Relevant Information: 

i. Access Date: 04/28/2010 

ii. Work Began: 05/05/2010 

iii. Close-Out Date: 05/06/2010 

B. Enclosures: 

1. Pre-Stabilization Video 

2. Post-Stabilization Video 

3. Signed Access Agreement Form 

4. Advance-Notice Form 

5. Pre-Stabilization Video Agreement Form 

6. Access Tracking Form 

7. Property Access Assessment Form 

8. Neighbor Access Agreement Form 

9. Property Paint Match Form 

10. Pre-Stabilization Property Safety Assessment Form 

11. Work-Site Hazards Analysis Checklist 

12. Pre- Stabilization Property Hazard Assessment Photographs 

13. Douglas County Assessor Property Information 

14. Signed Property Completion Agreement Form 

15. Property Close-Out Check List Signed By EPA 
40L0CIBS, INC. 

Prudent Technologies, hic. (Prudent) is imder contract (Contract # EP-R7-08-07) with the U. S. 

Environmental Protection Agency (EPA) to stabilize Lead Based Paint (LBP) at a number of properties 

located in Omaha, Nebraska, including the property located at: j0\/f Q ' ^fi.^' ^ ^ 

3 ( H A) L{.^ U((l '^ ' ' 

The EPA requests your permission to allow Prudent to perform LBP Stabilization at this property. By 

signing this form, the property owner grants permission to Prudent to perform activities related to LBP 

Stabilization including scraping paint and painting of the referenced property. Further, the 

owner/tenant verifies that they have received the LBP pamphlet "Renovate Right." 

By signing this docimient I agree to allow an EPA contractor to conduct a soil cleanup at my property 

following completion of lead-based paint stabilization, if the soil cleanup has not already been 

performed. I understand that the stabilization contractor cannot provide assurances of which 

contractor will be bound to the soil cleanup. Ifiuther understand that the soil cleanup contractor will 

make all reasonable efforts to address concems that I, as the property owner, may have regarding soil 

cleanup at my property. 

tVl Yes, 1 have read and understand the paragraph above. 

Property Owner's Signature Date 

If you have any questions about the LBP stabilization planned for your property, please contact 

Prudent's Customer Relations/Office Manager for the Lead Based Paint Stabilization, Mr. Chandra 

Shekar at 402- 504-1004 or 402-889-3821. General questions about the Omaha Lead Site cleanup can 

be directed to the EPA Public hiformation Centers at (402) 731-3045 (South Omaha office) or (402) 

991-9583 (North Omaha office). 

Propertv Access Granted Bv: 

Property Owner's Signature Date 

Clf k Uaf<ih 

Please Print Name 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omalia, Nebraska 68110 San Antonio, TX 78229 

Plione: (816) 363-3703 Phone: (402)504-1004 Ptione: (210)822-9588 

Fax: (816) 363-3707 Fax: (402) 504-1005 Fax: (210) 579-6577 
2

TBCHNOLOCIBS. IN C 

PROPERTY INFORMATION 

(To be completed by resident and/or property owner ~ please print) 

RESIDENT NAME: CUflS l^a^^ k (Qymexy Tenant 

RESIDENT ADDRESS: __3Ll^_Jsl^Jd3ik^Ay£ ^ 

IF RENTAL, PROPERTY OWNED BY: 

OWNER'S MAILING ADDRESS: 

OWNER'S TELEPHONE NUMBER: 

Home: ^O>93^-'Z07 ^ Work: _ Cell: ^Z-IQC-^07 ^ 

NUMBER OF OCCUPANTS UNDER 7 YEARS OLD: A/ o 

TOTAL NUMBER OF OCCUPANTS: 7 

NUMBER OF CHILDREN UNDER 7 YEARS OLD WHO PLAY IN THE YARD FOR 5 HOURS 

OR MORE PER WEEK: 

COMMENTS OR SPECIAL INSTRUCTIONS (such as does, entrv gates, etc.^; 

 yjo^-^ 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS: The activities to be unplemented 

by EPA under this agreement are pursuant to Section 104 of CERCLA, 42 U.S.C. 9604. EPA's right 

of access to the property is provided for in Section 104(e) of CERCLA, 42 U.S. C 9605(e), which 

provides entry for "determining the need for response, or choosing or taking any response action under 

this title, or otherwise enforcing the provisions of the title." 

Property Owner Signature: V-2^-/ 0 

slifmafiir^^ ' (Signature) Date 

8080 Ward Parkway, Suite 405 2505 N. 24'" street. Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 . Phone: (210) 822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
'TBCHNOLOGIBS, INC 

PRE & POST PAINT STABILIZATION VIDEO AND PICTURES 

I understand that prudent Technologies (Prudent) will be coming out to shoot a PreStabilization video and to take pictures of my property. Prudent will use the videos and 

pictures to document the current property status/condition. Also, Prudent will shoot a video 

shot following the completion of the paint stabilization. I give permission to videos and 

pictures of my property. 

Please list any special conditions that Prudent employees need to be aware of before 

shooting a video (such as pets, prior notice, etc.). 

3 1 N A/o.^^ ^ A\/^. 

Property Address 

ct CIS. 

Owner's NamTiee Signature Date 

ADVANCE NOTICE REQUIREMENT 

After signing the access you allow Prudent to begin Lead Based Paint Stabilization. All 

Plants, weeds and any vehicles or items on open porch (enclosed porches will NOT be 

stabilized) must be removed prior to stabilization. All Pets must be out of yard during 

stabilization. Please indicate below how much advance notice you need to have the abovementioned tasks completed. If you are a landlord you will need to contact the tenant as 

Prudent will only inform the property owners. 

Do you have any pets that reside in yard: Ves 

Notice needed: I day 

Phone number to call to give notice: v^3""2^Z- ^ 

Whom we are giving notice to: ^ I P 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax:(816)363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
Current Sampl £ e Pre-Renovation Form 

Effective until April 2010. 

Confirmation of Receipt of Lead Pamphlet 

M I have received a copy of the pamphlet, Renovate Right: Important Lead Hazard 

Information for Families, Child Care Providers and Schools informing me of 

the potential risk of the lead hazard exposure from renovation activity to be 

performed in my dwelling unit. I received this pamphlet before the work began. 

Printed namaof recipient Date 

Signature of recipiei 

Self-Certification Option (for tenant-occupied dwellings only) — 

If the lead pamphlet was delivered but a tenant signature was not obtainable, 

you may check the appropriate box below. 

• Refusal to sign — I certify that I have made a good faith effort to deliver the 

pamphlet, Renovate Right: Important Lead Hazard Information for Families, 

Child Care Providers and Schools, to the rental dwelling unit listed below at the 

date and time indicated and that the occupant refused to sign the confirmation 

of receipt. I further certify that I have left a copy of the pamphlet at the unit with 

the occupant. 

Q Unavailable for signature — I certify that I have made a good faith effort to 

deliver the pamphlet, Renovate Right: important Lead-Hazard Information for 

Families, Child Care providers and Schools, to the rental dwelling unit listed 

below and that the occupant was unavailable to sign the confirmation of receipt. 

I further certify that I have left a copy of the pamphlet at the unit by sliding it 

under the door 

Printed name of person certifying Attempted delivery 

date and time 

lead pamphlet delivery 

Signature of person certifying lead pamphlet delivery 

.?ff ^ A/ ^ 9 /H^ 

Unit Address 

Note Regarding Mailing Option — As an alternative to delivery in person, you 

may mail the lead pamphlet to the owner and/or tenant. Pamphlet must be mailed 

at least 7 days before renovation (Document with a certificate of mailing from the 

post office). 
iNCT 

PAINT MATCHIN G FORM : 

1. TO BE FILLED OUT ONLY IF MATCHING COLOR 

PROPERTY ADDRESS: 3 | I ^ M L{ ^ A V 

BVID: q q >? 3 > 

The followmg notes are for the benefit of paint crew only. 

Paint Yes Paint No Location Paint Description 

Siding 

^Ooc J 

y ^ 

Soffit Vv)o e ct 

Fascia 

ptrod 

Comer Trim N/A 

Window Trims 

^^00 JL 

Door Trims ^crp (A 

Front Porch Ceiling ^^oc k 

Front Porch Ceiling Beams K«JM^ 

Front Porch Floor CjgVMlX-AK-

Front Porch Railings 

I^OrtKX^ 

Front Porch Steps (^..gVvO'v^J^ 

Siding Baseboards 9^/f^ 

Foimdation 

r_,,/yJl>^^-»J^ "GloQC ­

•)9t,rJk 1 C<;^>,«, Vi,) ^^:;(^ ^ K.^kJl 

( F\ c>o-r ^!6^/03*--€J ^ 

XyeiiU M.ei^? 

^ 

|M,e>-^^( 

(1€AIA« ^ ©A^SM-.-^ 

• I UNDERSTAND SHERWIN WILLIAMS WILL MATCH MY CURRENT COLORS. 

Homeowner signature: ^—^^*0 /^y^ytA^y_^ Date: V - ^2-^^ /(O 

8080 Ward Parkway, Suite 405 2505 N. 24"' Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402) 504-1005 Fax: (210) 579-6577 
ACCESS ASSESSMENT FORM: 

House siding (circle all applicable) 

*Transite is same as ast)estos 

**Also called aluminum siding 

***Also called roof shingles 

If the siding is aluminum (metal), is it original 

factory finish or painted over? Circle one. 

If the siding is Wood/Asphalt/Roof shingles, is it 

painted? Circle one. 

Does this property require lots of scrapping? 

Does this property require a lift or scaffolding to 

reach upper levels? 

Does this property have lots of plants/ivy or items 

in the areas where painting is required? If yes 

explain. 

Does this property have any significant structural 

damage? If yes, EXPLAIN? 

Does this property have a: Garage / Shed 

Garage: ^;e§> No 

Shed: Yes /(So) 

If yes, describe the location & siding material of 

garage/shed. ^<t>»v>^ W^.-6V "^U ^ 

Is this property vacant or occupied - circle one 

Are there any pets at this property? If yes explain. 

Are there any low hanging power lines? 

Do we need neighbor's access? If yes please 

explain and get neighbor's property address and 

owner information. 

m^ l Transite* / Vinyl / Pre-finished Metal** / 

Brick / Concrete / Concrete blocks / wood 

shingles / Asphalt shingles*** / Stucco / 

Original Factory Finish 

Paintgd-QiffiL 

KJ 1^ 

c ^ •"^^''"nifii^ paintPd—-^ 

Shingles not painted 

Yes/ €J 

Yes/ 

Garage: Attached 

Garage siding: WoodTTfansite* / Vinyl / Prefinished Metal** / Brick / Concrete / Concrete 

blocks / wood shingles / Asphalt shingles*** / 

Stucco / 

ShedL 

Occupiecr / Vacant 

es// No 

es tlHo 

Yes/ 

^ 

8080 Ward Parkway, Suite 405 2505 N. 24'" street. Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax:(816)363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
5t«>»i-.j; 

TEOINOLOGIES,] 

ACCESS INFORMATION TRACKING SHEET 

S t . 

BVID: ^i{^3 ^

Property Owned By: 

(If new property owner) 

 PROPERTY ADDRESS: 3 ) / ^ hJ L\ ^ A- ^ 

Owners Phone No's: Home: 

Cell: -

Work: 

Fax: — 

Access Contractor: ASW PDA MES PE Other (Prudent) 

DATE 

k\^ V I " '-« & ' 

TIME 

4:cf> 

ACCESSOR 

^'x/O -

CONRACT DETAIL 

Comments: 

8080 Ward Parkway, Suite 405 

Kansas City, MO 64114 

Phone: (816) 363-3703 

Fax: (816) 363-3707 

2505 N. 24'" Street, Suite 308 

Omaha, Nebraska 68110 

Phone: (402)504-1004 

Fax: (402)504-1005 

4242 Medical Drive, Suite 4250 

San Antonio, TX 78229 

Phone: (210)822-9588 

Fax: (210) 579-6577 
RENOVATION RECORDKEEPING CHECKLIST 

Name oi Firm / ^ : ^it )/r^yyrf,Uh/ , "J^fyM/ y Z^^ ­

" land Location of Renovation: 

brief Description of Renovation:. 

ynf-yy^r/U. 4f^/iyt ^\Lh^i/zzj^-y/a/ ) 

Name of Assigned Renovator:: (?i^f ly'JfoJ^ ^ 

Name(s) of Trained Workers, if used: yy^e/yyii 

Name of Dust Sampling Technician, 

Inspector, or Risk Assessor, if used: _ 

/^^>^/;/^//^r. ^23^ . .•Xopies of renovator and dust sampling technician qualifications (training certifications, certifications on file. 

\X^rtified renovator provided training to workers on (check all that apply) 

_vxPosting warning signs »^..<8etting up plastic containment barriers 

LxKiaintaining containment u^voiding spread of dust to adjacent areas 

lyWaste handling u-rost-renovation cleaning 

Test kits used by certified renovator to determine whether iead was present on components affected 

by renovation (identity kits used and describe sampling locations and results): 

^.•Warning signs posted at entrance to work area. 

• work area contained to prevent spread ofdust and debris 

^All objects in the work area removed or covered (interior) 

HVAC ducts in the work area closed and covered (interior) 

^Windows in the work area closed (interior) 

kjX^Windows in and within 20 feet of the work area closed (exterior) 

Doors in the work area closed and sealed (interior) 

j^/Doors in and within 20 feet of the work area closed and sealed (exterior) 

ypoQts that must be used in the work area covered to allow passage but prevent spread ofdust 

Floors in the work area covered with taped-down plastic (interior) 

"ground covered by plastic extending ID feet from work area (exterior) 

^^astic anchored to building and weighed down by heavy objects (exterior) 

»^ f necessary, vertical containment installed to prevent migration ofdust and debris (exterior) 

jyyiasXt contained on-site and while being transported ofT-site 

j/Work site properly cleaned after renovation 

y%\\ chip and debris picked up, protective sheeting misted, folded dirty side in, & taped for removal 

Work area surfaces and objects cleaned using HEPA vacuum and/or wet cloths or mops (interior) 

Certified renovator performed post-renovation cleaning verification (describe results, including the number of wet and 

dry cloths used): ^ 

(f dust clearance testing was performed instead, attach a copy of report. 

JM certify under penalty of law that the above informatio brmationn is true and complete complete. 

Niimc iind Tide / / y / Oati.' 

V ' d 9099-S0S-30^ 
cby y-y/ y ivddA-i:t s-^-/ ^ li^t y^iy y\.y 

RENOVATIO N RECORDKEEPIN G CHECKLIS T A 

NameoflMrm: i XJ' ) ^ Y ;!• y r / Xr y ^1^ } t , w^/^^^ . /^^/-d ­

' T and Location of Renovation: yy U • /C/ > ^'^ / r i J^^Jt ^ t ^ , . j 

brief Description of Renovation: .- / -^V-/ -/!/ - 7-^1 ^ LH : '.."^^^ ^ //JZy^T^'^ / J 

Name of Assigned Renovator: ;'///',' / ..• ..••//'.-•/^-•'^.-.•^/ N 

Name(s) of Trained Workers, if used: 'ylA^/f j Ay ? ^yy^lO/f' ) 

Nameof Dust Sampling Technician, r .''/, • ' / / / • / / —. 

Inspector, or Risk Assessor, if used: Y-fliy^/Ct yd/l/fJ/j/yiJ/J^C "//>", 

-^•^opies of renovator and dust sampling technician qualitlcations (training certifications, certifications on file. 

^•Certified renovator provided training to workers on (check all that apply) 

vxPbsting w<iming signs vgetting up plastic containment barriers 

^Maintaining containment j^^voiding spread of dust to adjacent areas 

i>Waste handling i-^ost-renovation cleaning 

Test kits used by certified renovator to determine whether lead was present on components affected 

by renovation (identify kits used and describe sampling locations and results): 

.^•^aming signs posted at entrance to work area. 

I/work area contained to prevent spread ofdust and debris 

^All objects in the work area removed or covered (interior) 

HVAC ducts in the work area closed and covered (interior) 

Windows in the work area closed (interior) 

.^-"Windows in and within 20 feet of the work area closed (exterior) 

Doors in the work area closed and sealed (interior) 

^ yXJQQTS in and within 20 feet of the work area closed and sealed (exterior) 

t-^ Doors that must be used in the work area covered to allow passage but prevent spread ofdust 

Floors in the work area covered with taped-down plastic (interior) 

^^round covered by plastic extending 10 feet from work area (exterior) 

>^astic anchored to building and weighed down by heavy objects (exterior) 

yj f necessary, vertical containment installed to prevent migration ofdust and debris (exterior) 

jyf^asle contained on-site and while being transported off-site 

_v/\Vork site properly cleaned after renovation 

v^l l chip and debris picked up, protective sheeting misted, folded dirty side in, &. taped for removal 

Work area .surfaces and objects cleaned using HEPA vacuum and/or wet cloths or mops (interior) 

Certified renovator performed post-renovation cleaning verification (describe results, including the number of wet and 

dry cloths used): 

; (f dust clearance testing was performed instead, attach a copy of report. 

J_ I certify under penalty of law that the above information is true and complete. 

Cyy/y:y.f:, Mnjy:.. LyOA,..._ y^ykz/. ^ 

Name aiul Title ' . ". D:»tc 

9099-S0S-30V 

TECHN(nX)GIBS,1 

Checklist for the Worksite Hazard Analysis 

Address 

Crew: Date: 'JSp -fb 

Item OK? Hazard Corrective Action 

Overhead Lines 

ViyOyi JiXaey In-transit Vehicle Clearance OjriyiQyi 

Levels around high wires 

Vehicle Clearance around 

high wires when working 

Phone lines UAM^pR^tfrtLn^ie- Cable lines 

Gas Line 

Water Line 

Sewer Line 

Septic Tank 

Propane/Butane 

Access to/on Property ^ ^ ^_ ~ 

Neighbor Access Required 

High Traffic Area 

Garage 

Structures H.Uy^^ ^ uy ^ LiuJ ^ n^M/ Driveway 5^ j dpj^J ^ C > 

Sidewalk Q/\j^^ 

Foundation 

Retaining Walls . .^—- 'rGckl\^ -^f ^ \v^j^jz-..---iW^i^i6b?_ -idfJc^ - .^ : 

Fences 

Trees dty*^"* -

Foliage J k^r&JL^ 

, General Condition of yard 

Damaged Areas: sink 

holes/rotted wood )Ottr^ l£n ^ 

Sprinkler System 

Pets ^ ^ 

Insects ^ 

Weather Conditions 

Unsafe driving conditions 

Unsafe neighborhood *- Vu> ^ i^i^ys^^^-'Yi^ ^==>e>iy4A ^cJU ^ 

8080 Ward ParkwayJ 2505 N. 24*" Street, Suite 308 : Medif al Drive, Suite 4250 

Kansas City, MO 64 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 

L^ 



2010 

t # 

ENVIRONMENTAL & CONSIRHCTION 

TECHNOLOGIES, INC. SERVICES 

OMAHA LEAD BASED PAINT REMEDIATION 

Property Owner Close-Out Form 

(Lead-Based Paint Stabilization EPA Contract EP-R7-08-07) 

SAID: -^(Jj^^' ^ 

Property Address: 111^ KJ l\.^ M/ ^ 

Ovmer's Name: Qkffs^AarsU 

Performance Standards/Close-Out Criteria YES NO 

1. Was the entire structiire(s) painted with the exception of the stated, excluded areas? This 

would include painting of other associated features including fascia, eaves, siding, all trim, 

porches, box beams, columns, rails, and exterior surfaces of garages. X

2. Was all scraping and other preparation work completed satisfactorily? x 

3. Were all required areas of the structure(s) primed as needed and painted v^dth two top coats? y 4. Was the paint products utilized equivalent to a 25 year product/quality? K 

5. Are all of the areas where contaminated materials have been spilled thoroughly vacuumed/ 

cleaned? X

6. Did the contractor collect/vacuum all falling and scraped paint chips on the entire property, x: 1 roadways, alleyways, public access areas and also remove any other generated debris? 

7. Is the grass area that surrounds the structure(s) in reasonably good condition? X 

8. Are all items such as polyethylene sheeting, ladders, paint brushes, cones, barrier tape, etc. 

properly removed? M 

9. Is there any evidence ofproperty damage that was done by the contractor? Any property 

damage needs to be completed prior to the EPA Close-Out. ^ A

10. Are you satisfied with the work performed? X 

11. Are there any property items that were temporarily re-located by the contractor that need 

to be moved back? 

12. Are there any (known) lingering issues with the property owner(s) that have been left 

uiu-esolved? 

/ 

Other Considerations/Property Owner Discussions/Additional Work that is Required: 

1 Ckris f^<sysL -io Id <?B no-f fo pcff^i^ -fKe skrp£ices o f f^<- h-o/i4 *=»­

-Sfc/e porches-^ 

g-/^-/n 

Property Owner Signature Date 

^-^-/ ^ 

Date 

8080 Ward Parkway, Suite 405 2505 N. 24" Street, Suite 218 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 

X 
Douglas County Account Information Page 1 of3 

Douglas County, Nebraska Property Record - R1602600000 

Print Reoort 

NEW Feature - Parcel Dimensions available &. scale 0-50 ft west of 52nd St - Vle W OH Ma P Information is valid as of 2010-3-16 Treasurer's Tax Reoort 

New Feature -¥-¥ f!¥ Auto Sales Search 

Owner 

i^ARSH CHRISTOPHER A 

ETAL 

3119 N 49 AVE 

OMAHA NE 68104-0000 

Property Informatio n 

Key Number: 0260 0000 16 

Account Type: Residential 

Parcel Number 1602600000 

Parcel Address: 3119N49AV 

OMAHA NE 68104-0000 

Legal Description: LAKE JAMES PARK LOT 7 BLOCK J 50 X 136 

Value Informatio n 

Land Improvement Total 

2009 $6,500.00 $62,400.00 $68,900.00 

2008 $6,500.00 $62,400.00 $68,900.00 

2007 $6,500.00 $62,400.00 $68,900.00 

2006 $6,500.00 $62,400.00 $68,900.00 

2005 $6,500.00 $44,100.00 $50,600.00 

2004 $6,500.00 $44,100.00 $50,600.00 

Sales Informatio n 

Sales Date: 2009-03-16 

Deed Type: WD Sooilr: 2009 Page: 024782 

Price: $89,000.00 

Grantor Bruckner Joshua Etal 

Grantee: Marsh Christopher A Etal 

Valid/Invalid: Valid 

Exclusion Reason: 

Sales Date: 2007-01-23 

Deed Type: WD Book: 2007 Page: 010713 

Price: $82,000.00 

Grantor Hubbard Jason C etal 

http://douglasne.mapping-online.coni/DouglasCoNe/static/accountinfo.jsp?accountno=R1602600000 3/22/2010 
Douglas County Account Information Page 2 of3 

Grantee: Bruckner Joshua etal 

Valid/Invalid: Valid 

Exclusion Reason: 

Sales Date: 1997-10-29 

Deed Type: Book: 2078 Page: 433 

Price: $42,500.00 

Grantor 

Grantee: 

Valid/Invalid: Valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.15 6800.0 1.0 136.0 50.0 No 

Improvemen t Informatio n 

Building 1 

Muiti Level 

3119N49AV 

mir 

•ir 

nir n r 

n t FW Floor 

«» I223,ff r r 

• a -L , SI V • • ta * 

BaiwIBIoefcat 1» lOJlff 

ago Sq R Fti Bsmt 

1 CLICK TO ENLARGE IMAGE | CLICK TO ENLARGE IMAGE 

Square Footage: 1233.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Fair 

Built As: Mult Level Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 5.0 

Exterior: Frame Siding Units: 1.0 

Interior: Drywall Baths: 1.5 

Roof Cover: Composition Shingle Bedrooms: 2.0 

Roof Type: Gable Stories: 1.0 

Fioorcover: Allowance Foundation: 

Sprinkler Square Footage: 0.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R 1602600000 3/22/2010 
Douglas County Account Information Page 3 of3 

Year Built 

1949 

Detail Type 

Appliance 

Basement 

Fixture 

Fixture 

Fixture 

Fixture 

Garage 

Porch 

User 

year Percent Adjusted Year Physical Age Remodeled Remodeled Built 

0 0% 1949 60 

Detail Description Units 

Allowance 1.0 

Bsmnt Block 8 ft 1033.0 

Additional Fixtures 1.0 

Base Fixtures 1.0 

Bath Full 1.0 

Bath Half 1.0 

Basement Single 1.0 

Slab w/Steps 63.0 

Has AC not working now 1.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R1602600000 3/22/2010