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BUILDING. INSPECTOR REGORD <br />I hcnby rf,lm undcr pendty of pcrJury thrt I m ampt fm rho Cdrr&tat' Ucauo LM for rhc followin3 rcA\ <br />ud Profatlm Codc): Aly Clt .. County xhici Dqultta . Frail b colaiucf rlt.r, lrapovc, d.rnolbh c rlpdr nyr. -. ^ -ixwe, rho EqulE lh. rppllot f6 ruch pqnrlt to 0lo . rltrld ro!.tmnt on h. o, aho b lioaucd n[rumr r Uro ptr! I (.i 9l nraCdtrrltrt Ucodf:r(Chptor9, Comac&6l|th 8*116 7000 olDlvlrlon 3 of rto Burinqr md Profsiqr Codf,orrtu hc r <br />,hc it qmPttli@Aorn ndticbrlr lcttc dlc3d cnnpdo.Any vlol.do of S.crl6 7031,, by sy tppllost ftr r parmh tubjtrtr th!rpplisr to r clvll pctulty of ffr mat ih{ ovr hudrcd dollu (t500). <br />-1,-l <br />mc. of Oc FlPsty, dmy mployro ri$ wrSr r thcir rolo corpourtloo, rill do tho vort md tha rtrucnrG l, not lhtortdcd <br />or ofiecd fa <br />'rlc <br />( Scc.70,l.l, Burlncrr rnd Profariou Codc Tto Cootnctor'r Llcmrc Lrv do{r nd rpply !o |tl orrx}r of thc prop€fiy <br />who boild, d impou lh60r, d who &.. nrch rak hlmdf c hf,Glf a thmdr hir or h6 wn mployG, prcvlded rhj ruch ' <br />lmPsovalou l'€ not lntcnd.d a oficd f6 [le l( hffi, th! buitdlnj or irqrcrernanr it rold wirhin mi yqr of cmtpl.rlor\ tho <br />Orna.Euildr wlll hrvo thc hldon of ptrcvin3 Ou hc r rho not build or lmprcvc fc thr puryoc of nlc), <br />-1, <br />u omcr of Oo propcty, .m trclulvoly 6r&lin3 wlth licanod ot*ion ro ffiamct 60 prcjcct ( Scc. 704a, Burlns md <br />Profcuim Codo: Thc Coatncto/r lJcquo lrr docr not rppl/ 6 rrl m.rof propoty who builat c lnrprcvcr thcrcor , ua *m <br />cmmcE fs ruch Foj.cu wirh r Cmrlcto.(r) llffircd Fnmr to tho Cont €1il't Lic6r. Lrw.). <br />_l rm crcmpt undcr Sccdon & P.C. for thh rcmn. <br />Drt.: Offi <br />I hccby rfllm unda *-O orr.lu' -ffi <br />_l hrw ed wlll m.lnoin r Ccrrlflcrro of Cmr6r !o Sclf.lilw fof xorkGr, cffiFrrldm, u prcvldcd fc by Srcrian 3?OO of $.Lrbc Codg for thc ptrffinsco of lli. f,qt fcwhici O. Ffrnlr L Ltucd <br />-l hm ud will miardn *c*o' canpalaio iruumco, u nquircd by Sccrlon 37oo of 66 L&or CodG, fo. rh. pcrfomrneo of rhowork for which thir pcnrit lr iru.d. My rro.*a, omqaurtion lumco crnic ud pollcy nunbff rrci <br />Pollry <br />{tt00} c lcl) <br />ir iuuc4 II rhrll not cmploy ury pcrum <br />lfl rhoukl bccone rubjccr to <br />in rny munar ro rr to <br />rlrrc thrl thc watcn' <br />compcnrtion Lrbc Co&, I rhrll,thorc povLionr.. <br />WARNINC; Friluro to rccm wortcr, compmntld <br />line up to onc hun&cd tlrrurd dolln (tl00,0OO),in <br />thc Lrbor Cod., intdclt ud rttmcy'r fc6, <br />covcn3o h unlrwful, md rhrll rubjcct m mploylr to oimlnd pcnrhicr rnd clvildditin to rh. c{t of mpcnldon, dmrgc u prcvidod fc rhc Scctld 3076 of <br />lhmbylflimundcp6rlryofpcrju'ylhrfficin3withScction7000)ofDivirion!of <br />thc Burinqr ud Prcfsrimr Codc, md my l{ccnrc it io full forcc ud cffcct. <br />Liccilc NumbGr <br />Drtoi <br />I hccby rfllrm undr pfitlty ofpajury rhu <br />CONSTRUCTTON LENNNG AGENCY <br />th6c ir r con3rrucdm l6din8 r86cy fff rhc pcrfomancc of rhc w*k f* which rhir pcmir ilCiv. C.). <br />Lcnd.r't Addrdr: <br />AIDLICANT'3 NECL q,ATION <br />Dmolition Pcmlr.Arbcnq Norillcrdm Pcdonl Rc8ulrtionr (firlc.tO, pur 6) <br />_ R.quircd Lrttcr ofNotillcrriqr <br />_I ccrrift thrr Oc fcdcnl rcauhtimr rcaudin3 ubcsror rcmovrl uc not rppllcrblc ro thlt <br />cfiiry thri I hrvc Ed thb lp,plicdfi lld rutc thd tho rboyc lnfmrurlon b omcl I with rll Clty rnd Counry <br />ud County to antcr upon rhcud St tc Ltu rclrlint to bdldio8 cnnrucrion, lad hcrcby authoizc <br />rboYa matioocd prcperty fC <br />Applicur tr <br />SITE-WORK DATE tD/stG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subfl oorA/enUl nsulation <br />Roof Sheathing <br />Shear Wall <br />Framing klkd/6<- tLb.rtl tfr <br />lnsulation/Energy I I <br />Qrywall t <br />GxJ,llnt. Lath illq/a<-APla <br />-4Pbz-Brown Coat rlhk n( <br />Masonry I ( <br />Pool Fence <br />T-Bar <br />Handicap Requirements <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certlficate <br />t) <*/hU <br />FINAL v=ga-6 R,0 / <br />Certlflcate of Occupancy <br />Notes, Remarks, Etc. <br />F.I <br />Fl <br />fI <br />t\.,,- 4 .tt\ <br />^a <br />Pcrmincc 4z .lad - labqa <br />prcicct.