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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/srG.COMMENTS Om6-Bu <Lr D€lr..ri@
<br />I hdb, .trm 6ds pcndry of p6j'ry 0l.l Ln qdF fm $. C6E&!6' Lic.M lrw k tt. follo*iit Bd Gc.7o3 I 5 Bui.dr
<br />dd P.of6i6 Cod.): Aiy Ciry d Counry ?hid Equi€ . p.dir !o 6,t!cq drcr, ihp.ov., d.mlGh o. Ep.ir M, $ucturc, Fid ro irr
<br />isllft., .bo r.quiE ri. rppli.ln fr n.t Fmn lo fih . ri8rcd ,ltr.l6t lli.t h. c rh. i. li@r.d p{Eu. .o ln. FovisioB of thc
<br />Corr.td! Li.6!.d r3 (Ch$i6 q Cdffi.iIt ridr S6ti6 7000 of Divirid 3 of fi. Buiid sd P.of{i@ Codr) q rn.r lE d
<br />tt.i!.rch!'i$dtn6dtll.bairfctt.llc8!dq6pti6.Anyviolrri@ofSccrld,0,l.JbyoylD,plioladrFfriltubj.c,.h.
<br />lpplidt ro i .i!il p6.lry of nor nm the {irc hmdrod dolls (1500)-
<br />_1, s omd of lh. FDp.ny, 6 m, dployd iilh *!s6 a $.ir rolc c@pq!.ti@, eill do $c vdt ud in. irldr. n no! i 6.Ld
<br />d o{fcr.d f6 rl. ( S4.?04t, Bqi.q dd Pmf*i@ Co&: ft. C6n&lor! Lic.@ L.w do6 tr.a .pply to e own.r of rhc ,.oFrry*hohuil&di FD6rhd6, adwto<L6 sh $!rt hitudachddl6$e8h hir or ha n coployc, povid.d $ar ch
<br />inpror.lME 'I. not lnr6(H 6 ofl.rld fd !.1c. l( how.E, th. b{ilding or imprcttlMr n iold wnhin 6. yd of compl.rior rhc
<br />Omr.BuiLLrwillhrv.rh.bord6ofFo.8tutn.o.rt.notbuilddinFDEfdOEpurp6.oarn.).
<br />_1, a ohq of th. FoFry, h sclqiwly 6trdinS rhl' li@.d 68tu! ro cdirucr rh. Fojet ( S.c. ?0r4, Blrins sd
<br />Prcfaid Cod.: Tt. Cettd6'! Lj.alc lrt do6 .or lpply ro e omd of pro?dy *ho blild! d imp.Dv{ rhqM , ed who
<br />c@rictr fc rucl p'oj..n sirh . conE 4o(, li6G.d plau8r ro rhc c6E&ror'r uc6s. L.w )
<br />_I 6 .rc6pr ond.r Sccrid .8. & P.C. fo. $n @o,
<br />Ohr
<br />WORKERS COMDENS AfION DICI AR^TION
<br />I h4by offim un&. ,.n.lt, of pajlry 6c of 6. foll@ius dlcl6ti6tl
<br />_I h.v. &d iill inhh tcaliliotc of Cdr6r ro S.lflt!@ fd *std'ceFsde, a Fovid.d fd 6y Sddon 3700 of 6.
<br />Irbd Co&, forll!. Ffc.rma of li.rqt fdfii.h lh. p6nn i. ilru.d
<br />_I hrv. od will mi !h rdt@' cdtrD<[ni@ ioEe.., B ,.q!ir!d !y S.ciioi 3700 of thc Ltbc Cod., fq $c pdfffi..e of ln.
<br />wdt ld*hic!$i,Ffrnbin!.d M!*dt' c6pa!.ii6illllfu..niredpolicynumbael
<br />ofs..ri6 3?00 0trh. Ltd co<L,I rndr, roniwnh
<br />4-1(-
<br />FliluB !o ,euE qortd' codp.nstion cov.ng. n
<br />fiiB up ro or. h6d 6o'ed &lld (ll00,0oo),ii .ddirio. ro d. cdl of @npcrmid, dm!s6 s providcd 16 the s.dioD 3076 ol
<br />rh. Lrbd cod., inr.r61 ,.d mncy! f.c.
<br />I,ICINS'D CO TTTACTIIRS NECLAR TION
<br />I h6cby !film o.d.r pa.lry of pdjuy tt.t L'r ltd.d lnda prcvilio ot Ch.pt( 9 (col1t6ciis *nh Scd6 7000) of Divirid I of
<br />th. Bsin{ ed Prcldiot Cod., &d my li@i. ir in full f(@ ed .lfer
<br />4 (-o
<br />I h@!y rfim lndc pc!.lty ofpsjury dllt lh6. it r 6n !cli6 lmdirr .arrcy f( th. p..fo1tl.@ of dE rdt fr ihicl,
<br />l,'Bd (se. !097, civ. c.).
<br />atPr rcaNt,s lrEclrilatoN
<br />DdNlitih P@in-Arhdi6 Notili6ii6 F.da.l R.s{.d@ (Iid. 4q P[t 6)
<br />_ R.glicd ki6 ofNo(licdi@
<br />-1*,:u6.i rh. l.ddd 6&htidr rc8rdin8 ab6ld
<br />$( I hrv. 16.l riit rpdidtio ad lo coBpv rnh dl City md Colniy
<br />ddires ad Strt lru Eldin8 b ofrhir Ciry ed CNnl, ro ?nra upon rh.
<br />lbovc tMri6.d prcp.dy fd inrplcrim
<br />9c.t
<br />/t-:L
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Requirements
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certificate EXPII IED
<br />FEB-'z0t9
<br />FINAL
<br />Certifl cate of Occupancy
<br />Notes, Remarks, Etc.
<br />(Ihi'
<br />Subfl oorA/enUlnsulation
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