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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE rD/srq.COMMENTS ()wNEta Btrtt,DEn IlEt,(-/\R/\TtoN
<br />I h6.U smrm und6 Fmhy oI pcjlry rhd I m .r.mpl fmm lh. ('odmloB Li..M L!\ lor lh. lollN\o! r.&,n (5€.7011 5
<br />Bcin6s a.d Proa*rn Cod.) Any(''rr.r(ou rqh'ch r.q!t6 ! rEmn ro c.nrlrucr.,llE. inpro\., donohn or Fln ey
<br />shdu( Fbr to itr isu*., d$ r.+t6 rh. +fli(d for .!.h Fmr ro fiL . siln.n nd6mr thd h. or rh. a l(d6.d rtrBul :
<br />ro rh. Fo\tio6 of rl! Co.rr&rorr l-ic6!al lrw ((n pt6 9, ( oEm.tuin! \irh s.nirn 7m) .f DnLion 1 ofrlE ltusind ad
<br />PDadiod Cod.) or rhn lE or rhc n .ono rho.tum .xl !h. hdru tu rh. al4.d .rmt,ioi Ant viohrbn ofs.dhn 70.! I 5 by uy
<br />r@licd for r Fmn rq6r! !h. q'pli(..r ro r .if il p.Mh t o I n r mr. rho lir. hun&.d d.ll6 ( lioo).
<br />l. B of,ffi of rlE Fotdt. m ny mPh!6 *irh ${d E rlEt $L onFsiion. sill& Eedtlrddrsnrlu..ml
<br />i'rcd.d m oFE.d fG rlc tSE 70,1.{, B6i6 bd ltofshB ( .d. Tn ftnrxlo't Ltae l$ do6 nor qrlr ro r. o$n ol
<br />rlEFDFr, *bo hrilh o. nrC.o\6 thdo\ rd * h. &a sh H,I h08rf or lE*ll.r rko4rr hi3 M lE orr otl'lo)d.
<br />Fo\ij.d lhd rst inp.lrqFrt E d norj.d ff.lH ti, sk lf.lF{6s. dE b,,.iir* d itrgbrd1d i. $ld r.h'n m }t
<br />ot @ipldio|! UE o\r@ a!i!c Nill llr. fi. Ldd! ot Fort thr lE d tE dil d h,ild or imFor c tlE FoFl] for llt ,uFt of
<br />I. a o*€ .f ih. tmFnt, m .rclNtr.lr .od,dmg $ nh h(aE d ..dr&l.R kr codtud llE pmj.t1 (Sa 7or-1, &n'6
<br />an E!ki, Co&r IIE ('onkrort Li(64 I N drE mr q'rlr ro n otrT( 0rr'.r,6r) shc b!,ld! or imtr.\6
<br />'hd6n.md *lb tuddr ad sch Foi.(! *ih . ( oddo(.) li..rB d pu,:d ro rh. conrdol-s Li(@ l!\ )
<br />I m.r.mF undd S(rbn
<br />r!a[flN:1l)!tf[!sarla!
<br />DECIA&IIIA!
<br />I hdcb!.filiin undn D6ihf olndiury on.ofrlE nnhtrim dfrla.lhns
<br />I n.v. d sill minrnin . ( difi..!. ot (-oroar b s.ll-l.rrr. for \ktr[6 .omlffid n,n. s pro! iddl aor by Ssln'n r 7(l1l o I rhc
<br />trbor Codc. tor rh. rElomMcc o I lh. v6* tuvhicfilh.r.mn ir isiu<i
<br />I h,!. and sill m.i.rain Bortd .omp.Nd6n iNor^n .. s r.non.J by Sdl ion 1?C$ of th. t b.r ( od., for lhc rEfi'mMc. of
<br />lh. worl for whicn rhi! p.nnir t elel My *ort6' Nnpo.d ion iNuran.. .mid ed poli(y numb.r a.:
<br />;il^..- gKflLo.,t-,t
<br />rrpn6
<br />I cdi! (hd
<br />'r !h. Ffol1ffi. ofrh. sorl for shf,h rhB Fnn i! as.!. I sh.ll ml oploj_ 6.} r.r$n in rn) neF
<br />$ a to bdom $6jal ro th. srrd'mnFdhn Lw of ( rlilomn. {d +r lni if I nFuE tao6 3ut+( lo 'h.sill6 onFsion F!riri,6 of Sdi :uurofrlE l,tv ('od..I Jtrll. fonnN ilh comDlr., u ilh ltr* p.ornioB
<br />wARJllNC: F.iluE lo sq. *nl6 NrF6r.ion $\ms.; unh*nrl. r.d trll ob<l d dnp*Jln ro diminll FEIi6 lrd
<br />cnil nn6 up lo oE hutdEd rbuqd doll&r I lm.o D, in rdl'rion ro rh. ..n .r.o"rttuiotr damS6 a Forid.d fd rh.
<br />L"rys .ltm u.&r FMlry o, FluO lhl I m li.sEd unl.r Im\ liln of (]uFc 9 ( mnffiin8 rnn S.clion ?(xlr)] or O'rBnn I
<br />oa rh. &ui6.d Pr.lsiJc co&, rn my li.e ! r aull lod rlt clYd
<br />,.,**.a*, -rf
<br />-" // .3 g -/2,*
<br />I hd.$y rllm u.da F..ky of pdJury rhd
<br />'ssucdl56. 1097.Civ (.)
<br />L.ndd ! Nam.:
<br />t n.onrr'urrk.i lciJtrlll irci( ftr rlk ltnrnrrce of rft \orl,,r sl,'.1' rln\ F nr Lr
<br />A.EIU(AXfDE(JTIadIIAI
<br />I ha*y dl'm unds p6lhy of psjury orc of lhc lollru inr d(ld.l ion!
<br />D.molnion PonneA.ireo! Norincdrcn t.darl R.!,h n'B (Ti l. 4tr, P.n6)
<br />R.qun.d t-ard of Ndllicdi.n
<br />! cd ify lhd th. Ld.rl r+!htio$ Eredinll atstr rdnf\ .l d. N qrrltabk ro
<br />'hB
<br />pror.(
<br />IcaitrhaIh!r.dllharpplirri)ondclkthdrh.lhlrcinroD(irn$.ondl.gcr..omplr{nh.ll('n).nd(iu,y
<br />ordidnc6 u'd $nc t:*! r.lii{r lo hiildins (onrru.uE tn hdd1 arl'ori,t rq,sltrn 6 of rhir cnr d.d Qtlnl t 6ta uFn th.
<br />rto\. n€r6..dFopd\ nr
<br />efr(//->F74
<br />Set Backs
<br />)7,tiu +/ 6avly\l/tr/. {tC yL(41_
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorNenUl nsulation
<br />Roof Sheathinq l-3- t7 ).v{td
<br />Shear Wall .?
<br />Framing larlf I -25: ?7 12
<br />lnsulation/Energy -lc'fi.,
<br />Drywall
<br />€xiltrnt. Latr l-21-17 I.[,!I I-lri-t '7
<br />Brown Coat Y.t/hyMe6niy -j'Chrc>C*r 2-15-t7'
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />l.
<br />FINAL 1Ml tlr''+lhll?l
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />-lc -t>,.n P4 e ,A,F 7 V
<br />l2-t4 -/L D,ULd,
<br />Forms/Steel/Holdowns
<br />Y':,2\-)7 I y.Y{,1i
<br />I
<br />z2
<br />b \, rl illJ
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