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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS O\f, NFI BTIIIIl:R DIL(-ARATION
<br />I h6d,' 6mm un<Lr Fn'b of FjuD_ rh! I m .rdF nom rlE ( odixloR' Lt.e l:{ fot rh. nnh$q r@n ls< 70r lI
<br />Irurindr ,rl Prof6io. (i,&) An'Cilyo.(ou y shrh r..lut6 s Fnn ro.odnd,.t6. improv.. &nolih or ftrutr an,
<br />srnrsrur.. Eior k, irs is!ui.c..6Ls rdtund rhc !!plic&r nr 3uch Fmi ro 6l.r 3i8n.J tr.rdndl lhd h.or rh. ii llcdscd por{mr
<br />k, ilr rovisiotu ol rh. ( ontra.lo.s t.iccns{ t w {Ch.pta 9. ( onrmocins { irh s.d ion 7(Il0 oa Dn Gion I ol ltu Burin6! .nd
<br />PrulNkrns (od.) or rhst lE or 3lE n c\mir rhs.nom rnd rh.lf,rir ntr rh. dl+.d.ro{,trcn Ant. viot!r6.ofsdhn 7011 5 h\ !.i'
<br />!r'f !(,nr lor r Fn ir $bjds rlE @lic..r ro ! cillpoilt) of ht ntr. rh$ fi\c huftj..d dotl,6 (t500l
<br />l. a 0{6 of rh.FoFnt. or mr mplt'tG rnh $aB6 6 rh6, $L comFd{n, $rll rb rh.$d d rlE rn(R n ft{
<br />iotorddl oroll6.d fo.sk(56.?044. aurr6i dd Fml6loN (ixl. Ih.coftrdoisl.kwl{\&6nor.pdytuso(ndof
<br />rh. Fop.nr vh. huil&.r n4mr6 thsa,n. M! \rh) dE $ch $n* nnr!.laor hd*llor rhhuth his or nd osn.mpn'!6,
<br />i]l orid.J rhd sucfi i,ryro\ sB* e dn inr.dat .r ofid.d lor sk ll bq6 6. thc ttrildin8 or imFovlffir is *rld $ihin on. !w
<br />ol.omFldhtr llE ()*'n6 ltuillq rill hlr c lll turd otFuE rhr. n or !h. did mr hlild or nqnlc llE Fltly r,n rh.,,tr[osof
<br />l.so*Eoflt F)n nr, m d.ldir.lr conr.dm,! ( nh lkcx.rl (ftdoE t, n'd&r rlE FLj.t (S( 7Gll. tlRl,6
<br />.ftI A$isimco& Ih.('ontdrors t.iccnr l-.* do6 mrar''l' h eo$ndoalnoFnt $ho build!or impn6lhran,
<br />!.d sno cod,rers ror ruch rrcjd3 $ irh . (nnrhdo(, li.dr.il $numl to rhc ( onrrdtr'! l.E.B tAr )
<br />ldn.lempl unlo s(rk'n
<br />lhr. oinr
<br />\l oRl(af,s' ( (l^lPtNsartoN
<br />DECIASIIIA!
<br />I hd.tr 6mm undd rdrhr or Fju,l. 6n. ulrhc rolk,$ i.! d(l,.rdm
<br />I hav. eld u ill mrint.in s Ccnrfic.lc or (inhl lo s.ll lNur. t, \ 0r[6' .o,npssal ion. s rovnLd [,r by sd ni. ] 700 o f
<br />'h.lihr cod., lor rh. rdrommc. oflh. *n tor ut'ich th. psnil t isu.d
<br />I h.\G ud sitl roi.ri'n *ort6' .omp.Mhn iNltr.. s rdruiEn br S.(iro 170(, orrh.li{r C.d., for rlE FfM(. oa
<br />llE rlrl tr rhi.h rhi. Fnn i ir.d M! *orl.r' otrp.Mbn ilgu. cri.r tn Fltt .umbd r.lILU
<br />b/"1/7u thca03<b41-L
<br />l.dif] rha
<br />'n
<br />rl! Fforuft.of th. $od nn *hih rh's Fm s 6u.d I sh,llftn oph!mt F$. in tn) muE
<br />r, B h haom 3!bd h rlE uoi6 srnFlnFn llqs orcllifomir. .nd,sd rhd rf I .h.old tE(or tuti.<t ro rtt
<br />q.rl6' onFurion rnn in6 or S..rbn 1700 ol rh. Llbd (ida I .rtrll f.nhs ilh coEply * nn lh& t Dl EhB
<br />IIARNING raiLr. nr fttrr. sork6 (orrpdr$rFn cormlc B unhstuL dd shrll r M mplo!6 ro o,nmal FuhG i
<br />rtr'l rin.s up ro on. hutr ctl lhous.nd dnll$ ($l(r0 Llr'nr!$ n\ n'.r eil li\r rh.
<br />I lE.by rfim unrlc Fu]ly ot pqjur] thd I m l'..ib.d u.d.r Frshn.aChdplc 9 (commins *nh sd$.7(xxj) of Dn6tr.ll
<br />of th. BusitK ud ProfdioN Co.t . dd my lt.@ is r full rnrc. e*t.ll.r,
<br />ri.*.cr-o r 9
<br />-,. -l/E/L 57r
<br />I
<br />I htrrb anif,n nd( Fnilr, ol p.ijurr lh0l tlF. $ a consl rud kr lddins a!d., lu
<br />'
<br />h. psfitrrnMcc o l th. rvolli tu \
<br />isr!.d156 !097, ( n ( l
<br />6fr|.l(adl[llldtralra!
<br />lhdd! olrmondd pdrlry ofpdjuryorc oflhc tollowin8 d6l{ n,ns
<br />I)s.oliri.nP@ns AihdtrN.rificdlion Fddrl R+uldions(lnt40, P[l6)
<br />R.qu4d l!x6 of Nor'rrd.n
<br />I cdrfr rhd rh. f.ndal r.subiio$ csadrr astxios r.frn nr. nor dl f,ahk b rl$ por.d
<br />I !d'Irrhar I l,r\.'cid rh6.mli(i(,n is(o'r.d lir,( nr..nlPl! \ irh nll( 'r\ rnd rotrnr\
<br />onlin.n.d ed Srar.ljss ELrin! lo
<br />ah\. nFxon d propqr! ro' itr\F.r
<br />.rppficrar nr
<br />^Bd!
<br />shnrt'fu
<br />'rU
<br />'*-'i,",,'^Y*';';tri
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing b/<7ta /-}' KX Lricf?a -TD *oug
<br />lnsulation/Energy Ai;r+Utt< O r<'.
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL lb-2 h.YaL)
<br />Certificate of Occupancy L/\-7
<br />Notes, Remarks, Etc
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