BUILDING. INSPECTOR RECORD
<br />I hs*t .rm utoia F..lry ot Fjory ihd I n .rmF nDm rh. (. r-6 Lte t& for ihc folhuin3 rmn lS< tur I 5
<br />Baind .!d PtolBhn (id.) Any Cnr o, Couny *fith r.qliG ! Fni lo srE El. ills. mFor. dtBn.h '.Fn m)
<br />sri,.tEe F8ro n! .lle.. iL$ Equi6 rh.49lt& fot3ut'Fiilofilc..trd3ln.l6t rlu lEorir a liccs.d p{Bd I
<br />ro rh. rmtibN or iE (tnrr-rm! Lica!.d L!*' (Ct 916 e, ( omtr'ns s(h S.crion 7000 ot oivtiro r .l rh. &6in6 md
<br />Pmadi6d Co&) .r rh, tE ot ,E it donfl rhdrGoo ed rh. ti6. tor llE .rks.n n6pri6n Ary rbhlionofS.(irn 70!l 5 tD n!
<br />lppli@t for!Fn $bjdtrh..rplic. t6 a cililFrht olmr mE rhr ir. hun(H &'U6 (t500)
<br />l. d own6 ol'l hc rolt.ly. n my mployG * ith r'!a6 e rh.n si l. .omp.rsnion. sd li, rh. *!* & rh. ctu1d. ( d,
<br />inidxldl or oiI6.d tu sl.(Sd 70{4, aainddd Pr.fdiir (id.: It. Conidky's t-i..e tl*.b6 mr qrnly lo m o*K ol
<br />th. Flpsly wl$ hrildr or nllror€ tlEen. ed eho d@su$$, hnhs.lf or hBkll or lhmush his h(os.cnDk,).s,
<br />provid.d rhar.u.h 'n[rormdk R mr intdld.d ororr.d [or a,l. ll fiorv-6. th. h,ilding or inprov.ffi n$ld$iihln.n.).5
<br />.rconpLl irn. rhc ( t*rs ltlildE w l la( rk htrd6 ol provins rhd h. or 3t. dd f,or lxrld or Erro* r& F.Fry for 'tr &!r)r oi
<br />r).,,, L-11''t
<br />.rd'ninc6 J Srd.Ir(i'.lirtr,t t, hnldins
<br />AttlttalflE(]dadrro!
<br />I hddt.trmu.d.r lcnlht orFju,r- o( oarh. aollorins d.(lu nrn3
<br />Domlirhn lonn$AitEsros Norrliclrn F.dsal R+uLrioNII lctlr. Pr16)
<br />R.qurcd ln'sof lwrldr.
<br />()\\\tk Bl lt tltlr t,l I r \R\tl()\
<br />6r,-
<br />,**n"-o,o33fu'
<br />,J
<br />k,. rrord I asrc6.Dmd! { irh all( rJ.nd (i{rnr\
<br />.orlFriTr rq'sritiv6 o l rhB C y ud ( ou^r! h dr6 u,$. rh.
<br />I. s ound of rh. In psry, d .r.lNir.lr codracrin8 r h I'cs!.!i conrccloE ro sr.!rud r,mjd ( Sa 7(x4, trsrN
<br />,d hiFaih cod. I h. (-onrr|.ii l.ic.B ljq d6mr.r!,lyk' unsn( ofFopcny*ho buildror mpro\drhd6n,
<br />sd qho 6dd3 itr Mh Fnl.ds s nh . Coddo(r) lid!.d li6d kr rlE (-o rkdiLttrl,ul
<br />I s €r.nF undd Sf ion
<br />E9a5[a!:(AUE!liA[O!
<br />DESJAAIIA!
<br />I hd.b, amm undcr p.naliy.fp6iu.y on. oflfi. follo*iu .LtldarnrN
<br />I ha\r dd sill nrinrain . ( difirai. of Co.st b S.laJnsurc n,r $ork6 .omtdal ion. d pmvid.d lu hy sNl i,,n i 7ln I of lhc
<br />lrb.r (t d., f(tr rhc pglomucc ol rh. worl for $hich rh. psnit s Nu.n
<br />I h.\.and uillf,linllin wrrl6 c.mFnsario6 inrurlnr.. &3 r.rltrn.rl hysdrion r 7(x) ol lhc bb.r (i]d., n! lh.ndnmrnc.of
<br />th. $oik lor $hrh'tBtxmir ir N*d Mr" * 0,16- .ompdldn'n inrurdc. cmn dlFI'.!.umbd r.
<br />PolictNumla ftpr6
<br />I cditrhd in rlE Ftullrm. ofrh. sort td rhahrhirFmd s su.n.l Jullmr dplor lnt FMn in!n) m6F
<br />5 a lo b.$m lut d r.llE *ortd'snpqEnin Ls: oacrlfomn, rd {rB lhd if I rhouB h..o@ rulrd b
<br />'rE*.n6' .onq,oglnn rin no6 of Sdion l70O of rtE lltx, ( od.. I null ro(I*ih .o6!ly * nh Obr Fr\ an6
<br />\'TARNINC r.ilur. n, E!-'.u. $.116 otrrp.Mbn .o\dr.
<br />rtrrl fin6 un ro ft hunJr.i rh^Nnd d^ll$ (llLl(l.utu). in
<br />S{tFn 1076of rh. lrhtr(i .. in!6arrdd.llorEy s a6
<br />aEgaaaJla!
<br />I hcby rllm undr Fulry o tFjury 'h!t
<br />I o li.6uat und6 rorirM o(1'rpr6 e (onmfting trnh Sdhn 7ur)oll)n'nnn l
<br />ot th. BsilB od PNadFN Co&, ed my lac$ ! in aull aor.. rn.lIal
<br />t1
<br />0 -11-,r ,"",...,".K 6/;7
<br />qaltralclJalJ.llDl!$JaENcr
<br />I ha.U .mrm untj6 tln.ht o f F.oury lh, lt6. L r mldrudio. kndi.* r*dc, lo. th. Ffomm. orrh. *.rr tit tr hrh !hi! Fmi n
<br />isr.d (s( 10s7, ( iv (' )
<br />I cqt,6 rh, rh.fd(nl Glubrird r.3iding Gtrio$doul s. mr 4rl(6bk ro tha F.jd
<br />I..nitrhd I ha\c Gad rhisppl(arion&d
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Dry\/vall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Engineer Final Report
<br />Flood Zone Certif
<br />,r-l-.f
<br />FINAL //zt 18 6&e /77)
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />a i:, 4o,ln-l
<br />b- z7-r"t
<br />Forms/Steel/Holdowns
<br />I
<br />I
<br />Deputy Final Report
|