|
BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS ()1+NER 6t]ILDf,R DEL('ARATION
<br />I hdctry aliim undcr p..ahy ('f rdury rhd I m s@pl fmd rfi. Comr!.tu6 Li.ft. L* lor th. followins r.Nn ( s.{ 70ll l.S
<br />a(in6s .rd Proldrirn cod.) Any City or ( oum, whkh r.nun6 ! rErni ro mnnrud, !Is. inpr.\., &nolnh or l.F.n Mr
<br />3'tudu.. Ftr to its iffi.,.E ,.sric rk $damr fore(hFnnlo [k!llsI dtitur lhr lEor 3h. t licnr.ri P(Bd
<br />ro rl! Ftr\isnE or !h. c6.!Etr-3 LroEt I.$ loupra e. (-omnfti.8 $irh Sdhn 7(x)O of DnrFn I ot lh. ttx'n(r &d
<br />PhfdrBCod.)drrh lE or sn. 6 .rdpt !h6c6om od rnc haii fo, th. .lks.d crnpl hfl An) riol.xoi ols..rirn 70:1r t bt tn!
<br />opilicanr lor.r6rir lubjdrslhc ipplicrnr to scivilp.nahyornor rorcrho nv.hundr.dd.lldr(1503)
<br />l.s oucorrh. FrFdt, nr nJ anphtG tr h$+6srh.rsLonFdion.tr d,rlEss!r'd't!rd;6n{
<br />daj.d tr olI6.n rd sL (S( rO1.1. BNi,B ud Prot6rB ( od. TlE (i) r&rors t.r* lr* .bd nd 4,t'lr. ro d otrr6 of
<br />rh. rn{Ery $lr ltuil.h or in+.or6 rhmn. dd s ho dE $.h sr him.lf o. hftlro' rhFu8h hn 6r h6 o$h mdor6.
<br />p.ovid.d lhat such imprordot! e (, nldxhl or ofit d ror $L ll ho*66. rh. tuildin{ or mtm!6d is Fl'j {irhin on. Js
<br />.f..ipkri.o rlE ()*ffi B{itl6 $ill h.\r tlE hflh of Fori,{ rhd lE or slE dd mr hlld or ,trrFo\r lh. FqE! ftr th. FfFE ol
<br />L s o"E ot rn. ropslr. dn .rclulivcly cod.acl iflr q h l(mild conlrlcloR ro .odn( rh. l'.jd ( Sd ?(lrJ. AGh6s
<br />.nj I\: rtusir Codc"r hc Conr.ctu's Li.dic L.w do6 nor dpplyro do"n6 olp.op.n!who buildsor nnpr.rcslh6(n.
<br />.nd sho conrds for slch rrir.(1s silh . Conlraclo(, ltmEd pu8@r ro ih. (.trnt.doii l.i..e lr$ I
<br />I m.rmd unLr sdmn \ i, B
<br />.. :T7i;il
<br />"X
<br />-.#i#dp,^^t *^-
<br />/ \ DISAAAII0!
<br />I h(d').mmun.la r@h! nf FDD "EoillE\htrlll3 d.rl,' nB
<br />I h.\. dd *ill Drinrain r (-.n iff,.rc ofconsl ro S.lr'lsur. tn sorl6' comrssa ion. i! trovi&l ntr h' Sd ion :ul)lr ol rhc
<br />lrh)r ( .n , for lh. pdfomd...lih. "o.l for *hich lh. Fflnn is isucd
<br />I h!r...d *ill midrin $0116 mtrpcrE rion iMffi.. s r.qur.d b.t s.(Fn :1700 of rh.l,bor (-od.. for rlE Fnmffi. of
<br />rh. trorl for $hhh rhir Fnit ir isxd My wotl6 onFdon Eur'R.ffi &d Fl(y nunbd ft
<br />I cdifr rnd h th. p.riom.nc..l rh. uo.l lor *hich lnir Fd( i. issu.ri, l.htll mr dplov.nt pa$n i lny muns
<br />$ N tu b€o.E aul,r<r ro rh. *o*dJ comF$.lion laM o f ( dlifomi.. dd rsE ltar if I firld t8qt $t (' ro lh.
<br />mrrqa drmrdsxon F.v6i6N of Sdhn 1700 of !h. trbor ( id.. I sltrll. Ld h* irh complt- $ nh rho* ,noti,bns
<br />$AlNlNC: F.ilor. ro su. *..16 conFlnntr co\ss*.6 uoh{f!l. rnd rhrll shFr & mpht( h ctnnul FrhE Md
<br />crrl lin6 up r. om hond,.d tln
<br />Sdnn 1076 oflh.lltry ('odc. i.
<br />100.0fi), 'n r&rnion ro rh..or oa.onFdion. d!h.86 s Ford.d f(tr rhc
<br />DEUJ8AIIO!
<br />u.d6 tfttr isio. of(-hil,6I (commcrs tri'h sdr$n Totro)olDrrkrr lI horl,\ xllirn trnJd tnalD ol IEt,,r) I
<br />of lhc llusinBs.nd ltofssionr(\d., d n,r_ l(ms.6 m tullntrr..nd.llkr
<br />I hd.l'y lmm !.dd Fnrh,- o f Frur,a lhd I
<br />isud (sd :l0e?, ( iv C.)
<br />nn lddds rEny lor rlE Ff(ffic ol !t. *.rl far \trh rh6 Fni a
<br />A PPLICAN NE(ILARA T(IN
<br />I h.iry dfFn u&r p.nalry of Fjury onc .f rt. roflo*ing d..hr.' io.s
<br />D.mhion Pmn!-Alt'dor N.rifi.{io. F.d6rl Rqulrr( I Inl. {0. Pd6)
<br />&qun.d lnlaolthiftdn,
<br />I.d'fy rlui rh. f.nnd r.luLrbB r.sEdins 6t6rG rmn.ls. mr qrl(ihlc x' lhB Fnl(r
<br />, .Qn, ,/ *.,* *. "-lf,dnn rn rdc rhr rh. !bo,. inromri.n B.or<t I .aE to.omplr $ irh.ll (- , dd (i,utrr!
<br />.d'mkli6d skr.Ilua rchllB ro hlrldrr8 co6ddFtr sxj h6.iy llFrir r.F6ddi6 oarhi Cht dd ( ou ylo6tsqnnltt
<br />"1"-. . -d(,iEr ^d ' r". ,"
<br />^-./"".il,i-."f1 ^1^-t""^-f"",*- -'. 6124 I)'-
<br />L
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It4ason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />IA
<br />FINAL a-t0)'1 X.\cll]b,
<br />Certificate of Occupancy V
<br />Notes, Remarks, Etc
<br />*", G lt tlt4t
<br />I
<br />I
<br />I
<br />I
<br />I
|