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BUILDING- INSPECTOR RECORD
<br />SITE.WORK COMMENTS OlINER BUt I,DER DEI,('ARATION
<br />I Eqr+ allm undE,Eahy of Frrur' lh, I m.\oI, 6om rh. CodrNoE' I KG liu ru rlE lolhtrins rdr (s(,0rI5
<br />Itci.6r xi PtulBi1n Cod.): An, ( it, or (oudy *hich r.qun6 ! rEni! ro N en'cl. rh6, imFor. dafrlilh o. ftpnt i6y
<br />ttruc1ur.. prnr
<br />'o
<br />ni &ruffi4 lbo r.q!r6 'h..p,'li(d for ru.h Fmn k\ 6k r sian n sr.r6nr thd lE or nr ir lic.m.d raead
<br />b rh. FDriri,6 ul tlE Co.kktoar Lkmid lru lchllrs 9. Onnmding \irh S6rin 7000 of l)iri3i!. I ol rh. Br'n6 ind
<br />rt$f*tioN ( od.)orth.l lEorsh. irq6Pl rh6.non..d rh. ba6 ror rh. allq.d.rdFrio. A.rviohtiohofsdionrtr-11 Jhy.iy
<br />r!rli.!d for r Fi'i rubj..r! rh. @gli.rnr r. ! o\ rl Fltl of mr mr. rhs fi\ . hu(r.d &llr! (lt(x)).
<br />l. a orE ot rh. FoFry. q B) dphrs qn,r {!86 6 rlrir $k omp.d hn. aill r,o rlE $ dt rn l,E rBre i ft{
<br />iq'dal orolTdd ror olcls( 7044. Bulind od hof*ioa Cod. rh. Co'nreroa. l-i..@ llw d.6 noi ipply ro s ow.d oa
<br />ItE F,Fq sho txill or irstrrE tlEoa .n *b &B sb e.d hNlaor lE*lf or dmr8h hi!.r h6 o$n dph\c-
<br />Fovid.d lh.l 3uch imrbv€ffi e nor ihad.d or.ITsld for u]. la, ho*rB. ttE hriklins or iryro!ffi i! $ld $ith'n nn. \@
<br />ofotrpLrn\ iE (xa &'l.ls *ill rr\r rlE h,.(b otEllilE rlE E ( 3lE di, rr{ hrld or inrFmr llE Frrd} tu r& r&Fr o,
<br />l. s own6 oarh. |'opdt, m .t.hr!.I]_ conrad ing r ( h licowrl co.rraddN ro (,Ero.l tlF
<br />'loj(r
<br />(Sd 7L!$. AGin6
<br />.al htrCsq Co& l lE Conlia'ois I (.G t.!tr .kB m' .a'pl) ir s o$nd olr,.Fnr tr lF trild. or rmpro\6 th6or.
<br />and $ho onrB(stusuchpnjdb*nha(il [donr)lic6s.d p!6u.r rorh.(i'nkdois l.(@ l-aql
<br />l n.\.nDt unddSdio.B & P (_ fixrhn rd{,n
<br />D.l. Or&r
<br />1roRR.l{s (antft Ns,iT()N
<br />DEU.AAAIIA!IlEcb allirm !.d6 F.nrh!.fp-ron.n ofrh. forr,'s i.3 dehrdk,tri
<br />I h.!. dn $rll mai.ra'n . ('difk.r. .fc.trmr h S.lrlduE t \10116' cotrFndion. d l'o\ir.dforb)Sdro. i7oi).frh.
<br />I rbor ( od.. lor rh. rdfolr:@r .f rh. s.rl aor {tih th. ranit ie isu.d
<br />I h.v. lnd will Mitrl.in f,ortd conp.s.l ion iNur.ft., a rcqund bl Sdion lr0o of lh. l$or ( o&, tor rlE p
<br />rh. *ort lor rhrh*sFnr s qrd. My *ftrd' onFsEn rBule. ffi dFIK) numb.r e,* e/kL,.* A
<br />"",n,*' o t?Q3!L{ Iru ,,r,,-, ' /Q:JB / 7
<br />l.eriryrh.t in rh. Ffodadc of lh. q,ort for rhich lhrs Fhir ir issu.d.l ih.llnol mploy lny p.r$. F any nonE
<br />s a n' tEnm *l'j<r ro rh. sn 16 omJEeriotr hs! ofclliromir, r.d ,s6 rhd irl lhuld tt oft ehF ro rlEqo*a' cof,F.nsrion FDr LnN of Sdio. 1700 of rh. lrtsr Cod., I 3h!ll, lonhwnh conply Nirh rr$k Fo\ rsioN
<br />WARNING Fnlu,.l. suc rvl6 comFE i'n $r.r.s. is ulr$ful. ed slull $brd o drh)s lo mir.l FEiE rnd
<br />civrl rind !p ro oN hur(H lhousld dolle (tl00,0oo). in addnion ro rhc con olc.mD.turion, d.rus6 a pr.v'd.d tu rh.
<br />sdion 1076.lttE ltlxn Cdc or6d.d
<br />o.* 6'22-l? a
<br />db'6\r6 //-
<br />',,-", \-3)€r 3 ro
<br />r.lc€NsF|l coN rR,rt r(!R
<br />a,/o-ro-D
<br />[ECldsALla!
<br />I nmby.fiirm uf,d6 p6ahy o I FjoD. th.l I m licdsl oido lrcvitun ofchrrrd 9 (.ommocin! wnh sdion 7000) olDiuirion :l
<br />ot $. B6in6 u'd ProBis6 ( od.. !d ny lade ir n hill forr rd .IrEr
<br />a<q 6.7/qbq
<br />t/2 d 1' / /
<br />I hmby rrm uf,do FElil nf Fju.y thrl th6. is r .oietudion Lnding asocy lor rh. p€fo@. of rh. $ orl for ahich thn pqinil G
<br />irs.d lsd 109?. civ c ).
<br />AIAUIJTLDI(I.AAAIIA!
<br />lhad,y rfinn unrld p6.hy o{tajury on. oflh. follnsine delararion!
<br />l).nFlirhn Pmii-tut{ros Norinc{hn F.n nl R+ul,!p6 ( rdk.r0, Pd6)
<br />R.qut.rl ldd of fidiftdin
<br />I cdilr lhr rh. f.d6al EsuLrhB rcBdin8 Eldor rmr.l u. nor lFplk.bl. ro r hn prnF
<br />/ l4Jtt- , t," ,* ,nir .rplrdi,Jn nt .r.r. lhd rh. lhor. ,ntodai.i n (ord r aar* ro .onpry *nh 'I
<br />(-i y lnd cou.ry
<br />o imrc6 ed Sr.t. I r\s i.ld nu ro hoildin!ed hdd,) ,urh.rir. rqr.*aln6 oarhn cnv !d ( ounrt ro 6la uBr. rh.
<br />.b.!. hdr$nid p.oFn, lor isFron FtrF6
<br />.\0pli.rnr or,rsdtsiSn.ruc !:^-
<br />Prrnrn( trr '(lp'nn,: ,la atS rD ,1,/C >^t)
<br />.6-J 2-) 7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing /. .2e/ . t1 J )GEt ozQ,
<br />Shear Wall (_-..-
<br />Framing
<br />ln sulation/Ene rg y
<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 />FINAL Tlnrc.' >.lYJt L^etA 5t
<br />Certificate of Occu an
<br />Notes, Remarks, Etc.
<br />\-:,
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<br />DATE I ID/SIG.
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<br />Drylvall I
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<br />Flood Zone Certif.I I
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