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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS OII NER BUII,DI:N DEI]T'ARATloI
<br />I n6.tn 8llm rnd6 Fnrl'y o, pdlon rhd I m .rmpt tum rh. (-onlradou t.rcw liq for lh. rolhtrin8 rasn ls( Irll 5
<br />tlurnBr ud F of63ion (od.) Anr C(y or ( ouniy qhich r.{ut6 ! rEmil lo .ohsrocl, ahq. imroq dmli\h or .qatr .n,
<br />srtucrur., Fnr $ ! isud.., oLo rcqun6 rh. .rplicd ror iu.h rEnit ro 61. r rign.n sr.tmd lhar tE or rhc t licm\.J luBurnl
<br />!o rh. ForB$B of rh. (intkd s t i.dr.d hw t(lq{s 9. (i,mh.n.rE r h S.di.. 7000.f Dnnn. I ofrhc SurnRr ind
<br />PNf(rbn! ( od.) or rh.t lEd slE i5.rmd rhd.nondi rh. h6. nn rh..ll.sel .\.nfl n. A.! \ioldi.nofs.danr0rl 5 hyanJ
<br />appli(. to. r Fmh 3ubr($ rh. 'ppli.lnlt'r !lF..Itof.o' mn.Ihn fir. hund'.d &ll[s(t50o)
<br />r. rr otrns olrh. FoFrl)- or nr. !mplo)6 {(h \as6 &l rhcir $k corwnsrbn. uilldo rh.$drt(,rl rlE cnElE € ft,
<br />inr trl or. rncd ntr el. (sd 7044, Brsi.d rnd Proae.iotu (ird. 'i! ( ontrcktri Lr.m txu &6 not ipply lo o €Tq o I
<br />lhcpNrdy trho hildt or imro\6 rlE6n. ,rl sb Jo6 s!$ r$ h'mr.lt or hGlI or rhhtrFh ht orhd o$nonploy6.
<br />prordd rhd su.h improrma e mt iddrlal n or6rd fo. sL la t$*6s.llE t!'!rii* or tr4ro\mr 6 rid *nhi..n. !d
<br />of.oqlkt$( tlE Otre ltildd $1I har. rlE hrd.n ofFn\ i.3 rhd lE or sh( dn m! h0rld or iryro1. lh. fmlEt) for llE FirF. of
<br />L rs os.d ofrhr FoF1t, m.(l6n.lr conu.dinr qnh lr.mrd .o.radou ro coarhrcl lhc IrojRl ls( 70,1.1, Busins
<br />.nd lh'ia{rn Cod. ln!(in ractor.s l,rcns.l-i$,106 nol flpflrlo do*ns orpnrFnr *ho build.o! irhttoles lhsdln.
<br />and *ho .o rrd: for such FDjdr Nnh a ( onrhd.ns) licdst !trBMr ro rh. ( i,ntadois Lird* 1 tr* )
<br />lm.\.mpt utu]( sdkn,
<br />D.r. ()nnd
<br />lvoRKERS', ( (rntPf NsaTl()N
<br />D[C!!.BAIqI
<br />I hd.hy a mrm und6 ,orxy .f aEjury o.. of th. nnbsin! drLr ions
<br />Ih!i.rldqiU m'rr$ !('!rifrn. or(,,16r ro s.lf'lBurc tu *! d smFskr. a FDidal for b S.nnn r?urri rh.
<br />lihr ( odc lor thc Ffolllrec of lh. s!* ror *trh llE Fs( 6 s.d
<br />Ih.\.rndrillm,'nriinqo d comp.N.rk)n insuranc.. as r.rl tr.J by Sarion r Tlx) ol l h. l ab.r (id.. lor rh. pon,mrinc. of
<br />r h. s.rl for trhi.h rh6 tmil i3 is.d. M, *or Lm com!.Mr ion rn$tranc. cMis ud E)li.y numbq ac
<br />/^* 3ra\{ f owuZvxa\ o,,A \ Y15
<br />(",.,n,.0., Cob'qq5../-+ ]*,- tls(tg
<br />l0cniry ln.l in lhc p<fomlnc ofth. tr oit fo! shich rhis D<rmn F ssEd. I sh.ll.dr mptoy uy lw,n h tny mmnd
<br />s' a b &snc aubjdr ro rh. "o 6 .omp6E tion bwr oacililim[ dnd a8d lhd ii l lhould bdoh. suhel to lh€
<br />sorld' .omFerion tt,ftioN of Sdhn 1700 of rh. ti$r c.{..1JEll. aonhtrnh.ondr wnh rllor polnio
<br />$ARNING F.ilurc to ss. *!116 comrEsri,n 6!dr*. ii lnkrtul. ,rd 3h!ll $bj.. D o[phF ro Giminal FMhis 6rd
<br />Grl nnd !p ro.E huni.d rh.Nrd d.lhB (tl0o.dm), in .dd(Fn ro rlE o]l or conFE r'o.. drd,*6 a Fo\d.J tu rh.
<br />x,,.
<br />DE('I.ARATION
<br />I h<.r,y lllm un& FEh) d f Fju
<br />'-
<br />rhd I m li€tr.d un<16 F!y.i. of chrc(6 e ((oIffiins $nh S.(Fn 7000) of Dtr Bnln !
<br />oa tlr ttsi6 .Dd hrfdsB Cod.. rd ny li(o* t h tull toE d df..r
<br />R,.."..,* c-361 \.*.n*oe-"6[crst y,.",.2 Va*
<br />qqzlsf^
<br />IOMIBUCIIOIIIIIIIICJIEN(}
<br />I hr.r^ ,rrm undd Frhy o f lldjury rhd tid n . olfud i', LBtins r*try tor rh. FlolrMc. of lh. I orl a.r \ti.h rh6 tEmi u
<br />i$su.d (s< :1097. Civ (.)
<br />AITII(AILDIOASAIIA!
<br />I h.iry !ftm und6 pallry of FJUry or of rhc tollowi.3 &clerr io.l
<br />t).molirion Pmirs-AstEsrd Norificdnrn ldlgil R+ulalio.s t I'rlc,l0. P!n6)
<br />R.itutr.d L.lr6 of ldtrlicd0n
<br />t .d
<br />'fy 'ht lh. krid.l r.sul, ioB r+rnrnx 6h<os rm\ rl & fr, arrlrrhl. !, lhB rrDj.d
<br />.d'nr ... rd Sr c l,a\rr.l,'i'n!h bu'ld'n! (fn{n'dnn. a adllrn r.F.st'tiivB of thh (-iry md (iruntylo olE ua,n th.
<br />abor. 'Blku.d Fopcly f.tr
<br />I(^pprr...r or
<br />^sdr
<br />srrE+q!
<br />'".*r*-..,0rr,, [,/fi
<br />o[.-,]n
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing */<,t," 1.Dl i)e1l \SY
<br />Shear Wall l7
<br />Framinq
<br />lnsulation/Energy
<br />Drylvall
<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 7/////1 -/**t-r,)
<br />Certificate of Occupancy r- 1-
<br />Notes, Remarks, Etc
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