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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS (,WNI.:T BtIIT,DI:R Df, I,(' RATI{'N
<br />I hcrcby ritn unlcr rEtr{lry or Jrruiy rhir I m crcm rrDm irr (i,nrklor' I tcn{ li$ ntr tlE tulkrwin! rcuv'n lscc 70ll 5.
<br />Eurrnc$ ffir hol$\ion C(iL) Any ( ry or (butrrt $hrh rcqun.\ r IE nii 1,, mn(tocr. !l!cr. impn,vc- dcni'lsn rrcInnuny
<br />{tulurc. Frtr io [\ k\tr.r.c. rl3] rcqum\ thc {pli.rN frtr \kh Fdxr rr lil., {s'xd {dcnEnr rh h. or shc a\ hccn\cd llur$lnl
<br />i, rh. ff,rni(,r ol rlE (,,nlacr,tr ( Li.cncd lrw ((halcr 9. (innmcn.irt $ith Sc.ri,in 7(XX) ol l)ivrioi I of rh. lturims rnd
<br />hni{rko\ Cdl.) or rhd hcor\lr i\ ci{r{' hcrctionr dn(trhc h {\,nr rhctrtk8cdcr.nr.on An}virt{ilnofScdirnTtl.rt5htlny
<br />rmli.!.tluslf,nDn(trhr{rrrh+ ltnlicrnr (, rc'!illl.nlhyolhr trxtrtrhrn lirc hu Rtcal drlldr I !1(D)
<br />l. a\ uwE olrh€ rroFdy. q my cn[k'F.s snh qrsc! 11rllir s)h.omrrnerir. ]ill& rlt r6t !,n rtr rMm n n
<br />rdctlll tr oltcr.n for sk ( sd 7ol.l, Bu\iEs .rd enrfcsirtr\ cirlt Thr o)nr(rtr r l_i(n{ tr* de{ nn rnnly i' !n ormr .l
<br />rrtrftlFn! st- tri[]r t, nqnrB r,rED. s,n wh d,B ruh *n'l( hmell or
<br />^clf
<br />or rhouSh hr or h.. osn crFk,rdi
<br />nrn iLd thlr rkh in{roh.s6 ft ri inr.dd r ollctul for sh ll hrmrs. rlr hrllmg or lnIrc! Enr ir sll r irhrn oB ]r.r
<br />ol(,nl0Lri,n, rh. o*ncr lruilLr sillhaE rlt h{.d.n ol Fryinarh! lIorJrltrt mr h u o. 0!rE rh. |t{Edy tu rh. plrFE DI
<br />l. n\.nmr nl rh( FIr.dr, Mr.rrlx\ik lt .nnradnrg trirh trcr\rtt.onrrrrtr\ n!.otrdtucr rh lrlrFrr tSN 7(lrj. Brrtu\\
<br />Pnfssilr CoJc l h. (i!rlru.nn r t-r.n$ Lrq do.\ nor rmly ro !no*nc, nr pn'r'.ny sh huikh d inlpn,81rh.r({r
<br />wha ont cntrsuchInuF.r\*iihr(in r 0n{) lf,cn{d Nr\unr (,rlx(ifu&1or'\ l-f,.n{ lrf,,
<br />I rn cr.nrpr un&r SNri'.
<br />Dcl. ()*mr
<br />\lonrirjlt\' ( tlr\tP[\s,{tltt\
<br />DIglXrllIaII)rr.h!,rfinnu r]I n(trrlr) or trrrull.ft o] rtL. irll($i'u rl.rhrrirn\
<br />I hrvr I*illnuinirin!CcniaEar(.lConrnrriSclflnru'. n *orlsr .on{Ens $n. $ Forilcd in h} Sdri]n l7{xr nt rtx
<br />bh, Cnlc. n ih! pcn rmrcolrh.r.ltfitrrn*hrhrr^-mn r nsEd
<br />_lh!v.,iderlltuinrir$ortch..r{kne!iqrin\urmc.!\roquntdhyS(ri,:rru)olih.lf,txtrCrc,ntrrhcJ)rf(trtum.ol
<br />rh rnl f(* Eh(hrhk Fnrir ir i\\kl My*nrk(N NalNn$uun r{rrfl.c .df,r ,rl ,r,lr! .odtrr ,c:
<br />I.cnify lhrr in rlE ncrntrnrrc. olrhc wort li'r *hi.h rhK rf,rmi n n\u.rr. I shlllfln cnnby rny It {,n in..} n$r.
<br />q, !s ro hc$m sobr.{! b lh. *0116'(ni{E.qlhn l.r\ ol C.lrfir.rr, snl nFft rhd ifl \hrulti tEom \ur,Fr t, rtr
<br />ql*.rs on{Eneibh pftrisir,F ot ssrin .r?(r) ol rh. bhtr Grlc,I {Ell. fonhsirhdrnvly eirh rhN pfl,ri\bn\
<br />WARNINC fanu. (, $m rrrk$a $ntEnsri'n corcmg. i! utrldslul. lnd \hrll ruhr.r M.mrluru n, mminll JEMlrs r t
<br />cnil ne.! up lo or hlndr.d rh{snd il.ll.r\ (tllx).oU)). i[ lddtri,)n tu rh..o{ ui eomncnrorn,n. d.nk8c\ a\ f.rrrkn ror rhc
<br />E\rhn l(176ol rll LrtDr(fr1c, inl.n{ md s ofuy s tu.\
<br />l)rl.: Appltul:
<br />t rcusrn C(rromr trr
<br />DFCI Af,,ITI(}N
<br />I h.th, ltlirm ! ftlcr r( Nlry of n ryuy rhnt l ,m lNn{d und.r Flr i\ioh ot (tuprq r) (comrEi.s r irh Sd nn Tlr(r)) .r l)n ni'n 1
<br />ol lh.llu\m(\lnd Pmr.\!i',nrCmL. dnt nry li.nr. F in tullfinN {rl.ftNr
<br />grNirf,lJsMN-LBlulrirriENrl
<br />I hcEb, altrh un,q ,lcnrlryofFrju.ythir rh.r. h r.r,nrMit. Lrr'ng r8.nr ln rlr Ftinnur oarhc *orl li)r *hah rhn Frmn n
<br />ils!.d tsN. ],9?. cir c I
<br />I cd., i Nle
<br />-
<br />AfILI(INLI,I:CIIAIIIAN
<br />I lrTt'yufrtmundcr t.trslryrrF.rrury.n. trh. n'lbsins d..l!r!ri)n{
<br />l)cnr',ilkrn P.irnIr Asb.no\ Norinrdrn,n ltdcrtrlRcsuhtnnh ( ldk.l0. P.n6l
<br />-Rquncd
<br />t rrdorMr iarr,n
<br />I.r'rl\rhir l.J.rrl,c!rLrk)n\rc!r(li,!nsl\\t\nInnrl.trr or,rt)dk.Ltn( n, rh, fr,rr.r
<br />-l
<br />carly rhlr I hrvr rullrh'\ atdxarx,n rrxi {,r. rhlrrh. firt( inl,trnrri{ r(ofld lrtret.}on{l!trirhrllCrta.d(i,u y
<br />ordrniNcr rfrl Sr.rr tiss rhr'ng ro horkl ins .onqmril,n. iurl tE rhr rulntrn. r.rr.cnldivci.frhi! ( [t dnl Counry r) cnro ulirn rh
<br />\. nrnrxnkl, F,If,d\ ntr intnrri,n nurFM\
<br />(,rr."n,,.
<br />^*", *,^no,u-
<br />1**n* --.,0n,,,<(.lata
<br />t/a/a"(
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />R oof Sheathing
<br />Shear Wall
<br />Framing
<br />D all
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It4asonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL -a</fl 1.-Y 1/ F'1rr,(
<br />Certilicate ol Occu pancy
<br />Notes, Remarks Etc.
<br />------f
<br />x.
<br />Forms/Steel/Holdowns
<br />lnsulation/Enerqy
<br />Pool Fence
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