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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS O\f, NER BI]ILD6R DEITARATIOIT
<br />I hd.b! .llrm uid.r p.nrhr- ol Fjuh_ iht I m .rmfl 6.n rlr CodrdoR' l.r.e lr* for (h. folh$ns r.sn- ilc r0!l 5
<br />In,i'n6r ad Prorermn (.dc) An) Cily or Coui! trhrh r.qur6 ! pqni ro .odrud. rt6. inprorc &mlsfi or rq.tr &l
<br />$ru.1ur.. Fior ro tu sue., it!. rquic rhi ry?lrer fr 3uLh Fmn ro fik i r[n.d i .l@t rh,r h. or rh. i l(a!.d ,uEud
<br />h rh. rolBroc ofrh. (\.rrturori Li.cns.d li\r (ah.pt6 9. Comma.ins \virfi s6rr,. 7000 of DivBt n 1 of t& Buti.cs lid
<br />l'lofdions Cod.) or rhar h.or rh. i!.r.mfl rhft.fom and rhc b.sB ror rtr rll.sdl .rm0ridn Any r6l,rion of sdnrn 70115 b, rny
<br />lrplicEnllorip.rnilsuhjal!lh.aFplicmlto.civilDorhyolnormorcrh.nfiv.hundr.ddolles($5CO)
<br />l.6.trEof'h.FrFny.cmymployB"th$+6arhnbkcomFsirn."iU&'$.rst&n'lErrLra.imr
<br />'dqxldj or ofrs.n lq {L (Sa 7Ou. BBiB! ud Pmftshd ( od.r TIE Conrrrd ! t.acE L^'&E ml q'gl} lo d o\w of
<br />rlE Frlxn) $ ho t!il& omrgfr€ tlEac ,n *h d6 nrh w* hina.lf 6. hdrll o. rhmu3h h6 d rE o$n mplo)6,
<br />roid.n rhd ru.h mFo\!d3 c Dl nod.d q olH ,n $l l( ln*6s- rlE h!'U!{ ( ilqsqEi ir -ld *rh'. oE ra
<br />.fsr{,lrhn. tlE O{F &*h eill lEr. $c h!.tdr ofrmtql rlld lE or slE dn mt hilii or sImr! tn. FrFr} tu llE Fitx of
<br />l.6o\en6 ofrh. p$Fdy. dn.r.lNi\.ly.6nk6.o.* wirh lico..d conrrd.Eh coBrn(1!h. F)jdr tsd 701,1,Irci.d
<br />6rrl l\lrrqsD Codc ln.(i'nl,.clors l.ic6e.l.awdo6 n, rrnlr ro mo\n6 of',r)r.nrqho blildior imrror6lh66n.
<br />inJ shD sdBd3 fd 3u.h FD]!CI! * hrC.dtubnn lr6sd ,r6ud hrlE(ndrxroas l.i.N lru)
<br />I m .rmpr und.r S<x\n
<br />D.r. oi.d
<br />$ oni(Enr' c(iarra\siildi
<br />DDO.ASAIIO!
<br />I hcrdy.mm und6 p6.hy ofn-turyon. oflhc aoll.$ins Jrle'lions
<br />I h.\. ald \ ill mainrain ' ( d,nclrr orcolsr lo s.lf' l,Lru.. aor \ 0116 comrE qr
<br />'otr. 6 rlolided ror h) Sdr 'on
<br />17(x) orlh.
<br />I rbr (_d., ror thc pqro!Il5a---.. otlt! r o* lor qtrh rtt Fn E isu.d
<br />I h!r. .d u ill n.'.t.in $ul6 omD.dbn i6u.rft.. a r.qu".n b sfrtsn ! 7m .l !h. kt r (-od.. for
<br />'h. Ffomft. of
<br />ih. *.rl fd uhih thii FDii ! e!.d My wort6 onFMirn icutr. ffi an FlEy.omb.r s.
<br />I ccniry !h.1 h lhc Ddfoffi. of rh.*orl ad $hi.h rh6 Fnn i! str.d,I rhlllfr{ mplor m, Fr$. in.ny mon6
<br />s A t' b...n. suqd b th. wlt6 strpqsn'on htr r of ( nifom4 snd lsc rhd if I rhould tcom tut 6r ro rrE
<br />so*6 mmFdl,r Fnt 6i'B otscrb. lT00 ot rhc L,tx, Co<L- l iull. fo{rh* nh onFi u,nh $or FlrnsB
<br />$ARNINC Flilur. ro EUc r.rt6' o.pcMhn .o\6re. i dlr*tu!. .nl lttrll 3ut'i.n r ophld h aimml Ff,,is md
<br />rR'l li.6 ur lo oE nun al rh.u$ &lhB itloo,lxx)r
<br />sdhn 11076 otlh.likn ( od.. inrsd Md eonrr s rc
<br />of .rmlENri.n. d,tu!6 !s Forir.d for rh.
<br />,"., /O./b '/7 no,u-",
<br />DECIdEAIIAN
<br />Ih6tby.mm utult pcnth, {l p.qury rha I d licd!.d lnds Fovnion ofch,rr6 9lcomhtrins n iih S.cl{n 70 r) otl)nnioa !
<br />ol rhc Busn& !d Ptot<Fnr Co&.,n my la6E 6 m full foie md.,tcr
<br />cadlla!(Jl0NtllDllc_ac.EltI
<br />I lEllJy tmm uldd lE lry ol FJury lhd lh6c n ! sn!rudhn Lidhs .stry for lh. pqfoffi. of thr so* iri snEh lht pq.it it
<br />su.d (s(.1097, Civ C )
<br />lrn&r ! Nlm
<br />A[[L(A&L!ECj.A8 rla!
<br />I hdn,y dlm dda Fnahy ofF<jury on.olrhc folhpin8 ddlJ.rio.3
<br />t).nrnnion Ptuit.-Ash6ro! Noriliclrion F.ddal Rcsuldion! {1n1. 40. Pan6)
<br />Rqun.d lIlrs of lk{'6cnrn
<br />I cdib rhd lh. rddll r.BllihN Elrana al6br rmn rl r. mr rpd..hk h rhn trnj.Tl
<br />l.drfrrhd I har. rdd rha qDlrcdrn ed !br. rhd rt rh'\. rnaotuion n..rd llrrarocomply*ihlll(iyinrl(ou r
<br />ord'un(6 Md Std. L.$ Ehmrr ro trildin8 coNtud io.. &n hcby lh.riz rF.hllr 'v6 of lhis Cir], lit (hu.ryro olF uIFn rhc
<br />lhrE mario...l troM\ f.r iBkrionffi
<br />n**-, - n.-,,.n,,* U& A*4t;r1r/1wf:-,, /e n'/ 2
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorA/enVlnsulation
<br />Roof Sheathin
<br />Shear Wall
<br />l)cS'a o(19.,.,,4
<br />l/7--r;V
<br />Framing /,&'-a
<br />lnsulation/Ene rgy 7
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />D uty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL -Fn E/115.tu uf-ih<6
<br />pancy r 7-Certificate of Occu
<br />Notes, Remarks Etc
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