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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE IDiSIG.COMMENTS OU'NEN BUILDET DIII'ARATION <br />I hd.b dmm undd Fn.hy of Fjory thd I m .rmpi 6on lh. (n r!.16- Ltd& Lt* aor rlE folloq s .a$n (s{x r0rl 5 <br />t]6rn* .,n Pr.f6hn Cod.) An! Cny or (oudy nhih ,.qun6 ! Fnir r. (odrud. .ha. improre &tmlirh or r.fnn mr <br />(rudue Fior kr ns Buocq !b! r.1uir6 th. q'plkinr f.r roch rEnr ro lil. a ssn d iaml lta lE or !h. ir n..G.d |dro.nr <br />b rh. Fo6rcE of rlE Conltoi I 'c&!.d lrtr (( ltlid q, ( onmft!.t fih Sdion 7om or l)l\itr. r oa rh. Bu.in6i tnd <br />Prcldmnr Cod.).r rh!! h.orct t.r.mfl lh6.aromMd th. bst for lhcallclcd crdpr@n AnylioldionolSdirn70r15 hr.n) <br />.fi,li..nr nn d Fmn sobiRB rh. a?Fhcan! ro r crr il ,.Mh r o f ml dtc rh,n li\ . nudt.n (hllB (t500) <br />l.6 orvro or rh. rroFny, n dy dpl.r6 * h $rs6 s rhd sk (mFBdKn. tr l& llE*rtt id ErMEitmr <br />idarLd orolfd.d rm sLlsc ror.{. Auil6ud I'r.fshB Cod. IhcCoddn rl-i..eb$ do6not.nrlyloe0},6ot <br />lh. l,oFny rho bu'l&.r imFov6 rrEen, &i Nlh dE fth silt hims.lr ficrllo. rhrcu8h hn tr hd o*n mphyc, <br />F$i:Ld rhd kh arrmt!1tfu E d inldxt d m o,H lor et. lt l$tr6q. ih. tlildq or ing.ordd n $ld wirhin on. ]@r <br />of.ompldion. !h.o$nd 8!,kt6 $ill IEE rn tlrrk.fFr\n{rthilEsn!.ddrnt B d nnFDr! rh. F.F! for tlE po.IE.f <br />L s o$ E.alh. FrFiv. m aclcndy cod,ri iry n iih l,cEsd ollrdou r. coNdcl tlE trej..l (Sr 704-l.llB ns <br />ed filEieDn cod. thi ( onta.roir Licds ll$ di6 nor applyro &o$n6orpmFrluh. bsild!.r impror6rhd@n. <br />md $h. odBr f( sh FDj.(t$nh. Conrrdo(rl laEsd ptr6@i b rh.codrdor! Lic# llw) <br />I m.rm ufri.r Sdrr*"./c-ji-/ 7 o"..r )A -ry--- <br />tll:clJa^rlo! <br />I hd.by i mnn undd p6.h y or lEjury oE of rhc foll,\rin! dslesr d ! <br />I hav. and $ill minl.in r ( .nifi..I. ot(oNa! lo S.lf-lEurc for q ortEi' cof,Frrd ion, a lmndiAl for tD Srlren .r 7m or rh. <br />trFt Cod.. lor rh. pgrolrra. oarlE $nrl lor *hrh r lE Fmn u is!.d <br />, hA. .nd \ <br />' <br />ll miini.in \ro 6 comFsnn i6oratr.. s r.{uu.!i b sdr [n :r 7(x] of rn ltt[r ( od.. nn lh. tsrrnMc. ol <br />!h. $ orl lor trhth rhc Fnnil ir i$ual. M, *o' 16 comrdsd 'oi iBn.u.c .dio ad polq nunbr Ec <br />I cd'ft_ rhll inrhcFlodr.c.ofrh.*dt for shichrhi!panrt i! i$u.d,I thlll nor dploy !^y rdson in tnt mu.s <br />$ a r. iE oru sub,.d ro rlE r td amFl!.iion l$r.ac.li6mL u<l {rE thd 'll druld lx.otr sb6i lo rrE <br />tr$*6' .onlld ion Fo\isi.B or sdi'n 170() of rh. L,t r ( od.. I lttrll. fonh*nh @mdy wilh thoe pmvi3,od <br />wARNINC rrrtuG ro Bd. sorld mmIEMi.. mt.ns. i u.b*tul. dd 3hdl 3ubr.<r x dtrphtn kr oiniMl Fula rtrd <br />.irl n^d tr|' ro 6m hundral lhoMd dollB lllur.000). in dditbn to lh. co3l .l.om''Mti.n, dam86 s! Imrd.d for lh. <br />Sdrmn 1076 oflh. t4.rCcl. imr.r.nd dunt, s f6 <br />DECI-A RAIION <br />I hdtt'r .rm ui&. Frhl. of FJ0D- rhn I o liGld undd Ftl i!io. .f ('tutaE 9 ({n'ntrins *irh Scri)n 7000) of OivrFn I <br />ol lh. Burs &d Phfsi.B co&. dd m, lkd. is in tull nncc md.fi..l <br />CON A!flqI.LllDllGJGllq <br />I Hr' .llm u.d.r Frdty of Fjury thi lh6i i3 . o'dtoctb. loiog +*y llr llE psfotuc. dath. srl f.. which lhn Fnn t <br />irucd lsd n097.civ c ) <br />AfTLI(AdLDECII!8AI!]! <br />I nd*r irm unLr F.llry of pdjur. .n. of rh. folh* i4 dc htd irN: <br />D.holiri.d I'onsAltBroi Norinoiion F.d6.l R.gul.rmnE (1 ill. 40. Pirl6) <br />R.IUtdl t,ld of Ndincdio. <br />I cdlify lhd th. Ld6.l r.sularioN rcErdrn8 &1h61(\ rdovd d. .or appncdbl€ kl ths pFrRl <br />ionL{(oral I.Erdkromplt*[h6ll(- ]indC.unr] <br />6 ofrhi ai'r ud Cou.rrro Brd uFn rh. <br />,""/p i/ > <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulalion <br />Roof Sheathing tnx L/tt ) ;x-t Lt;t:l.,4't <br />Shear Wall <br />Framing <br />lnsulation/Energy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coal <br />Masonry <br />Pool Fence <br />T-Bar <br />Handrcap Req. <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />/n\ <br />FINAL l0;?5)7 v,w)a <br />Certificate of Occupancy {/ \_/ <br />Notes, Remarks, Etc <br />-+ <br />--/2L",,,.y'$ t / 7 <br />I _ f__ <br />-_r------ <br />I I <br />I I