BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII,DER DEL('ARATION
<br />I h6.t y amfln uRas pqdry ol Fjur, ln.l I m durpl tnrn llE ( onl!rcl.E l]c* llq lor lh. follosins msn (sd' 70! I 5
<br />tlGin6! .nl Pmf*o. ( {xL): Any (irt or ( oud) *hrh (qur6 ! Fmr ro Fdru.r- rftd, imFo\. .l.relah or iqrn sr
<br />slrucrue F{r lo ns inubcc. ils. r.qun6 lh. eplicMt for $rh Frf, lo nk r si8n.d rdmr lhrl h. or sh. is li(m.d puBuMl
<br />ro
<br />'h. rrcrir{B olr,E Conrd s LirdEl l,s ((luFd 0. Co6nd'is *ih scn$n 70{o ol Dnirion ! of rh. B6nd rnd
<br />Prorcsnrns ( od.l or lhal tE or s\c n cxcmrt lhd.from and th. b.rn ror th. ill.Bal.rd')llon. Any liol.tionofscclirn 7011 5 by lny
<br />.r,plkd aor i Fhn sbj6lt rh. lrDli..il l. ! civil p.Ghy oI ml mr. lhe fiv. nun<t.d &rller {tto(})
<br />l. s o*E of rlE FoFrr-, tr mr mphtc *nh r+6 e rltir $L omtEsion. *ill& rh. rdl rn dr surE 6 m!
<br />d.,!r,.d or ora.<l ror ek (sd 7044, BNi6 &d PmfdhB Cod.: l1E Codrrlori LtoB l,* &,6 tur +rly ro m o$ nd .f
<br />lh.I'orEly *h. hoil& or inF!\6 rtEbtr id *h. dB sh en hiMlf .r hdrlaor lhruu8h ht or hd o*n dphlc,
<br />Fov'd.d !h,r u(h ioFD\lrEaEml noi.d orofir.d 6. -l. llh.$66, r tt'ld'ia rs.\.ffiirrllwihino ld
<br />ol conpklira llE Osnd lrlikl6 eill h5\r tlE buftln of Foving lhn lx or !h. dd mr trig or mF.vc iIE FoFry r.r rlE p1rFr of
<br />l. s ouE.f th. rmFly. m.tclcn.ly.odrdi,B snh [cdE n.o doE
<br />'o
<br />mdtud
<br />'lE
<br />p.ojd! (56 7or4. Buir<
<br />inl Ptlasi, Cod. Tt. (ndtrror i Lico3. l,i* &6 mr .pply ro e 0*16 ol lropdry tr h. h ild! or ioprord rh.on,
<br />.nd $ho co.tEcri lor iuch pinjc(s nirh s CorrEdonr li.aEd Du6el toln (-ontrr.roir !.ic* l-w)
<br />Irtr,.\u 1{ onLlo se.r(n,
<br />nof,f,E8a(autEltalro.u
<br />D[(IAEAI]O!
<br />I h6+y smm undq r.nahy ofpsjory o!.ollh. aolloung d(b.'iotrs:
<br />I h.r. arl s ill mlimlin ! cd rfEd. of( oNd ro S.lf-I6urc for *.rkd' comFMio.. 6 ,mril.d for t s(rkr. 1700 ol rfi.
<br />t bo, (_odc tu rh. Fforlje! .lrh. tr o* lor which rh. Fni is is!.d
<br />I navc .nd *ill m.rntrin \ 0116 conlP.caiion iBur..c., a r.qon.{ by s.dhn 1700 of rh. l,bor ( od.. lo. rhc Ffomue of
<br />llE sut rq *hkh rhi! p6ni n is!.d M, wdld 6nFlUo. i6ur*..di, ii Flr, numb6 &
<br />I cd,t rhii i. rh. p6iumm& ofrh. rork lor $hrh rhis r.rmil ir $u.d. I rhEll mr dploy rny td$n 'n iny neno
<br />s 6lo tEotr iutlid ro
<br />'h.
<br />rrrlds'comD.dbn h*r.f (-llifomir..d rG ihr if I iDuld tr.om $ti{ ro lh.
<br />\odd comrcnstnrn pmviioB of Sdnn ]T()Oolrh.libor (-od..lslEll. tunhs h complt *nh ihoE rrovkkrE
<br />WAnNING F.ilu. ro s@ \0116 mnpqlrnFo cov@3. is unhtrtul. ard rlull $hj.d m oq,hrq to siniml FEh6 ed
<br />.nil n.6 !p ro orc hundr<d lholend &rU6 (tloO,OOo).
<br />'n sdd(nr to rhc.o or(omFu'nn. ditu*B B Fo!'d.rl ror rh.
<br />\(ron 11176olrh.lin' t odUn!6d,nd,tolrs'3 rG - l -
<br />,,.,.: \1124l 0(1 ^,,,-*, -{ldL--
<br />I I U(l;lSED-ArIa&ral
<br />DE(l {R t rd{
<br />I hmh) drur undd n mlty ofpsjul rh.l I m licdr<l u..ld rolirhn of(-h.fld e (mnnnach* $ith S.cli.n 10OO) oaDNNon r
<br />ol rh. IlBrG. Md Prol6'oG (td.. &rl m, l{.@ s m tuil fora od.fisr
<br />b
<br />rtl)ol20t-l
<br />-t )
<br />calilf,rcu0ll,llDllc-acE!(r
<br />I h.Eh' .rm u.dd Fsnt ol Fjun rhd rnd. i. , (iitudn. bi&s lgcr aor rlt Ffo'r1e. of llE tro fo. $hirh lhi! Fmir ir
<br />$u.d lS( .1097. Civ C.)
<br />l.ndd'r\mc
<br />AITUCATLDECIJAAIIA!
<br />I hodl, lfftn lndd n nih y ol pdjlr] oft of
<br />'h.
<br />follou hg d.(ldion.
<br />lhol n,n Pdmitr-Arhdros Norifi.drion F.na.l R.guldioN (Tnb 40, Pd6)
<br />Rclun.d Idr6 of Notrfi cdion
<br />I rd'6 rhni th. rclcal cru l 'oa r.rrd'ns dtEsros roorala. mr qd'cabl. ro r hs rrojd'
<br />I cd! r t lhd I na. Hd rnE .p?lr.rion ad id. rh, $i rho\. '.fotuiln 6 .ond I ryc ro onpl' $ih.ll(-ii,.,n Cou.r!
<br />o nan.s ed sr.tc liss r.ldr$ ro huildinr consr tokl hd.by.dhori/. r.rrMra'i\6 ofthisCity Md Cou.lyn,616 trrr.o !h.
<br />rhn. .mib..d F.rEnl lor '6Fri'n
<br />ADpliotrl or ,\Ir{l SlItrrlur.
<br />,-.U..-.",rr,,,, N4 ufla -"1\\zof zrg
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Dlywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL LN /t'{ 5.\ust d4itr 86
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />II
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<br />Flood Zone Certif.
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