BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER A( ILDER DEL('ARATIoN
<br />I nd.$! rllrn uid( Fuhr of Fiun rhd I m .rmF nbm rh. ('od.d6 l x.* Ii\ for llE rollos{! rcan lse loll 5
<br />Bn! r6s Mn Prol6sk,n Codc) Any ( ry or (-ounl, shich r.qun6 a p6hir lo codtud, ihd, iml".v€. d.nolsh {t '.ratr .i}
<br />srudu.. p.nt' its is@cc. iL{ (qutr6 rh. 4'rliu! ror such tffir i(' fi L t siln d slddmr lhd l! or 3r'. . li.mkJ P{r d
<br />ro rh. rr.\irF$ of rlE ( ont&1or s l-i(ds.d L.* (Ctr0d D, ( omtrmr trnh S..r'6n 70dl of DnEbn I or lh. Burns 8nd
<br />Proliscio.s(-od.)orrh.t h.orrhc is.t.mpl lh6.fiom lnd rhch3i! tor lh. !lr.x.d .ronFri.. A.tvid.'ionorSdionTOll5 hysiy
<br />E rl'.ad t(tr ! Fni rubF(ls rh. rp?li.er ro a $ 'l Flxr nf.or mtr. rh- n\. huftLcd &llE I t5q))
<br />L 6 o*nroith.rmFny, or mr.mrloFs $ilh !.86 s lhci! $1. conpd3aliotr. \'illd. rh. \G[ nd lh. slMl(rc is frn
<br />i .fthl or ofidol fttr s]. ts6 70rl.8618 ud EoldbE CdL lh.(i,nndoar l.i.d I a* dEnor q''l] ro&o\n(ol
<br />rh< rhrrny rlxl h'ld1or inrrovd tlEqrn. md qh tIE e.+ n. h'm3.lf o! idll or rhFtr*h his G hq .un o!.k'!6,
<br />pov cdrhlrcuch i'n,rovndrs e. dn inrad.i or olrdrl for el. lihoro6.tt ttr'ldinE o nqro\ff is $ld silhin on. )w
<br />.f(onpkhn. rlE (nn &ril& tr ill lEr. rh. h,&n of Fo\ i'rc rlli tE or sh. dd Dr hlld .r trnFo\. th. rnrEIy tu lr. FnIr ..l
<br />l. d otr tr6 of rh. ropqrr- u .t.l*n.lt ..nt&lin! s irh lic.s.d .odn(.6 to mislrucl rh. roj{t I S( 70rl. RBrGs
<br />.nd lh&sn (-od. lh.cont*roist'cos.l.rdo6Nr4'r'[h-o\nooltn.Fntuh.buildrormpudrh6oi,
<br />ard who contBclt fty sucn lr(idr! r h r (idr..ron, li.d*,.1 r{uMr h lfic (nnlra.lorr l.toE l.ts )
<br />lrre\rtr, tr { \(r[n,"," U)'-. 1 t ;) (-l* U* lr.-\,"*.
<br />I h .b alli, trnder r\ hr.,|irjrn orc.arh.l,,ll,\\'nr: (l(h'ari'is
<br />I hA. ei * ill m.i.r.m ! (-difE !. ol CoMt t. S.lf-lNurc nr n 0,16' cdmFndion. a FoviLn aor t't sEl'on l7(x) o f lhc
<br />lr}('r cdL. tor rh. p6nrM.. o t rh. $.rt lor $fiich rh. fdmil b isu.d
<br />I ha\. .nd q
<br />'
<br />ll mdorsr * orrsr' FmFsal hn rN[t.. .r r.nur.n h sar ion ! rm of thc l,bo, (nd., ro, rh. pdfo'nre. ol
<br />rhc sork lor *hichrhBp.m( ir &ruai My wo!t6'.onp.@Lon imure.. ciri6 nipolicvrumbs rc:
<br />I .difyrhd in rh. pdfonnin.c oirh. sork aor \hicn rhs r.fln( '\ isstr.tl.l sh,ll n.! abpk)t iny pd$n in.nt ranns
<br />sr d b b..orr. subFt to th. \0116 comFuli,r. h*..r( tlirnm6, ..d ryre rhd rf I should h6om. ubi.Tr t, rh.
<br />s orlqr' comfeerFn Ino\ Ero6 of sd nn 17oo ol rh. l rtr, cdL, I slull, 6nhu ni comply \ {h tllq tr.\ annr
<br />NARNIN(; tn,lur. n, ktr'c \o(ds unnlEhit (o\due is trnlasftl. ud shtrll \ubidi in mpl.v( lo onnnal Fsh'6 ann
<br />cn'l in6 trr, r. on. hutr&cd rhoG (n)lla6 r), in adJltNn ro rhc.osr ricomr.mrion. &m.8d B txo\&n ror rt.
<br />sd'on 1076 of lh.l.tv Co<L- dr.d tur!J tk- LL l+-:-tr/r!lIrl
<br />I ha.b' afiinn und6 rE6llyolpgjurylhtl I m I'cdtcd undc Fo\ision or (-lrnl6 q (lom,nqcin! s'ilh sc.1i.n 7rx[) ol'r)irhtrn 1
<br />of rh. aunffi ay] PmfarhB aod.. rn m\ ltos 6 in tull forc. rd .fIN!
<br />caxilalJ(rlaNrMltli-6c[l(}
<br />I h..S! amrnr und.r Fnd\ oI psjsl lhrl1h6.6 ! snrrudirn Lndins,gdtt for rh. psfmBh-'. oflh. troA ntr {hkh rhs Fm ir
<br />iru.dls< lln7, Cn (-)
<br />AtfU( NLDISJaAUQ!
<br />I hs.t! afm lnds rE!h) or Flur) oft of rh. nnbn hx d(ler nnr
<br />D.rnolirion l'dmirs-Ast sro!No!ricaxon F.da!l R.sul,rtr,ns(Titl.40. Pdr6r
<br />R.qur.J l.ci6 ol Nd'frdxm
<br />I cdilr rhd lh. adi.ralrquhrnrE rct&drs a\lEsror ron\i t. not qdkabk n, rhs F.rd
<br />l xliNn'o rti\ \[hr]l ( (\ in(l (.trnr\
<br />,in6 ofrlns (',r\ rnd ( N [\ ro 6 d r''. rltr'/. ,[.,,* tt 5-l-(['
<br />I .diryrhd! I ha\. rqd rhis dpplicari(in Md {.t.'har rh..h'\. in(rmarmn ir corcr
<br />.rd'run 6 dJ s,,rc l,\r EhliB ro UiUrry (oNrudotr drl hd.tt rulbru.,.Fs'
<br />shnc nEhn J rrrEn) fq 'Nrkd^n FqFs L
<br />.^ppucrnro.rrors'mruey' -)a,- i ( L LL/ ,_/PlmnF n n.onnn: /t//-
<br />Set Backs .,1/^'-.Forms/Steel/Holdowns \,ry,/
<br />Erection Pads v/
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVI nsulation
<br />Roof Sheathing ,,C.ty... pd >u a.4
<br />Shear Wall (//E' ....L,/<;)
<br />Framing g ' l,yt\wrY,"\3v
<br />ln s u lation/Ene rg y at*v'rc-P'*
<br />Drywall "azr; ")Ext./lnt. Lath >l tfr (W-Y,^<-,2,9
<br />Brown Coat 4 tV,lrl I drn6artl-u "vMasonryIu\
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif rrf
<br />I t LJ.r
<br />FINAL tp g 4..i7 vta/',Yt,e)
<br />Certificate of Occupancy t UJ
<br />Notes, Remarks, Etc
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