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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNITI' BUILDI]R DEITCARATION
<br />I hdcb! .frm lnla Ddd'v ol p.r,ory rhd I e dmD( 6no
<br />'h.
<br />Co.ldm LEG lj* ror rh. folhehx l*. (lrGftrl5
<br />Buin63 arrl P.otrsion ( od.) Any Cny or ('outy which t.{ut6 ! Fm lo .!N1ru.1. rhE, inl,rove d.lrclilh or tqEn uy
<br />stsr{1@, Fvh ni Bue.. tbo ctun6 $..0plf, r tu 3uch FNl lo 6L a iEoat nnorE $,tEoisn.6lrd&d p{ed
<br />lo lt FrvbioN of tlE Conlr-tois l-t6!.d liu (Ch,ptd s, (onh.ncirr wilh Sdlion ?m0 olDilition I otllE BEinN rndr
<br />Piuf*i.ntCd.)orrhlrlEor3ncn.tdrrth6.ioEMdrh.bcsforrncalkssj.\@flo.,,byvmhno.ofs6r$n70Jl5h)M,
<br />,p!,h(d for r pdbit rubi6B th. rppli.r.r ro . d il t)oulr) o f nn mr. iho n\. ho.d.d doll6 ( t5m)
<br />\l!1li1Jn"a "r r* IIo1.a). d tur.nl,hlG wrh *'a6 6 rh<r $1. ft'mFndi'n. \rll dr rrE trr.I dd rlr rturc 6 ft!
<br />dEId or olldal for sl. ts( ?04a. Buh6 uJ Pn'f6ioN Co.t . 11l. Co rdois l,EcM trq .h6 nol Ippl, to u osF ol
<br />rh. FnFr, *h, hnll o in+$€ th.e !n *ho drE sh *olt hin*lt or hq*lf or lhrcush hn q h€ on, nnph)G.
<br />Fovidal rhar such inlrovmrr e mr iddxldi oroltEqi n)r sL lr. ho*6G. th. rxildi* or inFw.ffi i! $ld *nhm on. 16of$rpld$tr rh. 0\16 &illa {rll h.E OE hrdd olForin8 ttlr h. r ,E dd br hriu .r inq.!! th. F,Fry frx rlE FrF. or
<br />L a ownq ofth. pr.p6ry. m crclNiv.ly co r*rinr s h n.mr.d (fue1o6 lo consd.l rhc Eoj..r (Sd ?044. It6rK!
<br />oi tlDasin (nd., Th. ( o.!alof.l-ic@ L!* dE Er lpf,lr ro u o*.q olFoF, *ho bu'ld! o hproy6 rh6on,
<br />and who MiE l! for reh projdr with. Conrdon3)lkd*J p6trr h rh. ( onr!&loir Licd.l.*1.
<br />. -,'"^"'&fiprrb4
<br />plcl.aaarla!
<br />I lE.h, .rm unrrd Frxr of Fiut oa of rE tolrrn ins d<ln rF6
<br />I h$c ad l ill dtnli, Cqt'i.!r. ot( onor ro s.lf'lNr. fur trul6' anFstron- a Fo\d.d ror by sdthd r7(}] of rh.
<br />l,hr Code ior lhc p(fomMcc o t thc wo.k tor shi.h r h. Fmil ir isu.d.
<br />I h,v. .tuI sl ll n6'nlar e ort6 comp.Nlln n rGuramc- s r.1tur.d by sd nrn l]700 o hh. lrb.r Cod., for rh. t6fofrM.r ol
<br />rh. sod frtrshthrh6Fnn 6 GEd M, sMrd' &mF!dx,n,Mrtr..sir rd Frli., nudb.r e.
<br />lW,L,tyrt ratwrm.orrh.$.* ror$hrhrhBFni s su.d. ! siEllmr mpbyu! F$n h!n! nUF
<br />r $ 4 ro tr$n $bc.l to
<br />'h.
<br />qrrl6 .unn c, ion lsws ot ('!lilomi& ed ,rrc Ih.l ir I rh,uld b.ro'i. iubj*t ro th.
<br />*.116 NdF!.rx,n Frnio6 of s.crion 1700 ortlt ljhor Cde I tsll. turh*nh comply unh trns ph\i.i6
<br />WARNING: kil$. ro sr. *ort6 @nrFslion co!6+. c un!*lul, Md shdl subjcl u dnploF to niminll FELi6 Md
<br />cnil fr6 up n, oc hun&.d 'hourd &116 {ll0o.(x)o onFNrio., d,m!d a Fo\ll.{ for rlE
<br />S(r(r 1076 flrlr lrh!'hrdd dd dronqrs la6 )
<br />DICIjaAIIA!
<br />I hacby rlm undE Frn, of Fjury thd I M [eiEl und6 Fovirio. of ah4ts 9loffiins trnh Selion 7r]00)otDrEri !
<br />of rh. BBicr...l ProisioN Cod.. nrl my lkdg i! i. tull aore ai.lt<r
<br />calilallcralJ.llltxlilcErcr
<br />I hftt, allm u.da tErn, of Fjury rhd rhd. i r Ndd.l.n kil,U lCft) for rh. Ffollwc olfi. eorl ftr. rhrh tha Fnn 6
<br />isuq, (s< 1097. civ C)
<br />afftlcallDrclJf,allQ!
<br />I llFrq tllm undd pelhy or FJuD od or lll. follos'ns &.larit i('N
<br />Dsnol'l ion P@hs-A3b6los Nolifical ion l:ds.l Rc3lbl ions (1 nt 40. Pd6)
<br />R.q0ircd lllts of Nolilicdbn
<br />I cd iry lhd lh. li{d.l r.tslLrioB rc*adin! eb6tr rm.!.I G not rprhcabL b rhir Droj.t
<br />&,14n, ,* , *. ,gd ,nis 4plarr i,n rd nd. rhd rh. atnE mron srEn s coFc1. r {16 ro compry s''lh lrr ( ny Dd ( odrt
<br />ordru.cB ud Sl.!c li$: rhtin8 ro hr
<br />abor. nErio,Ed,mp-ry i.. iEpdion
<br />ildiry coNrudbn. arl h(chy !(hrE. rcF.gnatr6 of lhs ( ily
<br />Applicrnl or A86l Si{nelure
<br />Ei?E yD,L t4 rutca/ I'.rnrirNn.n'otDrinr):"
<br />(::Z?;\
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground Y
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulatron/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif li
<br />.. /t
<br />t/.iD/B //4rHt
<br />Certificate of Occupancy i /
<br />Notes , Remarks, Etc
<br />a
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<br />Brown Coat
<br />IMasonry
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<br />FINAL
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