|
BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE COMMENTS ottItF-I BUILDEI DEI,CANAfl ON
<br />I herehy lrftnr und.r Fn.hy oI lxrJury rhar I un .r.mq fmm rtu conr{hB' l-tcn* Llw for rlE (,ll'*in8 rm$. is.{ mll 5
<br />Br\incs and PNfe$ion Cdc) An, Ciry or Gunry which Equtc\ ! Frmir i(, enddd. !lr.r. iml)lolc. d.mlilh !r tFr in,
<br />iMturc. Fritr rr irs tsurm.. rlq, r.gunN rh. $nli.d for ruch JE.m( ro tik . riSrEd sl3lcmnr lhlr tr or slI is ltcn<rd t'unuor
<br />ro rh. pn,rai,n\ nf rlr Contrt,\ Li..nrri l,* rctEprs 9. Conrming f,nh Sa1i,n 7m0 .f DirNi, I ol rlE ltu.ims .nd
<br />Pmf.( rnr (irL) or rh.i lr d iE r .r.nu rlErcfft,m and rlx b:tt f,tr rh. .lke.il .!.i{ bn tuyri'Lri ofScliofl7olI thyaoy
<br />rff'licrn' attr.Fmir rubFl. rlE r,rlk
<br />'
<br />t'.orrrFnd'rorn{ m,r rh.r firc hudrcd dolls! (ts(x)r
<br />l. tr\ owncr of rh. pru!.d y, nr my cnrtloyrr * h *ag.\ as rh.ir B,lc $n{f,trstrti'rn. wrll dn rhc wo* rfrl lh. rlnduc i\ En
<br />inrcdrl ordlllrcd lo. elc (sa 71}l.a. Buim* rnd kofc$ions C,xl.:l1E C.trta(tn ! Li.cnr tlwdo.\ nor$ply h dn orft, ur
<br />rh. FrrFny uh' t dr n intn,El tlrEn. dn rh, d6 Mh srnl him{lf o. hcsll !r rhmulh hir or hcr.*. c!Illhy.(.
<br />Folild ih.rrxt itr{I,EEnt m mi idorkl uolicEd ntr sl lr. lrrNrs. ilr hiuma m iqrcrlntd n sE *irhn or Fr
<br />ofcorFL['( rh O]E BuilLr wll h.E rlE tlilo.fFoyrB rlE! lr {x dil d{ tlru or iqmr 0r F,Fnt ror ili IturIrB oa
<br />-l.
<br />rs.wftr.rrhc pmp.ny. !n crclusir.ly conr&169 *irh li.etrq.d ..nhdm( t, .oD{ru r&pmF-r(Scc 7N.r. Bu\iNn
<br />s li,rsrir (bdc: Thc Cooktriin r t,ic.nrc tas d,B mr q'ply i' u o* n.r ol F'I,r y*h hoildror impbvcs rh.rdxr,
<br />rn'l rh, d' rF for rk h lnrF(t rnh 0 (irntaloi o l*nart nur!.nr b rh. (idrrt( s Lic.nr lr*)
<br />I rtr,.\nn tr'kl., \..1,
<br />'. ll & l'1 |,tr rh^,.r\ ,
<br />]r08trtit5_cau&:titarr9!I)Egl&tro!
<br />I hcrrhy rllirm unhr p.Mx) ol ltrru.t oE olrh. nn['rtrrB d&llrdrn\
<br />-l
<br />h{vc ml will Minrlm ! ( cnirB.rc of (inMd h Scll.ln\u.. r(tr *olt(i lanqxh$ i,,tr. !\ p(,vijci i, hy s.r! i,n :17(x, or rh.
<br />blsr (iil..l th. tErfo.nBnd. o f r hc work ntr *hich rhc rdnnt is i!\ucrl
<br />I hrrc xl Billroinrn tr ort.ra coqxnlrr iinr in\uraNc. r\ ntuncn ht Sern)n rrrxr of rh. Ltr, (irlc. lor r h. F nrn{r. (l
<br />rh( f,o,kntr $hrhrhirFnn,iNnkn U,rorkdr'd,mlrner[n'n\uramc.,r.r !,r,F,l.lnunhr rn
<br />I r.drfy rhlr in rh. FrlDrnEtuc of rh. u ort (tr rh(h rhh rtr rd tr r.kd.l {hall Bn .nfhy .try pcrs)tr r,n)_ mnftr
<br />$ !c h,lE{om {ttFt t, rlE !o.l€r mmIEn{Br Lrl ol (.lrnmr. rl leE! rh, n I \h,uld trroc ruhjlrr t, rtr
<br />rr*.^ .. {Enerkrn rivrx'n( .l Scri'n lTlxr or rh. tjhn (iik. l dEll- fonh* ifi .rnply { irh rh,y l'n,rnin(
<br />ItrALNlN(i |rilurc ro -._!rr $orkcri r.tr,F \sri,)n.okrr8. ,r rnh*ful, nnd \hrll {hFi an.nlP],!)tl k) nin r{l F'unti.\ lnd
<br />civil turc\ uti k) onc humlh rhoustrnd dolltrii (sllX).(XD). in artdili,trr t, ihc.o{ olc.nD.nsurion. drnulcs rr Imrid.d l{n rhc
<br />S$rirnr:ll)76olrh. btn CriL. 'nrcrcja !nomv'! la\
<br />D.l.: pplk l:
<br />I tcr'iisFrr cort t R\clui
<br />IIIIjjJBAIIA!
<br />I hcrchy ultufl uftlcr p.nulrr_ n f t*lur y rh{ I rn lkuat undcr lnovni, ol Chlnr{ ! (.nNErcin8 eiih S..rt,n 7ud)) ll)'!tri,,n l
<br />ol rh.lnr\irki\rnd Pn'rr$(nr\ (i'.lc. rrrl nry I'rctr!.i\ nr fullkr.c ri cfla.r
<br />1;l)!$f,lJcua!.u;BDacAi!!L1
<br />I lEdby antn und.r Fulry ol FrJn* lld rlEr. it ! @.<Mbn k'n,ng 'g.ry t(r rlE Fao|rlErc .l rh. *ork for " hih r Frnil i1
<br />nsEn rsc 10e7. ci c I
<br />lx lci\ Addrcs
<br />-AITIISANLIIELIJAflIa!
<br />I hs$t rt-mr !nd.r lEnrlry of Fq!r, ot.trh.l,)ll,f,rig deb.t.,nl
<br />Dcmlii()n l,crmih-AstE{o\ Nurincdion lRhrll Rc8ularions ( l'ilc 4r, Pan6)
<br />-Rcttut.d
<br />l.llcr of t{nilf, .liD
<br />. I rd'l) rh'r rh.kn r EFULrim(Epr rn8:\tr{u\rcft{rlrcr{+nlrJhkr,rh\nmFt
<br />I .cn ilt rhir I tu\c rcrd rhA lt'l,li.lriotr dn {arc rhd rhc ahrc rnl,md i({ i\ cdr..r I ryN lo c'mnly r h lll Ci y rnd (i'unry
<br />ordinarcsntr Sr,tc bws rcll[
<br />'n8
<br />n' hnrldinS .onifl.hon. d hcruhyrurh[iz!rcllrscnhfivcsoirhi\(irya Counryt,ctr.rtFn,rh.
<br />rh,v. nribo'rd nmtrcdy n' \rE-rirn porlxN\
<br />\Dpli.unr or \x.nr Sixrutur.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsu lation
<br />Roof Sheathinq
<br />llqrying
<br />ln s u lation/E nergy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat 9P.(
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />En gineer Final Report
<br />Flood Zone Certif
<br />FINAL 1 \r\('l /L4,G)
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc.
<br />ID/SIG.
<br />Shear Wall
<br />.t /1/.,*
|