BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Election Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorVenVlnsulation
<br />Rool Sheathinq
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />,1
<br />FINAL ///qltZ
<br />Certilicate ot Occu pancy Tf
<br />Notes Remarks, Etc.
<br />O\INET ETIILDET DEI-CA NATI('N
<br />I tf,rby lrtirn ufrlcr Fnrlry {,t lrrrur, rilt I u cr.q,r lom rhc Conrrl!1or' l-ken* lj* ror rhc f{'lt,*ing rcr$n lsd 70ll 5
<br />Bunklr itll Pnni*i,n (1{c) Any C[t o. Countt qhih r.qun.\ a Fhn to (,n{rucr, il(o. imnn,v., d..r'lsh o, Fnrir Mr
<br />{eluE. |'rtr (, ft h{dm. !rq' rc{uEilE .|llif,.n' r', <kh Fmir t, fu. ! nSxn {.tmnr rhd ,r o. {r i. lN.<n puNri
<br />t, ih. F,virnrnr of rh. ('(nkrirr's Li..nt d Lw tChrprcr 9. (i,mtuncin8 ![h Sc.rnrn ?fin of Divi\i(,n ] ol rh. Au\inc\s rnJ
<br />hrfcshn\ ( {irc, nr tt r h .r shc t .!cn{,r rtscli,'m anl r h. h{ti! ft, rh. sll.8nl .rcry{ irn AnyyhhrirnolSdir'I(rll1h}lny
<br />ryfli: hrrFdi \ohl.{k rhc lnrli.Nnr t, r.r!rlpcDllyolB'r mBrhn. fir. hundrcd dolltr\(!t1)0,
<br />I. !( or*r uf rh. ln)Fnt. or nrt.nllloFr sirh $a!6 rlr'r glk rnqindrr. r ld, rlr wrl arn rlt {rlu. i\ ni
<br />nnc,rlct o!.tt rcd lor ak(56 70.ra, Bu{irc$.n ttolc\urns C(rlc Th. (i'ht.cttr r Litns Li* d(s n oi'plyr'unowncrot
<br />rhc psFny sh, t{iB\ ur in{nr6 rkmrn, a,rl rh, df,\ tuh *ot hi'D\.lf or lrr{lf or rhn Ehhi!r h.ro*n.trtl,'yr.\.
<br />lllDxlctl rtur !u.h 'qrN.mnrr m mr idcnl.d n olt.ftd ft, eh l( br$s. rlE h{rldi.g,, lqrnltrnr ! r,U srhtrr oft )!d
<br />nl.n'r{,lcrotr rtr(}*K 8!rt1.l sillhle rlE h{dcn nfpmvnl3 rMrh..r {hc tlrl 'lhntlor illrlmr rh. p$Fny fir rh pnrFir of
<br />_l.asostr.rolrlEpfi{iny.an.r.lusiv.lycotrrr0crin8Flhliccn\cncontrn.romro.on(Ddrltpr,rc.rrSccT(v.l.ll1^in.s
<br />rnl Pn{.rii{ C(rn Thr (i,nrreloi\ Licn{ Ilf, Jmr rn qll!lvr,motrmrnllxrlrnt sho buil&or mfmrt\ihcrc.n.
<br />rml rhu onrM.ntrtkhIr tts* h r Conrr.toni l..nr\t puFunr t, rlE (-nfi!.u'\ l-Enc Las r
<br />I lnr.rcrrr' rElcr S(ri,n-
<br />l)slc t)smr ttttnxrts tt nr p*rts,t ixrr
<br />DIIllt&Ul!]Ii
<br />I h.'.h]-, iili"n trn(lrr ncMk\ ol t{'ltrry rk,n rhc I'i l(itrir! (l(hrrrid\
<br />-l
<br />nrv( ul r ill roinb'n 0 C.ndior. or (i,nsco! n) Scll r.\urc htr *o,ker compcnsrinr. r\ pmlr.d t, hy sq..i ion l7(x) or rht
<br />uhtr Crl..lor lhc Fnbrnsme ol
<br />'h.
<br />Bo nr shi.h ih.I6nn r.\ucd
<br />.lhorcnnd*1lln'0ln'rin$o*crrcon{trnl(ttuiNurrn(..r\r.rttrndhysdrr.lTir)ollhcl,rhttrCol..li,rih.nsfornu(cor
<br />ItE *orkt',qhi(hrhisn nn( is trsn My*orloa( Vr.nsrxrn nNlrJrrcrtrrr rftlF'laynunrlt, u!
<br />2alZ Zlp o lbtFvgrlav 16-
<br />,,,",4c1-(?aqgol,/ -zatt
<br />-l
<br />c.nilv!n i', rh.IErro,rur.of$. *ort fin ]ntt rhtr pci,ni i\ i\\kJ.l \]i,lld.qk,tnn, Fry,h i.sntttu.rFr
<br />{r !< n' hmMr \!hr..r r, rh. *ofk6r drnqEneti'n la*\ rl(nliftnnir, aRlnlB rh{ 'rl \h,uH l(rnr \uhr.! h rlr
<br />rorka\."nln.n\irnfpxrli(fnruls.dr{l7c().lrh.ljhrc(itc.lrhrl!.fonh}irh..nDltuirhrhrcpr)vti{n
<br />I1ARNIN(i Fanu,. r{' KUrc rtxlcr! lr)qEn$ihn ror.r4e i. rnl2*ftl. ,nd .h{ll tut'Fr fltlow nt nnntul FMhs rto!
<br />('!'l lin.\ up r, om hu rrd rhotr{nd 'lollars lllil).Ux)r. in aill x,n n, rlt .u{ of.otrlFnsrrn'n. daN8.\ a( p()vilcl ntr rh.
<br />sNrion:1076 0rrhr litrn (ixic ini.rcd and 3 onrv \ fc.\
<br />".,,,314 Llf ^pp,{ , C4r1L t'(91'aA €r.A cA^'2-f
<br />UIEMEDIIINIIAII TDtcutallu!
<br />I hcEh, lllnnrunlcr pctrllrt of |).rlury thtrr I am lnr.$d u6,trr Fn,rNi(). ot ( hr,)la 9lmnnirNint wnh Sr(l(,n 7l[x)roft)iilion.l
<br />or rk Bu(Es lnd Pnn sir\ ( odc- rJ m! lt.n€ t in lill fokurrl clnrr
<br />ct(>r,.cn\.Nu,nli.r tol9g55
<br />tAu /t^,.,et*a,qreglzslrs
<br />srBsraI]l;IlrlNJ.lNlrll!-acluct
<br />I h.Ehy lafrm ufrLr FEhl uI F.nry rhd rlxr.!. s.{Mir. kdi.g.!**y n thrElirnrrc lrlEr.rtlor*ht,IihnFmn ir
<br />ii\ucd(S( .l0)7. Ci! C I
<br />AIILIIAILIIEIIAAAI!}N
<br />I h.Ehy m-nn uidc. ncnalry olrtjury or nl rhc ldl"trins d6hrr'ions
<br />l).ml!'ion Pcrmir.Artijnx Norifxrlion l.&ftIRc3uLt,n.t rnb r0. Pd6)
<br />-Rcrrutcd
<br />l.'r.roI Ni, tari'n
<br />l.crr,lyrh rlt Ldflrlr.!tr!rrn! ( rrNxrdnr! r\h{ovrntr*rl,trr tror rt,|tlrrhL'n' lirn t{,'1..r
<br />-l(dil)rhnrlhtr...rnrhrapllrrrnnml(rtrhrr(Erhir.i"l",trurktr,Ncor.irlrsturk,.o,plr(ihrllC[trnd(-'t]rhrc nrnri,ftal nrrFdrn 'n(FrxinlrurF,s /
<br />ADP,im'rr^r.n'\km'u' ou/ //*C4A tloLrr-tt1 E)LAtAtrrL
<br />zlEglr
<br />l,lqlw
<br />IDiSIG.
<br />.1, ,t P(' lqrhi!klor
<br />Shear Wall
<br />Ext./lnt. Lath
<br />Flood Zone Certif .
|