|
BUILDING- INSPECTOR BECORD
<br />SITE-WOBK DATE ID/SIG.COMMENTS OWNFI BUILDET DF.I.CATArloN
<br />! n Fby 1ffrf, trEt r lrmhy of lrrjury lh, I m.r.npr fmm rh. CoorBro6' Lr.n( Ls for rtu n loroS Gaan (S- 7O]l I
<br />Bunn.( oni Prn'.(!'n CGL): Any C y or G'unty ehrb rcqlRr { tErml 1,, .trndr.r, dr.r, iDt oE, Jcmlnh or RP.r dy
<br />{ruLrE. trrnr' r srufrc,.lq) Equmsrh. {'plE&r,or {uch Fmr h tik. nSrd n{cnEl rhrl lEor rlE h lenQl ,iu ud(
<br />b r,r Foriioh\ o, !h. Conh*tri l-.cnE! tl* (C-hFs 9, CdllEBhs wlrh s(irD 7(m or D'rtr$n I oa rlE B!\rrr rnJ
<br />Pnn(.nrCdL),*rh.rlEurlr!.rcnptllrrdn'mulrlEU$rnn r.ltr..l.kr{r$n Any vsLl$nolSdtDn 70.ll5byry
<br />.pplu ror r !.mn ruhFt rlr rptlf,lnr h,!(vrll.Mlryore mftrhd 6v. hundr.'l Jollsr lt5{$)
<br />-1,
<br />.\ owftr ot rh. pmFny, or 6y .q'byer *rlh *i8.s ai th.r $k (mFosdhn, *,ll Jo trE $rt irn 0E lrnrrw B Bn
<br />drnld ron.Edi e]. (Sd.?044, autimrr r&i PrDiisrnns c.ric Tl! Colnrtln's Lirtrc t * &E! rr gplr ro r owFr ol
<br />rl* Ftdt wln t!'ll! M rrFrB rlEcr. .nl wlrl ds rn R'd hBElt or lEsll or rtm{lh hn d ts .*n.E{|loFr-
<br />l'orrl.d rh, .u'h lr{frw r a ni nold ir oltcB, fd st ll bkt, rtE t lrl d ur+.Em ! n! srnu .E ,ti
<br />ol .!rqrlcr.n, rh. Owmr Auilr w l h.E llt hlll.n ol F)vuE rld E or (r Jn d hrtl d dl!.oE UE tnIEIy tu dr F!F* or
<br />I. rr owr ol rh. Ih)|Eny. m.r.lu!rcly.o,rruro! wth lf,.n(tl (dndoF n' r,nqei ltr FFr (S( '70,44, aultr(
<br />rd Arksm ( ut.: Th. Codturoai La.rc trv dlH nn.rrly b -o$E oi pmttdy *ho burLrr.r mINE. rh.Kr.
<br />rftl who todB-.t tr .h F,Fc w h r Ci)dtur(,l, l..neJ pund ro rlr Contrdoi! lshr lrs)
<br />I rm.\.tr, 'rlcr S.rboi
<br />llotl(Exs' coMPr,lsATroN
<br />IIECIAEAIIA!
<br />, lrRby.tltnun&r lEn.ly ol F.rtrryorcol rh. n,U'*r3 &L!2,rrx'nt:
<br />-l
<br />hav. rnl wrll nun rinrCcnrlrilcolCo.\cnrl,rS.ll-lnsurcntrwortcF'ompctr.luon.rs tmviJcd ttrhyS&ri(,n l7(X)ol rht
<br />lrhn (iJc. nnrh. n ri,mtu.ol rh. wDrl tur wh(hlh. pcmn 6 N!u.tl.
<br />_l hrw ril wrll md.r *0rl.6' ..r!10.6.111 6ur.B.. .r cquld t , S&rir l7($ of tlE tit$r O*, lor rlt pdft)lrlm! or
<br />rh. rut fs *hrh rh! p.mr Lr !run. My wql6 cotryEErrion sore. ffi. rn Frl.y mml,.r &:
<br />l..nnyrhlroitrpc orNec (,1rh. work n, thrh rhtrF.n,r ^ tr{rl. I (hf,ll ftn .mpkty :ny r rv'. r lny tunE
<br />v,8r,h.cdnr\uh](1rt)lh.wo*c,i..mnn\in,nL$\orCrhnffuMJ+(crhlrdIrh'ukltc.BthJ.dtJrlr
<br />ii pr.v(knr\.r s..rr)n 1?(xr.r rh. I rhtr (iiI I nlrll lrnlh*[[.on,flv
<br />b rR utrk.. Nn{'.nqlNn .omec s u.kwtu!- &rl rhtll \u y.r r) ffinrl rnlrs d
<br />ial rt*!o\,nl *rllln rllr lxr)) 'n J(r,n n' rh..o rerrn. drrrlct ls Polrldl ld rh.
<br />AA
<br />LrFty .lim ud.r Fndy or FrJury rhi I s lEn<rl unLr FUvNr'. or (tur{d 9 (rrnftMi8 w.h Sar.n ,O0O) of IrvNDn l
<br />ol rlE Bu(rrt rd Pmi|s&n! (iri.. lrl ny 116{ tr 6 tull ld€ rn .lf&l.
<br />o2
<br />I h.rchy ar'rlrn, trnn.r Fnrlryol prloryrh!( rhcR n r (Dn{rucrbn lctu]r!
<br />h\ucrl (sc! l(FJ?,( rv c )
<br />ntr rlr lx'ntrtrun\. !n rl'( work lnr *hk[!l'^ |rmi $
<br />AIILICT{NT DrCl ARr\TION
<br />I lsr+'!.fm uBkr lrn.lryol prrrlr) om oirhc n,ll,*tnt JNl2nt[n!
<br />I).enn$n P.."nk Aslr<oi Nddf,{i'n Fcdcnl Rc3uLrkrns (lrk:l{). P.n6)
<br />_R.qun lii.rort*rfadr'n
<br />ua:nyrhar rh.nd.nlrc3ulirrnn rclrlmt !\Ir\rr r.nv,!rl rr. norinth( khrhr\B'rc.r
<br />rhr l tu\c rcrJrtur0flrinn uri <d. rhirrhc fi)v. 'ni(rnurr)n r(mrr ltSr(ro$nqiy*!h.llCryrd(nuni!
<br />Srrr.lrxrLrlla r, hr'll]'ne c.n{ftrr)tr .by .uthtru. rqnedrr rY.r ot rhr C, y rrn Coudy b .nd lPn rlr
<br />rh,v. mntIxJ |lnrFny ntr h!I'<1r!'r nt{rRr
<br />ADpli({trI orA$nr Sillnhlum
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall I<krq -,14d,
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL r,L-. /tq W/ot
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc.I
<br />Ext./lnt. Lath
<br />.** 5F
<br />nu.yn,.,*,, 01 2 [ Ob-L,1 _,*.s!l-l1_
<br />,^,. "t,l>>l|q
<br />I
|