|
BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE I COMMENTSI
<br />Set Backs 'al
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing /A
<br />Shear Wall I xsU&)
<br />Framing x+-d\t
<br />lns u lation/ En erg y
<br />Drywall ,A\
<br />Ext./lnt. Lath kwla\
<br />Brown Coat 1-(-n g-rw,(
<br />-fitasofiry-CctAlc I/Y.WW
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />. /n\
<br />FINAL
<br />Certiticate of Occupancy
<br />Notes, Remarks, Elc.
<br />OWNER BUtI,DET DELCAR TION
<br />I hcEby rflnh undd pcmlly i)f lctnry rhd I m.kmfl rn,m lh. Clnlrsror' 1,..n( lrw , llE f!'ll,*tr3 tabh (S..70115
<br />Burft( .tn Prohrnn c{rl.): any cny r Coldy *h.h rcquFt . Fmd b !od{ur. .ll(. lrltlm*. &frnnh nr NFr uv I
<br />nturE.,Intrtu i (iu.h*c..lgr EltuRt lh.4'|'l. i !{tr rEh IEmr !i' nF. ISEJ nrmnr rh!h.orslE6lund Fmd'
<br />n) rhr F)vnx,ns ol rlt Contlckn'r t-.cn€'l trq lchat'ld o- ConwBnr e h S.clk'n 7000 of Divnid. I ol ltE Bunrc$ D,l
<br />Pn,Lr\itr\ (iiL) or rni lr d {E r.!cq'r rhddmm.rn dE hrnt nr rtt rlke.d .\cn9,n An, vbLr$nolS-rrnr0.ll5 hrry
<br />eppl,crnr n, r Fmr ruhFrlr rhc q'IlKanr tu d .rrr l ,t .,lry ot R fr,c th.n nvc hun,lt.l,lollrr ($500r
<br />I !ncr.nu uDl.r Se(ron-B APC lltrrhtr rcr$n
<br />!II85E8E.SqU[!BSATO!lrlct.ASallo!
<br />Ih.EhylllrmunLr pc lryo, F]!r, or d !lE nnlruD! deluli'nr:
<br />-lhrk,nw
<br />Entd . Ccnrar.r. ot Con€d nr s.ll-ln\!F nr qrt6 d'n+.ndrn, .s pn'vrGj nn by SdDn !70o ol trE
<br />Llhtr C'ixlc- lor tlt rrfo,rl1Bc or rh. worl ntr whrh rh. Frur r rructl.
<br />t h.E.nl *rllE'nr.m *"*.F' t oqEnr.r hn n!ur.L.. I t quRJ lrt S.tfur l?m of rh.ljlitr (.rL fttr rlr Frfnlrr*. or
<br />rhc *rk n, *hrh rhs JEm! ri Fsu.rl My*o cr'rohFn\aton rnrur$.. .urr ]rl Fr'cy .umh.r sc:
<br />l..nrayrtur f rn Frformkc ol rtr uod lor *h.h rhr Frnn tr (.u.d, l lhrll mr .n{loy eny !.rv'n i, iry l:Utt
<br />gr .r ri, tE{nr iuhFr b rh. HnI6' .on{E.{r$n Lwr .l C:il,'m. lrl l*R rhd f I .bull tEor ruhFl r, tlr
<br />w)rkc6' !r)nD.ns!( r,n p$rN,ns ot ScLxon t7(xl .l lh. Llhtr Cd.. I rfi.ll, i,r hwd h cof,ply wilh rlb{ ln,vsion!
<br />WARNINC trtuE b Guc *l{l.n omp.nel,. $!.r!P. tr unLwful. arl rhdl rlhFr .n tmPhy{ ro qnnn l lEMIEr .ol
<br />rril tih.\ uf ii, om hu EJ rh,urui dollm (!l(t).Unr. n aidnrn tt rlx .oi .t cumFns{nD. dm3.] r\ FnvrJai ftv rh.
<br />Sc.rtrtr, l0?6olrlr l.!lrtr(irl.. fl.r.{ 3n(l.nLfuy'\ ltc\l-t4-1- R.
<br />ItECt6EAIllA
<br />I hcrhy {,i!nun,i.r !.MlryorFrrury rhar I m lrccns.,l h,lcr rf,'vrx'n ol (iaprs I (L.nmturn3 *dh s.!ron 7{$0) rrl)lv(rn l
<br />of rlF Bu{m{rrnl Pn,lc(*,nr Cui...ti my l..nr E n lull aor.. rii.116_r.
<br />'*"."O* B
<br />Dri.: 4-4 * tt
<br />+t zsbl
<br />,Q ) 4L!/'1
<br />calElalJlfloNrEdDlxli-f,tiElgr
<br />I h.Fhy rllrrmu cr FMty ol FrJo., rh, rlrr !.ondeirn Lnln! {cNy ntr rh. Frn'!l,.-. ol rlE wft r{ *nrh rhlt Fm, n
<br />rsu.d (Scc.]0e?. Crv C.)
<br />AIIPLIC NT DTCLAIrAAION
<br />I h.r$tr ilImu cr Fnlx y ol Frrury oF .r rtE lnlb*m3 J&bnr $n\l
<br />l).nrtinn Pcrmlr^ih.{os Notrt(ari'n !.ncd RcSuldr]ns (Tr1.40. Prd6)
<br />R.quF,l !rrrcroi |{tr ic$i
<br />-l
<br />cd y rh, th. Ld...l EluLr0nr EsrJfg r{Eio\ rcmt.l e t +tlubk ro rhu F)Fl
<br />-l..nfyrhr
<br />l hav. E ihnt ..ri,n.dn dtrr rtE.h'v. onrmr.n ir$m.r I .!r ri, $r{tly wilh ill Cir y .nj Codv
<br />.XJEB.\rdSr.li*rruu!lot{rtlF!.ondturo(.rllkrtny.urlDrEEre.rrrBofthr3cr,.rnCounryro.dduIF.rlE
<br />nrn. nrr knkalIrn)rn! l(n ni\lt(rnr' 1,trrli^.\
<br />Applicxnl or AR.nl SiEnilun
<br />tJ^ 1
<br />trtcu/fiIl
<br />I
<br />I
<br />+*7-t\
<br />'1l\-10. l\
<br />T-Bar
<br />-1.
<br />r! oemr ol rh. F,Jlny. r m) cr{ll'yat r h *ras rr rh.tr hk oqrnqriu. w l ljl) rtr krt.rn rlE rerft t n
<br />d.ftLJ n ofl.81 ln' sh IS(.7O1,1. Bustr$.nn Pn,le$N Cqk: th. CitntBttr s l-i.n{ Ll* J.Er fr $rlv n' a owmr ot
<br />rh. FrFfy *b h'llr M urIrnB rhdM. $l rhl (lE u h xxt hd*U o, h.Blr n rhDr3i hF d l$ .q cipbre!.
<br />l)n)vrhd rhrr rurh mtmmdr e n d.nkl d olT@.t t(tr sL lr. h.ww, rlr todtlrB or uqnrtcr B $tl vihin dE yqr
<br />oallq,Liu. rlt O*dr Bu.Lk wil hrk ttE hlrtr oI Flvuu rtc liddrJrl ml lxri n uwot x In,,Ely ftr llE ,lrF*of
<br />-1.
<br />rr o*Er or rrr F,Fny, rm . r.lutiyc ly .onrai ut! *dh lr.nd .o .rroF b $mM E rn'i{ (Sc 7lx4 8Ntrs
<br />rn Pn),lruDculc 1ltG' r&1.r. L,c.n€ L.r n.r B rlplr ro m owK ol F,rFny *ho hu,Br or lnPoE! rhs$n.
<br />ml who.onrkltr',)rsNtF+rkwnhrCbntELr.nOl.cnedt'lBurhrh.Codt.drtrrLEnrlrw)
<br />tq
<br />t" *-4-rl
|