|
BUILDING- INSPECTOR HECORD
<br />DATE tD/stG,COMMENTS OWNER BUII-DEN DTLCAR,{TION
<br />I h.r.hy nflrm undd lcnoll, of Pcijory rtu I dnr cxcnDl fnm rhd C.ftadon l-icc.s. Ltrs r(tr rhc lol!'winB rc.v'n (Scc 70.ll5
<br />Bu\nr.\l ind Prolcsion G clr Any Cily or Counly lhich rcquncs 0 fcl'nir lo d,n{rud. ltcr, i'nPnnt dcmlhn or tcPat v
<br />sfldnr.. t,iorro ih hrlarcc, J\o rcqutcs lhcnPplt.ni ntr rL.h Fnnit to ljlcasigncd n icmni rh h.ordr n ftcnscd !ur{r!.I
<br />to rhe pmrision\ of rhc Cotrlrlclorr L.icco*d ljq lch.ntcr 9. Conrm.ncin! wirh Stdion ?UX) of Divtion :1 olrh' Btr\in'\' xnd
<br />ProfesnrN C](dc) or lnir hcor\hc il.r.mPr rhcEliomrnd lhchasi\ fd rhc rllc8cd crcnrrnrn AnvviolarionorS(rbo703l 5bvtrnv
<br />rpfli..trl fo, {ncrnrir \xbjsh thc appliconr ro a.ivilpcn.xyoinor nrc!han fivc hutrdrcddollmrS500)
<br />-1.
<br />as ovtrcr olthc llropcny. or mt c.rrlo]Es wilh slgcs a! rl'.n sh con[ctrslrioi. willdo rir. wo.t lnd rlf, nMrm is ft'
<br />irctrdd .r ofcrcd nn sah (s(.7044. Bxsircss rnd korcssio s (bdd'the Cotrrracktr r Liccnsc Lr* docx noranllv ro rn o*i'rol
<br />rhcpmp.dy who hunds or inwolrs rl.ron. xtshodcs$chn) hnnrcllorhcr{lforrh'onshhisorhero*ncmtlrvc's-
<br />povklcdIfi such nnlokmnk m n i.rcnd.d or orc^\l lot qL lr. h.q ce.- th. hildinA or imrtoEm.r i\ v,!d sirhil onc )tor
<br />;l snrrhrn,n- (h. ownd suitler will nurd rh. hord$ orPmrins lh,r hc or \ht dil nor build or imPmn rhc !mF1v for rh. pu{rsc of
<br />-l-
<br />a\o*ncrnfrhc nnrr.rty. {nc<si!.lr.onkNiirr8 wirh liccn\cd conta.k*s lo con(rucrrh. lrol.cr (S( 7O{1. B!{trc$
<br />Pnrlcssi)n Co,lc: l hc c. lr..rols l,iccnsc l-trwdoc\ ior dp!lylo rno*trcr ofpioFnvwho build\ Dr nnnrolcs rhcr'oi.
<br />and rho.o mdt r'or such proiccr\ qith r conrElonr li.rn*l nurun hrhcconk(d'sLtcnsli$)
<br />I ancxcnrpl undcrSccli{
<br />lloI.(!'ILs' ( l()ltlPxNsrrl I{ lN
<br />I2ECLAtsAII!]N
<br />I hcrch, rrl,.nund$ p.nrllr,.lr.rllrl otrc orrhc inbtrin! icch,rrion\:
<br />IhrecmdwillnDinrsi'rrCcrrifcrlcofCon\cnrk,Scllld{r.li{sorkcr'conDchs i(nr..spovidcJfdhvSlrri{nr.l7(x)otrhc
<br />tihrC, c, fdrlrc F.linnam.ofrhc sork lor $hich lhc rcrnrir i\ i\\u.i
<br />, hnrc rDrl will [irfuin vorkcta co rlrtrrdi( irNUrrn.c. rs rcquircd bySc.rion.]7(X)olrh. trt{trCodc. fffrhc triLrnmnc'ol
<br />lhc work lnrwhichrhh Pcrnril i\ AsRl Myw.rk.F cnnfens,iion insor .ctrricr d lx,licynuftcr orc:
<br />I.drilyrlmrirrhcpcllonnamcofrhcwor*lir*hichrhisncn ir r\ issrc,l.I shrllnor.nl uv.nvPcrsrnhrnvnr.nncr
<br />so s ro hccom hr.d b rlf wort.6 .o'nptN{ l.s( .i Cililonir. Md lsNc Ihi! ir I sh.uld h{onr s'hlccr b rhc
<br />wnkm ontcn\;n pnrvisi,,n\orsc.ri.;:rrlx)oIrhclilnrCodc.l\rtrrll.turh!irh.omrlywirhrhoeImvni(,n!
<br />WI\RNIN(;: iniht r, s(urc sorll .!tr,pctrsdn)n co!.h3c is unl qtul. rnd sh.ll suhrccr 'r cn,Pk,v.t b 5itrli'rl |iMkr\ ind
<br />.i\i ftr\ trI (, odr hrrJrr(l lhnn\ nd tlollir! l\rrxr(xr)) ln diri{,i ro rh...{ ol cotrl t{ \rror. ,!nnHg.\ 1\ fr'r i.(1 litr rl'.
<br />Scdion:lt)l6 ofrhc trhr Q)dc. irlcrc{ md rnor y
<br />?'2-2-291L noou**
<br />.l lhc Burircs\ ond Pnnas(irnN Cnd.. and my licci\c i\ r lullli,rcc xndcllt.i
<br />I-i..i\. ( ln\(
<br />-
<br />ff:24r24!-..*-"*,
<br />i\{,cJ (S( :1097. Civ C )
<br />I cndci\ NIR:
<br />APPI III NT DFCI Afu\'I(IN
<br />I lf,'rhy rfln n nndcr pcnrlrt oftcriury orc ol rlt lirllowin! dc.lardidrs:
<br />Dcnblirnr PcnnirrAsbcios Norilicrri(r I'cdctrl RcEUhrii,n\(T[lc4(r. Pmr)
<br />_Rdqui.cd Lcrlcr of f.lotifiorkrn
<br />I ccnifylnd rhc fcrtd| rc8ularions Egrdins,sb.{o\ rcmvallrc nor lPpli..hlc lo rhk Pn*cr
<br />-l cerriay rhar I h,!d rc0d lhis appliclri.tr ind s,rclhat rhc 0bot inbrndiotr is cotrccr I agm roc(nnnll sirh rll Ciry)tr,| ({nrnrv
<br />ordinincc\r tl Srarc Lrws rcldin8t, hu
<br />rlr)vc rNnrioDcd pn,pcny for irslccri()n
<br />CirJ_rnd (i{i \ r..nrcr ut)onrlril,]!i,rto { rli,, a klhrrrh\ x!!
<br />,,,,"f -Zb-2.!(
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Shealhinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />n
<br />FINAL ?/rt//l .*q/)
<br />Certif icate of Occupancy I l =- . \-,.
<br />Notes, Remarks, Etc.
<br />SITE-WOBK
<br />Ext./lnt. Lath
<br />I c{dc' \ AJ.lr.!'
<br />IpDli.nnl.r AtcnlSisnel!rc
|