BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUTLOER DEI{ARATION
<br />I h6.t,.frm und6 pa.Xy of Fjury rhn I m d.n r fmm rh. Conrr..rs Lt6r l,w torrt hllorilts lrntS6.7011.5
<br />Auin6 !d Profdlhn cod.): tuy Ciy or Conry whah ,.$,iB . Fn ro o!3tud. .!q. intp.ole darclbl' or Epr &,
<br />Iru.rutc Fix lo ils iffiq .ko r.qliG lh. +pli@t for r!.lt Fni to fik a rig!.d 3'd@an tnn lE or ih. ir li.g!.d pu,!d
<br />lo lh€ provilioN ot ilE Co.Ercr '' Liened Ir* (Chlpra 9. Coffiinr *nh Scrbn 7000 of Dnt'Di I oatlE B{rB rd
<br />Prof6ioB C.&) or lh.l lE n iE i d.Eol tha6,on ild dE b..b ao. rlE rlhg6.l 6qnFio. tuy viohion of S41bn'1011 , by &y
<br />.ppli..rl for . Fnn rubjd! rhc 4plior ro . civ il pd'lhy o f nor moE thx ,iv. bundr.d dollE llJ@)
<br />-1.
<br />E orE ollb. FoFry. d ny .rllb)€ $ih *.86 B thcL Fk omFr!.lio( "1! d. tlE *6t .d ,E nnlde i ml
<br />uloldal o, o66cd for !.L (Sd.70ar. BuiN ed EDfdioB Cod.: TIE Cod6.rq! Lilu Llw &E d +ply m e o*m ol
<br />tlE F.Fr, * ho tril! or ngo6 di.Fi. rd *'lb d6 *l' wrt hirlt or hdElf or tuoush hi! or hd osn mploy6.
<br />Fovid.d lhal 3uch ihp.ovMr E mt i od.d $oltr.rl f6r sL r( rb6E rlE taikliE d d+ri\cGn 6 $ld vihi. m )d
<br />ofcorlPkia dE o*E &iil& sil hE dE h,ilc! oaF&iis ,rr E q ,a dd d hild d inFoE dr FFry 6r rh F,F& oI
<br />_1. d o*E of tlE rroFly. 6 cr.lusircly codr&1iry wnh ltds.d codrlc1o6 ro @tm.1 lh. Fojcr (Se. ,0.14, 8618
<br />dd Ptnftsrin cod.r Tn. Conlrrcloi r Lica$ L.* d@ @r ipgly to d o*.n6 o t Fopaiy *ho boilrh or mFo\6 rhq6..
<br />ud $ho 6iEtl! t rul Foict3 wnh . Codrllo(s) laq!.d pllEltrr to th. colro.ld'3 Lk@ Lrw).
<br />_l m crdF ulrb Sannr_, A. & P C forrhi lt@n
<br />D.r.: (rrnr
<br />.woaf,E&L(ol4rEtrAulr!
<br />PEG|JAAIIA!
<br />I hs.by .lfm und6 FMlrt of Frury or ofrlk lollo$ing &ch6rioB
<br />_l t B -d *ill oim.h . Carif.lc of Coe ro S.lf'l6e lor wld @Daurio|\ a EDvid.d lbr b, S€tion -:700 otrlE
<br />ll!o. Cod., for lhc Ffotuc of fi. sn for *ikb th. Fnn ir isu.d.
<br />/l h.r.rd *,lldorM *'rd coop@dbi INUB.. s Equir.<l by sdrion 1700 of th. Llbor c.dc, fo. dE pcrollljlc of
<br />lhc vo tor whichrht p6'nn i! iqt d, llyffitd' @dpqurion il!m. cdir nd polty nunba c
<br />A^t,<t a,a '7,,.lJ\
<br />Pori., N@bq, r^J65o4 6(: l) Er
<br />-l
<br />.qri& th.l in llE Ffoffi. of tt!. worl fr wl'i.h ihn Fmn i! isu.4 t rlEll$ 6ld b.ah. sbFi io rlE e.t6'NmFudion h*! otcrlforur. !n ec rhr. ,f I {buld tr.oft r1r.{ to rlE
<br />Ertd' s,padb. FDrirbE olsdion t70o of E trts' Coda I i6ll. fonh*ih c.mply with lh.F FovirioN
<br />WARNINC llilur.lo Eu. rotd' comFMion .ovdg. ir !nL*tu|, ed lhrll rubF x oploF lo aiFi$l FEti: !d
<br />cril 116 up lo ox hurd lhould &ll&! (tlm,ooo). D ddni,n lo llE coe of conpa!.Iion. d.ru96 a Flvn.d for lh.
<br />s<rFn 1076 ofrh.litrr Ct'dq lnsBr ud. dEv t 16.
<br />rtl'>lsII
<br />I h*by dlm undq FEly o f Fjury th,l I @
<br />of rhc Aah6 ed PmfaioB Co&. !n ny t
<br />t *r',^, Lto/6lL
<br />vtio. of Grp{q 9 (coMinE whn sdnn 7000) ol Di1 lion 1
<br />,i,ms.Numrrr 11>7fo
<br />^,.,rzf4v_
<br />I hd.t' imm onld F..h, of Fjury rh, rha. ir.
<br />iscj {Sd :109?. Civ ( )
<br />+*, for llr Ffolr:le. of
<br />'h.
<br />rrnt for $t*h lhir Fmil i!
<br />d.rtucA[L0[4!.6aAlla!
<br />I hsd, ifrn lds porllty oi psjury o.. of lh. fouowirg ddldriioB:
<br />D.nolirion PdnneA.h€lm Ndifidion FoLnl R.Buldro (Tnk 40, Prr6)
<br />-Rqt!ird
<br />Ldk olNdift!ion
<br />-l
<br />cdiry rhd rh. t d6rl Egulllio6 Es&dins Bb6ro! rooval .r. mr rypliclblc ro rhL Foj€t
<br />/.diry thd I h.r. r6d fiir rpohrlion ed xrt. lhc $. lborc iafomdb. ! codd. I asE lo @npl, wnh .ll Cny jd t o@ry
<br />ordinm6 .rd si.t. bs Ehine ro t ildinr .o.nrudbl! id lEctt .dt @ .qelii!6 of rhi. Cirt !d Coud, io ar6 Won ilE
<br />.b.r. ddrionar F.rdr fi,
<br />'tr F(Dn FrFc
<br />.tpplic.nr or A*dr Sirn.ttr(
<br />P@rre n.n.rprr.o: E";- &*
<br />-,, trlpfa
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathin s
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />l-landicap Req
<br />uty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL 5\r6\rc t4L1(J1)
<br />Certificate of Occu pancy
<br />Remarks Etc
<br />L..dcir A.l&6 _
<br />Brown Coat
<br />Notes,
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