BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Shealhing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL 7-ltltq -/.,(1c/,/4/
<br />Certilicate ot Occupancy \_./
<br />Notes, Remarks, Etc
<br />OWNER BUII.DER DELCANAfl ON
<br />I h.6hy rlltm unl.r F lty ol Frjurv rh.r I m .rcq, rnro rrE GdilrdF licnc U* lo. rtr rollo*r8 Ersn (Sa 70lll 5
<br />Burncs rn Pn .$ir Gil.); Any Cdy or (i'unry whrh rcqurcs r Fmr io conndd, .lls. mlnrE. &mlLlh or rFn ev
<br />rtuiu.. F ronr r$o.Br, .l$ Equft. rlE rpdrsr iu ctltmr h rrk. slsmd tlri.dnr iMt llor ih. s lcmBi nuNlnl
<br />h rh. F,vlsN ol rh. Co.lRttri Li..nEJ L.* (Clupr.r 9. (i,lrfthr.8 r h S*rDn 7UD ol frtvN,n I of rlE BunE$ .nd
<br />Pn'r.son! Cdlc) or rh:r h. or dr n.r.q)r rh.Elon turi rM ha{r Lr rrE dLs.,l.r.qrDn ny Ysl,rnnorS&rD"r0.ll5 btrn,
<br />rpltrcanrnrap.m $hFkrhc. 'lMnl r.rL,vnl.M[yofnor n,Erhu liv. hullrcd Jollus (35dD
<br />-1.
<br />n ovEr ol tlr F)r.ny. ix my .'r{,hFr * h *18.r ar tlE, ok NqEnr.ron, *dl Jo ll. q.t .ri ttr rntu i. -
<br />ur.urnl oroft.cd n' sl. (Se.7044. Bu.er and Prn'.*$ni C{rL:'l'lE Q'nr*tt t Ir.ns Liw J.rr d.pply ro somr uf
<br />rh. Fllrny *hrh ho.tr!h,6rh.B'...tl*hr&sstk h,nr.ll dt h.rcll or rtNu3h hu or h.r oM cnlirr!.r'
<br />pft,vd.d rhd .uh lr|lNEnE.rt s d d.nlal,roflirbl fd qL lt h'EE. rlt t 'rinS d nlnEDll s s! *aho om F!
<br />old,'r?krb", rh Owmr Buirlr wil hiE lrr luLn ol F!yDS llul li or \lt ,lrl d hill or !ry(rE llE FtFly fd rtt Fq& oi
<br />-1.
<br />a! osr. ol rhc ln)tEiy. o .r.lusiRly uo,rr{iin3 ,nh lkn€d cddrarrF h ltnitur th Flrd I S.. 7O'r'1. Euim(
<br />. h!,t6\rhCo,lc Thc Conkrrktr'! Lrcnrc Ljw drE! nol lpply k, rn owno or PnrFny who l rlJs or m!rcv.r thercon.
<br />.tu| wlb odtut ft, leh In)Frk *rrh r Cbd*iqn lrtrrJ llunu rorh.O,, rtoii lsnc lrr)
<br />I rnrx.mDr und.r Sc(u n .B &PC l,trrhst..v,n
<br />ElrBtrE85:.C!]UfJlSAn0N
<br />DES.^AdIIO!
<br />I h(Ehy rlltrm urdcr pcuUy ol r!.4u'y om ol ih. n,llrur! &1Lr.rt'n\
<br />-I
<br />h.E rxl rrll mDl.n. C:.nrf..t. ol Cotr€nr ro S.ll-lnruE ld u'*.r'u,qf,nd$.. r. fovrldl lot hySdrnn]7m ol rh.
<br />l,hltr Cor.. rd rlE Frrl)lrll^. orllE k,I for $irn rh. Fnn s lrkJ
<br />I hr(.d *rllEl .rn *ort ^'ron{rn<.ron rnsurrftc,.i Elluu.J h,S&rrtn 1701,.l lhc l:tu Cdl. l(trrh.rdatmN.ol
<br />r,E Hnl lq *hrh rh( Fd is Nsl My wtrt(i .r'qxns.ton r.urm. r.ftr.,n tnl.y.ud&r e
<br />IR\*.nrr,- .,,*
<br />",n,,Eftc
<br />ur rh. uorr ftr *h.h,hF Fmn s nik!. I "h,rr an.rotiy..y Fmn 'n
<br />ry msffi
<br />\t,o trr,'nr .uhF r h rlr *o 6\,,oqxnvri'n her ot C.nlome, .In {N rh, if I thrxll h.{.m uhFl lorh
<br />k *6' L\rnrrn\.r k'. pn,!!nnr .f Sdron l'7(,0 or rt. bh* ( udc. I {h,rl. n,n hwilh d'n'oly wirh rh,s pn'vri,n\'
<br />WARNING: rnbE ri, sw krl.F'$nlrtrerKr. rokE!. s unLvful, rnl \h.ll \!hj&r M 6{rloF l,' (fullrMt.r.nl
<br />('!,1 I'n.\ ull r, dn( lrn[tcJ x)lxx)' [ ]Il N,! nl lh (l'q,'l bn, 'i.m3.i ! FnvrLJ r,, tlE
<br />&)
<br />ulll.|&llt0}
<br />I &Eby .l lirn lnLr t{Eky .i lErll,ry lh,.m IEnEJ unrd liovrb. .f Clutr( 9 ic(l{l1llah! $rh s.drn 7(t
<br />o! lhc BunN$ rnJ Pn'I.*irBCuL, cr, nry l.cn{ ! in llll n)(. :,rl .tl.tr
<br />OZ
<br />CONSTTU(.TION LENT'TNC (IENCI'
<br />I hcrhy(ltu und.r Fn.lryot ncrlury rhf,r rh.rc Lr. con{flctDn b,rlir3.3.^_y i,tr rh. Ixrtommc ol rh. Htl Lr *h(hthr Fflr !
<br />nrkrl(SN.1097,Crv.C)
<br />APPT ICANT I'ECLAIATI(,N
<br />I hdrry altim ufll.r Fnrkyol Frrlry oE ol r& Luoerg &(l,rdrmr:
<br />D.mnri,n Pc,nrt Aii(os N(rr,!!li8 [c!cr.lR{uLrbnr alirk tlo. Pd6r
<br />Rc,ttrrcJ lrrrcr ol Ud,frd$n
<br />-l.cd'lyrhrrltrl.dcrllrc8rldtr)n\{grJ'ntd\h(do\tt
<br />r)v,n ( n.r inPlt2nk r, rhs Pn'r(r
<br />-l
<br />.cn y rh.t I hik cd th6 .pplr.ln. .nl sr.i. lhi $. rh,w nrotu$n n r{mr I rlrd h arply q.h .ll C'r, rnl cou y
<br />onr,trrn.\ rnJ srrrc l_rtr\ rl{ruc r.Fc{nrahv.i nIth,i C(y hl O,rnry ro.nr.r uF)n tlr
<br />rh'v. mnrDmd F)Fntrn
<br />,\rdicnnl or 11!.nr si!nnh'n
<br />Pool Fence
<br />C{rr-
<br />l.ndcas AdJ6s:
<br />r\+\zp11
<br />I
|