|
BUILDING- INSPECTOR RECORD
<br />SITE.WOBK DATE tD/stG.COMMENTS OTIVNFI It'ILI'ET DELCARATION
<br />I h.Nny 4liim utuLr FMlry ()l Fiury rh, I a.r.n{i in)m rlE 6'r.116' lI.nE l,* aor tlx tolb,mr R.sn (Sd ?0.!l J
<br />lillEs .it Pn'f.s$. C i.): Any (
<br />'ry o. ((rnty whrh ft{oEs r Frd n! $ndrucr, drcr, ,r{rr.w. &mrlrh .r rFr ay
<br />{ru.rE. Frrt' i! rsurE. rt$ r.quRt rrE {,!lror r tkh Fmr b lilc. n8Ed n.lcmnr rh.r lEor cs[c dl p@ur
<br />l. lh. lnrvnxn. of tlr Contrarorr Lr.nq, ljw (Ch.fld 9, Cdj1mEne *uh Serx TCX|J of Drvr$n ! ol fi. Bu.rE$ .'l
<br />Pn'r.(r'nr (ixlc) or rhlr lE or rn B ci.m0l rlEErioo ..d llEnrn\ tar l,r rlL3cd (\.n{,lr'. Ary vi,Lri'n ol S(irr ?l)t I J t'y.ny
<br />{plf,anr ror I p.m robjdrr rh. lmlMm (' r uv,l Fn.h, ol ft, Btr rh{ nv. hun'hJ Jollri (!50o)
<br />-1.
<br />$ owmr ol rh. I'ntFrly.,tr my cmtL}tcs u(h *!8c\ {i rh.r r* contEnsrnn, w l &, ilr kyl d rlE {nnE ii d
<br />d.ildl or olltrcd fir gl. (Sd 70a!, 8u!tr$ .nd Plsrcrti,nr Col.: Th. Conrrrk \ Lr.n- tie d*. Bn .IDly ro .o o*mr ol
<br />ih. F)Fny *ho I'o ior np(,kr rtl(r. rn rbrlF uh *,t hm*llor lrrcllor rhtuulh h( s lEr oq.tq'l'y.cs,
<br />n ovrleJ rhrr such mFNmnr G d 4tcLkd r nflcEn n)r qL ll, h'EE, rh. ttril]i4 G lqn,Er ir$!wntuorlra
<br />diu(+k&h- rlx ()*Er B![L rd] hrE rlr hld.trol rDu! rhr lror {E drr nt! iqrqr)rrh.If)Irnyn,rkFnp{o,
<br />l. ,\ n* , .1 rlr F{Eny. .m c\r lunr.ly lddr rnr! r [h h!.6a.d (,ntrldou r, dnrrud rh. pnU.cr tsc(. ?($4, l]Ntrrs
<br />rnl lt'lisr$C, t'lht(i'nrrLnr'sl.'(cntlrsJ,rsnn.mlvt,:nowkrolpn{tdr*h)hu'll\orml)ftlrt.rhd()n.
<br />itul *h' ('dhd ( ktr \urh !n,r(G w haconrado(srl(n\cJ fl3urrt,rh. c.nra.ktr'! Ir.n!.lre)
<br />I rm.r.mF und., Scd!!n_, B &PC l,trrh(F!$n
<br />EOl{!8S-CqUfE$Ar0E
<br />DECLARATION
<br />I lE(hy.llrn uftl.r l.Mllydl Frjury oB ol rlE Llk)*n8 dcLlrarrrtrs:
<br />_I hrv. ril rrll mdro r C.drrnc o, (i,nrnr ro S.lf-lnsur. nn frrk6' (onFniitun, 8 F)vkl.rl f h,Sccti)n170()olrhc
<br />tix, Cix]., lnr rrr p.rriruc ol r k,{ tur,hrh rlE F nr i !\Fl
<br />-l
<br />h.w rBl anl mmi.m rd.t.^ .on{rni.r rr mrurrB.. .3 r.1luu.n 6y Sdr$n .!'7u} .l rh. lllxr Gx!., fff rh. ,rnMc o,
<br />rh. wo,k |,tr whrh rhtr Frnnr r r\u.(l M r ri Fnr!.umtrr r
<br />1Y
<br />l.cnnyihrt nrhe p.rtorrofr..lrh. wo.k nn whkh rhr p.rm r se.d. l rh.ll Bn ci{'k'y .ny lErv'n tn any ,Mrr
<br />$ a nr hclom tul'Frr t' lh( k)*6 urr{E\rrrn h*r of( alll.mE. ar.l +E lhrr rl I firn,j [doN ilhrcd t' rlr
<br />*ol(.n u,mlfnqrln |h'rrk)N ot SLiri)n !71x, .l rh. lih{ (iri.
<br />I .nl9hFr k, uhld FHIA.dIIARNIN(; I'iLltrr. n' \.rurr {ork.'\ (nnlxtr\rrotr..q,'!c ^(,v lik! !P k' o* h!rhritrntl J!,lln rlIro.rxr(, f ,ulJi rtr,. d!nu!.\ i\ Prtr*lc,l htr rh.
<br />Q a7
<br />I l*Ehvrlhrnu.rl.r txnrlryol Frllrvrhlr I in lx.nrl unl.r Ftr\FIn nr
<br />o, rhl Btr\m.$ rJ Pn,r.skxtr(rxl.. nlmr lirnr tr r h'llhtr(. l.l
<br />!r(omniR 13 *dh Scdrrilx,o) "l D,l\tr'n.l
<br />c-?q '7 2 /r/
<br />I rrnht rlltrmtr crFnrliyolnUUnrhrrruRMdnrrru(r0nlc*lrti8cn.vn{rh.lr.n!trD,krolrh.'orkinwhxhrh^Bnn['!
<br />nrucJ rS.L t0,)7, Cr C )
<br />^ITU(ANLI)EgLASAUA!I hn{! rllimuekr Fn,hy o,lxrjrr,trr ol rh. l(nk!*'nt d.!Lndtr)nr
<br />I\'ni,l'iIn tt,nnr\ A\hcdo\ M{'rtrrikm I.rJ.i,l R.!ubr(,n\ rTnlc {r Prn6)
<br />-
<br />R.!trtrn| LldolN{'lidln
<br />s#ffiffi;;;r r (rI . I rrr ro lr,rply s'rh rll C'ry rn Cou
<br />,h,Yc mhr(,kJ Inl,Fnv,,, n\Frx,n purF)(
<br />Appli({nr trr,\lcnr Sisn{r!I
<br />l2,* T>
<br />t,
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation I
<br />Roof Sheathing / /22/14 ,'E</4 )
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />It4ason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil.
<br />I
<br />FINAL r /Li/t / .ztalZ ,,/)
<br />Certificate ol Occupancy
<br />-cvNotes, Remarks, Etc
<br />lz-/q)oo
<br />L.nicr. Ad&ci.
<br />x
<br />Set Backs
<br />Brown Coat
|