|
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/VenUl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsu lation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lVasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL gltil t</frA44llr o)I UCertificate of Occupancy 1 I
<br />Notes, Remarks, Etc
<br />--)
<br />()WNDR BUtl-DItl{ DllLCAL ',llON
<br />I lErchy rfinnr un,ld ,.n{lly ol l]crjuy rhll I tun crcnrll r'nm rhc (.onlrackm l.iccnsc r,rw lnr rhc ,nlbeinF r.lv,n (sc.70rl s
<br />Bu\nrcs\ xl Prcksnrn Cqtc) Atry Cir, or Counrt wlric[ rcqun s r Ilcnnii k, otrifl'd, .hcr, inrProvc. dcnDlhh or rcrlir ]
<br />itu.rtrro, tlitrn' ir\ iisuaicc,,k r.qrn.srhc dptlird tur su.h,Dnil k,lllc i si8.cd $ crunr rhllh.orshe is liccnscd pr6u]nr
<br />lo rhc pmvnions ol'rh. Cotrrractu\ t-icen\ed I rw (Chafrcr C. CoDnrncn,C wiih Scdn,n 70([ of D,visi. ] ol rhc aurinc$ ind
<br />Pn,lc\\i,)nsCodc)orrhrr hcor\hc *.runfr rhctuli.n,rdd rhc h^ir ttr rhc nllcgcd ucnllnbn AtryvnndionoiScdhnTO.ll5hy!try
<br />dttli.r tu i ff,nnn suhjc.rsrh. rpplr.lli ro icivillcmllyol tror nn c rhun ive hunnr.d Jolh^ ( 35(rO r
<br />I- rs osns .f ric prolrny. or trry cDpl,)Fcs sirh wagc\ rs rhcir *,h .. rIl.nsd tun. will do rlk wdk md rhc nB1urc k ml
<br />icnl.t or ofcrcd for srlc ls(.?()'l4. Ausinc$ otrd PmL$i(rN Celc: l hc Co racroisl.icrn*ljwdocsnornPPlrrornowNiol
<br />rhcpDpcny Nho htrild\ or imlrolcs rlrron, rd $tm docsstrch {r,r* hi'n\.llor hcr*lfor rhmulh hh or hcr own cmploycc\,
<br />Drorn,ed rhar such nnpro\cm semr idcftL\l roflt.cd tur !h lt h.*cr.rhc hildinAor irym['Enr is()ld*irhi" trr trI
<br />ofco lnldion.drOwnd Buildcr willhrvu rhc huid olnolng dDr hcorshcdd M huild o. impn'! rhc pn,IEny turh. puqxxcol
<br />I.r\rwtrcrofih.lx)trdr,rtrrcxclusivcly.otrka.rn!sxhli.cn{cdcoftr.106t'condru.rrhcnro}-r(Sc.70.l.1,Bunro\r
<br />x'n h,icsb! Cod. 'l hc Co nhrkn s Liccn\. 1-nw docs n rrpplyt) 3ioqdcrorp(Jpc r sho brilds.r iNl,ro\c\ rhcrcon.
<br />i qho .ont ! tur \u.I tloj..lr wilh a C.nh.ki (t liccrsd Nru ki rlN G'nrn'cttr \ l.iccn\. 1- w)
<br />I amcxctrrt, utrdcr Sccrid
<br />]IABKEBL!!)UU,N!/ IIIA!
<br />IIECLA.B/j.IIQN
<br />I lErchyrr'Iir unJcr lcnrLryolpcrturyooc olrlrc nllhwi'rs dc.lEriotr\
<br />Iharca willnurnr.in0CcniicalcoiCnrscnltuScllltrsurctitrsorlcs conrp.nsuri.n. s lolidcdforhyS(rion]7(Xloflhc
<br />tjtxr Cod.. for rhc p.rturtuncc ofrh. w.rk for whi.h rh. pcirnir a i$ucd
<br />rli. $.rl tur \,rich rhis psn,ir n
<br />S
<br />trhurrtr.r .JFrr .uil F,l[] nurnh.r,trc
<br />)/,)
<br />40 (_q L (-)lo[to
<br />I ccn ilr rhrr h rhc p..lninM.r ,,f rhc work nr qhich rhn Nrnir 'r is$rd. I (hrll Dor dntloy rny n.notr i',rnr" n tricr
<br />y) d\t)h.c. f, rbl..rrnrhc tr.*olconiFn\ i.tr hw\ ol Cllilorrir. rnd rgr.c rhd irl \hould bcN r \uhiccrrJrlt
<br />sorkc(.oDrfctrsrrorpn'visionsofSccrir 3Tlli)ol th. Lrhtr ( od.. l stl,ll. n,nh*irhconlnlr_ wnhrho\cl)n,riri( s
<br />rnrl lnr.\ uf t) otr. hun,lr rhotr\rnd
<br />,,,,,", .1/ 1/ tq
<br />i\ unlnstu!. unt dtll srh]ccr nn cml,k)
<br />ollrs (Sl(XJ.(XJO). r ddir(,tr r. rhc .o{ ol.onrcn\n '2>'
<br />,tpplir rt: /
<br />Ir l.t( t.,\tr \l l()N
<br />I hcrcby rfltn undcr Fnahyolpcrju.y rh6l I an,lic.nql ud.. pfl,vilioi olChtrt $ 9 (cDnnncmirg wirh Sdion ?(xx) otDivnion:l
<br />or rhr ausirrsand Pmlcs*ionsC(!lc. aM my liccnsc is in rnll tor.c dcliccr
<br />71(1 ilE1/b
<br />(I(iNSTRII(:TI(TN LTNDN(; A(:ENCl
<br />I lEnhy rrlirm ull:lcr lra y.ilrrjurythdlhcrchacnnslrudi('nbnLlin83!.ncyrorrhclfrr.nrkdorrhcs.rkhr$hichrhispcirliin
<br />irsucd (Sc. .10i)7, Civ C )
<br />AIILTCANLDI,ILAAAUAN
<br />I h.rchyrnnnrtr ds l]cnrhyoipcriuryonc otrhe r'ollotrir! dccIr]riotr\
<br />Drik,l nn PcrrnirsAshnusNorill.ntur I,cdcnl Rc!uhlior\(litlc40. l1u6l
<br />Itr!, i'(l lrrr. frN.rrri.xr(!'
<br />l.cnilirh{ rhc lL'dcfulEeuklnrtrrtusuiirgnsh((osr.n}rrlUc nor rmlicatlc h rhir tmjccr
<br />-l
<br />ccnilyrllrl lurvcrcidrhh apnli rion3r.l d!r.rhrr ihcrk,vc ini{nDBrn,n i\corc.r lrErNk).onrlyvirhlllCilyindCounly
<br />.rdir.tr.c\ rnn shrc Lrw\rcI{rinE k) huilding c.n{n'cri,)r n'kl ltrrhy:
<br />rlbv. riridrJ lnrNny n, iNt].d
<br />'\ppli.snl or ,\I.nl SiAnalur.
<br />l,rnnir.r n nr lr rlli*
<br />*
<br />)A d r€w
<br />Flood Zone Certif "
<br />Z
<br />I .r n1'. 4,1,I..,
<br />8fr, g
|