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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.... COMMENTS OWNFJR BUII,DAR DIILCARA''ION
<br />Ihcrcby.fi n undd lcn.xyof Frju.y rh.r I tun cxcnq rr{n rhc conkJ.run Lirtr{ Lu i.r Lhc ro ltns rrstr rs.c Tor r 5
<br />Bu.i'r.. rd lLnlc\.i,n (i,c' An) Cil) n_ Coutr5 trli'ch r(quirr. J Irr'i r,i.'onrtu(r. ?ld. trT,r\..ilc,n,,l\h ' 'ct rtr)
<br />ru.rurc. lmr kr n\ nsuntr.c. rho toqur.\ rhc rprli.nnr for su.h Frni rJ fiL r1ilncd {nrd'ftfl rhd horshc is li.ctrscd pusurnr
<br />b rl( tR,visions ollhc Conrretn s Liccnrcd hw (Chlplcr 9. Conrmcncins wirh Sccrion ?OlD or Divi\n'n .l orrhc Bu\ntsr rnd
<br />Pnrfcs\dnsCslc)orrhtltorrhciscr.mflrhcrfionandrhchnsisfnrhcrll.gdddr..frk,n Any viohrn,nofS.rtionT0ll5 ht rtry
<br />upllicant hr 0 pcrnil \ubrcch lh. lp0lic0nlloacivilpcnrlryofmlffxcrh fivc hundrcd dollds($500)
<br />-1.
<br />as owtrcr ol lhc fmlxny. or my. ployc.swiihw!.rrsrlrnnn..orp.n\arion.willd.rh.rolkrxlrhcdrrtrcisfr
<br />inrc c{ or oficrcd io! elc (Sa 71]4,1- Businc$ ood Pro,asions (o<lc I h. Coordois I iccn* liw dm\ nor lpdy h m ownrr or
<br />rhc p$pcny *tx' builds or i'npoves rhcBD srxl who Jes $ch work hnns.llor hc'sll'or rhmuah hi\ or h.r owi cntloyccs,
<br />pnvidcd rhrr such i'ntmvcNN trrc Nr i cMLt oroffci{ for s c Il ho*cv&, tlr hui[nE or nqno\cnr k sld sihinoR ]ea
<br />ofcompLrinr.lhc O*ncr Blildo willll1vc $c nurdcn ofFrving Ilrnl hc or shc did nol huild or irntmn lhc lmFlly fo.lh. puqrs oi
<br />L n\owncrofrhc pn,IEnr. a .ich\ivclycontxcrin[*irhli.cnscdcoot].tn\romnnfldrheprorccr(Scc 7(!,1. au\incr
<br />otrd I'l!,as\irCodc: lhc cont..kn s Liccn\c L,w docs nor rl)dyt) moqnfi.l ln)itiry who buildsor imfrorcr rhcrcon.
<br />rid sho co mcr\ r{r \xch nn)jtc( *irh 3 (ntrrrNtn( I liccnscd rtr' \u rr. rhcConrra.kn \ l.i.cn\c li*)
<br />, nn.r. rt, trid.r S..r,,r.ar=l€#O*n.r
<br />]Yl)AtrIlts,r:lOII[ENSAIIIN
<br />DESAAAIIIIN
<br />I turchy rflntrruoJ.! F-nally oiF-ryryonc otthc nnh{irg dcchr!ri{nN
<br />-lhrvcandwil!mainhinuCciarlrcotO,n{nlroScllltrsu.cforworkcricomllnsurion.nspmvidciltrbrs..rn
<br />3Tmorrhc
<br />Lihn Codc. for lhc pcriorm!trcc olthc wod( for shicn th. pcrnrir is irsucd
<br />rhc *.rk lar whi.hrhn pcnnir i\ (skrl My work.ri.on,rDs ri.n i'Nurrmr c ricrd |r,li.tnui$crm:
<br />I ccni,irhrrinrhc p(rfonuncc {,frhc Nork n)' shich rhi\ p.rn,ir i\ issu.d.I shxllnoruflot rdy |t^ot nr u! rnNr
<br />$ r\ b h.conr \ubJ..r h rhc $.lk$( .o rt rn\fiui lrw\ oi c,lifonrid. 3nd grc rhrr ii l should b$oN s'hlcd ki rhc
<br />qork. .onlrcisrri(,rpfl,v*ioNo{Sc(rn:lTlDofrlklntxtrA)dc.lshrllnrih*(h.orlryxnhr[.$frori\ions
<br />WARNIN(; l.riluft r) \Nrr. s.rkrE .unp.trrrnrn .ovcflgc rs rfhsrul, rnd \hrll \uhj.rr r'r dnitl(rycr r,.rnnirrl lxDrha ld
<br />.'v,l finc\ up n) onc hundrcd rhousanJ dolh^ (31110.0(Xr- in addirion k) rhc con ol cu rlrNJrrri. dimalcs rs J,nridc i.r rlr
<br />Scdi(r 1076 ofthc Ltrbr C'{rdc. ir crcilnddlonry'slccs')at I
<br />IIECI,AAAIIAN
<br />I hcrcbya,nnn und€r Fnah, olrcrjurylhal I rm liensd under tmvision olChoptcr 9 (commmin8 wirh Strbn 7ux)) orDivisi.tr ]
<br />of Ih. ausrcs and Pmfc$ions Cod., 0rd nry lic.trs. is nr full lo.ft dld clIsr.
<br />o '/ Z'-
<br />b-Z?(4 ,*"*.",
<br />CONEIAIJCIIIJNIINDETiICENCI
<br />I hcrcby amrnrundcr FnohyoiFrjurylhal rhsc G ! on$rucri)n bndhg aaocy lor rhc r.rlomncc olrhc worr ror whi.h rhis ltrmir i\
<br />issucd(S( 3097, Civ. C.)
<br />affucANfDEctaadlla!
<br />Ih.r$yaiimu crlcnall,olrcrjuryonco,'ltclbllowinSdcclralhnsl
<br />Dcmohliotr P..nnsArbcsrosNorilicationFcd.ral Rcsulari.ns(rirh,().Pr 6)
<br />-Rcquncd
<br />lxncr of Notifi c.lhi
<br />I .rdili rhJr rhc lid.rl r.gulrrt,ns rf3rdi',9 J\hr{o\ r.n,vrlrr. nor rtflrrb. k, th'\ pxijccr
<br />-l.cni!
<br />rhar I h0rt rcad rhis npdic0rion 0Bl iar. rhrr rhc rh,v. nrtoirna'ion iscurNr. l aSB ro.omtlyuith rll Cirylnd Counry
<br />ordi[tr.cs rnd srmc bwsrchlin8 ki huilding.otrstu.oo..htnurho, /r rcnr.\crrrrivc\ ol rhi! Cirr_rtrd(inn tro$kr utxnrlr
<br />v L
<br />rbo\t rctrri,nrd pn,!.n, r{n n
<br />Applionl or A3cnl Sigmtur
<br />Pcnnile nuoelprinl):Ba o ",,",7-6-zot?
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathino '7 to tO-u4qGl ))
<br />Shear Wall -l l,v .
<br />lraming
<br />lnsu lation/Energy
<br />Drywall
<br />Exl./lnt. Lath
<br />Brown Coat
<br />IMasonr v
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />,.--4 ['z'>)
<br />FINAL '4 t9,tfr4V
<br />Certificate of Occu ancy
<br />Notes, Remarks , Etc
<br />Set Backs
<br />Subf loor/VenVl nsu lation
<br />1-l-lX t
<br />I.n'lr''\ A,ldr..
<br />I
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