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/VenVl nsulation
<br />Roof Sheathing V6/t 1tsH<Z.!\- /a4
<br />Shear Wall I
<br />Framinq
<br />lnsulation/Energy
<br />Drylva ll
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />-/,, / -F|NAL 6 // L/ry r1 {u/Lfr /2Y
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />OWNER BUII,DEI DEL('ARATIONIhd.ty.ltm!nd.rF.hyofFiur)lhtImaoiFfi.nlh.cor-rsLt.@t.slorlh.folbwmslsn(!670!I5
<br />Buiii6 ud ProfBioo C6<|.): Any Cily o. (ounry *hkh r.quiB ! !6nn ro .6Mtud. !h6. imp.ovc, &lFlnh or EFn d,
<br />!tu.rue FDrro tu iM...lo r.qui6ll! +pli.d 16r *h Fmh io 6L. tisEd !ri.l6l thd lEor JEtlkaE d F s.,t
<br />ro rh. FolnioE of rl! Conr.roa! Lico$d lrw l( hlpld 9. (omh..cinB trhh SEtion 7000 otDivrlof,:r ofrlE BBi6 ed
<br />Prot*iotu Cod., d rhd lE or rh. ir <anpr lh6.fro6 ,nd lh. bdir for rlE nk*.d 66piion An,\bLtionotsdnn70115hvo,
<br />@pli.mr f.r r Fmil rubj..l! lh. t rlic..r ro ! civil p.nahy of not nor. lhd lirc hundrcd dous (1500).
<br />l. c o$E o I rh. roFdr. or ny mplorB $ ilh sasd e th.ir el. comFB.lion. s ill do lh. *otl dxl ilE rMle ie tur
<br />insd.d orolY6d for rLtsc 704,1. BBilB ud PrafBir6Cod. E (-odrrloar l,a.B L!$ d.6ml4Plylodorc.l
<br />rh. trntfiy *h. hrildr.r imrmv6lh66n. and who do6 3t.h \o* him.lf or hBlf or ltmugh hi: or hd osn mPh) c
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<br />ofcorl,ldh(ltcOq.d B{ild, will hav. rlE hrd.n ofrrovltts rhi n dJt.dndhiHdimFt\irh.FoFryrd EF F*of
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<br />..d sho snrr*lr nn suh Fq.d (i,nr,(tr\ I tms.l n\rl
<br />I m.rdnr undd sdri('n
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<br />Ihi\.rylNrl,m' 'i. ' (-difk,r.of CotrEr n, S.ll ln\ur.
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<br />dlnnslsn nn,. .r ro\ iddl lor h\ s(r (n, :rrrrl) of rhr
<br />I hA. rnd f,ill mii.r.in sorl6 .onF8r6n iB!r.k.. G rcqun.d b s<rb. 17m oarlE llt'or ( o&. for rh. Ff(M. {t
<br />th. $orl lG $hich lhir Fmil . isld Myuorl6 com0dE lhn iNuroc. cmid.nd policy nunbd rc:
<br />PolicvNu,nbd F'rG
<br />I ccnilv lnnl in rh. pdiornrnc. ofrh. $o!k aor $hi.h rhE tEmn ir ii3o.d. I 3t!ll rcl oplo) r.y F$n in tr, mm6
<br />$ 6 ro tt$E !t ilr h rh. tr (t6' ooD.tBri ni. h{: .f ( alin\mia lld lsre lhi if I rhiuld tEom rut d l. rrE
<br />sorla comFern,n pmtuiom.fScclion l?00ollh.lltnr (i'd..1lttrll. font$nh smpll $hhrfi.rFo\iliod
<br />W RN|NG: t;.IuG r. Fu. q!rr6 comFGrio. orma. ir unhsaut. .nd shdl srhr.ct e @pk ln t. aimin.l Fuhi6 and
<br />(r'l nnF up t' on. huntli.d rh.usJ thllt^ tllru.ou('drnu€6 a Fornd f.r rrE
<br />sdhn 1{176olrh.lrt{r(ii., inr(d rnd .u
<br />I h<.b) illmr u.dd F!t) of FluD rhn I o in* \'rh Sdi,n 7(Xnl otl)r\isntn:r
<br />of th. ,]us'nN dd Pmfsioni ( odc. .nd '.y licoE ir in rull ln.. m'1.
<br />(.ONSTRU('TION LENNING AGf N('Y
<br />I hftby .itu'n undd rEnllry of p6ju.y rhd rhc. i! . .ol(ruclion lmdll1s asdcy fo ihc pqfome. or rh. \ orl for * h(h lhi! Fmir a
<br />$u.d (Sft :1007. ( il C)
<br />APPLICAN'I' NECI AiATION
<br />I hdlht.fm ondd p.nrll) oaFJur- .m ofrh. folhN in8.k l[.lhn!
<br />Ir.tuliri.n P@ir-A3bdd Notific.rion F.dn lR.tulltio (lnE40. Pa$l
<br />Rcqut.d La16 of Nori6cdnn
<br />retrnriltu. ior at'l,hcantro (htr l(,[ar
<br />k'n '1c.ndl I iS.Ek,compl) \ihall( t.nd Cotrnrr
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<br />\t'l'lir, n, \(r r \is irtr
<br />,4A,2rvo 7o:-
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