BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BU II,DER DEI,('ANATION
<br />I hr.hy !fltrn un,l.r pcnrhy ,n 0crjq rh.r I "n cr.nfl lnrm tk (nnrri.n'r' l,(.trr lrw ttr rh. l,,ll')wm8 rc.vr (S.( 7(,Jl 5
<br />lluucs . lhl.snn C,r,c) nt_ C(y dr (tuory *hih rcqum\ r F-m n, urnrrucr-.lrcr. !nn!,vc. &nx'lnh or qvtr m,
<br />{tuntr . lrrf,r, ir rs1ec.:lwr rqrtr.t rh. {'t f,lnr I'n nkh Frn n,lilc: \rthl drclmr rh:rhtdr ltr ! lEneJ lihurd
<br />nt rh. F,r(r,n\ or rh Cnnr&rtr'! t,r(n\.J lis lchnfl( 9. ComnrNm3 w h S(ri'n 7lx$ or l)'vsi'n \ ol rh. ltulEn md
<br />l\ l.iions Cqlc)or rh r lEor rh. tr.krn0rrh.r.liofrrnJ ll*bin\ l,trrh. rlksctl.rcntpr[n Anyv!)l.ri,'.o,ScrrnnTtlllShvrny
<br />.nnlM hr ! Frnnr \dbirk rhc rmlk.nt l,, . ervrl p{nrl( v ol frn mm rhxn l,v. hunlrcJ d.lla\ ( 15(xr)
<br />l, rs owmr o h. Flxnt. n. my..{ )K.r rnh *r3cr 8 rh.! q,L dmllrnqrr,n, *dl*) lh. Hft 'd rlt ndrw ( nn
<br />ftr. .d ororcrcl ntr sl. lS\. 71)44, Burtr(.nl Pnr.*trrrGi. Ih.ct'.r.dtr'rl.Ecn{lrw&smrqrly(',nowkt'r
<br />rh.llnlrny wh) hurldr or m{'n,K\ rhctur, ri ek, t!8 \tr[ w,* hrnFcll or h.nt ll nr rhn,!3h hr ot hcr own.nfldv.cs.
<br />lrllrlel rhrr \urh mlln,Enrdt e d, !r.'rlcl or ollir.J l,! glc ll. hru.tr. rh. h{ll,ul! .. mlrrwmd n wr! *ihm o& v\'i
<br />ol d,r{'tri'n. rlI ( rr rr Bu'll6 s h.E lhc huk, ol FIyq ih, h. ,, \tE Jrl nx h or u\n*t ln. Fld! |,f, rlI PrF(nl
<br />n!. nr\rhtrn(lv(ntrirr.rtru*ihl'..n\.(lrotrrrJ(rr\n'rrtrarl rh.I)'ordrS.e ?(tll. hrm.$
<br />Irl li s\rr(ixt. lh.l-K.n( lrs d!*\ rN llplyr'rn(rn.r.lllnlt v wtr' tu r!11 .r mrPnn.\ rhcr sn'.
<br />* i i (,,iin(r!,n\||r.na{ lnnru.,{ r,rh. (imkd'1 L(n< lr!)
<br />l,!(-t,aRlTr(r\
<br />I h.'.hy rlltrn ri,l(r ltnilry.l trrury o . rl rh. l"lk,wtr'r (1..Irftnn\
<br />-
<br />I hrF ,,rl *,ll nudrn r ( . rr.nc ol (-,'nrln t' Scll'l rurc rtr Do*.rr' Li)nlrnsr nn, ar F,rtLJ |,tr h, S(t rn l7(rr ol rh.
<br />I ihn (iic. nn I h. Frf(l,fufll dl rlE *\nt |,tr rixh rh. FnI 6 rlhl
<br />rlr u!trk litrIhnhrhtrp.'nnr,\^{{rl ilrtrorler.!o ]Fn\.'rrrtrn 'rtr(.!xnrr tlF,l(vnuf {ri.
<br />Polkv Numh.r:
<br />-
<br />ttfms:
<br />-l.rnrrrhrr
<br />E Frf.rIII( of llr kd n whrnrhnFnn 'r nru.J.I {dln mploy.ny lrmn tr rn, MF
<br />s' 11 rr trrom ruhFr b rli kr*6 dtmFn{riD h*t ol c.hlomr rnl rlG rhl \h)ull h.lonr \!hF t,rh
<br />tr!ikq\ ( artir\.in'|]'!nsnn\!nS((rn rr(x)olrl(lrhtr (rtrl(.1 \1r'11 lt
<br />llARNlNc I rLltr'. t, {(ur. sor[cr\ r'trntf,tr\,i
<br />t
<br />I lrEhy rrtrn unrct FEhy ol Fl,try rhd I d lrrnBl utrl.r FDvri'n nl C-ha aeilnnmBu* *.hSdrin 7 )o,D'vN,r!
<br />ol ih. BusiR(.nd P^ri*nnr ('di.. url myl..ns. x o iull loRc elclt cr
<br />Ihl.
<br />-
<br />(-onlnd6r-
<br />COi{STTU( :TTON LE-!DI'T{; ACEN('Y
<br />! h.Fht rllm uLkr FMly.r Fii,rr rh,r rltt F r.r'nnurnn l.slns r!d! ror llr Frr,l|lmt (r rrr *rr ft, *'tEi ih! Fd 6
<br />au.J (S.(. .1097, Crv. C.)
<br />lr .it Nam
<br />ArlUlAILDEl.I.da^IIAN
<br />I hdd,animu lt.Fn.!yol lrrjurt o* ol rlt lt,llrri"8 deLrlr$n\
<br />l).m!ln(,n P.rmnl^Oclnr N!{rlrcrr,n ri&rrl R.8ulllr,ns rT[ttr]. Prn6)
<br />R.Lltrtr.,l l..ncr trl N'irlrrrNr
<br />I (nrlyrld rh.lalcnl katbri,nr
<br />t (.n'lvrhr llL$( nLl rhh rll,1'.rrrn
<br />o'rtn'.trk.\ r srr( lrw\ Rllrnu ro huiltt'
<br />!trr(r l '!r..r)r,trnfl\ tr hr
<br />vir'v.\o! rhr\ (''rv rnd (
<br />ilir( nurk,'.,1 |n,'Fn! ntr rthr
<br />ApDli.rnl...\smr Siimlu
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulationi Energy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />ltrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Depuly Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL 7l[ols A/r'{f t A k,bd k or$*
<br />A'rlhrX-'-t.Certificate ol Occupancy
<br />Notes, Remarks, Etc
<br />lJBhrr A.tt.s
|