|
BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNET BUILDER I'EL(.ARATION
<br />! h.rchy r0irm uBlcr n n lry ol F.rury rli.l I o.r.mfl hro rh. Ci,rnraih' hfr* llv for rh. firbph8 E.r'o (Sa 70ll 5
<br />BuruB! ., Pnni$r'n Cql.lr Any Ctry or Ci,u , whi(h r.quNr r |rrmr Io o.(ru.t, .xs. rnFmt, &BrBh or EFtr any
<br />ntur@. rrn h n! !riu4., ,[ro &tuir! rlE r0?ir{t f(r 3uh Fmr b rrlc . nrFtj rt.tcmr rhi t ot ltt . 1.6..d F o.,r
<br />ll' rlE FryLrn.. ol rrr Co.rdtni l,Erqj tr* (Ch{ .r 9. (.)lft D! w h Sdkr ](m or Divnion I of ihc B!\im* &J
<br />Pba.rt.nr (ixj.) or rh.r lEorill 6.(nl.,t lh.EIrof, 8l thc hrrt I'tr rh. {k8(tl cr.mpr nn. Any lnblrhotSdr.n 7O:l1.5 h,lny
<br />amlkrnr rorrFrmt subFcllE .pplE.nr lo..'v,lFDliyolmr d,trh.nnkhufrlrQl.lolkr(lln)
<br />_1, rr owturol rh. lh tFdy. (r my.mpl,ryftr wdh wr8- 8 rrF, c'k u,mFneion. *nl tl] r,I krl lii r,i {dre 6 t{
<br />hl.Bi.l s off.Rrl tq qL (Se.rlr,l4. 6usm$ &tj Pri,f.(nn! C,rj. l lE Cb r{l('! tl.n* Uw 1lF nol sl'l y ro u o*m. ot
<br />rht In'Fri, *lr, tnild\ or lqmrr rhtun, di *tu &ri ruh *'A h'nr.llor h.Rlror rhn'u3h hr { h.. os.trpl,y..r,
<br />Iln)vd.'l th.r iuh mInrEG ! G r, n.oldl d dfictBl (r q! ll bN. rlE l![.t!ia n dIEFdll is q'U *.hu orc F{
<br />of corrtbLD rtE Owmr Budcr wJ h.E ltE horJ.n.l pn,v!4 lhlt h. or dE '-lrl mi h l or urF,t rlt pn'Idy ld llE FlrIDc ol
<br />_l. rrown.rol rhctx$osiy. rmcr(lu\Mly.onn mE {nh l'(cna{.onrr.rr\('(on{trht rlr I'oFr rSe.- 7(Xl.ltulm$
<br />ad }\llk\wh(-qlc lh.Coirrrroirt-Ncnrl-rs,t{\ n r}pltn' rndv.(.1[or,. y *h, huntl\ot 'hPn,vc\ rh.r..n.
<br />Jhl *ho ronrrr.(l,n $.h pn,j.(r\wlhr(i,nrr,(,(\) lftnqd nri\urhr r, rh. ( (ntldr r l-f,.nc lr*)
<br />_l rn'.khfl u i.r S.crx,
<br />lry(llKr,tls coMPE{sAlIoN
<br />DECI.AEAIION
<br />I h.6hy allrm undcr Fn.lrrol rE+ry oft of rlr folk'wr8 ddllrrrrrs:
<br />I hrvc und wrll mm.n r Ctd frd. trl Con€nr t' Scll.lntuE l!tr mrt F onlr.d n., .t lrrvrJdl lor hr s&rnn !]m or lh.
<br />l:l!r CdL, fd rlE p.rtmr df tlE sfi r!tr whih tlE p.m i( BrucJ
<br />I hlt. *n I mihr.m *orr.^' ..nF ns.ri,n n\urrrr. i\ Equu.J hy S&rIn :r7(tr of r lk tltrn (iie. ttr rh. Il.rloruRd ol
<br />rlr *orl Ltrwhrhrh6 Frnnr rr nre{ My*orkcn con,rcn\rrnn 'n\uramc
<br />ur(. aJrl F,l(ynunif,r e:
<br />4-7bMt+66qlg1 ?,.//2D,/q7-7
<br />_le.drr,inr r rlt |Erromr. or
<br />'lE
<br />*ort rd wh.h rhn Frm' 6 !iu.rl,I nuIn .n{ r!.n,Frqri in ymnmr
<br />v' s ro lE!!m $brtr !,llE *ortai coflD.nurtun L*rofcrlilom{, ui.rr rld !t I !lr!!u tE oE !ut*u lo rlt
<br />hlt6.of,{rn{rmpov8[BorSd$n]?00.1rlllrryCar..InElLnnhwih.nnlpltwnhtbtfmvlhn1
<br />WAnNNc, r uE ro au. luk.rc' u'n{EnGron ov6!. F unhwtul. lnd rh.ll tuhj.lr u mphF k! (ful FEta ni
<br />(,vil fftr ut b oB hulr.d rhouqll tlotls (!lm,fin), o arl.nn t, rtE d,{ or.oqrNxor &rrFr .r ptuql.! tut llE
<br />sdi,n $76 or rh.lihtr (irL inr.rci'nlrn''b. at - r,,t Z ci.brz..o,
<br />t)t ( I \t{\t tr)\
<br />I h.rhy rllto ur!, Fo,lry ur trrjury rhrr I rd lidna{ ond.r pn)v(k,n trl CllaF.r 9(d,mmEry *rh Sar.n ?[t]) olD^s$n:l
<br />ot rh. Bu\mr .nJ Pnnc$r,nt Cu!. !n ny ll.nE ! tr lul nn an .flat
<br />b AbSg r>q
<br />v -^4-/A /bn rb/?s.< a
<br />roxtrBlJcrlaarEdllM (i[ri!l
<br />I h.Ehy lrtun onld F.rkyol ttrl![_ rhr rltr. ! r (ondtut'n ktlry.3chy !,tr l& ncnorEE- c ol tbc *rk lnr qhf,h rhtr Fmi r
<br />itsd lS.. :l(D7. Crv. ( )
<br />AITIJCANIDICI.AEdII9!
<br />I h(Rhy rlliflnurxir Fnrhyor p.rrrry om ol rh. n)lk,r'ry &.lll:rrnr
<br />lLnnri'n l,.rmrrrA.lxnos Nd r:rt,n F.Jc6l tl.!ul,rrB\ r-I k 4lt. Pdt)
<br />Rcquu.n Ltrd ol Nrili.rn
<br />I ccd y !h2r tlr fcd.r.l rc8ulnDnr E3.rJm! ..bcnds rcfr)y.l d n, qlt r.nb k, rhr FUFrr
<br />_l.cn'lvrhrl yc(rJtharmlf,arrruldrr.ihJrih.rh, la!^r!'(,n{'lrrrhrllC yrftl(i)unrv
<br />,, rR.! rd Sirrc l$r El:!ug UmB Lrn{rurrkr r h.r.h!3rnhrr.r.fc(ruriv.\.1rhn('y,rlCounry(,cnrcruFrrh.
<br />rbvc k- uf,d ln'tlcny ntr m\
<br />?
<br />t4
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln su lation/E nerg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil.
<br />/lF|NAL /z/23//7 I .L(e tu?
<br />Certificate of Occupancy
<br />Notes, Remarks , Elc.
|