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SITE.WORK DATE IDiSIG.COMMENTS
<br />tion Pads
<br />Eorms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />lnsulation/Energy
<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 />Engineer Final Report
<br />;aflood Zgng Certif. ,I
<br />?;Vrt $r\torh$uVtY Uctrto(^l [trs
<br />FINAL ?\t'{l NYD b\nt\qurrt r9
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />t\
<br />a
<br />--/.
<br />BUILDING. INSPECTOR RECORD
<br />OlY EI BUILDEf, Df,I.CAR IION
<br />t h6.tr.,Im ur& Frh, of Fjury lhi I d.i.,$ 6Dm E ColflloR LiaB :* fo. rh. followirts Etpn (Serotl.t
<br />tlurmd ,rd PrclBion Co<t ): A.y Cily or Cou, y rnkh r.qun6 . pd,ni ro 6!rM. .t16, hpro!.. &Eliln or EF, sy
<br />,rtutur.. Firr ro irs !.u@c. .L. r.quic lh€ lpplic&r for 3u.h Fmr ro filc . ,g,.d n.rad, rld lE o, ,E ! li..d.d FrB'u;
<br />ro rh. p.lvniod of rh. Con[&bf3 Licc.sqi bw (Cn fld 9. Com.ncinr *ni Satiot 7000 ot Li irior ! oflh. Bui,B ed
<br />Pmfdrri! Codc) d lll,l b. d rh. ir a@F lhscfron od lhc bcn for lhc .lk8.d .rotrFior Any viohliot -l\crb. 7011 5 by D \
<br />.ppl,.d 6r r FDit subjdr lh€ .rrlic$l lo . ciril p.n lty ot mr mt. rhx fiv. hurtu doll6 (1500).
<br />l.Borcofth.FDFty.ormtmdorEwnh{!s6!lh.n$ldmFdiocwill&,rE@t.!drEnntGi!Dr
<br />ddrt d m ol[6.d ford.(Sc.rora, Bu.i6 et ProtB]odc.d. Tt Colc*roir IiGe t *itJdnoteprybeolEol
<br />ih. FtrFr, wlE hil!c itrs!€ llE@ drd wt 116 *h *ant hirelior hd*lf or lhmu8h hi! ot hq om @plor6.
<br />provid.d rhn $ch ihFoEGi! e 6r nrqd.d orofiaEl for nh.lf. hosffi. rh. hrildiE or in'Fwffi L sld wihin ffi Jr
<br />of lrmtldion. rh. O*rd Builda *ill haE $. hrd6 oI Fovi.g Od h. o! lhc did el tuild or imFlv. tn. troFty hr tlt Frpoe of
<br />l. Bo$M ofrlE FoFry, u cicluir.ly codrxros *nh lk6.d coturioE to odru.l tlE Fnj.r (Sa 7041. B!!6
<br />!d hobe. C.& Tn co moa: Lic@ L.s &16 rcl !p9ly lo & ow.6 oaFoFly *no bu'ld! o. hpmv6 lh6r
<br />&d ilE ontrx$ fn uh FDjsr. vilr! . Codrrortr| la.N.d Flf,d lo lh. Co'r.-rd,3 Lt@ t w)
<br />I dn crmpr u.d6 S(non
<br />llafliE8Lcot rlltatIoB
<br />DICIJBA]Ia!
<br />I h6.t.v rmd u.d6 Fdtr olFJ!ry om of th. aollo*q &rhrrrio6
<br />-l
<br />h.w rd will mi.r.b. Cqiftd. of CoMr lo &ll-lEm fq wtd o,!96ra4 6 FlviLd tor by Scrioa 1700 of t
<br />Lhor Codc fd tL FfolrlMc of th. *dt for whtt llE Fon a i.!.(t
<br />?!fn,,"
<br />""0
<br />*U,.",n,"," *orld .onp.Nsrion iNurmcc, u r.quiEd by S<lio.3700 orih. !,bor codc. rot thc FIom4. of
<br />rh. mrt lor*h(hrhgJrm,r r e.d vysorl6 omFeror Nue..!ro ird pohy.umba r.
<br />,*- V At.tricc;t, ?t-,,,'< t-
<br />pa*,*" *,-\L-{5Ot2tituOlL- Ep,-, :fEL6 --
<br />I.dary rh,l in rlE FforuE oarlE wo* lor whth lhn Fnn t irtEd I thtll mt aPk'y &' pd$n in ey @E
<br />s s ro b.$m subJdl ro rh. &rt6 @rpolaion hs ofc.lifomi4 d.3clhd if I dEuld hdoE ubj-l lo llE
<br />wo d'coopas.lionrrovilioNolsdion!T00ofth.l,borCodclJ!ll.fonhwirhcomply*ilhlhorpmvniotu.
<br />w Rl\lNG: F.ilu. to Euc s d' onpdurioi cov6.8. a NLwtul, ud tldt $bjdr e dptoF lo ciniid FElit ud
<br />.ivil lin6 up r. oE hurd rhoulrd &llr3 (t100.000). in .ddnion lo th. cor of conFr$.lioll. drn.8a 6 F.viH fot tlE
<br />Sdion 1076 ofrlE t !o. Cod( hlEd sd dcriy , td
<br />L- t l-7o t/-\Q>
<br />DESJAAIIq!
<br />I h@by omm undd pallryofp6jurythd I m li.dBcl und6 provieionolChlrtE9loma.i.t wilh S.dhn 7000) ofDivilon 1
<br />of rh. B6in* ud Pmfdhd Codc sn ny lF.B i! in 6rll aore !d dr..l
<br />{o af )
<br />o c^,^o* Vi.t, rt Sa la ,,.
<br />coltlallllqN-LElollc-6cru(}
<br />I hdby lflm utd6 Daulry nl p6]!ry inn tha. i! . mnllEclion bdis tso.y fo, th. pqfollM.. of lh. wrk tur ulrich lha Fmi i!
<br />isoj (Sd.1097, Civ. C )L.i&'! Nm.
<br />lftucANflEcu8Allo!
<br />lhdd,y lmm undd po.ty olpdjury on. olth. ftnlowing dclealion3.
<br />Dooliion Pmtu-Alhqro! Nolificilion F.ddrl Rqul.rioN (TnE 40, Pdt)
<br />Rqu6.d tnr6ofNdilf,dM
<br />I .grit rhd rlE fG!6rl rqul,66 EerdfS sb6lot rmr sl @ ftx q'glirbk b rhi! Fol.d
<br />ly rhar l lE!. Eld rhir.ppli..tion.d slat. rhn rhc.E !r inaomdion 6 rona1.I.gre lo coorly snh tll Cny d.d Counry
<br />o'dinancs ud Srar. k*r Eln'i.! to boildi.g cotrnruci n'n. axl hscby div6 olthB ( iryud Counr) lo dra oFrn rh.
<br />ltirr mlnlrn.d popdiy fuI iBr.a16n purr.s6
<br />Applk orAt6lSiqrur
<br />PmlrE n.n.(p.tnl).Dq I Vqn3a >
<br />^,2 -ll-Z o
<br />Set Backs
<br />Fran,tnq
<br />l,\\dt\ r{ol}
<br />t
<br />g,
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