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 />Subfloor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drpvall
<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 />F|NAL / 7 // tt/q /-/,.J'L '0 L/
<br />Certif icat/e of Occupancy
<br />Notes, Remarks, Etc
<br />OTryNEN B!ILDrI DEtI'AR -I]ON
<br />I hd.b, .lfm uf,dd Fnrh, of Fjury rhm I 6 .rdpl nod thc Cod.iclD6 li@ l^ fot lh. folh*inr t6]n (56.?0! I 5
<br />&ci.B ud Proldion co<!.): Any cny or couflt wh(h r.quir6 . Fhh ro co'dru.r. .hd. 6!.o{q &mlirh or GFn t}
<br />.rtu(oc. Fm lo t! ieo.q !k, Equn6 $. rpplic&r tor uh Frril lo liL.3isn d niaiEi rhr lF or nE ii lics&d F,!.t
<br />!o rhc proraioN of rlE Cormdoi! l,t.a.d L* (Cluptd s, Com.Rins { ilh Salbr 7000 of Diviiif t ot ih. Bdind tod
<br />Prca*n.r Cod.) or $n lE or 3h. a .r.mrt thd.fioh .rd rlE b.rir tor lh. dlcs.d adqrion tu'lhLrhiofs.(bn 7oll5 by !i[
<br />+plica.r for a Fhil lubjclt th. 4,rlic&r to i civil p.Mly of Nr mr. thd 6r. hun<i.d drllB lir00).
<br />!. B o*G of rh. Fopqry, or m, .m!lo)6 *nh urs6 s lh.n $b eq!.cr6n, *i[ th tlE rt* !n tlE nrurc n mr
<br />ddr,cd or ordcd fo, uL (Sc.7044, BGtrjB rd ProlaioN C.d. TIE (tddroa. Liw lfr it6 nol 4Ply lo e o*E or
<br />rh€rrnD.ny $ho h!il.! or inpr!!6 dretr d *h. drd 3eh nn hiMlf ot h6*lf o. rr@ush hn n hq osn Bl'plot6.
<br />Fovid.d rt.r iuch inpror€rE ! E ml inldrlal o. oiE .d nrr d. ll hrac. dE tl dlt ( tlqsqEr i ild *i'im m rd
<br />of.i,rpklir. llE ()s,s Bdld6 will hlt lh. btdln ofFDviru lht lE or CE dn N hild d ltp.trtt lh. FoFy 6r lt! pwr{* of
<br />l. s os6 of rh. Ftrp.r'. m.rcluivcly.onlr!.lins with licFrn <od6(16 ro (.ldrud rlr F.j.<i (S( ?l}t,4. BGl!6
<br />..d Prokin Cod.: Tn. Co r*rois Li.dlc l-rw do6 .or .ppl! kr sosn6oaFoFntsho b{ild. or inpo6rh66..
<br />Dd *ho snr*li for 3uch Fojdr! *nh ! O,ffionr ltd.d puBut{ lo lt. (bnlr.doi. l-i<.e trs)
<br />I dn.rdrl und6 Sdon
<br />l,.r* Ornd
<br />lt ( tRtlgRs' (lrlt PrNs,\ I toN
<br />ulg.a&lLloN
<br />I hrr.hr rnnr trnd.r tEilr\ oaFjre .rc.rrh. n.l[\ '.! d.rlirdrtr,n'
<br />I h.v. {n will ruintnn ! aarit .lcolCoEI ro s.lf-l6@ tur $sl6 mnpaqsn. d F.vid.d tor bt S<rirn l70o ofth.
<br />ldor Codq ad llE Ffollffi. o t ttE sn for *'ith llE Fnn u BU.d
<br />I h.!. .nd will mlinlain sorl6 comFel i.n iMe.. 6 rqln.d b Scl ion !7(D or lhc I !ll,r ( odq f.r
<br />'h. Fforocc or
<br />lhc work fn {nich lhir p.rmit ir irrcl My $ rd onFdhn iBuffi. ffir 8!d Flay nuolE nc:
<br />l.difrrh.r i. th. pdao.Mm. oI lh. uo.L fo, shichthisFrn it btu.d.l3h.llmi djPhy.n! F$n in !.ynuE
<br />$ B ro b6om $bi6r ro ttE rort6' comFslk'n bs! oa( alitumi& rnd +R lhd it I Jn lllj h-oft $ti.\l ro llt
<br />*.rlft snFnsrrc.Imv6oNofsR-lhi l?00ofrh. tabor C(td.,I J l. lodh*ith onlply r nh Ilre rrcririod
<br />$AtfilN(; fa'lur. (, sur. \orles r. r. sridr (Ncri!.
<br />.tr,| fin6 up k, onc huhddl rhoue.d d.lla6 (tll)l).1r00). I
<br />mphr( lo oinml F hi: dd
<br />ion. d!Ms6 B Forn<d for rh.
<br />I holb lllrm u ]s Fnahr.f Fjury rhd I m liGEl un arrE e (..nnnd.int $rh sdlhn 7(Xxl) orl)natun l
<br />oI rn llBmN ud lmr6Fnr Cod.,.nl mt lkdc is in filln'Rsil(fiat
<br />*" {C)
<br />T,
<br />LL-
<br />U o21z)r1 ,",,,.,.,".x{or.r*o p-up*
<br />calllauc-tJg ..LEdudclc I
<br />I hd.r, rflm uidd D.f,.]ry o f Fju.y lhd th@ i! . codN.lbi l6dis .s4, for rh. FlolliE. ot tlE wrt 6, rtth rha Fni a
<br />re.d (s(.1097. crv ( )
<br />AIILI(A [DE(lJ8AllA!
<br />I hdrt^ rrm ond6 Fmh! ol Fjur} om of rh. folhr in* &! lMdl n'n!:
<br />Ir.nDl $n Pm[r-A.b6r NorifEdion F.ddrlR+ularFN (IillcJ0, P.n6)
<br />Rrquir.n I d16 of Nolilic.rion
<br />I .d i6. rhd rhr i.dd.l r.luhrhE rc8sJns st6lN Ghn !l ,. aol .ppl'(abr. ro rhi! pNjel
<br />l.cniI rlur I ha\cr.tulrhiipplklr'o rh. !h\r inlonndnn Bcorcci.I rsrt ro cooply *nh.[ Cny dCoonrl
<br />ordiMnc6.nd Slrl. lj{! rcldiq ro a.d hd.b iurh,,.iq,smrdN6 oflhs (ilyaid ( ounrv kr.nrd uB)n d.
<br />rlu. trtrrrk'nd rorh\ f(r irst di(rr
<br />",,,1u?z'g
<br />7^9,1
<br />\It'li(ntrr o' \((tr1 \iqtrnru'.
<br />t
<br />Flood Zone Certif .
|