|
BUILgING. IN ECTOR RECORD
<br />SITE.WORK DATE ID/SIG.gOMilIENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<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 />Flood Zone Certif
<br />l -O.I I
<br />FINAL 9\r\10 DKyY l6Lq'6 t
<br />Certificate of Occupancy l\r
<br />Notes, Remarks, Etc
<br />lo 24 .-)C1
<br />OwNER aUILDER DEI,CARATiON
<br />t hc!!y i,Im uidd pdllt of Frrur, thd I - q.,q nDm rlE Cotudm Lilv t r for{h.fr'lhwio3 16)r (SE.?0r1.,
<br />Bsi* rd Proacioo ( Glc): ary Cny or Couily which rcqur6 . Fh, ro @Brtud. 1116. imFovc 6lnh or ,!p.! ey
<br />,rucr@ Fsro nl iwq &o ra+G ltE +glt&r for e.h Fnn b 6h. r'8,!d i!.lMl lllr h.ortE i licoE d PIMI
<br />lo lh. Forni,G olrlE Codrsrdi Lt.N.d trs (ClEpr6 9, Cffiins wnh Set.n 7000 of D'vi.b, I otd.t BqdB !d
<br />PrcfsbB Cod.) tr the li or thc n ddF lhd.t 6 ed rlr bdir fo, th. dkrd adFi,.. ,tny rblllbD of Sclbn 701 L5 by uy
<br />.pplidr nn ! raiit lubjcl. rlE . rli.ar lo s ovil pdhy oa nol mr. th,n fiv. hundEd dolbE (l!00)
<br />I s oh6 or lh. FoFry or my mployE *nh r.s6 s llE $k 6mFdion, * ld0 th. wnl.'d 0t nndE ir mt
<br />rr6d.d o. oltd.d for eL (sc.7o4t, trueilB ed PrcfdioN C.dq Thc Coolddoas Licm. ljw do6 nor .pply to M o*nd of
<br />E FoFry who rnil&d i"Fl$€ rhaq !det dB rd! lut hinElf or h.Elfo' lhrcu8h nir or lE oq ado!6,
<br />GNi d!&l m oflsqi fd sb lf, l!16!, lt tltntg d it+rvaEr a sld n Ewtr
<br />hr & wnl h$. ttt hnl, olFovins lhn li or .lE dt d tDjld or nprcE lhc Fopory for tl* FrFs of
<br />E .qG orrlE reFlr, m q(htrlr.lr co dss *nt I.aE d cotu*1o6 ro .odnd rrE FnF (S<. ?O1,4, E!'r
<br />ed PmlisDn Cod. Th. Cont&loa! l-r.e Lrs do6 not .pply lo 6 own6 o t prcp€ny who buikh o. 6p@B thqon.
<br />ed qho co r*rt for ruch FoF r wnh . Codrllo(r) ltdEd Fnur lo lh. codrd.ir Lt@ L!w)
<br />I m.rd0 urdd Selio.
<br />n*,? -9 - ?az c)
<br />l)t1t.aR\tl()l
<br />I ha.6y .f[rm undd Fnsllt of Fjury on. of th. follo*iru &rhralD6
<br />-
<br />I h.$ ed u,ll @lfl.in. Cdifrdc of Colqt to S.lfiMc for mrlo $mpdBiion. 6 FDlirLd for bt Sdlbn 1700 of rhc
<br />t6bor 6d., Ior lhc rdfotuc of lh. wort aor whi.h rhc pamil i5 isuaj
<br />I hri. Br ull mi .ir mrt6 cotr'p.6d6n ilEueq 6 rEqun.d by S<rhn l?00 of
<br />'h.
<br />trtlt Co&. tot llE Ffod[e of
<br />lh. wo* aor which lhi! pgtil is is!d. My wort6 @BFc!.rion iBuru.c c{iE Dd Flicy numb6 e
<br />idrt thd in rh. Ffo,rls. of rh. *6rl lor *nah ih6 Fmn B is.d, I rh.ll ml dploy e, pd$n 'ndy ME
<br />$ a ro h<.mc ! ttdt ro th. *oltd'comFMrion hs olcllifoms. ed lec fi, it I rhould baotr suucl lo rl!
<br />trorld.oaFdionFovnioEofS41nrnl?0l)of0ELlborCod.-IJdLf6dh*nhconplywirhlhorproviioN.
<br />waRNlNCr Fdlua lo tu mrtd NmFurirh 6ra{. i unh*tul. md iEll eb.d 6 6doF rc oini..l tulis ad
<br />.Nil lin6 up lo orc hun&.d ltousnd
<br />s(ri.n 1076.f rh. lltff Cod. inr.rd
<br />rh. co{ ol con .eno.. daur6 B
<br />I hc!t, .lrm udo Fr]t, ot Fjc, r,lr I d li@!.d u.& F.tirbn of Ctupis 9 (@dn4dr8 *uh Sdli,n 70m) of Drkion ]
<br />oa {h. BsilB !d PmfdhB Co&, dld Ey la.de ir n tull 6re .n .fiEt
<br />CAIiIBIICITqNIIIDIICACEICI
<br />I hdtuy r,t@ odd p6.lry of FJUrr lid lha. it. on ru.lion la'du3 44, fot th. Ffolruc. of llE wrt tur stich ll'! p6ir a
<br />isr.d {sd. 1097. crv. c.)
<br />L.n&'r ND.
<br />-
<br />AfIIISAdLDECI.AMITO!
<br />I hddv dfm undd Frly ot Fj!r, oM ol tlE follornu &rLrdrro:
<br />Dsmlnion P6IrllA.h.nd Norifrc.rrn F.dd.! R.subrrio (Tnk 40. Pd6)
<br />R.qun.d Lal6 ot Nolifrdion
<br />r.suhrioN r.r.,rdi.s sb6lo. rooral u. nor qlplubl. ro rhc pmF
<br />lpplinrn nd nrc iht lh. .tbr. intomdion it w..1. I .sc lo of,ply snh .ll Chy ea Coury
<br />.ointudiod sd ts.Sy .urlnroc r.Fsndt6 otrhi! Crt di cour, ro d'. upof, llE
<br />(
<br />V%*/-6;E;E "1./'492Q
<br />)xn)!--24-Z-o
<br />t
|