|
BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNDR AUII,DT:f, DEI-CAR TloN
<br />I lr.cby lrn ulll]r p.nalry .n FrNry thar I !n.rustll fror rlr (i)ntE.ntri Llctr{ lf,s ktr rh. ftl[,wrn! rc!!r 1Sc!.70]1.5
<br />Bnunrs nl ltnh\{on C,n.) An, Crty o. Cnurry *h,.h r.quu\ ! Fmr ri ! trrlrud. Jllcr. inrt'!*c. J.mo|\h { rnrn any
<br />dtudurc. |rri r' \ ,srurn(.. lko rcqutrcs th. {',i{r lnr su.h Frnnr nr iL i urkJ ilkftd rlulrror!h.irlMn*J Nrsu t
<br />k, rh. F,vNoni ol rtr Conrlalttr \ t-ren*l ll* (Chrnr.r 9. Commtung $[ Sc(nof, ?{Xx).] l)rqrlu .l ofttl. Bu!rcs r
<br />Itoli\lon\ Cti!.) u rhrr tr or 1lf, N.rcr!, rlxr.kom and rh. b.ni ntr rh. rllc8ql crcmpr!'n Any rnlzrxr of Sdri'n 7(,ll5l,y.ny
<br />,'Iltl(rN r{tr iFrmrr {'tF(hrhc rmlBad n' a{ilFnrlryorhtrr frtrcrhrn livc htrndr.d dollsr (t5ul)
<br />-1.
<br />15 uw'rr ol lhc pop.6y,,r trry cmploles wilh qrscs.3 rlrt q,k.onp.nsrtror, w l& rlE qri und ltE sluluE is ton
<br />u{.nhl 1{.fl.B{ nr ek (Sr 7(}4,{. Buseis $n Pnn6sn$ C',rl.r Tlr. c('nktn s L*n$ La} d.xr n.t lPd, h d owrcr ol
<br />rh. FIdy elr) hiu! or nrln,s lhfr^ .Dl wh JrEi qn strt hmklf.r n r€ll .. rlargll htr {, hd nwh cnll,yer.
<br />p!'vn!\l lhrr N.h u{mltmdr r mr i ef,rdt o. ollsd lor eL Ir. hM6. rh. hr !B d nqnMB ! s,lll *nhn ,ft Fr
<br />ol (.nnlrsn. rlI (),ftr tsuills r'[ h.E rtr nlnhn ol Frvh! lhlr lf nr $. Jil nn holll or nlm$ . In'Fn] tu rlE lrrF's ol
<br />l. osE .l rhc IB'Fny- an c\.luurl, !o,rr.rD! wnll h. {d &rtr{ron t' (nNdll rlE In'Fl (se.' 70{.:l- Bunm$
<br />{, h xsrxr C,il: l'lE G,nr&!r'\ l-r.nr ljs J(E\ n, Jflrly nr rn.r'nd ol noncn y *ho t orlJ' or np(r6 rh.r.on,
<br />rnt wlx' (onrBdrfor ruchl'n'rrk *nh. G'nralrodn lr.n*J fl^ua,r hth.conurcttri Lrcnr li*,
<br />_l nm.rcmll nnJcr Sccl!)n
<br />!r9&iEl5:llrurD!l II0r
<br />DSCIIAAIION
<br />I h:ic6y rrl mr r Jv lcnalry ol llflnry onc .l rhc nnL!*trE J.([r lonr
<br />-l
<br />hrv. un erll tunlaraC.nll(trt ofConstrrh S.lllnsurc 1,,* clrcoryrn\ll!,n,a\F,'v'd.Jl,rhys.(tir)nl?{l(lntrh.
<br />llhtr CoJ.. nr rtf, lxrlomm..l rh. w'll (tr *hrh th.lErmr N r{rJ
<br />,l h,v. r.d r'll orn ar lorl.h rnmFncntr)n $nrdRc. as rq{rcJ hy Scri kr l7u) of rh. Lh, r (iil.. k{ tlE Frnmukc ol
<br />r,N work ktr whrh thh r-_mn rs arkd Myvorl.rr runl.n\rr!'n Ds!rrn(..uEr 3J F,l'.ynnhttrr.
<br />nnry Ntnh..
<br />-
<br />l:r.m\:
<br />_l (.nily rhI r rh. lcrntrmrkc.l thc work I'tr whr(hlhtr p.rmrI\ r\n'.J.1\hrll tror cmtl,,y lny,i.hon r lny mrnht
<br />n, N n, hNonr ruhFcr L, rh. vttrl. romtcnflr$l liwr of Ctrl'loii , r*l !8rcc lh rl I sh]uLl h.(nt Jufilc r'rtr
<br />wo'kn\ .onrFnw n tnrvNonl.l Sccron-11x)d, rhc lrhtr(ir]c,l fiill iflhw h\Dmtiyu hrh'{F,v,s.nr.
<br />wARNINC: l-r o.r k, slrc s{L.s .otrqEn\Jrhnr d'vcGgc ri ul,*rtl. rnJ slrll luhF! .n mpl,ycr h .mnd lluhis rlrl
<br />.'v'l rio$ ut r!, ok hxliral rh'o{trl lollrs rSllxr.(xr,). m ln]rxm b rh..n{ ol (,nt .n{rndn. Janua.s xs nfl,vrl.J (r thc
<br />S.!r rtrr .1076 ol rlN Inh, Oil., ,ricrcd ,nJ .rnnFr'\ rd\
<br />ADolinnl:-
<br />l,lcE!5E[-cadrl !:raB
<br />DECIAAA.IIO!
<br />I hcEhy rrtuo lnLr |tmlryolFrjury rh{ l.$ lFnrn udcr I'ovr\ir o! Ch,fl{ 9(collfutuoe v![ S(rn nx{).1 frrv'$tr ]
<br />ol rh. Bu$m\r.Bl Prdfcssh,nr(irL, l my lE(nk 6 m lirll kn.. dd.ll\-.r
<br />(:()NSTRU( TI(lN I l ilDlN(; ACI:N( l'
<br />a\'.!1'Sc\ rD7, (-'\ C r
<br />^Iflrc^NfDlrlaf,auarLrr1'y rll-m uunr pcnahy of l\ rpiy oN of rh1 n,lk,*,nt J..l.nr rrF
<br />,).n)l i,n l'l nG^{atr Nor'r'..rrr l;&lctul Rctul.r.,n\ rT l.lll. l'rn6)
<br />_R.qtrrcn lxrrcr I f].llilirfinr
<br />I r.d t rh,i th.l(.lrilr.!Dl]rnn\ rlrJln! r\l\t^r.nrNJlIC troriml($|. r, rh!$,)c
<br />-l.d
<br />yrhll lhrvcrcldrhN.ppt(&ondrrr{rr.rhrlnrah' l,raftk)(.o{irr h.llciyrBl(i)unry
<br />nninlR..cs ahJ Strrc ljws rhLn! rr hurllrry cotrsrd.ldn. .nl h.reby Nrhni- rqr.\.nrrrr.r ofrlis Cny lnd Cnunry r) cnrd nPn ltE
<br />{h,vc rmntonrJF'Nny ntr iNIr(k{lnrF ss
<br />ApDll.ur or Arcnt SitMlnc- D .
<br />P.mil6 mnE rD.inl,:
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil.
<br />I
<br />FINAL ro/z 7,/2??'4M4,
<br />Certilicate of Occu
<br />Notes, Remarks, Etc
<br />Forms/Steel/Holdowns
|