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Building-l nspector Record
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<br />Setbacks
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />Slab Floor
<br />Underpinning
<br />Floor lnsulatton
<br />Roof Sheathing
<br />Framing
<br />lnsulation/Energy
<br />Shear Wall/Nailing
<br />Drywall
<br />Exterior Lath
<br />Brown Coat
<br />T-Bar
<br />Masonry
<br />Steel
<br />Pool Fence
<br />Handicap Requirements
<br />Deputy lnspector Final Rpt
<br />Structural lnspector Final Rpt
<br />((-FINAL
<br />Owner'ltul,.l.r Dtch!ri!o
<br />I hcrcby lmm un,i.r p.nitry of pcrjury rhlr I 6 crdrpt r'm lhc ConrstoB Lico!. La* for rh. lolb*n's r cson G.c 70rr 5 Buvn.ss dJ
<br />p,oicsio; cod.) Any an, or counr, which , cquir.s a p.m,r D con rucr. alr.r, rmprow. d.notish o. rcpir uy sr,udrc p,,f !'ns isus(,
<br />aho rcqut6 thc'applicur ior suoh p.mir ro fitc I sisnd ndo.nr ttar h. shd is li..nkd puouMr b lh. p.ovrionr .f rh. conr&ror's
<br />Licc.s;d L!* (ch;fl( q, commd;i.s *ifi s.ctio ?ooo ofDirision I oalh. Buindr dd Prot $iotr! cod.) or rhd hc or sh. h.xcnrfl rh.r.ftonr
<br />-i ,i. U-" r. ,r,i
<br />"rr.g"a
<br />*-pii; Any violaiion of Sccior 703 I 5 by &y appli@t t( a t drit subJ*E rh. .pPlice! lo . ciil P..!ny oi nor
<br />mor $m 6v. nund..d doll6 (St00)
<br />,1. 6 own* of rn. p.op.ny, r my mdoy6 wilh *ag6 $ lh.n solc comp.nerion' *rll do ih' wod ud rh' nrucrur' i\ nd rnren&d r
<br />olrrrcd for sat. ( s( ?044, Bcins d Prcl6sioN co& Tn. csrebas Li.sc Law d€ nor spply to s ow..r of thc ptuFdy *ho burl&
<br />orimProvdlllcrcn.mdwhodBioch*odhim.lforhcEclldu!u8ihi!dhfwf,Gmdoy6,Fovidld|haliuchimp,ov.ft.Ls,.nd
<br />inrmJa or offcrc,, tor satc tf, ho*.vci rhcbuildin8* impror.@r is $ld *i$in s. re of compldis. $. O*n.r6uildr *ill h.v. $. bu.Ln
<br />of Drovins $ar h. or shc not build M inprov. f.r th€ p[rpo. of id.)
<br />--l.sovnrof$.pop.ny,m.xcluiv.lymnlr&tin8widlildcdon&l6to@6hdlh'pojd(S"?04'l.BdinsadProf'ssonc;. Th. conred! Lacos r5w 6.. nd +ply |o & ryn6 of prop.ny sho builrb d improvd di.rM , d wno co!.rcE for such Fojelt
<br />wnh a conrdo(r lim.d pucEr to {E C6r&1d! Li@. Li* )
<br />I d Grmpt und.t sccrion
<br />-,8
<br />&Pc fo.$s@on
<br />WORKERS COMPEIIISATION Df, CL RATION
<br />I h6.b, .mm und.. pc.dry of pcrjury M. of lhc folloBin8 ftcld.li@
<br />I h.v. ed eill minrain ac.i!ficar. ofcoBor b sclf-Irow.l wdt6'c@Fsarim. s Fovidcd for by sarion r7{x)of ac L.bq cod.
<br />io. th. F.ftuc. Df fiG wdr fa Phich dc pdmn i i$urd
<br />_lhav.ddwillmainbnwd[c6.cmFNdimlnsu64.sr.qui'cdb,s.cion]Tmoffi.bbqccl.lor$.Frfolr@@ofth.l*k.g
<br />wlrch $is Fnn is ,$u.d My wod.6 cmFBa,ri@ INine* csnd { policv n@br a'
<br />c*n. lLhgENoo *.1-no^)/4 L INS ('o
<br />^,.,i** Pz klL Ocs ) 6l-7 o u,o,,- -(ThB srid n .d nol b. cmpl.t.d if th. Frhjr i. for Otc ho&.d &!ll4 lll0ol r lB)I b
<br />I c.niiy $d in d. psfolr@c. of fic voit id *nich $R p.m( n rsu.4 I lhdl nor Gmplo, 4, Fsu n M, lMnt' $ 6 o b'cm' $bFd
<br />;d,.w;k6 c..;*aft, L.ws orctliromia Md lsE rir.l irl sh@ld b.c(E,ubret to$' w*I6 CumFN{iq p'oviliN orsdid
<br />!7oo uf rh. Lator Codt, I sh.ll. fonhw'th
<br />"* qlZble| _
<br />waRttrNe Fatu* ro s.cw wort.E,
<br />/.- 9-Lc
<br />Comp.ns.riM covsas. ii u^lawful, mdthall subjd mrnplt'yi o cnninal paralrics ua civil
<br />fin6 up ro on. hu.r.d Uioced dollm (l I oo,ooo),in atb&. ro th. .6t of comFdarion. dMagg
<br />codr, rnrcdt md atrom.y! ad
<br />d pdvid.d fa 6. S*tion J076 ol lh. Llbor
<br />I hc(b, a0im und.r pc.ahy of p€rjury $at I
<br />LICENSED CONTRACTORS DECLARATION
<br />m lic.ns.d uod6 prcvision ol Ch.prc 9 lc6nocin8 with S.cnM 7m0) of OrvB0n I of$.
<br />B6in6! Md Profosions Cod.. md my lic.nr z<l- b t >
<br />)A-1a)q E,
<br />I h.rcby amm ondcr pdahy of p.iu'f $al th6. i5
<br />CONSTRUCTION LENDING ACENCY
<br />**rion t-O.g "r-"y f. th. Pafomec. of lh. worr fd *hich fitr Fmil it istu'd
<br />APPLICANT'S DECLARATION
<br />D.nDhion P.miu arb.slc Norilicrtion F.ddrl R.8ul.ri@ (Titlc ao, Psr 6)
<br />_ R.qut d Lcrtd ofNoific.rion
<br />-l
<br />ccniry thar lh. f.d.nl r.8ul. ons rcssding 6bG@ mov.l @ not 4pli..bl. b tft Forct
<br />lc.ni.yd.(lhavcr..dthh+plicati@4dsorclhorrhc.bov.inf@ici6i5ffitl.€I4locmd,*nho]lcily&dcentyordinMc6
<br />-a Sru t-u*r rcra;nS to U,itAi; cNtructid, 4d h@by udtniz. EFqcnt,riv6 of thn Cilv 4d Cenrv to ac upon lh'
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<br />lMtiqcd
<br />-D e.rl wra n-'8,;k
<br />CommentslD/Sis.Site-Work
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