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BUILDING- INSPECTOR RECORD
<br />SITE.WORK COMMENTS trl,_NER BlJll.DEe DEI,(-ARAtltrN
<br />I h(.$, orrm !.d6 rmh, of Fru^ rhd I s.!m,n 60 rh. (i'dr!.loE' I ic.c IA fn rh. frnhrnr rd[ (sc70]lt
<br />86rB ed Profdrn ( od.): A., C , .r ( oudy whi.h r.qur6 . Fmi ro .oN nd. ah6. nntrorc, d.'mlkh EFn E,
<br />srrut1ur4 pihr b irs isu.nc.. rl$ Gun6 rh. lnplicd for such rEmit ro fi!. ! tisncd n!,d6l rhar h.or 3h. i! li.ded pBuMr
<br />ro rh. tmvirirs.t E (onkddr l-ic..s.d lltr (chrtrd 9. conmtrins uirh Serirn 7(t0otl)nie(D!!f (h. Irunn6 ud
<br />PFrdhm CorL)or filr lE or JE ir Grmpt lhlcfiom ed th. b.ss fff rhc rlks.d crd|lnn Ant \ 'ordri.n of sdhn 7tr!l J by &,
<br />apphca.r tor.pmir suhiErrlh. itpltinrto rcivilp.nah,oInor mor.rh fir. hundrd dollffi (ttm )
<br />l. 6 o*ffi ortlEFqEnr,ornymdoy6 rnnr!86Bth.ir $k.omFsnn. trix&llt*,rIrtlirE$LrRii d
<br />'ltdtLd molIs.d for $lc (Sc.7O{, Bsin6 od Eolsn 6 Cod.: th.Codr.do.! l-i(mr tiw $6nol4r,lylo ourqof
<br />th. Fq6y wh. boil(h o! inFors thoEn. sd who do6rkh *on hnnrlf or h-Eltor lhu{h hi! or hF o(n orplord,
<br />prori|d lhd.u.h imFlqd. N d idarlal orof,.trd tor $k ll lh$6€, rlr &iBiB c inF$nE i$!uniinocra
<br />ofconpldior rlE O*G Euiltn *ill hh! rlE hrdor ofFor(s rrri lE or lrE di d hild o. nqor. lh. FoFy hr llE r{qE ot
<br />l- 6 otr6 of rh. FotEry, @ crcldn.l\ .odr&rD( tr h lrd<J n)dr&1oE b codiud lrt€ rojdt tsa 7olJ. llr'16
<br />.nj h!ftsir (-od.: Th. (-onlrxkn t Licorc 1..*'&6 nol.pp\ t, Moun6 orproFil} {h. buildl ot irtrpior6 rhod'i.
<br />aid \,ho conlEft tu iu.h Frj<l' whh r (tnii!.ro(.I lic.a.d ptr&dr o th. contri.rois Lic.nsc l,a$ )
<br />I m.rofl !nd6 Sdlfn
<br />t/Vrt
<br />TE(IAAAIIA!
<br />I hscby i,trm !nd.r po.lly ofpsjury oft ofrh. follosins d..laari66
<br />- l n r. dn u ill minrlin . C6! ifr.r. olconFt ro SdllB@ tq tr 0116' .omposi'n. a For ildl aor bt Sd'hn 17(& of rlE
<br />Lllu ( od.. fo. rh. Ffo,Ill4. of rn rorl foi sii.h
<br />'h. Fmir t Bu.d.
<br />I hlw anl B ill hdnllin u orkd comrEMl ion insuri"cc. Et r<!,.d h sdl i,. l,_(n .l rh. llhv ('od.. ntr lhc p(n lrrrec ol
<br />lh. *ort fo. *hi(h lhir Fnil t i$Ed My sorl6 omFeion BulNc cai; md F1lt! numtq r.:
<br />l.dify${ in rh. pa formnc. ofrh. $ort fn shich rhir pdnir ir i$u.d. I shallnor snpk'y lny Fron in anv nrt.trcr
<br />$ Blo baom tuber l. th.qslo c.'nFE lhl Lr!of(.liromi!. rnd ts'e rh,l ifl rr$uld tr.o,ft t'idl hltE
<br />ft*6 ohFsrhr Fuliod ol S.cti6. l70O.f rh. lrk' Cdl., l adl. fonh*nh comrlr r nh rh,r forirx'6
<br />WARNING r_.rlur. ro k. r. Norldl co'np63.rion .o\(itr. is trnld$ful. ind L {inr.rr in dnl,L('r{ n, or ml tinilrs and
<br />cnil fin6 Ul !o on. hunJr.n rhousntl dolld itl00.0u)). in addnn'n lo lh.ofcornrErerion. d.m!6 .r Fo\ ild for !b.
<br />knr (irt . inrdd Md d
<br />I hehy amm undr p.nrlry oa Fjur r_ rhll I nn li.dEdl tnd. prnvnn'n ofCnrnrd 0lqnnmtrins rnh s(lirtr 7(xrol or lrririon l
<br />of th. BBhs and PmlNhB Cod., &d 6, ltos i. 'n
<br />rull l6rc. !r1 .fi(r
<br />ca! f,ucraN!Eluucjqllcr
<br />I hdrb,.LEn un{d FGIO ofpaj!4 rn tlE i.odtuliort dils rstr} torlhcrEli,ma..Irh.(orl n, slich'hitFni ir
<br />isu.{ (s6 1097. civ c )
<br />afllt(AdfllEclJsara!
<br />I h6!ht rtrm un!,F F.tt ol Fjury oR ol rh. folh* ins d.<b, bnr
<br />D.nolirion Pdmil]'A3b6rd Nolincaroi Fcdd.l Rcsul.rn]n! (Iill! 40, Prn6)
<br />t.qu4d ltlrs orNd,frdnn
<br />lcdifythar r[. fen.rilrqulari,)ns rc!trdinl.slEslosr.n$a1tu. nolapl,l'. lcnrrlri I'oJ.rr
<br />l.<r'[ $n I tur. r.id 'fi.4ili [n lrn.'.'n .orRl I arrero c. rnl\\irhill(irvrRl(,,unry
<br />odin.n.6 ud sr.r. lr*. elllins ro burldin! c.rqi(fr!.ln6 of
<br />'his
<br />( n) lnd (
<br />2,')"/ 1., /) 4D
<br />,Z,h
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />ln s u latio n/Energ y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handica p Req.
<br />uty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL 1-17-t7 x tqib-7 vCertificate of Occu pancy
<br />Notes, Remarks, Etc
<br />DATE I ID/SIG. I
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<br />Subfloor/VenVlnsulation l I
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