BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS owNlia B!ll,DEn DErr'AnanoN
<br />I hd.by .|Im un'jd p6.hy of pqjury rhn I e .roqi 6oh rh. (1'ntrdoR l.ic.e lrw ror lhc folkr* in8 rNn (:i( r0l l 5
<br />Busi.dt !d Protdion C(i.): Any Cit, or Coudt whth r.qunB ! Fmn ro constud. tld. imFote damlnh or rqtn Mt
<br />.hdrq ,rbr ro ! isum( 5lo r.qur6 rh€ q,plEal lu such Fnn ro 6b . r'*rn srdffil rha lE or nE u i.dMd Firld
<br />lo lhc Fovno$ oldE (i,.rr.crdar Lic.n3.d llw (cnst'rd 9. (innntrins w(h S..lirn 7000.f Divnion 1 olth. Bunndr .nd
<br />Ptuf6$.i Cod.) or rh.r lE.r nE ir .rorr rha.nofr ud th. bqr6 lor rh. rlkEo] .rolptio. A,, liolri,of sdn.70!r 5 by5.r
<br />rtflrcd Lr . Fmn sublRls rhc rp?hcal ro ! c'r il Ooul' o f nor 6oE rhe nv. h!n<lr.d d.lldr ( 1500)
<br />l. s drE olrlt F.Ft!. or m, mpkrrc snh 8.86 E rh.t sL str{.rMi,tr *1x d} rlE "ul, n dE rdrc E N
<br />inrard.d or otrdld lm sl. (56 7Or4, Bo'nB Md PtoaotuN co{. Th. (-onlEcl.is Lr@ Lr* &6 nor !p?ly ro tr otr E or
<br />lh. FoFrt wh6t il6 or nFrv6 tlE@c drd *h' dcuhw h'ro.|f or h*laor lhruo8n hit or lE o$r dplol.6.
<br />F.rd.d rn l $h irqDEEr. ft bt ddi.d d ol$ftd 6r..,. ll lbffi. dE tlrri4 tr ttForqEi ! ild sihm m rr
<br />ot conpkrirn, th. Of,M ltikld will hrw rrE hrno olFrhne lh, rE d !h. .ln mt hoild or trn .o'r ltE poFy tu rtE purp(M of
<br />l.6oun6orrhc propsly. @.r.l8i!.ly.o nd in8 wilh li.md .odr.c1oE kr co.eo.r lh. prol..1 (S( 7044. uBmN
<br />!,rj h!i6io. Cod. Th. ( onrMor'3 Lt@ l^ dB ml @?ly r. d o*.4 of FoFty nho build! or 8po\d rhdon,
<br />.^j *ho codrrts 16r.ch Fl.d3 $nh. Codmo(r) li..rBaj poFulr lo lh.codrn.! Lk.E bsl
<br />I @ cwr,l ud.r s$!8.
<br />D.r. ()iner
<br />tt oRt(1 ks. ('( r P[it,\ tlolDr(I l]Iltoli
<br />I hscbr. dllta, undo pcnil$ oftEluryon.ollh. nn[iwinr &.lddrls
<br />I hav. ed wil I mlinlsin ! Cd'fic'|. of Coist ro s.lf-lreu,.lor $ortd comrEsdion, B pmvid.d for b, Sdion lTUr.tthc
<br />Uh, cnt . lor lh. Drfoffi. o t lh. *olt for I hict lh. ,,snit ! ecd
<br />liI h.vcindwill diinri.*o d comp.f,larion iBue.. 6 ,.q,ir.d by sd ion ]7oo 6t rh. I-ahor cod., aor rh. psfod.ncc dr
<br />lh. sdr tq *tkh rhir ldmh t ie.d My vort6' (BFMion inffic @nd md lDlig numbd Ec
<br />@k
<br />Poh.yNumb. W1-9-ct ',.*- J-J-[J'
<br />I cs1i6 rhar ', r,E Fror@.016. rorl fm *hih rhs Fmn n eal I stull m' odoy sr F$. o a.t moF
<br />s Bto b.{ft sbid ro rlE $rrld comFE{lion las otcalitod,a t d +d rhd ial JFuld tE(om 3ulrcl ro rh.
<br />"$rt6' d,mp.mrio. F.r irioN of Sel ion 3700 of th. tltu Cod.. I tlull. aonhsnh coDply silh thos p.orBFB
<br />T ARNINC Fnilurc ro kuc avl6 .o"pdMi. o16.9. s lnLsful, ad d'.ll $hr6l 6pl,o)( ro aimiEl FultB a,n
<br />civll lu6 up ro orc hun&.d lhou$nd dolls (t100,000), id a{dirion h lh. cosl of comF.ltlio., drmB* 6 p.o\id.d Io.lh.
<br />DIiCIJAAI]A!
<br />I nehy .ftm undd p.ndly of psjury lhal I @ l(dE d undr Fovsmn of chaptd 'r (@fficinB *(h sc.1io. 7m0) o I llirision I
<br />of lh. t'llilB ad Prl6ioB ( od., rn m!, ltcB n ir tu ll lora !n clI.(
<br />,,..*.,"* (-( J
<br />D''|' lt)t
<br />0 66
<br />c0lsrau(uoNrlitDt!$-&q[lcY
<br />I hortr .frm u.& Fuly of Fjuy rhr rhr. i . @'ritu<rnr E!d68 .S*t for tlE Frollrs. of tlE rnr( for $nth lhn Fmir !
<br />if,ru.i (sc. 109?. civ. (.)
<br />L.n o'3 Nd.
<br />6ifl,ltatrLlfgJ8Allg!
<br />I hdltt ,Jrm uo.rd Fn.hy of Fjury oE of fi. nnlowiry d6Lal,o6
<br />D.nnn$n Pm'l''tub.lo! No'incaion l.d.r.l R.Bul!! i,B (TnL 40. P!n6)
<br />RdtuEd tdrs of r*i'ftlrior
<br />I c61ilyrlut rh. lcdd al,.tubr nrB ,.tad,ns etEsr.s rd o\al r. nor Eiplicabl. b tht lroial
<br />I .61it rhal I hs. rod thL apf,l{.'
<br />ordin.nc6 Dd Star. lrs Eldi.a lo h{i
<br />atr\. lErNn <t FopqD fdi irEFlxJn
<br />io. n! rdc rhd fi. .h\. inaotEdNn ir .otr..l I .sG ro .omply n nh lll C y lnd ( t um)
<br />ldint.otr(tu(n n. 0rl h6.h,
<br />Appllcrnl or Ag6rl Sipn.tu..k
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<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 />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL b /t4 I? S, )LL LE -l+ b(
<br />Certificate of Occupancy
<br />Notes, Remarks, Elc.
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