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BUILDING- INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS OT* N ER AU ILDl:R DEL('A RATION
<br />I h6*t.rm undd Ftuh) of Fjury th! I m.rmF from rh. ('odrd6 l.t@ lrtr ror rh. aolk*iry raa!. (S.i 7011 5
<br />Burins dd Prot*ion (-odc) Aoy ( ily 6r County wnich r.qutrB ! p.mn ro coNrtud, iha. imrtov.. .lmolirh or rqw dy
<br />nrudu( F.r ro ns isue., .I!o r.quG rh. 4rrltd for sch Fnn ro liL. risn d ndml tha lE or 3h. a li..a.d p{&d
<br />to th. FnnhN otrlE ConrE<1ois t icdr.d trw (Chllrd 9. Comm..cin8 wirh Sdlnrn 7m0 of Dirrion I ot lh. BG$d and
<br />Pmr*oni Cod.) or rh!| l' or si. n Ampt rhdion Md rh. h6s fn th. lllq.d crdl,iDr AD vrehrFnolsdion 70ll ! bt !n!
<br />.[Plrcd for ! Frmi $bjds lhc .!?lr.rl k1 ! cir il p.Mlty ol nol nor. lhu fivc hundr.d d.lld (1500)
<br />l- s o*c oltlE Fspdtv, .. m! mplorE whh w+6 B rh.i. $1. mf,pseion. u'ill & rh. s6.i dd rh. nn(id. b mr
<br />i .dcd or.frd.d for sk (Sd.7ot{, Irurils od PEfdioB (.d. Tt (:o r*tdrt.r.ct s&6mrS1}h&otr6of
<br />rh. FoFly *ho hlil(t d insi,v6 dEria ed *ho dc u.h *n* hm3.lf or h*lf or lhrou8h hi! or hs o$r opk,)6.
<br />Fovilal rhd $.h imFoffir e d i ai.d r ofrqEj tu xL lf. hou6s. tlE hlild!* or irq$lci i, eld uihi. m !6
<br />of k,pkiitr rlt O{c B{ildd will h.E tlE hrd.. of Prrnins rhd h. o. sh. dii d hild ff inp.ov.lhc FlFq (,r rrE F F*dr
<br />l. 6 o\ro.arh. FoFty. o.rcl$ir.l! co rrii4 *nn k.G6j co r-roB ro c\r{ru.t 'E
<br />phj.d ls( ?oll. lqaing
<br />,d PhEiin ( o&, I h. Co.keroar l-ic.nr. L.s do6 not .rDly to d oun6 o I FoF.n, { ho bu ilds or inpro!6 rhd6n,
<br />s'l uho oilndJ fd sh rrer.cllsnh r Co'rr(o(i,ladE d p{Eur ro rh. Codrdo . Lk@ l,q )
<br />I an .iori unj.r Sduon
<br />D.r.: OrtrEl
<br />woRxrfs'( onr?aNsaTxrN
<br />Drora^llo!
<br />! hs.by rm. undd p.ndhr ofp6jur, on olrhc folloura dcclddhN
<br />Ih&.md*illroid.inrCdificd€or(olgtroS.lf-lEurclorqorl6ompcrrrn..BFo!iLdlirbSdhn171l{lofrh.
<br />t lior (-o&, fd lh. Ffollrft. of lh. norl for "trth lh. Frnn b i(u.d
<br />I hr\c.od *ill o! rr q 0116 .dmFn$r ion '6ur.hc., ar r.qun.J hy Sd rn 17(x) of lhc l-ihor (bdc. ror th. Fiome...f
<br />rh. ktrt fo. *hi.h !h! Frni ir edl MJ *ortd' omFsb. iEultm (ffi rn lFlay r!6tE rr
<br />.,". ;PA:rc f*uo
<br />,,,,,,.,.",,,-.-{ D t I Lqo2-o \a ,/, 1,"
<br />I..niryrhd i. rk Frolrffi. otrlE $orl fo, $nihrhirFhn B i$ud.l !h.ll ml orloy inyt6enii dnymMa
<br />$ 5 lo bdoru $t a]l t. lhc q o*d' codr,.Ea ion hwr or ( llilohB, dd agrc ihd if I 3holld b.{.ft subjd lo rlE
<br />*odd mnFurion F.vi!i.B ols<dnn 17m otrh.lltDr Cdl. I Ctrll, lMh$ hh Fnpl) trith ttF* prevnturo
<br />WARNINC r,ilu. ro ku. world smpd!.lion 6vm8. i! u.Lqtul. and shlll sbjd e @pk,)E ro aini..l p.rtir.nd
<br />.iril fi.6 up ro om hudr.d rlEsd &llB {1100.fir0), 'n
<br />.diior tn th( cor "rcon{rNrron, drnE}* a pl.vaal ror rh.
<br />saron 1076 ofrh. libor ('od.. inrd and drolB s l.6^ r I
<br />,^,.u-l*l fi ^,,l/,,fM< I I / Lr('r,rsP (oNrAcloil- | Dr( unaTtoN
<br />I @ flm ui& Frty.rFrury rhd I u h€&d 6rls tmvario. ofch.pd e (commacinS rilh Sdlo.7001))ofl)ivis{in r
<br />ol lh. Businsud PNfsn,NCodc. arj ny I'ccM
<br />'s
<br />r rullro(.a .n
<br />Gls xi'L
<br />,r/r+ (on(
<br />t.c 1
<br />4 ,.{
<br />I h&h! afli nund6 raohy o t Frrury lhil Ih6. is a conslrucl{n bndm[ 6a.'r]rorrh.Fn,mM(.ofrh.tr. turuh{hrhEFni.
<br />Bu.,.l (sd 1097, cn (')
<br />al8rlcAdr-Dl:cldaA]rc!
<br />I hddry atrm unr's porhy .r FrJUd om ol rh. folhs'ns &.b.rh.s
<br />Dcmldion Pm{3-Arhcra Nc,lific ion lj.dml R.Buh bnr (Till. 40. Pan6}
<br />R.q!n.d tdld of Norificdion
<br />l.di!rhd rh. f.ldal r+sl,rirB rclddint absrosrmo\.1e. nor q'plEahtro rh! pqd
<br />(xrc rl,r1rlrc r&r|,inrn rui tr.."..r I rg.c to comrly snh all ('(yand cotrnr)
<br />n6of rhis (-nr Md Gunt! ro 016 l!{nrlE
<br />lrrn,irend,e(Drinr): Dt\.J,O\!L/
<br />-,. uif rrf ,+
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Su bf loori VenUlnsulation
<br />Roof Sheathing C/t-r/r7 ..Y,
<br />Shear Wall ,U,l
<br />Framing
<br />lnsulation/Ene rgy
<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 />FINAL -+/v \ a. \Yn IHV TE
<br />Certificate of Occu n
<br />Notes, Remarks, Etc
<br />I DATE
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