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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BI]II-DER DEL(' RATIoN
<br />I hq.t^ offim undq Fulr! oa p6jun. rhd I M.r.mfl f()d rh. C.ntra.loB l,icN ljw lor lhc rollNtrrs r.Mn (s(.70115
<br />aulm6r ,r'l Profsion Co{.} Any ('nt or (nu , \hih r.itlm {E i ro cordru.1. 1116. 'nrr.ri Ll(rml.h ot t IEr er
<br />3rMU.. Frn r. ih isuft€. .ho Equn6lh. arlplt&l for rocn Frmil lo fi|. ! sish.n {dmdi rh.t lt or sh. i lic(s.rl tuBtrd
<br />r(' rhc rorir'o6 or th. Conx&o.r Li(.nrn k$ {chlprd c, ('.nm.ncinr silh S(l'on 70u) 6l lirio. I of rhc BBrK! trd
<br />Prufdx'ro ( od.) r rh,t lEd sh( ir.rmF th6.6on &d lh. b66 for rh. all.E.d noqr'o. An, \ hlrirn ofsdnn 7011 5 h\ er
<br />aptltr for r Frmt suhjdl! lh. appli(anl ki ocirilp.!.ltyofnol mor€lhd fivchun&.J dollGll5m)
<br />l.6 o$nd oflh.Fopcnt. or mr alplq6 u h \ as6 s thcn sE comr.neri.n. $ill do lh. {orl ad tlE nruclE s nol
<br />'nr6d6l or.lls.il for qL {Se 7C!,1. I}6llKr dd Pr.f*i.,N CdL Th. (-odhdo. ! l.rG l.s do6 mr qlt'h io otrndol
<br />rh. poFnr {ls t!il& n imrmr6 rlEoE sll sho d(E srch $!tt nimElfor 16*lror rhmush his or hd o*r tmpk }cB.
<br />Ir.rd.d rhll su.h iEInnEEl3 @ mi iddLd n oIG.d f.r sL la b*6d. llr h<nS or inp.ormr 6 eld *nr,in on. )d
<br />ofcorg'kioc rlE ( )qE Boiuq *ill h.\! rh. hxlo ofFotins rht h. or rh. dil mr tlild o. inuiu c th. prnlEly ,,, ltu IuFr oI
<br />l. dr ownd ol thi l(lpdy, m .rclunr.l, contldin$ *ih lrakd conrdoE to coNnd rlE For.cl lS< 7i8.1. IlGffi
<br />ltn hrEsir(nd. l i. (nnrrxkr'3 1 icor. l as &6 mlq'p'r lo o\n6.fnn,pdrr" s,k, bnil.bd mpa,\6|fi(drn.
<br />and who contrds l$ such Fotd3 " irh a co rdon.)lirG.d lu6unn' lo lh. (-o rfflorrl.toEll{)
<br />Intr, !\.n,pi umtfl SLrrnn,
<br />tr.r. Onn.r:
<br />wofixrR\'aorlPr ^l$TloNDE(IIIAUS!
<br />I lsct4 .mrn un.lcr Fnrhl oa Frur) onc or lh. inhu [s d(ls,r! 66
<br />Ih!\.!n$rllMrin!.(-dirE.ofcoMtbSdr-lmrcfm$0116'comFun'on.aFo\iLdL.hlidi,nl7l)(rotlh.
<br />l,b.' (i'd.. lo' rhcFt('Mc..f rh. soll ntr {h(h rh. pdnnr . suAl
<br />y' r h",. ona " ,tt .,inr",n " -t 6' (nmn Nlnnn
<br />'Nurrncc.
<br />B ,.{ut d by s(rion :r7tro of rh. kh.r (i'd.. tu lt ndr.ndnrt .l
<br />rlE unrl iy *hrhrhsD.mn s usd Vvtr.rtd o,mpd$,Fn,N'ft. c,tr,i Flr) numtq r.,*. Slclk Cctneens at,.'t:, 7nn,rc?ne l7-to d
<br />**.,^,.* ?6grfl- 2gu !,,n6 tl/4 lltr
<br />I c.nitlhal rnlh.Ffom.mcorlh.*od rtr $ichlliromil i3 isu.d. r shtllnor aillltlt e, F$n i iD BmG
<br />s dr.b.e4$t&(lrorl8qorl6 tumFdh.htr of ( llifonir.nd lsrlhd if I ihould b..o@ tuqd hllE
<br />lv.*m composr nrmviiodof Sdion !70oof$. tlbr cod..l rlEll. fonhulh cohply *nh rh* pmt iioB
<br />WARNINC F.ilurc lo sE ust6 onFBnhn Nvosc s unlNful. ni 3h,il $h€t u dnrhla lo citrwl F$hd dd(i!il fincs ur lo oo. humlral lhousand dnh6 (tl00.lxu). ,n add tun ro rh. c.f .omp.Mn.n. d.mac6 6 rrold.n fin rhr
<br />sdrbn 1076 .rrh. lrh, (ii. nrd ,nd dolrn t fc
<br />!!!!!t[lr_(l)[rxd(rQE
<br />Dl.( 1,\R\lllJ\
<br />I h6.hr oflirm !.ilq D.n lryoapcrjurl ln l Ion lndaol unds Foristn of('tuprd 9 (.omn6.i.* qirh S.€lhn 7Ot )orl)''isi{'n.1
<br />df rh. Bunnd md PnrfaoN (-od.. dn mr ltr.e s in ftrll foirt,n dI(r
<br />,.,.**.* 4t9
<br />-., ul,t/tl
<br />t b8 ba 2-
<br />lltan Ngo
<br />col\sTnuct loN t lNnlN(; acFllcl'
<br />Ih6q(.lImunidp..,of,i6jq-'hdthq.ir.coBtudionLndiry4ocvftnrh.Ffonnm.ofrh.\ortfo!\yhichIhisFsnirs
<br />NU.{ (s< 1097, civ C)
<br />AITIJCAILDECI.ABAI]O!
<br />, hrdry rrnn und.i podty ol Fiur, oE of th. f.llowin! d..hd ioN
<br />Dstulirion Pdhirs-Alb6rq Norific ion F.d6rl Rcslhrio.i (Tnl. .10. Prn6)
<br />R.qunat lrt6 of Ndi6cdin
<br />Jfd rry tfid rh. lcdsal E*uht.E 'q! drs Bt6rcs rqo\ !l !. ior tfilhclhk ro rhB pmjd
<br />\Z.d'trhd I h^. r..drhi! {Dlk.!n. {d 5d. rhd rh. rbov. inforinrlion i! cor.d I aa,c lo cotrply hallc ,.nd(o! y
<br />or'l'.anc6 rnd srrr. Lrss Eldil{ ro hrldiu codMFn. ,n aurhD. qrenan6.f rhB Cd) rnd (nunrt ro 016 oIFn rh.
<br />atrr. r6rn,n.d Drcpolv for iNn dFn
<br />Applic.nl or A86l Shtr.tur.
<br />r'.mirN n.m. (pnnr): l<'41.m i'a
<br />6/tt1 r>
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lr4ason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />I
<br />FINAL 7/tr //-t ubq D
<br />Certificate of Occu pancy Fr7
<br />Notes, Remarks, Elc
<br />q $l!.L
<br />Ir
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