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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS O\I NFI BUILDER I'EII'ARATION
<br />I h.r.q rarm unkr lttuhy oa Fjlil rh, I m hm,r nom rh. (-odrdoa l-Kd l,* r lh. rolh\Ta r.al, lsd Lr I 5
<br />R$irs .!rj Profdnn (od.l Arr Cdy .r (tudy shrh r.qurG r Fni ro .odtud. .h6. im[,or4 d.mli<h or tqli sl
<br />errude. Fu kr r Ks@c.- als! r.qun6 th.4rl'c&l ror.u.h Fn b il. ! sirncd stdc'mr lhd lE or snc a li.assl puutrlrit
<br />h rh. FolisioN ofth. ( onlfftors Lic6r.d ll* {(1Ep{6 9. (on'n.ncins w h Sccltrn 70(E ol l)niion 1 ofth. Bui.$ and
<br />Profsion! Cod!).r lhll hcorsh. is cropl lhsctrom Md th. bar! lor rhc .ll.*.d .rdplion Any vnn.rionols.clirn?0i15 ht !n,
<br />aprli.m for r tsn( iuhj{rs rhc appltrili lo . .!v il p.@lry of nor hoE rha fi\ . hun&.d .lollsr (t500)
<br />l. 6 ow ofih. FoFny. m ny s!r,k"B r ilh s.a6 s lh.ir 5k $mFann .. wil & tlE srtt &d dE rrEtrc ii mi
<br />'Irod.d d oflsEd fv $L (Sc 7or4. BBilB md hofBbN Cod. TrE ( odrrld ! ti.E L.$ d6 ml .Fpl! lo e ouc of
<br />th. p..Dsry qlb tlil.l or trrp.orG tlEsE ,il s'h d.6 *h wrt h'IEll or hd*lf or ltNush hn d lF om anplotc,
<br />Forid.d ihd 3(h inF$lEn!ftd iidrHtr.fH tur sL l( rFrq€, OE hlit la r np.n\qld i!5ld *1,in on. )'
<br />ofarpkior llE O$c Boil& *nl hdt $. hdar otFDritE du lt or {E dd Dl tlild or itr!.oE lh. FnFry aot tlE FrF* ot
<br />l. d o$Tq otrn. ,ropdy, m .rlusiv.ly cdnro(ins { nh lico!.d conrdlroR b .oNltud th. Ir,'jdt {Sd 7Or4. Busddi
<br />r,ll Protsam( odc I h. Cof,lrstors Li.os. l rs do6 mr applt !o o or'n6 ofpoFny *ho hoil& o,
<br />'mpror6
<br />lhe6..
<br />Md $ho mdd3 fd truct FoFliqnh r (tdtuon!,ltcG.d
<br />'[6uln 'o
<br />th.Cortrrroai l-(.@ l&.-.)
<br />I d .roF u.d.r Sdion
<br />loaf,DBllAu[lrtAro!
<br />DECITISAIIIIA
<br />I hdcby amm unltn r.nohy ol pdjury onc uflhc tolkrwiry d(lslln,N:
<br />I har. ml q ill minr.i. . cdiaE.t. of (nMl ro s.lf-IBur. for $ or !6 .omFE Dn. d rrDr id<l lir 'r( sftri,o. I7(xr . f 'h.L&* cdk fo. !h.,Erofr1lm. of !h. $nl for $nrh rh. Fnh t sd
<br />I hlrc.nd *all dinr.D *0*6' c.mFqrhn ,@rs., 6 .ntun.rt Iry sdio. 1700 olrh. l$or (-o&, for lh. Ff.llr1fr. ol
<br />rh. r.rl fo shd rh6 Fon a isr.d Mt *dld onFEaio. i@6m. csir ad polk! nunlE rc
<br />1r*'.->S*"t
<br />f,.,.,",.*
<br />FrPe'
<br />N4.-,, c-r O?go1 1 ,,,,*,-palq
<br />I cdii lhd in llE rrrfolrrffic oa thc qo,t foi trhth lhis Fmil 'r 6ru.{.1rh,tl no! ol,lo! r.! F*r. i.5n} tME
<br />$ a16 b.r.ft ruhrc' to tlE 1616 rcmFMNn L$i oacrlif.mi& rd reE rhd ilt shunC tE .m tubj.( to llE
<br />*rnd' 6qF$,rx,n F.rirhE ol sdr. 1700 of rh. lrhv cod.. I .ldl. fonh$ h rcnplt srh rt s Fnr iF6
<br />*AmlNC F.ilur. r. Ru. * 16' comrEMion sv6.s. n uLntul. dd tttlt $bFl o dpr)r( ro ainirol FEls ..,j
<br />.ivil fin6 up u oft fiundr.d thoMd d'll6 (tlfiJ,Ooo). in addnN. n,lh. cori of .omFMrio., d.m*6 a Fovd.d ntr rh.
<br />( i'dc. mr6.n ed ,rt,nry l
<br />I ho!r,) .nm ud6 Frhy of Fru r.' thd I m lc6.d undd F.ti'ion ol (n4i6 t {connffiin{ q t S€cinn 70m) ofDniir I
<br />oa lh. Bsin6 ed F..tci,E Co&, !n nt. lxG ir h 6rll loB tn.l[d
<br />c- ? /.1 Li.m.NumrE QO ar. \ | I
<br />\D.,., kltll t-1 .",-"* Ftt-'?1 c-^.r$:.
<br />(O!IIf,I,IqTAd.LEIDI!G.AGENI}
<br />I nd.t-v .nm ui&r ,.Mhy o r FJur! tht rlE. i! . orEtudbn ladlE rsd} for llt Ff(fu. or lhc trtrl tu "tih th! Fni a
<br />s.d {S<. I)9'7, ( ir C )
<br />AIIUTAIIDICIJ&IIIA!
<br />| fiddy .nm !n.d Fnlhv of Dqjury on. or rh. aolh$ inr d.(led nu!
<br />D6mhhn P.mnr-AstBGNo fi.dio. [.d.r!l iquh'nnslTnk!0. Pd6t
<br />R.qut.{ hrcolNdrftrio.
<br />I c.nit rhd rh. f.d65l icsulflliod r.sed'ns 6h.slos,movalr. no' rt ili.thl. k' lhi pmidl
<br />lc6rilytharlha!.r.&lrhs.ttlicaridnMdsr{.rhdrth.!h\e,ntunniri( i...ndl l aarelo(.n$lvsilhall( ilydnd(.unr!
<br />o'ili',anrs rnd Srrr.l atr3rch!ins buildr| .onrtudRrn. rnd hd-,rr l'. r.D.MrdilB olrhis (
<br />'ly and Cou.ryro drd urhn rh.
<br />ahr\c mdrio..d lrorEn) nY
<br />z.tppli..nt or,\rdr sin.ltr.O.r, 6
<br />\ [*,r,. e1, [ - U-, .-.\P.mirc
<br />rrn. (prtno:
<br />l,+
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq 6//4 ?,liYr+tt r'?/ re
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.\
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL bnn>5-'iYcAa fl+ a$
<br />Certificate of Occuparicy'
<br />Notes, Remarks, Etc
<br />Subf loor/VenUlnsulation I
<br />I
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