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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWN'.R ATIII,DiJR DEL('ARATION
<br />I h6cby omm undd rcnahy of rtrju!- lh l d.r@pl &ofr lhc Contt.tos l-icds L^v forlhc [ollo$inr E!rn,1s(701|t
<br />,rlNn6 dd trerdx'n Co&) An! Cn) or (tudv $hih r.qun6. Fni ro Nd'!d. !hs. imFori ddmlirh or ntst t.,
<br />jtuduq rir to ir. r*ru .., dBo r.qut6 rh. applrcd nr such Fmn lo fik ! 3isned (amol rhi' h. or sh€ 6 li.dFd puNer
<br />b rh. Fr6nrnr ol trE co.krd r l-i.6*rt t \ (ch,Fd 9. ( omntrin8 nnh Sdlhn 7(({r of lrrinrn 1 of rh. Busin* .id
<br />lhJf6i,N Cot!., or rh,! h.or rh. ir.rdpl rhrciiom E rh. bntF lor rh. all.s.d crdr,rtun Anf r iolation of Sdr'. r0l I i t, .rv
<br />qDlicut tor r rEnir lobjarsrhc 4l',li.r ro rcnillloBxvofnrr hor. rhe fi\. hu.dr.rt dolls (tsur)
<br />l. s owF otuh. Fnp6rr, or my .mploy!6 wnh s.g6 B rhcir s,k compmrdion. sill & $. \on dd dE nfldm n n.l
<br />iddld.d G ord.d for eL lSE 7OrJ, B6i,E od ElaBitN Co&'Tr'.(bnr.l(i I r.e lr* rbd d lrly lo u orF or
<br />rh. FoFny yhr hlil(b n. inFn6 fido. dd *h6 do6 Mh *nrt hinrlf or h.ad r or rhmutfi his or h6 osn mplot6.
<br />p.$ i&l lhd ruch imrNtdErl3 @ ml i{drLd ot orsd ,o. sL lf. hou6E.llr biu!'s or i'ryrc@' n r,ld *nhin on. !d
<br />olarpkknl. rlE olE &rilid $ill h.E t E hdar ofF.fl{ rri h. or tE dd rul hild or ,pran tir FFr, ft, rh. F,B!r .r
<br />l. s o*nr olrh. FIEly, m .rcknrly .onr*tinS snh LcaFd conrrloRro coGnrud rh. pNjd (sd 7or4, $Bm6
<br />Ud hotsi, (hd. I h. Conrrrroa. l.td& Lru' (h6 n!p',lvrouosnsofF.Fr!$hobuildiorinpiordlh6on-mt $ho oddr ld s(h Foj.<r $nn. colneldlr lt.rn puBoai ro rh.Coiocro.! l.t.e trs)
<br />l0.rm unda s<1Fn
<br />D.l. orrd
<br />$oRKi RS;( OttPEltSATtON
<br />D.tsg,laarla!
<br />I h6ct^ rrlm undF FahJ of Fiu^ oR ol !h. follo{ i.* tlcrdd i'6
<br />I h!\. !d siU minrM r ( diarll. oa(ilhr b s.,a-l6ur. fn s.d6' (omrqu.l ion. s lrovidoj f., by sdr iod r 71ru oarh.
<br />l:tor aode for rlE Ffotlrffi. otllE ID& n' unth lh. Frnil . 6ucd
<br />I n^r &d tr rll m.inrrr $olld .o'rFMion i,Eillm., 6 Equird b.! S<lFn !?0o of lh.l,tor (id.. n, rh. Ffolllffi. ol
<br />rh. *ort tor uhich $n psnn B slqt My sort6 .omF6aion 6uru(. caic ad tDlty.!mb( a.:
<br />l.orirylh.r in rh. p..loruNcolrh.rork r..rtihrhisFnn i. is.n l sl],llmr mplor D! Fsn in uymmE
<br />$ 6 !o ltcom $ttr ro rh. *o.td' Nnpqdion h*. of ( .lifomi{ r,n .sE lht if I rh.urd &.on. rbrd ro tlE
<br />$o 6'comFnslionpmvisnrNofScclionu00oflh.lrta,rCodc.lrhlll.tonh*irh.on9lr*irhih.spmvlsnrs.
<br />wARl\lNG F.ilurc r. su. trortd or.{Edhn Nrds. s u.h*tu!. ed $dl !uh,.d d dpt}q r. ainiDl Frlar Md
<br />civil linti up r. on. hun&cd rh.Mnd dolls (tlt{r,ooo}. i. rdJnion b rh. c.s oI.ohFnlnion. dah+6 d ttro\id.n for rh.
<br />sarioo 1076 of rhc likrCodc ima< and dblB's lG
<br />/- tt-t ?
<br />DECIA8^IAT
<br />I h(.by llIm und6 lqrty ol paju.y r h, I m [ca!.d !*L F!\ tio. of( t.pls I I cooffi'ns trih sdnn 70(x)) of Dn is6n I
<br />of th. F$hd rd ProfdioN Co<L. ad my ltcM i!
<br />'n
<br />tull lorcc tn.lYd
<br />r(rnscons O C-/ o
<br />D.,. 6- LJ =t ? (orrr..,or
<br />t-a 6 2
<br />-.aZ--.--l(aB a!(uaNll;lDrMil(irrcr
<br />I h*.J .llm undd F.ah! of Fjur,\ lhar lhs. is ! cotr9rucl ion Lndins srdcy nr rh. rdfonnmc. of thc *orl fo, shich rhis tEhir is
<br />isucd (sa !097.cn ( )
<br />AITU(ANLDISABAI]A!
<br />I hd6v lrm un& po.h ! ot rqjur] oE of rlE iolhtrTr .kchnr nd
<br />Dcn nitun Pmn3-A3t6'd Noriliclrion l-.dcr.l Rqulsrirnr (Til. 40. P.n6)
<br />R.<tur.d l.tro of f*riftdm
<br />I cdiar rh.t rh. a.dall ,c8!ld'o6 rcltdra dtE{$ , @\ al r. nn qplic.hk b rht FiFl
<br />I c6rrf, thal I hs€ rad lha lpplhrn\n a'd J't.rhr rh..tnri rnf('ldnrn is cotrdl I rsra lo conply *nh ,ll Cnr'indCounrv
<br />ord,Etr6 !d Slrr. lru'r Ekuu ro b{'ldinr c.M.r nlr lrd hd.tt rurhoii,. r.F.5in 6 of thi Cdy ad (nu t ro d'( otFn rlr
<br />ahr. 'nmri,,nal m,nd! i{ in\ndi',n
<br />epprr-nr o. r*-r shna,* t'-
<br />Prnnirturrr(frinlr Eo,l.,tr+,eA i4
<br />6- /3-,7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing Ln\1h+',TJ,llS il)
<br />Shear Wall
<br />Framing
<br />ln s ulation/E nerg y
<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 '7tE tt+
<br />"ltlLllCertificate of Occupancy t- I
<br />Notes, Remarks, Etc.
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