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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OlINEN EUII.DET DELCANTTDN
<br />I hdqr! .lTm !r<ld Frftr of Fjury rhd I a ddF trom rh. Conll*r6 l-a.* li*' tor lhc folh*i,B ratn {sd 70l l 5
<br />ItNind ad Profdior Co&): An, cn, or Coud! shrh rqut6 ! pdnn ro odM. .h6. ispoa damlilh or lq.ir ,
<br />llruclue Fi,rlo ili ism.,.t r.qrt6 ln. +plkDt aor !u.h Fnh ro fik. r'r..{ idd,E thd lEorst it licoEd F8d
<br />ro rh. rrcvilioro ofrlt Conr.(loir LicqE d Low (Ch.rx6 9. CoMming wiih Srri{rn '7({r0 ot Division I of rhl AGii* ed
<br />PNlsio.r Codc) or thar hc o, !h. i! q.opr Ihnc6oi d lh. ho!i! lor rhc dlc*.d .rofl ('n Anyviolalionofsdri.nT(r.tl5by&y
<br />q,pliclnl for . Fmil subjdlr lh. +?li.ol to ! civ il pallt y o f n.! mor. lh& fiv. hundrld d.lle! (1500)
<br />l. a ogc oarhc FopaU,.r ry dplo'6 snh trisd s rh.t blc oopdaiio( trill do rlr \qt rd rlE rn ift ir mt
<br />idd'tt d otu ad rLlse 704.r, &!il16md Pr.l*ird ( od. IIECo Moai l.i.M l^ d.6ml q'r vroM.trcol
<br />rlE FIEty rlb hil&6r nr$.or6dEe( -n *tb &6rxtw hiEltor hsrlf or tlin,us! ha r hn 6\n arll)hlc
<br />Fo|d.d $d trh ErFD\ffit Gd iraxLddoddld 6r $l. I[ rb*dd, itl hl'ldi,rB n n4.sg1d i nld rihin.ft !6
<br />of@n9ldbil rO*c B{itb vil] l6E Ehrdrr ofFori,B rld lEorCEdii br hrild tr i,sou lh.FiFU 6rtlt AjFEoa
<br />l, ii o*ncr ofrh. For'd y, e .rclusivcly contrallins trirh liccB.n conh eloB lo coturo.l ttE lroj<r (sc 70lr, ltu$nd
<br />i.d Foki.n Co&: lt.Conr*'oir Lic6s.lrq do6 noi.trly ro eosnd oltmFny trho buil& or improv6 thssn.
<br />md *ho @fl6.r3 tu3och r.j.(3\irh ! Cornddo(.)lkdEd ruRMt ro rh. (tnrrioar Lr.G lru)
<br />I d .t.mpl und6 Sdhn
<br />D . Oi n.r
<br />-I!-Blil;&L(j]uff,rlIltll)lDt(r &t-uof
<br />I lE.hynmrDundo pr0ilrr.ltsrLD.n..frhe nnlNr !J(l rhois ,,toI hrv. ad $ ill mim.in r (-din..r. of Coitsdr b s.lf-laur. f.r * orkd .onrpasr tr.. a Fovid.d for b' Sd nrn u00
<br />hhor ( o{.. lor rhc pffotrG. ol rh. tr!* aor *hich rh. ,6nn E isu.d
<br />I h.E rd *ill h.i rin $0.16 .onFMhn itu,tri a Equr.d b! Sdion !7u).f rh. bb.. ('od.. tor rh. Ffo,rlffi. of
<br />llE w* for shth lti F n i is*d M! $ori6 omFdf n Bule. ffir, rd polK! nomb.r E.
<br />PolicyNu!nbf:
<br />Iccniryfill in th.p6tont[N oflh. *ork tor shich lhi! Fmit ir isu.d.I rllRn mploy lny F$n intny muK
<br />$ d lo bc.m. subj.(r lo rh. so 6 sdFBiioh h*r of C.hromi! !d rsc lhd if Idrluld bro@ ruti..t lo llEq$t4 conFadirn F$vi!b6 of Sdhn 17@ ofrh. l,tDr Co<le I Jdl. fonhu irh omply *ith rhor Flvbiob
<br />W^nnlllc: Fnlm ro gu. "o a'6np6.ion 616+. . u.h$tu| .d ddl strd r apk F ro oiniEl FEIE !n
<br />cn fD6 !p ro om h!.d,rd rthE d &'116 tll0o,00o), o.&tirio, io dE cd or.or{EMiotr &dB6 ! po\iJcd for llE
<br />sdbn 1016 0f ln. rdor coda idd.r rd dr,q._-r G6
<br />IICDIIEUSINIaACIOA
<br />DECIIAAIA!
<br />I hdby lmm undd Fiul'yofpdjury rhd I m li..N.d u 16 Flnha oachaFc a Glanmring {nh Sdi..7(100| of l)iv'sion l
<br />of rh. BcilB md PmldiJB Cod...d mt h.e a 'n irll roEc d.ller
<br />c0!flf,t1(:ualrllDac.AcEtr(r
<br />I h@ht rrm unrld pad', ol Fj!r, $d lhe i! a codtucriJ. bdiis rstr, for lh. pqrollMc. of th. uork nn
<br />"hich
<br />lhn FDI b
<br />isuq, (sd 1097, Cir. C )
<br />L.n<lq r Nmc
<br />tlrl.r'i Arlt6
<br />AIIII(ANII'IICIJAAIIIIN
<br />I hdd,y !r'm u.dn p.nllry of Fjory orc oirhc fulbwinr d(lir.rions
<br />l).dolilion P.mirs-Aebeld Nor ificar ion l.dqal Rquhtionr (Tnt 40, Pan6)
<br />Rcqun.d llllq or ikniarcdion
<br />I .6t ify lhi rh. f.dqrl GAuL! ioB Etddiry at lror r.nn il d. mr E l,lt.bL b rbd IKJ<r o
<br />. I cdrf} rhd I 16r rad rhi! q'plicrhn dn nar. rhr rh..hlr. '.1iJtu6. is cotrd l.B.e ro conply \ nh lll ('nr rml ('.unly
<br />orditm6 dd Srar. L!*! Ehrin, to hrldin8 .odtudi.n, ii hfl.t!.urhorn. EFM'dn6 olrhn ('iry.nd {-odnrr ro 016 upor tt
<br />lbor G n8!
<br />'on.d
<br />pmpdy fur mt
<br />'Fn
<br />rnrDo.d ^ n A
<br />^pptc.nt^Ed,shnu4iililil\t&)"-,*," "lLal\+"-r. -..,,n"r, -./ffErlaLlGsozts-tN
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorA/enUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />[p4ing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />[\,4asonry
<br />Pool Fence
<br />T-Bar
<br />llq4dicap Req.
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL 1l{lrl _,u4r(!e,
<br />Certificate of Occupancy
<br />Notes Remarks, Etc.
<br />Set Backs
<br />Forms/Steel/Holdowns
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