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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS O\T Nf N AUILDER DEII-ARATION
<br />I hqd', rmm unds Funt ot FJID rnd I n.rcn4i non lh. C.drxioE l'c@tis lorlh.f{lhri4r.&n(se?0rI5
<br />a6'n6. .nd Prof6rion C.d.) An) Chv or Counry shth r.9ur6 r Fni t, .o&tud, rlid, imFoE .ldmlirh or RIw e)
<br />rd.rur., tr& ro tu i$ur... rtro r.qun6lh. {pn.. f.r ru.n Frnn b 6k r !iB..d ildffir thll tc or rl'. i I'cmsd plrslsl
<br />k' rhc lt,vlnrN ofthc (irnriacfi r Lrcn..d lrw ((hdprs 9. Commdcrna $rh sccrion 7000 of Divrio.:t ofln Btrsin$ ind
<br />Pruadiotu ( od.)or th hc or rhc i!.rmpt rlE.liomed $c h&b for rh..lkral.ranpri.n A.rlhldionofsdlionT0ll 5h!ai)
<br />.rtlicrn! fo. a Fmn subJdh rh. 4plicsr ro ! rivil pauhy ol.or mE lhs nr. hun&cd d.lle! (l5lxrl
<br />,. 6 .trG ordr FoFry. M mt 6pl6tc rnh ur*6 s rho $k smFdirn, $ill d.' rtE $(t rn iE rMr i! mr -
<br />ddrj.d or of...d for sl tsd ?0a1. tturiB sd frnfsioE C.& In (ttudoit l-to& LA' 66 rrr {rlr ro o 6*r ol
<br />rh.FFry *th hir& d i,(n€ rtE@ ii wh. d(€ *h *.rt hirelf or &rrlf oi llmu8h his or hq o$ @doyG.
<br />p.ori(H rnll sucn inpm\sEr! e dn i'nord.d m ofrEd ft,r sL lf. lr6s- rrr In'ktin* or in9rordr.in a! $k sihin om rE
<br />of.on{,lrii.'r tlt odd Buil(k rill h!!. dE hml, of l,nlos $d tE or !h. drd mt hiild or in,lllc fi. ,mIEq for lhc pl,pos of
<br />l,.ro*ffiofrh. F.0cry. M.rlun.ry.o rdhs $irh lic.tE d.o nLlo! ro odrucl rrE roF (s( 7Gr4, a6il6
<br />di Pto*sb. co&: Ti. ( odr-o.! Lke tl* d.6 mr rpply ro M o*nd o f ,ror5, $ ln hdil& or inro\ 6 rhq@r
<br />r.d sl[ odrrlr for $.h rrF *nh!Co lonrl kdE d p{Fd rorh.( odr&ror's L.oe l^l
<br />l0n A.mF und€ S(non
<br />Drrc Orncr:
<br />\YORXIRS aoruPaNSAflON
<br />D.EgdfAIIA!
<br />I h6.6r .fii nundd Frh\ ufI'6,'r) on.ofrh.follo{n* &tl,ahni
<br />IM\rrdu'll@i' rx i (-dir(n..f Co6di ro sdll@c fd *o 6'on{6dir.. a Fo\i!.i for br S6li,. l7(xj .t l,E
<br />l!lr, ('nj.. for rlE Ffffi. otllt $ort fq rnah lh. Fnn i Bu.d
<br />I hi\. .nd trill mainkrn s ortn .omFNrn,n 'sur.n.., a r.quir.d ht sNr Dn rr(o of rh. bhor (-r'dc. tn lh. !EromM.. or
<br />lh€ $or k for whirh rhi! ,'nnn i! nsua.l. My porkd ..nlEsrion lnsur R c.rid ind lolicy numb( rcl
<br />l.d'fy rh i. rh. Ffrllrr4. oarh. wolt for *h'chrh'!Fm'r rr E3u.i.Iih.llfr{ 6l,lot rnt F$. in!.} ndK
<br />$ ato tE o'nc sutid t. th. $o.t6'conFMhn b$r ol( drfomia. rhd +c 'ni i,I sh.uld h.rom uh*' loIh.
<br />"irlar' (omrEstio. po irnrB of S.dion 1700 of th. Lbor (-od., I sh.ll. aonhs h comply wilh tl'ns ran istd
<br />WARNINC Farlur. ro su. *orlm comt nsrion .ou@a. ir unllsful, dd shall sunjd dpkJtg h oiminal Fuhi6 Md
<br />ov'l nnd trp k' oe hundGi lhousnd doll6 (llm,fiD), rn dddir'o. xr rh. *rr of .omp.Mlro., .tdn46 B Fovidcd lor lhc
<br />sdn,n 10766frh.lillr(ixL, i.r6.r rnd dronEt r fG
<br />UC}idIEP-CqNIAACn)B
<br />DEOdAAIIOd
<br />I hdrq lmm uidd p.in't of Fjury lhd I m li.di.d ondd Forision of (fuprd 9{commdcins r n S.dri 7U[) ofDNBn,n:r
<br />ol 'h.lrdinB and P&a<!nr.! ('od., mdmylicm L in lullfor..Md.rel
<br />caNlla.l]crt0NJ.Ellltclcr!(r
<br />I hqcby lmirn und.r Fndh, oltdjury rhd rhq. i!. connrudnn knding aaacy lor rh. psromecc ord,c {ort f.r $hi.h rhis Fflnt ts
<br />tru.d (sa :t097.civ. c )
<br />AfTUQINLDECIJAAIIA!
<br />I h.*, .finn uidd parhy of Fjury orc of lh. follosin! dalmri.ns
<br />Donol ion Plmits-Astdtor Notili$tio. F.drsl R€sul.rk'ns ( lirl.40. Pan6)
<br />Rqurcd t ir6ott{'tifurin
<br />I ccliry
<br />'hd
<br />$. Ld6.l rquLrnN r.redlll3 aldor r(mrllu. mr qrl.ahk
<br />'o
<br />rh6 preJ.(
<br />l.d,l) rhn I hr\! rod rhs 8r'tl(rto. fit nd.rhd rh..h\. 'nfomdn,n s 6ndj I ag* ro connl] $ih.ll ( ir!.nd ( otrnl
<br />.rdtn.k6d Sral. trs! El,r,nn r. hilding codtu<r[q rd hd.ty aur]nr;. rqi.sdi\c olrhis (-rt sd (i]unrt ro ol( up.n lh.
<br />ahov. ddron.d prcp.nt for rspdidn purBrG
<br />\t,t,li.nnr o' 1!.trr siqtrirtr,(
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln su latio n/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
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />Forms/Steel/Holdowns
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