|
BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.OWNER BUILDER DELCAR TION
<br />I lrr.t, .rltft unLr FDIy rll |E rury thr I M .riqi lnn rh. O,.trlliE Lx.nr Lw ri, rk tultNae r.&s. (Sr mll.,
<br />Ilo'n.!s aBl Pnr(idn Grl.): Any Cn, dr Cord, wh(h rcqufts . Fmr to o.snEt, .lt.r. rqmrc. &Brsh or EFU any
<br />{u'8, Frtr 6 (r !oe., rEr r8tu6 t'r .irlr.nr ror ruh Fmr ro 6L . saEJ xddnr rh, lF rlE ! 1f,.8.{ Fr$d
<br />r,, rhr pmvsn'n\ nl rlr O,nrrNktr t l-irn!.! lrw (C14r.! 9, Ctrllmn.rg e h SNID 700(, or Orvbn,n 1 ol th. liusix$ Md
<br />E!bl.!srn\ (_ul) rhrr lE d 'lx s .(ry{ rtf.fron rnl rlr b.!a fd rlE .t t.J .r.qrm Any vd.lon nl Salrh 7tu l.5 hy sy
<br />.Ipltrenr inr i F.mir sohjaIr rlr rr'lliqtrr lo . ri,il Fuh y oI nor dlt rhe hrc hu*]r.d .ldll{r (5HD).
<br />_1, !s o*mr ol rh. pruJrny, o! my .mployc.s w h *.8cs ai Ih.r olc .ompcnel iotr. u l do llE rrk lrl llt rltuiN n rul
<br />d.r}.l or oilcral fd sk (Sa.7I)44, ButBr .nl Pn'f63r'N OrL TlE Codr(ki . Lloc lrr tlr! m !ppl, nr u owr ol
<br />rhc InlFny eb hiUs r rqmB ttsd,..,rn wh' Es n'rhud hinrcll or hcrpl, or thNlgh hN M hd owh.mJlh]y..s,
<br />rovrLJ rhi uh m{n,rrns e r{ .rmktr oroll.cr tr rE tr. hw. rtE rx rine q lrFerEd ! 5ll rrh6 (E F,ofuompllir,ltro*Er8ui!.rwlhrv.rlEtu.nortmvrryrh!lE{,lhcdrlfr{hr l or rmrNE ui F Fry ,or rL In4r,s or
<br />_1, t\ ouH or rll F)Fny. r.r c(lusrrly c.dr*rr8 wnh lrcn*J odr&iln ro ..nsto.t th. FoFi (Sa 70&r. BurEs
<br />. t'rt'i.6ih Gilc: thc Grnkr.l'tri LE.ne l,.w dtEs { .mly lo dn.pn.r of ffoncny *hr buiur or imrot! rh.'.on,
<br />rntl wll, otures nr *h Fur.ar! e hror klo(.) h.trGl turunr klrlE((dr.dorr Lrcn( Lw).
<br />_l rmcr.npt u',lcr Sdxr
<br />WOtXllt\'COiIPh--SATION_
<br />IICLASAIIq!
<br />I h.r.by .ll (n und.r rEmhy or rElrry oE .r r& roll)sui .lcl{.l nns:
<br />_I h.r I prll Errd r (d'f..t. ol Cokn' h S.lr-lnuE l{ *116 .nnFnd,,n. .t Fuvrrnl for l', Sdre.tT(I) or rlr
<br />F-rrnrmn..ol rhc work n, wh(hrhc p(rinrr ! rsu.J
<br />fr fl^,."
<br />rtu H{k,'n whrt rlltr rrmr a Bhl .mFn{rrnn\rnrt{.frr nl F,lry nlmh.r r.
<br />X;
<br />)ta.*-lrn
<br />I u.nriy rh.l in lhc FrtorNft.,,r rh. eork tu whrh rhr Jsmrl ,s NSEJ,I sUU r cq't,y &, Frvln n ay Mt'
<br />$ .1r' tEom iuhFr b rhc qrrt6 lr,nFNrFn hwr o(C.timE. tiJ atr rld f t shrxtl h(a,m srbFt b tlr
<br />vork.B.or{En{rmnl'nrvi\k).sorserDnrTmorth.lrhtrGr,.,Inulltunhwirh.\,illllywilhrhlEpmvisx,nr
<br />WARNIN(;: t.. uE n, Re wlsi c.dqEnq'$n ..Ert8. ! unL*tul, .ul lhrll sbFr u d,pLF r' lrrlul FmnE lBl
<br />.'vn rincr ur tu om nu|rlr'l r&,usrnJ lollu\ (!lm.uu. r !. irion n,.oi !,, ronllicn\rr(,n, drturc\ rr ln)vtrn.d ntr rk
<br />;,i:Jl$ffi)^-
<br />C
<br />l]l!t-!r!Lq]
<br />I h.Ehy afiirm und.r I.Mlly or pc4ury lh.l I m l,€nkl unJ.r ptuvron ol Chprq e (conmn! ln3 *irh S.c' i'n 7(l(xl) or Diai\i"n l
<br />ol rh auift$ !n Prul6ri,E Cdlc, .!n E, l..N s in rull foN dn.ffdr
<br />c rj
<br />!:qll[8lIJr]NrltlracacEulJ
<br />I h.r.lry alr,n unlo Ftun, or ,E lry rhd rt-. n r $Ntur.n bdhS +*y rd llE F.inrrl4:c of llE vrl for rtxh rhB Fnr u
<br />rxucd (Sc. l0S7,Civ C.)
<br />L.nLi'r N.G: _
<br />l.rrid\ A.!rB.:
<br />-
<br />AI! TSANLDECIdSAITqN
<br />I hdt{ry rnim udL, FBh y oi F jury om or OE ftnlll*in3 J.tLr.liixr:
<br />D.hn ir Pcm lAilE(or M frltion lqlsrl Rc8uLronl (Tnl.40, Pan6,
<br />-lt.qtrcJ
<br />Ldr.r ol t{d'frrrM
<br />_l (d y rh.r tlE t rLrrlrcsuLrDnr Ef {Jh3 rstE{$ rcn)vrl {. ft'l qDlrdbk n, $! F$Fr
<br />w.",,,,,y rhr! I hrt. r.rd rhlr.rpl[rxrn drl r. rh.r rh..h,!. rntotur!. N (me! I .8]e Io $n{'ly virh rll C y.d Counry
<br />rhr City.n! C.unty r0 cnrd uFr tba' surc ljw\icLrry k' huilli4 c(r Ih.r.ny rrhon,c nF.\c ratv.\or
<br />.h,ve mnrrFl ri$IEny lq
<br />Appliorr or Airnr siEDru
<br />aL/1
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulalion
<br />Roof Sheathing IL th 41l,<J )wl
<br />Shear Wall
<br />Framinq
<br />lnsu lat ion/En erq y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence (
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />I
<br />FINAL 4 t DA# &{(
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc.
<br />I
<br />COMMENTS
<br />Set Backs
<br />T-Bar
<br />Flood Zone Certif .
|