|
BUILDING- INSPECTOR BECORO
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNET IUILDET DELCARATI()N
<br />I lrrbv arrd und.r Fnixy or p.4ry ,Ei I m crclpl 6m tlE C,ntd6 Lia* lj* aor rtE folbsng .!e. (S.<.mll.J
<br />Buq6\ Ml Pmcrn,n C.d.) Any Cny or CMy rt h 'r{uiB . Fdi ro frc..t. rlq. iil'mE. rLmlnh or EFn uy
<br />(Mturc. Fu ro ili idudc..ls r!uN! rlE dffli.mr ro. .u(h Fml lo 68. siEBl nd.lHl lhrl lt or rt ii li.ctran F@.!r
<br />kr rh. FovitiN or dr Cdtr-rd'! Li..rc{ Lrw (crqrd 9. Collmrmg wih Scrbn 70., of Divtnn I of lli BuiE$ .d
<br />Pmlcsbnr Cod.) d rh.r lE or rlE ii cr.q* tlE{nimr ttr b.sir lorllE nLs.d crcq'rion. /uy violrlio, ofs.crtin 70}L5 b, dy
<br />ap! i.rnr {or r lErhil sbFrr llE dpplkanl ro r cieil Ftuh, ol re' mc rh{ fiw hudr.d dolb. (lt{I),
<br />_ l. d n*m or rhc rnlFdy. ri 6, .ntlort.r *hh a.86 a ih.n hk on{E.slrion. qill & dE srt an lh. !.,r!lE ir ht
<br />iddr.Ld dofictqi 16 f,L 156 701,,. auiBr rnd PrDrdri,B Co+ TIE C6.rrrd r ti6x t w da. ml 4'ply lo u owEr ol
<br />rh. pf,rFny who trinr or [{,mwr ttEmc lrl win dB ffi mn h6.lf or h.Ell m rlhuth ha. d l'.r oM .n9loF6,
<br />pnriLd rrd ch inqh!*.G Gd ir.iiLd rofn d br !L ll hoffi, rtE tuiuitr ff irqlEmrr n rld dnin m Fr
<br />ofonoLrio( rlE OeEr Buildd will trE llE hrrk. ol Imvh! rh. lE m .lE dn d h{iB or iilmE dE plrtEr, Li iL FIFE ot
<br />_t m.&mF utoLr sdnf,_, A. A PC ltrrhiBin
<br />D.t. offi
<br />woRKFR\iE r ipErsaTri)it
<br />DICIJSAITqd
<br />, lrcht rfllm n.d( FElry of FJljryonof rh. folbwint d&hr.lk rs
<br />I h!* an will mi rh r C.nirrd. .l coM.r r. s.ll.lnrw f(i slln mqEnsdion. r Fovilcd tor h, Sriion lI)0 ot th.
<br />l.tx, c(d., ftr rh. Fnomm of rlE k,n ,or !h.h rh. Fmir k nru.d.
<br />I hlw rtrdwillminlrin m crt comrEn{tion iBunr.,.1 Eqlid{t by sdibn l7m orrlE bhd Cc&. fr rlE Fnre o(
<br />lL q,t fn *hth lhn r.ml i! ir!,.4 My *{d6 o,.rrEndi,n inrilllN (ahr 1n Flty nu,$6 ft
<br />e Ar shte FL.^4
<br />n,*,, z'9 )? ll \1
<br />I ccnify rhar u rlr F.f6nld of Ehrt ror r'hih $n Frnt ir iricL I shll d.rrb,uyFan inr,IUE
<br />e a! lo h..oft rubixt lo llr rqrd comFnsrion hwr of Crlifonh. nd a3E lnd if I tlmE r!.om nltitr lo rtr
<br />wEt6' otrp.Nrnn FourrB nf Sdion.!,Oof llr L.lr Cod.. I rltll ft,nhsrh oqly w'fi rnE Fov!..N
<br />WARNINO: F.ilur rD dm *6tc( onD.nqrion .ovmlc ir unbstul, . rh.ll $hFl .n dlPloFl to aimi l rEMli!.
<br />b od fi! lEi rlrtusll d.lls (llm.(Il)). ir aldnbn b rh. d nn d.flr$ r\ FoviLd tu rl!
<br />sftrin 1076 ol !h. trbor Gric. irr.E{ .rn rrtdEy e
<br />:lo:4o.:, 29
<br />^
<br />I I'cr.hyrlltr rtr'xlrr Fnalrroftrrur) rhd I rn h\un&r Fvtion of Chdprs 9 (@nmrin8 *th Sdir 7uD) ol Divrir. l
<br />of rlE BGiE! rd PrD6sbnr Co&. ,n ny lirE ir b niu ltE .d.6al
<br />6
<br />r).r. /A-)2-LO c-,
<br />I tEEbt alfirm undn F.ahy of Frru., rhd rlEr n ! onrn&lbn Hint r$Ey fo dF F.fre o( E wt for rtih
<br />'ht Fd i
<br />t$.d (s6 1097. civ c.)
<br />AITUqNI.DDCIJSAIION
<br />I H,y lnim oftlc! rtnllryof Frju., otu orrh tulkwing &.hrdrnt
<br />Dcmnni,n F.rmns A{Ed N,rifEdhn fd'rl R.tuhri.nslT k.10. Pd6)
<br />Rquircn ldrdolt&iarr.n
<br />_l dify rhd rh. fur.El Eeul{sn! ,.8r ini .!t .tG Emhl & ml .fl!'lira,L ro rtir F.F
<br />-l
<br />ccniry rh I h.w e.d rhk .mlk th. ,,ld n!r. tlu tlE rrnw i.fomb. ir arrd I .sc b onpry wnh .ll Ca y .rn Cody
<br />rcs!dSr.rct *s Ehliry ro hiBins conrlrElior rn ltfh,.ubrit cFcsLriw. orthnC y .nd Counly lo ols lFn llE
<br />trtx'k trrntoflcdln)lrdy l((
<br />,tIpl(nnr or \xtnr sixn,h'R lo -)o-2o
<br />Set Backs
<br />Forms/Steel/Holdowns ll 1 1)>1
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenUl nsulalion
<br />Roof Sheathino
<br />Shear Wall lt
<br />Framing lr t
<br />lnsulation/Energy I
<br />Arywall
<br />',@fltnt.la.tn IL ldl'Lt p$16"
<br />B-rown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Fleq
<br />Deputy Final Beport
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />lr I
<br />FINAL I t\/A DIkw.
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc
<br />Rev. 08.07-2015
<br />I
<br />__1. r 0,6 or rlr FD.ny, mcr.hiwlr 6.NhS w h lam-n drlr.R lo lldnxl llt FtrFl lss 7044. Auirsjn P, Bh Cdc: Th. C.nt*tol! l.k..r Li* &B nor +nly ro .n orn.r uf pmFny who build. or inDrorcs lhaon.
<br />mn *tu o .d! rd $t FoFrs *hn . C...'rr6dn lit^r.d pIlru k, rh. Cffir'! tj(lN bw)
<br />::4,
|