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BUtLDING. INSPECTOB RECORD
<br />SITE.WORK DATE ID/S!G.COMMENTS OWNEX BUILDEA DE[C XATION
<br />I nd.ny rrrh uBLr Frhy (n Fri., rh.r I u .r.qi lioE rlr O,xrar6 ls^- tlw ror rlE rolor,! Erid (S...t11.5
<br />Buri6r !d Pr.f.rxen C.rj.): Ary Cn, or Cdrr, *t.n r{uG! . Irfli, !o .rrcR1 .116. i,ltroE. &B'l!t or EFr e,
<br />sturE,Imk' {r s!ll&r, rrn Equr6llE.I'llr5r fq uh tEril ro f .rr'!EJdr.Er thr h.dtr u lrarrl Fr$tr
<br />k, rt FDuiDB or rE Cdrrn{ r Lrrhr6, tir (ChrFd 9, cilmEtr! enh Salnn 7U)0 ot D't[ir I ol rlE Burrs u.l
<br />P,si.sbnr Grl) r rh.r lr r llE ir.rcq,r rhefiom.rn rlE ll.d lor
<br />'lE
<br />dtlat.r.r$$tr a.y vslnion ol SdlM ,ol L hy ry
<br />{rL.{r ror r Fmr shi.!'r rlE +plE d
<br />'o
<br />. uv, FBIy ol n BE $ nvc hu ,Bl doUD (55O,
<br />_1. a\ osmr ol rh. Iiorrdy.,n 6r.hpl('rccs *irh wr!.r rs rh.r y,h (,n{Eny'xn. u'I do rlt wfk nrl rh. nBr@ ! nn
<br />'nrcBLJ or ollrr.J l,tr !'k ( S{ ?tB]l, Bunft\r and Pi.lc\rx,ns C(!lc. I hc Contr(r's Ltr nc Law 'l,Es nar |pdy t) rn o*ncr oI
<br />0rpn)Fny rh' trn[1 ur n.Irl)K\ rh.Fm- {rl vh' 'lf,\ \k h vfi h'm\.ll or h.rkll or rhrDulh tus or h.r wn.mfloycc\,
<br />l(,vd.d rhr {kh m|)n,kmn( m tur ficnLJ or rliml htr klc Il, h)wE., !h. tn lry {r n{a'Emd i\ r'll wrhn o'r ${
<br />olcon{'kltr}n. lhc ouK Bu .,!r w ltuv. rlE tu.lcn oi nmvu,s rhnr h. or \nc Ji B, hu J.r inryolc ih. t ,Itny htr rlE n lr's.r
<br />-I,
<br />rso9d.rrh. F{dy. m.rctu.iv.lyonlralirf pnh kcE n o rkkE rolrrtrIqE-r rl! FDFi (S4.70,14, BlrEs
<br />ul Rlrsqr C.,L: Tlr Conrrdoir LrcnF L.r d€! mi .r'[ly ro x o*d o( Fotlny,ho bu d, or irrroEr rh.e4
<br />{d *lh o Et fq thh tbFr! wnn . Coffid,ii) I..r€J llnud ro rrE C.lr.&r( ! Liue L.*)
<br />_l.mcknt unJd Sdhr .B &P( tnrhBmq'n
<br />O.t.:-
<br />llaBf,[EliiltatEEdrAllltB
<br />DEqIdSAIIA!
<br />I lEab, rrltm un&r FBlryol ncqnry or o{ rrE folLrr8 .kaLrrrk,nr
<br />_l hrv. l !,ll trirtr' r Ctn'lrrt olCon\cnr t, S.ll LntrN l(tr *ortch (Dtr *ndt..s tr vd.J r(t$ysdr!t' l?lx).1ilE
<br />Lrhtr({!1.,,!rrh.Itrrorn! k.orrhcwork tu*hchrhcfrNr I i\{'e(l
<br />I h(v. rn! wnlmflnr!trr workcF .onFnralion inrurah-., rucqurJ hy S(rnr:l7lt) ol rhc blxtr C,th, ntr Ih. nol,trm'tuc.t
<br />rh. work lnrwhrhrhs |r.nnr rr r{E{. M, *orlqi.omFn{.on xM'rnr (Ntrf,r,rrl F tynunrtE, s.:
<br />\l.1<s} An r-r"icrt ---f =^rs.-la
<br />p(-j.--
<br />r-)t
<br />_l...fy rhd n !M Frformr. ol rlE *dt f* rhrh rh,r F nn r $u.J. I rh.ll dn.q'by lry l<ar r".n, mnrr
<br />$ sb tEor NtFr b rlr *trts'luqEMtDn Lw\ of C.rdoru. ril +d rh,r I rbuld tEom rubF lorh.
<br />h*6 (ioFnarxn t1nrvnhn\ ot S.(r.n l7{r or rlE Lrh, 6rj., I .lull, nrh* h d,rN y ,ilh tlD- rt'hq,nr
<br />WARi\ilil(; l;r'ltrr r, raur. !or[cr\ (,httn!d$n (r.rrtc r1 Lerul. uj thrll lutFr m.r{lloy.i b (lltlwlFrhn rdl
<br />ovd nRs ul' tr,.* hunlrc! lh'usdBl J{ll.u (Slm.(xl)), m ,jd t' rlE ro( o, ro4i.rrion. dm8., d Frvrlal lrr th.
<br />,r", ,lX ui'(irjc, trrcrcsl lrj arhml.s ,iri
<br />2o1o
<br />DECIdSAIIA!
<br />I h.Eby lllirm unJcr Fn.rly n, ,xrrury ttur I .fr li.lnsi udcr ,rnvB{'n or Ch+tcr 9 ((rllmkii! r h Sa1h.'lur}).l D,vBrr ]
<br />or llr BusB$ ol Enr.snr. C L,lrjnylictrEluttlll,,Nrnl.tdr 'i
<br />C I<2 91 I ooG
<br />rz I rr,l Aeeo {/<q^,1
<br />colilaucuar.tEuralil{iEd.g
<br />I h.Eiy rrrh !d.r lEnllry dr Frjury rh.r llEc is r (ah!tulr,n Lo.]us rs.By t, rh. IEfoflrr*. or rh. ktrk r'tr ]tlh rha Ismr !.
<br />rrkd (s.r. :1041, crv. c.)
<br />AISUCAALDETIjEAI]O!
<br />I hod'y drm uuLr rEn.lry o( F ,ury oE of r,E foll,wo8 &rllrlxr!:
<br />D.@libn P.rnirl^sh.nor Ntitfr.tbn Fclcr.l RcFULt$n! (T lc !0. FM6)
<br />-Re{u!.n
<br />L.n.. .l Nrf.Irh
<br />_l (df, rhd rM laldrl rFlj$rs r3alm! .sbcsbr Em)ti e B)l .trl..hlc ro rhn poF1.
<br />3Lr .d't,hi' r h.w rc.,r rhs.r'Ilrr.rDn.tn rhar rlE.h)r rrirtur(,n !(,fur.I.8re loNml,ly*nh.ll C(y.d Counly
<br />orlitutu.i .nJ Sr.r. ue\ Eld mr rr hururn r)n. JDI h.rchyrurhtrr. rcl'c{lur,!c\ of rhit C yrrJCdotrryr,.nre uF)nrlr
<br />*/tzlzz .,67-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/lnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framino
<br />lns u lation/Enera y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqrneer Final Report
<br />Flood Zone Ceflif .
<br />FINAL l7O/zcz-t ,,zA +Lfi)
<br />Certif icate ol Occupancy
<br />Notes, Remarks, Etc.
<br />tt
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