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BUILDING. INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS OsF-ts{ildd D..ldi.n I h.r.rr rfirn undn p.rhy oa Frwy fi.t I m .i.mpr 1016 rh. Conr.do6 L..@ trw for rh. follo*rt r.&n t c Tot l 5 &!in* Dd Prof6ron Cod.): A.y Cny o! ( ounty whi(h Equna . pmn lo coolnr.t. .h6. idpov.. d.mlitfi or Ep.n ry rttu.ru., prior io ! i$unc.. tbo Equt6 th. tpplicd tor u.h Fmn to fiI. . risn.d Jl.tmnt rl n.orth€i!lic.B.d pu6ul t. th. pmvnioB ol fi. Co.r.doat l-re6.d l.w (Chr(d 9, Conn.*'n8 wnh SdFn ?0oo of D'v68tr I of rlE B6rn6. .rd Prof6.66 Cod., or rh.r t d ihc ir .r.mpr th.r.d.n rd rlE b.!! tor rh. .U.i.il .rd,l.n Ary r rlne or S..iDn ?01 I t by &y $?li.tnr lor . Fnnn lbj(dr rlE .Ppliclnl 'o..nilD.unyofml mr.lhrn nr. hu,ircd dolLr (t50o). l. B orffiof ih.pmp.nr. nrmymployd *ilh *rx6.. ih.t NL coDp.srriD silldo rh. wori ud rhc ttnElu. i! rct hrod.d or olTd.d ror ql. ( sa 7c,s. Bur6t r.d Prof6ibB Cod. TIE Con!.dd 3 Lc.e lr* d6 d .ppl, ro .. ow ot rh. Fop.dy sho b'ld. .i dpr.ya rh66tr, !d rh6 do6 .xh worl hiMlf o. h*lf or lh.ou8h hit or lrr N n mploys, pmvd.d thi !u.t improv.n.nk rr. no' ini.nd.d or olId.d aor$1. Ir,ho*.vd,rt blildi.s orinlrov.m.d irrold wnhino.. ycrrofco'rpldion,rh. ()w.a-ltuildd willh.r. $. b{rd.n ofptovinr rhr' h.or !h. mt b{ild or inoro!. t r rh. purD6t. or$1.). l. ! orF ofrh. prop.ny, m.r.luti!.ly conrfti'a snh lr6.d.onr.cro. io.oGrru.r liE FoF I S< 70.1t. Buin6!..d Pmfatun Cod. Tt.( onhdors l-'ccnk lrwdc rcr rpply to rno*r€ofpropsry *ho blrldtor rnprov6 th.r.o.,..d who co.tr.6fo, ruch lroE rr w h.Co.k cront) |'.GB.J Durunrb rh. l.m.i.mpt undqS<ti,o /,J"^,, ro3 - /0 o"n.,:yl I hd.b! illn und6 l.tuhr o, n<rjur) orc . f r hc folLr inx d(llnhB I hrvc.a<l *ill tui ri!. Cclifr.r. orcoter b S.la'lsur. lor Erl(r 6nr.Er6tr u provd.d for b, sd6. 17m of rh. trbor Co&. fot llE pGfoffi oftL wnl 6. rhkh tlr Fnn n irid I h.v.md *'llf,r'nr.r worl.B @mp.nur'o. heur.x.,.r r.qotr.d by S..non l7o0 oarh.l.boiCod., for rh€ p.riomrnc. olrh! *ork for !h'ch rh! Fro !Eu.i My *orldr' omp..nr 6n 'auu.. .Mir lrd rolicy nmb.r n PolkyNunba: _ _Expi6tTti! nirn E d @r bc corqlcrcd il rlE Fnn i! fd (h. holn d & Lrr illoo I or lx) I ccnify rhl in rh. p€rfom.r. ol lhc *ork for whi.h rhr p.mi! i nsu.d.I shrll nor .fttLy .ny p.non 'n.nyn.nn.r ar- h...m. rubrd to rh. wo.lss' comp..$ton Lg of Cr lrlornr.- rnd rtrd ..np.ur ion Foy aitq ol s<rirn 1700 of rlr lrbor cod., I tEll. ^",v0) -0 -t5-- lvARNlN(; [.nu..rd c.r.woit6- conp. 6n6 uD b oE hurdrcd rh.usnd d.lla (ll 0O. rn. hb., ( od.. ' ..d ..d rnorfty ! id Mr.ncor6rs.6 unh*lul. tXXr) in rddnbn 16 rh..od or .hpby6 ro sihiol p<rhi6 &d.ivil D.- d. rd 6 pror n d for rh. s<(lrtr 1076 of LICEI{SID (.ONTNACTORS DfCT-^RArION I hd.by . rTm und.r p.Dny ol F,ury d{ I o li..r!.d Eid pmttiotr of Ch.Od c (offiinr q nh sdion 70m) or D$ nirn I ol th. Buin6 .nd P.of6tioB Cod.. md ny liee t i. n: rorc. r.d .r.d )(ONSftrJCTIOI! Lf rDINC ACENCT I hdhy riIm u.&! ,.ohy otF)ury rhr rhd. n.ddrructirn Edini.scy for rlr Ffomn . of rlE udl for *hrn rhL p.md il ,i.r!u.d{S(. loe'. CN C,,7@, AIIIICAIT,Ii.OE(I.AAAI,IaB I).mlhion fmnl^rb.ior Noi ificdbn F.dol R.rrhrior {Tir k 40. Pd 6l R.qut.d Lm6 of NdifrnFn l ccni,i lhlt lhc ltd..rl r.s!l ioro rerrdiry Gb6tx ...ro!.1 .r. nor .ppliclbl. h rhis p.ojd U .cn,ry th.r I h.. . c.d thir .ppl rlE rborc inroruron s cotr.( l.BRtocomrb trdn.I Cn) ud Counry ordinrn.6!.d Srrr. lrw!r.prdcntric.! oflh8Cny rnd Counrylo ol( upon rh. ibv. nrnrk)n.d prul).ny f( Applt. o.r8rd tir X ) I'cijnilc. d rc(pnntl *i)t< Erection Pads UFER Ground SLAB Floor Subfloor/VenUlnsul. Roof Sheathing Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report FINAL 3-22-3/J)cfal 2 Certificate of Occupancy Noles, Remarks, Etc.P-rr*-,/ -"U/ ,r/*.n b*^./ HLO M1wP51\P.mt-lnsp6cton Fm\&rilding.lnsEcton Rocord.doc 03 31 06 Set Backs Forms/Steel/Holdowns Flood Zone Certif.