|
BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER IUILDER DELCARATTON
<br />I lncby rrfrn unJcr I'.Mlly ,'f Frjrry r lu , m .rcnV{ tulh rlE Girt&tn L(mx L.q lor tlE followi,r Ers (Se rol l 5
<br />Itu mi. r'il lh'f.s{n Cnrc) Ar} Cxy o, G{l y *hxh cqomr . Fmr ro $ndtu1. .lrq. itrIl,o!.. &mlr3h or tqu uy
<br />dtur@, Fri'o s tr$Bc. d$ r.1ores tlE rllt i.nr rtr hFmr b nk r rlEJ {..trd $.' lrm tE n lirrEn IU.db rlr F)vsx,nr o( rlE coorrrkrt Li.cnsn L.q lch.trd 9, coltwB'n3 enh sdnn ,ux, of Divrnn I or rlE Butirsr . l
<br />P^ .$r'ns GiL) d rhr' h. or sll 6 .r.rq, tr6.ftn !n rtE br$r n, r,r llLs.n .id{*M AryrDEridorsdrs m,rl56yuy
<br />lr,th. ntr . Frnn rlhFrs rh .,rlE.nr ro . clvrl F h,ornn frftrh.n r'rt hun!r.{ dolE3 (t5{D)
<br />_1,$ owHof rtE FDFny, d my.npkJfc wnh wrS6 d rh.d aL (rlp.ndn.. * lJorh.*dtrnl Etum6d
<br />d.nlaj d off.El ld rl (S*.7ora. BBihs.,rl Pmr.s.bN Car.: TIE Gdai,\ Irrtr lrw do.r d {'rly h o olm o,
<br />rh. F1d, wbla knsqmB Ee &t *h,rlB qh wt hrElt.n lElror [NU!thB ( lE oh.,rpl,Fr.
<br />roqLtl rh.l Bh uDpNw r E d nsl16l r offdlr n{ x!. lt h,w. dr t! ,r!l3 G rqn)trtr it srl {tb ,E }.rol.orpldrr tlE or,ffi Bulld wil lE{ tlE h!&tr orF)vs! thl h d i& d, D{ tri! d ntmE tlE F dr, r{ lh. F,Fxoa
<br />_ l, r\ u*kr ol rh. IroFny, rm cr.hnrTly rrnk& r [t r h l,!. {J .ofi r.tn n) ( r(er rlr lrl,F-r l sr.- 7(}lit- Btr{'rs
<br />!,Ih)lsluC(rl.:ThdCrhkrrkr'rL'..n\rl-rsJ,r\rknrptlyn,rnown.rorprfcny*tx,hr,ltlsorml)n,v.srh.r.on.
<br />rn,l rh" ( oorrros li)r surh 0n'F(t * h {C ntrd(rtr(n lrcn(tl plcu!trr r,rhc(i)tr(rr(!tr r LKtrs L.w)
<br />I rncrctuprue].r Scdn,n_, !. & PC ltrrhRrc!(,n
<br />.Irl]SBEIN:g$lIEBIAIla!pEct AEaLIll!
<br />I h.rchy.rl(nund.r PtBhyofllc Jury.m olrhc tulk'ehB J.rllhr!{s:
<br />I hrlr dl url rs'nrrh a Ccn,aMr ol Con*nrir S.lr ln\orc,r{vork.^ (onrpc'urk,n.,! n(,vrlcd nn hyS.rrx,n l?U)n, rh.
<br />Irtrr (-,xlc,,!, rhc Frrortur. ofrh. *oft n, whf,h rh. p.n ^ tr\ucJ
<br />_ I h.v. .nJ urll n.mr.m w{*.* .lnFns.rrr our.tuc, ., r.quftJ ht S(rD. !7(D ol ih. lilxv Cd.. 16r rlE FfilmL. or
<br />llx strt tu whrh r,us F dl 6 Nal My vnt6 .nqEngtr). n urnr.uE lrl lDlry nun$cr G:
<br />-l
<br />..d r rh,!
<br />'r
<br />rlE FrlormLr of rlE wo nr shrh rh! F h r B$.J, I rll.ll mr .il{lhy .ny FRrn itr.ny nuN
<br />q! .i t' h.t1rm rubF*r ro rtr w'lt6a !$n{ENti)n Uer ol CrhfomE, lrl +E tlsr r, I dblll hdom rubl..r lo rlE
<br />ktrkdi $hirnr'Fn p$,i!r,N oa S€rtn 17& otrlt Ltr, CqL. I 1lIll. tqlh* h.ni! , *nh {rE I,$vtionr
<br />WAtltlNG: F1rx6 t, Yt..-@ hrt B o.rrrdriu $knr. ! unhrful, rd lhnl 'ohFlr u crrybFr ro si,Wl Fdhs ul
<br />.Nrl fims up tu om hudlrcJ rhoosrl Jollrl. lslm,Uxl), in r&l [n (, rlE .on of orltnsrn,n. J@rd a I'rovij.J tu rlE
<br />S..r$n 1076 of rh. Utrtr Cul., hr.r.n r rno.Eyk aei
<br />lhlc: ,\ppli.{nll
<br />uc[drllt!0t{rxdtfoB
<br />I}EIIAEAIIA!
<br />I h.Rby rl lth unJ.i ll.nrlry of Frjury rh lrDlku$'lu .. povNnrorCh! cr e (crmnEhrnt wirh Sr..lnn 7(l)0) oI t)rvrlon .r
<br />rl rhc hAtrf,\\rnJ l,mlcsi(nN G',ld.,nl ny licn\c r\ r tull ntr( lrl.llc.r
<br />IAISIAIIIIaNjJNTIIIi.AGIBIILrEhy .Irrh uBbr F 'nq or FI[, r,rr' rhd! 6 r drdnrrm l n! .8.r, tu tlr Fnmr or llE cort ftr dEh $! Fmr 6
<br />riiu.J rsd l})?,C'v C )
<br />APPLICANT D}'CT {R I'ION
<br />I hd*'y ltlm unLr Fn.Xy or F ir.y oft of rh. Llb*tn8 &(br! r,rr:
<br />D.mhlrn P.rmreArh.(os Notf.alrn l.rlcEl R.guhli,n. tlxl.rD, Pfi6)
<br />-R.qurcn
<br />lJt.rorMtifE hn
<br />_l r.n'lyrhrr rh.l.J.rrlrcloLton\ rlr'lhg r\h(no\ krnovrldr. nd Jlipl'rrhlL.n, rh^ rn,Flr
<br />_l(.nrryrhrr,hlvcrcalrhnlpfli.rrinradsrorcrhlrrh.uh'rrnlnrBrnrL\(oncr I dBG n' comlly wirh rll C yandCounry
<br />onlifteA .Rl Sl.lc Laws rclrtinS to bu dint !onid(r'n, !n, hcr.hy arrh,ft rcF.*d.livcr or itu C y .n! County lo cnrq uF,n ltr
<br />.lx'vc mntnnrd pDFny tur insFdbn lurNss
<br /> ppln{ nr At.trlSiamluE l,.re
<br />Set Backs
<br />Forms/Sleel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq
<br />Framinq
<br />lnsulation/Energy
<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 />tzh )
<br />FINAL *lqlzr 'T*>rtur,^)-Certificate ot Occu n
<br />Notes Remarks, Etc
<br />Subf loor/VenVlnsulation
<br />Shear Wall
<br />Flood Zone Certif.
<br />----+--
|