|
SITE.WORK DATE ID/SIG.COMMENTS OWNEi BUtI,DER DEL(]ARATION
<br />t h.rty .llirm u*Lr FDlry i, F4ury 'h.! Lh .r.tr{ anrh r,E Codhtn l-r.n* bw ror rh. loll,Dina rc.sr (Se.70}l.l
<br />Buucss ,ol hrcrsbn Coi.): Ant Cny or Coxhr, whlh htuftr . n(fu r' d'nrrud. .16. 'tr{'flrE, &D,Lsh r rq'.{ .ny
<br />nturuE, Ftr k, rlr n$rEc, rL$ rcquncs llE .prlrMl nn lEh Fmii h iL r risrd {d(Enr rhd h. or slx ! Irtr$tl Fu d
<br />n, rlr Fov!{!,tr\ ol r,t Conr,rror! Licnr.J l,* (Chrfl.r 9, Comftno! * h Sdr$n nxl) .r Drvrkh ] nr rlr BurEar .nd
<br />Prnl.rsi)ns CNlt) r rh:r tr or rh. ir ckr{{ rhd.Aom $J rh. h.sa l,'r lh. .llct.d cknVinn Ary lr'Lriq .l Serrrn 1l.ll5 hyuy
<br />lptlf,anr ri( r tEmr rohFr r rh. .pirl(.nr h r .'r'l Frhy oI to, m!rc rhd ,iv. hur rcn d.lks ( S:l(t))
<br />_1. as o*r, ot rlf F,r.ny.,r m, cmphFs e.rh rr!.'.t rh., r,k.1mFMrbn. ! l rb llE Dd.nl rlE rulm B B,l
<br />inrd .\r o. otLrcJ lor eh (S( 7044. Burm$ and Pinirsons Cril.: Th. C-.nu&r,i l-r.M Uw dds nnl ipply to s dwH I
<br />rlE F'IEny *h! t dlt,r nF'6 rh.6r. !n vb &B uh uf,r hrlMll .r lE (lf r thmuSh hn (r h.. on ci{'liy6.
<br />thv'Jcd rhd suh im[orcftnk m , i .nL1 or olicftl nn sh l(
<br />'r,*cE(
<br />rh. t'oitlm3 or EIn,kft B s'l(I *[hm (nc ]tu
<br />ot loq'Ltra rh O*Er Au[.Lr *d hdE rlE hn Ln oa lr.rwB rh.r Ir ,r tE ,lrl rr hnt] .r lqnm rlr Fqd, L, rfi. Fqlrx of
<br />L rs or*r ol rh. Iln'IEny. .m .rctunvrly codrd 68 wdh l(r.r.d .o rkb6 h con{rud th. F)r{r (Se 7014, BurEas
<br />anl tluL\rx (irL: fh. Conlr.(t,tr-r L..nsc lrv dE, ml illly r,, d ovncr .f JroJE.l, vlrl buildi or ,n{'ov.. Ih.ro'n.
<br />rnJ *ho !\,nih_.h lir !._h Fl,Frr e h. Codk_.t(3) lrcnsl po^ud r. rh. Co,{rard ! Li..n< tir)
<br />_l rn.icopr ndld Schn_, B &PC ro,1h6 ,M
<br />.Elr8trElri:ClltttEBsArr(aDr,cufAIIo!
<br />I h.rcby.ltum un&r Frlry ol Fjur, oF olrh. ft,I,t)*rt ddllnrinl
<br />I h.k an *rll Errrn. Cd lfllr..r Conrd ro Srlf-Inru. td wk6'(rwtnsrbn. ., F,vrjd nn by Sarnn U(x) ol rlE
<br />L.htr Cqlc. for llr p. nrmn c ol rh. s lnr whrh lhc Frhi n nru.n.
<br />_, hirc rtrJ *,lln tr rtr, *olkc^ .omp.n\aron rnlunnrc, n\ rcqurcJ hrSR-'r( 17(X)ol rtu lf,litrC,il.,ld rhcn rl!trmn(col
<br />rh. *nrk l(tr whi h rhtr p.dxr ,\ tr1ui M y *orlrt rofl,I.ne! K,n ,n\orur. lrtrrr l F,lry numhd r.:
<br />uqlu^l lnJu.nntc- Co '
<br />U)c2z1t.41Dlot o 2D
<br />_l rcnny rhar o(hc lrrtunun.. ol rh. *o hr vh(hrhNt rm tr issu(J.I JHll B cmpk,yany Frsr $ rny maNkr
<br />y, .r b c\.ofr. \ub|\ r n, (k uollda ontrn..i rD Urr ol C.l rmn,.il rEN ihl l{I fi'uu lE ..E $hF!r t'rlE
<br />worlcrr.ompou(i,'nnft]v(()molSRtor.l?lr(,olrh.ljlitrC,rl.,l\hall.krnhsih$mplyw'rhrho*ln,vN)h\
<br />WARNlil(; Fr,tuR t, c@ qrt.6 (,r{insi$n (r,ErI. 8 unL*rul, *l ddl bFrr !n crr{'lr}€r n' d
<br />(,!,1 Inr\ trf n' ok l'tr'kl,.il rh!ft.triJ n!'1|.tr\ 'tl
<br />uE!Lt]!\.Ito]lrocr ud.r Fvsrr of CT DI{.r 9 (drllmhm3 ulh Seir:n 7UIJ) of Ditlrn .l
<br />ol rhc ll!\sr\\ md l,n'Ics()ns C(rlc. l hy I'e.n{ '\ m hrll nr... .llR. l
<br />,-^".u*, .Z - eo...l Btot/,:,,, *,qzlLts
<br />CD(.P-.\d, rs
<br />CAIiIBI]CIIANI{BDIIG.ICENCIIh.fthy'llimnElrFnahy,Frirryrhitlh.r.rMnnruriirnlcnlnarr.ftynlrlh.pcrfixfuft.slrh.*orkldwh*hrhB,EdB
<br />tsEJ rsd r(l)7 C'v C I
<br />AIILIIANLDESAEAIIA!
<br />I hdr+, rllim unJ.r FMh, ol FJury oft ofih.li lorrS &.Lnli'nr
<br />D€'*nnrr P.rmrrlAltE.lot Noriliccr ion ,tdd.l Rcsul.r io.i (Tnt &. Pd6)
<br />_Rcquu.r, t.n.r o, MrnrrrM
<br />I .d rfy th.r rh. f.rLal rc&Lli'ns 88.r ry .sh6t,s ,.nx,v.l re Bi .I'r'[rr,b t, rhlr !n,Fr
<br />_l (dr, rh, I h.B rxl rh! rpplur.n &l n&
<br />'h.'
<br />rtE rhrw nrolmr$r r (wl. I .!r lo Nq y e'rh.I Cn, rLi Cohry
<br />oil Btr($ 3ndSfur.t wlrchlrnth) hLt E.knrrlvcs nrrlus (iry rnd C.unlylo.nrcr uf'nlll
<br />.hnr mnri,raj nnin ny fi{
<br />,lppli(*nl or ,\3.rl Si*ul )2l
<br />Set Backs
<br />Forms/S1eel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor l1 z\D**6r'
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing 11 /s LI >1t+O
<br />lnsulation/Energy
<br />Drywall 3 I z\w*t,t
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar 3-31-,M tfrL .ltl ldW d,
<br />Handicap Req )aa <+:.5
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />I I
<br />FINAL t q 14 I
<br />Certificate ot Occupancy I
<br />Notes, Remarks, Etc.
<br />BUILDING- INSPECTOR RECORD
<br />Ext./lnt. Lath
<br />//^
<br />!176 or rh trhtr (irlr. orcr.( rnl
<br />z I
<br />2a
|