|
SITE-WORK ID/SIG.COMMENTS OWNER BUII.DER DEI-CAR TION
<br />I hcrcby rinn uftl6 ncn.lry,)I n 4uty rhrr I d.i.n{, h'd rli G'dhtE Lrds L* rd tk,olbuo8 Ee.(s.imtlt
<br />Bu!6t rd llotclrDn GrL): Any Cny o. Cd y whih rriuEs . FnI lo $nsrm1. .1t6. m0rot. d.nnnh or EFn .ny
<br />strudu., Frtr b nr isumc. rls, rcqon s rhc .l, i(t n ruch I.m lo lik 0 ns*d r.i.tr.' rhi ll o lE ir lf,drd Fru.r
<br />t rh. F)vrrn ol llr Conuf,toi, Lrcnxn llw tch{rd 9. ConftNins v'th Srrrt. lflr or Drvsb. I or llt Busirs uJ
<br />Piorcsr'$ c(rL) t{ rhd lE or rtt tr d.n{* rletn)m rel rh. bcsa h, rrE rlk!.ll .rcmir,on. Any vioht$n of S.(ion ?0-l L t} ry
<br />a0llicrrltu !!.m suhrarrrh. rmh..nr h !.r!rl FM[y ol nol mr tn:n fiv. honl,trt rlolldr ( !tfi))
<br />l.r! owrcruIln ptuFny. or my csploFs wrlh wa8 r.s ltuu sk Nn{Eneipn. ell Jo rltk *anrlErturftud
<br />ur.rlal m oflcr.d ror rL l Sa.?o.la. Iru,irs lrJ Pmlc$ir6 CoL Ti. Codr$t t tr.k bw .rt, N .tTily xt s orEr or
<br />rtr F)Fny elb trltll or irqh)v.t th.F,n, rd *h) der k-..h sr hhs.lf or h.rcll or rtmlAh hh d lE own cq't,y..!,
<br />F,vrldr rhrr !u.h nF wrrs c En rtlol.l u.lldol (, eL lt E,N, {r hr llB q u,{mrrd t $ld wirhin,e r!
<br />ol (o,q,Llbtr lh. ()vEr Bu i6 Ihjv. E tlntn orln)vin3 rh.ltr(trnrdn Br ttriU nr uqFE rb.,nirEl, n,rtElUrFrc
<br />_t,.sowftrolih. trrtdy, rm.r(lnsElyconrkrh8 vtrh lilred Lodr&nF ro $n(er rlE FrFr (S< 70,14. 811116
<br />nl Pr*st. ciilc: Th. Conr&lm.s l-Ecnrc L{v 'jG3 frn .pply ro oo*rcr of proF ty *h, hurldr or i68rv.i rh.r.oo.
<br />rnJ *ho .l,nrn.k (r su.h F,F( * h r CDnrtu(rlr lNnrrl p!^Mt n, rlE Codr{rd r L.cM lls)
<br />-l Bmcrcmpt unJcr Scnon-, It & P.C I
<br />Dl:u^aauo
<br />I h.r.t,y rl1trhun,Lr F ltrorFrr r, ort. or rrE n,lk'u 06 Jd Lr.rrr!
<br />_l Mk r,n *'U tu'nri., Cd'f.rrc of Grnsr ro Sdrlnm (r wt6 ( {urri4 ( FDvria.l fd by S-rDn.t7ul of rlE
<br />Ltr, ctrl., for rtF tEI(mtu. ol rh. wrl Lr vh.h lh. Frmr B rsuai.
<br />I Mvc .nl rrll mrnr{n rnrlcrr .drqEnsrli,n hsurrB., N Grund by SR.'r 0n .17(X) ot rh. lihor C('dc. k, rhc F,,,mnc ol
<br />lh. *rk nn whEh rhB lEm( rr sftn My worls .rrtr{EN.lir. BUre!.5F Dl lr,lry nxhtd al
<br />_l..dilyrhrr rrh. pcd,rDB! ol r h. work ntr wh'ch rh( r.rnnr ( KEd,I lhlllnor cmtl,y.ny JErsn r.ny 6rEr
<br />$ .! t' tEtom rubFt ro rh. srt6'.otr{EerDn Lv! .l Crlromi., rn l .3r rhrr I slu! t^Lotr sbFrk,rlr
<br />k)llsi (snpctrsrir pn,vr!i,n! ot SNrirn 11X, ot rh. Lrhr C,rL, I tull, t'dhvnh $ml'ly q,rh rlk)s pnrvrNnr
<br />WARNNG: Frlurc t, s...urc q q! di,r{Enqrx'. crhlc ! un!*tuL l idl (bFr r. drr,ycr h ml IEfrhB.,i(ul lrnc\ u, h n'E hurrlr.lt rlx,uv'rl dollu\ ('!llll.Ol)). in a&ln(nr n, rhc ron.lr(ion, dlm|cs r( rn,vrjcJ ror rh.
<br />Sc.rr'n.l(,?6 ol rhc If, htr (iil..'nrcAr &l itrony'\ lcc\ulrdlr: ADDI
<br />I lErchy dlirm unLr lxulry ol pc'r,ry rMr I m lxinytl ! kr F,v,\x)i ol Chlltd I (.onnEtu rn3 *rllr S.!l nn ?0(x] ) ol DrvNi)n l
<br />.l rhc Bu\iN$ {oJ ltolis\bnrCulc. arl hy lkcns. ( r luu nlrc rni.lt(r
<br />calilauquolrElDltc_ecENcr
<br />I h.fthy alrnnxtrkr Ftulryor Jtrjlry rh{ rlEr. s. (innruLr$n Lrnh8.3c*y nn rh.IE L)fuE. olth. wk ntr rhrh rhs Fd tr
<br />nrxnrs( ]ty.r7, cr! c )
<br />L.rLr'r Alrcn.
<br />-
<br />ATTIIIAIIDE(IJBAIII]N
<br />I h.ot'! rl,im unJ.r r(nalry ol ncrJtrry oR ofrk tull,w,n3 J&lnrrrx,n\:
<br />D.nr,l(i,n PcrnnN- \E\(os Nohf,!rr.n leldrl R.IUL|r)ns iI k {).l'lrn6l
<br />-Rcqur.,l
<br />l.ll.i of NrI..:ii{
<br />_l cdrfy rhr( rlr Lrhhl (rrhrr'ns E8dd6! st sor rmrvrl -. fr{ rl'! r.t'L ro tl$ Ior(
<br />_, Rd,ty rhd I hrv. ,.rJ rhil rppl(rto. ml i.r. rhl tlE .bw hr(,tur,. B .mr. I qre t' .rid{'ly ,rrh .ll Cii, rn Cou.rt
<br />qnirLrr mi Srtr. Lw! ELruB ro bo'Iins NncBrio( d lBhy.+!L{a icFFd.l!.s or rhis Cny rnd 6!trly nr .nrs uF)n th.
<br />rh,n arnrnR{n!)Fdy rrtr ulp(rkr Itr L- ?-zdLt,1 Dplionl {r A,lent Sknstu
<br />Set Backs
<br />Formsi Steel/Holdowns lzt D**t1
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulalion
<br />Roof Sheathing a.L tQ.\r -Dq4#6!
<br />Shear Wall 4 \Zt ){w{1
<br />Framino i4 vt\ks I
<br />lnsu lation/Enerqy 7t bk+vn
<br />Dtywall lh)l>wV,w
<br />fxltnt. t-atn h*va,
<br />Brown Coat /lt I D&t+t1'
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />-,I fFINALL+t',LI .DfiT6'
<br />Certificate of Occupancy tl r
<br />Notes, Bemarks, Etc.
<br />BUILDING- INSPECTOR RECORD
<br />DATE
<br />2t
<br />.4.2l3 tzul"
<br />\,
<br />D.l.:
|