|
BUILDING. INSPECTOR RECORD
<br />SITE.WORK tD/stG.COMMENTS OIVNEI BUILDER DELCARATION
<br />I h.rcl'y rniln ldt r JEDI(, oa Frllry rh.r I m.rcn$ rioh rrE ConlrrB Lr'6k L.* ntr rh. fol&rwhs rlts{ (&..111.J
<br />Aunn.rs .ni ftoLsi'. C,rL): Any Ciry .r Ci{nry }h.h r..luft! ! Fr n k' oneM- rlro, ,ryrow, &ml[h or ^F, .1,,
<br />rtrurrlr.. Fktrk, ic Nrudr., itq, Equftr lh. +llf,rnl rd ru.h Fni t' rrb r sisrcd rur.mnr rh.r rr.t lra i! lir"ed tB 'irb rlE Ilrvii[nr oI 0r G)ntGftr. li.n.J trr lcll,I .r 9. ConaE_ds qirh Sdl|r '7uD or Divri'n ! rlr BlsEs .nd
<br />PRr.nr.! GtL) d th.r tr d .h. ! .r.80l rlErlion .rn rlE b.rB fr tlE .llq.J .r.tr+rh. Ary vx ,tnn of Sni.n ml I 5 5y .n,
<br />.,lflNrnr tor ! Fmr su$J.ck ih. 'ttlMhr kr . civrl l.nr,r, or kn m)rc rhdn nvc huftlr.{ doll6 {!JoO)
<br />l.Io*Eoll,EF,rEnv-ormyctrpl,'B!*rt*rs6.rrtEr$Lo.rp.eron,v.lotlrqrt.,nirrurEsd
<br />rr.Dl6l oronir'l ntr {k (Sa 70a4. truse{&! P.'tcitndOn. Tlr Ci'nlrdd'.Irfrr Leil(rsnll.r'plylr6owB I
<br />rh. t rFny vhr hoJdr dr lqeEl ltr6n. .rn who &Er $ch s,t himscll or h.r$lr or rlmlsh hr ,tr hcr o*n cq,Ly.cr.
<br />FDvrldl rh:r tkh lqnlwdr& n, idftlal do,Idul ftr sk Il,hffi,rlEt itllu d iltrrmd ! i'U rilhr ( Fd
<br />or! rpLira ltro*F So 16rilEEl,rlulnofrn'ra[rlllL,iltEJrjn hI! d cqnt rtr FIdt rdilr F,Irdor
<br />_ L ri o*mr or rh. lnldy. .n .r.hslrly !r,n[&rmx wnh l(.n<J onrrrn ro .dnnMr rlE F,F1 ( Sd ,04,{. ltulEr3
<br />.Jn ttl,fssn CqL: Th. (l)htatnr'r Lr.n€ tra d,xr r, rr",ly (,.no*Rr ofFoIEny *h, t'urlJr or hrovcr rhcrdr.
<br />oni 'ho conrru.a tu $(h 0n,rltk * h ! C,,nrG.t'(s) licnsJ lllhurnr t, rhc Ci,htr.kr s LRnsc IrN).
<br />_l mcrch,r ud(;_rr
<br />D.rc- Orm
<br />.8A8f,I!LCqU[ETAI1A!
<br />DECIAEAIIAN
<br />I hcrchy 'ffun unJ.r tEmhy orp.rjrryom.trh. tolk,w,^S &cl{.tr,ns:
<br />_l h.k dn *rll Eor.n r C.nfr.r. orcord k, S.lalM n" sri6' .r'nFMr& s F yridj lor by ScrM ]nl, ol ih.
<br />rrrr Cdr.. r,, rh. Frfotm. ol lh. wt nr phln rh. Fnir n lru.rj
<br />Zr rr.," "l *,rr ^,n,.,, *orlcR ( hrEE.rrr Bur.E.,6 rquiEi hy Sar&n.uu)otlL trbl,Cod.. (r rhc Frf(lrut or' rlr art lu vhrh d! F.trul n 6ral. My u{t6 NtrFflri nt d. .ff rn F,li', nonrFr m
<br />7,*Y tclz hr-,e,vS?-4 /\
<br />- €u.Cln 7n<-o\I
<br />_lccnilyrhrrmrh.p.rlorBBrolrh.worllnwhrhrhr$rh r $$r!d.I \h.ll frn cn{b, rny Fro munyMrrr
<br />y, .! k' h.q'm subJ.tr n, llr krtda on{En\.t.n l.}r of C.l om[.Dl.3Nlhar I dr! lrror srhF! hrlr
<br />*o cl' !$n'{rnerx'n ttn'vBEn\ ol S(r[n .lnll ol iL l]htr Gr!.. 1 \hau. nnhrnh (,ntly unh rh'- F)v$rnr
<br />WARNING lirlu,e b {!!E woltcn conrFtrqrn'n (vcnsc ,s nnldvtul, Md shill ruhFl {rr .nr! oyrr kr cnmhdl lrnlllir lnl
<br />(,! lln.\ up [, ofr htrBkcJ rly)!en<] JrlL^ (11ll).lxl)1. m &lJ or lomFnqrur. &nrtcs rs |,rl vrlctt ,|''
<br />sr[)n.10'76or rh. l-htr(ii]r., rr.r.{a .norE!'\ r.c\
<br />DECIJAAIIA!Ih(rhyallt u ntlq n nrlry ol pcrtury rhir I rs lietrr.l unncr Frrsx,n ol C[spr.. 9 (onmn. o! D h Sclrrn ?0(tr) IDivrx,n]
<br />ol rhc tru\ms rd l'nrcsons Cdc. : hy lr.n* tr
<br />'n
<br />tull nrlt ril .lt(r
<br />.K( toq
<br />D"k . l) / Lt / 14 2.A <
<br />I tu,.I'y.lfrh udcr Fokyof Fir., tl[l rlEr B. $dd1i{ Ldnu +.tu, t rla,Ef(Itllhr or E krt iir enrh rha Ftu 6
<br />Lrrlcn (Se. J097, Crv. C.)
<br />ASIL&ANLDECIdSAIIIN
<br />I tErl'y.nim! s Fnrhy o(F lrry orc or trr lolb*h! &rlllrrx'ns:
<br />D.nr dr Pcrnnk-AsLios Notrlrdrkrn ltdcrrlRcfuluttr,ns ('f 1..10. Pan6)
<br />R.,tu!.,1 t (.r ol N{rirnn
<br />-l.cnilirhar
<br />rhc I!-J.rrl rcllUrtr,nr rc!*li'U,strsnr rm,vrl rrc nol {t'l'rablc r,rhs I'n'1.(r
<br />,zf!'.nd,lhr, I h.k rrr ,hr:rrrri
<br />ordh.trccs .nd Slarc L.Pr rcblfu nr hu
<br />rhrv. mnli'Bd Jln)lEny nn DsFarii)n
<br />\{otrNr lrtre r, hpl)*!hillC tUkl(i,unr}rt.rc{nurM\ol rltr\ C y lnJ Counry r, .nrd uFrrhc
<br />1fl,1i.{nr r,\x.nr Sit {rufr 127zquza
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Sublloor/Venl/lnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />ln su lat ion/En erg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />I I
<br />FINAL r+1'r 7t >4,**/
<br />Certif icate of Occupancy
<br />Notes, Remarks, Etc.
<br />-+
<br />DATE
<br />UFER Ground
<br />,",", .t)-/Lt/t ,t+
<br />L1$
|