|
INSPECTOR BECOHD
<br />co ENTSDAT
<br />4 lqSet Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />Subf loor/VenVlnsulation
<br />Shear Wall
<br />Frami
<br />allD
<br />Exl./lnt. Lath
<br />Brown Coat
<br />Mason
<br />Pool Fence
<br />T-Bar
<br />Handica R
<br />D
<br />E
<br />ut Final Re ort
<br />ineer Final R ort
<br />Flood Zone Certil
<br />1Dn
<br />n IL aoFINAL
<br />Certiticate ol Occu anc
<br />Not o marks Etc
<br />E1{Z
<br />{rnd-d-ft +
<br />/
<br />OltNrI AUILDEf, DELCARATIoN
<br />I h.rcby ltlth unkr FElly,,f F Ur, rh.l I m .t.nnt hlh rh. Contf,nn' lla- L.* fttr rh. lolhwr3 E rrh (s" ,,oll i'
<br />Bunn.s !d Pnnc$i,tr Ci;c) Any C(y or Counr, whf,h equlEs a Fmn nt u(od. 1116. rmnmE. &n'rsh or FIt'u r,
<br />slN(rurc. rrtrk, ik rsuancc, ala, Fqutr.(rh. amlrc.nl tat wh !.im[ l. liL r n8*d nlrcmnr rhrr lr r {r n nc"s'J PuFu0nr
<br />b th. pn,vsN,nr .l rh. Conkaktr ! l,r.nr..] tra ((h.pr.r 9. Cuhtrfrr3 Yrh S&rio. ?fi[r ol l)ivnnrn :l o h' 8o'R( dnn
<br />P$lcs[nt (irk ) r rh.r h.orllt (.t.m lh.r.fn,m !ft] rh. u$ lor rlr {tr..l .rcn! bn Anv virl.lrroaStht 70]l'5 ht dv
<br />,mlf,:n! rdrFmr {lhFrrrlr .mlr.nrb..,v'lttMlryolB'l m,Rrhinlrr.hlolrl.lou.r(S1(rlr
<br />I.r\o*Erolrh.lntlxny.,{nycn{l)ye(wnh*r3ri.rrh.tr3'hdrrtl{nqr$n*lll,ldrlrrr rnrh.qnnmrn
<br />ur.uktl or nll.rd ntr qE ( S( 7(taLl. liunms an,i Pn,r.$r,nr C,ilc TIE cl hrrtr r l-f,.n{ lrq &rr .or rf'llv n' rn '*Er ol
<br />rh.nn,Irny wh, t{ 'lJr o mlF)vc! rh.R)n, ul wk) J,xr rurh ** hrmrcll or h.F.ll I rlBr3h hn or hcr 'w. cmdovc"
<br />F,vidcJ r h {u(h mpi,Rmnrr N nn un.tuldi or .ficr.l h, uk Il kJxEr, rh. htrl^lot or n{mtrnr N "'Ll wihD one ,'d
<br />;l.oryLrnn. rtr ()wftr Ao[,Lr r'llh.r! rll h!&n ol lln,vr3 rh.l lr or \nc Jri n, txtrl] ofuipnr{ lh. J'nlItny tLtr rlE P{'Ii'E ol
<br />-1.
<br />15 owEr ol rtx F)Fnr, rn.rclu$v.lt.odrun8 P(h rr..nr..! .odrarF h ron<tu[lE F)j<i (S( 7044' B{rEs
<br />.ul Prltsrn(irLr Th. Conrrrror'\ Lt.na b* &xt rtlllv h eown( olnnrFnv *h' horu! or rhJ'rrw\ rh'hr'
<br />and rh' (,nrruk fi, such ln Flt * h'conh'n'nI l'lnrJ Puuuhr brh'conr' 16-!Lkcn{l'sl
<br />I d.rcfil unJ.r Srrrxli-
<br />laE[lEirolltEdlAlp!
<br />!scIJ,B^nQ!
<br />I lErhy rll rn unJ.. tEMlry of fdtir, om ol tlE foltr*[3 d.thnriff:
<br />-ll[v.inlw'lltr,ri'rndCcn,lnrrcolCrn{nrl',S.lllnstrcf'rw.*c^.onrPch\d!nr,,sFrvLlcJl!trhvSe'toDl7(x)orrh'Iihtr ('rlc, ttr rlE pcrturmr(c.lrltr *oA fDr wh(hrh. pqnnr I tr\kd
<br />I hrr....1wrll ml'nun *.rt.rr LonlEnrtii)n r!u2t. 11 requrcJtvS(irr!7I, I rhc lrtxtr (ii]'. ntr rhc lrrr(lffi"l
<br />rh. ktrI lin rhrh rh( lEmn r. !r*.1 M, w.rlci .r'oFndx'n nruruc.ar.DlF t! nunl{ r
<br />r,n.., N ,,h.r U\IA\C 3ql7D+Z .,< / 29 ,/ 20 Zo
<br />l.rnrlyrhd ntlE IErixEE. nl llr *ort ixwhkh rhr |Ermr s siu.J l.hrllfrn or{hy..v tEFon 'ntylmmr$ ai b hcd'm ubFr t, rtF sf,tsi $.p.dbn Lx of C.[lDmi:. .rn 13r rhi lf I rhou! tE{oE ruhf'l h rtr
<br />hfid !r)n{Enerb. I,lrshB nfSdt.n 17molllE l,ht clir..I ndl rodhlrh (i,q'lv w'rh rlrl( F)vnbN
<br />WARNIN(; Falurc b <u( *"t.n' !-nFErir, (,Ensc ! unEwtul. . rhil rubtat s c6{rhF h ai,rDl Fur_ {rl
<br />..8 hutrtiRl rtu'ltlnJ Jollm (Slol.lxr)r. r rJ'1 tr8 u r 0n. Jrm8.. rs prolrldl ntr rh.
<br />S.(rnr ro7(!n r[.lrlxn(ii]c trr.r.i rtr,l r(,,mr'.1...
<br />I lEErry ilrm uLicr F..lry of Frury lh,t I 4 lrs!.J ud.r Fnvrion of ChrF( I (lt'llllrfr68 wnh Sdrlt 7uD) ot D rxr
<br />ol llE Buttrlr {rl Ptur6i.nr C-or., rd my lrtnE ! h tuu foM.rr,.nar I
<br />asa
<br />colNrf,ucuoli.lEDAti.AlilEla
<br />I h.rhy rlltm undcr rEMtrt or lErlllry lh:r rlEc N . d <frri'n lslin8 r8.rv tu rh. Fflmc ol llE qrt ntr rtri rhr Frsl 6
<br />isrucJrsd.. v197. crv. c.)
<br />AETIIIAILDECI.A8AITAT
<br />! hrt+,! rll m uftler pcnllry nt Frlury.x ua rh.lt,lt,ern3 &!l[.r[ns
<br />lreBn tr,n I'.rn rAsbcsro\ Nor't'orn,n ljc'l.r.lRcstrlirhn\ ( l L4(r. Pan6)
<br />R.qutr.(l lr!.! dl N,iiixutr,
<br />I lqi y rhj ln. r.Jcrrl EluLrx)nr E8rilr8 r{E{.t rcd,r.l ft dr {'r f,rr'k b lhn Prnjcr
<br />l.dny rh.r I hrrc r.rd rhr rflrh.rir.ri 5r.r.rhrr rhc nhtrt rni I rsft ro con{ y *!rh rll CnY.d CouniY
<br />.urhtrtr.r.Frynrliiv.rDfrhr.C(y.nJCDnnryu'cnrf, u rnrtrorJnrh--.\ rtrJ SrI. l-r*s Elar,ns k, $tr'l(lrn3.ondru.r
<br />ikr. trr1 x,tr.,| p'!'|r1rv nr Nlirrrtr,
<br />Appliunt or A!(nl Sisnstu t(. I I l1
<br />ID/SIG.SITE.WORK
<br />>*-rulc
<br />-r<-4t,(
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathino
<br />lns u lation/ Enerq y
<br />)lltiYJs thl 'fl1
<br />I
<br />)kfyta
<br />III
<br />lrrl.
<br />-
<br />,^,,, t/./?. 11
|