BUILDtNG. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII-DEN DELCAR TION
<br />I h.rbt tllrm ldLt Fn lty or Frjury th.l I B.E,til (^E rlr Ci'nlrrnm' tr..e L.w tu Ur 10lll*68 Er: (S^ 70]1 5
<br />aurmii .,n PNl6tir Cnl.) tuy Cii, or Couniy *hrh rquftr I Fm, ro .!nrur, llld. nqht. J.rml6h or EF! uy
<br />{4im. Frrb ! K..m.. nb R]!6 rtr q'lll.sr ttr.xhttmr b rrl. IEFJ i{crnt lhd lEor r& ! lmEJ pEtld
<br />to rh. F,vilDd o, [r (i'nrstr'r L..nel tiw r(lEPc 9. C.nmNmS e h SdrDn 7m) ol Drtr.n I of rh. Eurrrt ]rl
<br />Ptuf.srrnr CriL) if, rh.r rr .r rlE B .\.f,g r,Er.lmm .Il llx lu$ nn rlt ik8.rt .i.mgrn A,y vri.ru ol S&rDn 7otl.i byry
<br />.pl,hrnr l .Fmn.uhj.$rh. tmlt. ro..rvrll.Mhto, br m,Erh, riv. hudEJ d.lL^ (t50(,)
<br />-l-as
<br />o*Rr ol rh. I'nFn y. (tr niy.hplo]rc( u{h}.!c\rirh.tr e,kd,nlF-n\.rrq w Jortrw(tt{d rnc-rmsnn
<br />dc,rlcd orollR, n{ \.1. rse..,(B4,llusNs JPnn skrrC,ilc lh.(')ntrNttr! LE.nk usll(t! nor +t'ly t,' .n orRr ol
<br />rh.nn{rdy wh!' hu'llr or m[n'vc\ thR'n..n]*ho J,x\ {'(h *nt hn\.11.r hfelf.rihnNeh hr or hcr own cmd,,y.c\,
<br />p vxl.d rhrr {tr h impn,!.mnr\ r n, intcdGl n orloRl l,n wk Il, ho-rv.r, rlr hulun'3 d url,ov.nrnr n v,U wihm oic y.*
<br />ol@nDLrru.rh OwNrBollLr *'llh2rc lh. h{nLn.l I'n,vn3 lhJr h r$.Jrifr t lorm|ln)wlhcIF'Fnylnrih.N{D{of
<br />-1.
<br />.s owrr ol ih. I,n'F y. th .kllnv.ly odflc! 03 *[h lr(n(d codDl(n h onrruLl rlr Fnlrrr I S<. ,(Bl. Bu\fts
<br />rnl hi..$n (i,1.:1h. (i' rer.ir Lr..k ll* !tr. frn !,lll! h & d*Rr.f Fsp.ny rl*) h!iu! or mP^,Et rh.tor.
<br />'nJ *lr) $nhdi (( tlrh Fl|.ac * i. OrrBi!,nn l&n(d pu^d t, tlx Co.ttur.i( l,..nt L*)
<br />_l.mckmF lDl.r S(ton
<br />woRl(tsRs'((tf,tPf sAtloN
<br />DECI {TATION
<br />I h.rch, !lltrnr und.t lEnalry ot lf,.Jtry or ul rh.l('lk)r'h! ll(Lr.rt'.r:
<br />lhrv.rrlwrllnronrnr(cn'lr(icolConwnn)S.lilnnftl'ir*!trk.r'(on[.nsrr.n.r\Prrul(rlk{hySc(xrDrrr'i$
<br />lrhtr(i|t, nn rlr Fil'rnrnn. olrhc rork htr whkh rh.|irtr '\ tr{'.'l
<br />I hlvc sftl *rll.urir{n worL.( .onFnr.rnn hrunR.. rr rcqurcd hy Sdr[n .t70o or rh. llhtr Crxlc, lnr rlt p.rfomc of
<br />rhtrFm n F$.J Mt lukcr' r)!lp.n{ii'n rnrurikr rrrr a,lFnrynumfi {c
<br />| 'cEVq60t qo(- u/tl?
<br />l.cnrlyth.r h ih.IEritrdBr.f rh. *ort litr rhrhrhnFmrr ! NtEd.l drll rur.t{tu!.ny IrBr oayluEr
<br />e * k, lF\nm {hi.!r b rrE srt6c Lnr{Enrr$n Lw! ol C.l',omu. rrt rgr ih, lf I rtrull li!.r hFr !, rlr
<br />$*. ' co.r{'cnqlrr pn,v!$n\ ol Serrn .t7(l) ot rh. trtd (lrL, I rhnu. ronh*rh o"pl, w h rh,. F vK!r.
<br />WARNINCT !-r'lt( t, <rk $rt.u omrEnral$n d'v.nrc n unl,*ltl. lil rh.U suhicr s mPbrt, k, dmmr FMt.r lrn
<br />cir rin.\ uI ro nnc hunJdt thDus.al doll(\ (3l(xr.ltx)). r rJJ n) rh con of.ompcnsr!,n &ru!.r r\ Pri.!i.d ntr th.
<br />(ixl., rtcft(dd irl,trmy i licr
<br />DqCIJEAITO!
<br />I lrEby rirrn ud.r FMly or !.rr!ry rh, I d lidtr J !Bi.r F,vnsn of Ch+ls 9 (@ndBu! *rh Sdnn ?uDr ol DtLriD l
<br />or rh. Blimn {rt Pn,r.r!r,n. CuL. rn ny l..E ! u tull ftru Bl clld.
<br />lqltlatJllla!.l,gulali-f,G.ENc}
<br />I h.nhyrlnhtrhJ.r Fnalry Itrqury lh.r (lEr. n!u,n{tudln LnJms r!.,ryttr rhc p.nnl@--c ol rh( eoit Lr wh(hrhr If,m it
<br />t!ucd(s& .l(,97. c( c ).
<br />Lrnd.rr Nrm:
<br />-
<br />Artlglllu[cuSallg!
<br />I Hry dfm unL. Fn.lry oa Fr'rr, oE of $. follt*n! lkrLr.t rrtl
<br />D.mL.n P.rmdeA.h.rio! fl(lrf.rrFo F.l.nl R.auLrprr tTak.l0. Pd6l
<br />_R.quql l/n.r ol ll.fda.
<br />-l
<br />..n,ft rhj rh. L.hrd EluLr bB ES.rnhS .{rdor En$v.l rc dn rflilqbL lo ltur PnlJ.tl
<br />I (.d vrhrr I hrv. '.rlrhF rtpliinon iJrl (!r. rhd rhc rh'r. r I a3renr(nnnly*ihr1l( r, r,xl (, nry
<br />o nin c\ rnJ Srrr.lr*\nLru,Sn,burld'nP con{nrdnn. d, tir.hyrurh{u. RIrR\.nr.nvcs.l rhr(IylnJ(i'unrynr.hrduFrirll
<br />rh)v. nEnlr'fti, Orpcny ntr m{ta-.'ri,n
<br />Appli({nrorAt.nrsilln urc A/--
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorivenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<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 />Flood Zone Certil.
<br />FINAL
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc.
<br />"t
<br />cr/u
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