|
BUILDING. INSPECTOR BECORD
<br />COMMENTSDATElD/slG.SITE-WOBK
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathin
<br />Fram in
<br />lnsulation/Ener
<br />allD
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Mason
<br />Pool Fence
<br />T-Bar
<br />De Final Reu rt
<br />rtEnineer Final Re
<br />Flood Zone Certif
<br />FINAL
<br />Notes, Remarks EIC.
<br />o$ NJ k R|ll.rrr R l]l l-( aR rl0\
<br />I lr(hy rflnft unlc. r*Mhy ,)l Frnlr, rh, t s .r.n{i in,n rh. (i' rf,t6 L.rnr Lr ft{ tlE follo*tr8 t:{in ISR n)Jl 5
<br />aunnc$ sl Pn,r.*(rn c'ilc): Any C y.r counl, whi.h Blou.i . Fmr ro .oNnr.r. lll(. irllruk d'Brlnh or End ary
<br />{D(luE, rrrtr t, \ N<u.Nc..ko cquftr rh.qll'lrd ntr\kh ltm l0 ik 1nrrd {rlcmnr rhar rr or sl* ! l('nhl |luru'd
<br />Lr rh Frvrbnr ol rlr Conuaui Lt.n*l liq (Crul'ld o. ConsrftrrS rtrh Serln nD of Drtri'n .] ot rh' Bn(rs ad
<br />Prulc\rors G,J. r nr rh hcorih. r.rcqlt tlmliom.11rh. blin tu rh..U.s.l.r.nT'li'n Anyvk'Lrb.nfsdri'n7o.ll5hv'nv
<br />.mlf,rnr krrFm ebjr.k ltt .P! ,cMl k' r.r!,lFnrhytrfnoi mnc rtanlrv. huftlrcJ J{lldi ( S5UrJ.
<br />l. f,s .wftr oI rh. Iln,tEny. .r m, cnlL)ye\ * h r.3cr 1\ rh.( n'L comlEnqri(,n, wnl I rlr *'it dl llr slnd6 x n
<br />lll.rH ,rolidc{ ld qL(S( 70+1, BurrF\.i Ptn6 ,nr Cd. Ilt C..r&M r h..* lr* drr rt'r vro'nD*Erol
<br />lhc ln'Fny rlr, t{itli.r ntmEs rh.d{. .nl vh' &s u h ullt htn(cll or h..rll dr rln'!3h hB in h.r o*n 'r{'lr}tc!'p",i,r"l,rr"r.*rrnrrtrmheBnmkri.rlornfcNlnrhkllh,v.Errh.t.ln3'rr{inFmr(n'll*[tdotuFd
<br />;a(xrgkiln. rrr ()wxt Bu[,kt *tl h.E rh. tuLn.tF*n{ rld rr or {r Jil n{ hlll'l u u\trh rlr FIEi, ({ rrF I!'FE of
<br />-L
<br />!t orftr of rh. Ilrldy, .m.(luriEly.ontalh! w h lic.tJ $fi&rm b rohitur rh. IriFr (Se )0'!1. ButBr
<br />.ni f$l.rlM Cd.: Th. (i'nrrdttri Lccnsc I'rw ilx! not llll,v lo.no*rcr drJ'ruIEny,ht burlds ot ihptov'1lhcrcon,
<br />rtul *tD uinrr&rr lir ikh FrFt rtrh r 6dh1fi,l"n<'l r nunrblh'c' rGtLi6sl:w)
<br />-l o.rcnF unLr Serrr-, B. a P.C. turn* r..ion
<br />!98[E!S:CqU[ESiAU0X
<br />DEC!A8AIrc!
<br />I hcr.hy illtm trntLr lEn.lry ol FIf, nft.frlE tlllo*tr8 J(lnr.rnn\
<br />-
<br />l har anj wrll runrar l Ccd rli.alc or Conicnr h Sclll nturc r(tr *ortcr' .omp.n{t k,n r( !$vxl.ll aor hv Scr Dn 17([ or rh'
<br />l:lxtr Arr., [{rlrlErl,'Nrcol rtr x*l fi{{txhrl*Fsn F ruJ
<br />I htE rnl wrll tuldrs *odcn urmFni:rbn nNurrNc,.s r.qu NJ hy Sdron.t700 ol tlF Llhor (i .. ror rh. Frft ]@ . oI
<br />i!r&. c.mr lrr fn.y nuFrir e:
<br />7t-t \Ll t/ t/z o*,,,,.rn,.r"' ' (^l SoQ&nl ]
<br />-rj,.,
<br />t I
<br />-l.cdny
<br />rhd rlhcl.rfortune.ol (h. wolt lor*hich(hr IErBn F Nsu.al l rhcll .n'l'kryanyF.or r dy lMEr
<br />$ r ro h..or ruhFr b rM hrt6' Lnnqs{ron Lx nl (..lir.'Da dn .8r rh.r f I (hNll lxrod sbjdr h rlE
<br />wnrt.r lutrn i)n,DvsEnr ol S{!&. 11x) ofrll lrtl CuL l rhll.litrhw huirlPlv r i rtit lovlt$nr
<br />WARNING: PoluE to €!E kr*.i!' d'hp.n\rrtr,n o,v.n3c rr urL*6rl .n'l sh.ll lutriir e.,rghv.r n' dm'l F lrB lnd
<br />.t liftr u0 (i .r hu ]I.J rLlFd U lsr (Slm.On). t. rLi[bn b rh. osl ol (r,(inerxr. J.m3'r ra Pn*d'J for rlt
<br />(,i1. u dcn.trLl rrttrN!'\ l.r\
<br />r(C4
<br />I l(l \\l.lr( 0\lR\( l()li
<br />DSCBf,AITOX
<br />I h.Ehy rltuf,uhdcr p.n.lry ot Frjury (h{ ,.n li..na\j trtuld Frvsi,..l Chafln 9lcommhs qi$ Sdl!n 7uD) nrDivKrr I
<br />ol lh. Bulmlrxrl Pn{.$$nr C{ic, ad d, ![cn€ n r hrll n'^r 'i! c! lel.
<br />r f t<>c^J 7-7tA \Ll
<br />IqaBiIEl!;IroNrElAGTAENl}
<br />I hcrby rr.rn unl.r Fulyor1r.,tu,y rr'.r rt'"* r*"nr*i!i iiiiiiiliilFt rrr@. uf rrE srl ror *hrh rh$ Frlnir s
<br />'rs8l (sd. -1007, crv. c.).
<br />r,dl.r'rN.B:
<br />-
<br />APPI.ICANr DFCLARAT!ON
<br />Iho 'yrltimufrhrFn.[yotIE]!ryom I llr lollow'r3 ddld.r[ns
<br />rrc nnln Pcrn e^sh.(or Nd rrrr)n ttlcr.l R.Sulilxnr (T k 4tl, Pd6)
<br />Rcquulal tdrd of *rniJrr
<br />-l.c'r'lyrh!rrlrlc(l.rrlr.3uhr'un\
<br />Efu'Ing rllIn,^rc lvrl!tc tror rnli,.rhk n'ihr\ Pn'F.r
<br />fvi.*n, ,t, , "* ., ,t! q'oliqriin nt {.r. rh.r th. ltnvc rrttrrEd Dn ii $er r.rr lo Luelv e{h.rr c
<br />.drukrs mJ Sr{.1:r\rcldog r'l,x'Ll'nt on!ru.ltrrn. xd h.r.by turhtrrc rcP..scnrrorN ol rhr(r,rnJ(-'Iunr
<br />lllrr. mnr0FJ |'n Fny rtr 6!F.lln
<br />2 I 1Applionl dr Ar.nl SiBEluF
<br />n,,- tl lt-c,//q ".,,*,,.,,V V iu;"* |a\a, Ar.l e
<br />Forms/Steel/Holdowns
<br />Subf loor/VenUlnsulation
<br />Shear Wall
<br />Handicap Req.
<br />4/zr/bl -^lbtt v')
<br />/ v -L/
<br />Certif icate ol Occupancv
|