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BUILDING- INSPECTOR RECORD <br />SITE-WORK DATE tD/stG.COMMENTS OWNER BUI!-DEN DEI,CARATIoN <br />I h.rcby rttlrr utrd.r Fnalry,rl r.rj!ry thrl I im cxcnDl ti.nr lhc Cin ractri LEnsc lrw fr rh. tulk'wD! !c!$n (Scc 70ll 5 <br />Buqncs rn,i Pdtsio. Cul.)r Any Ciry or Cotrnry which r.qur.s I ftnrir b .onntucr. ,lt$ itnlnvc. dc rl6h .r rc|).ir .nv <br />{tucru'c. pnurl,) irs issr cc. rl\orcquft\ rhc nPpli.rnr t, such!'cmrilro filc I n8ftd st cnEnr rhi h.orsh. t liccn*d lusuul <br />r,, rhc pxrvi\i('n\ ol rh. Conlra.l,x s Liccn*l L.w (Chrtrcr 9, Connn.ncng *irh Sccr n 70U) ol Divtbn I oi rlr Btrsnrs ,nd - <br />Pn)lcsritrs Codc) or rhir hc or sh. t .k mfl rh.rclion { llr$rsir turrh. allc8cJ c\cnrntion Anyvi,,hrntnofscdbn?0ll thyr.l <br />rfrli.arrinr!pcmrirrubjccr\rhcri'IIic,d1o!civillrcrlrrornorn*,.rhanlivchundrcJdulldrs($500) <br />I. own r ot rhc m,pcn y, or n,y cndoy.cs wrh P4cs a. rhcir dc .omNnrdil)n. will (lo rhc $ork and rh. strulrrc is nor <br />dcn,.al or otic!.'l nn sh (Sd 7&4, nuim$ !n'l Pnncsions Ciil.: Thc Cin ncntr'r Li(n\c lrw tlo.s nol {Plv t' d dui.r oi <br />drc F)p.dy sl'o hurus o. nrts)rcr rhcB)tr all wk' dd\ nrh w,tk hinNcll or hcF.ll .r rhouSh nis ot hs own .mnLvccs. <br />onrvdcd rhllsu.h mpn,vcnrn6 rcfrn ir cndcd or ollaFl ntr eb. ll l$kti rhc nliLline .r imp$vcmnr t$ld qithnr onc vcg <br />of $nplcrNr. rhc owner Bu'Lkr w l havc rhc hunlcn of tnvo8 rhll hc or sh. Jii fr latrU or inDnrc rhc pnrlaty ntrrtEpurlx)*ol <br />l.r\owncrolrhctop. y. rn.r.l$rv.ly.oftrcrn,! w hhctnsc.le.flrr.nxsh(nrrnkrrlf,nnlF:l(Scc ?(I44. Busnrs <br />n PnnirsrnrC,nlc: lheConrack{'s Li.cnsc Lawd,Es nol apply nr Mowtro ofP('Pcnywh,) htrildsor inrPruvcs rhcrcotr. <br />,nd qho comncc tur suuh ps)jc.h wnh r Conkrct l()licc \c.t Purunr t, rh. O,nrncrn's Liclnsc l a$ ) <br />A &P( l,l rhst.du <br />IVORXERS (--OnlPENS TION <br />DECIA&IUON <br />I hci.hy,fl inundc, Fnalryoipcrjuryonc orth. lbllownE dcclarilnln\: <br />-l <br />hrvc turl will nEintain. Cenilicnr€ orConscnlld Sclilnsurc Inr qotkc6'coflPcnsnrion, os trviJcd rorbyScclil).:1700olrhc <br />lihx Cdr., hx rhc !.rtomlBr oflnc wo* aor whi.h rh. n rnil i\ issucn <br />!(trrvc an,l w,ll n:in' n work.^' L i inllcns.r r <br />'nqtr3R <br />c. rs t qurcJ 6y Sc.li,'n 1700 ot rh. Ltrhor Co,lc, for rhe l).rtnrmftc of <br />ikqrln rh{hrhnpnn 'r F\u<,1. My*o Q r ..nFn"rhnn frudr c un 'cr s^l F,ln1 numh.r a.' <br />aWtl ,Vr (,C,VTatvt <br />I (!rl ylhn i', rh. p.nornrnrcntrh. work 1,tr whrhrl,isPcr,r is NstJ,I sh,l1 nor cmlkty rnv l]cron in rny minncr <br />$ r\h h.rom nrl*LI to rhc u)rlcr compcn\dnD hw\ntCa|lntnii. rnl33r.c rhnrll I dhuli hccon* \uhiccr orlt <br />workcr\ conrp.nsnnon F,vtri.n\ ot S.cron l?(x).flhc l-dh1r aiic.l sl'rll nrrhwdh omnly wirh dxx. fuvlrion\. <br />WARNTNC: ljrilurc t sccuto uorkcs' (onrp.nsrr!,n cov.tusc '\ utrhwlxl, lnJ \hrll \ul'jc.r dn cndoycr n, onn rl ncmllEs !tr'l <br />(Nrl {incs up i,onc hrftlr.J rhoustsd d.llus (rloO,UrOJ. rn dr(8 ir rhc.o( ol.omp.h\ nnr' danrS.s rs prrv'd'rl n)r rh' <br />Scdrotr lorfi.l rh.litrrG"lc, iincrcN rtrrl lxlorncy\ lics*,tlollzoL, ..,,*.1;# <br />lccldaauQ! <br />ol rhcBu{trcss.trJPnncsbns(i e,d nyl'r.nsc '\ d tuU nftc rl.ri..r <br />cro q*7<t2 <br />o q <br />CONSTI'UCI!ON LTNDINC ACENCY <br />I hcrct'ya nmtrnJ$pcnalty Ip.rjury rhtrr rh.r. k a con{flcri lcn,lin8 4cn.y fd rhc F nrnrNc ol rh. w.tk tur shich rhis I.mir i\ <br />nsuc! (Sc. 109'7, Civ. C ). <br />AIILLEAALDECI.AB{IIAN <br />I hrby rnim rndcr pcnalryofIr jory ok orthc tallownr8 delmlbnrl <br />D.tulir ion Pcir:nrs-Ast sros Norfieri,n F.dcr.l Rc8ullrions I I illc 40. Pd6) <br />Rcquild Leic! ol Nori,idrinr <br />l(.'hlyrhirtln'l!',lcrrlr.erhhon\r8rtlu,txnf,!!):r. !,vilxr.rirPf(xhlcn)rlrr\!r.lclr <br />YJ (rr'l) rh IlschJ'l-\dpnl'.r i rl{rrcrlr'rhc t'nc'rl <br />.'ft !N.. . Ll Srrrc l.J$. rl,r'ns,,, r,u'lJ'hr !' rrn!rr.1. r hfl.h, <br />s conc.r I iarcct,dnnnlywirh.llC yin,lCodnry <br />.cprcscnhlilcs olrhis C(y rd Counry b ctrrcr rl,ntlt <br />rtx,v. nrnton d ptulcrly lir <br />.\U,!i. nl or 1!r l Sirnitun ,,," \ [q lz.ozo <br />Set Backs <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVI nsulation <br />Roof Sheathinq <br />Shear Wall <br />Framinq <br />lnsulation/Energy <br />Drywall <br />Ext./lnt. Lalh <br />Brown Coat <br />Ivlasonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Enqineer Final Report <br />Flood Zone Certif . <br />I <br />FINAL zlt Dltrvt4 t81 <br />Certif icate of Occupancy I <br />Notes, Remarks, Etc <br />Forms/Steel/Holdowns <br />tr I t'l?.oLo <br />Irn,t.''t AJJ"\. <br />- <br />F- <br />ltl