|
SITE.WORK DATE ID/SIG.COMMENTS oWNH' AUII-I'ER DELCARATION
<br />I trr.l'!' 'mrm und( riMty nl rirprr rh, I m.r.n$ lnm ri( CDdrd,n- lEnE L* fttr ttE (nl)rn3 fttrr (S( I)ll 5
<br />aos*r! 'd Pstf6tirn Cod.l Ary Ciy or (i{dy *hrh EquiEt . Fd ro on{d. rl-. nrnr!.. d.fr)lrh or (Fi Dy
<br />{uiu.. Inr h ar 6lll!m, ilb Equt6 rlr qlpli r f'r xh Fri ro liL . qrEd .d.Ed rhd lr .r lh. i lrd<J Frau
<br />tr rh. ln)lrlh of dE cl)ddm'r l.iurd lrB r(-'Erxa 9. Co,mrin! $ih Stri). Tirr) or [rlFir 1 olrlr Burim( tnd
<br />Pnlf.slnt Cod., {' rh.r h. d {E B.t.ifr !i.r.hom.al rh. h.{1 nn rll .lt!.d.r.ntrnn anrtntiidrsdnnlo.ll5hy'ry
<br />{rla.d ld r p.mi .uhFd. rlt {'rlaanr r, r civ,! p.Mhy of nn m)rc tlEn ay. |,tu'nr.d &,ll-r i t5llD
<br />-1.!\n*F
<br />l0r ImFny- .r my.mrk,r.\ * ih *ns.r ,\ rhtr llt (hFiq D.. *illd. tsrl! ltlr{Brmrni
<br />inrdLd or ofi.r.d nn ql. lS( 7i!,1. BuliF$ rftl tlt(rfa\bn! C'rL Th. C doi{ l-irn{ liq d.E! rn + y t, nn nrE. dI
<br />rrr I'n'tdy rh' tu dr or 'trp$E\ rlrRr, nl *h',l,s {_h snt him!.lfor lreltor rhn'u8h hu {n h- osn.q,hF.t.
<br />nn'vi,l.d rhli urh 'tr!'orrn\ r. rn iir.nlRl r(rlftRlntr sk Ia h,*.E. rh. hoildiryn illtx*lEd n e,kl wlhin ni. Fr
<br />trtonnhi,rtr.tlrO*n.rBu,l,swillh.wrllh{.norpn,viry6dlr.rrlEdrl tlin or ,rrh,E rh. rnrFny fitr I h FrFrc ol
<br />l. n\n(n.rnfrh.F)p.ny..n.r.lu(r.ll.anrklrB s nh(.tr*(l.odrr.r)nhcon!ni(rrrpn,rdrs( rrr.u.lnF'n.$
<br />inl lh,ts\ )i(ixl. Th.Cnnrrrtr'\ I i.nr I a*,|(f,\,ki trrolrn, n o*n.r of nn)Irnt {h) ru ld\ o mn,itr.\ r h.r..n,
<br />in,l IlI' o)n!-( fty o.h pmFl \ rrhr(irkrr'n\r l..nEd nu^ud ('rh.Gftr:(r!, \ l..n< lrsr
<br />_l6.10rr uln r sdi
<br />llr18f};ls:glu&!salra!uilt aSar(x
<br />I h.rb lltumunLr FnrtyolFlOdEof(h. nrt)*13 drkhrr,.s
<br />-,
<br />h.E.nl *rll mi.rM . Cdia.d. of Co.s t, S.ll l.w. (tr utrkd $rB.nqhn. !. F,virai t tr hy S.dnn l7lr) nr dE
<br />tihn (ixL- ttrrh. F fi,l]rrdr'(rlr *dt ft{}nrhrlr Fmr n n{.d
<br />lhav.rn,lq'llminrnin*nrk.6'curni{hn,n{trrn...i\,.11trtr.(lhts..rionlTnnfrhrl.rhr(i',1..f'rrh.rrrinromeol
<br />\l-'x
<br />il ntr whi.hrhnFrmi n kkl l\lr *,rld\
<br />, fru.t" T,r,u--A
<br />rF'lf,y ntr ir r.
<br />n"^u, c( tt 7Z 42-4 (rq
<br />-l.rdrfyihar
<br />intlE IE fir@N of rh. $o nn *hichrhn Frmn n nrGl.I $.ll fri .n!'r, y !n, Fr{r 'n
<br />rntmnk.
<br />$ rrh trnrr ruhFr ro r!: $stda tunlr.qi{ h*\ of( n'nrmr.rn.ar rld if I \ll{ld lt(,ft ruhi{ n,rtr
<br />*o dt, d,rft.{( rr I'n)vilnr ol Sdrn lTlr, oa rlr lihn (ixL, I rldl. f(dhu ih dn rt *nh thle ltnMnnl
<br />rrARNlN(l FoluE o r@ rut6 drtrrrNri,n. {rs. n unl.lrul. rn 3h!ll uhl.d rn.qlhFr r, amMl FtulB rrl
<br />n fimlutroorln lr.d Onusrl drlLri rllirr.fiIn. 'n
<br />ddrir n, rh. c.r of.ort'.Nrxrn, dmr.! rt ni,vikn nrrh
<br />H:'?Il, *";-,-^ - \ wL.-,
<br />f. I t I tcur\r,{. (r:\ tr^croR
<br />Dk:lJrn^Il(tll
<br />IlrFhy ltnrmund.r IrBh, of t!.rrory rhi I dr l.tqt u.n., F'$hr.fCn! d 9 kl,mrk ii! r (h S.di,. 7(llr, .f DiYnhn :!
<br />.f th. Btr$m( rnd Pr.a.si,i3 C,xl.. url me li(.nE n
<br />'n
<br />frrll fim. Ml.ff(r.
<br />3
<br />K;::
<br />)'rvtlt*
<br />I lrFhl liltrm u Lr Fmlrt or Frry rhc rtft n i.o.curb. hndmt 4ffif for trr Fnrl11u? nr (h. srt i, *hih rhn Fmt a
<br />tr$tl rlid :{r97. C,v C l
<br />A@IIANLIIC|JAAITQ
<br />I lIr.lt).lr.nu LrFD y of Frjurt or of rlE (,llt)wrn3 &(krrn,F
<br />r).m,lii,n ftm[rAsh.{ot Ndiff,arif It..l R.8uhrx,nt(T(1.,1(,, P!d6r
<br />R.qtr'FJ l.u.r o( N{'f.d$n
<br />lr.niryrh rh( fcrl.nlrclnl Fn\ E3^nhtr[ irh.{ \,.trhvx ]r. n,i rpnhrrhk i)rlrNIn,tdi
<br />l..nrlt rhd lhlr.r.idrhissptlirrih{Rl{d.rh1i rt rh,r. inf!trn!tri'n trcoftd li3r(t,.on{ry*irh!ll(nyihl(')uirt
<br />onl'nin..\ m(lSkr.l-N\ RLin! n) h{'ldr8 n)n{nnrirn. ihlh.rh) dhn'7. rcrr.!.nrantlrnfrhF ( ryrnd (-'rnrl h.nrd uFr rlr
<br />.,Nr. nrnrrinirrnnin n) f, rrn ii,i nurF\..
<br />^eDrkr or^m,shdu* \ t^'t-
<br />".^,*-*,^",,54 we'ber 5[tln
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsul4liqn
<br />Roof Sheathing (+l i )ffr"tltl ,,<-rato)
<br />Shear Wall
<br />Framino
<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 d o
<br />Certificate ol Occu an
<br />S Remarks Etc
<br />I 2 I Atl n
<br />.,1
<br />lr-ht 4/F{ft-dd dlL
<br />I
<br />c
<br />BUILDING- INSPECTOR HECORD
<br />* r,.u.l (
<br />6l lt{tar lWtil t /ent (i-
|