SITE-WORK DATE ID/SIG.COMMENTS
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />/l
<br />Roof Sheathinq #fu;7,
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext.i lnl. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Cerlif .
<br />I
<br />FINAL 4ta77x "ffi4 I
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />OWNEA 8U[DIJB DET-(-ANATmN
<br />I rErchy .llim uhl.r |EEtry of Frrury lhd I .rcn$ tmm rh codr-r* LroE L.v lor l& n,lb*tr! trtr (^L 7o.r l 5
<br />Bulnc\r .,1 Pn,r.$Nn (rnc): An, C y or Counly whrh rcqurc. . Fsd r' (oNrtu r. rlrd, 'qn,s, tk ,ltrh or q!tr .ny
<br />nructur.. lrn r, r irsur .,.lq, rcqut.( rh..l'FhMr tor surhttmi(, hkaqftd it.tcmnr th.r trornr ! litcovn l''I{anr
<br />r) rh. F vBh.( ol rlE Conkrtr'r l-x.nel l,* (( hr?rcr 9. (i'llwR'nr * h S(rx'. ntn of D'v$M I .f rlr Butrs d
<br />Pr,fc*x,ni CoJ.) ,f, rhr lE or rh. R cr.m rh.r.fn, rnlrh.h!!tntrrhcdk3.Jc\.nI,l$n /syvoLl!'nofSerrnT0.rl thr..t
<br />lmli.rni ntr.Frm $hl..l{ rh. apnlran! h !uvilp.nllryornor m)a rhrtr nv. hoftlEJ ildlar l$tu)r
<br />)l.$.wmrofrhcpn,Jrdy,ormy.nDby..!*hqrt.r.!(h.uq,hLon{rn$rr4srlldollEw{fi.rnrMnturm6ft
<br />u cnLrl or oltinl hr s.L ( Sd 7(x,1. Busir$ uJ Pnnt*r'6 ( ,r1. l h. Conkrrkr's l-t.nr I ru &$ nor rmly l. .n owN, oa
<br />th. I'rrEry wt, h{rus d !rn)B rh.Nr rd wll, dF uh knt hhrlr or h.ml, or rnnush ha r h.r osn c.mhrt.s.
<br />tmvrld th:r rut opoffidr r ft ddrLl nr Dndrrl ft, ek lr, tx,klr, rh. tlN,l3 ttr rF)wcnl ! $l] *rtu G Fr
<br />or.!fl0k'r'n, rhr owncr Bu,lLr wdl h.w thc hrdcn of l^!vn8 lh, rr or sh. di dn hrLl or mnn'v. rh. In,rEiy ll,r rh noqitu or
<br />_1.r\ *n.r I rltlln)I'dy. xmctrhtrrr.ly.oakr(r3 s h lkcn\rJ.onrrr(n,F k,(,i{dc(li nn,j(r (Sft 7(x-{. [u<trs
<br />.d Pn,t:enc.rn Th.cddr&ntr t l-r.ne I-.wJ(Er fr, rrFlyn' {o*n.rol fli,rEdy*li, hurlJ\ o mpnNi rh.r.dn.
<br />l *h, d'dkk iri !k h FFk * h . (nnr@--bn t) lr{n{J ll{^unr t, rh. (i!.rr!ntr'\ l-xrn( l r*,
<br />I a cr.h unl.' Scdrnr_. B & PC l'trthr r.!$n
<br />raatr&8s:grufExliArrax
<br />lECt ASAUq!
<br />I h.r.hy rlnrm un,l(.l Fnrlrvnr Frtrr- oN nl rhc Llk,*rr J\-lllr[rs:
<br />_l hrv. Brl w,ll ndirxn'r (.d,f(rtcolCl,n<nr(, Scll In\ur 1,, workc,\' (dhJEn\rr!!r, rr pnlvrlcd f,tr hy S..non .t7D ol rh.
<br />I jh, (irk. nn rrr Fnomh. of ih. *rt lix *hf,h rh. Fmn tr srui
<br />\ I hrlc rnJ w,ll h.ntln wolkcn' .rnlcnsrlkr hsur.tu.. as Rqnmd hy Sel ion r 7(xr of lhc lihtr ( {'Jc. fin ih. Frfi,m*. of
<br />rh. B n, *hah rhrs p(mn 6 6{f,J M} *0*.6 enlrnqr,n nrllu..rf,r dn Fnryntrm}E {..*. . Sf.^lt t-.-\
<br />n,,,-rn,",*.4199r)t 1- 2 o I
<br />Iccnrlyrh2l rnrh.Frl rMtu! or rh. wort r,, whrh rhr |Eron tr nsucn.l shalln cq i'y rnypcrq,n nrnyndH
<br />y' 5 (r hrrm rutrFr h rlr hrtfl (onqmqri'n bk (l CrlturD. :il +d rhrr !r I !lb!$ trlom ruhFt i th.
<br />s, (i .omlf,ner n,n pf,rlr nns or sd rx,n lTul ol rh. I rhx Gilc, I rh:[. ndhw h ('mfly * h rhrs ,ll$vrnnr
<br />WARNINO: Fdrlurc n) K!r. *orkc^ .onln.r\{ron c.vcrr8c r\ unliwtul. J \hrll nrhj(' :tr cntl,)rtr,o 6nrrlFulr.s snd
<br />t g- t^l- zc,
<br />('r'l ,ifr\ un ro.E hudBl rh'ur.,rl Joll,6 (tl(x !I (xr or (,n{r.nero( Jrm8.r rr rnvrlql ttr ih.
<br />sN,r'n ]o?tl 'h. lrhtr (irk. !r.r.i :Jri
<br />L t1 7 t'
<br />!]!Lr.\&!lt(D
<br />C s'j
<br />I h.Eht rlltm uftl.r Fnrlry t lErjury lh.t I m lMnbl und.r Fov6i(,h ol chnptG e ( ll,mmNrn8 -ilhSeri,n 1)u)) ol Drvx*,.l
<br />nr tlr Boifti\ lrl PR,lcn$$ CdL, rai hy laar tr 6 full ftn( jrl cllRr
<br />/ (11A5 11
<br />t'15 Zt,
<br />SINlIBl.lfIqNI[NllNi.&GEBlI
<br />I hcE$y{lrirmunl.. rEnalryol Frju,yrharrhcrc !rc.nrlru(ion L in3 !r.Ny nn rh. I!.rromuLt dl rh. vork ritr whch th! JE.mil s
<br />r.EJ rsa. l{rr7, (-rv ct
<br />APPLICANT DECLARATION
<br />I hdtr'y dlim uftLr lEn.lty ol Frrry oE ol rlr nnbrrg &.8.r &nr
<br />I).mlii,n P€rmnrAltEn.r Norrli.di'n F.&rl R.BUbllrs (lnl.4r, tu6)
<br />-R.quEi
<br />L.rlcr ol f6llir,n
<br />I('r'lyrh, rh.n'd.'x '(Ftrhrnitrr.! ,1 'tr\tf,{o\ntrtr*.' .(.r.r.qlt)( 'lr.r,lhrt'r,r(r
<br />l.cnrrYrhr l h$r rc th! lpr r rri'nrnln:r.rhzr rk rh,vc [r.,dx'n r.orNr I 1s.( bdJtr{ly *(h.rl Cny.ni (iury
<br />o.JEnccs rl Sllrt l!*srchrtr3I)rBlhcr.hyrurhtrrcr.0.c\ctrrrr,!c\nlr hJC y {nrl colNy n' mrc. nFrn rrr
<br />rlr)vr rdtrrNJInDlrryr(tr ts ?t'
<br />,tppli.rnl,rAR.nr sirnrlu t D,-G
<br />BUILDING. INSPECTOR RECORD
<br />Set Backs
<br />Subf loor/VenVl nsulation
<br />Brown Coat
<br />/J4
|