SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII-DI:R I}l'I,( ARATloN
<br />I h.r.ty rlfim u.&r FDhy ol Firy rld I m.r.qr fn'i th. (idddr' l-i.m b$ fin rlt lolbri! i.ren (S< Tolll 5
<br />Aurims r l Prof.sitn Cod.): Ary Ciy n Cfldy rttrh rq!6 ! Frd ro odM. ,ld. iqmk, &m,lith or Eru.my
<br />qMr. Frx h ir ir{ft..h Fi|li6 rlr 4f lid fi, lu-h Frmt h lik. !i!rd nr.mr rlr lE or th. n l-..G1 nr{!d
<br />h rh. rnrvirin of rlrco d(t Lirned trs rchqrd 9. (ir'lftKnS *ih sdhn 7u, r, Difnrri I orrlr aotik( rnd
<br />Pn{.ni,N (',xl.rd rhrr lE sh. n.r.npr rhdrftom rnd rlr h.$ fi, rtHll.s.d .r.n$bi. Any vi,Lii,n ol Sdh. 7{)l I t l" rny
<br />applic, tn!IEmit!hj.$rtlE lpplic! t.!civrlt dkyotrn mr.rh.r fiv. tudrld d.ll.n ( l5ur)
<br />l,*\!,*tururrh.Iln'Fny.ormy.mphy..s*ihya3.\tr\rh.trc,k.mf.nsi.n.yill&,rlt$oriinlrlE{n.uErnn
<br />im.n'Ld.r.nk r!* sh(se 7(!-r. Burin.\\ {nd [,rnr.$nh(i(l. l h. (nnr&n, r Lic.n{ l.i! (kF{ nor l'prly n) in u*kr r
<br />rtrnn,Fdy *hr huiLn or imrn,E\ (lER,n, artl ,h, d,r\ \'rh snk h n\.llorh.^.ll.rrhn,rihht rh.' o*n.mpby..\.
<br />Inr .d rhJr \uch i'nnn)lmnrmftn i .frLi ol,ftRlntr sk ll hu.! rlt tuiklinE r iqmv.ftd ny,Urthiion.,!u
<br />ofo,r!'Lr;,n. dr ()trtr. BurUd $ilh,tt rh. hlnkn of ruvnt rhr lF or $. drl nn h{rU or n{.ar rh. I'fi'Fdy itr(lt FrlF)(.f
<br />l.'r.*w f rh.,' Fy. 'h.rchrln.lr.trd'dry *,h l(.i<l ro ,do6 r, onqM rtr 0n)j.{ (sa 7lsJ. AuiiE(
<br />eri Ar*rn,n (irL Th. (-rnrrnr'\ l-r.n{ ll* d!* rn !fi'|, r, t. .*6 of pmFf,) $lI' hundl r 'mnnr.i rh.r.on,
<br />.nd {h, ddE-.h tu uh Fordr sifi, odRl,,r\r lf,.n*d F^ud r, rrr (-odrdrx s I En( l:r)
<br />-l
<br />6.rhF urdd Sdir-, A &Pc nrfinltar.
<br />h.: OrEr
<br />$lr.B\t&r:r!1utt!tat!a
<br />DISAAATAIiIlrr.h] rlltrr trtrrlr lri,lrf!,rr,!,1!n. !,lrh.,nlkrcii!,1( l.tr. rr\
<br />Ihrv.r'klw'll uiriin.(.nff,d. fCon\enri)S.lflNtrcr(trEork.^r'nD.n\di)i,a\ruvirl.{lt',hyS.crNnl7([).frh.
<br />l-ihtr(,r1.. f,tr rh. Il.rfrnNru. ,,f rh. wo* f,n whih rh. tEtrfl ^ aj'.,I
<br />_l hnF Nrd w ill rminrrin *ort.r' .unrisrnn 'n{nfr.. ii r.rtutr d hy sdrn,n :l?lx) of rlt ljhn (nd., ntr rlr Frfi,mto. or
<br />rlr ss nr*hihrhr Fmtr t i\ud My*o d. c,qrnri,n m\tr.,N .Mar ,,n Inriy nu mh.r r.
<br />ErIi.r:_
<br />_l enlfy rhr h ill F fornR of rlt hn for shihrhir Fmi n iu.n. I \h.ll mr.trEb, rny Fr$n ii &t mm.
<br />e rrh h.a'r sl'Fd b llE s.rt6i sEFnd i.n h*< .a (llfomn. .rn .3E lhr iIl fi)uB tlor ruhi.d r. rlr
<br />*.116r GrriE.{d'n F,vir-,.r nf sdhn lTlx) of rh. t lr, (irL, I tlill. ft(huah snnly *nh rh.. F,vnnrr
<br />WARNNC: F.ttuE i!, €.w NlI.r'smtEtr*ion d,Er.3. r unL*tuI. .id rh.ll qbFr .n.it'h1., n' aito..l FDlir .ld
<br />.iyil fin.r u,' t'.r hundr.d rhou{Rl d.lh (lllx,.llt),. i. oddlhi r, rh. cor otc.n!En$rn'n. dlmt s u rn,vid.n Iorrlf
<br />sdrr)n 1076 f rh.l.ih,(id.,r .E{.nd dry\fg.-tv-t4
<br />Ih.,rtyrmrmu.rFulryofFjuryth,Ioli.rqllndqF*i.nnof(tEd.9(smrriry*,rhS&1nnTrrrrofDivirhnl
<br />ot r Bus'E$ id Ph .(in Gn , rd ny lr.n. r 6 tuI nft. rn.tu
<br />1""'i-iu-rq -"*'*
<br />I h.Ehy rllirm utul.r Fn{lry "r n ,jury rh. h.E is ! .dn{nd bi kndinl ry.xy rir rh. FnirmE or rh. Hri itr shth lhr Fm, n
<br />i.sualls.c lrl)7,( iv ( )
<br />AITUIAdLIIICIJSAII(N
<br />I hftttrfmu Lr Fuky olFrrr,om orrh.finll)*in!.k lJ,i'.l
<br />txmni nn hrm..Alt{or Ndirrnin F.d.[lR{uLrrrir rTik ilrr.116)
<br />-RaNiRt
<br />hra of t*rirrii,
<br />-l.dfyrhr
<br />rh. frL.:lr8!lcnnr E3rnii3.\ttno\ rtu^!lrr. n. :'0rlx.tL h thi( nnrFr
<br />-l..niayrhd
<br />Ihlv.r. rhn ,nnl{.rnn .d n . rhd rlE ihr. in(ndi,n n coft.l Ii3ftn)coLly*rh.ll(iylnd(nu y
<br />onlinatu.\ md Srd. I n*\ Ehi in! n)ins.on{rucri,,n. ml h.,.hyxtrrhtr7.r.frc\.nhnrsof rhnCiryrn,l(in,ntyh.nr..uF)nrh.
<br />rh'v. Nnrt,nal ,rr'p.n y ntr in
<br />Appll.nnl.r xtnr SlrNt'rc
<br />JE t€ !AAzA..ze+.
<br />s -tv- tE
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathin s 7-16.t1 d.cz1
<br />Shear Wall
<br />Framing
<br />Insulation/Ener sv
<br />Drywall
<br />Brown Coal
<br />lVasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />E ineer Final Repo(
<br />FINAL zlztl o lBt4? /l,!
<br />Certificate ot Occu pancy
<br />Notes Remarks, Etc.
<br />,'
<br />BUILDING. INSPECTOR RECORD
<br />Ext./lnt. Lath
<br />Flood Zone Certif .
<br />llt.t OB ()/-2O1tj
|