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SITE-WORK DATE ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />SLAB Floor <br />Roof Sheathinq <br />Shear Wall <br />Framing <br />lnsulation/Energy <br />Drywall <br />Ext./lnt. Lath <br />lr/asonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Enoineer Final Report <br />Flood Zone Cenif <br />t- <br />FINAL /2/dq/6 I <br />Certilicate of Occupancy <br />Notes, Remarks, Etc <br />OWNER AU[DI'R DT'I,CAR 'I'ION <br />I hcrclry illnfl uid.r |fnalry ('lprrjury rhor I m cxcnq fiofl rhc ContrrcroF l.iccn* lf,s fn rh. rdldwinS tav,r (sd 70ll5 <br />Bufdcss i'i Pnnt\idn cl)dc): Any Cily or Coum! which rcquncs r t^-.nnir ro condtucr, rll.i nn[ovc, d.rmli'l or rcrlln nny <br />sddurc. rlor ro n! nsunrcc. nto Equtcs lhclpplicanr rbr suchFrmir t,lilta\ignrd srcntni rh.l h.or \hc t liccn\cd puru r <br />b rhc pmvinons ofrh. Conrfucror'j Li.crsdl kw (ChJ[cr 9. C.nrmncing wirh S..ri,nt 7lX]O of Divir'on.l ol rhc ltu(incss ind <br />&otsn,n\ codc)orrhartu orshc i\ 4.ufl rhcrclronrrrl ihc b is f{r rhc rllcecdcrcmprion Anyvi.hlioroiSccridT0ll5byrn, <br />rltilicrnr forap.' i subjcch rh. amlicrnr ro icivilJ'.rrlryoftror nDrcrhanfirr hnndrd dollrs($50o) a <br />-l.rsowDcroilltrnropcny,inoycifk,y.dssirhsr!.\!\thci'r'tc.onFns <br />i(trr. will do lhc *ork ud rlt ifl.ruto is nol <br />i'rnd.doroltercdlnr\rlc(SLr7Ol,1.Bu\ircsMdPi.l.\ionsC(xlclhc(nrlra.r(tr\l-icctr{lisdoc\trorErflyromosncrot <br />rlE |hipeny \ho huil(ls o! n.rnn$ r,rB'n. aftt who d(\ nf,h vrrt hi'hclfor h.r{ltor rhr,ulh hF or hcr own.rPl,Dct\. <br />ni.vid&l rharsrh in|,oruE sirc tror]nrcMc\l.rollcNlfor {c.ll. ho*.\.r.rh. huiLliuor ifr.tlrn.nr i $ld *irh orrir <br />olcotrlPtrion. rhc O$rcr Brildcr silllr\r rh. burdci ol pnivtrg rl![ ht or dr dil tr.r htrilJ or nnnrovc rhc In)F1y r,tr r]r N{ne ol <br />l. r\otrt.rofrhc ptfcdy. incx.lusivclyc.nricli]u !irh licct\cn cotnr.h\ h coidr.r rlt pnrlcd lScc. 7(U,,1. Bu\nc\s <br />rnl th,li{stu Codc lhc Conrrctn \ l-ircn\c l rw.k)cs nor Jmly n, rn.Lytrcrot|no|xnytrho huildsor impn,lcs rhcrcoi. <br />rid sho (nnr r\rar{rhirr Iiccnscd pumurnr xrrhcO,nrrncroi\ Li.c \. tjw) <br />;"":""q' <br />!.4!rr\8 -nal\ <br />I h.'ohy rllinn undu p.nrlry ol r)c'jry orc., r[c n)lL)ui0! dc.hrrri()N <br />,lhrvci willnnnrir!Ccnifi.(reolCon\cnrl,)S.lalnsurci{n$orl.Fotrrtrtrsdnnr.os[.vidcdl'ortySminnr:]7{JOolrhL <br />Lrlxtr Codc. r(tr rhc Nrfrflmtrccoflhc w.r* Ibr whichlhc !.nnn n n\ucJ <br />thc $.'[ tur which rl,i\ j[nnir i\ istrcr] Nlyqorkcri.o l|).tr\xr0r o!unr.c.nai.' xRlpli.y fun'l{r rc <br />Poll.yNutr,h{r <br />-l,rptcs <br />l.cnily lhri ir lhc |trturnurcc ollhc w.rk lnr which lhil pcrn,ir is is\uctl. I shrll tror.N/.y.ny t)c6on in nny iMtrcr <br />$tr\rotrr r ubjcd to rlr $orl.^ .onD(is r ui lnq\ I Crlintrtrii. rtr(lUccrhrr il I \houl,llf,c.n{ \uhlLrrt,rhc <br />sorkcr c.nrpcnslrnn, In,ri\ions ofSrcrtun.lT{X)orrhc tjh, Codc.lslu L lifih\riih conllly *ilh rlt{ !R,vntrtrtr <br />$,{RNIN(;: Faihrc h *curc $ork.F cnDrDctrsdlon c.vcrrsc i\ trf[stu|. rnd shx]l suhp.r tri cnrfk'ycr b.rinrinrl P.nrlri.s md <br />S..rit)r l1r76olrh. Lihr (inn. inr.rr! rnLtrtr.r <br />I h.n'ht lrnn,un,l.'I[ rlr!ortf,rj$i rhrr liu Jrri\ | ol( Bpr.relcof nrnrid! Nirh Sc.ri( rl[xrr,,ll)ni\i(r.r <br />ol rhc Bu\imlsrnJ ltoL\snnr\ Codc. ail ry li.. \c '\ trr lllln,.c d.lli.! <br />CONSIBIJj:IIANII'NDINIi-61iEN1:I <br />l\N! rSr\ rrDi-.(-'\ ( r <br />IT!LII]/INLDI'!!j3AII9! <br />l lrrhy fli ufttcr |ttrrhy ol IErjury onc olrhc iol o*ingd..hrxriotrs: <br />Dc nnirn Icrnrirr sh.srnr N.rific!r irr I'cdcrr l Rqu hr ior ( l irl. ro. I'rn6) <br />Rcquncd hrr$ n, Noiilidtidr <br />I.rni,rrharrfuli,lcfulnlulrri()trltoB dhg r\tf,{!\ono!rldc n.lrDt'li.i6l. n, rhn pmJccr <br />roconrnlyrvirh rllCiry trJ C.unrt <br />:',q/ffiLy <br />l.cdilyrhd I luvc rc lhisapplicrli a (uclhrr rhc xnc inlbnnrri(r, irc..c.r I agle <br />.'.tr,. ,.\.,\l\rrhIJr.mIr,npr.hui\iirs.nn{rur,ion rd\crhJrurh"n"- r{ rJrns,. <br />,1,."",**-r",1 r,,Bnv t",,t\ r.,ro,n**.;;:;;,;;:.1;Tuu u r, bErlrc <br />t'.n lt"" *n " tO;rrtt / <br />'591, <br />BUILDING- INSPECTOR RECORD <br />UFER Ground <br />Sublloor/Vent/l nsulation <br />Brown Coat <br />*", -CttuA(q <br />If,nJc' \ Addrs\ <br />- <br />= <br />=