BUILDING- INSPECTOR BECORD
<br />SITE-WORK DATE IDiSIG.COMMENTS oWNER BUrl,DET DEI,CAiATION
<br />I tf,Eny lfiird rnds lcillry of Frrury ih'' I !o crcn{'r rhm rh. conhs.roB l-i!.( t } Inr llE nnk'*iry E!a'n r s.. r0.r l 5
<br />Bunn.\s ldl Pnrr.*i(,n C.d.) Any Ciry or Cdnry *hi.h rcqun.( i Fnnil il' uon{B-r. alla. iq'tr'rc. &mli\h 6' rFb liI
<br />iMim, Fir r, r nrxrft...l$ Rqutr.s rh. +fl(dtrr f(tr rurh Frnn! ro nh ! si3n.n {!rc'tni rhlr h.or sh. is li..n{d lura$r
<br />ro rh. Fovtirt ol rlt Conrrxroar l,irnr.d lls (Chrpr.r 9, (bnnkrkinS uith SNrion lx)o .l Divisbn :l of rh. alrim* ind
<br />ttrf.Gr,n( Cql. r or rhlr h. r rlE s &riY't r lFtfn,m ]n rh. llnl nr rn alhscd.r.n{rii,n An, rd.nonofsdsn ?011.5 hyony
<br />q,nli.unr i(r r pc.mir subF-rs rh. lttrlic..r t, a.i!ilp.Mlrtnl frn frftlhin lir. hudrcn dollrt r!r[r
<br />-l.
<br />cs owNr orrtE ,EiFny. o. rry.npt'F.s f,irh *ry6 N rh.i' eL onlfnorion. wil (h rrE w* rn ilE rnnm ir d
<br />inrcndqi or nficEd tu qL lss 7(!4. Bnrift( dnd PblalsbB Gx,."fh. C.duioir l-irn* tiu d.Er ml {nly ri' u o*t. ol
<br />rh.In,Fny *lD horli\ or iflr.hr rtrrn, sixl slrl dF rx.h *rl himclf ot h.rcll or rhn,u3n hn or h.r oen.mplotel
<br />prntit d rhrr rkh inprn\dr e m' -rftLd r dl6d ir {h ll horN.llE ttrildi.! or itrtdlEm b sld wnhir onc ra
<br />otraBllkia llE OwE Buildd *ill IEE llE tuLnofFnrins lld ltor rlr dU r hriU 6r intmF lri F{6y nr E FlrF)col
<br />-l
<br />h:E trd $rll minr'in r C.n irtd. of (lhscnt x' Sclf lntur ntr *ork$ cortt.urirn, o{ro*l.d f.r by S€lim .l?(xr of .
<br />Iitx (-.'d., fr rli FrfImN ol rh. *dl f{, *hah rlE p6mir ir sud
<br />-l
<br />hav. rn *ill minr.in *ort.rs co,qrndi'h inrxnftc. si nrluiEd by s(rnn :t?(x, .a rh. lllin Co&. f rh. Frf,mR ol
<br />rlE *on( fn *hth rhn [Ermir il h{u.d M y rorknl .onlxnd i). in.unN cMir rrn Flicy nunh.' d
<br />_l ccnify'hor in !tu rrronumcorihc *orl lor *hhhrhnlFrmir t nsEd.l stull mr cryrloyrnyFNn inrnt NnB
<br />$ ,r tu lhr,m suhFr io rtE soddC onD.nsrtlnn h*r of ('!lrnnu. lnd agN rhd if I rh,uld tEqoE ruhFl to tlr
<br />Do*6i omFHri!. pmrrhB ol Ssr ion lTlD of rhc l rtxtr c(dc. I rhnll, fodhwirh omlly w h rtsc J,mvtioni
<br />WARNINC lrliluE h ffi r$rt6' ftfp.n{rih .ir6B. n u.buhil. !d rhrll rur'Jc{r N.rrllllirv tu frnml F ias.,'d
<br />.i!il liNs op ki om hu rrl !}x{q l dollr^ rl
<br />Sccin,n 1076 or rh. tf,trr C.xk. dr.rcn rfr, orr
<br />o"rE.srio.. dlmB( .( Eorn.d for rlx
<br />,,,,,s onl$l tq du4<-0rt
<br />I h.Ehy rmrm undcr FuLyofocrrury rh.l l.n lir:Nn ond.r F,rn.n ofClEl"d 9(ommtrr8 {ilh Selbn TllDr orl)trrh.l
<br />nr rh. Bu{ms drd Pmf.s{nr Cod.. rrrd nv la.nr i1 in tuU nna rn cfldr
<br />lalltlBlljllQtit llilut{illJiri(r
<br />I hcRhy illtm uoLJ lrmlrJ_.1rcrjurJ_ rh,l ltsc t ! n,n{todion k linBr!.ft}r f.r rlx F lmmLr ol rh. f,r't rL $hf,hrhtrFmr 6
<br />i\1u(l(sft r(D7. ( iv c ,
<br />APPI ICAITT DFCI {RATT(Y\l
<br />I hdrrty rltm rnt r F..lt, or F rry oE ol llE follorir! rk!,.r ionr:
<br />ftBrhion Pcmnr ArtEjor tidifsrin tu f,lR.Fhionr(Tnb 10. Prn6r
<br />-Rcq!i!d
<br />L.rt r of t{.niardi,n
<br />-l
<br />cdify rh.r rlr a.dcrll istrltr'ioor rsidinB a.b.nor rmv., m nor rpt'ltuhk ro iht pmli
<br />I.dlily lhd I lIEE d lhit.ppltnbn rn iillc ll lli.tsE ank)mrion r.ffi.I{etomry y*nh i Cny tnd couniy
<br />.diMtuc< arxl Sr.rc lru!Elii.trr. huilding.onrd r.Frqrdiw. of rhir Ciry !n ('o y ro .nr6 qrrn rtr
<br />r{\t,ttt,nnt P,F:n\ r\ iy),t\ t
<br />roDfi.r.r or \!ml sirDru{-/
<br />e.-,,u* --" t,^^r, ?@,Lad
<br />ox/t6ln
<br />Set Backs
<br />Forms/Steel/Holdowns \
<br />Erection Pads N,.;)
<br />UFER Ground ,r,/rn t/jt//
<br />SLAB FIoor
<br />Subf loorivenVlnsulation ,,/:;-)
<br />Roof Sheathinq t'llwL
<br />Shear Wall t ^-..-2-1k1.
<br />'",rr)
<br />Framing I I
<br />I ur
<br />lnsulation/Enerqy u/+lu ,ll .N@ 3Z_)
<br />Drywall t-E-tq 2 UUrra ks
<br />Ext./lnt. Lath rr- tz-l 1
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL ) tlura Lr+ta
<br />Certilicate of Occupancy t'
<br />Notes, Remarks, Etc.
<br />tqly,
<br />leha
<br />T-Bar
<br />)
<br />_1. !r orE ol ihc tn,Fnr. !hcrclorivcly..nhcrin8 qith lacnLd ..nrkh Io .on(ur llE FoFr (S< 7{X,t BuiiE.'
<br />rnt AtGrim cixL Th. Contdols Lic.ns. tiw d{B 'lllT,lyro own.rolnorEnywM brildior impov.s lhcrron,
<br />""
<br />..1._, ),'--l $;7ry3;1,:i:::: -*-" *" *
<br />,,.taql lekl ,**, eu><- na
<br />.[l)xf,E85-rr]!tEE!SArI0!
<br />DECTJAAIIIXI
<br />I h.rcby.rlrrn unds FMlly or Fjury om of rl. n'll]siry tk{h.,ri'nr
<br />cuir
<br />-
<br />T
|