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SITE-WORK ID/SIG.COMMENTS OWNER AUILDET DEL(ARAT'IoN
<br />! tfthy .lrrm und.J rEriy ,', rE nry lt I d .rcq, fn,h rh. Codd{F Li!re hu nr llE lolhefu E&sn ls.! m]l :l
<br />Br(ikrs 4d Ptr,f.r\irn Cd.): An, Cny or C({d, qhrh r.1uir.r r lEirln tn n,nnrud, rlr(, inthE, d.m,lish .r EFt in}
<br />n,lfu. Fitr trt its nrl,ffi(. rls rc{|liB tlE rptltsr ror ikh Frmir !o fik r riSEi nr.m lh.r lE or stE i lie.tn ,rud
<br />ro itE Frvnin or rrE Co.rrktri l-i-n-d bE (ChlFd e. ComrEin8 *hh s<'aon 7fit) or Divirion I ol rlE BuiE* i.l
<br />Pmfc$ions C(xlc) or rhil hcor rhc ndc qll rh.rc,om s.d rh. hdsk rrtr thc rlkgcn.rcnuirn Anyviollrirrorsdli.n701, tbymy
<br />lprli.rni for t Fdir rubFrr rtE .r)Plar.r ro r civil F.nrlry of mr m'E rh.n firc hundrcn dl lrr {S5{D)
<br />L n{ ownd olrh. F,Fny, my.nthFes wirh w!8ri ! ncn q}lc conrFnerb(, eilldo rrE k,* rd
<br />'rE
<br />sBlE ij 'ri ctrld GoliiEn ftn qle l'*L rlx,r. Bu.iEss rnd ltnfcsii\ Cinc nr c.dtu <l-itncl,*dGrrul+pry!...o*Eor
<br />ih. pntdy wE, 1 ill] or i.lft'6 th.ca !d rhi dB rh qrl hmalf or lEll or ilIolah hir d lB own .irilhye.-
<br />[ovid.d rhd !(h iqn,vft m rn id.ri.ti $ dk fin sk lL lh*\s, rh. hoitlm3 o. if{n,Emnl i sll rirhi. oqtr
<br />of dtrlplli,^ rlE ()wE BuitLr Nill h.E rh. hdcn of F,vins rhd h. o, {r dn mr birl M DFrE llE InTEiy f t IorFEof
<br />_1. !1 owF of rlf, lt,rEn y. rn .r.luriv.lt .onr&lin8 wirh li..ns'l collm.rar ro consrtu.r irr roj.{r lse 70!4. austr(
<br />.rn ftrksi.Cd,c TIE Conl.rro.r l,t.nc lrs drB m( lmly n' rn.rm of FotErt! sb 6uill3.t ioprekt th.6n.
<br />lnd $ho dDrtuhld*khF,Fkr h r (iddonO lacnsl puriunt n' rh. Comrdd,t l-k.nF ur I
<br />I r d.nltr urd.r Sdri,.
<br />rQaa[8l(!]alflidtall0B
<br />IIiSA8AI]O!
<br />I hd.by,mrnroidd p.n,hyoll{rjuryon.olrtE n)lk,$ir8d.cl !ii,trF
<br />I h!\t.,n srll frinr.in r (tdifnr. of (tred h S.lf lnuE nn *ort6\' i,trtx.d i,n, !i F.vd.n tu bySarion.l7firofu,i
<br />Lilr, Cndc, n, rh€ Ffommc na rtF Rork ror whi.h rtr JErnrir ii i$ucd.
<br />l.cnrfy Ihd rn rh. Frlornnfr'c oltlE *o tur rhth rhtr Ir n'n tr F$d, I {halr , .n4lt'y .ni-, I'.N,n itr rny rontur
<br />g, ,! ro tf,(nrr shfcr t, rhe $.rls\' drnrpcnui,,n lrw\ or ('alirornL trnd !8Ec rhll I ctru [l tEc.'m ruhj.{r () rh.
<br />srl$ strrE.elior I'.rnaoff of sd bn l7u) of rlF Llrr cdt. I ilEll. lirr
<br />n \tr\l\'
<br />.nil rnr\ trt, h .'E h tr 'r{l rhor$trd (lollr'\ l(llrr.lrror. trr':;:z/{z
<br />IESJTAI Td
<br />I h.rchy ofirmundn p.Mlry olFrjurr rh l am li.lnrn !Bk, Ijd*ion .r chafrd 9l c mntnc in8 *iri s&ri,n i(xn, ol l)Nision .l
<br />o( rtf, Burixr. !ftj PNr.(b.t CoJc. !t my li..nE i in tull nnund .ltni
<br />,".,,"))r*7rv
<br />t'atr // / */ I G,-*"'"'""Ptgrdza
<br />CITIII8I]SII'NIIIDINIi'AGEtrCI
<br />t h.rny lntn undcr EMlryofpctjuryrh{ rh.m n !.o6{ru.rbn L iry!3.8yliirih.rrrormm.ofrh.*orl(trwhichrhirFmilir
<br />i*uJrs& t{D7 cn c )
<br />t nLr'' Nrm _
<br />aflllllll.llElLaSarlr!
<br />t H,' .frmr rn4r Fnlhr ol F i,ry ox or ilr rorlor in! &rldd nn(
<br />D.hrlirsn PsmnrArh.slot Nnrific.rn,n lcdcrll R.ruhrinN (Tirlc.t1). Pdar
<br />,acrtuirld lrn.r ol t*rifr_d in
<br />l..f,ir!rh rl[h\l!rrlrrtuIr()n r!,udnrFr\tti!\'r !nrlJ,'f,i]11t,i.rhtun,rhhfrirciI
<br />l.difr rhd I h!$ knJrhr.Ipl r.irrtr' r|l {rr. rhr r,k ,'ri 'tu $q)ly slh rll Cit and (-,)unry
<br />,lrnhCiry dc.utrryr.c.'$uF n rrE,rdrrre\ rl srrrc I s\\ kLtritr! nt huil,li',3 r(
<br />rt$t ftntiiftd ,r.Fd:- n, nNF
<br />1t)plirsnr or,\xrnr sirrtrr
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Bool Sheathino
<br />Shear Wall
<br />Framing
<br />lnsu lation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Beport
<br />Flood Zone Certil.
<br />FINAL la--lo-t\l
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc.
<br />BUILDING. INSPECTOR RECORD
<br />DATE
<br />Ext./lnt. Lath
<br />u-\,
<br />,B &PC (tr ll'i( Ei$.
<br />-l
<br />harr $d qill tuinrrin r or 16 coqrnrari'n tBUraN(. r rcqui.d tty *Lrnn lTUt ot rlr L$.r (iil.. for l& Ffnrnrdi of
<br />rlx krt Lr*hhhthk Frmir ir n$n My{ort6. mmlEn{lion in\urrmc .!ri.r dd A,li.y numhcr sc
<br />i-
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