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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OwlTER BUILDEB DEI-('AR TION
<br />I h€..ty rmrm unda Fn.hy ol psjury thd I m .r.mpl froh lh. CottEloE Licge ttw tor lhc folkNins...9 (S*raoll5
<br />B6i.63 !d Pr.farion Cod.) Anv ('n, or c@fly ih r.qui6 . Fni' ro ..dM. rhq. improte damlirh or .q!n mt
<br />incrue F.r io ns Bll4G. lLo r<qui6 rhc +plrsr for $.h Fmn to frL . t'sxd nntur rh, lE or iE a ltasd Fad
<br />lo rh. prrvilbN of tlt Co.r.croar Li6!.d L$ (Ch4la 9. ('o6n*ir8 {hh sdion ,0m ot Dirilion I ordE BrrrtB ud
<br />Prcf$ion! ('od.) o. lhr! lE or sh. i! ampi th6.liom Dd rh. b.!6 for ih. llLS.d a6np{ion. Any violllion ol Scdon 701 I .5 by any
<br />rppli.' fn r Fmil rt jdB lh. lpplicDl lo r civil p@hy of ml mr. lhu li\. huft,r.d dolld (1500)
<br />l.a o*fr otrh. FnFry. d nt dnlloy6 *nh $is6 a rh.n $E oiFBds.. qil rl, th * tid E,irlE ir ml
<br />iiai.d or ord.d f sk {Se ?oat. B6il1d dd Pmldi.N Cod. Tfi. Codd.a! Liw l.s dos nd +9lv ro & o*G ol
<br />rht F.pq1y who boild! or irBrov6 rhqhn. !.d *no dG sh w* hm3.laor hellor rhNUBh his orha oM.mployB.
<br />p.ovii.d lhd loch mFnffir E ml iiod.d n olSst 6r $1. l( lbR.,
<br />'lE
<br />tlildlra or in{m\qEn i' $B lnhin ox yw
<br />of.6,pknl! dE olrG &rkb {in llE rtr hnb of rrcviq rhd rE q ,}E dd d hrild or inp.nv. lh. FtrFry for tlE F,FE of
<br />t. a owno of rh. Foldrr. m.rclr.ir.lyconk.ding wnh li.m.{codtrdonh coinEcl lh. F.j..l(S(. 1044. BBi.s
<br />!,n hikim Cod.: I h. ( ontrrroi! l,i.os llw d(B ml qTlr ro s owns oalroFny *ho h'ld! or npro!6 th66n,
<br />ind *ho ofirr3 ror$ch Fj.rlirni. Conr*ro(r) liG*d 0o6ar rorlE Cotudoir LiaM L&)
<br />,rr'r"""</;
<br />n &P-('litrrhi(r..r,n
<br />s41-- r,/,*
<br />1r0ab[8s:1r]rErsArpr
<br />DE(IJ!dIIAN
<br />/r,
<br />I fiftby,mm ondd Fulr, otFloryomof th. f.lh{ins &rlJnhB
<br />I hl1. r^d sill m.idri. $ 0116' .omFcdion iNu6n.., a r.qon.n by Sdi.n I7(xJ of rh. l.nbor Cod.. lo. lh. I,
<br />rhc u rl l,r uh'rh rhs lmir ir isuol Mv uorl6' (.m6qiq hqlmcc ca 6odpalicl nurhd e(,*rt/"/tt-( Clw; E ar 4,-r5,1a).-
<br />,^*,^,*o Nce(|ffi"/tt r\prB ,.b{rz
<br />I cdifr'rhd in tlr pqfollffi. of rh. ".rl f "hth rhi! Fmn ir is.d. I th.ll ml dpLy rn! Frn in uy neF
<br />$ B lo lElm ebicl to llF u(td otrrrEsdio. Lr! of Clliaomn ,n *R lnr 'rl Jbud hcoc !b,<d h rlE
<br />tron6' onFElrbo provabB ols.(io.l7@ ofrh.l$o. Co+. I iElL ffih$ nh @,lpl) snb rlbs Frrirbd
<br />WARNING Fliluc ro !.@ *0116' .oniFMriin e\'r,e. ir unldstul. .nJ .h!ll slbjd u dpLF lo Eininit Funir and
<br />.ivil fi.d up ro oN hun&.d rhound Jollm (tlo0,uro), in rddnion io rh..oJ of conFMliotr dmd36 6 prcvid.d ror thc::,/,;E:
<br />r.r( I \\r. p r !f l!! !! l(tR
<br />DICIJAAIIA!
<br />I h.r.ty .rm undd p..!hy ol Fjury rhd I d liclr.d ud.. F\ tnn oa(14t6 o (omMcins u'nh SalEn 7000) of Dn ilion l
<br />ot lh. ttu'llE !n erefdhB Co&. -d ny li* n ir tull fo,c. ,n.l'dl
<br />,:,,\-rn 7u"4r
<br />cQluiucuolr-udDllclcExcl
<br />I bolt9 rmm ,nd6 Funy of Frurr rhe dd. b . slun(rioi lodi.g r8try for rh. Ffo'llle. of llE *orl f i \nth lhi' F iri
<br />is&d (S€ 109?, CiY C)
<br />t dqi N.ft
<br />6ffu(aNllr:clJaallo!
<br />I hd*, ![m unds rFlh y of FEUry onc of lh. lollosrrs d( l[ai Knr
<br />lknolilion Pdrnils-Artalos Nolifi cdion l.dsal R.3ulnlions ( rirl. 1lr. Pano)
<br />R.qutr.rl l!rq of lidrfi crFn
<br />l.dilyrhai rh. f.dcrl r.lularioni Esrdin8 6tE r*ro.!r1tr. nor aipli.rbl. ro rhis pmid
<br />I cdrify rhd I hsr. tad rhb epltdi]I.n ('r. thr $..bo\. rrnrdrion s cotr.d I asdro dtnllt *i'h.!l( tr rnd (iru.rr
<br />odlluftd dd 9n. L!!r nL,s ro t!'ldil* codrudr( id hs.t, .ulbroc r.F6driir6 of rnn Ciry rnd ( oudt
<br />'o
<br />ar6 urDn 'lr
<br />;.-;"."il-:" *i;ry4 0-'
<br />pdr,Rn.h.(prin,,: 41 //t,n (1ts.
<br />-/-rl,
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />/n\
<br />FINAL L-\\-il h.,tLtr)
<br />Certificate of Occu pancy \./ \\-/
<br />Notes, Remarks, Etc
<br />-lhrErdqill
<br />i iin . Cdlifr.r. of Con5r t( S.]f-lMrc for urta onFarion. c Frilcd for bt serion 1700 .tllE
<br />tlbm Co<le fd rlE Ffffi. oallE *(t for *iah rlE Fnn ir iscd.
<br />Flood Zone Certif.
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