BUILDING. INSPECTOR RECOBD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenUlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framino
<br />lnsulation/Energy
<br />Drywall
<br />Exl.i lnt. Lath
<br />Brown Coat
<br />Ivl aso n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputv Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />/A
<br />FINAL *tt-za
<br />Certif icate of Occu nc
<br />Notes, Remarks, Etc.
<br />owNlir BUlt.lll:l{ D}:l,caLar()N
<br />I tEEb rfrrn urLr p.Mhy of p.rFy rh.r I m.r.n{i lrum rlE (bder6 l-iw Lv fd tlE toll,t a Ers (Sd.7trll 5
<br />Burin.( .,rl Pr.tca$r c'n ): any Ciy nr Cddv *hth (nutrcr , ptfu r1 .oi{tocr, ,hd, inor.G dcmlirh o. EFtr oy
<br />,ru(urc. Ili t,is ilsuoM. at{ Rlufts rh. lmlied inr surh Fm t,fik!si8Elid.Mnt rhd lEor !t i! l'(E'Ld pldur
<br />h rh. rrvEh6 .I lh. Orker(! I,r..\.d ur r(t{r.r ,. (ir,rftEi.I with Skrhn 7(x$ oa l)ivni.'n I or lh. BsiEs r,{
<br />Piaf.sr,tr! (ir!, n th.r ll,( {E !.r.rqr o.FaDmollh. b{sr lor rrE tlL8.d.r.qfu,n Any lir.r!. of Sd!. ?0] l rb].ny
<br />.pDlrcrd nnj rE.r{ rubrdrrlE !n l&nr ro r.rvrlp.Dlyolmr mr. ihjn liv. hundEJ dollt^ (lslx,)
<br />_!. .\ .qer .l r F.Fnv, .. my .mph'... wrh *r3c\ a rh.r oL conrf,.{6.. }ill du ltE s,t ]d rlr iM@ n d
<br />rrdld, o,.fi.EJ tu !L rsd 7o.t. BuilBs.nd Pmf*ih Grr.: TIE Codrrrn 3l-rdr Lr* d6 M +01) !o u ord ol
<br />rlr pn+.ny wlD hu dl u nqmB rt-.a .!rl x h, (ts sh kit htNlr or rEkll or wuth h! or lE! om .rnlly€t-
<br />pn\id.d rhrrs{h imllnr*rEds E mr iddrd.d or 'rLred r.r sL. ll. hntrc(a, rlE buildlu q inTnkft.r is sB eihin m F-
<br />oI r dn+h nr! rtE (rE, Bud.t will hlE rtl b{^L! df lrivilB rlu lEor,Edri r{ bni!oriqF€r}lp pqry tu rlE p!.Fe ol
<br />l. d\ ns rrr of rh. pnlFd,. !m.r( lun r.rr cort!.ln8 * ih L'(.trql codnk n{ r r' .oNru(r rh. ror.r ( S( 7rx-r. 8unks
<br />rdl El'l.\vr(inle 1l'.(irnrucntr1l,'(.tr\el-rwJ,E\norr|t|,lyn'r. wkr of pror(d y rl$ b(ildi or ,n,In)v.(ltr.on.
<br />lnd trh, .ontrr.tr lt{ {trh r(,Fn * h r Ofl rxr'ne lk.n*t ao^uid tr, rlrCod, , \ Li.n* Lr*)
<br />I Mr .knI{ u'ns Sal
<br />lhD-
<br />!!08&IE:rp![!dsarl0!
<br />DECIAXAIIO!
<br />I hq.by rino !n&r FMhy ot F]!ry oE .l tlE rolli*[l d.cb.i ioN:
<br />-lh.Eo
<br />wru N.ru r C.nilht.ofcord h S.tf-l6uE ft, HxId' ri!trFMi'n. r F.vd.d fitr hySsrhn 1700 ofth.
<br />lrltr c.ik, f., rlr Frd|l$..lrlr q* rd snrhrlr Fm r h!!.d
<br />&.na* ut *rlt mut. *" !d' on(ENrrtrr 'nru,ir., I EquiEd b, SdiDn ]7m ol rlE t txr (i$., lot ih. Fnotm. ol
<br />,* 3+a/t (aztp 1r7 a,R n'dtzoots(-tl s
<br />_l cd(yrh.r rrlI FntrmRolrh.rort (i yh.hrhxFrmir n s'o.rl,I {dl hr.rpby&yp.e. insy'MEr
<br />$ 8 i.lenm slbtlr h rlE wtd ortEM.n L*\ olCrlrLnu, nrl r8re th{ rr I xbrld taor shFd h tlr
<br />rod.b conD.nlrDn pruvEeN o, S.lrion l?0O of tlE be, (iiL, l slull, nhh*nh Nnply rnh $. povlioN.
<br />\lARltlNC Ir luE t' k(c *(trLn !r,.{E$dfu'n c.rBs. R unlxwtuL md rh:ll hid d cnpk,r rd 6mMl l(MiE lrl
<br />rril fift\ un I' oft hln .d rt-und dollar (llrr0,lrl)r, 'n d(n. ro rlE r.{ ol ..qtrsrion, drm8.r tr F.vdcd r.. rrr
<br />(iilc, d.H rBl dtry\ f6
<br />I tmby d lirm uid.r p.Mhy .t p.rjurY
<br />_ ..-------
<br />)rrrin! w h Sdi,n 7mD .f lri\ n.^ I
<br />ol rhe ltuntrc$ anJ lnn nFnsCo,h Bl nrylf,.n\c
<br />^
<br />rltll tun:fll.llrcr
<br />4
<br />^)co!{llt!c1ll]$irl)!Nclct;r(}
<br />I h.Rhyrl,nn'u'rlr Fulrrof Fr|lliynur rhlF b ! clniturrfl ]'rlD3 !3.Ny nr rh. rErro@-. ol tlE rul ld *hllr rhB Fm', n
<br />i\{d(s.a 1r,97, Ci\ C)
<br />IIII.ICANLIECIA8AIIO!
<br />I lE6yrtrmruil.r p.d,rtof p.r!ryoE or rlolbsmg&Llrlius:
<br />O.nlhipn P.rnrlArb.iot Nd ifr.r. F.&BlR.Iul.ro.' lT(k.lO. Pan6)
<br />R.q!dcd l.n.r of lli Lq,rin
<br />_J I .d ) rhd rlr lRi(hl k8ulrrrN R3!r'h3 .\hdoi Em*.|d d lpr,lr.bl n' Ar rod.
<br />_1l>lt{,
<br />'h.r
<br />I hdtc (dl r tur lpplrr Dn .,rl ndG rh.r rrE rbor. 'nrotuiion tr rctur. I rtE ro @n'pry wnh ![ Cily .,ri Counly
<br />dJdtur, t ld Sr.r. Lrvr Eli! ro llidnlt .l],@!rn.L dl lEclry rrlbc FrrtdtiB or rtu Cry .r!d Cr'udy b ds uFh dE
<br />rhr. rdlr{ pn,Fn, nx NIEdni t{rF&i
<br />\r,t)lirrnr !tr \!t rs'[tr n
<br />DTE$I
<br />Hev.08'0/-2015
<br />*, ,Y/a4+;
|