BUILDING- INSPECTOR RECORD
<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/VenVl nsu lation
<br />Roof Sheathinq n-2</-n llc?,7
<br />Shear Wall
<br />Franing
<br />lns u lation/ Energ y
<br />D all
<br />Exl./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handica p Req
<br />Deputy Final Report
<br />Engineer Final Report I
<br />Flood Zone Certif .{
<br />FINAL 12-/)-t ?L cr:;p9c4>tU>
<br />nc
<br />Notes, Remarks Etc
<br />Certificate ol Occu
<br />OTVNET BTX!,DER DEI.('ARATloN
<br />I h.r.hy liltrn trnJcr lrnrlry ,,1 pc'rr, rtur I m ctcnrfl liDm rlr (i,nrrrn! I rcn* lrq in rh. tulkt*mf R&r (^L 7,11 5
<br />F$ rn Pdars.n Colc) Any C , u Ci{,ry *hrh Equcr . rEd h Nntldd. .116. iqnE. &fr $h or EFr Dy
<br />Ftr b,rt rtu,n(. rtw, rc'tutrcl rhc !ml(.nr tu {rh Fmr h nk. stmJ { cm r rhzr h.or tlE i! lKtnel ru(xrr!r-r ol rlE Ci'nr{nri l.krnqi l:q ((-hq{cr 9. CoomNms }'rh Saxon ruo ol OrvBhn I or rh. Bu!rc( sd
<br />ns (id.)n.rh{ h.o'lhc n .i.npr rh.Rltunr .nd rhc hr$ r,r rh. ik8ftl.r.!hli(r AnyvirhrrrnolS&r,n70rl5hylnv
<br />in r Frmr 3ubFh lh. {'f'lE..r ro . .*,1 !.Mxr oi rcr m,r rh,n fi!. huujrn do[.r (tiql)
<br />r, ny dY+r'F\ w h *rr.r.! llE! c*..n{Enrlnn, v l do rh. *',* rn rh cdE 6 ft
<br />ul. lse.?044, Burtr{ $d Pnrc$nnr ccL: Th. G)nrf,n,'t lr.n{ t,* &E d rfi,l! b rn o*Er o{
<br />*b t{rlji(r 6F,6 .rs.4l rE,&F\(-..hsrt hNll orh.r(ll rhouSh hr or h.. o*n .n{'h!c.\.
<br />[ovrl.J rhrr ruci ir{rf,nnk e d, hl.dql u ofrcEJ ru s].. ll h*6, rlE tr*ltra d nth,Emd k hll *Ihr,r Ft
<br />or LatlLri,n. rlE owr Buld v l h.E trE rlhLn or lnrv!{ rh{ h. 6 tr Jn B, h'! q lttEE dE tn{Ery nr 0E FrFrc or
<br />L r\o*n ofrlF FIxir. rn'.r!lu$vcly.ontr{dm! *[h h.cnr.J 3)fir(nn: rronnEd rlE pnF-r (scc 7044. uorm$
<br />Ir! tn{tasin CoJ.: Th. Conlrkroi t La..E Lw &r\ ftn ljroly b & o*n or F,rx.r, *lt, bu
<br />.nd *ho otuds rd chF lk w[h rconitun(!,l)uEurnr brh.cnnr..rtr'(
<br />4v L
<br />PESIAMITO!
<br />I h.66y rfamr lndq !.nrlly .l Frjury onc or lh. krk,woS ddmlFf,F-
<br />_l hrE ali ,tll ruurrn r Ctnlrf,lr. ol Clnrenr b S.lllnrur. lbr krkcB' coop.ns.ren. r! I'$!i&d ti,, hy Sdrxr.lT(xl otrlr
<br />l:lbr G*, nx E Frlmr.r rlE wEr tu whah ttr Frur E $cJ
<br />I h.E inl eru mnt.h rort6' oryf,narrrn hruuk., .. rqurcJ by Seri'n 17tt, of rtE bhtr Grt , fd !h. FnmL. nt
<br />lh. unt fu wh.hrhBFmr I6nkal Mr e{{tqi onltnsllrr rnrur.tuc ffr.r.nl Frlf,y numh.r e:
<br />rhr Frmn s trn'.J.1\h!ll nn cmtl,,!.nyF6otr 'nlnyhrnkrlC.Il,ftu. rj r!rc. rh rll.h,ull tE(unr {rhi\r htlr
<br />*'*qa !,mFner,n pn)vtrbn. or Sdr r,n l7m o, rh. I rt-i (irlc, ! rlEll, n,nh*rh ..nrply *nh rh'E F,vri,nr.
<br />WARNING ,'r ur. n, srur. workcr'con{rmar!'n.!'vcrat. ,( unhvtul. mJ \hrll tuhAt an cqrk,lrr h turlFE!.! sl
<br />(Nrl iin.r un n, om hunlr.J ik,ue,rl Jollrl (ll(().Olr). 'n d r, rh. dxr D{ cnnttnrlr
<br />s.(itr,i n)760r rh.l rlu(iric nr'c{rrrlnr
<br />t 3o
<br />I h.rhy riim u L. F..ly ol Frruy rh, I d Utnrl unLr Flvn,h otclirpr( 9 (d'lrenm! rnh SdrDn,lll)l ol D'trDn t
<br />ol rhr Burcs !a! Pmlnrni C*lc. .rl nry lf,..t. s h tull (trd lrl .fi.cr
<br />COiISTIU('NON LENNT G AGTIICI'
<br />I h.Eby .lljrm undcr lEnrlry ot Flury 'h{ rlrE Lr r s,Nrdcrion Lftlirs i8.By for rh. Frfo,rm or th. q't nn vh.h fiir IEmn i!
<br />nrErl (s&. ()97.ci! c )
<br />APPT.ICANT NECLATATMN
<br />I nddr,v .flin uBLr Fn.lty ol F,lry oE ot r,x rol,owua &r l!..ront:
<br />Dcn[lili,n P.rm(]Arh.nor NoolMrxrn F.J.dl Rqxl,rrnr(T lc,ql. P.n6)
<br />_Rcqurc'j L(rrcrol No1 i.tbtr
<br />Nfdml .slxnos rcnDvrl rc n a$'l(.hh n, rhn FrFl
<br />r'rl'.i rh..'h*r tr'l,ntrr, rr, \Lr IrfKn,.ompl!eihrllCiyr (llrnry
<br />ol rhr Cnt.nlCoudyn, cflrd uF)n rlI
<br />rtr'k nEnrr)mil nn'F.ny kn np.ar
<br />Appli(ur o. AF.nr StMr .-1 o
<br />I
<br />( r.t
<br />rl,ar I lLrvc rcld rhr rmlrcii!!r
<br />Iri 5r.r. LrlrEhrrd t,
|