BUILDING- INSPECTOH RECORD
<br />SITE.WORK DATE COMMENTS OWNET AUlt,DFI DEL(ARATION
<br />I h.Elry alrtn undcr Jr..hy,,r p.rjurr lh.l I o.r.mpr rnrn rh. Conr&tu^- LEn* trw r(tr rrE rollo*mf Er$n r$!.7rrll r
<br />Bunn.s .nl Ptul.rsion Grl.) Any C , or Cohry *h(h r.quircs . Fm lo consrE.r. rlr.r. in nN.. J.m,lnh q Ett ny
<br />slurw. rrtr 1,, xr srue., rto rcquu.r rh. +pli6l ntr lhh llmr h iiL . r'sE,l dri.d.r thd t or {,E . Irn{lj I'iuni
<br />ro rtt F vlx,nr ol rlt Ci'nrrdtri l-.cn€J Ls (Ch.I'ld 9, Conmr'.t qlh Saib. ?dD .f D'ytr-n t ol llE Au!r$ .d
<br />Pbf.lrrlN (irL, d rh,r lE *rn n.r.n9r rhddM rd rlr lEr! lor rlE rlk!.i.i.qron Any!r'brp..rs&ruToll thtin,
<br />rptl(rni lrn r p.mt rubl<ll! rlE rp['l,(.rrn, rLrvrlpcnrlrynfn,r mRrhrn liv. hudGldolL$($mr.
<br />-1.
<br />!r dwmrof lh.lh,txlly, my cmrldtr.r $ih *!!.t ! ih.u sh drdtci.rn,tr *i! d, rtr s* dn tu {Br@ ! n
<br />ddr.rl d oll.En nr qh 1sa.704,r. Burcrt lrl PrDt6rhn! Gtl.: TIE Ci'dr&tr'r ba< Lr dd. rr qTly ro u ovEr oi
<br />rfi. IlUFny wn' hnl& r !rFr6 tlrcn an eho &n rh kfi hiNll or lEelf .. rhtuuth hF d hcr .wn.trpbr..r.
<br />Fovrlol th, ruh uitftwdr 4 n* dcnldt qollsd ir sl Ir,lrM. r,I ta !E or dprDr'd !5U*rhr* F!oro,{kr!'r rM Oemr Au Jdwi[h,Ertrh{&nollnvuurhlrtrssh.nlj llrlt or urlmw tlE FDFtr, turlE FrF'roi
<br />[.-ft. - ""*r,'r r* gq.ay. rm cr!lunElr sddu{ *.h l{cns,l.odrrron h oni&r rF FrFi tS< 7044, BurB
<br />,n Ar,r'srn Cd.: TIE Codrioat l,..nE ll* &.! ft, .{'[ly b r.yE.l FoFny wtF l is o httnrwt fi.ron.
<br />. j wb ..dBt fir rkh FrFl! e h. anddon,l(n<.| ptrFM! k, rl*Coneid'r lr{r trw)
<br />und.r Scltrn .B &PC lffrhirk3$,
<br />x-,.2l rs lL",q
<br />I h.r.lr,'rr trr trn,l.r |tn.'rrv,'rIl('ttr'v,,tr.,,rrN r(nk
<br />_l h.E [] ,nl dnr.D r C.nir..r. or Cor€nr ro S.lrlnrur. ror hrt(r or{EMbL I Fnvilal ror h, S.crM llm o( rh.
<br />L.ln Cix!. n{ tlE F.rru of rh. k*t fd rtrn tl! tErnn ! Brhl
<br />I hryc .Rl *rll tumr"'n *.rtcr' romFni'rk,n 'nsurrn.. !! rcrtur.J hr SN r i)n lrrtr .l rh. I jF{tr Codc. nn r h. FnomB c .t
<br />rhc work ntrwhrhrhs |irnnr ( (\ed. MY worl.n' !.mFn\rr tr'n m\ur!n...rrrr rr] F'ltrynumh.r ftl
<br />l-41
<br />izj-J.cd'lyrh in rh{ FrliflERc,,lrh. *urk litr whEh rhri !.rm r s.ucd,I th.llnd.nploy rny IrBo^ 6anyhencr
<br />., $ r' h.(i,rc (uhj.L r r, rh. q,r*s .of,Fnvrx,n lxws or Cd ooE. .n l +E. rhar if l !hr!! lr.otu snhFr b rlr
<br />s'*.ii' (,r{Enqr nn F^ ! i'n! ol Sd rrtn r7r)o o, rh. Lh{ (irk. I itulr ri'nh* h o,r{l)
<br />"
<br />nh rlbE nnrnr,n.i4A*NINI; fr'tun r, frE h*cr' nlltlrnsrr,n ..wn3. n unLvtuL .d d.ll ruhAi .. .tlploFt b md..l Ffll.r .trl
<br />I'vrl in.! or n, om hudKl rh,r\.,rj Jollr! (sll)o.{xrrr. In rldn$n r' rh.
<br />R(
<br />or.!,rEr!.tbG d.,E!.! d FtrviLd ro. rlE
<br />)br )(r ,.'/l.L//1J
<br />r iiirii7ixfirtrrrxu(L\&lfl(r\
<br />I h.Et'y rlltn u*. FMl, ol Frrury th:l I .m U(nsn ud.r ln)v6b. d a-ruFd 9 (sllmErn! pnh S( in ,Ul)) ol D,vtrM I
<br />ot lhc Buims ..d P$r.snn. con., .,rl ny lr.n{ R u tul n,M rd .0.d
<br />CqISIBIqIIIAIEIPBIi.AGEIII
<br />I tEEh, llrrm unLr rrElry or F,rry rh, rf s. @.{turDr lnlu!.!c, htr tlE Ff(ru. of rlE n'd. n, *t{h rh8 Fni .
<br />(rkd (sd .Ir97. civ c)
<br />APPLICANT DEL^TT TTON
<br />I hdr6, r,ii uni.r Fnrt, ol Frjnry oF o, rh. folh*of ne LflrxDr:
<br />D.m,l'ii'. Pcrm[]Ashcdot Norrl(.rion l;.J..rlRc3uLtD.r (l lc {,. Prn6J
<br />R.qtrft,l I.tr.'ol N,r'lirri'n
<br />I Ldrryrh{ rh Ld.nlR8!Lr..i EardrS ldEno! rcR'vrlr rn {"'[:hk ft, rh( pn Fr
<br />'f( *nr, 'r, ,*,"..,,nF !r,nrr,!,n nJ {dc,ha,
<br />idDLc' trnJ srr. Lj-s (Lrui L' hrlJrn, (onnru!k,
<br />rkm r)m nDrEny ntr nrlElrin purF'<..
<br />rhc {h)vc nn!trm.hnn F()dcLr I aere n, omfly w(h ill C y! Ctrunty
<br />n
<br />h(chyrur rn. r.nrcscnr.iNcr (illhr City rd Couniyb.nlq !r^rrh.
<br />\Applimr or AE.,t Si*rruR /slt rq
<br />Set Backs
<br />Forms/Steel/Holdowns 6l(l ltq /,4r1(tt I d< lo L,* fin{s' ,P 2n
<br />Erection Pads OoLr.s i, L. r$U.
<br />UFER Ground oK'/. t, ,*ur
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Mason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req L\zz\tl /1 //14 )
<br />Deputy Fin al Report
<br />Engineer Final Report
<br />Flood Zone Certil.
<br />FINAL 6\r^o\ tl da7'q,
<br />Certiricate of Occupancy
<br />Notes Remarks, Etc.
<br />)
<br />ID/SIG.
<br />Lr.n{ CL\\:_l.k.n{ Numh.r
<br />D.t.
<br />-
<br />( onl lor-
<br />=
|