BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE COMMENTS OWNFI BUIT-DER DEt,( ARATION
<br />I ll.khy rl,ur uotr Fn ry,!f JrrJory rh.r ! d .rcnd lisn rh. (i'rrRr6' Lrtn( li* ntr ihc nil'*o! onn (S.1 7011 5
<br />Buqncs , PrDr.$n'n cdL) Any Cily or (',,rnr, whrh Fqurd r Fml h $n{ru.|, llrcr. imttDk, &B'lnh or Rnu y
<br />nruulurc. Iru h irs nrr.Nc, !lw' r.\tu(! rtu s0Ph..r to. ru.h Frmn rr ,ih a Urc'l {d.nrnr thrl lE ot ilE B liltn*d purtr{nr
<br />b rh. Ix'v(n)ns o, lrr Conr&ntr c l-i.cnsd lj* r(h,fl.r 9. (inrmtun8 wilh Serrr'7lxD ol Di!tri,n I I rh. Bu!ft(.&l
<br />Phfc(r'nr C,tL) or rh.t lE q rlt tr .tq, itt.lroh {rl rh. b.!1 fttr rh. .U.S.n ctn{ir'i Any hlllir ol Sdrxn io.l I 5 nllny
<br />:prlnd ntr . pmr ruhFk rtE .a,f,lf,d b r r rrn p(El y ol nn o,. rh,r r'vc huhtd ,l lur tt5m)
<br />!. .\ nwn.rol rh. Irrrrny, or hy.hpk,F.i w h *l3.( as rlFr c'k u'mrn\rtn. * lJo ih. *d !n rh. {ulE E rn
<br />i, did or oilcrcd tn s'k ( se 70{4. Busim$ rnd fnrcsnn\ Colc 'l h. Coikacttr'r l-Knsc ljw l,'c\ nd rplly t' d orrc. ol ,
<br />rh. nnllrny wh, hu*jr or nFn)kr rh.Nn. nl qh,&ra\th Md ho!.lr or h.c.l, nr rhn,!3h his nrlF o*n.mlk,y.c(.
<br />pt,vrlcd rn rkh m6'EratFLr incnkrl *oncr']fif, qk Ii.hrEF.rh.hu Jry n ur+ruEmd (! vihfi(xrs
<br />ollrnll)L6,a rli Owmr Bul&r hll hrE lh. huLn ol Fuvu3 th, ,E,x ltr Jrl ox h.[l or urFrE 0E In'Ixnt tu rlE FrPt ol
<br />I r\ nsRr .l rhc Fi)t].ny. u .\rltrn\rly lodru(nnt wnh h(naal onhd.^ n, d'ndtu. lt F,r.Lt ( Sc( ,ll$r. Iro\d$
<br />s thn.srm (irlc: Thc Ci,nh(tr's t-tcnrc l,.w,ldcs nolsDFly 1,, !Do*n.r ol ln,!idy wh') huiBr or rmP!trt\ rhcron,
<br />rnd *lr, r.nra* tu n(h nn*.k w h i (.onlri(nfi \) lE.nscJ ^urnrtu!h.(in r!(rtr r l-f,cnsc Ii*)
<br />_l rm.r.mfl !ii.r S.!L,n _. B & PC nnrhtr tc&'n
<br />lloRl(ERs' coltlrt. iisalloii
<br />DECIdSAUT,N
<br />I hcnhy trrlrnrtr d.r l.nrlry .l t'.rjury orc ol r hc l,,ll,,wm! Jt.Lrrrdn.
<br />-l
<br />n:k lrl w l Eot.tr . c.n!fi.l. ol 6n<d .o s.laltrlrft rr *dt6 .TnFnrrrin. s Ftrvri.J ror by Sdr$r ]TOO oa rh.
<br />t hx (ixr.. ,n. ltl Ffl]ll:G. ol rtr a* (r $:t rlE pqh ! !!uJ
<br />I nrE ,n,l wrll m! {rn *orr.n' (r'{lcnir in rnrunEc, rr .qulql $y S(t i,n l7($ o( rlE bh.r Or&. lM rh. Frfot1r1frc .l
<br />rhc *ork l,n whKhrhsFm 'i.skJ. Myw rk.r' $m!.nsst hn riuo.c csmr drrl |I rynumhcr m:
<br />t-U^J O
<br />"",* n" *, - l9(Po ?tP
<br />-1..n'ryrhnr
<br />nth. Frlolfrtu. dl lhc work ntr whkh rhtrF,m tr h\ucJ.l\hrllft, cn[k)yioyFR,n 'n.ny huxr
<br />$ r k| hc('trE ubFrr tu rhl *ortdi cohr.nld i,n hws ol Calrkno, rnd rgR rhar Ilk{Uh..omnrhrd brlr
<br />$orl.^ conurnrarion pn)vn(,nr olSeli)n.17(X).1ih.l2bor C'rl(.1rhlll. if,h*ih.onrPly *(h lhrc I'n'vi\r,n\
<br />WARNING: I'tuluh k! <(urc w)rkcF .{mn iernn rov.B8c,\ unUrill.. .h.ll ruh}rr u.r+k)r' !' (ruIFBls o,l
<br />.n liR! uJ' ri! oB hudErj lh)uqnl diL. (tlfilUl))ro( ot.oqrdi,( .Lma.t I Foral.J ttr r,r
<br />itL. nr(Ev rd stlm, ! lft\
<br />79
<br />trFr t \k\ 0\
<br />I h.Ehy rl,tm unLr Fnllry or F4ury rh.r I o lNn(r unkr FUv!.. ol Ch.Fd e (.nnmdus w h Sai.n,mO) oI Divrm .l
<br />or rlr Bo!d* rnl Ptui.(bn. Ci*. an 6y ll.nr E u tull fi,M d.ffdr.
<br />5 #c.,, 33 b'l-L 7
<br />consrll.JcloN I FlIllNc acElifl
<br />I h.Ehy drrh ud.r FM[y ol ttrjor, rh, rtft ( . .ldelDn bdrs .!. y lor rlr |tril,lrw of tlr uxt fin *trxh rlts F (
<br />Br.d (s( 1097. cr. c ).t nd.ar Nrm:
<br />AETLICANI.IEqIAAIPN
<br />I hcr.b, .ltim u d.r rEn.h y ol p.'Fry om or ih. k,lk'r'n8 &{,,rfu,n.
<br />ocftnnr)n Pcnnr$Ashcsro! NoxtGtrun F.J.isl RrBUhrxrns (I''!1. 40, Pdd6)
<br />R.qu!.,j trucrot I'rr irrhn
<br />I r.n'ryrh.r rh.L&rrlrguLr$fu ft3rJhg r\h.nns r.m,!rl.rc ftr qrlrihL h rtuPn,Fr.
<br />-l..nrryrhd,
<br />h:tc rc rhr!np,a iln drl u. rhi rh. rtnyc rn!,trErrn F ror.d I.3rr,NmPly* hrllCiyrndG'lnry
<br />oftlmrk.\itrtlSrrr. La*\NL rn8 !' hurldrne otr{n'lr!n,. rJrl rurl'd ft rcF.srnturv( dl I hFCnyNnJ (i hrybc cr uriD 'trxh)vc nr 'tr'.J,r,Ii.dy t(tr 'nr|f(!
<br />lppli({.t.. As.nr SilNruR t;/t.)u.'r
<br />f
<br />Set Backs
<br />Formsi Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry I.tl.l4ll't Fkb 7<( to\
<br />T-Bar r
<br />Handicap Req.
<br />Depuly Final Report
<br />Engineer Final Report
<br />Flood Zone Certifarrr' o/tn /-,2,t,21>1/?//?7ttt4-d)
<br />It -/)
<br />FINAL tltTT/{/(J .w/44 dw
<br />Certif icate ot Occupancy )
<br />Not ema 2
<br />ID/SIG.
<br />Pool Fence
<br />Etc.
<br />d/,/.
<br />trBl.ir Adlr.$:
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