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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE I COMMENTS)
<br />Set Backs
<br />3-t1'lo)
<br />Erection Pads \-./
<br />Subf loor/VenUlnsulation
<br />f,oof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath 4- ta-t)v^lu(,
<br />Brown Coatgas€fir1r Jctolc+ln* t -t\
<br />Pool Fence l/
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL 5'7'l'l
<br />Certif icate of Occu n
<br />Notes, Remarks Etc
<br />utlb. .tf3,.,
<br />1-V C?AA
<br />\)
<br />OWNER BUII.DEN DELCAI.ATION
<br />I hetry 6mm undo Fnolry ot psjury lhd I m dmF 6Dn lh. Co. rlcrdi Lic.nE L.w lor th. followins rcMn (56 ?011.5
<br />Baind dld P.oasio. Co&): Any ( ity o, Cou,Iy phth rcqliB r Fnir ro cotrrrucr, ilE, ir{,or.. dcetth or n+.r o,
<br />rMEe Fif,'. il! isre, ll. rc+ird tb. @li(! fo.shF ntotu.tUndjnid@r rhd lEor lrE i ladEi Fiirr
<br />to rlE Fn$ioB of dE Co.rdd r L@n..d lrs ((t[Ira 9, Comftin8 *nn Sdion 7000 ol Divtion ! or rlE BailB !d
<br />Proldio cod.) or rhd lE or rh. i aoF lha.ftofi ud lh. tG! tor rh. .ll8.d .rdprioi. 4., violdion of Sd.. 701I t by ey
<br />arphc.nl aor a p<nil rubjEls th. rrplicanl lo a civil p.Mhy ol nor mE th liv. hundr.d dolldr (rJ00)
<br />l. 6 o*ffi oflh. p.opqry, or m, mpbtc wnh *.s6 6 th.r hL oEgd!.b[ *in & dE sqt nrd tlE lr'aie . d
<br />iiotdcd or otu ad -l. (Sa.?oll,l, BuiB ,rd PmfisioE Co& Tn Conlrrcrr'i Li* t^ &,6 ml ely ro o o*E of
<br />lh.rnFy $ho hil& or nFbc t Eatr arl elh dE *h *rll hielf or hn*lror rh^us! na, o. hd o*n pht6,
<br />providol rh,r ru(h imFN<66 e tui inrdd.d o' olH for eL. lf, hoM, *E hlildins or lqrevmt ie $l] wnhio oN )qr
<br />oacoipl'iF( tlE OsE Buildg *ill hlw tlE hnh ofFo\iru thi lr or ltE dii ml hild or inFtr\! tlE FoFry aot llE plrrD. or
<br />!. a olB of rh. FoFry, @.r.lciv.ly cotuxrr.s wirh lic6E d cotnrxloB ro codruc1 rlE rmiar (Sa 70.u. D$u6
<br />ud ElisiM Co&: Th. Contrlcloi. l-icd. L.w do6 60r apply ro oo*nd oa prorrty * ho tuild. or ihp.ov6 rh6on.rd *ho contrelr tu ch prcjq1! wirh ! Conrr*1orl, licd8 d ,uR@' ro r hc conrEdoir Lic<* L.$ ).
<br />_l m.rop( undd s<tio!_. B. & P.C for thir la)n
<br />Drt.: O*rd:
<br />]!I)8trE8f(AIUAiAIIO!
<br />DECI.ASAIq!
<br />I h6cb .mm undd F.rI, olFj!._t oe oa'h. follo*lu .idhrnh6
<br />I h!\. xd *ill Mrnr.l. a ( drfic.r. o f coMr rn sdflBu. ror $o.kdr qrnlFMhon. a Forftt d for h, Sdn'. 17(xJ or rh.
<br />l,bor (td., for rh. loaomMc. o f ih. uo& for which rh€ pqmir b isucd
<br />I h.\..rd will roi.r.in wqlo conFElior i,Mm., a r.qu"!d 4 Sdiln l7m.ath.l.bor Co&. for llE Ff(fu. of
<br />rlt *!rt lG *tih lhi! Fnn t isr] My eqla onpddbn imrft nir.n Flky numb.. c:
<br />cmi6: "6c}c,0 t.S q I gl Q.,c.,.5 {
<br />roricl rmua I u.r". lL-l-at
<br />l.diayrhd i.
<br />'lE Ffol,m. of rh. *orl fo. *n*h rhi. Fnn ( su.d. I rhll mi dpbt oy Fe. in Dt a46
<br />e a to bcorc lubjdl
<br />'o
<br />lh. effrd' .omFM ion l.*! or Cdiaomi{ Md dar thd if I rhould b.(oft subid lo rL
<br />@116' $mros.l ion I'ovirhE ots(lion l?00 otllE t bor Co&. l JDll. fonnwft onply wilh llne prcvi.io r
<br />wARlrlNG: F.il@ r. n@ $!rtd comFEdFn @r@g. h unlrwtuL ..d rhdl sbir 6 anphF ro ainiMl Frti.: rnd
<br />c.il ,in6 up lo om h!(H rl'ousld &rllG (tlm.om,, i. rldilh. b dE cor of co,p.dion. dars6 a Forij.d for fic
<br />s<;n 1016 orrk lrto Code i cd !d tlrorrE, r f6
<br />r.(-/(.! 4
<br />u(I:rul(])\Lts.t!-ttut
<br />DECTf,AAIIOU
<br />I h..lr, .Ifd uldd Futy of Fiu.y rhd I d kE!.d ur& FD\i.ion otclrprd 9 (o6.4ins *dh Se*,. 7000) of Divnion l
<br />ol lh. BuilB &d PmfdioE Cod., -d Dy lic@ L b tull for.. !d.fiEl
<br />B 4tzS 61
<br />Dr,.: ,:ll-14 c*,-.'-, f takf,l
<br />ca!qa!(10!.t!;!!Ec-AcE!cr
<br />I @ .rm u.&r Futt of FJoq rht rlE t.mdMio. knjry +fty lor 'h.Ffollrlec orrlE trvi tor *hrt' rhi! FEr a
<br />isru.J (sfr 1097. cn (-)
<br />al!l.llA.Nl[}:gJa6fll],r
<br />I hdtt y lrm utrdd F.all, of pdJury onc ot lh. toll(I'ins d6l{ol k ns
<br />D.molion Pmic-Artgr8 Nolificdnrn r.dsal Reuhl hns ('l ilt .r0, P.n6)
<br />-R.quftd
<br />Ldrs oaf,|diftii{
<br />-l.dilrrhd
<br />rh. r.n6rl ElularnB l+ ditrg ab<!b. rmov.l e. nor alplicabl. u
<br />'his
<br />psjd
<br />I cmiry lhi I hnt ral thit rpgltd$n -n n c lhd tlE dtov. intol i,n i! con.( I wa ro !.rq,ly snh ill cn! ..d counlt
<br />odina6 a'd St6r. l$ ! ELirE lo hiildiis &'exr nn. !d hd.tr rurhri4 GF&rrn 6 of rhB ( ny &d (nu tro 6ta uFn rlE
<br />6tr\. mrn..d prcD<ly for icpdlir puqrc
<br />a+1"-4
<br />Ao7r".(
<br />/\DplicNnl or ,\B€nl sitn{xrr.-"(, -t(s l.t" l^ 3t - 19
<br />E
<br />&rI
<br />viE
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />/A
<br />far\-X
<br />q-Vt-1/)
<br />l/\
<br />v.ltt d..Atil
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