|
BUILDING. INSPECTOR RECOHD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulationi Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />ahqsaFINALvtrlM'1;?3)
<br />Certif icate ol Occupancy ul
<br />Notes, Remarks, Etc -..--clz-(
<br />U I tt u'tL)I
<br />OWNER BUU,DrI DEI-CARATION
<br />I h.rct', ltlim uftLr FEly. p.rpry rh, In.tq fmmirr CodrrlrB lEreb*tfirlIlolld*r3Err15<7o1lt
<br />Bulmi rd Pr'frlii CnL): Ary Cly .r CNnly *irh E.luFi r Frni ki ($rer. .hd. !rpn,E. d.mlnh o. t F, y
<br />nnEtu . Frtr !' irt ssu&.. .l$ rcqrkt rrE rrtlx'ar to. \uh Fn (' nk. t8En (d.lmr rld ,r o, rlI a limsJ P{Nr'
<br />orrr llnrN$nr ol rrE Contrrt,tr i l-r..Et! t * (Ch. q 9, CommE-m! * fi Sa'rn?m)ot Dvrbn Iotri. Blrfti $J
<br />Pn,r.str|nr Cid() or rhrt tE or ih. i\ crcmfl rh.Erftm anil rh. h:nr (, r h. dlcSc! .r.mprpn. Any v[ldi,n or Set$n 70] 1 .5 ty .ny
<br />Il)phc.nr br ! p.oir iuhic.rr rh. rtpli.rnr lr' . civil p.mlty or Bn frrc ihrn lvc hunJEd Llolldr (tJfl)
<br />_1, I ohr ol rl* rhFny, d my .r{ (F! wnh v.!6 .( rrEr $L lr,n{Ensri)tr. *ill do rtt u,t .,rl llr tlulw n r,
<br />ddrldl or ofl.Ed rd qk lse.?oaa, Burr$.'l PrDfcrlnN Cq!.: TIF G,,fierd'r lrd- L.r dB x, q'dr ro e owEr oi
<br />rlr F)Idy slrl t!r!r q iqEE rrFB( lrl wh' &B qn q* hm€|, or lftll o. rhFulh h! d h.r om .t9bye1
<br />,rovrlal ih.t rEh otnmdr c d d6tJ moitG! ad {t l( l$ffi. rtr h lle d ur!n'E.r,r !all*rhn.n F
<br />ollqrl,Lria rh oEr Brr,kr *{ h.E xlx L. orFv!! rld h. or {E dn d ltrll d !t!.oE dE F)!at, for dE F,F*ol
<br />-l.
<br />11owx'.lih. nn,pcny..mc\.tunvcly.ontaddrS *(h lr(enq\!c.nlrn.nffn,.onn.rrrlr nnrclr(S.c ?01-,1. Buitu$
<br />!tol th'lc\Dtr(i)d.: lhcCorxa.rtr r L'.cn\.1-r*Jm\ norxrrtlyro !trou'n{ 'n !n,pc y wll, bu'lJr o nrln'vcs rh.rcDtr.
<br />anJ rho (.dr,.knn rurh pn)F(r\u[h!(i'nrBclonO lkcn{'l pnr{'rnrr)rh.Conkr.h i l-(cn{c ltrw)
<br />_I m.r.ol unLr Scrn._
<br />!arf,l:&r:(l)!trE!lall9r
<br />DESdAAIIAN
<br />I h.,.hyJll r utul.r F nrlty ol ,(4!ry oN olih. tnbwm! &rlf,rrinn\
<br />Ihlvcu^lw,llmrnrih!C.d i.!r.ol (i,n*n! 6 StU In\ur ntr nrk.is' (onll.nslii,,n, .\ pov'J.nnnbyScchn]?(r0.1rhc
<br />l rhtr (ixl., fitr rh. n(rldrMmc ol in so ltr *hirh rhc pcmrr s RlkJ
<br />_l h.rc ift] * rll n.mllo *0rl.6 roftFnqrr,n o!ur.k.. .r rcqurAl hy Ser on ]7u) of rlr lllrtr (trl.. lbr th. Fri'riet ol
<br />rhc su't n, Nhf,h th^ Nm r^u.l
<br />.-",^tt?g6s-_Lrs
<br />My 10*6'oqEnsr'.oturer s.r tnl F
<br />URAN
<br />,,r.rn*r,r, SESIC1 1
<br />-l
<br />rcn',yrhrr 'nrh. r.rformlkcdl lh. r rk nr whrch lhs prrm r F{u.,l.l \hallnor cnll)l(,yrny J{son inanrhr.ncr
<br />q, N(i) lRnm nrhr.t lo tlE k,rlcr .omlrneri'n hwr ofCd oh'r, rfrl4rc rh rl I sh,ul'l hc()m \!hFd ro(k
<br />w.rld { (.mp.ns.ron pn'vBnn\ o, S.rr(!n lTtn o, rh. trhtr (irl., I \hrll, nrnhwirh otr{'ly * ih rhrr F,vri'ns
<br />WARNIN(; l-rlur n, \.. uE urtcii ('n[rnqli)n orr3. rr nilr*lul. rnd rhdl iubr(r .n.rr{'hp b urxful IrEh$ txl
<br />rd'l rm\ up tu om hu,rlEd rhresl &nbr (llm,ooo).
<br />'n
<br />r!'r$ b rlt or o{ 6qE
<br />Ciic. nrcr{ .rn ,tmy \ fe!
<br />{
<br />ugtnsu4llrr&[ll8urlA&ulq!
<br />I hcrchy rllmr trndcr pctrilry ol n!rtu' y rhrr I rm l'..nrrl lrir lf,(,vhli nfCl[PtY 1) lc,
<br />ol rh1 lln c\\!trd Pr,l.s!!)n\ (i'J.. xrln,y lBcnsc ! h lullk,.. l.ll..r
<br />tr'r srh S.d$n ?0U)).i I),vtrtrtr' I
<br />Izt tr"4
<br />I
<br />CONSTRUCTnIT I F DII{C AGEN(A
<br />I h.rct'y d tufl und$ Fo'xr ol rEr]lry rhar th.rc r a conntul nn Ln lut rScmy in th. p.dn.tunc. ol rh. w rk tin whtrh rhr Fmn n
<br />s$rcdls.u 109?.Crv. C.)
<br />AEI.ISANLDSCUEATO!
<br />I H'y .nim ud.r lEr.hy ol p.t [] o* oi rlI fouoanS tka hnirnr:
<br />D.mrlr$n Pc.mnlArtEnor Ndrliurnl lsLralR*nhrxhr (Tnk 40. Pd6)
<br />R.qum! kttsolNdil.(di'n
<br />drn8 rsh.rtx rm'vrl r.. r)r rml..hlc t, rhtr !fllFr
<br />{rtc rhr th..hnr lrirmrk'n s0 1 I r8N t) d,r{|ly *dh rll C y.nd(i,un'y
<br />.urh,tu. ftI'(nr.t\$.1
<br />ADDli.{nr or Arcnr Sismlur t :,'""q;;[;":,,
<br />Set Backs
<br />Ext./lnt. Lath
<br />Pool Fence
|