BUILDING. INSPECTOR RECORD
<br />ID/SG./ CoMMENTSSITE-WOBK DATE
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Beport
<br />Flood Zone Ceflif.
<br />7q)FINAL 4lttltT ,{/rLq/
<br />Certificate ol Occupancv l't
<br />Notes, FerDarks, Etc,.
<br />6l-,
<br />r
<br />OWNER BUII,DER DELCARATION
<br />I lErhy llrm urJ.r FMhy, Fqury lhr I n cr.n+ frun rlt G'nrBtB lrdE L.* lor rlE rolhrD! E.e)n rsa'7or l I
<br />Bunncr\ 16l l\ordibn Co,l): ]\,, Ciry or Counry *htn mqlms ! |Emr tr .l'ndruci !lrc, improE, d.mllih o, r.ru rny
<br />ndcMc, Iru ro r nsurM, rle Equc! rrE .PPl.ut t n rEh Fmr b liL r sllr'l qdcmnr rh, lr ot rlE . latn€J llNur
<br />(' rtF Frv! 'N .l llE Conlr&tr\ l,i.nd uw loEPl.r 9, ConmcEins *irh Sdlbn 7ux, of Drriirn I r th. Btr{ts rnd
<br />Pnna$Dns cl .) or rhar lr 6 rh. r .r.t{i ttmrion. rlE t'.!! lor rlr .lk8.rt d.q{rr. Ary vx,llrtn ot Sern 701I 5 l,v av
<br />ryrtlr, lin r Fd ruh,.(B llE .ir?la.oi l. r .'vil Fulrr o( nn mB ihs nv. huBl6l .lolltr (Srm).
<br />l, !r .w. of rlE F,Fny, d my .npt,y€s eith *.s.\ .r rh.r $L 1r'n{En{tirn, *ii do tlt krt lrl rh. slBr@ i n
<br />ini.detl or ofl.reJ ntr d. (Se.?o4,r, BurEr\ mn Pn drhhr c,{.r Tlr Ornrtt,'i Lr.n* l:w lrEr rr tPply ro { orr. or
<br />t,r F{d! }bhIUsruFrBrt-s,tn*h,UErunH hm( ll or h.Rll .r rln,ush hi or h.r o*n .r{'nrv.(r,
<br />t)n,vi.Ldrh.irlchornNErd!Gnnnk.Jororlf,dn{s!lth,EE,rh.ri{Ul!l!qqEEftd!$tlethximF{ol.r!'qlkrin rll O*rr Bulli.r *dl h.x rlr hd.n d lreu{ rh, lt d rlt d, n hriLl or itlpfl'k rtu lnrEly ntr rrF n!.trx of
<br />-1.
<br />r\ owncr of rh. F.n ny, sm .klusv( ly co, rtuiur *,rh ltr.n{J .odrar,^ b t,n<er rh. F,Fr tS( 7(}l,l, Brrm<
<br />rnl Er,krsrr CuL: Th. (hnrrrloar l-a.n( Lr &r\ nn qfly b rn(wnr oa lri'txny who h!rldr or imprrv.\ rh.r.on.
<br />rnd who .ontrkId\ochFl]. h*!h.A, Bt'(n lEncJ ,,r\d t,rlE(!'draix'r I tn* bu)
<br />_l.nr.{cmO unJcr S.enon
<br />!!8AE8S:.CAM8i!SArIAB
<br />DECIAAAIIA!
<br />I lEEby .n trm ud.r rtElr! ol ttt,ury oE ol lh. ,ollowuf d..lurri,nr
<br />:tfEia.rr *'ll ruru r c.nrrrr. ,'l ci,n( t' Sclr lnuE tur work.s' sn{Ensd on, pm,id..l r,tr bv Sato.lTql ofutt
<br />Lbor Cuk. n{ llE F.flru. oa.lr *fi rs *t.h rlr t iD, ! lssrn
<br />I h.E an l *!U rord.'i work.rr ..q'cn!.ri'n m{rrE-... ,r rcqortJ hy lE_rin lrur of rh. l2tu Ci!l.. nn il. Fnd'l*t ol
<br />rlr *,k ntr whihrhnFm r! L$url. My worlcn' (oml.nsartr'n in\!r*ccnE. lrl F'l(ynonb.r e]
<br />.--.- S c tF
<br />4lLa,r"c ItP,,r,(yNuniEal (11 c
<br />I r.nfyrhrl drll. FrrormBr.l lh. wort litr *hiLhrnn poh r trtud,I sh.ll nor .4)r'y r.y FH'n 'n.nymamrr) .1 k! h.orm $brtr to th. krtn cong..dM LB ol Glii'ru. .d rrE rhd I I rrsu! tE or ohFr b rlr
<br />qirkn .srrErsri ion ftrvirirnr o{ S.dr$n 1r0o ol lhc llhn Cirlc. ! \h,ll tunhwlth Loml y * n rh,r F!ti*'ns.
<br />WARNING: Fr'lun t! M Hrt B' .or{'.rqrrn (r,kE!. . lnlrPtul. .ti nuI ohitr s .rFloy.r ro siminrr Fda nrl
<br />L'vil lnri uI t, om hoid,c rtx,u$nJ (lollrr (lll Xr). m rlirr n' ih. .on o I !o.rp{n\ir! . drn!3tt !r Pn,rrlcJ l'r rh(
<br />(rQ
<br />t)rcl-^l rloN
<br />I h.rby afffm u .r Fn.lyol n rFrythd I tm lG tdl und.r ln)vrrrol Chptcr g (.ollmkh8 wlth S(riD 7Cm) D,v(ir !
<br />of rh. Bu.rii . l Prrf.r*rm C,{., .nl my lr.n* ! E lull lod .rn .f,(1.
<br />9 Z9
<br />\L
<br />coNsrl[l(rloN LF,tDlN(i acFllcY
<br />I lErcby rlltn untl.r lrn.hy dl p.4ury rhd rhd. sd.onirurrrn lcDlr8 rS.Ny fttr rh. lEn,rirsc.l rlI unt lot *n.h rhs Frn, !
<br />niBtl (s<i .loo7. c* c,
<br />AIILICANLDEIIABAIIO!
<br />I tfttry anim urLr Fn!!y ol FrJlrt om ol rlx roll'wrn! d.(lr..i,nl
<br />l)cfrnii,n PdmnlA$.sl tlir E.ri,n F.&al R.8!hr(rlr r k.(r. Pln{t)
<br />_Rcquu.d trrr.r ol f*rdiriu
<br />I !.n rrh:r rh. lc&El r8uhrnn! r3rtltrB r\hr(oi r.tu,vdf frn qrpltrhh r,rhr l)n,j$r
<br />I(dfyrh,IhrErcrlrhn.pplr.rkrlttn.r.rht!rrx.tnEintumri,nir(ftrIrsrrocon{ywh.llCily&,1Counrv
<br />or'l'nxn.c\ rtrd Srrr.lrf,( ELlln3 t, hu l'ng (trn 1sn. .,n h.Eby .ulbru. FF.qt.t'Et ol lhI C.y !n Coufly ro .'rd uF,n rlr
<br />.tuvc m i,El pmFn, ii* o.F
<br />,tDpli.{nl "r Arcnl Sirn,luft
<br />/),
<br />I
<br />UFER Ground
<br />I
|