BUILDING. INSPECTOR RECORD
<br />SITE-WORK ID/SIG.COMMENTS
<br />Set Backs A\
<br />Forms/Steel/Holdowns v+r-,dv\J
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsulation
<br />Roof Sheathino
<br />Shear Wall
<br />b,zn>?Franring ,*/t2-
<br />*ADn-lnsulation/Energy (dL--
<br />h,.^ttDrywall -/67''
<br />Ext./lnt. Lath f=n t ct>4 -raL
<br />Brown Coat
<br />Itrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL td l7 u_J DRt@
<br />Certif icate of Occupancy
<br />Notes, Remarks , Etc
<br />OWNt:R BUILDEN DTI,CARA'NON
<br />I h.tuhy utli'n un&r pctrulry of Frrrry lhsl I m cr.mpl lrcrn rhc (tnrrnci,F Licns L.* (tr lhc folloriry rclsn (SN.',1r11.5
<br />Au.ircs lnl Pn,fcsr,. (ix,.t ry Ciry or Coo'ny shi.h rcqunr\ r Fmir x' r:'ndtl. trh(. impoE_ &mnkh or rFn m,
<br />nMurc. I'irkr iri .{urr. al$ rqlcr rlr +pl.{r n, rkh Fmirk, fik: r8rEl d{.ftrr rh:r horrlr 6l(..{d nllsd.(' rh. Ftrhr,ns of rh. ('(,n!fttr r l.knr.rl ke ((lupi.r 9- Comtr.Bing etrh S.dion 7(rx, I Diviim :l ot rh. Buntu$ .nd
<br />In,Icsn,n\(odcrorrharlxor(h.n.r.flprrhercfrondndrh.hrl$turrtEalka.dd.n$ion.AnyrinarionolSr.rkrnTlr.ll5htrny
<br />lpplicanr l(r r l.ml \xhj$( r h. aptlicrnr t, a .ivil p.Mlry of nor 8,rc rh$ fir. hu.drcd dolhB ( $500)
<br />-1.
<br />* o$rr oalll FoFnr. q my.a|PhlEi qrh w.!s tr llEir $L laryEtrdnn. r'i! & rlr *rrr.d dE (n8r i d
<br />i .ri.d or .fi.Ed fr rk lse 7(x4. au.ie( o Prur.ii.ni Cu& TIE C.ddkn\ Liin. trw &d mr {,p1, !. rn o*8. ol
<br />rrE lnoFdy *ln hitlt 6r in{,m6 tt rn. un wh dB sBh w.t hnNclf or h.rclf or rhmu8h hir tr lEr o*n cn{'loycca.
<br />prorn.d lhl ruch ir{mEmnr e ml int.nd.d r olftBl frtrsL.ll lr*e. rlE h{iuinB or inp6Eftd ir $ld wirhin om }r,
<br />of.orrTbm rlE olrEr Burkr will hiE tlE hnrl6 of tror{ lhr tE or nE dn d hriu or illthE rtr FlFry ft, rlE FrFi or
<br />-1.
<br />rro*ncr.l rh.pr)prny, umcr.lu\iv.lycotrtrr.rint *nh li.cn\.(lonk r.r\ trr d)n{d.r rli pnrF_t ( S.c ?(pl. lru!ft\\
<br />rl Ptr)ls\rn Codc Thr (idra.ttr r l. ic.n\c lf,r do.\ nor smly n' atr o$ ns ol p(,Fd y *ho hrild\ or imlrr c\ rhdcotr.
<br />.nd wlrr NnErh fG cfi ll!i(! vnh . Cdrlr
<br />-l
<br />d .rcmfl u.d.r SsrDn-
<br />tht O*er
<br />IESIAAIII,IN
<br />I lErcby "nrm unds tEMlry oa Frjury oE of tlE nnhrnS &rhdirnrl
<br />-l
<br />hlh 'n will tuinrlin ! Cc iar.r. or ( otrEnr rD Scll- lmuE nn *o 6 mlI'rEN,rion. I rrovidcd aor by Sdrion l70() or lhc
<br />Uhry Gn . ror IE rEfqltfm otlE *rt fn stth llr |Eml is t{xd
<br />I hav. ind *ill minhin *ortc^ .oqEnerion inronrc. as Equnctl hy Sdr i,n .l7u) of rlr l,lh, Cod., for rll F.lorEtr. of
<br />rhc *orl fd uhi.h ihir Fmii is k3u.d M, rurks oop.nrdaon intututu. wi.r nd Flicy nxn$.r e:
<br />PolRyNu $.r lipft\
<br />-l
<br />ccnifyrhll in rtr pcrfornErc. of lh. *ork ror *hich lhis permn n nsEn- I slEllrn.npk,yuy pcrso io.nrMnd
<br />o s ro lEftE $bFr k, rlE *vt6 tuqEMii. hN ofcdifomir ln +e rhd irI dhutl tE om qbF! h lE*e* srqndbn F.virons of Sa1b. llx) ol rh. t t r Cod., I rlrll. fdh*rrh sr?ly wilh Dā¬ proyiri'nr
<br />$ARNIN(| h'lurc k' {.ur. $orkrh .oqf,nsrir . rcxEc
<br />.1r'l I'N. np r' , n. hutrJ'(J rhou{trJ 'iJ, . rSlr(,.rrrri. i|
<br />sNrirr.10760r rhf Ltrtr crxlc. inrcrc\r !trJ snorry \ tr\
<br />Lll tubFr rn dl oFl tr dinnnl Frha\.Bl
<br />olcooFns,n,n, drm8.r !s pmrided lnr rh.
<br />DlCtdM.uoN
<br />I lrrcby dlrn unds pcDll, o( Frjurr rhrl I om lictrrd unds I'nl|lion nf Charrs 9ldrn1mkin8 *nh sdfn ?u[) of Divisbn:l
<br />of rlE 8u\!6s.ln Pn'f6inns C.n . !d my la.M n an fuu lore .rn.ff(r
<br />-l,ic.n\. Ntrtr$(r
<br />C()NSIRUCTI()N I I.NnrN(; ACI:NCY
<br />Ihrrchy,lllr und.r Ir.nliyofpcrJuryrhrrrhcrc i\|i'n{rucii.n LndiD8 l8cE--y nnrh. pLrf.nrqxc ofrh.*o,k lnr shrhihi\ |*m n
<br />n(ucd rSR r0er. Crv (' r
<br />l.ndc.\ Anir.s\:
<br />-
<br />AI2I.ISANIDE1;IASAIIII!
<br />I hodry drm' udar Full y oa ,Errur, om or r& ,olL,*,ra d.cLr.' ilnr
<br />DcnFlilion Pc.nits-Artf,{or Nolificdn,n I'.n.ralRqul0li('trs (l'illc,iI). Pan6)
<br />_R.1uiBj L.rrs of M'rifH,io.
<br />-l d'lr rh.r rlr LJcr.lr.FUErnn. RSddhe !\tr{, ^ rcm! rl lrc B{ lfdf,dhh r,rhr\!n,Fl
<br />lr.nilv rl,r Ihtr. kJ(lrl'nrt't,li.Jrkr,.nl(xrr rl rllr nuin,n ncotr& lrgN n) conl,lv *nh rll('rryrnd Coutrry
<br />ordimlre\ rni Srrrc l$r rl,riry h hoill'.! .onrturrnr itrhtr'tu rrl'c{nr{rivc\ ofrha (
<br />'rt mJ (_d,nrt k, cnrd uF rlr
<br />!n,v. rnliEn pmlEny n, 6rF!io. |IrFEi
<br />,\pplirxnr {r Atrnr sign$rtrrr +(^ 7-t0 - t8
<br />DATE
<br />Erection Pads
<br />xl ir
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<br />ii/,t7
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