|
BUILDING- INSPECTOR BECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framin s
<br />lnsu lation/Energy A-X\*e)L?)
<br />Drywall
<br />Ext./lnt. Lath ul
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Cerlif .
<br />FINAL 5t L2l?)(,/,+b+/
<br />Certiticate of Occupancy rl
<br />Notps, Femarks, Etc./7
<br />CI t+\t a (
<br />OWNEN BUILDER I'ELC RATION
<br />I h.rtt rmrn trnd.r FMlry nt p.!rr, rh, I m cr.nfl rmn rh. (-ontrro^ Li.n( lr* for rh. f(nbwina rc.$. rs.-7o]l 5
<br />Aun6. rd Prcf6ir{ CdLr ny Cit, or a_ddy rhrh rr]unr\ r Frni t' on{Mr. .hn. i rtm\r. n mlnh or qln ey
<br />nruclurc. Frtrro it\ ncuana, al{' rcquiEs rh. lptlidnr ld su.h Fnrir ki nk ! <i8ftd (d.mnr I hal tt or \hc n li.cnrd poNrir
<br />b rtr thvti,nr olrlt C.nra.rn r l-ien*{ lrB l( hllit.r 9. Cohnmin8 *th Sccri,i 7fi1} rf Divkh..l .f d. B!(inc1( and
<br />&r'r.rsk n! Cid. r or rh,r lEorrh n.r.n!, rh.rhonrd rtr h.\t f rh rlk!.al .rmqir i'. Anyri'Lrir..fneLln.7o.ll5ht.ny
<br />rt'nlk. n, !Fcmn $hFtsth. rpplic.n! ti icivilI'.MhyofR{ nrErhln h. hudrdl dolh^ (ls(xj)
<br />-1.
<br />rs oqmr.f rlE FlFny. rtr my.n{,hF( eirh wr8.r !r 'hn $b sr{rndhn. *iI rh llE q,k rn rlE indE n on
<br />lr.ri€n r oll.En fd -L (SE,Gl,{. BuriErt t d Pi]r.(i.$ CqL TlE Conrdoa! l-id. l4 ir.. d t+',lt
<br />'o
<br />x ouE or
<br />rlE Fqdy wlr hild! d rlIrB Ern. drl *ln *B sh wrl irrull or h.rclf or ! hn,u8l nn d h.r o*n lr{'kilE1.
<br />FR'vil.d rhnl such iqx,vtmnhmml inl.nd.n oro[.r.d loraL ll. how.w. rh. hoihir8 m iqmwmnr t$ld*irhin"rc rreoloit Lrira rL o'*ffi BuiH.. *ill lIlE llE hrd.n orrmviry rL ,r or {E dn n h d n iqrE 0i Fqdy fff rlE F,Fror
<br />-1.
<br />0s owrE. ol rlE nmtEny. .m .rcluiiv.ly ronrrrch.E wirh li.cnrn cofi!.nr r. on{ru( rtr pn,Fr (se 7(ll4, Bx\ir$
<br />ndl Pn'ftsir C.d. 'l'h.Contarr'r Lk.n( trw d{r\ nn rpplyh !noukr.fptuF y}h huiHlor imonnri rn rd'..
<br />dnd f,h mdtu\ r(r rEh lhrFc snh r (i! tu(,nn lftR, llr.ud n! rlE Cornr.lor's LiTnr ljrr
<br />I n'n.r. rr undo Sr.ri,n
<br />l).r. Orr.
<br />wonrr ns- cou Pr:rti,rrroni
<br />DEC| ASAM!
<br />I lErchy.llirmundcr FMltyolFluryom ol rh. t,,lh\m3 dc.lar.ti'h
<br />-l
<br />havc rl *ill mrnriin r C.d ifrut. ol (i rrctrlr's.ll lnsur.r,,sorta..onrnnslri(,..!s ,rn)vi,ldl lor hy Ssr ion .r?(rr ot rh.
<br />l,h'!,.,rlc n{ rlF Fli,ruK nf rlr co'l ld $hkh rh. pflmir n F\kJ
<br />4t,",*'",-.*."",1F.c.ryEnrrri,trr..urrft...crcquu.nhysdx,nr7(xro,rh.r,rin(id..i(,rh.Ffnifu.or
<br />nrNari,n, Bur r..rtr'.r rftl Fil'cy nrnrhr c
<br />N
<br />)Cg DO
<br />-len'ry'h.r 'n'lEFrolruE.orth.f,o ror rhrh
<br />'hn ,Ernnr u issEJ.I rllrncq \y,nt FMn i. m! Enrr
<br />q, $ k, lsrnr ruhFi t, rh. *1116l conVEn$r i\n ls*t of Crlifd nir. rnd sgrft rhd il I $.!ld h..or {uhFl h tlf, Iuort.F $mp.ns!ioi pnlvisio.i ofSNrbn.17(X) oIrhc Irhr ( ftj..Ishall. f(fhwilh con{'ly with llms ImvnnnF
<br />WAnNN(; friturc
<br />'o
<br />€r. $orl.F frnl|tnsrir.ovmS. rr unL*tu|. lnl $!ll \uhr{' e c,q'loF ro (ituEl rml-.d
<br />ciril fin.t un h or hurdr.d th,uqnd d.lL^ tllu).(tx)r. ,n [nn ro rlt.o( of $n{xoslx)n. d,m8- rr F.vn.J (tr rlr
<br />:::i/23/e3:
<br />tn.( t. \R \ I lo\
<br />L35
<br />y...Z ?)'?rt a.t
<br />I lmtty rmrn und.r larh y of Fliry rhd rh.r. k . o.{Mi!n Lndine .8.8y L. rhc FrlolrrEN or rlE hrt lor *hth rht Fii ir
<br />ns cd (Sd .1097. Civ C )
<br />l.ndcls Nrft:
<br />-
<br />attl&iNl.lt[gdSAll$i
<br />I hort! .llirt o td [!.nrh y of FiJlr y nm r{ ih. folk,{ 'nt deLrarirn\
<br />l ). n,lirhn l'u nrirr Altrius Norifi.d iui F.d.r{l Rc!u hr irfi\ ( I'irl. a0. Pd6)
<br />Rcquftd l-rrs ol Utr'fririr
<br />l.ornvrlr lhcn.,l.'rltuAtrhrk,tr\..Ar(lr,!r\trar^retrr\,'1,trr ntrrl,t)l'(rurn)rl'Nf'rr...r
<br />rh'k inntrnurio. n.oEd l.3rarour{'lL2.,.,' 'n., r*'" *", 'narm,r iin rrri.,rq,r
<br />,{Jtr,,'ftc\ rrls'rr I r!. " b''nE r.' hL'klrc,',lnrl11 n
<br />Jh,r nrnrr n.ilrrroFd) r,r in,F,V-'r,",l,lr/vtppllcrnt or !.nr Sisduu I\ /
<br />l,sd,i,RMm.,prin.: LUs>A
<br />erirhnll (ir\ rnl (,,unrv"-#{i;,)
<br />I
<br />/^7 ,,
<br />a1,')
<br />Lf,rchy !llin und.r rxnrlryottrrjrtry rhxr I inr li.cnqlunl.r F)vi\i'n ofChrnrn q ku.mrcin8 *iih Sc.rb. TiXX)) nfl)i!Ann l
<br />nr !h.lh\M\ arrl Pn,f.$l,nr(irL. arn nrv lf,.n{ n h tull(n n crdl
<br />b
<br />Erection Pads
<br />J_Tq)
|