BUILDING. INSPECTOR RECORD
<br />DATE IDiSIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulalion
<br />R oof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnl. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req.
<br />Deputy Final Beport
<br />Engineer Final Report
<br />FINAL rv /loTla a
<br />Certif icate ot Occu[ffi
<br />Notes, Bemarks, Etc.
<br />OWNEi BT'!I.DER DEI,CABATIoN
<br />I h.,tty rarrn ui&r FMlry ( F,,lry rhd I m .r.nFr rbm rlE c('drdrn Li-.nq t * for r,E tolb*in8 M$n (sr mll t
<br />Bu{ncsr rnd PmLsion Cod.): Any Ciry or Coud, uhth Eaun- i Fr.rli ln a,nntu.L rl!(, irp..!q &mlrth o. EF ay
<br />{tu1w.. Fii lo r itiuN. i$ Equircr rlE lpllirnr for iEn F,ni! ft, iik i ri8*d {ar.mn h.r Ir or ltE h liccrcd pusonl
<br />lo rh. F)vi.ion. or E (1,nr(rm r Lt.nEn tl! (CnrI d 9. ComBEinr *irh S6ri)n 7G{ ot Diirhn I oa rlE B!.iFr. .d
<br />A.r..rbn! Cod.,fflnd t.ForrlE t ci.n!'l rh.dr'm rnd rh.l8sir ritr rhc olk8.d.r.rlllli.n Anyvn'lllhnnfs6ri,.70.ll5byriy
<br />+plka ror r Fmir {hj.!t rh. .rrli.rnr ro r civir p.dty.r mr mr rh.n nu hldrcn .hlhr I i!{n)
<br />_1. r owB of rrE F,rrny. d nt cqrl'F- wirh $rs.r.r rrEr <!k ('ntrnqrir. rrll &' rlE eFi urd tlt {dw b Bn
<br />mrc Ld .r ofcmd rd qk (sd Tii4, suiiEs .nd finli$ionr Cod. Tlr Conrrdor'. lictrt l,* drEl r{ {t'ly lo u .*E or
<br />rhc F.Fn, $h, txilk M trrF.E rlEun. !d $hl drE rkn k,* hrmclf or hcEtr or rhDuai his ,r hd ow. m{thrct.
<br />li0vidcd rh.r r!.h imlmEmn[ m ml ir..d.d or ortcEl ror el lt I'n$!@, rtt t(ibina d iqro\tEd ir $tl *i,Ih m F,
<br />ofnrIlLtia i! (x Er Bu[h "iU
<br />rhE rlE hltkn dr liD\in8 $d tr or ih. dn (, hild or inpr.E llE pDIEr, lor lh. lntln* of
<br />-l,
<br />.r nemr !l rlr trot ny. 6 c$lu\iv.ly codrrrins {irh li(cnrd .odrltm ro co.{M rrE FnFd (S< ,or,r. Brr$
<br />'Id rht!3ii ( od.: Thc Conr&lol.r Lk.nr.l-aw ddr ior 4rlly r, !n owmr ofF op€rly who r,uildi or impn v.s rh.r.on.
<br />.nrl sl*r (,dRtfd.kh,roFrrs!rh.6 No.to lir.<d pu.\ud n' rhc Co rrtr\ t-i..M tiw).
<br />_l lmcrcq u.&r S6'k n .8 &P( f(rrhn.c.sn
<br />uQ.Bl,[8li:.Lautlilsallt !
<br />lrEr;LruarlQ!
<br />I h.nhy rlftmnnd.t Fnrlry ol F_rjry nk oirh. n,ll'*i,r8 d.\hruri,r,\
<br />I hiv. snl will tuinhin 0 C.n rlkrlr of ( onrnl hr S.lr l.sur. iin sod6e lam{f,nvrhn. !r F.rrltd f(tr t'y 5d! i'i :!7(x, ol rtE
<br />ljlr Ald., for rlf, Frfuffi of !h. *dt fr *hkh rh. Fmd s i\{cd.
<br />-l
<br />hlE .nn s ill mrinhin w.rk.n .onrE.ssrnm inrlntc. r\ rqu .d by Sd k'n 17lD ol th. I iho. Cod.. for rhc l.rror@m. trl
<br />rh. *qk nr*nthrhn p.mir ir nqxn My $orkdr r-qrf,di'i inruhr. ors.,rl F,rry nunt .ft
<br />-l
<br />(dily rh.r rn rrE F.lormN. ol
<br />'lE
<br />r. nx rhi.n thn pcrmir ir irlkti. t shrll n .trll) k, M) IE.sn in !., m.nmr
<br />q' sr,' N...om ahlccl ro rhc Nrts .r,dtcisii,n luss oaCrlilnmi, tur, i8rc. thd rrl slIrld lE.m shFr t,rrE
<br />r.rtds, oqEnsran Ftrvisnn! or S.d ion llTll o{ rlx litir (irlc. I \rEIl, rdhwnh corrly tith rlne I'mvnionr
<br />WARNIN(; roilu,€ r', Kxrd wrk$\' con{sn{ri,n cdkhsc i\ unL*rul. r,rl {Ell iul'Fr o. .n{lhrrr t, Giminl Fnlts.,rl
<br />.nil liNr un t! oN hufrnd rhr\r'rl JolhF (1loo,rrrrr.
<br />'n r,Ji rhc .os ot.onqEnsrion. dotu8.s d\ I,nivi:lcd inr rhc
<br />'::;"-,il; ri
<br />(i!1., .r(n J.r.n! r\'. n..
<br />l]lr-rJ&.I.lt!]\
<br />I lErcbyllIrnundr pcmtryofpcrjort thsr I rm liccnBi u'xld In,visn of Chlrrn 9 (co,nnErcira *irh Srtri,n IXl]) ol Divirhn :1
<br />!a rh. au{E$ .d Pmf.libnt Cod.. !n my li.nr n in ftll l,tra xrl.flRl
<br />g$ilralJl.rQurBprNi-f,Gll(r
<br />I hcmhy !flno und$ FnalryoltE jury rhol lhd. n r ('n{ruclbn Ldins ry.my tor rrE |Errr,ffi ofllE $tr|for *hih rhit Fn. i.
<br />rrkd (Sa 1()97, Cir C ,
<br />AIILI(AIUII;CLTXAITI.),\
<br />I lradry Dllin u ndd pcMlry flf Frlu.y uF ol rh. nnk'wnp d( ldki i)n!
<br />lxnr'| tr'n Pcrmir\ A\h{or Nuri,ldrr( Fcdcr0l Rctuldi,rF rT[1.,{r. Pd6)
<br />R.qund k($of flr)l'li.rrn
<br />_l..nify rhat rhc fc,lcrrlrsultitr,ns rcgrnling r\hcno\ r.nr(rlrr nDt amlrrhh to rhi\ pr)rtl
<br />_l .cd iry rh,r I hlw r.dd rhn $ph.rn,. snl {!rc
<br />'hd
<br />dE rh,rt inl.rdr ion t mmr I 'sa t
<br />odrENr.rld sr!r. lr*1 Ehtr8 ro hixi.8 .o.dM i.'n. !,n lErcry.urhtrn.rcI'.{r rntr or
<br />rhvf n*trri(r{J Pnp(nvrnr \
<br />Appllcrnl or Aaenl SigDl!n
<br />P.mile mn.(prinlr:
<br />,\,rntl\ ([hr]lC'r\ rtol(,{tr r
<br />,hF' '1.,J(i ,ii 'r. 'J',rk
<br />",,q/r//1
<br />rfriiirifru,
<br />I
<br />SITE-WORK
<br />Erection Pads
<br />T-Bar
<br />Flood Zone Certif .
<br />Policy Nu" E
<br />-
<br />,:) "
<br />" i74-t q *",^,," s<" y r-
<br />I
<br />I
|