|
BUILOING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS oWNtT BUII-DEN DELCARATIoN
<br />I h.Ehy .rnrm un&! Fruhy r Frjlry lhrr I M .r.qi fnm lll (.I{rd6 Lr.tr€ trl rd rh. followin! E $n (Sc 70Jl 5
<br />Burinc( .rn Prcfc$ion Codc) Any Cily or Counry *hth rcqrtEr d Frmn to trnnet. rlrs. iqmvc. d.mlnh EFn r!
<br />lrurur.. ri, n' ilr torN, riat htriE\ rh. {Dla.n! for ruh Fmnt h fik r siSEd (rrcmnr rh.r h. r sh. is li..n*d Nrsinl
<br />ro rlr F virins .f rlt ( i'nrrEior'\ Lk.n<d l f,* roq{d 9, Comftin8 r h S.d an ,(xD ol Divhhn I ot ih. Eurin.ss rnd
<br />Pn,tcsi',ns Codc)or rh.r trorrhc is.r.mpr rh.Ffonand lh. ho(t for rlE rllcs.ncrcr"lbn Any virhrbn.f Sdan ,0.! I I I'y.n,
<br />!r'tlt. tu r Fmi iubF.t. rlE .rrli.rd h ! civil p.n.li, nt noi mr rhrn fiv. hundBd dorhB (15fiD.
<br />-l,N.wmrolrh.risFny,rtrmy.q,hr!cswirhvag.r$llEtqi.dnt{rnerion.*itl{hrrE*,rraiOtrnrlEi\nni.rcD.rrl m ofio.d to, qL ( Sa 7(x.1, BlriErs md lttrrf.inon( Grtc. Th. O,nt&loi r LEne li* do.s mr srPl, t, !n ourr of
<br />rhc Follny utnt iLkd mrr(iB irEn !d rh. aB {d, s him(lf or lt.*lr.t rlmuah hn or hr ot..npk,Fs,
<br />nmviLJ ihd rEh inpn'Eft.B m mr id.nd.d orofi.nn tor {h lli tnEwr. lrr tr dhs or inIn,Emd ir {ll wilhin.E Fr
<br />.fBrtlhriln, rhc olH 8uild., will h.E rlE hnln orrmwB rtEr h.or{E drl n tiild d in{r.r th. pn,Fn} nr rh. pnrlr,e of
<br />L N o*ftr uf rh. Imlsy. .n.rcbinrly.o fu!.3 eirh lkurn n' R1oB t, d'r{d rlr F'Fr (nsl:. 7l}l{, Bunm(
<br />'ndt\ohsiflCodc:lhc(-ontdcr{xrl.i$n(lred(Ei,{mlyhro*rcrollroFny*h'l,uildiorinIrchrIh.ren.
<br />'nd f,lb d,ddr tur rlch For<s rnh ! ConrE.hn o li(ncd pur anr x' rhc Contact, ! l-k.trr ljwr
<br />I m.rr 'tn und.r Scdn,n
<br />t!l2t3[tB5]-LAUtlIS IA!u[(r &[11lr
<br />l h.'.h)_,l,nn'utr,.rrtrxlrr.rI)rUU,!ok rrhrlttlkNtr!((lc.hnti\
<br />-l
<br />h.vc e,n will minr.in r C.nirri. or CoM.r 16 s.lf lmE rd r6t6- $trp.nrd ion, !r F *tdl ror hy sNl hn l?o) or llE
<br />lltitr Od.. tu lhc rErfomm. oa lh. *o ( tin which rh. Fni' i\ iiru.d
<br />J.2-n I t hivc ind *,ll m'nh'n sort.rs' olffinrornn r6uEx.- r rc{uiEd hy Ssrhn.rT(x) of rlr t hr Cod.. lo.llr F ftrmd ot
<br />ri. w,I rd *hf,h rhn JEmit ir isskd. M y worl.c (mFnsd ion in\urr.r. cnri.. dt lblhy rumttr ft'
<br />cd*- -.-Ta+rer Rr^Jn
<br />r',,hyNunttl t q1(€'741 -q/zef-rz r-
<br />-l
<br />rn'lyrhlr i.rh. Frfir'Mmco((tr $oll {M *hrh rhF Dcirnn r ir\ucd.l rhlll nor en{'l.y rny lcnnn ir ont nunmr
<br />$ {t ro K+onr suhFl lo llr s,rkcr' (lntEnrdhn L*. or C!I('mu. ,n .!ft rhd irI chrld tE<,m subjd ro rrt
<br />qorr6 NmFtri0lnn povsion\ 01Sslion:r7({ o,rhc lihtr (ixL.I dull. ndhwirh $ml'ly *ilh rhE pmli\irt
<br />brr t dininrl FMhi\ rtrd
<br />drnq!.t .5 Imrilr, for rhc.ivil lincs un ro orc hundrcJ rh,uvnd {lollu\ l1l(Xr.lrx)r. in ldil r)n
<br />Y,!'\p5;_^,o.r-r, A
<br />I hcR.hy rlrnn unn.r pcMlrj Dfrrtury rh{ I r0lr(cikl url(r nn,r 0rr9r.r,n$rNi.8r hSNii,nTlrrt).rOnrl'n:l
<br />,n rh( lruims rkl t,nnr\trrn\ (inl. x'rl nrv I'rrn\r tr | rlll r(n(( ntrLl.ilc(r
<br />rlz-7 fzc zs
<br />tb
<br />a""r...,,,. 9(
<br />I h.rhya,nrnu kr rrMlly ol F.jury lhnr rhd. t ! mn\rurion Lndhs +.(, td 'h FrfitrmEt.rrlE *vk tor rhf,h rh6 Frmi F
<br />n\uai (sft :r(Ir7.(-rv c ).
<br />aPgLrCArtT Otctl{ TION
<br />t hq!+,nnl undcr |*nlhy oll).rjurt om urrh. t,ll,rqing d!.kflri.)nr
<br />D.mhion l,cflnns Arhc\ror Norificari'rn F. erslR.IUhriris lTirlr4(|, PM6)
<br />-Rq!rcd
<br />Llrrq rtNorircdhn
<br />I cqr iry rtur rhc r.n rrl R8uhri..r Egrdi.8 a*'$roi rcm* !l -. mr rrplt.hlc i(' rhr Pn'F
<br />4;,;iayrhd I h.rc rc.d riiil)flurnrad \r!r.ihri rhcLh,vc irn i!(r'nN li3R r)conlnlywirh rll( ir!rtrd (outrry
<br />c. an! sror. L.*\ rldiq h t{i!tin3 brn. FF.c.r.iir6 ol rhirCiryrn counry ro cnrd uFr rlE
<br />rt-rr Nnriffd DrDft vn, in
<br />^pplh.nt
<br />ur
<br />^!enr
<br />slsMluE r(
<br />..*u--*,rnr'. X---14 +?-- 04 J
<br />,*,, 'tf77f zu z.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Rool Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL l/ro/.)o fulc ll>?,^*arl<-
<br />Certif icate ol Occupancy I o tQr
<br />Notes, Remarks, Etc.
<br />-+
<br />Subf looriVenVlnsulation
<br />Flood Zone Certif .
|