|
BUILDING. INSPECTOR BECORD
<br />to/stG.COMMENTSSITE-WORK DATE
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathino
<br />Framinq
<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 Repo(
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />IL\LFINAL-2'XJ
<br />Certificate of Occupancy U
<br />Notes, Remarks, Etc.
<br />OWNIIR BUILDl:R DIII,CAI'ATION
<br />I lEEby .tfm u .r Fuly or Fr!ry ih,l I F .t"pr frDh rh. cbdturm lr.N L.w fo. fi. folbvfu ssn (S<.701I 5
<br />lru:iBs .d Proldion Cd.) Ant Cay n Cddy rhi.h EqoiB . Fd r. otr{ur. ttd. 'nvrot. dqrli'r! or 8 ., -,3tuk. Fs ro .r ljslllE. dh Equi6 dE {lt r.d for *h Fmn ro fil r ngrid ir.G'r rhr lE or Ct ir lEnsl F)l!d
<br />rnrh.pmvsh.ldECo.rrrrr'tl-tn&dlr*(O{pr.r9.Collmmh,virhSernn7fi)oll)iviri.nIofrlESuriEs.nd
<br />Pnnisiotr\ C{d{) or thrr lt or nE i!.r.npr rhdrroh url rlr $.!s fitr rh. all.B.J .r.mFiotr. Any lhllion of Sdion 70ll.t by !n,
<br />rpphonr ror ! p.mir subj.rB rll iplli.nd r. !dvil!.Mhyormr mr.rhu nr tundrcd dorl&r (tJlI))
<br />_1. s .*B.rrh. FIdv. d n,.trpkt s *rh 'r!d s lh.n !i. ont N$n. *i[ dl rh. xrt rn ,t rda i d
<br />i'kilal d oiTd.l fd d. (Sr.7O+a, BudB' .nd Pr l6!m Coi.: Tt Cod*ror'' L$dE r,* &d d .@lr ro e otr of
<br />rtl Foldy wh, toild. or lDroB 0E@(.d who dE e{n krr nim.lf ltr.lror rhsu8h hir n h.r oM.tlq)lor6.
<br />pr.vid.d rh4 ru.h itrp..Em E d ir.rhdqollqld for ul li h.*.q. Llr hrildn!8or lrtrnEEd n oU vahiroE Fa
<br />olonpldi4 rll ovE Builda viu h.E $E hD.lr oI PloJns rl! lr d dE dil d hiu d inpoE ttE pDFly 6. rlE F4d. of
<br />-1.s.*E,oltt
<br />FDpdr, m.rctuti*,yodn!i'n8 wnh I'c.nral od h6!,con{Mrrt FrFl lsd.7X4. BuriE*
<br />!,Il lrufesu, Coti. Th. Co't*ttr\ Lk.nr. tlw drB mr !!rly n' !! owmr ol prcFf,y who frildr or iftptuwr rha6n.
<br />Md qb ddko ror $.h lr.jc.6 eirh . codErnlr) lt.Md r!6@ h rlE C.r nd.ar 1i.6. bw).
<br />I m.rqx ud.r SdEi-. a &PC trrnlE b.
<br />.!r08f,!&LcoI4r8$ArIA!
<br />DECLATATION
<br />I h.r.by rfiirm !.&r FMnv ot Fjur-r o* oI rtt ablhqinS d..Lt&tN
<br />-t
<br />hrE !d will 'ldlir ! CdtUd. of Colla t6 S.lf-lME fs ri6t4' ortEBri'a B FDrd.d 6. bt Sdirn rr@ of dt
<br />L,trr Cod.- Iq rl* FlolJ]lre ol rlE *ort lG vhth rtE Fnir i ii*.d.
<br />_l hrE rd will nidrin klt.6 .onp.B.rion hrurB.. $ Eq!ftd by S-rr.l7m of ilE trbor CdL, for rll Fnffi. of
<br />rlr *trt a( rhrh rhn pq'd n i!$.d My rrt n .-.+.Mr,. ,M ffi ri p.ltcy Nrls e
<br />_l.difyrh, 'n
<br />rlE p..fclm of rllroflk atihtha F tu n &qd,l t ld.trpby yF$nineylrw
<br />n B r. bd$m.!llj.d ro rlE wqrd onpces Lw!.r clhfomr, In leE $r I I dnlld b.1tr {l*q o r
<br />s.6 $np.MrDn FovnbN or sdbn J?@ ol rlr L.hx ouL, I {dl fonl*irh r.trpl, wirh rh,. FovnbE.
<br />WAININC: Fdhm io ecs rork rJ 6r+.Bron 6EuB. s unlrwnlL $n ihrll ruhj..i e.hploF ro 6iDjn.l ,Emxis ..d
<br />cEil nEr up @ or hundEn rh.orld dolld ttll$,lu)), in.ddirion ro rh. .od .r comFMtioi, drtug.3 ! ?bvil.d for rll
<br />sarhn 1076 .r rh. lrto. ood., -r.d d llmy r f6
<br />lltlxsmffi
<br />DFI]IAN TION
<br />I h.Ehy .ftrn u.d.r Fi.xy of rdjury ihrl I e lc.d uid.r p.nvElr. of Ch.prd 9 (c.6EEi.! rnh Sdhn 7utr) .r Diynbt l
<br />of rtr Buirs rrn PDE..&,o Cod., rd my L.e i b tuU nre rn.fild
<br />ll.r._
<br />COISIBIJCIIONIJIDINC.dGEICI
<br />I lEEby 'rtm ud.r FMby of FFry lhi rIft n I c,Ntudiotr Lllua Udr, tu rh. Fforl:rle of rh. sd tur whi.h rhs psd it
<br />i$u.d (sfr.1097. c'v c)
<br />AETIICA!tr.DECIA8AIT!!
<br />I hed, rtrm ualcr p.ahy of pdlr.y oE of ilE rolbD,.3 &.1,.t irnll
<br />I).ml on Prmr'Ad.Jror ldr'f.dbn Fql.nl i.r!Lrb.! lTil. ro. Pd5)
<br />-R.quiEri
<br />L!trd of lSriturrirn
<br />_l cdify rh{ rll f.&.rl i.SuLriqs E3dJrry dbdror Enrvrl e d am,lr"hL to ihis pDFd
<br />-l
<br />(dll, Ud I h.e. EJ rtur .r,?lr.tbn .!n cd. fir E r$oE rfonuri.rn n .lfu1 I .88 ro @nlPl, *ih ill Ct, .rn C@ y
<br />onlrus--d ui Sr!r.Ii$ Ekrht t, ho ih3
<br />r
<br />rdhorir EF!ed{,B o( rhB Cry nn Comty
<br />0
<br />II
<br />tlEi
<br />Rev.08-07-2015
<br />Shear Wall
<br />llrr. oItr-F
|