BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS ot{ltlL St,tLl}}:t Dl:l.cataaTK)N
<br />I llEby.lrmr unLr FMry ortE nld dur I5.r..9 nDo rh. cod^r6 LI.e b* for r rulowina Een (sd.mll.s
<br />BusiEs rnd Pror.shn Crn ), Aiy Cry n. Coudy rhih Equid r Frf,r h .odmi, .kd, rn?r.E, &mlirh or r.p.r uy
<br />riuruE. prr k ir3 !$re. 3l{ apr! rlE rppliut lo. suh p. i t, 6E ! ,!Etl3r{ft $r lE o. aE ! u.nEj p{Mr
<br />r. rh. pmvki.B oI rhc Conk crolr l,k .'.d lre (Cnqacr L C.mm.rcin3 wlh Serion 7UD .l'l)ivni.n I ol fi. 3ui6$ rid
<br />Pnris0r Ckl.) u thlr lE q sh. R .r.n{'r ih.Efto id rlE hans tu rtE llLl.n.r.trflion Anyviobii,oorscrionT0ll.5tr&,
<br />opplicnt ror r Fd( rubj.rt llE rppliclnt ro a .! il p.mlry or mr mrc rhu fi v. hundrcd &1116 (t500)
<br />L c .rr..lth. Im0cny. ( my crphFr *irh *r!!. a $.n $E drtrd.., wil dr UE Hrt.d r,l !'rle i d
<br />irdrlq, d ofid.J fn llclsa 7lxr- BunEr.rd hof*iB Cod.: Ttl C.d8rri ti6e t r dcr d tf?ly ro r ow or
<br />rll F)rdly Dh. brrar n itrglB ttBa.rn *b dc *lr rEt hiluY d lBrlf d ilu8n hi q n r oh.rpbFa
<br />Fovii.d it r sh inl.llmdre d i..d.d orLr.d kire&.ll,ln*.q. r hliE4 ( tqiurd ! sld sinnw laolo.pljia ilE OrE auitlg *ill h.E tlE hrda of F$vi{ thi h. d JE d.l d hr! d irp.!€ 0! Fatdy aq rrE Ftr!6. of
<br />I. n\ o*icr ol rh. pn'n dy, am .r! llilcly tuit(r'n! sih lr.ne'l c.tud o^ i, dlNrud rlE pn,i.t (S.( ?0r.l. nu\irc$
<br />a,rl l,rDlA\&r (i "1. Th. Conh.rtr r l-'..rr. l,rw d(*\ nor apply t, r, .s,H lI'n)ncdywtu huildr o n,rr)r.r rh.rd,r
<br />ud shf.o.nd\ntr\u.hpft'F.6qnh!(i,nrrr(\)l'c.tr*rltu^urr('r&(n.trdoisLr.Nh*)
<br />-l
<br />e .kq, u'*r SdDn-, B e P C ,or thu Bsn
<br />woxr(r:xsffi
<br />Df,CLAXAIIOIIIh.rhyr,lnhunJdFMlyoln rjuryokorrh.l,nl)qnsd.cLr.ri) )
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<br />lrv. urtvrll n(inrn.rC.n'li.ar.of(l'h.Nr, S.lf l'utrr. ntr *orl.n .on{knsJlion, r\ tn'vid.d ri* hyS.cri'nlTmofrh.
<br />Ijhtr (-(xlc. nr rhc r.rf,{Emc .f rhc f,o l,rrhi.h rh. r.rmir i\ isucd
<br />-lhlwr
<br />will rud.ir m*6 6qrurD. inrurr., s r.quiEi 5, Sd!!n l?m ofrh. Lb6r Cod., tt rlE patm ol
<br />rlr wt fd *hrh rfin Fmn t idEt. M, $rt6 Nqrdnn Nfrr (ffi rn Frlry n6{ E
<br />Pohcy Nunh.r_!rpirc.
<br />I ..nify rhd in rtE ,Erformrce of rh. woik ntr *tEh rhl! p.rmir ir lruci, I shrll mt .mpby uy p.roi in y lMB
<br />o 6 h h.$'E ruhjcd ro rh. *odcB' c.npc's{riotr h*r of Colifomir rd 3t(. rhd if I sthuld b.coMuhFcr to rh.
<br />*oft6i .oqEn$tD. povtsDN ot Setion 3?m oI r L.bor Cod.. LDU. tdhwirh NnFly wirh lho* tbvirbu.
<br />WAnNING tsriLR ro FE tr*r6 oqrNrs. m*d3r is u.L!tuI. rrn rh.tl rubrd r.lt)hrs to qimiDl Frli.r rod
<br />ovil fi*. ua r. oE hud,.d rhou$id ddll.n (llrx,.llll), in rddriin r. rll c.r of.on{rNri... dm3.. r provdod fd rlt
<br />S{rio. 1076 of rtE tns aodq ir.H ul rrllE, ! fc\
<br />ulEt EjJ)Mr&3la
<br />DECIAXAIIIIT
<br />I tsby.mrmuid., p. hyofp.rjlryth.r I rm lietr<d urnd prtrviiE..lCt.I{a 9 (.omrrcint * h Sdiri 7Ix[) of Dntioi ]
<br />of rh. Aui*s ,xl Pmfrlliotu Cod., o.l my li.ce i! in tuI fu@ ir .ffcd
<br />l).1._ Cdrrror
<br />qolsr3ucrl()l.LEdDlxrlAc
<br />I lEEb, rtfrm un .r Fuly ot Friry rh, rlEr a r dn{erbn Lrln,S rrtE, ln ilE paforM. ot rtl md Iitr vnth lhE pdhi i
<br />ksu.d(sd :1rr7. cr cr.
<br />duuclNfDEclJS6rad
<br />I hdrt' rlfm udd p6.lt, of p6,l.y oE ot tll turbrir3 &cbd iD:
<br />D.mhbn ftmi*A!!.rr6 t{difE.tbd &dd.l R.!!lxiB (rL {. Pd6)
<br />-Ratuir.n
<br />llB of tldifadr
<br />I c.d ify rhlt rhc f.d.r,l E8lhriotrr r.rrdfl3 tsb.nor Emvll !E mr q'pliahL io rhis preFi
<br />I ddrly rh.t I h*. ud rhis lprlilrion dn d.r. fi.i rhc rhovc inlorin rbn n coG( , ,gd ro 6m0ly r [h tll Ciry rd C@nly
<br />sdi tu.r rd sr!r. Ijqr EErira ro h dl.3 c.rsod r4 in lrEt y.urtnr EFlsrdiEe of ihi! Cry xd Counr, ro dd ulon rt
<br />dDE EnrlBi l,tp.ny tr B{Hbr FrFxr
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathino c trl/)/
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Repo(
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />I -2,
<br />FINAL t5t-n >Fi +(-/
<br />Certif icate ol Occupancy tt
<br />Notes, Remarks, Etc.
<br />tlev. 08-07-2015
<br />Dft?v
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