|
BUILDING- INSPECTOB RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNAI BUILDER DEI.CARATION
<br />I r*rt, r,r!n uui.r pcuhr ln rEJlr, rh.r I m cr.n{'l nDm rlr Conrr-l.E l't.ne k* nn rlE ,ullo$tr8 rc.v'n isr.n)ll.,
<br />Bus,n.ss Ntrl Phf.ssrn Cul.): Any Cny or Coxnry vhlh r.qur.r |r.fu b comtut. .hcr, ml'mvc. &mlnh or rJr.r .ny
<br />do('uc, pftr ro iu i.surEc, al$ rcqlirs lh. qDli.rtrl lni rochFmit b [k. sisnc.l .r.chr rh,r h.or dr ir h.nsd p@r
<br />k, rtr F,vni'B of LIE ConrBntr r t-a.Mn U* (Chrl'r.r 9, Co,rmh,n3 w{h Seii,,n 7flD f Drvim. I of rh. Aurims d
<br />Prut ${nr CirL) tr th.l lE d sh s .rchpl $.rdnm .il th. h.sE for rlE .lLr.n .rcrlltrkr. Ary rkrLlion .l S.drr 'ro1 I 5 b} .n}
<br />rt'rue.nr lor t Fmr bFls rlE .ttlE.,rt ro . .r FBh, ol mr n)E ih& fit. hullrst dollr. (i5qr)
<br />_1. ar owxr .l rh. Fop.n y, or ny .mployrcs w h er!.! rs Ih.r $k onlrns&on. erll do rlr qdk rd rlr ituie ( frn
<br />dcnLd tr.oilrlcd ntr eh (S\-,'7(,.14. Busrcss r.J ttrtrl.\{o CdL Thc (i)nkr&tr s L(.ns lrr d(E! nor rFnly t, Nnowftr of
<br />r^(!f,,Fny wh, huiu! or ,ryn,hr ih.Ktn, !fi] *h, J(rs ntrh k,r* hmsclr or h.r$ll or rhn{rh hs or tEr .wn .m !)yccl,
<br />pmlr].J rhrr $rh o{'n'vlnfi @ nn ddlcl r olla.J nr ek ll, h,kk. ilr tnilln8 or rtk,hftnr r g l *!hm.m y.{
<br />oloq)hr{! rlE O*F Bu Lr* hrE lh. hmLn ol Fovn! rhd h. d {r dil n{ t urIFrE fi. tmFnt nnrlE J'!rF)rol
<br />_1. r\ r$'xr ol rh. FoFny. i'. .k lulvcl, .ontr.r n3 *Ih n .nFJ UDLr ^ h (onddd rh fllri (sr* 7(!4, lnrsfts
<br />ri Pnnri$ C,rlc Th.Grrrrr!tr's l.(.ni.l-.w J,{r hn smlyIo.nowmroll'n,r'c y uhd hlrlir or inrF)v.! rhcr. n,
<br />MJ who o tr* nlr \u.h pn*( wirh a A'nts.n,n n h(n{J pd rahr r, rh. Cl,nr!.h'r l-f,.nsc bw )
<br />_l d.rchfl uni.r Sdir_, B &PC tulnsi.!$n
<br />lllf,f,EltE.gaufEdtAl]aN
<br />DSCIAIAIIg!
<br />I hcrcby iflirm utulcr Fn.liyol!.4uryom ofrh. nrk,winE del&rtins
<br />_I h:r lrl wrll |juia r C.drrri. orcoed n, S.ltlturF rd q*In' rarr{EMnn. * Frvrial lor hy S&rk'. JT(l)orrrE
<br />trbl, Cul., n{ ttr Frrmt or rh srt fd $t.h rtr Fmr 6 BseJ
<br />ZI hrv. .nJ u,ll mor.h s"t6' (,r{ttulrnn ,n\ur.tu., rs r.qu(tJ by Seron l?m or rh. Llitr CoJ., ror rlf Frrmr or/ rh. wk t{ *hrh rhs p.mr tr tr561. My uo*6 .1!r{EErr'on hsre. rrErr ail F,,ry numbcr e:
<br />Za*q A-wti.erl
<br />€,.e lo715A5'oj la/tt/Lt
<br />_I!.n,lrrh4 nrhcl)crftxRnrolrh.eod lnr*hrhrhtrtirm trNucrl.IihrllR .ntlty.nyFMn $tmmrr
<br />q) b h.sn* lubnr lo rhc utrk.ri. mn nsdi lru.ol Cr[ttmn..n! uNrh.r ilI.ln)uu h..oE subFr hrlr
<br />work{\ .on,pcNari)ntn,vi\i(itrsolScrr(,n lTX,ol rhc Lhr Crrlc,I slull, l(trrhwnh.omnly w hrh*f,vtrxn,s
<br />WARNIN(; Ii oic k, kdrc *orkc( $nFnvr('n .ov.rulc is rnLqtul. .fr, thdl ruha_r rn .mthyrr t' dnnnrl lf,,uhs d
<br />!N'l tur\ trr n, !,r hunJrcJ rhotr\r' J.llrr\ i1llr,.rrrrr. tr,n) {E (xr of $mFnslk'n, UtrE8.r a trDvrlal for ih.
<br />s{rk,n r0i6{r rh. uhx Gil.. rrcr.{sl.riomt,t kr\
<br />nn 12/ /\/ 2.o2o
<br />^*,,^,
<br />!ECLAS Ir!]!
<br />I h.rh, "lltm told p.nrlry ol tr,trtry rhir I rn l(n\.J unJcr pfl,vrnn {, Chrfl( 9 (cohm'(1!3 lnh S-rirn ?UX)) f O,vrhn l
<br />ol rrr llulr$ nl Prcr.srun. C:lrL, ol my li.nq r u llll n&! a[] .llcrr
<br />lce'lLto
<br />qolErB!tqllrlJ.llulri-acElcr
<br />I trEhy tff m ud.r tEalry ol Fru.y $n rn@ ir . o.nBrio. LrrrS {sy lor rlE IE ('fuB. oI llE wt tu lhrh rh6 Fmr u
<br />ssktt (Se Ir7.C'v.C.).
<br />AELISANfDECUAAIUN
<br />I halry lnim unLr txutt of fsrlry oE of rlE follun! !,.tlr.r rrnr
<br />D.mnnotr Pcrmk-ArtE kr Ndiir.rpn F.tls.l R.sul,! M. lTitlc ,(,, PM6)
<br />_R.quiRJ t (.rof Nor -rirktrr
<br />_I .cnrfy rh{ llE fcd.r.l rcluLrrrr E3.ilf8 .rhsr'3 rcfrry.l r tul {nlr.bl. h lhr F'Fr
<br />d,v. mdurlar nn'!.ny ntr in\Fd!)tr
<br />,\pplic.nl or AronlSiEmlun
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL ? ////7cZ / -7 *{tttt
<br />Certificate of Occu n
<br />Notes, Remarks, Etc
<br />o" l2/ 2l/tazo
<br />_l c6r'1, rti I h.w nat rhn {dr.r $. rrl rrr. rh,! Ui rtr,h ul()m' iD 6 dre'. I r!ft kr ($rlcly rnh .[ Cn, rd C,{nry
<br />ddmN3 r,rl Srrrc Lrrs Elrth! ro h'!m3.oNurx'tr .,n h.rcb,.url,m rclftqr.riE of rht C'iy ..n Coury ro .,rd nFn rlE
<br />h l Z/23/2o2a
<br />Flood Zone Certif.
|