|
BUILDING. INSPECTOR RECORD
<br />SITE-WORK ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/Vent/l nsulalion
<br />Roof Sheathing
<br />Framinq
<br />lnsulation/Eneroy
<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 Reporl
<br />Flood Zone CertiJ"46tu* lfa/*t z-l-2/f/c L ?
<br />FINAL L-e-z'lL/s,/€_/?B ruZ
<br />Certificate ot Occupancy
<br />Notes, Remarks, Etc
<br />OWNER AUILDEA DELCAXATION
<br />I icrcby rruh ufrls Fn ry ol F.rury rh.r I 'm crcnnt , m llE Contrkl.n LEnr ll* nn rh. nrlhwo8 r.t$n rs.c ll.5
<br />Irlnncs . ,t rcsrion Cdc) Any Ciry or C.u,ty *hi.h Gtun.s ! ltmr kr coNru(. .lrd, ,n{ov., &m ish or Ep.r u,
<br />{rucr@. rntr r) rrr !r ra.. rl$ Equr\ rh. +ilid' r d Fmr b nb. rSrd .'.rcEnl rld h. o, tlE 6 li.tnal Frrd
<br />n) rh. F,hrx,n. ol ilf, Contraki Lrcrxd trw larrt{d I, Colrwh-.rt *,llh S-r[n 7(t[l ot D,vBon I ofu,E B!s,E( lrl
<br />Pnncsk,nr C(ii.).r rhar lr dr ilr !r.i.ry, rlE from tul rlE h$ for rh. iks..l.kn{r!'n Ary vi'Lrrr .r Seran ?ol LJ I'y.ry
<br />rptlkrnr ld ! F mr subj.lB rhc .,Tli..nl l(' r (ivrl Fnrlry ol fr'r nt (hr. ,ivc hxftlrcJ d llrs (S50o)
<br />_1. a dvr, of rlr FoFdy. d my.npl,)..r w,lh p.8.! 8 rlE, $L (rtr'rEs.lDr * dJtl.lvdt!nrtlrdEr rr
<br />dald d on nrt td .]. (Sa.'7oaa. BurUBr.rl Plofclir! ArE T,. Codrard r trl@ lr*.!B d .pltl, to D.rE ot
<br />rh.IroFn, *b triU! or anihFr tl.6[ ril ab JrB tuh *rt hirelf or lERlf i{ rtBDih hs q hd orn.qrlot6.
<br />IlrotiLd lh.t $ch imFD@nlr e ml i cD.l.l n oficEj ij, {l lf. hl!E, rlE hixns r ,nliowmnt u *'ld vnhin (ft Fr
<br />nl(orpLlio|! rh. Ovftr Bui!.t *ill h.v. llt h{nr.r 6r Ftrvin! $.1 lE or slE tld ml td! u !iF)t Ut pNtEly tor tlt putlrE .l
<br />-1.
<br />.s oeBr ol rlE tmFny, .m .!.turwly odr&lh3 *uh lK.n!..1 .odr-n'n t, .atitur rh. FDiu lse n}a4, Alitrs
<br />{d EDcarr Cul.: Th. G,nrr&Ltr ! Lf,.ni. lrw JFs ru' rrrly ro m owt .r l'otEn} vh) bu d! nr lnnmts rlEr.on.
<br />rnd *h. cohrBut ror $ch nn'irk w,ih , c(,nrrdo(r) la.n€n I'lBurnl l,, rhc Conruw : l,i<n* trw)
<br />_l u.rcopr uld SerD.- B. & P.C. nr thi! tlen
<br />laatrE8I:laal8E!5AIIO!!cll.a8au.o!
<br />t hd.by.tltrBU.dcr IED!y.l Frlury om ot thc i)lb*iry &rhrrr$nsr
<br />I h.E.nl * rlr durre . C.nlf{.r. ol O,trEnr ro S.llhorc rd k*16'$,{EMin.I Frv,l6l fo.l'y Sari,n.}ml ort|r
<br />Lnor Gnc. li{ rl* FroIlll[-c o, rlr wk tr whi.h rtE Fftr 6 ssucl]
<br />_l h,w lal w'll hrmt.D ktrl.B .omFN.ton insurkc, 8 rcqun.,l b, SNrion lTUl of !h. L,bor OrL, r(tr rrE lEiffi. ol
<br />rlE *ut tff rhrh lhtr lcmr 6 BeEl My uxl6 on{En!.rrr Nord. .tff.^l lblry nun$ct R:
<br />I ldrly rhr( b rlE lrrlorDBt ol th. wod r,f, *hrhrhN Frh s $EJ,I:hJU n .q*,y.nyIEBrn m.nylumr
<br />{r r\ h .^.*on rrhFr b rlE s!*61 contrnsri'n Lsr .l Crtlroh!. !d rIR rh,r d I fillll li(otr iuhFr b rlE
<br />u'lksi dhn neron n$riri,ni of Scd i)n l7(,(r of rhc bhrr CaL, I rh.ll, i'd h*dh coq,ly wrth thns ,n,vshnr.
<br />TryARNIN(;: li ur t, --!rc k cs coqEn\{rio..l,vctiB. rt unhwhn. rnrl sh.ll suhFcr !n cmploycr lo (rimiml pcuhis lnd
<br />.rrl finc\ un t' oE huBir.i rk)ns',ri Joll.r lslfi),Ou)), m dJ $n r, rh. oi of convEner,oc JrmSB r\ pn,!rl-l ld rh.
<br />S<r&n ,1076 ol rlt L,h, Cur.. nr.rcr frl .ui
<br />DEClrtlAIIoU
<br />I lrEb, rlrm !d.r Fr.lry of F,Jtr, rh.r I u lr.rqt ufrLr F,vilbn ol Ch.Fs 9 (omxur wirh Se'r{ 1000) or Ddnr'n ,r
<br />ol rlr Bum.! rir Ptot6$nr CdL. nrt hy I.cB
<br />'r
<br />h full forl..ri.fiar
<br />5 6z ?zrzsq
<br />IOIIIEIJqIaNIEIDIG.f,{iENCI
<br />I hcEby.rrm un&r Fn.ll, ol Frlury ll lh.E is r conllo.rioi binljr r9t&y for lh. Ffolfftu. ollh. Mtrt n *hichtnFmil i!
<br />r(al isft 1{)97. c,v. c.)
<br />ATILICAII.DESASAIION
<br />I hdd, rtrm ulrtr Frt y oI Frlltrt oE or llE roltxh! &rLr.l i!n!
<br />tcmlllion P.rnr.-AslE ror NoxfLrrtu F.n.{.| Rcs!l,u,n! rTrk !o, P.n6)
<br />_R.gurcd tru.r or Milrstrrn
<br />I .stfr rh.r rhc tolqrlrpLrirB ElsJr3 r{dor cn,ql ft n, r0tilr.hl b lhu F,Fi
<br />-l
<br />edirt lh.r I hrvc rc.'l rhlr opplrrlir rd (.rc rh.r 0r rh,v. intumrxr r c.dd I .!,a lo .!n{'ly w h tll Cil y i*l Counly
<br />o'rlnxnrc\ r (lsrrrc l-rw\ r.lr' x rD huild S ('trrr ion. ul h.rcny autknn rq'rc{nbxtcs ol rtus cny nd counly ro cnra uNh ltE
<br />rh,vc nrx EJ Pn,Fny tttr niFLto.
<br />Applicdl or At.nl SiAEluF
<br />L
<br />IDATE
<br />Shear Wall
<br />n , t 4t/</
<br />--------T------
|