|
BUILDING- INSPECTOR BECORD
<br />SITE.WORK OATE ID/SIG.COMMENTS owNI.I AlJll.tlER Dt:l,cI*lTl<)N
<br />t tml', rfan ud.r Fuhy ot Fnry $.t I u .un$ nom rh. ('odalB' trw Lr* ld Or rol.riDi E.s (S.( mll-5
<br />Burin.( u! I'roL:\$' Co&) Any C'ry or C.udv *hrh ftqunq ! tffi k, si{M, nr6, rnpr.€. d.ml6h or EF, m,
<br />io(rc. d.rt' r( nsur.,rLorqniEtrlEapplirrtrr,nrsurhttmitiolik!si8rEdrr.Edthdh.or$rali..Mdlldud
<br />n' rh t6!ki.N ol r Conkd.li l-a.Md trr (Ch.r{d 9, ComxEin3 lnh S.crnn '7Ur) ol l),v(hn ] .l rtE BBE( Ed
<br />Pn,L$r).r Cd. r,r rh:r tE d rlE F.ktqi rlE.nDh lrl rL h.!a li" !h. rllq.rl .r.nrrbn tuy vDhrih ol S<rrB roll t lry r.y
<br />uppluN ror iF.nr rubj.(c rlE {plrca r. !civilp.Ehyofmr mRrh{ fiec hlndEd dolld\ (ttllr).
<br />_1. b o**r or rh. rFp.nv. d rry .qrlrlr.r *trh w.8cr .\ rh.ir {L .dn]f. ri'., uill do dE rrit !'d rh. {dft E mr
<br />idaial or or.'.J nr {k ( Sd 7rJ, Aulrl un fttrGsrm Cd.. TIE ( (dr ri U.a.s tir d- d .pplt b m orfr ul
<br />rh. Frltdy ub hudr q iryr'6 nEq rn wrD d- sn vdt hrNll or ts:ll r rlnullt hn n lrr oh .rq1bF'
<br />F.\rl.d rhrrnrh in{Fmdr e d i.r.BLd dollinn i[sk.Il,lr'*w, rh. h{rBrB n iryr'wrd i(sr,*ihrn F,
<br />of .onriLrl)'l, ih. ( )*E Buil&r will h.E rlr bunl.n 6f F)vi'r! rld h. r JE dil fl, hui! or npdk rll tmFny nr (lE giFl< nr
<br />l. !\oqErofrlE lhtEny, rh.r.Lsn.lr fmh"rms rtrh lx.nsJ (odrxlFn, d'tr{Mr rlI |'rrlr (s6.7or,r.8urh\
<br />ml hula\rnr (ixl. lhcCo&!((trsl-r..\et.!rd(.\Nnitplyr,,nw'Holp!{rf,ywh.htrllJso Npn)v.trh.r.or
<br />lnd *tx) cunq,trB [{ rxch I1n,irh *ir h r O)dtrt)n \ | lrctr{(l N^ud h r rE (i'drrr'of r l.t.nt tjw)
<br />I -;-Ui,H
<br />\;Yt .PIIln 1_L\!!!1\
<br />I h.khy lllnmunkt IEMny ol FlUry or., rtr l.ltuh! &rlJdnB
<br />I l'!v. drl wrll nu! an , ( .nrli.ar. of (1^*nr b S.lll Nft ltr uar\.u d,nIENu iur, i! n ovrl.J fir hy S..Ibn :t?00 o, rlf,
<br />ljhtr Gd.- f,rrll F.Iormr. {n rM f,od h{ rhih rll Fmn i' i\u.d
<br />_l hiE i,rl *rll nEdli! mrt 6' .onp.^qtln inrura-. .r Frtui!', hy Sar.. l?m Df th. lihor Cod., lor rlE Ffl'rlB: of
<br />ih. qorl ,i, *h(h rhB lErmn I r.tE{ My roll.B eml.s.rDr rrrur*r sr al Ftlry nun$.r E:
<br />Polry N!tr{E.r_lir0rcr
<br />-l
<br />(nn! tur i. rlE rrfohEm ol th. *orl lor *hrh rh! lx,nir r !1@1. I $rll { .q)l'y lny Fretr iI riy .sB
<br />s s h lt$r s+<r ro rh. h'l trqrd-n b*r ol (ihlomr .tr.l :eN rhr 'rI Jnut h...m tubFr brlE
<br />&d(; laoIENrDn portrpD ol Sdsn 1?@ of th. L.trr (rql., I !hll, dh*ih Lrtr9ly vith il[e pohIE.
<br />IIrIRNINC' Fdrllr. !i ac@ urrk 6 c'nIENDn C{EBB. i{ unlrwtul, rr $"ll suhFd o .n{,1))., t' (rm l Isuta lld
<br />civrl llkr up ro oE hu.dral rtFus.nd doll,ri (illXr,(IX),. in dddnD. n' rh. co{ ol lonp.rsrion. d!tru!.r !i provil.d fo.lh.
<br />s.r'n,, nr70,! 'lr lrhtr (irl.
<br />,,.," , eb, lz,;t-IrlLlt!]ur]-!-]2Nl3l1jr]Bu!r"!3atr]!
<br />I hcr6, ,Ilirh lndd ltdly oI Frrty tlul I E la.nsd urt, IF6hn or clDptd , r m,rmr ing eith Sdbi Trlyr I y Oi(rhi l
<br />ol rh. BciBr drl Pilfe,r c!xL. .nl .'y 1...* D o tull nlc rnl.rld
<br />AIII.IIAtsI.DECIABA]ION
<br />I halq lfam uid.r Fn.hy ol p.rj!ry o* of rh. folbpi.l ddbrarions
<br />fttu,r En P.BdlAib.eor f(rfE.'i,n,-LEl R.ruLtMi (Tik.(1, Pa6)
<br />R.Wirlrl Lrrd of lldf.din
<br />I (d ify ,hJr il. Ldml E3lLrnN E3rJ!n! 6lr!h! Enr&l rE n{ .tFl..bl k, lhi1 p&F1
<br />fNrrt,l ,hd I h"( rc.,jrh, .fi r.ron d{ n!,? rhd ,tl .h)\? i.ro.mrD. ^.i)Br l.!@ ro oip,y virt lll ciy. coun,y
<br />onluutr!.r r.J Sr . L.w! Eurma L, h{,ldh8 qr{rui'u'L .d h.rhy iurti{rr En(qr.Lv.s ot rh. C( y lnd C.untr ro.nrs utr'n rlE
<br />.lr^c mn[,k,lInp(ny litr i
<br />Applidd or tor Slu.rn el"lz.
<br />I
<br />n
<br />I
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulalion/Energy
<br />Dlywall 1t/€iDtnt. Larh ////d/20 Plblh 416
<br />Brown Coal
<br />N,4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL /r'/-z LLr<tue-aos''Zj
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc
<br />Rev.08-07-2o15
<br />Sublloor/VenVlnsulation
<br />lr
<br />Crftr_
<br />co!$alcuour.DllM.Actdcr
<br />I tE6, rrh ui.t r Fflry ot Firy ihr tfid ir . .lfrndiB LBI!,, .!!r, tu rlE Ff'm! ol $. k t tl. ri.h ib. Frt !
<br />nrBirss..rit7,Cr CI
<br />t:tokr r N.ft
<br />vcq
<br />I
|