SITE.WORK DATE IDEG:. CQMMENTSt-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsu lation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing e
<br />lnsu lation/ En erg y
<br />Drywall L-f-rl Jlehfia -0
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />FINAL
<br />"-te-1,'goJ)-t@
<br />Certificate ol Occupancy
<br />Notes, Remarks, Etc.
<br />BUILDING. INSPECTOB RECORD
<br />OWNER BtlII,DER DELC iATION
<br />t h.r.hy ar'lim undcr Fnxlry i, r.rjrry rh.t I m .r.nfl rh,n !h. (tft&loF Li..nr lf,e tur rh. tulh!*m! rcnQn (S.c TLrl li
<br />Buu.( 'll Prul.r\r,n C,ri.) Any C y d (i{nry rhrh rqur! . Fm b (r'n{to.r. .lr-. rpba. rhfrnnh or Elnr .ra
<br />nturm, Fr" ri, trt 6r!ec, .Lq, r.1uEr rlr 4{'lEur l!, lNh Fmr 6 lik . nlmJ {.r.m.t rh.r h. u {r . lt.nKl dtlllu
<br />(o rh. l'()v(0nr o( rlt Cont*htr'r L..nc.l t * laLpt.r 9. C.nmE'nE wih SerxJi 70OO f Drvr-n I or rh. Bun*s rntl
<br />Pi,rc(tr)ns C&lc)orrhlr h.or rh. ir cr.htr rh.rcliom&J rhc havs turrhc.lhscn e\enr/tr)n Any!r,l2nonorSccrnnT0llSby.ny
<br />4'til'unr r(, r Frm[ sxbj.lh rlr .ffrl(rnr t' . (vrl I,.E[ y ol B'r frx. rhrn liv. hrBlhJ JolLrr ( l5ur).
<br />_1. ri owr ol rlE F,Fny. ,, f,y .6rlry(r rd h sr!- .r rh.tr $k Nn{Ennirn *rll d' ilr krt arl dr rurw a r,
<br />nr.nkd or oficRd ntr qL (SN 704,4, Bu\ft* Md Ptolcstnr C,r!: 'rh. Conkrkr'. t-.cn€ tjw Urt ml apdy t, m owt or
<br />rh. |x)Fdy wh,h ir or rqn'E rkN)n. el *h) J*s re h srt hlhs.lf.r h.rcll or rhn,ugh hit or h.r own c.rq'hyccs.
<br />nrovrldlrh.rskhlqnrftntm,d.dldl,,ofldnlli,qLlt,h'Etw.rlEb{lllli,r!ryruEmdtr$Uwrhnoftlsr
<br />ol LrntllrDtr rlr (}wr Au js w l h5E ill h{tlo ol Fl)vqs rhr lE or rlr Jrt n, tu! N rtmE tlE FrF , tu rlr Frlr)r ol
<br />L ar owrcr ol lh. Iln,Fny. o . r(lusiv.ly ronir{i ins *ih lrcn\.d (,nr&1or ro .Dn(tul rhc I'l*rr iscc 7044. Buwsr
<br />ril l\il-rinC!d. rh. Cont&ttr iL.cn< lr*&E!un.mlyk' 'n owm, of lln,lxn, whd hurldt.t mpn,!.!Ih.mn.
<br />.nj wh) !r,,rBrr nr rkh F)Fh r h r c.dturullr !r.n€J rrFur t'rlEConrrr('r tr.rc llu)
<br />I rni.r.n,pr un'l.r S.!rntrr
<br />I lrrcl,y rlrtrmtrkl.' lrtulry,n tN,'(yon.'n rlr L'l!'*1Dt,l{l.nrrk)n\
<br />-l
<br />h.!. dl wru E'dd. Ctnrli.rc oi(!'.r !! S.lllnruE ltr $rl.r'd,t{Erd,h. ( fdvrLd lttr hy Sdru 1700 ol rlr
<br />Illu (irl. ls rrE lErlql]4. ol rtt *rrt L, $,firh rtr Fmt 6 asEi
<br />I lriv. r*l wlllmirnrdn *ork.ri.oml)ln\trrrr rn\urrnr.. rr rcqutrcJ hyS&ron lr((,ulrhc l,.txtr (tnc. nn r h. P.domrMr. nl
<br />rh.snklar-hrhrh6tEm[rr{rJMyqtrkcnomFn\lrtr'nn{trrfrcrlrEr!..1Jx'lf,ynunh.rk:
<br />Cmr:-
<br />P lry Nunrh.r
<br />-
<br />_l(.d'frrh:r nrh. Flformhr rl rh. *o.t ntr *h.hrhrFrmr tr ntuJ.l ih:,Inr.nPt yrny FB,n DDy tunrr
<br />{' i\ r' lEr-m ohFr r{, rlE *,trt$'oqEhuirD h*r ol ( rhtuma. ,rl .aG lh.r I lh)ull h.(r rrh,.d t'rh.
<br />*o.*.n .onp.nur nn Pt)*x,hr ol Ser$n J7(X, of rlF ljhtr (irl.. I sh.ll, h,nh* h $ftd, w h rh'. 0Nvlrrnr
<br />WARNINGT P_dlurc b c.urc workcn q'n{xnsrnm covcArc i\ unLwiul, sd .hrl $hrct .n .nplorr b mnin.l IEM[rs rtul
<br />rrrl Irn.s up r!' x hunlr.'l rhou!2ol Jolh^rrr(rr,1 n rJrlir nr rN (.( (
<br />'"{Enerion. ,hDs.r .. Frvrl.d for
<br />'h.Sd.n m16.r tlr l:trxOrL- ! .rr
<br />t h.Eby.fm untr !@Iyof FI[y r]i. I m lEr*l ulLr Fonro. olct pro 9 (o,lmBmt *rh Serion 7qr)) ot Drvriii,n I
<br />or rh. B!te!!.d PE&siB Cdk. .,n my l...r r tr tulr rorc .,rl.lT(l
<br />(.ONSTRU('TIOI\I LE.IIDINC AGENCY
<br />I fi.Et!, rllim lnLr FMiry Df Frrury thr rtft !. Nn(urDn Lulo! rsdy for th. Fftffi.,n rlE wt tu *hrh ttu Fd !
<br />niErl (S... .1o)7, Crv. C )
<br />APPLIC NT DFCI ARATION
<br />I Hry .nim und.r n nrlty ol pcqury orc ol r h. linb*r.B dc.hnr oh(l
<br />D(n,ln$n P.dl^\bcror Ni'lsrnn &Lr.lRcSuLiMr I rrk.l0, Pd6)
<br />_R.q!n d tr(.r of t{dfrdrn
<br />rcm,rrlN nn rl'i .!1'L t}rhr nn,Fr
<br />.bE 'ntulmlrr ! omr I r8e ro dr'Cly sih .ll Ctt ml Cou y
<br />hcichy rurhtr,c r.[.tnrJh!.r,)frhn (iry {nJ Counry L,.nr.r uF,n rh.
<br />lppli({nr or Ascnt Sirui
<br />l/?.4
<br />)p*ttv
<br />lhl.r-
<br />c/-te, - /q
<br />L
|