BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS O\ryN
<br />'R
<br />BU Il,DER DEI,('AR TION
<br />I hd.by dnm un{d Frhy of Fjur,v rhn I m .rcnpr non llE C6nrr!.r.6 Lt.E lr* f.r rh. followinS rcen (S€ 70rl ,
<br />Bcir6 rd ProfBi,. (-od.,: An, (-irt or (-oudt $hkh GqliB . Frf,i ro mdtud, .na. inFor., daDlirn ar r4.n u!
<br />rrdde Im. b ns M(.k r.slr6 rlE elte' f.r sh Fmh ro 6k!3tftd xdorEi lh,lEor 3lE 6lr(6!.d F@!rn
<br />ro rhc FovishN oat conr.rcrd r l.icosd Ir* (ClEFd 9, Conjjl@ins *nh s<rrn 7000 of Drnion I of th. BBins.nd
<br />Profdionr ( od.) or lhll h. or sh. is .rdpt rhdcfiom mn rh. bnrh aor th. .lle.d .r6plion Any rbhlionolscdionT0lll t hy lny
<br />.rplkmr for r Fn( rbj6r3 rlE .pplicer lo , cN il p<aht. or B'r mr. ths fi\ . hundr.{ &116 (lltt,)
<br />I. a ow6 ofrh. FoFnn q hy drLyld wnh w.s6 s rlEr sE codFs.nr( sill do l'E rst ad dE !1(i@ i d
<br />idodd or or6.d aor sL (56 7044, t6ind md fr.f*hn. ( od.: Tt. Codrldorr l-ic@ t w&t6no' rrply lo mownEof
<br />rh.portry qho hlild ot i,E !\E llEotr !d sln &E sh mrl hiroll or lEslto. rhrcl8h hi! or h6 oq dplorc
<br />F.vli6d rhd s.h f,rlsr€iEB R d nail.d d oFd.d 6r rt. l[ lntrGd, tlE hrildnB - irt rffi i. std *ih!n om ta
<br />.acotrphir tlE o'.G ttllrE *dl rrlr rlE hda of Fori,s rhi rr d.ti dd rrrl hnB or igoE 0E F.rdt) 6r r. F,Fe.f
<br />l. 6 o"ffi..'h. F.Frt, m ddurn.ly.o Brins *i'h l,.6s.d co rarm ro..dtud ilE FnF tSfr 7ol.l. llllitE
<br />tnd Pr.kr Co&: TlE Conlr*tot r l, i.@ L*' &E mt {l9l} lo a o* E orF.Fn) r lF hild. or hprb\ 6 rhn@tr
<br />od *ho offir tor dcnFtrj.(! *nh ! Gffion3) lkd!.n pl6d
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<br />D!(1r'l-8AllQl
<br />I h6$y !m.m !nd.r FnahyotFjlryon. oalh. nnlrl*i.! d<lr iod
<br />Ih.v.rn*illmi.iniCdifrd.ofcoMros.ll-l6eldsrld'$"SdMFn.aF il.jrorbtSdh.1700of'lE
<br />Lbd Co&, for rh. Ffoll11ft. of lhc sut fo. stah tb. F6i a is.d
<br />Ih!v.rndsill inhin rort6 conFEnio. iN$Eq s Eqli.d bt S(li)n l70O of rh. Llbor ft&. fo,lrE pqf(lfu.of
<br />rh. son rm rhth rh! pshi' i. isEd M, *ql6 omFd6n ilw ffE !d polEv numb6 e
<br />,-" l,lak*l* _Uw) /uyrtr+
<br />,.*,*, n LJ €00g W ?9 lrpr6 tolzz/rz
<br />I cdifrrhrt i.rh.Ffolr@..of rh. uort for *hrchrhnFn'r ts su.d, Lh.ll mr anploy any Fr$n in m, mdM
<br />ar a lo b6om. subjGl k' lh. mrld' com!.rMlhn l.*s of Cdliaomi& Md .sE lfid if I 3hould baoE .ubjal to lL
<br />s(tt6' onFslior provisioB of Sdion 1700 ol
<br />'h.
<br />L.tor (-odq I sllll, fonfis'nt otrply snh lho. Flvisi.d
<br />\*ARTING F&h@ ro F@ *ortd' srpqlrion ordrs. n uhsful. .d 3hrll {hj.<1 d drpkr}d lo ainiEl FDti! d
<br />dil fiH up ro or hu.drcd rh6@.d <hlla! (!l0O-000), in rddlon 16 rlE con .l conp@.rion. d!rus6 a F.vd.n for rh.
<br />o, rhc I rhtr (i,d., i' .16r md di,
<br />I
<br />D}]CI48AIIA!
<br />I h@by imr6 und6 ,.nihy ot Fjury rhar I @ lic4!.d undc Fovision ofCtaprd 9 (..m6dcins wnh Sccrioh 701)0) oflrivision
<br />ol rn t\{iB,!d ttofsioN Cod., !d my li# t in full foE.,n.fid
<br />'I"'.iff/n
<br />co!flBr&1&Nr[rulcncE!(rIhfthv.mmundrrn'lryoapdjuryrhd'harirrcontrucrionLdi.srsdcyf.rrh.Fl.m...frhl*rltf.rshichrhkFniir
<br />ir$.d (S( 1097.Cn ( )
<br />AIIII(AtrLDECIAEAIIO!
<br />I hqlht rtrm uidd Fn.ty of Frjury 06 oa rh. lollotr
<br />'trs
<br />d.cldlr iod:
<br />Dcmotirion PmnrA.bdros Nox6( ion rcd@l Rcsuhrions (fnl. 40. Pan6l
<br />R.qudqi kirq of tlor'ftrm
<br />I cdrry rhol rhc f.ddall.8uhtnrn! r.gadin8 cttEbs rmord m not rytli.abl.io rhn Foj.cl.
<br />I.d'filhrIl!!.@d!hi!'9pla!r.eds,l.rhrrlE!tn\.i.f.rnihi!.ordIrsrdroNmtl){nhrll('d)mdC.unh
<br />ordiffid xd s'd.l,rr EldilB ro h.ildng onitudrL id lE ty nt o..qrsnin6 of rhir cn, !d Counrrto dd r4o. rh.
<br />il.rc nd i{,ol Fir.nr litr
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<br />r.mi,Rtrrm.,prir,): l,Jrlltar^ l4Sz
<br />r1'ty'z
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Framing
<br />lnsulation/Energy
<br />Drylvall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />/zr\
<br />FINAL c'-\-70 Y.llL\rY
<br />Certificate of Occu anc
<br />Notes Remarks, Etc.
<br />,\pplidnt:
<br />Shear Wall
<br />Pool Fence
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