|
SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsu lation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lr/aso n ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />J-:'/_l<-1t 1l t%t l-,t rPi L-JZ|Q> A'/FINAL 7
<br />,/r7 :
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc.
<br />_t
<br />IR TR
<br />utulcr lcn,lly oI I'.rjurr lhdl I .n cx.nfl hm lhc On n.roN Lrcnk lrw ltr rh. n'l!'wm8 r..r,n (5(.?011.1
<br />Prrcllon Onc): Any Ciry .r C({nr, *hrh rcquircr r Fmrt Li con{Br. .lrq. mpr,,., Llmrhrn or Erf,t y
<br />sser, d$ Eqw., tlr {tiltst fir reh Fmt t' liL. ,8mJ {r.lHl rhl tl o. rlr it lx.n.J purd
<br />or rlt Contr((tr r l-r.n<J lr* (ChaB., 9, Col]rmr 3 r,rn S(r$n 1rx) or l),vx(,n I ol rh. tlulrss oi
<br />)orrhrrh or rli n.r.mfl rkrck.mrnJ rh. h8s ntr thc rlkt.d cknlri,n Anyvkrldr('nofS(rkD70ll5br.n,
<br />FnN rubjdti rlr rml,crnrr, i c,v'll.illrynlior moRrhrn lrv. hlndrcd dollds (S5(x)).
<br />rl rlr tiuFnt..r hr.htl,r(\ * h *rt.r1rhctr i,k.Mlrnaron. {'llll, rlt *rI rnl rh. dturk s r,
<br />n, sh (S( IX4. Burm$ rnJ Piriilxln C,r].: Th. Gdr*kx's rr6E hw U{ n! {'[ly l..n nwr or
<br />h, hnlJ\ o qrn)*\ rh.Grn. rnl wh, rs ikh s"t h,m\.1, r hrrRl, or rhrnrlh hn or hfi nwn cntl',y.c\,
<br />trh NlrovcnN.r\ r. frn orr'!l(.(l r ll.nlhtr L'L ll. h)r.!i. llr linlllrr rnDn)v.nrN n v)Ll s h'no'r)..u
<br />lt O*mr Au,Lkr u]l h.w rtr honLn ottnr * rhr h (tr rh. Jrl d tn orEFo60EFIEiylntrrirJrrof
<br />ol rh. lr'lTdl y. tr , .\.lu\
<br />^
<br />cly ( ontkhry rr h l'! ctrkl rontr( r.^ tr, dnlrn'(r rlr In)F-r ( S( 70,1.4, Bo!m$
<br />C,klc Tlr(l,nt{rors t-'(.i!c ln* d(f,s Bn rlrlyn) Jio*dcr dlf,ft ywlr lrulld!!tr rntrurci lhcrcotr,
<br />tl',,sNhlroFr\* irCirn t)n n lr.n{J px^unr r' rh. G,ntrrrr'\ tr.ny l rs )
<br />u*Lr Sdli,n_- A &PC tor Ulr r.rY,.
<br />lrcBrl:f,LroltfEltarloN
<br />DIIIJEAI&X
<br />ln.lcr lxMklorFaNfr.m olllf, nnk'wnr3 J.1lnr.i[n\
<br />nl rud.in r Ccnfrdtc or ci,nEnl r,' S.ltlnnrrc rar kxkcr! .omr.nsal rr rs pmvilcd iltr byScrrlr lTxr olrhc
<br />rLlcrltnmBr orrlr*o n! vhih t,r Fnr ir iisd
<br />,llrtu'nrrn *.,k.r'.otr{rnsr rcqumJ hyS..rx)n r7(xrol rhc btrr(iir., ntrrh.FlfmN.o,
<br />, wod(d or\rnsdm nsurrL. rrr.r rnl F,l.y .umbcr s.
<br />aa/;Cy'
<br />-a
<br />m rh. pcrlorn[nrc oIrh. *o* lor which rh'\ r'.rhnr r Nnt(|. I \hill nor.nfl(,y rny P.r\{ $.n} hsnncr
<br />{ 'F.r 6 lh! wurk.B .omp.n{t rr Lvl .! Crl tmu, rli r3nc rh.t rl I \hrl] he.om \uhFr b rh.
<br />nt,uvs$nr ol S{rxrn :l7tn ol (lr Ltr* Grt ,I rhrll, (flhw h fl t y e h th'< F'vsrnr
<br />rhE ro sm url6 .rrr{Ensrsn drn8. ( lnbvful, nrl lndl iuhFr u .rr{*'Fr t! lMl Fuls.rn
<br />r oE hu*lrcJ rhuenl & la (Sl()o.ofl)|. u rjdnk'n !' rhc (on ol ..rrFnsrri{tr. drN3.! .r llrod.n lor lh.
<br />rlr ltrEtr(iiic, dcrc{ rtrJ rtrdnry s lcc\
<br />!.r!Ir,\x.rgl!!!
<br />nlcr p.nrlry ol I'.rllry rhrrI r h(ctrsd undcr F)vNsnr.l(h,prcr9(.omnrn(rn3 wrr[ S. r,n ?ql]J ot l),vrr)n l
<br />lrl Pn,fc$snr Orte, ul my lrcns $
<br />'n
<br />rull [o@.rn der
<br />Lo
<br />gr!,llallJllrlljNDllc-dli-EN(a
<br />Fnrlryorlirltry lhlrrlrrc a. onsd.rr,n h h8.3c&yntrrh.F n,muh-.c ol rhc *$rl tu *hrn rhs Fmn s
<br />rlr rel.ral rcAtLr r)n\ r3gtl'n8 .{r.nx rcm,val m ftn {r?lrl$L b rhn l'nrFr
<br />hnk rrd rtns rfiilf,ar$n xrl irr. rh,r rh. !lt,v. rfr,ftrKr a (omr I rtN t, dm0ly *nh .U Cny rnd Counr)
<br />'r[c{nrrrv.\.1 rha (iry rkl Cortrry rr.d.r utn, rlf,
<br />7/(42 t
<br />BUILDING. INSPECTOR R CORD
<br />lt / ). r
<br />Lb
<br />Itz/ut
<br />r;:,1:[I"'"''
<br />I PPLIC^NT pFcl,{tlrloN
<br />I Hry rf n-i.r rEMhy ol tr,,uy uE o, rlE r,lll,wr, lka'L,drunt
<br />o.-,rr., {,,.r,*r- ro{,axdDn F6Lr.lR.8uh$n, rT k.{). Pdi,
<br />-ncqurcIncr "t rorrri.urln
|