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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS owNtrR BtrlLDltR lrBt-( ARA] loN
<br />I hcR$y rflirnr u cr pcnrlry (,f tl.rj$y rh l!mcxcmrr fmm rhc Cont!.ttrr l-ic. { l-i! lhr rhc lollosi'r8 rc.$rrscc70llt
<br />BusnB\{ ufrl ltofcsi.n Cdc)r Atry Cny .r Couiry thi.h rcqutcs I Fnnir ro onsrru.r. tlrr. in|,ovc. c'tuli\h 'tr tl'ir rn)
<br />nocrd'c. ritrt, ih is\rmcc. !l$ r.qrncs rhc l|)0li.itrr in n'chtcnnn io flci rigned {rrctrrnr lhnlhc.r \hc h licct\cd l)!6ulnr
<br />lo nrc pnvnions of rhe Conrrrclofs Liccnscd l,trw (( hrPr.r 9. Coumencin[ sirh scdiotr ?(xxr 'r Divisiotr 3 ol rh' Bn{nt\r rDd
<br />Protis\i( \Codc)orrhnl h.or s[c ircxcnrpr rluclr. rtrdrhc 6rsn fi, rltr,lLgcd cxcnrfli,nr Aivv]ol.rionofs(lotrr03r 5hvtnv
<br />applicrnrlainFiinirsubJr.rsrh. +tli.rrtIoacivilPctrtrlryofnor irclhrn lirc hundrcddolhN(l5ll))
<br />-1.n\o*ncrotrh.|1ro|ry.ornrycnrk,y.c\sirhNrBc\(\rhcir{,lc(.rllfnsdi{rr.}illdorlt$.rkr
<br />lhcsrMtunn'br
<br />inrc d oroltarcd for srh (SE 7(Irrr. Busircs(rnd Prclcs\ion\Codc Thc Cor( rrctn' s Li.cnsc l-as d{E\ h.r nmlv r' !n o$n" or
<br />rhc|h'|En, who huilds or i.pmvcs tlErin. xnd who ocs {rh tro* hinl\clforhrr\clfor rhmrshhi\ or hrr oBn cnPlorc.s
<br />p'1'viJcdihnrstrchn\rocnrnr\trt'xnirctrdcdotollcr.dlo!srlcll.howcv.r.rhctuikli'rsornnfio\cnrnris$Uuirhnronc)sr
<br />;l cnndcrim. rtf, o*ncr Buil,q willhrvc rh. burdctr urlmliry rhol hc or sh. dtl tr.r h'ild or irProv. ihc pn)Env r.r rh. !uq$e oi
<br />_1. r\o*ncrorrh. trolEdy r cx.htrnelv.otrt.c.n! \r[h lrcns.J cofun.tn\r. cofdnld rlf, |n.i.crrSc. 7Ol-1 Bu\irrc(\
<br />,M tnnLsshn Cod.: Th.Conkrrois Lic..sc l-awd.cs,ror.PP rr olDn)p.nv \ h. hnilJ\ or rN0rcr\ rh.rcf
<br />ird *ho roirn,.rsfd su.iIrij..r\ wirhacofnrkn(\) I r) rh. cotrtr.d'( l.i.ctr{ I xsr
<br />-l
<br />lnrcxcn,nr und.rSc.rir)
<br />t h.rcby omrmundcr pcnalry ol pdjury onc otthc folldwihS dechr,'ions:
<br />-lhrverixlwiumdnrah0CcnificdrcorC.nsctrlroSclilNurcforsor*.rsconrpcnsarbraslmvidcdtotbvSmrion:l'7(x)orrhttjbor Cdc. lbr lhc perf.mu.r of lhs work for {ni.h th. Fi,nit h tsled
<br />-l
<br />hrlc nnd willmaintsin workeB ..nVrnsorion insurlmc- as ,equi{d byScclirn l7morth. titor Code ror dc !.rfohEnc' oI
<br />rh. aork ror whth rhh Frmir L\ hsri. Mywo ss onpcnssiion insutlncc cMif rnd Plicv nuolber m:
<br />P. icy Nnn,b!r:
<br />-E\Ptcc,-
<br />I ccnilyihnr ir rhc pcnarnrtu ollhcsorkfor*hichrhi\Pcrnriisi\\uctl.l{hrll.orcnrPloy.ypcrs.nirrntiutrtrcr
<br />\o !\ b hc(rf, \ubacr lo rhc sorkcr .omp.trrdi hws o, Crlihnrii. Mdt3N (h r ifl \l$uld hcconrc srhjc{r ro lh.
<br />*olkss comp.\ari.trtiovGionsofs(rn,rlT0OoIIhcLlhor(i)d. lsl[rll. f.nhwirh..mllywirh rho{povtions
<br />WARNIN(; inihc ro ccuR soAtF comPcn{id c.rdrs. is nnli*iul. rnd \hnll suhicl an cnrPIIt$ ro aiari'ul Fnrkic( d
<br />.ivil hr( nn ro onc hu drcd rhoustrd dollfi\ (Sl(x).l)(Xl), nr a n b rhc ({ ofcompcn\lridr drntrScs as Ptulidcd lor rhc
<br />S..rtn ll)76.llhc I rhtr (inlc. dcrc( xnJ rrrtrnr!\ rc(\
<br />!.2rlt"!&!lM
<br />I hcnby.ftrmunder pcnrlry of N.JUty rhlr I am liccn*t utrd.r pmvniu ofChryrd 9lcommnciig wirh SNlion TlXt)) 'fl)ivki'n ll
<br />ol rhc Bu{i,rc\s,nd Pmicssi{,ns Cod.. Md myli.cnsc i\ in torl roN .rd cllccr
<br />CONSTRT](:TIoN LENDIN(: A(:FNCY
<br />I hcrhy rl,_rrn uMlcr rlnxlryofp.riury rhar rhcrc i r.on{rucrnrn Ending recrv lor rhe pcrfornrn c.llhc sork ror *hich lhh Pcrdir i\
<br />is\ucd (S.( 1097. Ci!. C.)
<br />Lcndci\ Nrm:-
<br />t-n'lc,'\ Ad&.(\
<br />-
<br />AI'PI ICAN'I DFCI ARAI]oN
<br />I hmby x,llmundcr Nnally olrclnry otrc ot lhc ii,ln,Nii! dccharions:
<br />Dcmolir onPonrir* sbc(os Norifi.aridrFcdcrnl ltc3ullrior(Tirlc{0.Prn6r
<br />_RcquiEd t llerof Norificorion
<br />-l
<br />cenify rha! rhc rcdcrsl rcgularinns Egi,iling asbcslos rcmvrl d. nor afl,licahlc ro rhis proFl
<br />I cef, rfv rtu' I haL. Fad ftn dDDkari,n,it r,rc rhar thc !ho!e inroio0riotr is c.trtd I aFE lo odpl, wi$ all Cirv and Coun(v
<br />;;;omc\;nd sratc hws rchti"i i. t',,y'fi-*,.a*". ",*t t
<br />"rcby
<br />aurnori.c rq'cienrarilcs ofrhh cnv and counrr ro enrr uFn rlE
<br />otsvc trEnr'nnd rnn€ny rnr D,n"d'.1Et11t4.
<br />nrrrr-, * nr*rrr*"ron 4'US{ D.t.
<br />Pemlle Mm lprtnltl
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVenVl nsulation ll
<br />Floof Sheathinq 5/zt /, {..161q,)T^
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deouty Final Report
<br />Enqineer Final Report
<br />Flood Zone Ceftif
<br />lr
<br />FINAL /-,h,'l ll{-pg.vli
<br />Certilicale of Occupancy r
<br />Notes, Remarks, Etc
<br />Shear Wall
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