|
BUILDING- INSPECTOR RECORD
<br />SITE.WOBK DATE ID/SIG.COMMENTS OWNER AUII.DET DELCARATION
<br />I rErchy rrltrm undcr Fn.hy,,1 Frjury rh, I m crcn{,I fmm rlx Codh.t,n LNM kr n, rh. rollowtr! rcrQ. (5.{.70.115
<br />Burinc$ rnJ Pnftsn,n Cirl.) Any Cny or Cordy wh*h rcqur.! . IEhrl l,' (nn(ruul. dlcr, 'hprolt, J.n'l r' ilr qEr e,
<br />nturm. rr, k! [r ilrudr, rts Fq!R. rh. rpilMr for turh Fmr n' IiL. qft1, dn.tunr rh ,t or rlr !. h.n..tl l'lm..l
<br />ro rlE lFrftr! ol r,I O,nrdftr'r L&n<J lrw lctEprd 9. G,l'ffEr3 e h Serion ?qlr or Drvirnn I ol rk AurGn .nl
<br />Pnrf.lqr.r (ir|, M rh.r ls or rh. s .!.tr{' trrEfmh lrn dE hd! l.lr iL '!.!.d .r.nera. Ary vshr.. of SerDn ?01 | t I'y .n,
<br />rppla. ntrrFml subjcl! th. .trlE.nr b.crvilp.MhyolBn B,Erhrn arv. hletFd dollt((!5&).
<br />L sr o*mr oirtc I'rFny. ot hy.rphFr! e h u!.r r rh.u q'k sryEn{li,r.. eil &} rh krt.,n ft {BiG it n
<br />ordldl or ofr.Eri nx sr. (5&.1044, auriE$ tl PNf6r.nr Cdl.: TIE GlnlBl{r-t lit{ l,* LtE5 d rJ{ y b u olEr o,
<br />rrE F{rdy vb l[lu3 d !qeF! rktun, !,rl *h, llB lNll hrl h'fr*,1 u h.rclf .r ltDugh hr r lE oh .i+t!ytr.
<br />povrkd rh,r rxh lrp.Dltrfudr c d na al olftlrl ftr rk ll lbw, llE h{ll]lula ( lqn,wn ! $ll rihm o* F,
<br />old,rrLrDarrEolxrcrBu,s*lhlrrlEhldcnolInbsihclEor\trdrlB,trdlorltlmEdrFotEiyforr,rlilF,ror
<br />l- .r trBr. ol rh. I,rIEny. u .r(lunFly L odrki ua * h lf,.nal rodr&rn t, (r(rud rrr In'rRr 15( 7044. Butft*
<br />a,rl Auksrr CoJc: Th. (irntsrdis L(nk lrw dei n{.Iflt r,r uo*ftr ol pn'Fn, ttx, h!'Ur or mpoEr rh.ron.
<br />.nJ sti' orrnlt f.tr ru.h I'$Fk w i ! Ci'irE-k'(9 ll.nkJ l)urumt t, rlx G'nr&toi r t.rcnE li* )
<br />I rm.und tr .r S.(r0tr
<br />EAEf,EES-.9&ttq6AIIO!
<br />IITCI4IAIIO!
<br />I h.rby 'rhrhr.d., pcmhy.fFrjxrydk I rh. (n*rwh8 Jcl,r,ro.s:
<br />I MK ulwnl minilo r Ccntff,rr. ol co.<hr b s.lf-ln\!ft n* *or*ds .r)npcnc.rxE rt Frlrl.d for by s&t,n !?U) ol rhc
<br />tihor (i{., ntr rlr Frfolllle! ol rlr k,rl n, *hEh rlr lx,n'r ! rroctl.6 Iri *rll tudrf *od.n' .dtrrtE EquGl hy serrn .17(tr of rh. lih.. Gll.. lir llE psfoffi. ol
<br />;4e wo.kcs compcn\d8,n nNurflr.rrrr lrn F)ky numh..dc
<br />,-.. A)q li ctn u.t
<br />P"r-yxu.r*,'-?91 3325[zf=
<br />Iecnilyih rnlh.Frtornbn$otihcworkktr*hrhrhs!.rh,\an'cd.IihlllnorcmPi'yrryp.ro.mlhytu kr
<br />$ xs rr lra.m \uhid k, rh. work.B .r'nf.trqh n hws ol (-rl intrn. iri uethar I ihrl] li..onE subr n'rlr
<br />pnlkcr $n{Ens{r)n rh)rr(irnr ot S(r !'n :17(xr of r h. ljhtr (iil.. l \&[ lonh* h $mdy w( h rh,s F,y6r)n\
<br />WARNIN(; I;rlurc b Trur *,,lcr \ur{xnsrx$ ro\tias. r( unh*tu|. 8i rh.ll !u$Fr m.irqhy.r !,6nmlFDli\.e! |
<br />uvrl lin.t up n, oE h BlrcJ rh s,rl &,lln (!llx).(l(Xrr n d[.. b rh. !o( ol.otr{tner!'n. ,1lm3.r .r nr.,vrlcd lor rh.
<br />I .trtg
<br />I rEEl'y rlltm unr.r F iy.lFrlt]l,rh,I6ldtrtrud.r |r,Fbn orcluFd e klltmErs lrh S.dd 7(ID) or D'vann !
<br />ol lh. aurm$ drl Ptuf.rik,.r Co&, $rl my l..nc is o full n'nr rri .rfdr
<br />'p Qgsol o
<br />t-h7J-
<br />qalsrBlguqNrElDltli-dclllf,
<br />I h.Eb, lrrm u ( tE lry of Frjury rhr rlEE E r oErturin lntor r8.Ny ror ttF Ffo'rler of rh. *rl for whf,h tt s tlfu 6
<br />rlrudt lse. !o07,c,v. c )
<br />APPLIC NT I)F(:I-,AN TION
<br />I Hry rliit utrLr Fnr! y oi Fr!r, 6m ol rh. li,lbwo8 &rLtrr r'n!:
<br />ttmhpn P.rhnrArb.(or N,{rli..ti,n F.J.rrl R+xlarrn! Urk40, Pd6)
<br />_Rcqumd lrlrcr of Nolili{i,n
<br />I En , rhll rlE f.rl,rl rlu,nrnr E8{'lsr rrhcroi r.fr'vrld d qdx.nE b rh6 FDF
<br />Iccnrryrhlllhjv.Earlrhrlpf'lrar[n rl dic rhrr rh. trhr. ' Ia8renr(omply*irn,llCiy dC.unty
<br />'r,lNn..r rn', srrt lrw\ ruLrtr,r n)nr 'n! ron{odtr'n. rnJ hdcbyrtrrhtrrcqn.\.nrrirvc\ol rh(( iydd Cou tytr.nrcrtrF'nrh.
<br />.hrvc Enklmn imFny ntr hrFlt
<br />Applidnl o. Al.nl StMloF
<br />,, h; c 1.. e/oz k/to,-, €_
<br />r -r//./x
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVenVl nsulation
<br />Rool Sheathinq
<br />Framino
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />/
<br />FINAL ,/rt t,lV -&y
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc
<br />Shear Wall
<br />Flood Zone Certif .
<br />sftro. 1076 ol rlt Iih, c(r.L. d.r.r.i.l dr,mr-s fe3
|