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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEI BUILI)SR DEI,CARATION
<br />I h.r.hy irlirh u*Lt rEn.ly ,)l pc,ury .h|i I 6 .r.ntnr fn'o rh. (i,.r!rm Lletrr L.w tu rh. tullo*u8 catr ( Sd r0l l J
<br />Bo!tus rnl PruLson CdL): An, cny or G)udy *h.h Equftr . Fnr b oulod, 1116, ,rprow. &B !h u rcF! uy
<br />(Mrm, Inx ro s issw..t$ Gur! tlE.t'pl(6r nn tEh Fmi b lik.l{Ert n.cm.l
<br />'h.l
<br />lE or.& s lr.ncl liM
<br />t' rlr Inrrrirn\ or rE Cor.E._rd.4 Lr.nrJ trw tCh,F6 9, ColtmNrs *'rh Serir 7qD ot Dtv(rln I ol lh. AurEs ..tl
<br />Pn,l.sx,nt Cdt ) or rh{ h. d slE s .r.nr rlftkom .tn rh. &s loi 0E nt S.rl cr.qron Any vsLltn ol Sarln 70l l 5 by rhy
<br />.mlsnr ror . Fmr $6Fx rhc .ml.rnr (, r.'v'l p.ulr y or nn d)n !h:n tiv. hu rcJ Joll6 {3JU))
<br />-1,
<br />s olrr or rlE F!p.dy. r ny .,r{*rF.r w{h *.r.r .r rlEr )L oqrnddn. edl tlo th. q,t lrl E {aia ! n*
<br />d.rldl { ofi.Ei fn st (Sa.?O,l,t. Borrr! lrl h .(-N CrL: Trr (i}tur6ir Lrac trr JG d rqply k! u owr dr
<br />rh. F'Fny vh' bulllr tr urDrsE ilENn rri ,ls dlB {rirr *xt hm(,i or h.rclf or rlmUh hL. ir lE, om .nploy6.
<br />Ftlal rhj rhh ur{tuwdr e d d.thl !, oll.cl t{ sl l( bkE. ilE t ill!* d n{.owft !r rU rrho ,E F(
<br />old,,ptrn r,E OwEr Bu'!.r wi! tuE rlt h6,.n ofF,u\r rlrt lEd rlE Llrl mlt ! * iqmw l,E |r,ldry,i* llr FIFE or
<br />l. r\ osncr o! rh. pn,pcn y, ,m c ( l$ 'v.lt .onrud tr'B r h h..tr\c,l (ntr!l.^ t' ..trnrud rlI lr,Flr (S.r 7()'l,4. Bu\mq
<br />!d Pn'k$rm CRL Th.Con!rr(!tr'r I-ncns Ins Jo* nn.pplyn, rno*n( ol o!.dy wh) burldror rn,Povcirhfic)n,
<br />MJ who .ontrauk ntr \urhtn,fd\B[hr(innto(rdnn lt.n{d |ltrrluor n'rh! G)nrzrk'r l-r.h\. lrw)
<br />_r.hcrcmF und.rs.cron .lt &l'( ktrrhtr(a$i
<br />llir. Owmr
<br />IVORXERS' COiIPFNSATI(tN
<br />lECt ASAUII!
<br />I h.rchy rrltrnu l.r p.n!k!.1 Frjtrry ok .l rh. nnL'wht J.rkrr kr\
<br />I h.E 6,n wrll Mn*.r t C.n'fr!r. oI Conr n' S.lf-lner. rd k)rt.F' omFnrr5n. .s F)virBl litr by Sar.n l7m .l rrE
<br />lilr, Cdk, fd rlE Frf()l1rec of lh. so for ehrh rlE Fflrr ! !t dl
<br />I h.y..d wrll M'nl.'n KrtcF' conFnsrrn o\!n^.. r! ,.{!'E!r B SalDr 1700 of rlE lil'or CuL. rt, rh. Frrimt oi
<br />rrr wt tu rhrh rhlt lEinr r !\16l My *{t F' (-n .nii,n DauM ffir rn F}hy tu, rr a
<br />_l r.nn! rhi
<br />'n
<br />rhc F,folfurtc Df tlr wurt n* *hrh rhr ltrmi r su.J. I sh,ll frn .n!il(,t ,ny FN\n h.ny mrnrr
<br />qrr\trh. nrruhrrrbrh.xlrtsr..mp.n\!rnnLwr,("l,lomu.rtul+Rrhl Irh)uldtE oNohFr k,rh.
<br />*r*.^' .dnlnflsrr)n tn,vFrrn\ oi S(rkr .l7lx) ol iti I rhtr ( ii., I $.11, l,,nhr h ..mtly elh ih'e F,vtrr'nr
<br />wARNIN(;I Fr2,lurc !o {rur. uorlcrr ('npcr$rr Nv.rrtr r\ unb*,u|. r,ri ihrll rubitr .n cn9lt'y.r t, mmud Ftu[*\ rtd
<br />flv'l tur\!p!'omhnndrcdlln'u{itrJJ0ILF(lllxr.ln,lr).nrJJi('nr,rhcLo(ol.ory{nrarrrn.drro8rr!\Pn,v.dl(trilE
<br />S.\r( 10?6 I llrc l-!hn(iil., nr.rcn rrlrrt)nny "uf.-U.-
<br />utuNsLlLlQNrB lfl)8l[rL f,rtur]!
<br />I h.fthr ,larn u,ri.. p.nalry or Frrury r h{ l ,m L(.cd u.d(r Frvnu ol ChrF.r 9 (ollmkin3 v h Scllnn 7($0) ol lrvtrtr t
<br />ol rU Ausm$lnl Pma.slns Co]., dn my l...{ N 6 tull ttre.nl.ir.d.
<br />B 2L
<br />,.,. r/< lrq ,-,-** Bor^-.1- Z-*-l----:-+-r
<br />calllallglladlrllllrclcENq
<br />Ih.rhy.frm!L,FMtyorFrlrryrh.lllrrnrLnnerDnLdo!rlcyfitrItEFlm.)lrlr*rlfdPh.hrhnFmr6
<br />rqx{ rsa. 1097. crv. c ).
<br />Affu(ANflrE(l.A8aua!
<br />I htrtyrlnmundcr Fnalty ol F.iury oR olrh.l(nk,w'n8 d.(Lrrr(,h\
<br />l)rnk'lrn,n I,rronrs \htdor Nnr'lkrrr{ I..d.r.l R.t(l{rrr\ rl Ilc 4r. Prnh)
<br />kr!tr trr,l Ir(., ol Nor,rnxrer
<br />l..n y rhd ihc lc,lc,rl rsubrtrin\ rciul'nE rth({r\ r.n,nrllr. tri JI,rlk'rhk r' rh'. ar'i\ r
<br />Snur,nr,*'.*"u'n.rnnnrri'n,ni{rr.rh.r,h.rh)\rnnnNronsoder lrsteo.ompry* h'llcrytnd(i'unry
<br />orJEtu.r Jxl Srar. lj*r 6l 08i(,b{,ld'ns n(rucr r'.. al lEr.hy .orh,,. r.F.enr.ov$ ol lhn City .nj Counry b .nt.r uFr lh.
<br />\**__s
<br />L.: etO
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu lation/Energy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Fleq
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL l-26-11 x^!L1/)
<br />Certificate ol Occupancy
<br />Notes, Remarks, Etc.
<br />, . i-r \-r'<-t- f,n=.
<br />,,, u.,
<br />", r,., 54r3o= r5-l 7lr((3
<br />t.
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