BUILDING. INSPECTOR RECORD
<br />COMMENTSSITE.WORK DATE ID/SIG.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFEB Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<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 />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil
<br />frmril-FINAL 4//il/,b->--
<br />Certif icate of Occupancy 't ' uL (
<br />Notes, Remarks, Etc
<br />oWNER BUILDER DELC N ION
<br />I hc,c$y ltfut uM.r Fnalry of ncrrury rhd I !n.xcmrr lnntr lhc Conk!.t,n Liccns Lr* tur rh. ft,uowina rclq'n {sc'70'rl5
<br />BunR$ .,n Pmlc(i,n Codc) Any Cny or County *hth rcrloi€t I Fmil ro fl,n{tur. d in{,r'E. &mlnh or .q' uv
<br />riMm. Fin ro ir\ iffi. .ls EauiE! ih. rrr isr rd trh Fml ro fiL r siSrd qr.tr rhor lE or rh.i. latned lurlid
<br />n, rtr F,viions or rlE ConrEk, r t-ir.*d Ij* (Ch.nl.i l). Comftin8 *irh s..rnn 7(m ol Divniin :l or rlr Buiirarr rnt!
<br />Pn,fcsn)nsCodc)orrh.rltor.h.n.x.trllllrh.rcarom@nrh.tnri]lorrhc.llcscdcx.n$rxrn.AnrvirkrnrnolSdtnn?('.ll5bvrnv
<br />llDlartrr ,or a parnir rubFt. lhc .Ilplictn! hrrivil,Emhy lml mGrhln lir. hundrcd dnuus (t5(x)l
<br />l. r5 oeH of rlE ForEdr. d my.nphy6 *nh *r!6 !! rlEit sb d'tfEnrrbn. f,ill Ill rtE $(t lrn dE ffiE I mi
<br />inlcd.d or oficr.d nn sL ( S( ,04a. AusiBr ind Pr.i..ri'nr Cd. Tlx (i 6.10..r I it.s Lx! lllrr d .PIlv l m owftr ol
<br />rhc nn,Fny *th toild\ o! inINEr rlEh.. axl who dG {Eh Hrl hidr.lf.r h.rElfor rhn,ulh hh or hcr own.n,llo)$r.
<br />provd.d rhrr slch inqn,mnL n mr iddn rl tr ofl.nn n, {l ll howd, rlE biUma iqFktunr ir -U wrhin oE ,ta
<br />ofdrlpt.lbtr rtt O*E arib.r wtll h.E rl h!n.n ofFD$g rl{ lE o. r,i dn r, t0i5 ( lqreE t F'ldy tu rE InrIIEol
<br />-1.
<br />!\o*n.rolrh. pn,Fdr. utrrcr(lurivcly.onro.rinS rh li.rtr{d conkr.ntr. tu con{rucl llE Irr)j.{r ( s.. 70'14. 8u\ift(
<br />trr ,mly 6.nos8r ofpn,Fdy rlr, huikl! or imPrclc! rh.r$n-8ri ,hft:rm Co<t Thccontrdolllt nrll*
<br />.ftr *rr' 6nrdr frr sh IFF{r1 *nh r C.ffi d rEnrd putud i(' rlE Codrdr'r tj(tm lr* |
<br />I rhd.n!n n lur sccri(n'
<br />I l'.'.h! nrlr r trtr,l.' t,.tr 'lryflt)d |n,y. t or I
<br />ll onxtsl{\' ('()liPL\s,l rto\
<br />IIiSTI3AI]II!
<br />-l
<br />hlc dd Errl md.in. C.(ir.dc orcoM t. S.ll lriuE for xdrdr'mqr.uion. \ Fovil.d lor bv stri,n 1.7olorth'
<br />tihd Cod., rd rh. tEfre o, rlE *ul td lhkh llt Fnn i k .n
<br />lhtrvc !nd willnri.rain sorrcri (ofi,en\uri,nr in\rrnrc, trs rcquirc(lhyS.(ii{,n 17(xr.lrhc Llhor(i)d.. for rlE P.rlornrf'col
<br />rh. w'trk frtrwhihlhi{ pcmir,! i*kri Myworlilrr c!,nFnqrii,n msur! ..!rtr dl F)ltv numb.r rc
<br />-l
<br />ania, thx in rlE FrfolmN Df rlE *orr rn whth rhir F.mir i! krGd. I rh.ll n .t9k'v.nv Ftu in.rv nqmr
<br />e r\ h lE{m lutFr ro rh. wrt6'onFNrl
<br />wo.k6' ompetr\'rio. tmvnhnr ol S.cttn l?d
<br />r .f Crhfomi.. rd ryR thr i I {suld tEroc t ..t to th.
<br />wARNlNc I'!ilur. ro suc w .m con'E
<br />rill li.$ W h oE hundEd rhuqnd dolls
<br />ihr(ixb- I \nall, ndhwirh..rntly *ihrh'* nnrvsir).\
<br />vcros. i\ utrllwlul. m{l \hrll \uhf.r on cnDlo}tr h anni.il pcMlri.: ritl
<br />)r. in &t thn k rh. d,i of !.'fiEnsriri, rLm3.s !s polad tor th.
<br />5d1i6 10?6 ol rri lihtr Cclc. $t.re aBi
<br />LMrlNIX]'AllL[I!]-B
<br />DTTL\BII.II
<br />! lxrty rrfrd u L.Fohyo,p.' ry rtBr t rn lir$.d ui&, FDirb.of ChrBdI(d,llrmmin8 *nh Sari,n 7(r0 olDtn$n.l
<br />.l tt ltu\ir\s lnd Pmf.$bnl C,i.. xrl ny la.nt ir itr lnll li're arrt tller
<br />COU(TT'I]('TI(IN I F\NIN(: A(:FNCY
<br />I tfth' llrm und.. rE..Iy or p.rlty thsl llF! ir r d.rtuhn Endins .scr, ftr rtE Frfrtu or rrE lsk for $lth thir F it
<br />is\kd (sd l(rr. crr c )
<br />kftLr\ Addrcl\
<br />-
<br />APILIlAlI.!rcLAlArlllN
<br />I tEthy drm uftlc, p.dlty oiIE jury om ofrh. r,,lk,sing &.bsrhn\
<br />D.hl[ion Ptrn{r'Art no\ Norrrdrn Fdcol Rcluhrins (Tnh aO. PM6r
<br />R.qutcd lxlr.. of Nr,frahrn
<br />_l cdify rhd rh. l.dcrd rgulrii{18.it.sbr rcmrd m d +nli.abL ro rhn pn,idl
<br />.,n ill. riar irE rh'E rrornr pn n c(,frl l .sE ro orill, *irh rll Cn, d.d c{,!dv
<br />nSconnkrhl! sJd h.(by.ulttr& EF.cnhrnt! of $n Ciry ..d Counrv ro c.rd ulrn
<br />'h.
<br />Ctr^'7uncv1
<br />FrniE.'
<br />I ., - r'r,*
<br />lhk ( oniriLt'r
<br />It L:
|