BUILDING. INSPECTOR RECORD
<br />COMMENTSSITE.WORK DATE ID/SIG.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall n\
<br />Framinq 3-t1-11 YV|1\)
<br />lnsulation/Energy u \-/
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />A\
<br />FINAL 4"lL-11 x"w0t
<br />Certiticate of Occupancy
<br />Notes, Remarks, Etc.
<br />rtrr\t:Rat ll_l)llr lrll ( \R\Ilo\
<br />I rEEhy llium uuld lxdx, or Friury th.l I d cunpt 6rE rlr Cr.d roF LatnE bw tn rrt rolbln8 E.st' rs" 7llll I
<br />BuiDci\ ,Ll Prordufl Ca,l): Art C,ry or Cohry wn(h Fqurr . JEnr r. lnnrtur, rlro, nF,E. &m Lrh or EF, ,
<br />(ruduE, rn{t' rrr r\uur.,lw, nq!tr. h.+J r.nt t r.u!hFm (,llL, n8EJ (.lcmnl rh, ltor {r a n.c.td I'utur
<br />ro rhe pmvtrr'nr .l rrr CDnlr.crc r l-acn{cJ l:v (Chrfl.r 9- CdmmturS wilh Stri'n 7(ID or Drvnbn -1 of fi. Bur,ft$ sJ
<br />Pn'ltsoh( CoJ. ) or rhrr rE or sh. s cxcmtl lh.rcfnm and rh. ba,r ldlhc 0l l.r.d c i.npr ion Any v(,htirn ofstra.70]l ll6y rny
<br />'mlica.r for r lErmr iuhj.(u rh. aptllsnr k' . crv,l F.,lry ol n, dn lh.n live nxnJr..I doll,r tsJoo)
<br />-1.
<br />.r o}M ol rh. lf{dy, d my ch0loF.t * h *.!s n rltt $k onp.nt l.[ wJl & rlt s* !n $. sLi@ E t
<br />d.nldl n off.r.il f sL (5<-704,1, Bumr. rfil Prefdsnn! C.rL: TrE Clodald r lrdc L, dxr m( {?1, ro u ow, ol
<br />rE FbFiy wh,hr tl d irFuB llrBa,r! *i. &E rh krt hm-lf or lrElf or rhFoth hr d lEr oh.tr9l,Fl
<br />Fovrtn rh.r r-.h mprowd. e d d.nla, ofroEl ftr {t U, ,bFw, 0r llNld .t r4.Dkn n ! $E ertu ff Fr
<br />ot srptrntr dE owmr Buit,s *'I hrE rrE hsln or poving lhd lr d nr Jn d, hl1x n nFN [E FUIET, rd llr Fllr,r .l
<br />L.sowEr trh. r)p.dy, an.klunvcly .onrnd u3 wrlhli.cn{J (hh{(,nh.-n{ru.r rlr th,Fcr (s.c.704t. Burr*
<br />dl Pn*(rs C'xlc Th. Conrrrt s l-r.n* lj* d*r ft rnDly t, u oM.r ol ,n)|En y Ph) hull,lr o. imlrct$ rhcrd'n,
<br />lnd wtx, .odrrk ld ah Fsjea wrh r (i, nlrrin lx.iQl |l{Fuur i,trh. Conr*Ltr'r l-r.h< L.*)
<br />I m.\cmd u*r SarDn .8 APC fttrthtrE.g'n
<br />thr.
<br />-
<br />o*rc.-
<br />lloRl(FRs' ('(lntPENSATloN
<br />I2IILAEAIIA!
<br />I hcrcbyrl,rnrtrndd fnaty tp.rjuryon.olrhcl,'l[,trm!d&h,.rtr'n\:
<br />I h,k ul *,ll tum[o r C.lln".dc ol (oncnr h S.U'lnrxd n, krtcn (,tr{En\rtx,n. r! Frrkd itr hy J6Lr nn ]7(10 ol rh.
<br />Irb.r C.rJc. L* rh. F i'|rmt of rtu ulrt l( *iih rh. P.mn s lrtJ
<br />-l
<br />h.rc Bl *,ll rudrm *orr.r' .rrqE.qrnn oruaE., I Equn6l bySe!tr.\70l) ol rh. Llrtr Cd. lortE Fnlllrllh.ol
<br />rh. * Intr*hkhrhsrm rr nrEd My *o'kq\r+.ndln tn{ra..axr {n pohy numlEr s(:
<br />I.cn y rh.r D rlr n rfollrft. . rlE *..t ftr *hih rh! Fmr tr (to.tl. I 3lEll dn ..rt'!,, rn, FR)n ir .rv lurr
<br />{, { ro h.{rm r!6Fr r. rh. mrts !$trlindir h*r ot (..lf.mr .nl .aN rrsr 'l I rh{! l'(rrE ubj.d.o rlE
<br />k 16 $nJEnqtr pnrvfr,n! ol Sdrr)h l?m.r rlE blu Ctlc.I {u[, nnhwih.lq'l, vrhib: IxDvlibnr'
<br />WARNIN6 fr'luR k, rw wrt ^'.orm.nt.inn $vcn8c 6 unLrtul. el rh,ll hFr 4 ortll,yq io dDld rrEl.!.rn
<br />.'r'l lin.\ ul r, !'n. hundrcd rhou\rnl ,l.llxr (m llldi,n 1,, rlI .or ot !'n, d.Ea.! .i provrl.d fttr ihc
<br />Sr(rntri rlrr6 !'l r,n.l.rlrtr (!rlc. inr.k\r rn,l
<br />u(]]IS!:[(]2Il&[j!A!.urldt&u&r
<br />I rEEt'y .fltn ul,.r F lt ot p.riury rhd , .m ldnqj unl.r Ftrrnx,n or ch{rd 9 (.rllrEurs w.h SarDn ?000) ol D'vtrDh !
<br />or rh a!tr{ .rn PNlc$Dnr CdL, rn m, h.n. 6 r lull r'N d .fldr -
<br />('ONSTTUCTION LEI{DING AGEN(1'
<br />I lrFty rtrm uhi.r pcMl, ol FrFry ihr rlft tr. $nrerrrn hsln! UCy turlr Fri'lrle..lrlr xxt tu *h.h rhti Fttrul ir
<br />LtnEJ rsd .lG)7, Crv. C.)
<br />AIILICANLDETIJEAIION
<br />I hErr'y .nm unLr Fmly ol Frrury or of tlt lolh*d8 dftlfrr i'nr
<br />D.ml"!n P.rture^th.ror r*r,la.r,. Fdcrl Rclul .nrlT k tro. Pd6r
<br />R$utr.J lr(crol fdi iinn
<br />I.cdrlyrhir rh( l!al..rl nguld n,n (!r,l lr r\h^\r,(rc.r'ulrr norimlf,rhl. n) rlrrl,r'|\r
<br />I r.n'lvrhrr lh,N. '.xdrln\ arplrrrrr drl nrn rMrrhc rlxr. 'nl'tr L xn, rc.tr .r I r!I.rn,(
<br />oilEhri rnl Srirc I rwr nldir8 io hu rtlnf (on.rBr rurh uc rcFlerii 'v.s
<br />ol r h
<br />rllrw mdi,E! nn,Fny txf,
<br />"'".1r/6zt ?
|