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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE COMMENTS OWNER BUII,DER DELCANATfu N
<br />I hcrcby alltm undcr l)cnoll, ol rcrjory rhrr I d cicnDr trod rh. CoftadoN Licc.€ tiw lor rhc t llnsiig rcnq,n 1suc.7oll.J
<br />Businc$ rnd Prorc$ion Cqic): Any Ciry or C.udy whi0h icqukcs r lrmit ro connrud. ohcr. inurolc, dcmollsh or qui {ny
<br />ntu.rur.. rrnrb ir\ i\suamc. aho rcquncs lhc q'plic.nl lor such Fn.ir ro lilc a sisncd (n!.tunr rhar hc o. sh. h lictnan NN;nr
<br />ro rhc nrovision\ of rhc Contactx\ Li..ns.d Law (Chnflcr 9. Connkmirs *nh Sccrion 7Ul) of Divi\i.n .l of rhc Busincs trnd
<br />Pnrc* io.a Codc) or rhd trorsh hcrcnDl lhcrclromnnd lhc hrsis lorthc llkBrd.rc Drn,n AnyviohlionotSsrboT0.ll5hruy
<br />.Iplicn tururirnn suhjcch rhc lppliqnrro rcivilncrulryortror nnmrhrn fivc hundrcddollar (3500)
<br />l. rc owtrcr or rhc Fm,rny. or my cnrplo)ccs silh wn8c\ ar lhcn sb conrFD\dion. qill d. rh. work ,nd llt stn(lurc is nol
<br />iNctucd orofitrcdr'orqlc(3(.7044.Bu\incs!!d&olt\sionrCodcThcG)nka.ror'sLiccn*lj*docsnolotplyn)0iostrdor
<br />rh.ptr'pcdy vtD hoilds or ihprove\ rh.Brn. Mil wh. ducs su.h $ork hinscllor hcrrllor rhmu8h ht or hcr.wncNplotccs.
<br />pn'vidc\! rh rkh i'npn'vc rnsrc nor irlcfrlcrl .lTcnd nn sb.ll lFwctrr.lh. tuiltirE or inl,okdnr hsldwirhitrnnc yctr
<br />of c mfhri.n. rhc Owi& Buikld will lRvr thc hunlfl of [.vnr8 rhd hc or shc dd nor bu]ld or imrovc rh. pDpcny lor rht prth{ of
<br />l. n{otrncrnirhc flopcny. amcxclu\nrlycotrrrlcrinarirh liccnscdcoikr.kt!li).on{rcl rhc tojcd (Scc 7Lrr4, Bu\irtr\\
<br />and hlf6\iDCodc: Thc Conta.ktr's l-i.cnsc t-rw do.\ nor rptly kJ tur nstrcr o, nnpcrry wh,' buiUs or inllnovcs r[crc.n.
<br />r d Nho .u0kr.rs la! \u.h tnolccls $irh tr Coftrr.rtrl\)rvlnr i, afdrldf\ LNs. tiw)
<br />;,'_::tf#.r;{
<br />lr
<br />I hcrchtrlltmundcr pcfrlryotprrjuryoncolrhrf{,lkiwi',gdr
<br />lh3u tud *illnrinrrina CrnificrrcofCotr*nr k' Sclfln\urc fn trokcr\' ..n,I.n\nri{'.- a\ povidcd fin b!SccrlonlT0l)oilhc
<br />Iltxtr Codc, iir lh.,.rfonuh-.c ofrhc work for qhih rhc I.nn n i$uui
<br />I hrvc rtrd sillnriinliin $.rkcrr c.!'tf,tr\rrion instrrr{c- r\ rrquncd bySc.ri'nr l7(xrollhc lihorCodr- f{, rhc Ffohmn.cof
<br />rhc $ork lnrwhichrhn pcflnn is i\sucd Mlworksi conDcn\rri{,n in\urrncc .rricr . Bnicy numhcr nc
<br />I ccni1.!rhnrnr r[c Nrli,m N..ldr qork n, shi.hn,i\ tf,nnr i1i*ucd.I nr]lln.r enrtbytrav p.hon i'lrny
<br />'nrtrcrq, r\ t' h.$nr {rlt.r r, rh. sorkcm' corltrNrrio r ln\ ! , 'i
<br />( r il(lnrir. o,l ]er.c rhrr il I nr)u ld h.c. ru {rh_.1 lri llL
<br />worke{ .o lrnsrrion rovisions ofsccliotr.l?00 ofrhe ljbor Codc- I +Ell. r irhco'ntly wirh Ilh{ pn)visiuN
<br />WARNIN(; Iiin,rc h c.uro sorlrrs conrl{n\inn, co\crrgc n !trln$ful !n cn,rn,yrr b dnnirrl Jf,tr.hts Md
<br />n$rion. dxnus.\ r\ tovidcd n, rhc.i!il turcs un ro onc hu Eal rhotr\rnd d.lh^ (ll(X).lXX)). i', rddirr)+
<br />sd.rtrnr 1016.J rh. l trtr ( od. i, .r.n antl rrorm! \ lir\
<br />*", 5f,ep /tK
<br />I hcrehy rfinn rndf pcfully ol Frjury rhll I rr lien\.rl trft]cr n(ivisi,,NNnclrE rilh Sr.ri{,n'7Ullr of Dirr\trri I
<br />.l rhc Bu\i'r.$ tr llofrsrnN Codc. rn(l ry li.rn\c i( nr lllll(trlr nicifccl
<br />CONSIAUCII()NIETIIIIIjAGE!(I
<br />I h.rht amrn und.. FnallyofFrjurylhd rhcrc i ! consrdcrbi t ndin! ascn.y rrtr rhc Pcrforruncc olrh. rqk lbr Rhi.h rhi\ pcnnit is
<br />ksuLYl (Scc l097.Civ C )
<br />AIELISANLIIIIIAIAIION
<br />Ihnrbydr,mr dcr Fn,hy.rp.rjuryonc oirhc r.lk wiDc dcclmlt,trs
<br />Dcmolirion lrcnnirs A\1l.nos Norifi.,rion F.dcrrl RcBul.riutrs (lillc40. P!rt6)
<br />-Rquircd
<br />trrrer of Norifi .ari.n
<br />I.cdifyrhl rh. fcdcral rcgu l.r ion s rc Sard nrS rlbcsro\ ren,v!l arc dor rP,tli.rblt h rhn troirl
<br />l..rflv rhrr l h trc nn(lrhn rfl)l'.ii(nr rnd nrt lnlndion iscotr$r I rgrccn,.omrlywirhillCiryandCounly
<br />.rdiMNcs rtrd Sfurc l,ius rcl iurohuilding.yaurlrrizc rcprcsnr!livc\.frhis Cirymd Coutrrr ro cnicr uton Ih.
<br />rlxrr n'r ri,nrl tft,r'r! l!{ irNl,.rr
<br />,\ppliu l or \[rnl Sisnnlurr ,,," {faefry
<br />Set Backs
<br />\ l,/!^ r,lL,lt/)
<br />/.-/g 16.",N 41" k
<br />UFER Ground \
<br />SLAB Floqr-.i t4l a4)
<br />Subllo en nsulatio L
<br />,_/
<br />Roof She>Ifiing-0
<br />Shear Wall ,tln 4'i e=>
<br />Framinq ol9 Iu -(l\";@;
<br />lnsulation/Enerqy ?I $\
<br />Drywall / s2)
<br />Ext./lnt. Lath t '. I 'u
<br />Brown Coat
<br />It/aso n ry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Beport
<br />Flood Zone Certif
<br />a, F-tlLz It4 I 1/.-\\ t\D<)'d1s)I rl ,.l/d
<br />FINAL l-r,l-a Jt
<br />Certif icate of Occupancv
<br />Notes, Remarks, Etc
<br />ID/SIG.
<br />Forms/Sleel/Holdowns
<br />Erection Pads
<br />w,L4
<br />Pool Fence
<br />u,
<br />Li..nsc CLssr-Liccnsc Nnnbcrr
<br />-
<br />Drle ('onlEcror
<br />F-f-
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