|
SITE.WORK DATE I I l, coMMENTS
<br />ISet Backs
<br />Forms/Sleel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulationi Enerqy
<br />Drywall
<br />Exl./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Reporl
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />FINAL gl?7lLrt 'lVt..^A5,.4< )
<br />Certilicate of Occupancy I U
<br />Notes, Remarks, Etc
<br />->
<br />t/
<br />OWNER BUILT}EI DELCARATION
<br />! ,Er.by .rrn lnrcr FMty.l Frlury rhd I d .r.q, rmm llr Corrrxrd' riss lr* ftn rr. ,olkirin! Er$. (S.c 70ll 5r
<br />alri6r .rd Pmic(hn ('.,&) Ary cily or Cnudy wht,r Equidr . Fmit lo $nsrtr, !lrr. if,rrov. .,.n'lkh or r.F u,
<br />Nturc.
<br />'rhr
<br />ro ill ftulN rls Eq{iEr llE atdtd tor .(h Fmn lo fiL . ilrn nd.cnl lld E o, rlr ' lft'<n Frunr'
<br />ro trE F,vishnr ol r,E G,nlEr 'i t-i.rtr€d lls (Ch!Pl.t e. Anlftrin8 wilh Sccri,n 7ftxr of Drviion 3 of lhc 8uiiftr' ann
<br />Pofc$ioni Cod.r ur rh.i rE or rlE k .rcn rnsdhm rd itE hrn ror llE !lk!.d .r.r!F ii. A.yvbhrhiofsdb.T0ll.Jtv.nv
<br />.mlkd ror. Fmil .ubjcls rL qltli.sr k'..ivil FMhyof ml mr rhd llv. hu.dr.d dollur {S5m)
<br />-1.
<br />.r o*E orrlE FDFny. rr ny cipl6tr6 rnh w.8.s.t llrn $k otr9.ndhn. will d, l,E tEl rrd ilE slnf,1w n br
<br />inr.dcn or onk.d ror sL (Sd IX4, Burims .nd PNfci\hn. Co.L: TIE a.dtr:lr'! Lt d L.t .rr.r r, +Pl, ro , ov6 of
<br />rlr FDFny rlb tliltr r hFlE t,Etwr rn *b &B.rn mrl hinMlf o. ho(ll oi
<br />'h$ugn
<br />hh t ho o*t .r{}hvcs.
<br />tnv cd rh.r r$h imlmrftdr e bt int.ftr.rt d otu n et li ,rffi. rlE tlitihr n irrmtftn i! s! rtnn m lq,
<br />ordrrllHioE rlE owE Builtt *i[ trE rlr hrd.n ofF]viiS tlIl lI. rltdUn{h{ihornqmE0EnotdyfttrlEPurP.of
<br />l. is owNr ol rh. rnrn ny, nmcrclulv.lyco rrrin! *iih li..nEd odRin lo otr{Mt rlE FtrF ISG '7oa4. BNIB
<br />rrl F$tsi. CBL TIE Contaroi t Lic.n* llw dtur mr rPPly lo ro o*ncr or Fk,Fny rho buildr or imfovrs lh.r.on.
<br />rnd who .onlnclr fi, fth tnoFk wnh r Collrlon9lE.nsd PIfiM 'o
<br />rrE Conrxlq r lifttLrr
<br />I rm.rcn' utrJ.r S.l(nr
<br />l)ire orEr wotxrrts' ctrltprrriuroI
<br />DrgJia.rMli
<br />I h.rchj uflnr ui,,( p.rnry ol ,sjury om olih. k'lk,*il8 (l.elnr nN
<br />-l
<br />hlrc rri *ill minrs r (tn iarlrc oa Con*nr h s.lf.ltriur. lnr r rk$ $n{xn{ n)n, F,Yid.d rol by S('ion 17fi, nr rh
<br />L$or Q{c. Lr rtE F frn{ft Dr
<br />'rE
<br />mlt td *tit ih. Fhir n irsxtl
<br />B lo5>tzgd^r;g,'","O -'1 -11
<br />I h.rhy aflnm ufil.r lEmlry ol Frrury rh'r rh.r. is . .onnMhn Ln ti.s aB.fty ror rlr rErf(),rl@. .t riE rMl fot *hah rhr Fmi ii
<br />AIlllllAIIfl)liliL/rBAIr0B
<br />I hrd'yanimn l.r Fnahy.f FrlllrtoE ofrh. r.lb*ins d..llrdi'nt
<br />Dc,lirbn P.rmit Art.no. Noriltlrbn tu.rrl RcBthri,nr I Irlc 4r. Pd6)
<br />Rcqutr.d l.rr.rol Norln k{'
<br />-l.d'ry
<br />rhrt rh. r.ncBl rclolrrhnr rSdhe lrtrslor ruu,lll Nrc mr llPliclhh t,
<br />'hi( F').cl
<br />.dirrrhd I h.tr rcod rhn afirrari)n rrn {!l. rhar,h.lhn. inlurmrirr i(uotr.cr IxsftrocomPlvqilh!llC yrndCounrv
<br />nJnirN.\ n lShrr Ir$1tultr Ciry d Coudyro dr6 uFn 0r
<br />llntr rni'hd ,mFn, tor i
<br />lpprtenl or Aernl sLMluF
<br />n.-ir- *-. rp.rnrP(
<br />,'!r htrIl'A,h r,, lAr rr '.h\ .u,rr{,{.,,,r$r.L
<br />i")r/^"..aCLrqz ,,x,/5o,n"12 cll,\tck
<br />a-7- t7
<br />IEEtrI
<br />A BUILDING- INSPECTOR RECORD
<br />-Ihr\c aftl s'lln,'htdn e.lldr' (oryf,nrxr n in\(rmr G r$un.rl h\ SNrr rTii) fIh.IititrCrxk frrh.p
<br />rh. $ork fdehi.hihk ltnnir i! Gsurl ilyworkor co qxn{rri,r inntrlmrcmE klF,lry numh.r uc
<br />,.,".., Sl'q,r.q r*':a-a.S fvc1, e-atCo.-
<br />,u,.,*,-*, ?2ttBb)1 ,,'r*..f-f '2a)o
<br />I knny rh.r ir ttr IirtunsE-'c ofrh. sork tur *hf,h lir\ ,tnnir n '\lucd. I +rll nor .mPhy riy t'.NIn r (nv ntrnmr
<br />q, a\ r, h.d,m rubFr (,rh. r orlc6' cDr{En$r nn b*5 olCrl'fdn$. r,Id ryN rttrr it I \houh lE om !uhi{ ft, rlr
<br />trort.^ co'ryri$r x,n lln'rn,,,ns ol S(t i,'n .17(x r .r rhc tf,h,C,dc.l snoll. hnh* h.ohl'ly srrhrhrs Pb!hi'n.
<br />WARNni(; Fotu,. ro qruc *orh.6' d,n{Endi,n $\.r.Sc i. unb$hrl. ind \h.ll \ubF! in .nfh}n lo rimiMl FElrs !d
<br />.iril nicr !P k, nm hundr.! rtoo\rnd dollrn (slln.lxx)). in nnd ion r, rh. ql{ .l.ompcnsrRr' di!E8c\ 0{ I'nvidnl t'r rh'
<br />::' :' ilTri*"lffi U' 4., .t cLs *eLrq!r,l[l]Nr8asJ8lEEqJs ral
<br />I h.ruhy rflnm undd Ftrtrllyol Frjrtry rhrr I Mr ltTn\t u.dcr pi,ri\nr ol (-hrPtr 9 (cn.'m^-'in8 *{h SRli,n Tfilrrorl)nrqrn l
<br />.i rh.llurirc\r,nd Pn,r.\\r).s (-'xlc. rd my lr.nc n
<br />'n
<br />hillnr.! lclltlr
|