|
BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVlnsulation
<br />Boqf Sheathing L//K/// 7t-1P,'0y
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enersv
<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 />Engineer Final Report
<br />I -1.nu,.,IF|NAL 1.1 'lbl(\ Y Trx E. LU1
<br />Certilicate 01 Oca[pancy
<br />Notes, Remarks, Etc
<br />OWNEi BUILDET DELCARATION
<br />I h.r.t, lmrm !.dd rlMty or tt+,r rh.t I m ckmlr fmm rh. A,nrsci{,F Uc.tre tf,* r.r rh. rolk,wi,3 E{qrn (SN70115
<br />Bu(irc( ui ftoad.ion C(rLr Ant Chr or Coudy $hkh ftrtun.r ! Fmi t' c'nre1. rhs. i'q,oE. d.mlirh or EItrn uy
<br />{turu6. Fitr tr ilr irue...lsr rc1ut$ llr q'pli,l lin rxi Fmr h fiL. liBtrl {,r.m rhd lE or tlr t liut d Fmd
<br />n rhc pdvirn,n\ otrh. ('onrelor's l-i..n(d trw (Ch.pr.r 9. ComEmi.S uirh Salbn 7Ux) of Dilhhn.1.frlE auiiEri lnd
<br />Phf.si{l('od.) d rhr! lror slE f.rcnv't th.rcfrnm ind rhc lErh nr,h. llLgsl.i.oprion An, violtiionofsario.r0.rl 56yBny
<br />q'nlaur f .Fmir3uhFxrlr lmlin.r lo!ciritI'crtrtorr, m)ft rh:n riv. hudEd dollst (lvn)
<br />l. ar .*H ofltE ImFny. or nrycnDloF! wirh *!scs.\ rh.i! qrc u,n'P.trsnDn. will .lll
<br />'h.
<br />w.tk ud rhc {tu 8 ir d,
<br />inrcd.n troficEn fd et r5( 7lra4, auriBr r.d ]'tofKbni (d. TtE aod.d( . Li6r Ir* d(n d rr{'ly ro rn o*m..1
<br />rh. nmFny w}r, h0iLt d i'rFoB ihdEtr !d wh dB th sf,I hinElr o. h.relf or rhnruSh hn r tn o*n .rt,Lyal
<br />nbvii.n rh,r skh iny,owtrF iE { inr.i(L\j c off.En hr $L lt ho*Er, rlE hriHin! n iqmEft n sE wirhin nrc Fe
<br />o(o'!*rnn. dE OwE Build- *ill lrt lL hnbn of,'otltr lld h. $ rlr dil nn t ir, tr if,ImE 0E Frtdt n' i,! FiFE or
<br />L ri.*Er of rlE FnFnt. im.ktu.iv.ly.onr.lin3 trnh litnr.d.odrErE h a,ndtul ilt F,Fd (Sd rfi.r. rE rs
<br />trft1 Prrissih Codc: TlI. Conkrktr r Lk.n* lrs drq 6r .0ply n, .n ouEr of nnn ny *h, buildr or inlobEs rh.Br.
<br />lnd *ho conrfrt lM su.h F!l.<lr *nn ! Gdrodon\)ltcnEd po^ud t'rhc(tnrrdolr l,E.n$ Iiw).
<br />I rh.r.nrp' u0dd Scrion x _.8 4rl
<br />llll-Llar!]}
<br />I h.Eby elTnm u&lcr FMIIy .a Frry oE of rlE folb*iry dc.Lrlri$
<br />I h.w.nt *ill Bmuin . Cdifrlr. .f (tns n' Sclf'lNurc tq r.dsi coqt.sdro...3 txDvilcd for hySccrbnl?mofrh.
<br />L,hor CdL. rd rtE Frfm. of rh. {nt lm rtlth EFmn ir i.iEd
<br />-l
<br />ttE rd *ill minllin *orLtn $ntEnid hn ihsrr'ftc. 'r Equrcd hy sdrirn lr{xr ol lh. lilt, Ci c,rorrrEIElomENcol
<br />rh€ *ffI f( *hth rht Frmii i\ ir*d My *rldr' sq.ndr'. in urar ffar rn trlit Nmfrd ,.
<br />-lc.niry
<br />rh.l in
<br />'h. rE t)rmr. nrrlE *ork n{ *hich
<br />s, ds ro trdrm rubj.rt
<br />'o
<br />th. *.rt.^ (n{Ensdion hw\
<br />sd(6 $rilEnq'rr tmvirhm .l Scrhn l7ll) of rrE I
<br />WARNINC: l.ilur. n' <@ *ct.E q,'q.rdir. (,
<br />rhn Frn n n{kd. I rhdll ft, .nll'h} .trr nsa,o inany tunftr
<br />rl('uhl, trtr lrl rsar rhJr 'l l .h'uld h.ra E \uhr(r t.rh'
<br />rhtr Crxlc. I {Ell. tnins ih $qir, * h rbt tr.vF('ni
<br />unL"ruL tnhdl .uhF(r u.nt'hF x, .rrlml rmlh.rd
<br />i"rL' rhI.{ .r co.{Envr,or. d.trE*.r s D,ov'd.d ror rlI,h)(ril rir\ uJ' tu onc lrtr ,.d rhntr\nBl Jol[A l!lrxr.(
<br />Scri)n {176olrh. Uhtr (inc. iflr.rc(anln
<br />lrEgJXdurxi
<br />Itr rl.r Jnor'\i,tr,,'l( hrti.r ') i!itrtrtrrrkrtr! | rh s..rrn,7(xxrr,,llrrAtrii 1I lrk ht rllnnr trrl.r Ffilrr ol Dcrt'trr
<br />ol rh. Ilnnh$ ind lYofdri,nr Gil.. .rn my l.cn* ri h tull firc ni.rlsr
<br />gNslalJglllrN.lEMtldliiuEll.x
<br />I h.rhy .mrn unLr Frk, of Flilry th.l lhs. n . sn(nrli,n t'rdh! +.flt ror rh. FrlomN or rhc krt tor rirh rhr Fsr b
<br />A\ufrl ls.r. 1097, ( iv c )
<br />l.rti{ \ Nanr
<br />AIII.I1:ANI.TES.A8AIII,U
<br />I hata'y rrm uirLr Fn.l' y of F iiy om of llE folhwiq dccLfli'ns
<br />D.tulhion Pdnik AilEftn l*niff,Ii,n FnLhlR.guhrirr (Tiik (r. P.n6)
<br />-R.n!ifd
<br />Ldrd .l l*rif6ri-
<br />- I(cn )rh 'hL.}.lcral crulrtr'n. n'srlir!:..h\!* -'nr(JlJ'r tr,{ itl,lr$lc h, rhF |I,r.!
<br />,,-,' \,,/,.r,t.*rriJ,r 'nr{. c,r ,b.'hn(,r, nu,i 'N..,nir Irlmr,,!,n$r\q hlrr(i,rrfti(i,un,r
<br />,.1':rr;lry&;i,T,"r:;,;'ii3:";-wt' Ju h' u' 'c.,''\ ' J tr'\ h' ' a ] iJI i"d
<br />Apph..nr or,\rhr srlmruF lJ, , Lrre,-,,**o/ $r-r-'r< I U'(-'c'{g-
<br />ID/SIG.
<br />SLAB Floor
<br />Flood Zone Certif .
|