|
SITE.WORK DATE ID/SIG.COMMENTS
<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
<br />Framinq
<br />lns u lation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report I-\
<br />Enqineer Final Report n4
<br />Flood Zone Certif.
<br /><)-u\
<br />FTNAL C*."U(L (/\" "
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />OW EN BUU,I'ER OEITCAITATION
<br />I lE lry dr@ u.dc p@.1, oaFgury fid I m 6mF 6!m llE Cdr..r(t Li..M lr$ for rh. folbwi4 l!&n (Sd 7011.5
<br />&!i.a rn Profdshn Co.k)r Any Cny or Cou, y *nah r.qui6 t Fni ro .odru.l, iia. imFov.. drDlnh or Ep.n ey
<br />ntude FDr lo irs isude .to ..qui6 th. +pla.d lor Mn Fhit b 6L. tiExd irtur Or lt or tE it lkaEd FElr
<br />ro rh. ForiioB ol ilE Conllrrdi L'en&J L* tct pra 9. Cotllll@ir! $nh Sdion 7m] o, D'vlion :l of th. &6ilB {d
<br />Pmf6r.N Co&) d rhr h. or 3lr ! 6at!r rha.fof, &d th. bcB for tlE nk8cd erdF6. Any rbrni,n of SdiE 701r 5 by ey
<br />rp?licm tor. F6h $q..r! dr .99licd ro ..ivilFrhy of mr mE lh6 lirc hu'xbtd d.lb. (uco)
<br />-1.
<br />s o"c ofrh. FoFly. c hy 6rb'€ snh !.s6 6 rh.n $k €n'pdrhtr will do tlE trqi id dE rtlfu k d
<br />ida!.Ld orofiord lor s]. (Sc.70{4. a6irB xd It fdhN Cod.: Thc Com.cr ,!Li.-dcLr*&6ml.P?lyloDoNdof
<br />rh. tmpqq wlF hoild or hFolE llEa.. !d *no &E uh urlt hilNlaot i*lf or llFuah hi. or hd o*n mdoyq
<br />provid.d rh!! !!.h imFrErEn! E mt lron d.r ofiad ftir $L. l[ tb$!*, tlE tuildi.s or ihFoEEd n $ld wihin oE )B
<br />oronpldiotr ttE o'*rd B{iHq will hlvc ttc hs&r otpowA lh.1hcorslE dn mi buill or nrPrclc lh. FoFly fot E FrDo*of
<br />l. 6 owE oath. Fopdy. m crclBivrly oildr'ns *nh li.ft.d .onr.doB ro coBlrucl llE pn'l.<l (Sc 7014. 1tliil6
<br />ii Pltrisin cod.: Tt. Contrclor'r l-ic6.l-!w &'6 mt apolylo & ownr olproFy *ho huild! or inprcv6 rh66l\
<br />6d who rctnreG lbr ch Foj<l! *nh. Qmtuo(r) lrc6E d prBu.,n tolh. co ndor'tLk.Mttw)
<br />-l
<br />e cr@pr udd ScrDo
<br />lLaaf,E8t(qllfEs6na!
<br />DEOJAAUO!
<br />I lEct y .lrm unrld Fuly of Fiu., oE ofth. tulo$in8 d.cl[dioc
<br />-l
<br />hrvc r'd \ ill ruiItrin ! Cd!,l. x. ofcon9r to S.lf-lBuE tu *0116 @hF.!ion. ! FD\*i.n for b] S<lion 1700 of l,E
<br />Lhor Codc for lhc Dqhtffi otlh. s,l aor *ttfi 0E Dqnn b i$.d
<br />I hrv. ad *ill mnnliin worl.rr $mFNrr ion iNlrerq s i.quncd by S6tion .l7co o I rh. Llu (ird., lor lh. pdfoddcc of
<br />rl'r {nil li' \h.[ rhtr tunnr tr
<br />,,,,,, TNsulutt At)o
<br />E -tJ-t-11
<br />I cqr,8 thsr in rh. Ffo@@ oarh. *orl lor $hthrhn Fnn is is.d,I rlull mr dphy ut F$. in &y F'l]E
<br />ri s ro hcoft $bid ro th. *0.16'coEFlrion Ls olcililomq sd {d thd if I ttNld taoft st*(
<br />'o
<br />tlE
<br />*.rt6 o,q6.ri,n FoliioE of S61io! :l'700 af rlE Ubor Codq I JEIL fonhs nh 6,q'l' * ilh ltn. pr.|tioB
<br />$ RNINC Fnle ro sE *r,&d NnFds.
<br />$il fiE up lo oE hu(H lhoqd dolbr (tlm
<br />t unh*tuI. s.d null st <r mpLtd lo sin,ul Fuli! &d
<br />io! !o rlE sr of .oiFqri... d&rg6 B proyid.d tor lh.
<br />sdn n 1u?6 ofrh.Iib.rCair.
<br />,,,,. 25-n
<br />![cl.aaArlat
<br />unds Fu\sion ofchryrd e l(mnH.in[ r(h sdon 7ul0) ofonrion II hnby rmnn r.dd Fnahy o f p6ju,y lhd I m li
<br />.I rh.llus'n6sdd PNrsions(\'dr, dnry li.nsc is
<br />'n
<br />rullfdeudcffdr
<br />6 8ts/3
<br />L-,9 )1
<br />coNsrer(-TroN r f{nlllc aGFNcY
<br />I hort, .rm un& Flliy orF,try lhr rnd. a . oiff*rb. ladi.C .8ct lor lh. Ffoffi. olrlE hrt tor f,tih rhit Fnl it
<br />i$u.d (sd 1097. cir c)
<br />aftur:Arl.ltfclJEalrQ!
<br />I hddr rfm und6 porhy oa p6jur) on. ot lh. followins L!..l,tuioN:
<br />Iknolirio. Pdhirs-Asb6tos Norific nrn kn6!l R.8u hl rcnr (Till. 40, Pd6)
<br />R.qun.d Lard of Nolificrlion
<br />I c61' ty th{ rhc a.nsd r.suhn'nr RB8d4 sb6tr ranor al arc not applicabl. l(' rhir pni<r
<br />I.d'ly rhd I n$. rad rnn +pli(,n !l.r. rhn tlt !bov. i.lodion n.ond I +c lo Nsplr wdh ill Cny.d Cou.ly
<br />codrudtuc rn hftby arhd.ia EFeddn 6 of rhit ( ilr &d Court io dd l9on E
<br />!lrn.f,Bii)n d Fop.ny for
<br />lppli..nr or ,\86r SiBn.r tvttddt.$01)"..,->4.-,11
<br />tHr4Itl'lutil
<br />BUILDING. INSPECTOR RECORD
<br />l-..dd ! A{tB:
<br />. Ai.v/
|