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BUILDING- INSPECTOR RECORD
<br />SITE.WOBK DATE IDiSIG.COMMENTS OWNER EUILDEI DEI,CARAIION
<br />I rfcby.fii,n ur&r FEhy or Fiury 'h,i I m d.n!* fn'n rh. (hmd6 Larne t,* for rli {olh*dB ersn lS. n.ll 5
<br />Burin.$ ,n Pror.{.ion Cod.) Any Cilt or Counly Nhth Eaut ! s Fmir ro con{rBi. .ll.i anpov., &mlth or EIln o,
<br />(nriwq no ro ilr i<uN- .lw, Eqlircr rlt lpf'ltur for tEh Fnd ro ,ik r ra*ftrl nrm. rhr lE or .lE i! liancd puun
<br />to rh. Imvnhns of rh. C.nrrcr 'r l-tcn*d L.w ((tuprn 9. Commftins wirh S6rhn 7olx, ot Divirion I oI
<br />'tE
<br />Burircs md
<br />Pot (k nt Cd.) or thrr lE i, tllc ir.rorfl rrrrrrrco &d rh. h-ri! n, rlF llLicd.r.nqion Ary si,trhotSdion ?0115 byrn,
<br />.,!plktn' ri, r ,rmn ruhFF ilE .t plt.d k' . civil FEhy or d m,E rh.. an lDdEd dour. ( t!dl)
<br />_1. 8 owF, or'tr FoFdr, d mr.nprrFi *irh rr!!r f,r rlEi $k oqE Frrnn. si! dr llE El ail d! lntrm ir d
<br />ii.nLd r ofi.r.d lor eL (Sd ?044. Busir.r.d Prd.snB Cod. flE Conrr.crq r Li:iE tl* &B d +dy h.. owE oi
<br />rh. ,lt)t dy wtb trildr or nqmB rh.En. tun whl &.s .Bh r.rt hinrclf or h.rkll or rhou3n hh or n r 6!n .nphy..r-
<br />pmviLd rhd r*h ftmEd3 e d nni.d d ofrsrd lir -L. ll tr,N, rlE borllla i"FErnr ir rld "'tli. oft Fs
<br />.fellt'Lrin, rll Crvr Builtr will hE dE h,tLn ol Fovint rhr lE or '{r dil tur hriu d i'rymE 0E F,pdry fn llE tuIE ol
<br />-1.
<br />ro*N,of rhc Eorr.ny. mcrch\iElyco,ilBdinr wirh licn<rl cDnru(,n b (rnnrud
<br />'lE nmFd lS(. ?l).14. Butim$
<br />,nl Pibft:iiln CdL Th.(i'nrrttr t Lh.n( hr (l*s n !ntl, ft| !n o*n.r of p('Fny $t$ hu ildr o. impruki rhchrn.
<br />rnd uh' onrrrlr ftr.EhFoF1! r'irt r ('.darnn lt.n<n ranunr ro Ec.dGrr'r licnr L,*,
<br />I rmcrcmnl uBL, SNri'n-
<br />Dnh OsNr
<br />lll.8rl:&rrallrEl5alM!
<br />UEI;LASAIIOIi
<br />I h(,.hy tr11,,tr,!f(ls Fnrlry olr.rlnry.nc,'l rhr nnh$
<br />'ng
<br />n..lrrrri{nx
<br />_l h'r! rd sillBinrrin r C.nifrd. olConqr h S.lf IBur fttr krk6'$nFn@b..I lreud.d f h, Sdi,n l7morrh.
<br />ljhtr Cqlc. tor tlf rErf()tmtuc.rrhc solt aot*hichrht peroir ir i*!.d
<br />-l
<br />h.v. rnd qill dh'lin qorks u.rrEBtrion in$rNc, !i EquiEri by Ssrbn l7(r) or
<br />rh. *'{k r,rwhEhthN Fmtrr r\ nud Mr tro,|.^ !fl4i!!li.n inrurancc(!nH nnJ Isli9r"te Ar*4.
<br />P,,r* y N,..r*, fu1.p,". -
<br />rlr L.tsr (-od.. for llE Frft|lm ol
<br />r/4ts-
<br />-l
<br />c.nifrlhol i.lh. !.rformmc ol rhc snrk ao. *hih lhn F(rnn n irs!.n.1lhall fln ttpk)yrnyFmn itr rnymsnrc.
<br />s r\ ro lrnrft ohF[o llE wt6{ $qEndi,n L*i or Crlitomi., r {N thll
<br />'r
<br />Lull b..om {birr ro rlE
<br />h,ks d'qe\!ri,. pblniDN orSdrn 17fl)or rh. kh.r Cdk.I {Ell, aont*iln ompl, *irh rtni pmltio.r.
<br />WAINING F.iluE lo BW mrl.n' .or{Ensli,. oE Bc n unhwful. .!n lhrll ruhj<i .n .fiylk)F io dimiEl FEhir rd
<br />.ivil fiEs ut' ro.m tudEd rlnus'n &lldr (3|{I),llf,r). in .ddrion ro rlE o. or coqtnqrio.. rtrnr!.. B FnriLd for rlr
<br />S(r!)n :ll)16 I rtf, Iitv (-,xlc. nlcr.rr md lr.rrcy \ f(s
<br />^,,' 1/ ?/ /q ^pp,mn,, fazf' / Lrg:L.tll)rQNfi,llIlra
<br />0D
<br />D&Cttrarlo!
<br />I tftht rr,m ud.i FMlt, ol F.Fry rtu I m lir.in unl.' F.riri,n ol ahpln 9 (on@r'n8 w h sdi)I ,(ID) .r Divirih l
<br />ol th. Buii*rs und Pof.siuns Cod., md my lh..r i\ in tull t tor nl .ficr
<br />b /f Z rE e
<br />782 @!,r,. q / rIT'tO r"
<br />t1)IlirBlCrcI.llliDl)grl1};!(l
<br />inkd rsft l{)97. civ. c )
<br />APPLiCANT I)ECLAIATION
<br />I kiy rtlnr rndcr Fnrhy ul Frrrt.m orih. follrqrn8 dc hrari)nr
<br />l).n$lirion l,.rhi( A\br{or Nori,jcrrr F.al.nl R.SUl.rirn! (1irl..ll). Prii6)
<br />Rcq0ikn krrd rrNdil*.li)n
<br />I dily rh:r rh. ftn rrl RSrhr bnr EB&liry .{t rkx R'nfrl ,r mr +pla.br (, rnir F.Fcl
<br />ply rith lllCiry.d Counry
<br />d, rld Cou.ry ro dts oF . rlE-l
<br />(dify rhd I n E E d fi i1.pplt.rion ud {!t rhd,E lhlc inlormrbn i!.md I {id ro onl
<br />ordrMEB .rrl Shrc l r* r Eb rE r. tx rldil! c.i{tu1rtr ltn l(cr'y r Efi^ FF-kd!r6nllhrC
<br />rh'h 'rnhntud F,rrn, ri{ in,pft,'on nu'F{.
<br />;_ ,/ ,/Apero, d
<br />^.6,
<br />srsrroF ,41-Lz.,U.4r/q^ D.r..
<br />P.mx*Em,prh,,: / pe,e/' 0o .
<br />( /? ///.
<br />Set Backs
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenYl nsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<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 />FINAL llllP itM 4eD
<br />Certificate of Occu nc
<br />Notes e rks Etc/2./2//E FHL -0
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />Flood Zone Certif .
<br />I
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