Laserfiche WebLink
BUILDING. INSPECTOR RECORD <br />SITE-WORK DATE tD/stG.OWNER AIIII-D'I DEI-(-ANATION <br />I lEftby rrm ud.r F hy (,r Fr,nry rh, I n crcq,r ron rlE Co' r-16- Lx.nE L.* n, rtl rolh,(3 Rrsn (Se 7o.! I 5 <br />Burmrt .il Prr6.m CtL): Atry C[y or CNnt, *h.h 6t!r.r r tIfu ro onctur, rftd, !iyn'w, &m rh or EF, ry <br />(tuturc, Fx o (r s.uu!. tl$ r.qu@! rrE rI! .o' fttr ruh F !' t, fiL.3r8En nlcffi' rh.r lE or {E ! ,r.16l Ftn{n <br />r' lh. Ftrvlrirt or <br />'rE <br />G'nr*ttr'r Li..<rl t p tc'tuF( 9, Co'ffinn8 * h Srrr,n 7frn ol Drvtrrr I or ltr B$Eri .rl <br />PDlisrr$ Orlc) or rh.l lr tr rlE ! cr.q, tlmrmn.,rl r h.n! l rrr .llqsl cx.d!fu'. tuy vrrLrionolSdu?0.11.5byuy <br />.mlud inr r Fmr ixhFr! rlE +ph.nr ro ..rv p.uhyol m'r rh:. fiv. tunJFtl Jollt'! (llml <br />I.,s owkrofrh.lf,'Fny,ortrry.mFloyc.lw hw3!ci!srhqr(,kconrr^-n\ari(,h,w lJ rlr,o*aftl(h.nf, r6ml <br />lnl.nlxi or llcrcd ld ql. (Scd ?04,1, Eushcs oJ thfc$(,n((iit l h. ConkNr.is Lk.ne tiw i.cr nor rptly h u o*Nr oa <br />rh.nn'IEny *hthu'[tr 'rllr,w.(lrF'n. an]wh,d(!r(h* h,hi.llorh.r*ll.rrh^,urhhndh.r un.6pk'y..s, <br />Iln,vrlLJrhar iulh mFl'Enrnnmnn d. L\lorollcmlhtrqL ll. tr)xE.. rlE huilliry or rtn,Eftd. (,tl wnhnor y.{ <br />ol ..ntlLr.n. tlI O*ftr au'rih w l hrE rh. boni.n ol tn vh3 rEr or*rJri ft,tr rlo.dF'Erh.F'Fnytu[rpurJr,eoi <br />l. .. orE. ol rlE lhrrny, rm.r.lunwly.oddnS *rh lr.n(d Lodrdrn ro dnrd rh. FrFr (Sir l04rl. BuiEs <br />rd turkqrc.rlc TIE (i',ih_'i{'r Lr.nq L,v rkEr L, .ml, ro e o*Er of FoFny oho ho'!r o, uryn'w. rh.,u. <br />.*l vt Rd rrff ruh F'i!k p h rcodBro(o lrrh.d F M rorlE cotuu'r Li.n€ u*). <br />l.h.r.m0 unld s&!r,n <br />Ilulc () <br />]vcatr.ue!.:c0llfENsallllN <br />DECI ARATION <br />I h.rchy !, r trm u tul.r prnrl'y or n .iury dN or lh. n'lh*n8 d&hr{i,nl <br />I h.v..rn $ll rdd. ccnf.xc orcor<.r ro s.ll-Inorc n,u 6-6trrp.Mb.. r FnvJ.J for by Sarnn]?@ of rlE <br />Lrtrx Od., rd.h Frfm. ot.rE *rt td *trrh rh. Frnrr ! Bru6t. <br />rh. q,rk lor *hihihtrFm! tr,!ud Myto cn'd,r{xnsii)n Nurrr. .ftr rn IIrr, numh.r ,. <br />C.m._ <br />Pohry Nrmh.r:-EipiEs: <br />- <br />I c.nilyihr <br />'n <br />rh. FrlormN. of rhc wo.k fffwhkh rhtr p(rn, n srucJ,l shallnor.hpk,, rnvl!ro. nlhrhrnncr <br />$ s!, h.ronE {hrd l. rlE k cr .oqrnsrrNn llur u{ Crld mu, .n, .3r rhlr rl I sh,ul! tr.om {!hFr L) rh. <br />k',lcr' .om0(n\rk'n nt'yr i'nt ot Sccron l7lx, .l rlF l:hf, (irr., I rtull 6nhw h .smnly * h rh,{ pn'vrfnr <br />WARNING F.'lm r, nm krk ,i $nvf,osrrxr .otr(3. ,! unbwlul. dl sh:ll iubFr rn dnr)y.l t, (lff.l FDIS {n <br />.'$l ims uf r) or hu,rikJ rh)or,,ri J.llr\ rll(rl.fix)r. rn ,llrr)n r, rh..oi or ..htr <br />S.(r,n :1076 ol rh. lrtrx (iii... mrcR{ r,ri rdomv'r <br />AEIIJf,AIIOX <br />I hcEt y afiirn u*l.r Fn.ly ol Fqury ih.r I am llucn<d uRhr Frvsbn ol Ch{'{cr 9 i$nftnc rn3 * h S.!r u 7(rlo) or D,vN[n ] <br />dl ihc Busrc$ Md Pn)fc*k iC, c..il mylrcn{ 6 o lullnr( sllellccl <br />COA6ATU(-IION. LETDTNiG ACEN(1' <br />I h.rl'v ltfm udcr FML y ol Frpn rld ilE . ! r !-n<tut'n knjn! rlcBy aor ilE Fritu! ( rh. *rt to. rtuhrh( Fd 6 <br />rrxJ (Se !{}r7,Crv. C ) <br />L.nLrsN.ftr _ <br />l.nlcis AJtlEs: <br />attllcaNl.llEllrlSarlo! <br />I h.!$y atim uBlcr F.n.li y ol lE.jury oE ol rhc tallorr3 d.rLflr bnl: <br />D.B)lnnn P.rhnr^rh$lx t*{tl(.r.n aidcr.l R.BULri,n! fr[k,10, Prn6) <br />-R.quBj <br />kl.rolfadditu <br />_I dfy lh, rh. td.nl EllLlbn ElnUir8 ah.i mrvrl ft n, .cl shl. lo lh! Flilr <br />-l <br />(6rit rh.r I h.rc r.d rhs +t r.rx'n !n n.k rhrr rlr tlnw rhrurrn i! coEr. I .sE ro oqiy l,h rI Cny Jrl Coldy <br />orimuc{ uLl Sr.r. t,*\ Eldry io h{rldir8 c(n..nl h...l'y rurhtrr! c0.csnl.xv.r oi rfi C'ry rnJ Counry b.nrd nFD rrr <br />rh,vc mnl0ftJ pn,fdy nn hrJEri <br />V <br />L>t?tl(V <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsu lation/Energy <br />Drywall <br />Exl./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req. <br />D eputy Final Report <br />Engineer Final Report <br />Flood Zone Certif . <br />^lZor,{o* lobL z-z/.-l\ <br />FINAL Z-fuaq x*{.'t0 <br />Certaticate ot Occu pancy <br />Remarks Etc. <br />COMMENTS <br />UFER Ground <br />k.w0) <br />Notes, <br />*X <br />^. t7l2t ltg <br />_4M--rzl^ tl IK <br />ADDIi(anl or Arcnl si!n{hr^ <br />: