BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNT:R EUII,DUR DEL('ARATION
<br />Ih.rcbtltmund6FElyotpsj!rylhdIm.rmEnDmfi.(om.i<!oELt.kt*for0Eaollo*sla$n(S€70lll5
<br />Ildi.d Jn Profdion Cod.): Ady Cny or Comry stkh rqot6 . Fnir ro .odrud, drE itulmvc. ddmlirn .r qrr oy
<br />nrudueFr!totu isee.!o r.qrnd rn +?kd forr4hpon ro 6L.r{r.d nri@l rhtl lror 3tE ! licau.d pot$ln
<br />h rh. Fov6ioN of tlE Coddroir Li.or.d ljw ((l[pr6 9. ( omntrhs wnh S.dion 7000 of Diririon I of rh. Bcind md
<br />Pref<rN Cod.) or
<br />'hd
<br />lE m slE ie dd9l th€.6om arl thc hdu fo. th. rlls.d.r6nFio. A.yrnhionotsdnn?01l5trtry
<br />tppli.d for . Fdn $bElr lh. t plic.t to . drrl F hr o, mt fr,. rhe fit. h!n&d doll6 (1500)
<br />I t, s orm orr*popar1. c ny nnployG *nh r!*6s tlE x'k omr€gFG $iU& rlr qat -d rlE tuE 6 d
<br />lddrLd f oltdrd f d. tsd 7O{,1. &s!B od PmIsrrE ( .d. 'I1r Cofreld ! L..e t^. &'6 mr q,r- to u o\E of
<br />tlE FrFr! $lN hlkbd ir+.rBdEe !n *llo &-st s hrlelf or lE*llor rtNuSh hi or ls ou otplo)s,
<br />Fovi,.d thd $.t ituFpEidr! G 'Dr i'tci.d q o,Iocl tu rt l( EDw, rlr hlildna d ltg \6d L FE *ihr oE !{of$rpkl& tlE O*E Brilda $iI IEE lll hmlar ofF\a* thi lr or ,E dd r{ hild o, irp.ort dr FsFty to. 0t F,!ox of
<br />b,',
<br />L a ou6 otrtc Fop6r-. m .rclairl, codrdins *nh lkd<d c..kadoB ro c.Ntud ihc Frj6' (S< 701,1, &4'n6
<br />Ptotsid. cod.: Tt. Co.rtulo, s l-'ccnk ljw do6 fr'l.pplr lo d osn6 oapnlclr who builde or n"prov6lh66rn,
<br />rho conrEcls for sch Fojds wnh a co 6dd!)lid6d,{Bd b rh. cotudoas LicdE tlu)
<br />F r ind.0Dr 6dd s*'Fn
<br />D.t. Ohner
<br />MBlitall!0uf}:rratlo!
<br />tDg.dB lla!
<br />I h-ch' rllir tr {s ll,llry or psJur} om o l rhc n,l[nrrr &tldms)trs
<br />I h.v. .n will @i.t!in ! Cdl'L!l. otcodar ro s.lf-lNur. am qqk6 conFEdior s Fovit d for b, S6lion 17u) of rlE
<br />lrh, ('.d.. for dt,dfo.rr8c ol tlE ssl fd f,tth tlE Fnn i! is{d
<br />I hlw r!'d will Mnrlin sorta .oiqE6{ion Eff.. 6 Eqtr.d hr liarion 17@ otllE Ldor Co&. for rtE Ffoffi of
<br />rlr vo fd rhth thit FEir i br.d My un td omFErou iM.Mir d Flay Nmbq G
<br />c.* lf.Eutsali -ML,tilaLlN) @
<br />t 41-L'5 *,i -d'f ,4f rg
<br />I cslify lhd
<br />'n
<br />l,E Ffoffic of th. sort for $h(h tir Fmi 6 scl I {dl mr nplor oy Fe. in ey @F
<br />s Blob<.ftobj.rllolh.rc 6'snFBnion l!*!of(rlifomit xr!ltrrhd if I shlld hdom tuti.{t ro'lE
<br />$rt6 .irrq$l6n FavisioB olselion I70o of rh. Lrt r ('od.. I Jtrll, nnhunh c.mply wht the Fbvi.irBWA|NINC fnlw ro s@ "$.16 .ooFardirn cor6!s. i! ubtrtul, ..d dull3ubj.{ u oploF to on rul Fuhi! mdciv find up ro orc hrndral thotrsd dollr! (S100,0(x)). itr.ddilr,n ro rh. coil olcomFeriotr. &E s6 N provd.d fo, ih.
<br />SNI()n 1076ofrh. bbor ('odq inr6d Md Y /lu*",l.,
<br />lta iNsLf, CoNr Rr( roR
<br />t L(Lltl1lllul
<br />I hs(hy trlltm und6 Fn.hyoapsjuryrhar I dn li..rkt nnds rov'rtr)n oi ( hrpr- 9 ($nnndLinu \ilh s(lion 7000) nrl)'vr(,n r
<br />.f lhc lIcins atul PtofaoB cod., ed dy licoE ir in fullftn(celcfiai
<br />6"
<br />zla llt Dc4 < /.lr1ERh ttu|NA.VlL
<br />CONSTRUCTION LF\NIIIC ACENCI'
<br />I h6rht rm u,!& FdyoaFJUD rh.i rlE ! i @nrrud.r lord-u rsd, for rh. p6f(,,llec of rlE *dt lnr *nat rhir Fnir iris*i (se 1m7. civ. c )
<br />AffU(A!1.lIESJAAru'!
<br />I hdrt ifm u s pollty ofp6ru.y orcolthc following .h lrd i'nr
<br />I)ltuhtion Pamn!-Asb.dos Noriic.rion F.dc.l R+xlrtaon, (I l.40. P!t6)
<br />R.cut d lrrrs of Nornclrin
<br />I tdily rhd $. f.dral r.sulrt'6 Essdins 6t'6lo$ ro.o\hlr. nor aprli(ablc to lhis prolcl
<br />l..drftrharlh!\crcadrhis.pplicarkrnexi$arcrh.rihrrh\.1ntu'nfitr!nisr.'rdr I i!r( ro romplt slh all (ir! r.J ( (n'n(v
<br />fl'j'oaic6 Md Shrc h*s EhIiiB to
<br />auiv. rndrki..n popdy fo. iBpd
<br />ilJr.I ursru!rkr Jrl hcr.h\ r, rh.r,. '.t)'.1dn,ira lrhR(iryMd((n'nrv(,cntrtrFn,rh.
<br />,\p0ll(rnl or Atenr S18nrlurr
<br />J oltJ*,, ,bTtLr
<br />',.,. ;b]K
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framin
<br />lnsulation/Energy
<br />D
<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 />Flood Zone Certif
<br />;-3t- /B .l)tJt*(-?D
<br />Certificate of Occupancy
<br />Notes Remarks, Etc
<br />Forms/Steel/Holdowns
<br />1
<br />I
<br />I
<br />FINAL
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