l
<br />G. INSPECTOR RECORD
<br />SITE-WORK DATE ID/S IG -'-e(ffitrtrsSet Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />.Sr+gfloor(i r\ pt,w >r\]e 'tl'ql6 u4Kti)
<br />Subfloorn /enVlnsulation ?[rcls l.<afu1)
<br />Roof Sheathinq
<br />Shear Wall I
<br />Framing .,\2, ,te 4y,31
<br />lnsulation/Energy {zs\s t'r-37
<br />Drylva ll
<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 />FINAL rD[A\rd.fh^M>{6y'
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />-)
<br />OlI Nl]T BUILDEN Df,ITCARATION
<br />I h6dJ,v rrm ur:rr Frht of lEUr, rh, I m.rmF 6.m rlE coddm l-@ l.s for llE follo$rs r6,n (kr 7(rll5
<br />t}{sms sn ftofdb! Cod.) Ant Chy or Coud, $hrh r.qun6 a FnIn h co'dtucl. !hs. inForq &ftrsr/ or :lFE e,
<br />irudu.. Iiior b ns isitd.. rl$ Eqrn6lhc dPplnet nr JU(h Fhn b ,i1.. lisEd nlldfll lhn lE or rh. i! liL{r.n pued
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<br />th. Fo! i3ioB of rlE Gnrmror ! Licd!.d t u (('1ud6 e. (tmmocina silh S.cti,n ?0q) of Divirion I ot r h. ll['nBr rnd
<br />PnrfdbN Codc) or lhlr hl or rh. i!.rcmfl rh@6o6 ed rh. bBir []r rhc allcscd crnubn Anyviolarionoasdlbn 701I5 hyanl
<br />applicdntforspmilsubjarsth..r'plicelto.civilp.n.llrDlnotfttr.thm6\€hundr.dd.ll$(t500).
<br />l.6ornofth.FDFiy,$m,mplorcRirhur{6Brh.i hL NmFMhn. *ill&r th. *Gt dd rE rMr. i n
<br />dsrLd or oEEd for rk (56 ,04.1, BsiB Dd ProtsbB ( ol: Tn Codrrroir l-raE bu d6 mr .!?ly 16 6 otrF or
<br />llE FrFry rrD hirr tr iqroE t r.t^ !d * ho dE $n uvl hiMll or lErell or rh,nush hi! d hd os, mph!6.
<br />Fovd.d rh.r uh ilqml€d. c d i'rdt d dofidd 6r sl lt hw. rtE t{Jdls d rs$GEr i ikt *iihn @ rsoronIki.tr rlE (}.G !{il& *ill hlE tlE hrddr oaFura rlr lE or llE dn d hild or imFor! th. FoFi, tu rlt F,F& or
<br />l. ar o{ns oflh€ Fop61y, an .rclusiv€ly .ontlchns \urh lic.r*d.onlaloE b ointud rh. tnid (sd 704,1. IrN G
<br />drl l\r,is.n Cod.: rh. ( ,)nkd.t{'r l.i..ns. La* dod nor rtply ro d ou nd o f p oF.ny sho builds or impro\.s rh.d,,
<br />lnd sho co.lr..ls for such F,j.d! q'nh a Conlrrlo(, I'Ensqj pusu.l lo rh.(-odrlcrori I icG L4)
<br />;W;o""- ),(
<br />r!!|! ! 11!!l!
<br />I h6.by .mm udq nodty of pqJury oE olGc rolbwin! d€ldrioro
<br />I havc ud *ill Dinr.h . Csr iff,dl. of Congl ro Sclf- lEu.. for Krtd cooF!.ll!i, d Fnridqj for bt serbn 1700 of lh.
<br />t bor codq for lh. FfollMe oflh. *orl for $trich lh. pairir ir isu.l
<br />I hr. !d $ 'll midri, *ortd omF6.lrr iBuu., B r.quiEd b, S<rio.:!70o of ilE l,hor Co&. lor tlE Ffrm. ol
<br />dr *orl ttr s'h-h rhi Fn{ ii eEl Mr *o.rd @dF8rnn ur.llli6 ('rc tn Fkt .unbr ft:
<br />C,,E
<br />Policy Nunb.. Erpt6:
<br />I ccniry thor in th. psfolM. oflh.po.t fot which rhi! p6'nir is isucd. l.h,ll oor dplo, ay FMn in d, mmnd
<br />$ B t. hfoft iubjd lo th. worl4 smFsiin hwr of ( .litomit md .BR Id if I r,ruld h<om iubj<t lo 0r
<br />*ut6 onFsio. Foviri,B of Sdion l7m of rlF l,t r ( oda I !h.lL fonh$nh of,dy wnh lhi Fovtio6
<br />WARNINC F.irE lo @. {rd6 onpdrion oras. i uLf,tuL dd 3hrll $bFl , dnpbtq b aimid FEri6 ard
<br />chn fin6 !p ro oR hu*n.!j rholsrd &lls (il(r),(rtr), {r 'o.. dans*6 a F \ kldl fdr rh.
<br />(irL. ml6d ad dlorE) s rc
<br />I h6.$t drmn undd Fmlry ol Fjury rh.t I m licnidl undd F.rtion oaclmpls I (commdc itrs wilh S<lh. 7000 ) s I l)irnhn 1
<br />of rh. tlE nB and PhfBi{,u Co&, od my li.@ 6
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<br />rull foc dr.lIdr
<br />colsrBl[.tloNr]:lDllcActlrr
<br />I hchy lmm unds IErliy or tEJtrry rhar rh6.na c.nirrudirn knd'nr 3{6.t f rh. rEf.llMc. of thc {o flrst'.hrl"rr6n[l i
<br />B!u.J (SN l$r?, Cn C )
<br />attll( !rLg,a8.era!
<br />I lEdry.Um ondd ,a0n, .f fdj!ry on. olrh€ folloshs rlc(ldtrrn,ns:
<br />Dcmolirion Pdni's-Arh6l.sN.rili.arn,nf.ddal R.luldio.s(lirl.l0. P 16l
<br />Rdtdr.i ldd of Nonli.dkrr
<br />I .d! 'l) rhn ih. a6.kfil (ruhrift Eredinr G56t.r idn sl e. nor +plklblc ro r h6 Fojd
<br />1 |,..,'r,n,, *..,*,n".."u.,
<br />ir(fin. tr c rntl s,rr L3$ ! Rlri
<br />'nll
<br />r,, hu
<br />Jt\\( trmttr,n6l rr.ndr f.{ 'ninqri,n
<br /> ppll(.nr orA86rsl*nrrui. !4
<br />P.rnxm rr me (pnno: Ua\
<br />rn &n n,r. $r rh. !M\! 'ntotuion B cmd I +re h complr snh ![ ( ny..tl ( ount]
<br />y a'l Cou v t0 016 uBrn llE'rdit .odtudi.( ,r! h6.by .urh.riz. r.Fs'rl
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