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BUILDING. INSPECTOR RECORD
<br />SITE-WORK ID/SIG.COMMENTS OWNER BUILDER Df, ITAN 'NON
<br />I lE tty 6IIm u.ds Frh) of Fjury rhd I m d@pt &Dh rh. Co.rr-ro6 Lace Ir* fitr rh. folh*in8 lE$n (S<.7011.J
<br />Auird drl Proft.ri.. ( od.) Any Cny or Codt $hkh r.qun6 r Fnn to onrrud. .na, imFoE &tulah or rq.n y
<br />rruciue pritr ro irs isuec. rlo G+r6 rlE qpliar lor $ch ldnn ro lik. rsftd lrrmr lnd l! or ir i! licou.d Fnr@r
<br />to fi. F!\i!ioG of ,E (b.rdoat tic.cr.d b* ((luFa 9, Com*ins *nh sdi.n ,uxj o, Dnnion ! of rlE Srsins rd
<br />Prcf*sns Co&) or rhr ,E c nE i' ddF rlEcfroE ud rh. t6L fot rlE .lkn d sdFbn ryrirLri.nofs.dba70115 t! my
<br />dpgli@r for ! Fnnil $bi6u rhc qpncd h . cil il p.on, of er e,.lh6 6\c huLH &'lls. (ttm)
<br />l. a oqE of rh. FlFry. d ny orph)6 $nh *Is6 a rhcn $L mmFtsrrn. r &,rl!srl addErurcirmr
<br />ddd.d or olra.d for ol (sa 7O{d, tluilE .l PDa6io6 Co<L: Tn Cofl.rroa. LkqE l,r r,c d sply b 6 o{E of
<br />th.FoFry *'ho h &m 8so\E ttdsa nd nho &6 $t q..t hiNlf or lExlf or llNu8h hB or h6 o*n.npL)6,
<br />rrolilai thd r*h inFlldrrfu E mr ddrj.d.r olToql lor sL. I( lb{-s. rlE h'lddu n i"s.inffi n $B u.hi. oc )6
<br />of.o,priio[ rnc (xr6 &rik d *ill hlE th. hrddr ol Fnrin€ rhi h. or rrE dii mt tlild or inp.o\r th. FoFry for
<br />'lE Fipos of
<br />L N o* nd olrh. Fopdry, un .r.r*iv.lr" .onrkri.8 $irh licar.d.onr n)a tu ('mrrud
<br />'h. r,r'ldr (s( 7(11.1.lnlsins
<br />and Pbftsion cod.: Th. (i'hk.cro.! Li(os.l-dw do6 nor npply ro M o\.d ofpron ny sh(i hurlds or DDov.s lh6$n.
<br />and $ho conra.ts for ruch rxqNrr pnh a (i'nrB(to(, li(m.d pu^6r l.' rh. (inrradoi. Li.n* I-dw )
<br />I m.rmpt und6 sdtn)n
<br />EltS.tirSll_coufl:lt ro!
<br />DICIAEAIIA!
<br />I h6etr smnn und. tEEh, ol pcju.! .* o I rh. follo$ 68 d.(lsmrioE
<br />I har. rn eil M.r.i!. (-difEdc.a(.otenr ro s.lf-l'Be lor so 6 on ddEn,B D.lriLd for t' S<rbn]700 oftlE
<br />t hor ('odc for rlE Fflffi oiilE ,sI aor di.h rh. Fnn it iq.d
<br />-l ha!..d $ ill m.i .in $ort6 .omlEErion icurxq B r.qut d 1') S<rhn !'r0O .f rh. l.trrr (o&. ror rtE Fl(fuc of
<br />i,E *o rm shEfi it! Fmn 6 isEd My u 16 cotr'Fdhn ilw c @i, !d F lry nuhlE r.
<br />rtl l '..i-r r C?1". jl*s.
<br />poricy Numbd 3tN U v, Co t 51 gta r\ftr6: \ .\. \"\-
<br />lceniithol inthc Frfonnec. of lh. so,k ror shrhthisp6mil is i$ucd,I sholl rulmploy any lron 'n
<br />tny mmk
<br />$ s ro bd\,m. lubJdr ro rh. *ort6' c.mFririidn laws olc6l'aomi2. od ds6 rhd rf I shn,ld lBom. rulld h th.
<br />wort6 comlE$tion pmrnmns o f s.dnrn 1700 of rhc lrbor Codi. I slsll, Ld h*nh .urtly wirh rtF* nruvisions
<br />WARNINC: l;dlurc to sur. $rldr' .onlFrMrtun cov.ms€ t unlavtul. and shall rubjdl u Enplold tu LynniMl pdEllis md
<br />civil fin6 up to onc hundrcd rhousnd d.Um ($l(x]-000). in addirion lo rh. cosr otcomr.erRn. d! hB6 N prorid.n ao. rh.
<br />sslion !076 olrnc l,h)r(L1.. inls.n &d sllo,Ey s fc.
<br />*lltR 1 I 2010
<br />I hd!5, alrm uitl6 FBlit ol F)tr) rhi I m lrcMl unL.of (1lqi6 e (.omnl*ln8 $nh Snlnn 7(Xl0) of Dnision:l
<br />of rh. BaiB dd Pmr*F6 Cod., !d dy li.e ir in full r.r. !r1.fi..1
<br />B \ .rsr r ?c.l'V.t
<br />HAR T 8 2018 (l)-tl-I-Brllt!2]_tr!!tru-Lutll,_l
<br />I hd.!y !ffm ur<Lr Fllty ot pdju.y thd rhaE n r @igruclion lddiIg rs6cy for lh. Ffollr@. of t& m fi)r *fith tnb p-mil ii
<br />i$u.d {S(.1097. ( iv. C.)
<br />AITLICANLDECIAMIIA!
<br />I had) !trm und6 Fnrl!, o l rEjo!- on. of lh. follo$in8 {k( lmlioB:
<br />D.rnolition Pmnr^JbGroi Norfi.di.n [.d6.1 R.luldio6 (Th|.40, PM6)
<br />Ratun d kiooai*r'a{d$.
<br />I cdri rhd rh. f.n6d rcruldk B qadinr .rtE os rmvdr. ml lfpli.lbk lo tha I,oJ.d
<br />I csr it rhi I ho'. r.!d rhu rmlrrhn rd nn. rhrr llE !h,r c infomllFr s (or..r I .*G k' Nmpl, r nh rll (-d! lrl (-o!nit
<br />.dilm6 ad Sl'rc t.*! EH !r ro hrkl,j .otr<ru.r krl\ d hs*) dlhop. (Fen, tr 6 of rh'r ( nt !i CounD ro 6ra uIDn rlE
<br />abo\c r6lFn d p.orEnt tu iNpdn'n IIIFM ,\,\Itli.r r or 1*r ! \irnrrtrn
<br />Dc..-.'..^ y'..,-"lr,
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathi ng
<br />Shear Wall
<br />Framing rri /tr6 c-lYr\t*tk${
<br />ln s u lation/Ene rg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handica p Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />,ht c i\f*k -r^* 6n
<br />Certificate of Occu pancy
<br />Notes Remarks, Etc
<br />DATE
<br />I
<br />I
<br />I
<br />I
<br />Flood Zone Certif.
<br />FINAL
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