I
<br />BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWN}:R BUII-DER DELCAI' TrcN
<br />I lE tlr rfrm u.& Frty ol Fjuft lht I a .rdpl frcm llE Codr*ro6' l.r.e bs fot ih. folhsin8 rdn (S{ 7(r1l 5
<br />Bum6! .tn Pro l6rn ( od.) Any C y or Counry tr hxh r.qut6 ! p6ni! ro ..drud, rna. mFov( &mlish or r.rEr !
<br />srDcluc l,rr to irs isud... 3to rcquiG lh. afi,ltar nn iu.h tEnii to fiL . r{n d rt.rdd rhd h. or !h. u licqed puNanl
<br />kr lhc ,.ovirioB oa$. Conrr(tr s Licc.s€d L.w {(-h!prr e, ( ommcncinr wirh Sdlion 7l}J0 of Div'lion 1 .f
<br />'h.
<br />Bosins dnd
<br />Pnr.$ions ( od.) or rhar ltor !h. n crrnpr fi-drofr &d rh. b.s6lor rh. rllq.J.idrption Any viohlnrnorsctbn 70115 hy 'nyrpph(rnr for tr t'€nil subjelr ! hc lpDlicul lo . crvrl p.ohy of nol mr. rhd liv. hundrnt doll.s {1500)
<br />l.6 o*ffi ofr,E FFr, or oy mpb}t6 $nn $.s6 srlEn sk 6nF!n.n. *rll do rE *flt tn tlt tue i! mr
<br />'ddrLd or ofi6.d for ih (Sa 7(lr4, BuiB 6<l Erf*bB Cod.: Tlr Codrald . l-ie ta do6 ml eplr to d o$E oa
<br />rhc FFty u ho bil& or n tFov6 rlEotr rn tr b dE sh wt hirelf or h-rlf .r rlvou8h h! or h6 o*n opL)6.
<br />FovrL! thlt !!.h inFoyaE!'rs E mr inrsi.d o.ofisd tu s]. lli hor'6E rh. rriu4 o, idqFovnd k $lll *nhn m ]6
<br />or comrLra,\ llE o\md Builda will h.\r tlE bunldr oa,Rrlint rh! tE or nE dil ml hild or iniprorc rh. prnFry tur th. ptrpos ol
<br />L 6 o$G oarh. Fopary, m .rclciv.ly conr&1[s rilh licds.d cotrn 106 k, cotrrrud ttE F.jd (s{ 7044, 8[utrB
<br />,il Aoriin Co&: Th. contr{ror'. Lkce trs &E &n 'p9lr ro o o{.q of,roFny u ho t{ilL or ntrpor- rhddtr
<br />sd {h. otuds for sch ElFr snh ! Colnra-lo(r) l.sE d pored t. rh. ( odn rd'3 Lt.c li*l
<br />I an.rmfl uftLr sdtoa
<br />D.r. O'n.r
<br />wolrl$ ts' ( orvPIiNsA'rl(rNll:giaaua!
<br />I h6ct ! rmm urd6 pquh) ofpqury ocofthc tolbu in$ d.(lmrFN
<br />I h.\. rn *ilt roi.r.ii ! Cqr'fr.r. otcoMr ro s.rr-lNur. tor trlrrd .onFu6r 6 Fr irdj for b S<tion l70O of rrE
<br />Iitor ( ode rd lh. p6folM. oriE *!tt tor *irn ll! Fn,l . isu.d
<br />I l,x\( rt{l s'll 'n0nrrin \orld 'etut.d N S(ri({ r7(rr)olrhclat\t(.(b, nn rh.IErf(rnnxf!..1
<br />rh.sorlli,'shi(hrh'rBrn,i's's\trdtvt$dlLrr.on,ttn\rr(rtr,surJtr...rrr1od [nicynutrtuI uc
<br />(rtra MtdWeJ+ A^sh XrlS
<br />,\.(\\,,n8 B V\,lqJCO t?q4O ,.,_ Ll .t I
<br />, cdrfy rhd in rh. Ffortlu. olrlE *ort for uhf,h rhB Ffrh ir isu.{, I thrll tur dploy ey F$n 'n
<br />mr mmF
<br />$6tot{t{Erubj..rrorh.Nrld'cooFtrtunb$otclhaom4e.srerhdifI$ouldL.<oftJulra'loth.
<br />10116' comFetion provi3'u6 ol sdrnn :1700 ol rtu trt r Co<,.. I Jr.ll, lon h*nh .onply with tho* pmlsioN
<br />WARNINC Fsilurclo sur. wort6' comFMtn n .ov.ras. ir unlawtul. dd !h!ll bjEl d dtlorlr u $nnintl D.Etls und
<br />cnil fin6 up to on. hu lEd lhoEnd dolks (tl00,OO0), m .ddilion to lh..on otcodF@rion, &"Esd a prcvid.d aor thc
<br />'15-?.0"tu1
<br />I hdb, imm un<lr Fflt, ot Fjury rhd I m li.cM! un.ld Fnfni.n olclqxa q (.omltwins *nn S.( M 7000) ol Dn irii t
<br />of rh.llurind ed Prctd$B (bd., dd ny lic.e i in full r(c. a{.lT(r
<br />Lfrm ffi .'lll,tooq.qa?
<br />Vqwe
<br />CAllIAltlIIall.IlDTlG.ASlll;l
<br />I hs.hy ollnn und6 Fnrlry of r.rjury thrl lhrc ! a coNrtu.ri('n knding +acy nr rh€ tlqfommc. ol lh. *ql ftx s hich rha Fflrd .
<br />issu.Ll(s( :1097. Civ C.)
<br />Atft(sxlDEgdtalIQ!
<br />I ns.llydlIm undd pcnahy o(lqtury on ollh. folkrq i.x dGLmlio*:
<br />Dannnnrn P6mirs-Asb6ro! Notincdion l.d6al R.rul.r ioN ( rnt 40. Pfi6)
<br />Rcqutral t rls of Noriff,rion
<br />I csli0 lhd llic r.ds.l ..suhl!o6 r.s{rlnr ,6hdlo om\ !l m mr ,rd(.hr. ro this Foii
<br />V!lf.-'l ,r', r u.,-a,r'B aFplE.!'on nl sd. rh, ,rk !h\. nrotum. s cotr..l I .aG ro snpty r'(h su (1ry anrr t ou.ry
<br />ordi,[ft6 od s(x. t *. Eldrt to boildi.e .odtudiotr drj hd.tt .ulhorn. E r6q .1116 otltt Cny rrii Counry ro drq qsn rh.
<br />rlu. nrtrr(nki nrut(n) l,n tr'\iarrr lrurlrrd<-.--\Ilri(rnr nr \3ml \ignrl'tr( --
<br />'c,mi,(n.n,.rpnn,r: @,nuO\ A r',a3 MAF
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing >/ ll ^2lc*'-, W ;\lraat*
<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 />52A /k r.W.'.efh *
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />I
<br />I
<br />I
<br />I
<br />Flood Zone Certif .
<br />I
<br />FINAL
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