BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<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 />Flood Zone Certif.
<br />FINAL t5,,ibztwL
<br />Certificate of Occu pancy
<br />Notes, Remarks Etc
<br />_jt,
<br />OWNER BUII,Df, R DEL('AXATION
<br />I hs.ty arm und6 pcuhr or p.,Jur) lh, I m.rdF fmm lh. Conrrrlou t,Ery L.u tor lh. follo*rE reri{s( 7l)ll 5
<br />Ildi.6s .nd Prnl*M Co&) Any ( n, or Couniy rhich r.qutr6 r Fni ro .onrtud. rh6. improli .l.inolilh or '!rnn My
<br />sttuclueFiorbik isu c.,.lso rcqondlh. q,plk r tu ruch p.rnir lo lil. r ri*i.d ltaldol r hd hr or sh. b lic.trs.d
<br />',u6u.ntro rh. Fovisio( olrtE Coorrrctr'i I 'c.trEd Lis (Charl( 9. (-omnftrs sirh sEliotr 70qr ol l)iviion I ofth. ltuindr.nd
<br />Pii\lai.N (-od.l or rhr' rEo.ih. t dm,r rhd.Edn nd rh. h.r6 ror rh..lk!d ddflior An!rhldhnofsdi'n'r0!l J I't rn!
<br />sppl,cat for . Fnn suu.ds 'll ql''h..nl rorcililFMh) of mr mrc ths 6\. hon&.d.,.llst (ls(xrl
<br />L a o$ffi.f rh.FnFnr. my.nl,lot6 $ hh w.g6 a rh.n $k comFEdhi. "nl {b tlE pd nd rlE erElR it mr
<br />intod.d or.lr6.d for $L (Sa.?04,r. Buind ed ProftarioN C.d. Tfi€ ( odrdois Liw l,s d]6 nol iltly lo e o*nd or
<br />!h. tr.Fiy whJ lnil& or ihpro!6 rhftn, n*l wh6 <h6 Mh $d hns.lf .. h.elf or rhrough hir or hd.trn.mploy6.
<br />pmvid.d rhtr 3uch ihF!\E6E e mr ilnsd.d orotrq.d for sL lt ho*6q. rh. hrillEE o, trnFo\gEn n sE *'irhtn oft ]w
<br />ofcanpkhtr llE ()sffi auilda sill hr\. tlE hrrldr ofF.i't rhi lr d sIE dil mi trild m i"pro\r lh. troFy frtr llE FrF& ol
<br />l. 6 otrnq oa th. FoFr'. e .\chsn.\ codracl rg \ i h lrdsl .odrdou ro conrrud rlE F)(r (S< 7(}l.l, &BoG
<br />!d PtDto in(b& Ih.conlrrdo.i l.r(ds. k$ do6 no'.frl! ro motrnd of.,opdt$ho burllr.r inprorBrh6R\n.
<br />ind rvh. conrr!.1! for su.h Fojdt s h a Codroclo(s) l'.mrd puFur ro rh. (i,ddclois Lrak l!w)
<br />I m.ropt undE S.<rn
<br />tloa[tf,s:(a ffltara!
<br />I&CI.AAAIIO!
<br />t h6*,y rmrn und6 po,hyofFjur' on. ofrh. tolL*in8 d(lir6riotu
<br />I hatr.trd willroi.l'in ! Cdiifi.n.or( o.sr lo sdqdlE tor uorl6'(,hFl€rh( 6 Firrl<l lorhysdrion l7(x)ofrh.
<br />lrnlr Co<lc lo lhc pstolllffi. of lh. so for qtah lh. rann t isu.d.
<br />t h.\...d*illtui,rlr *0116 ..mFG.ron ituEc. B rquid h sdFn r70O ofrh.Ilb.r cdd..lor rh. Faolllrft. ol
<br />rh. sort aor *hxh
<br />'h6 Fnn n i$.d My eo.I6 .onp6!ii,n 'Bultrc .mir nd porq .omia r.:
<br />c*r6: '1 A? 2?r| c qa Z !)h cJ.'
<br />Pn,r] Numb.' z Vqssoq b q Llo F ^,"-,' ty'r/ra
<br />I.qrri rhd h rh.IEfotu. of rtE tro'l for uhrch rhs Fnd B isw.d- I !h!ll mr qnp!o)- ey Fmn 'n
<br />n) aek
<br />$ B ro bdom st d to rlE "o '(omFMir. Ls! or(-.lrLmi{ ml +E rh, i,l rlldt tofttutidloltE
<br />wo 6 anFnei n. prcvilioN of S.(n'n 1700 of lh. litr. ( d.. I 3hall. fonhq nh onply q irn thos rrevilioE
<br />WARNING lraltrr. r. su. *0116' Nmp.re{io, .ovr!X. rr unlrs,tul- ed !h.ll .!bjd d dplotn ro 6imin.l F.mt6 md
<br />.ivil fn6 up lo on. hu.&.d rhousrd doll6 (Sloo,ulol, i (ldirion b rh...* of .onp.Mtion, .bm46 a pr.lidd lnr lh.
<br />sEri.n 10?6 oarh.lrh. Coda inr6d Md drof,Ey s a€Z-.,-2-1-IrLrarJfi r'i)\r Rrvf (,R
<br />trr( t r|trt to\
<br />I h6.by afirn und.r FnshyofFjryrh.r I d lissn und.r rmrision ol(irpr( q (comn6.rr $irh sBlsn 7000) olOrlui(in 1
<br />of thcBusr*n d PFfsioN Codc. ed mylicas. is in l'ull nncc.nd cfid
<br />. clb
<br />7//b // 7
<br />?737a2lZA
<br />IaXiIBIJqITANIEIDIIC-A(;E!!}
<br />I d,, arlm uid6 Fuxy oaFjury lhd rh6. is ! coontudion lddiis.s4t L, rh.pnfotrm..Irhc mrr 6r shth
<br />'hi
<br />pcmi! ir
<br />isu.d (S€ 1097. (i C).
<br />a$u(3xl[Igixauq!
<br />I hd!b) .trm u.tt r Fllry of pdjury dft of I h. rolhr ds d.(|,rut ions:
<br />Deeld.. P@n..Alhcros N6ri6.d Fn l.dsllR.ruhrF6 ( tnlc {0. Pan6l
<br />Rcqun.{ ld16 ol}k{ifdion
<br />I cgrify lhd rh. fcdrdl rcSuhlionr rcgdding ab.stos rarovdl r. not .pplir.bl. h thi! poj..l.
<br />tcLcsli& rh, I h.1. Ed rt6 .lelicn nn .!d srar. rhd trE .hv. 'nrotu ion 6 .or.d I +rE ro compb tr
<br />'rh
<br />lll cnr. !.d ( our\
<br />rdrr6 ed nir. l,r3 Ekitf, ro hrUin* (oldrudioMrl hd.t'! dtsriz r.Fsrd ir6 of rhi Cir y !d Cou ) lo 6rs uF n rlE
<br />/4,L
<br />C1a"/<
<br />i[ !c m6ri..n6l,!,,nd1 l,{ rBp.ir!nF FrF
<br />,r1ptx-t - ar ,,:u-."* Y ,Zaz 4l
<br />l!@rlftn,mrt,rrtrr,: {-' 7ai1
<br />rk/o
<br />attftil ,"",_____.f#slz_
<br />I
<br />I I
<br />I
|