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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DAIE IDISIG.COMMENTS
<br />Set Backs lU r lt'
<br />Forms/Steel/Holdowns r0,
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing I
<br />NNShear Wall \x
<br />Framing \\" \-
<br />lnsulation/Energy
<br />Drywall
<br />'Ex1;/lnt. Lath 3o t7
<br />E-rown Coal lt
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Jlttct4 12-11^"t7
<br />FINAL
<br />Certificate of Occupancy ' / '/
<br />Notes, Remarks, Etc
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<br />0\r \lk al t)uR Dt t ( rR,r t l()\
<br />I lrnr.- am unds rEotly ol pdrfiy rhd I d .impl from th. (bnr*G l,icoE hw for rh. folh$ m8 raJ. (S< 701 I S
<br />BBiner .nd Pmf6n,n Co&): Any aily or (-ounlv *hkh r.quirB . Fnit lo .otrrtu.r, .ha. inPro\e damlil' or rqan Dv
<br />hdrq FFr b ir sotr., .k r.guiG ri. @plEsl for ruch Fn 16 6L a sr8..d jdmt lhi tE or !n ; l(n&d Frod
<br />to rhc prnvisnrn! oarh. Conrreror'r t.ico*d t-aw (('haBd 9. Comn.kins wilh Sdtnrr 7000 ol Division I of th. Burn6s in{\
<br />l,!.l6ion co&).r rhd h. c nE ir .r.is'l lt6.6oD dd th. tEi lor lh. 'llcscd .r@Fio. Ant rirLrionofs..li'i 70,115 r^..t
<br />r[rlq.d for rFmr sbdRrh. appl'c! r.io\rlr@h)olnorn,.rh$n\.hun.k.ddalldslt5r'ol
<br />{lA.** , 'u **,. ., n) mplo)6 *nh *.a6 G th.t $lc onFEdi6.. *irl & irE trsr nd rh. rlrur!. ! Fr
<br />iddd.d or oltn.d aor $k (Sc.70r4, B$ir6 od PFf*ioB Codc Thc conrtdo Li.m!. kw do6 not ilDly lo o.wnd o I
<br />rh. F)rsrt. rtr hrir& or i,qmr6 $.a( ,i sho .16 Mh *flI himklf or hs*lro! lhmlst hn d hd otrn alrplo) G.
<br />Fovd6j thlr 3u.h inl'orod! e d ddn d or ofio.d for .]. ll ln$66, ilE tuldma or !4.orffi it $ld $ihn.c )Q
<br />oacompdion, tu os 6 Builds siu hoE lrE htr(h or Forinr lhlr h. or :& drt d hdl{ ot inrto!. lh. I,opdy lor rlE
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<br />l. ^\otrw.lrhc FolErr. in,.r.lNtr.lr.ontacrin! qirh li.d*n $ihchn ro c.n{ru.r rhc Foidr!,i rhtusrn (nd. lh.Contrdo.t l,'caE l.!r &,6 fr,l.poly
<br />.nd sho conrGri to, such FJ.{r *nh. ( ofrkrons) li(.N.d po6w'
<br />l . crcn, undd sNrklr "ui.4-?l1t
<br />DEIIASAIIO!
<br />I hd-a.L rmrm unrla FMty of tE uD- oE of lh. folhr in8 d6lr.rhN
<br />I hiu. ad urll tunxain , ( d,nral. of( .nsI ro s.lfiBur. for sorlas comrbslio.. a trolid.d for b, sdri('n I7(x) ol lhc
<br />lit . CGle fo.llE pqfoffi. otlh. \st rd *nd lh. Fnn de.d
<br />I h!v. !.d *illmlinriio u orld- .ompa!.r bn iBur.m., ! r.qun.d bySNlion 1700 ofrhc llh)r (-od., for llE Ftomlnc. of
<br />rh. *ort aor *hrh lhir Ff,i u isrn M, trdl6 mmFdbn iBoffic ceir rn rili.y nnmbd r:
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<br />14 [,t^n',n^ ^,* *^*nc. nrrhc tro,! rff q h(h rh'] rFmd '1
<br />tr\unr I ih'rr n.r mpr'
<br />s.t('b(ohc!Jhl(!r,!h.IrtdromD.nqr'onl.riofI'ahf.m'i,dnd0*rRrhd'rIsk'uld
<br />r .nv pcrFn n inv mmF
<br />trnn6 ohFB.rion For6i)8.rs<rhn 1700 ofrh. t b.(od.I ltdl. ro(hunfiotriplt
<br />\4ARNINC l_nilurc h su. $ork6'co6l).rs.lnn.or(.x. s NliNtul. tun 3h.ll s!
<br />rn'il lii6 up lo oE nundrcd thousd &lls (t100.000), u addi'('i ro rhc
<br />\di,n \t,16.f rh.l,ffl cft+ imd ud
<br />,.,.,.q-J'l"n
<br />DIQdAAIIAN
<br />I H') tmm un& Fun) of pqju., rhd I d ltdad urj.r Fyait. of(tuF. 9 {comtrffi irs r nh S..rbn 70fir ) of Dn Bk n l
<br />ol rhc ariB r.d PsfdioN Cod.. !d my !rc@ i! h tull forcc dn.lfd
<br />calsIalJCll9BrElDIllG-6G[!(r
<br />I hfthy sfmn undd Fnaliy of Fjrr_ lhal ih6. ie . codrucl ion Lndlns !s6cy fot ih. Fnrm.nc. ot lh. sotl for * hi.h lhr. lamt k
<br />issu.d lS( !0e7. Civ C )
<br />APPLI('AN I' DE('I ARA'I ION
<br />I hoirr lrrn tr nd6 Fnlhy o f F,lry on. of rh. follos rn8 d..hh( io.r
<br />lEmolir'on P6riG 3tEsr.. ND!'6.rthn F.ddll R+uld i.n! lTitl. .r(r. Pan6)
<br />RslL'r. l cikroiN.L,l.itun
<br />I .dib rhd rlE Ld6al rcruhl nd r.atd'ia slElot r@ovrl *. nn qrlicab| t'
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<br />f4( rhr I ha.,c6l rh( "mr*,rx,n dri {'r.rhd !h. ah\. 'nrnnndrh tr Land I !prt,.ann\ *rh rrrr ir\ inJ I run'!
<br />.il'ndnr6.nJ\'.1rtrrcl,'ry'.tr,ldrst.dtud}i.irihd.brdrs./.,cFM,dtrBcllhEt'n)Md(rnr)r"orduFn,h.
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<br />IFlood Zone Certif.
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