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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS (,WN ER BU I I,DER DIJL('A R 'I'ION
<br />I h6.tr rmrn un<t.r Fuhr of Fjo, rh, I o Rdri frcm rlE Codncto^ Ltae I^ for rh. folh*f,* rasn ISa 70! l i
<br />tt$m6 ..d Profdion Co&) Any ( , or Counly trhEh rcqun6 ^ rtrni r. mBtud..hs. m!.o\.. <l.noltn or rcFtr my
<br />,rucru.. rnr ro ili kdc., lko r.qun6 rh. rpf,li.d tu 3uh Fntrit lo fiL ! sisn.d 3ldoar rhtt lE or rh. i! li.os.d puuudl
<br />ro th. Fo\irhB or0E Conl,rlm s l.a.s.d li* tCh.F6 0, Commtri.s r'nh Serhn 7000 of Diri.Fn ll 6r rh. lrGirdl tnd
<br />PDld$nr ( od.) or ihll ri nr rh. i! .rdpl rhd.fr.m rnd rh. bGu r{. lh. dk*.d crdt,rn An, \sh'innolsc(iin 70ll 5 b! tny
<br />rpplicanif.rrFrf,illubjdlslh.ap?liL.ntloacivilp.n.ltyofnolt.rcrhdn!.hun&.ddollsslt500).
<br />I. s o*ffi of rlE lrcp.nt. or my .mphy6 * nh $i!6 d lh.n $L.omFnd bn, u l &1 rlE I nl td rll 3do. n mr
<br />mro&d orofi6.d ror s.lc (sE 7M4, Burindr ud Profdlitrs Cod. lncConrradoirl.r.eli(d(,6.orl,tlrloa.osn.ror
<br />rh.Fop61r_ \ hn hrik! or ir{E 16llsFr &d u tE &6 sfi *$* h'relf ot helf .i 'lmlrh
<br />f r o, hq o$ 6110)6.
<br />FolxLd rhr! su.h mlmr€dr e mr narLl m ofia.d for sL tf. lFs6f,. rh. txiBiltt or iryro\tr1d 6 sld qnh'n oE E
<br />.i coml,ldir. rh. o*M Buih.. Nill h.v. rlE hrLko or Fot ins r,6 hc or dc dxl mr txrld or mpro\. fi. FoFt for rtE IUID- or
<br />l. 6 o{M.lrh. trrl6y. m Rclunr.l} .odr*hs q rh licdsd .odr&loB b.o.*ud rh. F)rd (Sd 10.11. IIs,6
<br />ud FoEsuCod. lhcCof,t.croa3l.(.ns.l-.* do6 not.rplyb uoNnd ofDropcnywho hui1d3or infiov6 rhos..
<br />,nd rhn.otu1stusu.h,,q.drtrnh!ConrEdonol(ds.dn{Fuannrh.codr&1orsl-rffil,r)
<br />I dnc\.nr utul6 Serk,n
<br />D.r. Oi.d
<br />\'l oRxr {s' c(iNl rrNsATloN
<br />DI(].A36IA!
<br />I ns.by imrm und., t<n lrt. of F)ur) oN rf rh< fdlor dg d<ladxrB
<br />Itavca sill mainr.in ! ( cnifrsr. o I C. dr ro s.lf lNur. f.. "ltrld compcns nh, 6 F.r idd nr b, sd on 1700 of rh.
<br />I$or Cnla for E rEfo,rlle! of lhc qort for which th. poni a iq.d
<br />I tav..dNill mlinllinsorl6 .onFsrion isu.c., s Elun.J bySarionlT(moflhc lrhor Cod., f rlEPdn,mffi.ot
<br />tlE wrk tu *hth rhi! Fmir i. is*d M, *0116 mmFqion iNurucr cui6 !d rnliy numttr e.
<br />,^* 1ql,6to,^ q T/rS- ranz4=> t /
<br />",^,n,-* | 6-9 7/ 7 6 7. ,',,Jbsr/o, / d7 .
<br />I cdifyrh.r inrh.Ffoimnc.of rh. sorl fr eh'chlhn p6nrr r Fsu.d,I shtll nor dn!,loyiny p.rson rn any f,anid
<br />e Bto h.oft slbjer ro th. urd(d .onl.ndbn la$s ofc.lifo6€, lnd a{E rhd irI druld rxom. lubja1ro rtE
<br />trn*d.onFennF.!6xr6oasdionl7({rofrh.l,trrC.d..IlEll.rqrh\nh.onpl!\ihrlFrFDrBpE
<br />$ARNlNc failurc lo su. trsrl6' comtdidKn s.dt*. i! unl.sfol. .el shlll 3uhd @th)t r. mrMl rmts.nd
<br />rivil 6n.! u! ro onc hu.dr.il rhous.d dollm (rlou,Oml. In a}dirnr to lh. (ost ol.nmp.Mii.n, d,Mrcs 6 provid.d liv lhc
<br />I h6.!y.ftirm unds p.na[y ofp.rjury rh l d rr.dtd und( prtvBbr of (-hirr6 9lcommdin8 tr dh sd i,n Tlxro) or Dn isntr :\
<br />ol rh.ltchd ud Ptoidioc Cod., d ny li.G n
<br />'n
<br />tull fore dri.lt(r
<br />r,cctrs€(',iss ( 3 7,.,. 22/26//2
<br />/a)
<br />I h6.t'y .tfh ui&r Friy o f pdju.y $i rnd. i! . @do.ii!. ladlB .a*y for lh. laaolrrac olilE sort br utth lha poii a
<br />i.$.d (Sd 1097. Civ C.).
<br />l ..d6 r Nu.
<br /> PPLICAlIT DECI-,/ITAIION
<br />I @ r,fm unds F.axy olFjury o.. oarh. followin| d(ldrton!
<br />l).nohion Pmnl^tt'.nor Norifi. ir Fcd.6l R.suLr$n! (Ti'lr,ltr, Pd6)
<br />Rotuncd Llrl6 of Nolifr cnon
<br />I .drfr_ rhd r h. fdr.dl r.r!h! io6 Esedins 6bdo! r.m\ al d( ml qrl'.,bk ro rhs FoFl
<br />lcqlify rh.l I hav. r@d rhi! rptlicarion drd rl'!.rhd rhc.b( infomdi.. t c.rcl I qfc lo $rply r ilft .ll ('irr' tnd ( ounlv
<br />odiffis nd Sr.l. Iiu Elrq ro hlldln3 codrucrar rd hd.br ! rhro. r(!..srd^ 6 oflhir ('ny t d ( ou.r! !o otd uF. rlE
<br />ahr. mfirhndl pmFnJ tor
<br />o71z 6
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq ll!i
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />I I
<br />FINAL lr I \?tli )4
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />Aa--->_
<br />UFER Ground I
<br />tpls |tt!lkl
<br />Shear Wall
<br />I
<br />I I
<br />I
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