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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS
<br />WOXI<TRS COMPENS IION DTCLARAAION
<br />r h.r.by .{im undc. pa.ity ofpqjlr, 6. ol ih. follorinB dccldriorl
<br />_I l.v. od rill n.inrri. . C.di6..c of C6r6t !o S.lfJ ue ad*dt6 cfipa..rid, s prcvid.dldb,S.ciio.r?oo.trh.
<br />Lrbq C.d., for rh. Dcrfdfud of $. *dt fo. *hict th! p.mn n isu.d.
<br />_lnr..nd*illtui nn*dt@'cdDp..ri6itutue,arcquircdt,Sccion1700of$GLlborCod..aorrh.o.rfmanc.ofrh.
<br />erk fc whici $i! p6t h hr!.d. My **t6' c@p.Mti6 iMc. c6id ed Doli.y nunb.r .r.:
<br />Policy Nuhbd _ErpiE
<br />#ffiffi##;f( On. hun&.d doll6 {ll0o} dl.$)
<br />*hich lhl! pmn it i!ru.d, I rhrll not
<br />of CllifodiA, md !sE. $rt ilI
<br />.omp. rtio, prcvilio.r ot Sccid 3700 of rh. L.bo Co&, I sh.ll, fonh*ith
<br />WAXNING: F.illE to !.crE wo&.6' cdportion covdS. k it
<br />iird rp ro @c hlnd.d dtuhd dolla (t 100,000),ii rddilion lo s prolid.d ftr lb. S..ri6n 10?6
<br />rh. l$d Cod., inr6l ud .timry! t .r.
<br />LTCf, NSTD'ONTN,ACTORS T'ECT A{AfION
<br />I hdby.mm uidr po!]ty of Fjury ihll I h licdt.d undd Fovition olChlprd9 (comm.ncinS
<br />th. Buri.. hd P.ofolior Codc, -d ny licaE i! i. aull amc lnd .ff..t.
<br />D"ti z-21t -O Cr-
<br />I hd.b,.mm $dd padry of paiury rtr ua " . *i-aio tcoaira
<br />i.tu.d (sd. 1097. Civ. C.)
<br />ollh.*ok fd which rht p.mil i.
<br />APPLICANT'S DTCLARATION
<br />Dmditim ?@iir-A!bsi6 Norif.rd6 F.d.nllGBUl,li@ GnI.,.0. Pd 6)
<br />_ R.quicd Ldtd ofNodfc.tion
<br />-l^o,n,thc ardml G8lhiioi rcSrdins
<br />t h!v. ud rhi rppli..tid ro cooply wirh lllCir, &d Couity
<br />ordinecc ed St.t. L.wr rcl.ina ro of thit Cir, ed Counr, ro ..r.i upon rh.
<br />!bor. hadon.d prop.rty fd
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfl oorA,renUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />D lt
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Requirements
<br />puty Final Report
<br />En gineer Final Report I [-vEr6 aA
<br />Flood Zone Certificate
<br />I'gE , I r4r0
<br />-----------5FINAL \MC 6{3, 290 cc6, 687
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />OM.rBuild.r D.clnio.
<br />I t.r$y .mm undr p6.lty of pnju.y tll I 6 anF fm tt. CdF&r6' Lh6!. L.w ftr rh. followiiS aam Ga.?01 I 5 Blriic$
<br />6d rmadid C.<L)r Ary Ci9 6 Co6y *hich cquiB r pmit ro c@nn q .ltf, ihprcv., d.moliih or rp.ir ey ructur.. p.ior ro il!
<br />isucq .lto cqlld tl* .p9litur fd tu.t Fmir lo lilc r dgrcd ( Gndr rhfl hG 6 .hc i. lic6.cd puBu&r ro rh. ,rovkionr ol rh.
<br />Cdrl.lr,' Llcaa.d l3 (OrPlr 9. Com6dna *nh S6d6 70oo of Divirio. I or$. Burin.' 5d P6fsri6! Co.tc) o, rh.t h. d
<br />. n ddnpt rhGf'm 6d ri. hri. f6 $c .ll.S.d qdpdd .Any violdie of S.crid 701i .J b, sy lpplicd for . p.mn rubjc.lt $.
<br />ipplic!,t to r civil podt or nd mE $u livc huidrcd doll.n (3500).
<br />_1, s ohd ol fi. prcp.ny, d !r', .tployd ,nh p.!d s d.ir rol. chpa$ri@. eill do $. work md $. .uclur t nor i.r.nd.d
<br />dolfdda6,.lc(S...?Oaa,BBi.d-dPrcfsimCo<h:In.Co,!cld!Ltor.L.wdodnor.ppl,roeoendofrhcprop.ry
<br />who build! r improv{ th.lM, ed who rb6 $h wo* hinclf 6 hddf r drclgh hn or h.r own .nployrr, pbvidcd rb.t iuch
<br />inprcvnntt E nor inr6d.d or oft r.d fc,r r.1.. If, ho*.w. 6. buitdin8 or ihprovcinit i! rold wirhin one y.ar of.ompldion. rn.
<br />Ow.n-Buildneill h.E lh. burd.f, oapdii, $[t.6r rh. not build dinphvc ftr $. puA6. ofIl.)
<br />_I, a wnr of d. FoFrt. h dcluiv.ly caturi.a enh Icdcd @iE..@ ro .MnNd $. Foj.cr ( s.c. 704,r, DulinB! &d
<br />Prcf.sin cod.r TI. Cdr*lor,! Ucas. L!* (bs nor .p?ly ro o om.r of pro!6ry who buildr 6 inp.ov6 rhdcd , ed *ho
<br />co.r.!ca fn tuch rrcj.cE qnh . Coir&ro(, li.tu.d pof,uut ro dr Cdr&.ors Lkdn Lrw l
<br />_l 6.rnpt und.r S.aio! -8. & P C. fo. rfik rc.$.
<br />Dir.: Ohd
<br />rD/stG.
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