BUILDING- INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS o\l NEI' BTIILDER DELC RATION
<br />I hscb-v rrrm undq p. ll! orFjuD lhal I .\mF liln lh. ConlraloB- l,E.M li$ lor rh. follonrs ds is(7011I
<br />adm6. 8n<l Pir'rdiir ( oLl Anv cir! or ( oud) rnkh E9rt6 . Fmi !o odtud. ln6. imtro\.. &nollrh or nr{t M,
<br />sruc1ue Fior to irs isw., !k r.q{t6 rh. {'tikd for trh Fmn b 6k a lBndi dmr lhd lE oi il'c E hctrql pucuar
<br />ro th. liovieionr of rlr Contrd.a! l.i.d!.d llr (Chqi< 9. ConmdinB uirh sftfun 7(xx) of Dikhn I ol rh. ltNin* .nd
<br />ProLsn'nJ Cnd.)or rh,l lEor dE i! doqi !h6.foB ild rh.l,cir f rh..U.x.d 6mrri.n An)viohlonofs.(lirtr70115 brinr
<br />al,plicanr tn a psnir sutid! rh. .r'?lr.nl l. . cn il FEI y o f mt mr. lnd 6r. hu.d'.d doller (t50ol
<br />,. a osnd of th. Folsly, or m! anplotG { hh {+6 B rlEir rL onFdhn, *rlldo tlt qst !d lh.3dr. i! to{
<br />iniad.d or ollerd for gL (SE ?04.i, tluil16 ud Pr.lB{d ( o&: TlE &drd.ar Ltru us &6 ml apdy ro d o*c ol
<br />rh.!.!rdy who hlild or iryrorG rlEEn. sn wb &E *h uort hiell o. tErlf or rlmueh hi o. hd otr ctT'LrG.
<br />pmld.d thd iu.h 'n!(,dnqt3 4 br i arLd or.fl6.d hr sL ll ho\6s, ilE tlil|ilB or tr4.lffi t ild $iliin rc ]6
<br />otmiptrh.. rlE GrE B!il& wil n E $. h!.dar oaFoyng lh, lE or Cr dii ml hild tr iIs..l. U. FoF! ro rlE pt F& or
<br />l. Bo$E ofrlE Fntfy, m d.tur!!.ty .onr*1in* vtrh li..ne.d cofu.doR k, coNMt tlE D(,i.d (Sa 7Or4. EEilB
<br />lnd AlBe Co<l. TlE (o.rr1or3 l.'cos. lls do6 m! !p?ly ro d omq o I Fordry sho blildr or inprord rndd..
<br />md !h. Nd6r. L. s.h F.j.6i *nh. (bntr*!o(.) ltd!.d pua@r 16 rh.Conrf.tois Liru bq)
<br />I rnrrc rnr uftid \drtr,n
<br />,"ro/zg /rz ,"\\\-.^."-^S
<br />lll8f,r8C.(qutElsArq!
<br />UECIIAAIIA!
<br />amm undd poah, or pqJUry on. df rh. lolh*r! d<hrrrira
<br />I h,r. &rl rill mlnni,o i Cd'r(il.ot( on6' r. S.lf l6ue for sorlss'NnFsio( a p.ori:!.d r.r t, Sction !r0o olrh.
<br />l.nor Cod.. ror lh. Fflmmc of lh. $.,t lor *t'ch lhc pchit t isu.d
<br />I h.r.ind$rllf,linlrn *orto'.ofttxMrbn 'EUr.r.. B r.q r.n brSdn.
<br />rh. r.rl lor {hkhrh6m 6e.d M\ {.rt6'$ffiFn iMrn..(m6
<br />,-- <-\-.-.\a l**l}.=
<br />u00 | I lhc l ihor (tdc. ror rh. Ftonle. .r
<br />'or,.,"u,r,. 4 ZO 73'!l-Zb17 \/zs/zorb
<br />I .cn'ry rhal r rnc Ffo,nuc. of rhc worl ttr uhah rhE Fmn ir su.<L I rhlll oor dpkry !.) F$n i..nt mmn6
<br />s ro t^om. hi(r io rh. "0lt6 .omp.Mhn l,*r ol( rlifomn. ,xl +E rhr ill nhuE tEnE sbj<( lo llr
<br />*.6 c.mp.c{io. Fov..B oaS.(D. ! 7tr0 oarhc hhtr (td. I lrtrll. tnhs nh sh{,ly rnh rlFr FtrvtioB.
<br />"tALNlNG:
<br />F rlur.
<br />'o
<br />surc $orl4 comDd!.Ircn cov.E8. ir onhutul. .nd !h!ll sqd u oplDq lo mi.al Fshi!.nd
<br />cnil n.6 ut) ro orc hundi.d rhoKnd noll6 11100.0(x),. in addirion to I cort of conFNri.n. drrDs6 d lrord.d n{ rh.
<br />sdlon 1076.rrh.lrtfl c.J. mr6d ud dr.
<br />,\o \-.4.c,\
<br />DECIJAAIIA!Ih@byrrmunddF hr.lFju4'rh.ImlkdEd!,i.rFlLirrf(tF69(ommtrrn!$ilhS.(nn7(xll)ofDtrit.l
<br />oa rh. BdtrB ind PFtBi,6 Co&, id iy lidE it in tuU r.r. rn cfid
<br />,***a"* [,
<br />P" u/'y''z I zz{
<br />qONiIB!]IIANIIIDIIGAGE!(A
<br />I hq!5y.0im un& Fo!h' oIFJU.) rhn rhs. B ! ordMhr Lndins is*r- for rh.IEf.mm. of th. "ork for ehicn lhr Frnn i
<br />inu.d(S(.1097, Cn. (')
<br />ASIUCANTDE(|A8AUS!
<br />I hdd, anm un&r F!.tt of FJu r.. ok .l rh. follow'n! dclrlii)n3
<br />txmlirtun Pdnn3 Arb.n.r Noifi.lrion F-.dd!l R.*uldiion! (Tirl.40, Pd6)
<br />R.quircd I-aE oltk ifi.ii'n
<br />I cEliay lhd lh. f.d-.] r.gllabE E3rdi.8 ct6rG lEmvrl e. ml qplsbl. lo lhn prDj.tt.
<br />I cdiry fid I hrE r6d rhi. .poltdio. rn dd. rhi th. .to!. infotun. b otrEr I .tE lo ompl, *nh ! Cily &d Counly
<br />ohnnrn(6 dtul Sr.r. Ij{ s Ehi in* tu hl drl lE.6r .o!t n,. r.F.ddn 6 otrnii ( nr rnd ( ounr) ro olduronlhc
<br />rhr. mdrii{.d pnrr.nt fitr r\r
<br />Apuonr or,l*ar srrnrfu qN
<br />Iu.-n*-..rn., l.\-" to/zqf,7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathi ng
<br />Shear Wall
<br />Framing
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />De puty Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />t
<br />FINAL </ztlf .lffi)
<br />Cert ificate of Occup aicy l
<br />Notes Remarks, Etc
<br />DATE
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<br />lnsulation/Energy I
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<br />\4asonry I
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