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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE COMMENTS (}\INER BUII,DIR DELCARATloN <br />I hdcby am undd p6ahr.lFljuo rhd I m.rdnpt hn rn. (ontrdon l-tff. t q lor <br />'h. <br />aollo*iry r.Mn (Sal(rll 5 <br />llusinBs snd Prof*ion Codcl Any Cily o. (i.unly shkh rcqnir6 . p6 il ro co((ru.1. rhq, impro\r. d.tulrh 6r qsn nny <br />ntudur.. Fnr h dr sft., .bo r.+ic rh. q,r,lkmi for sud Fnn b fik. ri*rcd $dmr rh., lE o. iE ir lico*d puend <br />r' rh. Fornha .l lh. conkrloi! l-i.orn h* tcn F( c. ( omnft'n$ $dh sdlion 700i) of Dirisi'n I d rh. Blin6i lnd <br />Bnl6nrn! ( od. ) or rhi lE o. sn. 6 ctmpt rfid.fron ml rh. h6B for rh. .lle.d craplFn An! \Fhtion ofsalFn 70.r1-1b' anl <br />Eph.anr ro,.Plm suhj*r!rft. ippli.anl ro !ciulpcnalryoffr'rmorclhb fiv. hunrnld d.rltu.(1t00) <br />l, a osffi oIrh. F!Fn,, or my mph!6 silh *186 G rh.i $k comFMnn. *'ill.!o tlE rod an llE ruiu. a tul <br />dflhr o.0,16.rl a s]. (S( 7or4. BEiE! ed fofrsioB (in< ft.(idr{n{'rLio< I^ &6d mpl! ro Motrn.r <br />rh. Frtd) tr lh hlldr.r imtrn\ 6 rh6on. ,n tr b dE * h Nrl hrlEl, or hs-ll or ihrrgh h'! nr h.r o*n dplo, c. <br />F o\ i(h rh.! !u$ imFor.,ffir m mr intdldl d.lfcal lor $L lt ho\ed,lh. hlildin8 or iqrol.tml n r! *'ihr on. )w <br />ol $mpkion. lhc { )f,rd Boiltc will hav. thc bud6 ot pro$in* lhd h. or dE dil mt ttild or i,qntr lh. Fspoly lo, lh. flnlbs ot <br />l. a o*n.f rh. F.Fi, d dclusi\tlv.odt&!ms srrh hcdr.rl.onrdon h c.dtud E Fojd lS( rorr. l16u6 <br />i.d F!tu {('od. llEC{ r *lr'r l.ico3c Llv 'i6 nor !r'plJ_ to s ou r. o, p..p.ny s l(r huildr or impmv6 ih6-n. <br />intl sho.onrmd3aorsu.hInl..k*nhi(bd[dDds)lrd<npu6Mthrh.(onlMorslicosLas) <br />I dd cr.n,O rndd Strnn V*-l,i{ <br />I h(.h).mrm onJ6 p.nalry ofrojoryon ofth. nn6rihr d(hr.rn'ns <br />I h.rc ,n I nl Mimri. . ( d rfrd. of ( oMr ro s.la- rBUr. fd {.dd' (omrEBnbn. a r,!r !:lcd tor b\ sd $n 1700 of rh. <br />l lt.r Cri., for rhc Ffoll1jm. 6f rh. u o ror$hi.hrkFhi.su.d <br />I haL c ond tr ill m.intlin worta! comp€Nar ion iBurrnc., ar r.qut.d by S(l ion :r 700 of lh. I lhtr Codc, tor lh. tFforo.c ol <br />rh. s ort aor shrh rhlr p.mr B rsKi My$cl6 comFMron iBu.ft. ffi6 ai polrv nu6hq ar <br />Policy Nuhb6 lirptB <br />I.ditrhlr in rh. Fao@r. olrlE u orl fq shrh rhu Fdn B iqu.d- I $.ll mr opl.v.ny FMn in D! nuE <br />$ d '. bEoft lbd h rh. $n.ld .omFsh. L$s .r (-.liromud *r lhr if I slFuld lE$r $t ..r ro tlr <br />q.6'omp.Nrhnpmrisiodolsdion1700ofrh.ttorcod..Itrll.fonh*nfisrlplrsilh1L*Inori(d <br />WARNINC Flrlurc ro suc *1irt(6 .lnFatltio..ov(r*. ! uhlNtul, dd 3h.ll subjd! 6 6ploF to cininll Fuhi6 md <br />n6 trp n, on. hund'd rhonsnd dollzrs (l ). n knl(tr)n h rh. rfn o <br />fT.eiior <br />6.86 s ro"id.n fo,'h. <br />I hd.bt amirn trnd.r psully of p.rllry I I dn l'(osd undd Forsrn or( hapr( q ($n6c6* *nh sdn.7l[x)l of Dnisi(,i I <br />of rh. BGiB.*l Pmf66nr (il&. ad 6r l,cN E in tull t r! Ed.lINr <br />CAXiIAUCIANIIIDING.AQ}:!(I <br />I heq.mnn umln Fn.xy of pdlury 'hr rh6. n a .odo<ri,. lnding aBdcy (i! rh.Ffomin(r oalh. \orl litr rnrh tht FDil ir <br />'su.d (sd 1097,civ c) <br />AITII(ATLDE(ISIAIIII! <br />I nd.6y itrrn unds ,6ahy ot FJury oE of rh. tolhur"s &chr.l x\nr <br />I)smhion PcTfu' lbcdc N.[lic!rnn F.d.!!l ReuLr6N ( lnt.l0. Pd6) <br />R.qun d lrfi6ofNdficdirn <br />I c.r'lil, rh.r lh. fo.lsal r.8lLt{rB E8adrn3 e\lEtos rmtr dl rrc nor q'plt6hl. ro lh6 rnnj.rr <br />u.nrd I.rtek,6mdl {nh.ll (1! !.d Colnr\ <br />r.F.st iv6 olrhir (-iry$d (i'!nry lo 6ts upor rlF <br />C t+t rU*pA ta Lalalqar)- <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUlnsulation <br />Roof Sheathin s <br />Framing <br />lns u lation/Ene rg y <br />Drywa ll <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 />)-/,'| <br />FINAL //)/lr//1 w/r\ <br />Certificate of Occu pancy <br />Notes, Remarks, Etc <br />ID/SIG. <br />I <br />I <br />Shear Wall <br />I