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BUILDING- INSPECTOR RECORD
<br />SITE.WORK OWNI:R BU I I-DIR DI]I,CARATX)N
<br />I hr..r_ .mrm n.nd F.alr) or Fjlrr lhd I n cu09r frcf, !h. (.nrd.6 l.aa€ t!* Lr
<br />'ll<
<br />follo$rB rmtr (sd 70! l 5
<br />Iruiin6s ,,rl Proldhn Codc) Any C y or ('ounrt trhith EquiB a ponil lo conitu.r, .lrd. mpro\c. &nolnh or rqsn dy
<br />srrucrur.. Frr ro rri isu4., so r.qlt6 rn.4rliLet for uch rEn 16nk,3{ndndffil th,l lE.r 3h. ir li(.nr.n nutud
<br />b rh. tm\thE of rlE (onlrrdoir I i.o3.d lr$ (( hq*c 9. (-om trins s'irh S<rnrn 70tro.f Divistun I olrh. llN'n6 and
<br />PR)tskirs Codc) or lhal liorrh. i.rmfl lhd.6on u rh. b..B tor lh. tlkl.d.rdti6n An'\rLlrnofsdr.T0lltb.n!
<br />qrli.ur ror rFn sti6Brlr.Frliclnrlor.nilF.!hyotqnndr.rh fil. hun&cd dollrs 11500)
<br />l. 6 otrffi of rlE FoFni. or nr mpr.r6 $nh $.!6 s ilEtr $k mnpssdnr. *ilt do rh. so.t dd lhc sl'lt1E! n mr
<br />'nrd&l or oII6.d lo. uL (sd 70{,1, BuslK..d P^]f6n'6 Codc Th. contdois Lx.M l^ .t 6.d +tb ro M osE.,
<br />rh.FFtr trhohilA$u+.\6rhd@idsh.rt6shs hin*lf or h@ll dr rhmuSh his or hE os oplortd.
<br />rovid.n rh.r $ch mprov61hs @ mr idaxjdl or.ffccd n r sL ll h.$6d, rh. tnilditS tlrro\ffi F $ld sihm oft ta
<br />otcdf,hn( $. (xffi &rild. $ill ha! tlE hr&n or FllnrB rti h. or dE dd nn tlild or trnFov. tll. pmlEly tu rh. I'nr,x)e of
<br />L iiosnrofrhcpmFcly. m ci.bsn c! conlr&1,ns s h licdrcd $dtados b mdrud IrE prlF (s( 7or{. &6mN
<br />.d Fnksr (-.& lh.Cont*h'i ti.6.l r$&c.or lorlt lo uotrr(orproFnyrho buildsot rmpn6rhoFn,
<br />d.d trho .o r.ds f(tr:uch lroJ.ds rnh a (ird6.b(O l(6n d rfi. ( o.rdor'! l.ic6e trr )
<br />lrh.\.mp!{nLld SN'i'n
<br />",,, abQ.all t7 !
<br />I tr.nt ,mm und6 Frun! of FJury oE oalh. lollo
<br />I h,v. ,r1 Fill minbin ! cdilr.l. ot ( onsl ro s.lt lNuE lor $ o'kds' .onD6al ion. N r.vd.d Io' t^ sd(ion 17(x) ofrh.
<br />I nbor ( od.. fo, rh. Fr(,llrec of rh. wolr tu qnkh rh. FChn i! isu.d.
<br />I hur. a.d willn.inl!i. $0,16 conFMlF. rtuure.,6 r.qoE.n blSden 17lr0of lh. t boi (-o&, for
<br />'h. Ffomn. or
<br />rh. *nt for qhth rhi! rEmn is u!.d My *Mtd' anpaMijn iNurec cui6 sd poli.y nunba ,.
<br />I rqti! lhlt i lh. p6folrr@. ofrh! *ort for \hkh this D.rmil i L$ucd.l rh,ll n.r orhy tny p<Mn in $y nun6
<br />s dro b.rore rut d ro rlE $trt6'conpdsion hr!.tc.l'Iod6, t d +R rnr itI slnutd t (otu.utid ro 'lr$1116 snFNrion FovLhc.tSrlh 170o olth.l,b.r ( od.,IJull, f.rlh{itfi urnrly wilh rhospi.vnioB
<br />NAlrNIN(; Fllurc r, tur. ro'16
<br />.nil litrF trf t) oR hundr.J rh.tr$nJ
<br />cor6!a. s unhtrful. dJ rhrll dphlq to dn,tul F$ti. dld
<br />Fn. dlmas6 a pmvid.n tu rh.
<br />f
<br />I hd.hl_ ifitm uftls p.nally of psjury rhd I e, lr.dldl undd romnrcn.iir\ hSdn.7(xnr).f l)'\(r)n:1
<br />oa rh. ltu$Kr 6d fn'fdrioB ( od.. rd m' lkc B
<br />'n
<br />ful, for(
<br />(-ONsrRU("TI(II\ LEJIDI]IG AGENCV
<br />I heby {tm und6 rE&lly of DGjury lhtl lhic !. @dodirn Lndins asdy lor rhc Ffom4. oltlE soll t, utrh rhis Fmi' .
<br />su.i (S< l047.Cir C )
<br />I dd6'r Nd.
<br />AIIUIANLDECIANAITg!
<br />I hslbr' .rm und6 r,.nahy of r.truD. onc of !h. fnlh* rn3 &(l&d i,N
<br />Dnhln.n PamnlArbdd r,lolifi.rnn F.ddrl R.suLlFN ( rirL.r0, Pd6)
<br />Rquftd ttridoaf&rift.hn
<br />I cqt ',i rlli rh. rqla.l rctuhr6B ..8EJins Nt6rot r.mL !l r. nor 4Plf,,bh h rhb projel
<br />I rdif} rhll I id. @d lhi irrltrlFn tnd qd.rhd rh. tb1. inn\iod ircor.cr I asrd6.omtl! trnh rll(nylnd Counlv
<br />rl.r.rr$rrtr6 of rhB ('i) dd ('.untr ro rto ul.nrrrordina.c6 rnd Sr.t. I i$s rchl i4 lo l,u'ld'nE odruclut1.
<br />t?(
<br />.tn'. n6rn..d F.Fn\ for 'Np9llion
<br />n*ro^o,n n *o-t,{
<br />-
<br />"^n*-.,ron,rr, IrA fl{.
<br />0 '.,,aa. o/'J'l/
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subfloor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />N4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL b//2/t+t[a/?r
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />i onrs I rD/src. CoMMENTS
<br />t.rrtf,
<br />SLAB Floor
<br />I
<br />I
<br />Flood Zone Certif.
<br />I I
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