|
BUILDING- INSPECTOR RECORD
<br />I lEEh, rllrh ud.r FNly ol F'lty rhr I e .r.ng rom .lE Cdtu li..B t v lo, E ,olbyina ao. {S-.7031.t
<br />Aurirc$ rnd ftolgirr Cf,d.l Any City.. Cmdy }h-h E$iE! | Fd i. .oice, !lls, iiprE, &tu|ifi d Ep.ir h,
<br />iioduE. Itnr t' it! ssuro, .ls. BluiEi r}l .r'r,li.ur lor ruh Fmn b 6L. .isEd rr.r.m rh.r & o. lrl i! l*.(El pusrd
<br />r. rlE !o6i(s ol ii. c.dr-rn! l.atnr.d lr* lci.pre L Co|mrinS *dh sdh. 7m) .a Divtb. I nf dE BBi6 rd
<br />Prol:srnr Cd.)d rhri lE d lh. (.r.npr rlEFlirm !d rtE h8s f(tr llE ilhql.r.qi$n. Any vbLtbnofSdrbn 70ll.t bylny
<br />lpplE{ an r p.mi rub}d. rh. lpplic. ro r .iyil p.tuhy oI mr mE rh.r fiv. h{ndEd doll-r (15$)
<br />_1, 6 .qn.r oI rh. frop.ny, or my .npk y!.r *ni *r8.s e rh.t $h con$.nrahn, *ill .lr tlE *(t ni ltE nMe k mi-{.nlal sorLrdfd.LISa7Ox.BudBr. PmldiBCcL: Th. C.e.rr'i fi!.e tr* dq N.pply ro uow of
<br />rlE F,rdy *lD hfitid inFuarha@ rrn qlD lIE rh$xt hitur lEElfd iltoltn hir d tn oh.rpt,)e.,
<br />provd.d ih.r u.h irpsEEdr @ mr id.nd.d M olllGd for sL. Il, ho*r6. !b trildrS o. inpnrcG n rld wnhi, m Frorlr'nplri4 rlE O*p AIIII, yil h.E tlE hdd or Foyn8 tlr lE r rlE dil tr{ hi! d llp.oE tll FDFy tu llE F"Frc of
<br />_1,.!owrrof rlE Foldr. d.rlurv.ly codRin! *nh li.ral $drdo^ n, on{Mr rlE F,irr (sd.7041, auiiEs
<br />rd PD€{qn CcL Th. Contdolr l-r.tre lru &B d !flrly ro u ovE ol prcIdy *ho hdrtl! ropBE!.h.@tr
<br />lod who conrrdr lor lrh lrojcB wnh r C.nrmr,(i) ltrtrrd puLud b 'lr conndol! Li&tr* tr*)
<br />Irm.rn{{ ! r.. sdr
<br />.w!r8f,!Etro!lfDtirA.I|!]!
<br />DECL I TION
<br />I hc.hy rtlth und., Fndry oI pdjury or or rlt rnDorrs d.(LdbN
<br />I b.w ull vrll minrs r c.nia.{. of co,B.n( ro s.ll-lBlE tur wk6 conrEEdnr, rs pmvrL'l f.r ty S..rpn l?00 of rh.
<br />Lrv Cort.. fn(ll tqfotu..f 'lr rqt,q wftnrlr n6ni' ir L*d
<br />ItrJw'llnluirnrorkn.onp.artronin\u n.. 1\ ftqumlbyS.!rtr)n:l70oofrh.l.$or(inl.,fdrlrp..ifl!r..oI
<br /><flt|*L{ lr'15't
<br />!F, ir nunr!1 ..o*u-e
<br />BNU$rco l{o {tc
<br />I dify rhd m rL p.rfo.m .!f rlE aort d *hEh |nn lErhir i. !rud. I rhrll d .rpby 6y F-n i! uy llwr
<br />e ar t.IE rr {t*rt ro th. rnl6r otr{EMhn L*! otc.hLml.nd !!d u irI nnuB h.<.r uhFq h ilE
<br />tr'tr\.h' LUn'I.hrbnfm\trtr,Bof S. 6n.ltmof rh.tjbor(
<br />WAINING lrrluE ro llu *{r}.n oriyEdbr orEn!.
<br />trh.on{ly *irh rlre nn,r's0ni
<br />ro oE hundr?d rhousnd dollah (Sllx),rrrr, rn
<br />(irl., inr.,.i rnn otry r f(\
<br />r.l 1-o
<br />Dpt|jSarlrxt
<br />I tftby,rrm u.drr p.diy ol p.riry rhd I rm lien d und.r Fowhn olcf.plq 9 (.Mrdn, *ih S..ri!. 7fin) .f Di$hn 1
<br />of ih. BuiE3s rnl P6f.sio Cod., rd ny li..nr ir in tuU loc &l .ft cr
<br />7'o (ilnitrntr
<br />q)lEral]glo!.rBlllBc-ac[Bcr
<br />I h.Eby lfn.h und.. FMIry ot |l.rjury rh, h.E s , coNru.r! Ldnrl rg.Ey n, r h. FnoroE. ot rh. Hrt tu siih rh! Fr n
<br />nrn t! rsfr \J.r7 cN c )
<br />AITLUANLDECIJMII{B
<br />I hd*, !trfr!d.r p.n yort rju., oE ofrlE folt vd3d.(Lnr.n5:
<br />D.od(Dtr P.rmirlAsb.(os Norifi.dbr F.d.nl R.suhr6n, (Trl. ,10, P!d6l
<br />RaNrd L.ru of Ndf.{s
<br />-l
<br />(dfy rhd rh. ,.J.al r.euhi.,B h! Fh.{or Enlrrl E ,rr l+?u.rlE b rhi pEFr
<br />r.dlfr lhd I hiv. eJ rhn rh.ilrn. rfonrl rni\.o'r..r Irgalo(nrplvwirhallCiyrnd(i,utrry
<br />r*. ddrhll ,rDIEny fd
<br />Appli.Dr or Armt Sirur
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Energy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />Pool Fence x
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif.
<br />tr/r)
<br />FINAL uw
<br />Certilicate of Occupancy ,
<br />Netes,.Remarks, Elc
<br />I
<br />t..
<br />II
<br />Rev.08-0/-2015
<br />:,.'-rruru'"
<br />toz3b7-1'n?ii'il'tc ."*cf-r"w--
<br />l-nla r Aids
<br />-
<br />tTnu
|