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BUILDING. INSPECTOR RECORD
<br />SITE-WORK OWNER BUILDEN DEII-ARAIloN
<br />I ha.b Im undd FMx,.tFjurvrhi I m.r.npr nom rh. Cotn6o6 ltcl.* lqrh. folk)$r8 t.en (Sd?0ll5
<br />Bunn6r .rxl Ptofsion ( o&) Any Crly or Counlt whi(h r.qun6. Fo( r. conrtud, tlrs. impror.. &nolirh or rq{n 6)
<br />srrudurc. prkn r' its suuc., .l$ Equtr6 rhc.pplicdl ror 3uch Fni b frL. s,s..d nd.rrmr rh! lr or !n ir hc6n d p!&an
<br />b rh. F\ir6B of rlE Conrxro.! Lic6*d L.r ((luFa 0. CoMdirr trnh Sdio, 7000 of Dnilt. 1 of lh. Busin* ind
<br />PmfelilN ( od.) or lhd rE or !h. u dnpr thd.ftos ed rh. hci. r(r rh..]1.1].! .rmptio. AnyvioLinlnofs<l'on70ll5 r,y,ny
<br />.ppt'camforaFmniubjdr!!h..pplicr.tio.crvilpd.hrofnotmr.rhdnrchu'd,rdd.ll&r(1500)
<br />l. s o*n6 of rh. F orEry. s oy .q1lo)€ wirh *.s6 6 rh.i, e'lc .oopd&rio( *nl d1 rh. *dt ad rh. slddr n m'
<br />inrdnal or.Fod tu sl.lsc 701.t, BuriIB $d ProtdnN ( o& flE Coird sl.i@hrdEmrqtll!.an(aoI
<br />rn FDFty ulF tliLkor rryorEllEotr,n slF dEstu$ ti,rlto' [@lf or $tuush hit d hd o$.mthy6.
<br />provid.al rh.r ru.h mr.rffi & 6t idod.d or olH f.r sl l( tr*66. th. tlit re.r mFnrt!1d s $ld snhir.E )a
<br />olcorpLinn. llE O*c ttlBq urll lE\. rlE hldo .f For rg iht lE d rll. dd tu! txiU or ingor (h. FoFt) ft'r rlr FrF: .l
<br />l. B.*ffi of rh. F.Frr, m.tl6n.l) .onkding Fnh lic.G.d coirmmlo otdrud lh. phFr {s6 7u-4. Bdind
<br />{'d PNbir Cod. I tc ( onrr!.roi! l.rorc lrw do6 .ol apply io e swnE of tftFny sho bnildr o. mprovG rh6on,
<br />ard "ho o dt 6r ruch FoF(s u ih ! a.f,do(, l.qs.d llEu.r ro rh. ('odrarq r l.(g& llq)
<br />I am.r.,no rtrd6 S(ron
<br />lrrr. Ornd:
<br />lvoRr(r Rs' corrir\sa rlor
<br />IIIS,AIAIIAN
<br />I h6cby amrm und< pc.ahy ofFJ!ryonc.frh. ftnn,trrB dcl&lrtr)d:
<br />I h.\.d'd*illmi .in r C.nilicll. ot CoMnl ro ScltlNurc for sorlEi .ompo3nion, a tFr id.d tu !! schn 17u) o f rh.
<br />lltxr (-od.. for rh. Faolffi. of rh. *orl ft. $ti.h rh. Fhd i! eal
<br />Ihavc.nd willnainrarn wo,kn con'po$hon rnru.nn... r.qtrtr6lt,sdrk,n.l7m.lrh.lrtlr(id.,fDrth.Ftulrlffi..a
<br />rh( \ l,r *h(hrh6 t@ . sa-d \h {o116',, nrdnn NU,s.,mh r lp.lt}.umlqt.
<br />,*. (paaorv- il"t y l^rno*n
<br />r,,*,^,.t'.. h(,oy'?31?]6( ,,,"',", ?:lJ:fuI|
<br />l.diarrhd in rh. F n,nmnc. oanr rorl f.r uhthrhisn6mir is isuRl.l rhallnol mphe lny po$n ina.ymMnd
<br />$ as n, 6+om€ sub<l ro th. *0&6 conF&lnn latr1 or C.l'rom6. md ,sd rha il I shuld b(om suh<i ro rlE
<br />*.rldr' .omFsrbn Fnrahd ol sdirn l7m .r !h. llh, ( rld.. I 3hrll nnh* nh .omDlv q ir h lhox Fnr tFB
<br />WARNIN(; lailur. ro su. *ork6' mmpasxlio. cov6s$.6 unla*lul. and dEll subjd dn dploF ro mmd FtrhE ihd
<br />cNil nn6 !p h ok hundrcJ thoNrd dolld (il(r).ofii|. h ddnion ro rhc.orl df omFstion, dx e6 a p.o\nal loi !h.
<br />Sdrnh 1076.lrh. lrt, ( nh inrad,i.l dr.*-' r Ia
<br />,.", 1241-?.eL+
<br />D[glaarl(l!
<br />I h6.r,r'lmd u<Lr Frx) dtFj6 thr I m liGs.d u.& tmli.ion of (-hl,ra e (e,nnldins wnh sElnn 700(r)of Dnhioi 1
<br />ol thc Bsitrs sd ProfsnN Cod., url my ltoe a
<br />'n
<br />tull to,.c md .iY<l
<br />r,,.nv..,\s Cf?
<br />^" lz-11- eolT
<br />COXSIBIJCIIAII.ENIIXGICE!(A
<br />I hgcbv !!Tm un<16 Frll] ot p.rrury lhi ths. it i oErrudbi l6din* teft! for lh. Ffffi. of lh. mrt lor s{!ch rhi! Ff,it i
<br />isuo] (Sd.1097. (,iv. ( )
<br />Aftu(^llDEcllaAllq!
<br />I hrlb,v rrm undd Im.lr! of Fjory or. of thc followint d(laalhns
<br />Dnnohion Pdm $Ashdor Norifi.arhn t'.ddrlR.a!I.!oN (Tnl.40, Pd6)
<br />R.qun.n l.rrn orNori6(ari'.
<br />I cd i& thd rh. t d.r.l Esub ioN r.!sdin8 6t6os rdn.El u. nol a?pli..t'L !o rhii Fojd
<br />PJ, .- n, ,a , t* ,- ,n" rpdrari'n id nd. rrul $. rhJ,. in roMi'. i! cotrd l.rse ro onplr_ $ith 'll(\r).nd (i'u.N
<br />odined erd sr!i.Irs ftlnine ro hrildinS .on<tudrotr sd hddryalrh)n7t E 16. alN6orrhi!Ciry d ( omry ro or( dF. rh.
<br />ah,v. ,ohon d pmp.ny fo mparF
<br />^t,t,liUa!
<br />trr \xu! \isnNrtrrc
<br />Scr"o
<br />*" 1Z-/? -Zo/+
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing I d/tlr/lZufl)/(r-
<br />Shear Wall -L
<br />Framing
<br />ln sula tion/Energ y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lt/ason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL I /to /r*ryuffi /.e)--
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />I DATE I IOISIC. COMMENTS
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<br />Flood Zone Certif.I
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