|
BUILDING. INSPECTOR RECORD
<br />SITE.WORK COMMENTS OWNf, R BUILDER DIiI,('ARATION
<br />I hd.i" lmm und6 FElr of Fjur' lhi I d .snpr frh $. codtdoE l.i.G l.s for th. rollo*hs Ren (Sc 7011.5
<br />Itu'n6r .d Prcrdon Cdi.) An, crt o. coudt "hkh r.qon6. Fnil t, codtud. ird, inF.re &F.l!t d q dt
<br />rtu rm, rrfi to ns ilsuMcc. iko rcqund th. apDlicMI for rucl pnf,n t, nk i si8n.d sidmd thil h. o, 3hc I li..nt n r'GuMr
<br />ro th. F.rs(tu.f rn Contrroa! ticor.d L.r l(][pls g, Comntri.s udh s(rion 7({x) of Dilirion I otih. Bamct md
<br />PNfdbnr (-od.) or rna E or nE i .tdr* lhs.fion &d lh. tEB for th. tlk*.n .rorprFn Ant. \x,brnnoasds.70!ri$!nJ_
<br />.pplic.nr for. pcr.'r rubjcBthc rpplicMrroa(!ilp.n y ol.Dr frtr. thd firc hund.cd dolles {$trx))
<br />L 6 orG of rh. rmFry, or m! dphJa6 unfi srs6 s rh.r 5L.otrlpqM5n. siu & tlE *cI td 0E rMG i! mr
<br />i.rold.d or oF6d for d. (s( 7044, 86iB ed PlorBio6 C.d.: Tn conlrdoiJ Lt.* lrw ih6.or +Plt ro d otr 6 of
<br />th. Fnpdy who bliltl or i4rov6 tfioa^ ud shr &'e st s* himr.lf or h.Mlfor lhrollth his or hd om 6plor6.
<br />F.rir.d rhn ru.h if,tmrtu! n mr irdd.d o, olIs.d tu. sk If. h'{6q. rh ruiuiq or i ,r*-.ld a sld * ihin ffi }*
<br />ofomplds( llE OsF &rBa r l!r! tlt h,&r olFnti,B rld lE m tE dA d hild or lqror.ln. FtrF! n rh plrlE oa
<br />l. c o{E oflh. rropqlr. d d.l6r.l)-.odrdf,s *nh lk.E d coddoE t, mtdrucl rh. F.id lse 7oll, BGIB
<br />6,n Pblsm Cod. Ih.Co.kdors l.rcos t.* &6 mi.!rlyro !o*Gof prolFny who hlildlor impo\B rhs@n.
<br />rnd wh{ co.'lrdifo 3uch projds wnh a ContrNo(r li.ft.d puRut( tolnc (n.mdoi! l-icds ti*)
<br />I m.rdp{ undd Sd$.
<br />D.r.: orns:
<br />\\oRl(f,Rs' conlirNaA-loNo[(laaAllat
<br />I h6.br dmi,n trndd p6Elr).t rEND- on. ollh. roll,nv'.s d(lulrionc:
<br />I h,r. erl *ill midlh r (-diar.r..lcongl to S.lf-lNurc f \nrtd'onFuiion. s lroriklorbS(rd.r700ofrh.
<br />l,bor Cod.. ftr lh. rEtolrr@. of ih. $ t lor *nith ih. ponn i! is!.d
<br />Iha\.^nJ*illharnriin{rr16 co,nncns.rFn 'rurinft r r.qun h\ sdrtrtn rr(x)olrn. L.IFI (in.. ntr rh. l6fonnrn(. oi
<br />rh.trolnr(h'chthBp.rmn,1(e.rl[t\*o{qi'.omp-Ldxrnmsuritu.cm6exjF](\numtE.
<br />l,, lid
<br />I'ol'c! Nutr,hr > I \nr.\
<br />I cdify rh.t ir rh. pdaolmm. of lhr q'ort hr *hth ths Fdil i. aiu.n.lsh,ll mi mDhyrrytc$r in uv mdnd
<br />$ clo hnft !b6r ro rhc rrrt6 6npdsi.n he: of cditomn. ..d .8c lnr if I rl$uu tt.6m tuqd hllE
<br />qorld' .omFstonF.\irioaof scrhn 1?00of rh€ l.t ('odq I nsll.
<br />WARNIN(; l;ailrtr.11) Bu'. \orld ro'nn Mron.ordrx. rs
<br />(ni! fin6 up lo.E hundrr.j rh.ulxt d{,,16 It l0o,m0),
<br />S<rFn ltr76 ofrh.l.bor ('GL
<br />I hftbyim nundo tmaht oi pojury rhrr I d I'c.nql f'o\isr\n ot ( [ rd t)lcomD.tr.'n! \ih \.ootr
<br />ol 6. BenB dd Prcf*hN Co&. nj ny li* n in full fore d,9[rr..a
<br />/a^'< ,
<br />Z'Zt- l7-<*,1
<br />Ihn tr amin undd tEnah! olFjur,lh rhci!!coBlruclir lddrns ,3d.!ror rh. pqfollffic.rrll. *orl n r *
<br />isu.d (s<- 1097, (\! C )
<br />AIILICjITDESIAAUqE
<br />I har{,, itrd un&r F.ahy of pdrur} on. or rlE folh{ in8 d6le!' ioE
<br />D.nolirirn Pmn*Arb.do! Norifr.dion F-.dq.l R.Xrldirn! ITirl. 40, P!n6)
<br />R.qutr.d lttrq of ftrr6<a$n
<br />I.dir!rht rn f.n t.l r$utrlioB r.tdins stEslos r6ov.l d. mr epli..6k ro rhir l,qd
<br />I cnr'ry rhar I hav. rcsd th* iFlli.dnrn dd nai.rhd r ion is con.cl I asc lo onpl) *nh lll ( irt .nd aounrv
<br />n/.,(r'Nrdtr6.lrh6 (ir) sd Courr!
<br />'o
<br />drd dr-n'h.ord$rnc6 rnd slar.lr\s dnr
<br />.hr . lMroEd proFn' fm
<br />/\Doli(snr or ,\lenr sirnr /z-u17
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing I -L- 16 Jt )eL#
<br />Shear Wall
<br />Framing
<br />ln su latio n/E nergy
<br />Drpvall
<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 />FINAL t/5 7l<1, 5. )r l-tra)t4
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />2xt) 7t,* /Lal ?/ t
<br />DATE I ID/SIG.
<br />+ffi_
<br />L I
<br />I
<br />I
<br />I
<br />I
<br />I I
<br />I I
<br />I
<br />I
<br />I
|