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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS oeE-Boild.r txclmrio.
<br />I hq.br .itim undd p.rhy oapdrury rh.! I rm d.m ao,n rh. (ont.doB- LEn! tr* fo, rlE folL*ry 6$n lc 70r 1.5 tluin6
<br />Md frofBrio. Cod.): Any Cily or Counly whi.h E{uns . pdmil lo .oBlru.l. rh6. inpmv., d.mlirh or t ptt uy ruclur.. prior lo irr
<br />i!!]m., rEo EquiB rh..p?lkr lor ruh Fmn b tuc r isEd i1@.r lhl lE or rlE b li..rd 0ad rollE ptuvitbB oltlE
<br />conrocrois l-'4n!.d ti* {chrprs e, Conn.ncrna w t s.cl,on ?0oo or D,vtrEn I or lh. Blnnd rnn PorBlpu Cod.) or thrt t. or '
<br />rh. i! .x.mpt rh.r.liom .nd rlE b..ir fo. rlE .ll.s.d crdrr bn Any rioLtbn of Sdbn ?01 I 5 by &, .poli.r.i aor . pcdn rubjc.lt rh.
<br />rppli.. lo r civil p.uliy or d mrc lhD ,i!. huflkn dol.r (1t00)
<br />l. ! o*F orll! Fopqly. or ny.6phrc *nh r.36I t,En sb sop.drbn- *ill.l,o ilE *ort &d rlE.rN.le ! @r illrqiLtl
<br />or ofid.d for $1. { Se ?O41. aurn6r ..d Prote.onr Cod. Tl. Conr.dn r Lrenr. IN do6 nor .pply ro .i omd oa rh. por.ny
<br />$tb b!id!.r improva rldotr .,ld who do6 r*h worl hu@lror h.Ellor *roqh tt or lEr @n cmpby6. prolit d rh.fich
<br />imprct .ffiB m mr id.id.d or olI6.d ao. ek ll bowc€, rtE hrildi.3 or mFovmor i! $5 snhi. oc ytu.l..mplaio( th.
<br />Own.rBuild.r willh.v.lll. bod.n ofprcviq lhll h. or !h. mi blild or inprov. aor th. purpor of l.)
<br />I. !ro*n6ofth.propdy..m.r.lunv.lyco.t!dm3 *nh lr.E.d ...k.cn,R ro .oBttud lh. For.cr ( S.c.7(x.1. Bum6s md
<br />Pblshn Codt TllContldor\ l-r.M lrwdc mr lppt ro .i o*mr ol roDrly who h!,ldror rmprova rhson. rnd *ho
<br />contrrcis for rxch flol€$ * h r Contocro(, I'cor.d po^un o rh. Co r.dor ! l-E.n* lr* )
<br />I .n.r.mpr 0ria Sdr..B a P( rorih. r.en
<br />laatilalcautlNla.uqN-0ll: rQ!
<br />I h...ht .fiirn ondd p. h).lFlury.Eofrh.lolh{mBdfrLr.riB
<br />,l br. Dd will ri' .in t C6liful. of (.o*il ro S.ll-lBur. lor srld .omp.drio,\ x D.o! d.d for by sd b. ]70o of rh.
<br />L.bor (-odc. lor iIE pafolflM. ol ilr. wdl 6r *hi!h rhc Fmn I a!u.d
<br />4O*.* *r -,.., *.116 @mp.drb. r.sum.. B r.qor.d br s..lEn I7m or th. trto. codq ror rh. Fro,mr orllE
<br />!n'I fo' wl'(h rhtr ry,mtr tr asu.rl ilr $ 'l.rlhw-z 1c-
<br />",,,,.-'-*.'wc 5\v2
<br />I rhn-s.dnn..J;r Fa c;rpra.a ,rrt p...ir
<br />.,', Zw (,
<br />1qo j
<br />(h. hundr.d dolhr lSlcx
<br />":u*--
<br />?L7
<br />I .drfy th.r in rh. Fformx?.rrh. r'ork lor $han rhr Fmn 'r i$*d. I
<br />b.can,. lohr.crro th. qork.'s co ,lEner k,i lau of cr l, foln'a rnd
<br />tion lTmof l,E l,bot G{..l jntll, f.nh*ihcompl,
<br />/o /1 n,,"*, (
<br />s.cur. *o,l.c-conrp.B.!on cov.ri!. n unliwlul, !n'l sh.ll ruhrecr .n .il
<br />rhoNnd d.1116 (IIuo.fin).6 'ddii.n k, ihr corr .f.onpoer h.. {t g.r8 pmrid.d aorr
<br />rh. t.horCod., 'nraBrrnd ino,ncy s ad
<br />I.ICf, NSf D (-ONTR ('IORS DECLAR TIOI\
<br />I h.r.hy !Oi,nr und.r r.n!lty otp.rjury lhit I rm k.n!.d utulcr pmvniotr ofChifl.r 9 (comm.ncins wilh s..rion 7m)) ollrvisiotr I or
<br />rh. Burms rnd lrof6rbB Co&..id mr lrftc i in furl ror.. .nd .r6t
<br />*f-r"l /7 ,".,"",,,x
<br />lltllllll ( r r(,\ l.r !r,r\rj \(;r\( l
<br />I n r.by tfrm undd Fmny or p.Dury lnll lh6. i! r ffilM'iln Lndiry l3try for rlE,
<br />i!$.d{S( lro97. Civ. C )
<br />oa
<br />'h.
<br />*ort for x hi(h rhn Fmh it
<br />ATEI,ICANI-iOICI.ABAI]ON
<br />D.mlnnn P6ni!Arb.rror iid'6c.r6n l.dd.r R.eu Lr ions (1!r k .10. Pdo)
<br />R.qun d l.al.rof Notincrtion
<br />l.difyrh.r rh. f.dd.l ,.tul.ri)ns FA.rdi.s ab6I6irmrrlem! ipplr.bl.r.rhi! phFr
<br />I cdi! lh.r Ittr... lhn.prl(rl nn n co.rl(l. I .3G ro comply uirh.ll ( iry.!n Coury
<br />ordrn!nc.s rnd strtc lt*s r.l.rinF n.t r.pr6.nl!r^.r olrh6 Ciry
<br />.hov. mnlb*n proFny ror
<br />Oro,**, - "r-, rn j-
<br />Pmir*tuc(pri.rl
<br />,"r,/Z o 4
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUlnsul
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<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(knci**rrlp ) /d//E-nffi,)t
<br />FINAL eiA/rr -;?Fr^ah.--/-4)
<br />Certificate of Occupancy \--,/
<br />Notes, Remarks, Etc.
<br />M1WP51\Pe.mrl-lnspsclron fornls\Buildingrrcpoct@n R6cord doc 03 31 06
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