|
BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNIIR BU!LDER DIILCARATI('N
<br />I hcEby {li.m undd Fuhy of Firy rh.t I 4.i.ry'r tmd llt Cod 16 t-i..ns bw f.r rlr rolh*inr Er$n (Scc 70.11 5
<br />Bunn.s rd Pror.smn (-{i.t Any C , .r Cou.ry whkh rquftt ! F d t, ()nnru.l. ahs. nrrret, &tunirh or EFjr !n,
<br />nruduE, Fn n, nr issulE, rk ftaliB rh. 6ppr.d nn skh rEmr ro 6L . siard rr,r.rnr ih, tr or nx i. liinrn l,uNdr
<br />ro rh. ptr,vili{'nt or rh. Conrtuftr ! Li&ns.d tr} ichrrrd 9, commmrnB enh Sarir,. 7uD of Divhhn.l otllE Blrinc$ i.d
<br />Pn,f.siri Cqk) o. th.i lEdrlE t.r.q rh.n6on.rn rhc hdrii for rlE thS.d.!.nflion Any vbhlk.orSftrhn 70.!L5|ty.ny
<br />lrrlkanl nn r pcmir iubj(ls rhc lppliclir ro r civr I Fuh y of mr mr. rhm fiv. hu.drd dollr r ($JmJ
<br />-1.
<br />!x o*ru, or rhc FtrF.1y, q hy chtbyr. *irh was.s !r rh.ir s,k 6n{Enrdhn. ull o rh. f,nk.td dE qnrr@ n mr
<br />a aridl o. on Ed fr, eL ( Sa.7(t44. B!.iBr .nd Pmf.(r'nr CdL TlE O',rrtrlor'\ r-icns lI* d.r\ tur .l,tl, h an o*Er ol
<br />ilEFldy *lr hild' d urFtrG rhasn, on wh d6 sh urt hirellor hqell or llt olh hh r hcr o*..rr{'l,yaa.
<br />pmvir.d rhlt iu.h iqmwn,. E or hrodcd orofrdld rir qL li rh*w. rrE tlildinS or slmmnt t sH wirhu ok t !
<br />ofdrqtuir. rlEO\.Er Bu,Li.r *ill IEE,E hrrLnorForfg thc lE r]E dij.nl hild r irFnE fi. I'0tEiy fdrlE Frtrnot
<br />L r( osrcr oih. nDIr n y. am .xcluevc ly (oDrtr.r ns rih lEctr\cd . Dkrd n n, .oind! r rh. nmr( ( Sc. l(!.'1. tru\i'k\\
<br />rrrr Pr*irno Crn Ih. Conrturor's l-i...€ bw.lr- ft .0?Fqdy*h hoildr or ii{lr.Er rrEr.o.
<br />dtrrl wh ronrB.r\ lir {rh l]n,rcts w h{(i! tucr)n\rli.cn{(in m.rtr'\ L.r Y l_r*)
<br />-pk4d"'
<br />I h.rhy rfinn uDder ,*tuh y of p.rjory ok olrhc f(,ll'*nit J..hrl
<br />Ihrvcdd*illtuinrainrCcd'rrar. f C ncnr tr Sclf lnsurc ntr wo. kcrr (nwnslri(,o. us lrfl,lid&l fur b, S..ri(trr l7((r of rhc
<br />lrhr Oxic. f{, rhc Frtulmtu. o( rla sdt (tr rhth ilF Fmir ^ is.!.d
<br />I Milt rhrr r rh. rErr{rllI^r of rh.ro lorwhahrhisF.m ir riErl- I shlll Nr.,r{lh,rnyF*n tn.n}tMB
<br />s r r., l{rca ohFr h rlE $olr6i onlpendion b*r ntcrliromia rd.trc lh if I chruld lE{E rubj€r brrt
<br />$*s' .nnlrner$n F)rrsi,n! or seis. .17(X, of rh. bhr Ci,&. I {Ell. ft,nh*( h oig,l} * irh rhos rnltiJm
<br />.trrl fim\ up t, oE hurnftl
<br />::riflritis,:
<br />so.kc.\, lon{xNdi(r cov
<br />'h'uqnl
<br />Jollu\ rSl(u.llx
<br />. i' .rcn and i umv'\ lms
<br />^rr,,*,(r
<br />ll suhF.i ,n drl,k'ycr t' qiminrl F'slrts md
<br />of.ongrnerion, d.m8$ !t flovil.d for itE
<br />I h.Eby uffrm unkr FEny .f txrrury thd I !m litn<n utrl.r F,vi\i; of (lEpls 9 (comtu ine *nh Sdrn ?UD) ol l)ittbn .]
<br />oa rhc Blsitrcs rnd ftltcsons (ndc. d'd m, licn* ar in tuU roie ml cficcr
<br />CA&IIBIJCITIJ!.I.EBIII!{iI{iEN{:T
<br />I hcrchy arfm undq FtulryorFr,trryrhd ihft is E 6ndodi,n bds8 r8.fty for llE pdlolmNc ol lhc *oll( rot $hah rhi Fnn s
<br />ir3Ed (s6 1097. civ c r
<br />L.ftLi1N.m
<br />I.drfyrhlr rh. rcd.r.l Eguhrions ESrJrnS ash{os rcmral.F n,r dml{nhlc t, rhtr pn,j.Tr
<br />l.d'l) rhrr I hin rradthh rppli.nrxnr dJrl (mrirn r c(B1 I of,ra ro or{)ly wirh lll C y.nd cornry
<br />orl'fu tr.$ dd Srrr. I jf, r ft brinS r' h!,U18.(hnrcrcIrcrnlltlr.\orrhnC y{.d(i,unryb.nrfl uFnrtlr
<br />aboE mnrirmd pmFn, for i,iFl
<br />.lppll(rnr o. AE nr Si*MruF
<br />J
<br />t>ltc4/r
<br />Set Backs
<br />Forms/Steel/Holdowns f -r'-u)o.-t5 lrz, z ?
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL 6 z-za /?- 4,,>verul 2t71
<br />Certif icate of Occupancy :
<br />Notes, Bemarks, Etc
<br />UFER Ground
<br />Brown Coat
<br />T-Bar
<br />Flood Zone Certif.
<br />I h.vc ..d s rll frrntri. sortsr conqrn .rnn rn{ENc. as GNird t y Ssr6n llm of rhc llti.r ( odc. fo, rlt Fa(nm of
<br />th. wo.k tuwhrhthr pcn i is nsucd MyuorkcF comFnsalioh insurftccrnir lrd F,lay numbcr ml
<br />AISUIAIiLIIDCIA8AIIQX
<br />I lr:tl'y .JIm u ftrar Fmli! ol Frrnry otu or rh. Iolkts inE ddh,rr iJ.r
<br />Dcndrttr'. Pcrntrh'A\hcsro\ Nolrficlrim Ftd.rul R.Bulrlrnx(1nt,li). Pd6r
<br />-R.rluired
<br />lr(.r ol t{dirf, ari,n
|