|
SITE.WORK DATE I COMMENTS
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorivenVl nsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lalh
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />4///-i/lF|NAL / /%va-/tt/
<br />Certificate ol 6ccuy'ancy
<br />Notes, Remarks, Etc
<br />OWNET DUILDEI DEL(ATAfiON
<br />I h.Eny .finm unicr F..lry 1'l lir|llt, rh, I e .r.nqi litln tlE (i.lrrrN Lrcn( L* for lh. ltrlbeu! Ersn (S< ?O1l t
<br />BulD.s rii Pnfcsrir Grl.) Ary C.y or CNdy *hrh Equcr . Fn to odtut. .Xd. !rproY.. &mlllh or EF ay
<br />(N!rw. FDr ro [! s.ll4., .lw' E{uft! rtt rl?llrr lff lufi Fm tr, 6L . sllErl nnmr rhd lr.r iE B lE !.J porld
<br />i, trE Frv6i,ns or tlr Conr*l<tr r l,r.nsd L.* (Ct fl.r 9, CshmNrS * h Salnn ,0m d Drvr.n I .r dE BuriE( D.!
<br />Pnnis[nt CaL) q rh.t lr d sh. r .r.nqrl th4nof, 0d thc b.sn fitr llE .lt r.d .r.n$r,n ary vt'Lrrnofs&r.n]0t1.5 hy.nv
<br />rmh..r la. r p.mn suhjels rh. rmhcor k, ! .itil F.{l! y o, nor n'E rhrn rrvc hundrcd ilouu (5J00).
<br />l, r! owncr oi rhe pn'Fny. or hy.npL)r.! wih pa8* .r lh.r ok .omp.nd$n. *iU do rlr kxk .,rl r(ndGnd
<br />idcnt l or oh.Ed f(r qL (5&.?04t. B!\im( !ft] PmL(Dn! C'd.: T tt Cod.&roa. Lun( l,w dEr {{,p1,hmoPk.df
<br />rlE In{rny wh, ttr l!ffqh6rlrRa !n wbds*h k hrm..lrorh.Mlf or rhn'ufh h( d h.. own .tPht!.i
<br />nn,vrLd rh.r .Eh !r{Frrd! e nr dmldl dofi.r-l ftx qE ll. hrEE. rh. h{itlrB ir rqF EEd n $U wihb rE F-
<br />ut(nphrr-. r,r ovBr Bu l.r v l h.E lll hBtn ol Frvna rhr lt{x{iJrl d hrtl or nlnt llr FIEr, for tL FrFi. ol
<br />l. .r d*Br of rlE ln)Fn ). D . !r lulvc ly .odErrm8 w h l..nsJ $dr.!tE t, on{Br itl I'!,F(r ( Sd 7(l+4. Busmr!
<br />rd t\lksr,Cdlc I h. Ci'fi&rui r l-Lcne L.w !c! n {,plvn, r o*kr ol Pn)Fny uh) I'urlJ.or rmPruttr rhcRrn.
<br />.nn wh' @orffk kn ru.h Ffth wih 6 c(,nr6do( \) lr.n{d |'Inu b rh.G)ntirtr,'r l-kn\. lrvr.
<br />-l
<br />rhcrmpr lndq S.crn,r-. a. & P.( lnrrh!rcN'n
<br />wof,xFlas' c(rilrFNsATIoN
<br />IES{EAITITB
<br />I h.rhy dltrh u .r FDIry.l lr.rury oft ol rh. folh*ns &rlmrrr\
<br />I hrw !n wrll Ndu r Ctnrf..r. of ConE,i ro S.[-l.tuE lq krl6' .on?.Mrn, .r tnrrllnl id by S41.r ]?U) ol tlE
<br />l,hr (lr!, d 'tr F.fi,lfue or rlE wrt ,ir vhich tlE FBt n s{u.J
<br />Ihlvclndwrllmalnr.,nworl..r(omFnsrtonmsuranr..rrrcqun'JhyS(lkln.17lxlolrh.Ijlln(i.,n,lh.Frfomftcol
<br />rh. worl tnr*hi.hrhtr pcmxr ir Fnrd My work.6' $mr.n\rr(,n orur rc.rieftJrl E,liy ruhlwu.
<br />\!\ (- b(El rr:-v\.
<br />I ccddyth{ inrlEFdnrllB.otrh.*orlk *hrhrtrnFnr r NiEJ. ! ih.ll Nl crml'y.nt FB)h ih m, lMB
<br />$ I n' lrr'tu srhFr b rh krtd .$qEn.lsn lrwr of (-.l nru. .d r!fr rh, I l \trrll h.{dm obF.l h rlE
<br />slr6' rutrtrqrM F,v6bn. or Sdr nn .t700 ol ltE L.htr clrt . I ault fodhw h o.{ y } rh rh,. PoYsonr
<br />WARNTNC llluE , eE *orl.r' ..Dpcnqri,n .l'v.nrc rr rnlrwrul, .il slul! rubr.r - mPl'y.r ro drud Fflrs !n
<br />.rvrl li..r up lo om hunlEJ lhoulud dollu (ll00.rx)0). m lld i(,. !r th..osl ol..mF,qrtr'n, drm8.. a\ pmvricd n,lh.
<br />x*
<br />rr)n 10?6 I lhc bhtr (irl.. n,rctu! rtrJ r{omy'\
<br />,.
<br />q
<br />pEcLaEAra!
<br />I lEEr'y .,Im ud.r p.Ml, or F,rui, rh! I 6 LenGl uLt r Fr{$i or ChlFd 9 (lnrE[! P.h SdDn 7000) of Drvspn .!
<br />or lrE 6u.E.s .,ri P$r.!rx,nr Cnlc. ltl h, lr..r E n tu[ nni ,J .fie|.
<br />s\6 $!\. \
<br />1
<br />qallla!!:uarldllac-lcErcr
<br />I tEEhy .Ifm u .r IEMLy or Frrur, rh,l rtft i! n @niurtr Ln oS r8.Ey ror l,E Frf(llrrm. or E hrk ror $'hth lhlt Fhr ir
<br />BixJ ts( 1g)7. c,v. c.)
<br />Affur:aNurEgdSi.rla!
<br />I lurhy {nmun,jcr pcnahyol !.rr!ry.n. ol rhc hlk,wr8 J..lnrirx,n5:
<br />lr(nrn !'n Pcrm(e^st.(ni Norrlirarnn r.d.ral R.3rhr(,nr fl l.40, Pln6)
<br />R.qtre., l.[cr oi Nr ir$n
<br />_l.dlfyrhi rlr LrlcnlE8uLt.nr E3.nh3.rtEn rcfr'v.l a. ft, {n[:r'b b rhx ptrFr
<br />I.d y th, I h.E Erl lhn.ml.:rnn.!l {rc rh.r rlE rlDt tnlomr-n 6 l:mt. I .!re o o.tt y rii rU C.y 1tl Coudy
<br />d{tuN.. !n $r. L.sr Ebld ro }n lmr.a'nrtuntrlrli...rlydrhtrrEFrrrdN!olrh!!Cry!nCou,ro.nldqsnllr
<br />rhrc rflr0rJ ln,Fny nr m
<br />fapprrcrnr or &tnr sismrun
<br />IEE.E!/II
<br />,BUILDING. INSPECTOR RECORD
<br />Flood Zone Certif .
<br />A <q- (\\-., \ .(^-
<br />o.",9/,.llq
|