BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lns u latio n/ Enerq y
<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 />FINAL Y t'?r9 /4/4-f At
<br />Certificate ot Occupancy
<br />Notes, Remarks, Etc.
<br />r hcrchy {,,i!n unJcr ,"n!,,y,,, *,,,., ,', fXi:Iiyll',*1l"Tl1;}.lflfl"- ,"- ,tr ,h"
<br />',,,,,,*Ds
<br />M}n ,s( 7,,,,J
<br />Brstrrr ! Pn,r.sir Cnj.): AnyC yor (,'unry ehrh r.quE(.IErri t, u,nntu.r. rlrs. mllftv.. d.BnFh,,1EIEi uf
<br />ntutur., fDr (i n\ NUs.. .l!' k1urcr t& llnlr.nr fttr lu h Fmr b ,ik r t'€ rl n1.mni rtut lr d. slE s lrdkJ l!{md
<br />k' rh. Ir'vnrn\ ot rlr Contrttr r l-r.ncJ Ir{ (Chrlrqr), Condtur8 wnh S&rr)n 7(xn ot D,vtri,n 1 ol rh. Fulrk$r.nl
<br />Pnn.(r,nr C.J.) or rh heorshe r.rcnvr rhcrcl ant rhc hrnr itrth. rlL8.J.rcnflx,n. Any vnntudn.l S6"ri,n 7r 11l rhyrny
<br />alrl'unr lirr a lr.mnr ru6^{r\ !h. lmhra.r h r .vrl ll...lr y .l hor m'E r hrn I rvc huBlr.J tlolllr (!l(l))
<br />_1. .r owxr ol rli FFny. d ny .'r{*,Frs *{h *rr.r rt rrrr $r. dlllllrnq'rr *'ll d' r,r kxt .d rL {ue ! d
<br />d.nkd ro,lcRd fttr rk tse.?l)tt. BlsftI.nd ftrf.$k)n! Cii.: Tn CodBkr'! L..h( bw dEr n, +!ly lo u o*mr ol
<br />rhcpn,Fny wh, htrirl\ or rqi,vcr rkRrtr trl whr &rr flch srl himrll or h. .lforlrr'lahhnorh.ro*.cd0[,y..r.
<br />r,ovd.d rh{ tkh hroEErre!x nr. qlorofcBlnna! ll bM.rrrhi uB or dl,oErd N$U*rnuorF{
<br />of corq crrn rtr o*tr aulld *dl lrE rlr hh!, nf FrvD! rhd h. d !h. lrj ni 60rll d !qh* dF Fil6, fd Ir FlIrEof
<br />l. !\own.ro! rh.nn,pcny. rhc\.loriv.lyronrrs mtw h lk.nscd cont!(on lo .-n(ru.r rh. nn+.r (S$ 7044.8usrc$
<br />.rn Pb!\rrr clr]. l h. Cod r&ttr'( Lrcns l.u tnxi ftn .rTly n, .n o*mr ol toFn y *lt' budd. or rmroE{ rhcr('n.
<br />.nd *h' odBrt !,r uh InFl! wlrh r O,nrBt(, lr.nr.l px^er b ik cdnr*t{ 1 L.rn< lr*r
<br />-!
<br />.h c r.m,, u,i.. SNI
<br />-l
<br />hlE .rl *!ll d!i.i! r Ccn'fldc orCdnEd r' S.ulh(E ld srt6' .!n{En.{En. .! Fovij.n tu h,S&lhn lTmordE
<br />L.hr(ii..lsrlEFdil|l'wo,ri.*dtrdwfi r rL Fnr n siu.J
<br />-lhrv.r w,lln\r'nrrrw.*crronrnns.nntr\rr.rEc.Ik{utrcJhyS.(rnn1](llolrh.l-dt}t((!n.ntrrhcI\rlorMk.ol
<br />rl[ wr k ktr whf,h rh$ |{mnr r\ 6u 'l My workrn ..mF-n\r !r rn$trrtr . (mrr uri |r,lr v nxmblr d.
<br />rtltlt^-1 7
<br />_l .cn (y rh.r
<br />'n
<br />rtE Frloturi ol rh. wolt lir whrh rhn p.rn 6trrEJ.lrhrun cq ,y.ny ttn,n 6 rny |Mffi
<br />$ .! h llrom shFr b rtr R i6'llf,p.ngrr'. L*< ol (..n["m!, .d rlN rh:r rl I rh Ll tta$m {hiu tr rrE
<br />srr.6' $ftFner &n ruvs.nr rr Serrn !?01) {l lh. L.htr Cql€, I {ll]rl lonh*nfi (nqil, wnh dss PmvriDnr
<br />WARNINC: Ij.nur. n, Ecue *wk.n'con{tnrar'on cot.n8c rr unliwtnl, tl shrll luhFar !n.mpkrrq n, dimrl FBt.s and
<br />rivil llms up to ox hundErt rh'rend doll,r (tlo(l,ft$), 'i t{U bn lo rh. .u( or.oq'.neriotr. Jmtcs at trovrkd rot rh.
<br />selrr to',6 0l rlr llhi caL. or.r{ jrl diifty'i fdr
<br />1-T
<br />I h.Et y dltm ud.r Fmtyo! lErlury rh.i I n lr unk; F,r!$n ol (ru|r.r 9 rcommtumE *ih S-r!n 7{{o) orDrvsan I
<br />or rh. Bu\tu( r lh,r.s$.r(irk .rn myL.nr s u lull ttr(.n].lr.rr
<br />1a >ntc
<br />T'r
<br />I lrEhy lllirn ud.r FMlry ol Fqury rhr rllr ! r d,rror knlD8 r8dy ttr th. Fnimt ol ilr krt for *n.h rhl tErll s
<br />AITLI(ANLI]EOAAAIITI!
<br />I lrNhtrllimu .rlr lryol pcUury"rcol rh. n,lL,wrn3 d((li.rrtr,ns
<br />D.n)l 0n P$ntrk Ath.{o. Nd'lkrr!,n F.&rrlRcluhr!'ns llnl.,ll). Prd.)
<br />tt.{utr.J llr.rnl N,i'lir.o
<br />l!rrrlyrhrr rh.l!al..rlruFuhrn' \r*dd rs I\h{.(reN,ulrr. n.rr|)|,1'.xhl. t' rltr\ I[),!ar
<br />-l
<br />rdrry rh.r I hrw E.d rhs rl,lr.l,n 8, (r. rh, ih. ilt hlomri'n ( (mr I rSte k' onpl! wrh il Cn, rtrl Cou y
<br />ddEN! lrl sr.t. trlr Eli,E lo t !i!rs $onturlr .,r, h...lty rlrhlM. rl,.*ddN3 ol lhi3 C., .nl Coury lo .dd uPon lrE
<br />fi,vc nr tr,rJ poFny ntr m\tE.rnn norpxc\.
<br />Appli(rl or A!.n( SI*rlu(
<br />>
<br />ID/SIG.
<br />Flood Zone Certil.
<br />1VORKERS ( (rilPE SAnO
<br />AEI.AEATqX
<br />I h.rch, dtnrm un&r n(n{hyor t^_uuryoft olrh.l(,lk,win! d.rl {hn(:
<br />c."", A...ria-- Z-rtf.,l^
<br />P(,h, Nohhd w6t.aeio3>
<br />BIEJ (S& lo91, crv C.).
<br />t dL.t N.rel
<br />*".t/tfta
<br />I
|