|
BUILDING. INSPECTOR RECORD
<br />SITE.WOBK DATE ID/SIG,COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Ener gv
<br />D all
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL 7-
<br />Certilicate of Occu pancy
<br />Notes, Remarks, Etc.
<br />OWNEi EUILDER DEL(ATATION
<br />I lEElry .rlrh unLr Frl, ol FrNrt lhr I D .!.rt* fNn rlE (lr rar,E' lrmE L.w fttr rlE lolbvn! rFr (S< 70ll 5
<br />Buses ul Pr)Lrion Cdc): Ary C y or Cdniy *hrh rqurr . Itrnn b r-n(ftr. rlrd. ('pro*. &frrBh or EIE! uy
<br />(Ndur.. I'$r!' r n.urh.,.lq, G+iE! rh.+Flisr lor su(h Fm n, nb. !l3En drr.mnr rh.rh.or nE n li(!n{J l@rit
<br />ro rlE Frv6r,nr of rtr CildErG r LEn<d L.e tchrprd 9. CommBDa lxh Sdrn ?OI) ol Drvron .l of rll Burc( .
<br />Prcr.(i'ni c(rL, or rhrr lE qn !.i.n,l{ rlEr.iiom rd rlE h.iB Ior rhc .ltss! .rc,{rsn Arrvr,'iooolSelbn70Jl.5byrny
<br />rppli..nr r rFmtsuhj(l!rh.+nl,r.nln,Ir,vrl!.n.lryot,mErhahvchundEdlolltrr($u,).
<br />-1.
<br />.1 o*xr ol ih. F,Fnr. q Ey .r{,bFt w n *a3.\ .r rlEr bE ron{rns.rx'i, s,ll tlo rh wrrt arl r ruM il nn
<br />d.trldl Mofl.Rtl foi srh (Se.7044. Busm* ud Pftr.sonr C,ri.: Th. Conlra.ktr ( Liccns. llw&rs nor.ptly l,' ano*rcrol
<br />E F{rny *h' hlllt o. ltrEE rlrN)tr Dl wh dB Bt s,r h'm(ll or lIrclr or i,Nu8h hn or lB osn.n{,bF.r.
<br />pmtl.d rh.r ruch ,r{n'wdi G n{ d.n.ltl o.olfcRl lir ql ll h,w. th. t!r!d8,tr rliDrcd ! rtu vahh oE rr
<br />otontlLk'n. rlt o*mi Bu,!.r wJl hzw rtt hnJcn ol|t,EE dur ,l. or rh. drl n t{rU or inln,E rh. IinlJEn} nxrkpullr){dl
<br />l. r\nwmrol rh. F{.dy, .m.(lu( rv.ly onta(1ms * h l'\.nrd odr.chr t, ( onvdc lr !oj..r iSN. ?llrl. Burm$
<br />Jrl l1t,l.$u (nn. Th.(i'nrra.ntr'\1,'rc.\.li*d(f,lunrpplvbano*n.rolt(,If, y wh, 6r,Lli or 'mpn'v.r rhdcon.
<br />..! rlrl sdrxl! fd lkh F)Fr *nh. (ifrturf \r lirn<J nlrud b rrE c'fu.(x \ |.*cn< liw)
<br />!!aBsrlr_(D!!!N^-l!a!
<br />ITEIIJXAIQ!
<br />I lxfthy rllrmu lr lluhr {f FrJU,t oN ol rh. folL,r u3 ds..LrrrInr
<br />_l hr!. rnJ w,lln,r'nr n *orkch'.otn|Ftrsar0n 'nrurnnr., a\ rcqur.J hyS..r!)n n-(Uoltli l-rlx,(ixlc.l,nrh.n,li)rhrn..ol
<br />!h. work ntr rhrh rhr Frn i( A\k{ Mv*o . -on$nsi'n
<br />'n$r*. cMrr drl F}lry.un$cr r'
<br />PoL(y Numb.ri
<br />l.cnrlylh0l m thc p.rLrm.u.,,l rh. work ntr *hEh lhN n rntrr F r\u.!. I shlll nor cmpk'y rny p.non,n rny hMncr
<br />$ * L! ht..m olrF-r n, rrr k)*si $r{rnqrnn b*r ol CrhlomE. .il rtN rh.r ,l I rbuu hc.onr \uhral n' lh.
<br />*ortd\ d,nlttn!:r$nttu!tri,N or i)<_rirn l7(rnlrlk l:trtr (li.,l rtsll, ft,nhwlh orrply *ihrhc F,vBirl
<br />WARNIN(;: l'lrluR to rrurc ro c Nmp(nt.lr,n (dv.m3. r( unl!*lul. lrl shill rutFr u cftrl('r.r ro smnal FtuL( $d
<br />i,n n, rh. ro{ ol eoqx drNlcr .i pnrvitld hr lh.
<br />4
<br />DECIJAAIII}I
<br />I h.Ehy lritm und.r Fnrlyoipcljury lhar I.m [ehcn undcr F)virionor (hrpr.r 9 (commor * h s.don7fix))ol Drvrntn ]
<br />of thc BurE* .nl Pnf.rt.ns (iti., .rn my l.cns r tr full l!rc rl .llel.
<br />gNsra!,itf,llt!-tElDtN{iaaE!.ll
<br />I hcrhy llltm un,lcr Fnrlryofpcrjuryihd ih... rs..o.(ru.['n Ln]ry ltcnry Lt rh. F.fomtu. ol rh. *trk l'tr *trh rhr Fm !
<br />issu.J (sN. 1097, cp. c Ilrd.r( N,m: _
<br />Irndcr'\ Add($
<br />APPI ICANT ITlr CI.dRATION
<br />, tEEl'y nflim ullll.r r'.nrlry ol p.rju,! om ol rl. nnb*rtrr lccl{rr[n\:
<br />o.frnn r,n Pc.s + A(b.{or N,'r u' rr F.aLr.l Rc3uL' r,n( r l i k rO. Prn6 )
<br />RcqutcJ lxlrcr.iN,r n i,n
<br />_I(drryrhd rrEia&r.lE!!hrrr Eta,lint tstEn.. Rmrvrl r. Bx rl'tlubk t, rn6 t^,Fal
<br />I ..nrfv ihrr I hnvc rel rh!.rM ui (.lc lh.r 0r .tir ht I rsd t' La,r?|, ,rh .x Cr y .rn Ci,unly
<br />.dNL.r.al Su'. ljx Rl,nu. r.F.{drx!( ol rhBC Yril
<br />rtrnt rtrr('erl l[)Fdy l(r l(
<br />,lppli..nl or.\r.nt Si*Mlo
<br />u3 (.n{turi,n. .ri lEr.6y
<br />Ll-t1
<br />tfIiItw$m
<br />Erection Pads
<br />Pool Fence
<br />T-Bar
<br />_I h,vc aii wru roiniu a C.n iarc or (i'i*nr t, scll-lnrur. r," w cn'comFn\dk,!,$ Frvdcd ntr by S.ui !,! .!?(x) or lhc
<br />Iltxtr (iic- lq rlE n rlixmLr oa E *{,n rfi $trh ilE rf,mr ! n$.J
<br />.ivil lrRr up n,.n. hurlr.J rlxn,end Jolllr lsllx,.lrxt). D
|