BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.OWNEN BUIT.DAT DET,CAIATION
<br />I hqchy slrrm unJc. FEly.f I'.rjury rhd I d.kr$ rnrB lh. Ci'nrr-i ' Lrn{ tlwlitrllEnnk*o8ErQn(Se?o!l!
<br />Bo1o.1r ,rl Pnniiiir clrL): Any Cn, ot Cddy *h.h .cquer . Fd k! c..{d.'. rh6. rltroF. &frrsh .r EFtrJiv
<br />nntrtu., tn{i, rl( ir$er. iq' Ftturt rh. r$lisr nt ru(hFrmrrb !,br n3..d.ttr.mnr thar lr.r rlE s lunEd I'uu'
<br />n' rlr FUvs$hr ot rh Conr&roir Ltcnr.J lre ((,llrFr.r 0. C.mmrun3 qrh s.urk'n ?mO ol tJrvrrxt. .l ofth. aurmr\ rnl
<br />Pr,t.(x,nr Cqi.) or rhlr h. {r th. ! .t$rpr rh.Rtioo rul rlr l':!it tur rht d.[td c!.ryir'. Anyv.Llir.fSdlln?Oll5h}.ny
<br />uptnc.nr nrrFm suhi..Bth. .Il?lc.nl b r.rvrl Fulryor n m.rcthrn Ir. hunl,hi Jslli((!5OlI,
<br />-l.rs.v*rolrhcFFnr.orny.nphF.r*nh*rS.\Irh.rskonPcnrlnn.*lJorlr{
<br />arlrh.nrru(n r
<br />doln oroltircJf + rSa 7(H,t. Bfi6r oJ Pnn.(tr! Ci'1.: l rk Gi.raet, 1 l-r.isc trw dE! nor +dv ro .n owBr ol
<br />th. F{rny *lr) ho lr or rYF'6 rtE$n, JJ whl &6 o(t ** h'nr(ll or h.tYllor rlNx8h h( or h.. own.,qrlil!..r.
<br />lln,vrLrl rh.i (uh tmF!,m.r e nn nrnkJ ororlird ftr {L IL hru.tr. rlE t{lllr{ o. qkMmd tr 5tl wirho {tr Fa
<br />ofoq)lcri)tr rtrownd BDrr.lr wil hrE rlt h6ro orln vhs rhal lrot slE,il r h l,{!qt,wUxIfrFnrli,rrrF'FEol
<br />l, rlow,r,ol E lx,'tiny. rh.\(l!{v.ly.o r trr! rnh lk.n(J .onrtr' 'F r) ron{o! I rlr lil)Ft ( S.c ?(l1a. B \k$
<br />3rl t\r,16\rnC(rlc lh((i,!k{tr'rl-k.n<l-,w,,,Fft lplltn).n.qrcr or ffoltny$txr t'urli\o. 'ml,n*tr th.rr.o.
<br />.nd shr .udBtr nn rkh t,!FB rith. codfr tnlr) lf, ..srl ltsnd k, lh. (l
<br />I rnc\.mpr oJd S(!b.
<br />I h.tby illmrunl.r Fulrt,of Flurv
<br />I tu\T arl * rll M'nru t (tnrl.d. ol Ct,nrni n) S.lt' ln\u( rnr *{*!r! !r'n[rn\!lr)n. a\ lln,tild ntr hv S&r(,t r Tll) dl lh.
<br />I jhn (irl.. ior rhc lrno'rl]u. of rlx *rrt litr whf,h rhc Fmnr 6 6\u.J
<br />I hrvc int w,lt h.,rrar snrftcr\ compcnsix,n ontran(c, r\ rcqurcJ hyS.rrx'n rTlxldl rlE ulinCGl.. tur rh. triixlrr4c ol
<br />rh( rori nn shxh rhn p.mnr s F{.n My rork.6' u.npcnqn0n msur*.rst..rn F'li(yntnh.r r.
<br />P)lry Numhcr_
<br />I L.nnyrhrrbih. Fl,trtum.olrh. wdrt |,tr *rr{h rhFlrrh tr ${rJ,I shrll n.r .nll,,v rny F ('n hmvn@tur
<br />v) r\n,&$tu \!hNr h rh. ro s'lomltngro. bw\ ol c!l,n)md, .nd a3Rrlrr rl I\hDu h.1r)nE snbFlrttrh.
<br />*,rlqa .ohlr n\rr(!n pn'lMrnt ol Sc.ton .i7m nt rh. trhtr C l.. I slull. lrnihw h cdr'ltlv vrlh lh)e l!ruvs$hr
<br />$ARNING l'fllulc h kcr. wukc^'.nnlr(nsrrknt $\cr,3c 's unhgtul. ! l \lull \uhj..r rn
<br />,'vrl lnr\ up k).e.hu".J rh{unl d.ll(s 15 .rx{)r. r nrrn' r) rlE (.{ rl
<br />Sc.fur tl,?6.1 rlr l,trtr (,iL. rn.rn
<br />!]!!"!XI!1!D
<br />I h.rhyi,i,rtr!ftLr lrn.lly.l p(rJUry rhdr l ln lt i uuicr 0nrvN(,n or Chi|trr rl(dn NrrS * hS.(Dn?llx,)ofl)ntrirl
<br />ol rI[ tlu{ .{ rkl t ml.slrrF (iil.. l ,thcnv.sotulln{rcr,crl(r
<br />saBiraulJra!.IldDrxc.6cEllr
<br />I lFrchy dlnn u .r rEn.lry ol ,Ftlrry rh.! tlEE N. onrluJ!'n le tulDS n8.tuy for llE IElolrrr&! or th. q* for *hih rhn Fd 6
<br />nru.J tse 1097, C,v. C )l.rlir Nrfr:
<br />-
<br />A@.lllAlfllE(llS rIaN
<br />I lEr(tly lffim u .r rEnrlry ol ltrruy or oI rh. (nt,w3 &rlrnrir\:
<br />IXn,l.r'n Pdnni^rtEnos N,,rrl'crr$n Ird.rrl Rc3ubrrns rT L 40. Pln6r
<br />_R.luEnl t lr.r ol NlrfrdM
<br />l.rn vrhrrr&,.J.r!l
<br />*,i, "l'.-",",drrLc.\Ahk r,$.fth
<br />.h"t md/LtPnlFny
<br />',3
<br />r.3uLrrnr rclrJm3 i\h.ns! r.mnrl arc frn lndt:hL i, rhN l)n,r.r
<br />(nntlv* h rll( rrvrnn (i{trr!
<br />h,\( iyrn,l(inn vrocnrcr r|r rlr
<br />H*t
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Rool Sheathinq
<br />Shear Wall
<br />Framinq
<br />lnsulationi Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />l-landicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL /o -za'lq F.7-'7
<br />Certiticate of Occupancy
<br />Notes, Bemarks, Eh. ,
<br />0 )
<br />COMMENTS
<br />Subf loor/VenVl nsulation
<br />Pool Fence
<br />y , DtrrE //rrw) fi{A'\
<br />Drl.:-
<br />lrnLas AJJrc$:
<br />Drt.:-
|