|
BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER AUII,DER DEL('ARATION
<br />I h,ctry amrm und.r Fuh, of Fjurr thd I m.r.mi fn,m th. codtuoB tie ts lor th. ft'lL$i.. ra. (sa7o!15
<br />OBin* od Prcfdirn Codc): Any C y or Co!d' $fith r.qun6 ! F,ri! ro co61ruc1, .lla, improve ddnolirh nr Ep.t uy
<br />ntuduq Fitr kr irt Bud( lho r.qurd rh. spdrdt for $cn Fnir ro fiL r sisr.d nn66r rhn lE or !rl. i! lid!.d FEun
<br />l.lt Foyn'oB otth.Co rdois Lic6s.d Uw (ClEp'a 9. Commocins silh S6don 7000 of Dilnion I otth. BBinN ed
<br />Pmf6ioa Co&l 6 rhlr lE c ah. i .ianF rhor{ioh !d rlE tBi! for rh. rlh.d dalBi An) rFldionofs.sion70115b rny
<br />.nrli.anr for r p.mn sobjcI' rh. lppli(dnl ro d civil p.Mhy o f no' ft.E r he fiE hundr.d &,llsJ (tJrx)).
<br />L $ ow.6 of lhc p orE1y, or ny aIpl''c with w'1l6 a th.n v,E .ohFNdior, will &, llE wt ,vl l|!rnd@ ir ml
<br />ddr&l or ofiq<l fo !,li lS< 7(x4. BulIlB ed slrrBaN ( od. Ih.(od,&roirLkel,wdEmi+plt!oo.sn6of
<br />rh. pmlqty wh. hildr or nFDv6 rtEdtr .d {b .kq trh s.* hituclt or h4lfo. rhmogh h6 or ls o$n drohvc.
<br />Fovd.d 'h, Mh itrqlrEfu n d iia'&j m otu6l 6r sL l( ho*6q. llE h,ithf, or i"F.!rEE i sH Rilhin om
<br />'aof complaien $. o*Td Blillq sil h.!r rlE hu&' of Fori4 thd h. or slt dil ml h,ild or ftFntt t E IrDF] li{ d. Frpo*.f
<br />l. e orc of rlE p('pd,-, e d.tuln.lr .otud !B $ nh lR.c.d codrldoE I
<br />and Prrfrsrin c6d.:'I h. Cont*roar t-i.@.liv ic mr +ply ro aol6 ol
<br />.nd $to o rxlr fitr sh FnFs * th r ( odd.(r ltgr.d pll:Mr ro rfi.
<br />o odrud rlE rroF (s6 704,1. B6in6'Fopdt *io buil& or ihpo\6 rhd@r
<br />Codd.rs l.i.@ k*)
<br />I .,n crmpr und6 sdi.n lr n
<br />DECIASAITA!
<br />I h@by !r!n und6 FEIy ol Fjuy oE ofllE follossg d..lrrioB:
<br />I h.vc dd will ruinlin . ('slifi..I. oI CoM lo Scll-lM. lor "ula omFBnioa B F!! it d fo. bt Sari'n 1700 of rlE
<br />t bn('odet thc Ffqre. of rh. en ar "nth $. Foi b n u.d
<br />_ I h.E rnd *ill mlinrlin *0116 cohFrerioo iuuffic. s EquiEd by ScdFn 1700 of rhr tibor Cod., for rhc Ffotuc of
<br />lh. rorl f., *hjch ihi! p6nn h isd My $orld coop.Brtd. itrllrc 6s ai Fl., tuhbd c:
<br />Cuir
<br />Polic, Numb6: ErpirB:
<br />I cdlif,lh.r in $. pdtotu. of th. worl fc $hih lhir Fni s isu.d. I rh.ll ml orploy 6y paDr i. &yn6Es 6
<br />'o
<br />beoR sllid
<br />'o
<br />lh. tro d oEF6di6n liM.ac.rif.ma d.gErhd ial should b...m rubr..l lo l,E
<br />u!*a' cotrDdE lhn FovirioE otSc.litn l7m of tlE l,tor Cd., I ddl. ftnfif,ih otrply wnh lnc FDritioB
<br />WARNING rlilsc ro s@ efi6 comrdlldion ov6.e. a @l.wtuL &d ihdl subjd e cnploF ro eini,rl FEli6 lnd
<br />ttril nn6 un h, nk hun&.tl 'tr'usnJ nLD (!l!,
<br />s(rhn luTh uf rh. Lhr ( oJ. -"- -\*7,lrl ri@ da{6 6 FotiLd f.r fic
<br />v-.-'/-Drr.: prlldnr
<br />I hs.ty .JIai u*ls Fulr, or Fjuy lhd I m lilE d un&r Folth. ol ('lufls s lomtffiin3 snh Sel hn 7000) or D'lnrn l
<br />ol lh. BEins sd Pmfsi.B Cod., sd ny li.@ ir in full for.. ti.$frr
<br />co!lra!cuo&r!!!8 cElcr
<br />I Hy .,Im ui&r Frlty of rEJwy lhr lh-. ir . mldMbn lddry +try aor lh. FfM. olilE u$rl for Inth lhb Fni ir
<br />nr!.dlsd.:1097. ( iv. ( )
<br />A}IUCAdLDECI.A8aIIq!
<br />I hddry rJrm un&r Fnallr ot Fjury ok ol llr follosn! drl,d 6nr
<br />Donohn'n P6m'ti-,,\sbd6 No!ificarion [.do.l R.subrioB ll,rlc.10. Pan6)
<br />R.qut d l.ndoaNd'n.ari6n
<br />I c.r'lyihar rh. r.icrllrelllar ions rcaddiry 6h.(,s rdno\61:re Nt alln'cnhl. h rhls tnlNr
<br />d.$dfi. r!.inaotuionisc.ld l.{rero.omplt"nh.llChy..dcosr!
<br />r.F.frdn6 ol'his (ir
<br />I yl
<br />WrWarlrfrw@
<br />'Wilff
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handica p Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />I Ia
<br />FINAL $nou)N?,il tt /I^fu
<br />Certificate of Occupancy I
<br />Notes, Remarks, Etc.
<br />Subfloor/VenVlnsulation
<br />Pool Fence
|