|
BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.OWN[lr BUILDER DDI,CANA ION
<br />I ho.ll} lmnn unJd p.ndly of rdjury thal I s clrmpl lrcr rh. (ohtrcloro' l,iccns. t,u for lh. aollowi.g r@n (Sd ?0ll 5
<br />Ilsind! Md l'roadion (ql.): A.y Cily or ( iruty shi.h r.qrt6 a p6mn lo con!rud, tlrd, improv.. &rnolirh or EIEn ey
<br />nruduc, rntr ro il! isru (.. rl$ rcqui6 th..ppli.d for suct Fmn lo nL. rign d sidmml thsl lE or ,r. i! l'.d$d lufum!
<br />(, rh. rolLiore df r. (onrr&rd i Lrc.nsd l.$'(chr{rd 9, conm.ncin8 silh S*io! 7000 ol Dilision I ofth. Bsind ed
<br />Pruf€stun! Codc) or lhlr lE or ah. i! .rdP thd.frcn md lh. b.ris for lhc .lEs.d .r@Fion A., violdionofsctlion 70ll 5 bymy
<br />anplclnlfor,rEdnrubjd!tn.rplicstfuscivillnallyofnotmrclhdli!.hun&.ddollss(t500).
<br />L B 0*16 of rh. p.op.ny. o, dy mphy6 *nh wtg6 s th.it $lc cosFts lDn. *iI .b tlE *ut &d llE s1tl@ i! mt
<br />u oxt d or o.Id.d tu e]< (Sc.7014. truiB ed Prot6ioB Co<L Thc Conlacld s Lkro L.s &6 et tpply b e om6 of
<br />rh. F!r6y *no t!il& G !q.*d tha6l\ ni *h. &E sh sll hirelf o. hcrlf or rhftush his or hG oh .nplo)6.
<br />pnilid.d rhd 3och imFu€Eu e Dl nrqdar or ord.d t'r $L l( rb6'q. trE hlildDs or dqldtffi t $ld wnha oft ya
<br />ofomplrn. rrr Ownd &rl,a *i! lEvc llE hr,&r of Fovns lhi h. or s1'. da mi hrild or inpot lhc Fopd] aor llE F,Pos of
<br />-1.
<br />s o{G oarh. F6Fry, m €$lui!.ly conhdins * h hcs!.d.otudoE ro o'drucl lh. preidl IS< 7014. h!i,6
<br />di hntsir ('od.: rh. cdnr.do. r L|.GR trw dod mr appl, b owna ofp.oFny *ho buildrot inprcv6 lt46(
<br />md rhd 6n!M! lor e.h p.!j6rr rilt . Co' dlo(3) ncsEql ABEi ro rh. Co ocrd . Lt.e t^J
<br />I m.imd uda Sdrcn .A &P('fo.lhtsren.
<br />D.r. ortrd $oFtiis;tont iENaiiiioN
<br />DECIItrAI]A!
<br />I hd.tu .mrm uida pobrty of pdlury oe of rh. follo$ in3 dEl-lrhB:
<br />-l
<br />h.!c in sill dinr.b ! CGrrf6r. of Consr ro lklf-lNu. lor wl6 comp.nerioq s Flii.d for by SGrb. 1700 ol E
<br />Lrbu Cod.. fo, rlE FfM. olllE *ort fu rtth llE pddn a i!!.d
<br />I h.!. .rd *ill m.inl.in wkdJ .omp.Ed.n iBurm., s r.q!t.d by S.nt. .1700 olrh. tlhor Co&. for lh. Fa(xrlm. of
<br />rh. sdl a.r whth lhi! Ftr 6 is.d My $dl6' cotrpddbn in!fu. .ffi al Flk, nunbd t :
<br />aolt, NmbGr-ElPirB
<br />[1, ".,,0 ,- . ,* o-.llm o.rlE *'o* ror wh.h thi. Fmir !npk't &t F$. in e) n&E
<br />$ s to tEro'E subd ro th. Nrt6 omFsion L$: of C.li
<br />so 6' corrlsMlFn Fovili,a of sdio. l7m of llE t bor
<br />lora to ainin l F6rB lrl
<br />.i\ rB up r. oR h$&.d rhoB{n &[a (1100-000).
<br />'ns..rio. 11076 olrlE t hor Cc]., trlqcn.!d ddr.t r fc
<br />io.. d,Eg6 G Fov'd.d for rlE
<br />Y.. tO-lb-tv \Ari.
<br />r!t,!tta.ill!l-\
<br />I horby .nm u!d6 Flrt of Fiury rhd I u li@.d urdo Fortb. of (alprq 9 (@ffiiB *nn sdion 7000) of Dnab. I
<br />rl rlE BBilB rd PrDfdoB Cod.. -d oy lid a h tull foc.d.tfc.r
<br />C{u \s6 :l\a b
<br />lo:h:fD CfE"-\j$€C
<br />(()xlraucuaullllllc-acElcr
<br />I h6.by,rfm ud6 FrlD of FDory0Ir tlE i. srdIu1.. ladiis.gtr] fot lh.Ffolrle. of lh.$vt 6r rnth rhi. F ir
<br />is.d {S< :1097, Civ C ,
<br />AITIJ(AILTEC'Jf,AI]O!
<br />I hdd, .irm ud6 Flhy ol Fjuy oE of ltE lolb*its d€letrioN
<br />D.n'lnF. P@nt.Asbdor Norilic.l ion F.d6il Lsuhi,ni(TnLt0, Pd6)
<br />-RGru,sl
<br />Ldrd of NdraMion
<br />-l.drtyrhd
<br />ln. f.dd6l EsuLiioN Eg d e. a{ rpplrabL ro rhB pr.r.n
<br />-lcol,fyrh'l
<br />I hrv. r6n rhs rpplk,ion is cor.(i I rs6 ro omply *nh all Cn, and Counly
<br />riz rcFsrdiv6 of rhir chy rDd county ro ols uFn Eordi,le6 Md sld. Iiur Ehlinrr
<br />'o.&\c mdnrnaj pmp<1y lo 'dlicrion
<br />"{ooli.rnr or ,lsdr Sl!trrrurr
<br />\*.u* -.",rn,,,I\EQ&,trf
<br />.," \o-)t-lb
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu lation/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 />Flood Zone Certif
<br />FINAL /z/rtf.-k?r-,t
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />COMMENTS
<br />L.fllo , Atni,s
|