|
SITE.WORK DATE ID/SIG.COMMENTS OWNf, R AIIII,DER DEI,('ARAIION
<br />I h.rbt rflirm unLr FMIII rf Fr,ll( rhr I rn dcrr{,i lrom rk C,rdral6 l.itnc lj* n, rtr Iolbriry r.aY,n lS( 7r1l 5
<br />Bu!k\\ a^l Proftr*rn (iiLl Anl C y or CNrry trhrh rdtnft. r lErsil i, on{tu!. trlrc, 'n{,n ., dcmlilh or EIE, my
<br />der!rc. Frtrro 3 nru.Nc. !lq' Equr.c rh. q'lf,.nt a'tr 1uh Fmrrt, rilc a riSmd {s!.nrnr rh.t lEo. rfu ic lntocd Dutlun
<br />t' ilF I'ori\i'ns of rtr (i,ntr'i{tr r l.idnr.J hw ((tDpr$ o, (immNinS wnh Sccrhn TiIx) oa l)ivnion .l of tk Sunnrs rftl
<br />l,rdcsn)ns Co&) or rhlrlr or slF n cr.flnr lh.r.lion nftl rh. hcns r(r rh xlkged cr.q,i'a Any vhltrii,nofS(ri)nr(rll l hy rny
<br />rrtlirtrnrrdar.nn[$rhjorrrhcuFric.ntlorcivilp.n.lryofn.rnuclharli!chundftdd(jllaFl$i(x))
<br />l-a! o*mrofrhcrnlFnv.ormt.nrlort.\qirhf,l8rrrrrlr[{,k.onlk.elion.riu.&'rh.k andrtEduimN i
<br />inrc,xlct u off.rcd fttr sk rsr 7tnl, BuaN\( rnd ftoL(i,'n( (i{!.:l1E Corrrektr r l.k.nv.lr{ (Its ftr amlt ro an osw.f
<br />rlr |I)IEnr_ trlnhillr,trilrI,(trsrltmn-,n\tlr&Elkhk himylt or lkt(lr or rhn{3h htr .. hct o*n .ry,L,vft\.
<br />nl ulxt rl rh,r \Nh inlr \Er.B m ftn lllcir.n ( ollcr.{ nr vb lr. MroE. rrr t{'Ll'ng ,' 'qr^rftd n r'kl rirhu ur Ed
<br />trl (q,krir rlE O* w aliB.r f, lh.\rrlt hrrd.i nr |rorurt rh.r lror rlE dd mi txiH,n 'flIrnr rlt FId, for ttr FqrE.f
<br />L r! or'ftr l rh. nn,Fn r. an' .r.htrrv.,y .onkn.trn3 * h l'..n\i .onrrlo^ r) conirud rh rr.r.r r sa ?lrlJ. Btr{k$
<br />rnl lhrtu\\nnC{rl. lh.(,ddnnrl-a.n\cLnedkrtrot,(,flyt){nn"ncrol0n'ncdJ_(lx'huilJ!trri'nt(nc(rhc(.o.
<br />n,l $ho.omr(r\n)r\u.htnoicr!*irhrConrrucrtrrnli.rnqlN^urnrhih.Conri.tt'\1.i.(n{li*)
<br />I nr.r rpr undd S(ri(
<br />l).r. Osner
<br />]!rrBf,[&[lJ!tf];!ttro
<br />IESJSIIION
<br />I hrch) rfltm unJ., p(c,lr) ra lr,rrl oN ol rhc lnlk,cn,! JNLtrnrn\
<br />I h.rc dld $ill mrn,.n r ( cll iliorc ol C.ncnr lo S(ll ln{'e tu *116 .onlEnd ir. !r t 'vrlcd lir h} S(rbn l7l ro .l rh.
<br />ljh, (ix,.. rd rh. Ii.donirm.or rh. wo* for whihtlE Frnnl ! r\k
<br />rl(\rrtrklttruhi.hrhn|rrn['\isknMr-s.rl.r!.on,NNxrk[i'Atr'r c.nno rl|}'lryfunrri!.
<br />Irn4rh.ri.rlkFrrnrtutu.ofrh.s.rlnrrhrhihAJErmrrrru<i.Irhrlln.,r+l,Y!.!F.qmin.nymnmt
<br />v' s r, tE$m (ur'Fr r,' rlE *,tr!s( $qxnsrhn b$r nf ('nl'tu'ni!. lnd !8ft rhd rl I \hn,! lE<n^ siFr r. rlt
<br />sorlcr' omlttrel i'n pnn nx,nt nl Stri i,). 17U, ol rh. lf,htr C,rk. I dsll. Lnhsith o'nDly w'r h rlr,{ pR,lnhni
<br />WARNIN(; F iluR k, quR s.rk.r\, mma.nsnrirn .u\.o,!r 11 unlrirl- lnd \h l ruh,.!r !n .mlh)u h niminol rslri\ lnd
<br />.i!il fincr ut i. .tu hundr.,l thuu{ond d.llrm (Sl(D.lxX)r. ir r(ltliri'tr n, rhc.o{ ol co'nlxN i, . drmScs !s Poril.d ri,r rhr
<br />S(rnnr 1076 ofrhc llhr (ixl..8r.r.{ !trd.lto Ev s li{\
<br />Ir.l.: Applionl:
<br />r lcFttsFp coNTiicaoR
<br />DEI;IJf,AITg!
<br />I hcEbt amrm u.dd FElr\ ufFrnrt th4 I dm lRn<d unln |,otnm ol Chq,r( 9 rco'tft.rtn8 rnh Sdbn ?(xl)) nftlnnrm 1
<br />f rlE BusiE* rnil Pnt61irl(ixh. at d,li..s i i.folltuNad.fi..r
<br />1;OISIBI]CIITN.LEIDIIGIGEIi{:I
<br />I h.Eh' rmrm u,rdr FMhy ol F,jory rld rhn irm.{Brln L.d'n8 tS.Er lor llE F.filmBt,'rrh hrk ror rhihlhn Fni ir
<br />r\ucd(SN.:{)97,Cir C,
<br />AITLIIINI"ITII,ASAIIAIi
<br />I l6.hyofiinnurdcr |ttrihy I tE jrtrynnc ofrhe fdk,ri'r! d.rhxri{nN
<br />l)r.nk)lirn PcnnIrAshL{u\ N.riti.urion I'cdcrul R.ruhiiur ( lirn ro. f n6r
<br />Rcqurcd L.lrcr.l N.{ ir'{rr$n
<br />l.cil'lt rhi rh( l.t,rrrlk!nl. r)n\rrgJrdtr,E r\tinn\ '. rtrr rr rr{ lntlnhL k, rhtr F,ttr
<br />l.difr_rhrrllk\cr.!,lrhrrml*rti$!dnd.,luth.rh^.,nl,rnBrkinF.otrR1 lr*k{r,.onlny *[hlllC ],nd(in r
<br />oRnnrmG anl Starc tf,qr Nl,rns r' huihing con<rucrin,. ad lt(hytrurh,irr rr['c{nkn}.i of rhn ( iry Md ('ounry n,.nnr oFIn rh
<br />Jh\. mnri,rmJ B,p.ny I'n 'n\Ir.rr(r turys{r.
<br />\pl'lirnnr or,(!rtrr Sirmluft
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFEFI Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation I I
<br />Roof Sheathing slL t'd .Y1,t2JT
<br />Shear Wall I
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext.i Int. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL ?,0-//Gt ts)
<br />Certilicate ol Occu lrpancy
<br />Notes, Remarks, Etc
<br />BUILDING- INSPECTOR RECORD
<br />Pool Fence
<br />I
<br />t/^ t7_<u
|