|
BUILDING. INSPECTOR RECORD
<br />SITE-WOBK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />fqaming
<br />lnsu latio n/E nergy
<br />Drywall
<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 tlc.t-ol lQ ''<Yneva /n-
<br />Certificate of Occ upancy -Notes, Remarks , Etc.
<br />OWNBR BUILDET DEl-(1NAfl ON
<br />I h.Eh, rfinm u.l.r Fmhy of F jury rhlr I m crcmpr rnrm lh. (l'nlr&ror' tj(ne trp tlr lh. folbuin! E.$n (Sa.?011.J
<br />Blntur! ui Prer.{r.n Crk): Ant C'ry or c.ury *hrh r.{uft! . F.ni h d,nrlur, tlr. i,rlomE, &n'l'rh or ,+ot e,
<br />(E.trr. Frn r, (r xrurtu., rL$ rcqutr6 (h. loJrlilrr [, ruh |rm o nL r r.gdtl trl.m thi lE or dE u l.iErl lnNd
<br />ro ih. F'vsrr.\ ol rh. ConrEroar l,f,.n$tl Lr* (Cn.ptcr 9. Qmmk-'',f wnh Sarbn 7@0 of rlivnho I ol rh. Buti*{ rnd
<br />Pn,L$hnr C({.) or rhrt lE d {E n (kqr rtfttbm rr rlr l.r! ror rll .rl.S.,l.knprrn Anr vk lnnofSdnn TOll Sh!..,
<br />q,pltinl itr . Fmrl suhFclr rlE rfi,lErnt h r .rv rl !.n!lry ol en mft lh.r iiv. hunlRd llrlhr { t!(x,).
<br />_1, ar owmr of rh. rr{Eny, (,r mr .otLy..s wnh wrr.r .r rtr, $k .oryirsr.n. *tll.1" rlr k !n rr'rfu!Dn
<br />urmlAj rr o|fcd nx sb tsd 7o{.1. Burm( .ftj P$f.sr s OtL: Th. Cnnr.dtr r lrcn€ Lrw d).! .d lPply ro owdr ot
<br />th. p$Irny }tu| trd.lr .r inln)a rh.Ra .rn Bh 'I.t tuh ufi himclf or lERlf .r rlh'ulh hn q h.r o*, .nptrt .i.
<br />FtrvrLrl rh, lEh nyDEBnr E ml ! .nlol oltiEj n)r {L lL h,eEr. rh. ttiuul{ or d{mtrir n $U *iru.tr,rs
<br />of.urrHD(rh.OwE Buil&rwillhrEtlEhhLnoftrN{Ddlrd{rJnd,t[lll(atrbe rJ'rFryror E l{rJsrof
<br />_1. r\ owm, ol rhc Inrl'.ny. rm cr.lr\!.ly .odrrrr uf *irh ltrcn{J .o'rr&ron .r .on{tur r lI F,Fd rsr' 7OL, B&ft(\
<br />rl Pn*{sr (irk Th. Ctd.&rtr r l-r.n.. lrw .L$ ft, rfoly r' r .*nci .! t oli nr wh, hurldr or rhnn}r.\ rh.r..n.
<br />rnd uhr LrnrEd r nr \u(h pn,F{( *dh 1 (i)nrtu6n r } ltr.neJ punMr n, rh. Cidr(kr'l Lr.N ljw)
<br />_l rm.r.mfl onJ.r Srcr.n_. B &PC lnrhsErqln
<br />jIAAf,EB5j]OIITEUSAIIA!
<br />DE!|.6I6IqN
<br />I lrRh, xllrn unJ$ |xnrlryol n rJory onc ol ihr tulk,smF J( l*rrn,n\:
<br />_lhrvc,Jri wrll rrton r C.d iaf,rr. o, Coi{nr tu S.ll lnrurc nr qrkc6' $nlltnq r'n, 8 pd,vrlel tor hy SelDn l?([ Ilh.
<br />Lhn Gi.. nr rlE rE,LxlBt orrlr *rnl ld *trh rrE rE h( ( r.iu.n
<br />I h:rt rn!, *rll hlnr.h *orl.rr .onFns.rxnr BlrlRc. :s hlntr.J hy S..r ion :l7(xl nf rh. tlhor (ld.. 1,, th. Irdnmr. .l
<br />rhc utrk l'tr whrh rh( p.rnn r\ r(rkJ. My *0r*6' .!r{in\d Dn mluEn. rd.r lrl F,1., nunh.r a.
<br />-l
<br />(.n y rh.r m rh. IfrtoruN ollh. *ort ntr *irh rhB Frnn n n\wd. l !h.ll ft .mrhy .n, FR,n r rny n.nr.
<br />as h b.com luhjel h lh. work r'.orlEni.. bn bwr olCrllnmq..nl.ed rhd rf I rl$u! trrdE ruhFr b ill
<br />hrlt(i !-,iFn6trrn Fvsnn\ ol Sarnn l?ln or rlE L.htr (,r1.. I !h.ll. l.nhw h .nmply w h rhrs pr,!n$N
<br />!{ARNIN(:: Fsrluic b *.m k, c^ onlFndi,n $rr.!c N !nl,*tuI, r,rl rhil slhj.it d diptoF rii ffi) FMl.r.il
<br />L'r'l r'nrt nt h om hiRlr.,l ihru\rtrJ Jrllr rslrx,.(xxr). ur $n xn{non. dinE!.r r( nrovrjcd ntr rlE
<br />rhx (iiL. dcn{:nal ittrny'i lN
<br />I a I
<br />DECIIAAIIA!
<br />I h(rchy dltmunl.r pcelry of Frjury rhd I !E liLenrn u &r Frvnrn of Ch.Fs I (oltEBry rrh S<dir ?m)) ott),vtrnn.l
<br />.l th. Burtr$ .rn A!rc($nr Cod., {rl my lr.ne 6 r full tud lrl clT..t.
<br />9rq-tel
<br />Y-Lu-
<br />IlEby Irhlrl.r Fn lyolFrntyihr llE! !..uiR1M L b3.!fry lor rlE Flolrrluc ol rh. turl for aheh rhrs Ftur u
<br />r$cd tscr. .$97, Civ. C)
<br />AIIIICAUIIECIdEAIIO!
<br />I hdtt, dim udcr rEn.l y or rErnty oE o, rh. n,lhtui Jr.ls0l nn{:
<br />rrcB'li,rn P.rh,rrArlr$r Nd'f.&,n FoLr.l R.luLrs.i (T.h40. P.n6)
<br />-R.{u!trl
<br />lr|l.ror Nr irru
<br />I rdrry 'h, rrE rci.0l F8{Lr.n\ R8r.d68 .rtr * r.fr)v3l e nor rflh(.hlc t, rhlr pNF.r
<br />_lr.nrlyrhiIhr$rc.nrhnrmlrlrpnui(.rcrharrh.ih)vctrn.rnBntrNcotrc.r l,3Erb.omplv* hrll(\ryrftlcount!
<br />ordiBE.! rBl Sr!r. Ii-! Ehrry h l!'tj[3.otrrulh( !n h.Eby.urhrM aF!c .irvc(.flnnC,. Counrrio.nr( uF'n rlr
<br />lhN mnrr,ftd lln,Fdy f(tr inrtrd
<br />,\Ipli.snr or A!tnt Sixnrrur I tl
<br />SLAB Floor
<br />Shear Wall
<br />Ext./lnt. Lath
<br />Brown Coat
|