|
BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/srG.COMMENTS owNEa BUll,Dtl DEI-rrAnaTloN
<br />I bactt .lEn urd6 pcrhy of Fjur! thr I n dmF fmr llE Co.ioctd' LE.ffi L,$ lot rhc folhwilE lErn (S€.?oll.J
<br />liuin6! sd Prcfdio. Cod.): Any Ciry or Couty rhich r.qun6 a p6nir ro Ndtud. rta, inpr.ve daDdih or Ep.r u,
<br />ndclue p.ior ro irt iMc.- rbo i.qut6 rlE rpptkor lor 3Bh Fmil l. fik r rian.d srdffil lhli lt or sh. i li. .d pul:Mr
<br />ro !h. Ftrviri.B oa tlE Cont .dd! L'en.d Lrw (Ch.nq 9. Comftins *nh S<lirn 7mo of qviion I ol llE 8NtrB ed
<br />PorBsN Cod.) tr rh.l n 63lt b ddF thdrlioErt rlEh6i tu Ocrllr.d ddFion Ary riohtionofs..lirn l0l! 5boy
<br />raplrdl to, i Fii obirr tlE @li.In b !.iril portt olmr mE fim fir. tun<ncd &rllr, (lt00l
<br />L s omd of lt pNFry. or ny dplorG wnh $!s6 a lh.ir $1. smpadion. wi[ do E vr ! tlE *d1@ ir nn
<br />intodcj o,otrq.d for sL (s< 7044, Bwi@ ud PtulBiom cod.: Tn. (onrrcl r Licre t,* dr6 @l apply b u oMs of
<br />rh.FFry tr ho trill or ingoE lhqEl! -d rrb dE qh Nrt hi]elr ur lE*lao. threuah h! or hF om dpLyc
<br />Frvi.Ld rhd e.h inFnEEG Rml ndxld orotu tu r]..lr, h.q!€, th. hIldi,4 tr inpruffi aiuviin'n6'6
<br />of $rphiro. lli (nF &tildd $i[ hrit rlE hda ofFnliq thi lI or dE dn r,l txild c itrFo\t lh. F.Fl, 6r
<br />'lE F,Fo.. ot
<br />-1,
<br />B o|@ oflh. F IEtr. m aclGiBly .onlding wnh li..ns.d co'lIr!.1od ro $dtucl rh. Fnjd (Sd 704.1, Buin6
<br />and P!trfcsbn Cod.: thc t dnkrcroa.l,icd. Llw do6 nor rpglyro o o$nd ofprcp.ny*ho buildt or inprev6lnd{n.
<br />.nd *ho @lrre$ f.r ru.h FDFr wnh r aoMo(r) li..!6j prErrr ro rh.( onhcld'r L..M bw).
<br />I m.r.d u& Sdbn . B lt t C fo' lh6 ,6on
<br />D.t. Orldl
<br />$oru(rq5, (.onlPtNsa t ()N
<br />DlgaSaIIa!
<br />I n6.br.mirn undd FMlty ol Fjur) orc orrh. rollo\inr &(Lnri,B
<br />-l
<br />hAG 'd*ill tuor.ar. C.nif.r. of Coen ro Sdr.lBc ld wl6 dp.n rion B Fo\iLd h. tts6rb.lTm ot E
<br />l.hn Cod., tu llE Ffotrlre of llE *qi hr rtth llt Fdn a isEd
<br />I hilc and s'll nrainriin rorkdt conDorarion iNurdncc, d r.qoir.d hr s(lnrtr l7(x) ol lhc I ihtr 1.od., aor lh. F n,mMc. of
<br />p6ni i! isu.d M, wo sr .omtFMion iNumc.(nni6 d"d p.licy numhd el(,L
<br />L
<br />-r
<br />c.nify rhar in rh. psfollM.. olth. port for *ni.h thi! rEnri is nsu.d. l.h.llnol dplor.ny p6on in uy mdk
<br />$ sto b€om. $t'jd ro rhc wrtd'con d6r@. hw! ot C.lrlo@ M{ +R tfit if I should b.(oN.ut di ro rrE
<br />*s*6 @rFE r ir I'oruioB olsarb. l?m oftn lllu(ct. l slEll. fonh*nn onpv *nh rtbG ForibB
<br />wARNlN(;r FntuE h sc rorl6 orpaEibn o16ld. i! ulr*rul !i rLll ubid & dtphF lo qhlul Fnl6 an
<br />.Nn fitr6 !p ro oE hur&.d lhoulad &ilhE (Il (xr,!). i. rdd'rotr
<br />'o
<br />th. ..r o[d&!sd B ForiLd lorrlE
<br />saln)n 1076.frh. r,hrr a.d.
<br />I hd.ny .itm und.r Frh, o f Fjury rhd I m li.s!.d unla Flvisbn otclu,rq 9 tonj]rBr,B * th Sdio. 70()0) of l)ir aFn l
<br />of rlE &6iB.n<l aNtdio6 Co&. .n 6y li.de i in turl foE,n )blvlsa
<br />cQlslal(llllNtllDldc-actitll
<br />I hdby arm undd Frlry oa pdjury rh!' th* k a conslrudio. tadirs !3try for rh.Faomn.. olrnc "ork lor trhf,h rhi. FDn i3
<br />is$cd (S( 1097.Civ ( ).
<br />AttlrqNr.l&clJaarlll!
<br />I hftbt allm unti6 Fn.ll, oa Frjury onc ot lh. tollo* inB &{le.l idB:
<br />rr.mhion PmnlArh..ror Norificdior lcdall ReuLthro lIirl.40, Pan6)
<br />Rrq0ild tda olNdifdioD
<br />_l cdi'ay rhd rh. rabd ..gularioB ESJding BbGrG rdnov.l s. nol .ppl'c!bl. lo rhi. ptui.!
<br />l.dily fid I h$. rdd thir rpplicltion !d nn. rhd rhc oh,( intomtrkr i!.odd I .Bc ro om pl! * irh 6llcirt.nd (iunrt
<br />ir! dd Counl) ro d'6 uF. rrEoi.!m d .nn sr.i.lr"s,.ld rd h6.trr rurlbr;. (FMdn6 of !ni! (
<br />rlir.6iio(d Fpdy ld
<br />,\pplicitrl or ,1Enrt slsnrr LZg Lq
<br />Set Backs
<br />Esr:n slSle-elll-l o I d own s Z-Vr?Ilcza F-u2-.... E-,rl ,r5*.-
<br />Erection Pads ,/A,*-,.2-
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<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 l-z t7 &rttttt 727
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />I
<br />L..dn'r Ad&6: _
<br />f-------T------
<br />tl
|