|
BUILDING. INSPECTOR RECOBD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER EUIT,I'IiR DEI,('ARATION
<br />, h.Eht lllm unlcr lErrky , IErrury rh, I o .r.q{ llsn rh. Codr{nn' l-rc.c Il* ntr rlr ioltr*uf rc2s'n lsft.'7(}11 5
<br />8.!tr( .rn PbLsrn (irl.) Any (!y or Our! *h.h rc{uer . Fnr ii, ..n(Br. ilrd. ml'.vc, &mnrh d q':r t
<br />dddur.. pntrtu rlr rrurB., al$ r.']utr.. rhc .ml.i n* rnFm t, riLrrtfttl {rrcmnr rhf,rlEor th. ! lr.n{J punuur
<br />ro lhc nn'vri,ni rr lh. O)ntrrr,'r Li.h6l Li, t(hrytcr g. (nmmn( 8 with Srrr0n r00O or Drvnion I ol rh. Bunn.$ sd
<br />Pnncshnrclrlc)'rrh.rlE.ih.t.t.q{rlFrclnn:jrlrh.h!!sttrrhtlLS.Ll.r.qr[n An! t$Lr[nol SsrFn'7llll Ity!try
<br />rnllllnr kxalrmn {l'F( rlx ,mlf,. n,.qrrlFMh} di fr,r m,E rhrn hvr huftlhl &,llri 1350)
<br />_1. r! oum. ol rlr pn)Fny ,tr flry. NpLlytcr rnh *r!.\ a\ rh.tr v'h crn{in$!on. wdl Jo rlr *.' k rlrntujw$ n
<br />d.,ridl ornlt rJ nn qL rNL ?l!.{. Bu\ft\r.^l t\ol.(ts'nr(-,ik rh.(inrdtrrl-rdclf} 6 frr qTlv !, .n o*Fr ol
<br />rh.In)trnr *h' h{rlk or Fthr$ tlER,n. t *tr, .\ (h f,nlt hmn.lr or h.R.l, r rhn)ugh hn or hcr o*. .nllll'v.ci.
<br />pfuvrlc(l i hdr su( h m,IiDrtr'It m nn nr.ftLtl .r , 'llmll I tr oL ll. h,wrkr rlx ti'llll.Il ur 'r{r'vctrd F a,L, wihm on. F
<br />ol unnpLrDrrlr()wmrBtr crwnlhavcr1rhd.ndlpn)vnSrlullr.$.dr,n,htrldMrthn.rh.ftuldyntrrhNry!{ol
<br />l. 15tr*nrr,'lih. !n'Fny, rnrcr.lulv(ly(.nrr!!n3 $ h l(rn1.d (DNhd)^ !) lor{nkr rh. Ft'l.d rS&.7lr!1, Brnr$
<br />a Pniisrm(-,rL lhc(hntrrcrn'sI-(.nrcLlwr,,f,rn rtllllv r) sn o*mr o l proFn r *h) hurlilr or imrfu ycs rhcr.on.
<br />,nd rh, (drart lor nRh F,Fr\ *.rh. Ci,dridon, l..rsl nur!,d r'rh.Gllllr(rtr rl-r.na.tr*I
<br />I rnrcrc.rnr und( S(rrir _.8 &PC
<br />Ortr_
<br />lVOtXEnS', CO|ITPENSATtOti
<br />DIII,/I8IIIQ!
<br />I hcrchy !tltrnr und(r F.rhy nl Frrud rk orh. n'l[,ynrS ndlrlrtr'ns:
<br />I h.B. will m'd.o ron.r' (orfinrrr xn mturrr.. & ..quuBl ht S(r rr .11$ ol rh. I ilx{ Oir.. ld rh Frfi{ltter nt
<br />rlx *vt f!{ * h rh\ Fm. n rqxrt. My k**6' $nqrrdi'n rrurdc.sEr ad Fnry.unh.r &:
<br />t
<br />PolE, NunlEr:_Erter: _
<br />-l
<br />ccn rl, rhd 0 rhc Fnnrtutuc ol rlr ,ork d ehrh rhis Frmrl R nsu.d. I rh.ll Bn .n,'hy rny JEMn in .ny muxls r ro tEsm $bF b lh. krt6'qnFnsr.n l,*! ofc.l.lonr. rd .!N fin 'l I {bnlt IRLom !trhFr b r,r
<br />h.td' .rn'Imlrkrn pmvNrrm of sdrr !7msf rlE lrbr (flk, I {hlL l.'nfi*.h.oq,l, B h rhE Fovumt!Al.Nliri(;: tjr'1trr. i) (.trr. s!tr[rr\ $'nr^-n\ik,r (.rcrr!. $l,l. . tr| d,.'ll n'r'r(r r, (r,t,l,,t.r rr ('nrnil lrr r! rml
<br />(Nrl |trtr\ ut rr nic l Rk(l ihotr\inl ,lollx( rsl(xr.orxr. r el(l
<br />s.(rrn rrrt6o||lr Irhtr(iiL. nr.rirLl '(om.r'\ na\
<br />m n,lh (o( dl rompcn\arnn diro3.1 r\ pnul.J nn rk
<br />DECI,,/T|IATION
<br />I lFEhy lrlimloLr FMly.l Friury lh, I.h l.r.{d udrd Frv(r,. ol (n:P.r 9 t nmftr3 rnh S&l!'n 7(II)) or DNB.n !
<br />ol rhc BusFsr mrl Pmf.$k)n( C-odc, .Bl nry ltr.nt. ! o tull h,to. drrl rlt.cr
<br />1,"1"
<br />.)
<br />(-()tsIRlt tl(r\ t,t:\t)I\(; \(lEi\{ l
<br />I h.Rhy {,tm u l.r tE..hy or n rIry rh{ rrEE is r (,n{rucr a,i LBlins rs.B_y l,r fi. Fdntut ol rh. Mtrk r',,r which rlin Frmi' n
<br />rrkti (s- 1m?. ci!. c )
<br />Aftusallll:ri.ABAuat
<br />I lrn$yrllnmunlcr Fnrlry or ti]lry.nc,,l!hc nni)w[t J..lmr(xr
<br />txnrrl hh I,.rmI! \h.do\ Mrnkirr hd..rl,{.guLri,n. rIIh,{r. t'rd6r
<br />R.qtrr.J lr(.rol &i i!nn
<br />-l
<br />..n
<br />'ly
<br />rr,, rh. lirLrrl EfuLr $n! rgrilmt .$c{u( Emrr.l .rc nx .fp[.hlc k, rhr poAr
<br />I( rly rhd I hlr (id rhs it'r,lK lnotr ul (d. rhrrrh.!h,!.1 Ilrrd(,$nrplt*ihrll( tinl(ntrtrry
<br />oiJrnJr.\.trtr|Sr.rrr 1..rtr\ r.L'r'rr t' huLl !(,rrn,.:uxl h(r(hy,'orhnr( r.td\crrrrtrc\ ofrhF (\r! rnd (i{nry r,.rrc, ulirhrh
<br />rtx'rT mnrr,ftJ l)nlttdvn, u
<br />Appli..nl or A*@r shmr!fr ,^rr1l b
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Su bf loor/VenV ln s u latio n
<br />R ool Sheathing Tltrlt4'frAt Uet-k
<br />Shear Wall tt I UI
<br />Framing
<br />In su lalion/E ne rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handic
<br />Engineer Final Report
<br />FINAL llta tt?,i-I*w,tra 6q)
<br />Certif icale of Occupancy I ut
<br />Notes Remarks , EtC
<br />I h.w .d w l md.n r (..nrfrzrc ol Ci,nrnr t' S.lll.ruc |,tr krl.r' n,mIEnrI'.. .s Frvrlcd ft, hy S&l$n l1(tr .l rh.
<br />Latrtr Cdl., rd rh. Frfolrrre. ol rh. eo tu whtrh rh. p.,nr ! h EJ
<br />,,",",1 f tof t?
<br />SLAB Floor
<br />,b)
<br />Beq.
<br />Deputy Final Reoort
<br />Flood Zone Certil.
|