BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />l,4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Beq.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />uFINALzln r
<br />Certilicate of Occupancy lr
<br />Notes, Remarks, Etc
<br />owNtI aull,Du{ D}:t,c^ta TtoN
<br />I tEEby !filrnr und.! p.!!lry ol p.ryry rhd I rm.r.hpr ftuh rl. (bnr!(.E Lt.ns. lrw fd rh. followi'3 Gr$n (Sd.?031.5
<br />BusiRs ,r!d Cmrdrhn O!l.l Any Cry.r Cd y vl*h rcqu&r . Fd t' ..i{d, 1116. i'rpr6w, d.ml6h or EC.r .ny
<br />nrurNft, iritr h' ns issucrtr.. llio r.qrrcs rh. lppli.rnr fo.suchtxm n' l5hu sinEd rnr.nrnr rha h.o.Ir. s lrc.ns! DuNulr!
<br />ro E Otvisi..s or . C.dkhr'r l-ir.rcd l.s iclqrcr rr. Co'n'ftE'n! s h Sd nn 7uU d l)'vnhr I nr lh. Bu es rnd
<br />Pn'le$k'ns Cod.rorrhlrllorrht ! creqr rhd€liofl cdl rtE hra! hr rh. ulE8.d .snunon. Any vtr,ldi.'norS.orion70:ll5 hyiny
<br />dflrlrid for u Ff,nir ilbFk rh. a0nldd r. r ciril o.ulry ol mi mE rh!tr fiv. huMcJ dolld6 (ts{D,.
<br />_1.,rdrk.olth.FoFnv..r,ny.qftyr.s*nfiwl3.!r\rh.n!n.nqf,trerhx.qldrlryr*riltl{tuim6n,
<br />!rn\l.rl or or|r.d a(tr sL ( Se 7t!,1. Busrrl lnJ Pn,Lsirf\ Cod. Th. (idh.trtr r l-f,.M L.* &Es nor {,tly k, m DW. ol
<br />nr pn)ftdy *lr, htrLli or i'rl'mri rlHd,L di elll di.. srh Bd hrlrll or lrrullur rtuou8[ hr or h.r o]D.n{,loF.!.
<br />Frdcd rh.r skh inlll6!.rdr ac d o.nd.d.ron.En t( sk lr.lx'*c6. rtr hil|!l8 or uq'Mf d n sB w r.r]i,
<br />ofNnt,lrnn, (lrO*Er Builtkr *illlBE ilt brnkn of pn)vi"! rld lEor slr did [n blilt or inlnM rtE Dspd, nrrlE puq$E ol
<br />-1, ^ o*kr ofrlE r.r,.nr. am.r.lBtr.l) .ax{.at 6rr *nh lr.neJ.onr.&tn\ h..n{Mr rlE l,trilr rse ?{}ri.8u!iNr.
<br />,'xl Pn't.ru,r(lx]. Th! Coirncktr'r ljctrs l-tr* &E fln rfl'ly x, m dekr of prcp.n y who t u'ldr o nlPro!.s rh.rdn,.
<br />arI whi (odrrrt Iff iulh Fr'a.ri wnh r (i 6.ntnr) k.ed l)ur{d n! r ctdrrror'r Lt.tr{ tjs)
<br />t!ax[!8li:(arl!;]t -Ila!
<br />DTSIA.EIIIOT
<br />I lti(hy!irmundnI{nalrvof n rruBnk Irh.rrni,\in!,lr.lu,rxrnt
<br />-llrvcordwill
<br />ttll r!C.nili(.r.olc.n* ro S.lltNrE tur so.l.B L$nrtMion,0r t,svil.d for by S.crln l7(lo oIlh.
<br />L.h{ Gd.. fd rh. rE fi,ffi ol rL *fll If }tih r lE ttmr it \.kd
<br />(?, ** ., *,,, ^,,,,. *n B' 6nrE*,rr hsurm.. !r Equi!, hy sdrp. r'r., or,' .,ror cod., rq ru Fr** ot
<br />' rtx wflI lu rhrh rru a.rllt ! n\Ed Myrolt(i tunSLBjFr uru|w( turr ddti,lr) nun H r.'fGP
<br />-z\lrL l f t-?
<br />-l
<br />c.riyrtd,nrh. IxrlornDd. or r& worl|,tr *htrhrhi! p.rm( 6 Erxd.I irll ncryhyrylEr
<br />$ a\ ro t&om sbi..t b rll wAds cotopcnsrhn he\ oI Cil,Iorn'r, ,tuj !3r.c rhd
<br />'f I $6ull l.coG shl.d h rlr
<br />*o.{d\.omtcneiiotrpruvnENofS.rlD.l?0Oof'h.Llhorodl.,lslull.tnnh*idru,r{,ly*ilhr,!Epntsus.
<br />Wr|RNINC FuhrE h rcur rmtd{ lnyEtr{ixin .ovm3. B unbwlul. nl $ l iutrct M ..l'lllrF, t' o .d Fdi$ ind
<br />cNil hn.s up o on. hlndrcil rh.lrnd do
<br />s.! rrn 11176 Dl rh. Lhx (irk. ur.Er lnJ
<br />,,.t€6 ,-r0-LD
<br />lli^ r!lrn,lxx)), ri rdJ(nn i) {h. !o( .l rn, dMur.r nmvrl.d ror rh.
<br />1 7LL
<br />I hceby rllj.mrndcr l!nlhy.fo.rjury rnr I rm li...*d !nd.r fi.vNinn.r Chrnrs I (.nmEftinr wln Sdrtr ]lx$, olDirnhn l
<br />o, tl[ Buso.$ dd PDf.si,,8 c.xL dl my licnr t in hll lnre ltrl .lcc't r\D\\l
<br />-i..N. Nun E \)/4;-W-q--6 '\ -to
<br />--T-7--T-
<br />Ihcfthy!,tun,trft1.rFnalryofFrrL'ryrluiilEr.^lcon{n'dr k ltr'grs.r},.tr,lE F.rfD 'rrorrh.curli{uhkl'rlnsrrmir(isNl rs6. .lrr, Crv C)
<br />ATILICANLDECIIIaAIION
<br />I nq*y.,rmuiJ.r pcnJr!orp..jury oE or 'c roll]wxr8 &.lunrion\:
<br />O.nlliiioh P..nisAitEnos Ndifruhtun F.rt ralR.Bullnon\ (T 1..10, Pdn6)
<br />-R..NiEJ
<br />ldt( of tldfirion
<br />I !L, *nn, ,*, ,,. nr.-, .*r,'nN E3ri!,n3 8rrn6 Emrxr !E Dr !$rr.!hr.
<br />'o
<br />r,* ,,oFr.
<br />2I.-r, r* , "* .- ,n".ppL{M !d r.k rhd rt rhov. inrotu.on i!ffir.I r8ft ro Nq y *irh.[ cny.ll cddy
<br />\nlmh...\ ldl Sr&r. b*r rbrin8 ru tx'ldrn8 oNd.rh,h, urt h.EbyrurtrtrE. E[EdaiiwsolrhisC y lti Couory ro .ntd uFn E
<br />irrr mnrrft(lI'n)rdyr{tr orf.d i()i ttr.ti{\Y-t $
<br />Aor,li.!nr f Alcnl Si$urun
<br />Y,' h
<br />N
<br />wltu
<br />Hev. O8'0/-2015
<br />I
<br />Set Backs
<br />_l d! .r.n{x und.r SEdon_. t & P C tu rhii drEtr.
<br />l).r.'-
<br />'/4,?
|