BUILDING. INSPECTOR RECORO
<br />SITE.WORK DATE ID/SIG.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Rool Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />I I
<br />FINAL l/t atk +#/
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />I lrr.6y ,tun ufrlc. Fnrlry 'n r.,nrl rhi I m.kq{ lnrn rlr Li nRB l-(.ne lj* n)r rhc rr'ln*o! t."!n rs.(.n,Jl I
<br />Bunn.tr rd ftoL$r'n Cdc)r Ary Cly .. C.unry Bhf,h r.lumr ! Im k! ronsrru(. !lre. tnfNvc. &m'lsh .w rrrn rny
<br />sltrr.lurc. pfttrlo rts t\'{.cc, oko rcqu rr\ lh. amlrlnr ,fi \u(h Frnil l' lik a !8tro1 {il.mnl rh lEo. rh. tr l(n{d Nr{$l
<br />(' rh. Frrvftri ol rh. Conlr&r!tr r Lr.nc! L.w (Ch.nr.r 'r, ComnEErtrg $rrn S(rrr 7(tl0 ol I)rvNNnI l.f tt Bunms dJ
<br />Pn,l.1{onr C&1. ) d rhat hcor\hc s .lcmtr rh.rcarom.nJ rrt lulr t(tr !h.3lhE.J.t.mPr!'n Any q.LrDnolSNrx,.,7(,1I5 h}i.y
<br />rNlr!trr li)r 0 n mrr qrhrc(k rhc ltpliont k, x (,vrl Fnalry ot nor mft lhln I rvc [un,]rc.I olhn (!1\00)
<br />l. r\ o*kr or trf, nt'trny. o, nry.ry'l)yas wnh !4.r xr rlnr a,k (otrinarrr. e lJ. rh. rdr rn lll. {trm ( n
<br />rnrdrlql or .llcB, lti qlc ( SR 7(N4, Arw* dJ PhncsdN (ixi.: I hc Conrrrcr,tr r l,t.n.c l,a* J.ca nor .Pfly l,' .n r$n( ol
<br />thc t'n)IEny *h' h{ kor o{n}vcr tlr,n. irnehl&E!kl,k' h \.ll or h.i(.ll nr rlr,uth hr o.h.tosncnllll't.ci.
<br />,r*rlLJrhrrnkh mfn^aftnh e n, dc.rt ,l n, dllcr.J nr sb lr. h,s!r. rh. hu n! qn*(mnr6s wthr,ftr-
<br />$l (r{'b[{ rlx Owtur tiull.rcr wJl h.v. rlE hur'Ln .l F,vin! rh.t lE .r shc 'lr] rn h{ l or nltovr rh. llnlEny ttr rh. I' rIr)E I
<br />I r\.sn..rl rh! r.Iity. rNr\lloiv.lvL$nt.(rtr,t s h l'! cn{J (.trrrkr\ t, rdnnr( th. pn,F r ( S( 7(!-r. Atr{rs
<br />rfil Pnii$i (( . lh.CorlrLloisLi(. \.l.aw,ld.\ norilflyn] xndwn.r olti'ot'c y *hn hslu\.r rmlnrvc\ rhcr.on.
<br />r who (o.tr.r\ lttr \urh lln,lcd\ w[ [ : Ci ra( ti n lrcn\cJ r]urur nJrlr(ontrr,'\ l-'c.h\.lru)
<br />_l !tu.r.nfl uJ.r Sccrrln_, a & PC Lrrh^ rcrn,,
<br />luratrE&r-cautln$rla!
<br />IIIiCLABAIIOB
<br />I hcnhy,lln unJ., Fnrlryol Frury.k ol lhc nnhwmS d(l!!ronr
<br />-lhrv.ml*'llnrd!'nrC.
<br />llierc.l(irN.nr rr Sclllhrtr. nn w,rt.r' (.n,lcn.atnn. !\ pn,vlltJ ntr$ySc.rion 7r)otrh.
<br />Lhtr C,rl., ti'r rhc lL,,,rturt.f rh. Bn!k tur wlr(h rlN Icrn{ s srucd
<br />Vr r["c ur wrrr nrarrr,n *"rk.A .onD.nrrrr)n 'nntrrR.. r\ rcqur.J nts{r!)n r'7lD.r rrE tjlxtr(i\k. n, rkI't.lnnlstuc Dr
<br />lh(s n tr *h( h lhr\ ltrnnr r\ rNc.r M, lorkcr' $m[!.tr\ir nn 'n{n
<br />rhLc ranN !r li}ltr y umlx.r rc:
<br />,,,,,,"n",*,, 12t/2ale'2ot'1,^,*., r/t{/^oztt
<br />-l..d
<br />yrhlt h (h. lFrlormnc ol rhc work n *hf,hrhFFrn tr lrtocJ. I rhrll ton . l 'y rny Jtmn t. ,ny ormr
<br />v, trt,heom sunFtrk, rhcao qi$nrFn\rrion bw\ ol Crl'lorh,l, lnl.!rcc rhilifI ihrlLr hcom rubid l"rlE
<br />!o.tcr' d,n{Ensr on tfl*smir .f S.er&n r70o.r lh. bh, C'(rL. I {Ell, l.dnu(t otr+ly *rrh rh't Ptrv6.,nr
<br />WAI{IING fliluN lt' s. w srkc6' lon{rnsarDn .-v.6!. 13 unbrttl. ,nl rh'll ruhAr s m!'i,F b.tminat ,tMi.s .fit
<br />drl lln.s xp t( om hundrc! lhoulM! Jolh^ (gl(Xr,lxlo), In ddd nn I' rh. erNr ol conrf.nsri,'n, i!tu3.1 4! lrovkl.d fd th.
<br />snrrfr r)16!,rrl,. Lrr,r (!xr.
<br />//L
<br />DECLANAT(TN
<br />I h.Ehy . tnr rn l.r ltulry ol t*]llry thd , am li(nrtl uDlfl F v6x'n ol Ch.rrs 9 ILImG os qnh ssii)n 7xx)) or D(t.iDn .r
<br />ol thc BunrcsaEl Pnr.sxlnr Cnl., url my lf,.nt '\ $ tull Lr( dv.l.flel
<br />q62
<br />o26 Ll'zt
<br />CONSTaUCTION LENlrt\G A(:l''N(:l'
<br />I h.rct'y lllnouh,cl rro.lryol Friury rhrt rhd Li. (rituLrnn htulh8.3cfty lrtr lrE pslitrmRt ol rh. wdL l{tr *tihfil Fmtr n
<br />{kal (Sce 1097, Crv C.).
<br />txnl.is Nrmc
<br />-
<br />IrnJcrr AJJrcs
<br />-
<br />APPI ICANr DECLAI'ATION
<br />I rrr.lry ailm utu cr Fnalry of FrJury o* .I rlE folk)eD8 ,l(hrl' on(
<br />O.mhbn P.rdts-Ashc(os Norifi..rii,n lctlcrl RctrLri,n\ ('l1rh 40, ld6)
<br />_R.{uftd Gll6 or Mn'[.!r'.
<br />_l rd rly rh.t rhr fft].Pr EguLi k'nr E!]J[3 !(r{os rcnrrvd dc n rylirihh r, ttur In'F!.
<br />l1l L.d'ry rhd, h.vc rcJ'l,hr {nll( nnlrl{!rcrh rhenhrvc rnrom siLrNEd I!sr(ioonnlrqfilllCiryrndCounry
<br />oii.hc..nl Sr.rc Lr*iFLrh! nrI'u'Ll'n! (onn dkn lrl hcicby rlrlbriz EF.Enllxycr of rhi C'iy.Irr Cou.lylo cnr6 ur{.llr
<br />ah^t ft.nrrrhl|n,Fdy ft, m V7.lLApplionn.rArr l Signrlum '7.aL
<br />a)
<br />)B
<br />COMMENTS
<br />Erection Pads
<br />"^", l/r!/zato I
<br />tt
|