|
SITE.WOBK DATE ID/SIG.COMMENTS OWNTR f, UII-DER DELCARATION
<br />I kr.by Jrftm ukl.r Fnrlly or F.iu.y rtur I 6 .rq rmB llE Codrdo6 LIe lrt' (r rh. nnlllvn! ka{tr (sa ru.tl 5
<br />Aus{Es ..! ltrdass$n Gn.,: Any C'ry or Cia.ry *l'xt d{r6 r Ftu ro orlMl. allcr, 'qrN. dcB,lnt .r arEr ut
<br />riru.ruE. Inr r' $
<br />'rsu.m.,
<br />.lh EqoEr rh. aFI k. nlr .!.h Fmr h nk r ristul {{.nrn'
<br />'hrl
<br />lr or nr k lr(rcd Fmd
<br />ro rh. li,vN(h ot rh. (illllr*itr s l.i..nsl L.w (C!.|nd 9. cir"ftNrn! vnh SdNn ?flr) or Dr,srr -l or rh. Bulimrs uJ
<br />Pn'ltsnrnr Cixl(, r rhrr lE or slr is.r.q* rrErlioma'rl rh. basi fttr lk,rrcrcJ.Em ir An, vr)LlnD t f Se_rion 70.11.5 [r rn,
<br />rmhc.trr l,tr r lxmn slhj.rrs th. amli..nt lo r (vilr'.uny(fnor a* rh2n rN. hualr.il d.ll!6 (lt&)
<br />I rs owr( ol rlr pn,|tny, or nry cn[[)yc.r w h wr3c\ r hcr. hL (omp..sanon. t l&, rll *,f,k ulr] rlr NruE is mr
<br />Dt.rlil , tr olliir.J i,tr {rlc (Sr 7(144, lluw.\r rtri lt(n.$trts (irlc: l hc On rknt'r Lt cNc I rq do.s nor rPFly h .n owrr .f
<br />rltnn,Fny !h, tnnlil\ or imEov.s rhLr$i, rl who {!B nrh *o* hnnscll or hcr\cll r t hn'3l hN or hcr o*n cmdoy.cs.
<br />flovtrlcd llfl {re[ Dfrormmern i ctotllq.lldr,l|,tr\rk li ho*ercL rlI h! ]u{.r inrrhtnrd it v,kl s honk }td
<br />ol (on{'lcr0n, rh( ( ),Nr llu J.r w,ll hiyc rh. hlikn ol lhr i! rhir h. d rlE drl h, tntrld or rurov! rhc ti,Fny htr rtE IxjF'{ {l
<br />_1. a\ o*,f,r o, rh. l()Fdr. an crclus!.ly ontrd oS q(h l(tr{tl onlnctn nr lun(to.r thc F(rrr (S.r. 'l}44. Btsrss
<br />ad Bric.\r{ GrLr Thc C}.trloir l,(cnrc lrw J,E\ ft{.mly (' aown.r ofthlEd} vh hutldr or r{mtr rh.ro4
<br />rnJ *h! (, rek rn iNh rn,Fd3 w h. Omh(onn li.Nd n{,Mnl iorlE Conrr{fttr r L$ne ll*l
<br />I r.n c(mpl uRlcr Se.-l
<br />uof,liltri:-(l)uf$t]!]la!!&rl -8dIlO!
<br />I hrft hv trlltr''llr,rnJlrlol Irr|rryon. ol rh. nnl')tr(r! rlr(lr n,r:
<br />I hdv. n villfluirraina Ccni,l.rrcol (nn$ r, srll"l strc,nrwork$r (on]ncnr l(nr, {s [nvklci ntr hySc(r!]n l?(r0ollh.
<br />lrtu Cirt. ntr rh. Fnnrronrc ot rhc qork I'tr wh(h rl* Nmxr Nsutd
<br />q'll'nrdrd q.rkcrs- (.mpcnldrr nntr..n{. r\ rq!rcJ hy
<br />whrhrhn Jrrnr rs rsudj. My*orlcrr (dnrFNirr!, m\uflR.
<br />51tq*,:ut.er.rN 3A1\qN
<br />Sr-.tk)n llTllld rn lf,hor airl.. l,r th. Frtumkc ri
<br />. rr dl F,L t nuhh.r rc
<br />F^n:.iP
<br />92"2-:Ci,tD ._.d oi\za-
<br />I (Mrlyrlhr r rh( ,'( rldrolrtrc ol rhc *.d l'r slrh rhr p.rni r n\oL{.I \hrll h,n.nlt)l(,yrnyli^.n rnanymaom,
<br />$ 3\n,tf,LsnN {hF(rh rhc sor{rl conl).nllrir lrw\olCrl'tunn.. in.l a8rcc rh ntsh'trllfi(oB$hF.rr,rl*
<br />wdrkrrl 1!,ml].tr$rtr,n pn'vNi'ns.rSeurtr'n.r7(xr o! rhc l.&, (iilc.l \hall. nflh*nh.ohply ![h rh){ pn'vN(nN
<br />WALllN(; l'Iltrr. n, wuft'q cli..nr^tr\artrD r v.ri8. r\ rtrhsltl rrl
<br />.'v,l l tr\ rt) !, N llundrcd lhous.nn J.ll \ l!llrr.(rxr. tr, ,trl.irtrr, n, rhc (,
<br />itr.nltll',ycr l,r $nn .lric".hEs lnl
<br />tr\itknr, J u8cs ,s lrnvilcd lhr rhc
<br />h.lnhtrC,Nl.. irr.r.( rni riixrry \ 1..\
<br />i
<br />I fi.Ehy drinnuds Fn,lry.l Friury 'lur
<br />l.n lko{n ud.r !n orchnptc,9iq{nm.kru q h SNrnn 7ltlorol Dd^rn i
<br />ol rh tr\mlM rhr.\son\ Grlc. &l myl(.ns ^ nrlrlll ht(c.nltlr..r
<br />I h.rchy,rrl htr.(ld JrtriLly.lpcljryrhJr rl'.'.ArL n(d,rrrnrLkln!!p.Nyntr hr Frl!{nBrc nl rhc w kltr*hi!hrhi\Iinnir N
<br />,s{rcJrse 10u7. clv c).
<br />AIELICANI.DEIIAEAIIO!
<br />I rmtry .lim unLr Fnllly or tsiury om of rlE rnlt*nrr J$lur i'nr:
<br />tkB'ir!,n P.,h $ ih.stos f&lfiet.n F&lcr.l R.3ul4 ilnr lTil lc 40. Pan6)
<br />-RcqurcdL.(crolM
<br />ir.l.d,n
<br />I (.drly rhrr rl[ l(lcril rc!trhr()n\ r.!r!1trl! i\lln!Nnrno!rl
<br />!/eniryrthr ltuvcrcrarrus rmhdirtr Nnl sIlrc rhrr rhc fi,lc rrrn(on.(r li!'..rr1D llllywnhillC yr Cortrry
<br />,trJnrn!.\ xnJ Sin.llws rclrttrg k' bu'Un! (dtr{nrdxtrr. rlh.c r.r.\c rN..ol rhn ( 'rr.tr Cnutrryroc r.r |"n,llt
<br />ihnr rnrrnnll fl,,trrr- 1', tr,\t{(rr ,'rF\r\
<br />.\pplrrm.r,\Actrr sirnalun
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsu lation ,t -
<br />Rool Sheathinq 4ltlt-t na,fi2f ,T
<br />Shear Wall I
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<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 ,l
<br />FINAL 4\1,1\1^D/l'v'l :t
<br />Certilicate of Occupancy ' \
<br />Notes, Remarks, Etc.
<br />BUILDING- INSPECTOB RECORD
<br />,,,' Aztvl
<br />Brown Coat
|