BUILDING- INSPECTOR BECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns ,?,o >kfr r(
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenUlnsulation
<br />Root Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy I
<br />Drywall
<br />l)*F->Ext./lnt. Lath
<br />Brown Coal I
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif.
<br />-,1 )l
<br />FINAL Ylqlvl I
<br />Certiticate ot Occupancy I
<br />Notes, Remarks, Etc.,l
<br />LO ,?-tl1ts - kLt-v
<br />t - \ *4-rtlI
<br />OWNEN AUIIJ}I'R DI:I.CITATION
<br />I hdt'y rm u .r p.dy or p.rrr.y tDd I b .Etsr fium rlE Od.rlfu tift lrr lo rh. lolbwlu €s (Sd.7oll.l
<br />Burin..s .d Pmrdriu C.d.): Any Cny o. C@dy Phah rrqoiE. . Dcrd t. onrM, il6. idorovc &mli{t M EFr ty
<br />r,urE. Fitr to itr isrE- .1,o F{uiEr rtE .prl].d lor.sh Ftt to 6l r rBEn nddrd rhr ,E q iE i! li.^El plmd
<br />ro ilE FrvirhN .f rlr CnrEr(t l.is.d lr* (ft.Fd 9, C.llwrht }ah S*r!. 7tll) .f Inviri'. I or or BuiE! r,'d
<br />Psr.$.nr Cod.) m rhd ll or stE it .x."8 rrrEii.m.d
<br />'rE
<br />b.tir for
<br />'lE
<br />rlh.d .r.q,ion AoyvioldbnofScrbtrT0ll.Shyrny
<br />.p9rt!d f.. a Fm {bjar tlE .p9la! t . civ'r 9.Mly ol d m.. lh.n liv. h{idtd dorbr (t!Ir).
<br />_1, e owEr .f ih. lrnpcny, ., my .m0hy".i wnh *.3.s a th.n ok con{Eurion, *ill do rtE *nI d rlE {dE i mr
<br />idaid, d orli'nl tu 'L (5d.7o,1,t, BaiEt'.ri Pln(-'im Cod. Tn C!d..rd, t&r. t r&Ed@I,iox.tEof
<br />rlE F,tdy sho hi!0! m irrmE t Eq !n sl! d.d lxt vra hmr.r or lEsll or rkDurh his or hd om.nItbJcr,
<br />Eovid.d rh.r luch idpmrcEdr d mr id.ti.d ftofl@d lor.t Il tnrcE. rlt hrildo8 d id?oEcd ii $U wirhh @ Fe
<br />ofc,rpldi4 t,E o*u B!i!E vi! h.Ellr b{,J.n otFDvlrr rL lr iE dU d h!:! r irFE it Ftrcart Ior rll F,!d. ol
<br />_1. ro*E of rlE FoFry, m.rc[rivclyNddiig *ii liElql6 r(nroco M tll Fliil lsd. ?O!4, BUlllB
<br />nl Pi,fa\ri Co{.. Tb. Conrdol r Lt.nE h* d(B mr {tply kr d ovM of pnEny *lE burtt o rltow! th.mn,
<br />.nd wts fr ,*Ior lch F!rd! wih. c.dcdin k.Md p{ri@ r. rlE C.dd.l. U..trs Lr*).
<br />I rn.r.n't)r trndd S..nM ,Il & PC nr rl'tr r.r\n
<br />ItQAtr!8I]l:AMflNtArIa!
<br />DECIAS EO!
<br />I h.r.by .nnm u.dd o.Mh or Fp., .x of itE rolhrirg dcLrdriB
<br />_l b.k rd *ill uid.in r Cdi6d. of Co'ld to S.trJ':,e fd r 16 .!rp.da tt FDyiLi to. try S.cbn 1700 oltll
<br />brrC.dq l llE Frtu ol rlr Nil kr 9nin tE Fmn i i,{n
<br />lzl h.Er h[ Ndrin wr!6 ..rp.ds itu, s n{uhd b,sinti[ rT@oltlE b}orco&,lot rlr F&dEdl,l wt fE *hntr th! pqr, ir ia9o4 M, wla m!+arn! Utm ffir rn ,Eli.y dn$.r ft(*<te F,,*-1,.-qzl ilZ3 zo'2,>'3
<br />_lr.drtrhdnrlrFnqflR.orrh.eorlloivnrhrhnF'mrtrseJI3lull .r+b) mt Frnr irfn, lMrr
<br />s B h b.$tr rhr(r h rlE mrtm onp.MFn Lr r orctlr l.nL .nd {R rh, rl Llsulj b.sr {bFd h t}.
<br />srt6' orFriDnFrt,,Borsdrbrlr$olth. L.t Cod., I ddl. fdhrrh orply ? h tho- povim.
<br />WARNINC lirilun r' *cu. *ork.'J
<br />c'!'r hEr up (o oE hurrlr.il rhoo$nd
<br />.n cnv,lotlr ro imiel FM.ir. ul
<br />za)
<br />I lEEby .rrn ud.r ,EMly oI IE !r, rhr I s 9k.mftri4 r h sdhi 7(x)t d lhthi :r
<br />o, rh. B0.'MB ud PrcLsnd OrL. .nl hy l..n( n o tull rur rn .lrd
<br />A I 3 1'.7o1-r- ?o
<br />COIEIf,IEIIO!,IEIIIIICIGEICI
<br />I lEEb, rfrm unrls F!x, of rErrrry rhr !h6E i! r mnrds EDlu{ !3.ry lor rlr rqfollm of rlr wt 6r rnrh th! F tr, ir
<br />tiu.d lse.1097, ciY c.)
<br />&IIrcANI.DTCI.AEAIO!
<br />I hair_v .trn lBld Fuhy o, Frjury oE o, rrE roltlvh8 &.lJ.tirA:
<br />D.nDl ioi P.rmirlArb.{o! Norifi.lrbn F.d.El R.Bularan} (1tb ,10, Pd6)
<br />Rauql Laid of Ndfuno
<br />_I diay tlu .lr tddrl r&h,bB r.truia ab-tor rmv.l e d 4?ltrlL h rhi! poFr.
<br />A/r<arif,rh.rIhrv.uJrhn.pp,..rEnIndrr.rhrtlE.bov.inforr*ioDi!ci)B1.IlSteloonpl,wtn.[Ciry.tiCou,trnllEdd &l sd. lls rlrt ro h rldnt (otuu !n lEcty ului4 EF*dliE or rti! cay .d coury ro da r4o. dr
<br />rhov. .rdx,ad loFny lr dp.d
<br />Applic.n. or ,\t6r shMruE ,"," Q- d- z .-
<br />I
<br />fi7!?tki!It
<br />l,,7!\ifi
<br />Rev. 08-07-2015
<br />-7tL ilA
<br />1t27tU
<br />7* k/vt
|