BUILDING. INSPECTOR RECOBD
<br />SITE-WORK DATE COMMENTS OWNEN BUILDER DELCAR TION
<br />I h.Eby ri,ift uBlcr Fnilry , Friury rh.r I m .i.rnr ,itrm rlE Coflr(tn Lirn* ti* r(tr lh. n,ftDiry Een (S&.roll.J
<br />Burrs .L Pmfoslr CuL) /h, C , or clrty vhrh Equrn r Fd !, (r,NBl, .lrd. ltymE d.mluh or Err ny
<br />,eru., pcro r ssue!,.lq' sr!E! rlE.p,lror fu tkh Fhr roI]L. 8rn id.'mr rh.' h or nE i. li.reJ Puo.d
<br />n, th. Fovlx,ns ot rlE Conr-d s Lsnral trw (Chr cr 9. Comftn.inr w h SNlion 7O0o of Divi.ion I of rh( glsifti. .nd
<br />Pn,rcari,nr Cclc) r rh.r tE d !h. B d.q'r rlElion lrl rlE h{rn r,r rh .lk8.d .r.n{, rr. Any yioLlrr o! Sarir ?0J L5 hy ry
<br />.ppl(.nr ror . Fmr lubFt r,E .polutrr ro . c't'l F lry or mr frE rh.. liw hlni,El d Lrs (t5{D)
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<br />ds owrcr oI rh. I'op€ny, or nry cmFloF.s w h wurc! $ lhcir sh conFnrarbn. wix d! rh. wm* !,n lh. strErr a nor
<br />dctrlal tr o6.Ei nr sb (Sa ?0,{4, BurE$.r! PmLrtutr\ Cd.:'I'h. G,tu,(*k lrcn$ Lv dGr fr,1 +dy ro.n.wEr ol
<br />rlr F{d, wtl,h l] iryn'B rtEdn lrl rb &- uh qrt hmrlf or h.(ltor rlur8h hE q lr own.n!'bF1
<br />Fovrld rh.t t*-h uq'nrwn( e mr doJ.tl ffofisd r', slc. ll h,kE, ttE h tra d nFrEld u $ll r.tu,E Fi
<br />ol.orpbihn,lh. ourcr BuiLls r h.E llE hr&n ol F)vms rhr h. or ft drl k hoilt M uiF.E ElftIEI,fMltEFtrPeor
<br />_L .! ow or rtr F{Eny, .n.rclu.iEly .otu&r63 rnh lE $l $ilrltB t' ol!l4-r tlE ltrjdr (Sd. md1. Bufts
<br />anl Prr(D Cotlc: Th. Conlr(nx r L*cnt. L.* Jmr fl rptly t, rn o*Nr o( ttuFny *t$ buLrl! d mtroEs lh.r.o..
<br />lnd *hr.o nd,ftr rh tn,irrr eirh r G,nhchlnr lic.rsJ pu.sui, n, thc Conlrstu r L.ce llw)
<br />_l 6 .rcry, unkr Ssrx,
<br />!!a8[s8s:cout8lisallo!
<br />DECLAqATION
<br />I lfr.hy rn trn uftl$ JEMny dl FiJuy o* .l rhc folkrr mB &aLr.ront:
<br />tg-,t"".,*r,.,,,,,.url..qrn,rrtr,nmsu,!n..n'.qu,.dhys(ri'nr7molrh.tllxtrc.rr..,orth.ti.l,n]mcor\ rF * r i, whrh rhu Fmr r trshl. M, vdl.r' (,,mFn..(!r rn\unr. ruH rn F lr'r n,nhc, t
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<br />.d'1, rh.i
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<br />llE Frfordt. of itE rort lq ahEt rh.! Ftu Lr n'u.d. I rhrll mt.!ry 'y.ny Fgr m uy tmE
<br />s .s !. bi$m subFr ro
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<br />u,tdj shp.ndbn kv. ol Cdituru, rnJ .3N th.r if I onB hdom ,xbFr ro tlE
<br />wortdr .oEp.nilln,nFNni.,nt olSdti,tr:l7m ofth.l.br C,rj.,l rhru,lorlhvitl oryly vrth lhor rovri,ns
<br />WARNINC: FnlE ro sre hrt6 .lnFslion Lrrtrsc i! lnL*tul .,rt tnd obj.ar r dtploFr to rirun ldlE .,n
<br />rsil rft, uP ro oE hudrql rlrrsrn &,Idr (!l@.o(t)). in r!n,n h tlt $r of o.qEMri].. drmsc, a Fovrlo, for rlE
<br />nrn !076 oJ rtE tjh, Coic. hr.En .nl ttrorEy r
<br />3
<br />D&CIAEAIIA!Inrchylfr-rmund.,FnrlryorFr,lryfirrImlidnhru.d.r!,vr ,norctuFlde(.!hrB'.rvirhS(lnn7uxl)orDi"n!,n.t
<br />of rlE alsim*.ll Pbt ss.nr CdL, .'l my l.6s r b tuI f.rc ! clId
<br />c-3 loS<oor.>
<br />I V;Q
<br />COIIIBUCITONIIIDINC-A{iEMI
<br />Ih.Ehyrflnnu l.r Fulr,or Frrr, rh.r 'lE. E..r'sl ridn l,rh8 r8.ay rM lh. Frri{nR. of rlF *nI tu *hrh lhir Fml i
<br />$krr (sd -ro9l, crv c.).
<br />Irard r Aljrsr
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<br />I [.nbyrl]!run'l.r Btrrhy nl
<br />AltLlLINIl]l;ll,lIaAIIAT
<br />onc r, rlr l(nk,rtr'r n(hnnnrs
<br />D(n!,lntr l'.rnnr! rh.{dt N,tnkr.l R.3ulrDnt (I k{,. PM6)
<br />-R.!utr.J
<br />lrri.rol M ,li!
<br />.stError EB)yd {c n, qdx.t lc b rhB !n,Fr\r;rh.r rh. rhx! mnrmron u lorer l2lrft b Nntply vnh dl Cnyrll C.unry
<br />(&r lhcrchysurhoriar.flcsntaliv.\o,rhBC yfllCounrtro. rcrulr)nrh.
<br />ih,r. nnrx,kJ p(Ixn, n,
<br />\ l'.m te nrnrrprinl)
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<br />Set Backs
<br />FormsiSteel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVenVlnsulation
<br />Roof Sheathinq 5-lz.zJ Ult-tr )Fnt ) Pr]-
<br />Shear Wall
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />(
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL 5-13-71 ))
<br />Certiticate ol Occupancy l\J
<br />Notes, Remarks, Etc
<br />S-F.r1' JAAI V/, 1.4 vQV, Oro ry...pll oa
<br />ID/SIG.
<br />Pool Fence
<br />A\
<br />_I tuw .il wrll minrin r Ccdil..r. .f CoMr t, S.lllNurc n, *0116 ra,n{Ensrbn. r! trovdol ft, hy Ser hn !7m of rlE
<br />trti{ cirL, ln llE rErl)|rllftc or Ur s,i f{ wni.h [x Fnd 6 isE l
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