BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenUl nsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulationi Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Itilasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />i,r t^4e,{,)'lzz)FINAL ot1
<br />Certiticate of Occupancy U F \-.,-f rr
<br />Notes, Remarks, Etc
<br />oWNER BUII,DIii I'EI,('AiATION
<br />I hcrchy ilttn, unl.r l.ruhy (n Fdury rh.l I u cxrnu ln,m rhc (in'rrlckva l.'(6ic l-rf, l'tr rhc lnll,w'nt 6.' t (SLu 70.]llt
<br />B!!nct\ !d Pnn.\tirn (iiLI Any C t nr Counry *hrh ,cqu!.! r Fm'r !' (.o(d.t. rlrd. in{rort d.n&hh rr rqEr :nv
<br />{ru(rr.. Frn t! n5 6ru*c. .lv, rquN\ rh. q'tlllr nr.u(hrrrmr b,lkr rrrJ nrkntd rh:r tf or {r ! lk.nkl lxlrurnr
<br />t' rtr nors$n! ol rh G)nt(rtr s L.rnkl liw i('tlptfl 'J CnfrmNrn3 wrrh sdrbn Tlrxr ol DrYtrrr I ot rh' au{ms rnJ
<br />PsncsonsCoJ.)orrhlrh( r\hcircrcmflrh.rcft,nrh.lrh.ha{rntrrlrrlh8cd.tcnlPrirn.AnyvR,hronolSc.rlrn?l'.!l5hyrny
<br />rmh(rnrttrrIim[ \uhj.i( rh. rptlf,lnr t' a.rvrlp.nrhtol R,rnr(.rhin lrr{ hunlto.l,r,ll .I$5(x))
<br />-1,
<br />i\ owftro,lh. F)IEny.,n my.r{*,t(. *[h *.3Ntr rlFtrr'k!on!$rrrxr. * il' ilr *,i* rrn ihc {turft n B{
<br />,nrcn,l6l orollirci l,trvk(S.c7l}'l4, Burtrli !n'l ftrnc(tr)n\ Grt. Th. Ci n(tn'r l-r.nt 1,.,doc\nd irPlvt)dn ercrol'
<br />rh. Inlrny eh' tdllll\ or nIn,k\ rh.R)( r l *h' *Et \Eh H)* h'nNlt or h.n.ll .r rnn,uSh hr dr lri own .illlk,t.c{.
<br />nrovrkJrhrruiurynrwmdrer,d.tr!\l,rollct\lfttrrLll.h'*cErlrt,dtPotrlmKrdNgl*ihn(tr!.{
<br />of.,nfll'^ rh. ()*Er Blllk *'[ h.h rlr hord.n ol F'rhE rhi lI d dr ,lrl n hd or nqn,w rtE FIEnv n{ rll ttllr 'r or
<br />-1.Ioeftro,
<br />rli F{6!, .h c\.lurr ly co rdtr3 w{h lt.nE{l $drLron b.rrn{ruli rlE FrFr tS.!.,(}'t4. Bu\m(r
<br />.d Er|arrm Cnl. In. C{dt&t,'s Lk.nE ll*.t.{ nn rp0ly h u o*F I F,Fn, *h' turus or 6Fn'E3 rh66r.
<br />rftl *h) lrnrnt rd o(h lrl,Fi\ *rrh: Gdturonrl l.cnql Pru i k, rh. (iflrctii l.rtn* tr*)
<br />I rfl.\.mli trnJrr Sc(rrrr
<br />1ll)Btr};f,SrQuUill,tArlA!!!g!rn^lla!
<br />I lf,r.hr rrtrm unJrr rnrl! !n ti)ul o,F orrrf, l,nL)*tr,! (lt!lxrx({n
<br />Ilu\r ,srllnq'nr a(idrltrr.dt(inr{nr(,S.ll In\ut tni rtrk.6' rohB nr{rr 11 DnrYrlcJi(,hvSfrrilr lTlnolrh'
<br />l:htr (iil.. I!tr lh{ !.domN-'. oi rhc wo ntr wh(hrh( nlm r r tr(Nl
<br />Ih.E.Dl*rllm'.hpo.t.uonFn6lr).u.urrR..!rrcqlE.Jh!SarrEl7morrtEl:hnclx!,ntr'lEFtxEl!or
<br />i{ qhr h On rxmur A tr\rr, f,t!.*. 1.F'. n$'tr.rrr,n r Lrr. Jnrl sl Fni r6{bk F"*J
<br />s/|73 7Z 18 rr/rt/ rl
<br />-
<br />1 ..d 'ly rhrr n rh' p.rl.rtun.. oi rhc *o'k l,tr whrh rhr |Frnnr tr N\u.J,I \hdll ror cnq,loy ony !.Bnn oyn'!tr't.
<br />s, s n) lxarnr \ubFi brtr *'tr1c6' $n{Ens!r[n l.*r or Cnlrl(nu. .Bl ,3N rharn I \hru[, ll.om iuhj.ct t'rlr
<br />*odsr, (osrrntllr,n thfNr!.r ol Srli,n l]lxl ot ih. I rhtr C(ik. I {!ll. l,i hs h on{'ly * rrh rElt llnrvfi'.1.
<br />WARNIN(; Fllur. l,' Bu.. rork ( dntx.er$n ()v.n3c F unhrill, Md $ill \uhFr tn mrlt'rr tr' trmrl IiMt.'.nl
<br />('!'l l''.\ uP r, !'rc hun'lrJ rhoo\dd dollrh (llix).flx)). rn aJd rn n' rh. !o( ol rohP'tr\dti'n dt'N3cr A nnrv'JrJ l'tr rh'
<br />Sirn{ r(,,-6'nrh.l ltrtr(irl..u .I.irn.lrd!trrt
<br />b.z7 .11
<br />!ttl;ls!![all&trJ!]tr
<br />IIIIdBAUO.I
<br />I h.Fh, nfm lnlar ltMliy or ttrii,y rh, I .n lNnsn uuj.r pn'vrrr or ChrFrr I (r,nmfrrn! Y h Seri,. Tuxr) nl l)lvron .!
<br />ol rh. Burmlt ,n Pnncsrlnr CuL, &l my lr.nt ! n tull lo^t rn .tler
<br />,sv6 s/
<br />/1 Itsi1 a--.
<br />cr]!ll8!glllNr[N!l!!ill.icx(I
<br />Ilr(hy.liirmu.rFuIyorlt.]trylh,rh..!r.$nnMr.nlnlllSaS.LytrrlrFrl,f,m coarh.hldntr*hrhrhxF,h tr
<br />r\u.l rs( !{})r,crv. c.,
<br />l.trd.is Nam:
<br />Affl-ICANT DFCT \RATION
<br />I fthtlllinnu.Jc.I.nah,nr Frrlry.E or rhc lnlk'w!,t J(l,rdtrflr
<br />IXnII(r,n Pdnr!A\lE.n\ N,n'rf,lrx,n lrc(k.rl R.3uhbnr rlnl. ll) l'rd6)
<br />Rcquuld Irrr.r of Mr'li.rM
<br />-
<br />l rdlry rhd trE lc!.rrl cs Lr.m Fldllll .drnor EmrYrl ut n{ ,fiir !5L n] lh6 pnrrd
<br />I(tnlfyrhatnvct.JrnnrrDl.rri,n.,n{dclhdrn,h'v.rni n[lrr n(oft1 t.!Nkr. molv*rhrllCilv.dCoud!
<br />orJmds.r r.J Srrl.liwsEltloI n, hiLlirS .otr(rucron. e hehyrurhtrir rF.€6hriv.! .r lhr C v xrl Counrv ro .ntn uFrr tlE
<br />.'htr. nrdk,nl tr!'l[ny l!tr r\l!(r()nptrry\\
<br />cfld or ,\scnl Sirn{run ah
<br />\l ,nn 4 27 .n
<br />llllui
<br />Forms/Steel/Holdowns
<br />Brown Coat
|