BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Forms/Steel/Holdowns ^lf b/af/ar
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing , /^ ./tl ./>,
<br />Shear Wall {?ffit4
<br />Framinq 7lts1V n6;^
<br />lnsulationi Energy bl,tsl a-t UM
<br />Drywall 7/nrk WW
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Itrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Aw
<br />Certif icate of Occupancy /
<br />Notes Rem Etc.
<br />OWNTiR AUILDER DELCATATIoN
<br />I E\r.ty rrtuh unLr Ftuh, ot Ftrur) rhl I m cr.q'l fr.,n rh cl)drar(h' ta6a Lr* tor rlr folt*[a Gs)n (S.c ?01tJ
<br />llunnc$ aBl Pnn.reDn Cdl.): Any C[y nr Coun!, rhf,h rcqu!.s c FBU to. nslMt. iltcr, rnpnrv.. !.n nh.r Ep.! rny
<br />{tudur.i riu ri rrr s$rBr, ily' r.rtuftr rtr .!rlran' ror \uh Fmr b nk r nSBr {r.Bd rh{ lt or ilE ! lKin d nulsort' rh. I' vsrlnr of rtE cl,nrxrd i Lr.ns.J L/* tctrl"d 9, C.|lrrkn8 *nh S&r0n ]m),{ D:vn.n I orrh Blsms nrl
<br />Pml.$r,n! C(i. ) or rhlr lt r \lr ii .rcrgt rlsclrom . l rlF b.iu n r h. rlk!.d .rmlr xin Ah, virldir ol S&rnn }ll l , ty .ny
<br />rrrlrrd n, r Frtur $hFk lhc rnpltrrnl nr ! (rvrl Fnrlry .l mr frtr. rhrn fr!. hlndr.J dolldr (55m)
<br />I.d o*rr o! rlE FrFny, or my mlPbr.s wnh wreo.\ rh.r sL.on{ieriin, e l & llE krl rn rlr srBlE i, mr
<br />mrcnldl or.ilcrcJ ntr r.L (Se 7044, AusMs dtul Pnrcsxlhr Clnc Thc C,,ntra.nn I l,Ntrr lrw dNr nnl.!oly kr atr owkr ol
<br />rt ln{h, wht t l!1or rqr)B |llBE lrl rlD da uh krl h'Mllor tEMll or rhnrth h'r i, tE oM cr{hr<.
<br />proldGl 'hd ru.h irl|tuEmnk d d n rc dl $ oafod lq eL l( hrsw. rlt hl dr3 or mln,Emnt B r,Ll wtrhin oe Fs
<br />ol.{n{krxrn, rtr (rwrr Bu Lr *il hrE rh. huilo ol p$vtll3 rh.r lr or rh. drl nn ltu nr r$Dr th. Fqh! tu rlr F Ini d
<br />_l.is.w,oirlEFtPlny..hcr(lusv.lycodr rm8*nhif,..s. lonrreron ro (nnei rhc F,F.! tse.1)44, Batr$
<br />.!n lhtsi$ C*L: TIE ConrrNntr r l,rcnc llp drE mr rprly n, o oDM of F,Fn, wl*, horLlr or lrqro*r !h.rdr.
<br />r *h. L.trti!(l',{rrhtnntrrs*ih.CoMkt)rlsrlr.n{il nuri'r ri, r,r (nft.nrtr \ I k.n\.lf,qr
<br />!1]r!jr8L1].lut!\rra!
<br />l)!:( t Ak,\11(J\
<br />I lErcl'y.flirm ukhr lEeny.f FIrynr.r !h. (,lh*d! &.!rrrn.
<br />_l hrh lrl will mh'.o r C.n,r.'E or Cohs n! Sclf.ltr\orc hr *rtrk(f, (,n'{xNrrx,n, rt Frvid.n tu b, Serirn l?(x) if rlr
<br />lr,tr G{..liE rh. Fi,Etu. ol rlr *, nr pnrn rlE Ftur k us*al
<br />_lMv.rrdhllm., .D*{ 6r.omF irx,nhrunB.,!, Egur.rl ht Serxrn llJoofrh. L}rr (-dL, for rh. Fd$mN o,
<br />rlt hd (' *hah dir F.Dr ! arE! My rr{Id oqEMD. ituue! ffi lrl Fnay NniEr el
<br />l\n(v Numb!r:
<br />I(cn ! rh:r r rh. trrrorrud. orlI *o ntr*h.h'hFFrmni,!ru.n,l$rlldcnt!'r..yFmn',r,ymnrr!' s h ll($m shFrl 1,, rlE -o*sl c! |nv.n$r (,. lrws of Ctl'k mB. rtui riE. rhI ( I rhrold hioB ohFr ro rh.
<br />hrtc6 coqFtr{txr. p$h[BorSdrrn ]70(,ofrh.Iitrn aab,I nrll t h*(i (-rq y wnh tlf,r$ F,vdr,nritrl \lull suhAr rr dnrlrrr ro 6!Mrl FflIE riJ
<br />trtrrl'.J rlru\trnl lloll,tr\ r\lt(,.rxxr)nr rh. r.n or ..,nlr.n\.nkr. tl,rnriSc\ ,N frdvi,cd ntr rhr
<br />Cirj., rld.n r l.nomy,r
<br />u!!.!B-\M!
<br />I h.hhy axth utul.r Fnrhyol I.rJr'ry rhar I rm lrcnq! undcr Frvrrn.l Ch.pr( e (cohmkh3 *nh S.dbn ?lxr)) or Donrn l
<br />ol rh.Ilu(mis,J lh cttDn\ C*L. ri my lr.ns r u tull lo^r drl cllel
<br />CONSTIT]('fl ON LENiDIIiG ACENCY
<br />I h.Fhy r,lirm uaLr Ftulry ol Frury rhir rhcr. ir . $NMl$n k&lirs i8.tuy litr rr. tEntu. or rh. *orl n,r *hith rtu Fnr ir
<br />!ru.d(SR 1097.C'v.C ).
<br />APfl ]CTNT DFCl.AI TION
<br />I h. -lry srim uRt . Fn.lty oI Frllry ox ol rh. nrk'w'n! d( ldarr'hil
<br />I).n,l 0n P.rn $Aih.no\ Norifiurier l:cJclrl R.Iul.rkri lI lc (l(,. P.n6)
<br />Rqntrcd bltcrol Miiilrhn
<br />_l .dify rh.r rlE fcd.r.l rc8uhrxrN Eg.il,n! st noi Fdrrn .rc n rmlarbL r' rtu! Ih,Fr
<br />IrcnrlythJrlluv.( rhs lntl'(rt(n&Jirr.rhrrrhl rh,v. rnl('mrrtrn! N(.trcrr luSren,onDlywrth.llC ylndCi{nry
<br />dJmN.r drl strr. l2*i El,ru3 ro h{ lm3 E .t! lr ttly .u'brtr qrt$ri
<br />'v.s or !h6 cn, r,rl Cdnry b .d6 l,rr th.
<br />rh'v. nrtrruhl F1f,ny l(tr
<br />lrDli.rnr.rAr.nr shmlu
<br />a[lhvr.@ "/_
<br />I
<br />f.,V,I4ZT.&ar,M|il
<br />Set Backs
<br />Flood Zone Certif .
<br />FINAL jryz.d
|