|
SITE.WORK DATE tD/stG.COMMENTS OWNER AUILDER DALCAR TION
<br />I h.r$y !1116 unlcr Ftuhy ,'r |l.lJory rh.r I nD .\.nDr rijm rhc O'nihrtri l-rcne Le l[ r l,,lk,*r8 h.v'ni^* n).t1.5
<br />Itu{trcs rl I'ro,.*n'n Grl.): Any (it} or Cdnr} *hrfi r.qurG r lErnxt rr.on{di. rllcr. rmllrl)E, &minh r rcI.u dy
<br />nn'.nm, |uxn, rr\ rs\u,rEc. ulso r.'t!ug rM uPtlir rntrsu.hlrnll trnt!ssrf,d {,r..rnr ll lror slE a lir.tr*J lu{uutrr
<br />n, rh. ro!Nk'n\ {l rh. cl,ntrrnn'r Lr.n{J lrs rCtu .. t). Cnhmnant urth Serur ?(f,x) ol f]rvnn,n .l o{ rhc tlu{im$ .nd
<br />h'lc\rons Cixi( | r rhir lrorrhc (.r.m rhd.ln,m.nJ rh. h.s$ l(tr rhc .lk3q! .icmtrrr An,ln'latonolSerirn1r115hrrny
<br />rppli(lnrturip.rilrsuhic.*rh.amhtrtrrt,arvnrctrrlryoltrornntrcrh.Dlrv.hutrdre.lilds(S5lro).
<br />l.!\ouErolrlrF{rny,ormycnplu}sr*hs.!c\.\rlrrw,kon{{n\dbn.wlJorh.w(rldnlh.qdrhnon
<br />rc cl orollirc! ntrst rsc.- 7(ltl,,lu{n.$ rtrJ Prclisr Cixlc l lk Conrrd,tri l.'(cns ttrw J,E\ nor lnply b an i*D.' f
<br />rh.nn)ttrry wlx,hor[r\ ! trr[n)v.! rh.Nn. &l*h'itE\\kh krll hrnrs.llrrh${lIur rhn)uahhi\ !tr ht, own .mnlny.c},
<br />|r,vrl.tl rl r snt h 'ry'n)E rn( & u rncnLrl o. dffcr\i htr qlc ll, hN.Ef, rh l['!m! d q'ot!m.r i5 r'U u{h'n .E Fd
<br />or $n{'hrru- rlr(,*Er trut& witl hnvc rtr h..ld otI'o\d! rhar lEordr J,J r b! or ryroE rh( tnlFn! ntr llr IDryts of
<br />L r\.*'rr.r tu F.Ir-n!. trmcklujrcly !1nnr&hg enh lf,.n{J .ofi&!r\ t, (r\rnd rlr |io|.{r tS.( ?Ol'l.lln\!r\\
<br />!'ri lants(ntr C,xn : Ihc Crnkrk \ I-kcnsc I-!* d.cs nur ipply t, m o*Nr ol nnl}cn y u&, bn rl'l\ o mtr'vcs rh.rc.tr.
<br />rnJ wh,' (o lrr\ lir slh ooF_h wrrh r (tnrrarr)d n lEns.J huaNn'rhcci,ntd(ntr'rLicn\dl-!u)
<br />-l.m.rcopr
<br />!nlLr S*.jrrtr-
<br />t 1_,.n le: lzozo
<br />lrDrldf,allq!
<br />I lrrh, nllmrtrnrl.r pcMlry,'l pcnuryon.ol rhc l,)ll,,vtrr! ic.l.nr rn:
<br />- -l h,!. rnl w,ll Dinr,lr r (tnfrr!. .l Cnn*nr (d Scll-ln\urc (n Mf,l6 (r'n{Eneri'n. r lrrrrlcJ nx b Se(i'n ]1l) or rht
<br />trt\trCRl!,turrhc lf,rformrRc.flhc wtrk f(r whLhrh. Frmir is ssbd
<br />Ihr\!irl'rllnDint.r*orl.r'(ml.nsrrirnnura'L..r\r.qnr.Jh,Sc.h:l7lxlorrh.bhor(iih.ntrrh.ItIlonDe{.l
<br />I h. wd [ ,', *h( h r,ns l.nntr '\ ,r\a!:] My *orkc^' .omtcli\In,n nnuirrE (rnf,r rl F,lf, y trumh.r u.:
<br />P\ricy Nlhhci-
<br />-l.cnny
<br />rhir n rh. Frlonrh-'.ol rh. *ork l(tr rhrl' rhA Frm r tl\k.l.l \lullto .nUrloy rny Frvm m .ny m.n'Er
<br />s, r\ n' h(.&' n,hr\ r !' rlr ur*da !,mpcnr&otr h*s ol Crl omu. nnJ +r. rh,i
<br />'f
<br />I drrU h(, mr suhFl t, rh(
<br />woi(cr\ $mr tr$(r,n F,vri(,Ds ol S.!rR'n :lTllo o, rhc Lh, Cirl.,l(nll,l rhp( h .onrlly *ilh th'B pDrNotrj
<br />IVARNIN(; Frn t h {.tr( *o c^' onp.n$rlr ror.lrsc ir lnllwtuj. .M $rll {br.r in cftln'yc, t, r,'ni.al F:ulrB 3rrl
<br />Uv lin.r n! k' or huLlGl llxrgnl dtrla (3IoO.U)O). n atld{hn h rh. ..}lJl\omFBdrr. Llmr\ .( I,nrrl.ti l!tr rh.t1/S(n'r rrrr6ul rtu lrlitr (ixt., crc{ rtrJrnor'f,y \ 1...
<br />DECI.A&UIAN
<br />I lf,r.h, urllrn n Ltl[ulrror Flrryrtur I rft l(&n rdd lr)$i'n.rch.l'rs e((onurNirt *'rh S&ri)n Tlxxl) or l)'!rrn'n.l
<br />ot rtu lrusmr{ rd Pnncsslm\ C(ift. drl h, lr.n* N rull nnr {rl ctT(r
<br />l-rcNc Clar.:-
<br />COIIiIXlCIlllltIMIBg-rlli[NSI
<br />I hcrohy lrnmunli.rJEnilryorr--rluryrh rhcrc N r Nnslnkri,n lcn'iuE rscrry lnr rht Pdld nBc-c .l rlr u hrwhLhrh,slam i\
<br />,rt&d rs.r :r(yr7, Crv. C )
<br />lrhl.rr Nam:
<br />-
<br />trnJ.r \ AJ&.r\
<br />AITUSANLD!(IAEAIIO!
<br />I L.r{'y lllimundcr p(tralry,n Fri,tryoi. o, rhc,,ni,winr Jc.lrrhon\l
<br />tun)| r,.Prh sArb.{$\ Ni rn(rrr li{crnl Rc3ulrrnnN(T h40 l'Jn6r
<br />Rcqutrc,l ta ttcr of Nolrllurr)n
<br />I .1n rly rhd rlf l.!er, rc3nl.IonI(3uJrg !\h.!b\ rcnrtl ar. rtn i[i!lr!n[' t, rhn l'rlrd
<br />I.( rltrlllllrvrrcJdtl!\Jpplf,.irrrrlnJl.rhrrrlrrhtr.r Irgktr,(rnpl!* hillC yaal(i)onry
<br />lErcl'y dolu,. rri.{nrr' rk\ rt rhN C[] .nl c(rnly k' cnld uFh rlr
<br />rti^. mr rnrJInF-ny ntr alr.rn
<br />\t,t,li..n ,ir \r,nr \irmturt I lz: /zozo
<br />Set Backs
<br />Forms/Steel/Holdowns ll't2'7e Ahv/bt iYf
<br />Erection Pads
<br />UFER Ground lt.n.a2 Dlaho qtt^@
<br />SLAB Floor l t7 e4 /)h,v/ac tr4td '
<br />Subf loor/VenUlnsulalion l(11?br lll:tit/3t,//4/ ^
<br />Roof Sheathing ,efu/,ao 4&4 7W
<br />Shear Wall t?/0/30 tfrL&4y;y
<br />Framing /.982/M2Ptt 'dng"t
<br />lnsulalion/Enerqy /flr/,l*/1r,{d},{
<br />Dtywall I ',21/J.D1 AM,@-
<br />./lnt. Lath ilst /*Lfvtllb,14 trga
<br />Brown Coat c //*|/7t tItutu w@/
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report 2rFlood Zone Certif .It
<br />)0r 0k)A ua,H ltlWillrul a
<br />FINAL (q?7n/hA?/&MW
<br />Certif icate ot Occupancy
<br />Notes, Remarks, Etc.
<br />_)L
<br />rl
<br />v^t I ,
<br />9')/ut /H5 /I C ;,,r'2.4
<br />BUILDING. INSPECTOR RECORD
<br />,*", ot lZ3 \zozo
<br />I
<br />I
|