BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNI]R BUIT,DI]T DF:L(]AI'ATION
<br />I lE hr rllirm , Lr FMlry ,,1 ll.r,lry ltur Lm .r.hfl firm rh. OrrNi^ Lirtr$ bq ntr lhc tulk'wms rclqnr lsa 701 1 5
<br />lrlsfts rl Profe$rnr Gi.) ny Ctry or Ciury whih requrcr , rmn r' (m{od. .lrd, ml*ov.. &mrrh,{ tp$ sy
<br />nnrduc, rntr r, (r NU!tu., sko r.qu k rr {I E ld rulh lrrml1,, riLr ssnd nalcm l rhai lEo, dr n li.ctr*,j tusurnl
<br />h lhc nn'vrso s o, llr ConIrrentr \ LEcnf,d Liw (Ch.flcr I, C.nm.r'n! * h s(lion ']o(xJ trl Diviskin I .r rh. lJtriks nJ
<br />l'olcrs0n\ Cixrc) sr lnnr lr or sh. r crc'r{' ihcrcfron ad rh. h.\!i nn rn rlkscJ.r.oflrr.
<br />^tr,
<br />vi)hl'.n or SRri'. 1,:l r.5 byrny
<br />{pnli(rtrl ntr . Frmir sul"c.F rlE ,mli.! r'dervilfnrltyol
<br />'r
<br />dtr.rh..,rtc hunJt.l Jollds (t500)
<br />l.r\orBrofrh(ln'Fny.dny.ntlt)yeswh*!a.sArrrr$h.i,mltnsrDn,w.l0lh.*,rl{rjllEnel[.arn
<br />nrtolci tr ofl...j |,f, sk lse.7tr4.t. Bu{,kr\ ,nl [h'L(xr6 (irl.: Tlr (ir ra.i(r'1 lrcnr lr, ds n,n .ndlr nr u o}rr dl
<br />rhc pn,Fdy sh, hnrl$ or mpi 'k{ ihcFnl aRl wlx' J,E\ \uLh s)rfi him\clln h.r.llor rhn,ulh hN,tr h.t opn.mf[tycd\.
<br />pn)vilcl rl[t such ntornEd\drnn d.nlrr.r.,t Nlntrsh ll- bucsr. rh. h[ dnr!.r mllff,umd i\ elj wrha orc yu
<br />ol .oi{rldinl rh. Owkr Bu Lr $,1 h:K rh. hrJd ol Frm! rtur lr tf, slr drl n{ h{ or trrtriE rlE FrFny ftx rhc tlrFE ol
<br />_1. a! wkr o, rlN F'I'cn y. !n, cr(l!i!.ly .onta(r0,! u h n .trrcJ $ntrr( nn n) (n$lfld rh. Jr r*r (Sc( 701-4. lnNE$
<br />J,tl lh'k1n{ Cod.r Thc G,nua( !r-! Lr.n\. tjv !l!r\ Fr .prlly b .n o*n.r ol pn)n n y *k, hurLlr o.hlnh' rkrcon.
<br />trnJ vho onrkl\ 1,tr iutn la'r.B w h.(i'nt,rr,rri)l(. {JN^u trrh.Cirtrrnr'sl,r.nrLrrI
<br />I J'nc\rtrrlr utrJd S.!ho
<br />lVORKFRS' (:(INIPFNSATIoN
<br />lcgJaargr
<br />I lLrchy rlltrnuol{ I.nrlry.l r\rlury{m nl ih. nnl)*u! JNhrrtotr\:
<br />Ihuvc! 'iUnu ronuCc'1rli({r.orCdnEnr(rS.llln\urLrirwo*r^ $mlEnrcri,,. as Fdv'dL'J ntr byScrron 17(xrorlh.
<br />lrtr)r Orl.. l,, ihc l.nhmfra'ol rh. M)rl l,r wh rrh.If,mI Ea\ucJ
<br />Vd,. ,,U *U,-",n,"* **rch ronpciraxon 'n$triN.. a\ rrqur.J hy S..rrtr rr(x)oirhc l]hrtr cotlc, tu rhclt.rlnflunc.ol
<br />rh+ sork l(rwhihrhr\ Fm 's
<br />ir\kl1 My*orkc $nqrn\ar(,. Nurlk. rafticr {ri Frilynumhcr ec./^4-5s 5.,;.1,-;
<br />,,,,,,.,^,,"*,,' 1643471' "'r,-. - to4-z(
<br />_1..d'ryrlrr i.lhc Frl"rm,k( !l tlr *ork i,tr *hrhthrrl'(rn hNUr.l.I\tullrt Lqlk,y rnt r( rw,n r rtry nuk,
<br />!, st)h(..nE $hj..rr,, rlr w.*cri $nll.ns.rtrnr hw\olCaLlnnnr, rnJ r8r€ rhrril I n!,uLl ti..rkiuht (r k)rh.
<br />*orkcN' ( I 'hfr nsrrur fn'rtri,n\ .l S.rx tr tl(XrDl rh.lihtr(in..I srlll. l,)n h*rth ..mnly v hrh)el)n)!ron\
<br />llALNlN(; I;dluc !' (rur. lartcF' ( nlcn{,r n r (.r
<br />(Nrl IiB nn i,.n. hufrn.J rlNu\rkl Joll,6 l5llxr.{xx
<br />Scrriotr.ll)?6olrhrLhtrC, ..urc'c(o'jrrtrmy'rllcs
<br />Irl. iftl stull \uhFrr .n mtloFr l,' (:miMl lttuis rnl
<br />() r,r roi or $nlanntrxr daD3.r .s Pyrj.d ror 'lr
<br />.'L-lb*?l
<br />DECTlT RATION
<br />! ltEIry rnirn unr., Fn,rt .r Frtry rhar Lm Lensrl uodcr F vnM d al'.prs 9 ((sdmh--d! wnt ser.n nx[) ., DirniD I
<br />dl rh. BurlBr .d Pn,tlssnrns Grlc. .nl By li.cn* s tr tull |,tr( ,l cll.\i
<br />---ls B56CbG
<br />,,",. o /- ^\la^Zl
<br />!:alsrBrsr!(rll.tit[lsc]rcEter
<br />lrtrJ.r\ Ad,lr.ss _
<br />dttltcarl,tagrdf,allg!
<br />IhEnyr[mnundcrnctrllryoln(rNryon.ol rhclollos rJNl4!rnnr:
<br />l).nnirrr l,$rurs^\b.{.r Nonljurn{ l:.J.fuI RrruL K,nsll lc.ltl, l'!nt)
<br />Rcqutr.ti lJn.r nt Noxliirrln
<br />l.d!lJ_ rh!1 rlr rticrnl rc!nl&,,ns r'!!,lnr3 r\h({r\ rcfr'!,'1,'k n r rtillrrht: r, nn\ JrJ|(\ I
<br />E{t dhrv,h, r hr{.,r ,rN rr,r(r0n nntrl rlrJhna dornLrtrr r\roRr Ir!8.(,.ohFlyw hrllC y.klCnrtrry
<br />o!lN'L.\ din Srrt ltrw\RLrdrt n
<br />ll!trr nxnrr,tuJ l(,|xd, k, n'!ra
<br />on(ru.ri, ,drlhcr.hyrurhtri/(rcnrc$,rrNcrolrhN(irytr'dCotnryro.ni.rulrtrrdr
<br />,\U,li.rnr or llcnt Si!nnt'
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu lat ion/ En erq y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Ivlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL 3/ttltt ry$.\YhL )
<br />Certiticate ot Occupancy
<br />Notes, Remarks, Etc.
<br />r{rJ ls.r 1097.(rv ( l
<br />lxdcr\ Nlnrl
<br />r,",, ''Z4G-Zl
<br />I
|