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APPLICATION �,. C*..,NSTRUg-TION INFORMA . .ON-
FOR: Certificate of Zoning Compliance ❑ To CITY of ARLINGTON CLASS of WORK (check) NEW Lfa , ALTERATION ❑ , ADDITION ❑ , DEMOLISH ❑ .
Building Department ���
Building Permit Describe Alteration S"�� R� b'_UIIL G�/Tt1� l/OLyv /� S'o� 1 i loywrH
Certificate of Occupancy ❑ Date _�— c ~ ' /�lE�sia,�� �� t' /L .9o�ipft.�y�/�sE.; •UGs"
NOTICE: No permit for erection, alteration, moving, repair or occupancy of any building
shall be issued until an application has been made and approved for a certifi- Valuation based on total floor area $ �• �� N O T I C E
cate of zoning compliance.
Plan checking fee a �'3 $ lo•� Where work is started
before permit is obtained
�wner 47W, lSTI.¢W 5LWOO L Address�.�¢ Z�,_ �f/di'awp J�l� Permit fee �� $ (0 b the permit fee shall
MAY 8 1984 be doubled.
Permittee. Address
Architect Address
SPECIFICATIONS
Engineer Address_
FOUNDATION Exterior Piers COVERING
Contractor Address _ Material Exterior walls
GAL DESCRIPTION OF PROPERTY: Lot No. Block No. Width at top Interior walls
Subdivision or Unplatted description_ a-I I Di> l o n c7 T �j �� I l �� �� 4 Width at bottom Roof or reroofing
V1 Q. Depth in ground
ZONING INFORMATION FRAME Size Spacing Span FLUES
TYPE OF OCCUPANCY of present or TYPE of CONSTRUCTION of present or R.W. Plate(sill) Fireplace
proposed main building (circle) proposed main building (circle) Girders Floor furnace
A B C D E F G H I J 1 II III III 1 hr. III HT Joist, 1st floor Kitchen
DIVISION 1 2 3 4 IV IV 1 hr. V V 1 hr, Joist,2nd floor Water heater
Joist,ceiling Furnace
Use Zone Fire Zone __ -_ - —_Area of Lot
Size f building or addition _No.of stories __ Exterior studs Gas Oil
Tot4lheight Basement floor area— 1st Floor area
1 Interior studs
Additional floors and areas
No.of rooms No.of families Roof rafters
No.of buildings now on lot Use of buildings now on lot
Bearing walls
Percentage of lot covered by main building Additional Permits are required for:
Percentage of lot covered by accessory buildings (check) IMPORTANT
Kind of livestock ❑ Plumbing, ❑ Signs,g ❑ Moving, Written authorization of owner must
CHANGE OF OCCUPANCY from to ❑ Sewer hookup, ❑ Water hookup, be presented when applicant is occupant
If a commercial building,list each use and its area in square feet: ❑ Gas appliance and Gas piping. or lessor. I am the legal owner of the
I hereby acknowledge that I have read this application and property described in this application.
state that the above is correct and agree to comply with all
city ordinances and State Laws regulating zoning and building
/ Owner
DRAW on the reverse side of this application, to scale, a PLOT PLAN. APPLICANT ` �o
' PLOT PLAN FOR DEPARTMENT.-_USE
FOR DEPARTMENTAL USE Application for Certificate of Zoning Compliance ❑
Draw below,to scale, a plot plan showing: Pp� g p
Checked Initials
1. Dimension and shape of the lot. 1.
2. Front street name. 2. Building Permit 1 ' Certificate of Occupancy ❑ checked and approved.
i 3. Side street name if corner lot. 3. N� :fib `
4. Sizes and location on the lot of buildings already existing. 4. G
5. Location and dimensions of proposed building or alterations. 5. Building Inspector 'E"` Date Al..2 �o
6. Front yard,side yard,rear yard setbacks. 6.
7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No. Datey
front yard trees and shrubs,green belt.
8. Location and size of required off-street parking and loading. 8.
INSPECTION RECORD
Inspection Date Signature
Set Back
Excavation s- JIW
Concrete
Reinforced Steel
Grout Blocks
Bond Beam
Frame
Roofing
Room Ventilation i
Kitchen Vent v
Bathroom Vent
Foundation Vent
Access Hole
Garage Fireproofing v
Fireplace
Spark Arrester
Water Closet
Water Heater lQ[
Sewage Disposal
Lathing
Plastering
Correction Order Left
Stop Work Order Issued q11
Stop Work Order Released
Give brief report of special or unusual conditions
INd—
Job completed Date
Buil ing Inspector
Certificate of Zoning Compliance No. Issued
Date
Certificate of Occupancy No. Issued
Date
MOORE BUSINESS FORMSINC LA
APPLICATION C,---NSTRUCTION INFORMA . .ON
FOR: Certificate of Zoning Compliance ❑ To CITY of ARLINGTON CLASS of WORK (check) NEW/5-1, ALTERATION ❑ , ADDITION ❑ , DEMOLISH ❑.
Building Department
Building Permit Describe Alteration 5clroo/ /ror)iF?
Certificate of Occupancy ❑ Date — `g D - _
NOTICE: No permit for erection, alteration, moving, repair or occupancy of any building
z9�
shall be issued until an application has been made and approved fora certifi- Valuation based on total floor area $_ l 3r---�`-_.___ N O T I C E
cate of zoning compliance. Where work is started
Plan checking fee $ before permit is obtained
Owner f}( L1,"J6'TUw C&'yZ15774/V S -if0O� Address �� � • k1 /Y -bw() JQ Permit fee $ � the permit fee shall
be doubled.
Permittee Address
Architect _ _ Address _
SPECIFICATIONS
Engineer Address
L) �Ok I2� FOUNDATION Exterior Piers COVERING
Contractor Al C=L..L- C o NS%TL C -` � �� Address D��-��/V G'7C r� — -
Material Exterior walls
Width at top Interior walls
LE I OPERTY: Lot No. Block No.
Width at bottom Roof or reroofing
Subdivision or Unplatted description 'u
- Depth in ground
ZONING INFORMATION FRAME Size Spacing Span FLUES
TYPE OF OCCUPANCY of present or TYPE of CONSTRUCTION of present or R.W.Plate(sill) Fireplace
proposed main building (circle) proposed main building (circle) Girders Floor furnace
A B C D Q F G H I J 1 II III III 1 hr. III HT Joist, 1st floor Kitchen
DIVISION 1 3 4 IV IV 1 hr.0 V 1 hr. Joist,2nd floor Water heater
Joist,ceiling Furnace
Use Zone Fire Zone Area of Lot
Size of building or addition °�� x ��e No.of stories Exterior studs Gas Oil
Total height Basement floor area 1st Floor area 96 0
Interior studs
Additional floors and areas
No. of rooms No.of families_ Roof rafters
No.of buildings now on lot Use of buildings now on lot_
Bearing walls
Percentage of lot covered by main building. Additional Permits are required for:
Percentage of lot covered by accessory buildings_ (check) IMPORTANT
Kind of livestock
❑ Plumbing, ❑ Signs, ❑ Moving, Written authorization of owner must
CHANGE OF OCCUPANCY from to ❑ Sewer hookup, ❑ Water hookup, be presented when applicant is occupant
If a commercial building,list each use and its area in square feet: ❑ Gas appliance and Gas piping. or lessor. I am the legal owner of the
I hereby acknowledge that I have read this application and property described in this application.
state that the above is correct and agree to comply with all
city ordinances and State Laws regulating zoning and building
j� i
,J Owner
DRAW on the reverse side of this application, to scale, a PLOT PLAN. APPLICANT / I
PLOT PLAN FOR DEPARTMENT,..,USE
Draw below,to scale, a plot plan showing: FOR DEPARTMENTAL USE Application for Certificate of Zoning Compliance ❑
Checked Initials
1. Dimension and shape of the lot. 1.
2. Front street name. 2. Building Permit Certificate of Occupancy ❑ checked and approved.
3. Side street name if corner lot. 3.
4. Sizes and location on the lot of buildings already existing. 4.
5. Location and dimensions of proposed building or alterations. 5. Building Inspector ' Date
6. Front yard,side yard,rear yard setbacks. 6. x
7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No. 4 2912 Date /R)
front yard trees and shrubs,green belt.
8. Location and size of required off-street parking and loading. 8.
INSPECTION RECORD
Inspection Date Signature
Set Back
Excavation
IN Concrete
Reinforced Steel
Grout Blocks
Bond Beam
Frame
Roofing
Room Ventilation
Kitchen Vent
Bathroom Vent
Foundation Vent
Access Hole
Garage Fireproofing
Fireplace
Spark Arrester
Water Closet
Water Heater
Sewage Disposal
Lathing
Plastering
Correction ,.der Left
Stop Wo Order Issued
Stop Work Order Released
Give brief report of special or unusual conditions
Job completed Dat 'ffl
Building Inspector
Certificate of Zoning Compliance No. Issued
Date
Certificate of Occupancy No. Issued
Date
MOORE BUSINESS FORMS INC.LA