HomeMy WebLinkAbout5531 Cemetery Rd_983355_2026 INSPECTION REPORT
Permit No. Qp- � -Lot# --
��}}-�
Address J�-S 3! C.D�syto,CP.�1.f
?U
Contractor
Owner k
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Insp DateNJ
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ onsultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other L
Cl -rY OF= ARL_INO-rON �~
� CONE31FRUClF]LON F:3,E:RM][lr
f»aRm]LlF NO~
� 0wner: BOHN KEN 5531 CEMETERY RD ARLINGTON 9822�
. �
Value of Wmrm: T�x ID: 153105-2-N09-0@N� Phone: �6Q-435-2689
� Describe Work: INSTALL GAS FURNANCE & WATER HEATER
o
~ Proposed Use: SFR
Legal Description:
�
Job Address: 5531 CEMETERY RD
�
� Contractmr"s Name Type Address License#
�
DEPENDABLE HEATING MEC 4610 EVERGREEN WY DEPENHH66WD�
Y Equipment and Fixtures Number Fee Total Charge
!
/ '-----------------~-------------------- ------ ------ ---------- i
FURNACE/UNIT HEATER l $14.80 $14.8@ '
WATER HEATER 1 $10. 65 $10.�5
GAS PIPING 1-4 OUTLETS 1 $4'75 $4.75
! S U B T Q T A L.~.... $30.20 '
TOTALS Fee
Equipment $30.20
Mech Permit $23.5N '
IGNATURE �r�~—�� - ------
TOTAL FEE............ ... .. �53.�� y�� HEREBY ���TIF THAT I HAVE READ
AE AM THIS APPLICATION AND
PfY�NENTS..................$0.0 NSAME iC
TOTAL 0WE. ' .. .. .. .... . . . . . $53.70
CITY OF ARLINGTON
CONSTRUCTION
PERMIT �Q
❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. j�S
OWNER MAIL ADDRESS CITY ZIP PHONE
ARCHITECT OR DESIGNER MAIL ADURESS CITY ZIP PHONE
GENERAL CONIRALIUR MAIL ADDRESS #-1 CITY ZIP PHONE LICENSE N
1 xAtiot�blL IfiPfi111Cn d FVC`�r Q(E E's= 'Eit Q�2L3 1#=��-2s�i-4t��Y L
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/
b,x nNif w'J.)
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE Y
3 CLASS OF WORK
�
❑NLW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLI LION ❑BUILDING RELOCATION
CC a VALUATION OF WORK
W $ y `a.`-►� . tQ 4
W DESCRIBE WORK
3 r
/
m PROFUSE U USE OF BUILDING
N I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
ul -FR TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
Z LLGALUES('RIPTIUNOI PROPERTY(SHOWN BELOW URATTA(HF OUR CONE S) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
J
J LUI BLOCK - OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
w j j I U j L - ® 0 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
Lu TAxIDNUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTIONOFTHEPERFORMANCEOF
CL __ n� CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
.fi - R d SIGNATU OF CONTRACTOR OR AUTHORIZ GENT DATE
VJOB AOUR(S- v /AA''11 �Jj
t
(OFFICE LIST!ONI,Y}
PLUMBING tECiLL'iiCt
NO. TYPE OF FIXTURE FEB z's FIXTURES NO. TYPE OF EQUIPMENT FEE z s FIXTURES
WATER CLOSET(TOILET) BZ COND.UNITS—H.P. EA. tip,fiat••
ATf ITUB tEFRIGERATION UNITS—H.P.EA trip-list"
-AVATOBY(WASH BASIN) 3OILERS—H.P.EA tip,list**
HOWER 'AS FIRED A.C.UNITS—TONNAGE EA. 39lip.list"'
ITCHEN SINK&DISPOSAL IORCED AIR SYSTEMS—B.T.U. MBA
IS11WASHER WALL HEATERS—B.T.U. M
UNDRY TRAY JNIT HEATERS—B.T.U. M
LOTHES WASHER IVAPORATIVECOOLERS
ATER HEATER I LOTHFS DRYERS
RINAL 6FENTILATION FAN _
&INKING FOUNTAIN 1ANGE HOOD COMMERCIAL
LOOR DRAIN AIR HANDLING UNIT— CPM
VACUUM BREAKERS OVE
OOF DRAINS—RAINLEADERS ETAL FIREPLACE&CHIMNEY
INK(SERVICE—BAR.ETC.) ATER HEATER
AS PIPING -(.p to 5=$3.00•addal.=$35
"Equipmeot list must be provided
SUB TOTAL SUB TOTAL
PERMIT PERMIT
TOTAL FEE TOTAL FEE
SIUL YARD SL I BA(. STRLEI SL I BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
C
FEE RECEIPT NO.
USI- /ON[ LOT AREA VACANT SITE
❑ ❑ FEES VALUATION FEE
YES NO
TYPE OF CONS1 OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
BUTDING f
SILL OI BLDG. NO.OF STORIES MAX.OCC.LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
C.
PENALTY U.B SEC..
303(a)
WATEIUSEWERFEES
V �S
TOTAL
\A DEC 1 R lQQa
PERMIT VALIDATION
WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT
PAID CRtt BY
cc:ASSESSOR.APPLICANT,TREASURER. BLDG DEPT BUILDING OFFICIAL DATE
RECORDS COPY