HomeMy WebLinkAbout718 Broadway Ave_843153_2025APPLICATION
L.)NSTRUCTION INFORM.'AON
FOR: Certificate of Zoning Compliance ❑ To CITY of ARLINGTON
Building Department
Building Permit
Certificate of Occupancy ❑ Date
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-
cate of zoning compliance.
�Owner�/-'/,&77ZZAlaNYC Address,
Permittee
Architect
Address
Address
Engineer
Address
Contracto<:�; r
Address
r LEGAL DESCRIPTION OF PROPERTY: Lot No. 1' Z -T 3 — te Block No. (o
Subdivision or Unplatted description_
ZONING INFORMATION
TYPE OF OCCUPANCY of present or
proposed main building (circle)
A B C D E F G H I J
DIVISION 1 2 3 4
Use Zone —
Size of building or addition
Total height
Additional floors and areas
No. of rooms
No. of buildings now on lot_
Percentage of lot covered by main building —
Percentage of lot covered by accessory buildi
Kind of livestock
Fire Zone
TYPE of CONSTRUCTION of present or
proposed main building (circle)
1 II III III 1 hr. III HT
IV IV 1 hr. V V 1 hr.
sement floor area
Area of Lot
No. of stories
1 st Floor area
No. of families
Use of buildings now on lot
CHANGE OF OCCUPANCY from
If a commercial building, list each use and its area in square feet:
to
DRAW on the reverse side of this application, to scale, a PLOT PLAN.
CLASS of WORK (check)
Describe Alteration
Q, ALTERATION ❑ , ADDITION ❑ , DEMOLISH ❑
'Valuation based on total floor area
Plan checking fee
Permit fee
y
SPECIFICATIONS
N O T I C E
Where work is started
before permit is obtained
the permit fee shall
be doubled.
FOUNDATION
Exterior
Piers
COVERING
Material
Exterior walls
Width at top
Interior walls
Width at bottom
Roof or reroofing
Depth in ground
FRAME
Size
Spacing
Span
FLUES
R.W. Plate (sill)
Fireplace
Girders
Floor furnace
Joist, 1st floor
Kitchen
Joist, 2nd floor
Water heater
Joist, ceiling
Furnace
Exterior studs
Gas Oil
Interior studs
Roof rafters
Bearing walls
Additional Permits are required for:
(check)
❑ Plumbing, ❑ Signs, ❑ Moving,
❑ Sewer hookup, ❑ Water hookup,
❑ Gas appliance and Gas piping.
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all
city ordinances and State Laws regulating zoning and building
APPLICANT ` 5I�_�A
IMPORTANT
Written authorization of owner must
be presented when applicant is occupant
or lessor. I am the legal owner of the
property described in this application.
•
PLOT PLAIN
FOR DEPARTMEN . AL USE
Draw below, to scale, a plot plan showing:
1. Dimension and shape of the lot.
2. Front street name.
3. Side street name if corner lot.
4. Sizes and location on the lot of buildings already existing.
5. Location and dimensions of proposed building or alterations.
6. Front yard, side yard, rear yard setbacks.
7. Locate and describe any fences, walls; -hedges, -signs,
front yard tr-�-�- __a -.- A-1 L-14
8. Location an
1.
2.
3.
4.
5.
6.
7.
FOR DEPARTMENTAL USE
Checked Initials
Application for Certificate of Zoning Compliance ❑
Building Permit "� Certificate of Occupancy ❑ checked and approved.
Building Inspector. Date 2,0-
Issued Building Permit No. Date �^ �Jye
INSPECTION RECORD
Inspection Date
Signature
Set Back
Excavation
Concrete
Reinforced Steel
Grout Blocks
j
C1
II
4Z
Bond Beam
✓
Frame
Roofing
t
Room Ventilation
Kitchen Vent
Bathroom Vent
Foundation Vent
Access Hole
Garage Fireproofing
Fireplace
Spark Arrester
Water Closet
Water Heater
Sewage Disposal
Lathing
Plastering
Correction Order Left
Stop Work Order Issued
Stop Work Order Released
Give brief report of special or unusual conditions
Job completed
Certificate of Zoning Compliance No.
Certificate of Occupancy No
Dat f r e
Issued
Date
Issued
Date
MOORE BUSINESS FORMS INC LA