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1205 E 5TH ST_00903_2026
APPLICATION t.JNSTRUCTION INFORW.. ION FOR: Certificate of Zoning Compliance ❑ To CITY of ARLINGTON CLASS of WORK (check) NEW ❑ , ALTERATION ❑ , ADDITION ❑ , DEMOLISH ❑. Building Department Building Permit ® Describe Alteration Certificate of Occupancy ❑ Date Z//- 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 $ Where work is started before permit is obtained O U �Sr the permit fee shall 'Owner Address $ _ Permit fee he d4.�k�led. Permittee_ Address F_A�51 4Q4 4 Architect Address SPECIFICATIONS APR r qq Engineer Address, Y I�8© FOUNDATION Exterior Piers COVE �F AR Contractor Address Material Exterior �Is LI � ✓LEGAL DESCRIPTION OF PROPERTY: Lot Na.. �Ce .g 0rWa A'F,(Z_Block No. Width at top Interior walls Subdivision or Unplatted description ''/G Width at bottom Roof or reroofing Depth in ground TVA 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 81 C D E F G H I J 1 11 III III 1 hr. III HT Joist, 1 st 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 l lr Fire Zone--- Area of Lot _ - - Size of building or addition- No.of stories Exterior studs Gas Oil ✓total height 3 c> Basement floor area .1 st FI_oor area 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 A7,-r. - _ 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 Al b N ❑ 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 Owner DRAW on the reverse side of this application, to scale, a PLOT PLAN. APPLICANT PLOT PLAN FOR DEPARTMENI...L 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 El 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. 7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No. / o s Date `f front yard trees and shrubs,green belt. 8. Location and size of required off-street parking and loading. 8. INSPECTION RECORD Inspection Date Signature ySet Back Excavation —` Concrete Reinforced Steel Grout Blocks Bond Beam Frame Roofing Room Ventilation Kitchen Vent i Bathroom Vent Foundation Vent Access Hole Garage Fireproofing !I Fireplace i Spark Arrester Water Closet Water Heater Sewage Disposal _ Lathing i � Plastering jCorrection Order Left Stop Work Order Issued Stop Work Order Released t � 4 l Give brief report of special or unusual conditions I ii Job completed- Date Building Inspector Certificate of Zoning Compliance No. Issued Date Certificate of Occupancy No. Issued Date MOORE BUSINESS FORMS I NC..LA APPLICATION L.)NSTRUCTION INFORMA T ION FOR: Certificate of Zoning Compliance ❑ To CITY of ARLINGTON CLASS of WORK (check) NEW a ALTERATION ❑ , ADDITION ❑ , DEMOLISH ❑. Building Department Building Permit Describe Alteration Certificate of Occupancy ❑ Date! NOTICE: No permit for erection, alteration, moving, repair or occupancy of any building o 0 shall be issued until an application has been made and approved for a certifi- Valuation based on total floor area $ �OQ N O T I C E cate of zoning compliance. Where work is started Plan checking fee $ before permit is obtained �-G9t� faOS �� the permit fee shall Owner Address $ �� Permit fee be doubled. Permittee Address Architect Address _ SPECIFICATIONS Engineer Address FOUNDATION Exterior Piers COVERING Contractor Address Material Exterior walls LEGAL DESCRIPTION OF PROPERTY: Lot No._ � Block No. Width at top Interior walls Subdivision or Unplatted description (tit�C�C d'L/�lf — Width at bottom Roof or reroofing .t 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) w Fireplace proposed main building (circle) proposed main building (circle) Girders Floor furnace A B C D E F G H I J I 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 of buildingaddition Exterior studs or a - _ No.of stories _ _ Gas Oil Total height _ Basement floor area 1st Floor area. 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 ands property described in this application. state that the above is correct and agree to comply with all V city ordinances and State Laws regulating zoning and building DRAW on the reverse side of this application, to scale, a PLOT PLAN. APPLICANT Owner PLOT PLAN FOR DEPARTMENI 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 fl 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. I 5. Location and dimensions of proposed building or alterations. 5. Building Inspector __ __ -_ _Date �Z 6. Front yard,side yard,rear yard setbacks. 6. /� G 7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No. 3o✓9 Date 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 Concrete Reinforced Steel Grout Blocks Bond Beam Frame is -- -- — - -- ----- - Roofing Room Ventilatiam Kitchen Vent Bathroom Vent 0 - - Foundation Vent Access Hole Garage Fireproofing 1 Fireplace �� Spark Arrester Water Closet Water Heater Sewage Disposal Lathing Plastering /Correction Order Left i Stop Work Oder Issued nO \ Stop Work Order Releas d i f / Give brief report of special or unusual condi ions Job completed Date Building Inspector Certificate of Zoning Compliance No. Issued Date Certificate of Occupancy No. Issued Date MOORE BUSINESS FORMS INC LA o 0 0 c ❑ w C O O o a ro N a o — v ° O c D t Ir -o 3 iz ¢ o z > F- n. 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