HomeMy WebLinkAbout103 NORTH ST_1511_2026 APPLICATION CONSTRUCTION INFORMATION
FOR: Certificate of Zoning Compliance ❑ To CITY of ARLINGTON CLASS of WORK (check) NEW ❑ , ALTERATION ADDITION , DEMOLISH ❑ .
Building Department I � _
Building Permit Describe Alteration �d d'-1'0jt' 4 ci ���'�l'9 ���"� [J�s�r ,u�°• 'J Y { i� j
Certificate of Occupancy ❑ Date-
NOTICE: No permit for erection, alteration, moving, repair or occupancy of any building ���Sj/3g•�
shall be issued until an application has been made and approved for a certifi- Valuation based on total floor area $ NOT I C E
cate of zoning compliance. 1 `` Where work is started
Plan checking,i01 t,' ,� /-d $ 3,LL before permit is obtained
,� , �� r dry the permit fee shall
Owner Address c5 9 . Jf�ii�� tlfzz� Permit fee ;, �(��t $ be doubled.
Permittee Address
Architect J� }�i�iv�4 f,:'-y-7s A Address7/7�lt�C��['.s�
SPECIFICATIONS
ft:ngineer Address
FOUNDATION Exterior Piers COVERING
ontractor Address Material Exterior walls
LEGAL DESCRIPTION OF PROPERTY: Lot No. Block No. Width at top Interior walls
i Subdivision or Unplatted description Width at bottom Roof or reroofing
r— 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
�� G
/ Joist,ceiling Furnace
Use Zone_ Fire Zone _-__ Area of Lot
Size of building or addition No.of stories Exterior studs Gas Oil
Total height- Basement floor area 1st Floor area
Interior studs
Additional floors and areas
o. of rooms No.of families Roof rafters
a.of buildings now on lot Use of buildings now on lot
fq
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 - - ❑ Sig
ns,gns, ❑ 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 DEPARTMENTAL 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.
(r4 / Z
5. Location and dimensions of proposed building or alterations. 5. Building Inspector =A'� Dote��
6. Front yard,side yard, rear yard setbacks. 6. �
7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No, 9gF�j 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 7- 2-9
Excavation .
Concrete - r - q
Reinforced Steel
Grout Blocks C7-)0
Bond Beam
Frame
Roofing
Room Ventilation / 7 Z
' Kitchen Vent
Bathroom Vent
Foundation Vent gyp" YL
Access Hole yy' fl
Garage Fireproofing b
Fireplace �Y
Spark Arrester
Water Closet
Water Heater
f / Sewage Disposal
Lathing
Plastering
Correction Order Left / t
jStop Work Order Issued 2,l)
Stop Work Order Released
Give brief report of special or unusual conditions
Job completed Daf�T-' '�
ui i In pector
Certificate of Zoning Compliance No. Issued
Date
Certificate of Occupancy No. Issued
Date
MOORE BUSINESS FORMS INC.,LA
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requirements of Section 307of the Uniform Building
This Certificate issued pursuant to the requit
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction-or use. For the following:
•
Bldg.Permit No. 91 1/
use CIMI(vedio, Xq 60 &,Coe$, -s,
Group B- z Type CW3tnICtionA/IC"IIv0v _Fire Zone_ _&L: Use Zone
Owner of Building By d D vxki�l
t V 4 L Address
Building Address IN S4 X-JO —Locality sokz,;i,I Aw
BY:
4
3o- S',2__�B Udin; Official Date: I V Im-, r-
POST IN A CONSPICUOUG PLACE
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