HomeMy WebLinkAbout110 HAMLIN ST_2780_2026 APPLICATION INSTRUCTION INFORM. , ION
FOR: Certificate of Zoning Compliance ❑ To CITY of ARLINGTON CLASS of WORK (check) NEW ❑ , ALTERATION ❑ , ADDITION ❑ , DEMOLISH ❑.
Building Department
Building Permit rvi
_S- 0/rLL%l !
Describe Alteration
t
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- Valuationbased on total floor r $ �Z�l�• L'� V N O T I C E
cote of zoning compliance. Where work is started
Plan checking'fee '� �` $ before permit is obtained
Owner C��'r l .f' Address ��� /7l����1 $ lU CI-�� the permit fee shall
/�(<� �� Permit The : � �''
�.�r C�►A g�� be doubled.
Permittee Address
Architect Address _
SPECIFICATIONS
Engineer Address
/,� /J 1 / FOUNDATION Exterior Piers COVERING
Contractor / ' `� �� / �� Address ��/��i�`"�
Material Exterior walls
LEGAL DESCRIPTION OF PROPERTY: Lot No. 7 Block No. Width at top Interior walls
Subdivision or Untatted description plion / Width at bottom Roof or reroofing�� f�_i r' • /Y� T f
/,— 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, Istfloor i 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 building or addition No.of stories Exterior studs Gas Oil
Total height Basement floor area I st 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_ - (
Kind of livestock (check) IMPORTANT
❑ 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 Rt
DRAW on the reverse side of this application, to scale, a PLOT PLAN. APPLICANT_ 0
Owner
PLOT PLAN FOR DEPARTME"It AL 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 r' Date
6. Front yard,side yard,rear yard setbacks. 6.
7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No. ? 77' Dote
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
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 Order Left
Stop Work Order Issued
Stop Work Order Released
Give brief report of special or unusual conditions
Job completed Date
Building Inspector
Certificate of Zoning Compliance No. Issued
Date
Certificate of Occupancy No. Issued
Date
MOORE BUSINESS FORMS INC,LA