HomeMy WebLinkAbout123 S STILLAGUAMISH AVE_2836_2026 APPLICATION LiNSTRUCTION INFORMA T ION
FOR: Certificate of Zoning Compliance ID To CITY of ARLINGTON CLASS of WORK (check) NEW ICJ , ALTERATION ❑ , DITION ❑ , DEMOLISH ❑.
Building Department /
Building Permit Describe Alteration 6ki 6 a AF74r vC
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- Valuation based on total floor area $ ��� U y N O T I C E
cate of zoning compliance. U Where work is started
Plan ch e4a �j before permit is obtained
Owner / �� 7` 1 Address ��� �� T� �/Y �� II �/�`� the permit fee shall
Permit a i. n 11 01PS
c� " be doubled.
L ^�sf'1U
Permittee_ Address
CITY R It4 -ON
Architect Address pv — -_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 deso iption r�' � l,� Width at bottom Roof or reroofing
��/•/ `� �� / 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 2n d floor Water heater
Joist,ceiling Furnace
Use Lone Fire Zone_ Area of Lot
Size of building or addition No.of stories Exterior studs Gas Oil
Total height __ Basement floor area 1 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 - (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: ElGas appliance and Gas piping. or lessor. I am the legal owner of the
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
4 Owner
DRAW on the reverse side of this application, to scale, a PLOT PLAN. APPLICANT
PLOT PLAN FOR DEPARTMEN)mL USE
Draw below,to scale, a plot plan showing: FOR DEPARTMENTAL USE 1 Application for Certificate of Zoning Compliance ❑
Checked Initials J
1. Dimension and shape of the lot. 1
2. Front street name. 2. Building Permit; k 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. L 5. Location and dimensions of proposed building or alterations. 5. Building Inspector Date o Z�
6. Front yard,side yard,rear yard setbacks. 6, /
7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No. Date `-/7// V
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 c Date
Building Ins oclor
Certificate of Zoning Compliance No. Issued
Date
Certificate of Occupancy No. Issued
Date
MOORE OOSINESS FORMSINC to