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Home My WebLink About115 N GIFFORD ST_3189_2026 APPLICATION CONSTRUCTION INFOR►.CATION FOR: Certificate of Zoning Compliance ❑ To CITY of ARLINGTON CLASS of WORK (check) NEW 4LJ'pp�� ❑ ,, ALTERATION ADDITION ❑ , DEMOLISH ❑ . Building Department Building Permit Describe Alteration Pl eX Certificate of Occupancy ❑ Date_ / S—Sy NOTICE. No permit for erection, alteration, moving, repair or occupancy of any building 3 shall be issued until an application has been made and approved for a certifi- Valua n sed n total c�r c�ef � V 00 N O T I C E cate of zoning compliance. �[[ Where work is started Plan a in $ �+ �� '- �� - before permit is obtained � �� the permit fee shall Owner ��r N� w/l G1/2 Address ��J �y�' � Permit f be doubled. Permittee Address �v` �l [ J Architect Address (� SPECIFICATIONS Engineer Address ` Pot='�Cmfe' � _�� FOUNDATION Exterior Piers COVERING ContractorAddre. Material Exterior walls LEGAL DESCRIPTION OF PROPERTY: `�-e Lot No. to/ � 7 Block No. Width at top Interior walls Subdivision or Unplatted description T-' /ram h Ol r /� Width at bottom Roof or reroofing l YS'SW-oaG -eoG -o00 3 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 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 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: ❑ Gas appliance and Gas piping. q 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 o d agree to comply with all city ordinances an4,Sfdte Laws r ulating zoning and building Owner DRAW on the reverse side of this application, to scale, a PLOT PLAN. APPLICANT PLOT PLAN FOR DEPARTA._NTAL USE Draw below,to scale, a plot plan showing: FOR DEPARTMENTAL USE Application for Certificate of Zoning Compliance ❑ Checked Initials l. Dimension and shape of the lot. 1. 2. Front street name. 2. Building Permit P�` 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 9111it Dote 6. Front yard,side yard,rear yard setbacks. 6. 7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No._ 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 Roofing / Room Ventilation Kitchen Vent ` Bathroom Vent Ole ,�/ Foundation Vent Access Hole d\f1J` Garage Fireproofing Fireplace Spark Arrester Water Closet Water Heater v 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 I MOORE BUSINESS FORMSINC..LA ii APPLICATION CON.PTRUCTION INFORMATIO4 FOR: Certificate of Zoning Compliance ElTo CITY of ARLINGTON CLASS Of WORK (c7e- CertificateNEW ❑ , ALTERATION ,Building ADDITION DEMOLISH Building Department Permit Describe Alteration 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 $ y N O T I C E cate of zoning compliance. ram_ Where work is started l Plan checking fee $ before permit is obtained Owner-) t�Z e l 1 1, /U)► Address / Permit fee $ %(' � the permit fee shall be doubled. Permittee Address-- Architect _Address SPECIFICATIONS Engineer Address FOUNDATION Exterior Piers COVERING Contractor Address Material Exterior walls LEGAL DESCRIPTION OF PROPERTY: Lot No. y Block No. Width at top Interior walls � Subdivision or Unplatted description ��--��77``'' ��- cis. '"►- r`S� ��_ �� 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, Istfloor 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_ 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 and property described in this application. state that the above is correct and agree to comply with all 01 city ordinances and State Laws regulating zoning and building i� Owner DRAW on the reverse side of this application,to scale, a PLOT PLAN. APPLICANT PLOT PLAN FOR DEPARTMENTAL L. a 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. 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 Date 6. Front yard,side yard,rear yard setbacks. 6. p�7 7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No. 3d O ! Date JQ 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 �� a Grout Blocks Bond Beam Frame Roofing L Room Ventilation • Kitchen Vent 7 , Bathroom Vent Foundation Vent Access Hole Garage Fireproofing ^-- � Fireplace 7 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 M Dates �p Adding Inspector Certificate of Zoning Compliance No. Issued Date Certificate of Occupancy No. Issued Date MOORE BUSINESS FORMS INC.LA