HomeMy WebLinkAbout19007 59TH DR NE_3234_2026 \CITY OF ARLINGTON - GAS INSTALLATION PERMIT
N
Fee Paid � -- - Date- � � 2 615
Permission is hereby granted to ( � �' •'' �-L _
to install or repair gas appliances iping or 'accessories at the following premises:
Basic Fee
Systems under 50 feet $2.00
Systems over 50 feet 3.00
Plus
Outlets other than furnaces 1.00
Furnaces to 180,000 B.T.U. input 2.50
Furnaces 180,000 to 400,000 B.T.U. 5.00 r� i
Furnaces 400,000 to 1,000,000 B.T.U. 7.50
Used Appliances, First 1.00
Each Additional .25
Re-inspection (One-half of above fee)
Gas Inspector
BY
CITY OF ARLINGTON - GAS INSTALLATION PERMIT
Fee Paid $91,0 — Date l f r --1I _ _ N 2 615
Permission is hereby granted to 1 I
to install or repair gas appliances iping of accessories at the following premises:
Basic Fee
Systems under 50 feet ,00 ;n
Systems over 50 feet 3.00
Plus
Outlets other than furnaces 1.00
Furnaces to 180,000 B.T.U. input 2.50
Furnaces 180,000 to 400,000 B.T.U. t,l I I IT 5.00
Furnaces 400,000 to 1,000,000 B.T.U. 7.50
Used Appliances, First 1.00
Each Additional .25
Re-inspection (One-half of above fee)
Gas Inspector
By_��/
CITY OF ARLI NGTON
DEPT. OF BUILDINGS
230 NO. OLYMPIC
ALL PERSONS ARE HEREBY ORDERED TO AT ONCE
STOP WORK
PERTAINING TO/CONSTRUCTION, ALTERATIONS OR REPAIRS
On These Premises at _ < 90 ® � S
This order is issued because
By
A.M. uilding In ector
Posted eY �P—�— 19
WARNING
The failure to stop work, fhe resuming work without permission from the
BUILDING DEPARTMENT, or the removaa l, mutilation, or concealment of this
notice is punishable by fine or imprisonment.
APPLICATION CONSTRUCTION INFORMATION
FOR: Certificate of Zoning Compliance LJ To CITY of ARLINGTON CLASS of WORK (check) NEW ALTERATION ❑ , ADDITION ❑ , DEMOLISH ❑ .
Building Department
Building Permit Describe Alteration
Certificate of Occupancy ❑ Datey-
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 $_ Ood 0' 0 0 N O T I C E
cate of zoning compliance. �h ��
lob Ad d&,t s s /900 7-Sal - / a 3i d-a Where work is started
n T � Plan checking fee $--o before permit is obtained
Owner DMIMAl J OAlLOS GO�vd7 /wC Address /9�32 ,S4 D�./Vr Permit fee $ $ 3 the permit fee shall
be doubled.
Permittee _Address_ r�A
10
Architect Address, _ _
SPECIFICATIONS
Engineer Address_
FOUNDATION Exterior Piers ICOVERING
Contractor -5oq 1*o Address. Material Exterior walls
LEGAL DESCRIPTION OF PROPERTY: Lot No. .� Block No. Width at top Interior walls
Subdivision or Unplatted description Width at bottom Roof or reroofing
` Depth in ground
���iNl�fOr✓ �Ilia,t►�7t' /'/r i i0•ll��j/
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, lstfloor 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
�Ox/00 Interior studs
Additional floors and areas Mitt 1000.AK �x fro
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 - ~"M _ (check) IMPORTANT
Kind of livestock
- - t
❑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 a d State laws regulating zoning and building
-j
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. ,
5. Location and dimensions of proposed building or alterations. 5. Building Inspector �.r B-2� �.. Dote
6. Front yard,side yard,rear yard setbacks. 6. L
7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No. �� 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 v7.
Grout Blocks
Bond Beam
Frame 7 — Y
Roofingy
Room Ventilation
Kitchen Vent
Bathroom Vent
Foundation Vent
Access Hole
Garage Fireproofing
Fireplace n
Spark Arrester (/
Water Closet
Water Heater
Sewage Disposal _ 7
Lathing 1
Plastering �_------
Correction Order Left
Stop Work Order Issued S- 11,
Stop Work Order Released
64Nt L�S ��
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
APPLICATION CONSTRUCTION INFORMATION
FOR: Certificate of Zoning Compliance ❑ To CITY of ARLINGTON CLASS of WORK (check) NEW �3-;_ALTERATION ❑ , ADDITION ❑ DEMOLISH ❑.
Building Department s
Building Permit ❑ Describe Alteration � S7P_ T7—i�'".G -- Ae-4 a-rw
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 $ Jr00.0 on N O T I C E
o cate f zoning compliance. 7h
5 k LA)
� �� r 1� (°p D4 �.,r. Where work is started
4 -- Plan checking fee $ �S3' �a before permit is obtained
Owner �+Fs�`k ''C_ A Address 9�3 Z s q�� D �Vr• the permit fee shall
/ Permit fee �' ' 0O LSdoubled.
Ilk
Permittee Address `
Architect Address__
SPECIF CATIONS
Engineer Address
- U'� s° l5 FOUNDATION _ Exterior Piers COVERING
Contractor _ _ _ Address Material Exterior walls
Width at top Interior walls
LEGAL DESCRIPTION OF PROPERTY: Lot No. 1 L'f *2/Block No.
�yc. Width at bottom Roof or reroofing
Subdivision or Unplatted description ��hilr/9 %opt/ ��It�0^7110AOdrf
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, Ist 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 1st Floor area
y� 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 Corr and agree to comply with all
city ordinances and St ws regulating zoni -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 l J , 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 _ 4�
6. Front yard,side yard,rear yard setbacks. 6. iJ
7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No�3� ;��
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 / _ .9 Z4�
Excavation ? 4-L
Concrete 3 ;I L
Reinforced Steel 3e�
n
Grout Blocks 41
Bond Beam
Frame 'Zo
Roofing
.-Room Ventilation
Kitchen Vent
GL5
Bathroom Vent f
Foundation Vent /
Access Hole (9
Garage Fireproofing
Fireplace
Spark Arrester
Water Closet
Water Heater
Sewage Disposal
Lathing
Plastering
Correction Order Left
Stop Work Order Issued
Stop Work Order Released
i
�f
Give brief report of special or unusual conditions
i
Job completed � �/ Date 'F"r,
Building Inspector
Certificate of Zoning Compliance No. Issued
Date
Certificate of Occupancy No. Issued
Dote
MOORE BUSINESS FORMS INC.LA
1
APPLICATION CONSTRUCTION INFORMATION
FOR: Certificate of Zoning Compliance u To CITY of ARLINGTON CLASS of WORK (check) NEW ALTERATION ❑ , ADDITION ❑ , DEMOLISH ❑.
Building Department
Building Permit Describe Alteration f- __. _
41
Certificate of Occupancy ❑ Date v
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�0 certifi- Valuation based on-total floor area $ 6 d'.% 0 0 N O T 1 C E
41
cate of zoning compliance. s�'—,D/Z At '1
�/ N�•f �,� 1 goe 4A/ Where work is started
Plan cking feel '. $ 99' 0,0 before permit is obtained
Tot �� � ,`��v the permit fee shall
Owner y�Gf ArN- >>d'0V-e f (Ec A/ d��• Address 1 9'�3 2 S9 �R N Permit fee �' yr $ ���� S�
J/L� be doubled.
Permittee Address
Architect_ Address
SPECIFICATIONS
Engineer _Address__ _
37 J9 FOUNDATION Exterior Piers COVERING
Contractor_ a' Address_ l Material Exterior walls
LEGAL DESCRIPTION OF PROPERTY: Lot No. _ lock No. Width at top Interior walls
Subdivision or Unplatted description—17` ,r/ //1A_o��l�o A / 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,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 f oor 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. 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 Law# regulating zoning and building
i r Owner
DRAW on the reverse side of this application, to scale, a PLOT PLAN. APPLICANT A �� ZZ �' 14-
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.
5. Location and dimensions of proposed building or alterations. 5. Building Inspector e
b. Front yard,side yard,rear yard setbacks. b. ��
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
Qi A Set Back
Excavation
Concrete ,, f
Reinforced Steel
Grout Blocks _
Bond Beam
Frame /
Roofing 7
Room Ventilation
s, ' 77
Kitchen Vent � W"-
Bathroom Vent
Foundation Vent
Access Hole
Garage Fireproofing 2
Fireplace
Spark Arrester
Water Closet
Water Heater L n
Sewage Disposal
Lathing
Plastering /
Correction Order Left r
Stop Work Order Issued
Stop Work Order Released
r
/ Give brief report of special or unusual conditions
Job completed.— Date.2'
wilding Inspector
Certificate of Zoning Compliance No. Issued
Date
Certificate of Occupancy No. Issued
Date
MOORE BUSINESS FORMS INC_LA
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