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PLOT PLAN FOR DEPARTMENTAL 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 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.
7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No. Z -� 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 y 3 S S
Concrete r i
Reinforced Steel �� S
Grout Blocks l
Bond Beam
Frame S�
Roofing---�-- �� ^�
Room Ventilation G�
Kitchen Vent l
Bathroom Vent
Foundation Vent `
S
Access Hole /
Garage Fireproofing J
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
B ' ng Inspector
Certificate of Zoning Compliance No. Issued
Date
Certificate of Occupancy No. Issued
Date