HomeMy WebLinkAbout1200 5TH ST_2846_2026 APPLICATION LONSTRUCTION INFORMA i ION
FOR: Certificate of Zoning Compliance ❑ To CITY of ARLINGTON CLASS of WORK (check) NE ALTERATIOW-0 , ADDITION ❑ DEMOLISH ❑ .
Building Department / \\
Building Permit Describe Alteration � e
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 $ N O T I C E
cate of zoning compliance.
Where work is started
Plan checking fee $. - — - before permit is obtained
Le l}- �1! �� !�[ � Address �L�� Permit fee $ ' the permit fee shall
Owner be doubled.
Permittee _. Address
Architect Address
- - - SPECIFICATIONS
Engineer Address
FOUNDATION Exterior Piers COVERING
Contractor Address Material Exterior walls
/
LEGAL DESCRIPTION OF PROPERTY:' Lot No. 1)-oQ -Block No. Width at top Interior walls _
/ ����u"'C,�/G�1
Subdivision or Unplatted description 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 11 111 111 1 hr. III HT Joist, 1 st 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. — —
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 ancl,$tote Laws regu oting zoning and building
Z Owner --- —
DRAW on the reverse side of this application, to scale, a PLOT PLAN. APPLICANT V
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. T Date U
front'yard trees and shrubs,green belt.
8. Location and size of required off-street parking and loading. 8.
-1 b INSPPCTION 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
8 6-72 mg-1 n sp e C r
Certificate of Zoning Compliance No. Issued
Date
Certificate of Occupancy No. Issued
Date
MOORE BUSINESS FORMS INC.LA