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N _ Q 2 u P H C' C ►I 3' '_ ' G > Z y v ; -� r v =r -i =� ♦ z g M f1 1 cmC of a C --1 n =Q cl ro f rn o O >Z zQ Z 'A > r a -+ Q 1� ♦ir, t �' m Z rn N Q > a0�^`^ m < cz m ZZrn 2 IfzfGIGIG � � >OQZG > � p n v v ,ra a p (J Z Cl n3: TT 1 I sip x > � Xr� Z < 'O (� �OTCQ �� � F >n - -i ��� T "1 APPLICATION INSTRUCTION INFORM, , ION FOR: Certificate of Zoning Compliance ❑ To CITY of ARLINGTON CLASS of WORK (check) NEW ❑ , ALTERATION ❑ , ADDITION ❑ DEMOLISH ❑ Building Department Building Permit 91 Describe Alteration 1511 Certificate of Occupancy ❑ Date �� -�!S �it]�6C�S�o iI_Q- 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 /_ J �� (/ e permit fee shall Ownek � o� a/-La% ri / Address !�� G� L r /�� �G�') Permit fee 3 � � � $ /3�`• S� the doubled. Permitter- Address 1986 Architect Address L , J,� 4 , AP' ECIFICATIONS Engineer LC�(/ f�C �g/C�Z Address wry n ��` FOUNDATION Exterior Piers COVERING ContractorX ¢6tl/Q 1 S a�S>� Address �_ �/ Material Exterior walls Width at top Interior walls EGAL DESCRIPTION OF PROPERTY: Lot No. Block No. Subdivision or Unplatted description `l& , -L,) l 7— I s-- el Q6&I 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 I I I III III 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 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 St to Laws regulating zoning and building / Owner DRAW on the reverse side of this application, to scale, a PLOT PLAN. APPLICANjA.'� � -�: -�— q PLOT PLAN FOR DEPARTMEK A 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 Date ` (/ 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. B. 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 Date Building Inspector Certificate of Zoning Compliance No. Issued Date Certificate of Occupancy No. Issued Date