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Home My WebLink AboutCO2019-4465 UNDER CONSTRUCTION _ CORRECTION LETTER_ PW O LD-NE-ED D_ -LETSE _ WAITING FIRE_ HOLD_ CODE_ C/O CHECK LIST � p C/O PERMIT # P19 - ADDRESS: LOO W . 220'4 ,cow$ Z> BUSINESS NAME: BUSINESS PROPERTY _ CHANGE NAME / OWNER _ NEW CONST/ADDITION PERMIT# NEW TENANT/ OCCUPANT — REMODEL/ALTERATION PERMIT# ISSUE DATE FINAL DATE t//1. APPLICATION FORM COMPLETED V/ 2. ZONING MAP COPIED &WORKORDER FORM COMPLETED 3. HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE (SCAN TO C/O IN MYGOV-IF LARGE SET,ALSO SCAN TO LF&FORWARD SET TO FIRE) 4. FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE 5. ZONING CHECKED & COMPLETED ON APPLICATION (y ,--'6. BUILDING INSPECTION SCHEDULED DATE IIz I TIME —I. Uy 7. FIRE DEPT. INSPECTION SCHEDULED DATE TIME FIRE INSPECTOR: 8. CITY SECRETARY(ALCOHOL) NOTIFICATION DATE: 9. HEALTH INSPECTION NOTIFICATION DATE: — 10. PUBLIC WORKS INSPECTION E-MAIL DATE 11. LOT DRAINAGE INSPECTION E-MAIL DATE 12. CORRECTION LETTER SENT DATE � ! l � U l� �(`I 13, BUILDING INSPECTORS SIGN OFF LETTER: YE NO — ' 1. 14. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO 15. HEALTH DEPARTMENT SIGN OFF 16. CITY SECRETARY (Alcohol License Sign Off) 17. PUBLIC WORKS SIGN OFF 18. LOT DRAINAGE SIGN OFF 19. LANDSCAPING SIGN OFF 20. BUILDING OFFICIALS SIGNATURE 21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: NOV SCAN CERTIFICATE TO MYGOV: CONDITIONS TO BE TYPED ON C/O? YES/NO MAILED: O TORMSIDSCOINFORMATIONICKLIST 12W041 R ft 11111 11116,511 B N 7 2019 Gny A PvViNE DATE OF ISSUANCE: T K PERMIT#: � lif CERTIFICATE OF OCCUPANCY REQUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPAN�C"Y IS ASSOCIA ED W/TH ANACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: LM Ul V�C Y SUITE# ��\) LOT: /A BLOCK: SUBDIVISION:/� l�� Lr�/� � 7 /Ue /L�4oQe ✓�� ****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION""0 NAME OF BUSINESS: — � '� `�( � -NEW OCCUPANT: YES NO_ NEW BUILDING/PROPERTY OWNER: YES NO NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES NO NUMBER OF EMPLOYEES: n FREIGHT FORWARDING: YES NO NEW BUSIa ' NEESS OWNER: YES NO C�'��(� �j TYPE OF BUSINESS: SQUARE FOOTAGE: (Example: Retail Clothing/Attorney's Office/Office-Warehouse/Restauran" �p NAME OF TENANT [PERSON'S NAME]: `�� I\ CURRENT MAILING ADDRESS: St Leel CITY/STATE/ZIP: �� hl��1i `\CJ I }� ::7 �_PHONE NUMBER: t PROPERTY OWNER: MAILING ADDRESS: , CITY/STATE/ZIP: �l i<10 ��,�07` PHONE NUMBER: ♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW?(if yes,provide copy of Sales Tax Certificate)---- YES_NO ♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES?(if yes,provide copy of Alcoholic Beverage Permit)-YES_NO ♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED?-------------- -- YES_NO ♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM?------YES—NO ♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? / (if yes,screening is required)----------------------------------------------------------- YES—NO ♦ WILL THERE BE ANY OUTSIDE STORAGE(including storage of company/fleet vehicles),DISPLAY, USE OR DINING?------------------------------------------------------------------ YES NO ♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES NO ♦ IS BUILDING SPRINKLERED?------------------------------------------------------- YES—NO ♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? / (if yes,provide list of types&quantities,along with material safety data sheets)----------------------YES_NO ✓ I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THE SAID OCCUPANCY IS IN CONFORMANCE WITH THE INFORMATION HEREIN SET FORTH. (If access to the building/space is not provided at the time of the scheduled inspection,a$42.00 re-inspection fee will be charged) FOR QUESTIONS_)'LEASE-CALL(817)n410-3165. SIGNATURE: `l�) �(��JJ� PRINT NAMIE3/� \ �C., � PHONE#: �� W`��— �� EMAIL: _� ;- . Development Services Department The City of Grapevine*P.O.Box 95104 *Grapevine,Texas 76099*(817)410-3165 Fax(817)410-3012 * www.erVevinetexas eov O:FORMSM"PLICATIONSIC/ 3012001/Rev:5/06,1/0r,4/09,Y/13,11/15,10/'I6,8/18 TEXASSALESTAX Texas Sales Tax is charged and collected on sales within the State and City of Grapevine, Texas of"taxable items."Taxable items include both tangible personal property,specified services. If you are in a business that will be selling"taxable items" within the City of Grapevine,Texas you will be required to collect State and Local Sales Tax in the amount of 8.25%. A"Seller or Retailer"means a person engaged in the business of making sales of"taxable items",the receipts from which are included in the measure of sales or use tax. The term,"place of business"includes any location at which three or more orders are received by the"Seller or Retailer in a calendar year.If an order is received at the place of business of a retailer in Texas,but delivery or shipment is made from a location within the state other than the retailer's place of business. State and local sales tax is due and is allocated to the city where the order was received. I have read the above and I understand that I will be required to provide a copy of the Sales Tax Permit to the City of Grapevine,Texas if the circumstance applies to my business. Texas Sales Ta umber: c`��4A�54(r,A �l f�'� Signature: ��3 .L�a�?Q�iV WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? ADDRESS: ()A CITY, STATE, ZIP: -x �(nC tx * \ / x*� FOR OFFICE USE TYPE OF CONSTRUCTION: ft) OCCUPANCY: DIVISION: ZONING DISTRICT:4r, CONDITIONAL USE: W/4 PERMITTED USE: / BUILDING DEPARTMENT: DATE: BUILDING INSPECTOR: DATE: ZONING APPROVAL: DATE: FIRE DEPARTMENT: DATE: LOT DRAINAGE INSPECTION: DATE: PUBLIC WORKS DEPARTMENT: DATE: HEALTH DEPARTMENT: DATE: CITY SECRETARY: DATE: LANDSCAPING APPROVAL: DATE: APPROVAL FOR ISSUANCE: DATE: 0:FORMSIDSAPPLICATION51C1 31222120011fty:5106,210i,M09,2113,11M5,10116,8118 • F7-f 11 BQ 11 u a°s tj U eHot h50pOMe 6J1 JW�- .x.� °WVWm Y}E y 4^ I e �� v� � ry �rlseR rvaatllao .- 151NIlSlltl J O^ r f I hV I i y vo U v Ax �� 3Tnn"In'a- lsuux3e � 3 Ntl ltltllX3J p�dn ,Tv�m Y- � _ oP � .S ^R Po ti �•cam �� L — of t�-wI °COI �� af'° e sw a :f �- �� ssxltlws {sNOltltlP cl . x I I\ \V 5 a i y9sx nxJ < .-tIOPRTX_S!� Y276� ` �ry \db. ly5vj3Nld i •-+-ld YNtllEI J� � i�1 tl"b°M \�� e' � I \ g :: r e i " . 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J - �i .•S I -, I' plJvxriuea.wa -"� to WWxa. - a smm ap' { o i NO1 pm P �I I l0 in 1 r:= } N q CERTIFICATE OF OCCUPANCY WORKORDER PERMIT # 19 - ADDRESS OF INSPECTION: 6z,)o A j, DATE OF INSPECTION: TIME OF INSPECTION: NAME OF BUSINESS: ��A�; _yL 22� TYPE OF BUSINESS: l�Q� USE OF BUILDING AND/OR PREMISES: t�CL�wr REASON FOR APPLYING: CONTACT PERSON: U_��i�J TELEPHONE NUMBER: 2/ 7 -eo 6g�-020239 COMMENTSNIOLATIONS: +I� t' rr � �lJr Ja�� 91 5 Od(0l/, l ( R,,,h & ve Y�?,cJ* Hirt„// Aleed Ti /C9YY/�)UI ey yG�s'„r/, V-le **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: Ti TYPE OF BUILDING: V o GROUP AND DIVISION: ZONING RESTRICTIONS: O.FORMS O$COIN W RPI.AI ION\VORKORDLk 12]IIiH I1, I I +VI16