HomeMy WebLinkAboutCO2020-3304 UNDER CONSTRUCTION _
CORRECTION LETTER_
PW OR LID NEEDED
TD NO LETTER_
WAITING FIRE _
HOLD_
CODE _
C/O CHECK LIST
C/O PERMIT # P20 - 31 -
ADDRESS: aO iD na i7 7c+ Ave—
BUSINESS NAME: C ��czn SI�DIJ
BUSINESS PROPERTY
_ CHANGE NAME / OWNER _ NEW CONST /ADDITION PERMIT#
NEW TENANT/ OCCUPANT — REMODEL/ALTERATION PERMIT#
/ SSUE DATE FINAL DATE
V 1. APPLICATION FORM COMPLETED
2. ZONING MAP COPIED &WORKORDER FORM COMPLETED
G3. 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 �}
V 6. BUILDING INSPECTION SCHEDULED DATE `1 (O TIME 9, 62�4 yv�
�. FIRE DEPT. INSPECTION SCHEDULED DATE TIME
FIRE INSPECTOR:
CITY SECRETARY(ALCOHOL) NOTIFICATION DATE:
"J HEALTH INSPECTION NOTIFICATION DATE:
"10. PUBLIC WORKS INSPECTION E-MAIL DATE
G 11. LOT DRAINAGE INSPECTION E-MAIL DATE
12. CORRECTION LETTER SENT DATE
—713. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
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 OCT p e 2020
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV:
* CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED:
0IFORMS OSCOINFORMATIONICKLIST
12/30/041 Rev.1111 1 1111 5,5RB
r
(
DATE OF ISSUANCE:
rr1LA V PERMIT#: c�L% 3 3 t-7
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY ISASSOCIATED WITAA-A'ACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: HA01 VJ Ak�o,r - %CL{ Q }� V�, sL1rrE#
LOT: BLOCK: SUBDIVISION: )at
****CERTIFICATE OF OCCUPANCY WILL NO'{BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: L P cc ,1 4A
NF.WOCCUPANT: YESNO .i NEW BUILDLNG/PROPERTYOWNER: YES NO
NEW BUILDING: YES NO NA.ME CHANGE:BUSINESS YES— NO
NUMBER OF EMPLOYEES: C: FREIGHT FORWARDING: YES NO L
W BUSINESS OWNER: YES NO_G
TYPE OF BUSINESS: a1E }� `� .JYt C �� SQUARE FOOTAGE- (4 1 t{C (1
(Example:RMaa,Office,Warehouse)
NAME OF TENANT: _CLA O-0_11
7
CURRENT MAILING ADDRESS:
CrTY/STATE/ZIP: PHONE NUMBER:
PROPERTY OWNER: N L(- 201 VJ N k\'o m -j 'j o kle. f yt LL C
MAILING ADDRESS: tAbg0 (A), �!cnne& c7`V('i e ns0
CITY/STATE/ZIP:/fin po\ f L 33(.00 PHONE NUMBER: b 13— 3 1(9' y 7j�$
♦ 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_L
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE fNSTALLED?-------------------YES_ NO_C
♦ 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_L
♦ WILL THERE BE ANY OUTSIDE STORAGE,DISPLAY, USE OR DINING:-- ----------------- YES_ NO_T�
♦ 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 TH E FOREGOING IS CORRECT TO THE BEST OF MY KNOR'LEDGE AND THE SAID
OCCUPANCY 1S 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 S41.00 re-inspection fee,will be charged)
FOR QUESTIONS PLEASE CALL(817)410-3165.
PRINTNAM�9E: I"1�� { 1 I��j^ C�n_01� SIGNATURE:_1r�'`
PHONE#: Cl '�� '-l��`�-Ll-'�� EMAIL:
Development Services Department
The City of Grapevine*P.O.Box 95104*Grapevine,Texas 76099)�(817)410-3165
Fax(817)410-3012 * %v .grapevinetexas.gov
o:M4.rnneen4cAnars:cmApptr.nw
CERTIFICATE OF OCCUPANCY
.Ii V-E Issue Date:October 7,2020
17 L* S t s'v' PROJECT DESCRIPTION:C/O"Clean&Show"
I r
PROJECT# (817) 410-3010 www.mygov.us
CO-20-3304 Inspections Permits
City of Grapevine
LOCATION TENANT LEGAL
Grapevine,,T TX 76099
P.O. Box 4201 William D Tate Ave. Clean &Show 121 Medical Addition BlBilk1 Lot
X
(817)410-3165 Voice Grapevine, TX 76051 1
(817)410-3012 Fax
CONTRACTOR INFORMATION
Mandy Wagner "CONSTRUCTION TYPE 1113 Sprinklered
4201 William D Tate Avenue *OCCUPANCY GROUP N/A
Grapevine,TX 76051
"ZONING DISTRICT CC
(813)841-7901 Phone **NAME OF BUSINESS
Vacant
**TYPE OF BUSINESS Clean&Show
OWNER "*APPLICANT NAME
Mandy Wagner
He-4201 William D Tate Ave Llc "APPLICANT PHONE NUMBER 813-841-7901
4890 W Kennedy Blvd Ste 650 **TENANT NAME Vacant
Tampa, FL 33609-5767 _
"TENANT PHONE NUMBER 813-841-7901
ph, (813)316-4312
"Sales Tax NO
AVAILABLE INSPECTIONS *Sales Tax Number
Final Building C/O Inspection(required) Alcoholic Beverage Sales NO
� Landscaping(required)
C/O APPROVED FOR ISSUANCE Alterations NO
(required) Change of Business Name NO
Change of Business Owner NO
County Tarrant
Fire Sprinkler System? YES
Freight Forwarding Business NO
Hazardous Material NO
Industrial Waste NO
New Building/Addition NO
New Building or Property Owner NO
New Occupant/Tenant NO
Number of Employees
Outside Refuse/Recycling NO
Outside Storage NO
Signs NO
Square Footage 61400
Zoning CC-Community Commercial
FEES TOTAL=$ 50.00
Certificate of Occupancy $50.00
PAYMENTS TOTAL=$50.00
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ADDN34613 2 "'_0 1 inch : 400 feet Grid Page:
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 20 - D' :
ADDRESS OF INSPECTION: Q o 1 W:� � i cam —�c k±e_ AyL p
DATE OF INSPECTION: AKC �_, TIME OF INSPECTION:
NAME OF BUSINESS: MaLn SI�Ori �—
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES: y�c Cl n�'
REASON FOR APPLYING: Re ecks � ��C-�� t L
CONTACT PERSON: �-
TELEPHONE NUMBER: �, �'� - g,z�� i
COMMENTS/VIOLATIONS: ?/i cjnhc dor on-5 i A, r`�a
ma nv ( 55'u-LS eowotd eke fry c rn l Wi re-s anol z✓lc YeGf Cp✓�
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: ,-' !-- OCCUPANT LOAD:
TYPE OF BUILDING: 1I -A, GROUP AND DIVISION:
ZONING RESTRICTIONS:
O=FOWS DSCOIVPV RMATIO\\\ORAORDER
12 10 04 Rn 1122006