HomeMy WebLinkAboutCO2013-1426UNDER CONSTRUCTION
CO- RRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
C/O CHECK LIST
C/O PERMIT # P13- L
ADDRESS: 3 3 21 s lega.
BUSINESS NAME:
BUSINESS /PROPERTY
CHANGE NAME /OWNER NEW CONST /ADDITION PERMIT #
NEW TENANT /OCCUPANT REMODEL /ALTERATION PERMIT #
1/
V 2.
V 3.
�4.
5
ISSUE DATE
FINAL DATE
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED: DATE - I �. `� TIME Z' 0,�, ,
FIRE DEPT. INSPECTION SCHEDULED: DATE 4 a S TIME /9 .
INSPECTOR
HEALTH INSPECTION: DATE TIME
PUBLIC WORKS INSPECTION:
8. LOT DRAINAGE INSPECTION:
9.
CORRECTION LETTER SENT:
v-' 10.
BUILDING INSPECTORS SIGN OFF
✓ 11.
FIRE DEPARTMENTS SIGN OFF
HEALTH DEPARTMENT SIGN OFF
13. PUBLIC WORKS SIGN OFF
4. LOT DRAINAGE SIGN OFF
:215. LANDSCAPING SIGN OFF
E -MAIL DATE
E -MAIL DATE
DATE
LETTER: YES / NO
LETTER: YES / NO
16. BUILDING OFFICIALS SIGNATURE
17. C/O ISSUED ELECTRIC RELEASE: qbg //3
COPY:
MAILED:
*CONDITIONS TO BE TYPED ON C /O: YES / NO
O:IFORMSIDS COINFORMATIONICKLIST
12/30/041 Rev.1 Ill 1
'APR 18 2013
DATE OF ISSUANCE:
PERMIT #: / 3 – / %-�
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITHANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 33_4 a,Y4 on SUITE #
LOT: BLOCK: .2- SUBDIVISION:
* ** *CERTIFICATE OF OCCUPANCY WILL (1410T,,PE ISSUED_WffH&T LEGAL DESC IPTION * * '-�*
NAME OF BUSINESS: A w
NEW OCCUPANT: YES NO NEW BUILDING/PROPERTY O R: YES _
NEW BUILDING: YES N NAME CHANGE: YES _
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES _
TYPE OF BUSINESS: �rc�ph� SQUARE FOOTAGE:
(Example: Retail, Office,
NAME OF TF
CURRENT MAILII
CITY /STATE /ZIP:
NO
_ NO
—NO
F01
PROPERTY OWNER: � /�c 'T L'w� h 1 �� 1
MAILING ADDRESS: q T Y Y J� i YL '�� l/1 ► � )k ` 's uu_
CITY /STATE /ZIP: 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 NOV
♦ 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, 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 -ins ection fee will be charged)
FOR QUESTIONS PLEASE CALL (817) 410 -3165.
PRINT NAME: SIGNATURE:
�'- 43 '!� U
PHONE #: �� .1 EMAIL:
(OVER) I C�m
Development Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410 -3165
Fax (817) 410 -3012 * vaunv.grapevinetexas.gov
O: TORIMO/OAppllcatio n
3/22120011Re iwd:5/06,5/06, 2/07,4/09
TEXAS SALES TAX
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 an) 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 Tax
Signature:
* * * * * * * * * * * * * * * **
* * * * * * * ** *FOR OFFICE USE ONLY * * * * * * * * * * * * * * * * * * * * * * * * * * * **
TYPE OF CONSTRUCTION: ` :q OCCUPANCY: r DIVISION:
r
ZONING DISTRICT: (__e 0 CONDITIONAL USE:
PERMITTED USE:
BUILDING DEPAR
ZONING APPROVE
FIRE DEPARTMEP
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
0:1FORNMOApplication
3/2212001/Revi,ed:5/06,5106, 2/07,4/09
DATE:152
DATE:
DATE: -I L6 1 h 3
DATE:
DATE:
DATE:
DATE:
DATE:
2126 -464
2126 -456
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 13- / �cV &
ADDRESS OF INSPECTION: �3 Z/
DATE OF INSPECTION: (� `� I.3 TIME OF INSPECTION: j2 •!� .
NAME OF BUSINESS:
TYPE OF BUSINESS:
USE OF BUILDING AND /OR PREMISES:
REASON FOR APPLYING:
i p
CONTACT PERSON: ��1�c.L
TELEPHONE NUMBER:
COMMENTSNIOLATIONS:
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION: 64—y.)
TYPE OF BUILDING: GROUP AND DIVISION:
ZONING RESTRICTIONS:
Oi FORMS.DSCOINFORMATION WORKORDER
12,3044 Rev. 1/17/2006