HomeMy WebLinkAboutCO2020-3676 UNDER CONSTRUCTION _
CORRECTION LETTER_
PW OR LID NEEDED_
TD NO LETTER_
WAITING FIRE_
HOLD_
CODE_
C/O CHECK LIST
/� DT
C/O PERMIT # P20 -
ADDRESS: "16
BUSINESS NAME:
BUSINESS I PROPERTY
CHANGE NAME / OWNER _ NEW CONST/ADDITION PERMIT #
NEW TENANT/OCCUPANT - REMODEL/ALTERATION PERMIT#
ISSUE DATE FINAL DATE
✓ 1. APPLICATION FORM COMPLETED
11/2. 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 — Ai O-r 4L-Z-0WEb
6. BUILDING INSPECTION SCHEDULED DATE TIME
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
13. 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
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED:
O 1FORMS105COINFORMATIOMCKLIST
12 104I R.111M 11N6,6118
O C T (J 2020 DATE OF ISSUANCE:
I7S i i�1 .';N
PERMIT#: do --
TI
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
:VO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURREiVT BUILDING PERMIT
ADDRESS OF OCCUPANCY: SUITE
LOT: BLOCK: � SUBDIVISION:
",*`*CERTIFICATE OF CCUiPANCY WILL NOT BE ISSIfED 1THOUT LEGAL DESCRIPTION***`
0��NAME OF BUSINESS: 1 �� L(A ! �h 'V1(A
NEW OCCUPANT: YES k/ NO NF, .'BUILDING/PROPERTY OWNE : YES NO—,-
NEW BUILDING: YES N NEW BUSINESS NAME CHANGE: YES NO ✓
NUMBER OF EMPLOYEES. — FREIGHT FORWARDING: Y-ES NO -✓
/1 NEW BUSINESS OWNER: YES NO
TYPE OF BUSINESS: 0,6 ee ay. SQUARE FOOTAGE: Z 7 l�
(ENample:Retail ClothinIg i Attoruey's Office/Office-Warehouse/Restaurant)
NAME OF TENANT , �`�y �Q^ ' 4,9 /
CURRENT MAILING ADDRESS: j z /6 i f era C 6 ljrer 4J.Pt,/iNe
CITY/STATE/ZIP: �V l✓ '�_ PHONE NUMBER: `6
PROPERTY OWNER: <
MAILINGADDRESS:
CITY/STATE/ZIP:GQ -� ��T� ��G ( PHONENUMBEO—' Eck
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if Wes.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 BEINSTALLED?-------------------YES_ NO i
♦ 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 ALTERATIONSBEMADETOTHESITEORBUILDING?------------------------- 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 i not provided at the time of the scheduled inspection,a$42.00 re-inspection fee will be charged)
FOR QUESTIONS f:,FeASI- LL 17)410-3165.
SIGNATURE: _ PRINT NAME;�����zr� � ul K
PHONE#: 7 24 Cam- 32? EMAIL: �
Fax(817)410-=01? :r7 wow.,,-apevmetexas.gov.
C:FOP,NIS DSAPPLICATIONS\C
V221200 i/Rev:5106,2,'0].4/09.2il 3,11[I S
TEXAS SALES TAR
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 taxis due and is allocated to
the city where the order was received.
I have read the above and I understand that I will he required to provide a copy-of the Sales Tax Permit to the City of
Grapevine.Texas if the circumstance appliesto my business.
Texas Sales Tax: ber:
Signature:
ADDRESS:
CITY, STATE, ZIP: (��T
OFFICE USE
SE
TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION:
ZONING DISTRICT: CONDITIONAL USE:
PERMITTED USE:
BUILDING DEPARTMENT: 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:
O:FORMSTSAPPLICATIONSIC'
3R=001]Rev:5106,2107,M09,2/13,11 Y.5
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 20 - 367(o
ADDRESS OF INSPECTION:
DATE OF INSPECTION: TIME OF INSPECTION:
NAME OF BUSINESS:
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES: n i
REASON FOR APPLYING: Ca
CONTACT PERSON:
TELEPHONE NUMBER:
COMMENTS/VIOLATIONS:
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: OCCUPANT LOAD:
TYPE OF BUILDING: GROUP AND DIVISION:
ZONING RESTRICTIONS:
0-1URMS OSCOINTORVIATION N ORKOROCR
1230 04 Ri 11-2006