HomeMy WebLinkAboutCO2013-0423UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
C/O CHECK LIST
C/O PERMIT # P13- D Ll,�?
ADDRESS:
BUSINESS NAME: 81'uLt ,7-,- � �
BUSINESS /PROPERTY
CHANGE NAME /OWNER NEW CONST /ADDITION PERMIT #
✓NEW TENANT /OCCUPANT REMODEL /ALTERATION PERMIT #
2.
4.
5.
�8.
ISSUE DATE
APPLICATION FORM COMPLETED FINAL DATE
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON
BUILDING INSPECTION SCHEDULED:
FIRE DEPT. INSPECTION SCHEDULED:
HEALTH INSPECTION:
PUBLIC WORKS INSPECTION:
LOT DRAINAGE INSPECTION:
%PPLICATION I
DATE �/� / 3 TIME
DATE TIME �---
INSPECTOR
DATE TIME
E -MAIL DATE
E -MAIL DATE
16. BUILDING OFFICIALS SIGNATURE
17. C/O ISSUED
* CONDITIONS TO BE TYPED ON C /O: YES / NO
O:\FORMSMSCOINFORMATION\CKLIST
12/30/04 \ Rev.11 \11
ELECTRIC RELEASE: Y [
COPY:
MAILED: J /z
CORRECTION LETTER SENT: DATE
�9.
10.
BUILDING
le
INSPECTORS SIGN OFF LETTER: YES / NO
r - X11.
FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
2.
HEALTH DEPARTMENT SIGN OFF
13.
PUBLIC WORKS SIGN OFF
14.
LOT DRAINAGE SIGN OFF
V 15.
LANDSCAPING SIGN OFF
16. BUILDING OFFICIALS SIGNATURE
17. C/O ISSUED
* CONDITIONS TO BE TYPED ON C /O: YES / NO
O:\FORMSMSCOINFORMATION\CKLIST
12/30/04 \ Rev.11 \11
ELECTRIC RELEASE: Y [
COPY:
MAILED: J /z
FEB 6 2011
DATE OF ISSUANCE:
PERMIT #: /3 3
Ly
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH ANACTTVE CURRENT BUILDING PERMIT
CITY /STATE /ZIP: � / b 0 ' PHONE NUMBER% c) - / r — `i/ o
_ (
♦ IS YOUR BUSINEIS
SUBJ CT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YE 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, 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 (� ' O
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 2.00 re- inspection fee will be charged)
FOR QUESTIONS PLEASE CALL (817) 410 - 31165. �,
PRINT NAME: Q, �O646SIGNATUR - im
PHONE #: 7 EMAIL4014L �� /
��'
Development Services Department
The City of Grapevine * F.O. Box 95104 * Grapevine, Texas 76099 * (817) 410 -3165
Fax (817) 410 -3012 * www.grapevinetexas.gov
O i FORMSDSA PPI,ICATIONS \C /OApplica tion
3/222001 /RIAIs d: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 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 Tax Number: 3
Signature:
ADDRESS:
CITY, STATE, ZIP:
+ it_ `N,1NT i` 0UR COMPLETED CERTIFICATE OF OCCUPANY MAILED?
* *FOR OFFICE USE ONLY
TYPE OF CONSTRUCTION: IF—B S kin1 -I e OCCUPANCY: M DIVISION:
ZONING DISTRICT: C G
PERMITTED
BUILDING DEPARTMENT:
ZONING APPROVAL:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
O:FORW DSAPPLICATIOWC'OAppli-ti-
3 /22'2001; R-ki d:5/06,5/06. l'07,4/09
CONDITIONAL USE:
DATE: A-1- 13 4 _B /-?
DATE:
DATE:
DATE:
DATE:
DATE:
DATE: -// - 13
1 • :7' G �
Ll
•'J
CERTIFICATE OF OCCUPANCY
WORKORDER,
PERMIT # 13— G `�
ADDRESS OF INSPECTION: ?c Ci
DATE OF INSPECTION: 2, c`� I ► 3 �� TIME
NAME OF BUSINESS: (�. /1,_u�r A�- !_l L %C %vrJxz1�
TYPE OF BUSINESS:
)F INSPECTION: /0,'Do
USE OF BUILDING AND /OR PREMISES:
REASON FOR APPLYING: e'. Cw"
CONTACT PERSON:
TELEPHONE NUMBER: _
COMMENTS/VIOLATIONS:
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION: C- e—
TYPE OF BUILDING: 'fj.13 5 n k k GROUP AND DIVISION: M
ZONING RESTRICTIONS:
O. FORMS:DSCOINFORMA710N WORKORDER
12 ;30119 Rev. 1/17/2006