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HomeMy WebLinkAboutCO2013-041106ER-C i `RUCTi__tom, CORRECTION LETTER PW OR LD NEEDED TD NO LETTER C/O CHECK LIST i2&_ C/O PERMIT # P13- 044 ADDRESS: -3cD ©O i BUSINESS NAME: e� BUSINESS PROPERTY CHANGE NAME /OWNER NEW TENANT /OCCUPANT 1. 2. ✓/ 3. 5. 6. �7. _,,�8. NEW CONST /ADDITION PERMIT # REMODEL/ALjjTERATION PERMIT # <3-D z �O8 � 01, ISSUE DATE a� co )13 fe'An " FINAL DATE APPLICATION FORM COMPLETED ZONING MAP COPIED & WORKORDER FORM COMPLETED ZONING CHECKED & COMPLETED ON APPLICATION BUILDING INSPECTION SCHEDULED: DATE TIME 10 ;Gt) �dL'r FIRE DEPT. INSPECTION SCHEDULED: DATE `T - TIME , C) ()O-AW, INSPECTOR �E-, ;y\k HEALTH INSPECTION: DATE TIME PUBLIC WORKS INSPECTION: E -MAIL DATE LOT DRAINAGE INSPECTION: 9. CORRECTION LETTER SENT: �10. BUILDING INSPECTORS SIGN OFF � 11. FIRE DEPARTMENTS SIGN OFF 12. HEALTH DEPARTMENT SIGN OFF 13. PUBLIC WORKS SIGN OFF 14. LOT DRAINAGE SIGN OFF :z 15. LANDSCAPING SIGN OFF 16. BUILDING OFFICIALS SIGNATURE 17. C/O ISSUED * CONDITIONS TO BE TYPED ON C /O: YES / NO O:IFORMSIDSCOINFORMATIONICKLIST 1 213 0/04 1 Rev.11 \11 E -MAIL DATE DATE LETTER: YES / NO LETTER: YES / NO ELECTRIC RELEASE: COPY: MAILED: � 610 FEB 6 2013 DATE OF ISSUANCE: PERMIT 4: a 3 - t) �e l CERTIFICATE OF OCCUPANCY REQUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT f r 1a CIS,1 ADDRESS OF OCCUPANCY: 3bc Cam x,lr� x,11 ����, Lez��UIrE # LOT: 3 BLOCK: , SUBDIVISION: G (-a-Pe y� n p m l( S Ada f1, ""CERTIFICATE OF OCCUPANCY WILL NOT BE I SUED WIT OUT LEGAL DESCRIPTION " " *" NAME OF BUSINESS: 7r �3` H fir- , ,r NEW OCCUPANT: YES w,/ NO NEW BUILDIN /PROPERTY OWNER: YES NO NEW BUILDING: YES — NO= NAME CHANGE: YES r— NO= NUMBER OF EMPLOYEES: 1- FREIGHT FORWARDING: YES NO i,� -L Ccen phMe� TYPE OF BUSINESS: , G1< � - •/ SQUARE FOOTAGE: ld (Example: Retail, Qflice, Warehouse) '— NAME OF TENANT: l y, Z 2_0 ,T s L CURRENT MAILING ADDRESS: /y qC_)U S /' ,p� CITY /STATE /ZIP: f G a- G �h "Tip �, ,4 PHONE N PROPERTY OWNER: M4 I n MAILING ADDRESS: CITY /STATE /ZIP: 4R���v2 :t na "T?� C,a ► PHONE NUMBER:(9 ).2) ♦ 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 1/ ♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - - - - - - - - - - - - - - - - - - YES L1 NO _J22C ♦ 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 MdL NO 1/ ♦ IS BUILDING SPRINKLERED?------------------------------------------------- - - - - -- YES�O ♦ 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 PLEASE CALL (817) 410 -3165. n PRINT NAME: _yet Z }� 1 l7 L- SIGNATURE: PHONE #: ��� �� �UU -3� � EMAIL: (�( �� (OVER) Development Services Department The City of Grapevine P.O. Box 95104 * Grapevine, Texas 76099 * (93 7) 410 -3165 Fax (8 17) 410 -3012 * www.grapevinetexas.gov O:FORA7S)DSAPPLICATIONS' CODApp11eatim 3122 /3902/ReWaed:3l06, Sl06.:147,a!09 T'd T999S89LT8 '>joij eoa :eo ET 90 qaA Feb 06 13 08:28a rick 8176856661 p.1 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: Signature: �xFOR OFFICE USE TYPE OF CONSTRUCTION: Ti x3 spr; n1c IeY OCCUPANCY: _ M DIVISION: ZONING DISTRICT: G G PERMITTED USE: M BUILDING DEPARTMENT: -kl.,-Q /-(, /3 ZONING APPROVAL:? r FIRE DEPARTMENT:. W CONDITIONAL USE: — DATE: A. "I • ZO 13 DATE: DATE: � 1 z)) . LOT DRAINAGE INSPECTION: _e� DATE: PUBLIC WORKS DEPARTMENT: HEALTH DEPARTMENT: LANDSCAPING APPROVAL: APPROVAL FOR ISSUANCE: O:FO IiAMUSAFpLI CATION SICIOA ppI L-1.. JI22,7001 114-t. d:vu,_v06, V07,4W DATE: DATE: DATE: CERTIFICATE OF OCCUPANCY WORKORDER. PERMIT # 13- C ADDRESS OF INSPECTION: �30 00 (-�5 LO:4e tO-- \J � DATE OF INSPECTION:, TIME OF INSPECTION: 0'. y'�'� NAME OF BUSINESS: TYPE OF BUSINESS: USE OF BUILDING AND /OR PREMISES: e S -� 0,;?- oo t' REASON FOR APPLYING: CONTACT PERSON: i TELEPHONE NUMBER: q -1 a--- - (:�t L) 0 -? - COMMENTS/VIOLATIONS: 'Z,o q u tied 1- (eG-"4 ce 4 ✓Pg ;P' ;P'L rr caw wiw�� ✓nn�� �C �S aV gg - 4 - 6 S4-ori.-,eA0 , � l 111-2113 ,4//.�Z /1.3 * *TO BE FILLED OUT BY BUILDING OFFICIAL ** ZONING DISTRICT OF INSPECTION LOCATION: TYPE OF BUILDING: ZONING RESTRICTIONS: Oi FORWDSCOINFORMATION WORKORDER 1220414 Rev. 1: 172DO6 GROUP AND DIVISION: