HomeMy WebLinkAboutCO2012-3838UNDER CONSTRUCTION
CORRECTION LETTER i
PW OR LD-NEE -DED
TD NO LETTER
C/O CHECK LIST
C/O PERMIT # P12- U l3
ADDRESS:
BUSINESS NAME:
BUSINESS /PROPERTY
CHANGE NAME /OWNER NEW CONST /ADDITION PERMIT #
ANEW TENANT /OCCUPANT REMODEL /ALTERATION PERMIT #
t/
2.
/
'Y 3.
V 4.
V 5.
6.
7.
8.
79.
✓ 10.
11.
✓ 12.
13.
�14.
15.
16.
ISSUE DATE
FINAL DATE
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED: DATE _TIMEh
FIRE DEPT. INSPECTION SCHEDULED: DATE 11,31 TIME I ( ao
INSPECTOR .
HEALTH INSPECTION: DATE TIME
PUBLIC WORKS INSPECTION: E -MAIL DATE
LOT DRAINAGE INSPECTION: E -MAIL DATE
CORRECTION LETTER SENT: � \ h / --
(
BUILDING INSPECTORS SIGN OFF l`T"D
FIRE DEPARTMENTS SIGN OFF
HEALTH DEPARTMENT SIGN OFF
PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNATURE
17. C/O ISSUED
* CONDITIONS TO BE TYPED ON C /O: YES / NO
WFOR MS\DSCOIN FOR MATIONIC KL IST
12/30/04 1 R -11\11
DATE
LETTER: fS) / NO
LETTER: YES / NO
ELECTRIC RELEASE:
COPY:
MAILED:
a/5 // 3
OCT 2 9 2012
DATE OF ISSUANCE:
PERMIT #: Id- 3 S- 3 �y
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: ,{�f % /�fl�'JC>l ��/ SUITE #
LOT: l BLOCK: Z SUBDIVISION: C��a° �h _ uyv &44- ,
" "CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITH6UT LEGAL DESCRIPTION ""
NAME OF BUSINESS: sy� ���ST //� C' — v�i�G'.�c
NEW OCCUPANT: YES _ NO NEW BUILDING/PROPERTY OWNER: YES NO I/
NEW BUILDING: YES NO !/ NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: y FREIGHT FORWARDING: YES NO
TYPE OF BUSINESS: SQUARE FOOTAGE:
(Example: Retail, Office, Warehouse)
NAME OF TENANT: 1 z L,�l1�t�s -�
U
CURRENT MAILING ADDRESS: '4 l0 Q ,h/ �li%� (�d /�neS/ h 'e"/
CITY /STATE /ZIP: C�r�i o�:/Lc_ / D( e S PHONE NUMBER
PROPERTY OWNER:. /J L 7-�
MAILING ADDRESS: 44� 61-0 V
CITY /STATE /ZIP: 22zz C'O /.o PHONE NUMBER:
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES V NO
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) -YES I/ NO
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - - - - - - - - - - - - - - - - - - YES NO 1/
♦ 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 v
♦ WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING ----------------------- YES NO
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? - - - - - - - - - - - - - - - - - - - - - - - - - YES —y 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- inspection fee will be charged)
FOR QUESTIONS PLEASE CALL (817) 410 -3165.
PRINT NAME: IrAI.4z- i® ztv/� ✓�11� SIGNATURE: z.
PHONE #: 6;1�/_ �G -� /� EMAIL:
(OVER)
Development Services Department
The City of Grapevine P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410 -3165
Fax (817) 410 -3012 * www.grapevinetexas.gov
O: FORMS \DSAPPI.1 CATION S \C /OAppficeti on
3/22 12001 /Revised:5 /06, 5106, 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.
'-, 3 0 y Texas Sales Tax Number: I � S 1
Signature:
�>�>tiFOR OFFICE USE
TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION:
ZONING DISTRICT:
PERMITTED USE: lit
BUILDING DEPARTMENT:
ZONING APPROVAL:
CONDITIONAL USE:
DATE:arl7bL`�-
DATE:
FIRE DEPARTMENT: �%Q C 1C YJ �u DATE:
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE: `
O:PORMS \DSAPPLICATIO NS \C /OAppli,ation
3/22/200 1 /R,,i,M:5/06, 5/06, 2/07,1/09
DATE:
DATE:
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DATE: �d
DATE:
DATE:
2120 -448
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2120 -440
Connie Cook - Re: Fwd: Alcohol License C/O 12 -3838
From: Tara Brooks
To: Connie Cook; Jodi Brown
Date: 2/1/2013 10:48 AM
Subject: Re: Fwd: Alcohol License C/O 12 -3838
Yes we do.
7-cwaon 2/1/2013 at 10:46 AM, in message <510BF149.F69 : 48 :9587>, Jodi Brown wrote:
>>> Connie Cook 2/1/2013 10:30 AM >>>
Do you have a alcohol license on file for
2100 Hall Johnson Rd. #116
Mustang C Store
Thanks
Connie Cook
Development Services Assistant
City of Grapevine
(817) 410 -3158
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 12- �3F 3 �'
ADDRESS OF INSPECTION:
DATE OF INSPECTION: TIME OF INSPECTION: 3 Q P,,A'l
NAME OF BUSINESS:
TYPE OF BUSINESS:
USE OF BUILDING AND /OR PREMISES:
REASON FOR APPLYING:
CONTACT PERSON:
TELEPHONE NUMBER: --� % I/ - 5-6 & 'V/,-) ("
COMMENTS/VIOLATIONS: %� ���� „/SPA^ -rv� 1���� -� � /' -ZAC ( 01% 1 y''4-
pu
�l
- -- " - * *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION: efjc--
TYPE OF BUILDING: f�o GROUP AND DIVISION:
ZONING RESTRICTIONS:
O.• FORMS DSCOINFORMATIONIWORKORDER
12/30/04 Rw 1, 17,2006