HomeMy WebLinkAboutCO2013-0636UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
C/O CHECK LIST
C/O PERMIT # P13- 0 6, 3 lcT
ADDRESS:
BUSINESS
NAME:..
BUSINESS /PROPERTY
CHANGE NAME /OWNER NEW CONST
/ADDITION PERMIT #
v'f NEW TENANT /OCCUPANT REMODEL /ALTERATION PERMIT #
ISSUE DATE
1.
APPLICATION FORM COMPLETED
FINAL DATE
v� 2.
ZONING MAP COPIED & WORKORDER FORM COMPLETED
v 3.
ZONING CHECKED & COMPLETED ON APPLICATION
74.
BUILDING INSPECTION SCHEDULED:
3! 6) A'
DATE TIME
75.
FIRE DEPT. INSPECTION SCHEDULED:
DATE_ 1 TIME
INSPECTOR , n F�
l-
��
HEALTH INSPECTION:
DATE TIME
.- ~7.
PUBLIC WORKS INSPECTION:
E -MAIL DATE
- 8.
LOT DRAINAGE INSPECTION:
E -MAIL DATE
9.
CORRECTION LETTER SENT:
DATE
10.
BUILDING INSPECTORS SIGN OFF
LETTER: YES / NO
11.
12.
13.
14.
--z15.
1 -
17.
FIRE DEPARTMENTS SIGN OFF
HEALTH DEPARTMENT SIGN OFF
PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNATURE
LETTER: YES / NO
C/O ISSUED ELECTRIC RELEASE: MAR 12 2013
COPY: —� j.�
MAILED: --
* CONDITIONS TO BE TYPED ON C /O: YES / NO
O:\FORMS\DSCOINFORMATIONICKL IST
12/30/041 Rev.11111
FEB 2 5 2013
DATE OF ISSUANCE:
PERMIT #: 1 3- V �� 3 6
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: .b /,3
LOT: I BLOCK: 2
* ** *CERTIFICATE OF OCCUPANCI
NAME OF BUSINESS:
NEW OCCUPANT: YES y NO
NEW BUILDING: YES NO
NUMBER OF EMPLOYEES:
SUITE # /D�
_ SUBDIVISION:
WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION * * **
NEW BUILDING /PROPERTY OWNER: YES NO
NAME CHANGE: YES NO
FREIGHT FORWARDING: YES NO ✓
TYPE OF BUSINESS: Z) SQUARE FOOTAGE:
(Example: Retail, Office, Warehouse)
NAME OF TENANT: c.
CURRENT MAILING ADDRESS: / / ;v SZ /J//_ of r� 5 5t
CITY /STATE /ZIP: 4 g7P6 ;, j e- , �GX a,5 ���6-/ PHONE NUMBER:
PROPERTY OWNER: �r �:n ,�,/1, 2_t
MAILING ADDRESS: ;. /5 4 /4 � e :5T_ h . 5,J—
CITY/STATE/ZIP: pp, �, rr �. Tye ?6 P 1 PHONE NUMBER: 0°",
♦ 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 v- _
♦ 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 ✓
♦ 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- inspection fee will be charged)
FOR QUESTIONS PLEASE CALL (817) 410 -3165.
PRINT NAME: Gv, ``l ' �yrt 11E J)��� �n SIGNATURE:
PHONE #: Z/ �^ �'� il�y� EMAIL:
Development Services Department (OVER)
The City of Grapevine P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410 -3165
Fax (817) 410 -3012 * www.grapevinetexas.gov
O: FORMS \DSAPPLI CATIO NS \C /OApplieeti.n
3/22 /2001 /Revised:; /06, 5/06, 2/07,4109
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: PV • A
/
Signature:
* *FOR OFFICE USE ONLY
TYPE OF CONSTRUCTION: OCCUPANCY: 13 DIVISION:
ZONING DISTRICT: CONDITIONAL USE:
PERMITTED USE: JIJ.15
BUILDING DEPARTMENT. --/% - 3/?/J7J DATE: O1C {��f�1�
ZONING APPROVAL:
FIRE DEPARTMENT: k J 6 ad / LQ j flay
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
DATE: ?
DATE:
DATE:
r 7vy_X
HEALTH DEPARTMENT: DATE:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE
O: FORM S \DSAPPLI CATIO N S1C /OApplic ation
3/22 /2001 /R -iwd:5 /06,5106, 2/07,4/09
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CERTIFICATE OF OCCUPANCY
ADDRESS OF INSPECTION:
DATE OF INSPECTION:
WORKORDER
PERMIT # 13 -66, 5 (,-
lzv/5
13 /
. i/11W-.-
I�
S %p I,00
TIME OF INSPECTION: q 3 (" �, yv�-
NAME OF BUSINESS:
TYPE OF BUSINESS:
USE OF BUILDING AND /OR PREMISES:
REASON FOR APPLYING:
CONTACT PERSON:
u_-
TELEPHONE NUMBER:
-
/-�� 5✓
COMMENTS/VIOLATIONS: De
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION: rao
TYPE OF BUILDING: !' GROUP AND DIVISION:
ZONING RESTRICTIONS:
N An.
O:FORMSTSCOINFORMATION WORKORDER
12,30104 Rev. 1137/2006