HomeMy WebLinkAboutCO2012-4356UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
C/O CHECK LIST
C/O PERMIT # P12-
ADDRESS: <S,
�!
BUSINESS NAME:
BUSINESS /PROPERTY
—L CHANGE NAME /OWNER
V NEW TENANT /OCCUPANT
V 1.
V2.
--\/3.
_ /�4.
V 5.
�7.
V 9.
/10
11
�12
�13
14.
15.
iN
NEW CONST /ADDITION PERMIT # _
REMODEL /ALTERATION PERMIT #
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED
FIRE DEPT. INSPECTION SCHEDULED
HEALTH INSPECTION:
PUBLIC WORKS INSPECTION:
LOT DRAINAGE INSPECTION:
ISSUE DATE
FINAL DATE
DATE 1 TIME l . 00 AA1
DATE TIME � , UL? ,n M
INSPECTOR
DATE TIME
E -MAIL DATE
E -MAIL DATE
CORRECTION LETTER SENT: k I-l( 13 DATE
BUILDING INSPECTORS SIGN OFF
FIRE DEPARTMENTS SIGN OFF
HEALTH DEPARTMENT SIGN OFF
PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNATURE
LETTER:
LETTER
0) / NO
YES / NO
17. C/O ISSUED ELECTRIC RELEASE:
COPY:
MAILED:
* CONDITIONS TO BE TYPED ON C /O: YES / NO
0 kFORMSOSCOINFORMATIONICKLIST
12/30/041 Rev. 11111
3AP�VI?�E
1'
E X A S
DATE OF ISSUANCE:
PERMIT
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH ANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: q '!S , vv\, s N
SUITE #
LOT: a -3-!S 6IL� BLOCK: SUBDIVISION: a-�N �- °"arc Sri
" "CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WIT OUT LEGAL DES RIPTION * * **
NAME OF BUSINESS:
NEW OCCUPANT: YES r/ NO NEW BUILDING /PROPERTY OWNER: YES NO
NEW BUILDING: YES NO NAME CHANGE: BUSINESS YES ✓ NO
NUMBER OF EMPLOYEES: 'z- — - FREIGHT FORWARDING: YES NO
NEW BUSINESS OWNER: YES NO
TYPE OF BUSINESS: R eA.' j SQUARE FOOTAGE: 4 ,
(Example: Retail, Office, Warehouse)
NAME OF TENANT:
CURRENT MAILING ADDRESS: L-
CITY /STATE /ZIP: G'��" j cs� T ?<- Z PHONE NUMBER:
PROPERTY OWNER: e. �:, e_-
MAILING ADDRESS: ��'�� Cart' ���. -c• ✓a k
CITY /STATE /ZIP: � ��'� � � � � � � � `� Z- PHONE NUMBER:
♦ 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 ✓
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - - - - - - - - - - - - - - - - - - YES NO
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ----- YES 4 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: 11 ( o�l�'t V �� i j !'�e� � SIGNATURE:
V4
PHONE #: (,P, 9 3 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 \DSAPPLICATIONSIC /OApplicatl m
312212001/Re ised: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: I Z 0 11+ 0
Signature:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANY MAILED?
ADDRESS: :,- �! > � :: i - 0& 6, i V- S-\-
CITY, STATE, ZIP: �� r 1� '' c, c� Z
>��r r *.�FOR OFFICE USE
� � ONLY�r*
TYPE OF CONSTRUCTION: ,p�— OCCUPANCY: DIVISION:
ZONING DISTRICT: 0 !2 CONDITIONAL USE:
PERMITTED USE: Y��
BUILDING DEPARTMENT: /� ►�?.��i b� DATE:,�J" l'3 11-214113
ZONING APPROVAL: r� DATE:
FIRE DEPARTMENT: ��C. �Q,�_ �d LU, `�t�p DATE:
LOT DRAINAGE INSPECTION: �� DATE:
PUBLIC WORKS DEPARTMENT: / DATE:
HEALTH DEPARTMENT:
LANDSCAPING APPROVAL: IY1 Q 6��
APPROVAL FOR ISSUANCE:
O: FORMS\DSAPPLICATIONS\CIOAppil.ti-
3 /220001 /RMsM:5 /06, S06, 2/07,4/09
iIt //3
DATE:
DATE: � — r� 3
DATE: `r 56 tots
CERTIFICATE OF OCCUPANCY
Issue Date: February 7, 2013
PROJECT DESCRIPTION: C/O (Retail - Arts, Crafts, Gifts) "Grapevine's Market -On- Main"
- -P
PROJECT # (817) 410 -3010 WWW.mygov.us
`f CO -12 -4356 Inspections Permits
City of Grapevine,
TX LOCATION TENANT LEGAL
337 S Main St. Grapevine's Market on Main City Of Grapevine Bilk 19 Lot
Grapevine, , T TX 76099
P.O. Box Grapevine, TX 76051 2- 3 -S6'4
X
(817) 410 -3165 Voice
(817) 410 -3012 Fax
CONTRACTOR I INFORMATION
CERTIFICATE OF OCCUPANCY * APPLICATION STATUS Approved
200 S. Main Street
Grapevine, TX 76051
(817) 410 -3158 Phone
OWNER
Charles W Wood
2350 Crooked Ln
Southlake, TX 76092 -8067
AVAILABLE INSPECTIONS
► Final Fire Dept Inspection (required)
► Final Building C/O Inspection (required)
► Landscaping (required)
► C/O APPROVED FOR ISSUANCE
(required)
• CONSTRUCTION TYPE
VB Sprinklered
• OCCUPANCY GROUP
M
• ZONING DISTRICT
CBD
** NAME OF BUSINESS
Grapevine's Market -On -Main
** TYPE OF BUSINESS
Retail - Arts, Crafts, Gifts
* *APPLICANT / TENANT'S NAME
William David Wood
* *APPLICANT / TENANT'S PHONE
NUMBER
859- 983 -2630
* *Sales Tax
YES
* *Sales Tax Number
12030544006
Alcoholic Beverage Sales
NO
Alterations
NO
Change of Business Name
YES
Change of Business Owner
YES
County
Tarrant
Fire Sprinkler System?
YES
Freight Forwarding Business
NO
Hazardous Material
NO
Industrial Waste
NO
New Building /Addition
NO
New Building or Property Owner
NO
New Occupant / Tenant
YES
Number of Employees
5
Outside Refuse /Recycling
YES
Outside Storage
NO
Signs
YES
Square Footage
4500
Zoning
CBD - Central Business District
MYGOV.US City of Grapevine i CERTIFICATE OF OCCUPANCY I CO -12 -4356 I Printed 02/08113 at 9:00 a.m. Page 1 of 3
2126 -464
2126 -456
CERTIFICATE OF OCCUPANCY
WORKORDER�' PERMIT # 12- 43 S Cc
ADDRESS OF INSPECTION:
DATE OF INSPECTION: �� / (?� TIME OF INSPECTION: . Ei a -I/Nx
NAME OF BUSINESS: (:D f�(J \; i 1 �Q� eA - �(1- _ ('�
TYPE OF BUSINESS: M 6) ,ta-;� ` -H- f=
USE OF BUILDING AND /OR PREMISES:
REASON FOR APPLYING: l A E' \-k � C 1NC-
CONTACT PERSON: Lo c� 0c1
TELEPHONE NUMBER: ` - , -J'S - a "-o' 3 0
COMMENTS/VIOLATIONS:
Aii-a At7� �2�cTitrtrtl� bte-r t--r w&ptc A1(g-Lolio
WSf.I�. 1�11�iJ /4 ��Z..L CA
ce ) /0', / /-� , 5
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION: 4Z(30
TYPE OF BUILDING: GROUP AND DIVISION: M
ZONING RESTRICTIONS:
O:.FORMS,D SCOINFORMATION, WORKORDER
12170,04 Rcv_ 1/17:2006