HomeMy WebLinkAboutCO2013-0192UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
C/O CHECK LIST
C/O PERMIT # P1,-�,_. O 1 of --,�--
ADDRESS: `S 1 's,
BUSINESS NAME: Px 1 - s oc-\
BUSINESS /PROPERTY
HANGE NAME /OWNER NEW CONST /ADDITION PERMIT #
NEW TENANT /OCCUPANT REMODEL /ALTERATION PERMIT #
1/1
y2
3
4
5
ISSUE DATE
FINAL DATE
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON APPLICATION /
BUILDING INSPECTION SCHEDULED: DATE �l �'� TIME
FIRE DEPT. INSPECTION SCHEDULED: DATE - ��-� -� TIME
INSPECTOR
1% 6. HEALTH INSPECTION: ` DATE
7. PUBLIC WORKS INSPECTION: E -MAIL DATE
,:::��&
LOT DRAINAGE INSPECTION:
_ -z 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
715.
LANDSCAPING SIGN OFF
16. BUILDING OFFICIALS SIGNATURE
17, C/O ISSUED
* CONDITIONS TO BE TYPED ON C /O: YES / NO
OiFORMSOSCOIN FORMATIONIC KLIST
1 2/3 0104 1 R-11N 1
E -MAIL DATE
TIME
DATE
LETTER: YES / NO
LETTER: YES / NO
M
ELECTRIC RELEASE:
COPY:
MAILED:
DATE OF ISSUANCE:
PERMIT #:
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: I of SUITE #
LOT: _% IZ BLOCK: / 5 SUBDIVISION: b 7'� 4' ; t/,'� L %sal e�:� 1�1�!/�,�� ✓/�
* ** *CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WI OUT LEGAL DESCRIPTION * * **
NAME OF BUSINESS: - '119 J ',s 4:ej M,4 ./j
NEW OCCUPANT: YES_ NO NEW BUILDING /PROPERTY OWNER: YES NO _
NEW BUILDING: YES NO >l NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: I FREIGHT FORWARDING: YES NO %t
TYPE OF BUSINESS: C'5 � if U g- SQUARE FOOTAGE: /000
(Example: Retail, Office, Warehouse)
NAME OF TENANT: 9(e L f- J � �� LJ %� G�� 4-f
CURRENT MAILING ADDRESS: In 4 �� r
CITY /STATE /ZIP: 6--,,,711 �s�. ') �� x 76 `' S PHONE NUMBER:
PROPERTY OWNER:
MAILING ADDRESS:
CITY /STATE /ZIP: ��2 YY��1� �7� % PHONE NUMBER: 1?/ 7- 7�3
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES )<L 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 L
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ----- YES >t, NO �C
♦ WILL OUTSIDE REFUSE /RECYCLING /COMPACTING CONTAINERS BE NECESSARY?
(if yes, screening is required)---------------------------------------------------- - - - - -- -YES X NO
♦ WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING: - - - - - - - - - - - - - - - - - - - - - YES X NO
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? - - - - - - - - - - - - - - - - - - - - - - - - - YES NO �
♦ IS BUILDING SPRINKLERED?------------------------------------------------- - - - - -- YES NO C
♦ 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: . j- L GG"� �'� SIGNATURE:
PHONE #: 3 EMAIL:
V—
(OVER)
Development Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410 -3165
Fax (817) 410 -3012 CIE- www.grapevinetexas.gov
O: FORMS \DSAPPLI CATIONS \C /OApplication
3/12 /2001 /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.
330
Texas Sales Tax Number:
Signature:
FOR OFFICE USE ONLY�r�r
TYPE OF CONSTRUCTION:' �� OCCUPANCY: A DIVISION:
ZONING DISTRICT: CONDITIONAL USE:
PERMITTED USE:
BUILDING DEPAR
ZONING APPROVAL:
FIRE DEPARTMENT: Q.II!- Q
IF
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT: Ott Pe, 4W ('/0 W) gdgaj�
LANDSCAPING APPROVAL: Alfe�
APPROVAL FOR ISSUANCE: e
O:FOR111 S \DSAPPLICATIONS \C /OAppli,,tio,
3/22/2001/Revised:5/06, 5106, 2/07,1109
TE: "7I c A%- r / 12
14
DATE:
DATE: ( 4cy 3
DATE:
DATE:
DATE: ut n �--I VI,oij ab /13
DATE:
�, - 7 -
DATE:7fteo
Zdt3
G-k EVER
I r-
City of Grapevine,
TX
P.O. Box 95104
Grapevine, TX 76099
(817) 410 -3165 Voice
(817) 410 -3012 Fax
CERTIFICATE OF OCCUPANCY
Issue Date: February 7, 2013
PROJECT DESCRIPTION: C/O (Restaurant) "AJ's on Main"
PROJECT # (817) 410 -3010
CO -13 -0192 Inspections
LOCATION TENANT
651 S Main St. AJ's on Main
Grapevine, TX 76051
CONTRACTOR
CERTIFICATE OF OCCUPANCY
200 S. Main Street
Grapevine, TX 76051
(817) 410 -3158 Phone
OWNER
Robert William Wickman
651 S Main St
Grapevine, TX 76051 -5341
AVAILABLE INSPECTIONS
► Final Fire Dept Inspection (required)
► Final Health Inspection (required)
► Final Building C/O Inspection (required)
► Landscaping (required)
► C/O APPROVED FOR ISSUANCE
(required)
WWW.mygov.us
Permits
LEGAL
City Of Grapevine Blk 15 Lot
15R
INFORMATION
• APPLICATION STATUS
Approved
• CONSTRUCTION TYPE
VB
• OCCUPANCY GROUP
A -2
* OCCUPANCY LOAD
* ZONING DISTRICT
CBD
** NAME OF BUSINESS
AJ's on Main
" TYPE OF BUSINESS
Restaurant
— APPLICANT / TENANT'S NAME
Arlie J. Gillinger, Jr.
* *APPLICANT / TENANT'S PHONE
NUMBER
817 -917 -1143
* *Sales Tax
YES
* *Sales Tax Number
Alcoholic Beverage Sales
YES
Alterations
NO
Change of Business Name
NO
Change of Business Owner
NO
County
Tarrant
Fire Sprinkler System?
NO
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
1
Outside Refuse /Recycling
NO
Outside Storage
YES
Signs
YES
Square Footage
1000
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO -13 -0192 I Printed 02/08/13 at 8:57 a.m. Page 1 of 3
Zoning CBD - Central Business District
FEES TOTAL = $ 50.00
Certificate of Occupancy $ 50.00
PAYMENTS TOTAL = $ 50.00
CERTIFICATE OF OCCUPANCY (City of
Grapevine Applicant)
($50.00)
Cash on 0111812013
Note: 50.00
READ AND SIGN
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 scheduled
inspection, a $42.00 re- inspection fee will be charged)
FOR QUESTIONS PLEASE CALL: (817) 410 -3165.
Owner / Agent Signature Date
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO -13 -0192 1 Printed 02/08/13 at 8:57 a.m. Page 2 of 3
2126 -464 21
2126 -456
CERTIFICATE OF OCCUPANCY
WORKORDER,
PERMIT #
ADDRESS OF INSPECTION: L'S l S , (Y� a � y-,\ Sc�-
DATE OF INSPECTION:
\43- 3- �b
TIME OF INSPECTION: C C� ✓L
NAME OF BUSINESS:
Gc�
TYPE OF BUSINESS:
Re SQL d c3-
USE OF BUILDING AND /OR PREMISES:
REASON FOR APPLYING:
�-
CONTACT PERSON:
(
TELEPHONE NUMBER: 4P, 1``t - v, 1- I -
COMMENTS/VIOLATIONS: ® K, I/215A5
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION: 62V
TYPE OF BUILDING: e--V- s GROUP AND DIVISION: ,
ZONING RESTRICTIONS:
O:TORMS DSCOINFORMATION,WORKORDER
12'30'04 R- I, 17.2006