HomeMy WebLinkAboutCO2013-0657UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
C/O CHECK LIST
C/O PERMIT # P13- O (oc-�' l
ADDRESS: ?li� 0 m e S- oY-\
BUSINESS NAME: L—vc-)cA (-�, Xk l
BUSINESS /PROPERTY
CHANGE NAME /OWNER NEW CONST /ADDITION PERMIT #
NEW TENANT /OCCUPANT REMODEL /ALTERATION PERMIT #
1.
/2.
V 3.
4.
5.
.' 6.
ISSUE DATE
APPLICATION FORM COMPLETED FINAL DATE
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON APPLICATION l
BUILDING INSPECTION SCHEDULED: DATE TIME rL
FIRE DEPT. INSPECTION SCHEDULED: DATE �/ a, TIME V h 3 D
INSPECTOR __f Ccz �
HEALTH INSPECTION:
PUBLIC WORKS INSPECTION:
LOT DRAINAGE INSPECTION:
9. CORRECTION LETTER SENT:
10. BUILDING INSPECTORS SIGN OFF
11.
FIRE DEPARTMENTS SIGN OFF
-1/12.
HEALTH DEPARTMENT SIGN OFF
13.
PUBLIC WORKS SIGN OFF
14.
LOT DRAINAGE SIGN OFF
15.
LANDSCAPING SIGN OFF
16. BUILDING OFFICIALS SIGNATURE
17. C/O ISSUED
* CONDITIONS TO BE TYPED ON C /O: YES / NO
0AFORMSOSCOINFORMATIONICKL IST
12/30/041 R-1 Ill 1
DATE TIME
E -MAIL DATE
E -MAIL DATE
DATE
LETTER: YES / NO
LETTER: YES / NO rr11
ELECTRIC RELEASE:
COPY:
MAILED:
�I«I«
DATE OF ISSUANCE:
PERMIT #:
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: `l -60 u SUITE #
LOT: BLOCK: La SUBDIVISIO Ce
* ** *CERTIFICATE OF OC UPANCY WILIt NOT BE ISSUED WITHO10T LEGAL DESCRIPTION * * **
NAME OF BUSINESS:
NEW OCCUPANT: YES NO NEW BUILDING/PROPERTY OWNER:
NEW BUILDING: YES NO NAME CHANGE:
NUMBER OF EMPLOYEES: FREIGHT FORWARDING:
TYPE OF BUSINESS: -1
(Example: Retail, Office, Warehouse)
NAME OF TENANT:
YES
YES
YES
NO t-"'
_ NO 1/
—NO _6!
CURRENT MAILING ADDRESS:
CITY /STATE /ZIP: 1 -ZX5 l <��r�jC Ln(l� PHONE NUMBER: ° t(®
PROPERTY OWNER: �_� k'���il, - t om , e mC' For x�b L
MAILING ADD DRESS:
CITY /STATE /ZIP: q (o) ( PHONE NUMBER:
♦ IS YOUR BUSINESS SUBJECT TO ALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES NO cZ
♦ 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 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
x ♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(if yes, provide list of types & quantities, along with material safety data sheets) - - - - - - - - - - - - - - - - - - - - - - YES _IZNO _W
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: , t— i , F Z -t� I c SIGNATURE,-
PHONE #: EMAIL•
Development Services Department (OVER)
The City of Grapevine P.O. Box 95104 * Grapevine, Texas 76099 (817) 410 -3165
Fax (8 17) 410 -3012 * www.grapevinetexas.gov A (�
O: FORMS \DSAPPLICATIONS \C!OApplicntlon
3122/ 2001 /Revi,ed: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:
�xrxFOR OFFICE USE ONLY
TYPE OF CONSTRUCTION: 3 M� OCCUPANCY: S DIVISION:
ZONING DISTRICT: 6 CONDITIONAL USE:
PERMITTED USE:
BUILDING
ZONING APPROVAL:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE
O: FORMS \DSAPPLI CATI ON S \C /OApplic.tion
3/22/ 2001 /Re,!,ed:5/06,5/06,2/07,4/09
DATE: Vt 201 a i
DATE:
DATE: q LY
DATE:
DATE:
DATE:
DATE: y 17 — 3
DATE:
CERTIFICATE OF OCCUPANCY
�A A Issue Date: April 9, 2013
PROJECT DESCRIPTION: C/O (Print / Graphics, Donations & Training / Skills Development Center)
t ___ "Goodwill Industries of Fort Worth" [CHANGING USE TO INCLUDE PRINT / GRAPHICS]
i
rl PROJECT # (817) 410 -3010 WWW.mygov.US
CO -13 -0657 Inspections Permits
City of Grapevine,
TX
LOCATION TENANT LEGAL
P.O. Box 95104 880 Mustang Dr. Goodwill Industries of Ft. Metroplace Addition 2nd Instl
Grapevine, TX 76099 Grapevine, TX 76051 Worth Blk 6 Lot 10R1
(817) 410 -3165 Voice
(817) 410 -3012 Fax
CONTRACTOR I INFORMATION
CERTIFICATE OF OCCUPANCY
200 S. Main Street
Grapevine, TX 76051
(817) 410 -3158 Phone
OWNER
Goodwill Industries Of Fw Inc
PO Box 15520
Fort Worth, TX 76119
AVAILABLE INSPECTIONS
► Final Fire Dept Inspection (required)
► Final Building C/O Inspection (required)
► Landscaping (required)
► C/O APPROVED FOR ISSUANCE
(required)
APPLICATION STATUS
Approved
CONSTRUCTION TYPE
IIB Sprinklered
OCCUPANCY GROUP
B
OCCUPANCY LOAD
" ZONING DISTRICT
BP
* NAME OF BUSINESS
Goodwill Industries of Fort Worth
* TYPE OF BUSINESS
Print / Graphics, Donations and Training /
Skills Development Center
"APPLICANT / TENANT'S NAME
Brian Utzman
—APPLICANT/ TENANT'S PHONE
NUMBER
817- 703 -9926
""Sales Tax
NO
*"Sales Tax Number
Alcoholic Beverage Sales
NO
Alterations
NO
Change of Business Name
NO
Change of Business Owner
NO
County
Tarrant
Fire Sprinkler System?
YES
Freight Forwarding Business
NO
Hazardous Material
YES
Industrial Waste
NO
New Building /Addition
NO
New Building or Property Owner
NO
New Occupant / Tenant
NO, NOW INCLUDING PRINT SHOP,
CHANGED USE
Number of Employees
40
Outside Refuse /Recycling
NO
Outside Storage
NO
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-13-06571 Printed 04/10/13 at 12:41 p.m. Page 1 of 3
Signs NO
Square Footage 8966
Zoning BP - Business Park
FEES TOTAL = $ 50.00
Certificate of Occupancy $ 50.00
PAYMENTS TOTAL = $ 50.00
CERTIFICATE OF OCCUPANCY (City of
Grapevine Applicant)
($50.00)
Other on 0212712013
Note: CC1748
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-13-06571 Printed 04/10/13 at 12:41 p.m. Page 2 of 3
2126 -456
•' A I 3
6
RB CC
t] 14R 6 ?QOQ� 1
PµK t, Via, @ M 6836
c`NIM1N a� ZR�lp 6 ! cc
1OR1
25836 3548@ „
RB c Pia Bp
9Rt MEt� 58 66 15 '28J1
JQNATI
B FA
A5,
3
3
CA ERIN E
R ° LT NTON
R4
354
6 27 B 9 1O I" I 1 1 1 3
A A'JJ SS"0N�1O B 2 10 �''ti w)
6
15 14 13 ,Z 11 ,O 9 B
6
10
R sAjt7jjk I
T i
,R5 ,
Ax 1
2126 -448
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 13- Q lU 5
ADDRESS OF INSPECTION: ACV (2� U m U sto, rr1 G U (-.
DATE OF INSPECTION: TIME OF INSPECTION:
NAME OF BUSINESS: aoA �; (� Zn e- S c) �-- Co (-4- � L c, c- -h
TYPE OF BUSINESS:
USE OF BUILDING AND /OR PREMISES:
REASON FOR APPLYING: e 10-
nn
CONTACT PERSON: ; ( GxY\ Ut Z- rmo-rl\ �--
TELEPHONE NUMBER: '?) �-\ - �l ) 3 --c� °t aLL"
COMMENTS/VIOLATIONS:
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION: '-Q
TYPE OF BUILDING:7-iX-jgt, GROUP AND DIVISION: 12.
ZONING RESTRICTIONS:
O:�FORMS'•DSCOINFORMATION WORKORDER
1230i(W Rev. 1/172006