HomeMy WebLinkAboutCO2013-0986UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
C/O CHECK LIST
C/O PERMIT # P13- 0' t S (o
ADDRESS: 4 + k u-� es-'t
BUSINESS NAME:
BUSINESS /PROPERTY
CHANGE NAME /OWNER NEW CONST /ADDITION PERMIT #
NEW TENANT /OCCUPANT REMODEL /ALTERATION PERMIT #
ISSUE DATE
/1. APPLICATION FORM COMPLETED FINAL DATE
ZONING MAP COPIED & WORKORDER FORM COMPLETED
3. ZONING CHECKED & COMPLETED ON APPLICATION
/4. BUILDING INSPECTION SCHEDULED: DATE '3! J
� TIME �
�5. FIRE DEPT. INSPECTION SCHEDULED: DATE TIME
INSPECTOR
-/'6. 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. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
12. HEALTH DEPARTMENT SIGN OFF
x!13. PUBLIC WORKS SIGN OFF
X14. LOT DRAINAGE SIGN OFF
715. LANDSCAPING SIGN OFF
16. BUILDING OFFICIALS SIGNATURE
17. C/O ISSUED ELECTRIC RELEASE:
COPY:
MAILED:
* CONDITIONS TO BE TYPED ON C /O: YES / NO
0 AFORMS\OSCOINFORMATION\CKL IST
12/30/04 \ Rev. 11 \11
DATE OF ISSUANCE:
PERMIT #: 'rl ^ (A v
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH ANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: �� �i � (JQ�C"' 4 wCS+ �CvL SUITE #
LOT: k R l BLOCK: SUBDIVISION: '0
* ** *CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUE15 WITHOUT LEGAL DESCRIPTI N * **
NAME OF BUSINESS: C � Lc-\�✓1 + S h o
NEW OCCUPANT: YES NO NEW BUILDING /PROPERTY OWNER: YES NO
NEW BUILDING: YES NO NAME CHANGE: YES NO —�
NUMBER OF EMPLOYEES: C-�D FREIGHT FORWARDING: YES NO 4 ^
TYPE OF BUSINESS: C L C'CX to '4- S � (U SQUARE FOOTAGE:
(Example: Retail, Office, Warehouse)
NAME OF TENANT:
CURRENT MAILING ADDRESS:
CITY /STATE /ZIP: PHONE NUMBER:
PROPERTY OVN
MAILING ADDRESS:
CITY /STATE /ZIP: 4, rC yc" "i 0 � 76c)-S/ PHONE NUMBER: SI, Z X 6 11co e
♦ IS YOUR BUSINES UBJECT 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 X
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ----- YES NO n
♦ WILL OUTSIDE REFUSE /RECYCLING /COMPACTING CONTAINERS BE NECESSARY?
(if yes, screening is required) ------------------------------------------------ - - - - -- YES NOL
♦ 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 X
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) 410I -3165. /
PRINT NAME: a C (SAC \ L 1 ZC� SIGNATURE:�✓t �, (S�� (� Z<y /J�
PHONE #: (� 7 2 L� l (b ( 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: \FORM \C /OAppdcation
3 /2212001/Re,,ised;5 106,5106, 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.
Texas Sales Tax Number: ob P
Signature:
C
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANY MAILED?
ADDRESS:
CITY, STATE, ZIP:
** *FOR OFFICE USE ONLY * * * * * * * * * **
TYPE OF CONSTRUCTION: OCCUPANCY: ,°'" DIVISION:
ZONING DISTRICT: CONDITIONAL USE:
PERMITTED USE: 'ANO CJ
BUILDING DEPARTMENT: J - > DATE:
ZONING APPROVAL:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE: 11
DATE:
DATE:
DATE:
DATE:
DATE:
DATE: IPAl —/,3
DATE:1 -�� .zo /3
2132 -468
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CERTIFICATE OF OCCUPANCY
WORKORDER.
PERMIT # 13- t �"t E (.0
ADDRESS OF INSPECTION: 4 I (� t✓ , �� vJ �? �
DATE OF INSPECTION: 11 a c.
NAME OF BUSINESS:1 e art
S, VA 0 \,6
TYPE OF BUSINESS: L,` p_ oxv A SkL)
TIME OF INSPECTION: I ' QC-) CAI
USE OF BUILDING AND /OR PREMISES:
REASON FOR APPLYING: so _ � t E? c; C
CONTACT PERSON: cu-c-\ C.L S C y 1 ZOL C�
TELEPHONE NUMBER: e) t -I — a, + `� (a 9
COMMENTSNIOLATIONS:zk� -& � A? ,Qjr4
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING: J10 GROUP AND DIVISION:
ZONING RESTRICTIONS:
O. FORMS`DSCOINFORMATION WORKORDER
12301(9 Rev. 1/172006