HomeMy WebLinkAboutCO2013-0368UNDER -G WN T T-I�
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
C/O CHECK LIST
C/O PERMIT # P13- QS (o S
ADDRESS: 4 �
BUSINESS NAME: '-6.c)c e
BUSINESS /PROPERTY
CHANGE NAME /OWNER
NEW TENANT /OCCUPANT
1.
/2.
3.
74.
75.
�6.
9.
10.
-12.
13.
�4.
a/15.
16.
17.
NEW CONST /ADDITION PERMIT #
REMODEL /ALTERATION PERMIT #
ISSUE DATE � r i
FINAL DATE
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:
CORRECTION LETTER SENT:
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
C/O ISSUED
* CONDITIONS TO BE TYPED ON C /O: YES / NO
01FORMSMSCOIN FORMATIONICKLIST
12/30/041 Rev.11111
DATE ( TIME , -
DATE I s _ TIME " Cad
INSPECTOR S C O-k�
DATE TIME
E -MAIL DATE
E -MAIL DATE
DATE
LETTER: YES / NO
LETTER: YES / NO
ELECTRIC RELEASE:
COPY:
MAILED:
Iff
® k lol
DATE OF ISSUANCE:
PERMIT #: J �U
COMA
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:
ne
LOT: % BLOCK: — 1,R1
SUBDIVISION: V Al- OPPhWeS -k &- 0SSrA.Q
S Avis ,004
* ** *CERTIFICATE OF OCCUPANCY
WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTI
* * **
NAME OF BUSINESS:
Oanee
On 4he Vine
NEW OCCUPANT: YES
NO ✓'
NEW BUILDING/PROPERTY OWNER: YES
NO v
NEW BUILDING: YES
NO ✓'
NAME CHANGE: YES
NO •''
NUMBER OF EMPLOYEES:,,/I�1 2�\ FREIGHT FORWARDING: YES
NO i;'
TYPE OF BUSINESS:
S 4 ud i C SQUARE FOOTAGE:
195 p
(Example: Retail, Office, Warehouse)
NAME OF TENANT:
Rl1+Cho
la V. pea eoe ka
CURRENT MAILING ADDRESS: 41,2 5 E. /U UJ #J!I,U V
CITY /STATE /ZIP: - If rf►Pevine_ I ^TX PHONE NUMBER: r
PROPERTY OWNER: Inct
aft-ndeni ALLUdetaS., Zn c
MAILING ADDRESS: p ' � f O (� x 3 o>J
CITY /STATE /ZIP: (r a Pe y' j n e . TX 7 & a s I PHONE NUMBER:
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES NO y'
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) -YES NO y
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - - - - - - - - - - - - - - - - - - YES NO
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ----- YES NO 1.-
♦ WILL OUTSIDE REFUSE /RECYCLING /COMPACTING CONTAINERS BE NECESSARY?
(if yes, screening is required)---------------------------------------------------- - - - - -- -YES NO v
♦ WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING ----------------------- YES NO I-
♦ 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 r
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: / V h o la v. j0ea : d G ,"�,
PHONE #: LA N' 0 7 t y 12.22—
$1'1.415/ • /55A
O: FORMS \DSAPPLICATI ONS \C /OApplicati on
3/21 /2001 /Revised:5 106, 5/06, 2/07,4/09
SIGNATURE: !VicholQ Pennock
EMAIL:
Development Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410 -3165
Fax (817) 410 -3012 * www.grapevinctexas.gov
(OVER)
4-
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:
Signature:
* * * * * * * * * * * * * * * * ** *FOR OFFICE USE 01�1LY>�
TYPE OF CONSTRUCTION: i 1 OCCUPANCY:
ZONING DISTRICT: 14'v
PERMITTED USE:
BUILDING DEPARTMENT: ��(/Y �� �•
ZONING APPROVAL:
FI.RE DEPARTMENT: Jl 17th 1` lJ.�
DIVISION:
CONDITIONAL USE:
DATE: � 7��3 16
3
DATE:
DATE: � % 1 J j 3
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
LANDSCAPING APPROVAL: MMC�►1
APPROVAL FOR ISSUANCE:
10
O: FORMS \DSAPPLI CATI ONS \C /OApplicatian
3122 /2001 /Re,i,ed 5106, 5/06, 2/07,4/09
DATE:
DATE:
DATE: q-1-13
DATE: Z,,p�GG�. 2e�c3
2126 -464
2126 -456
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 13- 0 N-cR
ADDRESS OF INSPECTION: l-
DATE OF INSPECTION: TIME OF INSPECTION:
NAME OF BUSINESS: E? i r�
TYPE OF BUSINESS:
USE OF BUILDING AND /OR PREMISES: Banc. e S-1 UC�.I. n 1
REASON FOR APPLYING: Tf\ ��e �- N y i—
CONTACT PERSON: /, i Lk o I Q
TELEPHONE NUMBER: r 1 L+ -'c) _, lo- \-1- 7-S \ - 1 S -c)-
COMMENTS/VIOLATIONS:
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING: _ GROUP AND DIVISION: A<5
ZONING RESTRICTIONS: A-
0. FORM&DSCOINFORMATION WORKORDER
12/30/14 Rev. Irl7'2006