HomeMy WebLinkAboutCO2013-1017UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
C/O CHECK LIST
C/O PERMIT # P13- /
ADDRESS:
BUSINESS NAME: iQf k
BUSINESS /PROPERTY
CHANGE NAME /OWNER
NEW TENANT /OCCUPANT
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NEW CONST /ADDITION PERMIT #
REMODEL /ALTERATION PERMIT #
ISSUE DATE
FINAL DATE
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED: DATE /r ; ' TIME 1"00
FIRE DEPT. INSPECTION SCHEDULED: DATE TIME /'00
INSPECTOR AgcC r-f-
HEALTH INSPECTION: DATE TIME
PUBLIC WORKS INSPECTION: E -MAIL DATE
LOT DRAINAGE INSPECTION: E -MAIL DATE
CORRECTION LETTER SENT: DATE
BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
HEALTH DEPARTMENT SIGN OFF u j���� _, ala��;�l
PUBLIC WORKS SIGN OFF l i
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNATURE
C/O ISSUED ELECTRIC RELEASE:
COPY:
MAILED:
* CONDITIONS TO BE TYPED ON C /O: YES / NO
09FOR MSIOSCOINFORMATIO NICKL IST
12/30/041 Rev.1l%l1
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DATE OF ISSUANCE:
PERMIT #: / J_ /0 /�
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED I ERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH ANA CTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUP CY: I _ Uh-S_� 9W� SUITE #
LOT: BLOCK: SUBDIVISION:
" "CERTIFICATE OF OCCUPANC ILL NOT BE SSUED WITHOUT LEGAL DESCRIPTION ""
NAME OF BUSINESS: P,b.2 v_ T a -
NEW OCCUPANT: YES NO NEW BUILDING! PERTY WNER: YES NO
NEW BUILDING: YES NO NAME CHANGE: BUSINESS YES NO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO
-1 s^s1 NEW BUSINESS OWNER: YES NO
TYPE OF BUSINESS:
(Example: Retail, Office, Warehouse)
NAME OF TENANT:
CURRENT MAILING ADDRESS:
CITY /STATE /ZIP:
PROPERTY OM
MAILING ADDRESS:
SQUARE FOOTAGE:
i 752'-01 PHONE NUMBER: „Z q A55 "Cj-'3x 1
5 �L� Z-� I
CITY /STATE /ZIP: �.GL F / PHONE NUMBER:
it
♦ 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 Z 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 BUILDINGSPRINKLERED? ------------------------------------------------- - - -
♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
- -- YES NO
/!
(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.
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PRINT NAME: 1 § i Ck)dv_� 81E
l 1 1;E4Ae_: SIGNATURE: 4u�
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PHONE #: / �Sc
EMAIL:
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(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
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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 malting 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:
WHERE DO YOU WANT YOUR CO'VIPLETED CERTIFICATE OF OCCUPANY TMAILED7
ADDRESS:
CITY, STATE, ZIP:
OFFICE USE
TYPE OF CONSTRUCTION: i— OCCUPANCY: DIVISION:
ZONING DISTRICT: CONDITIONAL USE:
PERMITTED USE:
BUILDING DEPARTMENT�h��
ZONING APPROVAL:
DATE--V,bf69-4ZO M/,'�lw
DATE:
FIRE DEPARTME NT: �( t DATE:
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
O:PORRf S%DSAPP LICATIO'S \0OApplk.li..
7727/200 i1R -4M: W6. M 2.07.4M
DATE:
DATE:
DATE:
DATE:
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # I3- , 0 l l
ADDRESS OF INSPECTION:
DATE OF INSPECTION: 1l if TIME OF INSPECTION:
NAME OF BUSINESS:
TYPE OF BUSINESS: 51? 11 �,L[ % Ili / A
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING: aWez& 411)�ewg d iA-- j 6i,4 07' eV' ,Q - /
CONTACT PERSON: 4)1 G ap_ l medim1 c
TELEPHONE NUMBER:
COMMENTSNIOLATIOT
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING: GROUP AND DIVISION:_
ZONING RESTRICTIONS:
N l Imo.
O: FOP. }.1S DSCOINFORM4TION WORKORDER
12 30 04 R- I I' 2006