HomeMy WebLinkAboutCO2013-001018UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
C/O CHECK LIST - y
C/O PERMIT # P13-
ADDRESS: C� / SD %J
BUSINESS NAME:
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
l J `3
BUILDING INSPECTION SCHEDULED:
DATE `
TIME
FIRE DEPT. INSPECTION SCHEDULED:
DATE �r /3
TIME
INSPECTOR2 %
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
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
O:\FORMS\OSCOIN FOR MATIONICKLIST
12130/04 \ Rev. 11 \11
ELECTRIC RELEASE:
COPY:
MAILED:
DATE OF ISSUANCE:
PERMIT #: I � (O /8
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERd1IT
ADDRESS OF OCCUPANCY: _�&5 0
I4e+: 43 wJi At- &M4GK• 76 051
* ** *CERTIFICATE OF OPCUPAN
NAME OF BUSINESS: O l-
NEW OCCUPANT: YES NO NEW BUILDING /PROPERTY OWNER: YES NO
NEW BUILDING: YES NO NAME CHANGE: BUSINESS YES NO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO
TYPE OF BUSINESS: C�eQ7'T �!� NWOGRIN��DWNER: YES NO ,`�s�
(Example: Retail, Office, warehouse) L + SQUARE FOOTAGE: j�_�
NAME OF TENANT: ;mil/ Ck
WI W1Ad MA?!5A L7� _SUITE #
Y WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION * * **
CURRENT MAILING ADDRESS: 1200n�ihOrrl__n,- CO' 0 060 lc z
CITY /STATE /ZIP: l°7/ri, yfYnP- PHONE NUMBER:S /7— `7
PROPERTY OWNER: Ce,-? Ctre &41; - t�'" t' �GIL� t r, r�� I r�['� al'►
S_qsl -
MAILING ADDRESS: //q0 9_4-2m -2mt 7 -*f�/
CITY /STATE /ZIP:( werjrie 7 T(�p` / PHONE NUMBER:
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES i< NO
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) -YES _ NO X
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - - - - - - - - - - - - - - - - - - YES _ CX 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 X
♦ WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING.---------------- - - - - -- YES_ NO Y
♦ 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 _
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.
A/ ,�-
PRINT NAME: SIGNATURE:
PHONE #: EMAIL: %
(OVER)
Development Services Department
The City of Grapevine P.O. Box 95104 * Grapevine, Texas 76099 * (8 17) 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 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: l" 2-0 - 6
Signature: Ilat
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANY MAILED?
ADDRESS: IND S. /Vm , �r/,eel - 1
CITY, STATE, ZIP: tIr'Li ✓1.n ZJC(�
OFFICE USE
TYPE OF CONSTRUCTION: OCCUPANCY: D DIVISION:
ZONING DISTRICT: /' /V CONDITIONAL USE:
PERMITTED USE: fk
BUILDING DEPARTMENT: DATE:
ZONING APPROVAL:
DATE:
FIRE DEPARTMENT: (ce_ Q-Q—k 1 _ ( I Tunc Lki DATE:
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
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DATE:
DATE:
DATE:
DATE: " — q v 13
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 13- /d / 9
ADDRESS OF INSPECTION: � 1 S-�) r 1uoe l (,,ues T
DATE OF INSPECTION: W/
NAME OF BUSINESS:
TIME OF INSPECTION: ✓'oG)
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TYPE OF BUSINESS: I & W o--� _bpw
USE OF BUILDING AND /OR PREMISES:
REASON FOR APPLYING:
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CONTACT PERSON:
TELEPHONE NUMBER:
COMMENTS/VIOLATIONS:
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING: GROUP AND DIVISION:
ZONING RESTRICTIONS: 64-
O. FOW IS DSCOTNFORMATION WORKORDER
12 30 04 R- 1 17:2004
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