HomeMy WebLinkAboutCO2012-3311UNDER CONSTRUCTION
CORRECTION LETTER iC
PW OR LD NEEDED
TD NO LETTER
C/O CHECK LIST
C/O PERMIT # P12 -3
ADDRESS: 391-01 m 1 �"�U �.. s c)
BUSINESS NAME:
BUSINESS /PROPERTY
CHANGE NAME /OWNER NEW CONST /ADDITION PERMIT #
NEW TENANT /OCCUPANT REMODEL /ALTERATION PERMIT
ISSUE DATE OCT 2 5 2012
FINAL DATE
./ 1. APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
3. ZONING CHECKED & COMPLETED ON APPLICATION
V' 4. BUILDING INSPECTION SCHEDULED: DATE /� TIME � ` OU
L-�5. FIRE DEPT. INSPECTION SCHEDULED: DATE eZ S� TIME `�,l�t7G • M
INSPECTOR
6
7
8
---9.
10.
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12.
3.
4.
5.
16
17
HEALTH INSPECTION:
PUBLIC WORKS INSPECTION:
LOT DRAINAGE INSPECTION:
CORRECTION LETTER SENT:
BUILDING INSPECTORS SIGN OFF
DATE TIME
E -MAIL DATE
E -MAIL DATE
DATE
LETTER: YES / NO
FIRE DEPARTMENTS SIGN OFF 0k, LETTER
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:IFORMS\O SCOIN F ORMAT IO NICKLIST
12/30104 \ Rev 11 \11
ELECTRIC RELEASE:
COPY:
MAILED:
YES / NO
a1/91/3
'13A NE
DATE OF ISSUANCE:
PERMIT #:
COMA
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY ISII ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 38o k Lit 1 l i 11 oN D •1 I 64e- SUITE # n100
LOT: l V BLOCK: I SUBDIVISION: � nwc C-nW eV t f\ e_, i�cLkr� t
" "CERTIFICATE OF OC UPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION ""
NAME OF BUSINESS: i M Q��„i' G��, c_,•�
NEW OCCUPANT: YES V— NO NEW BUILDING/PROPERTY OWNER: YES NO
NEW BUILDING: YES NO ✓ NAME CHANGE: YES kf NO
NUMBER OF EMPLOYEES: 3 -4- FREIGHT FORWARDING: YES NO •.�
TYPE OF BUSINESS: I ' #'J �; SQUARE FOOTAGE: 11:2
(Example: Retail, Office, Warehouse)
NAME OF TENANT: 1: rjv,r. c_t. PA
CURRENT MAILING ADDRESS-
CITY/STATE/ZIP: roar rot j %an T)( i5 d� 'Z PHONE NUMBER t4. 73 1 • 01 73
PROPERTY OWNER: TT-(, R ca,Its kit.
MAILING ADDRESS: A(c8o__i _ki e3A.. P-j.,
CITY /STATE/ZIP: A4101 *^ T)� 1 soot PHONE NUMBER: 461, e;s, man
♦ 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 NO c--
♦ 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 fNO
♦ 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.
PRINT NAME D gr o• n a SIGNATUR/jE::
ek6 o>i L_k' a� - lR L+ T (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
OAFORM\GOApphication
3222001/Revised:5 /06, 5/06, 2/07,009
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 ONLY
TYPE OF CONSTRUCTION::5.7t %Qlk OCCUPANCY: DIVISION:
ZONING DISTRICT:
CONDITIONAL USE: LAA
PERMITTED USE: 4 %S
BUILDING DEPARTMENT: lrWW 'j DATE: 219 btT- tL a))5 hs
ZONING APPROVAL:
DATE:
�(�
FIRE DEPARTMENT: OkJ � [[ �( 11J
DATE:
LOT DRAINAGE INSPECTION:
DATE:
PUBLIC WORKS DEPARTMENT:
DATE:
HEALTH DEPARTMENT:
DATE:
LANDSCAPING APPROVAL: e
DATE:
APPROVAL FOR ISSUANCE:
DATE:
O: FORM SMSA PPLI CATIONS\UOApplicali-
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 12- �>S
ADDRESS OF INSPECTION: 3 o L t a (Y\ 0 C)
DATE OF INSPECTION: alia l� 3 In OF INSPECTION: oa _
NAME OF BUSINESS: �I'+1 l G2t'1 ` �`'C PA.
TYPE OF BUSINESS: Y e l C e-1 r \
USE OF BUILDING AND /OR PREMISES: 0 c aA Me
REASON FOR APPLYING: 1� e o -7e
CONTACT PERSON: i 9 10.0
TELEPHONE NUMBER:
COMMENTS/VIOLATIONS:
!e- fr, /o CC,r-e, e%cfr,
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION: CC-
TYPE OF BUILDING: OMA, &qtL . GROUP AND DIVISION: g
ZONING RESTRICTIONS:
O: FORMS,DSCOINFORMATION,WORKORDER
12 30 04 R- Ii 172006