Loading...
HomeMy WebLinkAboutCO2020-0964UNDER CONSTRUCTION V CORRECTION LETTER _ PW OR LID NEEDED _ TD NO LETTER _ WAITING FIRE _ HOLD _ CODE _ C/O CHECK LIST C/O PERMIT # P20 - Oq(e I ADDRESS: 2)15- BUSINESS NAME: �4Sif%�rYuo BUSINESS/PROPERTY CHANGE NAME / OWNER ✓ NEW CONST / ADDITION PERMIT # d p (� NEW TENANT / OCCUPANT _ REMODEL / ALTERATTION PERMITII# ISSUE DATE (���/���/ FINAL DATE �,1�� 111111 �1. APPLICATION FORM COMPLETED 1/2. ZONING MAP COPIED & WORKORDER FORM COMPLETED 3. HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE (SCAN TO C/O IN MYGOV - IF LARGE SET, ALSO SCAN TO LF & FORWARD SET TO FIRE) 44., FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE V 5. ZONING CHECKED & COMPLETED ON APPLICATION 6. BUILDING INSPECTION SCHEDULED DATE TIME / 7. FIRE DEPT. INSPECTION SCHEDULED DATE i 3 TIME D A< - 8. CITY SECRETARY (ALCOHOL) 9. HEALTH INSPECTION 10. PUBLIC WORKS INSPECTION 11. LOT DRAINAGE INSPECTION 12. CORRECTION LETTER SENT 13. BUILDING INSPECTORS SIGN OFF 14. FIRE DEPARTMENTS SIGN OFF 15. HEALTH DEPARTMENT SIGN OFF 16. CITY SECRETARY (Alcohol License Sign Off) 17. PUBLIC WORKS SIGN OFF 18. LOT DRAINAGE SIGN OFF 19. LANDSCAPING SIGN OFF 20. BUILDING OFFICIALS SIGNATURE FIRE INSPECTOR: NOTIFICATION DATE: NOTIFICATION DATE: E-MAIL DATE E-MAIL DATE DATE LETTER: YES / NO LETTER: YES / NO 1,GN4- �e �a� I�eg IZom a t 21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED SCAN CERTIFICATE TO MYGOV: CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED: O \FORMSIOSCOINFORMATIOMCKL IST 12SM041 Rev 11111,11115,511 e DATE OF ISSUANCE: PERMIT#: C�)O- 694, CERTIFICATE OF OCCUPANCY REOUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: 3a5' i%57F N.W. A4QJWA-V SUITE# LOT: BLOCK: l SUBDIVISION: ©fft- WD -'�FAoUD A-DpIT7(J54J ****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION**** NAME OF BUSINESS: "6ewy SpF'-w-4flE , /Vr NEW OCCUPANT: YES ✓ NO NEW BUILDING/PROPERTY OWNER: YES ✓ NO NEW BUILDING: YES �— NO NEW BUSINESS NAME CHANGE: YES _ NO NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO NEW BUSINESS OWNER: YES _ NO TYPE OF BUSINESS: dFfiGE f . SQUARE FOOTAGE: 4452, (Example: Retail Clothing / Altomey's Offim / Office -Warehouse / Restaurs t) ' NAME OF TENANT [PERSON'S NAME): 2 �5 YtEn/ MhAffye;mm CURRENT MAILING ADDRESS: .32055- lr,5m � t/ 14 CITY/STATE/ZIP:_ _ 0//7/-iWe— %X 71'0 2 -_ PHONE NUMBER: AD q(op3 PROPERTY OWNER: 11 a Q k &j t`z- MAILING r'9 7 ADDRESS: .�toU;,Qr/ I/t SaaLtl .t kk 71, 0,9 i CITY/STATE/ZIP: PHONE NUMBER: p! 7 2 3 9S'" Q ♦ 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 ♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - - - - - - - - - - - - - - - - - - YES NO ♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? - - - - - - YES _ �e ♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? —No (if yes, screening is required)----------------------------------------------------------- YES NO ♦ WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY, USEOR 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 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-insuection fee will be charged) FOR QUESTIONS PLEASE CALL (81.7) 410-3165. SIGNATURE: .Gl .,, .1! [ .., _. _ PRINT NAME: r^ V1 e—,��� ��.e/� The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165 Fax (817) 410-3012 * www.eranevinetexas.eov 0:F0HM9,0SAPPLICAr0NSIC/ a/Y?/ M/Rev: 5/66,PJ6TM 019,11/15,16/16,MS 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 815%. 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: -7S —. 2l '1y t � q1 Signature: ep� 6%,n, WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? ADDRESS: CITY, STATE, ZIP: t >x******** x************ xFOR OFFICE USE TYPE OF CONSTRUCTION: \/'L/ OCCUPANCY: �f) DIVISION: ���-�LL—� ZONING DISTRICT: Uzi CONDITIONAL USE: 2O-l�T PERMITTED USE: BUILDING DEPARTMENT:.cf/�((/ DATE: BUILDING INSPECTOR: / / DATE: ZONING APPROVAL: / DATE: FIRE DEPARTMENT: A d1n ! e- - DATE: LOT DRAINAGE INSPECTION: - DATE: PUBLIC WORKS DEPARTMENT-� - DATE: HEALTH DEPARTMENT: DATE: CITY SECRETARY: DATE: LANDSCAPING APPROVAL: _ DATE: APPROVAL FOR ISSUANCE: f� �� � _ '�� d� DATE: O:PORMSDSAPPLICATIONSC/ 9YLY1061 /R¢v: 5N8,2bJ,ON9,1/13,11/15,1 M 6,fl/18 e BVSXONG PD J1iPCD PCD 30� CN a G u � n . x u v s DppPO OHn ! PO �NEIVERSmE DPRCP Da?, PD 3 BEVERLY OR p} D, ��FRWpOD tNEWtS ../ x' C R�VERSINEDP " / 1 R-7'5... zs 1 1 as.e Ey Y'y 0 1 / 00 1 RSo ••,• LOOVEILOOPRD—� p - - 2 \ MX �1- �vl l� EOOVEIOOPRD— 9OE73€!59 R-MF-? v oPRY oNN 0 0 5[4 1 PCD b� E -MF-2 ] �Eyt ENOPS......R•HW I nY GU /.v / / v` A/ OPT pSN 215D,,,T PCD - / • • X .. / A h / v ,/` Y T / AMM �' I " I 1 inch = 400 feet Grid Page. CERTIFICATE OF OCCUPANCY WORKORDER PERMIT # 20 - Q '?(, ADDRESS OF INSPECTION: �fl �' `J)�7bi_uf� DATE OF INSPECTION: /� TIM OF INSPECTION: NAME OF BUSINESS: �� � 411,.r,, c )�� TYPE OF BUSINESS: u a� USE OF BUILDING AND/OR PREMISES: � 1 A REASON FOR APPLYING: / / AJ d) A CONTACT PERSON: TELEPHONE NUMBER: COMMENTS/VIOLATIONS: **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: li TYPE OF BUILDING: `% j GROUP AND DIVISION: �j ZONING RESTRICTIONS: O. FORA1S OSCOINFORMATION RORFOROER 1211'04Rcv I1-21I06