HomeMy WebLinkAboutCO2021-0521UNDER CONSTRUCTION _
CORRECTION LETTER _
PW OR LD NEEDED _
TD NO LETTER _
WAITING FIRE _
HOLD _
CODE
C/O CHECK LIST
C/O PERMIT # P21 - 05 <3A
ADDRESS: o0.'L $ R p o
BUSINESS NAME: (2A&z_r1 e�\N ShcDl
BUSINESS/PROPERTY
,..CHANGE NAME / OWNER _ NEW CONST / ADDITION PERMIT #
-- NEW TENANT / OCCUPANT —REMODEL / ALTERATION PERMIT #
9.
��-10.
11.
12.
_Z13.
14.
15.
/ 16.
17.
ISSUE DATE FINAL DATE
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
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)
FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE
ZONING CHECKED & COMPLETED ON APPLICATION )
BUILDING INSPECTION SCHEDULED DATE �/ I i- TIME ('r✓G�?/��
FIRE DEPT. INSPECTION SCHEDULED DATE ✓ TIME
CITY SECRETARY (ALCOHOL)
HEALTH INSPECTION
PUBLIC WORKS INSPECTION
LOT DRAINAGE INSPECTION
CORRECTION LETTER SENT
BUILDING INSPECTORS SIGN OFF
FIRE DEPARTMENTS SIGN OFF
HEALTH DEPARTMENT SIGN OFF
CITY SECRETARY (Alcohol License Sign Off)
PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNATURE
C/O CERTIFICATE ISSUED
*CONDITIONS TO BE TYPED ON C/O? YES / NO
FIRE INSPECTOR:
NOTIFICATION DATE:
NOTIFICATION DATE:
E-MAIL DATE
E-MAIL DATE
DATE
LETTER: YES / NO
LETTER: YES / NO
ELECTRIC RELEASED'_---��
SCAN CERTIFICATE TO MYGOV:
MAILED: L 1
O.IFORMSOSCOINFORMATION\CKLIST
14/301041 Rev 1111111115i5118
.EB 112a21
DATE OF ISSUANCE: FEB 2 2 2021
PERMIT #:'_—(�
CERTIFICATE OF OCCUPANCY REOUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTI VE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: I bLiQ iexo r kccl\ G"'P J%C q"a SUITE# a 00
LOT: '(-3 BLOCK: SUBDIVISION:-uCv�'�rzectc��
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: LI ct _(l SC 1 C"
NEW OCCUPANT: YES_NO i NEWBUILDiNG/PROPERTY OWNER: YES —No
NEW BUILDING: YES NO- NAME CHANGE: BUSINESS YES NO
NUMBER OF EMPLOYEES: C_—FREIGHT FORWARDING: YES _ NO _¢
4 NEW BUSINESS OWNER: YES NO _G
TYPE OF BUSINESS: j h iKi SQUARE FOOTAGE: SiS—f�
(Example: Retell, Office, Warehouse) ,
NAME OF TENANT: �� c1tr1 �J� Dk 9- ,
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: / PHONE NUMBER:
PROPERTY OWNER �_-�,c,l� �CO e. (e S._.
MAILING ADDRESS:
CITY/STATEIZIP: W `� `��1�r Jti� I PHONENUMBER:
♦ 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_ 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
♦ ISBUILDINGSPRINKLERED?---------------------------------------------- - -- - 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 $4I.00 re -inspection fee will be charged)
FOR QUESTIONS PLEASE CALL (817) 410-3165,
PRINT NAME: )�G LR ` n SIGNATURE:
PHONE 9: — WLQI
Development Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 41 D-3165
Fax (817) 410-3012 * www.grapevinetexas.gov
n ,nu,IMV�PPIlt'IIIONIV'(gAnu&�Wu
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: _ jV A
Signature:
WfIERE DO YOU AVANT YOUR COMPLETED CERTIFICATE OF OCCUPANY MAILED?
ADDRESS:
CITY, STATE, ZIP:
OFFICE USE
TYPE OF CONSTRUCTION: VP OCCUPANCY: A///4" DIVISION:
ZONING DISTRICT: GC— CONDITIONAL USE:
PERMITTED USE: �O O ccvPr4� y
BUILDING DEPARTMENT: DATE:
ZONING APPROVAL: I� (v1i_v V DATE:
7�Sff� l
FIRE DEPARTMENT: DATE:
LOT DRAINAGE INSPECTION: __, DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT:
LANDSCAPING APPROVAL: V "�"^' �- 1, f ✓""•
APPROVAL FOR ISSUANCE:
DATE:
DATE: 7..-27 —2/
DATE: -47•2.2 . a I
»viaoirx....erimcaeeivi aror x°uun..
City of Grapevine
P.O. Box 95104
Grapevine, TX 76099
(817) 410-3165 voice
(817) 410-3012 Fax
CONTRACTOR
Stacey Selkin
1042 Texan Trail #200
Grapevine, TX 76051
(
selkinl8@gmail.com
OWNER
Shell Properties Llc
8604 Trethorne Ct
Waxhaw, NC 28173
ph. (469) 941-4212
CERTIFICATE OF OCCUPANCY
Issue Date: February 22, 2021
PROJECT DESCRIPTION: C/O (Clean & Show)
PROJECT #
CO-21-0521
LOCATION
1042 Texan Trl.
Suite # 200
Grapevine, TX 76051
AVAILABLE INSPECTIONS
. Final Building C/O Inspection (required)
. Landscaping (required)
• C/O APPROVED FOR ISSUANCE
(required)
(817) 410-3010
Inspections
TENANT
Clean & Show
INFORMATION
WWW.mygov.us
Permits
LEGAL
1grapevine Station Bilk 4 Lot
3r3
* CONDITIONAL USE REQUIRED?
N/A
* CONSTRUCTION TYPE
VB
* OCCUPANCY GROUP
No Occupancy
* OCCUPANCY LOAD
No Occupancy
* PERMITTED USE
No Occupancy
* ZONING DISTRICT
CC
NAME OF BUSINESS
Clean & Show
TYPE OF BUSINESS
Clean & Show
**APPLICANT NAME
**APPLICANT PHONE NUMBER
**TENANT NAME
Stacey Selkin
704-771-4423
Vacant
**TENANT PHONE NUMBER 704-7714423
*Sales Tax NO
*Sales Tax Number
Alcoholic Beverage Sales
Alterations
Change of Business Name
Change of Business Owner
County
Fire Sprinkler System?
Freight Forwarding Business
Hazardous Material
Industrial Waste
New Building / Addition
New Building or Property Owner
New Occupant/Tenant
Number of Employees
Outside Refuse/Recycling
Outside Storage
Signs
Square Footage
Zoning
NO
NO
NO
NO
Tarrant
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
2500
CC - Community Commercial
FEES
TOTAL = $ 50.00
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 21 - C) S a -A
ADDRESS OF INSPECTION: 1tiC\ l ( t -AA7 �}O
DATE OF INSPECTION: TIME OF INSPECTION:
NAME OF BUSINESS: �� �� �� o Lo
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES: -\o--O-
REASON FOR APPLYING: �eke ck-sca- rz7-\ecki-(r
CONTACT PERSON:
TELEPHONE NUMBER:
COMMENTS/VIOLATIONS:
AL�, i 55(16S rle s'owEo
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: OCCUPANT LOAD: NO OCC0104-tCY
TYPE OF BUILDING: V%
ZONING RESTRICTIONS:
GROUP AND DIVISION:
O. FORMS DK MMWAnON NORK=U
12 30 04 Rm' 1; 17'2M6