HomeMy WebLinkAboutCO2021-1054UNDER CONSTRUCTION _
CORRECTION LETTER _
PW OR LID NEEDED
TD NO LETTER
WAITING FIRE
HOLD _
CODE
C/O CHECK LIST
C/O PERMIT # P21 - V S+
ADDRESS: l Q S. M 0.l (1 S+. # t U
BUSINESS NAME: OJecLn S�pL1
BUSINESS/PROPERTY
_ CHANGE NAME / OWNER _ NEW CONST / ADDITION PERMIT #
NEW TENANT / OCCUPANT REMODEL / ALTERATION PERMIT #
`/ ISSUE DATE FINAL DATE
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)
,--'4. FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE
5. ZONING CHECKED & COMPLETED ON APPLICATION
V-"6. BUILDING INSPECTION SCHEDULED DATE TIME
_,f:�'7. FIRE DEPT. INSPECTION SCHEDULED DATE TIME
FIRE INSPECTOR:
8.
CITY SECRETARY (ALCOHOL)
NOTIFICATION DATE:
9.
HEALTH INSPECTION
NOTIFICATION DATE:
10.
PUBLIC WORKS INSPECTION
E-MAIL DATE
11.
LOT DRAINAGE INSPECTION
E-MAIL DATE
--' 12.
V
CORRECTION LETTER SENT
DATE
13.
BUILDING INSPECTORS SIGN OFF
LETTER: YES / NO
_/ 14.
FIRE DEPARTMENTS SIGN OFF
LETTER: YES / NO
15.
HEALTH DEPARTMENT SIGN OFF
16.
CITY SECRETARY (Alcohol License Sign Off)
17.
PUBLIC :AIORKS SIGN OFF
LOT DRAINAGE SIGN OFF
��1
9�
LANDSCAPING SIGN OFF
V 20,
BUILDING OFFICIALS SIGNATURE
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASEDAP P,2n21
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED:
12MOX41Rev1111111M,6H8
`1t[�R � U ZUZ1
DATE OF ISSUANCE:
PERMIT#: cam.( -,OJT
CERTIFICATE OF OCCUPANCY REOUEST
FEE: $50.00
NO FEE REQUIRED IF CER17FICATE OF OCCUPANCY IS ASSOCIATED *7271ANACTIVE CURRENT BUILDING PERMIT
4�
ADDRESS!pOF OCCUPANCY: i ?0 ,S • ' M (16 A S(1) I-w y� } surrE #
LOT: BLOCK: SUBDIVISION:
****CERTTFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: CI e a_n _ 'S V1 C'_�>
NEW OCCUPANT: YES NO / NEW BUILDING/PROPERTY OWNER: VES NO i
NEW BUILDING: YES NO � NAME CHANGE: BUSINESS YES _ NO�
NUMBER OF EMPLOYEES: C7 FREIGHT FORWARDING: YES NO
ANEW BUSINESS OWNER: YES NO
TYPE OF BUSINESS: QY I 'Jl� hh D (..O SQUARE FOOTAGE: K �7v
(Example: Retail, Otncq Warehouse) I
NAMEOFTENANT:
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: / - PHONE NUMBER:
�1
PROPERTY OWNER:
U
MAILING ADDRESS:
11�
PHONE NUMBER:
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate). - - - YES _
NO i
♦ 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
♦ 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 ebarged)
FOR QUESTIONS PLEASE CALL 817) 410-3165.
PRINT NAME: I��S�1i�C\% )YS SIGNATURE:
PHONE #: J� �►li d EMAIL: Sy
Development Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165
Fax (817) 410-3012 * www,grapovinetexas.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:
Signature:
«'HERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANY MAILED?
ADDRESS: 1 `'
CITY, STATE, ZIP:
*******x* t*******FOR OFFICE USE
TYPE OF CONSTRUCTION: VET /^+SYQV J14 i•t'-t4A60 OCCUPANCY: ADIVISION: _
ZONING DISTRICT: 6D CONDITIONAL USE: Ar//4
PERMITTED USE: iilQ OGC(%PRNGY
BUILDING DEPARTMENT: l� DATE: 3 /30/:z /
ZONING APPROVAL: DATE:
FIRE DEPARTMENT: DATE:
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
LANDSCAPING APPROVAL v v� DATE: / �/
/o;Z/
APPROVAL FOR ISSUANCE: �? _ DATE:/S
O:PON�15lU�A➢PIJCA'I1O�Sf/UAppllevllnn
\RLd401.Rmlv[n:�lOh�V06�3V].U09
City of Grapevine
P.O. Box 95104
Grapevine, TX 76099
(817) 410-3165 Voice
(817) 410-3012 Fax
CONTRACTOR
Lesli Rodgers
225 Cooper Drive
Hurst, TX 76053
(
OWNER
Glade Family Ltd
PO Box 96
Colleyville, TX 76034
ph. (817) 571-4834
CERTIFICATE OF OCCUPANCY
Issue Date: April 7, 2021
PROJECT DESCRIPTION: C/O (Clean & Show)
PROJECT #
C O-21-1054
LOCATION
120 S Main St.
Building # A Suite # 40
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
* CONDITIONAL USE REQUIRED?
* CONSTRUCTION TYPE
* OCCUPANCY GROUP
* OCCUPANCY LOAD
* PERMITTED USE
* ZONING DISTRICT
NAME OF BUSINESS
TYPE OF BUSINESS
**APPLICANT NAME
**APPLICANT PHONE NUMBER
**TENANT NAME
**TENANT PHONE NUMBER
*Sales Tax
*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
Overlay
Signs
Square Footage
Zoning
WWW.mygov.us
Permits
LEGAL
Starr Addition Blk A Lot Al
N/A
VB Sprinklered
No Occupancy
No occupancy
N/A
CBD
Clean & Show
Clean & Show
Lesli Rodgers
817-505-8909
Vacant
817-505-8909
NO
NO
NO
NO
NO
Tarrant
NO
NO
NO
NO
NO
NO
NO
NO
NO
HL - Historic Landmark Subdistrict
NO
2400
CBD - Central Business District
FEES
TOTAL = $ 50.00
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9 ,t`°" °P _ DANIs 1 inch - 400 feet Grid Page:
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 21 - I L�
ADDRESS OF INSPECTION: \ -�- o S . 0.-fN �- 4S*1 0
DATE OF INSPECTION: it-,, � �O 9 l TIME OF INSPECTION:
c t
NAME OF BUSINESS: C� �"-.`( �ccv-\ 5 V1 c)
TYPE OF BUSINESS:-� E'C �(1 �� _Sh U Lk)
USE OF BUILDING AND/OR PREMISES:\ raco Y \t
pA
REASON FOR APPLYING: �eCaSC?. E � p e.+C t C
CONTACT PERSON: LE S S t Rol - ec—s
TELEPHONE NUMBER: Oc�
CO// MMENTSNIIOLATIONS:
3. 360,
Ow1,1fJ3-/GDVC? un1cS in Cnfrr rdolk Qn _
;n 111rafL boom in ba cl Oh co/am /►
/S'Stu s
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: f^-6 D OCCUPANT LOAD: IVO G13r-aAfAo
TYPE OF BUILDING: V9 - 5PA1,Vj-1-CS
ZONING RESTRICTIONS:
GROUP AND DIVISION:
O FORMS OSCOINFORMATION \YORFOROER
12 ISF4 R, 1 172006