HomeMy WebLinkAboutCO2021-1074UNDER CONSTRUCTION _
CORRECTION LETTER _
PW OR LD NEEDED _
TD NO LETTER _
WAITING FIRE _
HOLD _
CODE _
C/O CHECK LIST
C/O PERMIT # P21
ADDRESS:
BUSINESS NAME:
BUSINESS / PROPERTY
CHANGE NAME / OWNER _ NEW CONST / ADDITION PERMIT #
_�7e NEW TENANT / OCCUPANT REMODEL / ALTERATION PERMIT #
ISSUE DATE FINAL DATE _
V 1. APPLICATION FORM COMPLETED
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
6. BUILDING INSPECTION SCHEDULED DATE TIME
7. FIRE DEPT. INSPECTION SCHEDULED DATE TIME QI�LL-
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. 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 WORKS SIGN OFF
18. LOT DRAINAGE SIGN OFF
19. LANDSCAPING SIGN OFF
20. BUILDING OFFICIALS SIGNATURE
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV:
31F CONDITIONS TO BE TYPED ON C/O? YES/NO MAILED:
O 1FORMMOSCOINFORMATI0NICKLIST
12MIN \ Rev 1111111 M.5I1a
DATE OF ISSUANCE:
PERMIT #:
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITHANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 2fC C�fa`rzvirlP /Y 1�1 illy SUITE# Q6C)
LOT: / R _5 BLOCK: i SUBDIVISION:
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED ITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: 7014S
NEW OCCUPANT: YES ✓ NO NEW BUILDING/PROPERTY OWNER: YES NO ✓
NEW BUILDING: YES _ NO ✓ NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: 1:_ FREIGHT FORWARDING: YES NO v
NEW BUSINESS OWNER: YES NO
TYPE OF BUSINESS: '�ni -ai �
(Example: Retail Clothing I Attomey's Office I Office -Warehouse I Restaurant)
NAME OF TENANT [PERSON'S NAME): A f cAlp Cm
CURRENT MAILING ADDRESS: ?t�
CITY/STATE/ZIP: Q�('o l P' l 1
PROPERTY OWNER: 1�)lvvlc n ?7rnT�nr ty
MAILING ADDRESS: ,�W C'1 C-vf AV L2 V 1 n (2
CITY/STATEIZIP: `i5C _iky2lnk
SQUARE FOOTAGE: _� L4 b
PHONE NUMBER: ('I (cn ' q o R5 a i
PHONE NUMBER:
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES -L NO
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) -YES _ NO7/
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - - - - - - - - - - - - - - - - - - YES V, NO
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? - - - - - - YES _ NO 1/
♦ WILL OUTSIDE REFUSEIRECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes, screening is required) ------------------------------------------------- -----•----
♦ WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY,
USEOR DINING? ------------------------------------------------------------------
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ------------------
IS BUILDING SPRINKLERED?------------------------------------------- ----------
WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
YES _ NO ✓
YES _ NO
YES _ NO
YES ✓NO
(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.
(H access to the building/space is not provided at the time of the scheduled inspection, a $42.00 re -inspection fee will he charged)
FOR QUESTIONS PLE E LL (817) 410.3165. /� &C Q 0((
SIGNATURE:: /c / PRINT NAME: tt('o
PHONE#: FOR"ALA EMAIL: ic.
City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165
Fax (817) 410-3012 * www.eraoevinetexas.eov
O:FOHMS\DSAPPLICATIONS-FEES
3/2001/Nev:5/06.2/07,4109,Zl3,11/l5,10116,8/18,10120
TEXASSALESTAX
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: ,,, `2 0 Ln ,787 q " 3 ( _
Signature: ��.G�'�
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS:
CITY, STATE, ZIP:
OFFICE USE
TYPE OF CONSTRUCTION: ff 15 — Sf�l:l.t/t<(�REp OCCUPANCY:
ZONING DISTRICT: CC
PERMITTED USE: `YI✓ .S
BUILDING DEPARTMENT:
BUILDING INSPECTOR:
ZONING APPROVAL:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
CITY SECRETARY:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
114 DIVISION:
CONDITIONAL USE: A11A
OCCUPANT LOAD: 149
DATE: .1 30 /a /
r
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
O:FORMSWAPPLICATIONS-FEES
3/2001 /Rev: 6/06,2/07,4/09,213,11 /16,10/16,8/18,10/20
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MVGOV US City of Grapevine I .. Daily Transaction Report I Printed 04/05/2021 at 08,30 AM Page 4 of 4
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 21- /O 7 4/
ADDRESS OF INSPECTION: �/� yr fj�� per/ LpJ �✓yt,l%Qj�u��`
DATE OF INSPECTION: Cl TIME OF INSPECTION:
NAME OF BUSINESS: GG
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING:
CONTACT PERSON:
TELEPHONE NUMBER:
COMMENTS/VIOLATIONS:
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: CC_ OCCUPANT LOAD: 146
TYPE OF BUILDING: r6 - St'12+,VKLEk60 GROUP AND DIVISION:
ZONING RESTRICTIONS:
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