HomeMy WebLinkAboutCO2021-1381UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TP--NO LETTER
WAITING FIRE
HOLD
CODE
C/O CHECK LIST
C/O PERMIT # P21 - ) -�>cg i
ADDRESS: r� ]
BUSINESS NAME:��IS�'
BUSINESS/PROPERTY
CHANGE NAME / OWNER
NEW TENANT / OCCUPANT
1.
2.
3.
4.
5.
76,
7.
8.
9.
10
11
12
13
14
15.
NEW CONST / ADDITION PERMIT #
REMODEL / ALTERATION PERMIT #
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 W llTIME
FIRE DEPT. INSPECTION SCHEDULED
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
DATE % .22 TIME 7,A&,
FIRE INSP CTOR:
NOTIFICATION DATE:
NOTIFICATION DATE:
E-MAIL DATE
E-MAIL DATE
DATE
LETTER: YES / (,NO 1
LETTER: YES / NO
16. CITY SECRETARY (Alcohol License Sign Off)
17. PUBLIC WORKS SIGN OFF
18Z19.,
-� LOT DRAINAGE SIGN OFF
�i— LANDSCAPING SIGN OFF
✓ 20. BUILDING OFFICIALS SIGNATURE
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED:
O:IFORMS�DSCOINFORMATIONICKLIST
12/30/04 { R-11111,11115,5118
ATE OF ISSUANCE:
PERMIT #:1-1 ; 9 1
APR 2 0 2021
CERTI-1ICATE OF OCCUPANCY R}+ QUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH ANACTM CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 1 1 S - Y'ria► n SUITE #
LOT: BLOCK: SUBDIVISION: �oY,
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTIONr***
NAME OF BUSINESS: t Or ,, ;- 'tici ,S-� I N P\
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: l ��"n �� �`-� ��-i `S�I��� �'` SQUARE FOOTAGE: 1 fJu1 e� u7
(Example: Retail Clothing/ Attorney's Office / Office -Warehouse / Restaurant) ppe�/ri!
NAME OF TENANT [PERSON's NAME]: 04- 3673
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: '- vrv,-P- PHONE NUMBER: 7 - bs 14 y
r
PROPERTY OWNER: rS�- rf\ �C
MAILING ADDRESS: + 4 2.1 4,
CITY/STATEIZIP: TY1,`S\,�9-y-, "1 PHONE NUMBER: S 9-
• 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 NOS
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - - - - - - - - - - - - - - - - YES.e' NO
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? - - - - - - YES _ NOx
• WILL OUTSIDE. REFUSE(RECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes, screening is required) ------------------------------------------------------------ YES —NO X
♦ WILL THERE BE ANY OUTSIDE STORAGE. (including.storage of company/fleet vehicles), DISPLAY,
USEORDiN NG?--------=--------------------------------------------------------- YES NUS
• WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? - - - - - - - - - - - - - - -- - - - -- - - - YES NO x
♦ IS BUILDING SPRINKLERED?---------------------------------------- - --------- YES NO5?
♦ 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 M- Y 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 S42.00 re4nsnection fee will be. charged)
FOR .QUESTIONS PLEASE CALL (817) 410165.
SIGNATURE:='�^ �-� sw.".�' PRINT'NAME:
PHONE #: 1 - 2 - EMAIL: .e t-6v��
The City of Grapevine * p.O. Box: 95104 * Grapevine, Texas 76099 * (817) 410-3165
Fax (S 17) 410-3012 * www.Liauevinetexas.eov
O: FORhMD5APPLIGA-WNS-PEE5
31200ilRev: 6706,2/07,4109,2113,11/1 &,10/16,a11a,iDI20
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 he 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:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAII:ED?
ADDRESS: l 11 S- S. Yna) r, ST
CITY, STATE, ZIP:; v l n e 1~ b 1
*�x�x1x�xx��xx�*x��x�FOR OFFICE USE
TYPE OF CONSTRUCTION:
ZONING DISTRICT: Po
OCCUPANCY: DIVISION:
CONDITIONAL USE: Co o Co l g! & — 59
PERMITTED USE: 9�S OCCUPANT LOAD: 3
BUILDING DEPARTMENT: DATE: 2 �Z /
BUILDING INSPECTOR-� _ DATE:
ZONING APPROVAL: DATE: f,
FIRE DEPARTMENT: AIYK, P� / DATE:
G G
LOT DRAINAGE INSPECTION: DATE:
PUBLIC. WORKS DEPARTMENT:
HEALTH DEPARTMENT:
CITY SECRETARY:
LANDSCAPING.APPROV
APPROVAL FOR. ISSUANCE:
('
DATE:
DATE:
DATE -
DATE: l � �I
DATE:
O;FORMSM)SAPPUCATIONS-FEES
312001IRev: 5/06,2/07,U09,2719.11!d 5,10116,0110,10/20
P n M.'E
City of Grapevine
P.O. Box 95104
Grapevine, TX 76099
(817) 410-3165 Voice
(817)410-3012 Fax
CONTRACTOR
Jason Crowder
1115 S Main Street
Grapevine, TX 76051
(817)305-0445 Phone
CERTIFICATE OF OCCUPANCY
Issue Date: June 15, 2021
PROJECT DESCRIPTION: C/O (Financial Institution) "First Mid Bank & Trust, NA"
PROJECT #
CO-21-1381
LOCATION
1115 S Main St.
Grapevine, TX 76051
OWNER
Providence Bank
PO Box 105288
Jefferson City, MO 65110-5288
AVAILABLE INSPECTIONS
► Final Building C/O Inspection (required)
Final Fire Dept Inspection (required)
Landscaping (required)
C/O APPROVED FOR ISSUANCE
(required)
(817) 410-3010
Inspections
TENANT
First Mid Bank & Trust, NA
Www.mygov.us
Permits
LEGAL
South Main Vineyard Addition
Blk 1a Lot 2a
INFORMATION
* CONDITIONAL USE REQUIRED?
NO
* CONSTRUCTION TYPE
IIB
* OCCUPANCY GROUP
B
* OCCUPANCY LOAD
132
* PERMITTED USE
YES - CU06-18/06-58
* ZONING DISTRICT
PO
" NAME OF BUSINESS
First Mid Bank & Trust, NA
TYPE OF BUSINESS
Bank
"APPLICANT NAME
Jason Crowder
—APPLICANT PHONE NUMBER
2172737765
**TENANT NAME
Frank Brinegar
**TENANT PHONE NUMBER
8173050445
*Sales Tax
NO
*Sales Tax Number
Alcoholic Beverage Sales
NO
Alterations
NO
Change of Business Name
NO
Change of Business Owner
NO
County
Tarrant
Fire Sprinkler System?
NO
Freight Forwarding Business
NO
Hazardous Material
NO
Industrial Waste
NO
New Building / Addition
NO
New Building or Property Owner
NO
New Occupant / Tenant
YES
Number of Employees
Outside Refuse/Recycling
NO
Outside Storage
NO
Signs
YES
Square Footage
7861
Zoning
PO - Professional Office
FEES
TOTAL = $ 50.00
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY 1 CO-21-1381 1 Printed 06125/21 at 2:26 p.m. Page 1 of 3
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ENTERTEXANTRL- % -- r�
— -- — — ES 44
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 21 -7��
ADDRESS OF INSPECTION: I S
DATE OF INSPECTION: ( TIME OF INSPECTION: ^ ��
NAME OF BUSINESS:
TYPE OF BUSINESS:+
USE OF BUILDING AND/OR PREMISES:(,
REASON FOR APPLYING: p 1 �,�^,�{�+; '� -� i •Q
CONTACT PERSON:
TELEPHONE NUMBER:_ y_ ac
COMMENTS/VIOLATIONS:
��2 $ 1) Ni td A h A 4& Sum -eyi(� s JA-C /n
�?,vrr_�i��frt p�ra rr
2) 4
Iri�b ar d�� s rte � �• asp �n �1v� � — ,� �
C)ctf ,so jnts e7n Roor wf-
&103.� �- ale s 9
All
**TO BE FILLED OUT BY BUILDING OFFICIAL"
ZONING DISTRICT OF INSPECTION LOCATION: PO OCCUPANT LOAD: 2
TYPE OF BUILDING: -1 GROUP AND DIVISION:
ZONING RESTRICTIONS:
0. FORMS DSCOINFORMATION WORKORDER
12 30 04 Rc 1 17 2006
City of Grapevine
CERTIFICATE OF OCCUPANCY
City of Grapevine
This Certificate Of Occupancy is hereby issued pursuant to Section 109 of the 2006 International Building Code And Chapter 64 of the
City Of Grapevine Comprehensive Zoning Ordinance. At the time of inspection, this building or space was found to be in compliance
with the applicable Building and Zoning Ordinances of the City of Grapevine. Any change in use, tenant and/or owner of this
building/space shall first require a new Certificate of Occupancy.
PERMIT ID # CO-21-1381
Tenant / Business Property Owner
I First Mid Bank & Trust, NA D n* T Providence Bank
1115 S Main St. ty,,A N I.7.G PO Box 105288
Grapevine TX 76051 rT f; , t x Jefferson City MO 65110-5288
i .e
i
Use Classification Bank :Issued
Occupancy Group B
Construction Type 11B
Occupancy Load 132 Don Dixson, Building Officia Date
Zoning District PO - Professional Office
.?/-,�SIiuYYn! - - .�... � - — _ _ i! V-... 1.J Lam. e,..a. � _ •. � �_� - - - __ _-__r.�ra�.�...�- �rr�.,