HomeMy WebLinkAboutROOF2019-0230.IAN 17 Z019
JOB ADDRESS:
LOT:
DATE OF ISSUANCE: I_ I 101
PERMIT#: / q — U oZ -36,
BUILDING PERMIT APPLICATION
(PLEASE PRINT LEGIBLY- COMPLETE ENTIRE FORM)
2VVLU! NL X SUITE #
BLOCK: SUBDIVISION:
BUILDING CONTRACTOR (company name):
CURRENT MAILING ADDRESS: S R i"l l is
CITY/STATE/ZIP: (7In o S E
PROPERTY OWNER:
CURRENT MAILING ADDRESS:,i (l l
PH: #.5i 1% 32t{ "2,i i I Fax #
MA (3a-tj
CITY/STATE/ZIP: S n (M L PHONE NUMBER: SA Vie
PROJECT VALUE: $ 19 t ) '�)o 0 1 �i FIRE SPRINKLERED? YES NO
WHAT TRADES WILL BE NEEDED? (Check ones that apply) ELECTRIC _ PLUMBING— MECHANICAL
DESCRIPTION OF WORK TO BE DONE: C I E pj A e i� (C-60 F
USE OF BUILDING OR STRUCTURE: "t) V 5 L
NAME OF BUSINESS:
Total Square Footage under roof:
Square Footage of alteration/addition:
❑ I hereby certify that plans have been reviewed and the building will be inspected by a certified energy code inspector in accordance with
State Law. Plan review and inspection documentation shall be made available to the Building Department (required for new buildings,
alterations and additions)
❑ 1 hereby certify that plans have been submitted to the Texas Department of Licensing and Regulation for Accessibility Review.
Control Number: (Not required for I & 2 family dwellings)
❑ 1 hereby certify that an asbestos survey has been conducted for this structure in accordance with the regulatory requirements of the Texas
Department of Health.
(REQUIRED FOR DEMOLITIONS, ADDITIONS AND OR ALTERATION TO COMMERCIAL AND PUBLIC BUILDINGS)
I hereby certify that the foregoing is correct to the best of my knowledge and all work will be performed according to the documents approved by
the Building Department and in compliance with the City Of Grapevine Ordinance regulating construction. It is understood that the issuance of
this permit does not grant or authorize any violation of any code or ordinance of the City Of Grapevine. I FURTHERMORE UNDERSTAND
THAT PLANS AND SPECIFICATIONS ARE NOT REVIEWED FOR HANDICAPPED A CESSIBILITY BY THE CITY, AND THAT THE
DESIGN PROFESSIONAL/OWNER IS RESPONSIBLE FOR OBTAINING SUCH APP AL FROM THE 707
PRIAT STATE AND
OR FEDERAL AG _ Y(S).
PRINT NAME: n' lf) I'll6 0 �1)1 i
�)
❑ CHECK BOX IF PREFERRED TO BE CONTACTED BY E-MAIL
THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION spEPARTMENT
Construction Type: I Permit Valuation: $ _ I Setbacks Approval to Issue
Occupancy Group: I Fire Sprinkler: YES_ NO _ I Front: Electrical 1
Division: Building Depth: Left: Plumbing
Zoning: Building Width: Rear: Mechanical
Occupancy Load: I I Right:
Plan Review Approval:
Date:
Building Permit Fee:
ijr)
Site Plan Approval:
Date:
Plan Review Fee:
Fire Department:
_ Date:
Lot Drainage Fee:
I
Public Works Department:
Date:
Sewer Availability Rate:
Health Department:
Date:
Date:
Water Availability Rate:
I Total Fees:
,/
Approved for Permit:
�?. 6zo
Lot Drainage Submitted:
Approved:
I Total Amount Due:
pO 8aX95104, GRPPEYINE,TX i6699 (fl1i141LL3165
G.FORM£95PERANTRPPLIGRTIOsin2R lim4,A0 07,11"9 iI
City of Grapevine
P.O. Box 95104
Grapevine, TX 76099
(817)410-3165 Voice
(817)410.3012 Fax
CONTRACTOR
Dorinda Mabry
3910 Kelsey Ct.
Grapevine, TX 76051
(817)329-2911 Phone
OWNER
Dorinda A Mabry
3910 Kelsey Ct
Grapevine, TX 76051-6413
AVAILABLE INSPECTIONS
Building Final (required)
BUILDING ROOFING
Issue Date: January 17, 2019
PROJECT DESCRIPTION: Replace Roof
PROJECT#
ROOF-19-0230
LOCATION
3910 Kelsey Ct.
Grapevine, TX 76051
INFORMATION
(817)410-3010 WWW.mygov.us
Inspections Permits
LEGAL
Woodland Estates Addition Blk 1 Lot 20
No. 1220 Tr 20
*0362009Y
**APPLICANT NAME Dorinda Mabry
**APPLICANT PHONE NUMBER 817-329-2911
County Tarrant
VALUATION 17500
FEES TOTAL = $ 42.00
Building Permit Fee ($42.00 Flat Fee) $ 42.00
PAYMENTS TOTAL = $ 42.00
Dorinda Mabry (Home Owner Information)
Other on 0111712019 ($42 00)
Note: CC5604
NOTICES
1) ALL work must be done in compliance with the 2006 INTERNATIONAL
BUILDING CODE.
2) A copy of the signed permit and approved plans must be on site at all times.
3) The project address must be clearly posted at the job site.
READ AND SIGN
I hereby certify that the foregoing is correct to the best of my knowledge and all
work will be performed according to the documents approved by the Building
Department and in compliance with the City of Grapevine Ordinance regulating
construction. It is understood that the issuance of this permit does not grant or
authorize any violation of any code or ordinance of the City of Grapevine. I
FURTHERMORE UNDERSTAND THAT PLANS AND SPECIFICATIONS ARE
NOT REVIEWED FOR HANDICAPPED ACCESSIBILITY BY THE CITY, AND
THAT THE DESIGN PROFESSIONAL I OWNER IS RESPONSIBLE FOR
OBTAINING SUCH APPROVAL FROM THE APPROPRIATE STATE AND OR
F�E(DDER,AV'AGAEN/CY/(S).
/ 7 eee
SIgn/E ure \ Date
MYGOV US Gty of Grapevme I BUILDING ROOFING I ROOF-IS-02301 I anted 01IT1119 at 3'53 p m. Page 1 of 2