HomeMy WebLinkAboutCO2021-2376UNDER CONSTRUCTION y
CORRECTION LETTER pJ0
PW OR LD NEEDED
TO NO LETTER
WAITING FIRE _
HOLD
CODE
C/O CHECK LIST
C/O PERMIT # P21 -(0
ADDRESS:
BUSINESS NAME: kee� S-�T'CE'
BUSINESS PROPERTY
/CHANGE NAME / OWNER NEW CONST / ADDITION PERMIT #
_NEW TENANT/ OCCUPANT REMODEL / ALTERAT.�fIOrrN�11 PERMIT # �,1'� ACt
/ ISSUE DATE' I' 14 /n/FfNAL DATE
✓ 1. APPLICATION FORM COMPLETED
�2. ZONING MAP COPIED & WORKORDER FORM COMPLETED
10.
--�.11.
12.
13.
V 14.
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 Ar LaSl TIME YVL,
1
FIRE DEPT. INSPECTION SCHEDULED DATE �%� 3� TIME CQ /14—
FIRE INSPECTOR:
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
✓ 21. C/O CERTIFICATE ISSUED
* CONDITIONS TO BE TYPED ON C/O? YES / NO
NOTIFICATION DATE:
NOTIFICATION DATE:
E-MAIL DATE
E-MAIL DATE
DATE
LETTER: YES / NO
LETTER: YES / NO
ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV:
MAILED-
0 IFORMSMSCOINFORMATIONICKLIST
12W041 Rev 1911.1 itl5.5118
AUG 0 3 2021
DATE OF ISSUANCE:
PERMIT #:
�������1
CERTIFICATE OF OCCUPANCY REOUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 30oo 61214P avwF IMIL L5 1?1M&1l`-WWy _SUITE# ZS�
LOT: if 3 BLOCK: i SUBDIVISION: AAcV(\
""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION""
NAMF. "V UTTSiNF.SS: 1-FfE 1Ai19- 5TD2.0
NO
NO
NO
NO�
NEW OCCUPANT: YES ✓ NO NEW BUILDING/PROPERTY OWNER: YES -.
NEW BUILDING: YES —NO ✓ NAME CHANGE: BUSINESS YES _
NUMBER OF EMPLOYEES: 3 - 16 FREIGHT FORWARDING: YES _
NEW 7RSINESS OWNER: YES _
TYPE OF BUSINESS: Fen' 11. 1 �.zli, i 1 S / la` 1Pn x V fd* SQUARE FOOTAGE:
(Emmple: Retail, Office, Warehouse)
NAMEOFTENANT: KENN00 Rim-- BIz 6�CR1PEv1►sC-�L(�c-
CURRENT MAILING ADDRESS: .r] 44-1 DP--Pf CkOY are
CITY/STATE/ZIP: 6 LIN14 h ) 1 !( -)<-Q 4;
D
102.7E
PHONE NUMBER: qa -hn0 - 45 Pd.
PROPERTY OWNER: jm 2-nen - 1,"Q I u 6 w's JA&bL
MAILING ADDRESS: 'At)nn tW-1 PEU/0C-• IIALLLS PlkiU--kwA-V
CITY/STATE/ZIP: /7m-p 9V 10 6- I "n( 74 o S I PHONE NUMBER: 17 7 7 Z4 - 471 D
♦ 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 e 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 V
♦ IS BUILDING SPRINKLERED? ------------------------ ----------------- ----- YES ✓ NO ,--
♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? j
(if yes, provide list of types & quantities, along with material safety data sheets) - - - - - - - - - - - - - - • - - - - • - • YES _ NO Y _
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 charged)
FOR QUESTIONS PLEASE CALL (p817) 410-3165.
PRINT NAME: L� u "0 N l-�LD oQ-
Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165
Fax (817) 410-3012 * www.grapevinetexas.gov
0:MRMSWAPPLICAT10N6XC APPIiat["
3±WOOMM,=7."l
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: (k _
� n
Signature:
WHERE DO YOU NVANT POUR COMPLETED CERTIFICATE' OF OCCUPANCY MAILED?
ADDRESS: 57It1 1)e, , Cj-tT
Df,
CITY, STATE, ZIP: �—tIn A(,6 . , Q� , 15643
OFFICE USE
TYPE OF CONSTRUCTION: 1 — 7P0.�/�C! �i OCCUPANCY: DIVISION: _
ZONING DISTRICT: I CONDITIONAL USE: A(,IA
PERMITTED USE:
OCCUPANT LOAD: ---Mn
BUILDING DEPARTMENT:
DATE:
DATE:
�/ Z
�' 3 U
BUILDING INSPECTO
ZONING APPROVAL:
FIRE DEPARTMENT..
iJ
DATE:
DATE:
/
LOT DRAINAGE INSPECTION:
DATE:
PUBLIC WORKS DEPARTMENT:
DATE:
HEALTH DEPARTMENT:
DATE:
CITY SECRETARY: 1
DATE:
✓ �/� -. J
DATE:
Z� / 2-/
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:/
DATE:
O:FORMSTSAP PLICATIONS-FEES
3I20011Rev. Sl06,NO],6108,2/13,HI15,10116,6/10,1Of20
CERTIFICATE OF OCCUPANCY
U117'�
Issue Date: August 3, 2021
,1 1f t 1 1'r
PROJECT DESCRIPTION: C/O (Retail Vitamins & Supplements)
"The B12 Store" (BLDG21-2196)
'
PROJECT# (817)410-3010
www.mygov.us
CO-21-2376 Inspections
Permits
City of Grapevine
LOCATION TENANT
LEGAL
P.O. Box 104
Grapevine,, TX TX 76099
3000 Grapevine Mills Pk
P wy. The B-12 Store
Grapevine Mills Addition Blk 1
Suite # 325
Lot 1 i3
(817) 410-3165 Voice
Grapevine, TX 76051
(817)410-3012 Fax
CONTRACTOR
INFORMATION
Kennon Rider
" CONSTRUCTION TYPE
1113 SPRINKLERED
5441 Deep Canyon Drive
* OCCUPANCY GROUP
M
Garland, TX 75043
* OCCUPANCY LOAD
30
(928) 600-4594 Phone
—
" PERMITTED USE
YES
* ZONING DISTRICT
CC
OWNER
** NAME OF BUSINESS
The B12 Store
Grapevine Mills Mall Lp
*" TYPE OF BUSINESS
Retail
225 W Washington St
`"APPLICANT NAME
Kennon Rider
Indianapolis, IN 46204-6120
**APPLICANT PHONE NUMBER
928-600-4594
AVAILABLE INSPECTIONS
**TENANT NAME
Kennon Rider
• Final Building C/O Inspection (required) **TENANT PHONE NUMBER
928-600-4594
• Final Fire Dept Inspection
(required)
• Landscaping (required)
*Sales Tax
NO
• C/O APPROVED FOR ISSUANCE *Sales Tax Number
(required)
Alcoholic Beverage Sales
NO
Alterations
YES
Change of Business Name
NO
Change of Business Owner
NO
County
Tarrant
Fire Sprinkler System?
YES
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
10
Outside Refuse/Recycling
NO
Outside Storage
NO
Signs
YES
Square Footage
1022
Zoning
CC - Community Commercial
READ AND SIGN
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST
OF MY KNOWLEDGE AND THE SAID
OCCUPANCY IS IN CONFORMANCE
MYGOV.Us City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-21-2376 I Punted 08/04/21 at 8 17 a m Page 1 of 3
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 21 -Za
ADDRESS OF INSPECTION: Cx� G �(D V3 ( n p
DATE OF INSPECTION: /7 big,/ \ TIME OF INSPECTION: J' '> D Pry
NAME OF BUSINESS:
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES: Re_tGu I 1 <
REASON FOR APPLYING: A elz \Y\Q C +
CONTACT PERSON: I to Yl Y\ C)n R t C1 pa -
TELEPHONE NUMBER: q—
COMMENTS/VIOLATIONS: 15 51Aw 5
�f�xW3'�IXT'Afl's, W (.k',.5rfC;3,t-- 04,,cniNA 0CW0 IiA Wi;CC XFl D,
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: liefl
TYPE OF BUILDING: if-6 5 a/04S GROUP AND DIVISION: Uj
ZONING RESTRICTIONS:
o FORNISO'C0IN FOR F1' IJON c QFRQRDFP
I2 JU IIi Ri„ I172006
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-21-2376
Tenant / Business
The B-12 Store
3000 Grapevine Mills Pkwy.
Suite # 325
Grapevine TX 76051
Use Classification
Occupancy Group
Construction Type
Occupancy Load
Zoning District
Retail
M
116 SPRINKLERED
30
CC - Community Commercial
Iss7-6
�
Don Dixson, Building O`AItial
Property Owner
Grapevine Mills Mall Lip
225 W Washington St
Indianapolis IN 46204-6120
to z/
•Date