HomeMy WebLinkAboutCO2021-3235UNDER CONSTRUCTION _
CORRECTION LETTER _
PW OR LD NEEDED _
TD NO LETTER _
WAITING FIRE
HOLD _
CODE
C/O CHECK LIST
wo :66
C/O PERMIT
# P21 -
ADDRESS:
BUSINESS NAME:
BUSINESS/PROPERTY
_ CHANGE
NAME / OWNER NEW CONST / ADDITION PERMIT #
NEW TENANT / OCCUPANT REMODEL / ALTERATION PERMIT #
ISSUE DATE FINAL DATE
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 APPLICATIONry/
6.
BUILDING INSPECTION SCHEDULED DATE llC� TIME
-- 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.
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
._ -�
LOT DRAINAGE SIGN OFF
__ 19.
LANDSCAPING SIGN OFF
20.
BUILDING OFFICIALS SIGNATURE
21.
C/O CERTIFICATE ISSUED ELECTRIC RELEASED: - tl
SCAN CERTIFICATE TOMYGOV:
CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED:
O 1FORMS08COINFORMATIONICKLIST
QIMIOa 1 Rw 11111 11\15-s11P
DATE OF ISSUANCE: 10 l l 1,9, 1
PERMIT #: 6iI — �_, sj
SEP 15 2021
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITHANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 4851 Merlot Ave SUITE# 510
LOT: 2 BLOCK: 2111 SUBDIVISION: Delaney Vineyards Addition
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: Clean and Show
NEW OCCUPANT: YES _ NO x NEW BUILDING/PROPERTY OWNER: YES NO x
NEW BUILDING: YES NO x NEW BUSINESS NAME CHANGE: YES NO x
NUMBER OF EMPLOYEES: a FREIGHT FORWARDING: YES NO
NEW BUSINESS OWNER: YES NO ,
TYPE OF BUSINESS: Clean and Show SQUARE FOOTAGE: 1903
(Example: Retail Clothing / Attomey's Office / Of lice -Warehouse / Restaurant)
NAME OF TENANT [PERSON'S NAME]: Clean and Show
CURRENT MAILING ADDRESS
not anolinable
CITY/STATE/ZIP: -PHONE NUMBER: nnt anniinah1p.�
PROPERTY OWNER: Merlot Court LP
MAILING ADDRESS: 428 Kimbark Street
CITY/STATE/ZIP: Longmont, CO 80501 PHONE NUMBER: 303-955-2493
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES _ NO X
♦ WELL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) - YES _ NO x
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - - - - - - - - - - - - - - - - - - YES —NO x
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ...... YES —NO x
♦ 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,
USE OR DINING?------------------------------------------------------------------ YES —NO X
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE ORBUILDING?------------------------- YES —NO x
♦ IS BUILDING SPRIlVKLERED?------------------------------------------------------- YES NO x
♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(if yes, provide list of types & quantities, along with material safety data sheets) - - • - - - - - - - - - - - - - - - - - - - YES —NO X
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 PEE C 817 410-3165.
SIGNATURE: PRINT NAME: Wendy Kelso
PHONE#: 81 -8000 EMAIL: w.
Development Services Department
The City of Grapevine E P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165
Fax (817) 410-3012 * www.eraDevinetexas.gov_
0:FORMSMAPPLICATION9C/
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City of Grapevine
P.O. Box 95104
Grapevine, TX 76099
(817) 410-3165 Voice
(817)410-3012 Fax
CONTRACTOR
Wendy Kelso
4841 Merlot Ave
Grapevine, TX 76051
(817)637-8000 Phone
OWNER
Merlot Court Lip
428 Kimbark St
Longmont, CO 80501
ph. (817) 637-8000
CERTIFICATE OF OCCUPANCY
Issue Date: October 1, 2021
PROJECT DESCRIPTION: C/O "Clean & Show"
PROJECT# (817) 410-3010
CO-21-3235 Inspections
LOCATION TENANT
4851 Merlot Ave. Clean & Show
Suite # 510
Grapevine, TX 76051
AVAILABLE INSPECTIONS
• Final Building C/O Inspection (required)
• Landscaping (required)
. C/O APPROVED FOR ISSUANCE
(required)
INFORMATION
" CONDITIONAL USE REQUIRED?
"CONSTRUCTION TYPE
• OCCUPANCY GROUP
`OCCUPANCYLOAD
'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
Signs
Square Footage
Zoning
FEES
www.mygov.us
Permits
LEGAL
Delaney Vineyards Addition
Blk 2 Lot 2r1
N/A
VB
No Occupancy
N/A
N/A
PO
Vacant
Clean & Show
Wendy Kelso
8176378000
Vacant
NO
NO
NO
NO
NO
Tarrant
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
1903
PO - Professional Office
TOTAL = $ 50.00
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-21-3235 1 Printed 10/01/21 at 4.39 p.m. Page 1 of 3
TAX Map, Grapevine
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NAME OF BUSINESS:
TYPE OF BUSINESS:
CERTIFICATE OF OCCUPANCY
WORKORDER
ADDRESS OF INSPECTION:
DATE OF INSPECTION: /
CJlean
PERMIT # 21 - ZJa3�
TIME OF INSPECTION:
USE OF BUILDING AND/OR PREMIS1ES:Y
REASON FOR APPLYING: .nl c, � l C
CONTACT PERSON: I
TELEPHONE NUMBER: S CqD
COMMENTSNIOLATIONS:
AZI /Ili ✓IO)OLb As
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: f 0 OCCUPANT LOAD:
TYPE OF BUILDING:
ZONING RESTRICTIONS:
V6 GROUP AND DIVISION: A JO
Q4l
O FORMS DSCOINFORMATJON C'ORFOROER
II III IX II, 111111116