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HomeMy WebLinkAboutCO2021-3386UNDER CONSTRUCTION _ CORRECTION LETTER _ PW OR LD NEEDED _ TO NO LETTER _ WAITING FIRE _ HOLD _ CODE C/O CHECK LIST C/O PERMIT # P21 - R.1 $lQ ADDRESS: I W ZS 1'&nCA%+tr BUSINESS NAME: BUSINESS/PROPERTY -CHANGE NAME / OWNER NEW CONST / ADDITION PERMIT # _ ` NEW TENANT / OCCUPANT _ REMODEL / ALTERATION PERMIT #_ `kAyl` ISSUE DATE FINAL DATE 1. APPLICATION FORM COMPLETED v/2. 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) �4. FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE 5. ZONING CHECKED & COMPLETED ON APPLICATION ✓6. BUILDING INSPECTION SCHEDULED DATE" TIME ' V 7 FIRE DEPT. INSPECTION SCHEDULED DATE TIME FIRE INSPECTOR: CITY SECRETARY (ALCOHOL) �-9 HEALTH INSPECTION I PUBLIC WORKS INSPECTION �-1 i, LOT DRAINAGE INSPECTION 12. CORRECTION LETTER SENT (a)3. BUILDING INSPECTORS SIGN OFF -T#. FIRE DEPARTMENTS SIGN OFF HEALTH DEPARTMENT SIGN OFF CITY SECRETARY (Alcohol License Sign Off) `----+7. PUBLIC WORKS SIGN OFF DRAINAGE SIGN OFF 19. LANDSCAPING SIGN OFF 20. BUILDING OFFICIALS SIGNATURE NOTIFICATION DATE: NOTIFICATION DATE: E-MAIL DATE E-MAIL DATE DATE LETTER: YES / NO LETTER: YES / NO 21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: SCAN CERTIFICATE TO MYGOV: CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED: SEP302021 O 1FORMS105COINFORM1IATIONICKLIST IP/30104I Rev I III 1,11115,6/18 DATE OF ISSUANCE: 0 C T y 52021 t. C 22071rl1 t , r 21.338� CERTIFICATE OF OCCUPANCY REQUEST FEE: $50.00 VO FEE REQUIRED IF CERTIFICATE OF OCCVP ?:VCF iS 4&5OCIATED IVITFI A.ti : tCTIVE CZ RREIVT RUILDIIVG PER.YIIT ADDRESS OF OCCUPANCY: SUITE;, LOT: BLOCK: '3 SUBDIVISION: *CERTIFICATF, OF OCCUPANCY WILL NOT BE; ISS71 ED WITHOUT LEGAL DESCRIPTION**** NAME OF BUSINESS: C\ Pry -� NEW OCCUPANT: YES NO V_ e NF.W BUILDING/PROPERTY OWNER: YES NO ✓ NEW BUILDING: YES NOL NEWBUSINESS NAME CHANGE: YES —NO t/ NUMBER OF EMPLOYEES: O FREIGHT FORWARDING: YES NO we ` c NEW BUSINESS OWNER: YES NO V TYPE OF BUSINESS:Eve _ SQUARE FOOTAGE (Example: Retail Clothingi Attorneys Office/ Office -Warehouse: Rc.suarano NAME OF TENANT I CURRENT MAILING ADDRESS: CITY:/STATE/ZIP: PHONE NUMBER: PROPERTY OWNER: LJ�C�-L--�e�.n��� NIAILINGADD"Ss:"\ll9© PHONE NUMBER, 9o(r'—r\f\5'-ril}js- • 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 ANYSItN'SBEINSTALLED?-------------------YES —NO • WILL BUSINESS GENERATE ANY INDUSTRIAL IN-ASTF. DISCHARGE TO SEWER SYSTEM? ----- -VFS _ NO _' ♦ WILL OUTSIDE REFUSE,!RECYCLING/COMPACTING; CONTAINERS BE NECESSARY? (if ves. screening isrequired) ----------------------------------------------------------- YES _ NO ♦ W'ILLTHERE BEANY OUTSIDE STORAGE, DISPLAY. USE OR DINING----------------------- YESNO ♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES —NO — • IS BUILDING SPRINKLERED? ----------------------------— _ ----------------------- YES _ NO ' ♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? (if ties. 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. (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 F[IEA CryLL (81 0-3165. ` SIGNATURE: Y/,`//)'I L/___�/N' PRINT:vAME:1��1\���-s-t�� Zp�S— PHONE #:rL� 1.Io Develop Rlent SerVC'S Department The City of Grapevinc P.O. Box 951ga ,), G.-apevinc- Tcxas 70099 - (3i-) 410-3165 O:FORMSIDS"PLICNTIONSIC! 322!200!!Re15!06,2/U7X09.2!13,1 Vas 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 Citv 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 anv 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 app ies fo my business. Texas Sales Tax - umber* / '+anA Signature:_ ADDRESS: CITY, STATE, :GIP: OFFICE USE TYPE OF CONSTRUCTION. V Q _ OCCUP.A-tsiCY-. ZONING DISTRICT: PERMITTED USE: BUILDING DEPARTMENT: ZONING APPROVAL: FIRE DEPARTMENT: r� No 0CC(j?4.vc-y bPY,rncci oR : 1(M V11r LOT DRAINAGE INSPECTION: PUBLIC WORKS DEPARTMENT: HEALTH DEPARTMENT: CITY SECRETARY: LANDSCAPING :APPROVAL.: APPROVAL FOR ISSUANCE- 14-111 �' DIVISION: CONDITIONAL USE: A JO DATE: DATE: -7 /30 �a t DATE: DATE: DATE: DATE: DATE: DATE: la/s//!//� / DATE: O:FORM IDSAPPLICAMNS.C/ 3:22(2�Ot(2ev5(Ofi,2(OT,4(S9.9t3,ttfi5 IA City of Grapevine P.O. Box 95104 Grapevine, TX 76099 (817) 410-3165 Voice (817) 410.3012 Fax CONTRACTOR Kyle Lancaster 4100 Heritage Ave Grapevine, TX 76051-0000 (806)773-7135 Phone OWNER Evergreen -fern Ltd 4100 Heritage Ave Ste 105 Grapevine, TX 76051-5716 CERTIFICATE OF OCCUPANCY Issue Date: October 5, 2021 PROJECT DESCRIPTION: C/O CLEAN AND SHOW PROJECT# CO-21-3386 LOCATION 1625 Lancaster Dr. Grapevine, TX 76051 (817)410-3010 Inspections TENANT Clean and Show INFORMATION * CONDITIONAL USE REQUIRED? ' CONSTRUCTION TYPE * OCCUPANCY GROUP *OCCUPANCY LOAD * PERMITTED USE * ZONING DISTRICT ** NAME OF BUSINESS '* TYPE OF BUSINESS W W W.mygov.us Permits LEGAL Clearview Park Addition Blk 3 Lot 5 No. 3220 Tr 5 k06212743* N/A VB No Occupancy N/A N/A m VACANT Clean and Show AVAILABLE INSPECTIONS *"APPLICANT NAME Kyle Lancaster i, Final Building C/O Inspection (required) *"APPLICANT PHONE NUMBER 8067737135 o Landscaping (required) C/O APPROVED FOR ISSUANCE "TENANT NAME Kyle Lancaster (required) "'TENANT PHONE NUMBER _ 8067737135 *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 NO Number of Employees Outside Refuse/Recycling NO Outside Storage NO Signs NO Square Footage FEES Certificate of Occupancy TOTAL = $ 50.00 $ 50.00 MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY 1 CO-21-3386 1 Printed 10/05/21 at 6:28 p M. Page 1 of 3 S L, rr PCD PO UM I LUG &I am� I I I "u — — — — — — — — — — — — — — — - HFHL-1 EF Mj��� = OXF�M I 0=1 2120- 460 Et an MD am I fFM OoMr ma I rATCN LN K 21; NZ 11—W ar UOD T'N 'Mr am Wr -tam C2,. 4m OCED R-3.5 24 CERTIFICATE OF OCCUPANCY WORKORDER PERMIT # 21 - 33 tblQ ADDRESS OF INSPECTION: I v 1�)�X I LAnc-C& . l DATE OF INSPECTION: ot lw tll TIME OF INSPECTION: NAME OF BUSINESS: v 4ULV 4. Sh.O W v, TYPE OF BUSINESS: Ajat USE OF BUILDING AND/OR PREMISES:1'f" REASON FOR APPLYING: 1 ,, -- CONTACT PERSON: Ky I. Wt X LCOI� TELEPHONE NUMBER: 4) z)ta . 11 2-s . -1135 COMMENTSAVIOLATIONS: Fags w1J�'1� 013d), **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: P 0 OCCUPANT LOAD: TYPE OF BUILDING: ZONING RESTRICTIONS: V JJ GROUP AND DIVISION: Al p .nl1i4 O FOR-I1$DSCOMtORNI i10NI ORKOROER 123"114Rw I 1-91111