HomeMy WebLinkAboutCO2021-3701UNDER CONSTRUCTION
CORRECTION LETTER _
PW OR LID NEEDED _
TD NO LETTER _
WAITING FIRE _
HOLD
CODE
C/O CHECK LIST
C/O PERMIT # P21 - 'J7tD) I,
ADDRESS: �flD �FQ Yeu nP V 1 HI k P1 WLA C %1O
BUSINESS NAME: ( L)U Q
BUSINESS / PROPERTY `1
CHANGE NAME / OWNER NEW CONST / ADDITION PERMIT #
-7'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 APPLICATION
6. BUILDING INSPECTION SCHEDULED DATE /04 7
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
-� 18. LOT DRAINAGE SIGN OFF
19. 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 1FORMSZSCOINFOR WTION\CKLIST
121301041 Rev 11 11 111b5,5118
oCS 25 2�21
DATE OF ISSUANCE: r U idle )a)
PERMIT#:
CERTIFICATE OF OCCUPANCY REOUEST,
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPAN0?"`0 06 Y t4-)e , i n e ("1 li 4 M A 1 / SUITE # C _-Y (�
LOT: BLOCK: SUBDIVISION:
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: Srti� L J F_ i\- e_ /\I 0 N 0e_ I P, S
NEW OCCUPANT: YES, NO 4—
NEW BUILDING/PROPERTY OWNER: YES
NO
k
NEW BUILDING: YES X—
NEW BUSINESS NAME CHANGE: YES
NO
k'
_NO
NUMBER OF EMPLOYEES: I
FREIGHT FORWARDING: YES
NO
rX1
NEW BUSINESS OWNER: YES
NO'u,
" . SQUARE FOOTAGE:
TYPE OF BUSINESS: e '#� 1 �� C¢, J' k
55
(Example: Retail Clothing / Attorney's Office / office -warehouse /
Restaurant)
`� rlep
NAME OF TENANT [PERSON'S NAME]:
� 2 Ll
D i O n e-- P lac e^
CURRENT MAILING ADDRESS: `
CITY/STATE/ZIP: gLtS t l TX C L PHONE NUMBER: 6 2--
PROPERTY OWNER: �� P U'I (Vt-
MAILING ADDRESS:
CITY/STATE/ZIP: PHONE NUMBER:
♦ 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 X
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - - - - - - - - - - - - - - - - - - YES _ NO
♦ 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_NOX
♦ WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY,
USEORDINING?------------------------------------------------------------------ YES ,NO%C
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? - - - - - - - - - - - - - - - - - - - - • - - - - YES _ NO X
♦ IS BUILDING SPRINKLERED?------------------------------------------------------- YES _NO
♦ 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 P 'LEASE CALL (817) 410.3165. // 1
SIGNATURE: iNi PRINT NAME;
Department
The City of Grapevine P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165
Fax (917) 410-3012 * www.araoevinetexas.2ov
O:FORMSMAPPLICATIONS-FEES
3/2001/Rev:5/06,2/07,4/09,2/13,11/15,10/16,8/18,10/20
TEXASSALESTAX
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: 3 � 5 9
Signature: ` G�✓� ��
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: 2 kA 6 a C�
CITY, STATE, ZIP: OCL S 1 I L. k , x Z_
TYPE OF CONSTRUCTION:
ZONING DISTRICT: �C
PERMITTED USE: 7 E.S
OFFICE USE
OCCUPANCY: N 1 DIVISION:
CONDITIONAL USE: 1—%Q
BUILDING DEPARTMENT:
BUILDING INSPECTOR: (�
ZONING APPROVAL:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
CITY SECRETARY:
LANDSCAPING APPROVAL:
/
APPROVAL FOR ISSUANCE:
0. FORMSOSAPPLICATIONS-FEES
3'2001/Rev:51O6,V07,4I09,2/13,IIM5,l OA6,8,'18,10QO
OCCUPANT LOAD: Q
DATE:
DATE: %O/Z 7/Z. j
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
City of Grapevine
P.O. Box 95104
Grapevine, TX 76099
(811) 410-3165 Voice
(817)410-3012 Fax
ICERTIFICATE OF OCCUPANCY
Issue Date: October 28, 2021
PROJECT DESCRIPTION: C/O (Retail Crystal's) "Crystal Clear Memories' [CODE]
PROJECT # (817) 410-3010 www.mygov.us
C O-21-3701 Inspections Permits
LOCATION TENANT LEGAL
3000 Grapevine Mills Pkwy. Crystal Clear Memories 1grapevine Mills Addition Blk
Suite # C76 1 Lot 1r3
Grapevine, TX 76051
CONTRACTOR
Sheetal Cavaness
1924 Dione Place
Haslet, TX 76052
(
OWNER
Grapevine Mills Mall Lp
225 W Washington St
Indianapolis, IN 46204-6120
ph. (317) 636-1600
AVAILABLE INSPECTIONS
• Final Building C/O Inspection (required)
• Landscaping (required)
• C/O APPROVED FOR ISSUANCE
(required)
INFORMATION
* CONDITIONAL USE REQUIRED?
NO
" CONSTRUCTION TYPE
IIB - Sprinklered
* OCCUPANCY GROUP
M
* OCCUPANCY LOAD
2
* PERMITTED USE
YES
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
CC
Crystal Clear Memories
Retail
Sheetal Cavaness
6825568483
Sheetal Cavaness
6825568483
YES
32080599205
NO
NO
NO
NO
Tarrant
YES
NO
NO
NO
NO
NO
YES
1
NO
NO
NO
55
CC - Community Commercial
FEES TOTAL = $ %00
CERTIFICATE OF OCCUPANCY
WORKORDER No5r, � wl�
selww. .
PERMIT # 21- LJ' %O I
ADDRESS OF INSPECTION: ?JUEaO G'(Q QLV I N J� ON ORxO LA
DATE OF INSPECTION: I /,2j' 1�n, I TIME OF INSPECTION: jeAw
NAME OF BUSINESS: M 4�Q o (,r I 1 'm
TYPE OF BUSINESS: R
USE OF BUILDING AND/OR PREM.I.,SEES:: ?> / �ip� �� �� S • y
REASON FOR APPLYING: a
CONTACT PERSON: 07?v l/I e--�5
TELEPHONE NUMBER: (Q 2-55 (o - 0V83
COMMENTS/VIOLATIONS:
10/27121 N) Moog-hrn_i /lht'o,1,.0�
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: c-- C OCCUPANT LOAD: -2
TYPE OF BUILDING: .7nS- GROUP AND DIVISION: elm
ZONING RESTRICTIONS:
O FOKMS DSCOIKPoRMATIOS P OMKORDER
I 11 NR, I I-21IU6
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-21-3701
Tenant / Business
Crystal Clear Memories
3000 Grapevine Mills Pkwy.
Suite # C76
Grapevine TX 76051
Use Classification Retail
Occupancy Group M
Construction Type IIB - Sprinklered
Occupancy Load 2
Zoning District CC - Community Commercial
Property Owner
Grapevine Mills Mall Lp
225 W Washington St
Indianapolis IN 46204-6120
ph (317) 636-1600
Date