HomeMy WebLinkAboutCO2013-2247UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
C/O CHECK LIST
C/O PERMIT # P13- � Ll
ADDRESS: // & -!�
BUSINESS /PROPERTY
CHANGE NAME /OWNER
NEW TENANT /OCCUPANT
V 1,
�2.
-,,Z3.
-4.
/
`�/ 5.
6.
7.
8.
9.
X10.
11.
12.
13.
-14.
,-�15.
X16.
17.
NEW CONST /ADDITION PERMIT #
REMODEL /ALTERATION PERMIT #
ISSUE DATE
FINAL DATE
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED
FIRE DEPT. INSPECTION SCHEDULED
HEALTH INSPECTION:
PUBLIC WORKS INSPECTION:
DATE '+ TIME 10,'2->0
DATE � TIME Cl 00
INSPECTOR_
DATE TIME
E -MAIL DATE
LOT DRAINAGE INSPECTION:
E -MAIL DATE
CORRECTION LETTER SENT:
DATE
BUILDING INSPECTORS SIGN OFF
LETTER:
YES / NO
FIRE DEPARTMENTS SIGN OFF
LETTER:
YES / NO
HEALTH DEPARTMENT SIGN OFF
PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNATURE
C/O ISSUED
ELECTRIC RELEASE:
1a (o l �
COPY:
-sc
MAILED:
v
* CONDITIONS TO BE TYPED ON C /O: YES / NO
0AFOR MSIDSCOIN FORMATIONICKUST
121301041 R -11111
JUN 2 i 2013
DATE OF ISSUANCE:
PERMIT #: / 3 -a�211 /
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSO LATE ' THAN CTIVE URRENT BUILDING PERMIT
r 7.
ADDRESS OF OCCUPANCY: 3 Sf l�/r ��s SUITE #
LOT: BLOCK: / SUBDIVISION:
* ** *CERTIFICATE OF OCCUPANCY WILL NOT BE IS
NAME OF BUSINESS:
NEW OCCUPANT: YES NO
NEW BUILDING: YES NO
NUMBER OF EMPLOYEES: C2
TYPE OF BUSINESS: _
(Example: Retail, Office, Warehouse)
NAME OF TENANT:
CURRENT MAILING ADDRESS:
CITY /STATE /ZIP:
PROPERTY OWNER:
i WITHOUT LEGAL DESCRIPTION * * **
NEW BUILDING/PROPER7
NAME CHANGE: BUSINES1
FREIGHT FORWARDING:
,NEW�BUSINESS �OWNER:
3 G - -is'S
MAILING ADDRESS: '! �//h , ---- i;
War�6�
OWNER: YES
NO
YES
NO
YES
NO �-
YES
NO �—
SQUARE FOOTAGE: 75"lJ
PHONE NUMBER:�%��
CITY /STATE /ZIP: �/�'/��G.��`� �a ���/ 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
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - - - - - - - - - - - - - - - - - -
YES
NO t✓
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? -----
YES
NO -417--
♦ 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
♦ 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
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. ;r r
(If access to the building /space is not�P rovided at the time of the scheduled spection, a $4 U0 re- inspection fee wilt.bc ckia ge -'
....
FOR QUESTIONS PLEASE CAL>%(g17) 410 -3165. �
PRINT NAME: �%i7/G ��G� �� SIGNATURE:: — ° PHONE #: cCg_ =_ ` 5�' �' ��. EMAIL:
(OVER)
Development Services Department
The City of Grapevine P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410 -3165
Fax (817) 410 -3012 * www.grapevinetexas.gov
O:FORMS\DSAPPI.ICATI ONS \C /OAppl ication
3/22 /2001 /Revised:5/06,5/06,2/07,0/09
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.
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANY MAILED?
ADDRESS:
CITY, STATE, ZIP:
FOR OFFICE USE ONLY * * **
TYPE OF CONSTRUCTION: ab OCCUPANCY: 5-: DIVISION:
ZONING DISTRICT: )�&._ CONDITIONAL USE:
PERMITTED USE: e.
BUILDING DEPARTMENT: % .`��/ ( DATE: Gqlg 6 l' G 51
ZONING APPROVAL:
DATE:
FIRE DEPARTMENT: Ct Q)U 6AY h UJ I T�JCS ��Q� DATE:
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
O:FORMS\DSAPPLICATI ONS \C /OApplic.tion
3122 /2001 /R-ki d:5/06, 5/06, 2/07,4109
DATE:
DATE:
DATE:
DATE:
DATE:
LL
u
94
i6 2132 -456
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 13- L/ %
ADDRESS OF INSPECTION: Z/ U
DATE OF INSPECTION: TIME OF INSPECTION: 3 74
NAME OF BUSINESS:,k -
TYPE OF BUSINESS:
USE OF BUILDING AND /OR PREMISES:
REASON FOR APPLYING:
CONTACT PERSON:
TELEPHONE NUMBER: �� U 3 5 3
COMMENTS/VIOLATIONS:
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION: tkle-
TYPE OF BUILDING:-K[!&, GROUP AND DIVISION:
ZONING RESTRICTIONS:
0iZRMSTSCOINFORMATION WORKORDER
12 ;30'(A Rev. 1/17,'2006
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