HomeMy WebLinkAboutCO2013-2191UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
CIO CHECK LIST
C/O PERMIT # P13- --2 / 1� /
ADDRESS:
BUSINESS NAME:
BUSINESS /PROPERTY
CHANGE NAME /OWNER _
NEW TENANT /OCCUPANT
V-1/1.
2.
V- 3.
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6.
7.
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10.
- 11.
12.
13.
14.
15.
16.
/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: DATE L) TIME /-'3( -�/
FIRE DEPT. INSPECTION SCHEDULED: DATE TIME
INSPECTOR
HEALTH INSPECTION: DATE TIME
PUBLIC WORKS INSPECTION:
LOT DRAINAGE INSPECTION:
CORRECTION LETTER SENT:
BUILDING INSPECTORS SIGN OFF
FIRE DEPARTMENTS SIGN OFF
HEALTH DEPARTMENT SIGN OFF
PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNATURE
C/O ISSUED
* CONDITIONS TO BE TYPED ON C /O: YES / NO
01FOR MSIO SCOINFORMATIOMCKL IST
12130/04 1 Rev.l l N t
E -MAIL DATE
E -MAIL DATE
DATE
LETTER:
LETTER:
ELECTRIC RELEASE:
COPY:
MAILED:
YES / NO
YES / NO
JUN 2 Q 2013
JUN 18 202
DATE OF ISSUANCE:
PERMIT #: / 3 —.2.-19
CERTIFICATE OF OCCUPANCY REOUEST
[
FEE: $50.00
NO F88 AEQUIRED IF CLgTIFIC.4 TE O,' OCCUP41VCY rS ASSp C ,47E'P WITH AN ACT(W. CURRENT BUIt DING PERMIT
W e'L r
ADDRESS OF OCCUPANCY: 01 & ra0e d[ n @. 72, 9 (nO S \ —SUITE #
LOT: 3 _BLOCK: _ SUBDIVISION:) �J'Ic,1! rc.a�L�/2dE'0
* *I�*CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LE 'AL DESCRIPTION * * **
NAME OF BUSINESS: C tea a,j
NEW OCCUFA.NT: YES —NO ?G NEW BUIL.AING/PROPER'1TY OWNER: YES NO A_
NEW BUIT.OTNG: YES NO x NAME CHANGE: BUSINESS YES NO A
NUMBER OF EMPLOYEES: � _ FREIGHT FORWARDING: YES —NO _A
NEW BUSINESS OWNER: YES NO _�
TYPE O.F I3LISII�T SS: 1 �.� >� � -tJ SQUARE FOOTAGE: - , 5.00
(Exarnple:.Retsff, office, Warehouse)
NAME OF TENANT: V C
CURRENTMAJLINGADDRESS11:
CITY/STATE/ZIP- �': `fa rr.YJ� 34S PHONE NUMBER: 61-5 - '7 R I
PROPERTY OWNER, O a,; i A C 0 "{ 1 I
MAILING ADDU —S, S:
CITY /ST.ATE /ZII�: �lo I lxn� T rJ 3 g q o i 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 Alcobolic Beverage Permit) -YES ^ NO �
:PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - - - - - - - - - - - - - - - - - - YES _ NO ✓"
♦ WILL BUSINESS GENERATE ANY TNDTJSTRIAL. WASTE DISCHARGE TO SEWER SYSTEM? ----- YES _ NO ✓'
♦ WILL. OUTSIDE REFUSE /REC,'YCLING /COMPACTING CONTAINERS BE NECESSARY?
(it yes, screening is required) ----------------------------------------------------------- YES _ NO
♦ WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING --- - - - - - - - - - - - - - - - - - - - - YES NO
♦ WILL ANY AL.TLMATIONS BE MADE. TO THE SITE OR BUILDING? - - - - - - - - - - - - - - - - - - - - - - - - - YES NO
♦ IS BUILDINGSPRINIsL. EKED? ------------------------------------------ - - -- - - - - -- YES NO
4 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 KNOWL.EDCE AND THE SAID
OCCUPANCY 1S 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 (817) 410- 3165.
PRINT NAME: 5J n SIGNATURE: L.-Ij /r L
PHONE #. f 5 % j C) EMAIL:
(OVER)
Development Services Department
The City of Grapevine * P,O, Box 95104 * Grapevine., Texas 76099 * (8 17) 410-3165
Fax (817) 410 -3012 * www_gral)evinctrxas.gov 0.. sure
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TEXASSALESTAX
Texas Saloo 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 malting 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: Y !V 1h7
,Signature:
WHERE DO V01.,J WANT YOUR COMPLETED C R'ITIFICAT'E Cie` OCCUPAN°Y MAILED?
ADDRESS: 17 � e !V tir'g n) � d Octd
CITY, STATE, ZIP: r01 t.r M [) r, k T r� — U yo �
*� *,�k �,�QkkO►R OFFICE USE
TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION:
I - AA-�Nl
ZONING DISTRICT: aL(
PERMITTED UM v.•f
BUJLDING DEPARTMENT:
ZONING APPROVAL*
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT.
LANDSCAPING APPROVAL
APPROVAL FOR ISSUANCE:
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3R22p11.�pR.tna:snM. I", 1N7.4109
CONDITIONAL USE:
DATE:
DATE:
DATE:
DATE:
DATE:
DATE'
DATE:
DATE:
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 13-,,2- / Cl l
ADDRESS OF INSPECTION:
DATE OF INSPECTION:
NAME OF BUSINESS: -, )�-
TYPE OF BUSINESS:
USE OF BUILDING AND /OR PREMISES:
REASON FOR APPLYING:_
CONTACT PERSON:
TELEPHONE NUMBER: k
COMMENTSNIOLATIONS:
OF INSPECTION:
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION: w
TYPE OF BUILDING: GROUP AND DIVISION: j 34
ZONING RESTRICTIONS:
O:�FORMS'.DSCOINFORMATION WORKORDER
1230A14 Rev. 1/1712006