HomeMy WebLinkAboutCO2013-2225UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
C/O CHECK LIST
C/O PERMIT # P13 - 5
ADDRESS:/%
BUSINESS NAME:
BUSINESS /PROPERTY
CHANGE NAME /OWNER NEW CONST /ADDITION PERMIT #
NEW TENANT /OCCUPANT REMODEL /ALTERATION PERMIT #
1.
2.
V 4.
5.
6.
7.
8.
9.
4�- 10.
12.
----13.
14.
715.
V//", 7.
ISSUE DATE
FINAL DATE
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED: DATE l3 TIME
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
O:IFORMSIOSC OIN FORMAT IOMC Kl IST
12/30/04 1 Rev. i 1 N 1
E -MAIL DATE
E -MAIL DATE
DATE
LETTER:
LETTER:
ELECTRIC RELEASE:
COPY:
MAILED:
YES / NO
YES / NO
JUN 21 2013
06/16/2013 21:03 FAX �pp1
DATE OF ISSUANCE,
PERMIT #:
CERTIFICATE OF OCCUPANCY RE UEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED W1TII AN ACTIVE CURRENT B UILDING PERMIT
ADDRESS OF OCCUPANCY:
LOT: BLOCK: r
* ** *CERTIFICATE OF OCCUPANC WIL{{. NOT BE ISSUED WITHOUT' LEGAL DESCRIPTION * ***
NAME OF BUSINESS: e-D-(*)
BUILDING /PROPERTY OWNER: YES NO
NE 7 ; iE CHANGE: BUSINESS YES NO ✓
NU L�a %_�C IGHTFORWARDING: YES NO ✓
'BUSINESS OWNER: YES NO
TYPE 1 C SQUARE FOOTAGE: 1
(Example:
NAMI
CURREI
CITY /S7
PROP
MAILIN c%
\,e
\ALos,(
PHONE NUMBER:
CITY/s7` h %e -! +s Yv� _ PHONE NUMBER: `- j �I- 8"
♦ IS Y f yes, provide copy of Sales Tax Certificate) - - - - YES
NO
WIl ' yes, provide copy of Alcoholic Beverage Permit) -YES
NO --
a PERMITS AKE+' lif✓QU 1 KEU r L)K jiikyiNa, n aLi, rii.. , —GNS BE INSTALLED? - - - - - - - - - - - - - - - - - - - YES �
NO
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? - - - - - YES _
NO
♦ WILL OUTSIDE REFUSE /RECYCLING /COMPACTING CONTAINERS BE NECESSARY?
(if yes, screening is required)----------------------------------------------------------- YES
NO
i WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING: - - - - - - - - - ------------ YES �
NO ✓
i WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? - - - - - - - - - - - - - - - - - - - - - - - YES
NO %
_
i IS BUILDING SPRINKLERED?------------------------------------------------- - - - - -- YE S
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'fO 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, $42.011 re- inspection fee will be charged)
FOR QUESTIONS PLEASE CALL ((817) 410 -3165.
PRINT NAME: - i-v ' �� I 1- )S-R'RR A SIGNATUR
PHONE #: l� - �r���- EMAIL: �
(OVER)
Development Services Department.
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 414 -3165
Fax (g 17) 410 -3012 * www.grapevinetexas.gov
O,FV HMMMA"LICATIOn51GOApplk•.ia
1WzWQ$11II.+ -&512fi, 5/46, IVIA40
06i16112013 21:04 FAX 002
T ASS SALE5...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 $.25 0/6.
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 it copy of the Sales Tax Permit to the City of
Grapevine, Texas if the circumstance applies to my business.
Texas Si
Signatui
E. I ill f
CITY, STATE, ZIP:
OFFICE USE
TYPE OF CONSTRUCTION: —�i
OCCUPANCY: _AJ /rf — DIVISSION;
ZONING DISTRICT:
CONDITIONAL USE:
PERMITTED USE:
2zzl
BUILDING DEPARTMENT:
DATE: �-
ZONING APPROVAL:
DATE:
FIRE DEPARTMENT:
DATE:
LOT DRAINAGE INSPT'CTION: --
-!= DATE;
PUI#ILIC WORKS DEPARTMENT:
' DATE:
HEALTH DEPARTMENT;
DATE: _
LANDSCAPING APPROVAL: �. DATE:
APPROVAL FOR ISSUANCE: L.� _ DATE;
0 rneersMAM J(:AnONSVOAyylk -n
anzn+auu..bea�v�e,srea, tror.ueq
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT #
ADDRESS OF INSPECTION: 1-16,3
DATE OF INSPECTION:
NAME OF BUSINESS:
D/
TIME OF INSPECTION: /d -`Z)o Ct . l'n
TYPE OF BUSINESS: Var
USE OF BUILDING AND /OR PREMISES:
REASON FOR APPLYING:
CONTACT PERSON:
TELEPHONE NUMBER: 4
COMMENTSNIOLATIONS:
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING: GROUP AND DIVISION:_,¢
ZONING RESTRICTIONS:
0: FORWDSCOINFORMAMN WORKORDER
12,317'14 Rev. 1/17/2006