HomeMy WebLinkAboutCO2022-0566UNDER CONSTRUCTION _
CORRECTION LETTER
PW OR LD NEEDED _
TD NO LETTER _
WAITING FIRE
HOLD _
CODE
C/O CHECK LIST
C/O PERMIT # P22 - 0-5 t,
ADDRESS: C)CJ C) Cr pp Vim' i.c. A -t�bvin � 2-�q �3
BUSINESS NAME: -1 hoc. kAt4—),4X r AV .4LLO W
BUSINESS PROPERTY
CHANGE NAME / OWNER NEW CONST / ADDITION PERMIT #
NEW TENANT / OCCUPANT REMODEL / ALTERATION PERMIT #
ISSUE DATE FINAL DATE
1 APPLICATION FORM COMPLETED
L'2. ZONING MAP COPIED & WORKORDER FORM COMPLETED
3. HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE
(SCAN TO CIO 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
7. FIRF nFPT INSPECTION SCHFI71UI 17D DATF TIMF
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. CORRL CTION 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 i U tiE TYPtu UN C/O? YES / NO MAILED.
O:\FORMS\DSCOIN FORMATION1CIq_IST
12130/04 \ Rev.1 1\11,1 1\15,5118
E B 2.2 2022
DATE OF ISSUANCE:
PERMIT #: d ,� - 6 ,` 6
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 30,ocl Jl;//V- SUITE# e �3
LOT: BLOCK: SUBDIVISION:
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION:::-*:::
NAME OF BUSINESS• Mi4L-,0►AJ
NEW OCCUPANT: YES N� NO NEW BUILDING/PROPERTY OWNER: YES NO
NEW BUILDING: YES NO X NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: 1 FREIGHT FORWARDING: YES NO
NEW BUSINESS OWNER: YES NO
TYPE OF BUSINESS: -eALU C,,`rj- SQUARE FOOTAGE: E7
(Example: Retail Clothing / Attorney's Office / Office -Warehouse / Restaurant)
NAME OF TENANT [PERSONAS NAME]: fn &� U7 ;�'2H LP
CURRENT MAILING ADDRESS: 2A50 Un l) f) a &Y
CITY/STATE/ZIP: oUJ- n 7,< PHONE NUMBER:
PROPERTY OWNER: -Siena .-, coy -
MAILING ADDRESS:
CITY/STATE/ZIP: �' �yxVA' T� 6 S PHONE NUMBER: Iq --2--2-q
94 oo
♦ 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 Y
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? - - - - - - - -
YES
NO
♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (screening is required)
YES
_ NO
♦ WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USE/DINING?
YES
NO
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?---------------------------
YES
NO Y
♦ IS BUILDING SPRINKLERED?---------------------------------------------------------
YES _X_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
♦ IS THIS A FREIGHT FORWARDING BUSINESS -------------------------------------------
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 PLEAS CALL (817))410-n3165.
SIGNATURE: `c PRINT NAME: 5 i ( FAM L I)
PHONE #: � D 3 ! 2 `0l R q % I EMAIL: _ _
Development Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 (817) 410-3165
Fax (817) 410-3012 * www.grapevinetexas.,.zov
O: FORMSID SAPPLICATIO NS-FEES
3/2001 /Rev: 5/06,2/07,4/09,2/13,11 /15,10/16,8l18,10/20
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.
Texas Sales Tax Number: Eo
i
Signature:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: 2--1211�'-U �7r • i�yak 1 y
CITY, STATE, ZIP: �1,0
�x�x�xx�xFOR OFFICE USE ONLY�x�x�x
TYPE OF CONSTRUCTION: +18 — 5rltl4JR L CXED OCCUPANCY: DIVISION:
ZONING DISTRICT: CC- CONDITIONAL USE:
PERMITTED USE: S OCCUPANT LOAD:
BUILDING DEPARTMENT:
BUILDING INSPECTOR.
ZONING APPROVAL:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
CITY SECRETARY:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
DATE: -;� l
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
0: FOR MS\DSA P PLICATIO NS-FEES
3/2001 /Rev: 5/06,2/07,4/09,2/13,11/15,10/16,8/18,10/20
CERTIFICA'1'E OF OCCUPANCY
ADDRESS OF INSPECTION:
DATE OF INSPECTION:
WORKORDER
PERMIT # 22 - ('� > Q
7)t-
&-m Alw,,.
+jam
TIME OF INSPECTION:
NAME OF BUSINESS: ✓f m 14R. ZNC . C%�f�ti �t?�'ti''}?z.C•
TYPE OF BUSINESS: ,7 ]fir (
USE OF BUILDING AND/OR PREMISES:r
REASON FOR APPLYING:
CONTACT PERSON:'n v
TELEPHONE NUMBER: L� `�I G)' ' - I
COMMENTSNIOLATIONS:
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: �-' C- OCCUPANT LOAD: a
TYPE OF BUILDING: ff.& ->e-x'-d9LZ4F-0
ZONING RESTRICTIONS:
O:FORMS\DSCOINFORMATION\WORKORDER
12/30/04 Rev. I fl12006
GROUP AND DIVISION: Im