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HomeMy WebLinkAboutCO2013-2459UNDER CONSTRUCTION CORRECTION LETTER PW OR LD NEEDED TD NO LETTER C/O CHECK LIST C/O PERMIT # P13- -? 4,S-G/ ADDRESS: <g n--Q0 BUSINESS NAME: BUSINESS / PROPERTY CHANGE NAME /OWNER NEW CONST /ADDITION PERMIT # NEW TENANT /OCCUPANT REMODEL /ALTERATION PERMIT # ISSUE DATE lz /. 1. FINAL DATE APPLICATION FORM COMPLETED 2. ZONING MAP COPIED & WORKORDER FORM COMPLETED 3. ZONING CHECKED & COMPLETED ON APPLICATION /4. /� BUILDING INSPECTION SCHEDULED: DATE L � TIME 3C-A �A- 5. FIRE DEPT. INSPECTION SCHEDULED: DATE TIME INSPECTOR ,--'6. HEALTH INSPECTION: DATE TIME 7. PUBLIC WORKS INSPECTION: E -MAIL DATE -- --° 8. LOT DRAINAGE INSPECTION: E -MAIL DATE 9. CORRECTION LETTER SENT: DATE 10. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO --- 11. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO 12. HEALTH DEPARTMENT SIGN OFF 13. PUBLIC WORKS SIGN OFF 14. LOT DRAINAGE SIGN OFF /15. LANDSCAPING SIGN OFF 16. BUILDING OFFICIALS SIGNATURE /v 14- 17. C/O ISSUED ELECTRIC RELEASE: COPY: Jut MAILED: CONDITIONS TO BE TYPED ON C /O: YES / NO O:TORMS\DSCOINFORMATIOMCKL IST 12/30/04 l Rev.11 \11 U' JCS y i c a DATE OF ISSUANCE: PERMIT #: 1 3 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: &�)o SUITE # r LOT: BLOCK: SUBDIVISION: " "CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION "" NAME OF BUSINESS: PO P NEW OCCUPANT: YES NO NEW BUILDING/PROPERTY OWNER: YES NO ✓ NEW BUILDING: YES NO ✓ NAME CHANGE: BUSINESS YES NO ✓ NUMBER OF EMPLOYEES: S FREIGHT FORWARDING: YES NO NEW BUSINESS OWNER: YES NO TYPE OF BUSINESS: &4-r- ;I " °l SQUARE FOOTAGE: 7 (Example: Retail, Office, Warehouse) LNAME OF TENANT: G CURRENT MAILING ADDRESS: -4165 S, T1456dm 4V& • v CITY /STATE /ZIP: D �00 D PHONE NUMBER: " �• PROPERTY OWNER: S"'Wovl MAILING ADDRESS: ?JC�D G l ✓% ^� / v"lls CITY /STATE /ZIP: �� �� (� r� %� , Texas 7K©✓�1 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 7— ♦ 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 v ♦ WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING: - - - - - - - - - - - - - - - - - - - - - YES NO '! ♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING ?------------------- - - - - -- YES_ NO d ♦ IS BUILDING SPRINKLERED?------------------------------------------------- - - - - -- YES. 7NO ♦ 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 KNO EDGE 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 $4 . re- inspection fee be charged) FOR QUESTIONS PLEASAE, CAL (81p7) 410 -3165. PRINT NAME: �Q r"� nG�' UL'D SIGNATURE: PHONE #: y C� ` ' `� 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 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 825%x. 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 Signature: WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANY MAILED? ADDRESS: �F 5 )'C /45h /1 / CITY, STATE, ZIP: rtA/CSS, r,,Y 7�D3 I * xFOR OFFICE USE ONLY xx TYPE OF CONSTRUCTION: -" aAw- OCCUPANCY: En DIVISION: ZONING DISTRICT: cc, CONDITIONAL USE: PERMITTED V0I 2Q BUILDING DEPARTMENT: ZONING �I APPROVAL: FIRE DEPARTMENT: LOT DRAINAGE INSPECTION: PUBLIC WORKS DEPARTMENT: HEALTH DEPARTMENT: LANDSCAPING APPROVAL: DATE: tt .it>f.y ZZ03 T DATE: DATE: DATE: DATE: DATE: DATE: 7 W v % 3 V I `, APPROVAL FOR ISSUANCE: DATE: A `Q V.-V 2Aa CERTIFICATE OF OCCUPANCY WORKORDER PERMIT # 13- o74�S i ADDRESS OF INSPECTION: Gj7 &� DATE OF INSPECTION: � hs mbn NAME OF BUSINESS: TYPE OF BUSINESS: G -67 TIME OF INSPECTION: , Sc-),Am, USE OF BUILDING AND /OR PREMISES: REASON FOR APPLYING: CONTACT PERSON: TELEPHONE NUMBER: S/ ?-,,-9 7 / - 619t'96 y COMMENTS/VIOLATIONS: * *TO BE FILLED OUT BY BUILDING OFFICIAL ** ZONING DISTRICT OF INSPECTION LOCATION: e (- TYPE OF BUILDING: GROUP AND DIVISION: j•� ZONING RESTRICTIONS: 0 TORMS DSCOINFORMA770N WORKORDER 1230414 R- 1 1712006 �+ Y d > 0 G LO 0 L I c d aU N Q � (D L N d Q = I Q O i M U y � N U C C N d co O C Q '0 � Q fi U E to `o c { c U N �-0 7 fl- I U 0 rn .+ c co C U Q f6 co t1 m U � c ♦ ♦ U (6 N C U m a C co v U U O U N C C O U Z co �- o Q0 U t :� /� li U D 0)_ C W 3 � � Um c LO N '� C OED M i „0 O R U- T U i O C� 0 o $ i O W O N0 w N j lD H > -co i� wO U ° L ry m V U N C U 0) O N C a - IUL N 0 O 0) q NH Ce O W N� _ C F C CO 3 0 . 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