HomeMy WebLinkAboutCO2013-2392UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
C/O CHECK LIST
C/O PERMIT # P13 -`�1
ADDRESS: Lc
Lo,p (p (� � 1�� � i� � . SC \
BUSINESS NAME: _ aIre-ko -'S
BUSINESS /PROPERTY
CHANGE NAME /OWNER NEW CONST /ADDITION PERMIT #
NEW TENANT /OCCUPANT REMODEL /ALTERATION PERMIT #
V/
2.
-401L /4.
5.
6,
7.
�8.
9.
�1.
2.
13.
�14.
15.
f 16.
17.
ISSUE DATE
FINAL DATE
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON APPLICATION I
BUILDING INSPECTION SCHEDULED: DATE l TIME
FIRE DEPT. INSPECTION SCHEDULED: DATE, TIME �,0. a p(V-\
INSPECTOR_ C (C,L r
HEALTH INSPECTION: DATE TIME
PUBLIC WORKS INSPECTION: E -MAIL DATE
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
E -MAIL DATE
DATE
LETTER: YES / NO
LETTER: YES / NO
C/O ISSUED ELECTRIC RELEASE: NIA
A
COPY: -I - t 13
MAILED: 7-- I g _ 11,
* CONDITIONS TO BE TYPED ON C /O: YES / NO
01FORMSWSCOINFORMATIONICKL IST
12/30/041 R -11Y11
DATE OF ISSUANCE:
PERMIT #:
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH ANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 3000 "ILL9 k )� SUITE # ,5 C)%
LOT:
BLOCK: l SUBDIVISION: C cep �? �f :n C �� S A <C! &Z 4j c7r\,
" "CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION ""
NAME OF BUSINESS: _ (cl) UN 1_\1`(1 \ TeD
NEW OCCUPANT: ES �) NEW BUILDING /PROPERTY OWNER: YES
NEW BUILDING: ES NO NAME CHANGE: BUSINESS YES _
NUMBER OF EMPLOYEES: Z FREIGHT FORWARDING: YES _
n NEW BUSINESS OWNER: YES _
TYPE OF BUSINESS: !R C-7T' 'A) L M US / L S-Fo o2 r- SQUARE FOOTAGE:
E I R t •1 Off W h
(5.2— a
( xamp e. a al , Ice, are Ouse,
NAME OF TENANT: J PrF Fl r- A 4s
CURRENT MAILING ADDRESS: `�� �� gAC' 1NA-w (-I N 1✓
CITY /STATE /ZIP: f� RIC' b LLTc� r� X �� ID PHONE NUMBER: 8� 1 _ oriOf d
PROPERTY OWNER: "ILLS
MAILING ADDRESS: 2 0 x) 4C.-
CITY /STATE /ZIP: (``�� y I Nt 1 l� 'i C �S� PHONE NUMBER "\ I b
♦ 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) - S NO
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? -------------------- YES O
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ----- YES N
♦ WILL OUTSIDE REFUSE /RECYCLING /COMPACTING CONTAINERS BE NECESSARY?
(if yes, screening is required) ---------------------------------------------------- - - - - -- - YES
♦ WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING----------------------- YES N
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? - - - - - - - - - - - - - - - - - - - - - - - - - S 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 N
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 FORT
(If access to the building /space is not provided at the time of the scheduled inspection, a $42.0 r inspection fee will be charged)
FOR QUESTIONS PLEASE CALL (817) 410 -3165. \
PRINT NAME: SIGNATURE:
PHONE #: ��� �- aa\ - 29dc -f EMAIL:
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�DSAPPLI CATIONS \C /OApplicatlon
3 /22/2001 /R- i,M:5 /06, -S/06,2/07,4/09
(OVER)
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 13- c3 �--
ADDRESS OF INSPECTION: � 000 G LO �?y 1 c\�
DATE OF INSPECTION: - TIME OF INSPECTION:
NAME OF BUSINESS:
TYPE OF BUSINESS: m U s i c- (L0 'S
USE OF BUILDING AND /OR PREEMISES:
REASON FOR APPLYING:
CONTACT PERSON:
TELEPHONE NUMBER: o
COMMENTSNIOLATIONS:
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION:_ ,
s
TYPE OF BUILDING: 5,m� GROUP AND DIVISION; VA
ZONING RESTRICTIONS:
r__"r
0:�FORMS`DSCOINFORMA710N WORKORDER
12 130414 Rev. 1!17'2006
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