HomeMy WebLinkAboutCO2013-2490UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
CIO CHECK LIST
C/O PERMIT # P13- A'V 10
ADDRESS: + 0 S, rf-�o� � c�
BUSINESS NAME:
BUSINESS /PROPERTY
CHANGE NAME /OWNER
NEW TENANT /OCCUPANT
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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 -7// TIME � bo
FIRE DEPT. INSPECTION SCHEDULED: DATE TIME
INSPECTOR
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: %
COPY:
MAILED:
* CONDITIONS TO BE TYPED ON C /O: YES / NO
O:IFORMSM SCOIN FORMATIOMCKLIST
12/30/041 Rev.11111
DATE OF ISSUANCE:
PERMIT #:
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITHANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: SUITE #
LOT: _ BLOCK: SUBDIVISION: U V f (Ap e V n'(-)
" "CERTIFICATE OF OCC P NCY WILL NOT BE I SUED WITHOUT LEGAL DESCRIPTION""
NAME OF BUSINESS: )
NEW OCCUPANT: YES O NEW BUILDING /PROPERTY OWNER: YES
NEW BUILDING: YES lYe NAME CHANGE: BUSINESS YES
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES
NEW BUSINESS OWNER: YES
TYPE OF BUSINESS: SQUARE FOOTAGE:
(Example: Retail, Office, Warehouse)
NAME OF TENANT: 0-4'�)
CURRENT MAILING ADDRESS:
CITY /STATE /ZIP:
PROPERTY OWNER:
MAILING ADDRESS:
RHONE NUMBER:
CITY /STATE /ZIP: � yi r U ra, t l` PHONE NUMBER:
♦ IS YOUR BUSINESS SUBJECT TO SALES AX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES
♦ 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
♦ 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 N
♦ WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING: - - - - - - - - - - - - - - - - - - - - - YES
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? - - - - - - - - - - - - - - - - - - - - - - - - - YES
♦ IS BUILDINGSPRINKLERED? -------------------------------------------------- - - - - - (US NO
♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(if yes, provide list of types & quantities, along with material safety data sheets) - - - - - - - - - - - - - - - - - - - - - - YES pV0 )
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 i ec n, a $42.00 re- inspection fee will be charged)
FOR QUESTIONS PLEASE CALL (81l/7)1�410 -3316655. J
PRINT NAME: . [' C--O "' D` ► .Y- y�-� SIGNATURE: (/
PHONE #: - 2 „ 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 \DSAPPLIC AT] ONS \C /OApplicwtion
3122/ 2001 /Revised:5;06, 5 /06,2/07,4/09
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:
Signature:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANY MAILED?
ADDRESS:
CITY, STATE, ZIP:
FOR OFFICE USE ONLY
TYPE OF CONSTRUCTION: _V-16 iQXO. K— OCCUPANCY: ht DIVISION:
ZONING DISTRICT: CAS O CONDITIONAL USE:
PERMITTED USE
tib usa,
BUILDING DEPARTMENT: / DATE: It. AWE{ -& 1,3 47
v
ZONING APPROVAL:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
LANDSCAPING APPROVAL: AA M G"
APPROVAL FOR ISSUANCE: A --- —
4�A
O:FORMS\DSAPPLI CATI ONS \C /OAppli,,tion
3/22 /2001 /Revised:5 /06, 5/06, 2/07,4/09
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
DATE: f % 4yei/ I,I to
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 13 -� U
ADDRESS OF INSPECTION:C�
DATE OF INSPECTION: 211(o ! /
NAME OF BUSINESS: �-tA p- Q� 1
TYPE OF BUSINESS: L \qo- 1
TIME OF INSPECTION: /. 00
USE OF BUILDING AND /OR PREMISES:. V QaaV`)+
REASON FOR APPLYING: eA C'Q S e C-? c- C�
CONTACT PERSON:
TELEPHONE NUMBER: a. q--
COMMENTS/VIOLATIONS
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION: cajo
TYPE OF BUILDING: V . :5 D ROUP AND DIVISION: r-S
ZONING RESTRICTIONS:
C�C4!►S�Cr -�
O: �FORMS',DSCOINFORMATION WORKORDER
12,304M Rev. 1!1720N