HomeMy WebLinkAboutCO2015-1860UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
WAITING FIRE
C/O CHECK LIST
C/O PERMIT # P15 -
ADDRESS:
BUSINESS NAME:
BUSINESS/PROPERTY
CHANGE NAME/OWNER _ NEW CONST/ADDITION PERMIT #
NEW TENANT/OCCUPANT V REMODEL/ALTERATION PERMIT- ?p t
ISSUE DATE
J1.
V 3,
V4.
/V 5.
FINAL DATE
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON APPLICATION / n
BUILDING INSPECTION SCHEDULED: DATE / a j TIME q q( AM
FIRE DEPT. INSPECTION SCHEDULED: DATE J TIME t ✓lLN,
INSPECTOR
HEALTH INSPECTION:
PUBLIC WORKS INSPECTION:
LOT DRAINAGE INSPECTION:
9. CORRECTION LETTER SENT:
10
BUILDING INSPECTORS SIGN OFF
FIRE DEPARTMENTS SIGN OFF
HEALTH DEPARTMENT SIGN OFF
PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
DATE TIME
E-MAIL DATE
E-MAIL DATE
DATE
LETTER: YES / NO
LETTER: YES / NO
BUILDING OFFICIALS SIGNATURE
C/O ISSUED ELECTRIC RELEASE: /I!/
COPY:
MAILED:
* CONDITIONS TO BE TYPED ON C/O: YES / NO
O TORMSIDSCOINFORMATIONICKLIST
1 213 0104 1 Rev 11 V 1
TIFICATE OF OCCUI
DATE OF ISSUANCE: /04)-115-
PERMIT
04)115-
PERMIT #:
6-(S 0C)
15-1Z-�- t
REOUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY:
LOT: _.�_ BLOCK: �_ SUBDIVISION: nalp vl /
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WIT OUT LEGAL DESCRIPTION****
NAME OF BUSINESS:
NEW OCCUPANT: YES O NEW BUILDING/PROPERTY OWNER: YES NO
NEW BUILDING: YES _ NO NAME CHANGE: BUSINESS YES NO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES O
n N,1EW BUSINr�—gS OWNER: YES NO
TYPE OF BUSINESS: RP 4I� G`�% Sl I 1 QUt i6lC5SQUARE FOOTAGE:
(Example: Retail, Office, Warehouse)
NAME OF TENANT: Sy-JC1rDVS11 1 - 7iLack W --!z-
CURRENT
-! -
CURRENT MAILING ADDRESS: �O/ "� rive., 0-
CITY/STATE/ZIP: Q S PHONE NUMBER:
PROPERTY OWNER:
MAILING ADDRESS: 011 ��Ox� to L a / V D //1 p /�
CITY/STATE/ZIP: /�L!/ q iS PHONE NUMBER: 3 ®1- V 6P -(n3 a %
♦ 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 O
♦ 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 _ NO
♦ WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING: --------------------- YES_ 7,NO—
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES NO
♦ IS BUILDING SPRINKLERED?------------------------------------------------------- YESNO
♦ 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 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 PLEASE CALL (817)/410-3165. (SV'Q ! ]
PRINT NAME: gS1B�1�Ir/i!� SIGNATURE: `J0
PHONE #: �O� " L! CO�' �S(�� 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
O:PORMSDSAPPLICATIONS%CNApplleellon
3=20011WvDe&M 5106. WN"
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 Si
Signatm
CITY, STATE, ZIP:
OFFICE USE
TYPE OF CONSTRUCTION: Im S4=—A OCCUPANCY: /V DIVISION:
ZONING DISTRICT:
CONDITIONAL USE:
PERMITTED USE: C�
BUILDING DEPARTMENT: ` _ DATE: W-2AA
1'•/� �� �✓
ZONING APPROVAL:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
O:PORMS OSAPPLICATIONMCIOAPPIl 2tiOB
3MM011Rwisv3O06, 906 ENAIN9
DATE:
DATE:
I 0
DATE:
DATE:
DATE:
DATE:
G
DATE:r29i�
CERTIFICATE OF OCCUPANCY
ADDRESS OF INSPECTION:
DATE OF INSPECTION:
NAME OF
TYPE OF BUSINESS
USE OF BUILDING,
REASON FOR APPL
WORKORDER
PERMIT # 15 - Pj L00
co
a.5 -
Q -C)
TIME OF INSPECTION: 1 /9'L
CONTACT PERSON: b u S ,2,l j
TELEPHONE NUMBER: 4 c7 k' — 4 —
COMMENTSNIOLATIONSz� zt
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: CC -
TYPE OF BUILDING:C _GROUP AND DIVISION:_
ZONING RESTRICTIONS:
O. FORMS DSCOINFORMATON WORKORDER
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