HomeMy WebLinkAboutCO2010-1113CIO CHECK LIST
C/O PERMIT # P10- i 113
ADDRESS:
BUSINESS NAME:
vC IANGE NAME/OWNER NEW CONST/ADDITION PERMIT #
EW TENANT/OCCUPANT
REMODEL/ALTERATION PERMIT #
APPLICATION FORM COMPLETED
2. WORKORDER FORM COMPLETED
3. ZONING CHECKED AND COMPLETED QI,APPLICATIJN
�4. BUILDING INSPECTION: DATE -1(� TIME
FIRE DEPT. INSPECTION: DATE ' ir TIME
6. HEALTH INSPECTION: DATE TIME
7. PUBLIC WORKS INSPECTION: DATE
8. LOT DRAINAGE INSPECTION: DATE
API?
9. CORRECTION LETTER SENT: DATE
10. BUILDING INSPECTORS SIGNATURE
11. FIRE DEPARTMENTS SIGNATURE
12. HEALTH DEPARTMENTS SIGNATURE
13. PUBLIC WORKS SIGNATURE
LOT DRAINAGE SIGNATURE
15. LANDSCAPING SIGNATURE
16. BUILDING OFFICIALS SIGNATURE
TIME
TIME
CC
17. CERTIFICATE OF OCC; PANCY ISSUED MAILED:
TAM 7 2010 COPY:JU
O:\FORMS\DSCOINFORMATION\CKL IST
12130/04
APR 0
JUN 07 2010
DATE OF ISSUANCE: LI - 7 Z - (
PERMIT #: ( --I /
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITHANACTIVE CURRENT BUILDINGPERMIT
ADDRESS OF QCCUPANCY: 16q, SCR,1131vER S/ . SUITE #
LOT; BLOCK: 1 SUBDIVISION: - l6�, 6(` iAt -rn Vi
****C TIFICATE OF OCCUPANCY WILL NOT BE ISSUED WIT TOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: CT D Y `S Co Sal U E t j 1 E 1` CF 2 E
NEW OCCUPANT: YES X NO NEW BUILDING/PROPERTY OWNER: YES NO
NEW BUILDING: YES NO 4),K NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: 2,. FREIGHT FORWARDING: YES NO
TYPF OF BUSINESS:
Cc
(Example: Retail, Office, Warehouse)
NAME OF TENANT:] w(
X
SQUARE FOOTAGE:
CURRENT MAILING ADDRESS: - A
CITY/STATE/ZIP: G R) ?EV! N
PROPERTY OWNER:
I 1.
t
760
PHONE NUMBER:
R:IAILING ADDRESS: D 06X X _ 7
CITY/STATE/ZIP: "?7-4-p<- y / art �. 7 l��r _ ?/7.
PHONE NUMB
• 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
• WILL BUSINESS GENERATE ANY ENDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM'? YES NO
• WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes, screening is required)
• WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING.
• WILL ANY ALTERATIONS BE MADE TO TAF, SITE OR BUILDING? YES 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 NO
I HEREBY CERTIFY THAT Til H; 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.i re -inspection fee will be charged)
FOR QUESTIONS PLEASE CALL (817) 410-3165.
PRINT NAME: �c i Q— (V -G4 SIGNATURE:
PHONE #: h g 2- 2! } °-- LI 4) 4 EMAIL:
O: \FORM\C/OApp0cation
3/22/2001/Revised:5/06, 5/06, 2/07,4/09
Development Services Department
The City of Grapevine * F.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165
Fax (817) 410-3012 * www.grapevinetexas.gov
(OVER)
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 itews"
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 thanthe retailer's place of business. State and local sales tax is due and is allocated to the city
where the order was received.
1 have read the above and -I understand that I will be required to provide
Grapevine, Texas if the circumstance applies to my business.
copy of the Sales Tax Permit to the City of
Texas Sales Tax Number:J ` L
Signature: f, f
* *** ** * * ***** *FOR OFFICE USEONLY****************************
TYPE OF CONSTRUCTION; OCCUPANCY: DIVISION:
ZONING DISTRICT: CONDITIONAL USE:
PERMITTED USE:
BUILDING DEPARTMENT
r t '`=: w► . wr DATE:
ZONING APPROVAL: DATE:
FIRE DEPARTMENT:DATE: 1p",.-`�+
LOT DRAINAGE INSPECTION: DATE:
PUB DATE:
HEALTH DEPARTMENT: DATE:
LANDSCAPING APPROVAL: DATE:
DATE: 'ZOIC
LIC. WORKS DEPARTMENT:
APPROVAL FOR ISSUANCE:
O:WORM\C/OApplcadon
3122/2001/Revi,ed:5/06, 5/06,
7,4/09
5
April 29, 2010
Jackie Davis
P.O. Box 311
Grapevine, TX 76099-311
Re: Certificate of Occupancy Request P10-1113
Dear Ms. Davis:
On April 27th, this office reviewed a Certificate of Occupancy request for property
located at 169 S. Scribner Street, and found a violation. The following violation must be
corrected and the property re -inspected before this department will issue the Certificate
of Occupancy.
1. Remove all plumbing that was installed without a permit, or obtain permits and
install to meet code.
For questions regarding this request, please call this office at (817) 410-3165 and ask
for a Plans Examiner or Inspector. To request a re -inspection, please ask for a Building
Permit Clerk.
a k you,
t Williams
ing Official
DEVELOPMENT SERVICES
BUILDING INSPECTION DIVISION
The City of Grapevine P.O. Box 95104 Grapevine, Texas 76099
(817) 410-3165 Fax (817) 410-3012
ww=w.grapevinetexas.gov
0
1 inch = 40 feet
Case Number
Name of Property
Page of
Grapevine Fire Department
Prevention and Inspection Report
601 Boyd Drive • Grapevine, Texas 76051
(817) 410-8100 • FAX (817) 410-8106
1. Business Name
2. Business Address
3. Contact Person
%..t
4. Title
5: Phone
6. Business Phone Number
7. Business FAX Number
8. After Hours Name & Phone Numbers
9. Building Owner/Property Manager Name
10. Building Owner/Property Manager Phone #
11. Building Owner/Property Manager Address
12. Building Owner/Property Manager City, State, Zip
13. Bldg. Class
14. NFPA 901
15. Complex
16. Fire Suppression Type
17. Smoke Detector Type
17a. Powered by:
18. Roof Covering Type
s;
19. Status
20. tnsp. ID
f_
21. District
t`
22. Insp. Type
23. Response
24. Insp. Freq.
25. Date Sch.
26. Date Comp.
27. Const. Type
28. Start Time
29. Violation Code
In Accordance with the Grapevine Fire Code and/or City Ordinances, the following corrections need to be made:
30. Violation Location and Description
31. Date Found
32. Date Corrected
33. A return inspection will be made in to verify corrections.
34.lnspector
White Copy - Office
35.1D
36. Delivered to:
Yellow Copy - File
37. Title
Pink Copy - Occupant
38. Date
CRRTIFICATR OF OCCUPANCY
WORKORDER
ADDRESS OF INSPECTION:
DATE OF INSPECTION:
NAME OF BUSINESS:
TYPE OF BUSINESS:
PERMIT # 10- 11 f�
E OJ INSPECTION:_
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING:
CONTACT PERSON:
TELEPHONE NUMBER:
COMMENTS/VIOLATIONS:
-17" . 1- (26 f l 0 �S
Remo , c , tL. PL um 3.ZN C 1144 r Wim Jv5774LL 2 w' ri
. ALL WAS ?AN ON oe 6F G'r24('cr
1,4*./ Oee.t.a ep24i..WS .
F;tiaA6/340 ct1f Q a illkeid 6D5u4e
A 1+-1/0
Adf,
3 6
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING:) GROUP AND DIVISION:
ZONING RESTRICTIONS:
t4
1-4
O: FORMS DSCOINFORMATION WORKORDER
12.30 04 Rev. 1:17 2010
City of Grapevine
Certificate of Occupancy
Issued to:
Judy's Convenience Store
169 S. Scribner Street
Grapevine, Texas 76051
For Use As: Convenience Store
Building Owner: Jackie Davis, P.O. Box 311, Grapevine TX 76099-311
Construction Type: VB, Occupancy: M, Zoning District: HC, Cert. of Occupancy No.: P10-1113
This Certificate of Occupancy is hereby issued pursuant to Section 109 of the 2006 International Building Code and
Chapter 64 of the City of Grapevine Comprehensive Zoning Ordinance. At the time of inspection, this building or space
was found to be in compliance with the applicable Building and Zoning Ordinances of the City of Grapevine. Any
chany n se, tenant, and/or owner of this building/space shall first require a new Certificate of Occupancy.
07 34
, Building Official Date
41.
Nome 17)