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Home My WebLink AboutCO2016-0316UNDER CONSTRUCTION _ CORRECTION LETTER _ PW OR LD NEEDED _ TD NO LETTER _ WAITING FIRE _ HOLD _ C/O CHECK LIST C/O PERMIT # P16 - O _� l (v ADDRESS: \ l S, flan s+ce e+ BUSINESS NAME: _ Cly =(�� l +a- C) r-) ck--� Iy % BUSINESS PROPERTY V CHANGE NAME / OWNER NEW TENANT / OCC 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 p BUILDING INSPECTION SCHEDULED DATEShb TIME C• 3M FIRE DEPT INSPECTION SCHEDULED DATE % a TIME / . / S /I r✓� _ FIRE INSPECTOR: CITY SECRETARY (ALCOHOL) NOTIFICATION DATE: HEALTH INSPECTION NOTIFICATION DATE: PUBLIC WORKS INSPECTION E-MAIL DATE LOT DRAINAGE INSPECTION CORRECTION LETTER SENT BUILDING INSPECTORS SIGN OFF FIRE DEPARTMENTS SIGN OFF HEALTH DEPARTMENT SIGN OFF CITY SECRETARY (Alcohol License Sign Off) PUBLIC WORKS SIGN OFF LOT DRAINAGE SIGN OFF LANDSCAPING SIGN OFF BUILDING OFFICIALS SIGNATURE C/O ISSUED E-MAIL DATE DATE LETTER. YES NO LETTER: ELECTRIC RELEASED: SCANNED: CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED: u YES / NO MAR 11 2016 o25znt6 DATE OF ISSUANCE: MAR 11 2016 PERMIT #: IL2 - 0'3 1 to TE OF OCCUPANCY REOUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITHANACTIVE CURRENT BUILDING PERMIT ADDRESS iOF OCCUPANCY: S(� SUITE # LOT: 42� 1 BLOCK: e) SUBDIVISION: C)r\ ****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION*** NAME OF BUSINESS: ./3 f— �o NEW OCCUPANT: YES NO !/ NEW BUILDING/I OPER R. YES _// NO NEW BUILDING: YES NO NAME CHANGE: BUSINESS YES NO NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO NEW BUSINESS OWNER: YES NO t� TYPEOFBUSINESS: SQUAREFOOTAGE: (Example: Retail, Office, Warehouse) T NAME OF TENANT: CURRENT MAILING ADDRESS: CITY/STATE/ZIP: PROPERTY OWNER: MAILING ADDRESS: 3 PHONE NUMBER: CITY/STATE/ZIP: ��ti/ems;-C J �z ,� /� 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 ♦ 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 _ NO —7 ♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?_________________________ YES NO 7- ♦ 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 Y 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 QUESTIONSPLEASECALL (817) 410-3165. PRINT NAME,: /(_ �� 6ti U le -1 X41'5�"e SIGNATURE: C a? 1 �eGfz,, 2 2 PHONE #: C�/cJ {0 7 EMAIL: Development Services Department (OVER) The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165 Fax (817) 410-3012 * www.grapevinetexas.gov O: FORMSIDSAPPLICATIONSIC/OApplicaticn 3/22130D1/Rev:5/06,2/07,3/09,2/13 TEXASSALESTAX 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 5.25%. 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 OCCUPANCY MAILED? ADDRESS: � �7/C� lC_ t_. iy g i , �� CITY, STATE, ZIP: ,�--io�,,, OFFICE USE ONLY* ppts* TYPE OF CONSTRUCTION: OCCUPANCY: I J DIVISION: ZONING DISTRICT: CONDITIONAL USE: PERMITTED USE: `4e1. BUILDING DEPARTMENT: �- / DATE: z;skJ ziolle 3 /a (((� ZONING APPROVAL: FIRE DEP LOT DRAINAGE INSPECTION: PUBLIC WORKS DEPARTMENT: HEALTH DEPARTMENT: CITY SECRETARY: LANDSCAPING APPROVAL: APPROVAL FOR ISSUANCE: O: FORMS\DSAPPLICATIONS\CIOAPPIica[ion 312212001/Rev: 5106,2/01,6/09,2113 DATE: DATE:4L' oA--[) A)14, DATE: DATE: DATE: DATE: DATE: Y—Al—�� DATE: j1&AAdz U1(. City of Grapevine P.O. Box 95104 Grapevine, TX 76099 (817) 410-3165 Voice (817) 410-3012 Fax CERTIFICATE OF OCCUPANCY Issue Date: March 11, 2016 PROJECT DESCRIPTION: C/O (Shell Building) "By Invitation Only" [Change Property Owner) PROJECT# CO -16-0316 LOCATION 1135 S Main St. Grapevine, TX 76051 CONTRACTOR CERTIFICATE OF OCCUPANCY 200 S. Main Street Grapevine, TX 76051 (817)410-3158 Phone OWNER Carolyn & Sam Laub 3460 Ullman Street San Diego, CA 92106 ph. (408) 313-6602 AVAILABLE INSPECTIONS • Final Fire Dept Inspection (required) • Final Building C/O Inspection (required) • Landscaping (required) • C/O APPROVED FOR ISSUANCE (required) (817) 4103010 Inspections TENANT By Invitation Only INFORMATION "CONSTRUCTION TYPE * OCCUPANCY GROUP * ZONING DISTRICT ** NAME OF BUSINESS "* TYPE OF BUSINESS **APPLICANT NAME **APPLICANT PHONE NUMBER '*TENANT NAME "*TENANT PHONE NUMBER Sales Tax *Sales Tax Number Alcoholic Beverage Sales Alterations Change of Business Name Change of Business Owner County Fire Sprinkler System? Freight Forwarding Business Hazardous Material Industrial Waste New Building / Addition New Building or Property Owner New Occupant/Tenant Number of Employees Outside Refuse/Recycling Outside Storage Signs Square Footage Zoning W W W.mygov.us Permits LEGAL By Invitation Only Condo Blk B Lot 61 7.78% Common Area VB 6 PO By Invitation Only ShellBuilding� Carolyn Laub 408-313-6602 Vacant 408-313-6602 NO NO NO NO NO Tarrant NO NO NO NO NO YES NO NO — NO NO 1444 PO - Professional Office MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO -16-0316 1 Printed 03/11/16 at 1:21 p'm' Page 1 0! 3 FEES TOTAL = $ 50.00 Certificate of Occupancy $ 50.00 PAYMENTS TOTAL = $ 50.00 CERTIFICATE OF OCCUPANCY (City of Grapevine Applicant) Cash on 01/25/2016 ($50.00) Note: 50.00 READ AND SIGN 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 scheduled inspection, a $42.00 re -inspection fee will be charged) FOR QUESTIONS PLEASE CALL: (817) 410-3165. Signature Date MYGOv.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO -16-0316 I Printed 03/11/16 at 1:21 p.m. Page 2 of 3 2126-460 117 11 r16 ;�ve v® � A ■o o� v ®mom 'Ac Ol 25 NBOR �apNK 7 .a, a pOON 415 22 PHILLII - - 2 WILLIAM HUDGIN DOOLEY 5 . a ✓At' 63 ,. A 755 rn,o H.CO A 422 eSIVA 11 4 o ff\GE eEa 1 1 .-sem — t W O�5 N {( N p0 S\ON I epi 19 5\G iR F\a5S03g�Np� Cli'll c .w , t NSZR\E , t a \NO pOON � s ppo`vs SNM\ \E5 e, ♦3 5E 6 ' Oplp 5> 258 6 ' BPI, F I SRpe39 \\ �I G iROe�p 6 E�R6 a6 I sic® _,AGE 71 �R_4.ri� CERTIFICATE OF OCCUPANCY ADDRESS OF INSPECTION: I DATE OF INSPECTION: NAME OF TYPE OF BUSINESS: WORKORDER PERMIT # 16 - Qns S, mo� v---\ S p e F /N/ !o `1.�v k--t-c>L+l C)(� TIME OF INSPECTION: 9..30 Q- USE OF BUILDING AND/OR PREMISES: \� ao an -k - REASON FOR APPLYING: CONTACT PERSON: TELEPHONE NUMBER: --fit?,- l�lflu **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: . TYPE OF BUILDING: sz GROUP AND DIVISION: (3 ZONING RESTRICTIONS: 0 FORMS,DSC01NFORMATION WOR MER 12''00<Rn 1.1]21106 a) (D.0 wCw O O 0 c�oE� Cc3 ac_o t(D� Uao �oC c Co Q� N � C O'OC rn m °D 16 Cay U 0 M a tt] CLC CO O 0 _ me — U O'er T C� C oda O N C N._O a) rL Un 0) wU � C O Co o a) �EUU CO - m �a C Q O U U NCC O O N616 U JOOw y m0 a a c 0U dNN CD N y N .T C 0E 9 n U 0 tF 000— 0cu� N N 46 N= n �0-Ema a),L mN UU. c_ LL) rU3a d 0 a) G a m J w m EU)a m c U U) m ot3 E °a) C a) A O0 Urv)U) I T O C � O C C O f0 N _@ 2 c > a) C Lo n A co N m r (7 f�J