HomeMy WebLinkAboutCO2016-0901UNDER CONSTRUCTION _
CORRECTION LETTER _
PW OR LD NEEDED _
TD NO LETTER _
WAITING FIRE _
HOLD
C/O CHECK LIST
C/O PERMIT # P16 - Del b 1
ADDRESS:
BUSINESS NAME:
BUSINESS/PROPERTY
CHANGE NAME / OWNER_ NEW CONST /ADDITION PERMIT #
_NEW TENANT/ OCCUPANT _ REMODEL /ALTERATION PERMIT #
ISSUE DATE
1. APPLICATION FORM COMPLETED FINAL DATE
---,�tI2. ZONING MAP COPIED & WORKORDER FORM COMPLETED
3. ZONING CHECKED & COMPLETED ON APPLICATION
�4. BUILDING INSPECTION SCHEDULED DATE (E TIME
5. FIRE DEPT. INSPECTION SCHEDULED DATE 3A0 TIME
FIRE INSPECTOR:�(�
10.
y 111.
12
z 14.
-e�i5.
6.
17.
V' 18.
✓ 19.
CITY SECRETARY (ALCOHOL)
HEALTH INSPECTION
PUBLIC WORKS INSPECTION
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
* CONDITIONS TO BE TYPED ON C/O? YES / N
O 1FORM5IDSCOINFORMATION\CK JST
1930/041 Re¢11tl 1,11115
NOTIFICATION DATE
NOTIFICATION DATE -
E -MAIL DATE
E-MAIL DATE
DATE
LETTER:
LETTER:
ELECTRIC RELEASED:
SCANNED -
MAILED,
MAILED:
YES / NO
YES / NO
Wh 01 201
MAR 11 2016
DATE OF ISSUANCE:
PERMIT #: (� 010
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 520 S. M At N 5TA4-E,-T SUITE # a 0 8
LOT:
i,P�, BLOCK: 4 SUBDIVISION: CITY OF CAP PbV IN
""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION""
NAME OF BUSINESS: aLv E MaDN
NO-&& ST -o
NEW OCCUPANT: YES _ NO
NEW BUILDING/PROPERTY OWNER:
YES
NO \/
NEW BUILDING: YES NO ✓
NEW BUSINESS NAME CHANGE:
YES
NO
NUMBER OF EMPLOYEES: _
FREIGHT FORWARDING:
YES
NO Le
5&E-Wkw4t b
> NEW BUSINESS OWNER:
YES
NO Le
TYPE OF BUSINESS: R 6 T It2 L L7
O'/o tk QT IWS-raOtInOA&L SQUARE FOOTAGE:
940c)
(Example: Retail Clothing / Attorney's Office / Office -Warehouse / Restaurant)
NAME OF TENANT (Physical Name):
'Kik(I.EN 9,65T6R ':p 9-KMLE-m
0A*TTWT4)A
CURRENT MAILING ADDRESS: + () 6
E • Tz::KAES STPA:161T
►D
CITY/STATE/ZIP: LNQkPeJ 1 N E / a X '76c) 1 PHONE NUMBER: a,(-+ -&R3-4dc1.4.
PROPERTY OWNER: Lj l A ,T W %L Lt,.G,
MAILING ADDRESS: S 20 `S `• H k e N •S' l R.fLT S J 1 va
CITY/STATE/ZIP: GVWSO 1 NE , T -A -7 60S 1 PHONE NUMBER: V k % S2-8 -3.99&
♦ 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 Ae
♦. PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? ------------------- YES ✓ NO
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ----- YES NO �G
♦ 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
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES NO
♦ IS BUILDING SPRINKLERED?------------------------------------------------------- YES LC 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 SC
I HEREBY CERTIFY THA E REGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THE SAID
OCCUPANCY IS IN CON ORM H THE INFORMATION HEREIN SET FORTH.
(If ace i not p A at the time of the scheduled inspection, a $42.00 re -inspection fee will be charged)
FOR QUESTION ALL (S ) 4 316.
SI ATURE: I PRINT NAME:
PHONE #: 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: FORMSIDSAPPLICATIONSICI
3/22/2001/Rev: 5106,210],4/09,2113,11/15
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. n
Texas Sales Tax
Signature:
54-3 S 4-4 %%
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS
CITY, STA
*xxxrxxxx��*�r*max*xx* *r*xtFOR OFFICE USE ONLY*********************x**r
TYPE OF CONSTRUCTION: �@OCCUPANCY: DIVISION:
ZONING DISTRICT: u3ii CONDITIONAL USE:
PERMITTED USE:
BUILDING DEPARTMENT:
ZONING APPROVAL: f I I �`"" -p
FIRE DEPARTMENT: «a�1� 9 ti (i1Vy kI ll C,( GO
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
CITY SECRETARY:
DATE: CR104- E3&Ce 3%0 /110
J�yX
DATE: Wto Ilt
DATE:
DATE:
DATE:
DATE:
LANDSCAPING APPROVAL: DATE:
APPROVAL FOR ISSUANCE: DATE:; I I ICa
O: FORMS\OSAPPLICATIONM/
3/22/2001/Rev: 5106,2/07,4/09,2113,11/15
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 (Retail & Art Instruction) "Blue Moon Gypsy LLC, dba: Gypsy Muse Studio"
PROJECT#
CO -16-0901
LOCATION
One Star Retail & Office
Suites
520 S Main St.
Suite # 208
Grapevine, TX 76051
CONTRACTOR
CERTIFICATE OF OCCUPANCY
200 S. Main Street
Grapevine, TX 76051
(817)410-3158 Phone
OWNER
Biatwic Llc
1230 Lakeway Dr
Southlake, TX 76092-7123
ph. (817) 528-3888
AVAILABLE INSPECTIONS
• Final Fire Dept Inspection (required)
• Final Building C/O Inspection (required)
• Landscaping (required)
• C/O APPROVED FOR ISSUANCE
(required)
(817) 410-3010
Inspections
TENANT
Blue Moon Gypsy LLC dba
Gypsy Muse Studio
INFORMATION
* CONSTRUCTION TYPE
OCCUPANCY GROUP
* OCCUPANCY LOAD
*ZONING DISTRICT
** NAME OF BUSINESS
** TYPE OF BUSINESSIC
**APPLANT 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
WW W.mygov.us
Permits
LEGAL
City Of Grapevine Bilk 4 Lot
2r
Per Plat D214062867
VB Sprinklered
M
CBD
Stud Moon Gypsy LLC dba Gypsy
Muse Studio
Retail Art & Instruction
Sharen Chatterton
817-781-3124
Sharon Chatterton
214-893-4224
YES
32054354488
NO
NO
NO
NO
Tarrant
YES
NO
NO
NO
NO
NO
YES
2
NO
NO
YES
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO -16-0901 I Printed 03/11/16 at 1:02 p.m.
Page 1 of 3
Square Footage 960
Zoning CBD
-Central Business District
FEES
TOTAL = $ 50.00
Certificate of Occupancy
$ 50.00
PAYMENTS
TOTAL = $ 50.00
CERTIFICATE OF OCCUPANCY (City Of
Grapevine Applicant)
Check on 03/07/2016
($50.00)
Note: CK1205
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 -16-0901 I Pnnted 03/11/16 at 1:02 p.m. Pae 2 of 3
9
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Blue Moon Gypsy LLC — DBA Gypsy Muse Studio
Type of Business Attachment to C.O. Application
• Been operating at 106 E. Texas Street, Grapevine TX 76051 for
over 3 % years
• Owned by two sisters
• Primarily retail of handicrafts, handmade items and gift items
(over 70% of business)
• Also operates as an art and instructional studio (small classes 4-6
people, 2-3 times a week)
• No change in type of business, mix or activity when it moves from
106 E. Texas Street to 520 S. Main Street Suite 208
• Any questions contact Karen at 214-893-4224 or Sharen at 817
7813124
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 16 - n ( b t
ADDRESS OF INSPECTION:
S a -D S,
jmo-� 1
S
tom- aC1 R
DATE OF INSPECTION:
3/ 1 o
TIME OF INSPECTION: D
NAME OF BUSINESS:
TYPE OF
USE OF BUILDING AND/OR PREMISES: R P tQ, � Q nrA
REASON FOR APPLYING: B -� p
CONTACT PERSON: `, SC C t' (1 Cko-t`e1-�/�r y Y� l`-'(��1D.
TELEPHONE NUMBER:
COMMENTS/VIOLATIONS:
3%0 rs
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: G % o
TYPE OF BUILDING:GROUP AND DIVISION:
ZONING RESTRICTIONS:
vJ G12 -
O. FORMIC DSCOINFORMATION WORA"ORDLR
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