HomeMy WebLinkAboutCO2016-0315UNDER CONSTRUCTION _
CORRECTION LETTER _
PW OR LD NEEDED _
TD NO LETTER _
WAITING FIRE _
HOLD _
C/O CHECK LIST
C/O PERMIT # P16 k 5 -
ADDRESS:
BUSINESS NAME:
BUSINESS I PROPERTY
CHANGE NAME / OWNER
NEW TENANT / O'C'CUPM
-NEW CONST /ADDITION PERMIT #
REMODEL /ALTERATION PERMIT #
ISSUE DATE
APPLICATION FORM COMPLETED FINAL DATE
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED DATE Jd TIME9.30
FIRE DEPT. INSPECTION SCHEDULED DATE TIME
FIRE INSPECTOR: �.
CITY SECRETARY (ALCOHOL)
HEALTH INSPECTION
'efo�8.
PUBLIC WORKS INSPECTION
�9.
LOT DRAINAGE INSPECTION
�10.
CORRECTION LETTER SENT
11.
BUILDING INSPECTORS SIGN OFF
/
V 12.
FIRE DEPARTMENTS SIGN OFF
3.
HEALTH DEPARTMENT SIGN OFF
/ 14.
CITY SECRETARY (Alcohol License Sign Off)
�15.
PUBLIC WORKS SIGN OFF
�/16.
LOT DRAINAGE SIGN OFF
V 17.
LANDSCAPING SIGN OFF
NOTIFICATION DATE
NOTIFICATION DATE:
E-MAIL DATE
E-MAIL DATE
DATE
LETTER: YES /N�
LETTER: YES / NO
/18. BUILDING OFFICIALS SIGNATURE
/ 19. C/O ISSUED ELECTRIC RELEASED:
SCANNED:
CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED:
MAR 112016
,)AN 2 5 2016
TIFICATE OF
DATE OF ISSUANCE: _Vtrtf
i
PERMIT #: I (D-" 3 l J
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITHANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY:/ S, 121717, X> :51- SUITE#
LOT: 193 BLOCK: A SUBDIVISION: N :5qV (+cz 0 n Dh 14 C011
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: o,c/ C/ v
NEW OCCUPANT: _YES _ O NEW BUILDING OWICER: YES NO
NEW BUILDING: YES NO NAME CHANGE: BUSINESS YES NO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO 4�
EW BUSINESS OWNER: YES NO.
TYPE OF BUSINESS: — SQUARE FOOTAGE: A�Ja!
(Example: Retail, office, Warehouse) Q
NAME OF TENANT:_
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: (9 r71xJ,j/(J�,�
/�j�`j
>r—�
PHONE NUMBER: 0+ —313 ._66 552
PROPERTY OWNER:
MAILING ADDRESS: &�Ga z2 GL L L
CITY/STATE/ZIP
♦ IS YOUR BUSINESS SUBJECT TO SA ES TAX LAW? (if yes, provide copy of Sales Tax CertiScate) - - - - YES _ NO _v
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) -YES _ NO
♦ PERMITS ARE _ _ _ 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 ...
YES _ NO
♦ WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ YES _ NO C/
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ YES NO ____------------
YES NO
♦ IS BUILDING SPRINKLERED?_______________________________________
♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? '—
(if yes, provide list of types & quantities, along with material safety data sheets) _ _ _ _ _ _ _ _ _ _ _ _ _ _ - YES _ NO 1�
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.
PRINT NAME: */—"? G.45;7 Lt"'Q SIGNATURR�E:
PHONE #:a�) �/3 �o D ZJ 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/OAppllcation
3/2213001IRev:5/06,2M7,4/08,2/13
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 OCCUPANCY MAILED?
ADDRES
CITY, STATE, ZIP:
Iz-
c-�
OFFICE USE
TYPE OF CONSTRUCTION: �V-6 OCCUPANCY: _ 6 DIVISION:
ZONING DISTRICT: 10(s CONDITIONAL USE: -
PERMITTED USE: 1 -- 11
BUILDING DEPARTMENT: i DATE: S/t4a•16 3)10 h
ZONING APPROVAL:
FIRE
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
CITY SECRETARY:
LANDSCAPING APPROVAL: ev.
APPROVAL FOR ISSUANCE:
O: FORMS%DSAPPLICATIONSICIOApplication
32212001IRev:5106,210V,4109,2113
DATE
DATE:
0/ �
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
GRA Y M
GRA ME
CERTIFICATE OF OCCUPANCY
Issue Date: March 11, 2016
`T A [ A S �
PROJECT DESCRIPTION: C/O (Shell Building) "BY Invitation
Only" [Change Property Owner]
PROJECT# (817)410-3010
CO-16-0315WWW.Mygov.Us
Inspections
Permits
City of Grapevine
P.O. Box 95104
LOCATION TENANT
Grapevine, TX 76099
1131 S Main St. By Invitation Only
LEGAL
(817) 410-3165 Voice
Grapevine, TX 76051
By Invitation Only Condo Elk
(817) 410-3012 Fax
A Lot A3
15.50% Common Area
CONTRACTOR
INFORMATION
CERTIFICATE OF OCCUPANCY
200 S. Main Street
CONSTRUCTION TYPE
VB
Grapevine, TX 76051
'OCCUPANCY GROUP
B
(817) 410-3158 Phone
*ZONING DISTRICT
PO
OWNER
" NAME OF BUSINESS
By Invitation Only
Carolyn & Sam Laub
TYPE OF BUSINESS
Shell Building
3460 Ullman Street
"APPLICANT NAME
Carolyn Laub
San Diego, CA 92106
'APPLICANT PHONE NUMBER
408-313-6602
ph. (408) 313-6602
"TENANT NAME
Vacant
TENANT PHONE NUMBER
AVAILABLE INSPECTIONS
408-313-6602
� Final Fire Dept Inspection (required) 'Sales Tax
NO
� Final Building C/O Inspection
(required) Sales Tax Number
� Landscaping (required)
Alcoholic Beverage Sales
k C/O APPROVED FOR ISSUANCE
NO
NO
(required)
NO
Change of Business Name
Change of Business Owner
NO
NO
County
Tarrant
Fire Sprinkler System?
NO
Freight Forwarding Business
NO
Hazardous Material
Industrial Waste
NO
NO
New Building /Addition
NO
New Building or Property Owner
YES
New Occupant/ Tenant
NO
Number of Employees
Outside Refuse/Recycling
NO
Outside Storage
NO
Signs
NO
Square Footage
2878
Zoning
PO - Professional Office
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO -16-03151 Printed 03/11/16 at 1:00 p.m.
Page 1 of 3
FEES
TOTAL = $ 50.00
Certificate of Occupancy
$ 50.00
PAYMENTS
TOTAL = $ 50.00
CERT/FICATE 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 -16-0315 I Printed 03/11/16 at 1:00 p.m. Pae 2 of 3
9
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 16 - G -*) I
ADDRESS OF INSPECTIONA S, MO-. fl E
DATE OF INSPECTION: TIME OF INSPECTION: f3U A
NAME OF BUSINESS: +-tz)-+I G(\
TYPE OF
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPL
CONTACT PERSON:
TELEPHONE NUMBER: I\-- h k - --,� i - �o co G
ole' 3A lit. S
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING: GROUP AND DIVISION: �✓
ZONING RESTRICTIONS:
0 FORMS DS( OMFOFM TION WORI(ORDER
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