HomeMy WebLinkAboutCO2016-0313UNDER CONSTRUCTION _
CORRECTION LETTER _
PW OR LD NEEDED _
TD NO LETTER _
WAITING FIRE _
HOLD
C/O CHECK LIST
C/O PERMIT # P16 — f 3 1
ADDRESS:
BUSINESS NAME: Dlr-� Dr)�y
%BUSINESS PROPERTY
N CHANGE NAME / OWNER
NEW TENANT/OCC
3
V 4.
5.
NEW CONST /ADDITION PERMIT #
REMODEL /ALTERATION PERMIT #
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED
FIRE DEPT. INSPECTION SCHEDULED
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/NO
0 TORMSDSCOINFORMATIOMCKLIST
ISSUE DATE
FINAL DATE
DATE ./O TIME
DATE 1,2 7 TIME _lz
FIRE INSPECTOR:
NOTIFICATION DATE:
NOTIFICATION DATE
E-MAIL DATE
E-MAIL DATE
DATE
LETTER: YES / 6
LETTER: YES / NO
ELECTRIC RELEASED:
SCANNED:
MAILED:
114, �Ic:
-Q/v 9���%
CATE OF
DATE OF ISSUANCE: MAR 11 2016
PERMIT #: I () 0 �3 ( 3
UE
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED KITH ANA CTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: //<� j "z/ SUITE #
LOT: t BLOCK: Piz— SUBDIVISION: 6U t4%U 1 t«+'(O {n
****CERTIFICATE OF OCCUPANCY WILLNOT BE ISSUED WiTHO T LEGAL DESCRIPTION**** r—
NAME OF BUSINESS: _ FD LA,_ZI �r� t _ `tri N
NEW OCCUPANT: YES _ NO // NEW BUILDING/ ROPERTY O NFA YES NO
NEW BUILDING: YES NO NAME CHANGE: BUSINESS YESNO /✓
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO !i
' NEW BUSINESS OWNER: YES —NO
TYPE OF BUSINESS:— &P (Sr_- SQUARE FOOTAGE:
(Example: Retail, Office, Warehouse)
NAME OF TENANT: '177,e7zel,
CURRENT MAILING//ADDRESS: %/ 2 )'
5,
CITY/STATE/ZIP: (r�/��ac v//P/�
.
iyG o. %
PHONE
PROPERTY OWNER:
MAILING ADDRESS: GI 6,.—' L. L
x -
)3Jc�?-lid 57 ti
CITY/STATE/ZIP: �� /c/F1> Q y�/p� PHONE
♦ 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 AlcoholicBeverage Permit) -YES —NO
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ YES _ NO
4 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 l/
♦ 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 NO
♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(if yes, provide list of types & quantities, along with material safety data sheets) ----------------------YE S
_ 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.
PRINT NAME: 0 (� !' C SIGNATURE:
NAME:
PHONE#: 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: FORMSIOSAPPLICATIONSIC/OApplication
322I2001IRev:5/06,2107,4/09,2/13
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: --11
Sign ure:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS:
CITY, STATE, ZIP:
OFFICE USE
TYPE OF CONSTRUCTION: _ OCCUPANCY:
ZONING DISTRICT:
PERMITTED USE: �)
BUILDING DEPARTMENT:
DIVISION:
CONDITIONAL USE: -
DATE: ZL ,&j Zile
ZONING APPROVAL: �—
DATE:
FIRE DEPARTMENT: 7 0 / �
iiL,Y_4�—DATE: yl4yl_, 1U/6
I
LOT DRAINAGE INSPECTION:
DATE:
PUBLIC WORKS DEPARTMENT:
DATE:
HEALTH DEPARTMENT:
DATE:
CITY SECRETARY:
DATE:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
O: FORMSIDSAPPLICATIONSICIOApplication
3/2212001 IR.v:5106,2107,4109,2113
DATE:
DATE: mpzri—Zpt
CERTIFICATE OF OCCUPANCY
Issue Date: March 11, 2016
PROJECT DESCRIPTION: C/O (Shell Building) "By Invitation Only' [Change Property Owner]
b� PROJECT ff (817) 410-3010
�i����/
CO-16-0313WWWmygov.us
Inspections
Permits
City of Grapevine
P.O. Box 95104 LOCATION
TENANT
LEGAL
Grapevine, TX 76099 1123 S Main St.
By Invitation Only
Grapevine, TX 76051
(817) 410-3165 Voice
By Invitation Only Condo Blk
(817) 410-3012 Fax
A Lot Al
15.50% Common Area
CONTRACTOR
CERTIFICATE OF OCCUPANCY
INFORMATION
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
AVAILABLE INSPECTIONS
'*TENANT PHONE NUMBER
408-313-6602
Final Fire Dept Inspection (required)
'Sales Tax
`Sales
NO
Final Building C/O Inspection (required)
Tax Number
Landscaping (required)
Alcoholic Beverage Sales
C/O APPROVED FOR ISSUANCE
NO
(required)
Alterations
NO
Change of Business Name
NO
Change of Business Owner
NO
County
Tarrant
Fire Sprinkler System?
NO
Freight Forwarding Business
NO
Hazardous Material
NO
Industrial Waste
NO
New Building /Addition
NO
New Building or Progeny 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 -16-03131 Printed 03/11/16 at 1:03 p.m.
Page 1 of 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 -16-03131 Printed 03/11/16 at 1:03 p.m.
Page 2 of 3
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 16 - Q`'))
ADDRESS OF INSPECTION:1121 S• mo-�y-\ 5tce e-+
DATE OF INSPECTION: 31 /_ b /..(wl . TIME OF INSPECTION:.
NAME OF
TYPE OF BUSINESS:
-In \j o c\
USE OF BUILDING AND/OR PREMISES: �iCrl�
REASON FOR APPLYING:
CONTACT PERSON:
TELEPHONE NUMBER: �- b k -- k ?S-- L) L l
o1L 3/1 o t G
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: R
TYPE OF BUILDING: GROUP AND DIVISION:
ZONING RESTRICTIONS:
O-FMly DSC0INMRNl%Tj0N WORAORDHR
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