HomeMy WebLinkAboutCO2016-0318UNDER CONSTRUCTION _
CORRECTION LETTER _
PW OR LD NEEDED _
TD NO LETTER _
WAITING FIRE _
HOLD
C/O CHECK LIST
C/O PERMIT # P1fs - 31
ADDRESS: 1 S,l1( \ S+C'& C'_-y—
BUSINESS NAME: C Wq
/ BUSINESS/PROPERTY
V CHANGE NAME /OWNER
NEW TENANT / OCCUPM
10.
—711.
_ 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 DAT01 /0 TIME 7
FIRE DEPT INSPECTION SCHEDULED DATE / a % TIME / %O
FIRE INSPECTOR 1
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
* CONDITIONS TO BE TYPED ON C/O? YES / N
E-MAIL DATE
DATE
LETTER: YES / g)
LETTER: YES / NO
ELECTRIC RELEASED:
SCANNED:
O MAILED:
MAR 11 2016
{AN 2 b 2016
CATE OF
DATE OF ISSUANCE: SAAR I ). 2016
PERMIT #: 1 lJ — D3 `
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITHANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: //3 y /7/�� �7 ��
1� SUITE #
LOT: b3 BLOCK: F' SUBDIVISION:
""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION""
NAME OF BUSINESS:
NEW OCCUPANT: YES _ NO J/ NEW BUILDING R PERTY OY ER; YES � NO
NEW BUILDING: YES NO =---NAME CHANGE: BUSINESS YES NO
NUMBER OF EMPLOYEES: 722 a FREIGHT FORWARDING: YES NO l
NEW BUSINESS OWNER: YES NO 1�
TYPE OF BUSINESS: G�tii n P� d� SQUARE FOOTAGE:_�3 z
(Example: Retail, Office, Warehouse)
NAME OF TENANT:
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP:
PROPERTY OWNER:
MAILINGADDRESS: 3_/
PHONE NUMBER:
CITY/STATE/ZIP: ,Y`4/P�iO " zj� PHONENUMBERK al' -3
TAX L49
♦ IS YOUR BUSINESS SUBJECT TO SALES AW? (if yes, provide copy of Sales Tax Certific te) - - - - 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 J
_
♦ WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING: --------------------- YES_
NOS
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ----------- -------------- YES
NO
♦ IS BUILDING SPRINKLERED?------------------------------------------ -YES
♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
NO
(if yes, provide list of types & quantities, along with material safety data sheets) ------- ---------------
YES_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 CALL (817) 410-3165.
/P%LEASE
PRINT NAME: K", 'el SIGNATURE:ems,
// �
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: FORMS105APPLICATIO NS1C/OApp11cation
3/22aOGllRev:5/05,2107,4109,2/13
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 malting 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 Ngmber:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: -:3
CITY, STATE, ZIP:
TYPE OF CONSTRUCTION:
ZONING DISTRICT: 66
G
OFFICE USE ONLY �x* rxx rx
OCCUPANCY: I DIVISION:
CONDITIONAL USE:
PERMITTED USE:
BUILDING DEPARTMENT: DATE: '�Ar alt. 3j: V le
ZONING APPROVAL:
FIRE
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
CITY SECRETARY:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
O: FORMSMAPPLICATIO N=10Application
312212001IRev:5106,2101,4109,2113
DATE:
DATE:
DATE: f J�
DATE:
DATE:
DATE:
DATE:
CERTIFICATE OF OCCUPANCY
Issue Date: March 11, 2016
PROJECT DESCRIPTION: C/O (Shell Building) "By Invitation Only' [Change Property Owner]
i� PROJECT # (817) 410-3010
�i
CO-16-0318WWW-my9ovus
Inspections
Permits
City of Grapevine
P.O. Box 95104 LOCATION
TENANT
LEGAL
Grapevine, TX 76099 1139 S Main St. By Invitation Only
Grapevine, TX 76051
BY Invitation Only Condo Blk
(817) 410-3165 Voice
B Lot B3
(817) 410-3012 Fax
15.25% 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
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 Property Owner
YES
New Occupant/ Tenant
NO
Number of Employees
Outside Refuse/Recycling
NO
Outside Storage
NO
Signs
NO
Square Footage
2832
Zoning
PO - Professional Office
MYGOV.us City of Grapevine (CERTIFICATE OF OCCUPANCY I CO -16-03181 Printed 03/11/16 at 1:10 p.m.
Page 1 of
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 -16-0318 i Pnnted 03/11/16 at 1:10 p.m.
Page 2 0( 3
2126-460
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CERTIFICATE OF OCCUPANCY
ADDRESS OF
DATE OF
NAME OF BUSINESS:
TYPE OF BUSINESS:
WORKORDER
PERMIT # 16 - 0 '-S k -P,
1311 S, moL:
--� /0/6
SAv e e +
TIME OF INSPECTION: c/J'"j i± —
USE OF BUILDING AND/OR PREMISES:y ao () ni-
REASON FOR APPLYING: C) I-On P C h n O \0-(l G p,
CONTACT
TELEPHONE NUMBER: 4-- h R - -:-a, I c Lo c
irFOX v
S
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: (00
TYPE OF BUILDING: 7N47--4 GROUP AND DIVISION: Q
ZONING RESTRICTIONS:
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