HomeMy WebLinkAboutCO2016-0314UNDER CONSTRUCTION _
CORRECTION LETTER _
PW OR LD NEEDED _
TD NO LETTER _
WAITING FIRE _
HOLD _
C/O CHECK LIST
C/O PERMIT # P1fs- C-)31 L} -
ADDRESS: Ilad S, a.Ln S+( -C,
BUSINESS NAME: 12$�4 Zr11J
/
BUSINESS PROPERTY
V CHANGE NAME / OWNER_ NEW CONST /ADDITION PERMIT #
NEW TENANT/ OCCI AiTT _ REMODEL /ALTERATION PERMIT #
ISSUE DATE
APPLICATION FORM COMPLETED FINAL DATE
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
,,,--'9. LOT DRAINAGE INSPECTION
10. CORRECTION LETTER SENT
DATE 3110 TIME
DATE of 7 TIME
FIRE INSPECTOR: 611L
NOTIFICATION DATE:
NOTIFICATION DATE:
E-MAIL DATE
E-MAIL DATE
DATE
V 11.
BUILDING INSPECTORS SIGN OFF LETTER:
--'12.
FIRE DEPARTMENTS SIGN OFF LETTER:
93.
HEALTH DEPARTMENT SIGN OFF
�4.
CITY SECRETARY (Alcohol License Sign Off)
X15.
PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
V 17. LANDSCAPING SIGN OFF
18. BUILDING OFFICIALS SIGNATURE
// 19. C/O ISSUED ELECTRIC RELEASED:
SCANNED:
CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED:
YES /
YES / NO
MAR 11 2016
JA IV 2 j 201
TIFI
F
DATE OF ISSUANCE: MAP 112016
PERMIT #: I (O—a s I tt
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED RITHANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: SUITE #
LOT: I 1 BLOCK: SUBDIVISION:
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: G ZCiUrtyiorJ L
NEW OCCUPANT: YES NO /i NEW BUILDING T YES NO
NEW BUILDING: YES NO NAME CHANGE: B SINESS YES NO l%
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO
NEW BUSINESS OWNER: YES NO
TYPE OF BUSINESS: CJ �/= r c %di v� SQUARE FOOTAGE: -;--
(Example: Retail, Office, Warehouse)
NAME OF TENANT:
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: �f cJ�G�/✓�2 ✓Y `fie PHONE NUMBER:e cps 3/3-6
PROPERTY OWNER:
MAILING ADDRESS:
CITY/STATE/ZIP: �9 'L" /��E�`7Q �� p PHONE NUMBER: l o SED—T97 — � (� G
♦ 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
_v
♦ 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
NO J
♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(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 PLEASE CALL (817) 410-3165.
/J
L�2
PRINT NAME: „1,� Zit% Zz �- L� SIGNATURE.
PHONE#: ��� 3/� —(o �oG rZ� 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: FORMSIDSAPPLILATIONSIO/OApplication
3/22/2001/Rev:5/06,210T,4/09,2113
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?
ADDRESS: 3��,Ly
CITY, STATE, ZIP:
OFFICE USE ONLY*�**x*firer
TYPE OF CONSTRUCTION: OCCUPANCY:
ZONING DISTRICT:
DIVISION:
CONDITIONAL USE:
PERMITTED USE:
BUILDING DEPARTMENT: k DATE: /rx� a3uio �10' I to
ZONING APPROVAL: DATE::�
FIREDEPARTMENT: 4 adv � ( v DATE04t—,`-L.1"_ �[)/G
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
CITY SECRETARY:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
O: FORMSIDSAPPLICATIONS\C/OApplication
312212001 /Rev: 5/06,2/07,4100,2/13
DATE:
DATE:
DATE:
DATE: ?
DATE:
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 -16-0314
LOCATION
1127 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)
w Final Building C/O Inspection (required)
� Landscaping (required)
� C/O APPROVED FOR ISSUANCE
(required)
(817)410-3010
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
A Lot A2
15.33% Common Area
VB
B
PO
By Invitation Only
Office
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
2847
PO - Professional Office
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO -16-0314 I Printed 03/11/16 at 12:58 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
ury of Grapevine I CERTIFICATE OF OCCUPANCY I CO -16-0314I Printed 03/11/16 at 12:58 p.m. Page 2 of 3
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 16 - v3 (+
ADDRESS OF INSPECTION �Z'I
S.1GL� V-1
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DATE OF INSPECTION:
TIME OF INSPECTION:
NAME OF BUSINESS: y -D-\ V
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES: V aapLr )A -
REASON FOR APPL
CONTACT PERSON:
TELEPHONE NUMBER: b
olc., 3 ho (t k. "3S
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: R)
TYPE OF BUILDING: GROUP AND DIVISION: ->
ZONING RESTRICTIONS:
O FORMS WO.ORM TION WOR ORDER
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