HomeMy WebLinkAboutCO2025-003895 NDER CONSTRUCTION
TD — NO LETTER
SENT LETTER
PW OR LD NEEDED
PENDING FIRE
PENDING HEALTH
LANDSCAPING / CODE
HOLD FILE
FRWi
.
*N - a. " � I � �7'
C/O PERMIT
N
# 25
ADDRESS. -
BUSINESS
NAME:
BUSINESS I PROPERTY
CHANGE NAME / OWNER NEW CONST /ADDITION PERMIT#
NEW TENANT/
OCCUPANT _REMODEL /ALTERATION PERMIT#
ISSUE DATE FINAL DATE
APPLICATION FORM COMPLETED
Z
WORKORDER FORM COMPLETED
3.
ENVIRONMENTAL NOTIFIED DATE TIME
(E—MAIL JIMMY BROCK & VALERIE FXRRE—L%
4�
HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE
(SCAN TO C/O IN MYGOV ® IF LARGE SET, ALSO SCAN TO LF & FORWARD SET TO FIRE)
—5.
FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE
6
ZONING CHECKED & COMPLETED ON APPLICATION
7.
r1l
BUILDING INSPECTION SCHEDULED DATE '10-1`1' TIME'70-M
&
FIRE DEPT INSPECTION SCHEDULED DATE TIME
FIRE INSPECTOR:
—9.
HEALTH INSPECTION NOTIFICATION DATE:
—10.
CITY SECRETARY (ALCOHOL) NOTIFICATIONDATE:
11.
PUBLIC WORKS INSPECTION E-MAIL DATE
—12.
LOT DRAINAGE INSPECTION E-MAIL DATE
—13.
CORRECTION LETTER SENT DATE
14.
BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
15.
FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
—16.
HEALTH DEPARTMENT SIGN OFF
IT
CITY SECRETARY (Alcohol License Sign Off)
18.
PUBLIC WORKS SIGN OFF
19.
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
—21.
BUILDING OFFICIALS SIGNATURE
22.
C/O CERTIFICATE ISSUED
ELECTRIC RELEASED
SCAN CERTIFICATE TOMYGOV:
MAILED.
(',!F("RMSND,,'('()INFORfvlATIONCKI IST
1 '%'10104 \ Rev If.f.3124
:r
DATE OF
,.0
CERTIFICATE OF OCCUPANCY
j REQUEST
$50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITH ANACTIVE CURRENT BUILDING,
ADDRESS OCCUPANCY:
! : BLOCK: SUBDIVISION: :
OF OCCUPANCY WILL NOT/ WITHOUT LEGAL DESCRIPTION****
NAMEOFBUSINESS:rIE I ,r
BUILDING:NEW OCCUPANT: YES NO NEW BUILDING/PROPERTY OWNER: YES -NO
NEW NO i< _
NUMBER OF i FREIGHT T #' W A' r 1 NO,
NEW BUSINESS i NO
TYPE OF BUSINESS: i ii A DO
(Example: Retail Clothing / Attorney's Office Office -Warehouse Restaurant)
NANIEOFTENANT
CURRENT1ADDRESS:
IPPHONE
ADDRESS:PROPERTY OWNER:
MAILING
CITY/STAY
NUMBER:PHONE
' BUSINESS SUBJECT 1 provide cr r of i
+ 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?1
WILL BUSINESS GENERATE ANY INDUSTRIALDISCHARGE TO NO
WELL OUTSIDE REFUSE/RECYCLING/CONG CONTAINERS BE NECESSARY?
NO
+ WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY,
USE OR ► 1 NO
BUILDING P,1' r NO
WILL #'E OR HANDLE HAZARDOUSOR LIQUIDS?
provide list of typesquantities, ' with material data sheets)Is
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 nr provided of the scheduled inspection,1 1 re-insjLt�gVjQqfcg will be charged)
FOR QUESTIO0w3165.
PRINT
iEMAIL:
Development Services Department
The of r P.O.Box 95104 Grapevine,+1+9 1 +'
Fax (817) 1
fflr��R
Texas Sales Tax is charged and collected on sales within the State and City of Grapevine, Texas of "taxable items." Taxable
items include of 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
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
Grapevine, Texas if the circumstance applies to my business. I
Texas Sales Tax Number:
Signature:
11ill 1 1 1 101 1'1 1 1
ADDRESS:
CITY, STATE, ZIP:,
OFFICE USE ONLY*
TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION:
ZONING DISTRICT: CONDITIONAL USE:
PERMITTED USE: OCCUPANT I.
BUILDING DEPARTMENT:
DATE:
BUELDING INSPECTOR: DATE:
ZONING APPROVAL: DATE:
ra RITONN 71MI'VIRTURW
LOT DRAINAGE INSPECTION:
CITY SECRETARY:
DATE:
DATE:
DATE:
I
DATE.
DATE:
DATE:
0 . T
PO Box 95104 Project # -
Grapevine, Texas 76099 Project Description: Clean & Show CO
817) 410-3166
Issued on: 10/30/2025 at 10: 17 AM
ADDRESS
INSPECTIONS
230 Park Blvd., 104
1. Final Building C/O Inspection
Grapevine, TX 76051
2. Landscaping
LEGAL
Brookside Addition Blk 5
INFORMATION FIELDS
Lot 1 R
S
**NAME OF BUSINESS
Astor and Black Custom
"TENANT NAME (individual)
Clothiers
**TENANT PHONE NUMBER
PERMIT HOLDER
APPLICANT E-MAIL
C/O Applicant Informatio
—APPLICANT NAME (individual)
n
"APPLICANT PHONE NUMBER
Brian Goldstein
(301) 875-8460
Square Footage
** TYPE OF BUSINESS
COLLABORATORS
*CONSTRUCTION TYPE
- C/O Applicant
Information
* OCCUPANCY GROUP
Brian Goldstein
*Sales Tax
(301) 875-8460
Fire Sprinkler System?
OWNERS
* CONDITIONAL USE REQUIRED?
- 230 N Park Blvd Lic
* OCCUPANCY LOAD
* PERMITTED USE
TENANTS
* ZONING DISTRICT
- Vacant C/O
91
Clean & Show CO
Vacant
469-660-8460
Brian Goldstein
469-660-8460
1100
vacant
VB
N/A
NO
NO
NIA
N/A
NO OCCUPANCY
PO
FEE TOTAL PAID DUE
Certificate of Occupancy $50.00 $50.00 $50.00
TOTALS $50.00 $50.00 $0.00
READ AND SIGN
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF
MY KNOWLEDGE AND THAT 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 $50.00 re -inspection fee will be charged)
Page 112
MYGOV.US 25-003895, 10130/2025 at 10:17 AM Issued by: Amanda Robeson
G kF-0RMS�OSCOINFORhAATIONkWORKORDER
IM'3104 Rev 512312024