HomeMy WebLinkAboutCO2025-003231I...F. CONSTRUCTION
U °�I:�A�-.,•� CONS a
TD — NO LETTER
SENT LETTER
PW OR LD NEEDED
PENDING FIRE
P'f; NI_'s1N',_' H*Ft�( .1.t';
LANDSCAPING / CODE
•.(("' rew t(.. $
C/O (006'HECK LIST
C/O PERMIT # 25
ADDRESS: _..
BUSINESS NAME:
BUSINESS ! PROPERTY
CHANGE N / OWNER NEWCONST/ADDITIONIT
NEW TENANT/ OCCUPANT REMODEL / ALTERATION PERMIT#
ISSUE DATE ®" FINAL DATE
1. APPLICATION FORM COMPLETED
2. WORKORDER FORM COMPLETED
3. ENVIRONMENTAL NOTIFIED DATE _ .. TIME
(E-MAILa1..: r rl,. .. `.E. & VALERIE FARRE L °, f&& e'.q@ Y,_rz f,v4l� ;4 a tam _
E-MAIL JIMMY BROCK "a.r kiu?a: I,I; a, s)`:�,_...m.Mr..„ ..
4. HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE �TC4S`ATE
(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 ZONIW. CHECKED & COMPLETED ON APPLICATION
7. IUILDING INSPECTION SCHEDULED DATE TIME
8. FIRE DEPT INSPECTION SCHEDULED DATE TIME
FIRE INSPECTOR:
9, HEALTH INSPECTION NOTIFICATION DATE:
10. CITY SECRETARY (ALCOHOL) OTIFICATIONDATE:
11. PUBLIC WORKS INSPECTION E-MAIL DATE
12, L�)T 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
17. CITY SECRETARY (Alcohol License Sign Off)
18. PUBLIC WORKS SIGN OFF
19. LOT DRAINAGE SIGN OFF
20. LANDSCAPING SIGN OFF
21. BUILDING OFFICIALS SIGNATURE
22. C/O CERTIFICATE ISSUED
ELECTRI.: RELEASED:
SCAN CERTIFICATE TO MYGOV:
MAILED:
C .FORMS`,USCOINFORMATION.CKI_ISI
12,30f04 Rc k, 1,23 24
DATE OF ISSUANCE:
IVIN
T i��
PERMIT #:
CERTIFICATE OF OCCUPANCY R"DUEST
FEE: $50.00
ADDRESS OF OCCUPANCY:
SUITE
LOT: BLOCK: SUBDIVISION:
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION***;
NAME OF BUS NESS: I JAI
NEW OCCUPANT: YES NO NEW BUILD 1G/PROPERT OWNER: YES -NO -
NEW BUILDING: YES \O::�- NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: NEW BUSINESS OWNER: YES NO
FREIGHT FORWARDING: YES NO
TYPE OF BUSINESS: (Example. Retail Clothing / Attorney's Office Restaurant Office/Warehouse)
**IF OFFICE/WAREHOUSE PROVIDE BREAKDOWN OF SQUARE FOOTAGES:
SF OFFICE: SF WAREHOUSE: TOTAL SQUARE FOOTAGE:
NAME OF TENANT [PERSON'S NAME]:-hAAchajaA
CURRENT MAILING ADDRESS: j
Ilio-,k DL- PHONE NUMBER:
CITY/STATEIZIP: G
PROPERTY OWNER:
MAILING ADDRESS:
CITY/STATE/ZIP: PHONE P,5LQ?)
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
+ WILL THERE BE FOOD SALES? (if yes, contact Tarrant County Health 817-321-4983 for more informatiolf) - -
YES
NO
+ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? ---------------------
YES X
NO
# WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? --------
YES
NO IX
+ WILL OUTSIDE RFFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (screening is required)
YES _
NO - A—
+ WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USE/DINING? YES
NO k
+ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ----------------------------
YES X
NO
* IS BUILDING SPRINKLERED? ----------------------------------------------------------
YES X
NO
+ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(if yes, provide list of we & 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 BEREIN SET FORTH.
(If access to the building/space is not provided at the time of the scheduled inspection, a 1�50.00 re -inspection fee will be charged)
FOR QUESTIONS or 5k-SCHED� [47...�ILE V��,E CALL (817) 410-3165 or (817) 410-3166
SIGNATURE:
PRINT NAME:
Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099
(817) 410-3165 * (817) 410-3166
www.;Ar& evinetexas.-,ov
(OVER)
CTORMSWAPPLICATIONSrFECS%CO APP
liai4
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 YQURICIOMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: ----
CITY, STATE, ZIP:
-- — I �cl k
xx
OFFICE USE
OCCUPANCY: DIVISION:
TYPE OF CONSTRUCTION:
ZONING DISTRICT- CONDITIONAL USE:
PERMITTED USE:-- OCCUPANT LOAD:
BUILDING DEPARTMENT: DATE:
BUILDING INSPECTOR: DATE.
ZONING APPROVAL:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
DATE:
DATE:
DATE:
DATE:
[117M
CITY SECRETARY: DATE:
DATE:
LANDSCAPING APPROVAL -
APPROVAL FOR ISSUANCE: DATE:
City of Grapevine
Certificate of OccupancyFb
PO, Box 95104 Project # 25-003231
Grapevine, Texas 76099 gr
817) 410-3166 Project Description: CO (Real Estate Office) "The
Hershenberg Group"
K, IF
ltno
Issued on: 12/1612025 at 10:09 AM
ADDRESS
336 S Main St.
QMley4e, TY 7051
LEGAL
City of Grapevine Blk 2
Lot 7b
PERMIT HOLDER
Michael Hershenberg
TENANTS
• Michael Hershenberg
The Hershenberg
Group
(817) 657-2470
INSPECTIONS
1. Final Fire Dept Inspection
**NAME OF BUSINESS
**TENANT NAME (individual)
"TENANT PHONE NUMBER
APPLICANT E-MAIL
"APPLICANT NAME (Individual)
**APPLICANT PHONE NUMBER
Square Footage
*Sales Tax Number
TYPE OF BUSINESS
CONSTRUCTION TYPE
OCCUPANCY GROUP
DOCUMENTS - MISC 01
Alcoholic Beverage Sales
Alterations
Change of Business Name
Change of Business owner
Fire Sprinkler System?
Freight Forwarding Business
Hazardous Material
Industrial Waste
New Building / Addition
New Building / Property Owner
New Occupant / Tenant
Number of Employees
Outside Refuse/Recycling
E
3. Landscaping
The Hershenberg Group
Michael Hershenberg
817-657-2470
Michael Hershenberg
817-657-2470
1000
No
Real Estate Office
VB - SPRINKLIERED
B
336 S Main Street - CO Application,pdf
NO
YES
NO
NO
YES
NO
NO
NO
NO
NO
YES
4
NO
Page 1/2
MYGOV.us 25-003231, 12/16/2025 at 10:09 AM Issued by: Amanda Robeson
Outside Storage
NO
Signs
YES
* CONDITIONAL USE REQUIRED?
NO
* OCCUPANCY LOAD
10
PERMITTED USE
YES
* ZONING DISTRICT
CBD
I AEREBT CERTIFT TMAT TAE 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)
FOR QUESTIONS or TO RECALL FOR INSPECTION, PLEASE CALL: (817) 410-
3165 or (817) 410-3166
Signature
Project # 25-003231
Page 2/2
MYGOV.US 25-003231, 12/16/2025 at 10:09 AM Issued by: Amanda Robeson
**TO BE FILLED OUT BY BUILDING OFFICIAL'
ZONING DISTRICT OF INSPECTION LOCATION- OCCUPANTLOAD-
GROUP AND DVISION
TYPE OF BUILDING:
I.1-1-
ZONING RESTRICTIONS:
C.+C)RMS%DSCOINFORMATION�WOF2KORDER
1 2.,30104 Rev 512312024