HomeMy WebLinkAboutCO2025-004859Juflffi;��, �* I
TD — NO LETTER
SENTLETTER
PW OR LD NEEDED
PENDING FIRE
PENDING HEALTH
LANDSCAPING / CODE
I ]OLD FILE
C/O PERMIT 1* 25
ADDRESS: lluot
BUSINESS NAME:
BUSINESS I PROPERTY
CHANGE NAME / OWNER NEW CONST /ADDITION PERMIT#
NEW TENANT / OCCUPANT REMODEL /ALTERATION PERMIT#
ISSUE DATE FINAL DATE
2.
— 3.
— 4
6
7
8
APPLICATION FORM COMPLETED
WORKORDER FORM COMPLETED
ENVIRONMENTAL NOTIFIED DATE TIME
(E-MAIL JIMMY BROCK ljk & VALERIE FARRELL v,�t�enc j 12 � _,_ � _ !,w"
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)
FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED DATE 12�11 23 TIME
FIRE DEPT INSPECTION SCHEDULED
9
HEAI TH INSPECTION
10.
CITY SECRETARY (ALCOHOL)
11.
PUBLIC WORKS INSPECTION
12.
LOT DRAINAGE INSPECTION
13.
CORRECTION LETTER SENT
__14.
BUILDING INSPECTORS SIGN OFF
15.
FIRE DEPARTMENTS SIGN OFF
— 16.
HEALTH DEPARTMENT SIGN OFF
— 1T
CITY SECRETARY (Alcohol License Sign Off)
— 1&
PUBLIC WORKS SIGN OFF
— )4'
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
21.
BUILDING OFFIC IALS SIGNATURE
22
C/O CERTIFICATE ISSUED
DATE
FIRE INSPECTOR:
NOTIFICATION DATE:
NOTIFICATIONDATE:
E-MAIL DATE
E-MAIL DATE
DATE
LETTER: YES / NO
LETTER: YES / NO
ELECTRIC RELEASED
SCAN CERTIFICATE TO MY"�OV-
OfiffA'TIONtl, 70 BE "i-Y" FVC�N '3 MAILED.
G !FORd,',IDSCOINFORMAiION\CKLIST
PMO/04,Rcv 51231,4
DATE OF ISSUANCE:
re
PERMIT -DD48 Sot
0 -.111 r
CERTIFICATE -OF OCCUPANCYYR EQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICA TE OF OCCUPANCY IS ASSOCIA TED WITH AN ACTIVE CURRENT BUILD•
ING
ADDRESS OF OCCUPANCY: . ........ 16201 LA32L-CaS+1!?,C SUITE #
� -A
LOT: BLOCK: SUBDIVISION:
""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRHnON****
NAME OF BUSINESS:
NEWOCCUPANT: YES — NO V-' NEW BUILDING/PROPERTY OWNER: YES —NO
NEWBUILDING: YES —NO IV' NEW BUSINESS NAME CHANGE: YES —NO V-
NUMBER OF EMPLOYEES, FREIGHT FORWARDING: YES —NO
NEW BUSINESS OWNER: YES NO
TYPE OF BUSICL�N,.,� SVIOLA3 SQUARE FOOTAGE:
(Example: Retail Clothing/ Attorney's Office / Office-Warehouse/Restaurant) ou.)
NAME OF TENANT:,:
CURRENT MAILING ADDRESS:
CITY/STATE/7JP- PHONE NUMBER:
tL e--r
PROPERTYOWNER:
MAILING ADDRESS: SL.,—c (0
CITY/STATE/ZIP: 6 PHONE NUMBER: 19�
+ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate)---- YES
WELL THERE BE ALCOHOLIC BEVERAGE SALES? (if Alcoholic Beverage Permit) YES
NO V
NO
+ yes, provide copy of -
# PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? ------ ------------ YES
NO
+ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ------ YES_NO_z
+ WELL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes, screening is required) ----------------------------------------------------------- YES
NO V111,
+ WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), 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) ---------------------- YES —NO
VI"
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 1uilding1s1ace is not provided at the time of the scheduled inspection, a �42.00 re-inspt-ction fee will be charged)
FOR QUESTIONS PLEASE CALL (817) 4101,3165.
rr e . 1
SIGNATURE: V,�
v
`!HONE #: QS7 - -17 EMAIL:
Development Services Department
City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165
Fax (817) 410-3012 3
0:FORMSWSAPPLICATIONS-FEES
312001/Rev: 5106,2107AI09,2113,11115,ICIISAIIUlojo
Texas Sales Tax is charged and collected on sales within the State and City of Grapevine, Texas of "taxable item." 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 to 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 tothe City of
Grapevine, Texas if the circumstance applies to my business.
Texas Sales Tax Number:
Signature: 2A
ku, of 10) IN Do 1 ;,11'! 1 -11411
ADDRESS:
CITY, STATE, ZIP:
TYPE OF CONSTRUCTION:
OCCUPANCY: DIVISION:
ZONING DISTRICT-
CONDITIONAL USE,
PERMITTED USE:
7:-
OCCUPANT LOAD:
BUILDING DEPARTMENT:
J1,
DATE:
BUILDING INSPECTOR:
DATE:
ZONING APPROVAL:
DATE -
FIRE DEPARTMENT:
DATE:
LOT DRAINAGE INSPECTION:
DATE:
PUBLIC WORKS DEPARTMENT:
DATE:
HEALTH DEPARTMENT:
DATE:
CITY SECRETARY:
DATE:
LANDSCAPINGAP OVAL
DATE:
APPROVAL FOR ISSUANCE".
DATE:
I cri,41 I ku n4,a I kling-FL-rA, jpjz" t, a a rawkwA viLm I: I i
City of Grapevine Certificate of Occupanc�j
PO Box 95104 Project # 25-004859
Grapevine, Texas 76099
817) 410-3166 Project Description. C/O (Clean & Show)
Issued on: 01/05/2026 at 2.42 PM
ADDRESS
1601 Lancaster Dr., 180
Grapevine, TX 76051
LEGAL
I clearview Park Addition
Bilk 3 Lot 1 r
S
nhTrKU1UER
Nathan Graves
Nathan L. Graves
(817) 481-7727
- Nathan Graves
Nathan L. Graves
(817) 481-7727
OWNERS
2. Landscaping
**NAME OF BUSINESS
**TENANT NAME (individual)
TENANT PHONE NUMBER
—APPLICANT NAME (individual)
**APPLICANT PHONE NUMBER
Square Footage
*Sales Tax Number
TYPE OF BUSINESS
* CONSTRUCTION TYPE
* OCCUPANCY GROUP
*Sales Tax
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
Outside Refuse/Recycling
Outside Storage
Signs
3
Clean & Show
Vancant
N/A
Nathan Graves
817-481-7727
1775
N/A
Vancant
VB
N/A
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
Page 1/2
MYGOV.US 25-004859, 01/05/2026 at 2.42 PM Issued by: Amanda Robeson
ENIMNE=
INFORMATION FIELDS
CONDITIONAL USE REQUIRED? N/A
* OCCUPANCY LOAD NIA
• PERMITTED USE NO OCCUPANCY
• ZONING DISTRICT 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, $5000 re
-inspection fee will be charged)
a .
FOR QUESTIONS or TO RECALL FOR INSPECTION, PLEASE CALL: (817) 410-
3165 or (817) 410-3166
January 05, 2026
Signature Date
Certificate of Occupancy
Project # 25-004859
Page 212
MYGOV,US 25-004859, 0110512026 at 2A2 PM Issued by: Amanda Robeson
0
e
ADDRESS OF INSPECTION -
DATE CW INSPECTION, IZ
TIME OF INS PECTION-
TE
NH,61d� ''d
NAME OF INESS:
.... .... . . ......... .
TYPE OF BUSINESS:
-.4-44-
USE OF BUILDING AND/OR IS:
REASON FOR APPLYING: E_n Ltlfc'�__
.. . . ......
CONTACT PE
TELEPHONE NUMBER: c'
COMMENTSNIOLATIONS:
L,Z "Aa
**TO BE FILLED OUT BY BUILDING OFFICIAL"
ZONING DISTRICTOF INSPECTION LOCATION: OCCUPANTLOAD:
TYPE OF BUILDING: GROUP AND DIVISION -
ZONING RESTRICTION&
. . .. . . ........ . ... . ......
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