HomeMy WebLinkAboutCO2026-000098UNDER CONSTRUCTION
TD - NO LETTER
SENT LETTER
PW OR LD NEEDED
PENDING FIRE
PENDING HEAL I H
LANDSCAPING
HOLD FILE
C; L1011 P E m ff ff-i
ADDRESS:
BUSINESS NAME:
BUSINESS / PROPERTY
CHANGE NAME/ OWNER -NEW CONST /ADDITION PERMIT#
NEW TENANT / OCCUPANT REMODEL /ALTERATION PERMIT#
ISSUE DATE -----............ FINAL DATE,-----,
APPLICATION FORM COMPLETED
2 WORKORDER FORM COMPLETED
_& ENVIRONMENTAL NOTIFIED DATE TIM E
(E-MAIL JIMMY BROCK it
&VALERIE FARRELL v,
4. HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE W.
(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, BUILDING INSPECTION SCHEDULED DATE TIME
8. FIRE DEPT INSPECTION SCHEDULED DATE
FIRE INSPECTOR:
HEALTH INSPECTION NOTIFICATION DATE:,,-,.—,,,.
10, CITY SECRETARY (ALCOHOL.) NOTIFICATIONDATE:
PUBLIC WORKS INSPECTION E. MAIL DATE
'12. LOT DRAT NAGE INSPECTION E-MAIL DATE
13 CORRECTION LETTER SENT DATE ---------
14. BUILDING INSPECTORS SIGN OFF LETTI]R: YES / NO
15. FIRE DEPARTMENTS SIGN OFF LETI ER: YES / NO
_16. HEALTH DEPAR,rMENT SIGN OFF
- - 17. CITY SECRETARY (Alcohol License Sign Off)
18, PUBLIC WORKS SIGN OFF
9. LOT DRAINAGE SIGN OFF
20. LANDSCAPING SIGN OFF
_21. BUILDING OFFICIALS SIGNATURE
22. C/O CERTIFICATE ISSUED
ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV
RD r,-
M
MAILED
C,W0RMSkDS(,01NFQRft4A1 ifMCKLIST
M ISSUANCE:
DATE OF
'K PERMIT #:
"I f
CERTIFICATE OF ..'O.CCUPANCY R 1 ),UEST
FEE: $50.00
NOFEEREQUIREDIF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITHANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: SUITE #
LOT: BLOCK: SUBDIVISION:
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION""
NAME OF BUSINESS: C � ezW\ 0-r" (A SVA D UD
NEW OCCUPANT: YES _ NO NEW BUILDING/PROPERTY OWNER: YES—NO,.,V._,,,
NEWBUILDING: YES —NO NEW BUSINESS NAME CHANGE: YES —NO
YES NO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING:
NEW BUSINESS OWNER: YES NO
L.'S�%OLAD SQUAREFOOTAGE:
TYPE OF BUSINESS:
(Example: Retail Clothing / Attorney's 0frice I Office-Warehowe Restaumnt)
NAME OF TENANT
is
CURRENT MAILING ADDRESS:
CITY/STATE/ZP:"� kt, !�� _.._ . PHONE NUMBER:
I ,
ff �W,#-VWXT7-474'ri"A;
i�TAILING ADDRESS:
CITY/STATUZIP: PHONE NUMBER:
IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate)---- YES
YES
NO
NO
+ WELL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) -
PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? ------------------- YES
YES
NO
NO
WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ------
WELL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes, screening is required) ----------------------------------------------------------- YES
NO v/
WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY,
USEOR DINING? ------------------------------------------------------------------ YES —
P40
+ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ------------------------- YES _
NO
IS BUILDING SPRINKLERED? ------------------------------------------------------- YES —
NO
WELL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
V1111'
---------------- ITS
(if yes, provide list of types & quantities, along with material safety data sheets) ------ —
NO
1. HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THE SAID
*CCUPANCY IS IN CONFORMANCE Willi THE INFORMATION HEREIN SET FORTH.
(If access to the building/space is not provided at the time of the scheduled inspection, a re -inspection fee will be charged)
FOR QUESTIO0-3165.
SIGNATURE: PRINT NAME:
PHONE EMAIL:
Development Services Department
yA*—eA U�31
�-760 2a�,A -65
Fax(817)410-3012*
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 callect State and Local Sales Tax in the amount of
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.
r have read the above and I understand that I will be required to provide a copy of the Sales Tax Peru -At to the City of
Grapevine, Texas if the circumstance applies to my business.
Texas Sales Tax Number:
Signature:
11 3 111 ! # f Vi
ADDRESS:
CITY, STATE, ZIP:
TYPE OF CONSTRUCTION: v
OCCUPANCY: DIVISION:
ZONING DISTRICT:
CONDITIONAL USE:
PERMITTED USE:
OCCUPANT LOAD:
BUILDING DEPARTMENT:
DATE:
BUILDING INSPECTOR:
DATE:
ZONING APPROVAL:
DATE:
FIRE DEPARTMENT:
DATE:
LOT DRAINAGE INSPECTION:
DATE:
PUBLIC WORKS DEPARTMENT:
DATE:
HEALTH DEPARTMENT:
DATE:
CITY SECRETARY:
DATE:
J
LANDSCAPING APPROVA)
I
DATE:
APPROVAL FOR ISSUANCE:
DATE-
City of Grapevine
Certificate of Occupancy
f.
N V
PC Box 95104
ec# 26-000098
Projt
Grapevine, Texas 76099
Project Description: C/O (Clean & Show)
Amf%
817) 410-3166
Issued on: 01/22/2026 at 12:29 PM
qAir
ADDRESS
INSPECTIONS
3
1025 S Main St., 3076051 1
1. Final Building C/O Inspection 3. C/O APPROVED FOR ISSUANCE
Grapevine, TX
2. Landscaping
LEGAL
One Main Place Bilk A
INFORMATION FIELDS
Lot 3
S
**NAME OF BUSINESS
Vacant
--TENANT NAME (individual)
Vacant
PERMIT HOLDER
MIG Real Estate
**TENANT PHONE NUMBER
N/A
—APPLICANT NAME (individual)
Emily Epperson
OWNERS
"APPLICANT PHONE NUMBER
618-920-9588
•Mcmickle, Gary K
Square Footage
920
*Sales Tax Number
N/A
TYPE OF BUSINESS
Vacant
* CONSTRUCTION TYPE
VB - SPRINKLERED
* OCCUPANCY GROUP
N/A
*Sales Tax
NO
Alcoholic Beverage Sales
NO
Alterations
NO
Change of Business Name
NO
Change of Business Owner
NO
Fire Sprinkler System?
NO
Freight Forwarding Business
NO
Hazardous Material
NO
Industrial Waste
NO
New Building / Addition
NO
New Building / Property Owner
NO
New Occupant / Tenant
NO
Outside Refuse/Recycling
NO
Outside Storage
NO
Signs
NO
Page 1/2
MYGOV.US 26-000098, 01/22/2026 at 12:29 PM Issued by: Amanda Robeson
INFORMATION FIELDS
CONDITIONAL USE REQUIRED?
N/A
* OCCUPANCY LOAD
N/A
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
M��
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)
FOR QUESTIONS or TO RECALL FOR INSPECTION, PLEASE CALL: (817) 410-
3165 or (817) 410-3166
January 22, 2026
Signature Date
City of Grapevine Certificate of Occupancy
Project # 26-000098
Page 2/2
MYGOV.US 26-000098, 01/2212026 at 12:29 PM Issued by: Amanda Robeson
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12,30/04 Rev 6,23/�1024