HomeMy WebLinkAboutCO2026-000735
C/O PERMIT# 26
UNDER CONSTRUCTION
TD — NO LETTER
SENT LETTER
PW OR LD NEEDED
PEN DING FIRE
PENDING HEALTR,_
LAN DSCAPi NG,4-0O3DE-;,L�
F ILE
ADDRESS:
BUSINESS NAME:
BUSINESS I PROPERTY
-CHANGE NAME /OWNER -NEW CONST /ADDITION PERMIT #
NEW TENANT/ OCCUPANT -REMODEL /ALTERATION PERMIT
—2.
3.
4
—5.
6
7.
9.
10.
11
12
13
—14,
15.
—16.
17.
1&
20.
21.
V 22.
ISSUE DATE _,....1._11.. FINAL DATE
...... . . . . . . . . . ..... .....
ENVIRONMENTAL NOTIFIED DATE . . ..... TIME
(E-MAIL JIMMY BROCK &VALERIE FARRELL
HAZARDOUS MATERIAL SAFETY DATA SHEFTS TO FIRE DATE
(SCAN TO C/O IN MYGOV - IF LARGE SET, ALSO SCAN TO LF & FORWARD SET TO FIRE)
I I 'III ��iii 1111 Ill IS!
HEALTH INSPECTION
CITY SECRETARY (ALCOHOL)
PUBLIC WORKS INSPECTION
LOT DRAINAGE INSPECTION
CORRECTION LETTER SENT
BUILDING INSPECTORS SIGN OFF
FIRE DEPARTMENTS SIGN OFF
HEALTH DEPARTMENT SIGN OFF
CITY SECRETARY (Alcohol License Sign Off)
PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNXTUR[;,
C/O CERTIFICATE ISSUED
DATE TIME
DATE TIME
FIRE INSPECTOR:
NOTIFICATION DATE: ,_.___
NO TIFICATIONDATE:
E-MAIL DATE
E-MAIL DATE
DATE_
LETTER'. YES / NO
LETTER: YES / NO
ELECTRIC RELEASED -
SCAN CERTIFICATE TO MYGOV
MAILED.
C V ORMSOSGOINF ORMATIC)MCKLIS1
12130104 / R, v. 5031' 24
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DATE OF ISSUANCE: —N-;n �Iu
PERMIT #:
CE-RTIFICATE OF OCCUPANCY 4YQUEST
FEE: $50.00
411.40-CTIVECTIRPE11 BUILDINGPERMIJ
ADDRESS OF OCCUPANCY': 412 South Main Street
W
3 4
Grapevine, City of
r,OT: BLOCK:
SUBDIVISION:
""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION""
NAME OF BUSINESS:
NEWOCCUPANT: YES NO X
NEW BUILDING/PROPERTY OWNER:
YES
—NO X
NEW BUILDING: YES NO— X
NEW BUSINESS NAME CHANGE:
YES
— NO
NUMBER OF EMPLOYEES:
NEW BUSINESS OWNER:
YES
NO
FREIGHT FORWARDING:
YES
—No X
TYPE OF BUSINESS: X f Attonny's Office I RcA�innwO 1 Omce'M,-Irdwanw')
**IF OFFICEIWAREHOUSE PROVIDE BREAKDOWN OF SQUARE FOOTAGES:
SF OFFICE: SF WAREHOUSE: TOTALS QUAREFOOTAGE:
NAME OF TENANT
CITY/STATE/ZIP:
PROPERTY OWNER:,
MAILING ADDRESS:
CITY/STATE/ZIP:
PHONE NUMBER: — (817)480-6434
* IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) -------
YES
— NO
+ WELL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) - - -
YES
NO
+ WILL THERE BE FOOD SALES? (if yes, contact Tarrant County Health 817-321-4983 for more information) - -
YES
NO
+ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? ---------------------
YES
— NO
NO
+ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? --------
YES
NO
+ WILL OUTSIDE REFUSEIRECYCLING/COMPACTING CONTAINERS BE NECESSARY? (screening is required)
YES
+ WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USE/DINING? YES
NO
* WELL 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
T011Y11011002 6MKOI IN Zip[" WKIN 9;1 NU mali 00 510 Mc
FOR QUESTIONS orto I LEASE CALL (817) 410-3165 or (817) 410-3166
SIGNATURE: PRINT NAME: Darlene Freed, Partner
PHONE#: (817)4 1 -6434 EMAIL: -
Building Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099
(817) 410-3165 (817) 410-3166
CTORMM"PUCATIOWFEESCO "P
IUM24
ri
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:
CITY, STATE, ZIP:
ilziiiliilI�illi�ll��Ill '!1 111:11111 11111:111 1 111��
i I pill] INGIN I I i i 1 1 1 1 1 1 11 1 1
TYPE OF CONSTRUCTION: OCCUPANCY:
DIVISION:
ZONING DISTRICT:
CONDITIONAL USE:
P ERMITTED USE:
OCCUPANT LOAD:
BUILDING DEPARTMENT:
DATE: ------- n�+ I
IS
BUILDING INSPECTOR-
DATE:
ZONING APPROVAL:
DATE:
FIRE DEPARTMENT:
DATE:
LOT DRAINAGE INSPECTION:
DATE:
PUBLIC WORKS DEPARTMENT:
DATE:
HEALTH DEPARTMENT:
DATE:
CITY SECRETARY:
DATE:
7
LANDSCAPING APPROVAL;
DATE:
APPROVAL FOR ISSUANCE,,
DATE: —3)o
City of Grapevine Certificate of Occupancy
PC Box 95104 Project # 26-000735
Grapevine, Texas 76099 Project Description: C/O (Clean & Slow)
817) 410-3166
Issued on: 03/27/2026 at 11:35 AM
ADDRESS
412 S in St., 100
Grapevine, TX 76051
LEGAL
City Of Grapevine Blk 3
Lot 4
*01089765*
r VW4.-T#�# .�
4T
Darlene Freed
(817) 480-6434
OWNERS
TENANTS
- VACANT BUILDING
/VACANT SUITE /
SHELL BUILDING
INSPECTIONS 3
1. Final Building C/O Inspection 3. C/O APPROVED FOR ISSUANCE
2. Landscaping
**NAME OF BUSINESS
**TENANT NAME (individual)
"TENANT PHONE NUMBER
APPLICANT E-MAIL
"APPLICANT NAME (individual)
—APPLICANT PHONE NUMBER
Square Footage
** 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
Clean & Show
Vacant
N/A
Darlene Freed
817-480-6434
1681
Vacant
VB - SPRINKILERED
N/A
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
Page 112
MYGOV.us 26-000735, 03/27/2026 at 11:35 AM Issued by: Connie Cook
• CONDITIONAL USE REQUIRED? N/A
• OCCUPANCY LOAD N/A
• PERMITTED USE NO OCCUPANCY
• ZONING DISTRICT CBD
FEE TOTAL PAID DUE
i 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)
FOR QUESTIONS or TO RECALL FOR INSPECTION, PLEASE CALL: (817) 410-
3165 or (817) 410-3166
March 27, 2026
Signature Date
City of Grapevine Certificate of Occupancy
Project # 26-000735
Page 2/2
MYGOV.US 26-000735, 03/27/2026 at 11:35 AM Issued by: Connie Cook
#0"'ERTIFICATE OF OCCUPANCY
(;.'F'ORrv]Sq)SC,,'.)INFORMA1-10N\k.VORKORE)ER
12130/04 Rev, 5"231,1024