HomeMy WebLinkAboutCO2016-3450UNDER CONSTRUCTION V
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
WAITING FIRE
HOLD
CIO CHECK LIST
CIO PERMIT # P16 -
ADDRESS: (c L, Mt,ve s
BUSINESS NAME: -DOM Irld
BUSINESS/PROPERTY
CHANGE NAME / OWNER
NEW TENANT / OCCUPANT
NEW CONST / ADDITION PERMIT #
REMODEL / ALTERATION PERMIT # l (v'" 34 --op
ISSUE DATE SEP 2 7 2016
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED DATE TIME
FIRE DEPT. INSPECTION SCHEDULED DATE TIME
FIRE INSPECTOR:
FINAL DATE
l 6. CITY SECRETARY (ALCOHOL) NOTIFICATION DATE:
HEALTH INSPECTION NOTIFICATION DATE:
PUBLIC WORKS INSPECTION E-MAIL DATE
LOT DRAINAGE INSPECTION E-MAIL DATE
10. CORRECTION LETTER SENT DATE
11. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
12. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
13. HEALTH DEPARTMENT SIGN OFF
14. CITY SECRETARY (Alcohol License Sign Off)
� 15. PUBLIC WORKS SIGN OFF
16. LOT DRAINAGE SIGN OFF
7. LANDSCAPING SIGN OFF
18. BUILDING OFFICIALS SIGNATURE
19. C/O ISSUED ELECTRIC RELEASED:
SCANNED:
MAILED:
* CONDITIONS TO BE TYPED ON C/O? YES / NO
O:IFORMSIDSCOINFORMATIONICKLIST
121301041 Rev.11111.11115
21)
GRAPEVINE
_FFQ 1 6 2017
PERMIT #: I
(A1
5 tc3 kfoc)
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT
r DRESS OF OCCUPANCY: lstiO 1 -1/4.J,54.- le,l, SUITE # g
LOT: 1 A BLOCK: A SUBDIVISION: ,1�;,1i , r� (Ci.. rflc ss
****CERTIh'1CATE OF OCCUPANCY WILL NOT BE ISSUED WITHO�JT LEGAL DESCRIPTION**** ]
il
NAME OF BUSINESS: be) vow 's C�
NEW OCCUPANT: YES NO i('
NEW BUILDING: YES NO A/
Q
NEW BUTLDING/PROPERTY OWNER: YES
NEW BUSINESS NAME CHANGE: YES
NO '
NO
NO
NO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES
NEW BUSINESS OWNER: YES
TYPE OF BUSINESS: Co -11., # LW l e.. -LA 5 `0 ARO -JAM
(Example: Retail Clothing / Attorney's Office / Office -Warehouse / Restaurant)
NAME OF TENANT (Physical Name): �No.A.i 5 .-5 'X-32C.-3tet.-fk
SQUARE FOOTAGE: 429/
CURRENT MAILING ADDRESS: 1 b4 --)c. (.T'
CITY/STATE/ZIP: AO ZS t- iTX - 1 LEG
PROPERTY OWNER: e_4., 19cj 3
PHONE NUMBER: 11 ' 31D claQ'D
MAILING ADDRESS: -*.D9 BO (Q: Z. b
CITY/STATE/ZIP: _ o \ : IX _
PHONE NUMBER:
• IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - -
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit)
• PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED?
♦
WILL BUSINESS GENERA IE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM?
• WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes, screening is required)
• WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING.
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?
• IS BUILDING SPRINKLERED?
♦ WH,L BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(if yes, provide list of types & quantities, along with material safety data sheets)
YES t"" NO
- YES NO 4.V. -
YES
YES V NO
YES NO 3V-
YES
f
YES V NO
YES NO ✓'�
YES -7 -NO
YES NO
YES NO
I HEREBY CER TOY 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 not provided at the time of the scheduled inspection, a $42.00 re -inspection fee will be charged)
FOR QUESTIONS PLEA CALL (817) 410-3165.
SIGNATURE:PRINT NAME: WIDLAI-CA
PHONE #: 1-) - 9 ia
O:FORMSIDSAPPL!CATIONSIC/
EMAIL:
Development Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165
Fax (817) 410-3012 * www.grapevinetexas.gov
(O'B'E
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:
4.-18a5043
Signature: "A71-7 -C2C
HERE DO YOU WANT Y_ R CON P ET 7) (LR FICA" 'E OF OCC NCY A ED?
ADDRESS: I euE:
CITY, STATE, ZIP: 1A0 , GOS4
*****************************FOR OFFICE USE ONLY*****************************
TYPE OF CONSTRUCTION:
ZONING DISTRICT:
PERMITTED USE:
BUILDING DEPARTMENT:
ZONING APPROVAL:
FIRE DEPARTMENT:
OCCUPANCY:
N
DIVISION:
CONDITIONAL USE:
//13°A 7 DATE: riiif OCT &IL
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTME - •
Vie
HEALTH DEPARTMENT:
CITY SECRETARY:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
0:FORIVISNDSAPPLICAT IONS\C/
DATE:
DATE:
DA 1E:
DATE:
DA 7.,• .3 •
.-
DATE:
DATE:
DATE: "Obi —7
Connie Cook
From: Renee LK4innfee<
Sent: Tuesday, February 07, 2017 12:24 PM
To: Connie Cook
Subject: Re: SIGN OFF ON DOMINO'S
I am good with them. l thought l signed off on them last week. Could you please sifor me.
Thanks Connie!!
Renee Minnfee, MPH RS
Suoiturmol
1101 S. Main Street, Rm 2300
Fort Worth, TX 76104
817.321.4979 (office) 817.321.4961 (fax)
From: Connie Cook <ccook@grapevtnetexas.gov>
Sent: Tuesday, February 7, 2017 11:50:44 AM
To: Renee L. Minnfee
Subject: SIGN OFF ON DOMINO'S
600 W. NORTHWEST HWY #B
NEED TO KNOW IF YOU ARE DONE.
Connie Cook
City of Grapevine
J005.Main Street
Grapevine, TX 76051
827-410'3158
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—tDANIEL:Zf ..... 1,
CERTIFICATF, OF OCCUPANCY
WORKORDRR
PERMIT # 16 - `VSd
ADDRESS OF INSPECTION: a kA) ° A-b'ie + {-L; J -k -e
DATE OF INSPECTION: TIME OF INSPECTION:
NAME OF BUSINESS:
TYPE OF BUSINESS:
E'S�GLuCc��
USE OF BUILDING AND/OR PREMISES: ELioc_ S
REASON FOR APPLYING: AD cU
CONTACT PERSON: LJ.`GCCi.1Qf
TELEPHONE NUMBER: a (- 9 to � C)
COMMENTS/VIOLATIONS: /V0 Oat_ �Tio.✓ OB Sd c.vev . rf fl iV 44 �;►,e 4Ao2avo
PFNOm/G - c9, /40A
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING:
ZONING RESTRICTIONS:
GROUP AND DIVISION:
M
0. FORMS DSCOINFORMATION WORKORDER
12 30 04 Rev. 1 17 21)06