HomeMy WebLinkAboutCO2015-2838UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
WAITING FIRE
CIO PERMIT # P15 -
ADDRESS:
BUSINESS NAME: 6
CIO CHECK LIST
BUSINESS / PROPERTY
CHANGE NAME/OWNER
NEW TENANT/OCCUPANT
NEW CONST/ADDITION PERMIT #
REMODEL/ALTERATION PERMIT
ISSUE DATE
FINAL DATE
APPLICATION FORM COMPLETED
2. ZONING MAP COPIED & WORKORDER FORM COMPLETED
3. ZONING CHECKED & COMPLETED ON APPLICATION
✓ 4. BUILDING INSPECTION SCHEDULED: DATE TIME
FIRE DEPT. INSPECTION SCHEDULED: DATE TIME
INSPECTOR
6. HEALTH INSPECTION:
7. PUBLIC WORKS INSPECTION:
8. LOT DRAINAGE INSPECTION:
�9. CORRECTION LETTER SENT:
✓ 10. BUILDING INSPECTORS SIGN OFF
11. FIRE DEPARTMENTS SIGN OFF
* 12. HEALTH DEPARTMENT SIGN OFF
13. PUBLIC WORKS SIGN OFF
14. LOT DRAINAGE SIGN OFF
/15. LANDSCAPING SIGN OFF
16. BUILDING OFFICIALS SIGNATURE
1 17. C/O ISSUED ELECTRIC RELEASE:
MAILCOPYD: FEB 7 Q17
FEB 1 + Z1I/
DATE
E-MAIL DATE
E-MAIL DATE
DATE
TIME
LETTER: YES / NO
LETTER:
rye
/2E=r%!,7 j 22
"//5--
/Jcuz�
YES / NO
* CONDITIONS TO BE TYPED ON C/O: YES / NO
O:\FORMS\DSCOINFORMATION\CKLIST
12/301041 Rev.11111
i
//,
AUG 4
VINE
ATE OF ISSUANCEFE8 1 0 2017',
PERMIT`#
CERTIFICATE OF OCCUPANCY 12 UEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WIT CURRENT BUILDING PER
ADDRESS OF OCCUPANCY: 62,d
LOT: /'';3 BLOCK:
****CERTIFICATE OF OCCUPANCY
NAME OF BUSINESS:
NEW OCCUPANT: YES V. NO
NEW BUILDING: YES NO ^y
NUMBER OF EMPLOYEES:. ,
TYPE OF BUSINESS:
(Example: Retail 'Of ice, Warehouse)
NAME OF TENANT:
SUBDIVISION:
WILL NOT BE ISSUED WI ROUT LEGAL DESCRIPTION**
y2�FG0,t%6uy G
NEW BUILDING/PROPERTY OWNER:
NAME CHANGE: BUSINESS YES
FREIGHT FORWARDING: YES
NEW BUSINESS OWNER: YES
SQUARE FOOTAGE:
SUITE #` "As`�s .�
YES NO
NO
NO
NO
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: PHONE NUMB
PROPERTY OWNER:
MAILING ADDRESS:
CITY/STATE/ZIP: - Aitipl4 4) b, 12,O I f ,5 i i 01PHONE NUMBER:,
• IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES NO 1
a WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) - YES NO t,v
a PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - _ - _ _ _ _ _ - - _ YESNO
• WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? - - - - yES NO
a WILL OUTSIDE REFUSE/RECYCLINGICOMPACTING CONTAINERS BE NECESSARY?
(if yes, screening is required)---------•-------._ ___. _____'___________
WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING: -
a WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? - - _ - - .
♦ IS BUILDING SPRINKLERED?--___w-
a WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(if yes, provide list of types & quantities, along with material safety data sheets) - - - - - - - - » _ _ _ . _ . _ _ - _
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND T
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 $ .00 re -inspection fee «rill be charged)
FOR QUESTIONS PLEASE CALL (817) 410-3165. /
YES NO ✓
YES ' NO + -'
YES NO
YES V NO
;S.
SAID
0.
PRINT NAME:SIGNAT
PHONE #: 2 7'ry'1EMAIL:
c'Cn• ,3i
Development Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165.
Fax (817) 410-3012 * www.grapevinetexxas.gov
O: FO RMSIDSAPPLICATI0 NSIC/O,
3I22/2001/Rev:5/06,2/01,4109,2/13
pI cation
(OVER)
TEXAS SALES TAX
Texas Sales Tax is charged and collected on sales within the State and City of Grapevine, Texas of "taxable items."
items include both tangible personal property, specified services. If you are in a business that will be selling "taxable it
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 a
included in the measure of sales or use tax.
Taxable
The term, "place of business" includes any location at which three or more orders are received by the "Seller or Retailer
a calendar year. If an order is received at the place of business of a retailer in Texas, but delivery or shipment is made front 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 o
Texas if the circumstance applies to niiy business.
Texas Sales Tax Number:
e Sales Tax Permit to the City of G
Signature:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPAN"Y MAILED?:
ADDRESS:
CITY,: STATE, ZIP:
FOR OFFICE USE ON
TYPE OF CONSTRUCTION:1---- /! OCCUPANCY:
DIVISION:
ZONING DISTRICT: -- CONDITIONAL USE:
PERMITTED USE:
BUILDING DEPART DAT DATE 77S' I I
ZONING APPROVADATE
FIRE DEPARTMENT: ` DATE:
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE
DATE:
LANDSCAPING APPROVAL...; - , ...., + DATE: =j
APPROVAL FOR ISSUANCEM DATE: �dG�
CITY SECRETARY:
O: FORMSIDSAPPLlCATIONS4Cl0Applic
3/22120011Rev:5/06,2/07,4109,2113
tion
v
CF,RTIFICATF, OF OCCUPANCY
WORKORDFIR
ADDRESS OF INSPECTION:
PERMIT # 15 -,,44F2 X
DATE OF INSPECTION: TIME OF INSPECTION:
NAME OF BUSINESS: (`
TYPE OF BUSINESS: 4-6, U 4 7 j
1 y7
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING:
CONTACT PERSON: -=
TELEPHONE NUMBED:
COMMENTS/VIOLATIONS:
7
//21 Jul `s )J
Lp 07yrS'` %°
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: CC
TYPE OF BUILDING: �, ,l GROUP AND DIVISION:
ZONING RESTRICTIONS:
0. FORMS DSCOINFORMATIONWORKORDER
1230 04 Res. 1 17 2006
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