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HomeMy WebLinkAboutCO2017-0389CIO PERMIT # P17 - ADDRESS: / UNDER CONSTRUCTION CORRECTION LETTER PW OR LD NEEDED TD NO LETTER WAITING FIRE HOLD CIO CHECK LIST BUSINESS NAME: 4C-- 11-4-1 (AN e BUSINESS / PROPERTY CHANGE NAME / OWNER NEW CONST / ADDITION NEW TENANT / OCCUPANT REMODEL / ALTERATION v` 1, APPLICATION FORM COMPLETED / 2. ZONING MAP COPIED & WORKORDER FORM COMPLETED V 3. ZONING CHECKED & COMPLETED ON APPLICATION 4. BUILDING INSPECTION SCHEDULED 5. FIRE DEPT. INSPECTION SCHEDULED CITY SECRETARY (ALCOHOL) HEALTH INSPECTION PUBLIC WORKS INSPECTION LOT DRAINAGE INSPECTION 10. CORRECTION LETTER SENT J 11. BUILDING INSPECTORS SIGN OFF FIRE DEPARTMENTS SIGN OFF 3. HEALTH DEPARTMENT SIGN OFF 14. CITY SECRETARY (Alcohol License Sign Off) / 12. -' 15. PUBLIC WORKS SIGN OFF 16. LOT DRAINAGE SIGN OFF VI 17. LANDSCAPING SIGN OFF ✓ 18. BUILDING OFFICIALS SIGNATURE 19. C/O ISSUED DATE DATE :"P/2. PERMIT # PERMIT # ISSUE DATE FINAL DATE TIME /a7., TIME FIRE INSPECTOR: ?C.c-h.f21p, NOTIFICATION DATE: NOTIFICATION DATE: E-MAIL DATE E-MAIL DATE DATE LETTER: YES / NO LETTER: YES / NO F t2 2017 ELECTRIC RELEASED:tt 2017 SCANNED: FEB �1 2 201 MAILED: •i� * CONDITIONS TO BE TYPED ON C/O? YES / NO O:\FORMSOSCOINFORMATION\CKL IST 12130/04\ Rev.11\11,11115 FEB 0 2 2017 DATE OF ISSUANCEFEB 7 2017 PERMIT #: 7 3 S7 CERTIFICATE OF OCCUPANCY REQUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: ZAr1500 GrLA t SUITE # LOT: '1BLOCK: 3 SUBDIVISION:ai=1--k4-D6,--)c-ape,ri ****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WIT OUT LEGAL DESCRIPTION**** NAME OF BUSINESS: Fx_=2a/zi / - 77— NEW BUILDING/PROPERTY OWNER: YES NO / NAME CHANGE: BUSINESS YES / NO FREIGHT FORWARDING: YES , NO NEW BUSINESS OWNER: YES TYPE OF BUSINESS: SQUARE FOOTAGE: (100 NEV OCCUPANT: YES NEW BUILDING: YES NUMBER OF EMPLOYEES: NO NO (Example: Retail, Office, Warehouse) NAME OF TENANT: CURRENT MAILING ADDRESS: CITY/STATE/ZIP: &A7--/-2///r--1/E PHONE NUMBER: F/2 -9 ZS-- PROPERTY OWNER: .3- u -A p by -LD i(D S MAILING ADDRESS: CI (-1.7— 6? 12. t Prk_ CITY/STATE/ZIP: 1201--Ark)lCC: --V`f- 1 V -1-4 -- PHONE NUMBER: 2-1 u1/4 r)Z( ?j373 • IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES NO ',.,_ • WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) - YES! NO 1,7 • PERNITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? YES NO . WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? YES NO * WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (if yes, screening is required) YES NO / • WILL THERE BE ANY OUTSIDE STORAGE, 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 t.-7 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 building/space is not provided at the time of the scheduled inspection, a $42.00 re -inspection fee will be charged) FOR QUESTIONS PLEASE CALL (817) 410-3165. PRINT NAME: c27 //W PHONE #: Cf -7— 33/3 Development Services Department The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165 Fax (817) 410-3012 * www.grapevinetexas.gov SIGNATURE; ,„400110,77 - EMAIL: 0:FORMS \ DSAPPLICATIONSIC/0Application 3/22/2001/Rev:5/06,2/07,4/09,2/13 (OVER) 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: Signature: WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? ADDRESS: 4/ CITY, STATE, ZIP: *****************************FOR OFFICE USE ONLY***************************** TYPE OF CONSTRUCTION: ZONING DISTRICT: -y6 08 OCCUPANCY: S� DIVISION: PERMITTED USE: _ -' (I'— - tjs BUILDING DEPARTMENT: i ZONING APPROVAL: }}� FIRE DEPARTMENT: (4�.�,0_,6,, CONDITIONAL USE: DATE: DATE: DATE: LOT DRAINAGE INSPECTION: DATE: PUBLIC WORKS DEPARTMENT: DATE: HEALTH DEPARTMENT: DATE: CITY SECRETARY: DATE , f,%,p, •r. _.�' LANDSCAPING APPROVAL: ,�i;i41,►!jam �41111/ r)) DATE: ..2-7:-/-F APPROVAL FOR ISSUANCE: 1 O: FORMS\DSAPPLICATIONSIC/OApplication 3122/2001 /Rev:5/06,2/07,4/09,2/13 DATE: „ 3-1 (�c 2126-464 TR 59 TR TR 6RA1 60 n, -,,,T iR 1R61 66B NPT1 -...-,-. A 2 1 SB 3 ���%'IJBi 336A MOM NM AViiiiiiinmommitawaalmsa morn AVE u� n� � `�, CERTIFICATE OF OCCUPANCY WORKORDER PERMIT # 17 -0 3 (2) I ADDRESS OF INSPECTION:- O "\a r'G1 DATE OF INSPECTION: � c14/ % TIME OF INSPECTION: 3e) .a7 . NAME OF BUSINESS: e, Re \f . o TYPE OF BUSINESS: t\n- i. (; USE OF BUILDING AND/OR PR MISES: c‘ OC -O- c REASON FOR APPLYING: (DLO E {\ CZ CONTACT PERSON: C(), 'yjC' e TELEPHONE NUMBER: -;)-1 COMMENTS/VIOLATIONS: Acs - **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: a.3b TYPE OF BUILDING: --V18 GROUP AND DIVISION: 51 ZONING RESTRICTIONS: Oi-FORMS DSCOINFORMATION WORKORDER 12.30.04 Rei. 11, 2006 /£// ®® 3 2 JJ/ °OG D CaT 00- 0 {/\0 2/ \/0 R]2 a -- \C /o 0) /N\\ 000 /2 - 0 o mgse co \\/ Q 0 ° 0 ® > n 0 0 _ (D '< m o )& }§ Q 0 0 J// 2 G/ o k ° 2 - as• t (D ( 3 52 \ @7/ > .13 Cr c. \ 5*\ © & \k/ -< ®\ \ E %& SD®3 /\0 \\\ me> J0- -0 o \ O O �3ƒ \a \}o /