HomeMy WebLinkAboutCO2026-000179C/OPERMIT#25--
ADDRESS:
BUSINESS NAME:
BUSINESS 9 PROPERTY
CHANGE NAME I OWNER
NEW TENANT/ OCCUPANT
UNDER CONSTRUCTION
TD — NO LETTER
SENT LETTER
PW OR LID NEEDED
PENDING FIRE
PENDING HEALTH
LANDSCAPING " C qpE-:�
Wt.
ISSUE DATE FINAL DATE
1 APPLICATION FORM COMPLETED
2. WORKORDER FORM COMPLETED
3. ENVIRONMENTAL NOTIFIED DATE TIME
(E -MAIL JIMMY BROCK & VALERIE
4. HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE
(SCAN TO C/O IN MYGOV - IF LARGE SET, ALSO SCAN TO LF & FORWARD SET TO FIRE)
�5. FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL
'6 ZONING CHECKED & COMPLETED ON APPLICATION
7. BUILDING INSPECTION SCHEDULED DATE TIME
8, FIRE DEPT INSPECTION SCHEDULED DA-i'E TIME
FIRE INSFECTOW
HEALTH INSPECTION NOTIFICATION DATE:
10CITY SECRETARY (ALOOHOL) NOTIFICATIONDATE:,.,___.,__
it PUBLIC WORKS INSPECTION E-MAIL DATE
12. LOT DRAINAGE INSPECTION E-MAIL DATE
13. CORRECTION LETTER SENT DATE
l 4. BUILDING INSPECTORS SIGN OFF' LETTER: YES / NO
15 FIRE DEPARTMENTS SIGN OFF LETTER YES / NO
1& HEALTH DEPARTMENT SIGN OFF
1 1? CITY SECRETARY (Alcohol License Sign Off)
18 PUBLIC WORKS SIGN OFF
0�4 LOT DRAINAGE SIGN OFF
20. LANDSCAPING SIGN OFF
21. BUILDING OFFICIALS SIGNATURF
22. C/O CERTIFICATE ISSUED
ELECTRIC RELEASED.
SCAN CERTIFICATE TO MYGOV
IqU MAILED
C VORIOSRI)SCOINFORKIM IMCKLIST
1 "'130104 � Rev60-1124
ATE OF ISSUANCE: j
PERMIT
S
#
#
Development Services Department
The City of Grapevine * P.O. Box 95104 Grapevine, Texas 76099 * (817) 410-3165
Fax (817) 410-3012
0;FORUPIRDSAPPLICATIONS-FEES
312001fRew 5106,2107,4/09,2M 3,1 Ill 5,10/1 GAII %10/20
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 "Seffer or
included Jn 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:
........ . .......
CITY, STATE, ZIP:
OFFICE USE ONLY*
TYPE OF CONSTRUCTIONN5 -5 PJQ bvhL &I L4--0 OCCUPANCY: DIVISION:
ZONING DISTRICT: P0 CONDITIONAL USE:
PERMITTED USE: A/ 4 e-%l 004,*-e-Y 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.
LANDSCAPING APPROV 41 =DATE:
APPROVAL FOR fSSUANCE•/ DATE.
City of Grapevine
PO Box 95104
Project
Grapevine, Texas 76099
817) 410-3166m
Project Description: C/ "Clean and Show"
.
`A
Issued on: 05/08/2026 at 3:18 PMADDRESS
INSPECTIONS
3
421 Merlot Ave., 220
1. Final Building C/O Inspection 3. C/O APPROVED FOR ISSUANCE
Grapevine, T 76Q 1
2. Landscaping
LEGAL
Delaney Vineyards
INFORMATION Fi L
Addition Blk 2 Lot 2R1
**NAME OF BUSINESS
Clean & Show
PERMIT HOLDER
**TENANT NAME (Individual)
Vacant
Jeff Klosterman
*'TENANT PHONE NUMBER
NIA
(17) 2-9494
"APPLICANT NAME (individual)
Jeff Klosterman
OWNERS
"'APPLICANT PHONE NUMBER
817-296-9494
• Merlot Court Lp
Square Footage
159
(817) 849-822
*Sales Tax Number
/A
TENANTS
** TYPE OF BUSINESS
Vacant
• VACANT BUILDING
* CONSTRUCTION TYPE
V - SPRINLEE
/VACANT SUITE /
SHELL BUILDING
* OCCUPANCY GROUP
/
*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.U8 26-000179, 05/08/2026 at 3:18 PM Issued by: Amanda Robeson
* 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
I AEREBT CERTI
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
sig-na-ture- - - ------- --
MYGOV.US 26-000179, 05/08i2026 at 3:18 PM Issued by: Amanda Robeson
"' ....... .
... ... . .
PERMIT # 25
**TO BE FILLED OUT BY BUILDING OFFICIAL"
ZONING DISTRICT OF INSPECTION LOCATION: PO OCCUPANT LOAD:
TYPE OF BUILDING: VS -9/4LOWV GROUP AND DIVISION:
ZONING RESTRICTIONS-
C \FORMS�L)SCOINFORIOATION\W(,)RKC)RDEI�
ili,004 Rev 5/2312024