HomeMy WebLinkAboutCO2026-000139UNDER CONSTRUCTION
TD — NO LETTER
SENT LETTER
Phi OR LD NEEDED
PENDING F11
PENDING HEALTH
LANDSCAPING / CODE
C/O PERMIT #'25 - U I -f A
'j
ADDRESS:
BUSINESS NAME,
7-9 S I.F�aqPERTY
CHANGE NAfAE/D,W,_Nf_R NEW CONST /ADDITION PERMIT#
NEW TENANT / CIQUPANT. .,-,.--REMODEL /ALTERATION PEA MIT#
ISSUE DATE FINAL DATE
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3
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6
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10.
11,
12.
—13,
15.
—16.
17,
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19
20,
—21,
22.
ENVIRONMENTAL NOTIFIED DATE TIME
(E-MAIL JIMMY BROCK & VALERIE FARRELL
HAZARDOUS MATE RI'AL'SAFETYDATX SHEETS TO FIRE DATE
(SCAN TO C/O IN MYGOV - IF LARGE SET. ALSO SCAN TO LF & FORWARD SET TO FIRE)
FIRE DEPARTMENT APPROVAL. OF HAZARDOUS MATERIAL. GATE
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED
FIRE DEPT INSPECTION SCHEDULED
4 1-
te
HEALTI I INSPECTION
CITY SECRETARY (ALCOHOL)
PUBLIC WORKS INSPECTION
LOT DRAINAGE INSPECT ION
CORRECTION LETTER SENT
BUILDING INSPECTORS SIGN OFF
FIRE DEPARTMENTS SIGN OFF
HEALTH DEPARTMENT SIGN OFF
CITY SECRETARY (AlcohoI License Sign Off)
PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNATURE
C/O CERTIFICATE ISSUED
DATE TIME
DATE -TIME
FIRE INSPECTOR:
NOTIFICATION DATE:
NOTI FICA TIONDATE:
E-MAIL DATE
E-MAIL DATE
DATE
LETTER: YES I NO
LETTER: YES / NO
ELECTRIC RELEASED'
SCAN CERTIFICATE TO MYGO)i___
MAILED
C, ',f ORIASOS"X)M flkf-,VMCA�rKi 1�� I
1 1 Rev 50"lL 4
ATE OF ISSUANCE:
GRAPEVINE
4,
PERMIT #:
'"ERTIFICATE OF OCCUPANCY REOUEST
FEE: $50.00
UW.�wWw�",,"IATED WITHANACTIVE CURRENTBUILDING PERHM
ATKULTEDAlt
DRESS OF OCCUPNCY:
® BLOCK: SUBDIVISION:
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION""
NAME OF BUSINESS. -
NEW OCCUPANT: YES _,NO NEW BUILDING/PROPERTY OWNER: YES—:: NO
NEW BUILDING: YES — NO,, NEW BUSINESS NAME CHANGE: YES NO . ......
NUMBER OF EMPLOYEES: NEW BUSINESS OWNER: YES —NO
FREIGHT FORWARDING: YES —NO
TYPE OF BUSINESS:
(Example: Retail Clothing I Attorney's Mice 1 Restaurant I OfficetWarebouse)
**IF OFFICE/WAREHOUSE PROVIDE BREAKDOWN OF SQUARE FOOTAGES:
SF OFFICE: SFAREHOUSE: TOTAL SQUARE FOOTAGE:
NAME OF TENANT [PERSON'S NAMEl'
CURRENT MAILING ADDRESS:
4D
CITY/STATE/ZIP: iLL�}ePHONE NUMBER:
PROPERTY OWNER:
MAILING ADDRESS:
CrFY/STATE/ZIP: PHONE NUMBER:
4 IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) ------- YES—NOZ
# WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) --- YES NO 7
4 WILL THERE BE FOOD SALES? (if yes, contact Tarrant County Health 817-321-4983 for more information) - ® YES NO.7'
4 PERIVIITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? --------------------- YES NO
-k* WILL BUSINESS GENERATE ANY INDUSTRL&L WASTE D][SCHARGE TO SEWER SYSTEM? -------- YES NO
WILL OUTSIDE REFUSEIRECYCLING/COMPACTING CONTAINERS BE NECESSARY? (screening is required) YES NO
WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USFUDINING? YES NO.
WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ---------------------------- YES NO-74
IS BUILDING SPRINKLERED? ---------------------------------------------------------- YES,,," NO
WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS ORLIQUIDS?
(if yes, provide list of types & quantities, along with material safety data sheets) ------------------------- YES — NO/—'
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 teat e building/space is not provided at the time of the scheduled inspection, a $50.00 win he charged)
FOR QUESTIONS or to RF-SC DULE, PLEASE CALL (817) 410-3165 or (817) 410-3166
SIGNATURE: PRINT NAME: I V
Building Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099
(817) 410-3165 * (817) 410-3166
www.rjraoevinetexas.aov (OVER)
C:MRMSOSAPPLICAMNs,FEWCO APP 1112M4 f%)+erf)0_hDrL6LQ "
TEXAS SALES TAX
Emu IOUEZ3LJIE��
A "Seller or Retailer" means a person engaged in the business of making sales of "taxable items". the receipts from which are
includeI 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
MMrW-XFn"**,A, er local sales tax is due and is allocated to
the city where the order was received.
I have read the a4ove and M X'e a cqry'Wt'Ti7F5ffffl7 I=
Grapevine, Texas if the circumstance applies to my business.
Texas Sales Tax Number: ON 9
Signature:
iffmad.1LIN =X
ADDRESS:--:1:
CITY, STATE, ZIP:
TYPE OF CONSTRUCTION: Vt3 - 612JZ I -V< e-974C -0 OCCUPANCY: DIVISION:
ZONING DISTRICT: -
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BUILDING DEPARTMENT: ---------- -
BUILDING INSPECTOR:
"WOUMV&I"A Q6.1 WOE"
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
CITY SECRETARY:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
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LIM
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CONDITIONAL USE:---Zt/a
OCCUPANT LOAD:
DATE: //f S7/2
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
**TO BE FILLED OUT BY BUILDING OFFICIAL"
ZONING DISTRICT OF INSPECTION LOCATION.- C- C OCOUP ANTLOAD.:
TYPE OF BUILDING: Vb -:5P0-lAlkLZKjW GROUP AND DIVISION -
ZONING RESTRICTIONS-
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