HomeMy WebLinkAboutCO2026-002858 NDER CONSTRUCTION
LETTER
SENT LETTER
PW OR LD NEEDED
PENDING FIRE
PENDING
LANDSCAPING / CODE
8OLD FILE
C/O PERMIT # 26 -
ADDRESS -
BUSINESS
BUS1NESS I PROPERTY
CHANGE NAME I OWNER NEW CONST /ADDITION PEA MIT#
-NEW TENANT/ OCCUPANT -----REMODEL /ALTERATION PERMIT# -
ISSUE DATE FINAL DATE
APPLICATION FORM COMPLETED
2. WORKORDER FORM COMPLIFTED
3. ENVIRONMENTAL NOTIFIED DATE TIME
(E-MAIL JIMMY FROCK & VALERIE FARRELL
4. HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE
(SCAN TO C/O IN MYGOV - IF LARGE SET, ALSO R
SCAN TO LF & FORWAD SET TO FIRE)
5. FIRE DEPARTMENT APPROVAL OF' HAZARDOUS MATERIAL DATE
-6 ZON!N,, CHECKED & COMPLETED ON APPLICATION
7, BUILDING INSPECTION SCHEDULED DATE 'TIME
3. FIRE [KEPT INSPECTION SCHEDULED DAI E TIME
FIRE INSPECTOR'
HEALTH INSPECTION NOTIFICATION DATE:
10. CITY SECRETARY (ALCOHOL) NOTIFICATIONDATE:
11 PUBLIC WORKS INSPEc rION E-MAIL DATE
12. LOT DRAINAGE INSPECTION E-MAIL DATE
13 CORRECTION LE,rTER SENT DATE
14. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
-15 FIRE DEPART'MEN,rs SIGN OFF LETTER: YES I NO
1& HEALTH DEPARTMENT SIGN OFF
1 CITY SECRETARY (Alcohol License Sign Off)
18. rUBLIG WORKS SIGN OFF
19, LOT DRAINAGE SIGN OFF
""70. LANDSCAPING SIGN OFF
21. BUILDING OFFICIALS SIGNATURE
22. City CERTIFICATE ISSUED
ELECTRIC RELEASECT.
SCAN CERTIFICATE TO MYGOV
MAILED�.
VORMSOSGONFORMA7 IONMM IS T
121"IOM-1 % Rev 5123/A
CIE,R,,T,I,FIICA,TE,O"F,"OCIICUPA.NCY.-RE,QVF$T
FEE: $50.00
NO FEE REQU1RED IF CERTIFICATE OF,,(y',UerP4NCY1S ASSOCIATED WITH ANACT[VE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: SUITE #
LOT; BLOCK: SUBDIVISION:
****CERTIFICATE OF OCCUPANCY "'ILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: Ctezu-' arN13 SVAOUD
NEW OCCUPANT: YES — NO V-" NEW BUILDING/PROPERTY OWNER: YES_NO
NEWBUILDING: YES_NO NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES — NO
NEW BUSINESS OWNER: YES —NO
TYPE OF BUSINESS: r\ cz, t' SQUARE FOOTAGE:
(Example: Ret2il Clothing I Attorney's Office/ OWice-i�arehouse/R'"e"staurant)
NAME OF TENANT
CUR�� hRENT MAILING ADDRESS:
CITY/STATEIZIP:
PHONE NUMBER: Pt
CITY/STATEIZIP- PHONE NUMBER:
# IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate)---- YES
NO vl'
# WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) - YES
NO
# PERMITS 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 (including storage of company/fleet vehicles), DISPLAY,
USEOR DINING? ------------------------------- ---------------------------------- YES
NO
+ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ------------------------- YES_NO:z
# IS BUILDING SPRINKLERED? ------------------------------------------------------- YES
NO
+ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
list
(if yes, provide of types & quantities, along with material safety data sheets) ---------------------- YES
NO V'
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-insi,ection fee will be charged)
FOR QUESTIONS PLEASI.,�'CA J,L (817) 410-3165.
SIGNATURE: PRINT NAME:
PHONE EMAIL:
Development Services Department
The Citil of Grapevine * P.O. Box 95104
Fax (817) 410-3012 *
W
fla�V1it tMN
Texas Sales Tax is charged and collected on sales within the State and City of Grap.vine, Texas of "taxable items." Taxable
include both tangible personal property, specified services. If you are in a business that will be selling "taxable jtcmj�
within the City of Grapevine, Texas you will be required to collect State and Local Sales Tax in the amount of
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 —
7n a calendar year. If an or,-r is received at the place of business of a retailer in Texas, but delivery or shipment is made
tax is due and is allocated W
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 Pernut tathe City of
Grapevine, Texas if the circumstance applies to my business.
Texas Sales Tax Number:
Signature:
11 & i TF
MAWID)NNI 1111111111111111111 ill i I 1 1111! A 111!.11117111 Sri
ADDRESS:
CITY, STATE, ZIP:
OFFICE USE
TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION.
ZONING DISTRICT: ' - � ' 1
PERMITTED USE;
BUILDING DEPARTMENT:
BUILDING INSPECTOR: A
ZONING APPROVAL:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
CITY SECRETARY:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
OCCUPANT LOAD:
DATE: d
DATE: J,
DATE:
I
AT
71zlej�
DATE:
I
0:F0RMSTSAPPUcATj0NS,FEES
lb-9-11tys-2
PC Box 95104 Project # 26-002858
Grapevine, Texas 76099 Project Description: C/O (Clean & Show)
817) 410-3166
Issued on: 07/28/2026 at 8:17 AM
ADDRESS
INSPECTIONS
417 S Main St.
Grapevine, TX 76051
1. Final Building C/O Inspection
2. Landscaping
LEGAL
City of Grapevine Blk 18
INFORMATION FIELDS
Lot N1/2 2-S23
**NAME OF BUSINESS
PERMIT HOLDER
**TENANT NAME (Individual)
Shambhu Shrentha
**TENANT PHONE NUMBER
(443) 848-9192
—APPLICANT NAME (individual)
OWNERS
"APPLICANT PHONE NUMBER
•Mdt Main Street Lp
(214) 466-1545
Square Footage
*Sales Tax Number
** TYPE OF BUSINESS
• CONSTRUCTION TYPE
• OCCUPANCY GROUP
*Sales Tax
Alcoholic Beverage Sales
Alterations
Change of Business Name
Change of Business Owner
Fire Sprinkler System?
Freight Forwarding Business
Hazardous Material
Industrial Waste
New Building / Addition
New Building / Property Owner
New Occupant/ Tenant
Outside Refuse/Recycling
Outside Storage
Signs
3
Clean & Show
Vacant
N/A
Shambhu Shrentha
443-848-9192
1700
N/A
Vacant
VB - SPRINKLERED
NA
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
Page 112
MYGOV.US 26-002858, 07/28/2026 at 8:17 AM Issued by: Amanda Robeson
INFORMATION FIELDS
CONDITIONAL USE REQUIRED?
OCCUPANCY LOAD
• PERMITTED USE
• ZONING DISTRICT
FEE
Certificate of Occupancy
N/A
VACANT
NO OCCUPANCY
C13D
TOTAL PAID DUE
$50.00 $ 50.00 $50.00
$50.00 $ 50.00 $0.00
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF
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 schedulele
inspection, a $50.00 re -inspection tee will be charged)
FOR QUESTIONS or TO RECALL FOR INSPECTION, PLEASE CALL: (817) 410-
3165 or (817) 410-3166
July 28, 2026
Signature -- bate
City of Grapevine Certificate of Occupancy
Project # 26-002858
Page 2/2
MYGOV.US 26-002858, 07/28/2026 at 8:17 AM Issued by: Amanda Robeson
All
**TO BE FILLED OUT BY BUILDING OFFICIAL"
ZONING DISTRICT OF INSPECTION LOCATION: OCCUPANTLOAD:
TYPEOFBUILDING: GROUP AND DIVI
ZONING RESTRICTIONS -
GA ORIVISOSCOINPORMAl It. WIVORKORDER
1213n104 Rev, 5123121024