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HomeMy WebLinkAboutCO2016-2779UNDER CONSTRUCTION CORRECTION LETTER PW OR LD NEEDED TD NO LETTER WAITING FIRE HOLD CIO CHECK LIST C/O PERMIT# P16 - 7?c1 ADDRESS: i'9 1 69 /64A BUSINESS NAME: (--')OU --moo - TCE_ BUSINESS / PROPERTY CHANGE NAME / OWNER NEW CONST / ADDITION PERMIT # ( NEW TENANT / OCCUPANT REMODEL /ALTERATION PERMIT # /(v-� X77,7 ISSUE DATeC T 12016 1. APPLICATION FORM COMPLETED t/ 2. ZONING MAP COPIED & WORKORDER FORM COMPLETED ✓ 3. ZONING CHECKED & COMPLETED ON APPLICATION t'r 4. BUILDING INSPECTION SCHEDULED DATE TIME FINAL DATE 5. FIRE DEPT. INSPECTION SCHEDULED DATE TIME FIRE INSPECTOR: -' 6. CITY SECRETARY (ALCOHOL) NOTIFICATION DATE: 7. HEALTH INSPECTION NOTIFICATION DATE: 8. PUBLIC WORKS INSPECTION E-MAIL DATE 9. LOT DRAINAGE INSPECTION E-MAIL DATE 10. CORRECTION LETTER SENT DATE ✓ 11. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO 12. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO 13. HEALTH DEPARTMENT SIGN OFF 14. CITY SECRETARY (Alcohol License Sign Off) 15. PUBLIC WORKS SIGN OFF 16. LOT DRAINAGE SIGN OFF 17. LANDSCAPING SIGN OFF 18. BUILDING OFFICIALS SIGNATURE X19. CIO ISSUED ELECTRIC RELEASED: SCANNED: * CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED: O:\FORMS\DSCOIN FOR MATION\CKL IST 12130/04 \ Rev.11\11,11\15 272016 DATE OF ISSUANCE: hq)/7 PERMIT #: le -0177 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: l SO1 Ca 7 / d l rra; I n SUITE # 3 �d LOT: 1 BLOCK: / SUBDIVISION: O�% LO 40IdI n • ****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION**** NAME OF BUSINESS: -L CG/c,iorc1 iexe.✓l NEW OCCUPANT: YES NO NEW BUILDING: YES NO NUMBER OF EMPLOYEES: 90 TYPE OF BUSINESS: N'EW BUILDING/PROPERTY OWNER: NEW BUSINESS NAME CHANGE: FREIGHT FORWARDING: I __t_ NEW BUSINESS OWNER: elI joie.- C►1�tf tc,nwlh4 (Example: Retail Clothing / Attorney's Office / Office--'arehouse / Restaurant) NAME OF TENANT (Physical Name): ei.7 Iofc,1 CURRENT MAILING ADDRESS: ) 5O I 6-101) r Tecit Carapc%tie Z 760'5 ( I CITY/STATE/ZIP: PROPERTY OWNER: 6747 taro(-Gca-n MAILING ADDRESS: FY)) C — 1 g, /orol ! f a,; 1 CITY/STATE/ZIP: �f�ftJe✓r�t2 (7 ( 7‘o51 YES YES YES YES SQUARE FOOTAGE: CAtuiNerlf:olk NO ✓ NO ✓ NO NO 15,00o PHONE NUMBER: (.1-7) 7 7S -2.355 PHONE NUMBER: (gI-7)778-2355 ♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES • WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) - YES • PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED?. YES • WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? YES • WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (if yes, screening is required) • WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING. • WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? • IS BUILDING SPRINKLERED? • WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? (if yes, provide list of types & quantities, along with material safety data sheets) NO V- NO NO ✓ NO k./ NO ✓ YES NO YES ✓ NO YES ,/ NO YES NO ./ YES NO N/ 1 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 buildin FOR QUESTIONS PL SIGNATURE: PRINT NAME: Ert IM PP ace is not provided at the time of the scheduled inspection, a $42.00 re -inspection fee will be charged) trALL 17) 410-3165. PHONE #: 811 Zoc i l4 O: FORMSIDSAPPLICATIONSIC/ 3/2212001 /Rev:5/06,2/07,4/09,2/13,11 /15 EMAIL: (OVER) Development Services Department The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165 Fax (817) 410-3012 * www.grapevinetexas.gov 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: CITY, STATE, ZIP: *****************************FOR OFFICE USE ONLY***************************** TYPE OF CONSTRUCTION: J— i7C1/Or d ZONING DISTRICT: PERMITTED USE: OCCUPANCY: ZONING APPROVAL: FIRE DEPARTMENT: I (�Q LOT DRAINAGE INSPECTION: PUBLIC WORKS DEPARTMENT: HEALTH DEPARTMENT: CITY SECRETARY: LANDSCAPING APPROVAL: APPROVAL FOR ISSUANCE: O: FORMSIDSAPPLICATIONSIC/ 3/22/2001 /Rev:5/06,2/07,4/09,2/13,11 /15 DIVISION: CONDITIONAL USE: DATE: DATE: DATE: 51::) �(—] DATE: DATE: DATE: DATE: DATE: DATE: SAMUEL FREEMAN A 526 4,taT1E'S 1111111111111111 16. STIRILL ompuppm F EON, GEORGE F MARTIN A1003 2132-464 CF,RTIFICATR OF OCCUPANCY WORKORDER ADDRESS OF INSPECTION: DATE OF INSPECTION: NAME OF BUSINESS: TYPE OF BUSINESS: PERMIT # 16 - 6-0 670 �� USE OF BUILDING AND/OR PREMISES: REASON FOR APPLYING:° CONTACT PERSON: oil /41 k TIME OF INSPECTION: TELEPHONE NUMBER: COMMENTS/VIOLATIONS: **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: TYPE OF BUILDING: GROUP AND DIVISION: ZONING RESTRICTIONS: O. FORMS DSCOINFORMATION WORKORDER 12 30 04 Rev. 1 17.2006 7\2/ 01: �® e Eg0_0 co DCD aro 0 0cn / (I)0 0.) w 'W00 \Ra2 3\\ \ R� 7/ 0,)Cn 0N\\ *R\ // (0 & cn Q. k \/CD )070,0. 0 C) @o\J 2 —& \�\/CD 00 &f / k© f\f \7/ 2\ >cp w E 0) =E 5 CDo $ s _ )(k 7 5. /\n \a0 ea> E 0 R -s 0 o sf (D0 2 \.2 }\ \