Loading...
HomeMy WebLinkAboutCO2017-1191UNDER CONSTRUCTION CORRECTION LETTER PW OR LD NEEDED TD NO LETTER WAITING FIRE HOLD CIO CHECK LIST C/O PERMIT # P17 - ADDRESS: OC)c-) 6,C' :.;)C -'-\f r\Q BUSINESS NAME: 2)\L_) E 'lcr A BUSINESS / PROPERTY CHANGE NAME / OWNER NEW CONST / ADDITION PERMIT # NEW TENANT / OCCUPANT REMODEL / ALTERATION PERMIT # 1. APPLICATION FORM COMPLETED ISSUE DATE FINAL DATE 2. ZONING MAP COPIED & WORKORDER FORM COMPLETED , 3. ZONING CHECKED & COMPLETED ON APPLICATION Ni 4. BUILDING INSPECTION SCHEDULED DATE V I tT TIME Pt AA ,----"5. FIRE DEPT. INSPECTION SCHEDULED DATE TIME FIRE INSPECTOR: CITY SECRETARY (ALCOHOL) NOTIFICATION DATE: HEALTH INSPECTION NOTIFICATION DATE: PUBLIC WORKS INSPECTION E-MAIL DATE 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 �3. HEALTH DEPARTMENT SIGN OFF 14. CITY SECRETARY (Alcohol License Sign Off) 15. PUBLIC WORKS SIGN OFF 6. LOT DRAINAGE SIGN OFF 7. LANDSCAPING SIGN OFF tvi 18. BUILDING OFFICIALS SIGNATURE (/ 19. C/O ISSUED ELECTRIC RELEASED:* SCANNED: A, iRr&f 620( 7 CONDITIONS TO BE TYPED ON CIO? YES 1 NO MAILED: O:\FORMS\DSCOINFORMATION\CKUST 12/30104 i Rev.11111,11\15 DATE OF ISSUANCEA PR 14 2017 PERMIT #: CERTIFICATF, OF OCCUPANCY REQUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: 3oco C-clye\,iw, MTs PC2v 1, Gca oe, T> 76os►SUITE # C- 1-16( LOT: t - 3 BLOCK: \ SUBDIVISION: E CO -0Q -N1 ��S:ACIC1:Ai )1'1 ****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WI OUT LEGAL DESCRIPTION**** NAME OF BUSINESS: Blue- Alcon NEW OCCUPANT: YES ✓ NO NEW BUILDING/PROPERTY OWNER: YES NO t/ / NEW BUILDING: YES NO ✓ NEW BUSINESS NAME CHANGE: YES NO �,/ NUMBER OF EMPLOYEES: 3 FREIGHT FORWARDING: YES NO 7, NEW BUSINESS OWNER: YES NO ✓ TYPE OF BUSINESS: home: -el i vto.ctv W' d izi-�- e,t-U - n( -1 n SQUARE FOOTAGE: Co Li (Example; Retail Clothing / Attorney's Office/ Office-War/choose hoose / Restaurant) NAME OF TENANT (Physical Name): $.ue Ak Ae Rin0 e� CURRENT MAILING ADDRESS: 40 W. 23rd St., 5th F oor CITY/STATE/ZIP: New York, NY, 10010 PHONE NUMBER: 347-746-7003 PROPERTY OWNER: Gc };3 Off'«,i�3 MAILING ADDRESS: Z2 5 `/v W 0.41 ip(t n 1 S CITY/STATE/ZIP: qO (1 S i 1 j Z 0 ' 6 12 0 PHONE NUMBER: 3i7 - I600 • 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 ✓ + 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, 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 Iist 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 -inspection fee will be charged) FOR QUESTIONS-PLEA,SJ1 CALL (817) 410-3165. SIGNATURE: ( !tf- PRINT NAME: Jacob Renner PHONE #: 347-746-7003 EMAIL; Tit'+ n eo c End Cy L{ '\ n Conk" O: F O RM S\b SAPP L I CAT I ONS\C/ 3/22/2001! R ev:5/06,2/07,4l00,2/13,11115 Gwhice,,-5 Place. c:{ t7(oe 1e. MINS, (6.4e) Development Services Department The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 E (817) 410-3165 Fax (817) 410-3012 * www.grapevinetexas.gov (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 /Halting 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 Nutlibery: V /A Signature; WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? ADDRESS: 40 W. 23rd St., 5th Floor CITY, STATE, ZIP: New York, NY, 10010 *****************************FOR OFFICE USE ONLY********** TYPE OF CONSTRUCTION: I 1 i> ZONING DISTRICT: L,L. OCCUPANCY: is110 PERMITTED USE: ...:01 J t f moi, Or tt�� �o+w�a� -- BUILDING DEPARTMENT; t2/jy�"�� ►': DATE: ZONING APPROVAL: `'�` 1 DATE: FIRE DEPARTMENT;DATE: LOT DRAINAGE INSPECTION: DATE: PUBLIC WORKS DEPARTMENT: DATE: HEALTH DEPARTMENT: DATE: CITY SECRETARY: DATE: LANDSCAPING APPROVAL:. - DATE: APPROVAL FOR ISSUANCE: DATE: ***************** DIVISION: CONDITIONAL USE: 0:F0 RMS\DSAPPLICATIONS\CI 3/22/2001 /Rev:5/06,2/07,4109,2113,11/15 113 4-s- i1 CERTIFICATE, OF OCCUPANCY WORKORDER Th l \ �� s PERMIT # 17 - \ \ 9 ( Oac__ e. \ ADDRESS OF INSPECTION: O cc a 1(1 Q (- � i1S P'ku. ',f S OA -Ci DATE OF INSPECTION: liI 1'22 1 n TIME OF INSPECTION: fin NAME OF BUSINESS: t U E TYPE OF BUSINESS: 14o (The 0E'. \ V USE OF BUILDING AND/OR PREMISES: 0-1-)..\ \-Z REASON FOR APPLYING: CONTACT PERSON: o r'l 'E'-.(� TELEPHONE NUMBER: 31*--) i *-L7 COMMENTS/VIOLATIONS: **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: TYPE OF BUILDING: I1\ f +ec.GROUP AND DIVISION: ZONING RESTRICTIONS: O: FORMS.DSCOINFORMATION WORKORDER 12.30'04 Rev. 1:172006 \c. _< e 5"20_0 co cn °/\ \-o 0 (D \ /\$/ 0300 c.] y §/\ \ \ /ƒ § O. $N\/ §§\ /2 3OO oa 0 o / _\5 ==me oCD. m }\ o o G k© f\\ \5D 2\ >5 7 Ea \\ _ \ CDo s\ Co cn-- \mG 3 ƒ$n 03/03 ma> o - =. CD 0 32 &ao \(/