HomeMy WebLinkAboutCO2016-4111CIO PERMIT # P16 -
UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
WAITING FIRE
HOLD
CIO CHECK LIST
Ott
ADDRESS: (o00 U.), [Y
BUSINESS NAME: /`SOS \7F :' ,C.
BUSINESS / PROPERTY
CHANGE NAME / OWNER NEW CONST /ADDITION PERMIT #
NEW TENANT / OCCUPANT .\/ REMODEL / ALTERATION PERMIT
`# )
ISSUE DATE'` V 7 2016
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
3. ZONING CHECKED & COMPLETED ON APPLICATION
FINAL DATE
1/ 4. BUILDING INSPECTION SCHEDULED DATE TIME
%../-
5. FIRE DEPT. INSPECTION SCHEDULED DATE TIME
FIRE INSPECTOR:
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
3. HEALTH DEPARTMENT SIGN OFF
14.
CITY SECRETARY (Alcohol License Sign Off)
PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING ► OAF
BUILDING OFFICIALS SIGNATURE
LETTER: YES / NO
19. CIO ISSUED ELECTRIC RELEASED:
SCANNED:
* CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED:
O:\FORMS\DSCOIN FORMATION\CKL IST
12/30/04 \ Rev_11\11,11115
DATE OF ISSUANCE:APR 1 9 2017
PERMIT #: 1(0- /
C• 1 tc, —241 (0
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: I 6 O li ec) .;/ //' c SUITE # /66
LOT: k BLOCK: SUBDIVISION: (o cle Inc _Lti\ C\ -(--e c -Cor\
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED W ROUT LEGAL DESCRIPTIONu* i
LL -C--
N W BUILDING/PROPERTY OWNER: 14S NO ,,"-
NEW BUSINESS NAME CHANGE: YES NO L.7"
FREIGHT FORWARDING: YES NO
NEW BUSINESS OWNER: YES NO
it 1 t-iCLf
NAME OF BUSINESS: dr^ -k-- eyetc
NEW OCCUPANT: YES / NO
NEW BUILDING: YES
NO/ ——
NUMBER OF EMPLOYEES:
TYPE OF BUSINESS: r 0
(Example: Retail Clothing / Attorney's Office / Office- arebouse / Restauranit)
NAME OF TENANT Uri V IA.
SQUARE FOOTAGE:
CURRENT MAILING ADDRESS: 16 (50 C),0 110.. te
CITY/STATE/ZIP: f rcte_ TY '3-6o k
PROPERTY OWNER: /-Ia#k ct (C , eq. 1:fki
(,,qo
MAILING ADDRESS:
CITY/STATE/ZIP:
PHONE NUMBER:
(75c3( (0-1
ct 11,7 s TNI\ 9 4,
PHONE NUMBER: Z/44 7t -C7. /406
• IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - YES NO le
• 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 )O
• 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)
YES NO
YES NO)'
YES NO it)
YES 4 NO
YES NO r
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 PLE S f , LL 817) 410-3165.
SIGNATURE: PRINT NAME:
PHONE #: 0( S EMAIL:
Development Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165
Fax (817) 410-3012 * www.grapevinetexas.gov
„
0:FORMSMSAPPLICATIONS1C/
3/22/2001/Rev:5/06,2/07,4109,2/13,11/15
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
Signature:
CITY, STATE, ZIP:
*****************************FOR OFFICE USE ONLY*****************************
OCCUPANCY: IS DIVISION:
TYPE OF CONSTRUCTION:
ZONING DISTRICT:
PERMITTED USE:
BUILDING DEPARTMENT:
ZONING APPROVAL:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
CITY SECRETARY:
LANDSCAPING APPROVAL:
CONDITIONAL USE:
DATE: J 1 `'-1,w4 c 1G
DATE:
DATE: I II u
DATE:
DATE:
DATE:
DATE:
DATE: Y—% 7 —1 7
APPROVAL FOR ISSUANCE: DATE: , '- (L, - —; I.,
O: FORMS\DSAPPLICATION SIC!
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CF,RTIFICATE OF OCCUPANCY
WORKORDRR
PERMIT # 16 -
ADDRESS OF INSPECTION: I (goo eo c �L' jC I (s2U
DATE OF INSPECTION:
NAME OF BUSINESS: M O 04\ 1 QJ>(c
TYPE OF BUSINESS: MecA.,`\. C' coA
TIME OF INSPECTION:
USE OF BUILDING AND/OR PREMISES: CE
REASON FOR APPLYING:
CONTACT PERSON: \. l Cit e'
TELEPHONE NUMBER: B
C
COMMENTS/VIOLATIONS:
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: Fe -'10
TYPE OF BUILDING: GROUP AND DIVISION:
ZONING RESTRICTIONS:
0: FORM' DSCOINFORMATION WORKORDER
12 30 04 Rc«117 2006