HomeMy WebLinkAboutCO2018-1581 UNDER CONSTRUCTION _
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER_
WAITING FIRE_
HOLD
C/O CHECK LIST
C/O PERMIT # P18 - 15�5
ADDRESS: SQ_0 S I 1 am Sb -4- :�O3
BUSINESS NAME: rfl,(l yrs Pat kii A'Qa ior_, M �' DI�rYK�-& k
/
BUSINESS/PROPERTY c✓' ' `�-r
CHANGE NAME / OWNER NEW CONST/ADDITION PERMIT#
NEW TENANT/OCCUPANT REMODEL /ALTERATION PERMIT#
ISSUE DATE
FINALDATE
✓ 1. APPLICATION FORM COMPLETED
✓ 2. ZONING MAP COPIED &WORKORDER FORM COMPLETED
3. ZONING CHECKED & COMPLETED ON APPLICATION
—'_�4. BUILDING INSPECTION SCHEDULED DATE TIME
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 r
-� 17. LANDSCAPING SIGN OFF \
18. BUILDING OFFICIALS SIGNATURE
N/
19. C/O ISSUED ELECTRIC RELEASED:
SCANNED:
* CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED:
O IFORMSIDSCOINFORMATIONICKLIST
121301041 Rev.11111,11M
('x1�1p pA q�7fT�'7f� DATE OF ISSUANCE: k�7
GRA tl ll1V1G
m E x n s �' PERMIT#:
il
�Iff
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH
-cANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: /�y S� ��1N 1• SUITE#_ C
LOT: BLOCK: SUBDIVISION:
****CERTIFICATE OF OCCUPANCY WILL SOT (BnE UED I' OU 'LEGA DESCRIPTION****
NAME OF BUSINESS: ��e CxNt � "1vl� l
NEW OCCUPANT: YES_NO NEW BUILDING/PROPERTY OWNER: YES NO
NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES ENO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO
finrr// NEW BUSINESS OWNER: YES NO
TYPE OF BUSINESS:�j m u cl f-l)cw ffi (0 0
SQUARE FOOTAGE: _
(Example:Retail Clothing/Attorney's Office/OZ ce-Warehouse/Res u nt)
NAME OF TENANT [PERSON'S NAME]:
CURRENT MAILING ADDRESS:CO20 1�,^�Y�L 1\1 � \—( Itk?—Ug
CITY/STATE/ZIP: fnVE\K V k \'Z� \ X, I W®S PHONE NUMBER:
PROPERTY OWNER:
MAILINGADDRESS: C520 �SWC
CITY/STATE/ZIP: aVl"Fl NE �yJ`v `N1p�O°°l�p1 Vp1�0Q��-��• ��
i `_ cp�J®� PHONE NUMBER: C���•�[�J�j
♦ 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 NO14
♦ IS BUILDING SPRINKLERED?------------------------------------------------------- YES�NO
♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(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 to the building/space is not provided at the time of the scheduled inspection,a$42.00 re-inspection fee will be charged)
FOR QUESTIO P EASE CALL(817)410-3165.
SIGNATURE: / g�'nS PRINT NAME:
PHONE#: �.�—t .9C EMAIL: �-,
(OVER)
Development Services Department
The City of Grapevine *P.O.Box 95104 * Grapevine,Texas 76099 (817)410-3165
Fax(817)410-3012 * www.grapcvinetexas.gov
O:FORMSIDSAPPLICATIONSICI
312212001/Rev:5/06,2/09,4/09,2113,11/15,10/16
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 T x Number:`-
Signature:
WHERE DO��YO((��U WANT
� YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: �UJ LNl1_AJ2 11My��1'�\N � 1' � y-D3
CITY, STATE,ZIP: C-- 'Vx\ C\0 \ V C 1 - U!bG1
* *x r ***** * zxx*****FOR OFFICE USE ONLY***M*** *** ** *** * *** ***x
TYPE OF CONSTRUCTION: V-�,_ al k: OCCUPANCY: I ' DIVISION:
ZONING DISTRICT: G1'�t� ( H i sr) CONDITIONAL USE:
PERMITTED USE:
BUILDING DEPARTMEN DATE:
BUILDING INSPECTOR: DATE:
ZONING APPROVAL: DATE:
FIRE DEPARTMENT: DATE:
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVAL: DATE: // Q
APPROVAL FOR ISSUANCE: DATE:
0:P0Rn91DSAPPLICAT10N51C1
32212001/Rev:5/06,2107,4109,2113,11115,10/16
CERTIFICATE OF OCCUPANCY
Issue Date:April 27,2018
PROJECT DESCRIPTION:C/O[Retail Grocery]"Farmer's Market of Grapevine&Grapevine Tamale&Salsa
Company"[NAME CHANGE]
PROJECT# (817)410.3010 WWW.mygov.us
CO.18-1581 Inspections Permits
City of Grapevine
P.O.Box 95104 LOCATION TENANT LEGAL
Grapevine,TX 76099 520 S Main St. Farmers Market of Grapevine City Of Grapevine Elk 4 Lot 2r
(817)410-3165 Voice Suite#203 Per Plat D214062867
(817)410-3012 Fax Grapevine,TX 76051
CONTRACTOR INFORMATION
Jack Morehead *CONSTRUCTION TYPE VB Sprinklered
520 S.Main St.Ste.#203 *OCCUPANCY GROUP M
Grapevine,TX 76051 *ZONING DISTRICT CBD
(817)793-8634 Phone
**NAME OF BUSINESS Grapevine Tamale&Salsa Company
OWNER **TYPE OF BUSINESS Retail
Biatwic Llc **APPLICANT NAME Jack Morehead
1230 Lakeway Dr **APPLICANT PHONE NUMBER 817-793-8634
Southlake,TX 76092-7123 **TENANT NAME Jack Morehead
AVAILABLE INSPECTIONS **TENANT PHONE NUMBER 817-793-8634
C/O APPROVED FOR ISSUANCE *Sales Tax YES
(required) *Sales Tax Number 32034397136
Alcoholic Beverage Sales NO
Alterations NO
Change of Business Name NO
Change of Business Owner NO
County Tarrant
Fire Sprinkler System? YES
Freight Forwarding Business NO
Hazardous Material NO
Industrial Waste NO
New Building/Addition NO
New Building or Property Owner NO
New Occupant/Tenant YES
Number of Employees 20
Outside Refuse/Recycling NO
Outside Storage NO
Overlay HL-Historic Landmark Subdistrict
Signs YES
Square Footage 1860
Zoning CBD-Central Business District
FEES TOTAL=$50.00
Certificate of Occupancy $50.00
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY 100-18-1581 1 Printed 04127/18 at 1:55 p.m. Page 1 of 3
PAYMENTS TOTAL=$50.00
Jack Morehead(C/O Applicant Information)
Cash on 0412512018 ($50.00)
Note:Cash$50
READ AND SIGN
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 scheduled
inspection,a$42.00 re-inspection fee will be charged)
FOR QUESTIONS PLEASE CALL: (817)410-3165.
Signature Date
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-18-1581 I Printed 04/27/18 at 1:55 p.m. Page 2 of 3
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TEXAS SALES AND USE TAX PERMIT
Oc� (Rev.l-15n 9)
This permit is not transferable, and this side must be prominently displayed in your place of business.
Retailers: sal y U - c is permit in lieu of a properly completed exemption or YOoownersh p,location,or business elocation name.of
resale cervfi A csn�cate is necessary to document whytax is not collected on a sale. P•
TAXPAYER NAME,BUSINESS LOCATION NAME,and PHYSICAL LOCATION Type of permit
SALES AND USE TAX
BEDFORD FARMER'S MARKET LLC expayer number
3-20343-9713-6
FARMER'S MARKET OF GRAPEVINE Locauonn:mber
325 5 MAIN ST TX 76051-5320 00003
GRAPEVINE
nsl business dale of I°cation
TARRANT COUNTY 03/15/2015 '
NAICS CODE: 445110 DESCRIPTION ON NEXT LINE:
Supermarkets and other Grocery (except convenience) Stores
WE SHOW THIS BUSINESS IN THE FOLLOWING FOCAL SAL
2015AX AUTHORITIES:
CITV: GRAPEVINE
bpu: GRAPEVINE CRIME CONTROL EFF: 03/15/2015 Glenn Hegat --^- `
sere*
o_firy ller of Public ounts
You may need to collect sales and/or use tax for other local taxing authorities depending on your type of business.
For additional information,see"Collecting Local Sales and Use Tart'section on the back of this document.
If you have any questions regarding sales tax,visit our website at www.comptroller.tsxas.gov or call us at 1-800-252-5555.
prominently maoovn
Detach here and rominenL display your permit only.Retain the portion below for your records.
Is the Information Printed on this Permit Correct?
The information printed on your permit is public information. It must be accurate and current. If there is
an error, make corrections on the form below. Enter the correct information for incorrect items only.
Detach the form and mail it to:
Comptroller of Public Accounts
111 E. 17th Street
Austin, TX 78774-0100
More helpful information about your permit is on the back of this document.
Texas Sales and Use Tax Permit Corrections Form
Taxpayer name shown on the permit =permitsee make changes to
BEDFORD FARMER'S MARKET LLC es tax authorities
Location number shown on the permit CS code printed
Taxpayer number show32034397136 permit 00003
t,see information Correct busness locabon name k of this form.
Correct business location(no P.O.Box or directions accepted)
State ZIP code County
City
Daytime phone(Area rode and number)
Correct taxpayer name
Correct mating address -
Stale ZIP code Federal Employer Identification Number
city
If you are no longer in business,enter the date of your last business transaction. Date °
Taxpayer or aulhonzed agent
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'CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT #n18 - 1 58 �
ADDRESS OF INSPECTION: � =#--- �;LG3
DATE OF INSPECTION: " ( / (TIME�O-F- INSPECTION: -
NAMEOFBUSINESS:�(XQaY�°QS 1 fATL (�1 _tVi0.0eUVa / GNa 1VwQ .�(Jlr o c�LKSQ�
TYPE OF BUSINESS:
0
USE OF BUILDING AND/OR PREMISES: n ��
REASON FOR APPLYING: C h a/Y'�, y -,/1
CONTACT PERSON: 7:Sa� 15�
TELEPHONE NUMBER: f3 Irl - r)
COMMENTS/VIOLATIONS:
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING: ° 5142 1,Itk--5 GROUP AND DIVISION:
ZO/NING RESTRICTIONS:
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