HomeMy WebLinkAboutCO2017-4550 UNDER CONS_T_RU_CTION
CORRECTION LETTER_
PW OR LID NEEDED_
TD NO LETTER_
WAITING FIRE _
HOLD_
C/O CHECK LIST
C/O PERMIT # P17 - ! S O
ADDRESS: 31 O E _ 1Lk yi
\yo t. -� kNLO?j .
BUSINESS NAME: F\W(L \t� (�ZIy��C�t��C?(Y�l? V c i CC
/
BUSINESS PROPERTY
V CHANGE NAME / OWNER _ NEW CONST/ADDITION PERMIT#
✓NEW TENANT/ OCCUPANT REMODEL /ALTERATION PERMIT# 18-n 72,
ISSUE DATE
1. APPLICATION FORM COMPLETED FINAL DATE
J 2. ZONING MAP COPIED &WORKORDER FORM COMPLETED
3. ZONING CHECKED & COMPLETED ON APPLICATION ll /
4. BUILDING INSPECTION SCHEDULED DATE - 3C/ TIME -�3
--,,/5. FIRE DEPT. INSPECTION SCHEDULED DATE 3 U_TIME
FIRE INSPECTOR:
�6. CITY SECRETARY(ALCOHOL) NOTIFICATION DATE:
�_'7. HEALTH INSPECTION NOTIFICATION DATE:
,-,/8. PUBLIC WORKS INSPECTION E-MAIL DATE
f 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) ` � I C Wtsz�} — "uy�`ccfy�w4
.,-�'15. PUBLIC WORKS SIGN OFF COX UAW/,",
LOT DRAINAGE SIGN OFF ����
Y 17. LANDSCAPING SIGN OFF
/ 18. BUILDING OFFICIALS SIGNATURE
19. C/O ISSUED ELECTRIC RELEASED: APR
2 2018
SCANNED:
* CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED:
0 TORMSMSCOINFORWTIONICKLIST
12130/041 ReM11111 T15
• '1)
DATE OF ISSUANCE'_
PERMIT#:�
`-T e x •x s`'
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: UITE#
LOT: BLOCK: SUBDIVISION: L TF C ' LJ A 6
d �'O�
.***CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTI0 aaa
NAME OF BUSINESS: .4 w e-
NEW OCCUPANT: VFS-�4-NO NEW BUILDING/PR PERTY OWNER: YES>C NO
NEW BUILDING: YES_NO X— NEW BUSINESS NAME,CHANGE: YES_�NO_
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO
1 NEW BUSINESS OWNER: YES-A__NO
TYPE OF BUSINESS:_ Ik-{) ha�„_„ h a-c ��`2lSl vary SQUARE FOOTAGE:
(Example:Retail Clothing I Atmrney's Offke/Omrnw'arehame 1ltesteammn �
NAME OF TENANT zPhi}irat Nuotrt: `3 N C !1t s 'i an"01,i caybAlf
CURRENT MAILING ADDRESS: Y� M iCAA rl•
CITY/STATE/ZIP: \ Q�J �, 3� -I L-` PHONENUMBER:
PROPERTY OWNER: V),Z t,- C.- S1j war., s �sN , �.C_
MAILING ADDRESS:: -1 2-Z 55• ])f to o r -Typ
CITYISTATE/ZIP: 0 V R+� 7F, 'i4 O 1 ri PHONE NUMBER:(�G'l-C -9 P'-1 -- 9�t�
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? or yes,provide copy of Sales Tax Certificate)---- YES +!- NO_
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES?1if 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.
i 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-I'� NO_
♦ 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 Y�
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.
(It access to uildiug/space is n provided al the time of the scheduled inspection,a$42.40 re4nsnection fee will be charged)
FOR QUES O LE A[ /7�), 4�10�-,31 c�
SIGNATURE: ������, 1-C:9Xr? PRINT NA.ME:� ,
PHONE#: 1 -2 EMAIL: �
17; 3� -87� � "'F7,93 0 �
//
/ (.v'iU-(.Cifyt:e- Development Services Department
The City of Grapevine*P.O.Box 95 104#Grapevine,Texas (817)410-3165
111 iJG` Fax(8f 7)410-3012 w'wtv,arapevinetexas,gov
O:FOAMSDSAPMIeAT10N5VJ
YlN10mAiav:S96,20T,M5,T/la,tills
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 properly,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 Salts Tax in the amount of 825%.
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 cite 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.Sale x /
Signatu y
41`Hfjkl; iH}YQ! NI A'N i MAILED?
ADDRESS: 1.2-
CITY,STATE,ZIP: l rr N 0 + . �iL 7 tot'
OFFICE USE
1-,/� Sl
TYPE OF CONSTRUCTION: , i6 OCCUPANCY: DIVISION:
ZONING DISTRICT: C"' CONDITIONAL USE:
a�
PERMITTED USE:
BUILDING DF.PARTN,711 n DATE: Olt acz n
ZONING APPROVAL: ms'"` DATE:
FIRE DEPARTMENT:jZ� -6Z DATE:
LOT DRAINAGE INSPECTION.- DATE:
PUBLIC WORKS DFTARTMEN'T: DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY:.,_ DATE: 1
LANDSCAPING APPROVAL DATE:
APPROVAL FOR ISSUANCE:
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Arr nAnn ACC
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT# 17 -
ADDRESS OF INSPECTION: S l p
DATE OF INSPECTION: ?JD c�0/ TIME OF INSPECTION:_
NAME OF BUSINESS: P62 u n AU-k-�CY\ +y Se cV iL
TYPE OF BUSINESS: C\cl+ocXA
USE OF BUILDING AND/OR PREMISES: C hGn L' -T.C\S�EL 1L1 (ls
REASON FOR APPLYING: ���\�� (� Lo de-('
CONTACT PERSON: h'C , C� (a cl, o k CYO �-� \j s -lei -
TELEPHONE NUMBER:
COMMENTSNIOLATIONS:
q f� r
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1
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING: GROUP AND DIVISION: 5(
ZONING RESTRICTIONS:
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O'.FORMS OSMNFORNIATION WORKOROFR
12911 AR-117 211116
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