HomeMy WebLinkAboutCO2016-1489 UNDER CONSTRUCTION ;/
CORRECTION LETTER_
PW OR LD NEEDED _
TD NO LETTER
WAITING FIRE=
f HOLD
C/O 1C ECK LIST
C/O PERMIT # P16 -
ADDRESS: - -:Jot S-f-(eeo ip
BUSINESS NAME:
BUSINESS PROPERTY
CHANGE NAME / OWNER _ NEW CONS-/ADDI_TI.0 PERMIT# l0-1
NEW TENANT/ OCCUPANT REMODEL/ALTERATION PERMIT` I# n c
ISSUE DA40L 21 2046
1. APPLICATION FORM COMPLETED FINAL DATE
�2. ZONING MAP COPIED &WORKORDER FORM COMPLETED
V/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
111. ILDING INSPECTORS SIGN O LETTER: YES / NO
✓ 12. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
-ef 3. HEALTH DEPARTMENT SIGN OFF
94. CITY SECRETARY(Alcohol License Sign Off)
15. PUBLIC WORKS SIGN OFF
16. LOT DRAINAGE SIGN OFF
17. LANDSCAPING SIGN OFF
/ 18. BUILDING OFFICIALS SIGNATURE
19. C/O ISSUED ELECTRIC RELEASED: S EP 24 2018 qp
SCANNED:
CONDITIONS TO BE TYPED ON C/O? YES /NO MAILED:
O\FORMSIOSCOIN FORMATIONICKLIST
12/30104\Rev 11\11,11115
DATE OF ISSUANCE
GRAPEVINE,
m e a n s PERMIT#:
P
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: 301 r- 12�)<A5 S`rteT- SUITE#
LOT:I_BLOCK: SUBDIVISION: _ F11257- �A/^;51 &h ;wt A DI r,4J
""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUE W THOUT LEGAL DESCRIPTION""
NAME OF BUSINESS: FI i�, r 2A,P-Fj5 ' 6-0 ViCC GrkPV7 yfMiE-
NEW OCCUPANT: YES—N 0 NEW BUILDING/PROPERTY OWNER: YES NO K
NEW BUILDING: YES NO__X NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: , FREIGHT FORWARDING: YES NO JC
NEW BUSINESS OWNER: YES NO_
TYPE OF BUSINESS: Gti n-c i4 SQUARE FOOTAGE:
(Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant) '
NAME OF TENANT (Physical Name): Fi � 3,A-P-n!(,r- C(-( oac y &YY, VI :G� VhQn
CURRENT MAILING ADDRESS: y
_ �p( F - M:)(-AS s I c--E'r
CITY/STATE/ZIP: r. C��fiIPN(1 P\jF �( `7005 PHONE NUMBER: � 'Tg_ $–�S 7
PROPERTY OWNER: %-'s r -
MAILING ADDRESS: 301 I �4 S
CITY/STATE/ZIP: C7 u pE V t NE , ( I 7 OS( PHONE NUMBER:981 7� K ` 95 73
♦ 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_ NOR_
♦ WILL THERE BE ANY OUTSIDE STORAGE,DISPLAY,USE OR DINING.---------------------- YES_ NO
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES>C 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 X
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 PLEASE (817)410-3165.
SIGNATURE: — PRINT NAME: I–oAS
PHONE#: EMAIL: ,7
Development Services Department (OVER)
The City of Grapevine *P.O.Box 95104 *Grapevine,Texas 76099* (817)410-3165
Fax(817)410-3012 *www.grapevinetexas.gov
O:PORMSMAPPLICATION&V
3/22/2001/Re¢5106,2/0],C/09,2/13,11/15
TEXASSALESTAX
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: 301 F . LL X A s S i e-c--4 T
CITY, STATE, ZIP: gIL4QC V f N _ 'TX 76D SI
OFFICE USE
TYPE OF CONSTRUCTION: OCCUPANCY: k3�gej,-cA DIVISION:
ZONING DISTRICT: Q ��S^ CONDITIONAL USE:
PERMITTED USE:
BUILDING DEPARTMENT: e _ "I �S DATE: 2 _ AgVC zo L
ZONING APPROVAL: DATE: J
FIRE DEPARTMENT: ,.Aam mi DATE:
LOT DRAINAGE INSPECTION: DATE: Z//7-/19
I
PUBLIC WORKS DEPARTMENT: DATE: 21/2 119
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVAL: CL 9�JE. !; (�hhn ��/ DATE:
/1 / \ —�
APPROVAL FOR ISSUANCE: — DATE: Q1Lt414*48
O:FORMSIDSAPPLICATIONSIC/
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 16 -
ADDRESS OF INSPECTION:
DATE OF INSPECTION: TIME OF INSPECTION:
NAME OF BUSINESS:
TYPE OF BUSINESS: C_k
USE OF BUILDING AND/OR PREMISES:��n� }``-1t L L C��J C C h ye c \/c c e S
REASON FOR APPLYING: Can l CI 1 T�C1(�l 1�l in
CONTACT PERSON: �- U �S i c C SQ
TELEPHONE NUMBER:
COMMENTS/VIOLATIONS:-/0o 1ioLA-,;o V n&sgAVA;Ci
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: K7-S'
TYPE OF BUILDING: '31'g GROUP AND DIVISION: Aj�g�.J
ZONING RESTRICTIONS:
O_FORKS OSCOINFORMk LION P ORKOROFR
12 ill N." 1 17 2006
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