HomeMy WebLinkAboutCO2004-1017 C/O CHECK LIST
C/O PERMIT# PO4- &11
ADDRESS:
BUSINESS NAME: y te_ air-
CHANGE NAME/OWNER NEW CONST/ADDITION PERMIT #
NEW TENANT/OCCUPANT R MODEL/ALTERATION PERMIT # 07- 79 6
APPLICATION FORM COMPLETED
2. WORKORDER FORM COMPLETED
3. ZONING CHECKED AND COMPLETED ON APPLICATION
✓4. BUILDING INSPECTION: DATE TIME C;Z Cb
`,---5. FIRE DEPT. INSPECTION: DATE TIME a •
6. HEALTH INSPECTION: DATE TIME
r" 7. PUBLIC WORKS INSPECTION: DATE TIME
8. LOT DRAINAGE INSPECTION: DATE TIME
9. CORRECTION LETTER SENT: DATE
10. BUILDING INSPECTORS SIGNATURE
�/11. FIRE DEPARTMENTS SIGNATURE
,ho 12. HEALTH DEPARTMENTS SIGNATURE
13. PUBLIC WORKS SIGNATURE
Alll�14. LOT DRAINAGE SIGNATURE
15. LANDSCAPING SIGNATURE
16. BUILDING OFFICIALS SIGNATURE
17. CERTIFICATE OF OCCUPANCY ISSUED MAILED: APR 0 2 2004
TXU: -1V COPY: '' I 0 2 2004
0AMCKLIST
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XMar 25 04 11 :04a Development Services 817-410-3012 p. 1
MAR 2a 2�0
Gw. V NE. DATE OF ISSUANCE: .3 1► A
V
:r E A ° PERMIT '
CERTIFICATE OF 4CCUPAN
CY RE U•EST
FEE: ssuo
ADDRESS OF OCCUPANCY: ;�
LOT: _ BLOCK: SUBbMSXON;
"'"•"CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION
ARgW '-
NAME OF BUSINESS;_x_i�s r
NEW OCCUPANT: YES '✓ NO
NEW BUILDING: YES NO . NEW BUILDING NER: YES NO
NUbWER OF E11x,PLOYEES: �Q NAME CHANGE:
_ YES No-
FREIGHT FORWARDING:YES~`NO-j;P—
USE OF BUILDING: .A)6��NC _F
nn SQUARE FOOTAGE: j
NAME OF TENANT: ,C�o ; ruSU,l2.�,t3e.�, Etc i
CI7I1RENT MAILING ADDRESS: L —
CITY/STATE/ZIP—.:: '; -�-l°g(1"L1U�., �lo�c -�
PHONE NUMBER;
PROPERTY OWNER: A,-Flu 4 .4 a e ' l
MAILING ADDRESS. a N � z L
CITY/STATE/ZIP; /Q
PRONE NUMBER: tea, ,
• I9 YOUR BUSINESS SUBJECT TO SALES TAX LAW?Of yes,provide copy of Sales Tax Certificate) YES, NO L/
• WILL THERE 8E ALCOHOLIC BEyERAGE SALES?(if yes,provide copy of Alcoholic Beverage Perwit) YES_ NO
PERMITS ARE REQUIRED gOR SIGNS. WILL ANY SIGNS BE INSTALLED? YES NO
• WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCRARGE TO SEWER SYSTEM? YES, NO-17
• WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE-
(if.yes,screening is required) NECESSARY?
• WILL THERE BE ANY OUTSIDE STORAGE OR DISPLAY? YES NO V/ '
• WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? 4l-kk.4o a 0Q n�F, YES KO 1—
IS BUILDING SPRAYKLERIrD? �l YES NO
• WILL BUSINXSS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? YES,NO
(if yes,provide list of types&quantities,along with 11atel1sl aafety-data sheets)
YES_ NO
[HEREBY CERTIFY THAT TEE FOREGOING IS CORRECT TO THE BEST OF My KNOWLEDG '
-OCCUPANCY IS IN CONFORMANCE WITH THE INFORMATION REIN SET FORTH. E AND THE SAID
(R access to the building/space is not provided at the time of the scheduled inspection,a 542.00 re-inspection fee will be charged)
FOR QUESTIONS PLEASE,CALL(8 17)410,3165.
'R*TNAXE: 6L U 6 `ire` 5
SIGNATURE:
A.
DEVELOPMENT SERVICES DEPARTMENT
L d are'G l60 0I�,M0ne t^ QI �1 Wfl4 • Gcapeviri®.'loxag 7f,1190 . toi�� �,n T,.Wr�I T:F b��1. C7 a eW
8
Mar 25 04 11 : 04a Development Services 017-410-3012 p, 2
Texas Salsa Tax!o charged and collected on®else within the State and City of Grapevine;Texas of"taxablo Items,"Taxable
items include both tangible personal. specified services. If you ale In a business that will be selling"taxable items"
within the City of Grapevine,Texas you will be required to collect State sod Local Sates Tax in the amount of axablq,
A."Seller or Retailer"means a person engaged to the business of making sales of"taxa which are
Included in the measure of sales or use tax. ble steins",the receipts loom
The tern,"place of business"includes any location at which three or mote 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 order was received.within the state other than the retailer's place of bu
where siness. State and local sales.tax is due and is allocated to the city
where t
Grapevine,Texas If the circumstance applies to
I have read the above and I understand that I will be required to provide a copy of the sales Tax Peratlt to the Clty of
nay business.
Signature:
�v***�*,rdr�***e►,ksrsr*w*er,v*�re:e.��r�t,a
_ FOR OFFICE USE
TYPE OF CONSTRUCTION: s.l
OCCUPANCY; 6 - DMSION:
ZONING DISTRICT; ® ..--
CONDITIONAL USE:
PERMITTED USE:
$UII.,DING DEPARTMENT:
DATE:
ZONING APPROVAL;
'FIRE DEPARTMENT: DATE.
DATE:
,LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT: DATE:
4MALTH DEPARTMENT: DATE:
-
LANDSCAPING APPROVAL,; DATE:
�J DATE:
APPROVAL FOR ISSUANCE:
DATE; 7i �rCLt!t( t
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CITY OF GRAPEVINE
200 S MAIN ST.
GRAPEVINE, TX 76051
* * * P E R M I T * * *
PERMIT NUMBER PO4-0001017
TYPE: CERT. OF OCCUPANCY APPLICATION DATE 03/25/2004
APPROVAL DATE 03/26/2004
PERMIT/ISSUE DATE: 03/29/2004
EXPIRATION DATE 00/00/0000
THIS IS CERTIFY THAT: 1200 MAIN PLACE J.V. C/O KEN
HAS PERMISSION TO BUILD/INSTALL: C/O (OFFICE)
"BOX INSURANCE AGENCY"
FOR: 1200 MAIN PLACE J.V. C/O KEN
520 DOOLEY CT, GRAPEVINE, TX. 76051
LOCATED ON THE FOLLOWING DESCRIBED SITE:
PROPERTY ID NUMBER: A 422 1G01
DOOLEY, WILLIAM SURVEY BLOCK 1G01 LOT
ZONE: PO BLDG CODE: VN,B,PO, INSURANCE OFFICE
STREET ADDRESS: 1200 S MAIN ST #1600
TOTAL COST 0 SQ. FOOTAGE: 3, 000 LIVING
0 OTHER
TOTAL VALUE: 0 3 , 000 TOTAL
REQUIRED SETBACKS SIGNED BY
LEFT : 0' 0 RIGHT: 0' 0
FRONT: 0' 0 BACK : 0' 0 DATE SIGNED:
--------------------------------------------------------------------------------
FEES :
TYPE AMOUNT TYPE AMOUNT
TOTAL FEE: . . . . . . . . . . . . . . $0 . 00
GRAPEVINE Grapevine Fire Department
Prevention and Inspection Report
601 Boyd Drive. - Grapevine,Texas 76051
uT
(817) 410-8100 - FAX(817)410-8106
Page of Occupancy ID
Zone/Box Property ID
1.11 ' ess Name ']' 2.Business Address
`
s 1 N S . 000
3.Contact Person 4.Title 5.Phone
6.Business Phone Number 7.Business FAX Number S.After Hours Phone Numbers
9,Business Owner Name 10.Business Owner Phone H
11.Business Owner Address 12.Business Owner City,State,Zip
13.UBC 14.NFPA 901 15.Complex 16.Fire Suppression Type 17.Smoke Detector Type 1S.Roof Covering Type
19.0 Stories 20.Inspn/l--D�� 21.District 22.Insp.Type Statio 24.ins req 25.Date Sch. 26. ate C p. 27.Con t. Type 28.Time 312 4164 eloo
In Accordance with the Grapevine Fire Code and/or City Ordinances,the following violations exist:
29.Violation Code 30.Violation Location and Description 31.Date Found 32.Date Corrected
(OLA , ron!
35'A re urn inspection<will be made in to verify corrections.
e`
34.Inspector 35./ID# 36.Delivered to: 37.Title 38.Date
White Copy-Office Yellow Copy-File Pink Copy-Occupant
PERNHT#04 /D/:Z
CERTIFICATE OF OCCUPANCY
WORKORDER
ADDRESS OF INSPECTION:
DATE OF INSPECTION: 'vZ o TIME OF INSPECTION: oZ/d D
NAME OF BUSINESS:
0 u
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING: �y�
PERSON TO CONTACT AFTER INSPECTION: .
ADDRESS:
CITY/STATE/ZIP:
TELEPHONE NUMBER: & j-ot
COMMENTS/VIOLATIONS: �
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING:_ GROUP AND DIVISION:
ZONING RESTRICTIONS: A)
OAMWORKORDER
10/20/2000
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