HomeMy WebLinkAboutCO2018-3891 UNDER CONSTRUCTION _
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER_
WAITING FIRE _
HOLD _
CODE _
C/O CHECK LIST
C/O PERMIT # P18 - g�
ADDRESS: l ou 3 �` Y n �C l ( U'O '
BUSINESS NAME
BUSINESS/PROPERTY
CHANGE NAME / OWNER NEW CONST/ADDITION PERMIT#
— NEW TENANT/ OCCUPANT — REMODEL/ALTERATION PERMIT#
ISSUE DATE FINAL DATE
✓ 1. APPLICATION FORM COMPLETED
2. ZONING MAP COPIED &WORKORDER FORM COMPLETED
L�3. HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE
(SCAN TO C/O IN MYGOV-IF LARGE SET,ALSO SCAN TO LF&FORWARD SET TO FIRE)
,-__�4. FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE
5. ZONING CHECKED & COMPLETED ON APPLICATION
1/ 6. BUILDING INSPECTION SCHEDULED DATE �0 TIME 1
FIRE DEPT. INSPECTION SCHEDULED DATE �� TIME
FIRE INSPECTOR:
1____ 8. CITY SECRETARY(ALCOHOL) NOTIFICATION DATE:
HEALTH INSPECTION NOTIFICATION DATE:
10. PUBLIC WORKS INSPECTION E-MAIL DATE
11. LOT DRAINAGE INSPECTION E-MAIL DATE
12. CORRECTION LETTER SENT DATE
13. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
l 4. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
/
15. HEALTH DEPARTMENT SIGN OFF
16. CITY SECRETARY(Alcohol License Sign Off)
_ee�i7. PUBLIC WORKS SIGN OFF
V, LOT DRAINAGE SIGN OFF
V 19. LANDSCAPING SIGN OFF
V 20. BUILDING OFFICIALS SIGNATURE I
VI' 21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: 10 �U V
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES/NO MAILED:
O 1FORMSOSCOINFORWTIONICK IST
12/301041Rev11111,111146118
DATE OF ISSUANCE: O g
EVE. (�
s PERMIT#:
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH ANA CTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: I Q&3 TEXAN T YLA►L. SUITE#_L±0 0
LOT: BLOCK: _ SUBDIVISION:Gfe,-C\ A�,r 0.3
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL D SCRIPTION****
NAME OF BUSINESS: GLEAN/ ✓
ANV � F7DW
NEW OCCUPANT: YES 1/NO NEW BUILDING/PROPERTYOWNER: YES NO ✓
NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES NO ✓
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO�L
NEW BUSINESS OWNER: YES NO
TYPE OF BUSINESS: C L CpShl ^NV 5 t)M SQUARE FOOTAGE: _3 !j
(Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant)
NAME OF TENANT [PERSON'S NAME]: L LEAN An1D S ffQv,v
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: PHONE NUMBER:
PROPERTY OWNER: FLODLOial`)
MAILING ADDRESS: 7_67—1 M L V—1 N IJF_V
CITY/STATE/ZIP:, R^L1. Z0 1 :352-0 PHONE NUMBER: 1z Do
* 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?
Ifyes,screening is required)-----------------------------------------------------------YES NO ✓
* WILL THERE BE ANY OUTSIDE STORAGE,DISPLAY,USE OR DINING:--------------------- YES_ NO Jf
* WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES 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 1V0
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
S/PLEASE CA/LL(8117))4-10-3165.
SIGNATURE: /1l A�V�)�l(Wl� l MM ,(9 l PRINT NAME:WL11T IJ —( x/1)1 . .1 AH.'50N
PHONE#: (i2yy EMAIL: �
Development Services Department (OVER)
The City of Grapevine *P.O.Box 95104* Grapevine,Texas 76099 (817)410-3165
Fax(8 17)410-3012 www.grapevinetexas.gov
3121001Iaev:5105,MN08,N13,11115,10116 ,; C.otr
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 5.25%.
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.
NTexas Sales Tax Number: /AK
Signature:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS:_-()Z 1 M(_IG I N N E`f AV G t 5U I TF 1 f)Sp
CITY, STATE, ZIP: ALAS. AX 3$7-01
* ******> ************* *** **FOR OFFICE USE ONLY***1* +******* ****r**r*** **
TYPE OF CONSTRUCTION: ' I— SlP t A.c1GS OCCUPANCY: DIVISION:
ZONING DISTRICT: L CONDITIONAL USE: A)
PERMITTED USE: Y
BUILDING DEPARTMENT: n, y- DATE: AO—//
BUILDING INSPECTOR: ' "�/�7l ^DATE:
ZONING APPROVAL: DATE:
FIRE DEPARTMENT: DATE:
LOT DRAINAGE INSPECTION. DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVAL: w. DATE:
APPROVAL FOR ISSUANCE: DATE: o • 2,5 . _
O:FORMSIDSAPPLICATIONSW/
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 18 -3 6'� i
ADDRESS OF INSPECTION: _ ��O 3 l ey«Y\7�0- ( +OCD
DATE OF INSPECTION: 10A1 TIME OF INSPECTION: 77 (y�\
T
NAME OF BUSINESS: ct-,\ecl-c\ �A'IOLo
TYPE OF BUSINESS: CL ear\
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING: — �P\C a S e E l,eO-A F� c,
CONTACT PERSON: �&Ndt \fie `
TELEPHONE NUMBER: ��J_ Via.- `]�'j(gj D
COMMnnENTS/VIIOLATIONS: / /J
lVo l ;`3�a''. g�7S e3i?5L1" Vt�L �'�i �i �� - /o ''/`a
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: L, 1
TYPE OF BUILDING: 5;?4 1Nk5 GROUP AND DIVISION:
ZONING RESTRICTIONS:
O'.FOR1IS D SCOINFORNI4TION WOA ORDER
12"04 Ru_1 17 2006