HomeMy WebLinkAboutCO2018-3991 UNDER CONSTRUCTION _
CORRECTION LETTER_
PW OR LID NEEDED_
TD NO LETTER_
WAITING FIRE
HOL
ODE
C/O CHECK LIST
C/O PERMIT # P18 - ��l
ADDRESS: LA ( 0-V"de&'
BUSINESS NAME: (-ky\
BUSINESS/PROPERTY
_ CHANGE NAME / OWNER NEW CONST/ADDITION PERMIT#
NEW TENANT/OCCUPANT — REMODEL/ALTERATION PERMIT#
ISSUE DATE FINAL DATE
1. APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
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 TIME
,,-- 7. FIRE DEPT. INSPECTION SCHEDULED DATE TIME
FIRE INSPECTOR:
8. CITY SECRETARY(ALCOHOL) NOTIFICATION DATE:
1===9. HEALTH INSPECTION NOTIFICATION DATE:
0 PUBLIC WORKS INSPECTION E-MAIL DATE
1'1. LOT DRAINAGE INSPECTION E-MAIL DATE
12. CORRECTION LETTER SENT DATE
13. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
X14. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
�5. HEALTH DEPARTMENT SIGN OFF
_f-6. CITY SECRETARY(Alcohol License Sign Off)
f7. PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
19. �—L NDSCAPI_NG SIGN OFF
✓20. BUILDING OFFICIALS SIGNATURE IIm
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: to I?-A l`O
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED:
O 1FORM5IDSCOINFORWTIONICK IST
121301041 Revd 1111 11115,5110
DATE OF ISSUANCE: A f"T ft 1 2018
GRAPEVIN E,
PERMIT
1��� T� E, 1 :5 S�� #:
h = '1 V
5\c\
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: 4'811 M CO 4- V � I SUITE# I 10
LOT: ._9-1 BLOCK: I SUBDIVISION: ��t ajge Y 1 m wk
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUIT LEGAL DESCRIFITON****
NAME OF BUSINESS: O IP. aa4 s'-Cc�
NEW OCCUPANT: YES NO VL NEW BUILDING/PROPERTY OWNER: YES NO
NEW BUILDING: YES_NO ✓ NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO T
(�Q o NNE�WBUSINESSOWNER: YES NO
0S 1
TYPE OF BUSINESS: c,e I1�1 aj VC't� SQUARE FOOTAGE: Z Z�
(Example:Retail ClothiN�g/,Attorney's Office/Office• JJ /+,��
NAME OF TENANT [PERSON>sNAM[E]: N e d �-� � (0a d M, V C � /fi n\
CURRENT MAILING ADDRESS:4-cl-45 L
7`�rnbQ p�
CITY/STATE/ZIP:I_, X�J"" WII PHONE NUMBER �� L�1
PROPERTY OWNER: lJT t"� Lt
MAILING
G ADDRESS: - as CAD
CITY/STATE/ZIP: (_g:�Yl��+ C I PHONE NUMBER: -6i m)CT1
* 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(including storage of company/fleet vehicles),DISPLAY,
USE OR DINING?--------------------- ------- ---- --- ---- --- YES NO
* 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_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 QUESTION PLEAS ALL 817) 410.3165. ' 1 ��, (�
SIGNATURE: -1 PRINT NAME:: 1 lU t� I S2
PHONE#: t—�� - EMAIL: :
(OVER)
Development Services Department
The City of Grapevine*P.O.Box 95104* Grapevine,Texas 76099* (817)410-3165
Fax(817)410-3012* www.grapevinetexas. ogov
O:FORMMSAPPLICATIONS
==001Aiev:6A6,1/07,4=,2/18,11/16,10/16,8M 8
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 Tax Number:
Signature:
WHERE DO YOU /WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: t,4
CITY, STATE, ZIP:
* ** ** ***FOR OFFICE USE ONLY***** x * * **
TYPE OF CONSTRUCTION: OCCUPANCY: /YOW0 DIVISION:
ZONING DISTRICT: P® I'— CONDITIONAL USE:
PERMITTED USE: wW
BUILDING DEPARTMENT: - y" • DATE: /®"�!_'69
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: W DATE:
APPROVAL FOR ISSUANCE: DATE:
O:FORMSI SAPPLICA?IONS
921/2801/Rev:6/06,1107,9 ,V13,11/15,1N16,8/18
@� 7p CERTIFICATE OF OCCUPANCY
VI'CG Issue Date:October 31,2018
�i E• S ,1 g PROJECT DESCRIPTION:C/O(Clean&Show)
PROJECT# (817)410-3010 www.mygov.us
CO-18-3991 Inspections Permits
City of Grapevine
P.O.Box 95104 LOCATION TENANT LEGAL
Grapevine,TX 76099 4811 Merlot Ave. Clean&Show Delaney Vineyards Addition
Suite#110 Blk 2 Lot 2r1
(817)410-3165 Voice Grapevine,TX 76051
(817)410-3012 Fax
CONTRACTOR INFORMATION
Wendy Kelso *CONSTRUCTION TYPE VB
4841 Merlot Ave *OCCUPANCY GROUP NONE
Grapevine,TX 76051
(817)637-8000 Phone `OCCUPANCY LOAD
'ZONING DISTRICT PO
OWNER **NAME OF BUSINESS Vacant
Merlot Court Lip **TYPE OF BUSINESS Clean&Show
428 Kimbark St **APPLICANT NAME
Wendy Kelso
Longmont,CO 80501 '*APPLICANT PHONE NUMBER 817-637-8000
ph.(817)637-8000
*'TENANT NAME Vacant
AVAILABLE INSPECTIONS **TENANT PHONE NUMBER 817-637-8000
Final Building C/O Inspection(required) *Sales Tax NO
� Landscaping(required)
P C/O APPROVED FOR ISSUANCE *Sales Tax Number
(required) Alcoholic Beverage Sales NO
Alterations NO
Change of Business Name NO
Change of Business Owner NO
County Tarrant
Fire Sprinkler System? NO
Freight Forwarding Business NO
Hazardous Material NO
Industrial Waste NO
New Building/Addition NO
New Building or Property Owner NO
New Occupant/Tenant NO
Number of Employees
Outside Refuse/Recycling NO
Outside Storage NO
Signs NO
Square Footage 7225
Zoning PO-Professional office
FEES TOTAL=$50.00
Certificate of Occupancy $50.00
PAYMENTS TOTAL=$50.00
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-18-3991 I Printed 11/01/18 at 10'59 a.m. Page i of 3
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT## 18 -
ADDRESS OF INSPECTION: � I ( c l lo-,&&-� C� }C% ,4 t l D
DATE OF INSPECTION: s/aWV TIME OF INSPECTION:
NAME OF BUSINESS: -� ' xy Skc,,L-)
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES: ytaCr ��
REASON FOR APPLYING:
CONTACT PERSON: \
TELEPHONE NUMBER: c3c�
COMMENTSIVIOLATIONS:
7
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: On-
TYPE OF BUILDING: y GROUP AND DIVISION: G.LTJb,M
ZONING RESTRICTIONS:
MIA
O.FORMS DSCOWFORMATION WOW(ORDER
17 3S o4 Rev.I I'2006