HomeMy WebLinkAboutCO2018-0526 UNDER CONSTRUCTION
CORRECTION LETTER_
PW OR LD NEEDED _
TD NO LETTER
WAITING FIRE _
HOLD_
C/O CHECK LIST
C/O PERMIT # P18 -• 5
ADDRESS: /a5 LU
BUSINESS NAME: »
BUSINESS/PROPERTY
CHANGE NAME / OWNER NEW CONST/ADDITION PERMIT#
NEW TENANT /OCCUPANT REMODEL/ALTERATION PERMIT#1tuin_�7/
ISSUE DATE iJY
T
1. APPLICATION FORM COMPLETED FINAL DATE
2. ZONING MAP COPIED &WORKORDER FORM COMPLETED
V 33. ZONING CHECKED & COMPLETED ON APPLICATION /
V 4. BUILDING INSPECTION SCHEDULED DATE �' 7 TIME
�J 5. FIRE DEPT. INSPECTION SCHEDULED DATE G//.S 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
I/ 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)
-- 15. PUBLIC WORKS SIGN OFF
16. LOT DRAINAGE SIGN OFF
—�zi7. LANDSCAPING SIGN OFF
�v 18. BUILDING OFFICIALS SIGNATURE q
19. C/O ISSUED ELECTRIC RELEASED: DEC 13 2018
SCANNED:
CONDITIONS TO BE TYPED ON C/O? YES I NO MAILED-
0 IFORMS\DSCOINFORMATIOMCKLIST
12130106 A ReV W 1,11115
DATE OF ISSUANCE:
T t: g A s PERMIT#: /.7 'UJca
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITH ANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: / 0-50 0l lbdy D 1� &E- SUITE# 1,50
LOT: 09- BLOCK: SUBDIVISION: bu)/q Cif✓%
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS:
NEW OCCUPANT: YES NO NEW BUILDING/PROPERTY OWNER: YES NO ✓
NEW BUILDING: YES NO V-7 - NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO
/ /NEW BUSINESS OWNER: YES NO ✓r /
TYPE OF BUSINESS: ���7 l r U d-(I, I/i V SQUARE FOOTAGE: /D, 97
(Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant) /)IJ4
NAME OF TENANT PERSON'S NAME]: (,tMTEr LI6WeL /,1,✓1&Q 413, 8'16 D o�jrve
CURRENT MAILING ADDRESS: �1 ` 1 ✓ Q 64_ /O 4 y- J�w !/
CITY/STATE/ZIP: lam!1��V i�f 7'X 700✓1 PHONE NU BER:
PROPERTY OWNER: '736 A L L- /1!a pG_ lii.siE Ce_s <eZ G L c
MAILING ADDRESS: 6711- S'v 17E Zap
CITY/STATE/ZIP: G'b 4 Lf y0 LA6 . %JC �6 6 PHONE NUMBER: $/7- 3 ?7 1/° o
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW?(if yes,provide copy of Sales Tax Certificate)---- YES V11 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 l7 NO
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM?----- YES_NO_�
♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes,screening isre quired)-----------------------------------------------------------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 NO ✓
♦ IS BUILDING SPRINKLERED?------------------------------------------------------- YESV7'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 v1
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�P/LEASEyC-ALL(817) 10- 165. /)
SIGNATUREF�/�6��{G� / /��,/� e4W_4`---"Pt RINTNAME: /� A�NI�}�f�
PHONE#: p -1 rte- I % 75J 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.gov
O:FORMSIDSAPPLICATIONMI
312 212 0 01/Rev:5/06,2/07,4/09,2113,11115,10116
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.
r Texas Sales Tax N_.tub/er: 7 SA-XS— " 7`7 5-6
✓ Signature:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: 61 JJ /r�i{ ��1 ��
CITY, STATE, ZIP: (%1 r li/aF 1,'ley G l''
OFFICE USE
TYPE OF CONSTRUCTION: KO OCCUPANCY: M DIVISION:
ZONING DISTRICT: ' " GCS CONDITIONAL;USE: e, /7 ZZ
PERMITTED USE: Y7=5
BUILDING DEPARTMENT: DATE:
BUILDING INSPECTOR: " DATE: /l
ZONING APPROVAL: DATE:
(/7�J
FIRE DEPARTMENT r�f�J�v2tx/ DATE:atirL2
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVAL: DATE:
APPROVAL FOR ISSUANCE: DATE: i 2 ' 1-3 -
O:PORMSIDSAPPLICATIONSIC/
312212001/Rev:5106,2/07,4109013,11115,10116
(�1JxT� CERTIFICATE OF OCCUPANCY
Y�LL`tiJ " `� "dd Issue Date:December 13,2018
PROJECT DESCRIPTION:C/O Retail Clothing"Angel's Attic"[BLDG.174614]
I
l+ PROJECT# (817)410-3010 www.mygov.us
CO-18-0526 Inspections Permits
City of Grapevine
LOCATION TENANT LEGAL
P.O.Box 95104 1250 William D Tate Ave. Angels Attic Towne Center Addition Elk 1
Grapevine,TX 76099
Suite#350 Lot 2
(817)410-3165 Voice Grapevine,TX 76051
(817)410-3012 Fax
CONTRACTOR INFORMATION
Kathryn Jensen *CONSTRUCTION TYPE 1113 Sprinklered
1250 William D.Tate Ave.,Ste.#350 *OCCUPANCY GROUP M
Grapevine,TX 76051 *ZONING DISTRICT CC
(817)251-9451 Phone
**NAME OF BUSINESS Angel's Attic
TYPE OF BUSINESS Retail-Clothing
OWNER —APPLICANT NAME Kathryn Jensen
Beall Grapevine Center LIc **APPLICANT PHONE NUMBER 817-251-9451
5712 Colleyville Blvd Ste 200 **TENANT NAME Kathryn Jensen
Colleyville,TX 76034
**TENANT PHONE NUMBER 817-251-9451
AVAILABLE INSPECTIONS *Sales Tax YES
� Final Building 0/0 Inspection(required) *Sales Tax Number 17522537756
� Final Fire Dept Inspection (required)
P Landscaping(required) Alcoholic Beverage Sales NO
� C/O APPROVED FOR ISSUANCE Alterations YES
(required) Change of Business Name NO
Change of Business Owner NO
County Tarrant
Fire Sprinkler System? YES
Freight Forwarding Business NO
Hazardous Material NO
Industrial Waste NO
New Building/Addition NO
New Building or Property Owner NO
New Occupant/Tenant YES
Number of Employees 3
Outside Refuse/Recycling NO
Outside Storage NO
Signs YES
Square Footage 10943
Zoning CC-Community Commercial
READ AND SIGN
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.
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-18-05261 Printed 12117118 at 920 a.m. Page 1 of 3
`Eg 0 2016 1iii8 osa..o
TEXAS SALES AND USE TAX PERMIT
This permit is not transferable and this side must be Prominently displa wd in your place of business.
Merclia its DO NOTaceepta Gtipy ofthJa permit m place ofa resale 0rWaMPbon certificate.You M71 be You must obtain a new pennd ifthere is a change of
respomvfdeforsales fak ardess you have a vaGdresaWa xampbon certificate an file. ownership,lodtion,or business locatia chane
TAXPAYER NAME,BUSINESS LOCATION NAME,and PHYSICAL LOCATION
Ype of Permit
WHITE'S CHAPEL UNITED METHODIST CHURCH SALES AND USE TAX
Taxpayer number
ANGELS. ATTIC 1-75-2253775-6
1601 W NORTHWEST HWY STE 1635 Outlet number
GRAPEVINE - 0-0002
04!15/2006
NAICS CODE: 453310 DESCRIPTION ON NEXT LINE:
Used Merchandise Stores
.WE SHOW THIS BUSINESS IN THE FOLLOWING LOCAL SALE'S TAX AUTHORITIES: �. .
CITY: GRAPEVINE EFh: 04/15/20,06_
YOU MAYNEED TO COLLECT SALES AND/OR USETAX FOR OTHER LOCAL TAX/NGAUTHORmES DEPENDING ON Y011R TSPE OFBUSINESS.
If you have any questions regarding sales tax,you may contact the Texas State Comptiota's field office in your area a call 1-800-252-5555,toll free,nationwide.The Austin
number is 512/4633600.it you are calling from a Teleoomnwnications Device for the Best(TOD),the toll free number is 1-800-248-4099,or 61 Austin,512/4634621.
Detach here and display r
W YYou permit only. .
IS THE INFORMATION PRINTED ON THIS PERMIT CORRECT?
If your permit is correct,DO NOT return this form. LM
your permit contains incorrect information,you may use this form to:
•correct your business location name, location address(d not a location change),taxpayer name,and/or mailing address; 01-300-P4
•provide us with your new Federal Employer's Identification Number(FEIN);
•notify us that this location is no longer in business and provide the date of your last business transaction.
To notify us of a change of ownership or business location,to correct the description of your business,or to correct the local
taxing authority(ies)in which this outlet is located,call us toll free at 1-800-252-5555.The Austin number is 51214633600.
For more information on determining if the local taxing authorities listed above are correct,please see information
printed on the back of this form.
COMPLETION INSTRUCTIONS
To make corrections to your permit information using this form: CtmlRtlwfleT issirenfy
•enter the taxpayer name,taxpayer number and outlet number shown on the permit; -ID$3iAME fyl{SGAPP
•indicate the required corrections by entering ONLY the information that has changed in the appropriate tem(s); xnnEAAl
•enter the date of your last business transaction if the location is out of business;
•sign and date the form; _.Ib i88I
•mail the form to COMPTROLLER OF PUBLIC ACCOUNTS,111 E.17th Street,Austin,TX 78774-0100.
If Refer to the back of this form and the back of your permit for more information,anew permit is required due to your corrections,you will receive the new permit by mail after yourinformation is processed. 13 Terert aurnt�x -
■Iih fxl3 i ? 2 # Ey
You have certain h under Ch.559,Government Code,to review,request,and correct information we have on fife about
the a
you. Contact us at the address or toll-free number listed on this torn. -
TEXAS SALES AND USE TAX PERMIT
Taxpayer name shown on the permit
WHITE 'S CHAPEL UNITED METHODIST CHURCH
Taxpayer number shown m the permit Ouflet number shown on thepermif
■ 17522537756 I 00002 F
Corr— ect business location name
• ":06:0-,<,.
Correct business location address
H
qty State ZIP Code
• • W • L I I I
L.
Correct lawyer rwme PhoIne number(Mee code and rvmber)
• L I /L I I J LLLI_LJ
Correct mailing address
f%olre ;lls
Cry State ZIP Code FederalEmployer ldantJ5 tlon Number l� +A9'ui•2tia�Ia¢
• W I I I I I I l i • -1
If you are no longer in business, ffi#S'f'A'3--
enter the date of your last business transaction....„................._..................................
.._... - ( IfIOB.satastax,rerm �`"
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 18 - U�>
ADDRESS OF INSPECTION: !
DATE OF INSPECTION: TIME OF INSPECTION:
NAME OF BUSINESS:
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING: `
CONTACT PERSON:
TELEPHONE NUMBER:
COMMENTS/VIOLATIONS:
1
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: GC
-
TYPE OF BUILDING: :7Z'8 k",effl GROUP AND DIVISION: M
ZONING RESTRICTIONS:
GU• /7/12 f}PP/Lv.i4o
O.1ORNIS DSCOINMRMATION WORKOROER
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