HomeMy WebLinkAboutCO2018-4405 UNDER CONSTRUCTION
CORRECTION LETTER_
PW OR LID NEEDED _
TD NO LETTER_
WAITING FIRE_
HOLD_
CODE
C/O CHECK LIST
C/O PERMIT # P18 - y ` - GS
ADDRESS: A C S Lk -T:.kc;-CC_Vt7--&l ( 3 C1
BUSINESS NAME: C (=
BUSINESS PROPERTY \
CHANGE NAME / OWNER _ NEW CONST/ADDITION PERMIT#
NEW TENANT/ OCCUPANT REMODEL/ALTERATION PERMIT#
ISSUE PATE`` FINAL DATE
1. APPLICATION FORM COMPLETED
J 2. 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
✓ 6. BUILDING INSPECTION SCHEDULED DATE J " TIME ff a)
7. FIRE DEPT. INSPECTION SCHEDULED DATE ( ICI TIME a M�
FIRE INSPECTOR:
�8. CITY SECRETARY(ALCOHOL) NOTIFICATION DATE:
9. HEALTH INSPECTION NOTIFICATION DATE:
10. PUBLIC WORKS INSPECTION E-MAIL DATE
11. LOT DRAINAGE INSPECTION E-MAIL DATE
12. CORRECTION LETTER SENT DATE
X13. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
14. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
HEALTH DEPARTMENT SIGN OFF
!J 16. CITY SECRETARY(Alcohol License Sign Off)
17. PUBLIC WORKS SIGN OFF
. LOT DRAINAGE SIGN OFF
19. LANDSCAPING SIGN OFF
20. BUILDING OFFICIALS SIGNATURE JAN 21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: I A `nI� 4 2019
SCAN CERTIFICATE TO MYGOV:
* CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED:
O IFORMS\DSOOINPCRMATIOMCKLIST
1401041 R-11111.11115.5118
�pp pp DATE OF ISSUANCE: (I U
Nov 212018 T h',VVINE N PERMIT#:.-.t -L �C
6UD6 18-- q3�) o
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 1L1511 7ji:?c�tit -T-�-'v+ / SUITE# 366
LOT: 2- BLOCK: I SUBDIVISION: S�Zf /70/L--
""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION""
NAME OF BUSINESS: �$S 11D1,-D/a.lGS, Ale-' .
NEW OCCUPANT: YES-V_NO NEW BUILDING/PROPERTY OWNER: YES NO X
NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES NO_ 9 -
NUMBER OF EMPLOYEES: 15 FREIGHT FORWARDING: YES NO_,-
NEW BUSINESS OWNER: YES NO K
TYPE OF BUSINESS: �11 C41A-SS G✓' � SQUARE FOOTAGE: J'6160
(Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant)
NAME OF TENANT li' RSON'SNAMF): rj}E.�E dui ��ko
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: ( J rbzAwctg Q VJO D 3 Z - PHONE NUMBER: SIS z05"(OS�O
PROPERTY OWNER: b t^l_ f'ropzv- art 5 f a) L L G
MAILING ADDRESS: 2,e to G( CS (mss �C'c?L 1C IZO ACA 1 ^ 5�
CITY/STATE/ZIP: S o\.M,� %U- J Tk gQG(Z Q PHONE NUMBER: (J�4-36 r (1
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW?(if yes,provide copy of Sales Tax Certificate)---- YES__NO }C
♦ 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 X
♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes,screening is required)----------------------------------------------------------- YES NO x
♦ WILL THERE BE ANY OUTSIDE STORAGE(including storage of company/fleet vehicles),DISPLAY,
USE OR DINING?-------------------------------------------------- --------------- YES_ NO X
_
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES x NO
♦ IS BUILDING SPRINKLERED?------------------------------------------------------- YES_NO 7S
♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? yy
(if yes,provide list of types&quantities,along with material safety data sheets)----------------------YES_NO h
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 QUESTIO>S PLEASE CALk(817)410-3165. -T-
SIGNATUR : fry PRINT NAME: ��/7`1EIt-/ J • &ZGl4Z?5eL-(9O
PHONE#: s^ �� � EMAIL:
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:FORMSIDSAPPLICATIONSIC/
3122120011Rev:5106,2/07,4/09,3113,11115,10116,8/18
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 malting 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 Sates Tax Number:
Signature 3
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OC�-CUPANiC�Y MMAILED?ADDRESS: 3 UgT-1- — C 7
—
,- � "30-7— Sol
CITY, STATE, ZIP: (OW A 5032- 7—
r e** �*/ OFFICE USE
TYPE OF CONSTRUCTION: U OCCUPANCY: f� DIVISION:
ZONING DISTRICT: t�)F� CONDITIONAL USE:
Yee—
BUILDING PERMITTED USE: ` ee—
BUILDING DEPARTMENT: DATE:
BUILDING INSPECTOR,_ DATE: 'li��/R
ZONING APPROVAL: DATE:
FIRE DEPARTMENT: n ) DATE:
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: \ DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY—DATE:
' U
LANDSCAPING APPROVAL DATE: p� I
APPROVAL FOR ISSUANCE: DATE: / ' g
OXORMSTSAPPLICATIOWC/
1/22)2001/Rev:5/06,2/07,4/09,2111,11/15,10/16,8/18
CERTIFICATE OF OCCUPANCY
py»E Issue Date:January 8,2019
'T F.• S d X'�' PROJECT DESCRIPTION:C/O(Office)"GSS Holdings,Inc."(BLDG 18-4320)
,* PROJECT# (817)410.3010 WWW.mygov.us
CO-18-4405 Inspections Permits
City of Grapevine
LOCATION TENANT LEGAL
P.O.Box 1054 Texan TH. GSS Holdings,Inc. Grapevine Station Blk 1 Lot 2
TX
Grapevine,,TX 76099 9 P
Suite#300
(817)410-3165 Voice Grapevine,TX 76051
(817)410-3012 Fax
CONTRACTOR INFORMATION
Stephen Blazenko *CONSTRUCTION TYPE VB
3311 109th St. *OCCUPANCY GROUP B
Urbandale, IA 50322 *ZONING DISTRICT BP
(515)205-6570 Phone **NAME OF BUSINESS GSS Holdings, Inc.
**TYPE OF BUSINESS Office
OWNER **APPLICANT NAME Stephen J. Blazenko
DFL Properties Two,LLC **APPLICANT PHONE NUMBER 515-205-6570
2009 Estes Park Rd **TENANT NAME Steve Blazenko
Southlake,TX 76092-3856 **TENANT PHONE NUMBER 515-205-6570
ph.(817)307-8105
*Sales Tax NO
AVAILABLE INSPECTIONS *Sales Tax Number
• Final Building C/O Inspection(required) Alcoholic Beverage Sales NO
• Final Fire Dept Inspection(required)
• Landscaping(required) Alterations YES
• C/O APPROVED FOR ISSUANCE Change of Business Name NO
(required) 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 YES
Number of Employees 15
Outside Refuse/Recycling NO
Outside Storage NO
Signs YES
Square Footage 6100
Zoning BP-Business Park
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-18-4405 1 Printed 01/10/19 at 11:04 a.m. Page 1 of 3
(If access to the building/space is not provided at the time of scheduled
inspection,a$42.00 re-inspection fee will be charged)
FOR QUESTIONS PLEASE CALL:(817)410-3165.
Signature Date
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-18-44051 Printed 01/10/19 at 1104 a.m. Page 2 of 3
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 18 - GET
ADDRESS OF INSPECTION: �.kCti f1�;CA l l #� --,) O L
DATE OF INSPECTION: TIME OF INSPECTION:
NAME OF BUSINESS:
TYPE OF BUSINESS: E' IeS C Tb C' :
USE OF BUILDING AND/OR PREMISES: L
REASON FOR APPLYING: ��u'�a.r�
CONTACT PERSON: jTe phC C) �.,lc< ZE' n K o
TELEPHONE NUMBER: .. 1�
COMMENTS/VIOLATIONS: wo Vloi-4-rlo-0 OBSERVR,0-
i
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: gf:--,
TYPE OF BUILDING: V (3 GROUP AND DIVISION:
ZONING RESTRICTIONS: /
O.FONAS DSCOINFORMATION\YOMORDER
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