HomeMy WebLinkAboutCO2018-2633 UNDER CONSTRUCTION =
CORRECTION LETTER
PW OR LID NEEDED
TD NO LETTER=
WAITING FIRE
HOLD_
CODE_
C/O CHECK LIST
C/O PERMIT # P18 lit
ADDRESS: j �
BUSINESS NAME:
BUSINESS PROPERTY
_CHANGE NAME / OWNER _ NEW CONST/ADDITION PERMIT#
-/NEW TENANT/ OCCUPANT _ REMODEL /ALTERATION PERMIT#
ISSUE DATE FINAL DATE
y 1. APPLICATION FORM COMPLETED
—° 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 TIME
7. FIRE DEPT. INSPECTION SCHEDULED DATE TIME
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
13. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
14. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
15, HEALTH DEPARTMENT SIGN OFF
-- 16. CITY SECRETARY(Alcohol License Sign ON)
17. PUBLIC WORKS SIGN OFF
— 18. LOT DRAINAGE SIGN OFF
19. LANDSCAPING SIGN OFF
20. BUILDING OFFICIALS SIGNATURE
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV:
* CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED:
O 1FORMSIDSCOINFORMATIONICKLIST
12130X41 Rev.11111,11115,5118
DATE OF ISSUANCE:
,T E x a s PERMIT#:
V ZC1�
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: 3000 Grapevine Mills Parkway, Grapevine, TX 76051 SUITE# ��►
LOT: BLOCK: SUBDIVISION:
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: f3a,rn5u04a ICJ Oci LS �VA-P,r\ C c, , In C
NEW OCCUPANT: YES x N NEW BUILDING/PROPERTY OWNER: YES NO x
NEW BUILDING: YES_NO SC NEW BUSINESS NAME CHANGE: YES NO x
NUMBER OF EMPLOYEES: 5 total_3 Per shift FREIGHT FORWARDING: YES NO X
NEW BUSINESS OWNER: YES NO x
TYPE OF BUSINESS- Samsung agile retail itinerant temporary store SQUARE FOOTAGE: 10x20x8
(Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant)
NAME OF TENANT [PERSON'S NAME]: Steffen Schenk
CURRENT MAILING ADDRESS- steffen.schenk @barrowsglobal.com
CITY/STATE/ZIP: NY,NY10013 PHONE NUMBER. 917-922-2769
PROPERTY OWNER: %, 11 YY tl W
MAILING ADDRESS: 225 W wa<rli xa+ll n S�
CITY/STATE/ZIP: � nA' ICtP1_ O!POU1S� I N 00H-( I ZO PHONE NUMBER: 3�7- y oo
* IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes,provide copy of Sales Tax Certificate)-- - - YES X NO
—
+ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes,provide copy of Alcoholic Beverage Permit) -YES NO X
* PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? ---- - - - - -- - - - ---- - -YES_ NO X
* 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,DISPLAY,USE OR DINING- -- -- ---- - - -- - -- ----- - YES NO X
* WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? - -- - -- ------ - ---------- - - YES X NO
* IS BUILDING SPRINKLERED? - - - -- - - -- - - - ----- - - ------ - -- - -- --- - - -- ---- --------- - - -- YES '%
* WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(if yes,provide list of types&quantities,along with material safety data sheets) - - -- ---- -- -- - ------- --YES_NO X
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 PLEASE ALL 410-3165.
SIGNATURE: PRINT NAME: Steffen Schenk
PHONE#: 917-922-2769( m EMAIL:
t( I ' �r�' B�'tile ' ' ` W-S �' ` levelopment Services Department
(OVER)
The City of Grapevine *P.O.Box 95104 * Grapevine,Texas 76099* (817)410-3165}frl�o{�i e
Fax(817)410-3012 * www.grapevinetexas.gov Q ('L,(A.I.Se-
3/21/2001/Rev:5/06,2M7,4/09,2113,11/15,10116
TEXASSALESTAX
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: 100 Ave of the Americas 17f
CITY,STATE,ZIP: New York, NY 10013
OFFICE USE ONLY**x* **** ** *****x x * *x*
TYPE OF CONSTRUCTION: I �'d $/<t o #< 5 OCCUPANCY: DIVISION:
ZONING DISTRICT: G L CONDITIONAL USE: Af f
PERMITTED USE: Ye 5
BUILDING DEPARTMENT DATE:
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: DATE:
APPROVAL FOR ISSUANCE: DATE:
0:FONM5 SAPPLICATIONS\C/
3/22/2001/Rev:5/06,W7,V09,2/13,11/15,10/16
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 18 -� 3 3
ADDRESS OF INSPECTION: C/1 t7/
DATE OF INSPECTION: TIME OF INSPECTION:
NAME OF BUSINESS:
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES: �� s� uw
REASON FOR APPLYING:
CONTACT PERSON: �n ` d7 �Q � �7 2�
TELEPHONE NUMBER:
COMMENTSNIOLATIONS:
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING: [ l-8 SP,0_)A4�GS GROUP AND DIVISION:
ZONING RESTRICTIONS:
0.I0RNSUSC01\F0NMATI0\\ RKOROER
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