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HomeMy WebLinkAboutCO2018-2689 UNDER CONSTRUCTION _ CORRECTION LETTER PW OR LD NEEDED_ TD NO LETTER_ WAITING FIRE HOLD CODE _ C/O CHECK LIST C/O PERMIT # P18 - �L S 01 �G ADDRESS: �3 N • -�k)00lll ? j S`V 8Ci 3 - /53518 BUSINESS NAME: BUSINESS/PROPERTY HANGE NAME / OWNER _ NEW CONST/ADDITION PERMIT# NJ/CNEW TENANT/ OCCUPANT - REMODEL/ALTERATION PERMIT# ISSUE DATE FINAL DATE 11//1. APPLICAI ION FORM COMPLETED i✓ 2. ZONING MAP COPIED &WORKORDER FORM COMPLETED 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) �.. 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 i 1. 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 ,-'l 5. HEALTH DEPARTMENT SIGN OFF _,�'l 6. CITY SECRETARY(Alcohol License Sign Off) 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: 0 WORMSIOSCOINFDRMATIOMCKLIST 12130104%Re 1W11m5 5118 �y p DATE OF ISSUANCE: VIDE pp JUL ryry qq �T E x A s PERMIT#: )Jo CERTIFICATE OF OCCUPANCY REQUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF 0CCUPANCYYIS ASSOCL4TE T ID WITH AN ACTIVE CURRENT BUILDING PERMI ADDRESS OF OCCUPANCY: 213 M. ' )o&sj C—TT- SUITE# ZI LOT: BLOCK:_ SUBDIVISION:/ or+kwes+("mSSioNc SF,r ) ,incL'effPc ****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESC TION ** NAME OF BUSINESS: �uders &6-eia q AtA_LtqnA -j-- NEW OCCUPANT: YES NO NEW BUILDING/PROPERTY OWNER: YES NO NEW BUILDING: YES NO-- NEW BUSINESS NAME CHANGE: YES—NO NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO NEW BUSINESS OWNER: YES NO �- .1 TYPE OF BUSINESS: f�0.5e (l IrGlnIn t 4 d{ SQUAREFOOTAGE: Lf Z IU (Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant) NAME OF TENANT [PERSON'S NAME: &6 4nd z An ttn� CURRENT MAILING ADDRESS: OG 2 CITY/STATE/ZIP: 6retVem r\Jk i TK 0 PHONE NUMBER: PROPERTY OWNER: 1} Ve-en ( VV MAILING ADDRESS: T. 0 , (\ti C1 T 3� `I p 7 CITY/STATE/ZIP: -50� kt 1\ k� ; `r-A 4 to© q ?— PHONE NUMBER: �J Z' �� 2 ` !UO? I ♦ 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 ;7 ♦ PERMITS ARE REQUIRE')FOR SIGNS. WILL ANY SIGNS BE INSTALLED? -------------------yES�:Z NO 0 ♦ 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,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 LEASE C (817)410-3165. SIGNATURE: �J PRINTNAME: &etne-��c, (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:FORMSTSAPPLICATIONSICI 3122/2001IRev:5/06,2/01,4/09,2/13,11115,10116 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. Texas Sales a Number: Signature: WHERE DO YOU W T YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? ADDRESS: CITY, STATE, ZIP: OFFICE USE TYPE OF CONSTRUCTION:LL OCCUPANCY: 7a> DIVISION: ZONING DISTRICT: T- G CONDITIONAL USE: PIA PERMITTED USE: Yes BUILDING DEPARTMENT: DATE: - g 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: O:FORMSIDSAPPUCATIONSICI 3122120011Rm 5106,2101,4109,2113,11115,10116 6z 'g $ 1'V'aa a ° 'a a ' p'o a Or caFEOTe n 6 GUS , m , z 4 a J3' I ]a\Ja,;ka JJ] 711 `TT. �v@'B.s„s W e S�Nv O°,0 N s 8 - .Q I F g e n - a °B 722 N RIVERSIDE WOOD,*'N O O,- R/9N gDR zs R-TH A e ° '? s e a P SCHOOL-11 R-75 � J pQ 3,E PINES' f J> ; a a GP J O 6z JZ> J° ,u,.aa J,-sa.t l WO OD T HF R s R YSTALTAL ° A � , J a °p � z O E �6 A. 0;, sskc, R'a•7 aJ J a j J,aJ a a+ ”d a J j d n "z LKWOODOO J aBR1A J J. 16 RyyOF.OR Rg50��a' ' 'S`� o ,a, J a ; aJJ F'J ^ » ' )'STzJ a aJJ Jam, 'J, .� a J• - . 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AAp226 G t 33'IZ HC 'oms ,'ccs® e�� jai® ems® °W ,o@ ; Z,6N W65T e: -m�p2 6 F aap3Gi 15e I inch 400 feet Grid Page: tiAp CERTIFICATE OF OCCUPANCY WORKORDER PERffMIT # 181- ADDRESS OF INSPECTION: DATE OF INSPECTION: TIIIME OF INSPECTION: NAME OF BUSINESS: Ra'kcle -s TYPE OF BUSINESS: 1�a se L 1 USE OF BUILDING AND/OR PREMISES: (1 REASON FOR APPLYING: IA IPLO i 2 CONTACT PERSON: f,, hac\c�a A(y'zyc2 TELEPHONE NUMBER: COMMENTS/VIOLATIONS: **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: j4 fi TYPE OF BUILDING: GROUP AND DIVISION: ] /tONING RESTRICTIONS: loe O.FORMS OSCOTFFORM 110N WORKORDER 12 10 i16Ra.1 I'211)6