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CO2019-1028
UNDER CONSTRUCTION _ CORRECTION LETTER_ PW OR LID NEEDED_ TD NO LETTER WAITING FIRE _ HOLD_ CODE C/O CHECK LIST C/O PERMIT # P19 - ADDRESS: 5 ko S. 1[z�� StU l BUSINESS NAME: &I,1 uc 0ACt:f0' 111 OCR 11 SFl I n� B U S I N E S/PA�PPER CHANGE NAM (`bWNE NEW CONST/ADDITION PERMIT# NEW TENANT/ OCCUPANT _ REMODEL/ALTERATION PERMIT# ISSUE DATE FINAL DATE 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 1/5. ZONING CHECKED & COMPLETED ON APPLICATION 16. BUILDING INSPECTION SCHEDULED DATE j �� TIME 7. FIRE DEPT. INSPECTION SCHEDULED DATE 3 TIME FIRE INSPECTOR: CITY SECRETARY(ALCOHOL) NOTIFICATION DATE: 9. HEALTH INSPECTION NOTIFICATION DATE: L 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 4. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO 15. HEALTH DEPARTMENT SIGN OFF Q 16. CITY SECRETARY(Alcohol License Sign Off) a"1�l 17. PUBLIC WORKS SIGN OFF � LOT DRAINAGE SIGN OFF 19. LANDSCAPING SIGN OFF 20. BUILDING OFFICIALS SIGNATURE 21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED' I�� SCAN CERTIFICATE TO MYGOV: * CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED: O IFORMSIDSCOINFORMATIONICKLIST *�— DATE OF ISSUANCE: "147119 -r E x n s" PERMIT#: I — I (�a � r CERTIFICATE OF OCCUPANCY REOUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITH ANACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: 1D " .• '_7 < 0 SUITE#� LOT: a BLOCK:q SUBDIVISION: (! A, izil✓t 2 ****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WIT OUT LEGAL SCRIPTION**** NAME OF BUSINESS: r h cc.010 ke- h1UbY sj-&,e- NEW OCCUPANT: YES K NO NEW BUILDING/PROPERTY OWNER: YES NO NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES NO NUMBER OF EMPLOYEES: _� FREIGHT FORWARDING: YES NO X NEW BUSINESS OWNER: YES NO TYPE OF BUSINESS: k4a-J SQUARE FOOTAGE: `[20 (Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant) NAME OF TENANT PERSON'S NAME]: y1 ( ✓ Apt y CURRENT MAILING IADDRESS: n Jf)'64 AL 1 7 ) 3/J �7 7 CITY/STATE/ZIP: �W W�"K – )}�}I�I� I J D� I PHONE NUMBER: WD /• 3' I� o PROPERTY OWNER: r I f\.. W) C LLG MAILING ADDRESS: G 1 (AlPcf CITY/STATE/ZIP:(-1 A_:0a,l f_V r l/� PHONE NUMBER: ♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW?(if yes,provide copy of Sales Tax Certificate)---- YES)4 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 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 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 W TH THE INFORMATION HEREIN SET FORTH. (If access to the building/space is not pr ided at the time of the scheduled inspection,a$42.00 re-inspection fee will be charged) FOR QUESTIONS PL�,7�,S L (817 1 165. SIGNATURI ' PRINT NAME: PHONE#: D ) EMAIL: � ,( (OVER) Development Services Department The City of Grapevine P.O.Box 95104* Grapevine,Texas 76099 (817)410-3165 Fax(817)410-3012 *www.2rapevinetexas.gov O:FORMS\OSAPPLICATIONS1Cl 3 122/2007/11ev:5/06,2/0r,4/09,2113,11/15,10F16,8/1 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 too my business. Texas Sales Tax Num r: Signature: WHERE D�YOUWrANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? ADDRESS: ,, Z CITY, STATE, ZIP: OFFICE USE ONLY** �*,( TYPE OF CONSTRUCTION: �/ �Q'11��5 OCCUPANCY: I DIVISION: ZONING DISTRICT: CONDITIONAL USE: PERMITTED USE: Ylis BUILDING DEPARTMENT: DATE: •Z I—f BUILDING INSPECTOR: DATE: a.?�I ' ZONING APPROVAL: ��LL I "`(� _ DATE: 1 }{ FIRE DEPARTMENT: U, � VY� \..t/t V�S ISA tjV DATE: 3,0' —1 Ijq .✓ &2, VIUICC- LOT DRAINAGE INSPECTION: / DATE: PUBLIC WORKS DEPARTMENT: DATE: HEALTH DEPARTMENT: (Jk ��� �� e DATE: CITY SECRETARY: f ,r f DATE: LANDSCAPING APPROVAL: '1/ IrVj't DATE: 3 / Z APPROVAL FOR ISSUANCE: DATE: �'Z7�-I a O:FORMSTSAPPLICATIONSIC/ 3/22120011 Rev:5/06,2/07,4109,2/13,11/75,70116,8/18 CERTIFICATE OF OCCUPANCY ' Issue Date:March 27,2019 ,.e PROJECT DESCRIPTION:C/O(Retail)"Chocolate Moonshine" ''•,, '+f PROJECT# (817)410-3010 www.mygov.us CO-19-1028 Inspections Permits City of Grapevine LOCATION TENANT LEGAL P.O.Box 95104 One Star Retail&Office Chocolate Moonshine City Of Grapevine Elk 4 Lot Grapevine,TX 76099 Suites 2r (817)410-3165 Voice 520 S Main St. Per Plat/3214062867 (817)410-3012 Fax Suite#207 Grapevine,TX 76051 CONTRACTOR INFORMATION Jennifer Dean *CONSTRUCTION TYPE VB Sprinklered P.O.Box 271453 *OCCUPANCY GROUP M Flower Mound,TX 75027 *ZONING DISTRICT CBD (940)783-1209 Phone **NAME OF BUSINESS Chocolate Moonshine TYPE OF BUSINESS Retail OWNER **APPLICANT NAME Jennifer Dean Biatwic Llc **APPLICANT PHONE NUMBER 940-783-1209 1230 Lakeway Or **TENANT NAME Jennifer DEan Southlake,TX 76092-7123 **TENANT PHONE NUMBER 940-783-1209 ph.(817)528-3888 "Sales Tax YES AVAILABLE INSPECTIONS *Sales Tax Number 32069726803 Final Health Inspection(required) Alcoholic Beverage Sales NO Final Building C/O Inspection(required) • Final Fire Dept Inspection(required) Alterations NO • Landscaping(required) Change of Business Name NO C/O APPROVED FOR ISSUANCE Change of Business Owner YES (required) 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 1 Outside Refuse/Recycling NO Outside Storage NO Overlay HL-Historic Landmark Subdistrict Signs NO Square Footage 420 Zoning CBD-Central Business District FEES TOTAL=$50.00 Certificate of Occupancy $50.00 MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-19-10281 Printed 03/27119 at 11:22 a.m. Page 1 of 3 Guita McIlroy From: Renee L. Minnfee < Sent: Friday, March 22, 2019 9:14 AM To: Guita McIlroy Subject: Chocolate Moonshine- Tarrant County Approval Guita, Chocolate Moonshine has been approved by the Tarrant County Health Department. Please sign off on the C/o for me. Have a wonderful day! Renee Minnfee MPH, RS Tarrant County Environmental Health 1101 S. Main St., Rm. 2300 Fort Worth,TX 76104 Phone 817.321.4979 Fax 817.321.4961 Email: Tarrant County Public Health Accountability.Quality.Innovation. � r•~ © ©© Tube A healthier community through leadership in health strategy *** External email communication—Please use caution before clicking links and/or opening attachments *** t A 2 c SSE A '^ 1 13R a.s�ENtEeN. lswa Ap22 r 1 '3 , Z e � z -17� w10 22 E O R F A ssEV m a> PEEKS 1 1e stP]h , '�+` Q' ePEYI¢st cT iass ^A .e 6. 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W. N i,\[9E�a4` i 19 4`.N 19$ IR 2 ITR 14C qpfd Ac a ,® 1 CBD e ON 1 a a �';TIL1146 aMXU 7R$3A ]r 1 N As° W s ,, –,P, PO 19 m N 1 R-7:5—W-N�ASH EINASrH{57 � t. IL';:.� Ems\ p1N a Cam" r .y 1'y3gs a °AC oN�pcE 5 314A \R Gu 1 1. ? CN pti° 3 b mi\Ets 1 o e311T3 A a es m' 3�) pp 2 -R. -?Wz d• .- ti O Z R 2Uco A tis 0.32' r A f 1 inch = 400 feet Grid Pal �= 1E P DANIELaSTC � - �,� CERTIFICATE OF OCCUPANCY WORKORDER �a- to3 -R PERMIT #1-9- ADDRESS OF INSPECTION: 's 3LD S. D-D DATE OF INSPECTION: ? ��( TIME OF INSPECTION: pm NAME OF BUSINESS: L�oe E7 CAP Y 1 D CU 4�SI l t 1� TYPE OF BUSINESS: ` USE OF BUILDING AND/OR PREMISES: R P-- Co -i L �.\E' cj REASON FOR APPLYING: QIAACk v-V i�O- tom) e'1 Q CONTACT PERSON: TELEPHONE NUMBER: L ' C6 COMMENTSNIOLATIONS: A5 dloua-no.v %MS�LR VMD **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: (:2-0;// TYPE OF BUILDING: GROUP AND DIVISION: ZONING RESTRICTIONS: O.I0RMti USCOINFORMATION WORKOROER 123004 R,, 1172006 mmy � Cw W 0 @ Q a A cloE � \\ 0 cli D—C N QOa] O) W O a) N Q U) 00 - '� o as C >.^ 00 C O O O U ~ N C ?i w T J Y Y .D U L' p J a7 f- M n C_ Q 3 O co 0y M O V ooa n 00 � U) a c N ] T o a c� c N OD CIJ C.5 a7 y C9 m y ❑ Q 6 o c O - N R LL 0 CD i C O T U * E N ❑ q Q _ > w U U N¢ _U L TO000, y U U w Q L O C C 0 N LL yUU�E y T U N00O3 d J NNN a) N w O C a yNCm � @ � v �00 :3 — o s v omw w s LO >U •>1m3 N OUa)= c c / o o O d 0 F� F- 050 � c r--. a) o o >o O nmn N C - F v I #. > a .N.O—. 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