HomeMy WebLinkAboutCO2019-2211 UNDER CONSTRUCTION _
CORRECTION LETTER_
PW OR LD NEEDED_
TD NO LETTER_
WAITING FIRE_
HOLD_
CODE_
C/O CHECK LIST
C/O PERMIT # P19 - r�
ADDRESS:
BUSINESS NAME:
BUSINESS I PROPERTY
_ CHANGE NAME / OWNER _ 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
✓ 5. ZONING CHECKED &COMPLETED ON APPLICATION f
6. BUILDING INSPECTION SCHEDULED DATE 1-0 I-7 TIME
7. FIRE DEPT. INSPECTION SCHEDULED DATE IJ h TIME � T-
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
_xzl 3. 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 Off)
17. PUBLIC WORKS SIGN OFF
XLOT DRAINAGE SIGN OFF
19 LANDSCAPING SIGN OFF
20. BUILDING OFFICIALS SIGNATURE o 19
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED:
0 WORMSIOSCOINFORMFTION\CKUST
12/30/041 Re,l 1111,11115.5118
MAY 31 2019
MAY 31 Solo
DATE OF ISSUANCE: t��
J<t e [ A sY PERMITM
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYISASSOCIATED WITH ANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: I cJ por Mid, r"'m pP�o P .TX_suITE#
LOT: BLOCK: _ SUBDIVISION: T
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION***-
NAMEOFBUSINESS: Clean-1 and ('-'V1CL4 ) _
NEW OCCUPANT: YES NO ✓ NEW BUILDING/PROPERTY OWNER: YES_NO ✓
Nei W BUILDING: YES—NO NO ✓' NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: _N / A FREIGHT FORWARDING: YES_NO 7
NEW BUSINESS OWNER: YES NO-�
TYPE OF BUSINESS: V acla t SQUARE FOOTAGE:
(Example:Retail Clothing/Attorney's Office/Office-Wurehousc/Restauraut) '
NAME OF TENANT [PERSON", NAM I']: V11c an t _
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: - PHONE NUMBER:
PROPERTY OWNER: Rar y, Wt-,+ TE ( J o e y L LC
MAILING ADDRESS: ()) 1jk()V,e
CITY/STATE/ZHP: hbro�k . 1(- (�{SQ�,7 PHONE NUMBER: aq Z- 7-7 y - 3
♦ 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 y
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED?___________________YES NO 1
♦ 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?------------------------- YESe-__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 QUESTIONS PLEASE CALL(8177)410.3165.
SICNATLItF.:�`✓/• __ PRINT NAME:��'l�<Gt
PHONE#: T '
Y7.`���{ ` EMAIL:
Development Services Department (ON I'M
The City of Grapevine'*P.O.Box 95104 *Grapevine,Texas 76099*(817)4I0-3165
Fax(817)410-3012 18 www.grapevinetexas.gov
3=200SIDSAPPL1eATNJNSICI
J/21/t0011Rev:Ffng,P @t,p�a9,1/13,1tI/6,10'!6
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*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 5.25%.
A"Seller or Retailer"means a person engaged in the business of mailing 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
Grapeviue,Texas if the circumstance applies to my business.
Texas Sales Tax Number:� )Tl
Signature:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: (40 r) r (�I'� �1V'cl ftr (7 0
CITY,STATE,ZIP: i'y, �L
OFFICE USE ONLY** k**ra r **** *+r t* *t*r+t
TYPE OF CONSTRUCTION: II_g���,,� OCCUPANCY: / � DIVISION: _
ZONING DISTRICT: _ _ _ CONDITIONAL USE:.
n(
PERMITTED USE: 7�'^
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:
7//Ij- DATE: q
APPROVAL FOR ISSUANCE`
LANDSCAPING APPROVAL: DATE:
0:F0W&DSAWL1eATMMV
=V2 MIReN 5f0e,VV,VN,W13,11/16,1WI6
CERTIFICATE OF OCCUPANCY
_{
RAI ID Issue Date:June 10,2019
L'T 1 1 1 S PROJECT DESCRIPTION: C/O"Clean&Show"
/! PROJECT# (817) 410-3010 www.mygov.us
1 CO-19-2211 Inspections Permits
City of Grapevine --- "—
LOCATION TENANT LEGAL
P.O.Box 318 S Park Blvd. Clean and Show Park&Wall Blk n/a Lot 5a
TX
Grapevine,,TX 76099
Grapevine, TX 76051
(817)410-3165 Voice
(817)410-3012 Fax
CONTRACTOR INFORMATION
Melissa Noesges *CONSTRUCTION TYPE IIB Sprinklered
318 S Park Blvd. *OCCUPANCY GROUP NONE
Grapevine,TX 76051
*ZONING DISTRICT CC
(817)574-3358 Phone
** NAME OF BUSINESS Vacant
**TYPE OF BUSINESS Clean&Show
OWNER **APPLICANT NAME Melissa Noesges
Park West Tt Owner Llc **APPLICANT PHONE NUMBER 8475743358
40 Skokie Blvd Ste 610 **TENANT NAME None
Northbrook, IL 60062 **TENANT PHONE NUMBER 8475743358
AVAILABLE INSPECTIONS *Sales Tax NO
• Final Building C/O Inspection(required) *Sales Tax Number
• Landscaping(required)
C/O APPROVED FOR ISSUANCE Alcoholic Beverage Sales NO
(required) Alterations NO
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 NO
Number of Employees
Outside Refuse/Recycling NO
Outside Storage NO
Signs NO
Square Footage 1947
Zoning CC-Community Commercial
FEES TOTAL=$50.00
Certificate of Occupancy $50.00
PAYMENTS TOTAL=$50.00
§ / Ln
2[ $ 0
-C $ �`
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 19 - I
ADDRESS OF INSPECTION:
DATE OF INSPECTION: c TIME OF INSPECTION:
O J
NAME OF BUSINESS: ('� 1:�,0 0n;1
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING: Lip
t
CONTACT PERSON:
TELEPHONE NUMBER:{
COMMENTS/VIOLATIONS:
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: c::��
TYPE OF BUILDING: 1/-8 GROUP AND DIVISION:
ZONING RESTRICTIONS:
O.FORMS USCOINFORMATION\kORKORI]FR
11 1004Rev.1 "2006