HomeMy WebLinkAboutCO2019-2254 UNDER CONSTRUCTION _
CORRECTION LETTER_
PW OR LID NEEDED_
TD NO LETTER_
WAITING FIRE _
HOLD_
CODE_
C/O CHECK LIST
C/O PERMIT # P19 - o'fo'2 5
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
✓ 6. BUILDING INSPECTION SCHEDULED DATE (0�-IgTIME
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
11 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 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:
0:6ORMSIDSCOINFORMATIONICKLIST
19301041 Re¢11111,11tl 5,5118
JUN p� pp�R�I�µ�-pn5 qq,{/ippp4�I��mI\UT7T� DATE OF ISSUANCE: (9 10/19
T s x n s PERMIT#:
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITH ANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: �&,3s I o d u -I Y]ak � SUITE#E
LOT: BLOCK: SUBDIVISION: . per
****CERTIFICATE OF OCCUPANCY WILL NOT BE SSUE WITAOUT LEGAL DESC/aRIPTIO ****
NAME OF BUSINESS: C �t,v Gv� S (y L Q- �[ e� /' 2
NEW OCCUPANT: YES_NO ✓ NEW BUILDING/PROPERTY OWNER: YES NO t�
NEW BUILDING: YES NO ✓ NEW BUSINESS NAME CHANGE: YES NO ✓"
NUMBER OF EMPLOYEES: N'G FREIGHT FORWARDING: YES NO L7
NEW BUSINESS OWNER: YES NO
TYPE OF BUSINESS: J�� Z C lxL A Vt VLJ✓v SQUARE FOOTAGE: 7�0
(Example:Retail Clothing/Attorney's Office/Olftoe-Warehouse/Restaurant)_
NAME OF TENANT [PERSON'S NAME]:
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: n PHONE NUMBER: Sl I Gf 2 Z oq
5 C
PROPERTY OWNER: L JZ_ /Z C
MAILING ADDRESS: 4110C)
CITY/STATE/ZIP: G Ql.t y l / &05 PHONE NUMBER: 7 Zo
1
♦ 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 t/
♦ 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
♦ WILL THERE BE ANY OUTSIDE STORAGE(including storage of company/fleet vehicles),DISPLAY,
USE OR DINING? YES_NO 1`
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?_________________________ YES_NO l
♦ IS BUILDINGSPRINKLERED? ________________________________________________....... YES NO t.—
♦ 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 AL (817)410-3165. / J
SIGNATURE: Q `-aA j PRINT NAME/: ( < Gffv
PHONE#: ti 7 ( G_ c�-6 EMAIL: .
Development Services Department -'(OVER)
The City of Grapevine *P.O.Box 95104 * Grapevine,Texas 76099 - (817)410-3165 . C a
Fax(817)410-3012 * www.gral)evinetexas.gov
O:FORMSTSAPPLICATIOWC/
3122120011Rev:5100,2107,4109,2113,11115,10118,8118
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 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 Sales Tax Number:_ .�/�
Signature: � `�/ti�n.A A,�/h=�
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: 1{� G f f 'w A A yc G
CITY, STATE, ZIP: C -760 S
OFFICE USE ONLY**//
TYPE OF CONSTRUCTION: ( — OCCUPANCY: (NUwe— DIVISION:
ZONING DISTRICT: F CONDITIONAL USE: R(/�t
r
PERMITTED USE: r Aes!�1 Sti/pcJ
e
BUILDING DEPARTMENT: DATE:
BUILDING INSPECTOR: f. DATE: G, - - A
ZONING APPROVAL: DATE:
FIRE DEPARTMENT: DATE:
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVAL !i ` DATE: / w
APPROVAL FOR ISSUANCE: _ DATE:
O:FORMSIDSAPPLICATIOWC/
312212001IRev:5/06,2/O7,4/09,2113,11115,10116,8/18
J/ ,tim- CERTIFICATE OF OCCUPANCY
14��"t�) 'l7 r Issue Date:June 10,2019
•.'I' I:, A 1 v PROJECT DESCRIPTION:C/O Clean&Show
i r—
PROJECT# 817 410-3010
% ( ) v✓ww.mygov.us
CO-19-2254 Inspections Permits
City of Grapevine
LOCATION TENANT LEGAL
P.G.Box 525 Industrial Blvd. VACANT
Grapevine,,T TX X 76099 Grapevine Industrial Park Bilk
Building#B n/a Lot 3
(817)410-3165 Voice Grapevine,TX 76051 Grapevine Industrial Park Lot
(817)410-3012 Fax
3
CONTRACTOR INFORMATION
Tim Lancaster *CONSTRUCTION TYPE 116
4100 Heritage, Suite 105 *OCCUPANCY GROUP NONE
Grapevine, TX 76051
`ZONING DISTRICT LI
(817)925-2569 Phone
NAME OF BUSINESS Vacant
OWNER TYPE OF BUSINESS Clean &Show
Lt2 Properties Up **APPLICANT NAME Tim Lancaster
4100 Heritage Ave Ste 105 **APPLICANT PHONE NUMBER 817-925-2569
Grapevine, TX 76051-5716 **TENANT NAME
Vacant
AVAILABLE INSPECTIONS **TENANT PHONE NUMBER 000-000-0000
• Final Building C/O Inspection (required) *Sales Tax NO
• Landscaping (required) *Sales Tax Number
• C/O APPROVED FOR ISSUANCE
(required) Afcoholic Beverage Sales NO
Alterations NO
Change of Business Name NO
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 NO
Number of Employees
Outside Refuse/Recycling NO
Outside Storage NO
Signs NO
Square Footage 3750
Zoning LI -Light Industrial
FEES TOTAL=$50.00
Certificate of Occupancy $50.00
PAYMENTS TOTAL=$50.00
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 19 -�o2,�2
ADDRESS OF INSPECTION: _� 5'ff�tP Goo�r /Q/, z�e4 /J
DATE OF INSPECTION: LQ �� I p� '� TIME OF INSPECTION: -"
NAME OF BUSINESS: (/��
TYPE OF BUSINESS: vo GG
USE OF BUILDING AND/OR ,PppREMISES:
REASON FOR APPLYING:
CONTACT PERSON: /�inai �w�CCr oA.
TELEPHONE NUMBER: / - C/a S — .2 5-6 ,j
COMMENTSNII,, z OLATIONS:
144 1L' .&7.1, 4s o% r �
sc ,lec /
**TO BE FILLED OUT BY BUILDING OFFICIAL'
ZONING DISTRICT OF INSPECTION LOCATION: Z /
TYPE OF BUILDING: `- GROUP AND DIVISION:
ZONING RESTRICTIONS:
Aj
O FORMS DSCOINPORMATON WORKOROER
¢90048, I1^znu,