HomeMy WebLinkAboutCO2019-3154 0 UNDER CONSTRUCTION
(JAXIEL CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
WAITING FIRE
HOLD
CODE
C/O CHECK LIST
C/O PERMIT # P19 -
ADDRESS: /�kR1
BUSINESS NAME:
BUSINESS/PROPERTY j
HANGE 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
_Z5. 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 A
16. CITY SECRETARY(Alcohol License Sign Off) N.d7 Ili:
a °�?
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,. MAILED:
0:IFORMS111SCOIN FORMATIONICKLIST
12/30/041 Rev.11111,11115,5118
�` — DATE OF ISSUANCE:
r T I: [ 4 5 PERMIT#: j q—
CERTIFICATE OF OCCUPANCY REOUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF 0CCUPANCYIS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING
ADDRESS OF OCCUPANCY: 3000 Grapevine Mills Pkwy
SUITE Cart#18
LOT: BLOCK: SUBDIVISION: In front of Fieldhouse USA, Ste 329
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: o �
NEW OCCUPANT: YES x NO NEW BUIL ING/PROPERTY WNER: YES NO x
NEW BUILDING: YES NO x NEW BUSINESS NAME CHANGE: YES NO x
NUMBER OF EMPLOYEES: 60+ FREIGHT FORWARDING: YES NO x
NEW BUSINESS OWNER: YES NO x
TYPE OF BUSINESS: Remodeling SQUARE FOOTAGE:
(Example:Retail Clothing/Attorney's Office/Office-Warehouse 1 Restaurant)
NAME OF TENANT [PERSON'S NAME,: Paul Dietzler
CURRENT MAILING ADDRESS: 2430 Lacy Lane Ste 102
CITY/STATE/ZIP: Carrollton, TX 75006 PHONE NUMBER: 972-993-7249
PROPERTY OWNER: Grapevine Mills Mall
MAILING ADDRESS: 30Q Grapevine Mills Pkw
CITY/STATE/ZIP:—Grapevine, TX _ PHONE NUMBER: 817-410-3165
♦ 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(including storage of company/fleet vehicles),DISPLAY, -
USEOR DINING?------------------------------------------------------------------ YES NO x
+ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES NO x
♦ IS BUILDING SPRINT{LERED?------------------------------------------------------- YES NO x
♦ 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 542.00 reins ection fee will be charged)
FOR QUESTIONS P 'A' CALL(81�410-3�165.
SIGNATURE: PRINT NAME: Kelsey Thrasher
PHONE#: 972-993-7249 EMAIL:
Development Services Department
The City of Grapevine*P.O.Box 95104*Grapevine,Texas 76099*(817)410-3165
Fax(817)410-3012 *www. raoevinetex. ,
O:FORMSIOSAPP LICATIONSO
312=001JRev:5f06,2107,4109,2113,11115,10116
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 Ta Nu er: 46-0748247
Signature
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: 2430 Lacy Lane, Ste 102
CITY, STATE,ZIP: Carrollton TX 75006
OFFICE USE
TYPE OF CONSTRUCTION: �!", OCCUPANCY: DIVISION:
ZONING DISTRICT: CONDITIONAL USE:
PERMITTED USE:
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:
O:FO RMSIDSAPPLICATIONSICI
312212001IRev:5106"7,4109,2113,11115,10116
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 19 - �l
ADDRESS OF INSPECTION:
DATE OF INSPECTION: TIME OF INSPECTION:
NAME OF BUSINESS: P C
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING: ]
CONTACT PERSON•
TELEPHONE NUMBER: -
COMMENTSNIOLATIONS:
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING: GROUP AND DIVISION: Ml
ZONING RESTRICTIONS:
O:FORMS DSCOINFORMATION WORKORDER
12 30 04 Rev.1 17 2006