The URL can be used to link to this page

Home My WebLink AboutCO2019-4476 UNDER CONSTRUCTION _ CORRECTION LETTER_ PW OR LD NEEDED_ TD NO LETTER_ WAITING FIRE _ HOLD C/O CHECK LIST C/O PERMIT # P19 - 4l 7l0 ADDRESS: y r1JCt e� tY111(' `v BUSINESS NAME: BUSINESS!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 TIME 7. FIRE DEPT. INSPECTION SCHEDULED DATE Ola-hi TIME_ O 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 2. 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 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 Y21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: SCAN CERTIFICATE TO MYGOV: _ P CONDITIONS TO BE TYPED ON C/O? YES /NO MAILED: O:IFORMSIDSCOINFORMATIONICKLIST 12130INI R-11111.11115.5/18 GI3.1s�, DATE OF ISSUANCE:( NOV 13 20 Ic 5l0to f1 2U�i 1'9 e `' PERMIT#: / /"7'/ 7y� CERTIFICATE OF OCCUPANCY REQUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: 230 N• Av-k Blisd, SUITE# ib3 LOT: l ' BLOCK: �� SUBDIVISION: ****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT EGAL DESCRIPTION**** NAME OF BUSINESS: ze-r4la"( r etu.._ c ,SKA ,/ NEW OCCUPANT: YES NO_�jL[tsa4 EW 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 TYPE OF BUSINESS: SQUARE FOOTAGE: (Example:Retail Clothing/Attorney's Office!Office-Warehouse/Restaurant) NAME OF TENANT ;Pf-S0)7�'S NAXIEi: CURRENT MAILING ADDRESS: CITY/STATE/ZIP: �� ti1 I TZ PHONE NUMBER: 3s1 PROPERTY OWNER: '741-7, Jik Fdl71 Q i>ie_ LcL 1- MAILING ADDRESS: �.?3'L f�'O1ry }s,� 64/-c CITY/STATE/ZIP: 'ts-2_ i) PHONE NUMBER: 301 ♦ 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 ♦ 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 1 ♦ WILL THERE BE ANY OUTSIDE STORAGE(including storage of company/Beet vehicles), DISPLAY, USE OR DINING?------------------------------------------------------------------ YES NO ♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ------------------------- YESNO ♦ IS BUILDING SPRINKLERED?------------------------------------------------------- YES NO ♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? TTTTTT (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(81 10-3165. SIGNATURE: �� x_� PRINT NAME: G'1�w vim_ PHONE#: 3Ci Y_3S ey6_o EMAIL: Fax(817)410-3012* wwlNLgrapex_ineteras oy O:FORMS\DSAPPLICATIONS\C/ 3/2 212 0 01IRev:5106,210T,4109,2/13,11115,10116,8/18 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 5.25%. 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 Tax Number: Signature: WHERE DO YOU NYANT YOLR COMPLETED CERTIFICATE OF OCCUP 1NCY 1YIAILFD? ADDRESS: G 3- �� '� CITY, STATE, ZIP: OFFICE USE TYPE OF CONSTRUCTION: V� OCCUPANCY: DIVISION: ZONING DISTRICT: (O , CONDITIONAL USE: N/d PERMITTED USE: .i 6L) BUILDING DEPARTMENT: DATE: ��'lei 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: U-) DATE: U—L3— \e{ APPROVAL FOR ISSUANCE: DATE: ` �3 O:FORMSMSAPPLICATION S1Cl 3I22I2001IRev:5/06,2/0],4109,2113,11/15,10I16,8I18 {p �7 CERTIFICATE OF OCCUPANCY 4�11.9I Issue Date: November 13,2019 PROJECT DESCRIPTION: C/O"Clean&Show"] y PROJECT# (817) 410-3010 www.mygov.us CO-19-4476 Inspections Permits City of Grapevine LOCATION TENANT LEGAL P.O.Box 230 Park Blvd Vacant Brookside Addition Blk 5 Lot TX Grapevine,,TX 76099 Suite# 103 1r (817)410-3165 Voice Grapevine,TX 76051 (817)410-3012 Fax CONTRACTOR INFORMATION Brian Goldstein *CONSTRUCTION TYPE VB 6332 Brookshire Dr. *OCCUPANCY GROUP NONE Dallas, TX 75230 *ZONING DISTRICT PO (301) 875-8460 Phone **NAME OF BUSINESS Vacant OWNER **TYPE OF BUSINESS Clean &Show 9692 Oak Hill Drive Llc **APPLICANT NAME Brian Goldstein 4121 Stanhope St **APPLICANT PHONE NUMBER 301-875-8460 Dallas,TX 75205 **TENANT NAME Vacant AVAILABLE INSPECTIONS **TENANT PHONE NUMBER 000-000-0000 • Final Building C/O Inspection (required) *Sales Tax NO r Landscaping (required) *Sales Tax Number t C/O APPROVED FOR ISSUANCE (required) Alcoholic 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 1102 Zoning PO-Professional Office FEES TOTAL=$50.00 Certificate of Occupancy $50.00 PAYMENTS TOTAL=$50.00 .=-PRllVP a[A�k 1 7 'A w 4W IN I an 3n 446a LL 'AAA VA -A -ITTTT—J-� ------ qIsj V L —.v ....... ' 11jsl�All, 0 Of -OAS.. -tlD Non )�56�N 71 oav "TT :A-V PIT Tsi I [IT A. 1- r-7 T om3sou A C> AV P Iz AV p V, 7 a ILL-. �V':�.-.../ 3 � A! AA A, I -A` IV z IT-1 J, A! A\ CERTIFICATE OF OCCUPANCY WORKORDER PERMIT # 19 - yy7(a ADDRESS OF INSPECTION: U DATE OF INSPECTION: I d �icc • TIME OF INSPECTION: �db NAME OF BUSINESS: TYPE OF BUSINESS: USE OF BUILDING AND/OR PREEMISES: L�Q' REASON FOR APPLYING: CONTACT PERSON: lLv/C � i J TELEPHONE NUMBER: COMMENTSNIOLATIONS: r Q **TO BE FILLED OUT BY BUILDING OFFICIAL*" ZONING DISTRICT OF INSPECTION LOCATION: a TYPE OF BUILDING: 1( ' GROUP AND DIVISION: ZONING RESTRICTIONS: I)FORM'OSCOINFORNIATION IIORKORDFR 211114R,,1IV IDf16