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HomeMy WebLinkAboutCO2012-3974 UNDER CONSTRUCTION CORRECTION LETTER PW OR LD NEEDED TD NO LETTER CIO CHECK LIST C/O PERMIT# P12- `7 ADDRESS: 5�a C� s I I CC�fILLI , `o .: BUSINESS NAME: BUSINESS PROPERTY HANGE NAME/OWNER NEW CONST/ADDITION PERMIT# NEW TENANT/OCCUPANT REMODEL/ALTERATION PERMIT# ISSUE DATE JAN 0 4 2013 1- APPLICATION FORM COMPLETED FINAL DATE 2. ZONING MAP COPIED&WORKORDER FORM COMPLETED :Y3. ZONING CHECKED &COMPLETED ON APPLICATION 4. BUILDING INSPECTION SCHEDULED: DATE I6 R TIME ✓ 5. FIRE DEPT. INSPECTION SCHEDULED: DATE �L I l TIME INSPECTOR 6. HEALTH INSPECTION: DATE'-- TIME �7. PUBLIC WORKS INSPECTION: E-MAIL DATE .�8. LOT DRAINAGE INSPECTION: E-MAIL DATE 9. CORRECTION LETTER SENT: DATE v 10. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO _V 11. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO V/12. HEALTH DEPARTMENT SIGN OFF 13. PUBLIC WORKS SIGN OFF 14. LOT DRAINAGE SIGN OFF V,5. LANDSCAPING SIGN OFF 16. BUILDING OFFICIALS SIGNATURE g J 17. C/O ISSUED ELECTRIC RELEASE: �" + COPY: MAILED: *CONDITIONS TO BE TYPED ON C/O: YES / NO 0AFORMSUSCOINFORMATIONICKLIST 12/301041 Rwl I k11 NO 12,2012 * DATE OF ISSUANCE: 10Ia b 4 IEVINIE .,� L°T C x 18 PERMIT#•_4�. 2 -397/ CERTIFICATE OF OCCUPANCY REQUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCLITED WITHANACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: SUITE LOT: 2 t BLOCK: SUBDIVISION: 3n 0r- ""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WI HOUT LEGAL DESCRIPTION"" NAME OF BUSINESS: -7~ &�5L-wAaz-3 1_tj e- _ NEW OCCUPANT: YES ✓ NO NEW BUILDING/PROPERTY OWNER: YES NO NEW BUILDING: YES NO NAME CHANGE: YES N0­7' NUMBER OF EMPLOYEES: 13 FREIGHT FORWARDING: YES Nd TYPE OF BUSINESS: gt :2 lLr --y CcwtwIeKL-'T SQUARE FOOTAGE: I IS(oO (Example:Retail,Office,Warehouse) NAME OF TENANT: �j^rl.l�! CURRENT MAILING ADDRESS:!?Z Z _l�Tk{- $r��U LTA t�t�p Q►J C� G—g P[�ti�? _ CITY/STATE/ZIP� �ZS?-a PHONE NUMBER:C4&q)9$4-- PROPERTY OWNER: dial Ie, L1.C�- MAILING ADDRESS: JZ15,0 CITY/STATE/ZIPVIO t lc "�(00 2 ^�( PHONE NUMBER: (XI 7 ' s ♦ 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 ♦ WILL THERE BE ANY OUTSIDE STORAGE,DISPLAY,USE OR DINING:--------------------- YES NO ♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?----------L-------------- 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 WITH THE INFORMATION HEREIN SET FORTH. (If access to the building/space is not provided at the time of the scheduled inspection,a t"c-inspection fee will be arged) FOR QUESTIONSS PLEASE CALL(817)--410-3165. PRINT NAME�4L*Vk � �.f�J '�r' SIGNAT " PHONE#: �_►-� °I3o� / EMAIL: - (OVER) Development Services Department The City of Grapevine *P.O.Box 95104*Grapevine,Texas 76099 (817)410-3165 Fax(817)410-3012 *www.grapevinctexas.gov O:VORNtMD5APPLICAT1O1151C/OApplleaH. 3122/2001/Re,i.ed:5/06,5/06,2/01,4/09 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. 10 Texas Sales Tax Number: Signatu PFL **********************FOR OFFICE USE TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION: ZONING DISTRICT: _ CONDITIONAL USE: PERMITTED USE: ct BUILDING DEPARTMENT: ! __ DATE: ZONING APPROVAL: DATE: FIRE DEPARTMENT:I_ OK per Gail Reneau with Fire Dept. DATE: �. a LOT DRAINAGE INSPECTION: __ DATE: PUBLIC WORKS DEPARTMENT: DATE: HEALTH DEPARTMENT: \ s DATE: c� 2-� LANDSCAPING APPROVAL: DATE: >alZz��`� APPROVAL FOR ISSUANCE: DATE: 7, fL a O:PORMS\DSAPPLICATIONS1CIOApplkallon 3/22/2001/Rniud:5/06.SIM 2107,1/09 CERTIFICATE OF OCCUPANCY ;*EWIssue Date:October 22,2014 PROJECT DESCRIPTION:C/O(Convenience Store)"7-Eleven,Inc."[Bldg Permit 12-3971] PROJECT# (817)410-3010 www.mygov.us CO-12-3974 Inspections Permits City of Grapevine, TX LOCATION TENANT LEGAL P.O.Box 95104 520 S Main St. 7-Eleven Convenience Store City Of Grapevine Bilk4 Lot 2 Suite#203 &3B Grapevine,TX 76099 Grapevine,TX 76051 7-Eleven Convenience Store (817)410-3165 Voice (817)410-3012 Fax CONTRACTOR INFORMATION CERTIFICATE OF OCCUPANCY *APPLICATION STATUS Approved 200 S. Main Street *CONSTRUCTION TYPE VB Sprinklered Grapevine,TX 76051 *OCCUPANCY GROUP M (817)410-3158 Phone *ZONING DISTRICT CBD OWNER "*NAME OF BUSINESS 7-Eleven, Inc. Biatwic Llc **TYPE OF BUSINESS Retail/Convenience Store 1230 Lakeway Dr **APPLICANT NAME Sydnee Freeman Southlake,TX 76092-7123 **APPLICANT PHONE NUMBER 214-930-4996 *Sales Tax YES AVAILABLE INSPECTIONS *Sales Tax Number 17510851318 P. Final Fire Dept Inspection(required) ► Final Health Inspection(required) Alcoholic Beverage Sales YES ► Final Building C/O Inspection(required) Alterations YES Landscaping(required) Change of Business Name NO C/O APPROVED FOR ISSUANCE (required) 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 YES Number of Employees 13 Outside Refuse/Recycling YES Outside Storage NO Signs YES Square Footage 1860 Zoning CBD-Central Business District MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-12-3974 1 Printed 10/22/14 at 3:46 p.m. Page 1 of 3 Connie Cook- 7-Eleven From: Tara Brooks To: Connie Cook Date: 2/19/2013 4:35 PM Subject: 7-Eleven CC: Jodi Brown The alcohol permit for 7-Eleven at 520 South Main Street was issued on December 20,2012. Let me know if you need anything else! Tara 2126-464 ,A Moll THUMAS MAHAN a. > ate■ A1050p `"5 UH , G :at , TOO + �,��,B�pWill �! iN Mj„_■ ' 1 Y I�R 1° ' S . e , t ,n, ma � � ��, ,•+ h ��,ate , , K� o ] s ma .I,a F09 ,R >w i 4 ] µ GU ,/ 6Z i B TPA aw.w., TM a .� p'Si►� ■t !, �+ P — cBa aw s 0 ,a — eR TO o a" 'i 6 Ll■,e ,1110 ,,,, 12 ,AMW_ l TOPI _ TO Ap S ,,. ,R a B i w Y + PF IP IA WA W faaG Y�'eM rj A �Y..'iY 2 R a M ] a R ! � Md, t ,a.. ■ �tiGT M R T rar'oaa n a fT � Re e a , ! e e A. 0 ;V � B a �ntn / ,a U f i fl^7. sR,ea 1�6'n IRS doer 17<07 OR B TO 31 OPIl „ P T, •C N Awl- 1 C�I v��p/ GU a iiflkg m L[ ] V ►/ pRG Po' i ° c� _3 mir .r eLl op ` n ' 42 PRtVA IT :, � ,2 ', G 1 N1R +a!0R° LI °1+°� CBD w,�• a-�---, N [J f" q f ��yGhj� �i�4tiSG1 ❑SA a sw ,rt IL3 g0�p�`/IY1/�}t1y�Vg`� I �P�,,�,��S� f 1L U ~` N TR- ` ff 1 SpyR1E�"p1 ,.a, — -- � e�e art ti mwe rnteA�J .a]y, g ♦C ' 1��Y Itu'--_._l , ,+ nj a f � I R Gu DO • 1 ' Y] It s a f 7 , Tll rtl C_N e e 0 ra a u m e .2 - 2 a E ,eR A It t] TO > ,4 , e __�Og IA hi Ol n�nn •tn 0 ram W'9 Request for Taxpayer cline Form tlo11he O°"''° (VOT IdenUfloation Number and Certification "�" -oe trot r wr i �,ao,".e"', cold to ldita i1M relate.[se atrgsnr an your tnreme trod reborn) T-Et EVEN MCW Business aams/dIsreBwded aft name,it d1 f rant firma above 7-ELEVEN INC Churalr eWWdae boa for federal tax dsedfiartlon(required): ❑ uelhols propeedor ©C Carporesw ❑S MMWatlon ❑ Pettus MO ❑Tn®t/esbsls ❑ Lirdtedt oaerp*tay.En>er the tax ddeNknitan iced corpmagorr,tt�oerporatlM ► ❑F rotes ❑ otter on beo„otD".ILI ---- �. llddfesa Oaxnbsr.street,and apt.or*oils no,I 8equsst es rams and address(oXW* 1722 ROUTH STSTE 1000 C4,state,BW ZIP mode DALLAS,TX 75201 ust scowrt nuntber(r)here(q*m Q Taxpfter Idefrtif cwton Number MM Enter your 11N In the appropriate box.The TIN provided must match the name given on the'Name"line Soodal•es uft number to avoid backup withholding.For individuals.this is your sok:ia(Madly number(SSN}.however,fa a resident alien,Bob proprietor,or disregarded saft we the Part 1 inshucllcm on page 3.For other entities,it is your employer Identification number(EIN).If you do not how a matter.a"How to get a 77Y an page 3. Norm If the account is llh more than one name,seethe chart on page 4 for guidelines on whose ! Pioyr idennficatlon number number to*afar M75 - i o e 5 I 1 1 S 1 Cettffication Under penalties of perfury,I certify that: 1. The number shown on this form a my correct taxpayer Identification number(a I am waiting for a number to be las,-ad to me).and 2. 1 err not subject to backup WM*wk&v because:(9)1 am exempt from backup wkMxddki%or @*i have not been notified by the internal Revenue Service fill that 1 am erbj®ct to backup withholding as a result of a failure to repot all Merest or dividends,or(b)the Mf,S has natifled me that I am no longer sub)ect to backup withholding,and 3. i am a U.S.cozen or other U.S.person(defined below). Certifloartion Ina&uotions.You must cross out Item 2 above I you have been notified by the IRS that you are currently subject to backup withholding because you have!Meal to report all interest and dividends on your tax return.For real estate transactions,Item 2 does not apply.For mortgage merest paid,acquisition or abandon t of&soured property,cancellatlon of debt,contributions to an individual retirement arrangement(IAA),and generally,payments other than Inter" na d dh/Iderrds,you are not required to sign the certification,but you must provide your correct TiN.See the instructions on page 4. Ha persoa► 226�z Data► �rJ General InstruWonS NOhL If a requester gives you a form other than Form W-9 to request Section references are to the Internal Revenue Code unless otherwise your TIN,you must use the requestees form if it Is substantially similar riotea to this Form W9. Definition of a U.S.person.For federal tax purposes,you are Purpose of Form considered a U.S.person If you are: A person who Is required to lie an Information return with the IRS must •An Individual who Is a U.S,citizen or U.S.resident alien, obtain your correct taxpayer identification number MM to report,for •A partnership,corporation,company,or association created or example,Income paid to you,real estate transactions,mortgage interest organized In the United States or hinder the laws of the United States, YOU paid,acquisition or abandonment of secured property,cancellation of debt,or contributions you made to an IRA •An estate(other than a foreign estate).or Use Form W-9 only If you are a U.S.person(including a resident •A domestic trust(as defined in Regulations section 301.7701-7). alien),to provide your correct TIN to the person requesting it(the Special rules for parbtereltips.Parinsmhlps that conduct a trade or requester)end,when appficabie,to: bustneas In the United States are generaly required to pay a withholding 1.Certify that the TIN you are giving Is correct for you are waiting for a tad an any foreign P ?share of Ixome from such buslrlem. number to be Issued), Further,In certain oaseswheren Form W-9 has not been rekelved,a pwbwm lip Is req ked to presume tf rat a partner Is a foreign 2.Certify that you are not subject to backup withholding,or and pay the withholding tax.Therefore.If pyou are a U.S.person that e a 3.Cebn exemption from backup withholding if you we a U.S.exempt Partner in a partnership conducting a trade a business in the United payee.If S. allocable of any partnership Income f m U.S.trade and evold certifying do as a U.S.person,your States,provide F��an your ft pof peruvwship itco to gstdAsh yaw�n Is not subject to the withholding tax on foreign parbrew share of effectively connected Income. Cat No 10231X Formal-Opw 1,2011) ERTIFICATE OF OCCUPANCY WORKORDER PERMIT# 12- J 4? ?L1 ADDRESS OF INSPECTION:_5�a 0 3 DATE OF INSPECTION:. c 5L_ TIME OF INSPECTION: +j IY1 NAME OF BUSINESS: TYPE OF BUSINESS: USE OF BUILDING AND/OR PREMISES:� � REASON FOR APPLYIN CONTACT PERSON: - - I'JFli r TELEPHONE NUMBER: COMMENTS/VIOLATIONS: y,&r- **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: _ TYPE OF BUILDING: GROUP AND DIVISION: ZONING RESTRICTION 0.\FORMSIO SCOINFORMAnONI WORKORDER wiwua ate.N V2006 cur w w w w w v► w yr v►��•:r wry d N y [ L U� O�O a � 0 � UCD � Q.C p CN M 1. 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