Magnolia Rest-CS021219COPPELL
APPLICATION FOR:
CERTIFICATE OF OCCUPANCY OR
BUILDING FINAL 0JNOCCUPIED BUILDING)
Application for Certificate is made to the Building Official of Coppell, Texas, for Certificate of Occupancy,
authorizing the use of vacant land or building at:
Business n~e ofo~p~enant:
Prehous u~: i~¢c &,c' ~ L A &?,O
O~up~tenant nme:
Mailingaddr~s: 9q~ cc.66w.et City:
Suite No.
Square feet:
Telephone: c? '-?&_ t7 b 0= O / O/
60~t~C:CC State:TX Z~p: -) ~ ici
Please check:
~New Tenant
13 Clean and Show
[] Expanding lease space
[] Sarae Business Owner, New Name
H Shell Building (No occupancy)
[] Same Business Name, New Owner
I hereby certify that plans have been reviewed and the building will be inspected by a certified energy code
inspector in accordance with State Law. Plan review and inspection documentation shall be made available
to the Building Inspection Department (required for new buildings and additions).
I hereby certify that plans have been submitted to the Texas Department of Licensing and Regulation for
Accessibility Review. Control Number: (Not required for 1 & 2 family dwellings).
**FOR DEMOLITIONS, ADDITIONS AND/OR ALTERATION TO COMMERCIAL AND PUBLIC BUILDINGS**
I hereby certify that an asbestos survey has been conducted for this structure in accordance with the
regulatory requirements of the Texas Department of Health.
I hereby certify that the foregoing is correct to the best of my knowledge and all work will be performed
according to the documents approved by the Building Inspections Department and in compliance with the City
of Coppell Ordinance regulating construction. It is understood that the issuance ora Certificate of Occupancy
does not grant or authorize any violation of'any code or ordinance of the City o£Coppell. I FURTI-IERMORE
UNDERSTAND THAT PLANS AND SPECII~ICATIONS ARE NOT REVIEWED FOR HANDICAPPED
ACCESSIBILITY BY THE CITY, AND THAT THE DESIGN PROFESSIONAL/OWNER IS
RESPONSIBLE FOR OBTAINING SUCH APPROVAL FROM THE APPROPRIATE STATE AND/OR
FEDERAL AGENCY(S).
Printed name ~'~7 ~]/~C~('~J-J(/P[{'
Signature /~(/~/~-~*L~" ~ Dat¢/Z- I~--C~2
/'
(Please complete checklist on reverse side)
DARRELL W. COOK & ASSOCIATES a~.~432 ~no ~ ~ 6 6
PH (214) 368-4686
5005 GREENVILLE AVE., SUITE 200 r),\rE
DALLAS. ]'X 75206
~ ~KOF ~ ~ ~
Received From .L_.~i_L. ~,'~ ................ ~- ........ '
Add~ess