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HomeMy WebLinkAboutCO2020-4117 UNDER CONSTRUCTION CORRECTION LETTER PW OR LD NEEDED TD NO LETTER WAITING FIRE HOLD CODE C/O CHECK LIST C/O PERMIT# P20 - ADDRESS: r F _ BUSINESS NAME: BUSINESS PROPERTY CHANGE NAME / OWNER NEW CONST/ADDITION PERMIT# NEW TENANT/OCCUPANT REMODEL/ALTERATION PERMIT# - _ ` / ISSUE DATE FINAL DATE V 1. APPLICATION FORM COMPLETED lo/'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 1 V1 6. BUILDING INSPECTION SCHEDULED DATE TIME 10,(06 ✓ 7. FIRE DEPT. INSPECTION SCHEDULED DATE TIME /0:00 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 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 DEC 10 2020 21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: SCAN CERTIFICATE TO MYGOV: CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED: CAFOR MSWSCOIN FORMATIONICKLIST 12/30/041 Rev.11111,11115,5118 NOV 17 2020 E DATE OF ISSUANCE: _ ©E 1an �0 4 111 Y. T El PERMIT#: to— ( I CERTIFICATE OF OCCUPANCY RE VEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: 2401 Ira E Woods SUITE#600 LOT: 10 )Q BLOCK: 1 SUBDIVISION: DFW Buslness Park ****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION**** NAME OF BUSINESS: 'Mar" Inn NEW OCCUPANT: YES x NO NEW B0 LDING/PROPERTY O 5 NO x NEW BUILDING: YES NO x NEW BUSINESS NAME CHANGE: YES x NO NUMBER OF EMPLOYEES: TO FREIGHT FORWARDING: YES NO x NEW BUSINESS OWNER: YES x NO TYPE OF BUSINESS: Healthcare Imaging clinic SQUARE FOOTAGE: 4700 (Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant) NAME OF TENANT (PERSON'S NAMC]: Ricky Kyle CURRENT MAILING ADDRESS: 609 Medical Center DR. CITY/STATE/ZEP: Decatur,Texas 76234 —PHONENUMBER: 940-62&1260 PROPERTY OWNER: ` _k(f C�4eD MAILING ADDRESS: fU � 5 5a'n t..11 CITY/STATE/ZIP: ftullftke. 7 �\ - 7 5-a PHONE NUMBER: 817-337-3433 ♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW?(if yes,provide copy of Sales Tax Certificate)---- YES_NO X ♦ 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 ♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM?------YES—NO X a WILL OUTSIDE REFUSEIRECYCLING/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 SPRINKLERED?------------------------------------------------------- YES x 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 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$42.00 reinspection fee will be charged) FOR QUESTIO ASE CALL 4 - 65. SIGNATURE: PRINT NAME: Ricky Kyle PHONE#: 940-626-1250 EMAIL: (OVER) - Development Services Department The City of Grapevine*P.O.Box 95104*Grapevine,Texas 76099*(8I7)410-3165 Fax(817)410-3012*www•.-�raUevineiexas.L>0v 0SORMSIOSAPPLICATIONS-FEES 3aD01lRev:SM,2M7 AM,2119,11M5,10nfi,8l18,1D2O 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 Tax Number: F ' Signature: WHERE DO YOU WAN ®UR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? ADDRESS: 609 Medical Center DR. CITY,STATE,ZIP: Decatur,Texas 76294 OFFICE USE TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION: ZONING DISTRICT: CONDITIONAL USE:_ N/A- PERMITTED USE: OCCUPANT LOAD: BUILDING DEPARTMENT: DATE: I/- • 20 BUILDING INSPECTOR: DATE: ZONING APPROVAL: DATE: FIRE DEPARTMENT: DATE: �a LOT DRAINAGE INSPECTION: f DATE: PUBLIC WORKS DEPARTMENT:. DATE: HEALTH DEPARTMENT: DATE: CITY SECRETARY: DATE: LANDSCAPING APPROVAL: DATE: I?� APPROVAL FOR ISSUANCE: DATE: . ` O:FORMSMAFPLICATIONS-FEES 3lawi lNev:5M6,2M7,4109,2M 9.7 7M 6.10/16,8/7 6,1620 CERTIFICATE OF OCCUPANCY Issue Date:December 14,2020 PROJECT DESCRIPTION:CIO[Medical Office]"Wise Health System Imaging Services" PROJECT# (817)410-3010 WWW.mygov.us CO-20-4117 Inspections Permits City of Grapevine LOCATION TENANT LEGAL P.O.Box 95104 2401 Ira E Woods Ave. Wise Health System Imaging D F W Business Park Grapevine,TX 76099 Suite#600 Services Addition Blk 1 Lot 10a (817)410-3165 Voice Grapevine,TX 76051 (817)410-3012 Fax CONTRACTOR INFORMATION Ricky Kyle *CONSTRUCTION TYPE VB 609 Medical Center Dr. *OCCUPANCY GROUP B-Medical Decatur,TX 76234-0000 *OCCUPANCY LOAD 47 (940)626-1250 Phone *PERMITTED USE YES OWNER *ZONING DISTRICT CC Y&C 2401'LTD ** NAME OF BUSINESS WHS Diagnostic Imaging 10425 Sanden Dr **TYPE OF BUSINESS Medical Office Dallas,TX 75238 **APPLICANT NAME Ricky Kyle ph.(817)337-3433 **APPLICANT PHONE NUMBER 940-626-1250 AVAILABLE INSPECTIONS **TENANT NAME Ricky Kyle ► Final Building C/O Inspection(required) **TENANT PHONE NUMBER 940-626-1250 ► Final Fire Dept Inspection (required) ► Landscaping (required) *Sales Tax NO ► C/O APPROVED FOR ISSUANCE *Sales Tax Number (required) Alcoholic Beverage Sales NO Alterations NO Change of Business Name NO Change of Business Owner NO County i 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 YES Number of Employees 10 Outside Refuse/Recycling NO Outside Storage NO Signs YES Square Footage 4700 Zoning CC-Community Commercial FEES TOTAL=$50.00 Certificate of Occupancy $50.00 y11�1 NY •� .-' �P�:° 3 � oOs� �s�ya ,;NG�D T.�h' ty�'h �,, ks f� a aV, 1t ` 'Ods _,.,.. ....-- —•—+ 7 S w �'S6• m y@ .� z L U �341 ��t,� .• � _�. ,_..fir.rte____ � � � I._.. �_ Ailm�N-�• O -� vianossor7 C�O�p t Y �p 3O y {9; ;Y NEST E NPKWY o ;d �o ate..• az= t' R Co He 14 - •r N NYS a 41 Wxm e p � i t al4anv 1 NOEROSA\7RL • II�H'i,l)!! 1y d. a,6 ASN _ � N,6� � O � 3 � - � CERTIFICATE OF OCCUPANCY WORKORDER. PERMIT#20- ADDRESS OF INSPECTION: 1;1? L}Q At- 7?n 06 DATE OF INSPECTION: 1 ��Q TIME OF INSPECTION: DU n NAME OF BUSINESS: TYPE OF BUSINESS: L21 a��- USE OF BUILDING AND/OR PREMISES: -' REASON FOR APPLYING: �,ad,� CONTACT PERSON:�� TELEPHONE NUMBER: e9 �D -6026 —/..5� COMM TS/VIOLATIONS: �a aD **TO BE FILLED OUT BY BUILDING OFFICIAL" ZONING DISTRICT OF INSPECTION LOCATION: OCCUPANT LOAD: 7 TYPE OF BUILDING: V GROUP AND DIVISION: c i ZONING RESTRICTIONS: O:FORMS DSCOINFORMATION WORKORDFR 12 30 04 Rev.1 17 2006 _ '-a��w_" ,,,.',�"'. 'r `�r `.�.I•r,•- '.�'fes- -•+•,�,r` o.�rr ' �{' '�Yrr ,i, ,`r ,:�-- � _ 1 t NNto I � t UL toEL N U CD 1 o a ' +� N. -00-0 c P M r 00C d CO I c C 0 c Cf) ch 0) 03 J � tiM C -- N x M O O w d N Lo Co m .S O U � c6 � rc C) L. Q O rn d Q v •~ cyC CD z U a m CD 5 o c m NOD 0'> _ c •G� O .� O N O NCL i D A d �_ + 3 m # R R Cl O O rza° Y W (7c O U * N o O 0 p t U) pL C ~ ' l+ly U O •y Q + �V V a 4 :3 . 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