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Home My WebLink AboutCO2020-4558 UNDER CONSTRUCTION X CORRECTION LETTER_ PW OR LID NEEDED_ TD NO LETTER WAITING FIRE _ HOLD_ CODE t f C/O CHECK LIST C/O PERMIT # P20 - 5U ADDRESS: 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 i `7 TIME 1'd0 P.AA,. V 7. FIRE DEPT, INSPECTION SCHEDULED DATE TIME ( . C C v P(Y\, FIRE INSPECTOR: 1 �- 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 _v19. LANDSCAPING SIGN OFF '-// 20. BUILDING OFFICIALS SIGNATURE I // ✓ 21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: SCAN CERTIFICATE TO MYGOV: CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED: O TORMS1050OINFORMATI0N\CKLIST 12/30/041 Re l 1111.11115.5118 c PRA A INE DATE OF ISSUANCE: 1,c-�-,Q \2ro �T E PAIl1V's PERMIT#: �-fJ55 C ' CERTIFICATE OF OCCUPANCY REQUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: 819 Ira E. Woods Ave. -SUITE# LOT: 2 BLOCK: 50%common Area SUBDIVISION: Grapevine Office Park Condo ""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION"" NAME OF BUSINESS: MED Southwest, PLLC dba MYEYEDR NEW OCCUPANT: YES—NO X NEW BUILDING/PROPERTY OWNER: YES NO X NEW BUILDING: YES_NO X NEW BUSINESS NAME CHANGE: YES X NO NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO X NEW BUSINESS OWNER: YES X NO TYPE OF BUSINESS: Optometry medical office; service and retail SQUARE FOOTAGE: 3,562.00 (Example:Retail Clothing/Attorney's office/Office-Warehouse/Restaurant) -NAME OF TENANT [PERSON'S NAME]: Geri Welch, VP - MED Southwest, PLLC CURRENT MAILING ADDRESS: 1950 Old Gallows Rd. Suite 520 CITY/STATE/ZIP: Vienna, VA 22182 PHONENUMBER: 303-588-0292 PROPERTY OWNER: GL Enterprises LP MAILING ADDRESS: 2600 Hardwood Rd. CITY/STATE/ZIP: Bedford, TX 76021 PHONE NUMBER: 21144.-�770-6688 ♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW?(if yes,provide copy of Sales Tax Certificate)--1,} YES_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, USE OR DINING?---------------------------- ------- YES—NO X ♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES—NO X ♦ IS BUILDING SPRINKLERED?- ----- ----------------- ------------------------------- - 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$42.00 re-inspection fee will be charged) FOR QUESTIONS PLEA CA PIA)410-3165. SIGNATURE: PRINT NAME- Geri Welch,VP Real Estate,Construction,and Facilities PHONE#: 303-588-0 92 EMAIL: (OVER) Development Services Department The City of Grapevine*P.O.Box 95104 * Grapevine,Texas 76099 *(817)410-3165 Fax(817)410-3012* www.grar)evinctexas.gov O:FOHMS DSAPPLICATIONS-FEES 3/2001/Rev:5/06,2/W,V N,013,11/15,10/16,8/18,10/20 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: 3-2069V1541-3 ocation #: 0048 Signature: WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? ADDRESS:Attn: Real Estate, 1950 Old Gallows Road Suite 520 CITY, STATE, ZIP: Vienna, VA 22182 x\x/*x x ** x FOR OFFICE USEx* , * TYPE OF CONSTRUCTION: y - OCCUPANCY: DIVISION: �ti ,/A— ZONING DISTRICT: /�� CONDITIONAL USE: M f Q PERMITTED USE: OCCUPANT LOAD: BUILDING DEPARTMENT: DATE:1L 1--!J -20 BUILDING INSPECT �i Eh l! (LQA DATE: ZONING APPROVAL: DATE: FIRE DEPARTMENT: /k DATE; �"•� LOT DRAINAGE INSPECTION: DATE: PUBLIC WORKS DEPARTMENT: DATE: HEALTH DEPARTMENT: DATE: CITY SECRETARY: DATE: r1 LANDSCAPING APPROVAL: ` W DATE; 2! APPROVAL FOR ISSUANCE: ATE: ' Z O:FORMSMAPPLICAnONS-FEES 3/2001/Rev:5/06,W07,M09,ZI3,11/15,10116,BMB,10/20 =L CERTIFICATE OF OCCUPANCY Issue Date:January 11,2021 PROJECT DESCRIPTION:CIO(Optometry Office)"MED Southwest,PLLC dba MYEYEDR" PROJECT# (817)410-3010 Www.mygov.us CO-20-4558 Inspections Permits City of Grapevine LOCATION TENANT LEGAL P.O.Box 819 Ira E Woods Ave. IVIED Southwest, PLLC dba Grapevine Office Park Condo Grapevine, T TX X 76099 P (817)410-3165 Voice Grapevine,TX 76051 MYEYEDR Lot 2 (817)410-3012 Fax CONTRACTOR INFORMATION Geri Welch *CONSTRUCTION TYPE VB 819 Ira E. Woods Ave. *OCCUPANCY GROUP B Grapevine,TX 76051 - - - *OCCUPANCYLOAD 36 (303) 92 Phone *PERMITTED USE YES *ZONING DISTRICT CC OWNER VIED Southwest, PLLC dba **NAME OF BUSINESS GI Enterprises Ltd MYEYEDR 2600 Harwood Rd **TYPE OF BUSINESS Medical Office Bedford,TX 76021-3700 **APPLICANT NAME Geri Welch AVAILABLE INSPECTIONS **APPLICANT PHONE NUMBER 3035880292 • Final Building C/O Inspection (required) **TENANT NAME Geri Welch • Final Fire Dept Inspection(required) **TENANT PHONE NUMBER 3035880292 • Landscaping(required) • C/O APPROVED FOR ISSUANCE *Sales Tax NO (required) *Sales Tax Number 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 YES Number of Employees 11 Outside Refuse/Recycling NO Outside Storage NO Signs NO Square Footage 3562 Zoning CC-Community Commercial FEES TOTAL=$50.00 MYGOV.Us City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-20-4558I Printed 01/11/21 at 2:03 p.m. Page 1 of 3 UJ Ir/ N A ANIIMIV Tjrl "'lu Z z N W N tt ¢ Q N N � M N N N N N.^ 2 J 1S-3NId O N Q Lb in 00 N m N N a m m r w r N N M Q m co r m m o M LL N z N L_ N � V N N N O m n <p N M m N N r M M �2 L2 ~ N M Q m m n o m UGIVISIA-A311VA a N Y � oJ L _� m m o m m m � L4 N N r Z? � L m �. U U'c � a 3 , LTL�ST o 4� � � '�b�•pub � m �o a ttm ws �Jyco J / 606 J� N U w �?UyUic Y U � n 606UA b6o2 e� N ll � MN 40 NC R CERTIFICATE OF OCCUPANCY WORKORIDER PERMIT # 20 - Lt5 6 V ADDRESS OF INSPECTION: 8II c� k s `t t VE DATE OF INSPECTION: Ah 1�_ TIME OF INSPECTION: l : GUp M NAME OF BUSINESS: C� -�LbT�rr',,we� ��-�-G hex ' Y I DlL TYPE OF BUSINESS: &C/� USE OF BUILDING AND/OR PREMISES: REASON FOR APPLYING: CONTACT PERSON: 6� Q� k CJI� TELEPHONE NUMBER: , COMMENTSNIOLATIONS: **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: c:� OCCUPANT LOAD: TYPE OF BUILDING:� -- GROUP AND DIVISION: JE5 ZONING RESTRICTIONS: O_CORA,SDSC C)INFCR%iATIONIYOR OROLR 1,311114 R, 1I-21111R al 'r vo I (O E L ti �j 0 d U C O C 0m— l v O c Cl) c N NCC N p Y. ORC c M p (o i, t x L '. Co m a c r W o NLO 10 a�i J Corn a C9 (' COk \ , - me Z mD= E-O U r � X A 7. Li tG Q pL c N N a N O; � N T m GI may-„ ,n r- U 41 wUO. It l'- •� O O O. 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