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HomeMy WebLinkAboutCO2019-3915 a i ininPR r.r)NSTRUCTION :TION LETTER LID NEEDED 10 NO LETTER WAITING FIRE HOLD CODE C/O CHECK LIST C/O PERMIT # P19 - 3CI i ADDRESS: BUSINESS NAME: � 4 C°���neo w BUSINESS/PROPERTY CHANGE NAME /OWNER NEW CONST/ADDITION PERMIT# NEW TENANT/OCCUPANT REMODEL/ALTERATION PERMIT# ISSUE DATE FINAL DATE _ APPLICATION FORM COMPLETED _,t,./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 ��JJ ✓6. BUILDING INSPECTION SCHEDULED DATE / a/ TIME Gfi � �7. FIRE DEPT. INSPECTION SCHEDULED DATE { -1 ) TIME FIRE INSPECTOR: 8. CITY SECRETARY(ALCOHOL) NOTIFICATION DATE: 9. HEALTH INSPECTION NOTIFICATION DATE: 0. PUBLIC WORKS INSPECTION E-MAIL DATE --L,/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 _,�l 5. HEALTH DEPARTMENT SIGN OFF �6. CITY SECRETARY(Alcohol License Sign Off) 11 PUBLIC WORKS SIGN OFF 1/ 18. LOT DRAINAGE SIGN OFF ,. 19. LANDSCAPING SIGN OFF 20. BUILDING OFFICIALS SIGNATURE ✓21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: SCAN CERTIFICATE TO MYGOV: CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED: C AFORMSIOSCOIN FORMATIONIC KLIST 1 213 0104 1 Rev.11111,1 Ill 5,5118 * DATE OF ISSUANCE: JAN 8201 IGP VIDE iS - 43 E p 2+li Z(1�(! T H� X ,► � PERMIT#:, 1� t �j vi CERTIFICATE OF OCCUPANCY RE;QUES`I' FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITHANACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: 62-5b 1 eS4-. c7 G SUITE# LOT: BLOCK: SUBDIVISION: 1A ****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOCT LEGAL DE RIPTION**** NAME OF BUSINESS: W -a s& (S�W' NEW OCCUPANT: YES 7C NO NEW BUILDINUftQYEXjjOWNERi YES k NO NEW BUILDING: YES-_NO NEW BUSINESS NAME CHANGE: YES NO X NUMBER OF EMPLOYEES: _ t2 FREIGHT FORWARDING: YES NO {(�� NEW BUSINESS OWNER: YES - NO TYPE OF BUSINESS: otic. C�Tt Crz____ SQUARE FOOTAGE: (Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restauran) M<V i NAME OF TENANT [PERSON'SNAME]: � I � P LLB- CURRENT MAILING ADDRESS: NXA41 Q Ca,,@ i Si u, 4 1 -7- CITY/STATE/ZIP: �� ,� (c-� ! x' �L� �� 2 PHONE NUMBER: �I 7 4- - -- PROPERTY OWNER: M 5,N -1 MAILING ADDRESS: 4© &4�A Ca-rQ CITY/STATE/ZIP: CC� � ' 7� �6�c7 PHONE NUMBER: ♦ 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(including storage of company/fleet vehicles),DISPLAY, USE OR DINING?------------------------------------------------------------------ YES NO ♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- 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 42.00 re-inspection fee will be charged) FOR QUESTIONS PL ASE CALL(8 )410-3165. 1 / SIGNATURE: `A,La - PRINT NAME: JCGf V•n V e , PHONE#: 7 5— 39 IS-- EMAIL: ' Development Services Department The City of Grapevine *P.O.Box 95104*Grapevine,Texas 76099 *(817)410-3165 Fax(817)410-3012 *www.,-,rat)evinetexas.gov O:FORMSIDSAPPLICATIONSIC/ 3/22/2001/Rev:5/06,2/07,4/09,2113,11/15,10/16,8/18 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 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: Signature: WHERE DO//YOU /WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? ADDRESS: CITY, STATE, ZIP: V lv3 >� FOR OFFICE USE ONLY* * >ti * TYPE OF CONSTRUCTION: �T.� " � OCCUPANCY:_ ►� DIVISION: ZONING DISTRICT CONDITIONAL USE: PERMITTED USE: BUILDING DEPARTMENT: DATE: ''' BUILDING INSPECTOR: DATE: D `Z ZONING APPROVAL: ~� DATE: FIRE DEPARTMENT: DATE: LOT DRAINAGE INSPECTION: DATE: r 7 PUBLIC WORKS DEPARTMENT: DATE: HEALTH DEPARTMENT: DATE: CITY SECRETARY: DATE: LANDSCAPING APPROVAL: DATE: ��- � p APPROVAL FOR ISSUANCE: dDATE: O:F ORM SMAPPLICAT IO NS1C/ 3/22/2001/Rev:5106,2/07,4109,2/13,11/15,10/16,8/18 CERTIFICATE OF OCCUPANCY j Issue Date:January 8,2021 J; ' 1 ;` ' PROJECT DESCRIPTION:CIO(Shell Building/Medical Office-Owner Occupied)"MIAA,LLC dba Westgate Cosmetic Surgery Center"(BLDG 19-3912)[UNDER CONSTRUTION] PROJECT# (817)410-3010 www.mygov.us CO-19-3915 Inspections Permits City of Grapevine P.O.Box 95104 LOCATION TENANT LEGAL Grapevine,TX 76099 2301 Westgate Piz Westgate Cosmetic Surgery Westgate Plaza Blk 3 (817)410-3165 Voice Grapevine,TX 76051 Center (817)410-3012 Fax CONTRACTOR INFORMATION Isidra Veve *CONDITIONAL USE REQUIRED? YES 410 N. Carroll Avenue, Ste. 170 *CONSTRUCTION TYPE V-B Southlake,TX 76092 *OCCUPANCY GROUP B (817)475-3915 Phone *OCCUPANCY LOAD 67 *PERMITTED USE Yes OWNER *ZONING DISTRICT CC Miaa Llc MIAA, LLC dba Westgate Cosmetic 410 N Carroll Ave Ste 170 **NAME OF BUSINESS Surgery Center Southlake,TX 76092 **TYPE OF BUSINESS Medical Office AVAILABLE INSPECTIONS **APPLICANT NAME Isidra Veve Final Public Works Inspection(required) **APPLICANT PHONE NUMBER 817-475-3915 ► Lot Drainage Inspection(required) **TENANT NAME Michael A. Bogdan Final Building C/O Inspection(required) ► Final Fire Dept Inspection(required) **TENANT PHONE NUMBER 817-442-1236 ► 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 Tarrant Fire Sprinkler System? 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PERMIT # 19 - t 5 ADDRESS OF INSPECTION: o��J O �,��5-'rc�CO'e- p IQZQ, DATE OF INSPECTION: n TIME OF INSPECTION: NAME OF BUSINESS: a3o � C (�154-t,c TYPE OF BUSINESS: OAco C_0-1 USE OF BUILDING AND/OR PREMISES: REASON FOR APPLYING: p-w (\S- -ry cii on 1C,Z cit CONTACT PERSON: �-S t C C� \I \J e- TELEPHONE NUMBER: COMMENTSNIOLATIONS: **TO BE FILLED OUT BY BUILDING OFFICIAL" ZONING DISTRICT OF INSPECTION LOCATION: TYPE OF BUILDING: _Vl- �/}�/�GROUP AND DIVISION: jA ZONING RESTRICTIONS: W - - O:IFORMS DSCOINFORMATIOM WORKORDER 12/30iO4 R.v.1/1 T 200G \ r 1 O Nw ' a O ) 0C (g\ { LNO C Y� f (rQO O y c O C N Q `� m co CD D 04 ON = Q ti \ S L 0 r c _ r 0� N•c Q. � z 4- av0 O _ C) V oCM ' cu "Mc Co.- 'e .. N 00'> d L;_ N 0 r 'n m - r '> o a 2 & d x G� .d w U l•R 7 i G. 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