HomeMy WebLinkAboutCO2021-3293UNDER CONSTRUCTION _
CORRECTION LETTER _
PW OR LID NEEDED
TD�N.O-LET-T-TIER.
_
14Z ITING FIR
—H01
C/O CHECK LIST
C/O PERMIT # P21 - 3at� 3
ADDRESS: G S lrt) . /qr7 UDc 5 .
BUSINESSNAME: -�CJxrivu7�Lt�. 0,�v/M l Qi�n�.Qii• a t
BUSINESS7j0 upi-sRZD`6E
_ CHANGE NAME / QWNER _ NEW CONST / ADDITION PERMIT #
✓ NEW TENANT / OCCUPANT —REMODEL / ALTERATION PERMIT #
3.
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5.
✓ 6.
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8.
9
10.
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17.
ISSUE DATE FINAL DATE
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
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)
FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED
FIRE DEPT. INSPECTION SCHEDULED
CITY SECRETARY (ALCOHOL)
HEALTH INSPECTION
PUBLIC WORKS INSPECTION
LOT DRAINAGE INSPECTION
CORRECTION LETTER SENT
BUILDING INSPECTORS SIGN OFF
FIRE DEPARTMENTS SIGN OFF
HEALTH DEPARTMENT SIGN OFF
CITY SECRETARY (Alcohol License Sign Off)
PUBLIC WORKS SIGN OFF
— 118. LOT DRAINAGE SIGN OFF
✓ 19. LANDSCAPING SIGN OFF
" 20. BUILDING OFFICIALS SIGNATURE
DATE TIME
DATEC1 1��TIME5:3 0
FIRE INSPECTOR: M,Y-K
NOTIFICATION DATE:
NOTIFICATION DATE:
E-MAIL DATE
E-MAIL DATE
DATE
LETTER: YES / NO
LETTER: YES / NO
Z21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: O C T U 5 2021
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED:
12MI04 \ Rev 11%11,1 1U5,511e
SEP 2 2 2021
DATE OF ISSUANCEOCT
: ®q 2U21
PERMIT #: t2 % ' __3 019 3
CERTIFICATE OF OCCUPANCY REOUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCL4TED WITH AN ACTIT E CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: W\ v,(/��.lY' /, si 6'dwivu� 7X SUITE#
LOT: -2 S' BLOCK: SUBDIVISION:WtAnh6Shl' Pfw, DFtiCC- Cewtjo
""CERTIFICATE OFOCCUPANCYWILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION""
NAME OF BUSINESS: �l h:✓v it ie �t. dt nub rCJitv,}c /,'ma�yy_ ewft1
NEW OCCUPANT: YES _ NO NEW BUILDING/PROPERTY OWNER: YES K NO
NEW BUILDING: YES—NO-7 NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO NEW BUSINESS OWNER: YES S NO
TYPE OF BUSINESS: M17d1yl.t r J.U"tp A dffXz
(Example: Retail Clothing/ Attornev's Office /Office -Warehouse Restaurant) -
NAME OF TENANT JPERSON'S NAMEJ: MIG%ait hAtl,&^i j
CURRENT MAILING ADDRESS: 3l?A [LAi" GD"Ct 61dj r't
CITY/STATE/ZIP: N"rW' A, 7,,c 751I1)
PROPERTY OWNER: 00-0 l I OV 11 �
MAILING ADDRESS:
CITY/STATE/ZIP;
ar-ne, jo aran/�
SQUARE FOOTAGE: � L'w
PHONE NUMBER:
PHONENUMBER:
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES
NO N
_
♦ 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 it
_
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? - - - - - YES
NO iE
_
♦ 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 JG
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE ORBUILDWG?-------------------------YES
NO
♦ IS BUILDINGSPRINh7ERED?------------------------------------------------------- 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 k
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.
(Ifaccess to the building/space is not provided at the time of the scheduled inspection, a S42.00 re -inspection fee will be charged)
FOR QUESTIONS PLEASE CALL (817) 410-3165.
SIGNATURE:IV`lawL ilM PRINTNAME: M mole, wa'arwl
PHONE #: ' lJ I� 3 -��-J EMAIL: Ll
Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165
Fax (817) 410-3012 * www.eraoevinetexas.eov
OSORMSIOSAPPLICATIONSIC/
=12001aiev; 5106,2/0 A0a,21UM115, 10/1S
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: Njf
n'
Signature:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: �i�Jr 1 A{��dt4vl ` (wl,V,ld /M eer, {
CITY, STATE, ZIP: k1Aifn✓li'en �ti 1\17
I
OFFICE USE
TYPE OF CONSTRUCTION: ✓B OCCUPANCY:
ZONING DISTRICT:
PERMITTED USE: 7�S
BUILDING DEPARTMENT:T
BUILDING INSPECTOR: . JiOX
ZONING APPROVAL:
FIRE DEPARTMENT: t I nL k "5
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
CITY SECRETARY:
LANDSCAPING APPROVAL: I
APPROVAL FOR ISSUANCE:
13 DIVISION:
CONDITIONAL USE: /J O
OCC. Lo.wp : 47
DATE:
DATE:
DATE:
DATE: 10 / L' I,;i,
DATE:
DATE:
DATE:
DATE: /
DATE: (y
DATE:
0 TORMSMSAPPLICATIONMC/
anOnnn+/c.w 4M Lm 1164 9Mi 11M 1n11R
City of Grapevine
P.O. Box 95104
Grapevine, TX 76099
(817) 410-3165 Voice
(817) 410-3012 Fax
CERTIFICATE OF OCCUPANCY
Issue Date: October 4, 2021
PROJECT DESCRIPTION: C/O [Counseling Office] "Stonebridge Independent Counseling Center"
PROJECT #
CO-21-3293
LOCATION
625 W College St.
Grapevine, TX 76051
(817) 410-3010
Inspections
TENANT
Stoneridge Independent
Counseling Center
W W W.mygov.us
Permits
LEGAL
Westchester Place Office
Condo Blk n/a Lot B & 25
Westchester Place Office
Condo Lot B & 25.76% Of
Common Area, .76% Of
Common Area
CONTRACTOR
INFORMATION
Michelle Williams
' CONSTRUCTION TYPE
VB
625 W. College Street
* OCCUPANCY GROUP
B
Grapevine, TX 76054-0000
* OCCUPANCY LOAD
47
(469)252-7090 Phone
._-.
*PERMITTED USE
YES
(972) 388-6940 Mobile
*ZONING DISTRICT
PO
** NAME OF BUSINESS
Stoneridge Independent Counseling
OWNER
Center
Michelle Williams
"TYPE OF BUSINESS
Counseling Office
3128 Hudson Crossing, Bldg E-1
**APPLICANT NAME
Michelle Williams
McKinney, TX 75070
**APPLICANT PHONE NUMBER
469-252-7090
AVAILABLE INSPECTIONS
**TENANT NAME
Michelle Williams
Final Building C/O Inspection (required)
**TENANT PHONE NUMBER
469-252-7090
Final Fire Dept Inspection (required)
*Sales Tax
NO
Landscaping (required)
_
* C/O APPROVED FOR ISSUANCE (required)
*Sales Tax Number
Alcoholic Beverage Sales
NO
Alterations
YES
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
12
Outside Refuse/Recycling
NO
Outside Storage
NO
Signs
NO
Square Footage
4660
Zoning
PO - Professional Office
MYGOV US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-21-3293 I Printed 10/05/21 at 355 p.m. Page 1 of 3
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2120-464 2126-464 2132-464
2120-456 2126-456 2132-456
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 21
ADDRESS OF INSPECTION: %nq�' ,�j� j J , �!Z-ovsa
DATE OF INSPECTION: 1 I Z$ 202 I TIME OF INSPECTION:
NAME OF BUSINESS:
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES:,�/J
REASON FOR APPLYING:
CONTACT PERSON: 7)) i
TELEPHONE NUMBER: 7 6 q - --� Sa - %D �}Cj
COMMENTSA JOLATIONS:
9
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: PG OCCUPANT LOAD:
V TYPE OF BUILDING: 9 GROUP AND DIVISION:
ZONING RESTRICTIONS:
8,3a a.
Y7
O FORMS OSCOINF0R"i1AT10N WORA"ORUER
1110 N.,, 1 17 20111
City of Grapevine
CERTIFICATE OF OCCUPANCY
City of Grapevine
This Certificate Of Occupancy is hereby issued pursuant to Section 109 of the 2006 International Building Code And Chapter 64 of the
City Of Grapevine Comprehensive Zoning Ordinance. At the time of inspection, this building or space was found to be in compliance
with the applicable Building and Zoning Ordinances of the City of Grapevine. Any change in use, tenant and/or owner of this
building/space shall first require a new Certificate of Occupancy.
Tenant / Business
Stoneridge Independent Counseling
Center
625 W College St.
Grapevine TX 76051
Use Classification
Occupancy Group
Construction Type
Occupancy Load
Zoning District
Counseling Office
B
VB
47
PO - Professional Office
PERMIT ID # CO-21-3293
Issued
K' /
Don Dixson, E
Property Owner
Michelle Williams
3128 Hudson Crossing, Bldg E-1
McKinney TX 75070
Date