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HomeMy WebLinkAboutCO2021-3567UNDER CONSTRUCTION _ CORRECTION LETTER _ PW OR LD NEEDED _ TD NO LETTER _ WAITING FIRE _ HOLD _ CODE _ C/O CHECKLIST FGr `�xurY,�,� C/O PERMIT # P21 - 3.5(o 7 ''I ADDRESS: �3�.� I/�� /IJnE}ddfi1�AJ�`-} '�uXl� 3f� BUSINESS NAME: -RQrk 7,— l\ X 1 BUSINESS PROPERTY _ CH NGE NAME / OWNER _ NEW CONST / ADDITION PERMIT # ZL NEW TENANT / OCCUPANT —REMODEL / ALTERATION PERMIT # 1. 2. 3. 4. '__� 5. 6. 7. 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 DATE 104b) TIME PX FIRE DEPT. INSPECTION SCHEDULED DATqQ� TIME 4M, FIRE INSPECTOR: 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) NOTIFICATION DATE: NOTIFICATION DATE: E-MAIL DATE E-MAIL DATE DATE LETTER: YES / NO LETTER: YES / NO 17. PUBLIC WORKS SIGN OFF —18 LOT DRAINAGE SIGN OFF 19. LANDSCAPING SIGN OFF 20. BUILDING OFFICIALS SIGNATURE �21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: OCT 2 2 2021 SCAN CERTIFICATE TO MYGOV: CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED: O IFORMS\DSCOINFORM4TI0MCKLIST I WW00 \ Rev.11111,11115,5118 DATE OF ISSUANCE: � 2 6 7021 GRAPEVINE 1 T e x a s PERMIT#:j1_95(y CERTIFICATE OF OCCUPANCY REOUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF DCCUPANC�YIlIS ASSOCIATED ITH AN ACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: I /J 1, � �U ������� j� /�jn / � SUITE# LOT: BLOCK: SUBDIVISION: ****CERTIFICATE(OOF-,OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION**** NAME OF BUSINESS: i X-c- P-e7 I NEW OCCUPANT: YES _NO I , NEW BUILDINGIPROPERTY OWNER: YES NO NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES NO 1G NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO j i NE_Y BUSIN SS OWNER: YES NO it�1;z us•.iBsS TYPE OF BUSINESS: E'�� � -ir z SQUARE FOOTAGE: Du (Example: Retail Clothing / Attorneys Office / Office -Warehouse/ Restaurant) NAME OF TENANT [PERSON'S NAME): he an 6 vouve S CURRENT MAILING ADDRESS: 13 2- 3 hJ ' N W i4 W I; S l�L 11 C`7 V I —I 1 o U CITY/STATE/ZIP: PHONE NUMBER: PROPERTYOWNER: Al—c'I SLvYlY11cJ%_.2ter, MAILING ADDRESS: vC'LItLL52.- CX CZB"i� <—'+a I UO t CITY/STATE/ZIP: PHONE NUMBER: ♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES _ NO v ♦ 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 U ♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? - - - - - - - - - - - - - - - - - - - -- - - - - YES NO � ♦ IS BUILDING SPRINKLERED?------------------------------------------------------- YES:�Z'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 L1 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 f•L-( 7)-9,,0-3165. SIGNA'tU.R :_._.�----F:; i" �� PRINT NAME: ) PHONE #: I ' (0 31 3u 1 io EMAIL: / v The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 (817) 410-3165 Fax (817) 410-3012 * www.eranevinetexas.eov 0: FORMSMAPPLICATIONS-FEES 312001/1ev:5/06,2/07,4/09,2/13,11/15,10/16,6/16,10/20 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 5.25%. 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: OFFICE USE TYPE OF CONSTRUCTION: —\L,, /P Alald�� OCCUPANCY: !-'T ZONINGIDISTRICT: _I%. PERMITTED USE:-7�5 BUILDING DEPART/MEN BUILDING INSPECTOR: c—� 4j DIVISION: _ CONDITIONAL USE: IU /A OCCUPANT LOAD: DATE: /?-#2 — I3 .? / DATE:%0 Y12, ZONING APPROVAL: _ I f DATE: FIRE DEPARTMENT: l M�+i 1V �7t/V v ' DATE: LOT DRAINAGE INSPECTION: DATE: PUBLIC WORKS DEPARTMENT: HEALTH DEPARTMENT: CITY SECRETARY: LANDSCAPING APP OVAL. APPROVAL FOR ISS / O:FORMMDSAPPLICATIONS-FEES M001/Rev: 5/06,00T,4/09,213,11/15,10/16,8/18,10/TA DATE: DATE: /o/►L)laI DATE: DATE:1/0/�� DATE: City of Grapevine P.O. Box 95104 Grapevine, TX 76099 (817) 410-3165 Voice (817) 410.3012 Fax CERTIFICATE OF OCCUPANCY Issue Date: October 26, 2021 PROJECT DESCRIPTION: C/O (Office- Chiropractic & Weight Mgmt) "Back 2 Real Food" [created for electrical release purposes only) PROJECT # CO-21-3567 LOCATION 1323 W Northwest Hwy Suite # 300 Grapevine, TX 76051 CONTRACTOR Elizabeth Graves DC 1323 W. Northwest Hwy. #300 Grapevine, TX 76051 ( OWNER Shri Properties Llc 821 N Dove Rd Grapevine, TX 76051-6612 ph. (817) 442-5599 AVAILABLE INSPECTIONS � Final Building C/O Inspection (required) P Final Fire Dept Inspection (required) k Landscaping (required) v C/O APPROVED FOR ISSUANCE (required) (817) 410-3010 Inspections TENANT Back 2 Real Food INFORMATION * CONSTRUCTION TYPE * OCCUPANCY GROUP 'OCCUPANCY LOAD * PERMITTED USE * ZONING DISTRICT ** NAME OF BUSINESS ** TYPE OF BUSINESS **APPLICANT NAME **APPLICANT PHONE NUMBER **TENANT NAME **TENANT PHONE NUMBER *Sales Tax *Sales Tax Number Alcoholic Beverage Sales Alterations Change of Business Name Change of Business Owner County Fire Sprinkler System? Freight Forwarding Business Hazardous Material Industrial Waste New Building / Addition New Building or Property Owner New Occupant / Tenant Number of Employees Outside Refuse/Recycling Outside Storage Signs Square Footage Zoning www.mygov.us Permits LEGAL Stone Addition Blk 1 Lot 1R2 VB Sprinklered B 13 YES HC Back 2 Real Food Chiropractic Office Elizabeth Graves 8176373076 Elizabeth Graves 8172510077 NO NO NO NO NO Tarrant YES NO NO NO NO NO YES 3 NO NO NO 1374 HC - Highway Commercial READ AND SIGN I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THE SAID OCCUPANCY IS IN CONFORMANCE i f Pb jj7�j�y�°1 FwE 4 �.©. .-/gl.Ri:s RDI'C mi u 55en m o t f60p N FOON u 4 3u �I ° W M 5 0¢ n UO 4 ? m..... °w.•Me� M ]P°]em �55 53 •. SIB.t ,p64t t IRLHWESTIH a m .. mNORMWESTIHWY��• 1.VSa\kjRPO 51 IT01 K cM, PdDTL R\P\'�p TR\P g10 GN 9 1 pO 5R St+" 1yt9 s>ap 45t 458 A3 ss.m �4T ,�tr®'I `J10 NO p\pf t t AOt ,'iis0 �aA >x] wpm PO `Pear 1p5 SP �• w,l, a ". I A I ._J f - 7 BO`L'1 b PRK `4 r !�°y.�a IPOjPpO 55Nto O ¢ say¢OaOPNS �O dnz p0 \,\FE ,I 1 f.uimV i � ,x¢l nx 0 v0 vde• 63 ® ':me PSFGOD ,�wb• N�n�+* ,e �,tFrC O D N L 1f° `s C° Wis. SA ES WB.fO.)ST-.L c 1 gg ,N`k1A _ - __ .._ 1.2. : xnz HEAMEI :lT� P.f R5g5 ^ III I. _ WjWAElE4' , m ,. ] x N;FaG ER EEVERGREEN:C-'` n ' 9p1001 aye 1 " ° �i ,b t °R-'�Z.S ' EH�1 GE 541 ,e m e, u < a i ,a 2 T y IR-3.5 �Oyw�� °'z°• ,e 9Eae �eF.ERN'BT— ° c n x z ° > O ee m ev /+ ok 12 e >le 10 ECu u° m O 1 u n m O p mmw PD WLEOfl'fGEI T < ee, R 71 p m m l m �'-5'9CRRm� 44k� sx! D OR Slwx n ,]me! la EGE s e LI OP�o\GP\ n �v e I ,{0 xssm• ,°wA, Cet, tt PCD 3 A 651 .' 4p565 ,-rs]a:a ryj i1-,Y ONM nxvus 'A 1O M\b V, zre"OXI )RD LNpe-m Fr"ANol StprO 4,4 , ro 1. xe B Id TAVb3 db � ° EA ONLND- 5 Q b R .)\E°N W HUDGIN53i IANCASTERO c\ex VP lot `.�, xni •g. x c1paK z pib TASK 1, `• 1 %`N0t'h pE WOOD5•pVE' fI H�<11\A•'! 1 OQS AVE IR VEI � �xL�wg s� IIRA•E,M; y �� 7o \\0p0Z6I EIWOOODEBiTOu?�ipi�i j`� 1 1 inch = 400 feet Grid Page: R CERTIFICATE OF OCCUPANCY WORKORDER PERMIT # 21 - a5(p"1 ADDRESS OF INSPECTION: 3 a� DATE OF INSPECTION: 2 �02 NAME OF BUSINESS: k- TYPE OF BUSINESS: d k,t l USE OF BUILDING AND/OR PREMISES: REASON FOR APPLYING: To i� �9w•es�- �w � � 00 TIME OF INSPECTION: oo CONTACT PERSON: � �� (��{ I I j, -0 TELEPHONE NUMBER: COMMENTSNIOLATIONS: WO ►3/21 ak fa A le�rcc, ���1c ,ors obrUv�r **TO BE FILLED OUT BY BUILDING IIILDING OFFICIAL** ZONING DISTRICT OF,rINSPECTION �(LOCATION: -t L TYPE OF BUILDING: U 1 5� PnVA�l `� GROUP AND DIVISION: ZONING RESTRICTIONS: O. kDRLIS DSMINI'OHM MON 1VORAOR�ER 1'qfI N R,, 117'0116