HomeMy WebLinkAboutCO2024-002345UNDER CONSTRUCTION
TD — NO LETTER
SENT LETTER
PW OR LD NEEDED
PENDING FIRE
PENDING HEALTH
LANDSCAPING < ODE
HO
C/0"CHECK LIST
C/O PERMIT # 24 -
ADDRESS:
BUSINESS NAME:
BUSINESS/PROPERTY
C E NA /OWNER NEW CONST /ADDITION PERMIT#
� !EW T E NA
CCUPANT REMODEL /ALTERATION PERMIT#
ISSUE DATE FINAL DATE
1 APPLICATION FORM COMPLETED
2. WORKORDER FORM COMPLETED
jUL 20'
3. ENVIRONMENTAL NOTIFIED D4 �24 TIKAr— b
— 4.
9.
10.
B,
15.
1&
17.
18.
19.
20.
21.
22.
(E-MAIL JIMMY BROCK brock@praDevinetexas.00v & VALERIE FARRELL vfarrell qrapevinetexas.00v)
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 r7"16 TIME 2.0m
FIRE DEPT INSPECTION SCHEDULED DATE f7-16 TIME&
FIRE INSPECTOR:
HEALTH INSPECTION
CITY SECRETARY (ALCOHOL)
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
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNATURE
C/O CERTIFICATE ISSUED
NOTIFICATION DATE:
NOTIFICATIONDATE:
E-MAIL DATE
E-MAIL DATE
DATE
LETTER: YES / NO
LETTER: YES / NO
ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV:
MAILED:
i�9
CAFORMSTSCOINFORMATIMCKLIST
12/30104 \ Rev. 5123/24
* DATE OF ISSUANCE:
-GRAPEVINE
7H; ; x n s PERMIT #:
CERTIF11CAT,E, OF OCCUPANCY REQUEST
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITHf AN ACTIVE CURRENT BUI ING PERMIT
ADDRESS OF OCCUPANCY: % Q / F dr t WV 5T 9LA) V SUITE #
LOT: BLOCK: SUBDIVISION: A )�o S r U r v e q
""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION""
NAME OF BUSINESS:
NEW OCCUPANT: YES -"NO NEW BUILDING/PROPERTY OWNER: YES NO ✓
NEW BUILDING: YES NO ✓ NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: -Z- FREIGHT FORWARDING: YES NO
NEW BUSINESS OWNER: YES NO L'' TYPE OF BUSINESS: / 1 r j/ C\04AQUAREFOOTAGE: If?
(Example: Retail Clothing / Attorneys Office / Office -Warehouse / Restaurant) T-
NAME OF TENANT [PE SON'S NAME]:tr])(4 r_ ,q ,�
CURRENT MAILING ADDRESS:.
CITY/STATE/ZIP: t 6(,411rC -7A 740�l
PROPERTY OWNER:
I►I EN 141►(0'L113 IMI f.X
CITY/STATE/ZIP:
Ca p-1�� , � `7-5( i 6 0 5 ►
PHONE NUMBER 777LiS
/'o
PHONE NUMBER: / 7 z 26 /gyp
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - - - -
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) - - -
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - - - - - - - - - - - - - - - - - - - -
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? - - - - - - - -
♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (screening is required)
♦ WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USE/DINING?
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? - - - - - - - - - - - - - - - - - - - - - - - - - -- -
♦ IS BUILDING SPRINKLERED? ----------------------------------------------------------
+ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(if yes, provide list of types & quantities, along with material safety data sheets) - - - - - - - - - - - - - - - - - - - - - - ----
YES NO
YES
vf
YES
_NO
_ NO
YES
_ NO 1- '
YES
_ NO V"
YES
NO_ ✓
YES _
NO t/
YES
NO ✓
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 WE SE CAL �410- or (817) 410-3166 r
SIGNATURE: PRINT NAME: (�
t
Building Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099
(817) 410-3165 * (817) 410-3166
C:FORMS\BSAPPLICATIONS•PEES\CO APP www.grapevinetexas.gov
3N1/flev:5/06,2/07,4/09,2/13,11116,10/16,6/16,10120,1/24
f 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:
J
WHERE
DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
CITY, STATE, ZIP:
�xx��xa��xFOIt OFFICE USE
TYPE OF CONSTRUCTION: V3 OCCUPANCY: 13 DIVISION:
ZONING DISTRICT:
PERMITTED USE:
BUILDING DEPARTMENT: .
BUILDING INSPECTOR:
ZONING APPROVAL:
FIRE DEPARTMENT: AAd
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
CITY SECRETARY:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
a --
CONDITIONAL USE:
OCCUPANT LOAD:
DATE: 7/1424/
DATE: v2
DATE:
DATE:
17v11X
117YY N
DATE:
DATE:
Az ry
DATE:
DATE:
City of Grapevine Certificateof Occupancy
poBox eo1(w Prm�c #24~ 02345
Gmpovme.Texas rsoen Project - om�onptivn� � cK)<upimuu|ConvuKan�povc "Mystic
a17)41oe1sm --'
Sisters"����O�°�
ADDRESS
1O01YVNorthwest Mwy..
G
Grapevine, TX70O51
LEGAL
AiO5OThomas Mahan
Survey Tr 4dO4
PERMIT HOLDER
Diane Adams
Mystic Sisters
(469)777-2313
OWNERS
- Lancaster, Timothy L
TENANT
^ Diane Adams
Mystic Sisters
(403)777-2313
Issued on: 07/26/2024 at 1:46 PM \
INSPECTIONS 4
1.Final Fire Dept Inspection 3.Landooupng
2.Final Building C/O Inspection 4.C/O APPROVED FOR ISSUANCE
°*NANEOFBUSINESS
"TENANT NAME (|ndividuaV
"TENANT PHONE NUMBER
—APPLICANT NAME (|ndividua|)
**APPL|CANTPHONE NUMBER
Square Footage
^° TYPE 0FBUSINESS
° CONSTRUCTION TYPE
° OCCUPANCY GROUP
Outside Storage
Fire Sprinkler System?
Hazardous Material
Alterations
Industrial Waste
OuhaideRefuoo/Rmoyo|ing
Signs
*Sales Tax
Number ofEmployees
Freight Forwarding Business
Change nfBusiness Owner
Change ufBusiness Name
New Building / Property Owner
New Building /Addition
New Occupant /Tenant
°ZON|N8 DISTRICT
^ CONDITIONAL USE REQUIRED?
Mystic Sisters
Diane Adams
468-777-2513
Diane Adams
469-777-2313
1000
Spiritual Counseling
VB
pagu1a
wYGo uo 24-002345, 07126/2024 at`:46pw Issued by: Connie Cook
szzm��
* PERMITTED USE
YES
* OCCUPANCY LOAD
7
FEE
TOTAL PAID DUE
Certificate of Occupancy
$50.00 $50.00 $50.00
TOTALS
$50.00 $50.00 $0.00
13FT-19-941wil
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF
MY KNOWLEDGE AND THAT SAID OCCUPANCY IS IN CONFORMANCE WITH
THE INFORMATION HEREIN SET FORTH.
>> (if access to the building/space is not provided at the time of scheduled
inspection, a $42.00 re -inspection fee will be charged)
FOR QUESTIONS or TO RECALL FOR INSPECTION, PLEASE CALL: (817) 410-
3165 or (817) 410-3166
Signature
Certificate of Occupancy
Project # 24-002345
U
Page 2/2
MYGOV.US 24-002345, 07/26/2024 at 1:46 PM Issued by: Connie Cook
PERMIT # 24 - 60 A 3 Y 5
ADDRESS OF INSPECTION: No oll ui e s -f-
DATE OF INSPECTION: r7— TIME OF INSPECTION:
DATE OF FIRE INSPECTION: TIME OF INSPECTION:
FIRE INSPECTOR: c ka
NAME OF BUSINESS: MT�+lc
TYPE OF BUSINESS: � Sf2l'f,HualtlPbyc4i'c
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING:
CONTACT PERSON:
cy
TELEPHONE NUMBER: r777- '-A31-S
COMM ENTS/VIOLATI ONS: --Ajb V
**TO BE FILLED OUT BY BUILDING OFFICIAL"
ZONING DISTRICT OF INSPECTION LOCATION: ti C OCCUPANTLOAD:
V,9 GROUP AND DIVISION:
ZONING RESTRICTIONS:
IN
I
C:\FORMS\DSCOINFORMATION\WORKORDER
12/30/04 Rev. 6/23/2024
►#24-002345
(*;ERTIFICATE OF OCCUPANCY
City of Grapevine Permits and Inspections
This Certificate of Occupancy is hereby issued pursuant to Section 109 of the 2021 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.
Business Name
Mystic Sisters
1001 W Northwest Hwy. G
Grapevine, TX 76051
PROJECT INFORMATION
Use Classification: Spiritual Counseling
Occupancy Group: B
Construction Type: VS
Occupancy Load: 7
Zoning District: HC
Property Owner
Lancaster, Timothy L
4100 Heritage Ave Ste 105
Grapevine, TX 76051-5716
ISSUED BY: Sign ;gn e Date