HomeMy WebLinkAboutCO2025-001899UNDER CONSTRUCTION R
TD — NO LETTER
SENT LETTER
PW OR LD NEEDED
PENDING FIRE
PENDING HEALTH
LANDSCAPINGHOLD E tol."VO CHECK LIST
C/O PERMIT ## .°_.._ __..
ADDRESS:
BUSINESS NAME:
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BUSINESS PROPERTY
CHANGE NAME OWNER NEW C S°t / ADDITION IT ...
NEW TENANT/ CCUPA T �REMODEL /ALTERATION PERMIT#Iz
_
ISSUE DATE ....,.. FINAL DATE _
1 e APPLICATION FORM COMPLETED
2, WORKORDER FORM COMPLETED
3. ENVIRONMENTAL NOTIFIED DATE TIME
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E-MAIL JIMMY BROCK b;qg'. }�E'77 W€ "i°st�z= 6Cq $ VALER6E FARRELL a';,.s�:c�,�,_,. v
4. HAZARDOUS MATERIAL. SAFETY DATA SHEETS TO FIRE DATE ...
{SCAM TO CFO IN MYGOV-- IF LARGE SET, ALSO SCAN TO LF & FORWARD SET TO FIRE}
5. FIFE DEPARTMENT APPROVAL. OF HAZARDOUS MATERIAL DATE
6 ZONING CHECKED & COMPLETED ON APPLICATION
_ 7. BUILDING INSPECTION SCHEDULED DATETIME
& FIRE DEPT INSPECTION SCHEDULED DATE TIME
FIRE INSPECTOR'
9. HEALTH INSPECTION NOTIFICATION DATE:
10. CITY SECRETARY (ALCOHOL.) NOTIFICATIONDATE:
11, PUBLIC WORDS INSPECTION E-MAIL DATE
12. LOT DRAINAGE INSPEC I"ION EMAIL GATE
13. CORRECTION LETTER SENT DATE _..
14. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
15. FIRE DEPAR I MENi S SIGN OFF LETTER: YES / NO
1. HEAL"I"H DEPARTMENT SIGN OFF
17. CITY SECRETARY (Alcohol License Sign Off)
1 , PURL IC WORKS SIGN OFF
19. LOTDRAINAGE SIGN OFF
20. LANDSCAPING SIGN OFF
21. BUILDING OFFICIALS SIGNATURE
22. C/O CERTIFICATE ISSUED
ELECTRIC RELEASED:
SCAN CERTIFICATE TO MY°COV: _
124W041 Re,,, '-'i,3 A
DATE OF ISSUANCE:
F APPLICATION RECEIVED: 5/14/2025
PERMIT
BLDG 25-001859
CERTIFICATE OF OCCUPANC KAE -QUEST
.........
FEE: $50.00
Nt t tIff TNE TE75AUV*jWj1Lr
ADDRESS OF OCCUPANCY: 897 West Northwest Hwy., Grapevine, TX 76051 SUITE# n/a
LOT:.2R1 i BDIVISION: M.C. HURST ADDITION
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAMEE OF BUSINESS: Caribou Coffee LEGAL DESCRIPTION IS: LOT 2R1, BLOCK 1, M.C. HURST ADDITION
NEW OCCUPANT: YES X NO 1NEMBUILDITNG�0PERTYOWNER--.--j YES X No
NEW BUILDING: YES -- - NO X NEW BUSINESS NAME CHANGE: YES = NO
NUMBER OF EMPLOYEES: 3,pefWork shift NEW BUSINESS OWNER:
YES X NO
FREIGHT FORWARDING: YES —NO X
Coffee shop with drive-thru window, walk-up window
and exterior patio seating, B Business occupancy
TYPE OF BUSINESS: with less than 50 o�.cq�Argr , jI Ir I (Example: Retail Clothing / Attorney's Office, I Restaurant / OfficeAvarehouse)
**IF OFFICEIWAREHOUSE PROVIDE BREAKDOWN OF SQUARE FOOTAGES:
SF OFFICE: SF WAREHOUSE: TOTAL SQUARE FOOTAGE:
NAME OF TENANT Caribou Coffee Operating Company, Inc. contact: Lisa Hardy
CURRENT MAILING ADDRESS: 3900 Lakebreeze Ave. N.
crry/STATE/ZIP: Brooklyn Center, MN 55429 PHONE NUMBER: 763-592-2437 or 763-592-2200
PROPERTY OWNER: Westover Grapevine, LLC (contact Sam Brouse)
MAILING ADDRESS: 556 8th Avenue
817-335-7245
CITYPSWTA TP: Fort Worth, TX 76104 017-n.
+ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) .......
YES X
NO
# WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) - - -
YES
NO
X
+ WILL THERE BE FOOD SALES? (if yes, contact Tarrant County Health 817-321-4983 for more information) - -
YES X
NO
+ PERMITS ARE REQUIRED FOR SIGNS. 'WILL ANY SIGNS BE DiSTALLED? ---------------------
YES X
NO
* WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ........
YES
NO
X
+ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (screening is required)
YES X No
_
# WILL THERE BE ANY OUTSIDE STORAGE (including storage of companv/fleet vehicles), DISPLAY/ USE/PINING? YES —
NO X
# WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILD1NG?
YES X
NO
+ 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 �50.00 re-insp,lection fee will be charged)
FOR QUESTIONS or to RE -SCHEDULE, PLEASE CALL (817) 410-3165 or (817) 410-3166
SIGNATURE: PRINTNAME: Heidi Winsor
PHONE #: 952-562-3726 EMAIL: per
Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099
(817) 410-3165 * (817) 410-3166
1 M
C:F0"MUMS'MS"PL1CAT1QNr,FEE=0 APP
Retail Food Establishment Inspection Report
100
TARRANT COUNTY L1HEALTHScore:
4a. xENVIRONMENTAL HEALTH
Follow u: YES E3
NO
5001 N. RIVERSIDE DR., STE. 105 • FORT WORTH, TX • 76137
Violations:
17-4-
Repeat:. .... COS:
Date: Permit Name:
Owner Na me:
08/27/2025 CARIBOU COFFEE
EINSTEIN AND NOAH CORP
Address:
City; ZIP Code: i
Risk:
897 W NORTHWEST HWY
GRAPEVINE 76051
Medium 2
site #: inventory #: Purpose:
_
.
Foodd Type: rime
Tiin: Time out:
38415 1 Opening
11:40AM 12:02 PM
IN = in compliance OUT = not in compliance NIO = not observed N/A = not applicable PV
= point
value COS = corrected on -site during inspection R = repeat violation
Compliance Status PV COS R
i
p Compliance Status
PV i COS R
1 IN Person in charge present demonstrates knowledge and 2 o
'
15
; N/(�
j u=ood separated and protected
i 3
' performs duties
i "
', 16
'
� I N
!� Food contact surfaces: cleaned &sanitized
3 ' ,
" 13 NIA Permit to Operate 2
I^
' -
17
` IN
;Proper disposition of returned, previously served,
', 1 i �
2 IN I Cued Food Protection Managed Food Handler Certification 2
i
reconditioned and unsafe food
}
j Management, food employee and conditional employee;
3
3',
18
Y N/O
Proper cooking time and temperature
3
IN knowledge, responsibilities and reporting I
• '
19
N/O
Proper reheating procedures hot holding
3
IN Proper use of restriction and usion
� ?
;
r
Y .. a...
NIO
Proper cooling time and
5 IN Procedures for responding to vomliting and diarrheal everds 2
,
2®
3
,� N/O
Proper hot holding temperaturesturas
22
1 IN
Proper cold holding temperatures
3''
1 6 IN Proper eating, tasting, drinking or tobacco use �
i
--- _.=
23
N/0
Proper date marking and disposition
3
7 IN No discharge from eyes, nose, or mouth
24
N/O ;Time as public health control: procedures and records
3
IN Hands Olean and properly washed 3
0'0
® r W
N/A !Consumer advisory pro.-,w-•rawunde'+ccovad food�2,
" 9 N/O No bare hand contact with RTE food or a pre -approved 3
I alternate procedure properly allowed
10 IN Adequate hand washing facilities supplied and accessible 2
l f a P5
=f..d
lnasteurized foods used; proht offered®•a � e e® e
11 IN Food obtained from approved source 3 '',
27
IN
rood additives: approved and properly stared
2'
12 N/O Food received at proper temperature 1
28
IN
'oxic substances properly identified, stored, used
2 ,
13 IN Food in good condition, safe and unadulterated 2
® a -
14 . N/O Required records available; shellstock tags, parasite destruction 1
: '
" i „; . ,,
,, Compliance with variancefspecialized process (HACCP ';'
1 ''
Risk Factors are important practices or procedures identified as the most prevalent contributing factors of foodborne illness or injury.
Public Health Interventions are control measures to prevent foodbome illness or injury.
k
b
Good Retail Practices are preventative measures to control the introduction of pathogens, chemicals and physical objects into foods.
Compliance Status PV COS R
Compliance Status
PV COS R
r-INIIn-useutensils;
properly stored31p
30 'i N/A Pasteurized eggs used where required 1
IN Water and ice from approved source 1
N
utensils, equipment and linens; properly stored, driest, handled
1
32 N/A Variance obtained specialized processing methods 1 i
45
I IN
i Single-uselsingle-serve articles; properly stored, used
1 °
• • a -
46
i IN
Gloves used properly
1 y
33 Proper cooling methods used; adequate equipment for 2
IN
temperature control
. i., :
';' 47
IN
Food and non-food contact surfaces cteanabte, properly
1 I''
34 i N/O Plant food properly cooked for hot holding 2
designed, constructed and used
35 N/O Approved thawing methods used 1 ''
" 48
IN
Warewashing ffacilities, installed, malfltained, USed, test strips
1
I I
36 IN Thermometers provided and aceurate 1
49
IN
Non-food contact surfaces clean
1
•oa o•
i
'37 I IN � rood properly labeled; original container I 1 I I
50
l IN
,Hot and cold water available; adequate pressure
2 ,
o • e®a ®
51
IN
Plumbing installed; proper backfow devices
2
3$ IN Insects, rodents and animals not present 1
52
IN
Sewage and waste water properly disposed
g P P Y P
2 `
;
Contamination prevented during food re aration,
9 preparation,
39 3
IN
properly supplied,
1
IN gdisplay
storage and
54
IN
Garbage/refuse properly disposed; facilities maintained
1
40 IN Personal cleanliness P
55
IN
Physical facilities installed, maintained, and clean
',...,
1' '
41 IN Wiping cloths; properly used and stored 9""'
56
IN
......... .... .. _.....
! Adequate ventilation and lighting; designated areas used
_.
1
42 IN Washing fruits and vegetables 1
Page 1 of--3
Retail Food Establishment Inspection Report
TARRANT COUNTY PUBLIC HEALTH
ENVIRONMENTAL c
4 8 i 9 t:.
Date: Permit Name: Owner Name:
08/27/2025 CARIBOU COFFEE EINSTEIN AND NOAH CORP
Address: City: ZIP Code: Risk:
897 W NORTHWEST HWY GRAPEVINE 76051 Medium 2
Site #: Inventory #: Purpose: Food Type: Time in: Time out:
88415 1 Opening 11:40 AM j 12:02 PM
Item Number AN INSPECTION OF YOUR ESTABLISHMENT HAS BEEN MADE. YOUR ATTENTION IS DIRECTED TO THE CONDITIONS OBSERVED AND NOTED BELOW:
Page 2 of 3
Retail Food Establishment Inspection Report
TARRANT COUNTY PUBLIC HEALTH
ENVIRONMENTAL HEALTH
- FORT WORTH, TX - 76137
5001 N. RIVERSIDE DR,, STE, 105
........... 817-248-6299
Date: Permit Name:
08/2712025 CARIBOU COFFEE
Address;
897 W NORTHWEST HWY
Site #: Inventory #:
38415 1
TEMPERATURES
Food Item:
Location:
Temperature:
Purpose:
Opening
Owner Name;
EINSTEIN AND NOAH CORP
— ------ ----
City: ZIP Code: Risk:
GRAPEVINE 76051 Medium 2
Food Type: Time in; Time out:
11:40 AM 12:02 PM
Page --3- of -�3
O Box 95104
Grapevine,
817) ss
LEGAL
L Hurst Addition Blk 1
Lot 2r
S
•
�-
Heidi Windsor
Caribou r
(952) 562-3726
Certificate of Occupancye
Mir
ProjectDescription: i "Caribou
(Restaurant
Coffee"r 0**HOLD
Issued on: 09/29/2025 at 11:35 AM
INSPECTIONS 5
1. Final Health Inspection 4. Landscaping
2. Final Fire Dept Inspection 5. C/O APPROVED FOR ISSUANCE
3. Final Building C/O Inspection
**NAME OF BUSINESS
Caribou Coffee
*`TENANT NAME (individual)
Lisa Harding
**TENANT PHONE NUMBER
7635922437
APPLICANT E-MAIL
'APPLICANT NAME (Individual)
Heidi Winsor
**APPLICANT PHONE NUMBER
9525623726
Square Footage
66
*Sales Tax Number
032082170674
** TYPE OF BUSINESS
Retail
* CONSTRUCTION TYPE
VB
* OCCUPANCY GROUP
B
HEALTH APPROVAL - FINAL
HEALTH APPROVAL.pdf
INSPECTION (City Use Only)
DOCUMENTS - MISC 04
SALES TAX CERTIFICATE.pdf
* CONDITIONAL USE REQUIRED?
YES
* OCCUPANCY LOAD
3
* PERMITTED USE
YES - CU25-13
*ZONING DISTRICT
HC
E. 1
Iasi MARTILei i
F.,> (if access to the building/space is not provided at the time of schedule�V
mspection, be charged
Page 1/2
MYGQV.US 25-001899, 09/29/2025 at 11:35 AM Issued by: Courtney Cogburn
WO!,
DIAZ
PERMIT #25-
ADDRESS OF INSPECTION:
T HNIE F
F EM]ON'
**TO BE FILLED OUT BY BUILDING OFFICIAL"
ZONING DISTRICT OF INSPECTION LOCATION: OCCUPANTLOAD:
TYPE OF BUILDING: GROUP AND DIVISION: .. ..... .. ..
. .. .... ...
ZONING RESTRICTIONS:
- FORMI;'.Dl�,,(,()IrIF'ORMAIION'WOKKOrDER
12:30(01 Rev
N
# -001899 25
CERTIFICATE OF OCCUPANCY
d City of Grapevine Permits and Inspections
�&ancy is hereby issued pursuant to Section 109 of the 2021 International Building Code And Chapter 64 of the
hensive Zoning Ordinance. Atthetimeof inspection, this building orspacewasfoundtobe in compliance with
vid Zoning Ordinances of the city of Grapevine. Any change in use, tenant and/or owner of this building/space
ertificate of Occupancy.
Business Name
INVV.
PROJECT INFORMATION
Retail
VB
3
I- HC
F- y
Tq
Property Owner
Wendy Wells
3928 VALLEY VIEW LN
FLOWER MOUND, TX 75022
Date
M