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Home My WebLink AboutCO2025-003443UNDER CONSTRUCTION TD — NO LETTER SENT LETTER PW OR LD NEEDED PENDING FIRE PENDING HEALTH LANDSCAPING HOLD FILE IT BUSINESS BUSINESS / PROPERTY CHANGE NAME / T /ADDITION PERMIT# ....__.. _..._...._... NEW TENANT [OT. L1 ALTERATION PERMIT# ISSUE DATE ...._ ... _.......,.... FINAL DATE 1. APPLICATION FORM COMPLETED 2, WORKORD R FORD COMPLETED ENVIRONMENTAL NOTIFIED DATE' ' TIME (E-MAIL JIMMY BROCK I.t::,; r & VALERIE FARRELL _ .°-WG�.,pLr, _� ey::_<,_`_q y 4. HAZARDOUS MATERIAL SAFET°Y'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 7e BUILDING INSPECTION SCHEDULED DATE TIME FIRE DEPT INSPECTION SCHEDULED DATE` TIME FIRE INSPECTOR: 9. HEALTH INSPECTION NOTIFICATION DATE: 10. CITY SECRETARY (ALCOHOL) NOTIFICATIONDATE: 11, PUBLIC WORKS INSPECTION E®MAILDATE 1. LOT DRAINAGE INSPECTION E-MAIL DATE 1. CORRECTION LETTER SENT DATE 14. BUILDING INSPECTORS SIGN OFF LETTER: YES 1 NO FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO 1. HEALTH DEPARTMENT SIGN OFF 17. CITY SECRETARY (Alcohol License Sign Off) 1. PUBLIC WORDS SIGN OFF 19, LOT DRAINAGE SIGN OFF 20. LANDSCAPING SIGN OFF 21, BUILDING OFFICIALS SIGNATURE 22 C/O CERTIFICATE ISSUED ELECTRIC RELEASED SCAN CERTIFICATE 10 MYGOV: MAILED: G�FOR BS'DS4,OINFORh.1ATION�CKLI,S'f' 12,'30./N 1 Rev a:23124 e fir. LRA EVINE.. 3. PERMIT #: CERTIFICATE OF OCCUPANCYYKQUEST FEE: $50.00 ADDRESS OF OCCUPANCY: SUITE #__ ___ - LOT: BLOCK: SUBDIVISION: 1ya (4- **:"*CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WI I �f IOUT LEGAL DESCRIPTION**** --I NAME OF BUSINESS: NEW OCCUPANT: YES NEW BUILDING/PROPFRTY OWNER: YES NO NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES NO NUMBER OF EMPLOYEES: NEW BUSINESS OWNER: YES —NO FREIGHT FORWARDING: YES NO TYPE OF BUSINESS: n! AVU - I A� 11 fill Lol-ill, . _4 7212,1N Dli 011113 ME$ W-11111 NAME OF TENANT [PERSON'S NAME]: CURRENT MAILING ADDRESS: 0 -7 j &OG PHONE NUMBER:YS— CITY/STATE/ZIP: PROPERTY OWNER:_ MAILING ADDRESS: CITY/STATE/ZIP: 6—,-,66jgVjil `762�i PHONE NUMBER-S 1 + 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'],--' 4 WILL THERE BE FOOD SALES? (if yes, contact Tarrant County Health 817-321-4983 for more information) - - YES NO_�-- * PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? --------------------- YES _ NO _J5, + WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? -------- YES NO + WILL OUTSIDE REFUSEIRECYCLING/COMPACTING CONTAINERS BE NECESSARY? (screening is required) YES. . NO/' 0 WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USE/DINING? YES - 'NO 0 WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ---------------------------- YES ZNO # IS BUILDING SPRINKLERED? ---------------------------------------------------------- YES # WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? (if yes, provide list of types & quantities, along with material safety data sheets) ------------------------- YES _ N(V-' 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 jL0.01jtjps�_fge will be charged) FOR QUESTIONS ,qy,4o RE -SCHEDULE, PLF F CALL (817) 410-3165 or (817) 410-3166 1-11 1 _� 1� , 1>4, . . .... . SIGNATURE. PRINT NAME. PHONE#: EMAIL; Building Services Department The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 (817) 410-3165 * (817) 410-3166 www.cirapevinetexas.qov (OVER) C:FORMMBSAPPLICATIONSFEEMCO APR FFWW.X �W . leya's A '%axable-ttp—ws," Taxable NOW u QRSP I ME I I gm VVEM111 W,2111n;]MC11 [III tql E11,11MIEMWIPIMMPT11 WiM, 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: 6 Signature: WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED,.?, ADDRESS: CITY, STATE, ZIP: TYPE OF CONSTRUCTION: ZONING DISTRICT: ZONING APPROVAL: FIRE DEPARTMENT: 10 OCCUPANCY: DIVISION; DATE; DATE: PUBLIC WORKS DEPARTMENT: DATE: HEALTH DEPARTMENT: DATE: CITY SECRETARY: ----- - DATE: LANDSCAPING APPROVAL: DATE: APPROVAL FOR ISSUANCE. DATE: r,MT-M—G7,7WTwF PO Box 95104 Wag it Lot me NO ADDRESS 1500 Autumn Dr. omas Survey Tr 7bO3 P1R7,lTrWU[UEF[ Suzanne Davis OWNERS • Grapevine Propco Lic Uct • Opco, LLC Avir at Grapevine (817) 488-8585 TENANTS - Suzanne Davis Avir at Grapevine (817) 488-8585 [IN 1, 1 41;111w� IRMO, go kq, I w I kilts m [ail INSPECTIONS 1. Final Health Inspection DeUt InsL>ection **NAME OF BUSINESS **TENANT NAME (individual) "TENANT PHONE NUMBER APPLICANT E-MAIL —APPLICANT NAME (individual) **APPLICANT PHONE NUMBER Square Footage *Sales Tax Number TYPE OF BUSINESS • CONSTRUCTION TYPE • OCCUPANCY GROUP *Sales Tax Outside Storage Fire Sprinkler System? New Occupant / Tenant New Building / Property Owner Alcoholic Beverage Sales Alterations Change of Business Name Change of Business Owner Freight Forwarding Business Hazardous Material Industrial Waste New Building / Addition 3. Final Building C/O Inspection 4. Landscaping Avir at Grapevine Suzanne Davis 817-448-8585 Susanne Davis 940-203-0893 34716 No Skilled Nursing Home VA - SPRINKLERED 1-2 NO YES YES YES YES NO NO YES NO NO NO NO NO Page 1/2 MYGOV.US 25-003443. 11/1012025 at 3:48 PM Issued by: Courtney Cogburn m3zm�� 7. ravo -. , �11 �# � Outside Refuse/Recycling NO Signs NO Number of Employees 86 * CONDITIONAL USE REQUIRED? NO * OCCUPANCY LOAD 218 * PERMITTED USE YES - EXISTING USE * ZONING DISTRICT R-7.5 FEE TOTAL PAID DUE Certificate of Occupancy $50.00 $50.00 $50.00 TOTALS $50.00 $50.00 $0.00 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 $50.00 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 # 25-003443 Page 2/2 MYGOV.US 25-003443, 11110/2025 at 3:48 PM Issued by: Courtney Cogburn From: Amir Youssouf <AYoussouf@tarrantcountytx.gov> Sent: Friday, November 7, 2025 3:58 PM To: Courtney Cogburn Subject: Re: 1500 Autumn Drive- Avir At Grapevine I . 0 . Dans Bagels SugarShack Sent: Thursday, November 6, 2025 3:47 PM To: Amir Youssouf <AYoussouf@tarrantcountytx.gov> Subject: 1500 Autumn Drive- Avir At Grapevine ZXTEANA,L SIMAIL 'UERI� Th'iV,� ;_;atfnte You ClIckf Courtney Cogburn '--JVy of Gr�i-,�pcvinc M@in'-A. Grapevine TX 76051 8-11 71. 0 RTIACUPEFICTEOFOCANCY im foll".]MI 14 4:1 exill ll C, F -ORMATIONAIVORKORDF R 1213,0104 Rev. 5�231202 " a :=21 :�7W! ?_ya4 d - 2 5-003443 CERTIFICATE OF OCCUPANCY - A t _M City of GrapevinePermits and Inspections - =i ,A.., *O_ ,,_ E_„ .. Cii .-.:vancy is hereby issued pursuant to Section 109 of the 2021 International Building Code And Chapter 64 of the Zoning Ordinance. At the time of inspection, this building or space was found to be in compliance with r,'wlnofi <snd Zoning Ordinances of the city of Grapevine. Any change in use, tenant and/or owner of this building/space a niertificate of Occupancy. s=:Business s Grapevine Propco Lic Uct 1525 Prospect St Ste 603 Lakewood, NJ 08701 - PROJECT INFORMATION Skilled Nursing Home 218 10 lz i';f = . - Date