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HomeMy WebLinkAboutCO2025-004259UNDER CONSTRUCTION TD — NO LETTER SENT LETTER PW OR LD NEEDED PENDING FIRE PENDING HEALTH LANDSCAPING / CODE HOLD FILE ISSUE DATE FINAL DATE 1. APPLICATION FORM COMPLETED 2. WORKORDER FORM COMPLETED 3. ENVIRONMENTAL NOTIFIED DATE TIME (E-MAIL JIMMY BROCK,0,6-1��-yu --ory & VALERIE FARRELL -p'-py —4, 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} 5. FIRE DEPARTMENTAP PROVAL OF HAZARDOUS MATERIAL DATE —6 ZONING CHECKED & COMPLETED ON APPLICATION T BUILDING INSPECTION SCHEDULED DATE TIME —8. FIRE DEPT INSPECTION SCHEDULED DATE TIME FIRE INSPECTOR: HEALTH INSPECTION NOTIFICATION DATE: 10. CITY SECRETARY (ALCOHOL) NOTIFICATIONDATE: 11. PUBLIC WORKS INSPECTION E-MAIL DATE 12. LOT DRAINAGE INSPECTION E-MAIL DATE 13. CORRECTION LETTER SENT DATE 14. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO 15. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO 16. HEALTH DEPARTMENT SIGN OFF 17. CITY SECRETARY (Alcohol License Sign Off) 18. PUBLIC WORKS SIGN OFF 19. LOTDRAINAGE SIGN OFF 20 LANDSCAPING SIGN OFF —21. BUILDING OFFICIALS SIGNATURE 22. C/O CERTIFICATE ISSUED ELECTRIC RELEASE:.,: SCAN CERTIFICATE TO MYG& F M V" U, MAILED. CAFORMSOSCOINFORMA I IONVA(LIST 12/30M\Rv 5123124 DATE f) PVRFvf IT #: V CERTIFICATE OF OCCUPANCY RE' UEST FEE: $50.00 NO FEE REQUIRED IF THE CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITHANACTIVE CURRENTBUILDING PERM]] " A DDROF OPA2,1 Al Alain SUITE # � qO ESS CCUNCY: b --- LOT: J- BLOCK: ;I— SUBDIVISION: /Vorrh P/ace, ""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION"" . e -Fhe_#-e<p1 NAME OF BUSINESS:, (,77r70-rPe-V1P? NEW OCCUPANT: YES NO — - NEW BUILDINN�"CROPERTY OWNER: YES—NO--it— NEW BUILDING: YES NO V NEW BUSINESS NAME CHANGE: YES NO NUMBER OF EMPLOYEES: NEW BUSINESS OWNER: YES --NO FREIGHT FORWARDING: YES NO TYPE OF BUSINESS: 04i ae, Retail Clothing/ Attorney's Mice/ Restaurant/ Ofrice/Warehouse) **IF OFFICE(WAREHOUSE PROVIDE BREAKDOWN OF SQUARE FOOTAGES: SF OFFICE: SF WAREHOUSE: ­­ -1-1-11-11 11'r TOTAL SQUARE FOOTAGE: NAME OF TENANT [PERSON'SAnn4 z44i'cAelle, CURRENT NLAILING ADDRESS: ,�'horewC) CITY/STATEIZIP:r.A e PHONE NUMBER: PROPERTY OWNER: MAILING ADDRESS: A/ '1146it, 7,� 7 CITY/STATEIZIP: PHONE NUMBER: # IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) ------- YES NO 0 WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) - - - YES NO # WILL THERE BE FOOD SALES? (if yes, contact Tarrant County Health 817-321-4983 for more information) - - YES NO V # PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? --------------------- YES NO # WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ........ YES NO:Z # WILL OUTSIDE REFUSE(RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (screening is required) YES NO # WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USEMINING? YES NO # WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? -------------------_----_ YES No # IS BUILDING SPRINKLERED? ---------------------------------------------------------- YES V NO # WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? (if yes, provide lid of types & quantities, along with material safety data sheets) ------------------_----- YES — NO I HEREBY CTRTWY 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 buillding1space is not provided at the tinte of the scheduled inspection, a $50.00 re-insvection fee will be charged) FOR QUESTIONS or to RE -SCHEDULE, PLEASE CALL (817) 410-3165 or (817) 410-3166 SIGNATURE: _4411o_wl ^4&ekAl� PRINT NAME: 141,111 4� PHONE#. EMAIL: a n vi Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 (817) 410-3165 * (817) 410-3166 VDW.,prabevinetexas.nov (OVFR) TEXAS SALES TAX TeNas, 18-41", Tax Is Charged and collected on sales within the State and City of Grapevine, Texas of "taxable items." Taxable items include of 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 "Seiler 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 busineW' includes any location at which three or more orders are received byte "Seller or Retailer in a calendar year. It an order is received at the place of business of a retailer in Texas, but delivery ors i et 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. TexasSales Tax Number: Signature: WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? ADDRESS:- N Z7 CITY, STATE, ZIP: &4�,_eI4 j2?. I A 1 14141121 a III DKIN11 DLIJ101 MEW W, I " I 13 ZONING DISTRICT: F (31 CONDITIONAL USE: PERMITTED USE: OCCUPANT BUILDING DEPARTMENT: DATE:, BUILDING INSPECTOR:____ DATE: IJ ZONING APPROVAL: DATE: IFIRE DEPARTMENT: LOT DRAINAGE INSPECTION - HEALTH DEPARTMENT: CITY SECRETARY- LANDSCAPINGAPPROVAL:_ APPROVAL FOR ISSUANCE: City of Grapevine Certificate of Occupancy PO Box 95104 Project # 25-004259 Grapevine, Texas 76099 817)410 -3166 Project Description: C/O (Medical Office) "Grapevine Massage Therapy" % POS, Issued on: 12/16/2025 at 8:31 AM X ADDRESS INSPECTIONS 4 621 N Main St., 440 Grapevine, TX 76051 1. Final Fire Dept Inspection 3. Landscaping 2. Final Building C/O Inspection 4. C/O APPROVED FOR ISSUANCE LEGAL North Main Place Blk I INFORMATION FIELDS Lot 1 **NAME OF BUSINESS Grapevine Massage Therapy PERMIT HOLDER **TENANT NAME (individual) Anna Michelle Anna Michelle Grapevine essage The M; : TENANT PHONE NUMBER 217-508-7901 ry ap —APPLICANT NAME (individual) Anna Michelle (217) 508-7901 **APPLICANT PHONE NUMBER 217-508-7901 COLLABORATORS Square Footage 170 - Anna Michelle *Sales Tax Number N/A Grapevine Message ** TYPE OF BUSINESS Medical Office Therapy * CONSTRUCTION TYPE VB (217) 508-7901 * OCCUPANCY GROUP B OWNERS 'Sales Tax NO - Calvo North Main Fire Sprinkler System? YES Street Lic RE: JUAN CALVO New Occupant / Tenant YES Number of Employees TENANTS Alcoholic Beverage Sales NO • Anna ichelle M Alterations NO Grapevine Message Therapy Change of Business Name NO (217) 508-7901 Change of Business Owner NO Freight Forwarding Business NO Hazardous Material NO Industrial Waste NO New Building / Addition NO New Building / Property Owner NO Outside Refuse/Recycling NO Outside Storage NO Page 112 MYGOV.US 25-004259, 12/16/2025 at 8:31 AM Issued by: Amanda Robeson 11 ILI &I V IT, F-11 &I'L11114 I :141 Signs Square Footage - Office * CONDITIONAL USE REQUIRED? * OCCUPANCY LOAD * PERMITTED USE * ZONING DISTRICT FEE Certificate of Occupancy TOTALS TOTAL PAID DUE $50.00 $50.00 $50-00 $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. >> (it 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 it of Grapevine Certificate of Occupancy Project # 25-004259 Page 2/2 Issued by: Amanda Robeson RTI F I CATE OF OCCUPANCY pi re TIMWT&fo- Ma p- I A M **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: OCCUPANT LOAD:,-,._ - TYPE OF BUILDING: V.5 GROUP AND DIVISION: ZONING RESTRICTIONS: C TORMSWSCOINFORMAT 10NMORKORDER 12/30104 Rev IC312024