HomeMy WebLinkAboutCO2025-001387UNDER CONSTRUCTION
TD -- NO LETTER
SENTLETTER
PW OR LD NEEDED
PENDING FIRE
PENDING HEALTH
LANDSCAPING I CODE
HOLD FILE
C/O CHECK LIST
C/O PERMIT#2
ADDRESS:
BUSINESS
BUSINESS P PROPERTY
CHANGE NAME1OWNER NEW CONST /ADDITION PERMIT
NEW TENAN,r/ OCCUPANT �®REMODEL /ALTERATION PERMIT#",_
ISSUE DATE �:..1� FINAL DATE
1 APPLICATION FORM COMPLETED
2. WORKORDER FORM COMPLETED
_ 3. ENVIRONMENTAL NOTIFIED DATE TIME
(E-MAIL JIMMY SRGCK Insd,a C i s,a 'q, ai 'F �if4 & VALERIE FARRELL )�iarr I°�T�� °ti gSeG9ik';.�KmC�typ)
4, HAZARDOUS ATRIAL 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 DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE
6 ZONING CHECKED & COMPLETED ON APPLICATION
7. BUILDING INSPECTION SCHEDULED DATE TIME
FIRE DEPT INSPECTION SCHEDULED DATE TIME
FIRE INSPECTCOR;
Ia HEALTH INSPECTION NOTIFICATION DATE:
10. CITY SECRETARY (ALCOHOL) NCTIFICATIONDAT'E:
11, PUBLIC WORKS INSPECTION E-MAIL GATE
12. LOT DRAINAGE INSPECTION E-MAIL DATE
13. CORRECTION LETTER SENT DATE
14. BUILDING INSPECTORS SIGN OFF LETTER: YES I NO
15, FIRE DEPARTMENTS SIGN OFF LETTER: YES I NO
1, HEALTH DEPARTMENT SIGN OFF
17. CITY SECRETARY (Alcohol License Sign Off)
13, PUBLIC WORKS SIGN OFF
0. LOT DRAINAGE SIGN OFF
'.. 20. LANDSCAPING SIGN OFF
F
_ 21 _ BUILDING OFFICIALS SIGNATURE:.
® _ 22, CIO CERTIFICATE ISSUED
ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV:
FAILED.
C'T0RMSQ,SC0VF0HMAT1O t.4IST
12 30 04 Rev. 5,73,24
PPLICATION RECEIVED: 4/8/2025
LBUILDING PERMIT 25-001371
CIERTIFICATE, OF V4_"CCUPANCY,,,RE0UEST
FEE: $50.00
L
i r
0ff%10A&1`yr&yjr1VU111 I
ADDRESS OF OCCUPANCY: 4coo vo -MaAm.- r, -r*rC_AD_9F_ SUITE
LOT: —I— BLOCK: 'T_ SUBDIVISION: 00N -TVICIU4
""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DFSCRIPUON****
NAME OF BUSINESS:
NEW OCCUPANT: YES X BUILDING/PROPERTY OWNER- VES_N0 X
NEW BUILDING: YES NEW BUSINESS NAME CHANGE: YES — NO
NUMBER OF EMPLOYEES: NEW BUSINESS OWNER: YES —NO
FREIGHT FORWARDING: YES NO
TYPE OF BUSINESS: C rr m
**IF OFFICE/WAREHOUSE PROVWE BREAKDOWN OF SQUARE FOOTAGES:
SF OFFICE: SF WAREHOUSE: TOTAL SQUARE FOOTAGE:,
If
NAME OF TENANT
CURRENT MAILING ADDRESS: 957 4/4 V T41;k )n
CITY/STATEIZIP: 7 7
I — PHONE NUMBER:
PROPERTY OWNER:
LAI k &-a-
MAILING CITY/STATEIZIP: R(4WMz2&At_ PHONE NUMBER: —6
YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) ------- YES -L N,*
+ 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
* PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? ---------------------
YES NO
+ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER
4 WILL OUTSI[DE REFUSEfRECYCLING/COMPACTING CONTAINERS BE NECESSARY? (screening is required)
YES NO
4 WILL THERE OF, ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USE/DINING? YES NO
# WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ............................
YES NO
* IS BUILDING SPRINKLERED? ----------------------------------------------------------
YES 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
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 g�%I* rtj pection fee will be charged)
FOR QUESTIONS or R&SC777111.7�PLEASE CALL (817) 410-3165 or (817) 410-3166
SIGNATURE: PRINT NAME:
PHONE#:
hp, EMAIL:
Building Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099
(817) 410-3165 * (817) 410-3166
APT, i0% 1'R1
TEXAS SALTAX
Texas Sales Tax is charged and collected on sales within the State and City of Grapevine, Texas of Naxable 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 orRetailer" 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 TaxNumber: .
Signature:
r� Lk
�e a ,
ADDRESS: 953
s
CITY,I : l
OFFICE USE
r
",OF CONSTRUCTION-r DIVISION:
ZONING DISTRICT: CONDITIONAL USE:
PERMITTED USE:OCCUPANT LOAD: I G'
BUILDING DEPARTMENT:
_w
BUILDING INS .... . .. ._, �.� ATE:
ZONING APPROVAL: _. _... ATE:
FIRE EPA — _ ATE:
T DRAINAGE INSPECTION: „ _ _DATE.
PUBLIC WORKS DEPARTMENT: E:
HEALTHEPA ENT: ATE:
CITY SECRETARY: . " ATE:
LANDSCAPING APPROVAL4w., ATE;....,
$ APPROVAL I C _ _.' _ .... ..DATE:
City of Grapevine Certificate of Occupancy
PC Box 95104 Project # 25-001387
Grapevine, Texas 76099
Project Description: C/O (Health Club / Fitness Center) "Club
817) 410-3166 A
Issued on: 01/09/2026 at 3:41 PM
r%r%0=C!0 1114or-GA, I I
M
4000 William D Tate
Ave.
Grapevine, TX 76051
•
OWNERS
Heritage
TENANTS
3. Landscaping
A—C "A,
**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
Alterations
* CONDITIONAL USE REQUIRED?
* OCCUPANCY LOAD
* PERMITTED USE
* ZONING DISTRICT
N11.1
u
,(y11Af;1J7PV"1J
2
Club 4 Fitness
Mike Elinski
601-214-7752
Kernnth Herring
601-624-2308
63218
32099586847
Health Club
1113 - SPRINKLERED
A-3
YES
YES
YES
1200
YES - CU24-53
cc
READ AND SIGN
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
Page 1/2
MYGOV.US 25-001387, 01/09/2026 at 3:41 PIVI Issued by: Connie Cook
GTORWDSCOINFORNIATION WORKORDFR
12 �30,04 Rev 5.23!2024
A
#25-001387
ps
CER"101FICATE OF OCCUPANCY
City of Grapevine Permits and Inspections
This Cerfilicare of Occupancy is hereby issued pursuant to Section 109 of the 2021 International Building Code And Chapter 64 of the
"itv of Grapevme Comprehensive Zoning Ordinance. At the time of inspection, this building or space was found to be in compliance with
Me -loplicable Buda ing ar,,d Zoning Ordinances of the city of Grapevine. Any change in use, tenant and/or owner of this building/space
Shall first requim a new Certificate of Occupancy.
M
Business Name Property Owner
CUD " Fitness Heights Tt Owner LIG Heritage
4000 Wiliam, D Taw Ave.
40 Skokie Blvd Ste 610
Grapevine. TX 76051
Northbrook, IL 60062
kA
PROJECT INFORMATION
Use Cfassification: Health Club
Occupancy Group, A-3
ConstruCtIst, TVp} IIS - SPRINKLERED
Occupaocy Load: 1200
Zoning District: CC
ISSUED BY:
Ure Date
7 7!
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