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Home My WebLink AboutCO2025-004860UNDER CONSTRUCTION TID — NO LETTER SENT LETTER PW OR LD NEEDED PENDING FIRE PENDING HEALTH LANDSCAPING / CODE C/O CHEC"OX LIST C/O PERMIT # 25 ADDRESS: BUSINESS 1PROPERTY CHANGE NAME / OWNER NEW CONST /ADDITION PERMIT# NEW TENANT/ OCCUPANT -REMODEL /ALTERATION PERMIT#, -- ISSUE DATE FINAL DATE 1 APPLICATION FORM COMPLETED 2. KORDER FORM COMPLETED 3. ENVIRONMENTAL NOTIFIED DATE TIME (E-MAIL JIMMY BROCK & VALERIE FARRELIv;T;- H��:: i--jv 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 DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL 6 ZONING CHECKED & COMPLETED ON APPLICATION 7 BUILDING INSPECTION SCHEDULED DATE TIME FIRE DEPT INSPECTION SCHEDULED DATE TIME FIRE INSPECTOR: 9. 1R —it 12, 14. 1& —16. 17. 13. 20. 21, 22. 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-8ECRETARY (Alcohol License Sign Off) 'PUBLIC WORKS SIGN OFF LOT DRAINAGE SIGN OFF LANDSCAPING SIGN OFF BUILDING OFFICIALS SIGNATURE flin t1C0-rkr71rA'rC: 100"Un ELECTRIC RELEASED. S°'IAN CERTIFICATE TO MYGOV, MAILED: NOTIFICATION DATE: NOTIFICATIONDATF: E -MAIL DATE E-MAI L DATE DATE LETTER: YES / NO LETTER: YES / NO (;_\F ORMSt()SGO INFORMAI IONkCKL IST 1.113=4 \ Rev C,/23/24 6, DATE OF ISSUANCE: 25-oo PERMIT#: -1- CERTIFICATE OF OCCUPANCY RE UEST FEE: $50.00 ACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPO[ 4 cttew � L', s�'r SUITE # LOT: ., BLOCK: SUBDIVISION:, ":-"**CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION:`;*.4::::: NAME OF BUSINESS: NEWOCCUPANT: YES NO -%P NEW BUILDINGiPROPERTY 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 TYPEOFBUSINESS: *:::IF OFFICE/WAREHOUSE PROVIDE BREAKDOWN OF SQUARE FOOTAGES: SF OFFICE: SIP WAREHOUSE: TOTAL SQUARE FOOTAGE: NAME OF TENANT VC CURRENT MAILING ADDRESS: CITY/STATE/ZIP:,-, PHONE NUMBER: V (7 PROPERTYOWNER: .166 i 4- (7 o DDR MAILING AESS: 7.1 CITY/STATE/ZIP: Q:D r PHONE NUMBER: ? * IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) ------- YES _NO� + '"'ILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) --- YES N6 + '"'ILL 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 SYSTEM? -------- YES NO V- + WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (screening is required) YES NO + '"ILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USE/DINING? YES NO _)e + WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ---------------------------- YES NOL�_ * 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 TOT 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 J',,50.00 re -inspection fee will be charged) FOR QUESTIONS or to RE -SCHEDULE, PLEASE CALL (817) 410-3165 or (817) 410-3166 Gqme, .9P SIGNATURE:. / yPRINTNAME: e _,, - �� Z t — PHONE #: EMAIL: Building Services Department The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 (817) 410-3165 * (817) 410-3166 m C:FO MMOSAPPLICAMNS-FEMCOAPP 1112124 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: . ........ T W ADDRESS: CITY, STATE, ZIP: OFFICE USE TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION: ZONING DISTRICT: CONDITIONAL USE: PERMITTED USE: W OCCUPANT LOAD. BUILDING DEPARTMENT: BUILDING INSPECTOR: ZONING APPROVAL:. FIRE DEPARTMENT: LOT DRAINAGE INSPECTION: I I., - I 114b*2 13 01 VA W I M DATE: DATE - DATE: DATE: DATE - DATE: HEALTH DEPARTMENT: DATE: CITY SECRETARY:.. DATE: LANDSCAPING APPROV N I DATE: APPROVAL FOR ISSUANCE, DATE. PO Box 95104 Project # 25-004860 Grapevine, Texas 76099 Project Description: C/O (Medical Office) "North DFW 817) 410-3166 Urology" Issued on: 06/02/2026 at 8:52 AM ADDRESS INSPECTIONS 4 1601 Lancaster Dr., 180 1. Final Fire Dept Inspection 3. Landscaping Grapevine, TX 76051 2. Final Building C/O Inspection 4. C/O APPROVED FOR ISSUANCE LEGAL Clearview Park Addition INFORMATION FIELDS Blk 3 Lot 1 r **NAME OF BUSINESS CIO PERMIT HOLDER "TENANT NAME (individual) North DFW Urology Nathan Graves **TENANT PHONE NUMBER 817-481-7727 North DFIN Urology (817) 481-7727 —APPLICANT NAME (individual) Nathan Graves **APPLICANT PHONE NUMBER 817-481-7727 COLLABORATORS Square Footage 939 ® Nathan Graves North DFIN Urology *Sales Tax Number N/A (817) 481-7727 ** TYPE OF BUSINESS Medical * CONSTRUCTION TYPE VB OWNERS ® Oktex Partners Ltd * OCCUPANCY GROUP B (817) 481-7727 * CONDITIONAL USE REQUIRED? NO * OCCUPANCY LOAD 12 TENANTS * PERMITTED USE YES ® Nathan Graves North DFW Urology * ZONING DISTRICT PO (817) 481-7727 *Sales; Tax NO Alcoholic Beverage Sales NO Alterations NO Change of Business Name NO Change of Business Owner NO Fire Sprinkler System? NO Freight Forwarding Business NO Hazardous Material NO Industrial Waste NO New Building I Addition NO New Building / Property Owner NO Page 112 MyGov.us 25-004860, 06/02/2026 at 8:52 AM Issued by: Amanda Robeson INFORMATION FIELDS New Occupant / Tenant YES Outside Refuse/Recycling NO Outside Storage NO Signs NO Number of Employees 10 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 0 MY KNOWLEDGE AND THAT SAID OCCUPANCY IS IN CONFORMANCE WIT THE INFORMATION HEREIN SET FORTH. >> (if access to the building/space is not provided at the time of schedul inspection, a $50.00 re -inspection fee will be charged) 3165 or (817) 410-3166 Signature City of Grapevine Certificate of Occupancy Project # 25-004860 Page 2/2 MYGOV.us 25-004860, 06/0212026 at 8:52 AM Issued by: Amanda Robeson CERTIFICATE OF OCCUPANCY **TO BE FILLED OUT BY BUILDING OFFICIAL" ZONING DISTRICT OF INSPECTION LOCATION: OCCUPANTLOAD, TYPE OF BUILDING: GROUP AND DIVISION:.. ZONING RESTRICTIONS: (,1l ORMSOSGOINF ORPIATIONWORKORDE R 12/30104 Rpv, 1,123 2"124