HomeMy WebLinkAboutCO2018-3474 UNDER CONSTRUCTION _
CORRECTION LETTER_
PW OR LD NEEDED_
TD NO LETTER_
WAITING FIRE_
HOLD _
CODE_
C/O CHECK LIST
C/O PERMIT # P18 - 3'/-7
ADDRESS: l4'0 0 b11.
BUSINESS NAME: �2e_ au
BUSINESS PROPERTY
CHANGE NAME / OWNER _ NEW CONST/ADDITION PERMIT #
\/NEW TENANT/ OCCUPANT REMODEL/ALTERATION PERMIT#
ISSUE DATE FINAL DATE
1. APPLICATION FORM COMPLETED
v/2. ZONING MAP COPIED &WORKORDER FORM COMPLETED
3. 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)
4. FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE
5. ZONING CHECKED & COMPLETED ON APPLICATION
___rX6. BUILDING INSPECTION SCHEDULED DATE I TIME b
7. FIRE DEPT. INSPECTION SCHEDULED DATE I TIME t O
FIRE INSPECTOR: Yyyy
8. CITY SECRETARY(ALCOHOL) NOTIFICATION DATE: L�1J
9. HEALTH INSPECTION NOTIFICATION DATE:
10. PUBLIC WORKS INSPECTION E-MAIL DATE
11. LOT DRAINAGE INSPECTION E-MAIL DATE
—A— 12. CORRECTION LETTER SENT DATE
j� 3. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
vvv �4. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
15. HEALTH DEPARTMENT SIGN OFF
16. CITY SECRETARY(Alcohol License Sign Off)
17. PUBLIC WORKS SIGN OFF
18. LOT DRAINAGE SIGN OFF
Y 19. LANDSCAPING SIGN OFF
0. BUILDING OFFICIALS SIGNATURE R
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: SEP 17 2018
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES/NO MAILED:
O 1FORMSTSCOINFORMATIOMCKLIST
121301041 R-1 n11,11115,5118
/10/2018 13 PM ROM: Fax Lane Star Neurology - Frisco TO: 8174103012 PAGE: 002 OF 005
P yyi2 1 01 V
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j DACE OF ISSUANCE: 18
1° Gtaa - A 8
PEWIT 7
CE R ,ATE 0 F OCCU
tANACT"CVMWNrBV"1NGPWM CY RE I ST
FEE: $50.NOFEE RQUlX0FFCSRTIFC{TE0FOCC PANCYnAW0CA
4 ADDRESS OF OCCUPANCY:
I.QT: BL OM SUBDIVISION: CA I vw I e m a d
"***CERTIFICATE OF OCCUPAN WILL NOT BE ISSU UT LEGAL DESCIt"ON""
NAME OF BUSYNESS: In}
NEW OCCUPANT: YES! NO BUILDINGII'R TYOWNER: YES NO
NEW BUILDING: YE =NO NEW BUSINESS NAM,CHANGE. YES_y=/� NO
NUMBER OF EMPLOYEES: _., __.,,_, FREIGHTFORWARD G.- YES NO=
BUSINESS 0=' YES T O „
TYPE OF BUSINMSS: ( 6' CtC SQUARE FOOTAGE: "
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NAME OF TENANT jPERSON'S NAMEJI LV14 iA S ' xr e= Yp C'Y
CURREN I MAHdNG ADDRESS (o IT e,e) L' r-' 13
CrMSTATEI3JP :' # 'HDNE NUMBER
PROPERTY OWNER: )
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8 MAULING ADDRESS:
CIIY/STACEJZIP: ` Cd SD 3 PHONE M MBEIL
♦ IS YOUR BUSINESS SUBJECT TO SALES TA K LAW±(ttYes,P VMC COW (Sato Tax eertlflewte)---- YES_� NO ✓
♦ WILL THERE BE ALCOHOLIC BEVERAGE ALES?(t(Yom•Prevhle e#PY Ak0bGk BeVffW P#radt)-YES T,, Not
♦ PERMIT a ARE REQUIRED FOR SICN3, W ANY SIGNS BE INSWAL D?- -YES— NO l
♦ WII.I.BUSINESS GENERATE ANY 1NDU AL WASTE DISCHARGE SEWER SYSTEM?..... YES_NO
a WILL OUTSIDE HFPVSE/RECYCLINOICO AClINO GpNTA�IEF13 B NECBSSAItY2
♦ WILLTHERZMANYOUTSIDESTORAGE,DISPLAY,US EORDIfiIN G.}--------------------- YES_ NO�y
♦ WILL ANY ALTERATIONS BE MADE TO SITE ORBUILDINGY---t-------------------- YES NO_,,.,_
♦ ISBUHAINGSPRINI"RED2---------- ------------------- YES S NO
I ♦
WILL BUSUNE33 STORE OR HANDLE H OUS MATERIALSOR L�UIDSY
material t#•a4♦etsi---- ------ -------- YES NO�
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(ItY provkle 8st ettyPee#gaaeiitles #bwg
I IIERI"CERTHrY THAT THE FOREGOING CORRECT TO THE W%TOF MY KNOWLY.DGB AND TW SAID
OCCUPANCY 16 IN CONFOWAANCE WCCS TH INFORMATION HEREIN E6T FORT'.
(If neeess t#the baIWlingfsPace is w K Prodded at - e thne of the sebedai#d IU5119 ti0w,a$6,00 av AN9209IN W18 be charged)
FOR QUE33'10NS CALL(817)410-3165. f ° !
SICJNATURE: _..
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The City oPOrapevil#*P 0.Box 95104*Grapmjw T w 76094 8 (817)410-3165
Fax(9 17)41"012 tk www.V%PAViaatlsxa Vv
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9/10/2018 2:10 PM FROM: Fax Lone Star Neurology - Frisco TO: 8179103012 PAGE: 002 OF 002
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ZONINGD�PIum l7 I LOONDIYIOttAbD _
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ZONING APMVA14 _ DA's c/
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LAMI SCAPDiG ATl RDV OAT&
+{ 197 CERTIFICATE OF OCCUPANCY
17111, ijI19Lj'- Issue Date:September 26,2016
T
I.* i A 6-e PROJECT DESCRIPTION:C/O[Neurology Clinic]"Lone Star Neurology"
PROJECT# (817)410-3010 Www.mygov.us
CO-18-3474 Inspections Permits
City of Grapevine
LOCATION LEGAL
P.O.Box 1600 W College St. Grapevine Medical Center Addn
TX
Grapevine,,TX 76099
Suite#470 Acres 0.0000
(817)410-3165 Voice Grapevine,TX 76051 Baylor Med Ctr Condo Units 7 Thru 14 Imp
(817)410-3012 Fax Only Medical Off Bldg&Family Cln
CONTRACTOR INFORMATION
Alex Bannister *CONSTRUCTION TYPE IA SPRINK
5375 Colt Road,Ste.#130 *OCCUPANCY GROUP B
Frisco,TX 75035 *ZONING DISTRICT PCD
(214)619-1910 Phone
**NAME OF BUSINESS Lone Star Neurology
OWNER **TYPE OF BUSINESS Medical Office
Hrt Properties Of Texas Ltd **APPLICANT NAME Alex Bannister
3310 W End Ave Ste 700 **APPLICANT PHONE NUMBER 214-619-1910
Nashville,TN 37203-1097 **TENANT NAME Maushmi Shety
AVAILABLE INSPECTIONS **TENANT PHONE NUMBER 469-774-3375
• Final Building C/O Inspection(required) *Sales Tax NO
• Final Fire Dept Inspection(required) *Sales Tax Number
• Landscaping(required)
• C/O APPROVED FOR ISSUANCE Alcoholic Beverage Sales NO
(required) Alterations NO
Change of Business Name NO
Change of Business Owner NO
County Tarrant
Fire Sprinkler System? YES
Freight Forwarding Business NO
Hazardous Material NO
Industrial Waste NO
New Building/Addition NO
New Building or Property Owner NO
New Occupant/Tenant YES
Number of Employees 4
Outside Refuse/Recycling NO
Outside Storage NO
Signs NO
Square Footage 1400
Zoning PCD-Planned Commerce
Development
FEES TOTAL=$50.00
Certificate of Occupancy $50.00
PAYMENTS TOTAL a$50.00
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-18-34741 Printed 09/28/18 at 8:45 a.m. Page i of 3
Alex Bannister(C/O Applicant Information)
Other on 09/1012018 ($50.00)
Note:CC5611
READ AND SIGN
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 scheduled
inspection,a$42.00 re-inspection fee will be charged)
FOR QUESTIONS PLEASE CALL:(817)410-3165.
Signature Date
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-18-3474 I Printed 09/28/18 at 8:45 a.m. Page 2 of 3
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 18 -/=3/JC{'7 Q /
ADDRESS OF INSPECTION: /c�G J y11. C �LCX t-, /1�z t 76
DATE OF INSPECTION: �/ (� TIME OF INSPECTION: ( ,' 3 R1�
NAME OF BUSINESS:
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING: 2a Z.,l Lr�G
CONTACT PERSON: (-7-
TELEPHONE NUMBER:
COMMENTSNIOLATIONS: /�/p ✓loL�rlP.tJ aB�Fd✓�J. i'' ��3��
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: PGA
TYPE OF BUILDING: I & . GROUP AND DIVISION:
ZONING RESTRICTIONS:
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