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HomeMy WebLinkAboutCO2018-4597 UNDER CONSTRUCTION _ CORRECTION LETTER_ PW OR LID NEEDED_ TD NO LETTER_ WAITING FIRE _ HOLD C E_ C/O CHECK LIST C/OPERMIT# P18 - 4-Sq_l ,L ADDRESS: "o �1 . y a '_ BUSINESS NAME: DPG PL.L_G BUSINESS PROPERTY CHANGE NAME / OWNER _ NEW CONST/ADDITION PERMIT# 17 NEW TENANT/ OCCUPANT _ REMODEL/ALTERATION PERMIT# ISSUE DATE FINAL DATE \L 1. APPLICATION FORM COMPLETED 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 V_1�5. ZONING CHECKED & COMPLETED ON APPLICATION ,/ ✓6. BUILDING INSPECTION SCHEDULED DATE Io2I7pj TIME 7. FIRE DEPT. INSPECTION SCHEDULED DATE 1O TIME! FIRE INSPECTOR: nrK 8. CITY SECRETARY(ALCOHOL) NOTIFICATION DATE: 9. HEALTH INSPECTION NOTIFICATION DATE: 1o. PUBLIC WORKS INSPECTION E-MAIL DATE -"11. LOT DRAINAGE INSPECTION E-MAIL DATE 12. CORRECTION LETTER SENT DATE 13. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO 4. FIRE DEPARTMENTS SIGN OFF LETTER: ' ,YES / NO 15. r HEALTH DEPARTMENT SIGN OFF 16. CITY SECRETARY(Alcohol License Sign Off) /— 17. PUBLIC WORKS SIGN OFF 18. LOT DRAINAGE SIGN OFF 19. LANDSCAPING SIGN OFF ✓/20. BUILDING OFFICIALS SIGNATURE ^� �!21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: SCAN CERTIFICATE TOMYGOV: CONDITIONS TO BE TYPED ON C/O? YES/NO MAILED: O.IFORMS\DSCOINFORMATION\CKLIST 12100104 A Rev.1 W1,1 1115,5118 DATE OF ISSUANCE: III E 'I PERMIT#: DEC 10 2016 CERTIFICATE OF OCCUPANCY REQUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITH ANA CTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: 220 N Park Blvd SUITE# 114 LOT: 4 BLOCK: 5 SUBDIVISION: Brookside Addition ****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION**** NAME OF BUSINESS: ZakDPC PLLC NEW OCCUPANT: YES X NO NEW BUILDING/PROPERTY OWNER: YES NO 'X�. NEW BUILDING: YES NO-T NEW BUSINESS NAME CHANGE: YES NO—> NUMBER OF EMPLOYEES—.2 FREIGHT FORWARDING: YES NO ?C NEW BUSINESS OWNER: YES NOS TYPE OF BUSINESS: Medical Clinic /Physician Office SQUARE FOOTAGE: 698 (Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant) NAME OF TENANT Margaret Zak CURRENT MAILING ADDRESS: PO Box 843 CITY/STATE/ZIP: Grapevine, TX 76099-0843 PHONE NUMBER: 847-414-5521 PROPERTY OWNER: Studemont, LTD MAILING ADDRESS: c/o Kim Quillen, Mopac Management, 6245 Rufe Snow Dr, Ste 280-341 CITY/STATE/ZIP: Fort Worth, TX 76148 PHONE NUMBER: 817-988-5039 ♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW?(if yes,provide copy of Sales Tax Certificate)---- YES_NO X ♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES?(if yes,provide copy of Alcoholic Beverage Permit)-YES_NO X ♦ PERMITS ARE REQUIREDTOR SIGNS. WILL ANY SIGNS BE INSTALLED? ------------------- YES NO ♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM?------YES—NO x ♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (if yes, screening is required)----------------------------------------------------------- YES—NO X ♦ WILL THERE BE ANY OUTSIDE STORAGE(including storage of company/fleet vehicles),DISPLAY, USE OR DINING?------------------------------------------------------------------ YES_NO x ♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES NO ♦ IS BUILDING SPRINKLERED?------------------------------------------------------- YES—NO x ♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? (if yes,provide list of types&quantities,along with material safety data sheets)----------------------YES_NO x 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$42.00 re-inspection fee will be charged) FOR QUESTIONS PLEASE CALL((81,7)4®10-3165. SIGNATURE: ' `Q/yO ouhd� PRINT NAME: Margaret Zak PHONE#: 847-414 95521 EMAIL: ONIM) Development Services Department The City of Grapevine *P.O.Box 95104 * Grapevine,Texas 76099* (817)410-3165 Fax(817)410-3012 * www.erapcvinetcxaN.00v O:FORMSMAPPLICATIONSIC/ 3122/2001/Rev:5/06,2/07,4/09,2/13,11/15,10/16,8/18 C0 4 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 malting 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: Not AppllCable Signature: YYIIERF, DO YOU %Y'ANT YOUR C0 YIP1,ETE1) CF.RTIFICA LE 0 t)( CL 13, NLa A1A11,1 1' ADDRESS: PO Box 843 CITY, STATE, ZIP: Grapevine, TX 76099-0843 OFFICE USE ONLY*** ***** *** * ***** ** * TYPE OF CONSTRUCTION: �} OCCUPANCY: R DIVISION: ZONING DISTRICT: f D CONDITIONAL USE: PERMITTED USE: BUILDING DEPARTMENT: DATE: I DKIA 716 BUILDING INSPECTOR: DATE: 1'L• 1 Ll- l rf ZONING APPROVAL: DATE: ��FIRE DEPARTMENT: �61 � DATE: X14-18 LOT DRAINAGE INSPECTION: DATE: PUBLIC WORKS DEPARTMENT: DATE: HEALTH DEPARTMENT: DATE: CITY SECRETARY: DATE: QQ�� LANDSCAPING APPROVA : DATE: APPROVAL FOR ISSUANC : DATE: O:FORMSMSAPPLICATIOWC/ 3/2212001/Rev:5/06,2/0],/09,2/13,11115,10/16,8/18 �7 CERTIFICATE OF OCCUPANCY Issue Date:December 18,2018 PROJECT DESCRIPTION:C/O(Medical Office)"ZakDPC PLLC" PROJECT# (817)410-3010 www.mygov.us CO-18-4597 Inspections Permits City of Grapevine LOCATION TENANT LEGAL Grapevine,,T TX 76099 P.O.Box 220 Park Blvd. ZakDPC PLLC Brookside Addition Blk 5 Lot 3 X Suite#114 (817)410-3165 Voice Grapevine,TX 76051 (817)410-3012 Fax CONTRACTOR INFORMATION Margaret Zak *CONSTRUCTION TYPE VB P.O.Box 843 *OCCUPANCY GROUP B Grapevine,TX 76099 *ZONING DISTRICT PO (847)414-5521 Phone **NAME OF BUSINESS ZakDPC PLLC *'TYPE OF BUSINESS Office OWNER "APPLICANT NAME Margaret Zak Studemont Ltd **APPLICANT PHONE NUMBER 847-414-5521 13355 Noel Rd Ste 1770 **TENANT NAME Margaret Zak Dallas,TX 75240-1526 **TENANT PHONE NUMBER 847414-5521 ph. (214)642-8928 *Sales Tax NO AVAILABLE INSPECTIONS *Sales Tax Number Final Building C/O Inspection(required) Alcoholic Beverage Sales NO r- Final Fire Dept Inspection(required) P Landscaping(required) Alterations NO C/O APPROVED FOR ISSUANCE Change of Business Name NO (required) Change of Business Owner NO County Tarrant Fire Sprinkler System? NO 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 2 Outside Refuse/Recycling NO Outside Storage NO Signs YES Square Footage 698 Zoning PO-Professional Office FEES TOTAL=$50.00 Certificate of Occupancy $50.00 PAYMENTS TOTAL=$50.00 MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-18-45971 P(Inted 12126/18 at 11:30 a.m. Page i of 3 z1 zz o ,s ,° C e° xe BBROOKWOOD DRzo mccec�.nm.. 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CN 4n 3 u U 961 d' RTHWES.THWy��i1 pvE�` 305 - u _ 4 n �"Q o �" 1 inch = 400 feet Grid Pag CERTIFICATE OF OCCUPANCY WORKORDER PERMIT # 18 -+Sq-1 ADDRESS OF INSPECTION: c� c��i I'A , of ac ��- DATE OF INSPECTION: /,a 14 I (& TIME OF INSPECTION: 0 aert( NAME OF BUSINESS: yZa\-kDPG f LLC TYPE OF BUSINESS: mp-c�iC'«1 _ USE OF BUILDING AND/OR PREMISES: o REASON FOR APPLYINGM CONTACT PERSON: TELEPHONE NUMBER: S5 COMMENTS/VIOLATIONS: )u cc, Lam, r-c V,,Qf J ykk **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: TYPE OF BUILDING: GROUP AND DIVISION: ZONING RESTRICTIONS: O.FORTIS DSCOINFOKMATION V ORRORDER 1231114R, I1121111G . © : 2 . . . v . a . » IL A OIE oll E U k/ \ O .- 0 . ! \d 0) ( - \o ) § f § \ f2/ _ E - U - ƒ \ \ k \ - 2 CO \\a. � - £ f V © \ / O § / 7 , 6 - ; - e ! _� 0 \ 2 = , 0 \ u J Q }<0 ( L) 9 / 2G � CCU © \ \ ! 0�E 0 W T / � \�� � ) � \ 0 _ a IL ® j\ th LO § CO § E ` \o ID O.SM k g f j �» \ m 254 _ 23 \\� \ C) a) ) 0 } { i oa- 3//f r - 2 ) \ ` Q ( / ) o ( 6 7 - ± 6 a \ / - - . . . . ! x; < ® � » t�/ » : \