HomeMy WebLinkAboutCO2019-0542 UNDER CONSTRUCTION _
CORRECTION LETTER_
PW OR LD NEEDED _
TD NO LETTER_
WAITING FIRE_
HOLD_
CODE _
C/O CHECK LIST
C/O PERMIT # P19 - 0 r"-1 Z
ADDRESS: 0, Z42
BUSINESS NAME: ` ,
BUSINESS/PROPERTY
CHANGE,NUME / OWNER _ NEW CONST/ADDITION PERMIT #
NEW TENANT/OCCUPANT _ REMODEL/ALTERATION PERMIT#
/ ISSUE DATE FINAL DATE
V 1. APPLICATION FORM COMPI FTFD
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 5. ZONING CHECKED & COMPLETED ON APPLICATION
✓/6. BUILDING INSPECTION SCHEDULED DATE a / ' TIME
7. FIRE DEPT. INSPECTION SCHEDULED DATE,-;2-//Y/J TIME
FIRE INSPECTOR:
8. CITY SECRETARY(ALCOHOL) NOTIFICATION DATE:
9. HEALTH INSPECTION NOTIFICATION DATE:
10. 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
✓ 14. 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
—zi 9. LANDSCAPING SIGN OFF
y 20. BUILDING OFFICIALS SIGNATURE q
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: FEB 2 O ?fl19
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED:
0 TORMSIDSCOINFORMATIONICKLIST
121301041 Re,l ttl 1,11Il 5,5118
FEB, t3 2019 DATE OFISSUANCE:01_�I9
CRAP VIDE
T g x A S PERMIT#:
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED W/ITHANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: =� y(zJ JS+QnS VJr, v-e cf4e✓' SUI E-76'0�'
LOT: BLOCK: SUBDIVISION• IAJ5� A^
""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION""
NAME OF BUSINESS: ,� tl Sq prl cr p,d I o�(clCS S11C
NEW OCCUPANT: YES V NO NE UILDING/PROPERTY OWNER: YES NO
NEW BUILDING: YES NO--�/ NEW BUSINESS NAME CHANGE: YES—Z�—NO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES �NO_Y _
NEW BUSINESS OWNER: YES—L—1 NO_
11 _
TYPE OF BUSINESS: J - ,S /Y) 4 ;1 a n'-/ SQUARE FOOTAGE:
(Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant)
NAME OF TENANT [PERSON'S NAME]: rn I , 4
CURRENT MAILING ADDRESS: 7,<00 S,✓1 F, ),�e
CITY/STATE/ZIP: 141 (1J S't0 \6 � Z-7 c2 6'2 I PHONE NUMBER:
PROPERTY OWNER: D p -''�4e L c
MAILING ADDRESS: f(� C7 ✓I ? / l�
CITY/STATE/ZIP: PC,()4 Z � ��� E(' PHONE NUMBER: i2� -D76/— / S C�
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW?(if yes,provide copy of Sales Tax Certificate)---- YES_NO
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES?(if yes,provide copy of Alcoholic Beverage Permit)-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
♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes,screening isre quired)----------------------------------------------------------- YES_NO
♦ WILL THERE BE ANY OUTSIDE STORAGE(including storage of company/fleet vehicles),DISPLAY,
USE OR DINING?------------------------------------------------------------------ YES NO 11
♦ 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$42.00 re-inspection fee will be charged)
FOR QUESTIONS Xkl�ASE CALI L((881�7,)/410-3165.
SIGNATURE: /� �/ / J� (�—�—7 ) PRINT NAME: �� 1 A
Development Services Department
The City of Grapevine*P.O.Box 95104* Grapevine,Texas 76099 (817)410-3165
Fax(817)410-3012 *www.Uapevinetexas og_v
0:F0RMS\DSAPPLICAT10NS%C1
3/22120011Re v:5/06,2/07,W00,2113,11/15,10116,8/18
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/ttoo�my business.
Texas Sales Tax Number.
Signature: ,. '�� J �f
WHERE DO YOU ,WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
y I
ADDRESS: } �/(i I I J ic--
CITY, STATE,ZIP:
OFFICE USE
TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION:
ZONING DISTRICT: �/cam' CONDITIONAL USE:
PERMITTED USE: Yg?�
BUILDING DEPARTMENT: DATE:
BUILDING INSPECTOR: - DATE: 7-- 1�`—L5
ZONING APPROVAL: DATE: p
FIRE DEPARTMENT: 1 V,MX.� � � DATE: 1
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVAL: DATE:
APPROVAL FOR ISSUANCE: DATE: Z �9
O:FORMSIOSAPPLICATIONMI
3122120011Rev:5106,210],4/09,2113,11/15,10116,8118
CERTIFICATE OF OCCUPANCY
Issue Date:February 20,2019
g PROJECT DESCRIPTION:CIO[Autism Therapy Office] Blue Sprig Pediatrics,Inc.]New Business Owner&
Name Change]
PROJECT# (817)410-3010 www.mygov.us
CO-19-0542 Inspections Permits
City of Grapevine
P.O.Box 95104 LOCATION TENANT LEGAL
Grapevine,TX 76099 2401 Mustang Dr. Blue Sprig Pediatrics,Inc. Mustang Drive Addition Elk 1
(817)410-3165 Voice Grapevine,TX 76051 Lot 2
(817)410-3012 Fax Blue Sprig Pediatrics,Inc.
CONTRACTOR INFORMATION
Colin Mckeon *CONSTRUCTION TYPE VB
7500 San Felipe,Ste.990 *OCCUPANCY GROUP B
Srping,TX 77386 *ZONING DISTRICT CC
(832)240-5721 Phone
"NAME OF BUSINESS Blue Spring Pediatrics, Inc.
OWNER **TYPE OF BUSINESS Therapy Office
Dyr Real Estate Uc **APPLICANT NAME Colin McKeon
12941 North Fwy Ste 750 **APPLICANT PHONE NUMBER 832-240-5721
Houston,TX 77060 **TENANT NAME Colin McKeon
AVAILABLE INSPECTIONS **TENANT PHONE NUMBER 832-240-5721
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 YES
Change of Business Owner YES
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 35
Outside Refuse/Recycling NO
Outside Storage NO
Signs YES
Square Footage 5120
Zoning CC-Community Commercial
FEES TOTAL=$50.00
Certificate of Occupancy $50.00
PAYMENTS TOTAL=$50.00
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-19-05421 Printed 02/20/19 at 9:09 a.m. Page 1 of 3
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 19 - 05-
ADDRESS OF INSPECTION: �W a ��
DATE OF INSPECTION: al/g/ay� 9 TIME OF INSPECTION:
NAME OF BUSINESS:
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING: / o
CONTACT PERSON:
TELEPHONE NUMBER: -�y�"S`ja / rzZ Io(D
COMMENTS/VIOLATIONS: O,g6 , -k3,A, 2--kk-�
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION:
V
TYPE OF BUILDING: E> GROUP AND DIVISION:
ZONING RESTRICTIONS:
O.FORW DSCOIF``FOR IATIOh WOR ORDER
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