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HomeMy WebLinkAboutCO2019-1089 UNDER CONSTRUCTION CORRECTION LETTER_ PW OR LID NEEDED _ TD NO LETTER WAITING FIRE HOLD CODE C/O CHECK LIST C/O PERMIT # P19 - kOgq ADDRESS: �k8I1 f��C �d+ AV1(2 BUSINESS NAME: k��I5�G1 NoSp iCL�S:i(LL� 4�C.�j7C� �; ��(� p�cL BUSINESS/PROPERTY 1 CHANGE NAME / OWNER _ NEW CONST/ADDITION PERMIT# NEW TENANT / OCCUPANT — REMODEL /ALTERATION PERMIT# ISSUE DATE FINAL DATE 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 `// 5. ZONING CHECKED & COMPLETED ON APPLICATION 6. BUILDING INSPECTION SCHEDULED DATE .�Ja Y TIME r 3L �I yti I/ 7. FIRE DEPT. INSPECTION SCHEDULED DATE 302 TIME X 3�� yl FIRE INSPECTOR: a' 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 1 12. CORRECTION LETTER SENT DATE 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 LANDSCAPING SIGN OFF 20 BUILDING OFFICIALS SIGNATURE ��AY 14 2019Qq 21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: SCAN CERTIFICATE TO MYGOV L } CONDITIONS TO BE TYPED ON C/O? YES/ NO O RORMSIDSCOINFORMATIONICKLIST 121301041 Rev 1 1tl 1,1 1115.5118 DATE OF ISSUANCE: PERMIT#: JAR 2 5 2019 CERTIFICATE OF OCCUPANCY REQUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITHANACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: 4$ 1,l 1t1—Lo t 7` yLe SUITE# O LOT: a IZ BLOCK:_ SUBDIVISION: 1726ano- VtW "Q A�eU,+ibv-\ ****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION**** NAME OF BUSINESS: k/ay ai-ay Q 1 Easaj c /SC4c ��a�(�S fp,.) i Car }6spi CC NEW OCCUPANT: YES )( v NO NEW BUILDING/PROP RTY OWNER: YES NO X NEW BUILDING: YES NO K NEW BUSINESS NAME CHANGE: YES NO_ C� NUMBER OF EMPLOYEES: 30 FREIGHT FORWARDING: YES NO_X NEW BUSINESS OWNER: YES NOS n I TYPE OF BUSINESS: AdyhiN t l I m-HV P-- © 6 Ce. SQUARE FOOTAGE: 73!j _ (Example:Retail Clothing/Attorney's Office/Office-�varehollse/Restaurant) NAME OF TENANT IPERSON'S NAME): :""W44 s C7 e"byj CURRENT MAILING ADDRESS: Io t2U G7 Le 5- 116 CITY/STATE/ZH': ba,110 S TX 7 52 L60 PHONE NUMBER: PROPERTY OWNER: ►M2yLu ti f ('mot r t LP yr, ( Iy-. t-petd i-1'OyneS MAILINGADDRESS: LA2-8 wyvd a.y(_ Sf-- CITY/STATE/ZIP: LQr C-6 gnSp I PHONE NUMBER: 3) S30 - 032 O * 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 X * PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED?------------------- YES Y, NO_ * WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM?------YES_NO K * WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (if yes,screening is required)----------------------------------------------------------- YES—NO 2( * 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 datasheets)----------------------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(81 410-3165. SIGNATUREt—:1fL PRINT NAME: ��/1fllM1ga& C7�ea�a✓t PHONE#: ci to I C e-t( EMAIL: The City of Grapevine * P.O.Box 95104 * Grapevine,Texas 76099 (817)410-3165 1:�� Fax(817)410-3012*www.grapevinetexas.gov O:FORMSIOSAPPLICATIONSO 3 12212001 1Rev;6106,2M7,W09,2/13,11115,10/16,6/15 i 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 circums tance applies to my business. Texas Sales Tax Number: N A Signatore��1&M4f(r�2 WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? ADDRESS: feLOo((PP� LB 5 4�- Cd -°" ky-\ 6(eCiS01\ P.rpczr CITY,STATE, ZIP: 1 )Ot U a 1 g jX 7�Z�{ D I I ;^ C Ns`y)CU 1- f �e sot`LCCU s- vn-j(: (-e, car- 1Or` )41 ****** * *************FOR OFFICE USE ONL�Cxxxxxx***x************ x* �x� TYPE OF CONSTRUCTION: \15 OCCUPANCY: DIVISION: ZONING DISTRICT: 9D CONDITIONAL USE: MIAL ---- PERMITTED USE: YLS J BUILDING DEPARTMENT: DATE: BUILDING INSPECTOR: n ? DATE:�✓ ' / J ZONING APPROVAL: DATE: FIRE DEPARTMENT: � DATE; LOT DRAINAGE INSPECTION: -- ' DATE: PUBLIC WORKS DEPARTMENT: DATE: HEALTH DEPARTMENT: DATE: CITY SECRETARY: _ DATE; LANDSCAPING APPROVAL: DATE: APPROVAL FOR ISSUANCE: DATE: 4 O:PORMSIOSAPPLICATIONSICI 312212001Iaev:5106,2107,4/09,2113,11N5,10N6,8116 CERTIFICATE OF OCCUPANCY 9-711191 M Ii;EI Lj' Issue Date:May 14,2019 PROJECT DESCRIPTION:C/O(Administrative Office only)"Keystone Hospice Care,Inc.dba Custom Care Hospice" PROJECT# (817)410-3010 www.mygov.us CO-19-1089 Inspections Permits City of Grapevine P.O.Box 95104 LOCATION TENANT LEGAL Grapevine,TX 76099 4611 Merlot Ave. Keystone Hospice Care, Inc. Delaney Vineyards Addition (817)410-3165 Voice Suite#110 dba,Custom Care Hospice Elk 2 Lot 2r1 (817)410-3012 Fax Grapevine,TX 76051 Keystone Hospice Care,Inc. dba,Custom Care Hospice CONTRACTOR INFORMATION Thomas Gleason *CONSTRUCTION TYPE VS 6606 LBJ Frwy.#110 *OCCUPANCY GROUP B Dallas,TX 75240 *ZONING DISTRICT PO (970)685-1969 Phone **NAME OF BUSINESS Keystone Hospice Care, Inc.dba Custom Care Hospice OWNER **TYPE OF BUSINESS Office Merlot Court Lp **APPLICANT NAME Thomas Gleason 428 Kimbark St —APPLICANT PHONE NUMBER 940-985-1969 Longmont,CO 80501 **TENANT NAME Thomas Gleason ph.(817)637-8000 **TENANT PHONE NUMBER 972-242-5959 AVAILABLE INSPECTIONS *Sales Tax NO Final Building C/O Inspection(required) *Sales Tax Number Final Fire Dept Inspection(required) Alcoholic Beverage Sales NO Landscaping(required) � C/O APPROVED FOR ISSUANCE Alterations NO (required) Change of Business Name NO 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 30 Outside Refuse/Recycling NO Outside Storage NO Signs NO Square Footage 7346 Zoning PO-Professional Office FEES TOTAL=$50.00 Certificate of Occupancy $50.00 MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-19-10891 Printed 05/14/19 at 3:55 p.m. Page 1 of 3 PAYMENTS TOTAL=$50.00 Thomas Gleason(C/O Registration) Check on 0312512019 ($50.00) Note:CK5102 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-19-10891 Printed 05/14/19 at 3:55 p.m. Page 2 of 3 ° ��e.uI7dCa l9f.'il�+F 9 1 y L•9` e ,x NE H IA A1BuG w zTHz,®mG�9]s 3 g V M A A'jGga s pNz3 s3 OO®LD 2 S s„Wn OIL °x ADDN 24613 2 .a I as z z a 5 AOA Q: zz6 fi H a]s D zNVz° s D• O EP z N B fi E Ns D 1 9 °s o.._a- S6 A o N a DNPe D IT W A `v O E 'Q''++o+ ' q t H�N o, ® 1 T < ' x. 12 16 AO AN H , ,19 1 11 11 \GON GV Ile PO e z ' <S x n A00M ADD 36 e e s a e 5]°, 7311, GATEWAY-DR— G) s ° ADd q rz z , z rz' H3,g ¢ CHAMPAGNE'BLV za z 1 71 27 ] O O GREENHA H E 5 CN ' r,g m ® it:e<< + ® 2h536E pp 3 1 sx x] 0gSOS asu 3 o s s ,rz T n-OR D A1:E.OP , _a G a U n :°n 5 .<s0 '6 z° & 9 } z z. ^N 2 rzs 2 1 R ALTA ]°:® LRES ° +. ,a i _ „® � sa ,<a sa as as ]a as sR .a as 91 n E Crossover R-7.5 3 0 sli, GLEWWOOD DRS2 [1 %® an o9 atet�-yreetr-Df!' q n Oi„v MExR�g9�G l�l-SB.GIADE� n ,]A ,e] ,aa aoA nA u a S ,oa ` ` `a � A —W GI WE RD ____GLADE SAD DSHg 1 NB-GL 4. �.+._ �+ ,° o 5 Z . 153 A A az® oTR151 O B , a a O , .. "v HEPt Z1E ,bozo s]s� e a a,o fRGONELC Ter A a.ll G a �s °i9 °0 2s 66 'o ] °] 6a n n]s 74 75 ze 7 2l O P\N5 G In h c 8 A 24 K pi S n , av ea 21 Q ZC s3 3 B C 17 ec G�A\(5 m x w s, ° NORMANDY PAP 5E a . 7571„,o 6 DR 153 N s. , ,a 2l _4\ Cj a AD D 15 1617 m,azo zzno<zsz LOVING TRL 8848 `'. O.a BORDEAUX+DRR-- n o At 41 J y'z=°°n,szn. H S ti BPDPVPPO w i V\NE�p,GE IA 11 eo es z P153yeP ,= W N n ti 384s P ' 71 a< 51 12 1 41 71 W ae B i 5.176® yx s] T6. n m B Z F B W1520Tx sA x, ,. ,s tl A x' 2e A 4C �, ° ; x NyN CENTURIONIWAy 2 A SHDEyAPD L1 inch = 400 feet Grid Page: CERTIFICATE OF OCCUPANCY WORKORDER PERMIT # 19 - Sq ADDRESS OF INSPECTION: 4--e i l m0�- � f�V e-, * ( I o DATE OF INSPECTION: J1 d` s,/ aD / el TIME OF INSPECTION: NAME OF BUSINESS: Nosq(ce TYPE OF BUSINESS: HCC� t- 1Kca USE OF BUILDING AND/OR PREMISES: ((1 REASON FOR APPLYING: E'y) (?ACA Yet CONTACT PERSON: TELEPHONE NUMBER: COMMENTS/VIOLATIONS: **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: PCB TYPE OF BUILDING: V 15 GROUP AND DIVISION: ZONING RESTRICTIONS: O FORMS OSCOINI'ORMATION\VORRORO5R 121004fire I"II106 a City of Grapevine 3` CERTIFICATE OF OCCUPANCY d City of Grapevine } This Certificate Of Occupancy is hereby issued pursuant to Section 109 of the 2006 International Building Code And Chapter 64 of the City Of Grapevine Comprehensive Zoning Ordinance. At the time of inspection, this building or space was found to be in compliance with the applicable Building and Zoning Ordinances of the City of Grapevine. Any change in use, tenant and/or owner of this ti building/space shall first require a new Certificate of Occupancy. a ' PERMIT ID#CO-19-1089 s Tenant/ Business Property Owner Keystone Hospice Care, Inc. dba, Merlot Court Lp Custom Care Hospice hll_`1T 428 Kimbark St 4811 Merlot Ave. Longmont CO 80501 Suite # 110 j ph (817) 637-8000 Grapevine TX 76051 1 Use Classification Office Issued By: Occupancy Group B Construction Type VB Donald Dixson,Assists 11i Fiel Date Inspector Zoning District PO - Professional Office 1< i II