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Home My WebLink AboutCO2019-1937 UNDER CONSTRUCTION _ CORRECTION LETTER_ PW OR LD NEEDED_ TD NO LETTER_ WAITING FIRE _ HOLD_ CODE C/O CHECK LIST ,66 t C/O PERMIT # P19 ADDRESS: 16 z1a BUSINESS NAME: . �/D_� ny�r� �� cri% / /J 6i✓1J BUSINESS/PROPERTY Vl� CHAN__ GE NAME / OWNER _ NEW CONST/ADDITION PERMIT# NEW TENANT/ OCCUPANT — REMODEL /ALTERATION PERMIT# s ISSUE DATE FINAL DATE Y 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 TIME 7. FIRE DEPT. INSPECTION SCHEDULED DATE 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 19. LANDSCAPING SIGN OFF ! 20. BUILDING OFFICIALS SIGNATURE 21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: SCAN CERTIFICATE TO MYGOV: CONDITIONS TO BE TYPED ON C/O? YES/NO MAILED: O 1FORMSIOSCOINFORMATIONICKUST 1313004 A Rev.11 11f 11115,6118 2019-05-14 M7!P9 . abc 123 >> 18175337392 25 P 2/3 DATE OF ISSUANCE: IG {M V' /� T E x a s'�° PERMIT#; �% "- !A CERTIFICATE OF OCCUPANCY REQUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: 1042 Texan Trail SUITE 9200 LOT: 3R3 BLOCK. 4 SUBDIVISION• GRAPEVINE ***"CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION**** T NAME OF BUSINESS: U.S.DERMATOLOGY PARTNERS TEXAN TRAIL NEW OCCUPANT: YES_NO NEWBUILDINC/PROPERTY OWNER: YES NO NEW BUILDING: YES NO— � NW.BUSINESS NAME CHANCE: YES X NO_ NUMBER OF EMPLOYEES: , _ FREIGHT FORWARDING! YES—NO t�- NEW BUSINESS OWNER! YES NO_ TYPE OF BUSINESS: MEDICAL-DERMATOLOGY SQUARE FOOTACE:',5;?0 (Exnnlple:Retnll Clothing/Altornev'x 01111cc/001re-Warchuwse I Routurnnt) NAME OF TENANT [PERSON'S NAMEI: U.S.DERMATOLOGY PARTNERS TEXAN TRAIL CURRENT MAILING ADDRESS: 1042 TEXAN TRAIL.SUITE 200 CITY/STATEIZIP: GRAPEVINE,TX 76051 PHONE NUMBER: 46¢9414212 PROPERTY OWNER: SHELL PROPERTIES,LLC MAILING ADDRESS: 8604 TRETHORNE CT CITYISTATEPLIP: WAXHAW,NC26173 PHONENUMBER: 469.941.4212 ♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW?(if yes,provide copy 0 Sales Tax Certificate)---- YES_NO X o WILL THERE BE ALCOHOLIC BEVERAGE SALES?(if yes,provide copy of Aleoholie Beverage Permit)-YES,,,_NO X PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED?----------- -- VFSX NO • WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM?------YES_NO X 4 WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (iryes,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 q, WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES�NOX ♦ IS BUILDING SPRINKLERED?------------------------------------------------------- YES—_NOX ♦ 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 1 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-insnection fee will be charged) FOR QUESTIONS,PLEASE CALL(817)410-3165. / SIGNATURE: SrY PRINT NAME: Heather Sullivan PHONE f!: 214-020.0650 i(?63 6` EMAIL: (O V I,R) Development Services Department The City of Grapevine 0s P.O.Box 95104 IK Grapevine,Texas 76099*(817)410-3165 Fax(8 17)410-3012*www,LmpevinciQxm,env a R=I/R)aRPPII WRIaNalG 9r3]/tt91/Rev:SN9,tl9rv499,]Ma,!lr15,19114,N10 2019-05-14 13:10 abc 123 >> 18175337392 25 P 3/3 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 825%. A"Seiler 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 torm,"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: l✓�� Signature: 6 JU [i,2yL WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? ADDRESS: 1042 TEXAN TRAIL,SUITE 200 CITY,STATE,ZIP: GRAPEVINE,TX 76051 OFFICE USE TYPE OFCONSTRUCTION: Vg OCCUPANCY: � _ DIVISION: 70NING DISTRICT: c—� CONDITIONAL USE:YIA PERMITTED USE: y�5 1 BUILDING DEPARTMENT: / -� DATE; BUILDING INSPECTOR; / DATE: 70NING 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: 0:r0jeiM0$APPWCA=NMC1 ]RLZppllRan 61Pd.i>OriYDO,]11],11%],�On O,@iB CERTIFICATE OF OCCUPANCY i Issue Date:May 28,2019 PtAP VIA PROJECT DESCRIPTION:C/O[Dermatology Clinic]"U.S.Dermatology Partners Texan Trail"[NAME CHANGE ONLY] � PROJECT# (817)410-3010 www.mygov.us CO-19-1937 Inspections Permits City of Grapevine P.O.Box 95104 LOCATION TENANT LEGAL Grapevine,TX 76099 1042 Texan TH. U.S.Dermatology Partners Grapevine Station Blk 4 Lot (817)410-3165 Voice Suite#200 Texan Trail 3r3 (817)410-3012 Fax Grapevine,TX 76051 U.S. Dermatology Partners Texan Trail CONTRACTOR INFORMATION Heather Sullivan *CONSTRUCTION TYPE VB 1042 Texan Trail,Ste.#200 *OCCUPANCY GROUP B Grapevine,TX 76051-0000 *ZONING DISTRICT cc (214)420-0650 Phone ** NAME OF BUSINESS U.S. Dermatology Partners Texan Trail **TYPE OF BUSINESS Medical Office OWNER **APPLICANT NAME Heather Sullilvan Shell Properties Llc - **APPLICANT PHONE NUMBER 214-420-0650 8604 Trethorne Ct **TENANT NAME Heather Sullivan Waxhaw,NC 28173 *`TENANT PHONE NUMBER 214-420-0650 ph.(469)941-4212 *Sales Tax NO AVAILABLE INSPECTIONS *Sales Tax Number C/O APPROVED FOR ISSUANCE Alcoholic Beverage Sales NO (required) Alterations NO Change of Business Name YES 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 NO Number of Employees 2 Outside Refuse/Recycling NO Outside Storage NO Signs YES Square Footage 2571 Zoning CC-Community Commercial FEES TOTAL=$21.00 Certificate of Occupancy-NAME CHANGE $21.00 PAYMENTS TOTAL=$21.00 MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-19-19371 Printed 05128119 at 9:33 a.m. Page 1 of 3 /X Y m � / a � a V N, w / \ ' E : 5 �_LL -gin --�V 0 AU(N.WP� 'e 1 F MINTFPY4NPREL`P� o �iy0` WFItl n � SOrySHINE I^ � r y2O _ e a \� NOS Cs '�'��✓ % MOPNIVtl 15`A31K,3 I) 2 j a i I[ (� 2 e= LL WXAN OO W 3 � Zaoo a4 :t >• 15HNtl - � - mss i'" bO NAG�te 6p 0m }Ef LLO�` OAOP S X �dV�6in CERTIFICATE OF OCCUPANCY WORKORDER PERMIT # 19 - ADDRESS OF INSPECTION: ;Z f . DATE OF INSPECTION: TIME OF INSPECTION: / r NAME OF BUSINESS: �� TYPE OF BUSINESS: U USE OF BUILDING AND/OR PREMISES: REASON FOR APPLYING: CONTACT PERSON: Ado TELEPHONE NUMBER: COMMENTS/VIOLATIONS: **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: TYPE OF BUILDING: GROUP AND DIVISION: ZONING RESTRICTIONS: O.FORMS DSCOIKFORA1ATIO\\ORAORDER 121004Rw 117 2W6 s>> y � 1 ; . , i • — - -�1 : 0 00 CL ca CL 0 • �.` LU CL LL cz cu cu a „ .. rcu _ ,. ■ , . CL �y1.l0 MOO dk , ter`{ ✓'_ � 1r �� 'q�1 f /��;