HomeMy WebLinkAboutCO2019-1917 UNDER CONSTRUCTION
CORRECTION LETTER_
PW OR LD NEEDED
TD NO LETTER
WAITING FIRE
HOLD
CODE
C/O CHECK LIST
C/O PERMIT # P19 - j((��I l (
ADDRESS: �I 9J 0 n n
BUSINESS NAME: cg� �&Wtz-' �
BUSINESS PROPERTY
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 TIME
7. FIRE DEPT. INSPECTION SCHEDULED DATE22 r TIME Qy)�
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
1,2. 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
V 19. LANDSCAPING SIGN OFF
✓20. BUILDING OFFICIALS SIGNATURE
txf21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV.0" b I LU 19
CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED:
O 1FORMSIDSCOINFORWTIONICKLIST
12130/041 Rev.11111 11M 5110
DATE OF ISSUANCE:
CRAP VINE 1 R 19l'7
Mpy 15 2019 T E X A S PERMIT#:
ITj
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCi P�CYIS A$S TED T NACTI�\�(�CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: �JI (gyp y11 pp y, SUITE#
LOT: �� BLOCK: 3 SUBDIVISION:
****CERTIFICATE OF OCCUPANCY WILL(N T B ISSU WIT Oft LE IAL DESC PTION****
NAME OF BUSINESS: 0 pw 1 `I% C e1 Ir J��/�
NEW OCCUPANT: YES NO NEW BUILDING/PROPERTY WNER: YES NO
NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO R/
NEW BUSINESS OWNER: YES NO t�
TYPE OF BUSINESS: I ,l5�L ��� SQUARE FOOTAGE: 1) afm _
(Example:Retail Clothing/Attorney's Office/Office-Warehouse I Restaurant)
NAME OF TENANT [PERSON'S NAME]: n 2Y1 iyA Vo
A CURRENT MAILING ADDRESS:: L � e\ 4 p
CITY/STATE/ZIP: �SdMCY1(\w ltw quo I PHONENUMBER: D 22 (o CaU
C- � �
PROPERTY OWNER: �e —11 IA m /I
MAILING ADDRESS:
CITY/STATE/ZIP: I�?,-1 O T'R t/CI> PHONE NUMBER'
♦ 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 Z
♦ 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 is required)----------------------------------------------------------- YES NO V
♦ WILL THERE BE ANY OUTSIDE STORAGE(including storage of company/Beet vehicles),DISPLAY,
USE OR DINING?------------------------------------------------------------------ YES N0111-�
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES NO;
♦.jIS 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 FO EGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THE SAID
OCCUPANCY IS iN CONF RMANC WITH THE INFORMATION HEREIN SET FORTH.
(If access to the building/ pace is no rovided at the time of the scheduled inspection, a$42.00 re-inspection fee will be charged)
FOR QUESTIONS PL A CALL( i )410-3165.
CA
SIGNATURE: PRINT NAME: ✓�`(pl
PHONE#: EMAIL: ,
Development Services Department
The City of Grapevine* P.O.Box 95104* Grapevine,Texas 76099* (817)410-3165
Fax(817)410-3012 *www.lzrapevinetexas.gov
O:FORMSIDSAPPLICATIONS\C/
312212001/Rev:5/06,210T,4/09,2113,11115,10/16,8/18
TEXASSALESTAX
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 tonmjynbusiness. J�.
Texas Sales Tax Number: V T / a' 1 ( ��
Signature:
WHERE DO YOU WANT Orr �A
UR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: 0A `- �t" M&
CITY, STATE, ZIP: v(A x (SOS
` , pk, r �FOR OFFICE USE
TYPE OF CONSTRUCTION: �/. t) OCCUPANCY: DIVISION:
ZONING DISTRICT: GG g�17 CONDITIONAL USE:
�/
PERMITTED USE: f eiJ �^
BUILDING DEPARTMENT: DATE:
BUILDING INSPECTOR: DATE: CSC
ZONING APPROVAL: /, II pp DATE: I I
FIRE DEPARTMENT: "mom �1.�(�xpp.r— DATE: (0
LOT DRAINAGE INSPECTION: / DATE:
PUBLIC WORKS DEPARTMENT: / DATE:
HEALTH DEPARTMENT: �� DATE:
CITY SECRETARY: /`rr DATE:
LANDSCAPING APPROVAL: �_ �.. DATE:
APPROVAL FOR ISSUANCE: DATE: !o •/ �/
O:FORWDSAPPLICATIOWC/
3122120011Rev:5106,210r,<109,2113,11115,10116,8118
CERTIFICATE OF OCCUPANCY
` Issue Date:June 26,2019
PROJECT DESCRIPTION:C/O(Retail Health Products)"DFW Holistic Health"
5 /+ PROJECT# (817)410-3010 www.mygov.us
CO.19-1917 Inspections Permits
City of Grapevine
LOCATION TENANT - LEGAL
Grapevine,,T TX 76099 Y p
P.O.Box 426 S Main St. DFW Holistic Health City Of Grapevine Elk 3 Lot 12
X
Grapevine,TX 76051
(817)410-3165 Voice
(817)410-3012 Fax
CONTRACTOR INFORMATION
DFW HOLISTIC HEALTH *CONSTRUCTION TYPE VB Sprinklered
426 S MAIN STREET *OCCUPANCY GROUP M
GRAPEVINE,TX 76051 *ZONING DISTRICT CBD
(817)722-6060 Phone
**NAME OF BUSINESS DFW Holistic Health
OWNER **TYPE OF BUSINESS Retail
Laura B Self **APPLICANT NAME Veronica Jones
4146 Cedar Dr **APPLICANT PHONE NUMBER 8177226060
Grapevine,TX 76051-6501 **TENANT NAME Veronica Janes
AVAILABLE INSPECTIONS **TENANT PHONE NUMBER 4699558218
• Final Building C/O Inspection (required) *Sales Tax YES
r. Final Fire Dept Inspection(required)
. Landscaping(required) *Sales Tax Number 32067582141
r, C/O APPROVED FOR ISSUANCE Alcoholic Beverage Sales YES
(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 f Addition NO
New Building or Property Owner NO
New Occupant/Tenant YES
Number of Employees 3
Outside Refuse/Recycling NO
Outside Storage NO
Overlay HL-Historic Landmark Subdistrict
Signs YES
Square Footage 1200
Zoning CBD-Central Business District
FEES TOTAL=$50.00
Certificate of Occupancy $50.00
PAYMENTS TOTAL=$50.00
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-19-1917 I Printed 06/27/19 at 10:14 a.m. Page i of 3
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 19 - 19 1
ADDRESS OF INSPECTION:
DATE OF INSPECTION: TIME OF INSPECTION:
NAME OF BUSINESS: ` plH j
TYPE OF BUSINESS: p
USE OF BUILDING AND/OR PREMISES: —` I Qe,Q
REASON FOR APPLYING: � F ,uj gx
CONTACT PERSON: UC S�'ef11 C Q- ` k�mto's
TELEPHONE NUMBER:
COMMEN /VIOLATIONS:
a� 5
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF`INSPECTION LOCATION:
TYPE OF BUILDING: y "!5 -5 C6-W y Kli GROUP AND DIVISION: 14
ZONING RESTRICTIONS:
O FORNS DSCOINFORMATJON M ORKORDFR
12 j0 ARev.I I-211111
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