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HomeMy WebLinkAboutCO2013-3179 UNDER CONSTRUCTION CORRECTION LETTER PW OR LD NEEDED TD NO LETTER C/O CHECK LIST C/O PERMIT# Pl3- .� 7 ADDRESS: 5-�20 J. 222az-,,✓ A--A"5d BUSINESS NAME: Y BUSINESS/PROPERTY CHANGE NAME/OWNER NEW CONST/ADDITION PERMIT# NEW TENANT/OCCUPANT REMODEUALTERATION PERMIT# ISSUE DATE APPLICATION FORM COMPLETED FINAL DATE V /2. ZONING MAP COPIED&WORKORDER FORM COMPLETED P/ 3. ZONING CHECKED&COMPLETED ON APPLICATION ✓ 4. BUILDING INSPECTION SCHEDULED: DATE �TIME3 ��, 5. FIRE DEPT. INSPECTION SCHEDULED: DATE l -" TIME ` 3� INSPECTOR 6. HEALTH INSPECTION: DATE TIME 7. PUBLIC WORKS INSPECTION: E-MAIL DATE 8. LOT DRAINAGE INSPECTION: E-MAIL DATE 9. CORRECTION LETTER SENT: DATE ,'�/10. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO V 11. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO -- —12. HEALTH DEPARTMENT SIGN OFF �^ 13. PUBLIC WORKS SIGN OFF �~ 14. LOT DRAINAGE SIGN OFF �✓ 15. LANDSCAPING SIGN OFF 716, BUILDING OFFICIALS SIGNATURE VT 17. C/O ISSUED ELECTRIC RELEASE: COPY: MAILED: CONDITIONS TO BE TYPED ON C/O: YES / NO 0AFORMSOSCOINFORMATIOMCKLIST DATE OF ISSUANCE: �O � +` 4 r T E � s t' PERMIT#• 13 e CERTIFICATE OF OCCUPANCY REQUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITH AN ACTIVE CURRENT BUIL ING PERMIT ADDRESS OF OCCUPANCY: S Vie_ sbITE# 3 LOT: 3 BLOCK: ZI S�BM: 6 . Tdr vyt; t , ****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WI V HOUT LEGAL DESC IPTION**** NAME OF BUSINESS: QV-- U iS G rc&oc L'1 (I t NEW OCCUPANT: YES NO NEW BUILDING ROPERTY OWNER: YES NO NEW BUILDING: YES NO NAME CHANGE:BUSINESS YES NO lr-- NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO NEW BUSINESS OWNER: YES NO TYPE OF BUSINESS: _� 1 C� SQUARE FOOTAGE: Q (Example:Retail,Office,Warehouse) NAME OF TENANT: YES ►�1 CURRENT MAILING ADDRESS: a V CITY/STATE/ZIP:0_Q rM( Ito n o PHONE NUMBER: �7 f PROPERTY OWNER: -Td MAILING ADDRESS: 1 7-1i -S. CITY/STATE/ZIP: ry I v V J PHONE NUMBER: — q ♦ IS YOUR BUSINESS SUBJ CT TO SALES tAX LAW?(if yes,provide copy of Sales Tax Certificate)---- YES V NO ♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES?(if yes,provide copy of Alcoholic Beverage Permit)-YES—y NO�� ♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED?-------------------YES ti/ 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'✓ ♦ WILL THERE BE ANY OUTSIDE STORAGE,DISPLAY,USE OR DINING:--------------------- YES NO ♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES NO ♦ IS BUILDING SPRINKLERED?------------------------------------------------------- YES7'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 PLEASE CALL(817))4410-3165. PRINT NAMV,: J SIGNATURE: v-- PHONE#: , �~ EMAIL: I (OVER) Development Services Department The City of Grapevine*P.O.Box 95104*Grapevine,Texas 76099 (817)410-3165 Fax(817)410-3012 *www.grapevinetexas.gov O:FORMSIDSAPPLICATIONSIC/OApplintion 3/22/2001/Rev1sed:5/06,5/06,2I07,1/09 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 to my business. Texas Sales Tax Number: _ Signature: ✓ F WHERE DO YO NT YOUR COMPLETED CERTIFICATE OF OCCUPANY MAILED? ADDRESS: 1 2-C� � . �-t GL(n .,- 6yZ f--� —J /1 CITY,STATE,ZIP: I 0,- l 3 OFFICE USE ONLY �r �r �r �r TYPE OF CONSTRUCTION: _1 OCCUPANCY: DIVISION: _ ZONING DISTRICT: CONDITIONAL USE: PERMITTED USE: BUILDING DEPARTMENT: Y DATE: ZONING APPROVAL: DATE: FIRE DEPARTMENT: DATE: J LOT DRAINAGE INSPECTION: DATE: PUBLIC WORKS DEPARTMENT: V`;� DATE: HEALTH DEPARTMENT: DATE: LANDSCAPING APPROVAL: DATE: /dll!ZIP, APPROVAL FOR ISSUANCE: DATE: 09r ocrt Y.00 O:FORMS\DSAPPLICATIONS\CIOApplkati.n 3122/2001/Rniee0:5/06.51W 2107A/09 CERTIFICATE OF OCCUPANCY ;*P, E. Issue Date:October 22,2014 - PROJECT DESCRIPTION:C/O"Stork Vision Grapevine"[3D/4D Pre-Natal Ultra Sound Center] PROJECT# (817)410-3010 WWW.mygov.us CO-13-3179 Inspections Permits City of Grapevine, TX LOCATION TENANT LEGAL P.O.Box 95104 One Star Retail&Office Stork Vision Grapevine City Of Grapevine Blk 4 Lot 2 Suites 8 3B Grapevine,TX 76099 520 S Main St. (817)410-3165 Voice Suite#311 (817)410-3012 Fax Grapevine,TX 76051 CONTRACTOR INFORMATION CERTIFICATE OF OCCUPANCY *CONSTRUCTION TYPE VB 200 S.Main Street *OCCUPANCY GROUP B Grapevine,TX 76051 *OCCUPANCY LOAD (817)410-3158 Phone *ZONING DISTRICT CBD OWNER **NAME OF BUSINESS Stork Vision Gapevine Biatwic Llc **TYPE OF BUSINESS Office 1230 Lakeway Dr **APPLICANT NAME Ashley Swanston Southlake,TX 76092-7123 **APPLICANT PHONE NUMBER 817-239-3201 **TENANT NAME AVAILABLE INSPECTIONS **TENANT PHONE NUMBER ► Final Fire Dept Inspection(required) P. Final Building C/O Inspection(required) *Sales Tax YES ► Landscaping(required) *Sales Tax Number 32051462664 C/O APPROVED FOR ISSUANCE Alcoholic Beverage Sales NO (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/Addition NO New Building or Property Owner NO New Occupant/Tenant YES Number of Employees 4 Outside Refuse/Recycling NO Outside Storage NO Signs YES MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-13-3179 I Printed 10/22/14 at 2:32 p.m. Page 1 of 3 Square Footage 450 Zoning CBD-Central Business District FEES TOTAL=$50.00 Certificate of Occupancy $50.00 PAYMENTS TOTAL=$50.00 CERTIFICATE OF OCCUPANCY(City of Grapevine Applicant) ($50.00) Other on 0911112013 Note:CC1950 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-13-3179 1 Printed 10/22/14 at 2:32 p.m. Page 2 of 3 �� �y 7r w..r^ •�•� �a � pin 11011 [m oil LOU WIN J /ffL � IBM �� ,�,� Z I Old %l.nl J Ilyayq���� milk IWO, 1-1.00/0'o P'Not Is, WOO ,r�r .. I.a- ®®© ow_ imp �0► - o L�.. CERTIFICATE OF OCCUPANCY WORKORDER PERMIT# 13- '7 ADDRESS OF INSPECTION: 6cQ© DATE OF INSPECTION: q11 4o30l_3 TIME OF INSPECTION: NAME OF BUSINESS: TYPE OF BUSINESS: USE OF BUILDING AND/OR PREMISES: �7X REASON FOR APPLYING: CONTACT PERSON: d � TELEPHONE NUMBER: f COMMENTS/VIOLATIONS: 10i / 3 �S **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION:L.21"] TYPE OF BUILDING: GROUP AND DIVISION: ZONING RESTRICTIONS: o:,nRM DSOOmroxMnnON•wowwRDER 1230/(A Rev.V1712006 { .. :. . . . . � .- •. . , .: . .. . - - z .. ---� � -6 o ' kt � $ 02 2 � / N 2 \ =22 q %-0CU E 2kk © r k o� � �x oG 0 o 2 ® 3 § » £ - 2 / ) \ 2 � M § mC �§ .2 0 o Lo n o a co 04% a m / $ £ oc 7 � ��t k-0C k m< CL ~ ES 0)■ / � \c f E Q E I E� f \ _ 2 \ � C CL kG� 0 ■ - 0 , SS O Q o % a) . 2 / ¥ % \/D / / . 8 2/ d !� ( co M 0 ma ■O B i2 L6 ■ =, ■ ��� 8 2�2 =00! § o of LU 0 Cc: _ § | 22� Cc ® . :$ c,3 (D ■ 7 / t§ cy):3 © I k OL- B m 1 V 5« ■ LO 00 § $ 2 0 0 ■— § � . | � 2 /$/$ k o2 § E m g — — @ ) k m k R 0 0 ® p Eee� k m 7 % 0 � k § $ k 7 2 2 A § _ ƒ $g mQgo O gg � R Q = k O k 0 � .