HomeMy WebLinkAboutCO2019-4957 UNDER CONSTRUCTION _
CORRECTION LETTER_
PW OR LID NEEDED_
TD NO LETTER_
WAITING FIRE _
HOLD_
CODE_
C/O CHECK LIST � � G
C/O PERMIT # Pjq - ��1
ADDRESS:
BUSINESS NAME: 1Ats, i t e- A ke Sk'rygs
SS/PROPERTY
RANGE NAM OWNER NEW CONST/ADDITION PERMIT#
_ NEW NT/ OCCUPANT — REMODEL/ALTERATION PERMIT#
ISSUE DATE FINAL DATE
� 1. APPLICATION FORM COMPLETED
it/ 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:
i 9. HEALTH INSPECTION NOTIFICATION DATE:
10. PUBLIC WORKS INSPECTION E-MAIL DATE
I" 11. LOT DRAINAGE INSPFCTION EMAIL 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
i 18. LOT DRAINAGE SIGN OFF
19. LANDSCAPING SIGN OFF
/ 20. BUILDING OFFICIALS SIGNATURE
v21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV:
* CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED:
O IFORMS\DSCOINFORMATIOMCKLIST
12/301041R-11M 11115, '18
DATE OF ISSUANCE: Ll G . 2 O Wn
vli � PERMIT#: '�q- 14951
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH ANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: Jb So Mr-ST OM W ES-E H V J Y SUITE#_
LOT:E BLOCK: tSUBDIVISION: H ubbt %� `
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: 371 Q L S (FONSW MAM ALL WY)
NF8VOCCUPANT: YES—NO X NEW BUILDINGIPROPERTV OWNER: VES_NO
NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YF,S_).CLNO
NUMBER OF EMPLOYEES: 111) FREIGHT FORWARDING: YES NO
NEW BUSINESS OWNER: YES NO
TYPE OF BUSINESS: W N I C I PETM A't- OFFI e SQUARE FOOTAGE:
1 Example:Retail Clothing/Atlorne)'s Omce]Onice-Warehouse/Restaurant)
NAME OF TENANT (PERSON'S NAMEI: NAT�LI
CURRENT MAI LING ADDRESS: j S (]
CITY/STATE/ZfP: Au.��nN ! �( �p,,3 PHONE NUMBER: i a��n. Iam
PROPERTY OWNER: —UF r)IFFw P 5 A-r bbm Ay
MAILING ADDRESS: 55
/ ��^^'�
CITV/STATE/ZIP: 3DUVAI_A`C I{ I -] DD'I PHONE NUMBER
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW?(if yes,provide copy of Sales Tax Certificate)---- YES_NO X
• W'ILL 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 is required)---------------------------------- YES X NO
♦ WILL THERE BE ANY OUTSIDE STORAGE(including storage of companv/fleet vehicles), DISPLAY,
USE OR DINING?------`--------------------------- YES i NO X
♦ WILL ANY ALTERATIONS HE MADE TO THE SITE OR BUILDING?------------------------- YES NO X
• IS BUILDING SPRINKLERED?------------------------ ------ .
• WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? YES No
(if yes,provide list oftypes&quantities,along with material safety data sheets)----------------------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 542.00 re-inspection fee will be charged)
FOR QUESTIONS PLEASE CALL(817)410-31 .
SIGNATURE: PRINT NAME: 2 ( ((
PHONE#: 512• (0 S EMAIL:
The City of Grapevine* P.O. Box 95104 *Grapevine,Texas 76099* (817)410-3165
Fax(817)410-3012 wt�u•.eranevinctcxa-env
0:F0RMSIDSAPPLICAMNS%C1
3132120e1IRev:3N6,2p]MDa,?/13,11I13,18116,8/18
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 he 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:
1�'HE DO YO �1'A!��Yn UR COMcPLE'TED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: t SSD� 3 1�Yl�,C��/NLS L - ) y • lob
CITY, STATE,ZIP: OMTPN I h -78-73)
x�*ter *�*xtix* rti**xrx�*xx*�*FOR OFFICE USEONLY * �*� � ti�tti* �*xtti*t* tip***x
TYPE OF CONSTRUCTION: VE5 SPZ-4& S OCCUPANCY: DIVISION:
ZONING DISTRICT: F02 CONDITIONAL USE: N/i(
PERMITTED USE: C-
BUILDING DEPARTMENT• DATE: �Z•Za
BUILDING INSPECTOR: DATE:
"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: /Z•�-�`7
O:FORWDSAPPLICATIO NSV
31=0011Rev:5106XOT,41n., 13.11115,10116,9119
- CERTIFICATE OF OCCUPANCY
Issue Date: December 20,2019
PROJECT DESCRIPTION:C/O(Medical Office)"Aspire Allergy&Sinus'(NAME CHANGE ONLY)
TV
PROJECT# (817) 410-3010 WWW.mygoV.us
CO-19-4957 Inspections Permits
City of Grapevine —
LOCATION TENANT LEGAL
P.O.Box ,TX 1650 W Northwest H Aspire Grapevine,TX 76099 `^rY• p� Allergy&Sinus Hubbell Dds Addition Elk 1
Suite#202 Lot 1
(817)410-3165 Voice Grapevine,TX 76051
(817)410-3012 Fax
CONTRACTOR INFORMATION
Jennifer Northington *CONSTRUCTION TYPE VB Sprinklered
5929 Balconies Drive#100 * OCCUPANCY GROUP B
Austin, TX 78731 *ZONING DISTRICT PO
(512)628-5987 Phone
NAME OF BUSINESS Aspire Allergy&Sinus
9y
**TYPE OF BUSINESS Office
OWNER **APPLICANT NAME Jennifer Northington
Offices At Northwest Highway L **APPLICANT PHONE NUMBER 512-628-5987
126 Deetrack Ln
**TENANT NAME Natalie Goforth
Irvington, NY 10533
TENANT PHONE NUMBER 512-550-1800
ph. (817)337-3443
*Sales Tax NO
AVAILABLE INSPECTIONS *Sales Tax Number
. C/O APPROVED FOR ISSUANCE (required) Alcoholic Beverage Sales NO
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 10
Outside Refuse/Recycling YES
Outside Storage NO
Signs YES
Square Footage 3016
Zoning PO-Professional Office
FEES TOTAL=$21.00
Certificate of Occupancy-NAME CHANGE $21.00
PAYMENTS TOTAL=$21.00
Jennifer Northington(C/O Registration)
Other on 1211912019 ($21.00)
Note:CC4071
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
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/1PLi 26I,�EW .A, ,; � 1 inch = 400 feet Grid Page:
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # (9- '{-R S `l
ADDRESS OF INSPECTION: U('+kZ. es+ +Au-)
DATE OF INSPECTION: f TIME OF INSPECTION:
NAME OF BUSINESS: S d`L' )S Y'c c y
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES: c P
REASON FOR APPLYING: Qv^+-,JEE. L-�z>� < (2 f\'e;S }
CONTACT PERSON: n �l ��. O
TELEPHONE NUMBER: I�
COMMENTS/VIOLATIONS:
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: F p
TYPE OF BUILDING: - '.q IVAIAIV5 GROUP AND DIVISION:
ZONING RESTRICTIONS:
0.FOR!'
MCOINFORNI TION l ORFORDFR
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