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07201141 Permit File Division of Building Standards 5800 Shier Rings Road Dublin, Ohio 43016 Phone: V/TDD 614/410-4670 CITY OF DUB LIST Inspection Line: 614/410-4680 CONDITIONAL APPROVAL AGREEMENT This agreement made and entered into by and between a9K~E?J t Cw 1 ni (Pro' ana er/jneral . , Co tracto ' Herein after known as the Project Manager/General Contractor, and - (Owner/Occupant) Hereinafter known as the Owner/Occupant, and the City of Dublin, hereinafter known as the City, who mutually agree and covenant as follows: 1. The Project Manager/General Contractor, who is constructing a new premises at: Building Permit No. - 0 /1 y , has applied for a Certificate of Occupancy. 2. The premises, as of the date this agreement is signed, has not met all requirements of the Dublin Codified Ordinances, hereinafter known as the Code, and therefore additional final inspections cannot be approved. 3. The list of items, which is attached to and is a part of the agreement, is accepted by both the Project Manager/General Contractor and the Owner/Occupant, documentation of those items necessary to be completed prior to the project receiving final approval. 4. Acknowledging that the premises are not completed and that certain items, as shown, are requirements of the Code of the City, the Owner/Occupant, requests that the City allows occupancy of the premises and use of the property as of the date of this agreement. 5. In return for such above Conditional Approval, the Project Manager/General Contractor agrees to complete all items as shown by (date) 'Jgwt -5, oW0 and further agrees to release, hold harmless and indemnify the City and its agents, assigns and employees from any and all obligation, liability, and/or responsibility that might arise as a result of permitting occupancy under a Conditional Approval Agreement. 6. In return for the City allowing conditional approval, the Owner/Occupant hereby releases the City, its agent, assigns and employees from any and all obligations and/or responsibilities related to the completion of the premises, and further agrees to release and hold harmless the City, its agents, assigns and employees from any and all liability that might arise as a result of occupancy of the premises. Further, the Owner/Occupant accepts the responsibility for the completion of those items shown as incomplete, and recognizes that the City may revoke the Conditional Approval \\DUBLINDATA_PER_SERVER\PER\PER\THOMEW\OFFICE\WP\DOCS\DOC\FORMS\CONDITIONAL OCCUPANCY AGREEMENT.doc Page I of 2 Updated 4-02 Agreement causing the premises to be vacated; and/or the City may initiate legal action, if these items are not completed on a timely basis, and within the schedule contained in item 5 of this agreement. The Owner/Occupant agrees that the City or its agent shall have full access to the property to inspect, or at it's sole and exclusive discretion cause to be made any improvement necessary to bring any part of the premises into compliance with this Conditional Approval Agreement. 7. The Owner/Occupant and the Project Manager/General Contractor both agree that the City, by accepting this Agreement in allowing occupancy as of the date of this Agreement has in no way waived, forfeited or otherwise relinquished any rights and/or powers that it would have if this Agreement were not in effect. 8. The Owner/Occupant acknowledges that he is under no obligation whatsoever to enter into this Agreement, but that absent this Agreement, Conditional Approval to use the property will not be granted. 9. This Conditional Approval Agreement will serve as the Temporary Occupancy Permit the Building Official may issue in accordance with 4101:2-1-27(E) of the Ohio Administrative Code when the entire scope of the building work has not been completed, but the Building Official has determined the building can be occupied safely. ~~aL~?~:t~.SOt~I ~ewid~~J~QVi(~ . Projjee~ct-M~ar}n~ager/General Contractor Date Project Manager/General Contractor (Signature) (Plg ge T~-~6.( t -twE 14-JiQ I 9 Owner/Occupant Da a Owner/Occupant (Signature) (Please Print) Rd Ac - I of Dublin ate MUBLINDATA_PER SERVER\PER\PER\THOMEW\OFFICE\WP\DOCS\DOC\FORMS\CONDITIONAL OCCUPANCY AGREEMENT.doc Page 2 of 2 Updated 4-02 CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Fax: (614) 761-6566 • Inspection Line: (614) 410-4680 DO NOT REMOVE THIS SHEET FROM SITE NOTICE OF INSPECTION Inspection Type Application # 7-°LL y/ Date The undersigned inspectors checked your property at 2Z 7 I' X ve r y ~ for compliance with Building Code. Any violations listed below must be corrected within days. VIOLATIONS Ai e ~rir o % Gc L~'/`7 G~,r~/7~/..-.~ ~t /C% tt ./~i~ j-~r At ~ ,v ~ r /YB/'~' c?~ c.~•- b/~,~-.r k- 1"/ Z' _re'7e c "e- "1 for via c;,,~• y far 61gLj c~~ ys !"I X31 ~1~y/ a~~ X G G7 I ? APPROVED ? DISAPPROVED By-1-11',>'~'-^-' )6CONDITIONAL CITY OF DUBLIN CUSTOMER RECEIPT Batch ID: 11/13/07 01 Receipt no: 19041 Type SvcCd Description Amount 2007 201141 BP BUILDING PERMITS Qty 1.00 $3000.00 ST BRIGID'S 2007 201141 BP BUILDING PERMITS Qty 1.00 $300.00 O'BRIEN ROBINSON Tender detail CK Ref#: 13266 $300.00 CK Ref#: 60394 $3000.00 Total tendered: $3300.00 Total payment: $3300.00 Trans date: 11/09/07 Time: 16:08:27 THANK YOU FOR YOUR PROMPT PAYMENT NATIONAL CfTY BANK 6 0 3 94 FRANKLIN COUNTY AREA ST. BRIGID OF KILDARE CHURCH 25-1/440 FED. ID. #31-1210510 No %reljer 9, 2007 STATE ID.#51-8841804 P.O. BOX 3130 DUBLIN, OH 43016-0062 3,000.00 PAY TO THE ORDER OF _ DOLLARS 8 Three Enke Hall Bond 11200039411' 40 4 40000 1 11: 846830 9811 FIFTH THIRD BANK 326 6 DUBLIN, OH 43017 9 O'Brien Robinson CONSTRUCTION SERVICES. INC. 25-216/440 5930 Wilcox Place, Suite A 11/8/2007 Dublin, OH 43016 (614) 7341470 ""300.00 $ PAY TO THE City of Dublin ORDER OF Three Hundred and 00/100************** DOLLARS City of Dublin 5200 Emerald Parkway PO Box 800 Dublin, OH 43017-0800 viEMC, 2715 11'0 13 20011' 1:04400 2 16 11: 7 5 17 39 SO11¦ a ~ m 'U -on -n m m ca G) D '0 G C C C y _ N C DC•f C O C O O -0 C's .o n Q• 3 A cfl c C~~ ° o c •c' o o - = rL o• cc c z cc to cc O A tQ cc G C 0 o o c = p CL Q~ CD a Q. CC,. 77 \i ate,' O. o z= o o 0 cD Q ' amO i ' jc m 406 ~w a ~y v r ° n ~C z ' coo) L-) 40 OTI M (0) c0 M -n c m 3. r D n n co „ m ~p c 0) ;p CL CD a1 -v G) 2 -v m < su = m c o w c -n c< c F n cD 0 C) c p cC c o O r. 5 cn n C - U2 < y D 3 C. 0 C 0 C 0 = = N y n= Z 0 CL 02 -0 (A V 0 CL CO) cc cC cC <D o co) = m 'a aci c 'a. n A) O • C) n -n o c a on t*- =r v .a O o O V fp V • r Washington Township Fire Department gea~~ O +C P.O. Box 3248 6200 Eiterman Rd. K dcxr ~e- Dublin, Ohio; 48016 NOTICE OF INSPECTION On ~6Ubell!,R Z 20 at i ~3b Hours the undersigned Inspectors checked your property at is AT-M4 R4- ,wta 110402 04 0 for compliance with Building, Zoning, and Fire Ordinances. Any violations listed below must be corrected within days. VIOLATIONS kox,-1, ©'7 -&I 14X t:r*4 Q7 Zo 1 i IS MPOM9 TI'71r ~ Q 55 V1 5U Ax. t vs eec,47 o 0 04 12,) ~c.r~ fie. - 54 - zS- 3aa S FIRE PREVENTION BUREAU DUBLIN, OHIO 43016 614-652-3920 Failure to comply may result in the issuance of a citatio Authorized Agent Phone Inspector, Fire Department -5-eplwe A. S!aic(oa) Authorized Agent's Address CITY OF DUBLIN Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 4104680 SUBCONTRACTOR DISCLOSURE General Contractor: k QR~ 0' P3(_l Application No.: 14 r Job Address: -1/75 The General Contractor is required to furnish the following. information regarding any contractor working at the above address {prior to issuani c:e of a Certificate of Occupancy.- All subcontractor registrations rnt :st-b current through . he is. u6666 of a Certificate of Occupancy, including insurartrchdN..applicabl8 Ca r in oet(o1>ts. TYPE < F -4 'i~r4ir"I"O M DUBLIN 1119GISI`RATION NO EX AVATION* ~1. CONCRETE* MASONRY N, STRUCTURAL* ~l obev~ t.s i - S ELECTRICAL* q k E 3 7 3 rl PLUMBING* HVAC* i ma, £ 'R CWC t r xr 07 a INSULATION Ns~ i~~ toN ~~ce a ROOFING* NA . DRYWALL SIDING N.R SANITARY SEWER*. N_ N. LANDSCAPING FIRE PROTECTION UNDERGROUND f~. y FIRE ALARM FIRE SUPPRESSION 07 _ ~y PAINTING 1 eS 4e~ OTHER E *MUST BE COMPLETED AND AVAILABLE AT TIME OF FRAMING INSPECTION AND A I w COPY AVAILABLE FOR THE INSPECTOR TO TAKE TO OFFICE. Excel/Subcontractor Disclosure Update 2003 O'Brien Robinson PROJECT DIRECTORY CONSTRUCTION SERVICES, INC. Enke Hall - Remodel 7179 Avery Road Dublin, Ohio 43016 CLIENT: ORCS PROJECT TEAM: Enke Hall - Remodel Project Manager: Matt Robinson Kevin Lee PHONE (614) 734-1470 FAX (614) 734-1480 7179 Avery Road MOBILE (614) 348-9212 Dublin, Ohio 43017 Project Superintendent: David Oiler PHONE FAX PHONE FAX PROJECT DIRECTORY PROJECT NAME: Enka Hall - Remodel REPORT RUN DATE: 11/8/2007 PROJECT NO: 2715 CONTACT: FIELD CONTACT: CSI CODE SUBCONTRACTOR TELEPHONE: PAGERICELL: CONTRACT CONTRACT TRADE DESCRIPTION ADDRESS FAX: NO: DATE 06100 Proframing Contractors, Inc. Rick Botelho 2715-01 Rough Carpentry 2948 Stonecreek Dr., Suite E 614-751-1521 LOI: Pickerington, OH 43147 614-751-1806 06200 Eagle Custom Construction Brian Baker 2715-10 Finish Carpentry 3575 Skyline Drive 614-374-5084 LOI: Columbus, Ohio 614-873-7881 06500 Mill Tech LLC Kevin Henderson 2715-11 Marlite / FRP 854 Distribution Dr. 614-275-1888 LOI: Columbus, OH 43228 614-275-1884 07200 Parkfield Insulation Services Bill Hatfield 2715-09 Insulation PO Box 1307 740-362-0162 LOI: Delaware, Ohio 43015 614-336-2618 07300 Harmac Corp. Jay Harless 2715-PO-02 Shingles & Roofing Tiles 3405 S. Hamilton Rd. 614-833-0801 LOI: Columbus, OH 43232 614-833-4001 08100 Hardware Resources, Inc. John Raugh / Tom W 2715-PO-01 -Doors & Frames 3831 Twin Creeks Dr. 614-449-1275 LOI: - Columbus, OH 43204 614-449-1269 08800 Architect Glass Jason Dennis 2715-04 Glazing 2128 Eakin Rd. 614-274-4618 LOI: Columbus, OH 43223 614-274-2528 09250 Robert L. Fry & Associates, Inc. Robert Fry 2715-03 Metal Studs & Drywall 9125 High Free Pk. 614-879-8509 LOI: West Jefferson, OH 43162 614-879-6818 09600 R.A.P. Floorcovering Jeff Ewing 2715-07 Flooring 7450 Montgomery Drive 614-873-5866 LOI: Plain City, Ohio 43064 09900 Colors, Inc. Ryan Reho 2715-06 Painting & Wallcovering 476 E. Fifth Ave. 614-421-2525 LOI: Columbus, OH 43201 614-421-2455 1 PROJECT DIRECTORY PROJECT NAME: Enke Hall - Remodel REPORT RUN DATE: 11/812007 PROJECT NO: 2715 CONTACT: FIELD CONTACT: CSI CODE SUBCONTRACTOR TELEPHONE: PAGER/CELL: CONTRACT CONTRACT f TRADE DESCRIPTION ADDRESS FAX: NO: DATE 15300 Northstar Fire Protection, Inc. Rick Evans 2715-05 Fire Sprinklers 4140 Tuller Rd., Suite 112 614-760-3473 LOI: Dublin, OH 43017 614-760-0690 15500 Metro Heating & Air Conditioning Joe Tate 2715-02 HVAC 4731 Northwest Parkway 614-777-1237 LOI: Hilliard, OH 43026 614-777-9276 16000 A & E Electrical Contractors Inc. John Merringer 2715-08 Electrical 6540 Proprietors Rd. 614-841-0151 LOI: Worthington, OH 43085 614-841-1424 I I i ~F 2 City of Dublin Requisition for Purchase Recommended Supplier Information Purchase Date: 02 May 08 Vendor # : Vendor Name: St. Brigid of Kildare Church From Department: Building Address 1: P.O. Box 3130 Address 2: Finance/Purchasing Use Only: Ci : Dublin State: OH Zi :43016 Unit of Account Item Quantity Measure Description Number Unit Price Extended Price 1 Conditional Occupancy Refund 805-0210-710-2914 2 3 7181 Ave Road 4 Permit No. 07-201141 6 St. Brigid of Kildare Church, Enke Hall $3,000.00 $3,000.00 6 7 8 PLEASE INCLUDE ADDRESS & 9 PERMIT # ON CHECK STUB, THANKS. 10 Department Head Approval x't Date DateG TOTAL $3,000.00 CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 4/30/08 Parcel Number . . . . . 273-000361 Property Address . . . 7179 AVERY RD FR DUBLIN OH 43017 Subdivision Name . . . Legal Description . . . 7181 AVERY RD H GILLIAN 14.5053 ACRES Property Zoning . . . . RESTRICTED SUBURBAN RES -Owner . . . . . . . . . GRIFFIN JAMES A Contractor . . . . . . KPRS O'BRIEN CONSTRUCTION 614 734-1470 Application number 07-00201141 000 000 Description of Work COM BUILDING ALTERATION Construction type . . . 5B - UNPROTECTED COMB Occupancy type . . . . EDUCATIONAL Flood Zone . . . . . . Special conditions ENKE HALL Approved . . . . . . . di Official VOID UNLESS SIGNED BY B DING OFFICIAL CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 4/30/08 Parcel Number . . . . . 273-000361 Property Address . . 7179 AVERY RD FR DUBLIN OH 43017 Subdivision Name . . . Legal Description . . . 7181 AVERY RD H GILLIAN 14.5053 ACRES Property Zoning . . . . RESTRICTED SUBURBAN RES -Owner . . . . . . . . GRIFFIN JAMES A Contractor . . . . . . KPRS O'BRIEN CONSTRUCTION 614 734-1470 Application number 07-00201141 000 000 Description of Work COM BUILDING ALTERATION Construction type . . . 5B - UNPROTECTED COMB Occupancy type. . . . EDUCATIONAL Flood Zone . . . . . . Special conditions ENKE HALL Approved . . . . . . . di Official VOID UNLESS SIGNED BY B DING OFFICIAL 3 co) v 4 -a m 'a 0 0 0 0 co) G .a "n io = 0' c o c o ...,,e °c °c °c °c 3 .0 o n 3 N= 3 t~ C. 0 to to m m :r =r ro. - CL 0 CL CL cr CO) 0) (A CD to 0 CO) -_q 0 -v, ncr m a s c'c co) z .a n o 0 n. 0 0 0 ~ m ~O cc 'o (D 0 . v a CL 77 a n a y a~ o _ 3 ~ O ~ ov o o 0 c~ 3 0 ~m 3 M ^ o 0 T y y N • o0 CCD z lb C H o 0 m N -r. -n 7. _n D n D 0 -n ~ co) „ m pD ~ c a CO) 3 c, = o _n 3 5 Q y C' C c to z c m ? d (D 0 c D 0(D 0 C'1 to ~ ~ n G O r~ rl N 3 < n 3 CO) CO) 0 av z w~ Z m 'n rt m m m a w e p o m co) m 2 m '0 0 ~ w~ Z 0 "v a C> 0 • 3. 0 ML -n c=D ~ ~ 0 C 37 0 7 (D 0 CA) F '+\y 3 a) ~ I~ vl h i ~r r 1////07 l/v/4c 4,bOV< CITY OF DUBLIN 6800 Shier Rings Road Division of Building Standards Dublin, Ohio 43016 q7 COMMERCIAL BUILDING Telephone: 614-4104670 PERMIT APPLICATION Inspection Line: 614-410.4sso Facsimile: 614 761-6Ss6 PROJECT INFORMATION Address:] I1 ot Agmy z9AV Project Sq Fig. 5. roject Narrw arcel Number- U 2 PROPERTY OWNER INFORMATION Prop" Owner Name (Contact Person R owned by a Corporation) a1hrtpP(76LIGAL [A1MP6Er Company Name Address A`b 15- . !It2&J2 5" LL rtY_ 6a .yAW- S State _ zip L Tele ne fax 8 GCrr rr• co*% TENANT INFORMATION (11 Applicable) tJ /A Contact Name Company Name 01 Address City- State Z5p Tel hone Fax E4Aa1 ARCHITECT, ENGINEER, OR OTHER DESIGN PROFESSIONAL INFORMATION ' t Design Professional Name GAY A• >3Qu[,~ Ohio ReglCedNumb gZ 3 ,Ov Company Name ki thT T"~ Address Via[ S. C s2- Crty CeLU rA S State_ O i Zip Telephone 464. 00 F M GENERAL CONTRACTOR INFORMATION (Must be a City of Dublin Registered Contractor) Contact Name GhUS_1>! t_ o Dublin Registration # r7~I - 2'r (g' Compan Nam r-eILS( t,LS'iL4i ddress ~i0 Li~1t.Ln>S PtM. S)17rE A rSt_LN Stale_ OR Zip 6 T hone D V h c.o AFFIDAVIT OF OWNER AUTHORIZATION FOR REPRESENTATION ote: This person will be contacted with all official correspondence. Alt signatures must be ORIGINAL. Owners Representative L A MYEJ,5 Relationship to ProjectA&tMzLrZ fkagcr AA AJmr e Company Name S „1 ~~lAA1 P~ttyr l( ~D_, trtrrKtrS PosknJ3 4 l1t MG e . Telephone O 1, (please print), the owner and applicant., hereby author¢e,,M(W- to act as my representative and agent In all matters pertaining to the processing and approval of this application includng modifying the projecl, and I agree to be bound by a] representations and agreements made by the designated agent. ignature of Property Owner: Date I_ NckmL- J. M-a a the Owner or the Owners Representative, have read and understand the contents of all 3 pages of this plication. he information contained in this Application, attached exhibits d other information submitted is comm le in all true and correct, to the best of my knowledge and belief, Signature of Owner's Representative ateBuilding tat dards Division Use Only Date Received Building Standards pficationNumber (J~ o~ ~I 7I oOMMEACML W WING PEAMR APPticKnoN I,A 1 X17 ?:VASi101001FOM1N:ICONIM??.WOS Feaq/ KOZ01 0mg 0y1 No 'd ZW '°N SiOhIHAV KPH NVA:11nS ldES:E toDZ 'E7 *11r CM OF DUBLIN Division of Building Standards COMMERCIAL BUILDING PERMIT APPLICATION Project Name o(AMQn? 90AS11 AcZ_ 1?sJ ,AAU,. Permit Number PROJECT INFORMATION NOTE: The following information is to be completed by the Design Professional, registered in the State of Ohio, who was primarily responsible for the preparation of the construction documents. Scope of Project 16, mm4p. ~a~_ a. E15.0G rC20CA-11,00834 23ft= TYPE OF WORK (Check all that apply) A. New Structure B. Addition Fire Wall Yes No X C. Alteration x Article 34 Yes No D. Change of Use Entire Structure Partial E. Change of OccupancyLj Entire Structure Partial Previous Use(s) Use Group(s) ANALYSIS OF NEW STRUCTURE, ADDITION, ANDIOR AREA TO BE ALTERED A. Occupancy Description ~Qc fftW JZliI [ nlq Use Group(s) B. Mixed Use: Yes Non-separated =Separated 0 No C. Type of construction V 12 D. Fire resistive construction Fire Test Design Numbers Exterior Walls hr. Fire Walls hr. Floor/Ceiling hr. Columns/Bearing Wall hr. Exit Enclosures hr. Shafts hr. Corridors hr. Tenant Separation - hr. E. Floor Area/Floor Occupant Load/Floor Egress Capacity/Floor Number of Exits Basement 1st r1.9 86 s. 2nd 3rd 4th & above F. Allowable maximum floor area (first floor footprint) d Does the above include street frontage increase? Yes No Does the above include increase for sprinklers? Yes No G. Number of stories above grade Height_ L,$j_ WI -p_gg 14 Basement Yes No® COMMERCULL BUILDING PERMIT APPLICATION Pape 2 Of 3 P.IPASMLOGNFORMS1COMMAPP.W92 FaanO GLD•2oi oeta ionime ti 'd Z0'°N S1)31IHAV KOH NVA1110S NdtiS:E LON 'I;Z 'l~~ CITY OF DUBLIN Division of Building Standards COMMERCIAL BUILDING PERMIT APPLICATION H. Horizontal exits Yes No 1. Limited sprinkler system Yes No J. Full automatic sprinkler system Yes No K Standpipe system Yes No L. Smoke control/Removal system Yes No M. Unlimited area building Yes No X N. Manual fire alarm Yes No 0. Auto fire alarm Yes No P. Handicap accessible route (exterior & interior) Yes No Q. Structural Loads: provide table of design loads with construction documents EXISTING STRUCTURE ANALYSIS (Complete for all alteration or addition projects) A. Occupancy Description tjCh x1loti JWIL &LC Use Group(s) B. Mixed Use: Yes Non-separated =Separated ® No C. Type of construction V R7 D. Floor Area/Floor Occupant Load/Floor Egress Capacity/Floor Number of Exits Basement 1st ~~~SS 5•~• 2nd 3rd 4th & above E. Allowable maximum floor area (first floor footprint).--S Sr 500 Does the above include street frontage increase? Yes Noe Does the above include increase for sprinklers? Yes No F. Number of stories above grade ' Building HeightlxlC Basement Yes[ NoM G. Horizontal exits Yes No H. Limited sprinkler system Yes No 1. Full automatic sprinkler system Yes No I Standpipe system Yes No X K. Smoke control/Removal system Yes No L. Unlimited area building Yes No M. Manual fire alarm Yes No N. Auto fire alarm Yes No 0. Handicap accessible route (exterior & interior) Yes No P. Structural Loads: provide table of design loads with construction documents I, 4M-1 UC J' the Design Professional, have read and understand the contents of this application. The information contained in this application, attached exhibits and other information submitt is co pl and in all respects true and correct, to the best of my knowledge and belief. Signature of Design Professional: Date: • 2 3 ' d 7 COMMERCIAL 9LVJXNG PERM APPLICATION Pam s of a P PA$S%IP.0"ORMSTAWMApp Wg2 Farm BLD,m ww IWIl 89 S 'd Z6bZ SiDhIHAV MH NVAIIIAS AdtiS:E 00Z El 'l~~ CITY OF DUBLIN Building Standards • 5800 Shier Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 WALK-THROUGH ELIGIBILITY EVALUATION FORM Project Name: 1 IJ< R L ~ ,nv ' ( c~+l tea t y l' N:& rX2 Litt r" P~ • J Project Address: -71-741 ? AY> Sl w ( 4 ~3ot'7 Applicant: QP eAmSty-r- G,~escu? ~~gy DlgC" iT ~ISffi6Phone: i{ Author of Drawings (in attendance):. M1C40tot_ J. MYf- _S J 5Uu ty.*A 8&Udr_ tip Phone: -q X00 _ General Contractor (required): tau; 0'62 rr nl Contractor Registration Number: D-7 • Z1 14 Project Square Footage: .7~ ~S 5. F. Circle the appropriate categoryJcategones in each box and put the corresponding point value In the equation at the bottom of the page. A B C D Square Footage Use Group(s) Type of Construction Plan Originator 0 to 1000 1.0 Al........................... 3.0 IA.......... ...................3.0 Ohio Architect, 1001 to 2000 .............1.5 A2...........................3.0 18....'........................2.5 Ohio Engineer, 2001 to 3000 .............2.0 A3...........................1.8 Certified Designer or a 3001 to 4000 .............2.5 A4...........................1.6 IIA........................... 2.5 combination of 4001 to 5000 .............3.0 A5...........................1.0 IIB........................... 1.0 above...................... 1.0 Projects over 3,000 sq. ft. ~ & IIIA...x.....................2.5 Non-professional........ 3.0 are not considered without F1 &F2 ....................2.5 IIIB.......................... 1.3 CBO permission. H NIP Author of the drawings *Rated corridor if 30 or 1 1,2.3 3.0 IV............................ 1.2 must be a certified more occupants. M ............................1.8 professional if the project R ..............................1.5 V 2.5 requires technical analysis S1 ...........................1.4 VB........................ 5 of safety or sanitation. S2 ............................1.2 U............................ E F G H Nature of Work Permits Required Number of Floors Number of Drawings (Add all permits required) (Involved In the review) (Excludin cover sheet) f4lz Alteration 1.0 Building................. 1.,U 1..................... ....1.0 1-4.......................... Demolition & Zoning Compliance ..,1 2..... 2.0 5-8.......................... 2.0 Build Out..... .............1.2 HVAC minorlexisting..& 9-13......................... 3.0 New Building HVAC new system(s)..2.0 Permission required from 14-20 ......................4.5 (<120 sq. ft.) .............1.2 Electrical (minor)........ 0 CB0 for any more floors Addition Electrical (new equip)..2.0 involved. (<1,000 sq. fi ............1.0 Change of ' Permit Occupancy ................3.0 Point Total..........• Additions > 1, 000 sq. ft. and new buildings > 120 s q. ft. are ineligible. + Z_.5' + 1.0 + 1.0 + t•~ + A 8 C D E F G H TOTAL • The sum of the above calculation may not exceed 14 for Walk-Through consideration. • The approved Record of Action or any required Zoning hearing is required at this review. • The Plans Examiners will table any examination that will take more than 25 minutes. Fax this completed fonn, Building Permit Application and Zoning Compliance form to Building Standards 614-761-6566. T:\OFFICE\WP\DOCS\DOC\Excel\2006 walkthrough l; 'd ZW '°N S1)31IHHV MH NVAI110S AdES:E LOH U VP Jul 31 07 11:00a p.2 CITY OF DUBLIN 6800 Shier Rings Road Division of Building Standards Dublin, Ohio 43016 COMMERCIAL BUILDING Telephone: 614.410.1670 PERMIT APPLICATION klspection Line: 61410-4680 Facsimile: 614-761-6666 PROJECT INFORMATION p Address: j 1`1 °k A~arY W/K7 Project Sq Ftg, . 5. eject Name Estimated Cost of Construction Parcel Number '7,-l 000 PROPERTY OWNER INFORMATION Property Owner Name (Contact Person N owned by a Corporation) F 5t-tnp ff zoa-%G: IL Fi CA1A%t4 ' Company Nam Address 1007 E. Uo&r> 5"T Cily (At,.li YIfLV S State_~, Zp ' t Telephone Fax c~ L~ • tc~ E Gse r. Cow. TENANT INFORMATION (If Applicable) Contact Name Company Name ' Address State Zip hone Faoc E ARCHITECT, ENGINEER, OR OTHER DESIGN PROFESSIONAL INFORMATION Design Professional Name KA&Y A. $g-va- Ohio RegrAd Number 2 ~ Company NameL 5~dA-k)Zkrsi f gt u-- tt c /_i S Address 5~ta S. Eeua-W Cst' City GoLU r+I~S~S State Oµ Zip ele hone Fax O`1 E-Mal GENERAL CONTRACTOR INFORMATION (Must be a City of Dublin Registered Contractor) Contact Name Ofti.S D, CA-P-LO Dubin Registration # M - Z'i I * Company Nam -QMS / O•elP-tf./-I 6y y ddress Ci!130 Wit,c..og PLA" , S,)~-zs? A iiy~rst. W State e-> K Zip T hone Fax O E-llharl r rt#vt . Co v- AFFIDAVIT OF OWNER AUTHORIZATION FOR REPRESENTATION Note: This person will be contacted with all official correspondence. AN signatures must be ORIGINAL. Owner's Representative kAAL A*?C S Relationship to Pr ' 19CT Company Name Positron Telephone--W. Ak a 41300 I, 49I BC - M e print), the owner and applican eLeby thofte At'[ 14AE L J • IAY R. S to act as my represen five and agent in alt matters pertaining to the processing and apps of this application including modifying the project, d I agree to~be bound by all representations and agreements made ~9?e designated agent Signature of Properly I L J. AAYekgs the Owner or th s Representative, have read and understand the contents of all 3 pages of this pica contained in Iris Application, attached wMits and other information submitted is com to in all is true and correct, to the best of my knowledge and beief. ~i Signature of Ownees R resenta6ve: f Date: ~t "a V Building Standards Division Use Only Date Received Building Standards P. fication Number COMMERCLAL WILDING PERMIT APPUCAIMN Pape 103 P:IPASS%bLDG%F0RMSC0MMAPP.W62 Faa,np DLO-tot Oale:0VIMO CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4 70 • Inspection Line: (614) 410-4680 Project Name: c~",t i kG ~V1DIla~'lor1 Date:_ V `2-6-0 Address: ~-ir l q Anil ' w l Application No:_ g I L 20 q L SUPPLEMENT TO PLAN APPROVAL THIS IS NOT A BUILDING PERMIT. IT IS A SUPPLEMENT TO OUR REVIEW OF DOCUMENTS SUBMITTED WITH YOUR APPLICATION FOR A BUILDING PERMIT. This SUPPLEMENT TO THE PLAN APPROVAL is issued by the City of Dublin, Division of Building Standards. Listed below are items which may not appear in the construction documents, but which are not considered to constitute a hazard serious enough to warrant withholding Plan Approval. The following items are conditions of the issuance of the Plan Approval, when applicable: Item 1. OBC 109.2 Lot line markers required. Before any work is started in the construction of a building or an addition to a building to which the rules of the Board are applicable under Section 101.2, all boundary lines shall be clearly marked at their intersections with permanent markers or with markers which are offset at a distance which is of record with the owner. Item 2. OBC 106.3.1 Approval of construction documents. When the construction documents have been determined to conform to the applicable provisions of the rules of the Board in accordance with the procedures set forth in Section 105.3.1, the building official shall endorse or stamp such plans as approved. One set of construction documents shall be kept by the building official. The other set(s) shall be returned to the applicant, kept at the work site and shall be open for inspection by the building official or the building official's designated representative. Item 3. OBC 105.7.2 Posting. The certificate of plan approval shall be posted in a conspicuous location outside of the building and in the front part of the premises on which is, or will be the approved building or equipment to which the approved plans relate. The owner and the contractor shall, so far as possible, preserve and keep the certificate posted until the completion of the work to which the approved plans relate. Item 4. OBC 106.4 Amended construction documents. If substantive changes to the building are contemplated after first document submission, or during construction, those changes must be submitted to the building official for review and approval prior to those changes being executed. The building official may waive this requirement in the instance of an emergency repair or similar instance. Item 5. OBC 109.1 General. Construction or work for which an approval is required shall be subject to inspection by the building official and such construction or work shall remain accessible and exposed for inspection purposes until approved. This includes firestopping and draftstopping (Chapter 7 OBQ, mechanical work,• piping, ducts and systems (Chapter 3 OMC), structural members and connections (Chapter 16, OBC), and electrical work (Chapter 27 BC). Existing electrical conductors, if removed, abandoned, or altered, shall be accomplished to the electrical field inspector's approval. Electrical work found not to meet the code's standards shall be corrected to the electrical field inspector's approval. All systems and elements covered by code are to be inspected and approved before being covered. T:\OFFICE\WP\DOCS\DOC\FORMS\Supplement to Plan Approval.doc Page i of 2 Item 6. OBC 1103.1 Where required. Building and structures, temporary or permanent, including their associated sites and facilities, shall be accessible to persons with physical disabilities. OBC 1103.2.1 Specific requirements. Accessibility is required in building and facilities, or portions thereof, to the extent indicated in ADAAG Section 4.1 and this chapter. The start of construction indicates acceptance of all of the conditions listed above. This review does not preclude the necessity to conform with provisions which may have been omitted or overlooked in the review process, but which are requirements of the code. Ultimate responsibility for legal compliance with the Standards of Safety rest with the registered design professional, the tenant and the owner. Plan Approval will be valid only upon receipt by the City of Dublin, Building Standards, of one signed copy of the addendum to the submitted plans. TO REQUEST AN APPEAL HEARING, YOU MUST send a written request, listing the items to be appealed and the relief sought and one copy of this order to: Jeffrey S. Tyler, Chief Building Official City of Dublin 5800 Shier Rings Road Dublin, Ohio 43016-1236 evi ed and Sigrild, Ray M. arpham, Arc ' ect Jeffrey S. Tyler, AIA Comm 'al Plans Examiner Chief Building Official City of Dublin City of Dublin Signature - Architect, Engineer or tractor ate (Optional) Print Name and Title as Signed T:\OFFICE\wP\DOCS\DOC WORMS\Supplement to Plan Approval.doc Page 2 of 2 SULLIVAN BRUCK A R C H I T E C T 5 FAX TRANSMITTAL Date: July 23, 2007 Project Number: To: Ray Harpham Fax: 718.4346 From: Jon Stephens RE: Enke Hall Renovations Ray, Attached is the walk-through permit application for the renovations to Enke Hall. We were not able to procure Bishop Campbell's signature in time for this deadline, however the application is in his office and a signature is forthcoming by Wednesday hopefully. Please let us know if this is a problem in scheduling a walk-through for this week. Thanks for your assistance, Jon Stephens PRIVATE AND CONFIDENTIAL: The sender indicates to communicate contents of this fax transmission only to the person to whom it is addressed. This transmission may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable low. If the recipient of this transmission is not the designated recipient or the employee or agent responsible for delivering this transmission to the designated recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. NUMBER OF PAGES INCLUDING THIS COVER SHEET: 5 Sullivan &vck ArchOocts, Inc. • 309 South Fourth Stroa • Columbus, Ohio A3215 • TEL 61d,d64.9800 • FAX 61d.d64.9809 • sbarch.com I 'd 101 '°N SiAiIHAV ~DAH NdhIIIAS WdES:E OH 'EZ 'Inr CITY OF DUBLIN Division of Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016 Phone: (614) 410-4670 - Inspection Line: (614) 410-4680 Application Number . . . . . 07-00201141 Date 8/02/07 Property Address . . . . . . 7179 AVERY RD Parcel Number: 273-000361 Alternate Address: ST. BRIGID'S CHURCH Tenant nbr, name . . . . . . ENKE HALL RENOVATION Application type description COM BUILDING ALTERATION Property owner . . . . . . . GRIFFIN JAMES A Contractor . . . . . . . . . KPRS O'BRIEN CONSTRUCTION Structure Information 000 000 Construction Type . . . . . 5B - UNPROTECTED COMB Occupancy Type . . EDUCATIONAL Permit . . . . COMMERCIAL BUILDING PERMIT Additional desc 3,782 SQUARE FEET Permit Fee . . . 400.00 Plan Check Fee .00 Issue Date talc-O--I Valuation . . . . 0 Expiration Date . . 1/29/08 Qty Unit Charge Per Extension BASE FEE 160.00 3.00 80.0000 THOU COM BLDG PLAN REVIEW 240.00 Other Fees . . . . . . . . . COM BLDG INSPECTION ALT 180.00 COM CERTIFICATE OF OCC 120.00 SURCHARGE FEE - BLDG 21.00 Fee summary Charged Paid Credited Due Permit Fee Total 400.00 .00 .00 400.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 321.00 .00 .00 321.00 Grand Total 721.00 .00 .00 721.00 This permit is granted on the express condition that said work shall in all respects, conform to the ordinances of the City of Dublin and all laws of the State of Ohio regulating construction, installation, repair and alteration and may be revoked at any time upon violation of any provisions of law. CITY OF DUBLIN D 7-'1 oil y'1 Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 `\ao~ Date 4 d~ o Application No. Le APPLICdATION FOR ELECTRICAL PERMIT Job Address -7/ r 7f At~I ~Cal( Parcel No. Subdivision / Lot No. Owner Nam V A- 1 W klilo" Telephone Contractor Name + Telephone Contractor Address 40d ~k"j Dublin Registration No. ate' 37j7 Residential: New Sq. Ft. Alteration/Addifi(m Sq. Ft. Temporary Service $40.00 $40.00 Minimum plus $20.00 for each additional SOU Sq. Ft. or fraction thereof over 1000 Sq. Ft. Low Voltage Systems: Square Feet $40.00 Minimum plus $10.00 for each additional 500 Sq. Ft. or fraction thereof over 1000 Sq. Ft. Commercial: New Sq. Ft. Alteration/Addition Sq. Ft. 1792- Temporary Service $60.00 I.~ $60.00 Minimum plus $60.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft. 1AW and up to 50,999 Sq. Ft. (sizes above, See Fee Schedule) Low Voltage Systems: Square Feet $30.00 Minimum (plus $20.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft.) 3% State of Ohio Surcharge (commercial only) ,a 0 / Total $ 11 013 - If U JOB DESCRIPTION ~uc 7,J t° rc isl~7?/C, IGer DID v~ .LA/ L: c ~ A a~ V J ? / This permit is granted on the express condition that the said work shall in all respects, conform to the ordinances of the City of Dublin, all the laws of the State and the National Electric Code regulating construction, installation, repair and alteration, and may be revoked at any time upon violation of any provisions said laws. Signature of licensed contractor or homeowner Division of Building Standards ;0 o 74~ Date: 1/1/2001 CITY OF DUBLIN Division of Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016 Phone: (614) 410-4670 - Inspection Line: (614) 410-4680 Application Number . . . . . 07-00201141 Date 8/24/07 Property Address . . . . . . 7179 AVERY RD Parcel Number: 273-000361 Alternate Address: ST. BRIGID'S CHURCH Tenant nbr, name . . . . . . ENKE HALL RENOVATION Application type description COM BUILDING ALTERATION Application desc FRAUENBERG-CONNELY CENTER FOR CHILDREN @ ENKE HALL Property owner . . . . . . GRIFFIN JAMES A Contractor . . . . . KPRS O'BRIEN CONSTRUCTION Structure Information 000 000 Construction Type . . . . 5B - UNPROTECTED COMB Occupancy Type . . . . EDUCATIONAL Permit . . . . . ELECTRICAL PERMIT Additional desc . Permit Fee . . 240.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/.20/08 Qty Unit Charge Per Extension BASE FEE 60.00 3.00 60.0000 THOU COM ELECTRIC SERVICE 1K-50K SF 180.00 Other Fees . . . . . . . . SURCHARGE FEE - ELECTRIC 7.20 Fee summary Charged Paid Credited Due Permit Fee Total 240.00 .00 .00 240.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 7.20 .00 .00 7.20 Grand Total 247.20 .00 .00 247.20 This permit is granted on the express condition that said work shall in all respects, conform to the ordinances of the City of Dublin and all laws of the State of Ohio regulating construction, installation, repair and alteration and may be revoked at any time upon violation of any provisions of law. w CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 APPLICATION FOR HVAC PERMIT Date 0 o ti Application No. 7- Ze € `r Job Address Y ul' Parcel No. Subdivision mc, Lot No. Owner Name 9'V W 0 me Telephone Contractor Name 1 "1l:~(u l Vr* ! q'V Ad L Telephone b/q_ 777^1237 g Contractor Address Ltt3l V 4W 1` W l ` ~ 0 Dublin Registration No. 6)17- -Z-9 Residential: Sq. Ft. $50.00 Minimum plus $20.00 for each additional 500 Sq. Ft. or fraction thereof over 1000 Sq. Ft. (Replacement units, minimum fee) $50.00 REPLACEMENT UNITS: GAS ELECTRIC Comme N / nq. t. Alteration b $y60. n lus $20.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft. Alteration: $50.00 Minimum pl $10.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft. d 3% State of Ohio Surcharge (commercial only) 2 e to Total $ 12-A0 JOB DESCRIPTION This permit is granted on the express condition that the said work shall in all respects, conform to the ordinances of the City of Dublin and all the laws of the State regulating construction, installation, repair and alteration, and may be revoked at any time upon violation of any provisions of said laws. Tw~ Signature of licensed contractor or homeowner 10, Division of Building Standards CITY OF DUBLIN r Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Application Number . . . . . 07-00201141 Date 10/31/07 Property Address . . . . . . 7179 AVERY RD Parcel Number: 273-000361 Alternate Address: ST. BRIGID'S CHURCH Tenant nbr, name . . . . . . ENKE HALL RENOVATION Application type description COM BUILDING ALTERATION Application desc FRAUENBERG-CONNELY CENTER FOR CHILDREN Q ENKE HALL Property owner . . . . . GRIFFIN JAMES A Contractor . . . . . . . KPRS O'BRIEN CONSTRUCTION Structure Information 000 000 Construction Type 5B - UNPROTECTED COMB Occupancy Type . . EDUCATIONAL Permit . . . . . . COM HEATING, VENTILATING, A.C. Additional desc . Permit Fee . . . . 70.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/28/08 Qty Unit Charge Per Extension BASE FEE 50.00 2.00 10.0000 THOU COM HVAC ALT 20.00 Other Fees . . . . . . . . . COM BLDG INSPECTION ALT 180.00 COM CERTIFICATE OF OCC 120.00 SURCHARGE FEE - ELECTRIC 9.90 SURCHARGE FEE - BLDG 21.00 SURCHARGE FEE - HVAC 2.10 Fee summary Charged Paid Credited Due Permit Fee Total 70.00 .00 .00 70.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 333.00 330.90 .00 2.10 Grand Total 403.00 330.90 .00 72.10 This permit is granted on the express condition that said work shall in all respects, conform to the ordinances of the City of Dublin and all laws of the State of Ohio regulating construction, installation, repair and alteration and may be revoked at any time upon violation of any provisions of law. Page 1 of 1 David Oiler From: Mathew S. Robinson [mrobnnson@obrienrobinson.com] Sent: Thursday, November 01, 2007 3:33 PM To: 'David Oiler 7 / 1-2 v e r y ~c? Subject: Dublin Registration Numbers David, On the bulletin board, I have a list of the Subcontractors that are on the job. Dublin also wants us to note the subs Registration numbers. Here are a few Metro Air - 07-298 A & E Electrical - 07-3737 Northstar Fire Protection - 07-2460 Mathew S. Robinson Vice President - Principal Phone: (614) 734-1470 Fax: (614) 734-148o Cell: (614) 348-9212 593o Wilcox Place, Suite-A Dublin, OH 43o16 mrobinson@obrienrobinson.com aBrkn Robinson COU51MUCTSON W RV'K{S.. INC.. 11/5/2007 CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 /'7 Application No. U / 0 I/-ell Date m APPLICATION FOR ELECTRICAL PERMIT Job Address 07 9 k ~A Parcel No Subdivision Lot No. Owner Name Telephone 7 76 1 9 73 vl) Contractor Name 0 f DSS w i vt C A rt Sa l' u G Telephone 3 6 9 )FLO3 7 Contractor Address Cox Dublin Registration No. Residential: New Sq. Ft. Alteration/Addition Sal. Ft. Temporary Service $40.00.. $40.00 Minimum plus $20.00 for each additional 50U Sq. Ft. or fraction thereof o%er 1000 Sq. Ft. Low Voltage Systems: Square Feet $40.00 Minimum plus $10.00 for each additional 500 Sq. Ft. or fraction thereof over 1000 Sq. Ft. Commercial: New Sq. Ft. Alteration/Addition Sq. Ft. 7l0 Temporary Service $60.00..... $60.00 Minimum plus $60.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft. J~ d and up to 50,999 Sq. Ft. (sizes above, See Fee Schedule) Qom` Low Voltage Systems: Square Feet ~cqd& 0 3~V2, $30.00 Minimum (plus $20.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft.) 3% State of Ohio Surcharge (commercial only) Total $ JOB DESCRIPTION 44'eLf ~a W r'Ln/1 This permit is granted on the express condition that the said work shall in all respects, conform to the ordinances of the City of Dublin, all the laws of the State and the National Electric Code regulatin cons uction, installation, repair and alteration, and may be revoked at any time upon violation of any provisions of s I Signature of licensed contractor or homeowner Division of Building Standards Date: 1/1/2001 CITY OF DUBLIN Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Application Number . . . . . 07-00201141 Date 9/13/07 Property Address . . . . . . 7179 AVERY RD Parcel Number: 273-000361 Alternate Address: ST. BRIGID'S CHURCH Tenant nbr, name . . . . ENKE HALL RENOVATION Application type description COM BUILDING ALTERATION Application desc FRAUENBERG-CONNELY CENTER FOR CHILDREN @ ENKE HALL Property owner . . . . GRIFFIN JAMES A Contractor . . . . . . . . . KPRS O'BRIEN CONSTRUCTION Structure Information 000 000 Construction Type . . . . 5B - UNPROTECTED COMB Occupancy Type . . . EDUCATIONAL Permit . . . . . . LOW VOLTAGE ELECTRIC PERMIT Additional desc . Permit Fee . . . . 90.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/11/08 Qty Unit Charge Per Extension BASE FEE 30.00 3.00 20.0000 THOU COM ELECTRIC LOW VOLTAGE 60.00 Other Fees . . . . . . . . . COM BLDG INSPECTION ALT 180.00 COM CERTIFICATE OF OCC 120.00 SURCHARGE FEE - ELECTRIC 9.90 SURCHARGE FEE - BLDG 21.00 Fee summary Charged Paid Credited Due Permit Fee Total 90.00 .00 .00 90.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 330.90 328.20 .00 2.70 Grand Total 420.90 328.20 .00 92.70 This permit is granted on the express condition that said work shall in all respects, conform to the ordinances of the City of Dublin and all laws of the State of Ohio regulating construction, installation, repair and alteration and may be revoked at any time upon violation of any provisions of law. CITY OF DUBLIN Division of Building Standards - 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 4104670 • Inspection Line: (614) 41041680 SUBCONTRACTOR DISCLOSURE General Contractor: k(IRS D' i~Lcie-n Application No.: 0-7-90))41 Job Address: '1/ 79 The General Contractor is required to furnish the foliowing.information regarding any contractor working at the above address {prior to :issuance of a Certificate of Occupancy. All subcontractor registrations must be current through th6issuafite of a Certificate of Occupancy, including insurarnco ttdaN:o001 cab16 St"Cettii)o oris. TYPE flit 4N"f'~'O DUBLIN REGISTRATION NO, EXCAVATION* IJ. A . CONCRETE* MASONRY N. STRUCTURAL* ~l obet i. ; ELECTRICAL* A k E \ec. Z 0 07 - 3 T 3'7 PLUMBING* HVAC* A E 'f' c4A f r r6r 01 ' a INSULATION NSA -T IaN 'SeLq%'cec, 07- 4 20 ROOFING* NA . DRYWALL ?Q1944 'i:~Q , C i hIE!S SIDING SANITARY SEWER*. N. LANDSCAPING FIRE PROTECTION UNDERGROUND N.~. y FIRE ALARM FIRE SUPPRESSION - 07 -1 PAINTING I eS OTHER *MUST BE COMPLETED AND AVAILABLE AT TIME OF FRAMING INSPECTION AND A COPY AVAILABLE FOR THE INSPECTOR TO TAKE TO OFFICE. Excel/Subcontractor Disclosure Update 2003 5930 Wilcox Place, Suite A Dublin, Ohio 43o16 O'Brien Robinson Phone (6%) 734-1470 9 CONSTRUCTION SERVICES. INC. Fax (614) 734-1480 mrobinson@obrienrobinson.com February 8, 2008 Jeff Tyler, Director of Building Standards City of Dublin Building Department 5800 Shier Rings Road Dublin, Ohio 43016 Application # 7-201141 Project: St. Brigid - Enke Hall Mr. Tyler, I wanted to provide a brief update as to the status of the requested alarm upgrades at Enke Hall located at St. Brigid of Kildare Catholic School. A brief summary of the situation at this point: • During the final walkthrough in November, it was requested that a fire alarm upgrade be made to the existing alarm system at Enke Hall due to the fact that they are now using it as an extension of the school, and not as a separate entity. This was not originally requested when the building permit was issued for the improvements that were made. We were asked during the final walkthrough to create and submit alarm plans. It was requested that we attempt to have the work complete by January 3, 2008. A $3,000 bond was posted by St. Brigid in November to gain the Conditional Occupancy and commit to pay for the requested improvements. • Plans for the new alarm design were submitted in December. Shortly thereafter we requested, and were granted a 30-day extension to the January 3rd completion date as it became apparent that the process for design, approval and installation would most likely not be totally complete, and inspected, by the original date of January 3, 2008. • The plans were returned with comments the 3rd week of January. The comments resulted in the addition of 5 additional visual 1 devices that were not originally requested during the conversations with Lt. Guisinger and Brian Lenko at the final walkthrough. This is no problem, but it created a situation of making minor modifications to drawings and re-submitting for approval. The changes were made to the drawings and immediately re-submitted within days. • Status as of today - we have all devices installed and tested that were shown on the original plans submitted in December. The 5 additional visual devises requested on the comments are on order and expected to arrive any day. We will have our electrician install them the day they arrive. I expect to have the revised drawings back from the City by the 3rd week in February (if 30-days are taken for 2nd review). Once we receive the permit we will call for inspection the next day. If the devices show up today and the permit on Monday, we will call it in for Tuesday... we will continue to act as quickly as we can. I just wanted to you know that we have been attending to this matter and have taken this matter very seriously and have made every effort to expedite the process. The $3,000 bond was posted and we felt that the timeframe at the time was sufficient, but with the schools shutdown schedule over Christmas break and the comments to the plans, we have been unable to meet the goal. St. Brigid did not originally have this in the budget for the improvements to Enke Hall, but understand the importance of the request and have been very accommodating as we make the changes needed. This letter is to simply update you and let you know we are working... and nearly complete! St. Brigid and O'Brien Robinson are working diligently to complete this task and appreciate the continued efforts of the City of Dublin Building Department. Please call me if you have any questions or concerns. Cell 614-348-9212. Again, thank you - Mathew S. Robinson Vice President - Principal 2 Division of Building Standards 5800 Shier Rings Road Dublin, Ohio 43016 Phone: V/TDD 614/410-4670 01TY F DUBLIN Inspection Line: 614/410-4680 CONDITIONAL APPROVAL AGREEMENT n- ``~,,,,~~I This agreement made and entered into by and between OI ~~N 1~b~ r~Se~ COQ-4 ~ i aii (Prolaanagernera1l~ • /G Co tracto Herein after known as the Project Manager/General Contractor, and - E, -X - t (Owner/Occupant) Hereinafter known as the Owner/Occupant, and the City of Dublin, hereinafter known as the City, who mutually agree and covenant as follows: 1. The Project Manager/General Contractor, who is constructing a new premises at: --1 11q A, &-e' AL" 1 &)X2 Building Permit No. Oq - 0 y , has applied for a Certificate of Occupancy. 2. The premises, as of the date this agreement is signed, has not met all requirements of the Dublin Codified Ordinances, hereinafter known as the Code, and therefore additional final inspections cannot be approved. 3. The list of items, which is attached to and is a part of the agreement, is accepted by both the Project Manager/General Contractor and the Owner/Occupant, documentation of those items necessary to be completed prior to the project receiving final approval. 4. Acknowledging that the premises are not completed and that certain items, as shown, are requirements of the Code of the City, the Owner/Occupant, requests that the City allows occupancy of the premises and use of the property as of the date of this agreement. 5. In return for such above Conditional Approval, the Project Manager/General Contractor agrees to complete all items as shown by (date) OpAwt -5, oW0 and further agrees to release, hold harmless and indemnify the City and its agents, assigns and employees from any and all obligation, liability, and/or responsibility that might arise as a result. of permitting occupancy under a Conditional Approval Agreement. 6. In return for the City allowing conditional approval, the Owner/Occupant hereby releases the City, its agent, assigns and employees from any and all obligations and/or responsibilities related to the completion of the premises, and further agrees to release and hold harmless the City, its agents, assigns and employees from any and all liability that might arise as a result of occupancy of the premises. Further, the Owner/Occupant accepts the responsibility for the completion of those items shown as incomplete, and recognizes that the City may revoke the Conditional Approval \\DUBLINDATA_PER_SERVER\PER\PER\THOMEW\OFFICE\wP\DOCS\DOC\FORMS\CONDITIONAL OCCUPANCY AGREEMENT.doc Page i of 2 Updated 4-02 Agreement causing the premises to be vacated; and/or the City may initiate legal action, if these items are not completed on a timely basis, and within the schedule contained in item 5 of this agreement. The Owner/Occupant agrees that the City or its agent shall have full access to the property to inspect, or at it's sole and exclusive discretion cause to be made any improvement necessary to bring any part of the premises into compliance with this Conditional Approval Agreement. 7. The Owner/Occupant and the Project Manager/General Contractor both agree that the City, by accepting this Agreement in allowing occupancy as of the date of this Agreement has in no way waived, forfeited or otherwise relinquished any rights and/or powers that it would have if this Agreement were not in effect. 8. The Owner/Occupant acknowledges that he is under no obligation whatsoever to enter into this Agreement, but that absent this Agreement, Conditional Approval to use the property will not be granted. 9. This Conditional Approval Agreement will serve as the Temporary Occupancy Permit the Building Official may issue in accordance with 4101:2-1-27(E) of the Ohio Administrative Code when the entire scope of the building work has not been completed, but the Building Official has determined the building can be occupied safely. Project Manager/General Contractor Date Project Manager/General Contractor (Signature) (Plasetv~ i??' ~LXX ~~1 VeJiQ LEE 4D' Own er/Occupant Owner/Occupant (Signature) (Please Print) 1111167 Ac - I of Dublin ate i \\DUBLINDATA PER_SERVER\PER\PER\THOMEW\OFFICE\WP\DOCS\DOC\FORMS\CONDITIONAL OCCUPANCY AGREEMENT.doc Page 2 of 2 Updated 4-02 CITY OF DUBLIN CUSTOMER RECEIPT Batch ID: 11/13/07 01 Receipt no: 19041 Type SvcCd Description Amount 2007 201141 BP BUILDING PERMITS Qty 1.00 $3000.00 ST BRIGID'S 2007 201141 BP BUILDING PERMITS Qty 1.00 $300.00 O'BRIEN ROBINSON Tender detail CK Ref#: 13266 $300.00 CK Ref#: 60394 $3000.00 Total tendered: $3300.00 Total payment: $3300.00 Trans date: 11/09/07 Time: 16:08:27 THANK YOU FOR YOUR PROMPT PAYMENT CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-"70 • Inspection Line: (614) 410-4680 Project Name: DYIQVGd'(DA Date: Address:. -11-lG Application No: I - 20 11 '7 SUPPLEMENT TO PLAN APPROVAL THIS IS NOT A BUILDING PERMIT. IT IS A SUPPLEMENT TO OUR REVIEW OF DOCUMENTS SUBMITTED WITH YOUR APPLICATION FOR A BUILDING PERMIT. This SUPPLEMENT TO THE PLAN APPROVAL is issued by the City of Dublin, Division of Building Standards. Listed below are items which may not appear in the construction documents, but which are not considered to constitute a hazard serious enough to warrant withholding Plan Approval. The following items are conditions of the issuance of the Plan Approval, when applicable: Item 1. OBC 109.2 Lot line markers required. Before any work is started in the construction of a building or an addition to a building to which the rules of the Board are applicable under Section 101.2, all boundary lines shall be clearly marked at their intersections with permanent markers or with markers which are offset at a distance which is of record with the owner. Item 2. OBC 10631 Approval of construction documents. When the construction documents have been determined to conform to the applicable provisions. of the rules of the Board in accordance with the procedures set forth in Section 105.3.1, the building official shall endorse or stamp such plans as approved. One set of construction documents shall be kept by the building official. The other set(s) shall be returned to the applicant, kept at the work site and shall be open for inspection by the building official or the building official's designated representative. Item 3. OBC 105.7.2 Posting. The certificate of plan approval shall be posted in a conspicuous location outside of the building and in the front part of the premises on which is, or will be the approved building or equipment to which the approved plans relate. The owner and the . contractor shall, so far as possible, preserve and keep the certificate posted until the completion of the work to which the approved plans relate. Item 4. OBC 106.4 Amended construction documents. If substantive changes to the building are contemplated after first document submission, or during construction, those changes must be submitted to the building official for review and approval prior to those changes being executed. The building official may waive this requirement in the instance of an emergency repair or similar instance. Item 5. OBC 109.1 General. Construction or work for which an approval is required shall be subject . to inspection by the building official and such construction or work shall remain accessible and exposed for inspection purposes until approved. This includes fzrestopping and draftstopping (Chapter 7 OBC), mechanical work; piping, ducts and systems (Chapter 3 OMC), structural members and connections (Chapter 16, OBC), and electrical work (Chapter 27 BC). Existing electrical conductors, if removed, abandoned, or altered, shall be accomplished to the electrical field inspector's approval. Electrical work found not to meet the code's standards shall be corrected to the electrical field inspector's approval. All systems and elements covered by code are to be inspected and approved before being covered. T:\OFFICE\WP\DOCS\DOC\FORMS\Supplement to Plan Approval.doc Pagel of 2 Item 6. OBC 1103.1 Where required. Building and structures, temporary or permanent, including their associated sites and facilities, shall be accessible to persons with physical disabilities. OBC 1103.2.1 Specific requirements. Accessibility is required in building and facilities, or portions thereof, to the extent indicated in ADAAG Section 4.1 and this chapter. The start of construction indicates acceptance of all of the conditions listed above. This review does not preclude the necessity to conform with provisions which may have been omitted or overlooked in the rcwiew process, but which are requirements of the code. Ultimate responsibility for legal compliance with the Standards of Safety rest with the registered design professional, the tenant and the owner. Plan Approval will be valid only upon receipt by the City of Dublin, Building Standards, of one signed copy of the addendum to the submitted plans. TO REQUEST AN APPEAL FEARING, YOU MUST send a written request, listing the items to be appealed and the relief sought and one copy of this order to: Jeffrey S. Tyler, Chief Building Official City of Dublin 5800 Shier Rings Road Dublin, Ohio 43016-1236 evi ed and Sigaid, t Ray M. L Arc ' ct Jeffrey S. Tyler, AIA 'al Plans Examiner Chief Building Official City of Dublin City of Dublin Signature - Architect, Engineer or Contractor Date (Optional) Print Name and Title as Signed T:IAFRCEI RMS\Suppknwnt to Plan Appmvamoc Page 2 of 2 Y CITY OF DUBLIN Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Walk Through Notice of Review Fire Department Review (This is not a permit) Date: W Application Number: d y Property Address: 7/7"1 A~f-u W Pro'ect Descrition: &7 ke, hoiL kk4O V4,17 0n rcwly soe, %9k/cn- Sprinkler System Required: yes System Demand: Special Hazard Classification: Square Footage: 31 78J? Occupancy Load: ocr) Construction Type: Z3 Use Group: Result of plan review: Approved Approved, submit additional information or changes prior to Disapproved, submit additional information as noted. It is not necessary to reschedule. Disapproved, resubmit under the regular permit process. Disapproved, reschedule walk-through after required changes have been completed. Disapproved, reschedule walk-through after additional information requested has been obtained. The following items must be addressed: 1. Field verify existing, additions and changes to hom/strobe location and actuation. 2. Field verify emergency egress and exit lighting. *3. All fire protection systems require a separate permit. No XI' rh o inrr r r r 1,;2q ev, o s o i~ 00 o x Reviewed By: a4w c7r. fiir 4L'? ~ -Z Washington Township Fire Department Updated 8/01/02 CITY OF DUBLIN Division of Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016 Phone: (614) 410-4670 - Inspection Line: (614) 410-4680 Walk Through Notice of Review Architectural Review (This is not a permit) Date: 'j- D'7 Application Number: C~'J-gyp J1 J Property Address: Project Description: kc, jq4M OVa:t7 o/7 Square Footage: '-2j 182. Occupancy Load: 2 Construction Type:j Use Group: Result of plan review: Approved ?Approved, submit additional information or changes prior to S A11r, Disapproved, submit additional information as noted. It is not necessary to reschedule. Disapproved, resubmit under the regular permit process. Disapproved, reschedule walk through after required changes have been completed. Disapproved, reschedule walk through after additional information requested has been obtained. The following items must be addressed: 1. Field verify existing, additions and changes to horn/strobe location and actuation. 2. Field verify emergency egress and exit lighting. 3. All fire protection systems require a separate permit. ~-tl ~Sr 1 L LtJ Mi rit~??.+ r lzn-141 (o l T 1 Reviewed By: Commercial Pla xa iner fo The qty Of Dublin Updated 8/01/02 CERTIFICATE OF ZONING PLAN APPROVAL APPLICATION # 07-Z-01-4- 7 DATE ISSUED CITY OF DUBLIN. LOW Use ead Was 1~ 5= Shier-Ring"eswifte s Rood Dublin. Ohio 45016.1236 Phone/ Too: 6)4.410.4600 Fait 614.410-4747 Web Site: www.dubfiin.oh.us NAME OF BUSINESS/ FACILITY (IF APPLICABLE) ADDRESS OF SUBJECT PROPERTY PHONE NAME OF APPLICANT/ AUTHORIZED A ENT ~j kA ~r_ (Q 14 461 rtbloo ADDRESS OF APPLICANT/ AUTHORIZE GENT 5- r ~ S ' NAME OF PROPERTY OWNER N \ _ PHONE Sal c~ AVU~ PLEASE DESCRIBE IN LAYMAN'S TER S THE EXISTING AND PROPOSED USE(S) OF ALL PARTS OF THE LAND AND/OR BUILDINGS. IF A CHANGE OF USE IS PROPOSED, PLEASE EXPLAIN. (IE, RETAIL SPACE TO MEDICAL OFFICE SPACE, ETC.) ` rzl~ PLEASE SUBMIT THE FOLLOWING: ONE (1) ORIGINAL SIGNED APPLICATION O ONE (1) COPY OF A SCALED SITE PLAN DRAWN IN INK indicating all current and proposed land uses, structures, and other site improvements. Additional documentation may be required for various types of projects. Partial or incomplete applications and drawings cannot be processed and will be returned to the applicant by mail. APPLICANT SIGNATURE: DATE: FOR OFFICE USE ONLY CASE NUMBER DATE CASE NUMBER DATE CASE NUMER DATE NOTES: saw CA. ZONING-INSPECTION REQUIRED UPON COMPL YES NO If yes, please call 614-410-4680 to schedule an in ti rtificate of Zoning Compliance will be issued after the work is inspected and approved by Land Use and Long Range Planning. VED AS NOTED APPRO APPROVED din<,a This Certificate of Zoning Plan Approval is issued for, erence to the property and use described above, and as approved by the City "Acirnlnistrator or designee, or the City Council, Board of Zoning Appeals, Planning & Zoning Commission, or the Architectural Review Board as appropriate. BY: C DATE: 't./ / CERTIFICATE OF ZONING PLAN APPROVAL 3/10/2006