05201989 Permit File
City of Dublin
Requisition for Purchase
Recommended Supplier information Purchase Date: 27 Jun 08
Vendor # :
Vendor Name: Deborah Shook From Department: Building
Address 1: P.O. Box 09201
Address 2: Finance/Purchasing Use Only:
City- . Columbus State: OH Zi : 43209
Unit of Account
Item Quaift Measure Description Number Unit Price Extended Price
1 Conditional Occupancy Refund 805-0210-710-2914
2
3 138 S. High Street Steele Office
4 Permit No.05-201989 $3,000.00 $3,000.00
5
6
7
8 PLEASE INCLUDE ADDRESS &
9 PERMIT # ON CHECK STUB, THANKS.
10
Department Head Approval
Date d) 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 OF O C C U P A N C Y
P E R M A N E N T
Issue Date . . . . . . 6/20/08
Parcel Number . . . 273-000.063
Property Address . . . 138 S HIGH ST FR
DUBLIN OH 43017
Subdivision Name . . .
Legal Description . HIGH ST
1/2 ACRE A 112.4 X 1
78.5 FT
Property Zoning . . . . CENTRAL BUSINESS
Owner . . . . M & D PARTNERS LLC
Contractor . . . . . . M &.D PARTNERS, LLC
614 461-5901
Application number 05-00201989 000 000
Description of Work COM BUILDING ALTERATION
Construction type . . . 5B - UNPROTECTED COMB
Occupancy type . . BUSINESS
Flood Zone . . . . . .
Special conditions
M & D PARTNERS/STEELE OFFICE
Approved . . . . . . .
di Grtf
VOID UNLESS SIGNED BY B ING OFFICIAL
_r
Division of Building Standards
4
5800 Shier Rings Road
Dublin, Ohio 43016
Phone: VPTDD 614/410-4670
CITY OF DUBLIN Inspection Line: 614/410-4680
CONDITIONAL APPROVAL AGREEMENT 'D& W* 9~gL
This agreement made and entered into by and between
(Pr ect Manager/General Contr c r
Herein after known as the Project Manager/General Contractor, and I'
(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 S n 1 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 Approv 1, Manager/General Contractor agrees to (AV complete all items as shown by (date) J~ 17d; 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
AGREEM ENT.doc
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w
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.
LI/
Project Manager/General Contractor #at4j
J Protect r/General Contractor (Signature)
Please Print)
caner Occupant a-LVte Owner/Occupant (Signature)
(Please nt)
84146
Acc ted - City of Dublin Date
\\DUBLINDATA_PER SERVER\PER\PER\THOMEW\OFFICE\WP\DOCS\DOC\FORMS\CONDITIONAL OCCUPANCY
AGREEMENT.doc
Page 2 of 2 Updated 4-02
08/01/2006 08:19 6144618159 STEELE INV CC PAGE 01/01
r:A
l J CITY OF DUBLIN
Division of Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016
rI-u Phone: (614) 410-4670 - Inspection Line: (614) 410-4680
SUBCONTRACTOR
DISCLOSURE
General Contractor: CC4, --C&C
Application No.: C9" a-0 1 q - I ~"(A
Job Address:.
The General Contractor is required to furnish the following information regarding any
contractor working at the above address prior to issuance of a Certificate of Occupancy.
All subcontractor registrations must be current through the issuance of a Certificate of
Occupancy, including insurance and all applicable State Certifications.
TYPE NAME OF CONTRACTOR DUBLIN REGISTRATION NO
EXCAVATION* Aj 1A
CONCRETE*
MASONRY AIJA
STRUCTURAL*
Ar, 1A
ELECTRICAL' IZ - I ~t
PLUMBING*
HVAC* u To wA it( ap -a
INSULATION r;~S Crf.'Oy " -
-s- ROOFING* b~~K 0-0-'R
DRYWALL a ti SAS $q
SIDING 1 e1o6W s L =-6Q.:. S- zap s
SANITARY SEWER* /d
LANDSCAPING
FIRE PROTECTION
UNDERGROUND
FIRE ALARM ,J
FIRE SUPPRESSION
PAINTING . 0" i c bt•4CC j<ot-Ccf 4 s:'-1•dt ill
OTHER - /f
*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
Inspection Type(s):
ZONING INSPECTION FORM Zoning/Landscape,
t~k
Land Use and Long Range Planning Commercial
Code Enforcement Residential ?
Sign [I
CITY OF DUBLIN 5800 Shier-Rings Road; Dublin OH 43016 ,,,q Other ?
Telephone/TDD 614-410-4600 Dublin Planning Fax 614-410-4747 Dublin Inspection Line 614-4104680
i
Permit Project Name : 14. - i ;~eTvc s
Project Address: l 3t~r j S
Contact Person: _ ' Y&- :ST6- Contact Phone:
YES NO 1) Approved Landscape Plan & ROA YES` NO 6) Sign installed as approved
..YES ;NO 2) Plans, Checklist & Permit on Site YES NO _ Parking spaces, number & striped
YES NO 3'f Lighting installed per plan YES NO $j`" Handicap spaces properly signed
YES `,:NO 4) Landscape installed per plan YES NO °•.;JJ Parking islands 7 foot minimum
YES NO ~Vlechanicals screened per code YES NO 1(k)` Meet residential appearance code
Zoning Approved ?
Zoning Conditionally Approved (See Comments)
Zoning Disapproved (See Comments) ?
Date of Inspection
r f Inspected B- ' " .
COMMENTS
-
f'z. rt. r.
-fir r r 'z; • a 3
Zoning Inspection Form PLA-120 Date 08/12/04
CITY OF DUBLIN
Division of Building Standards • 5800 Shier Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
COMMERCIAL INSPECTION SIGN-OFF
Project Name: rna. 0MC
Application No: 05 • ap Project Address: SS
General Contractor: •.Tj Building Code: 65 - ojbQ.
Use Group: $ Construction T e:'3V$
Sewer Tap **Rough Sprinkler
Footing Electric Service
Foundation Steel Framing
Foundation Shaft Walls
Piers Insulation
Waterproofing Fireplace ,Q.
Electrical Underground Curb, Walk & Approach
Plumbing Underground Above Ceiling Electric
**Sprinkler Underground ~ Above Ceiling HVAC
Pre-Slab "Above Ceiling Sprinkler A/4
Diamonds Above Ceiling Structur
Structural Steel Final Electric
Fireproofing Final Plumbing
Masonry Wall Grout Final HVAC
**Fire Alarm Rough Final Gas Piping
Rough Electric - a6 **Fire Prevention Pig'
Rough Plumbing -du Zoning Final
Rough HVAC 5. 0.04 Engineering Final pcJ/•~-
Rough Gas Piping Occupancy
"Please call Washington Township Fire Departr t at 889-2347 to schedule these inspections.
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 Typ Application # Date 27
The undersigned inspectors checked your property at ~f
for compliance with Building Code. Any violations li ted below must be corrected within days.
VIOLATION
CZ lNST~~ PI-5 ~ r 14 S
f ? eb~x 177c~peC ' Ajfz waiK ~F- ~u~9~
-7z) ttuf_ //j . u 0144wr- Tif.
? APPROVED ? DISAPPROVED By.
CONDITIONAL
Washington Township Fire Department
6279 Shier-Rings Rd.
Dublin, Ohio 43016
NOTICE OF INSPECTION
On /Zl 20 ®4 at Hours the undersigned Inspectors checked your property
at ~-r/ for compliance with Building, Zoning, and Fire Ordinances.
Any violations listed below must be corrected within days.
7VLATIO . NS
T~ G G-r Gr- C- G S~/!'Ls'1 K-L` Il ` e .eci~S
C "d
Z /r~-s t~~.oiu /.c.,
v Gp
FIRE PREVENTION BUREAU
DUBLIN, OHIO 43016
7ss-0857
Failure to comply may result in the issuance of a citation.
Authorized Agent Phone Inspector, Fire Department
Authorized Agent's Address
CITY OF DUBLIN
CUSTOMER RECEIPT
Batch ID: 8/02/06 01 Receipt no: 14858
Tp Sv Description Qty Amount
2005 201989 BP BUILDING PERMITS
1.00 $3300.00
DEBORAH SHOOK
Tender detail
CK Ref#: 153 $3300.00
Total tendered: $3300.00
Total payment: $3300.00
Trans date: 8/02/06 Time: 7:56:19
THANK YOU FOR YOUR PROMPT PAYMENT
DEBORAH SHOOK 9/00 X440
020
..azeesatf & 2 ~6 CF e 15 3'
COLUMBUS, cart 43209
Jc~ccr} G1; t- DA~
PAY TO THE
ORDER OF
O
o. r.
DOLLARS
Bank One; NA
Columbus, OH 43271 _
MIE 0.
+1:0 to,4 : 6 300 19 15 61" '015 3 t
CITY OF DUBLIN
Division of Building Standards • 6800 Shier Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
COMMERCIAL INSPECTION SIGN-OFF
Project Name: MoL C
Application No: 06-a0Project Address: 38 Si. General Contractor: M%. 'C> Building Code: - oSQ.
Use Group: $ Construction Type:-_NV$
r:
Sewer Tap. / "Rough Sprinkler IIJ A
Footing Electric Service
Foundation Steel Framing
Foundation Shaft Walls
Piers Insulation
Waterproofing Fireplace ^1 ,Q.
Electrical Underground Curb, Walk & Approach A)
Plumbing Underground Above Ceiling Electric
"Sprinkler Underground Above Ceiling HVAC
Pre-Slab "Above Ceiling Sprinkler 141A
Diamonds Above Ceiling Structur
Structural Steel Final Electric 1
Fireproofing Final Plumbing /Kip
Masonry Wall Grout Final HVAC
"Fire Alarm Rough Final Gas Piping
I
Rough Electric 06 "Fire Prevention o
Rough Plumbing Zoning Final
; 0
/11F
.04 77 Engineering Final
Rough HVAC 5
R~P~~ o!z DJ
Rough Gas Piping Occupancy °
"Please call Washington Township Fire Depart r( t at 889-2347 to schedule these inspections.
Inspection Type(s):
ZONING INSPECTION FORM Zoning/Landscape
Land Use and Long Range Planning Commercial
Code Enforcement Residential ?
Sign El
CITY OF DUBLIN 5800 Shier-Rings Road; Dublin OH 43016 T; 1,J A Other ?
Telephone/TDD 614-410-4600 Dublin Planning Fax 614-410-4747 Dublin Inspection Line 614-410-4680
Permit Project Name : j c t= L'f'r~" C
Project Address: 4, 14 '~T
Contact Person: s--
lB = l Lam: Contact Phone: _t 6" q
YES _,&O 1) Approved Landscape Plan & ROA YES NO d#) Sign installed as approved
YES NO 2) Plans, Checklist & Permit on Site YES NO ';)-~(arking spaces, number & striped
YES NO 3 fighting installed per plan YES NO andicap spaces properly signed
YES WO 4) Landscape installed per plan YES NO Parking islands 7 foot minimum
YES 1 NO 5) Mechanicals screened per code YES NO -,101-'Meet residential appearance code
Zoning Approved
Zoning Conditionally Approved (See Comments) ?
Zoning Disapproved (See Comments) ?
Date of Inspection Inspected By 7
COMMENTS
Zoning Inspection Form PLA-120 Date 08/12/04
CITY OF DUBLIN
Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410,4670 • Inspection Line: (614) 410-4680
M & D PARTNERS, LLC
4804 SHIRE RIDGE ROAD E
HILLIARD, OH 43026
May 23, 2007
RE: Expired Conditional Occupancy Approval
Application Number: 05-201989
Address: 138 S HIGH ST
Project Description: M & D PARTNERS/STEELS OFC`
Dear M & D PARTNERS, LLC:
The Building Standards Division records indicate that the above-mentioned Conditional
Occupancy Approval has expired and that the. project has not received a Certificate of Occupancy.
In the event that we are in error, please contact this office immediately so that we may amend our
files and issue the appropriate Certificate of Occupancy.
If the project has not been completed or simply lacks final Engineering and Building inspections;
please call the Inspection Line (614-410-4680) to schedule the inspections immediately. Make
sure all paperwork is on the jobsite prior to the inspection.
Please be advised of the following from the Dublin Codified Ordinances;
150.158 FAILURE TO COMPLETE WORK
Failure to complete the work authorized by the permit or any extensions thereof shall result in the
permit being invalidated and, if any construction has been started and has not been completed, the
applicant or owner shall be in violation of the building code.
C80 Code 1341.04XOrd. 51-82, passed 10-4082) Penalty, see 150.999
Please contact this office immediately (614-410-4670) so that we may assist you in bringing
closure to this project.
incerely, p 1(~" C
VOL)`
y Tyl w 0 (V
of Building Official VLA
e ~
CC: PROPERTY OWNER p 1 G
138 S HIGH ST
DUBLIN, OHIO 43016
CITY OF DUBLIN
Division of Building Standards * 5800 Shier-Rings Road * Dublin, Ohio 43016
Phone: (614) 410-4670 * Inspection Line: (614) 410-4680
M & D PARTNERS, LLC
4804 SHIRE RIDGE ROAD E
HILLIARD, OH 43026
April 18, 2006
RE: Building Permit Nearing Expiration
Application Number: 05-201989
Address: 138 S HIGH ST
Project Description: M & D PARTNERS/STEELS OFC
Dear M & D PARTNERS, LLC:
The Building Standards Division records indicate that the above-mentioned permit will
expire on May 22, 2006 and that the project has not received a Final Inspection
Approval.
In the event that we are in error, please contact this office immediately so that we may
amend our files and issue the appropriate Final Approval or Certificate of Occupancy.
If the project has not been completed or simply lacks a final inspection, please call the
Inspection Line (614-410-4680) to schedule the final inspections as soon as possible.
If additional time is necessary to complete the project, we will be happy to extend the
permit for another six months, if you contact this office prior to permit expiration. There
will be a $20.00 fee due at that time.
We look forward to hearing from you soon regarding the completion of this project. If we
may be of further assistance, please feel free to call our office at (614) 410-4670.
Sincerely,
`nm-u_ &S
Kevin Moran
Acting Director of Building Standards
M & D Partners, LLC.
4804 Shire Ridge Road E
Hilliard, OH 43026 RECEIVED
April 24, 2006 Ak R 2 6 2006
Kevin Moran Bl11LDING DIVISION
Acting Director of Building Standards rrrY OF D(J IN
Division of Building Standards
5800 Shier-Rings Rd.
Dublin, OH 43016
Re: Building Permit Extension Request
# 05-201989
138 S High St.
M & D Partners/Steele Office Bldg.
Dear Mr. Moran:
To begin, I am the owner of the building and general contractor for this project. Demolition of the
existing interior was more extensive than planned. Eventually, we gutted the entire inside by
removing the old wiring, plumbing, fixtures, etc. This, together with pre-approved ARB and City of
Dublin interior and exterior structural and roof modifications, took more time than expected during
the winter. At present we have obtained the rough-in plumbing inspection. The permanent roof
(and gutter) has begun to be installed. Interior rough-in wiring and HVAC has been completed
and await completion of the permanent roof for final rough-in inspection. Insulation, drywall, trim-
out and interior paint are just around the corner.
The renovated building is to serve as the future office for my business. I have to vacate my
current location on July 31, 2006 as my lease expires on that date. By definition, this project must
be complete in order for me to move.
An extension of six months of the above building permit is requested as explained in your letter
dated April 18, 2006. Enclosed is a check for $20.00, as requested.
Thank you,
Michael, B. Steele
Managing Partner
M & D Partners, LLC
4804 Shire Ridge Rd. E
Hilliard, OH 43026~~m~
Tel: 614-206-3272
LA I Y L) t- U U b LI N 5800 Shier Rings Road
Division of Building Standards Dublin, Ohio 43016
COMMERCIAL BUILDING Telephone: 614410-4670
PERMIT APPLICATION Inspection Line: 614-410-4680
Facsimile: 614-761-6566
PROJECZ INFORM_~A)TIO S 2
Address
A g -W 'di b+
M Project Sq Fig. 2
Project Name V l ~Ot j~
Estimated Cost of Construction aD ow db Parcel Number 00 f) (a 175
PROPERTY OWNER INFORMATION
Property Owner Name (Contact Person it owned by a Corporation)
Company Nam --p fi~D pixhaN*s i L- L Address '4 C Q .5 it AE RI 1~1 4-F
ity 141L LAA-D State dA a Zip ~ 3 Is Z-t.
T
Ine rol-4- Hyfnl- SSitiI Lax .W -4tof- krS9 E-Mail S+eek c® irv` - dAl
. TENANT INFORMATION (If Applicable) J•
Contact-Name
Company Name Address
City State Zp
Te a Fax E-Mad
ARCHITECT, ENGINEER, OR OTHER DESIGN PROFESSIONAL INFORMATION
Design Professional Name ~r~ Ohio Reg/Cert Number 00
Company Name ep{, Address 41 E: - W&S t3
City 60(-J Q„I S State--0L+1 zip---
Tele hone_llu-mo Fax 2~a-Op}3 I E-mail co cli m 4f- rnS 4 ?-1
GENERAL CONTRACTOR INFORMATION (Must be a City of Dublin Registered Contractor)
Contact Name t c ld A L S'ti le LE Dublin Registration # I) ' S 3 S"s
Company Name M T a t.-.S y r L Address 4f0%( 5*10-9 R(' &-City l-kwatib State DA-to zip 3VZb
T hone - 4b 1-,590 I Fax folX- `Eb f - Sr ~Y E-Mail Ster Q co t7 hY-C4 . La 'U
AFFIDAVIT OF OWNER AUTHORIZATION FOR REPRESENTATION
Note: This person will be contacted wiith,M.aa~ll,~oL~fficial correspondence. All signatures must be ORIGINAL.
ORIGINAL.
Owner's Representative b ~'~J C-~ Relationship to P 'ect I~OJ •
Company Namel Position Telephone (0-141
I, ~tLtd 1~tsL (please print), the owner and applicant, hereby authorize f10 OW to act as my representative and agent in all matters pertaining to the processing and approval of this application including
modifying the project, and I agree to be bound by all representa' d ee is made by the designated agent
Signature of Property Owner. Date: 112-WO
S
AL,
I k l- t_ s TC-L QS the Owner or the Owner's Representative, have read and
understand the contents of as 3 pages of this appf ation. The information contained in this Application, attached exhibits
and other information submitted is comp t nd ' alVrptst2rruand correct, to the best of my knowledge and belief.
i ature of Owner's Re resentative: Date: oil ril
,
LAkation ding Standards Division Only Dat E IV
Number 05 2
- O 0 OCT 2 5 2005
COMMERCIAL BUILDING PERMIT APPLICATION Page 1 .13 PVA=BLDG%FORMSV 1 PIG I D I V I S I O N
CITY OF DUB) ITY OF DUBLIN
CITY OF DUBLIN
' - Division of Building Standards
COMMERCIAL BUILDING PERMIT APPLICATION
Project Name_!$Im Q (C~ W b' 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
TYPE OF WORK (Check all that apply)
A. New Structure
B. Addition Fire Wall Yes No
C. Alteration Article 34 Yes No
D. Change of Use Entire Structure Partial
E. Change of Occupancy, Entire Structure Partial
Previous Use(s) Use Group(s)__
ANALYSIS OF NEW STRUCTURE, ADDITION, AND/OR AREA TO BE ALTERED
A. Occupancy Descdption_ CI? ~ Use Group(s)
B. Mixed Use: Yes Non-separated =Separated ED
No~
C. Type of construction_ ~~j
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/Flonr Occupant Load/Floor Egress Capacity/Floor Numbe of Exits
Basement
1st
2nd_
3rd -
4th & above
F. Allowable maximum floor area (first floor footprint)
Does the above include street frontage increase? Yes No
Does the above include increase for sprinklers? Yes 8 No
G. Number of stories above grade L
Height__~.(~ t Basement Y,esW NoQ
COMMERCIAL BUILDING PERMIT APPLICATION Page 2 of 3 r~
~ P:1PAS$1BLDG1FORMS\COMMAPP.WB2 FormNBLD-T01 Date: 10/11M9
t..t 1 1 Vt' 11 U .[~L11V
• Division of Building Standards
COMMERCIAL BUILDING PERMIT APPLICATION
H. Horizontal exits Yes No
1. Limited sprinkler system Yes No W-ftAl.,
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
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 DG!~ Use Group(s)_
B. Mixed,Use: Yes Non-separated Separated Q
NoPq
C. Type of construction_
D. Floor Area/Floor Occupant Load/Floor Egress Ca acity/Floor Number of Exits
Basement
1st UrXL t
2nd 2 1
3rd
4th & above
E. Allowable maximum floor area (first floor footprint) ~7 " ~illfEll
Does the above include street frontage increase? Yes 8 No FVJ
Does the above include increase for sprinklers? Yes No
F. Number of stories bovp grade
Building Height Basement Yes No E-1 VA-94 A L-
G. Horizontal exits Yes No
H. Limited sprinkler system Yes No r/w-rfk, 11J
Q
1. Full automatic sprinkler system Yes No
J. Standpipe system Yes No
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, ~~N +J cA C `^V4-W-Irl , the Design Professional, have read
and understand the contents of this application. The information contained in this application,
attached exhibits and other information bmitted, i omplete and in all respects true and correct,
to the best of my knowledge and belief.
q16 Ze
Signature of Design Professional: 1!. 17 Date:
-WA
COMMERCIAL BUILDING PERMIT APPLICATION :`~PageI 3 of 3 P..IPASS7BLDG%FORMS%COMMAPP_WB2 /FamK BLD 2p1 Date:1d17FJ4
CITY OF DUBLIN
Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
APPROVAL
THIS IS NOT A BUILDING PERMIT. IT IS A RECORD OF OUR REVIEW OF
DOCUMENTS SUBMITTED WITH YOUR APPLICATION FOR A BUILDING PERMIT.
October 31, 2005
RE: M & D PARTNERS, STEELE BUILDING
ADDRESS: 138 South High Street
APPLICANT: John Cochrane, Berardi & Partners, Inc.
APPLICATION NO.: OS-201989
The plans dated October 25, 2005, for the captioned project have been reviewed for compliance
with the provisions of the Ohio Building Code (2005) for the purpose of issuing an APPROVAL.
The review was based upon the following criteria:
Use Group: B
Occupancy: 11 Downstairs/7 Upstairs =18 Total
Area: 1,137 Downstaris/726 Upstairs =1,863 Total
Construction Type: VB
Automatic Sprinkler: N/A
Notes: N/A
The architectural plans are sealed by George D. Berardi, Architect #6480, all to comply with the
requirements of OBC Section 106.3.4.1 and have been reviewed, therefore, in accord with OBC
Section 106.3.1.
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.
This APPROVAL does not preclude the acquisition of separate permits for plumbing, mechanical,
sprinkler or electric. Permits and fees for these items must be obtained from the Building Division
prior to the start of any work in these areas.
M & D PARTNERS, STEELE BUILDING, Applicant: John Cochrane, Berardi & Partners, Inc.
Application No.: 05-201989
October 31, 2005
Page 4 of 4
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. Approval will be valid only upon receipt by the
City of Dublin, Division of Building Standards, of one signed copy of this addendum to the submitted plans.
TO REQUEST AN APPEAL FEARING, YOU MUST sent a written request, listing the items to be appealed and
the relief sought and a copy of this order to:
Robert Price, Chief Building Official
City of Dublin
5800 Shier Rings Road
Dublin, Ohio 43016
Reviewed and Signed,
14 PP~D
K
art' F. Strayer Robert Price
Co ercial Plans Exa r Chief Building Official
Z-2-
O er r Owner's Represen tive Date
Print Name and Title as Signed
oMdl~,
M & D PARTNERS, STEELE BUILDING, Applicant: John Cochrane, Berardi & Partners, Inc.
Application No.: 05-201989
October 31, 2005
Page 2 of 4
Item 1. The OBC 2205 version is the code used in this review.
Item 2. The ramp to the northwest door is ADAAG accessible, per the architect.
Item 3. Sheet AI01; notes a `future shower by owner". The addition of a shower is not to
encroach on the 60" diameter turn around space for ADAAG compliance.
Item 4. OBC 717.1 General. Fireblocking and draftstopping shall be installed in
combustible concealed locations in accordance with this section. Fireblocking shall
comply with Section 717.2. Draftstopping in floor/ceiling spaces and attic spaces
shall comply with Sections 717.3 and 717.4, respectively. The permitted use of
combustible materials in concealed spaces of noncombustible buildings shall be
limited to the applications indicated in Section 717.5.
Where any portion of the existing balloon framing is exposed at the floor/ceiling, fire
blocking shall be added
Item 5. OBC 1609.1.3 Anchorage against overturning, uplift and sliding. Structural
members and systems, and components and cladding in a building or structure shall
be anchored to resist wind-induced overturning, uplift and sliding and to provide
continuous load paths for these forces to the foundation. Where a portion of the
resistance to these forces is provided by dead load, the dead load shall be taken as
the minimum dead load likely to be in place during a design wind event. Where the
alternate basic load combinations of Section 1605.3.2 are used, only two-thirds of
the minimum dead load likely to be in place during a design wind event shall be
used.
Add tie-downs such as hurricane ties or straps where the rafter to plate joints are
exposed; Wall Sections E and F on Sheet A601.
Item 6. Add a GFCI at the outlet by the kitchen sink on the second floor.
M & D PARTNERS, STEELE BUILDING, Applicant: John Cochrane, Berardi & Partners, Inc.
Application No.: 05-201989
October 31, 2005
Page 3 of 4
The following items are required for code compliance, but are not necessarily covered in detail in the construction
documents. This list is a reminder to the design professional and contractors of issues which are to be satisfactorily
dealt with in the field.
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 OBC), mechanical work; piping, ducts
and systems (Chapter 3 OMC), structural members and connections (Chapter 16 OBC), and
electrical work (Chapter 27 OBC). All systems and elements covered by code are to be inspected
and approved before being covered.
Item 6. OBC 1103.1 Where required. Buildings 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 buildings and facilities, or
portions thereof, to the extent indicated in ADAAG Section 4.1 and this chapter.
Item 7. All electrical will comply with the requirements of Article 27 OBC and the National Electrical
Code, NfiPA 70, OBC approved edition and is subject to the approval of the electrical field
inspector.
Item 8. The 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.
CITY OF DUBLIN
Division of Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016
Phone: (614) 410-4670 - Inspection Line: (614) 410-4680
APPROVAL #2
THIS IS NOT A BUILDING PERMIT. IT IS A RECORD OF OUR REVIEW OF
DOCUMENTS SUBMITTED WITH YOUR APPLICATION FOR A BUILDING PERMIT.
December 6, 2005
RE: M & D PARTNERS, STEELE BUILDING
ADDRESS: 138 South High Street
APPLICANT: John Cochrane, Berardi & Partners, Inc.
APPLICATION NO.: 05-201989
The plans and letter dated December 2, 2005, for the captioned project have been reviewed for
compliance with the provisions of the Ohio Building Code (2005) for the purpose of issuing an
APPROVAL. The review was based upon the following criteria:
Use Group: B
Occupancy: 11 Downstairs/7 Upstairs =18 Total
Area: 1,137 Downstaris/726 Upstairs =1,863 Total
Construction Type: VB
Automatic Sprinkler: N/A
Notes: N/A
The architectural plans are sealed by George D. Berardi, Architect #6480, all to comply with the
requirements of OBC Section 106.3.4.1 and have been reviewed, therefore, in accord with OBC
Section 106.3.1.
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.
This APPROVAL does not preclude the acquisition of separate permits for plumbing, mechanical,
sprinkler or electric. Permits and fees for these items must be obtained from the Building Division
prior to the start of any work in these areas.
T:\OFF[CE\WP\DOCS\DOCWpproval 2005\05-201989 M&D Partners Steele Bldg. #2.doc
M & D PARTNERS, STEELE BUILDING, Applicant: John Cochrane, Berardi & Partners, Inc.
Application No.: 05-201989
December 6, 2005
Page 2 of 3
Item 1. Approval Letter #1, dated October 31, 2005 is a part of this Plan Approval.
Item 2. The letter from John Cochrane is apart of this Plan Approval.
The following items are required for code compliance, but are not necessarily covered in detail in the construction
documents. This list is a reminder to the design professional and contractors of issues which are to be satisfactorily
dealt with in the field.
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
10 1.2, 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 OBC), mechanical work; piping, ducts
and systems (Chapter 3 OMC), structural members and connections (Chapter 16 OBC), and
electrical work (Chapter 27 OBC). All systems and elements covered by code are to be inspected
and approved before being covered.
Item 6. OBC 1103.1 Where required. Buildings 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 buildings and facilities, or
portions thereof, to the extent indicated in ADAAG Section 4.1 and this chapter.
Item 7. All electrical will comply with the requirements of Article 27 OBC and the National Electrical
Code, NfiPA 70, OBC approved edition and is subject to the approval of the electrical field
inspector.
T:\OFFICE\WP\DOCS\DOC\Approval 2005\05-201989 M&D Partners,Steele Bldg. #2.doc
M & D PARTNERS, STEELE BUILDING, Applicant: John Cochrane, Berardi & Partners, Inc.
Application No.: 05-201989
December 6, 2005
Page 3 of 3
Item 8. The 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.
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. Approval will be valid only upon receipt by the
City of Dublin, Division of Building Standards, of one signed copy of this addendum to the submitted plans.
TO REQUEST AN APPEAL HEARING, YOU MUST sent a written request, listing the items to be appealed and
the relief sought and a copy of this order to:
Robert Price, Chief Building Official
City of Dublin
5800 Shier Rings Road
Dublin, Ohio 43016
Reviewed and Signed,
VMVan. Strayer Robert Price
Commercial Plans Exa ' er Chief Building Official
Owner r O er's Representative Date
/y?/c/V-,# C c Z3 Sim v-
Print Name and Title as Signed
T:\OFFICE\WP\DOCS\DOC\Approval 2005\05-201989 M&D Partners,Steele Bldg. #2.doc
• • STIES WASHINGTON TOWNSHIP
a.
FIRE DEPARTMENT ILI,
6279 Shier Rings Road
fRAN Dublin, Ohio 43016-1294
614-652-3920 • Fax 614-766-2507,
NO
DATE: November 16, 2005 TO: Bob Price Director Division of Building Standards
City of Dublin
5800 Shier Rings Road
Dublin, Ohio 43016
ATTN: Martin Strayer, Commercial Plan Reviewer
RE: Washington Township's Fire Department Plan Review
PERMIT 05-201989
PROJECT: Steele Office Building
LOCATION: 138 North High Street
RECEIVED: Oct 25 2005
Mr. Strayer:
We have reviewed the plans for the referenced project dated 10/25/05 for matters of concern to the Washington Township
Fire Department regarding niles of the 2002 Ohio Building Code (OBC) and the 2002 Dublin Fire Code (DFC) relating to
fire prevention.
We are able to recommend a partial approval of the plans as submitted and note the following:
1. OBC 2002 was erroneously referred to as the applicable code on the cover sheet and sheet S100.
2. We note also that the loading shown on sheet S100 identifies Dwelling Units at 40#
3. The construction is noted to be balloon framed. OBC 717.2 Fireblocking. In combustible construction, fireblocking
shall be installed to cut off concealed draft openings (both vertical and horizontal) and shall form an effective barrier
between floors, between a top story and a roof or attic space. Please require that fireblocking be installed in the
walls.
4. A separate permit will be required if any modifications are required to the existing limited area sprinkler system are
required.
Thank you for the opportunity to review the plans.
AW GTON TO SHIP FIRE DEPARTMENT
M. ham, Archit laps Examiner Alan L. Perkins, UPS
(614) 488-4009 Fire Marshal
MAPbn ReYwmXWashmgtm Townft\Revwm 05.06Q5-201M fc CHO.wpd
Trustees: Denise King Franz • Gene Bostic • Kurt Proegler Clerk/Treasurer: Joyce E. Robinson Chief: Allan Woo
• TIES WASHINGTON TOWNSHIP
LpUN OF
FIRE DEPARTMENT
~~9~ • _ 6279 Shier Rings Road
F•FRANK~>N Dublin, Ohio 43016-1294
614-652-3920 - Fax 614-766-2507
DATE: December 7, 2005 RECEIVE'D
TO: Bob Price, Director U E L, 8~ 2005
Division of Building Standards CITY DUBLIN
City of Dublin 5800 Shier Rings Road
Dublin, Ohio 43016
ATTN: Martin Strayer, Commercial Plan Reviewer
RE: Washington Township's Fire Department Plan Review
PERMIT 05-201989(3)
PROJECT: Steele Office Building
LOCATION: 138 North High Street
RECEIVED: Dec 02 2005
Mr. Strayer:
We have reviewed the revised Mechanical plans for the referenced project dated 11/28105 for matters of concern to the
Washington Township Fire Department regarding rules of the 2002 Ohio Building Code (OBC) and the 2002 Dublin Fire
Code (DFC) relating to fire prevention.
We are able to recommend approval of the plans as submitted.
Thank you for the opportunity to review the plans.
W GTON T WNSHIP FIRE DEPARTMENT
RaArchitect/Plans Examiner Alan L. Perkins, CFPS
(614) 488-4009 Fire Marshal
MAPIm Ra *e \w> ~T ae 0-MM-201M fcBO.wpd
Trustees: Denise King Franz -Gene Bostic • Kurt Proegler Clerk/Treasurer: Joyce E. Robinson Chief: Allan Woo
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 . . . . . 05-00201989 Date 11/21/05
Revision number . . . . . . . 1
Pin number . . . . . . . . . 026339
Property Address . . . . . . 138 S HIGH ST
Parcel Number . . . . . . . . 273-000063
Alternate Address . . . . . .
Tenant nbr, name . . . . . . M & D PARTNERS/STEELE OFC
Application description . . . COM BUILDING ALTERATION
Property owner . . . . . . . JACOBS CHERYL Z
Contractor . . . . . . . . . M & D PARTNERS, LLC
Structure Information
Construction Type . . . . 5B - UNPROTECTED COMB
Occupancy Type . . . . . BUSINESS
Permit . . . . . . COMMERCIAL BUILDING PERMIT
Additional desc .
Permit Fee . . . . 220.00 Plan Check Fee .00
Issue Date . . . . 11-22-05 Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 160.00
1.00 60.0000 THOU COM BLDG PLAN REVIEW 60.00
Special Notes and Comments
SEE ATTACHED ARB BOARD ORDERS #05-110ARB DATED
8/24/05 AND 11/21/05.
SEE NOTES ON PLANS
SCREEN ALL MECHANICAL UNITS & SERVICE STRUCTURES TO TOP OF
UNIT INCLUDING UTILITY FEATURES AND ROOF TOP MOUNTED
EQUIPMENT. CONTACT PLANNING DIVISION 410-4600
SEPARATE SIGN PERMIT REQUIRED. CONTACT DIVISION OF PLANNING
AT 614/410-4600.
Other Fees . . . . . . . . . COM BLDG INSPECTION ALT 120.00
COM CERTIFICATE OF OCC 120.00
SURCHARGE FEE - BLDG 13.80
Fee summary Charged Paid Credited Due
Permit Fee Total 220.00 .00 .00 220.00
Plan Check Total .00 .00 .00 .00
Other Fee Total 253.80 .00 .00 253.80
Grand Total 473.80 .00 .00 473.80
OA A -.Qj
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.
Division of Building Standards
5800 Shier Rings Road
Dublin, Ohio 43017-2182
Phone: V/TDD 614/761-6556
CITY OF DUBLIN Inspection Line: 614/761-6557
NAME OF BUSINESS/FACILITY BUILDING PERMIT #
13 9' so v 4, 14-7` h S+r
ADDRESS OF SUBJECT PROP TY
FAX
Md S EKE
~r FAX
Please describe the existing and proposed uses of all parts of the land and/or buildings. If a change of use is proposed, please explain.
I A
FOR STAFF USE ONLY
VARIANCE V FINAL DEVELOPMENT PLAN_
DATE DATE
ADMIN. APPEAL AA CDD REVIEW
DATE DATE
CONDITIONAL USE Cu ARB REVIEW 110 4x-11 &Z
DATE DATE
SPECIAL PERMIT SP COUNCIL RECORD OF ACTION
DATE DATE
This certificate is issued for, and in reference to, the property and use described above, and as approved by the City Administrator or his
designee, or by the Board of Zoning Appeals, Planning and Zoning Commission, or Architectural Review Board as appropriate.
/PROVED ? APPROVED AS NOTED ? DISAPPROVED AS NOTED
DIVISION ANN
BY DATE
ARCHITECTURAL REVIEW BOARD
BOARD ORDER
SEPTEMBER 21, 2005
CITY OF DUBLIN..
Land Use and
Long Range Planning
5800 Shier-Rings Road
Dublin, Ohio 43016.1236
Phone: 614.410.4600
Fax: 614-410-4747
Web Site: www.dublin.oh.us
The Architectural Review Board took the following action at this meeting:
3. Architectural Review Board - 05-110ARB -138 South High Street - Exterior
Modifications
Location: 0.4474-acre tract on the east side of South High Street at the intersection of
Jolui Wright Lane.
Existing Zoning: CB, Central Business District.
Request: Review an update to exterior modifications to the existing building to include a
terrace, new windows and doors, gutters and downspouts, residing and painting of the
building, a new standing seam roof, and various site improvements.
Proposed Use: Financial service office.
Applicant: M & D Partners LLC, Mike Steele, 138 South High Street, Dublin, Ohio
43017.
Staff Contact: Joamie Ochal, Planner.
Contact Information: (614) 410-4683/Email: jochal@dublin.oh.us.
* Michael Steele agreed to the conditions.
MOTION: Allan Staub made a motion, seconded by Thomas Holton, to approve the updated
roof line modifications to the north elevation and eliminate the previously approved roof top
terrace, with the continued application of the seven conditions approved previously.
I) That any fixture signage be subject to Architectural Review Board review and approval
before a sign permit can be issued;
2) That the landscape plan and tree survey be revised to meet Code and the comments
contained is this staff report, subject to staff approval;
3) That any further expansion to the site require compliance with current parking codes;
4) That wheel stops be installed according to Code requirements and noted on the site plan;
5) That all windows proposed for replacement located close to sidewalks or other public ways
shall be all wood;
6) That the applicant submit an application to rezone the property to HB, Historic Business
District; and
ARCHITECTURAL REVIEW BOARD
BOARD ORDER
SEPTEMBER 21, 2005
3. Architectural Review Board - 05-110ARB -138 South High Street - Exterior
Modifications (Continued)
7) That the applicant submit a revised copy of all plans to the Land Use and Long Range
Planning Division showing any modifications approved by the Board.
VOTE: 4-0.
RESULT: This application was approved.
RECORDED VOTES:
Allan Staub Yes
Thomas Holton Yes
Kevin Bales Yes
Clayton Bryan Yes
Richard Taylor ABSENT
STAFF CERTIFICATION
Qoa,'7L~
Vnne Ochal, Planner
CITY OF DUBLIN
Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Jo~ ~Z 3 91
APPLICATION FOR HVAC PERMIT
Date 3-70-0(a Application No. 045 _W1170
Job Address 13 5 S N1G N- ET Parcel No. ?-7-3-60006-3
Subdivision Lot No.
Owner Name G 1 D644 L -)&0'6 5 Telephone G
Contractor Name 0 U STS At 2- Telephone J Z "A3 2Z
Contractor Address 120 C A + /y-f-tNLJ6 09 Dublin Registration No.
4-3 23 a
Residential:
Sq. Ft.
':5d,0'0 Sc7 ~
$ um plus $20.00 for each additional 500 Sq. Ft. or fraction thereof over 1000 Sq. Ft.
(Replacemen 'ts, minimum fee)
Commercial:
New/Addition Sq. Ft. Alteration
'70.00
New/Addition: Minimum plus $20.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft.
50.00
Alteration: $40:60 Minimum plus $10.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft.
3% State of Ohio Surcharge (commercial only) S
Total $ S~ S U
JOB DESCRIPTION ! N STA u- C2 5lot, lT 5 `1S 1-6W f
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.
Signature of licensed contractor or+e neewwer-
Division of Building Standards
~ i
a
Application Number . . . . . 05-00201989 Date 3/24/06
Revision number . . . . . . . 3
Property Address . . . . . . 138 S HIGH ST
Parcel Number . . . . . . . . 273-000063
Alternate Address . . . . . .
Tenant nbr, name . . . . . . M & D PARTNERS/STEELE OFC
Application type description COM BUILDING ALTERATION
Property owner . . . . . . . JACOBS CHERYL Z
Contractor . . . . . . . . . M & D PARTNERS, LLC
Structure Information 000 000
Construction Type . . . . . 5B - UNPROTECTED COMB
Occupancy Type . . . . . . BUSINESS
Permit . . . . . . COM HEATING, VENTILATING, A.C.
Additional desc . .
Permit Fee . . 50.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 9/20/06
Qty Unit Charge Per Extension
BASE FEE 50.00
Special Notes and Comments
SEE ATTACHED ARB BOARD ORDERS #05-110ARB DATED
8/24/05 AND 11/21/05.
SEE NOTES ON PLANS
SCREEN ALL MECHANICAL UNITS & SERVICE STRUCTURES TO TOP OF
UNIT INCLUDING UTILITY FEATURES AND ROOF TOP MOUNTED
EQUIPMENT. CONTACT PLANNING DIVISION 410-4600
SEPARATE SIGN PERMIT REQUIRED. CONTACT DIVISION OF PLANNING
AT 614/410-4600.
Other Fees . . . . . . . . . COM BLDG INSPECTION ALT 120.00
COM PLAN REVISION MINOR 170.00
COM CERTIFICATE OF OCC 120.00
SURCHARGE FEE - BLDG 18.90
SURCHARGE FEE - HVAC 1.50
Fee summary Charged Paid Credited Due
Permit Fee Total 50.00 .00 .00 50.00
Plan Check Total .00 .00 .00 .00
Other Fee Total 430.40 428.90 .00 1.50
Grand Total 480.40 428.90 .00 51.50
CITY OF DUBLIN
Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Date Application No. ®,5-,9 I q~q
p 1 'APPLICATION FOR ELECTRICAL PERMIT
Job Address 3 D ~t~ ~,p'~ tJ V01 Parcel No.
Subdivision ~ Lot No. p
Owner Name kG f Telephone U t q ^ -50 & -lei ty Q
Contractor Name. 11 _EAr-,cnPiSeS LL L Telephone l_.P l t~s3 " gK 73
Contractor Address 7~ IA-~ C~-L-tA-1 bbl! / o ff- Dublin Registration No a •
(7 W tfc~
Residential:
New Sq. Ft. Alteration/Addition Sq. Ft.
Temporary Service $40.00
$40.00 Minimum plus $20.00 for each additional 500 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. &00 Alteration/Addition Sq. Ft.
Temporary Service $60.00
$60.00 Minimum plus $60.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft. /-,020,00
and up to 50,999 Sq. Ft. (sizes above, See Fee Schedule)
Low Voltage Systems: Square beet
$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 QAk_ * b & 1,114
"
CT_ V
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 rovis' aid laws.
Signature of licensed contractor or h caner
Division of Building Standards
Date: 1/1/2001
Application Number . . . . . 05-00201989 Date 4/12/06
Revision number . . . . . . . 3
Property Address . . . . . . 138 S HIGH ST
Parcel Number . . . . . . . . 273-000063
Alternate Address . . . . . .
Tenant nbr, name . . . . . . M & D PARTNERS/STEELE OFC
Application type description COM BUILDING ALTERATION
Property owner . . . . . . . JACOBS CHERYL Z
Contractor . . . . . . . . . M & D PARTNERS, LLC
Structure Information 000 000
Construction Type . . . . . 5B - UNPROTECTED COMB
Occupancy Type . . . . . . BUSINESS
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 120.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10109106
Qty Unit Charge Per Extension
BASE FEE 60.00
1.00 60.0000 THOU COM ELECTRIC SERVICE 1K-50K SF 60.00
Special Notes and Comments
SEE ATTACHED ARB BOARD ORDERS #05-110ARB DATED
8/24/05 AND 11/21/05.
SEE NOTES ON PLANS
SCREEN ALL MECHANICAL UNITS & SERVICE STRUCTURES TO TOP OF
UNIT INCLUDING UTILITY FEATURES AND ROOF TOP MOUNTED
EQUIPMENT. CONTACT PLANNING DIVISION 410-4600
SEPARATE SIGN PERMIT REQUIRED. CONTACT DIVISION OF PLANNING
AT 614/410-4600.
Other Fees . . . . . . . . . COM BLDG INSPECTION ALT 120.00
COM PLAN REVISION MINOR 170.00
COM CERTIFICATE OF OCC 120.00
SURCHARGE FEE - ELECTRIC 3.60
SURCHARGE FEE - BLDG 18.90
SURCHARGE FEE - HVAC 1.50
Fee summary Charged Paid Credited Due
Permit Fee Total 120.00 .00 .00 120.00
Plan Check Total .00 .00 .00 .00
Other Fee Total 434.00 430.40 .00 3.60
Grand Total 554.00 430.40 .00 123.60
CITY OF DUBLIN
Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 462-3865 (Franklin County)
Application No.
Date 7 ? New ? Remodel ? Residential ? Commercial
APPLICATION FOR PLUMBING PERMIT
The undersigned hereby applies for a permit to do plumbing and an inspection of same at the following location in accord with
Chapter 4101:2-51 of the Ohio Administrative Code, and all regulations of the Franklin County Board of Health.
Job Address /117 0117- S I-I!6 If 19 % Parcel No.
Subdivision/Project Name 274f-41 G!- 4 /E~,"c /J C Lot No
Owner's Name /c e S 7-6-Lf 61-
Telephone
Contractor's Name rl~r~2 % f-~O G o r> f~ L t3 C Telephone 6 /Y
Contractor's Address G 6' / y/~ d' r d.? Dublin Registration Number
Does the sewer discharge into an individual sewage disposal system or sanitary sewer? ~'6r Gf /Z
How far distant from any dwelling, well or cistern is the sewage tank?
What is the size of the main drain? Of what materials do the vent pipes consist? /Z~y C'
Of what material does the house drain consist? C Z
*INDICATE NAME OF CERTIFIED BACKFLOW TESTER
INSTRUCTIONS
This form must be properly filled out and returned to the office of the City of Dublin at least four days prior to the date of the FIRST INSPECTION,
accompanied by a fee calculated upon the following basis:
RESIDENTIAL COMMERCIAL
Application for permit & first fixture $50.00 Application for permit & first fixture $60.00
Number of remaining fixtures X $10.00 = $ 9 Number of remaining fixtures X $12.00 dQ-4
Total Inspection Fee $ Total Inspection Fee I M4 D
Re-inspection fee (based upon disapproved Inspection and collected by the Franklin County Board of Health ONLY) $45.00
Qty. Qty. Qty.
Air Admittance Valve t Garbage Disposal Showers
*Backflow Preventers Hot Water Heater / Sterilizers
Bath Tubs Interceptor Sump Pump
Bed Pan Washers Kitchen Sink ! Trap Primer
Bidet Laundry Trays Urinal
Chemical Sinks Lavatories / Wash Fountain
Dental Cuspidors Mop Sinks Washing Machine
Dilution Sump Outside Faucets Water Closets
Dish Washers Roof Drains Water Lines
Drinking Fountain Rough-in Openings for Future Water Storage Tank
Floor Drains Sewage Ejectors Other
Garage Catch Basin GRAND TOTAL
HOT WATE NK REPLACEMENT FEE $35.00
Division of Building Standards '
Application Number . . . . . 05-00201989 Date 4/17/06
Revision number . . . . . . . 3
Property Address . . . . . . 138 S HIGH ST
Parcel Number . . . . . . . . 273-000063
Alternate Address . . . . . .
Tenant nbr, name . . . . . . M & D PARTNERS/STEELE OFC
Application type description COM BUILDING ALTERATION
Property owner . . . . . . . JACOBS CHERYL Z
Contractor . . . . . . . . . M & D PARTNERS, LLC
Structure Information 000 000
Construction Type . . . . . 5B - UNPROTECTED COMB
Occupancy Type . . . . . . BUSINESS
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 168.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 60.00
9.00 12.0000 EA COM PLUMBING >1 FIXTURE 108.00
Special Notes and Comments
SEE ATTACHED ARB BOARD ORDERS #05-110ARB DATED
8/24/05 AND 11/21/05.
SEE NOTES ON PLANS
SCREEN ALL MECHANICAL UNITS & SERVICE STRUCTURES TO TOP OF
UNIT INCLUDING UTILITY FEATURES AND ROOF TOP MOUNTED
EQUIPMENT. CONTACT PLANNING DIVISION 410-4600
SEPARATE SIGN PERMIT REQUIRED. CONTACT DIVISION OF PLANNING
AT 614/410-4600.
Fee summary Charged Paid Credited Due
Permit Fee Total 168.00 .00 .00 168.00
Plan Check Total .00 .00 .00 .00
Grand Total 168.00 .00 .00 168.00
04/10/2006 07:53 6144623851 FRANKLIN CO HEALTH PAGE 01/02
0 Franklin County Board of Health
° PLU RING REVIEW
TRANSMITTAL
Number of Fixtur s:
Plan Review Fee Schedule
d
1 - 5 Fixtures $ 25.00 Amount Due: Q
6 - 20 Fixtures $ 35.00
21 - 40 Fixtures $ 65.00
41 or more Fixtures $100.00
O ? NEW [TREMODEL
Date: 17
1- 7-
U,
Job Name: ~Ic7jcZ- " ,,~Zx /.7 G
Address: T
City: t~ L / f Sin
Signature:
Plans Submitted by: .~~%!~U Go/va° /JC
Address: ?`C7 A/-
City & Zip CD S!~ z G.s Phone : Z1y -Z.5-j - g~v
Paid By, APPROVED `
Check 41#c?f DI APPR ED
Copy To: 7-) Inspector.
Date:
i
Franklin County Board of Health ? 280 East Broad Street • Columbus, OH 43215
(614) 462-3160 phone ? (614) 462-3851 fax
CITY OF DUBLIN
Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Date S - y- G7~Q Application No. 05-ZOI M9 L. V
APPLICATION FOR ELECTRICAL PERMIT
Job Address 38 5• l~ 1Ci h 5'~"• Parcel No
Subdivision Lot No.
Owner Name I'YI e D r-S- L-~-~ Telephone j~C ' 5q 0
Contractor Name kaj YI e ~vnLU 2111ca 136 relephone (F1 `1 " Ro&- 7 r200
Contractor Address 1&Z41 Bio ee )&QVQ t C4 ON Dublin Registration No.
Residential:
New Sq. Ft. Alteration/Addition Sq. Ft.
Temporary Service $40.00
$40.00 Minimum plus $20.00 for each additional 500 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: -0
New Sq. Ft. Alteration/Addition Sq. Ft. 2
Temporary Service $60.00 t11CM.(S f7GtSGh~J~ f
$60.00 Minimum plus $60.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft.
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) 2.10
Total
JOB DESCRIPTION 0 0 CIE Lo u O 114-4 y01 i-Q a4IVA
C'! ~Ctt1c-,,
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 an provisions of said laws.
Signature of licensed contractor or homeowner
Division of Building Standards Ni
Date: 1/1/2001
Application Number . . . . . 05-00201989 Date 5/04/06
Revision number . . . . . . . 3
Property Address . . . . . . 138 S HIGH ST
Parcel Number . . . . . . . . 273-000063
Alternate Address . . . . . .
Tenant nbr, name M & D PARTNERS/STEELE OFC
Application type description COM BUILDING ALTERATION
Property owner . . . . . . . JACOBS CHERYL Z
Contractor . . . . . . . M & D PARTNERS, LLC
Structure Information 000 000
Construction Type . . . . . 5B - UNPROTECTED COMB
Occupancy Type . . . . . . BUSINESS
Permit . . LOW VOLTAGE ELECTRIC PERMIT
Additional desc . .
Permit Fee . . . . 70.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date . . 10/31/06
Qty Unit Charge Per Extension
BASE FEE 30.00
2.00 20.0000 THOU COM ELECTRIC LOW VOLTAGE 40.00
Special Notes and Comments
SEE ATTACHED ARB BOARD ORDERS #05-110ARB DATED
8/24/05 AND 11/21/05.
SEE NOTES ON PLANS
SCREEN ALL MECHANICAL UNITS & SERVICE STRUCTURES TO TOP OF
UNIT INCLUDING UTILITY FEATURES AND ROOF TOP MOUNTED
EQUIPMENT. CONTACT PLANNING DIVISION 410-4600
SEPARATE SIGN PERMIT REQUIRED. CONTACT DIVISION OF PLANNING
AT 614/410-4600.
Other Fees . . . . . . . . . COM BLDG INSPECTION ALT 120.00
COM PLAN REVISION MINOR 170.00
COM CERTIFICATE OF OCC 120.00
SURCHARGE FEE - ELECTRIC 5.70
SURCHARGE FEE - BLDG 18.90
SURCHARGE FEE - HVAC 1.50
BLDG PERMIT EXTENSION COM 20
-------------------------------------.00
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 456.10 454.00 .00 2.10
Application Number Page 2
• 05-00201989 Date 5/04/06
Revision number . . . . . 3
Grand Total 526.10 454.00 .00 72.10