07201662 Permit File
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 . . . . . . 5/05/08
Parcel Number . . . . . 274-000889
Property Address . . . 5961 ROUNDSTONE PL FR
DUBLIN OH 43016
Subdivision Name .
Legal Description . . .
Property Zoning . . . . PLANNED LOW DENSITY RES
Owner . . . . . . . . AVERY JAN K
Contractor . . BIG 8 REMODELING, INC.
614 475-2265
Application number 07-00201662 000 000
Description of Work COM BUILDING ALTERATION
Construction type . . . 5B - UNPROTECTED COMB
Occupancy type . . RES > 3 UNITS FIRE SEP
Flood Zone . . . . . .
Special conditions . .
BASEMENT FINISH
Approved . . . . . .
it T Official
VOID UNLESS SIGNED BY BUILDING OFFICIAL
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: U'1F t S11 Use Group: 3 Construction Type: !515
Application No: 01- ZO 16(mA Project Address: qqJO/ Q *Ak_ pl
General Contractor: mpip~~ Buildin Code: O O
r.
Y
7777
r .
INSP
Sewer Tap "Rough Sprinkler
Footing Electric Service
Foundation Steel - Framing
Footing Steel Grounding Shaft Walls
Foundation Insulation
Piers Fireplace /97°x°'
Waterproofing Curb, Walk & Approach
Electrical Underground Above Ceiling Electric
Plumbing Underground Above Ceiling HVAC dS~. W //W
"Sprinkler Underground "Above Ceiling Sprinkler
Pre-Slab Above Ceiling Structural °r8s 68 Irrr
S#t'
Diamonds Final Electric -L
Structural Steel Final Plumbing 4 -Dt
Fireproofing Final HVAC 08' /Wr
Masonry Wall Grout Final Gas Piping o~ as 0 4w
"Fire Alarm Rough "Fire Prevention
Rough Electric Zoning Final
Rough Plumbing j Engineering Final
Rough HVAC I I Occupancy 0L,og "f& Vf0'
Rough Gas Piping del*, 00 'w S '
"Please call Washington Township Fire Department at 652-3920 to schedule these inspections.
DATE INSPECTION COMMENTS APPROVAL INSPECTOR
TYPE CODE
A
CITY OF D U B L11r 5800 Shier Rings Road
Division of Building Standards Dublin, Ohio 43016
COMMERCIAL BUILDING Telephone: 614-4104670
PERMIT APPLICATION Inspection Line: 614.4104680
Facsimile: 614-761-6566
PROJECT INFORMATION
ddress g;-.f Ita fz Ip~4a° Project Sq Fig.
Project Name
Estimated Cost of Construction . c %c> Parcel Number -
PROPERTY OWNER INFORMATION
Property Owner Name (Contact Person if owned by a Corporation)
CompanyName Address Src~! 1c
Cit, >z~ State O(.. Zqr a 3 of 7
hone Fax E-Val
TENANT INFORMATION (If Applicable)
Contact Name
Company Name Address
city State Zip
hone Fax E4AA
ARCHITECT, ENGINEER, OR OTHER DESIGN PROFESSIONAL INFORMATION
Design Professional Name Ohio RegrCert Number
Company Name Address
ily State Zip
Telephone Fax E-Mail
GENERAL CONTRACTOR INFORMAT ON (Must be a City of Dublin Registered Contractor)
Contact Name Dublin Registration # O S 3
Company Name Address Z4 Op L ~L
city- o State 0 ~1 T.ip e(3 5 12
T &1 L4- L{7S'- ZZfos" Fax /~(-~(7S=/444 E-N~ ? a 0,4
AFFIDAVIT OF OWNER AUTHORIZATION FOR REPRESENTATION
Note: This person will be contacted with all official correspondence. All signatures must be ORIGINAL.
ees Representative . s Relationship to Proj 1.
Company Name 137 Position- s Telephone 4 Z.c 2- Z69"
I, i~y=c3,4 (please print), the owner and applicant, hereby authorize 'f". Sew t E
o act as my representative and agent in all matters pertaining to the processing and approval of this application including
modifying the project, and 1 agree to be nd by all repr lions and agreements made by the designated agent
Signature of Property Owner Date: - 07
I $~-tt the er or the Owners Representative, have read and
understand the contents of all 3 pages of this application. The information contained in this Application, attached exhibits
and other information submitted is complete and' I respects true and correct, to the best of my knowledge and belief.
i ature of Owner's Representative: Date: t 7 D
Building Standards Division Use Only Date Received Building Standards
lication Number D / -cRd J (ao ~
OOYMERCWL BMDING PEWfr APPLICATION Pape t do P.VASSMAAXAF0RMS%COMMAPP_W62 FomM SU),201 Data. 02/16D0
CITY OF DUBLIN
Division of Building Standards
COMMERCIAL BUILDING PERMIT APPLICATION
Project Name 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 f Fire Wall Yes No
C. Alteration Article 34 Yes No
D. Change of Use Entire Structure Partial
E. Change of Occupan Entire Structure Partial
Previous Use(s) Use Group(s)
ANALYSIS OF NEW STRUCTURE, ADDITION, AND/OR AREA TO BE ALTERED
A. Occupancy Description Use Group(s)_
B. Mixed Use: Yes Non-separated =Separated
NoEJ
C. Type of construction
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 1; 3
1st J 43S
2nd t 2(0
3rd
4th & above
F. Allowable maximum floor area (first floor footprint) Ll ?8
Does the above include street frontage increase? Yes R NoFi7l
Does the above include increase for sprinklers? Yes No
G. Number of stories above grade '2-
Height Basement YesFT No0
COMMERCIAL BUILDING PERMIT APPLtCAMON Pape 2 of 3 P'APASSOLDGWORMSICOMMAPP.WB2 Formal BLD•201 Daft: 10111199
CITY OF DUBLIN
Division of Building Standards
COMMERCIAL BUILDING PERMIT APPLICATION
H. Horizontal exits Yes No
1. Limited sprinkler system Yes No 1.7
J. Full automatic sprinkler system Yes No
K. Standpipe system Yes No r/
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 Use Group(s)
B. Mixed Use: Yes Non-separated =Separated E
No
C. Type of construction
D. Floor Area/Floor Occupant Load/Floor Egress Capacity/Floor Number of Exits
Basement
1st i y39,
2nd 120(0
3rd
4th & above
E. Allowable maximum floor area (first floor footprint) W3 t
Does the above include street frontage increase? Yes No m
Does the above include increase for sprinklers? Yes 8 No I
F. Number of stories above grade 2
Building Height Basement Yes[!' No0
G. Horizontal exits Yes No
H. Limited sprinkler system Yes No
1. Full automatic sprinkler system Yes No v
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 tablle of design loads with construction documents
I, S~vZI` the Design Professional, have read
and understand the contents of this application. The information contained in this application,
attached exhibits and other information submitted, is complete and in all respects true and correct,
to the best of my knowledge and bel
Signature of Design Professional: Date: L / 7t10--7
COMMERCM MALDING PERMIT APPLICATION Pape 3 of 3 P.'1PASSIBLDGIFORMSTOMMAPP.W62 Fw" BLD-Z M DaW 10M 1199
' 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: ~-p
Project Address: 5 r 6 / e` _ ct~,,. PLC
Applicant: Sze Phone:
Author of Drawings (in attendance): s )t-Tt___~_ { Phone:6, I
General Contractor (required): c, ~iA-
Contractor Registration Number: 0 $ - .15,3 Project Square Footage: q(o d
Circle the appropriate categorylcategories 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 . A2...........................3.0 IB............................ 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 11B...........................1.0 above ..1.0
B ..............................1.0
Projects over 3, 000 sq. ft. E ..............................1.8 111A 2.5 Non-professional........ 3.0
are not considered without F1 & F2 ....................2.5 IIIB.......................... 1.3
CBO permission. H N/P 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
...........................1.5 VA............. 2.5 requires technical analysis
S1 ...........................1.4 .......................2.5 of safety or sanitation.
S2 ............................1.2
U .............................1.0
E F G H
Nature of Work Permits Required Number of Floors Number of Drawings
(Add all permits requir (involved in the review) (Excluding cover sheet
Alteration .................1.0 Building................... 1............................ 1-4....................
.....1
Demolition & Zoning Compliance.... 2 .............................2.0 5-8.......................... 2.0
Build Out 1.2 HVAC minor/existing.. 1.0 9-13......................... 3.0
New Building HVAC new system(s) 0 Permission required from 14-20 ......................4.5
(<120 sq. ft.) .............1.2 Electrical (minor)....... ..0 CBO for any more floors
Addition Electrical (new equip).. 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.
A B 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 form, Building Permit Application and Zoning Compliance form to Building Standards 614-761-6566.
T:\OFFICE\WP\DOCS\DOC\Excel\2006 walkthrough
I~~~ISI I~~~Irrrrrll r r~~
CITY OF DUBLIN
M
Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Date i s a-1a 0 Application No. y/ r
APPLICATION FOR ELECTRICAL PERMIT
Job Address 5 6 4 1 A o w 16 jop t /DZ_ Parcel No.
Subdivision Lot No.
Owner Name ? C- 11 ~ r 11-0e'Sj Telephone
U't a18'~
Contractor Name I n Telephone ~
Contractor Address 10 73k Dublin Registration No.
Residential:
4
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. 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. M, 00
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)
Total $ ? 0
JOB DESCRIPTION R& 2442.8,72/ 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 provisi s of said laws.
Signature of licensed contractor or homeow er
Division of Building Standards
Date: 1/1/2001
CITY OF DUBLIN
Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Application Number . . . . . 07-00201662 Date 1/23/08
Property Address . . . . . . 5961 ROUNDSTONE PL
Parcel Number: 274-000889
Alternate Address: LAKES Q BALLANTRAE BLD 8C
Tenant nbr, name . . . . . . BASEMENT FINISH
Application type description COM BUILDING ALTERATION
Property owner . . . . . . . AVERY JAN K
Contractor . . . . . . . . . BIG 8 REMODELING, INC.
Structure Information 000 000
Construction Type . . . . . 5B - UNPROTECTED COMB
Occupancy Type . . . . . RES > 3 UNITS FIRE SEP
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 120.00 Plan Check Fee .00
Issue Date Valuation . . . . 0
Expiration Date . . 7/21/08
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
IF IN THE COURSE OF CONSTRUCTION, WORK IS DELAYED
OR SUSPENDED FOR MORE THAN SIX MONTHS, THE APPROVAL OF
PLANS OR DRAWINGS AND SPECIFICATIONS OR DATA IS INVALID.
TWO EXTENSIONS SHALL BE GRANTED FOR SIX MONTHS EACH IF
REQUESTED BY THE OWNER AT LEAST 10 DAYS IN ADVANCE OF
THE EXPIRATION OF THE APPROVAL AND UPON PAYMENT OF A
$20.00 EXTENSION FEE
SIGNED CHIEF BUILDING OFFICIAL
Jeffrey S. Tyler, AIA
Other Fees . . . . . . . SURCHARGE FEE - ELECTRIC 3.60
SURCHARGE FEE - BLDG 3.00
SURCHARGE FEE - HVAC 3.00
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 9.60 6.00 .00 3.60
Grand Total 129.60 6.00 .00 123.60
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) 410-4670 * Inspection Line: (614) 410-4680
Supplement to Plan Approval
Application Date: 12/3/2007 Application Number: 07 -201662
Property Address: 5961 ROUNDSTONE PL
Project Description: BASEMENT FINISH
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 fo/lo wing items are conditions of the issuance of the Plan Approval,, when applicableItem 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 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 OBCJ, mechanical work piping, ducts and
systems fChapter 3 OMCJ, structural members and connections /Chapter 16, OBCJ, and electrical
work fChapter 27 OBCJ. 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.
Page 1 of 2
Item 6. OBC 1 103.1 Where required.
Building and structures, temporary or permanent, including their associated sites
and facilities, shall be accessible to persons with physical disabilities.
OBC 1 103.2.1 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 the conditions listed above. This review does not
preclude the necessity to conform to 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
Reviewed and Signed,
Ra M. H rphaA chitect j Tyler, AIA
Commercial Plans Examiner Chi B ilding Official
City of Dublin City o ublin
Si &ture - Architect, Engineer or Contractor Date
Print Name and Title as Signed
Page 2 of 2
CITY OF DUBLIN
Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016
Phone: (614) 410-4670 - Inspection Line: (614) 410-4680
Application Number . . . . . 07-00201662 Date 12/06/07
Property Address . . . . . . 5961 ROUNDSTONE PL
Parcel Number: 274-000889
Alternate Address: LAKES @ BALLANTRAE BLD 8C
Tenant nbr, name . . . . . . BASEMENT FINISH
Application type description COM BUILDING ALTERATION
Property owner . . . . . . . AVERY JAN K
Contractor . . . . . . . . . BIG 8 REMODELING, INC.
Structure Information 000 000
Construction Type . . . . . 5B UNPROTECTED COMB
Occupancy Type . . . . RES > 3 UNITS FIRE SEP
Permit . . . . . . COMMERCIAL BUILDING PERMIT
Additional desc . 1,438 SQUARE FEET
Permit Fee . . . . 100.00 Plan Check Fee .00
Issue Date . . . . ia- tl°o'-1 Valuation . . . . 0
Expiration Date 6/03/08
Qty Unit Charge Per Extension
BASE FEE 100.00
Special Notes and Comments
IF IN THE COURSE OF CONSTRUCTION, WORK IS DELAYED
OR SUSPENDED FOR MORE THAN SIX MONTHS, THE APPROVAL OF
PLANS OR DRAWINGS AND SPECIFICATIONS OR DATA IS INVALID.
TWO EXTENSIONS SHALL BE GRANTED FOR SIX MONTHS EACH IF
REQUESTED BY THE OWNER AT LEAST 10 DAYS IN ADVANCE OF
THE EXPIRATION OF THE APPROVAL AND UPON PAYMENT OF A
$20.00 EXTENSION FEE
SIGNED CHIEF BUILDING OFFICIAL
ey S. Tyler, AIA
Other Fees . . . . . . . . . SURCHARGE FEE - BLDG 3.00
Fee summary Charged Paid Credited Due
Permit Fee Total 100.00 .00 .00 100.00
Plan Check Total .00 .00 .00 .00
Other Fee Total 3.00 .00 .00 3.00
Grand Total 103.00 .00 .00 103.00
CITY OF DUBLIN
Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
APPLICATION FOR GAS PIPING PERMIT
a t Q
Date Application No. (24 - AQ `~k4o
Job Address .51: 6/ ! ~ G~ r 3 f Parcel No. a 7V -0 00 9 0-7 - 00
o?~ S
Subdivisions Lot No.
Owner Name atr! Telephone
Contractor Name r? •i c h Telephone to LY "y7-1r 33 9
Contractor Address S! S l S~ l`•' ' v S d y~~ Dublin Registration No
esidential ( ) Commercial
( )Alter Existing Addition to Building ( ) Replace/Repair Existing
Type of Pipe to be Installed: ( ) Iron CSST ( ) Other _
Min. Pipe Size Required: 1 in. Regulator Size BTU Max.
Gas Appliances BTU/IIR
Range
Water Heater
Dryer
Gas Logs
Log Lighter
Furnace(s)
_/OD
Other: IT-AS la,_ FEE $70.00
3% State of Ohio Surcharge (commercial only) e~ • 10
Total Total $ • ~Ao
JOB DESCRIPTION ~"71 'q0_5 /.go tifa rc~O~t At~~ • ' d7 6 °Z
This permit is granted on the express condition that the said ork sha in all respects, conform to the ordinances of the City of Dublin and all
the laws of the State regulating construction, install , rep 'r a alteration, and may be revoked at any time upon violation of any
provisions of said laws.
Signature of licensed contractor or homeowner
Division of Building Standards
y CITY OF DUBLIN
Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Application Number . . . . . 07-00201662 Date 2/19/08
Property Address . . . . . . 5961 ROUNDSTONE PL
Parcel Number: 274-000889
Alternate Address: LAKES @ BALLANTRAE BLD 8C
Tenant nbr, name . . . . . . BASEMENT FINISH
Application type description COM BUILDING ALTERATION
Property owner . . . . . . . AVERY JAN K
Contractor . . . . . . . . . BIG 8 REMODELING, INC.
Structure Information 000 000
Construction Type . . . . . 5B - UNPROTECTED COMB
Occupancy Type . . . . . . RES > 3 UNITS FIRE SEP
Permit . . . . . . GAS PIPING PERMIT
Additional desc . .
Permit Fee . . . . 70.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/17/08
Qty Unit Charge Per Extension
BASE FEE 70.00
Special Notes and Comments
IF IN THE COURSE OF CONSTRUCTION, WORK IS DELAYED
OR SUSPENDED FOR MORE THAN SIX MONTHS, THE APPROVAL OF
PLANS OR DRAWINGS AND SPECIFICATIONS OR DATA IS INVALID.
TWO EXTENSIONS SHALL BE GRANTED FOR SIX MONTHS EACH IF
REQUESTED BY THE OWNER AT LEAST 10 DAYS IN ADVANCE OF
THE EXPIRATION OF THE APPROVAL AND UPON PAYMENT OF A
$20.00 EXTENSION FEE`***
SIGNED CHIEF BUILDING OFFICIAL
Jeffrey S. Tyler, AIA
Other Fees . . . . . . . SURCHARGE FEE - GAS LINE 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 2.10 .00 .00 2.10
Grand Total 72.10 .00 .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.
- 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 O l Application No. G) ( 9
S t~
Job Address ~V Lsad~Parcel No.
Subdivision Lot No.
Owner Name Telephone
Contractor Name (k)" Telephone (D Lh3~ IbJ
Contractor Address o • ~Jl) lC X'W~~ N h lin Registration No.
Residential:
Sq. Ft.
$60.00 Minimum plus $30.00 for each additional 500 Sq. Ft. or fraction thereof over 1000 Sq. Ft.
$60.00 REPLACEMENT UNITS GAS ELECTRIC.
(Minimum fee only)
Commercial:
New/Addition Sq. Ft. Alteration I
' • `
New/Addition: $70.00 Minimum plus $30.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft.
Alteration: $70.00 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 $
G6(?wATk_ $
JOB DESCRIPTION -2~~4 R S
This permit is granted on the express condition that the said work shall in all res , conform to the ordinances of the City of Dublin and all
the laws of the State regulating construction, installation, rep and alt raqn, may be revoked at any time upon violation of any
provisions of said laws. '
Signature of licensed contractor or homeowner
Division of Building Standards
CITY OF DUBLIN
Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016
Phone: (614) 410-4670 - Inspection Line: (614) 410-4680
Application Number . . . . . 07-00201662 Date 1/15/08
Property Address . . . . . . 5961 ROUNDSTONE PL
Parcel Number: 274-000889
Alternate Address: LAKES @ 13ALLANTRAE BLD 8C
Tenant nbr, name . . . . . . BASEMENT FINISH
Application type description COM BUILDING ALTERATION
Property owner . . . . . . . AVERY JAN K
Contractor . . . . . . . . . BIG 8 REMODELING, INC.
Structure Information 000 000
Construction Type . . 5B - UNPROTECTED COMB
Occupancy Type . . RES > 3 UNITS FIRE SEP
Permit . . . . . . COM HEATING, VENTILATING, A.C.
Additional desc .
Permit Fee . . 100.00 Plan Check Fee .00
Issue Date . Valuation . . . . 0
Expiration Date . 7/13/08
Qty Unit Charge Per Extension
BASE FEE 70.00
1.00 10.0000 THOU COM HVAC ALT 10.00
1.00 20.0000 THOU COM HVAC NEW/ADD 20.00
Special Notes and Comments'
IF IN THE COURSE OF CONSTRUCTION, WORK IS DELAYED
OR SUSPENDED FOR MORE THAN SIX MONTHS, THE APPROVAL OF
PLANS OR DRAWINGS AND SPECIFICATIONS OR DATA IS INVALID.
TWO EXTENSIONS SHALL BE GRANTED FOR SIX MONTHS EACH IF
REQUESTED BY THE OWNER AT LEAST 10 DAYS IN ADVANCE OF
THE EXPIRATION OF THE APPROVAL AND UPON PAYMENT OF A
$20.00 EXTENSION FEE
SIGNED CHIEF BUILDING OFFICIAL
Jeffrey S. Tyler, AIA
Other Fees . . . . . . SURCHARGE FEE - HVAC 3.00
Fee summary Charged Paid Credited Due
Permit Fee Total 100.00 .00 .00 100.00
Plan Check Total .00 .00 .00 .00
Other Fee Total 3.00 .00 .00 3.00
Grand Total 103.00 .00 .00 103.00
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
Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 462-3865 (Franklin County)
Application No. 0-4• ~to` b
Date ? 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 I b 1 hip i11 o a 4 D: IFWJ F Parcel No•J 7 V -b 6D
Subdivision/Project Name Lot No.
Owner's Name Telephone
Contractor's Name tf F'Jr PL U WZ_J to Telephone
Contractor's Address h. b 3 6-7 C{ 9 Dublin Registration Number
A Mar Af it? F~ a R
Does the sewer discharge into an individual sewage disposal system o sanitary sewer?
How far distant from any dwelling, well or cistern is the sewage tank?
What is the size of the main drain? q IL Of what materials do the vent pipes consist? ~UC.
Of what material does the house drain consist? P V C~
*INDICATE NAME OF CERTIFIED BACKFLOW TESTER
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:
WATER TANK REPLACEMENT FEE $35.00
RESIDENTIAL COMMERCIAL
Application for permit & first fixture $50.00 Application for permit & first fixture $60.00
Number of remaining fixtures X $10.00 = $ Number of remaining fixtures X $12.00 = $
Total Inspection Fee $ Total Inspection Fee
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 ` Garbage Disposal Showers
*Backflow Preventers Gas Water Heater Sterilizers
Bath Tubs Electric Water Heater Sum Pump
Bed Pan Washers Interceptor Trap Primer
Bidet Kitchen Sink Urinal
Chemical Sinks Laundry Trays Wash Fountain
Dental Cuspidors Lavatories Washing Machine
Dilution Sum Mop Sinks Water Closets
Dish Washers Outside Faucets Water Lines
Drinking Fountain Roof Drains Water Stora a Tank
Floor Drains Rough-in Openings for Future Other /
Garage Catch Basin Sewage Ejectors GRAND TOTAL
Division of Building Standards \ - ~3k <DB
CITY OF DUBLIN
.low Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016
Phone: (614) 410-4670 - Inspection Line: (614) 410-4680
Application Number . . . . . 07-00201662 Date 1/22/08
Property Address . . . . . . 5961 ROUNDSTONE PL
Parcel Number: 274-000889
Alternate Address: LAKES @ BALLANTRAE BLD 8C
Tenant nbr, name . . . . . . BASEMENT FINISH
Application type description COM BUILDING ALTERATION
Property owner . . . . . . . AVERY JAN K
Contractor . . . . . . . . . BIG 8 REMODELING, INC.
Structure Information 000 000
Construction Type . . . . . 5B - UNPROTECTED COMB
Occupancy Type . . . RES > 3 UNITS FIRE SEP
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 84.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/16/10
Qty Unit Charge Per Extension
BASE FEE 60.00
2.00 12.0000 EA -COM PLUMBING >1 FIXTURE 24.00
Special Notes and Comments
IF IN THE COURSE OF CONSTRUCTION, WORK IS DELAYED
OR SUSPENDED FOR MORE THAN SIX MONTHS, THE APPROVAL OF
PLANS OR DRAWINGS AND SPECIFICATIONS OR DATA IS INVALID.
TWO EXTENSIONS SHALL BE GRANTED FOR SIX MONTHS EACH IF
REQUESTED BY THE OWNER AT LEAST 10 DAYS IN ADVANCE OF
THE EXPIRATION OF THE APPROVAL AND UPON PAYMENT OF A
$20.00 EXTENSION FEE
SIGNED CHIEF BUILDING OFFICIAL
Jeffrey S. Tyler, AIA
Fee summary Charged Paid Credited Due
Permit Fee Total 84.00 .00 .00 84.00
Plan Check Total .00 .00 .00 .00
Grand Total 84.00 .00 .00 84.00