07200002 Permit File
JAN-02-2007 09:55 _ City of Dublin 6147616566 P.01
W, CITY OF DUBLIN OW1
Division of Building Standards - 5800 Shier-Rings Road - Dublin, Ohio 43016 Phone: (614) 410.4670 - Inspection Line: (614) 410-4680 RECEIVED
REMOVAL PERMIT JAN 0 2 2006
(this form is not to be used for interior or partial demolitions, please complete the CommergPILDING DIVISION
Building Permit Application for these usages) CITY OF DUBLIN
A lication Number: CA Z00 O- Date Applied: 0
y -
Job Address: p_ S Parcel Number:
T e of Structures to be removed:
Historic Structure: Y Fire Department Trainin : Y(c
Removal Completion Date: / 7
Owner or Agent lease rint : Telephone;
v
Contractor: Telephone : &Y 14
Dublfn Contractor R fstration Number:
Please submit the following with this application:
Proof of ownership (i.e. Auditor's webpage copy, deed, executed dosing statement)
yr 2. Documentation showing real estate taxes have been paid to date (i.e. Auditors webpage copy)
3. Copy of completed utility statement (see attached)
4. Copy of EPA "Notification of Demolition and Renovation" stamped "received" by EPA
(commercial only; for more information, pease contact the EPA at 614-726-3816)
5, Signed "Hazardous Materials" affidavit from owner or agent (commercial or Fire Department
training only); see attached
6. Site plan showing all structures on subject and adjacent properties (identify all structures to be
removed)
Demoiittons shall comply with the Ohio Building Code, Section 3303. Adjoining property shall be protected
in accordance with the Ohio Building Code, Section 3307.
The owner and/or contractor assumes all responsibility for cgrtpliance with the City of Dublin, Code of
Ordinances. All violations of the City of QubbW Code of Or in' noes shall be corrected at the request of the
Division of 13uildinq, Standards.
Owner or Agent (signature): Date; "
Contractor si nature • Date:
6
Zoning Approval.,_ Dater
Chief Building Offici Date: ~R
This permit Is granted on a 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.
Removal Permit 06(Excel)
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 . . . . . 07-00200002 Date 1/09/07
Property Address . . . . . . 6035 AVERY RD
Parcel Number . . . . . . . . 274-000083
Alternate Address . . . . . .
Tenant nbr, name . . . . . . HOUSE & GARAGE REMOVAL
Application type description DEMOLITION PERMIT
Property owner . . . . . . . SSWOPE RICHARD L j_R & MARY
Contractor n
j------------
Permit . . . . . . DEMOLITION PERMIT
Additional desc . .
Permit Fee . . . . .00 Plan Check Fee .00
Issue Date . . . . 1/09/07 Valuation . . . . 0
Expiration Date . . 7/08/07
Fee summary Charged Paid Credited Due
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
f 1
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.
Property Search Results Pagel of 2
,ty f 1 i ~
PID274-000083 j
City Of Dublin
6035 Averif Rd
Dublin, OH 43002 _
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Image Date: Tue Jan 2 09:45:38 2007 Ortho Photograi
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,r_ sire ~ stra~~1 [ ~i tc ins.
Hint: To see more details on a building on this parcel, including an overview drawing of the building, select the Building Sketch option. "
Link to:
:5y
Washington Township - 91 1897 feet
Columbus Station 34 1.6 miles
Washington Township - 95 1.7 miles
http://209.51.193.89/scripts/mmweb5a.pl?zoom=5&zmlvl=3&stype=valid&mapx=264&ma... 1/2/2007
JAW-02-2007 09:56 City of Dublin 6147616566 P.03
r
Hazardous Materials Affidavit
CITY OF DUBLIN-
has been reviewed for
The following prop, rty
hazardous materials and none exist or the hazardo aterials have been abated
and subscribed before me this"y of , 20
Sworn to
Owner or Agent (print name) P.,.~~k'
(signature)
Notary Public
R ERT J. MCEWOVIO
NOTARY PUBLIC, STATE OF My COMMISSION EXPIRES VA-INS
p•~i~ ~~gRYiSWmNoui Nlimti~ A(rdpvc.doc
TOTAL P.03
JAN-02-2007 09 56 City of Dublin 614'7616566 P.02
Utility Statement
CITY OF DUBLLN,.
Utilities have been disconnected at the following address:
Not Applicable 12alg of R=oval Utilii.ly Work der #
(If applicable)
ELECTRIC
NATURAL GAS l~
CABLE C'
TELEPHONE zr
PUBLIC WATER W
PUBLIC SEWER UT*~'
FUEL TANKS (PROPANE, FUEL OIL, GASOLINE, DIESEL, KEROSENE) Please
describe plan for disposal of`fhe above fuel tanks if applicable.
PRIVATE SEWAGE SYSTEMS AND WELLS: Please describe plan for.
raM, valhemcdiatio of those types of systems.
The above is true and correct to the best of y knowledge.
Signature: ~~.t'Z'V4
G
Printed Name: OQ~2
Date:
Jennifer Brock - Re: 6035 Avery Rd. Page
From: Melody Kennedy
To: Brock, Jennifer
Date: 1/2/2007 12:16:59 PM
Subject: Re: 6035 Avery Rd.
Yep. Larry has been working on that one. Its another one for the Avery Road transportation project. The
City does hold the deed.
The next one he'll be working on is 35 Darby Street. The sellers still haven't vacated the premises..... and
won't until their new (Krems) site is ready. But I know Larry has started work on that one too.
Let me know if you need more....-M
Jennifer Brock 1/2/2007 11:50:24 AM
Hi Melody,
Hope you had good holidays!
I received a removal permit application for 6035 Avery Rd. According to the Franklin County Auditor it is
owned by the City of Dublin. Do you know anything about this one?
Thanks,
Jennifer
OHIO ENVIRONMENTAL PROTECTION AGENCY
NOTIFICATION OF DEMOLITION AND RENOVATION 2
Operator Project # Postmark Date Received MAT"OL-W
1. Type of Notification (check one): Original ? Revised ? Canceled
II. Facility Description • elude building name, number, and floor or room number) OHIO B
uilding Na me:
Address: Go 35' A?eriz jCd
;Z City: l)u her y~ State: OHIO Zip Code: O- County:
rF
Site Location (specific): (,erne r C-C ,4 le r rl e-cc ,3 L4r:rl ~TL C) e I ! D r iV "
Building Size (square feet): _j 4 "o # of Floors:
- / I_ Age in Years:
Present Use: Nina I) S Prior Use: Qes icle l
III. Type of Operation (check one): Demo ? Ordered Demo ? Renovation ? Emergency Renovation ? Fire Training
IV. Is Asbestos Present? (check one): ? Yes No
V. Facility Information
Owner Name: Ct l / n-P T)f 40 /1
Address: (2 . S S C L~ i P r- Q'i K r
T'-
City: State: nd Zip Code: q-?O/ 6;
Contact: Telephone: C, ; ) 7 i c ~~'c) Fax: ( i<; l -?G 1 G5;' z
Removal Contractor Name: C r',? S; i^ ,i 'l7f 1 License # E- S
Address: 2,.5 u e-Y_.
City: G a n V, ) 14- State 4, Zip Code: y i l
Contact: moll , (-V,/<e r Telephone: (~Y~ 1 r Z3 F`7( S' Fax: ( 1
Other Operator (demolition/general): License # .46),9
Address: a, r
City: ' State: Zip Code: y 3-)0 7
Contact: Telephone: (6 14 ) y9/-3 k O Fax: ( 6 /N ) 4''?/- 7--) 0!Z
VI. Procedure, including analytical methods, employed to detect the presence of and to estimate the quantity of RACM and
Category I and Category II nonfriable ACM:
PL M ;~n~Y~j51 5
3 -73 3
Ohio Asbestos Hazard Evaluation Specialist: 1 i~ rt vt 0 F S U
Name Certification #
VII. Approximate Amount of Asbestos Materials:
Nonfiiable Asbestos Material Nonfriable Asbestos Material
to be Removed NOT to be Removed
RACM to be Removed
Category I Category II Category I Category II
Pipes (linear feet)
Surface Area (square feet)
Facility Components (cubic feet)
VIII. Scheduled Dates Demolition or Renovation: Start: 0 Complete: J-1,2-07
IX. Dates for Asbestos Removal (MM/DD/YY) Start: Complete:
Days of the Week Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Hours of Operation
Complete all unshaded spaces, except demolitions which involve less than 260 linear feet, 160 square feet, or 35 cubic feet of RACM, need not
complete spaces VII, XI,7QI,XIII,XIV, and XV. Notifications for Emergency Demolition or Emergency Renovation must supply attachments.
OHIO ENVIRONMENTAL PROTECTION AGENCY
NOTIFICATION OF DEMOLITION AND RENOVATION Page 2 of 2
X. Description of planned Demolition or Renovation work to be performed and method(s) to be employed, including
demolition or renovation techniques to be used and description of affected facility components:
1~ / r
j ~?.CaI-J!l~~ SAl/
XI. Description of work practices and engineering controls to be used to comply with the requirements, including asbestos
removal and waste handling emission control procedures:
XII. Waste Transporter #1
Name:
Address:
City: State: Zip Code:
Contact: Telephone: ( 1 Fax: ( 1
Waste Transporter #2
Name:
Address: _
City: State: Zip Code:
Contact: Telephone: ( 1 Fax:
XIII. Waste Disposal
Name:
Address:
City: State: Zip Code:
Contact: Telephone: ( 1 Fax: ( )
XIV. Emergency Demolition (complete Item )UV and all other sections, only if this project is an Emergency Demo.)
1. Attach a copy of the Order to this notice.
2. Name of Authority Issuing Order: Title:
3. Authority of Order (Citation of Code):
4. Date of Order (MM/DD/M: Date Ordered to Begin:
XV. Emergency Renovation (Attach separate sheet with the following information if project is Emergency Reno.)
1. Date and Hour of the Emergency
2. Description of the Sudden, Unexpected Event
3. Explanation of how the event caused unsafe conditions or equipment damage or an unreasonable financial burden.
XVI. Description of procedures to be followed in the event that unexpected RACM is found or nonfriable ACM becomes
crumbled, pulverized or reduced to powder. J
5 `'l' 1.ucC,C u.i'Ld C4 ~,rr >5~ so c~.s
tit0 (-o^e.-1
XVII. I certify that an individual trained in the provisions of NESHAPS (40 CFR PART 61, SUBPART M) will be on-site
during the Demolition or Renovation and evidence that the required training has been accomplished by this person will
be available during normal business hours.
Signature of Owner/Operator Date Type or Print Name and Title
XVIII. I ackpTledge the existence of laws prohibiting the submission of false or misleading statements and I certify that facts
contained ' thi odfica 'on are true, accurate, and complete. ,
gnature of Owner/Operator Date Ty or Print Name and Title
Original Notification must be mailed or hand delivered at least ten working days (Monday-Friday excluding weekends)
before demolition or renovation begins, except emergency demolitions and emergency renovations (see regulation)
which must be submitted as soon as possible before operations begin. (Form Revised 11/12/97)
Joseph W. Testa, Franklin County Auditor Page 1 of 1
Site Provid
governma
Joseph W. Testa, Auditor ~ Summary Street Address
r 1of1
Parcel ID Address Index Order Card
Parcel Info 274-000083-00 6035 AVERY RD Street Address 1 of 1
Summary
- Print View Owner Information Tax Bill Mailing Information
Residential Call 614-462-4663 if incorrect Mail Changes Only - Click Here
Commercial NEW! CITY OF DUBLIN CITY OF DUBLIN
Improvements 5200 EMERALD PKWY
Sketch/Photo DUBLIN OH 43017 5200 EMERALD PKWY
Map (GIS) DUBLIN OH 43017
Transfer
Property Report Value Information Legal Description
Tax Information, Market Land Value 61,200 AVERY RD
Levy Info Agricultural Value 0 ENTRY 3004
Tax Estimator Market Impr. Value 101,100 1.033 ACRES
Tax Distribution Market Total Value 162,300 274-0110C -033-00
Search B Sales Data Building Data
Y Sale Amount $0 Year Built 1960
Parcel ID Date 10/11/2006 Total Rooms 5
Owner Deed Type GE Bedrooms 3
Street Address # of Parcels 1 Full Bathrooms 1
Conveyance # Half Bathrooms 0
Site Functions Exempt # 912349-A Square Footage 1360
Property Search 274 CITY OF DUBLIN-WASH TWP- Board of Revision No
On-Line Help Tax Dist HILLIARD Homestead No
Email Auditor School Dist 2510 HILLIARD CSD 2.5% Reduction No
Home [511] 1-FAMILY DWLNG (UNPLAT): 0 Assessments No
Auditor's Home Land Use TO 9.99 AC CDQ Year
Tax Estimator by Neighborhood 00105
School/District:
Contact Us 2006 Annual Taxes $3,459.80 2006 Total Taxes Paid $0.00
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Data updated on 01/01/2007