05201635 Permit FileCITY 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 . . . . . .
Parcel Number . . . . .
Property Address . . .
Subdivision Name . . .
Legal Description . . .
Property Zoning . . . .
Owner . . . . . . . . .
Contractor . . . . . .
7/11/08
273-008385
3839 CARBERRY DR
DUBLIN OH 43016
SCIOTO CRQSSING
7885 SAWMILL RD
R19 T2 1/4T2
32.933 ACRES
PLANNED UNIT DEVELOPMENT
SCIOTO CROSSING DEV. LLC
PRESIDENTIAL CONSTRUCTION, INC
614 923-4000
FR
Application number .. 05-00201635 000 000
Description of Work .. 5 OR MORE FAMILY DWELLINGS
Construction type ... 5B - UNPROTECTED COMB
Occupancy type .... RES > 3 UNITS FIRE SEP
Flood Zone . . . . . .
Special conditions . .
The Reserves at Scioto Crossing Bldg. 10 3839 Carberry Dr.
Approved . . . . . . .
VOID UNLESS SIGNED BY
LDING OFFICIAL
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.
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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_ Application No. ll -J ?? 0? ( (P ?6
Job Address
G.rb
Subdivision Q(+ ?) 6 01 b ?!fOSS I
Parcel No. JJ __? ' (0 Q s 3 ? S
Lot No.
I I J
OwnerName T1'eS? Telephone (Qiq 9a_3 y Qa
Contractor Name F_Q!?Ae. lAe_Q,? 1 in + Q, op 11 YAq?, Telephone o (Q Ll
Contractor Address
Residential:
Sq. Ft.
$40.00 Minimum plus $20.00 for each additional 500 Sq. Ft. or frac-tidn fih
(Replacement units, minimum fee)
Commercial:
New/Addition Sq. Ft. Alteration
Dublin Registration No. C) (5 ).-,; 3 a
'_eofpvVr4Ft.`
New/Addition: $40.00 Minimum plus $20.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft.
Alteration: $40.00 Minimum plus $10.00 for each additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft.
? 3% State of Ohio Surcharge (commercial only)
JOB DESCRIPTION
?
Total $
?
?J
?
This permit is granted on the express condition that the said work shall in all respects, conform to the ordinances of the City of Dublin and all
the laws of the State regulating construction, installation, repair and alteration, and may bejevQked at any time upon violation of any
provisions of said laws. /? // /J
Signature of licensed contractor or homeowner
Division of Building Standards
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 . .... 05-00201635 Date 9/23/05
Pin number . . . . . . . . . 536024
Property Address .. .... 3839 CARBERRY DR
Parcel Number . . 273-008385
Alternate Address .. .... RESERVE SCIOTO CROSS lOB
Tenant nbr, name .. .... 10 RESERVE SCIOTO CROSSING
Application description ... 5 OR MORE FAMILY DWELLINGS
Property owner ... .... SCIOTO CROSSING DEV. LLC
Contractor . . . . . . . . . PRESIDENTIAL CONSTRUCTION, INC
-------------------------- Structure Information ------------ -------------
Construction Type .. ... 5B - UNPROTECTED COMB
Occupancy Type ...
---------- ... RES > 3 UNITS FIRE SEP
--------------
Permit . . . . . . -------------------------------------
COMMERCIAL BUILDING PERMIT -------------
Additional desc . .
Permit Fee .... 220.00 Plan Check Fee .. .00
Issue Date . . . . 9/aqlvs Valuation . . . , p
Qty Unit Charge Per Extension
BASE FEE 160.00
1.00 60.0000
-------------------------- THOU COM BLDG PLAN REVIEW
--------- 60.00
Permit ...... ----------------------------
LOW VOLTAGE ELECTRIC PERMIT -------------
Additional desc . .
Permit Fee .... 50.00 Plan Check Fee .. .00
Issue Date . . . . Valuation . . . . p
Qty Unit Charge Per Extension
BASE FEE 30.00
1.00 20.0000
------------------------- THOU COM ELECTRIC LOW VOLTAGE
-------- 20.00
Other Fees . . . . . -----------------------------
. . . . COM BLDG INSPECT NEW/ADD -------------
230.00
COM CERTIFICATE OF OCC 120.00
SURCHARGE FEE - ELECTRIC 1.50
SURCHARGE FEE - BLDG 17.10
Fee summary Charged Paid Credited
----------------- ------- Due
Permit Fee Total --- ---------- ---------- ---
270.00 .00 .00 -------
270.00
Plan Check Total .00 .00 .00 .00
Other Fee Total 368.60 .00 .00 368.60
Grand Total 638.60 .00 .00 638.60
C ? ? b. • ?.J`?-P
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.
4.
CITY OF DUBLIN
Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
APPROVAL
TffiS IS NOT A BUILDING PERMIT. IT IS A RECORD OF OUR REVIEW OF DOCITMENTS
SUBMITTED WITH YOUR APPLICATION FOR A BUILDING PERMIT.
September 19, 2005
RE: RESERVE AT SCIOTO CROSSING, BUILDING 10, TYPE B
APPLICATION NO.: 05-201624 3813 Carberry Drive 1,389 Sq. Ft.
ADDRESS: 05-201625 3815 Carberry Drive 1,478 Sq. Ft.
05-201626 3817 Carherry Drive 1,233 Sq. Ft.
' 05-201627 3819 Carberry Drive 1,144 Sq. Ft.
05-201628 3823 Carberry Drive 1,389 Sq. Ft.
05-201629 3825 Carberry Drive 1,478 Sq. Ft.
05-201630 3827 Carberry Drive 1,233 Sq. Ft.
, 05-201631 3829 Carberry Drive 1,144 Sq. Ft. ,
05-201632 3833 Carberry Drive 1,144 Sq. Ft.
05-201633 3835 Carberry Drive 1,233 Sq. Ft.
05-201634 3837 Carberry Drive 1,233 Sq. Ft.
05-201635 3839 Carberry Drive 1,129 Sq. Ft.
05-201636 3843 Carberry Drive 1,144 Sq. Ft.
05-201637 3845 Carberry Drive 1,233 Sq. Ft.
05-201638 3847 Carberry Drive 1,329 Sq. Ft.
05-201639 3849 Carberry Drive 1,226 Sq. Ft.
APPLICANT: Robert Shepherd, Kontogiannis & Associates
The plans dated August 24, 2005, for the captioned project have been reviewed for compliance with the
provisions of the Ohio Building Code (OBC - January 1, 2002) for the purpose of issuing an APPROVAL.
T'he review was based upon the following criteria:
Use Group: R3
Occupancy: One Family Per Unit
Area: 20,159 Sq. Ft. Total
Construction Type: VB
Automatic Sprinkler: 13R
The architectural plans are sealed by George J. Kontogiannis, architect #3784 and Glenn A. Halmbacher,
Engineer #58079, 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.
T:\OFFICE\WMOMDOCWpproval 200505-201624-201639 Reserves @ Scioto Crossmg, Bldg l0.doc
?
RESERVE AT SCIOTO CROSSING, BUILDING 10
Applicant: Robert Shepherd, Kontogiannis & Associates
Application No.# 05-201624-201639
September 19, 2005
Page 2 of 3
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.
The following items are reguired for code compliance, but are not necessarily covered in detail in the construction
documents. This list is a reminder to ihe 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 Secrion
101.2, all boundary lines shall be clearly mazked 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 1063.1 Approval of construction documents. When the construction documents have
been determined to conform to the applicable provisions of the rules of the Board in accordarice
with the procedures set forth in Section 1053.1, the building official shall endorse or stamp such
plans as appraved. One set of construction documents shall be kept by the building official. The
other set(s) shall be rehuned 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 unril 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 S. OBC 109.1 General. Construcrion or work for which an approval is required shall be subject to
inspecrion by the building officiai 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 disabiliries.
OBC 1103.2.1 Specific requirements. Accessibility is required in buildings and facilities, or
portions thereof, to the extent indicated in ADAAG Secrion 4.1 and this chapter.
T:\OFFICEIWP\DOCSIDOC\Approval 2005\05-201624-201639 Reserves @ Scioto Crossing, Bldg l0.dce
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RESERVE AT SCIOTO CROSSING, BUILDING 10
Applicant: Robert Shepherd, Kontogiannis & Associates
Application No.# 05-201624-201639
September 19, 2005
Page 3 of 3
Item 7. All electrical will comply with the requirements of Article 27 OBC and the Narional 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.
The start of construction indicates acceptance of all of the condirions 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. Ulrimate 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,
i -
Martin F. Strayer
Commercial Plans Exa '
obert Price
Chief Building Official
`l/
Owner's Representative
- ?d IYll? ?
Print Name and Title as Signed
??,5
T:\OFFICE\WPTOCS\DOCWpproval 2005\05-201624-201639 Reserves @ Scioto Crossing, Bidg l0.doc
? 07/12/2005 17:14.FAX 6142244736
.. . __ ? w?rrrnYWYYI11lOl rYY YirIYWMI?M11?iMif?'
HOI3TQGIeNNIS? CObEFANIES -? SABATINO IM003/003
CITY OF DUBLIN
Division of Building 5tandards
COMMERCIAL. BUtLDiNG
PERMIT APPLICATION
/'r 11
. . I en r_ .w/ if-
5800 Shier Rings Road
Dublin, Ohio 43016 619)Q
Telephone: 614-4104670
inspec6on Une: 694A104680 ?_-
Facshnile: 614 T61-6566 ,
?
si3i ?5? ?i`i ' 38?3, 3 a 3?33, 3g3s 3b?3?
PROJECT INFORMATION
?s 31?, 39?, 3?1?; 3891, 3?i C??Au &14 ?sqF?. ,?a?
? Ss-? orta Ga?oss i?+
umatod cost ? consauc+'?a? ? ?t Number 2'7 .'? - 00,6 *8
PROPERTY OWNER INFORMATION ?" ?g?I ?,o .
Owner Nort?e (Conlact Person it owned by a Corpora6on)-
? N?? iAb C(bSSmAk '?t?. LL G Addross ???'? '?3F??E k& LAQX-
3fab O4ti D Tp 4601'1
. ?y • t?cr, F ' ?i oG E-?ail
NANT INFORMATION (K Applicable)
tad Name . .
P?Y?? f -: ?Address
State ?P
F. E
RCHRECT, ENGINEER, OR OTHER DESiGN PROFESSIONAL INFORNI 37?N ' Profesaional Nans ?r e J. Konteg.iar?ti? ReglCed Alumber
Ne?Kontogiatutis sociates qddress 400 Sou eet ui e
Colt?nbus stae O H Zp 3 Z I
14- 2 -2083 ? ??-2-24--4-1-W- 'tects nto
?ENERqL CpN'rAncrntx INFORMATION (Must be a City of Dub[in Regisb?ed ContracEor)
` tact 1?me?I?') l1`,G?+ ?LL Dt?bin ltsgislta6on # 04-3154
?1
say ? P?esidet?tial Constnmtion qddress 3895 §tcmeri e Lane
-iephm 14-2 4000 ', PRv? P,
; Dublin S? O14FI - 23- ?_ cc
. D?
ii.s . com
ft'FF`1bAViT OF'OWNER AUTHORiZATION FOR REPRESENTATtON ,
Vote: This.person will be contacted w.itFi all offtciaf coRespondence. AI{ srgnatures musE 6e ORI6INAL
)wners Represenfative Robert She herp d Relahonship to Prqlec Architect
iarmis - nies •
.ompany Name Konto g .o? Posihon PrinciPal Telephone 1-22 -2 3
Ron Sabatino (please print), the owner and ppficant; heteby aufhorize ??rt Shepherd
?
;o act as my representative and agent in alf matters pertaining,tn the processing and approval of this appliCatim includng
nodifying ihe project, and I agree b ound by prese tions a agreemenis made 6y fhe designated agenL
DaEe:
5ignature of Properiy Owner.
?, Robert Shepherd . Ihe:Ovmer w the Qwhers Representative, have'read and
undersqnd the contenis of aq 3 pages of this pplica6on. e infotmation contained in this Appfica6on; attached exhibits
n sp true and correct, to the best of my knowledge and belief.
d i
and other information submitted is eoa
Signature of Ownsrs Representairve. Date:
Building Standards Division Use OnI9' '?--? Uate Keceiveb buiiaing 5tanaaras
RPTication Number Or ? a UA A ? y=; C) \ t-o 3
COMMFRCULDURDW6PERM(TAPPIIGTON Vagetofl P:iP/5=LDGFORMSVCbNMAPP.W62 F?i9L0.201 Datc01l16M0
07/12/2005 17:14 FA1 6142244736
KONTOGIANNIS COMPANIES 4 SABATINO fM002/003
C. Type ot cohstrucaon - yme- a - - --
D. Fire resistive constructiorr '` Fre Te`st Desigh Wumbers Exterior Walis hr.:
L(? Fire iNatts hr. -: U ? -
Floar/Ceiling hr. OL.? ?
Colurnns/Bearing Walt hr.
;,P-J Shafts ,
Tenant Separation
hr. ui- - ?L 00
hr.
hr.
hr. V4•• yJ' -
E. Floor Area/Ftoor Occupant Load/Floor Egress Capacity/Floor ?. Numberrof Exits
Basement
1sr 14-
2nd t A- -?Zf1
3rd a 4th & above
,
F. Allowaiile maximum fto?r area (first floor footprint)_? -.. -? -
Does the above include; street ftontage increase? es
Does the atiove inctude increase for sprinklers? YesLll
G. Number of stoiies above grade, ,
Height_;???? : Basement Yescl
COMIAERCUIL BUIIDING PERMff APPLICATION Paqe 2 of 3 P:\PnSMBLDGV0RMS\COMMAPP.w92
No4E9 „
Famt{BCO-201??: Dale:10t11/89 ? . . .
? ?ITi OF DV BLJ,1 V
D'zvisiozl of $Ltilding Standazds
C61111MERCIAL BUILDING PERMIT APP LI;GATJQN
H. Harizontai exits Yes No
1.
LirriitEd sprinkler sy?tem
Yes
N, ,: .
J. Ful) aufornatic sprinklersystem Yes No
K. Standpipe system Yes Na ><
L. Scnoke controi/Remaval system • Yes > No •
M. Unlimitedarea.building Yes No
N. Manua) ftre aCarm Yes No ,
0. Auto fire alarrri ` Yes Nq `
P. Mandicap accessible route (exterior & inkerior) Yes No
Q. Structucal Loads: provide tabie of destgn loads with construcfron documents
D. Floor Area/Floor. Occupant Load/Floor Egress Capacity/Floor Nurn6er o€ Ezits
Basement ,
1st
.
2nd
3rd
4th 8aboVe
E_ Allowable.rriaxirnum floor area (first ic5or_footprint)
Does the above include street frohtage i?rc?ease? Yes No
Does the above include increase for`s'prinklers? Yes e_ No 8 `
F. Number of stories above grade '
Buit'ding Height ' BasementYesO NoF__j :
G. Horizorttaf exits Yes No
H. Limited sprinklersystem. Yes No
t. Fulf automatic sprinkler system Yes No :
J. Standpipe system _ Yes No
K. Smoke controURemoval system ' . Yes No
L. Unlirnited`area building Yes , No
M, Manual fire alarm Yes No
N. Auto fire alaCm. Yes No
O. Handicap accessible route (exteriqr & inferior) Yes No
P. Stri.tctural Loads: provide; table?of design lbads with construction documents
the Desidn Professional, have read
antl underst?o:the cbh erits of thi? app?i?ati?ti: :Tlie fo`rmafinn`contained irt-thls appiication,'
attafched exhibits and other infarrli_tiori_ ubrriitt?d; is•cortipl?te arid in all respectstrue alid cnrrect,
knowled e. anc?
to the best of mY g
,•
5ig . ..
nature oT Design Profiessional. ,? .. ,=
Date:?
COMMERCIAI_ BUILDING PERMIT APPIICATION Poge 3 of9 P: SX6LDGIFORMSIC01AMAPP.W132 Fortn# BLD-201 Dale 10I11/99
Presidential Construction, inc.
The Reserve at Scioto Crossing (216 Condominium Units)
Schedule of Addresses and Unit Types
August 24, 2005
Buildinq # Address Street
10 - Type "B" 3813 Carberry Drive
3815 Carberry Drive
3817 Carberry Drive
3819 Carberry Drive
3823 Carberry Drive
3825 Carberry Drive
' 3827 Carberry Drive
3829 Carberry Drive
3833 Carberry Drive
3835 Carberry Drive
3837 Carberry Drive
3839 Carberry Drive
3843 Carberry Drive
3845 Carberry Drive
3847 Carberry Drive
3849 Carberry Drive
Unit Floor Unit Tvpe Unit Name Garaqes Sqft
1 E Windsor N 1389
1 F Rio N 1478
1 B Savoy N 1233
1 A Regal N 1144
2 G Windsor N 1389
2 H Rio N 1478
2 D Savoy N 1233
2 C Regal N 1144
1 A Regal A 1144
1 B Savoy A 1233
1 B Savoy A 1233
1 A1 Raleigh A 1129
2 C Regal A 1144
2 D Savoy A 1233
2 D1 Char(eston A 1329
2 C1 Raleigh A 1226
CITY OF DUBLIN
Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
APPLICATION FOR GAS PIPING PERMIT
Date
(O- LO-OS7
?
Application No. v? - ?? ?/
0
TnhArlrlrPCC ? ? ?? ?r?'1?ie-{I`'¦?l? D/4? ParcelNo. a 43- 0003
Subdivision LotNo.
Owner Name '""' `ES Telephone ? a3 ^ yocm
Contractor Name ? ? I?JMan1N i ? -ZNC Telephone
ContractarAddress tA '(..14 S-r Dublin Registration No. ?011 o4
( ) Residential ) Commercial
O Alter Existing O Addition to Building O Replace/Itepair Existing
Type of Pipe to be Installed: O Iron (irCSST O C?ther
?
Min. Pipe Size Required: r Z. ^- in. Regulator Size BTtJ Max.
Gas Appliances BTU/HR
Range
Water Heater ?" y????
Dryer
Gas Logs
Log Lighter I - ?S?OOD
Furnace(s) r' iSLoOd
Other:
FEE $70.00
3% State of Ohio Surcharge (commercial only)
Total 3- ? ?opoo Total $ ?a • ?
JOB DESCRIPTION a?? ? sST ?5L 1'4e'S `^I CorJD?O ??'?
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, installatio air and alteration, and maybe revoked at any time upon violation of any
provisions of said laws. n A F)
Signature of licensed contractor or homeowner
Division of Building Standards ?'! /
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)
Date ?v ? f v ? o 5,
Application No
? ? Remodel ? Residentia__mmercial
APPLICATION FOR PLUMBING PERMIT
oD- pa(035
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.
lk? Parcel No. ?" ??'?? gY-
Job Address
?Z-- `?' C. Lot No /io ?3 /D
Subdivision/Project Name ?
Owner's Name V-Q Z
Contractor's Name ' t ? 2 A u?' 4?? JL-??._???_Telephone
Telephone l
Contractor's Address Dublin Registration Number Y2-
Does the sewer discharge into an individual sewage disposal system or sanitary sewer? C04-,4 S&A_?C_-v
How far distant from any dwelling, well or cistern is the sewage tank? C 4
?
What is the size of the main drain? L4 Of what materials do the vent pipes consist?
Of what material does the house drain consist? (JC
*INDICATE NAME OF CERTIFIED BACKFLOW TESTER "-1- P"' c
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$12.00 =$
Number of remaining fixtures X$10.00 =$ J 4'
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
aty.
Air Admittance Valve
"Backflow Preventers
Bath Tubs
Bed Pan Washers
Bidet
Chemical Sinks
Dental Cuspidors
Dilution Sump
Dish Washers
Drinking Fountain
Floor Drains
Qty.
Garbage Disposal
Hot Water Heater
Interceptor
Kitchen Sink
Laundry Trays
Lavatories
Mop Sinks
Outside Faucets
Roof Drains
Rough-in Openings for Future
Sewage Ejectors
Showers l
Sterilizers
Sump Pump
Trap Primer
Urinal
Wash Fountain
Washing Machine
Water Closets
Water Lines
Water Storage Tank
Other
WATER TANK RELPLACEMENT FEE $35.00
Division of Building Standards
CITY OF DUBLIN
Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
T
Date Ic ? f)
?an? IP0-
APPLICATION Alplication No. ?
FOR ELECTRICAL PERMIT
Job Address ??q (?n.r-1cLrn-a g?6' . Parcel No
sutdivision Q b r? x n k Se,l Qn C v="c Na ? h
Owner Nawe_SO i7rm 1 t(,.1?tj-?-al -?'r?lelephone 16214' 9; 3'
Contractor NamP ??m S?aY pl°CAr?e? ?' -ell
Coatractor Address
Residential:
New Sq. Ft.
Temporary Service $40.00.....
s40.00 Minimum plus $20.00 for each
Low Voltage Systems: Squaze Feet -
$40.00 Minimum plus $10.00 for each
Commercial: ? '
New Sq. Ft.
Temporary Service $60.00 ........
$60,00 Minimum plus $60.00 f
and up to 50,999 Sq. Ft. (sizes
?
Low Voltage Systems: Square?
$30,00 Minimutn (plus $20AP
Dublin Registradon No. n? ?? \31?
gq, lj??. "ver 1000 Sq. Ft.
500 Sq. Ft. ; f over 1000 Sq. Ft.
Alteration/Addition-Sq. Ft.
each addidonal 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft. 2(?? 00
?ve, See Fee Schedule)
for each additional 1000 Sq. Ft. or fracdon thereof over 1000 Sq. Ft.) ?-
3% State of Ohio Surchazge (commercial only) ???
Total $
JOB DESCRIPTION ?t rJl< < ?`''r• ?` e.
Ths pem?t is granted on ihe eMess oorxd2m lhat the said woiic shall in aU respecls, oonform to tlie orclinanoes of the City of
Dublin, all ihe laws of the State and the National Eledric Code reguladng construction, installation, repair and alteretion,
and may be revoked at any gme upon violation of any provisions of said laws.
Signature of licensed contractor or homtowner 4a A ' L-?
Division of Building Standards
Date: 1/1/2001
M?r 23 2006 2:47PM
. II ?
POWELL STRUCTURRL
Ck?-, -Tw,
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9374ya,,-
M;Tek ndustri9s, Inc.
14515 Not1h Outer Forty Drive
Su11e 300
Cheste?ee 9 M??? 200 46
Teleph
Fax314f434'1?342
167
Tl Reserve at Scioto CrossinB BlciB B
n??d ?y MiTek Inclustncs, lnc. under mS direct supervision
???9? ?efeienc,ed below P w b Str?- PoW ell ,
the pazame zs Plovided b9
t1Ytull Od52458
sheets cov ec1 b9 ?S ge?:Il OQ52458 2006.
te for the state of Oltio is December 31,
ise renewal , -
??``ltGfi ??ff?
J
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XUEGAr G W
Lill -
E • E253 41 ?
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March 23,2006
ty solely for tlie
ofessional enBmeering responsibili
Xeg?`g e of art?cu2ar building is the
on thiese dr winSs uidicate acceptanc F? for any P
n??.itability ancl use of thi 2 C? 2.
, ? .,a ponents the ?81P?, ?r pNSVI'P -
, h;litv of uildin.g
PRGE.01
93'74385615
Mar 23 2006 2:47PM POWELL STRUCTURFiL 9374385615
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P535B7 F- 7 FLOOR 26 7
Job Refarenee (oplional DWGS t, UNlTS: 1.0, DJR
cw trveluo s, D iiawar , . . •?p , ak u ?s. nc, dFN'TTS : 0 ?p•
-8
1•1'1 0-,1-?
M 2p 11 1.6t41A120 f? Scde= 1:10,5
. ?4 MI2 0 c Sx6M1120 = 4x4 0'41120 11 6x6M1120 = 1.00fA1120 0
2 3 1 5
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16d NAILS G O.C. IN ALL ?IEAIBERS. 3ECURE SUBf IAOR TO TNE UPPER EOOE OF THE LVL IN
CCORDANCEWfALLAPPIICABLEBUILdN6 CODESANbPROVIDESOLIDBLCCKINGBETWEEN
HE SChBS AND ALL SUPP0RT3.
REINFORCE7RUSS R N
i E IOpDIMG SNOW?
I I?
ria (X, a,
LOAD1Na (ps) PApNO 1-7-3 CSI DEFL in (loe) 4'defl Utl PLAT5.4 GRIP
TCLL 400 latealncrease 100 TC WA Vert(LL) -0.05 7 >988 480 MII20 1971144 !
TCDI_ 10.0 ber Increase 1.03 BC WA Vert(TL) -0.08 7 >749 380
BCLL 0.0 ep Stress Inc? NO WB WA Ho2(fL) 0 04 6 r?ha Na
9CDL 5.0 ae IRC200dT 12002 (MntrUC) Wepht:261b
LUN86R NIACINO
TOP CHORD 4 X 2 5 F N .2 TOP Cr{ORD StruGurai wood shee[hinp directiy applied, except end [P)
BOT CHORD 4 X 2 5 F ,2 veRicel?.
VvE85 4 X 2 S F S ud BOT GHORD Ripid ce?inp direcNy applied.
REACTIONS (Ib/s¢ ) 41210-3.8, 6=3 110-38
FORCES (Ib) - Maxi rn C mpressioNMmxi um Tension
TOP GHORD 63 - 8/0, 6-10=- &D, 5-10=-18/0, 1•2=-110. 23=-586810, 34=-5986i0.44-110
80T CHORD 7 31 , 67=W3108
WEBS 3-7 0 , 2-8=4588l0, 2 =0l4188, 4•7a0Y4188, 4.6=-458&D
?i??trtr?
NOTE ,
,>
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x
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Q
Strusa
) repuires in ion per ihe T ?
.
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,h Count Meth? whM thi6 trues is choaen for qua6ty easuranx ?
inspection j
2) FollowinQ jWnts Eo b by qualifled tlssi er JoiM(a) B, rot piaOed,
3) Load caae(e) 1 hasft io e bt an modgled Bu' ro deeiprrer must rMew loads to vr^hr t;>; Shey ere oarrect Yor the ?. «
inEendedusedthis . XUECi14N. .^
4) Rscomm°rd 2x6 at b , an edpe, spa d at 1640 oaand faslened to eaeh Vues with 316d nails. Stronpbeeks
to be alached lo wa Is 31 Ji .ir outeC ends ot stratred by ofhsr me3ns.
5) SpeLia hanaerye) or o ef c :i-niectiort dwla ( ahal 9e proNded auffieieM to wpport cunoailreted loed(e) 640014 down
3G v
'
et 2-7-2 on top aha . The 'pnlseiectwn s7. .
..
sudi apeael oonnection device(a) ia She reeponsibility d otheta
LOAO CASE(5)
UNA
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. Addilprql rsmporoN Erecknp fo iuure daDtty duAnp caispuclon 1i 1M rosppryD141± of fM
,u swcfun is iro re4pon3bry oF fhe builainp aeuW+er Fur pme'al pudanm rogcr?iy,y
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?:)aa 93743B5615 PAGE.02
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1) Floor: Lumber Incr =1 00, Plate increa =1.00
Unitorm Loade (pl
vert: se 1-5 •80
Concenlrated Loa b)
Verk 3=
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