08200194 Permit File, -.
CITY OF DUBLIN
Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
RESID
This is to certify that? I
described below and
ADDRESS: flO 1 QN6&770tq W Y
PERMIT
the residence
or occupancy.
NO.. ??2dDCQ?
MAf& FINAL INSPECTION DATE: q?a -20?
By; ?M H
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CITY OF DUBLIN
Division of Building Standards * 5800 Shier Rings Road * Dublin, Ohio 43016
Inspection Requests: (614)410-4680 Telephone: (614)410-4670
SUBCONTRACTOR DISCLOSURE
Application Number: 08-200194
Project Address: 4949 LONGBENTON WY
General Contractor: RALSTON HOME SERVICES
Telephone: (614) 221-4100
All registrations must be current through the issuance of a Certificate
of Occupancy, including insurance and all applicable State
Certifica tions.
TYPE NAME DUBLIN REG. # (required)
EXCAVATION
ELECTRIC ? ? b?3 - c7po`?,`?
HVAC
PLUMBING _-?Lt'(?o'i i?-?c3???? tl??,?S
? ? ? - ? ? /
?
CONCRETE
LANDSCAPING
SANITARY SEWER
The General Contractor is required to provide a completed copy of
the above information to the Building Official at the time of the
Certificate of Occupancy inspection.
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. Q$ " o? 0U/ 9y
Date ? Newemodel ? Residential ? Commercial
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
Subdivision/Project Name
Owner's Name
Contractor's Name
Contractor's Address `l l76 v" •
APPLICATION FOR PLUMBING PERMIT
Parcel No
_ Lot No.
Telephone bi N 4 as?
A<, .
Telephone a' ?? " d '
m Number 69 - L l 19-,
Does the sewer discharge into an i
How far distant from any dwelling, well or
What is the size of the main drain?
:istern is the sewage'
.i
' Of
pipes consist? fV iz-,
Of what material does the house drain consist?
*INDICATE NAME OF CERTIFIED BACKFLOW TESTER
This form must be properly filled out and retumed 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: c?e F w ?
Ho?a s?zBs? ?8u SW I I O I
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 =$0? Number of remaining fixtures X$12.00 =$ -
Total Inspection Fee ......................... ......................... $#0 .00 Total Inspection Fee .................................................... $ -
Re-inspection fee (based upon disapproved Inspection and collected by the Franklin County Board of Health ONLY) $45.00
I Air Admittance Valve I I
Bath Tubs
Bed Pan Washers
Chemical Sinks
Dental Cuspidors
Dilution Sum
Dish Washers
Drinkin Fountain
Floor Drains
Garage Catch Basin
Gas Water Heater
Electric Water Heater
I Kitchen Sink I--,> I
Lavatories )
Mop Sinks
Outside Faucets
Roof Drains
Rough-in Openings for Future
Showers
Sterilizers
Sump Pump
Tra Primer
Urinal
Wash Fountain
Washing Machine ?
Water Closets
Water Lines
Water Stora e Tank
Other
GRAND TOTAL
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 ..... 08-00200194 Date 5/15/08
Property Address ...... 4949 LONGBENTON WY
Parcel Number: 273-006207
Alternate Address: BRANDON 5-2 #390
Tenant nbr, name ...... BASEMENT FINISH
Application type d escription RES REMODEL
Property owner . ...... GEIGER ROGER R& TERI E
Contractor . . . . . . . . . RALSTON HOME SERVICES
--------------------- Structure Information 000 000 ----------------------
Construction Type ..... 5B - UNPROTECTED COMB
Occupancy Type . . . . . . RESIDENTIAL - 1,2,3 UNITS
-----------------------
Permit . . . . . -----------------------------------------------------
. PLUMBING PERMIT
Additional desc . .
Permit Fee ... . 110.00 Plan Check Fee .. .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/07/11
Qty Unit Charge Per Extension
BASE FEE 50.00
6.00 10.0000 EA RES PLUMBING >1 FIXTURE 60.00
----------------------------------------------------------------------------
Special Notes and Comments
NOTICE TO APPLICANT
SEPARATE OWNER/CIVIC ASSOCIATION REVIEW AND APPROVAL MAY BE
REQUIRED BY DEED. APPLICANT IS RESPONSIBLE FOR COMPLIANCE
WITH ALL APPLICABLE RESTRICTIVE COVENANTS AND DEED
RESTRICTIONS REQUIRED BY TITLE.
BASEMENT FINISH not for Separate RENTAL RESIDENTIAL USE
*** 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 ***
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- -------
Permit Fee Total 110.00 .00 .00 110.00
Plan Check Total .00 .00 .00 .00
Grand Total 110.00 .00 .00 110.00
CITY 4F DUBLIN
Building Standar hier Rings Road • Dublin, 4hio 43016
Phone: (61 410-4670 Inspection Line: (614) 410-4680
HOMEOWNER AFFIDAVIT
Aomeowner: ? ce )to 10, Phone Number: G I q - '](, 1 --2G AS'
Address: 'q9 49 Le,,jc.P-&ardj wA
By signing this aifidavit, I do hereby swear andlor affirm that I am the Owner and occupant of the
single-family dwelling located at the above address. I am making application for a Permit. If
ganted I WILL PERSONALLY PERFORM THE WORK ASSOCIATED WITH TffiS
PROJECT, OR CONTRACT ONLY WITH A CONTRACTOR REGISTERED WITH TAE
CITY OF DUBLIN. I understand I am personally responsible to assure all work performed under
the permit is compliant with all related building codes and ordinances of the City of Dublin.
I UNDERSTAND VIOLATION pF THE TERMS OF THIS AFFIDAVIT ARE A BASIS FOR
REVOIIUNNG THE PERMIT, AND PROSECUTION OF ANY PARTY INVOLVED.
?
Sworn to and subscribed before me this ? day of , 2000
.
Homeowner , Notary4YK'O
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CITY OF DUBLIN
1 Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Date ? 7' 09 Application Na o O- a0-(;;' 19 1
APPLICATION FOR ELECTRICAL PERMIT
Job Address / ( q ('g8 ?IA Parcel No
Subdivision Lot No.
?±,?
OwnerNamel.?'+l?(?. `Telepho ?`b%-IF--?,•;,
3V?
Contractor Na ? P ephone ?
ContractorAddres.??'f`?tl' ?n141 DublinRegistrationNa ??-
. ? •- ¦ -
ResidentiaL
New Sq. Ft.
Temporary Service $40.00 ......... .... ...
$40.00 Minimum plus $20.00 for each
Low Voltage Systems: Square Feet -
AlterationuA
additiona1500 Sq. Ft! tn
i sq. Ft. ( g?
. .......... ... ... ............................... a
on thereof over 1000 Sq. Ft.
on thereof over 1000 Sq. Ft.
$40.00 Minimum plus $10.00 for each additiona1500 Sq. Ft.
CommerciaL•
New Sq. Ft. Alteration/Addition Sq. Ft.
Temporary Service $60.00 ...............:...........................................................................................................
$60.00 Minimum plus $60.00 far 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)
a,d
Total $ -Y"O
JOB DESCRIPTION
This permit is granted on the express condition that the said work shall in all respects, conform to the ordinances of the City of
Dublin, 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 c
Signature of licensed contractor or homeowne
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 ..... 08-00200194 Date 5/09/08
Property Address ...... 4949 LONGBENTON WY
Parcel Number: 273-006207
Alternate Address: BRANDON 5-2 #390
Tenant nbr, name ...... BASEMENT FINISH
Application type description RES REMODEL
Property owner ....... GEIGER ROGER R& TERI E
Contractor . . . . . . . . . R.ALSTON HOME SERVICES
--------------------- Structure Information 000 000 ----------------------
Construction Type ..... 5B - UNPROTECTED COMB
Occupancy Type . . . . . . RESIDENTIAL - 1,2,3 UNITS
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee .... 40.00 Plan Check Fee .. .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/05/08
Qty Unit Charge Per Extension
BASE FEE 40.00
----------------------------------------------------------------------------
Special Notes and Comments
NOTICE TO APPLICANT
SEPARATE OWNER/CIVIC ASSOCIATION REVIEW AND APPROVAL MAY BE
REQUIRED BY DEED. APPLICANT IS RESPONSIBLE FOR COMPLIANCE
WITH ALL APPLICABLE RESTRICTIVE COVENANTS AND DEED
RESTRICTIONS REQUIRED BY TITLE.
BASEMENT FINISH not for Separate RENTAL RESIDENTIAL USE
*** 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 GR.ANTED 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 ***
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40.00 .00 .00 40.00
Plan Check Total .00 .00 .00 .00
Grand Total 40.00 .00 .00 40.00
Building Standards
• 5800 Sliier Kines Road
Dublin Ohio 43016-1236
Application For Residential Phone: (614) 410-4670
CITYOFD4BLtV. Building Permit Fax: (614)410-6566
Auditors Taxing District Parcel Number
?
?
a Subdivision Lot Number
a `
Address of Property'?j, UN
Applicant Name: ? J Phone: (11 ?-cJ21-`4 1 a O
E-Mai1:-? kcK P...r4 t.:s mD %j G?5'rJ`at,,,'A y
? Owner Name•. 2
.1 Gaic's:K, Phone: (e 1'? ? 7L 1-?
a .
Owner Address: '19
q9 [?yok&mb,? l.J q
a
Q ?
-
r?
Contractor Name:--1'? Ia%.S To? )"?a M? ?L v J C11s S
?p
Phone:61 ( "vv 1a d
ContractorAddress: /I ?J. ?luaw -g?tp4t2/y
Type of Improvement: O New House 0 Addition 0 Remodel 0 Deck ? Shed 0 Pool ? Hot Tub
0 Screened Porch (-Wther 7=,A 5S/y")ff n7r 9?' 1^I i S?
Description of Work: ri -J 1-e. ?4 ?Si?i7??3'j'' - 19jTI14 4-AUn?De,11
a
0 .
w •
? Estimated Cost of Construction: HVAC System Electric
Type: O New '\8 Existing ? Less than 200 Amp
° 200 Amp to less than 400 Amp
? Number of Bcdrooms: Fuel Type: ? Oil ? 400 Amp to less than 600 Amp
o l G
N
'
. atura
as
9
i Namber of Saths: 0 L.P. Gas Watcr
a
0 Electric
Public Water
Building Heibht:
? Solar .
O Private Water
Fire Sprinkler: O Yes t] No O Other Scwcr
`19 Public Sewer
If yes, NFPA Ref. No. No. of Gas Appliances/IJnit 0 Private Sewer
The owner of this building and thc undcrsigned, do hcreby covenant and agree to comply with all the laAvs of the State of Ohio and ihe
Ordinances of this jurisdiction, pertaining to the building and the buildings, and to construct the proposed building or structure or mal:e
L the proposed change or alteration in accordance with ihe plans and spccifications submiited herewith, and certify that the information and
w statements given on this application, drawings and specifications are to the best of their • dge, true and co e
ca
C
s o J ,
App icanYs Printed Name pl?cant's Signat u
Area: Application Number: Date Received:
Basement: R E C E I V E D
1" Floor:
FEB 2 9 2008
?
2na Flooc: Issuing Authority:
?
L Issuingvate: BUILDING DIVISION
o. Garage: CITY OF DUBLIN
Deck: Edition of the Residential Code:
Other: ^ D O(J / ?
r,C. C 0
Qt*n
CITY OF DUBLIN
Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Application Number ..... 08-00200194 Date 3/04/08
Property Address ...... 4949 LONGBENTON WY
Parcel Number: 273-006207
Alternate Address: BRANDON 5-2 #390
Tenant nbr, name ...... BASEMENT FINISH
Application type description RES REMODEL
Property owner ....... GEIGER ROGER R& TERI E
Contractor . . . . . . . . .
--------------------- Structure Information 000 000 ----------------------
Construction Type ..... 5B - UNPROTECTED COMB
Occupancy Type . . . . . . RESIDENTIAL - 1,2,3 UNITS
---------------------------------------------------
Permit . . . . . . RESIDENTIAL BUILDING PERMIT
Additional desc . .
Permit Fee .... 50.00 Plan Check Fee . .00
Issue Date 3•\0•0% Valuation .... p
Expiration Date . . 8/31/08
Qty Unit Charge Per Extension
BASE FEE 50.00
------------------------------------------
Special Notes and Comments
NOTICE TO APPLICANT
SEPARATE OWNER/CIVIC ASSOCIATION REVIEW AND APPROVAL MAY BE
REQUIRED BY DEED. APPLICANT IS RESPONSIBLE FOR COMPLIANCE
WITH ALL APPLICABLE RESTRICTIVE COVENANTS AND DEED
RESTRICTIONS REQUIRED BY TITLE.
BASEMENT FINISH not for Separate RENTAL RESIDENTIAL USE
*** 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 ***
--------------------------------------------------
Fee summary Charged Paid Credited Due
- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 .00 .00 50.00
Plan Check Total .00 .00 .00 .00
Grand Total 50.00 .00 .00 50.00
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.
Combustion air requirements
r Finishing a basement may restrict the amount of combustion air for gas utilizing equipment
located in the basement. Walls and ceilings may block air flow to the equipment resulting in
• incomplete fuel combustion which greatly increases the risk of carbon monoxide discharge.
Therefore it is extremely important adequate combustion air is provided for the equipment.
Below are tlu-ee conunon methods for calculating combustion air. Refer to the current
code book for other approved methods of calculating combustion air.
All air from inside building
Minimum number of openings required
*Free opening sq in. area per btu h
Minimum dimension of openings
Location of openings
2
1 / 1000
3 inches
Within 12 inches of the ceiling
and within 12 inches of the floor
of the room
All air from the outdoors
'.Vlinimum number of openings required 1
*rree opening sq. in. area per btu h 1/3000
:vtinimum dimension of opening 3 inches. Not less than the swn of the area
of all vent connectors in the space
Location of opening Within 12 inches of the top of the
enclosure. Equipment shall have
clearance at side 1 in. & front 6 in.
OR
:vlinimum number of openings required 2
*Free opening sq.in. area per btu h 1/4000
ivlinimum dimension of openings 3 inches
Location of openings Within 12 inches of the ceiling and one
within 12 inches of the floor of the room.
* Unless the free area through a design of louver or grill or screen is l:nown it shall be assumed wood
louvers will have 25% free area and metal louvers and grills will have 75% free area.
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RES?DENTI~AI CODE OF OHIO ~ ~ y~
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o , i Basem~nt ~loor Plan, p~lails s'~_
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ATION MAP ITE LOC S o~ ia~~~' ~ ~~'.:~j'.~ u.~
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ACQ LUMBER ~i ~ ~
, ~
k. It is not permissible to use CCA (Cl~romated Copper Arsenate) treated lumber for certain n/ p~ applications. In lieu of CCA treated lumber, lumber yards are furnishing lumber treated M~'r ~
9. Existing steel column - box out ~vith gyp. board over fi-z.ming, 17. All framing in contact with concrete or ma~sonr is to reservative Y P
treated. with ACQ (Alkahne Copper Quat). One of the features of ACQ is that it accelerates the Q~
10. New partition constructed of 2 x 4 studs 16" o.c. ~vith'/z" sum Coded Plan Notes @ ~YP corrosion of mild steel and aluminu~n that is in contact with ACQ treated lumber. The „ owner and contractor are notified that type 304 or type 316 stainless steel or specially
board both sides, (Provide moisture resistant gypsum board in ~~et 18. Existing windotim to remain. gafvanized products are to be used when they are in contact with ACQ treated lumber, N-~ ~ ~ r~
1 All work shown is existin unless s eciticall noted. locations.) g 1~ Y ~
19. Remove existing basement window and cl~ose opening ti~~ith glass block. cd SS = Type 304 or type 316 stainless steel ~.o
2 Cover existin masonr t~~alls wiih suin board moisture I 1. Ne~r pa~~tition to be centered on existing column. ~ g Y gYP ~ GAF = Galvanized after fabrication ~ ~
resistant gyp. board in wet locations) over 2 x 4 fi~aming in 20. Remove existing door/sidelite and rework -opening for new pair of 3b" ZMAX = Simpson Strong Tie products „
finished baseinent areas and as indicated. Refer io wall section t11 12. ~xisting plumbing stack. Box out as requtred to enclose stack and doors. Existing header (3 - 2 x 10's w/ ply~wood fillers) s annin P g ~ 0 N
associated piping. All existing cleanouts are to remain accessible, existing door/sidelite a~ld wi,idow to remaun, ~ l. Bolts, nuts, washers use~ to attach ACQ ireated sill plates to foundation wall = ?~+-1 o c~d
3. Provide alternate rice to cover this ortion of exterior masonr wall GAF ~ ~
p p Y 1 r er note #2. 3, F ame out around existing ductwork and beams as required for ne~v 21. EXisting electric panel to remain. Maintaim minimum 36" clear in front ~ p ~ cd
~ ceilin . T . throu hout finished basemen r g yp g t a ea. of panel. 2. Nails used to attach sheathing to ACQ treated sill plates: N~
4. Existing stairs and enclosure. Cover underside of stairs in closet with "Gun" driven nails = SS ~ "d w
'h" sum board. 1~, Provide mechanical ventilation in finisbed basement areas. System is 2Z Existivg pai~titions to remain. ~ Hand driven nails = SS or GAF
g~p to roduce 0.35 air chan p ges per hour or whole house mechanical v
5. Coordinate with Owner the exact de th of closet beueath stairs and the ventilation is to supply outdoor air ven±ilation of 1 S cubic feetlminutel 23. Fran~e around existing sump pump as requiired to enclose sump piping 3. Nails used to attach iloor joist to ACQ treated sill plates:
p oc location of tl~e rear ~uall of closet. cupant. and pit. « ~ ' 00 Gun driven nails = SS ~p
Hand driven nails = SS or GAF ~ d'
6. Existin handrail. l5. If not all ready existiilg, provide a smoke detector which is to be 24. Coordinate selection and installation of fin~ishes ~uith Owuers. ~j M
g owered from tlie buildin wirin with backu ower r vi p g g ~ p p o ded by 4. Simpson Strong Tie products in contact with ACQ treated lumber = ZMAX ~ ~
battery. Interconuect with all other smoke detectors. 7. Existing mechanical equipment. M
d' 5. Nails, bolts, nuts and washers used to attach Simpson Strong Tie products to ACQ , r ~
16. Provide pe~rmauent ceiling mounted light fixtures in all finished 8. Existing sump pump. treated Lumber = GAF ~ ; , ~ ~
_ _ _ _ , _ basement areas. , - ~ -
6. Flashing = SS j
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7. Reinforcing steel in contact with ACQ treated sill plates shall be epoxy coated.
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