08200572 Permit FileCITY OF DUBLIN
Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
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Page 1 of 1
Tina Kauffman - 5843 Rushwood Dr. 08-200572
_...„ ,. ? . T: . L... , t :-- ?y...... :::: .? ..: ^?'? ., . , ..: M. ?»s_, . Y::?'?'. .... . ?:?zL?v'.•. 4 na „?'s.'3.,:F§.,W?#'?t•??:.. .:. u. #aA?t#d}+ .??x r#? .r? . ?w ....?.:?,d?:?*
From: Tina Kauffman
To: tom@croyhomes.com
Date: 6/11/2008 3:21 PM
Subject: 5843 Rushwood Dr. 08-200572
Your basement finish permit for 5843 Rushwood Drive Permit #08-200572 is ready for pick up. Your fee
amount is $50.00.
Our hours of operation are M, T, W, & F 8-4. Thursdays we do not open until 9:30 and close @ 4:00.
If you need additional information, please contact me.
Tina M. Kauffman
Office Specialist II
5800 Shier Rings Road
Dublin, OH 43016-1236
Ph: 614-410-4670
Fx: 614-761-6566
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 q Application No.
Job Address 5M R0s5?LA)b0(4 [)r, Parcel No.
Subdivision wflb t?; D U,???V\ Lot No.-
Owner Name 54Q royi I'' dnt fma Telephone
Contractor
Contractor Address "7)?F
Residential:
Sq. Ft.
$50.00 Minimum plus $20.00 for each
(Replacement units, minimum fee)
Commereial:
New/Addition Sq. Ft.
New/Addition: $50.00 Minimum plus $20.00 for
Alteration: $50.00 Minimum plus $10.00 for
Telephone
W Dublin Registration No. 07 - (p T
Ft. or
Alteration
additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft.
additional 1000 Sq. Ft. or fraction thereof over 1000 Sq. Ft.
3% State of Ohio Surcharge (commercial only)
iQ0,00
Total $ (aD t 00
JOB DESCRIPTION ; ?"? t 5kQd :5 up J? 6 U Cc 1 Y'??;- I I I Y''d-l
?aA I(eA+
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?Fw ner
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 ..... 08-00200572 Date 6/18/08
Property Address ...... 5843 RUSHWOOD DR
Parcel Number: 273-007333
Alternate Address: BRISTOL COMMONS 3#137
Tenant nbr, name ...... BASEMENT FINISH
Application type d escription RES REMODEL
Property owner . . . . . . . Joseph Broccoli
Contractor . . . . . . . . . C. ROY HOMES INC.
--------------------- Structure Information 000 000 ------ ----------------
Construction Type . . . . . 13 - PROTECTED/NONCOMB
Occupancy Type .
------- . . . . . RESIDENTIAL - 1,2,3 UNITS
------------------------------------
-----------------
----------------
Permit ..... . RES HEATING, VENTILATING, A.C.
Additional desc . .
Permit Fee ... . 60.00 Plan Check Fee .. .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/15/08
Qty Unit Charge Per Extension
BASE FEE
- 60.00
-----------------
-----------------------
Fee summary
-- -----------------------------------
Charged Paid Credited
---------- ---------- ---------- Due
----------
---------------
Permit Fee Total 60.00
Plan Check Total .00
Grand Total 60.00
.00 .00 60.00
.00 .00 .00
.00 .00 60.00
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
Diirision of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 462-3865 (Franklin County)
`O/Ju Application No. V ? " ad?6 -72-
Date u ? New XRemodel O(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 S? Y_3 K w5 ? w oocj hv' `v p Parcel No. o2 73 - 06733 _3
Subdivision/Project Name Rr15+o ? (ckrWr?ca?s Lot No 23-7
Owner'sName Mar? d' < igaroh mt+?„fics.??ea Telephone
Contractor's Name . ? A - P I u ??I!dG coed ?io a",.14, Telephone 4AM -61-162
I 'C ?',
Contractor's Address ?yas ?k f: yZ:?! , !?9 publin Registration Number 69' 31
a
Does the sewer discharge into an individual sewage dispt>sal systern or sanitary sewer? SaK ? a-r ?-1
?
How far distant from any dwelling, well or cistern is the sewage tank?
What is the size of the main drain? y Of what materials do the vent pipes consist?
Of what material does the house drain consist? PVC
*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
Application for permit & first fixture ............:.................. $50.00
?
,T Number of remaining fxtures X$10.00 =$?Oo
?
Total Inspection Fee
COMMERCIAL
Application for permit & first fixture ..............................$60.00
Number of remaining fixtures X$12.00 =$
Total Inspection Fee ....................................................$
$/Q0,!6
Re-inspection fee (based upon disapproved Inspection and collected by the Franklin County Board of Health ONLY) $45.00
Qty.
AirAdmittance Valve
*Backflow Preventers
Bath Tubs
Bed Pan Washers
Bidet
Chemical Sinks
Dental Cuspidors
Dilution Sump
Dish Washers
Drinking Fountain
Floor Drains
Garage Catch Basin
Division of Building Standards
I Washing Machine
Water Closets /
. - ` CITY OF DUBLIN
Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Application Number ..... 08-00200572 Date 6/20/08
Property Address ...... 5843 RUSHWOOD DR
Parcel Number: 273-007333
Alternate Address: BRISTOL COMMONS 3#137
Tenant nbr, name ...... BASEMENT FINISH
Application type d escription RES REMODEL
Property owner . . . . . . . Joseph Broccoli
Contractor . . . . . . . . . C. ROY HOMES INC.
--------------------- Structure Information 000 000 ------ ----------------
Construction Type . . . . . 1B - PROTECTED/NONCOMB
Occupancy Type . . . . . . RESIDENTIAL - 1,2,3 UNITS
-----------------------
Permit . . . . . -------------------------------------
. PLUMBING PERMIT ----------------
Additional desc . .
Permit Fee ... . 100.00 Plan Check Fee .. .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/15/11
Qty Unit Cha rge Per Extension
BASE FEE 50.00
5.00 10.0 000 EA RES PLUMBING >1 FIXTURE 50.00
-----------------------
Fee summary
----------------- -------------------------------------
Charged Paid Credited
---------- ---------- ----------------
Due
Permit Fee Total ----------
100.00 .00 .00 ----------
100.00
Plan Check Total .00 .00 .00 .00
Grand Total 100.00 .00 .00 100.00
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
Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Date fO I -B 1 d 8
Application No,
APPLICATION FOR ELECTRICAL PERMIT
og aoo5,1z
e'b - '1 /'1
Job Address 58 4'1 R Us }} W00D DR• Parcel No Z 1-1- 0a 13 3
Subdivision
Owner Name M AR1, M 0 N TA N A Telephone (lo,Li _, 9-1 -8 Z$ 1
Contractar Name S EZ'T LE M UT6 R C I ECT Rl(ielephone to I y $'° ?- -755 q
?
?-,
Contractor Address 111 CL A?C, IZA ?
C C7 lU dH e U 5, 0'
Residential:
New Sq. Ft.
Temporary Service $40.00 ....................
$40.00 Minimum plus $20.00 for each
Low Voltage Systems: Square Feet
Lot No
Dublin Registration No
AlterationlA+
additiona1500 Sq. Ft. ot
_1 (D S"
$40.00 Minimum plus $10.00 for each additiona1500 Sq. Ft.
Commercial:
iition Sq. Ft. , 6S
.......................................................
'ractivn tiereof over 1000 Sq. Ft.
iraciican thereof over 1000 Sq. Ft. Lio'
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°lo State of Ohio Surcharge (commercial only)
Total $ U ?
JOB DESCRIPTION Fz N'=S V1 S'A5'E MEIJT
.?
?
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 provisions of said laws.
Signature of licensed contract<
Division of Building Standards
Date: 1/I/2001
' CITY OF DUBLIN
Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Application Number ..... 08-00200572 Date 6/19/08
Property Address ...... 5843 RUSHWOOD DR
Parcel Number: 273-007333
Alternate Address: BRISTOL COMMONS 3#137
Tenant nbr, name ...... BASEMENT FINISH
Application type description RES REMODEL
Property owner . . . . . . . Joseph Broccoli
Contractor . . . . . . . . . C. ROY HOMES INC.
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . 1B - PROTECTED/NONCOMB
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 . . 12/16/08
Qty Unit Charge Per Extension
BASE FEE 40.00
----------------------------------------------------------------------------
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
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 Number ..... 08-00200572 Date 6/19/08
Property Address ...... 5843 RUSHWOOD DR
Parcel Number: 273-007333
Alternate Address: BRISTOL COMMONS 3#137
Tenant nbr, name ...... BASEMENT FINISH
Application type d escription RES REMODEL
Property owner . . . . . . . Joseph Broccoli
Contractor . . . . . . . . . C. ROY HOMES INC.
--------------------- Structure Information 000 000 ----- -----------------
Construction Type . . . . . 13 - PROTECTED/NONCOMB
Occupancy Type . . . . . . RESIDENTIAL - 1,2,3 UNITS
-----------------------
Permit ..... ------------------------------------
. LOW VOLTAGE ELECTRICAL PERMIT -----------------
Additional desc . .
Permit Fee ... . 40.00 Plan Check Fee .. .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/16/08
Qty Unit Cha rge Per Extension
----------------------- BASE FEE
--- 40.00
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
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.
E3uiidins? Standards
5800 Siiier EZinu-; Road
Application For Residential "`?"l"' "i';° -?'?' E c-' ,'c'
I'I<one: (fi i-i i-1I[?-4r,?0
C1TY OF DUBI,iV_ 17uilding Permit 1'ax= ti b I-I ) 70 1-w; t;{;
Auditors Taxing District.•Z ? ?0)' N-. kAlAtO.1 Parcel Number a;Z73• (JG133 ^ OCj
?
Subdi
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13
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Lot Number
Address of Property ?,Ya, •?u.J,??yl?? 4?oi7
ApplicantName: •?h S°-To rN-, At t?er Phone: (p14. 3Q 11T1
?
Owner N E-Mail: '1'or,6 @ ecp!-t Fla m2S Ca?r?
ame: Phone:
a Owner Address:
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W3 tt''iJe
_Ok6L
Oh
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Contractor Name: ?. ?k T?pMtg '?C 4 ??-g 42?'-?
Phone: (0k
Contractor Address: (?J ?72ltCC?"??c ? ?• ? ? ? ? ??,lL ?. ?-3Q(p?
Type of Improvement: C New House ? Addition ? Remodel ? Deck ? Shed ? Pool ? Hot Tub
? Screened Porch *asement Finish ?Other
Description of Work:
a
0
?
?
Estimated Cost of Construction:
HVAC System
Etectric
? Type: ? New )(Existing ? Less than 200 Amp
? ?( 200 Amp to less than 400 Amp
Number of Bedrooms: Fuel Type: ? Oil ? 400 Amp to less than 600 Amp
¢ (Natural Gas
?
p„ Number of Baths: ? )
? L.P. Gas
Water
` 14
Building Height: 7? ? Electric Public Water
? Solaz ? Private Water
Fire Sprinkler: C Yes gNo ? Other Sewer
X P
bli
S
u
c
ewer
If yes, NFPA Ref. No. No. of Gas Appliances/CJnit ? ? Private Sewer
The owner of this building and the undersigned, do hereby covenant and agree to comply with all the laws of the State of Ohio and the
0 Ordinances of this jurisdiction, pertaining to the building and the buildings, and to co ct the proposed building or structure or make
the pmposed change or alteration in accordance with the plans and specifications s mitt herewith
and certify that the informa6on and
? statements given on this application, drawings and specifcations are to the best o ,
owled We and correct.
?
?
?tio?S ?, ?•vl.Ltt ;J?c. R
Applicant's Printed Name App cant's Signatu re
Area: 7 / O
Basement: Application Number: Date Received:
s`
? I
Floor:
RECEIVED
?
„ „a
2 Floor: Issuing Authority:
?
p
Garage:
Issuing Date: JUN 10 2008
Deck: B l
?N
Edition of the Residential Code: CI-rY O F D U L
Other:
- ?
CITY OF DUBLIN
Bu ? f
ilding Standards • 5800 Shier-Rings Road • Dublin, Ohio ?ce
Phone: (614) 410-4670 • Inspection Line: (614) 410-4680
Application Number ..... 08-00200572 Date 6/11/08
Property Address ...... 5843 RUSHWOOD DR
Parcel Number: 273-007333
Alternate Address: BRISTOL COMMONS 3#137
Tenant nbr, name ...... BASEMENT FINISH
Application type description RES REMODEL
Property owner . . . . . . . Joseph Broccoli
Contractor . . . . . . . . . C. ROY HOMES INC.
--------------------- Structure Information 000 000 ----- -----------------
Construction Type . . . . . 1B - PROTECTED/NONCOMB
Occupancy Type .
--------------------- . . . . . RESIDENTIAL - 1,2,3 UNITS
------------------------------------
-----------------
--
Permit . . . . . . RESIDENTIAL BUILDING PERMIT
Additional desc . .
Permit Fee ... . 50 00 Plan Check Fee .. .00
Issue Date . . . . 4?113be Valuation . . . . 0
Expiration Date . . 12/08/08
Qty Unit Cha rge Per Extension
BASE FEE 50.00
-----------------------
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.
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GON6T7lIA:TION MAY'r1.3POD ??1'?? • s7 ?
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