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HomeMy Public PortalAboutBUTLER AV_1102 (2)DATE ISSUED: 05 -21 -2013 WORK DESCRIPTION WORK LOCATION OWNER NAME ADDRESS CITY, ST, ZIP PHONE NUMBER CONTRACTOR NAME ADDRESS CITY STATE ZIP FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE TOTAL FEES CHARGED PROPERTY IDENTIFICATION # CITY OF TYBEE ISLAND BUILDING PERMIT PATIO AND WALKWAY 1102 BUTLER CUB ENTERPRISES, LLC PO BOX 2738 TYBEE ISLAND GA 31328 -2738 DOYLE LANDSCAPE DESIGN & MGMT PO BOX 2764 TYBEE ISLAND GA 31328 P $ 72.00 PIN #4- 0007 -01 -005 PROJECT VALUATION $5,400.00 PERMIT #: 130319 TOTAL BALANCE DUE: $ 6.00 It is understood that if this permit is granted the builder will at all times comply with the zoning, subdivision, flood control, building, fire, soil and sedimentation, wetlands, marshlands protection and shore protection ordinances and codes whether local, state or federal, including all environmental laws and regulations when applicable, subsequent owners should be informed that any alterations to the property must be approved by the issuance of another building permit. Permit holder agrees to hold the City of Tybee Island harmless on any construction covered by this permit. This permit must be posted in a conspicuous location in the front of building and protected from the weather. If this permit is not posted work will be stopped. The building contractor will replace curb paving and gutter broken during construction. This permit will be voided unless work has begun within six months of the date of issuance. Signature of Building Inspector or Authorized Agent: P.O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org DATE ISSUED: 05 -21 -2013 WORK DESCRIPTION WORK LOCATION OWNER NAME ADDRESS CITY, ST, ZIP PHONE NUMBER CONTRACTOR NAME ADDRESS CITY STATE ZIP FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE TOTAL FEES CHARGED PROPERTY IDENTIFICATION # PROJECT VALUATION CITY OF TYBEE ISLAND BUILDING PERMIT PATIO AND WALKWAY 1102 BUTLER CUB ENTERPRISES, LLC PO BOX 2738 TYBEE ISLAND GA 31328 -2738 DOYLE LANDSCAPE DESIGN & MGMT PO BOX 2764 TYBEE ISLAND GA 31328 P $ 66.00 PIN #4- 0007 -01 -005 $4,200.00 PERMIT #: 130319 Cal -� a� cti I,,' 233 (_ e q A" u_30,‘ k LJi c4A - r4c TOTAL BALANCE DUE: $ 66.00 It is understood that if this permit is granted the builder will at all times comply with the zoning, subdivision, flood control, building, fire, soil and sedimentation, wetlands, marshlands protection and shore protection ordinances and codes whether local, state or federal, including all environmental laws and regulations when applicable, subsequent owners should be informed that any alterations to the property must be approved by the issuance of another building permit. Permit holder agrees to hold the City of Tybee Island harmless on any construction covered by this permit. This permit must be posted in a conspicuous location in the front of building and protected from the weather. If this permit is not posted work will be stopped. The building contractor will replace curb paving and gutter broken during construction. This permit will be voided unless work has begun within six months of the date of issuance. Signature of Building Inspector or Authorized Agent: q P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org STATE OF GEORGIA COUNTY OF CHATHAM ) HOLD HARMLESS / INDEMNIFICATION AGREEMENT -h THIS AGREEMENT is made the b day of Q.,, , , 20 , byU- ► r'"� (hereinaft er referred to as << O ) (.c- WITNESSETH Owner hereby agrees to protect, defend, indemnify and hold harmless the City of Tybee Island, Georgia, (a political subdivision of the State of Georgia), its Mayor and Council, officers, agents, and employees (hereinafter referred to as "City ") from and against any and all liability, damages, claims, suits, liens, and judgments of whatever nature, including any claims for contribution and /or indemnification for injuries to any person or persons, or damage to the property or other rights of any person or persons, caused in any manner pertaining to the location of privately constructed or any other privately owned structures and plants, which protrudes into the right -a -way of any City street. The undersigned further recognizes and agrees that this license does not confer upon the undersigned any rights, title, estate, or interest in said licensed premises; nor does this license agreement confer upon the undersigned a license coupled with an interest or easement. This license merely gives the undersigned a revocable privilege, it being expressly understood and agreed that, regardless of any improvements or investments made, expense and harm incurred or encountered by the undersigned, this agreement shall be subject to revocation, cancellation or termination, this license shall be null and void. IN WITNESS THEREOF, Owner has hereunto set its hand and affixed its seal on the day and year first above written. Owner 7/0.;2 4e7-7_,e/2_ fc21/& I "6777---t-rprz_ 4 PrbP(1y ) /'l j/ Property Address: / / 2' B>ti* %r 4116 City of Tybee Island, Georgia 912 - 472 -5033 or 912 - 472 -5031 - Fax 912 -786 -9539 APPLICATION FOR BUILDING PERMIT �{ -oao7- of -00� [+D'ngle Family uplex ❑ Multi- Family units ❑ Commercial units (Check all that apply) ❑ Discovery/Tearout ❑ Footprint Changes — new square feet heated /cooled Details of Project: J1 Q ('°ISC"f' G & 77V (MI May' n Demolition of Structure ❑ Other Estimated Cost of Construction: $ /4206 (materials + labor + profit/overhead) `QGG ` fi•`�� If applicable, attach a copy of the certified elevation certificate and /or survey of the property. Depending upon the scope of the work, two sets of construction drawings and /or a site plan may be required. Year Built: Listed on National Historic Register or located within a National Historic District? Y / N * Buildings older than 50 years may be eligible to be listed on the State / National Register. With this designation, you may be eligible to take advantage of various tax incentive programs while preserving the heritage of Tybee Island. *Also see the Tybee Island Land Development Code Article 14: Historic Preservation Durinq_construction: On -site restroom facilities will be provided through . Construction debris will be disposed by by means of . I understand that I must comply with zoning, flood damage control, building, fire, shore protection and wetland ordinances, FEMA regulations and all applicable codes and regulations. I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected as required by Article 16, Stormwater Management. I accept responsibility for any corrective action that may be necessary to restore drainage impaired by this •erm'tted constfuction. Date: 2f? 1,J Signature of Applicant: Printed Name Xi /h i er'`v Note: A permit normally takes 7 to 10 days to process Approvals: tinyr Planning & Zoning Manager Building Official Water /Sewer Storm /Drainage City Manager 14-D Lc ar- ry.A. S s sit 0 4 r 0 Date 5 - 2.[ -13 rvz..d b- FEES 640 Permit Inspections Cap Cost Rec Water Tap Sewer Stub Eng. Fees Aid to Const. TOTAL Name Mailing Address Telephone Owner 411- Home: Cell: Architect or Engineer Contractor 1�0//t i" 4156gMl / p D. 0k J D35 Office: Cell: W2 - 3-ef-- /.,,7.5 [+D'ngle Family uplex ❑ Multi- Family units ❑ Commercial units (Check all that apply) ❑ Discovery/Tearout ❑ Footprint Changes — new square feet heated /cooled Details of Project: J1 Q ('°ISC"f' G & 77V (MI May' n Demolition of Structure ❑ Other Estimated Cost of Construction: $ /4206 (materials + labor + profit/overhead) `QGG ` fi•`�� If applicable, attach a copy of the certified elevation certificate and /or survey of the property. Depending upon the scope of the work, two sets of construction drawings and /or a site plan may be required. Year Built: Listed on National Historic Register or located within a National Historic District? Y / N * Buildings older than 50 years may be eligible to be listed on the State / National Register. With this designation, you may be eligible to take advantage of various tax incentive programs while preserving the heritage of Tybee Island. *Also see the Tybee Island Land Development Code Article 14: Historic Preservation Durinq_construction: On -site restroom facilities will be provided through . Construction debris will be disposed by by means of . I understand that I must comply with zoning, flood damage control, building, fire, shore protection and wetland ordinances, FEMA regulations and all applicable codes and regulations. I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected as required by Article 16, Stormwater Management. I accept responsibility for any corrective action that may be necessary to restore drainage impaired by this •erm'tted constfuction. Date: 2f? 1,J Signature of Applicant: Printed Name Xi /h i er'`v Note: A permit normally takes 7 to 10 days to process Approvals: tinyr Planning & Zoning Manager Building Official Water /Sewer Storm /Drainage City Manager 14-D Lc ar- ry.A. S s sit 0 4 r 0 Date 5 - 2.[ -13 rvz..d b- FEES 640 Permit Inspections Cap Cost Rec Water Tap Sewer Stub Eng. Fees Aid to Const. TOTAL LEAD -BASED PAINT RRP RULES Ordinary renovation and maintenance activities can create dust that contains lead. Contractors who perform renovation, repairs, and painting jobs in pre -1978 housing and child- occupied facilities must, before beginning work, provide owners, tenants, and child -care facilities with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard information for Families, Child Care Providers, and Schools. Contractors must document compliance with this requirement. After April 22, 2010, federal law will require you to be certified and to use lead -safe work practices. Georgia Environmental Protection Division Lead -Based Paint and Asbestos Program (404) 363 -7026. Projects must be done by a Certified Lead Renovation Firm AND a Certified Renovator When disturbing lead -based painted or coated surfaces or components more than 6 ft2 per interior room or 20 ft2 of exterior surfaces AND all window replacements and partial demolitions of any size. * * * * * * * * * * * * * * * * * * * ** Asbestos /Environmental Notification to Georgia EPD for Projects Involving Demolition, Wrecking, or Renovation The undersigned hereby acknowledges that the issuance of this permit does not in any way grant permission to the owner, owner's representative, or permit holder to proceed with demolition, wrecking, or renovation of a structure prior to the filing of any required ten (10) day "Project Notification for Asbestos Renovation Encapsulation or Demolition" form in accordance with the Georgia Asbestos Rules. The Georgia Environmental Protection Division administers the rules. In most cases, the rules require both the owner and the involved contractors to assure the portion of the building involved in the project is thoroughly inspected by an Accredited Asbestos Inspector for materials that contain asbestos; and the removal of the asbestos before renovation, wrecking, or demolition begins almost without exemption. Georgia EPD requires a completed demolition notification from be submitted 10 workings days in advance even if no asbestos is present in the building. Further guidance for regulatory compliance and contact telephone numbers are provided by the brochures entitled Asbestos & Renovation and Asbestos and Demolition. Other environmental issues such as asbestos removal techniques, lead abatement, ground contamination, or unusual site conditions may have EPD regulations that could affect the project. * * * * * * * * * * * * * * * * * * * * * BMPs While BMP deficiencies are not necessarily the fault of the owner or his agent, BMPs are their responsibility. Two areas of deficiencies are in the most basic and common BMPs; Co — Construction Exit and Sd1 — Sediment Barrier. Correct installation information can be found in the Field Manual for Erosion and Sediment Control in Georgia, Fourth Edition 2002, Georgia Soil and Water Conservation Commission; http:// www. gaswcc .org /docs /field_manual_4ed.pdf. Problems with the Co is not limited to the installation, but to material. The stone will be a representation of 1.5 " -3.5" stone or larger. Type A sediment barriers have been installed where Type C is required and shown on the permit drawings. Where two rows are called for they will be installed with a separation that allows for the first one to fail (fall over) without impacting the second one. The complete assembly and installation must be compliant; steel or woo. posts post spacing, Type or A. ignature for,rceipt of L .d Paint, Asbestos, and BMP notices. Printed Name Date BUTLEP AVENUE 80' R/W PRB 6 -P 81 N 19 °30'00 "E 80.00' CONC. DRIVE cI CMF x x % 0 0 0 0 co_ 00 r- Z 1/2" RBF U 0 a 1 STORY BLOCK HOUSE S 19 °30'00 "W 80.00' LOT 2 -A PRB 9 -P 89 - -,v 9.7' SE? "X" 02 0 0,- 0, 1/2" RBF nor b PLAT OF THE WESTERN 89' OF FRONT LOT 67, WARD NO. 3, TYBEE ISLAND, CHATHAM COUNTY, GEORGIA STREET ADDRESS: 1102 BUTLER AVENUE FOR: KEITH GAY ACCORDING TO THE F.I.R.M. DATED 9/26/08 THIS LOT IS WITHIN FLOOD ZONE .AE, BFE 11. 7C-01-1r'"\\.. /sTE EQUIPMENT: TOPCON AP -L1A ERROR OF CLOSURE: LINEAR: 1/- ANG: -" /ANGLE BALANCED BY: - BUTLEp AVENUE 80' R/W 0� 1 0 1 1 CMF N 19 °30'00 "E 80.00' CONC. DRIVE x x x 1'111 -- x U O a 1 STORY BLOCK HOUSE S 19 °30'00 "SIT 80.00' LOT 2 —A PRB 9 —P 89 Co 0 0 e 1/2" RBF i�G xxr PLAT OF THE WESTERN 89' OF FRONT LOT 67, WARD N0. 3, TYBEE ISLAND, CHATHAM COUNTY, GEORGIA STREET ADDRESS: 1102 BUTLER AVENUE FOR: KEITH GAY ACCORDING TO THE F.I.R.M. DATED 9/26/08 THIS LOT IS WITHIN FLOOD ZONE AE, BFE 11. /1(57154N\ EQUIPMENT: TOPCON AP —L1A ERROR OF CLOSURE: LINEAR: 1/- ANG: -"ANGLE BALANCED BY: -