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Home My Public Portal About10-0419 NevilCity of ')ee Island • Community Develo ent Dept. Inspection Report 403 Butler Ave. P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 IMInmea INTERNATIONAL CODE COUNCIL MEMBER Permit No. / 0 * OL--1 ' Date Requested f` Owner's Name 01E-0/ I Date Needed , / , ) Gen. Contractor Subcontractor Contact Information (�1- .-) k)1 1 ( ' Ai', /=, Zvi - D . %'L_;;,= Project Address ! 1 1 1 a r) h a0 i Scope of Work . r cat .. ra.. ! ., --t-= i--(c=: }G `� Inspector 1/(1/ Date of Inspection e P� Inspection ilk I k i,3 P f — Pass u Fail 0 Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass Fail El Fee Inspection Pass ❑ Fail ❑ Fee Permit No. City of 1 ee Island • Community Develop ant Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 jo I Owner's Name j 1 Gen. Contractor Date Requested 1/ Date Needed it\ INTERNATIONAL CODE COUNCIL "' MEMBER Subcontractor Contact Information F. .1 Project Address ) I ! � " r,..a Scope of Work . :7c..j L 1 -=-- 1 =4 cx:; �. Inspector '1/ Inspection I i -' , opr- I Date of Inspection Pass J Fail Fee t ) Inspection Pass ❑ Fail ® Fee Inspection Pass Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Permit No. Owner's Name Gen. Contractor Contact Information Project Address Scope of Work Inspector City of '3ee Island • Community Develc ent Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 Jo ()L- -E C.)FLAJ I Inspection Date Requested Date Needed Subcontractor j inns 41/Z.. BIM` INTERNATIONAL CODE COUNCIL' MEMBER C) ice :> ` 17 Date of Inspection Inspection Inspection Inspection Pass Fee Pass ❑ Fail ❑ Fee Pass ❑ Fail ® Fee Pass ❑ Fail ❑ Fee AL L OD PEST SOLUTIONS°" Local Office TERMITJ, SKIN. REPORT Phone 866- 99ALLGOOD Customer Address City Phone: R 'r of Zip (h) (w) (c) Directions ❑ Deviation from minimum standard (attach copy of Form II) • Initial service / Spot / Retreatment / Upgrade E Customer present / Key / Unlocked ❑ Power source ❑ Water source ❑ Special equipment required ❑ Water cut -off identified on graph Salesman Customer El Location of water pipes and utility lines identified on graph. Allgood will not be responsible for damage to unmarked pipes and utilities. Salesman Customer ❑ Any wells, cisterns, or sump pumps identified on graph Salesman Customer SERVICE TO BE PERFORMED: ❑ 1. Remove cellulose and other debris ❑ 2. Remove form boards ❑ 3. Scrape off termite tunnels ❑ 4. Trench / treat interior foundation wall ❑ 5. Trench /treat soil next to piers ❑ 6. Trench / treat soil next to pipes ❑ 7. Drill / treat voids in piers ❑ 8. Drill / treat hollow block foundation voids ❑ 9. Remove moulding - drill / treat hollow block ❑ 10. Drill thru brick veneer / treat hollow block ❑ 11. Drill / treat brick veneer ❑ 12. Drill / treat double brick ❑ 13. Drill / treat triple brick ❑ 14. Drill / treat voids in stone wall ❑ 15. Drill / treat chimney voids ❑ 16. Drill / treat under slab / expansions ❑ 17. Drill / treat utility room slabs / pipes ❑ 18. Remove floor covering / drill /treat ❑ 19. Short rod under slab from exterior ❑ 20. Remove moulding / drill, treat under partition ❑ 21. Drill / treat cracks in slab ❑ 22. Drill thru wood floor /treat under slab / patch ❑ 23. Long rod soil treatment ❑ 24. Treat existing bath trap ❑ 25. Cut bath trap / treat / install door ❑ 26. Trench / rod soil along exterior foundation wall ❑ 27. Drill / treat under adjacent slabs ❑ 28a. Vertical drill / treat dirt filled porch ❑ 28b. Short rod dirt filled porch ❑ 28c. Long rod dirt filled porch ❑ 28d. Void / treat dirt filled porch ❑ 29. Treat planter box ❑ 30a. Provide access to crawl space ❑ 30b. Install crawl space access door ❑ 31a. Install vent - new opening ❑ 31 b. Install vent - existing opening ❑ 31 c. Install vent well ❑ 32. Install poly over 70% - 80% ground surface ❑ 33. Excavate clearance (18" inside / 6" outside) ❑ 34. Install floor supports ❑ 35. Insulate wood / earth contact at steps ❑ 36. Apply foam (describe on graph) ❑ 37. Chemical treatment - PPB ❑ 38. Wood treatment - borates f 39. Pre -treat soil (liquid) ❑ 40. Install Sentricon (perimeter) ❑ 41. Sentricon AG (interior) ❑ 42. Other (describe on graph) PRODUCT USED & % QUANTITY APPLIED TARGET PEST LOCATIONS (use numbers above) MOISTURE CONTENT TERMITE SERVICE REPORT PRODUCT LIST: 1. CS Bifen I/r Insecticide/Termilicide (.06%) 2. Talstar P (.06%) 3. Termidor 80 WG Termibcide/Insecticide (.06 %) 4. Premise Foam (.05 %) Premise Pre - Construction Insecticide (.05 %) 6. Bora -Care (23%) 7.Timbor Professional Insecticide and Fungicide (15 %) 8. Recruit IV AG Termite Bait (.5 %) 9. Sentncon Colony Elimination System RTI Stations 10. Polyethylene 11. Vent 12. Vent (power) 13. Centerfire 75 WSP (.05 %) 14. OUR MISSION: To be the # 1 pest control company in the Southeast through the delivery of the industry's safest and most effective treatment solutions. To provide trustworthy and friendly service from our highly trained and experienced professionals. To build a reputation based on trust and integrity. To value our customer's homes and businesses as though they are our own. To be the good guys of pest control. TARGET PEST CODES: T - Subterranean Termites PPB - Powder Post Beetle OHB - Old House Borer WDF - Wood Decay Fungus Date Time In Time Out ❑ P.M. .. 0-A.M. ❑P.M. 9 S Customer (Db not alldw people or pets to contact treated areas until dry.) f t n L\!1.. Applicator /Registration No. OPS sign off Sales sign off 4 -09 DATE ISSUED: 08 -18 -2010 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 POUR CONCRETE IN BDRM & BATH 1111 SECOND AVE J. L. NEVIL 5867 US HIGHWAY 301 S REGISTER GA 30452 -4900 912 -786 -4849 J. L. NEVIL 5867 US HIGHWAY 301 S REGISTER GA 30452 -4900 P $ 68.00 $1,575.00 PERMIT #: 100419 TOTAL BALANCE DUE: $ 68.00 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 Location: CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT 1 o - 0 p l/ NAME ADDRESS PIN # 2( TELEPHONE Owner ,4 /t/ // EN 0f l /�' 1 l 7l ) t'! �. J -li / t Architect or Engineer Building Contractor r 4,1 %' ,, • ji /� _ i ,�� , / , �a1lik 1 dobrifia& 'b � (Ch k all that apply) I Repair ❑ Renovation ❑ Minor Addition ❑ Substantial Addition n Other c (c- a W CiSZf. Residential ❑ Single Family ❑ Duplex ❑ Multi- Family ❑ Commercial Fl Footprint Changes n Discovery n Demolition Details of Pro 'e t:irn ��0 %diy 1(/(1 tQ�•e- kg itei =Gr? -y - OW-7Z- •4 ._1 % -- iii% / /�Li' %11:`i "Iii. / . ( J2/^ Es ated Cost of Construction: Construe '•n Type (1) Wood :.� e (2) Wood & Ma •nry (3) Brick Veneer Proposed use: Remarks: 575,00 (Enter appropriate number) (4) Masonry (5) Steel & Masonry ATTACH A COPY OF THE C (6) Other (please specify) TIFIED . EVATION SURVEY OF LOT and complete the following information based on the # Units Lot Area # Off - street parking space Trees located & listed Access: Driveway (ft.) Setbacks: Fron ction drawings and site plan: # Bedro':., s Living spa total sq. ft.) site plan With culvert? Rear # Bathrooms With swale? Sides (L) (R) # Stories Height Vertical distance measured from the . erage adjacent grade of the building to the extreme high point of the building, exclusive of chimneys, heating units, ventilation ducts, air conditioning units, elevators, and similar appurtances. During construction: On -site restroom facilities will be provided through On -site waste and debris containers will be +rovislea by Construction debris will be disposed b d s �� by means of h �j I understand that I must comply with zoning, flood damage control, building, fire, shore protections and wetlands ordinances, FEMA regulations and all applicable codes and regulations. I understand that the lot must be staked out and that the stakes will be inspected to ensure that the setback requirements are met. I understand also that a certified plot plan showing elevation must be attached to this application and that an as -built elevation certification is due as soon as the habitable floor level is established. Drainage: I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected. I accept responsibility for any corrective action that may be necessary to restore drainage impaired by this permitted construction. Date: ?s / f� alo Signature of Applicant: Note: A permit normally takes 7 to 10 days to process. The following is to be completed by City personnel: Zoning certificat in Approved rezonin: variance? Street address and n ber: New Is it in compliance wit City map? If not, has street name an or number been rep ► ed to MPC? FEMA Certification attached State Energy Code Affidavit attac Utilities and Public Works: Describe any unusual finding Access to building site Distance to water mai Distance to sewer s Water meter size Storm drainag Approvals Zoning ° dministrator Code .' nforcement Officer Wa -r /Sewer S erm /Drainage nspections City Manager FIP Flood Zone Existing tap site site Signature Date FEES P -rmit Inspections Water Tap Sewer Stub Aid to Const. TOTAL LEAD -BASED PAINT Adapted from http: / /www.epa.gov /lead /pubs /renovation.htm. Please use that site to access the following information. Information for Property Owners of Rental Housing, Child- Occupied Facilities Property owners who renovate, repair, or prepare surfaces for painting in pre -1978 rental housing or space rented by child -care facilities must, before beginning work, provide tenants with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools. Owners of these rental properties must document compliance with this requirement. EPA's sample pre- renovation disclosure form may be used for this purpose. After April 22, 2010, property owners who perform these projects in pre -1978 rental housing or space rented by child -care facilities must be certified and follow the lead -safe work practices required by EPA's Renovation, Repair and Remodeling rule. To become certified, property owners must submit an application for firm certification and fee payment to EPA. The Agency has up to 90 days after receiving a complete request for certification to approve or disapprove the application. Property owners who perform renovation, repairs, and painting jobs in rental property should also: • Take training to learn how to perform lead -safe work practices. • Learn the lead laws that apply regarding certification and lead -safe work practices beginning in April 2010. • Keep records to demonstrate that you and your workers have been trained in lead -safe work practices and that you followed lead - safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping checklist that EPA has developed to help contractors comply with the renovation recordkeeping requirements that took effect April 2010. • Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right. • Read about how to use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. Information for Homeowners Working at Home If you are a homeowner performing renovation, repair, or painting work in your own home, EPA's RRP rule does not cover your project. However, you have the ultimate responsibility for the safety of your family or children in your care. If you are living in a pre -1978 home and planning to do painting or repairs, please read a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools lead hazard information pamphlet. You may also want to call the National Lead Information Center at 1- 800 -424- LEAD (5323) and ask for more information on how to work safely in a home with lead -based paint. Information for Tenants and Families of Children under Age 6 in Child Care Facilities and Schools As a tenant or a parent or guardian of children in a child care facility or school, you should know your rights when a renovation job is performed in your home, or in the child care facility or school that your child attends. • Before starting a renovation in residential buildings built before 1978, the contractor or property owner is required to have tenants sign a pre- renovation disclosure form, which indicates that the tenant received the Renovate Right lead hazard information pamphlet. • Beginning in December 2008, the contractor must also make renovation information available to the parents or guardians of children under age six that attend child care facilities and schools, and to provide to owners and administrators of pre -1978 child care facilities and schools to be renovated a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools lead hazard information pamphlet. Information for Contractors As a contractor, you play an important role in helping to prevent lead exposure. Ordinary renovation and maintenance activities can create dust that contains lead. By following the lead -safe work practices, you can prevent lead hazards. 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. EPA's pre- renovation disclosure form may be used for this purpose. Understand that after April 22, 2010, federal law will require you to be certified and to use lead -safe work practices. To become certified, renovation contractors must submit an application and fee payment to EPA. See: Application for firm certification. The Agency has up to 90 days after receiving a complete request for certification to approve or disapprove the application. Contractors who perform renovation, repairs, and painting jobs should also: • Take training to learn how to perform lead -safe work practices. • Find a training provider that has been accredited by EPA to provide training for renovators under EPA's Renovation, Repair, and Painting (RRP) Program. Please note that if you previously completed an eligible renovation training course you may take the 4 -hour refresher course instead of the 8 -hour initial course from an accredited training provider to become a certified renovator. Click here for a list of eligible courses. • Provide a copy of your EPA or state lead training certificate to your client. • Tell your client what lead -safe methods you will use to perform the job. • Learn the lead laws that apply to you regarding certification and lead -safe work practices beginning in April 2010. • Ask your client to share the results of any previously conducted lead tests. • Provide your client with references from at least three recent jobs involving homes built before 1978. • Keep records to demonstrate that you and your workers have been trained in lead -safe work practices and that you followed lead - safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping checklist that EPA has developed to help contractors comply with the renovation recordkeeping requirements. • Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right. • Read about how to se I9d -safe vyor ractices in EPA's Steps to Lead Safe Renovation, Repair and Painting. _1F YOU'RE NOT J.EAD-SAFE CERTIFIED, ,DISTURBING -JUST SIX SQUARE FEET COULD COST YOU BIG TIME. Signat re I ii ,/i Date Printed Name Permit Acknowledgement of 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. s?/)4A4V--`71/Ze,A/Z Undersigned Date Office Use Only: Project Address: Permit Number: