HomeMy Public PortalAbout10-0471 CookDATE ISSUED: 09 -23 -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
REPAIR ROOF
1403 LOVELL AVE
JOHN & JANET COOK
435 CANTERBURY RISE
FRANKLIN TN 37067 -6492
JOHN & JANET COOK
435 CANTERBURY RISE
FRANKLIN TN 37067 -6492
P
$ 78.00
$3,500.00
PERMIT #: 100471
TOTAL BALANCE DUE: $ 78.00
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. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -9539
www.cityoftybee.org
From:CITY OF TYBEE ISLAND
912 786 9539
091" '2010 13;47 #783 P.001 /005
CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
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Location:
Owner
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NAME ADDRESS
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PIN #
Architect
or En ineer
Building a 4'.' t '
Contractor qL�'
(Check all that apply)
7 Repair
El Renovation
❑ Minor Addition
❑ Substantial Addition
❑ Other
TELEPHONE
51.2e e
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Residential
[ Single Family
❑ Duplex
❑] Multi- Family
Commercial
Details of Project: e
Estimated Cost of Construction: $ j O e d 4?
Construction Type
(1) Wood Frame
(2) Wood & Masonry
(3) Brick Veneer
Proposed use: ,-/
Remarks:
SMM..2 5 / -(5'��'
❑ Footprint Changes
❑ Discovery
E Demolition
(Enter appropriate number)
(4) Masonry
(5) Steel & Masonry
if
(6) Other (please specify)
Via` "4 /'its
ATTACH. A COPY OF THE CERTIFIED ELEVATION SURVEY OF LO'l' and complete the
following information based on the construction drawings and site plan:
# Units ._ tf . , # Bedrooms __.2" ,...
Lot Area Living space (total sq. ft.) _._— .__.... _
# Off-street parking spaces Miff
Trees located & listed on site plan Nijt
Access: iti)ff
Driveway it) 71 ft.) With cult' *re? _L"./..)____//'
Setbacks: Front Ile . Rear /Wit
# Bathrooms
With swalc?
Sides (L) (R) —
# Stories J Height Ni/ ' Vertical distance measured from the average 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 appurtanccs.
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ANddW00 'dal 370Q: Wald
From:CITY OF TYBEE ISLAND
912 786 9539 091- '2010 13:48 #783 P.0021005
During construction:
On -site restroom facilities will be provided through jj k 9 ,tom 20Pfii 5 "
On -site waste and debris containers will be provided by /4-
Construction debris will be disposed by T,t G /4. by means of _42/44,
1 understand that I must comply with z_rming,, flood damage cpjtrol, building, rise, shore
protectiols and wetlands ordinances. FEMA regulations and all applicable codes and regulations,
1 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 or 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: /1- '3) iO Signature of Applicant: WaW,
Note: A permit normally takes 7 to 10 days to process,
The following is to be completed by City personnel:
Zoning certification
Approved rezoning/variance?
Street address and number: New Existing
Is it in compliance with City map?
If not, has street name and /or number been reported to MPC?
NFIF .Flood Zone
FEMA Certification attached
State Energy Code Affidavit attached
Utilities and Public Works:
Describe any unusual finding(s)
Access to building site
Distance to water main tap site
Distance to sewer stub site
Water meter size
Storm drainage
Approvals:
Zoning Administrator
Code Enforcement Officer
Water /Sewer
Storm /Drainage
Inspections
City Manager
Signature Date
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FEES
Permit
Inspections
Water Tap
Sewer Stub
Aid to Const.
TOTAL,
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From:CITY OF TYBEE ISLAND
912 786 9539 0917 "'7010 13:48 #783 P.003 /005
LEAN -BASED PAINT
Adapted from btfl yitvww. ens, oov /lvaU/vubs/rellovetion.htrn. Please uao theta/le to access the foI owing 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 facilltles must, before beginning work, provide tenants with a copy of EPA's lead hazard Information
pamphlet Renovate_ Right: Important 4gpsi Hdz hfnrmation JJr families, Child Cjj,•e. Prgy.Lders,._anst schonrls.
Owners of these rental properties must document compliance with this requirement. EPA's sample pre- renovatlotl
disclosure form may be used for this purpose.
After April 22, 2010, property owners Who perform these projects to pre-1978 rental housing or space ranted by
child -care facilities must be certified and follow the lead -safe work practices required by EPA's Renovation, Repair
and Remodeling rule. To hecome certified, property owners rnust submit an application for firm certificetge 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 end 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 recordkeepfng easier, you may use the sarnpie, recur lkeeolnn 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- Fnfity csmp /ijose Cultic, tp Rmtt yate k tom,
• Read about how to use lead -safe work practices In EPA's Steps to Le p/ 5 it . envy tiarr, Repair and Pdkti..ng.
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 &t novete.Ridht: 1aig91X &nt (,,eed tfazieeci rrte m,a tan for f r.nilics,,,clii c. ,Cal-e
Providers, and Schools lead hazard Information pamphlet. You may also want to call the National Lead Information Center at 1.800.424 -
LEAN (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 Aga 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 me :renovation dlsglosure.,.feirw, 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 Ronne „R;e. R44ht: Jrnpprtant Lead liana J ana_tign,lgr'. f mthRE IthLa
Clare Providers-, a/td Schools lead hazard Information pamphlet.
Information for Contractor*
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 f enova,t@ a/011 In pa ant j,r;.,d.tt 1.li z cd Iri.fgrn:tM1 r1 for Famlt/a ,.Chile'
Care PFQyrdg:s,,,,pnd Schpol8, Contractors must document Compliance with this requirement. EPA's 1im-y.enoyelju,tl�1 closure loan 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: Ap, QQIicaten ..fQr..rinteet„ifica,tien. 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.
• ' nd trsiinine 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 ef9ibie renovation training course
you may take the 4 -hour refresher course instead of the $hour initial course from an accredited training provider to
become a certified renovator. Chia, here for a li. t_ef eNgible..eUerieS:
• 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 prevlously 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 lewd -safe work practices and that you followed lead -
safe work practices on the job. To make recordkeepfng easier, you may use the s ,rn�'ile recoraeaping_,r,.ixckllst that EPA has
developed to help contractors comply with the renovation recordkeepfng recwlrements,
• Read about how to comply with EPA's rule in the EPR4, Srr eft filfity CornotiOc.e Cgide.,1n l S,yale might.
• Rea% about how to se 1 ad-safe work practices In EPA's it ,.ts±bead.5if _>uvation, keg i:d is aintino.
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From:CITY OF TYBEE ISLAND
912 786 9539 09/ '2010 13 :49 #783 P.004/005
Permit AcknowledlLement of
Asbestos /Environmental Notitication tq Georgia. FPD for
Protects involving, Demolition, Wrecking, or Renovation
The undersigned hereby acknowledges that the issuance of this permit does not in any way grant
pe niission 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" loran 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 4tn Accredited Asbestos
inspector for materials that contain asbestos; and the removal of the asbestos before renovation,
wrecking, or demolition begins almost without exemption. Georgia EPt) 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 pmvided 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, PIP 1J/-'
tAi
signed Date
d ..
Printed Nance
Office Use Only;
Project Address: _.,.� .� w ...
Permit Number
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