HomeMy Public PortalAbout10-0530 CoffeyDATE ISSUED: 11 -5 -2010
WORK DESCRIPTION
WORK LOCATION
CITY OF TYBEE ISLAND
BUILDING PERMIT
REPAIR KITCHEN/DEN CEILING
205B MILLER AVE
OWNER NAME PEGGY COFFEY
ADDRESS PO BOX 100
CITY, ST, ZIP TYBEE ISLAND GA 31328 -0100
PHONE NUMBER
CONTRACTOR NAME CONSOLIDATED SERVICES
ADDRESS PO BOX 60593
CITY STATE ZIP SAVANNAH GA 31420
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 72.00
PROPERTY IDENTIFICATION #
PROJECT VALUATION $2,500.00
PERMIT #: 100530
TOTAL BALANCE DUE: $ 72.00
It is understood that if this permit is granted the builder will at all times comply with the zoning, subdivision, flood control, building, lire,
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
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CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
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Location: VS Q Mae-RA,
NAME
ADDRESS
PIN #
TELEPHONE
Owner
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Architect
or Engineer
Building
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Contractor
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(Check all that apply)
r 1 epair
[- Innovation
❑ Minor Addition
❑ Substantial Addition
❑ Other
al —Residential
El--gingle Family
LITuplex
❑ Multi- Family
r1 Commercial
Details of Project: %a rr)640 a pr'w,st c , ^., 1<'i4C- 11-1_,.v
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Estimated Cost of Construction: $ Z5 6 6
Construction Type
(1) Wood Frame
(2) Wood & Masonry
(3) Brick Veneer
Proposed use:
Remarks:
(Enter appropriate number)
(4) Masonry
(5) Steel & Masonry
n Footprint Changes
n Discovery
ra— H'emolition
. 7ac E,
Le-U.el 4.e.6
Add $c' /.4h ,741E
bum p. rC 6-/ 0-2y q, gal
per.
(6) Other (please specify)
ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the
following information based on the construction drawings and site plan:
# Units
Lot Area
# Off - street parking spaces
Trees located & listed on site plan
Access:
Driveway (ft.)
Setbacks: Front
# Bedrooms
Living space (total sq. ft.)
With culvert?
Rear
# Bathrooms
With swale?
Sides (L) (R)
# Stories Height 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 appurtances.
During construction:
On -site restroom facilities will be provided through s i#"£
On -site waste and debris containers will be provided by coA4r e-P
Construction debris will be disposed by ce4rtrs-c-4-,r by means of b�.•�p s aE�,
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: / ! - d _ / o
Signature of Applicant:
Note: A permit normally takes 7 to 10 days to process.
ND 14,-
The following is to be completed by City personnel:
Zoning certification
Approved rezoning /variance?
Street address and number: New
Is it in compliance with City map?
If not, has street name and /or number been reported to MPC?
FEMA Certification attached
State Energy Code Affidavit attached
Utilities and Public Works:
Describe any unusual finding(s)
NFIP Flood Zone
Existing
Access to building site
Distance to water main tap site
Distance to sewer stub site
Water meter size
Storm drainage
Approvals: Signature Date
Zoning Administrator
Code Enforcement Officer
Water /Sewer
Storm /Drainage
Inspections
City Manager
FEES
Permit
Inspections
Water Tap
Sewer Stub
Aid to Const.
TOTAL 72=
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 recordkeepinq 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 use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting.
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_1F YOU'RE NOT
,LEAD -SAFE CERTI FIED,
.DISTURBING
JUST SIX
SQUARE FEET
COULD COST YOU
-BIG TIME
Signature Date
Printed Name
DOM Cc
NATURAL
RUfOURCEB
GEORGIA
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.
Undersigned
Printed Name
Date
Office Use Only:
Project Address:
Permit Number: