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Home My Public Portal About11-0071 Randolph_1of2City(); ,bee Island • Community Devel( 'tent Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 rilk% mialuk Mita INTERNATIONAL CODE COUNCIL MEMBER Permit No. 1 -7 I Date Requested r1 a Owner's Name 10/1JOIrh Date Needed ' Gen. Contractor N Q L ! i0 Ovi Subcontractor Contact Information Project Address Scope of Work Inspector F ) - ) 1 2O-4 A/L1L0---- Inspection P Date of Inspection ,-< Pass 4JV Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee City of T �e Island • Community Develop nt Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 (mac Permit No. l 1. Date Requested I t q -1 Owner's Name ra .n c c..)1 •D k Date Needed `4 - 2 3 " ( 1 \ . Gen. Contractor I '1 2 ( Cat +', o ,"? Subcontractor Contact Information L - 3 ` (I I '+ i Project Address - t J . 1 1, ea -- MIMI INTERNATIONAL CODE COUNCIL" MEMBER Scope of Work . -a. Inspector f Date of Inspection / Inspection ._,A (Ni , .,,z .r. Pass El Fal Fee -P 1 i\t'--11° i-, 4Pitk tc..—, H --, , \ ,\\) Inspection Pass ❑ Fail ❑ Fee I Inspection Pass U Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Melars INTERNATIONAL CODE COUNCIL City of( bee Island • Community Devela 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 MEMBER Permit No. s 0.-7 1 Date Requested 3 - 2_ I- 1 I Owner's Name ' • ( O 1 ! i Date Needed 3=7=2"--V; 3 -2 4 Gen. Contractor t J + o)) Subcontractor Contact Information Project Address / � Scope of Work 'c-t a r (,Z S LD 1 Inspector /il 4-: Inspection - z -D n Pass U 313-- NJ 2�5' -/k M.Iles- Date of Inspection Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass r1 Fail ❑ Fee Inspection Pass ❑ Fail DATE ISSUED: 02 -16 -2011 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 STORAGE SHED 205A MILLER AVE TYLER & TRACEY RANDOLPH 56 MAXWELL CT RICHMOND HILL GA 31324 -4797 NEW TRADITION BUILDERS INC PO BOX 1713 RICHMOND HILL GA 31324 P $ 100.00 $3,000.00 PERMIT #: 110071 TOTAL BALANCE DUE: $ 100.00 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: C)A. we) C.6— P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org 1(-001 2o-A p1U(ler Ave,. Location: CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT NAME ADDRESS PIN # TELEPHONE Owner 020c--.4 g.//v % ///1 7 j P gdoi Architect or Engineer Building Contractor - A/60 /ii��,2g 117 y? (7. dos. / 2/3// - /CL'�✓tion2 /IG /�i '/ u c/ (9 ). q-e// q ( (Check all that apply) ❑ Repair ❑ Renovation ❑ Minor Addition ❑ Substantial Addition Other ,j far 3-‘Z ❑ Residential ❑ Single Family ❑ Duplex ❑ Multi- Family ❑ Commercial n Footprint Changes ❑ Discovery ❑ Demolition Details of Project: j( /p /,�h2 Ski / - // f << .1-51///- 5 %. %1, 4 A, /, p /er5 Estimated Cost of Construction: $ Construction Type Ci > (1) Wood Frame (2) Wood & Masonry (3) Brick Veneer Proposed use: Remarks: (Enter appropriate number) (4) Masonry (5) Steel & Masonry (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 l # Bedrooms # Bathrooms ---- Lot Area Living space (total sq. ft.) # Off - street parking spaces Trees located & listed on site plan Access: Driveway (ft.) With culvert? With swale? Setbacks: Front — Rear 5 Sides (L) S'' (R) -- # Stories t Height /D ' 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 On -site waste and debris containers will be provided by Construction debris will be disposed by j.. n d • by means of, � if 64 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 . . nage impaired b this permitted construction. Date: a // -/j / Signature of Applicant: 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? NFIP Flood Zone 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) Existing 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 FEES Permit / Inspections Water Tap Sewer Stub Aid to Const. TOTAL LEAD -BASED PAINT Adapted from http: / /www.epa.00v /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 develope o help contractors comply with the renovation recordkeeping requirements. • Read - •o how to comply ith EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right. • Rea how to se l -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. If YOU'RE NOT _LEAD-SAFE CERTIFIED, ,DISTURBING JUST SIX SQUARE FEET ;COULD COST YOU BIG TIME: _�I.. Signature Printed Name /47eoe2e #j /$ Date i/ 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 contamin. ' an, or unusual site conditions may have EPD regulations that could affect the project. Undersigned Printed Name /-1/sc z .2e1/ Date Office Use Only: Project Address: Permit Number: U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -9. OMB No. 1660 -0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name Randolph Tyler Policy Number A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 205 A Miller Avenue Company NAIC Number City Tybee Island, State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot A of a subdivision of lots 146 & the south half of lot 147, ward no. 1, Tybee Island A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5. Latitude /Longitude: Lat. N 32 deq 00.676 min Long. W 80 deq 50.700 min Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) n/a sq ft b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade n/a c) Total net area of flood openings in A8.b n/a sq in d) Engineered flood openings? ❑ Yes ® No A9. For a building with an attached garage: a) Square footage of attached garage n/a sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade n/a c) Total net area of flood openings in A9.b n/a sq in d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number Tybee Island 135164 B2. County Name Chatham B3. State GA B4. Map /Panel Number 13051 CO213F B5. Suffix F B6. FIRM Index Date 9/26/08 B7. FIRM Panel Effective /Revised Date 9/26/08 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 11 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date ❑ CBRS ❑ OPA ❑ Yes ® No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/AO. Complete Items C2.a -h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized localVertical Datum NAVD 1988 Conversion /Comments Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 6.8 ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor n /a. ® feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) n /a. ® feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) n /a. ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 6.2 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 5.8 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 6.4 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including n /a. ® feet ❑ meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. / certify that the information on this Certificate represents my best efforts to interpret the data available.! understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No Certifier's Name J. Whitley Reynolds License Number 2249 Title Company Name J. Whitley Reynolds, Land Surveyor Address 636 Aft A Suite C City Savannah, State GA ZIP Code 31405 ArAir Signature FEMA For 1 -31, Mar 09 Date 10/4/10 Telephone 912 - 352 -0464 See reverse side for continuation. Replaces all previous editions c IMPORTANT: In these spaces, copy the asponding information from Section A. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 205 -A Miller Avenue City TYbee IslandState GA ZIP Code 31328 For Insurance Company Use: Policy Number Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments C2.e) = A/C pad ■410111 Si• . -ture Date 10/4/10 ❑ Check here if attachments S TION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items El -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6 -9 with permanent flood openings provided in Section A Items 8 and /or 9 (see pages 8 -9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and /or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. ❑ feet ❑ meters ❑ above or ❑ below the HAG. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA- issued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone AO. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance /Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments FEMA Form 81 -31, Mar 09 Replaces all previous editions "An Approved Set f Plots Must ® R 1s..n on ,'ob Site at Ali Times? 1 -r,'4't r " FOR co 'CO7'11. "L NCJ i,very f`•[fzrt has bnn math) 'a i "inn ie_ cc �n via tv ,�, �' � m, x t t b td�& yF -7-43 3' , .a d z. � - authority to Jiol • c , ,, cr sea aside any .,ppl9cs bi i 4r ` �¢. .i iC 1 :�lin n ''moo' The ruvi.,w and perm 5; ?� :., E t 4aci construed El mn y or 8;;.uarante . C-,4 _ PO Date • II LCO iTIIUCTION MUST COMPLY WITH THE AND THEIRC ONE AND TWO M j VELLIAI CODE _EDITION ND STATE OF GEORGIA AMENDMENTS f~yaa t;;. • rse i:aira s uni ee'k O!7 eaC 1 //1 5- t,14 y DotA 17Ot 5 Tzaeaa -off oreix0-Z. C SPACE BELOW FLOOD ELEVATION (AE-Zone) Hydrostatic vents required to relieve water pressure In enclosed space below flood elevation. I square Inch of vent required for each 1 square bet of floor area. Bottom of vent must be within 1 fact of the grade elevation. Vants must ho p!dord in opposite wells to permit water to flow. 76. `E VT-3- k (2,) COV)C-Ce+, 4 e; I A/