HomeMy Public PortalAbout12-0406 OuztsDATE ISSUED: 07 -19 -2012
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
REROOF
1611 SECOND AVE
FRANK B. & JUDI OUZTS
1611 2ND AVE
TYBEE ISLAND GA 31328 -8746
FRANK B. & JUDI OUZTS
1611 2ND AVE
TYBEE ISLAND GA 31328 -8746
P
$ 93.00
$6,000.00
PERMIT #: 120406
TOTAL BALANCE DUE: $ 93.00
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
CHATHAM COUNTY
DEPARTMENT OF BUILDING SAFETY
AND REGULATORY SERVICES
PO BOX 8161
SAVANNAH, GEORGIA 31412 -8161
Gregori S. Anderson, CBO OFFICE 912 -201 -4300
FAX 912 -201 -4301
Director
MEMBER
ICC
INTERNATIONAL
CODE COUNCIL'
Clifford Bascombe, CBO, CFM
Assistant Director
INFORMATION FORM TO REQUEST A RESIDENTIAL BUILDING PERMIT
Instructions : Please Check or Print All Required
Section I
P.I.N.: - coos - / - P.1.N. can by obtained from the Tar Assessors Office at (912) 652 -7287.
Project Address: I la 1 1 c2nd Avenue. `('bee 15bn4t 3) 3OS
Addresses listed as "0" should be corrected prior to application by contacting the MPC at (912) 651 -1440.
Subdivision: Thee Phase: Lot No.
Owner Name: OU.-2A-`j kd:t4
Owner address: 1(.011 e
11 P
State: el(„ Zip: 3 l 3 af?
General Contractor: TRIARcpr' l 1G
3941,M'12a -s8A
Telephone No. q l a -w y Li-s(o L/D
City: -1-Libee q-51ar-
Fax No.
Telephone No.
Fax No.
Section II What do ou plan to build oK construct?
Description: - (.0/ p o L4 Sivir#s
913-3S-4-1- a f4 0'4
cr4 5e�
❑ New Building
❑ Foundation/slab only
❑ Moving a building:
From where
❑ Other
o � (- eoac
❑ Addition to existing building
'alteration to existing building
to where
❑ New deck
How will construction be used?
k Single Family ❑ Two Family
❑ Carport, Garage, Storage ❑ Other
How many square feet are being constructed?
How many stories to building?
Bedrooms
Baths
Page 1 of 7
Water: ❑ New Connection
❑ Already Connected
Provider: ❑ City ❑ County ❑ Private Utility
❑ Community Well ❑ Private Well
Septic Tank: ❑ New ❑ Existing (For sewer service, complete below)
Sewer: ❑ New Connection
Provider: ❑ City Sewer
❑ Already Connected
❑ County Sewer 0 Private Utility
Section III How much will the work cost?
Building $ (PC00
Plumbing $
HVAC $
Electrical $
Section IV Who will be responsible for calling in inspections?
❑ Owner Builder/ General Contractor
Contact name: l
00
Total cost $ (.oO(2 T—'
❑ Subcontractor j r
Contact Telephone No.: ' f pa' q -a (c »
Alternate No:
Section V Georgia Energy Code Calculations ( This section is for new buildings only).
A. REScheck must be submitted for all new residential construction. Available from www.energycodes.gov
Section VI The following information must be submitted before a permit can be issued
A. A subcontractor list with signatures
B. Two copies of a plot plan (not larger that 11 'h by 17)
C. Two sets of construction drawings with both REScheck and typical wall section attached to each set. One set of
plans will be retained for our records and one approved copy will be returned for construction.
D. Copy of current State license for builder and all subcontractors and or Homeowner Affidavit
It is understood and agreed by the undersigned owner or agent that the approval of this application does not constitute a privilege to violate the building
codes, zoning ordinance, or other ordinances of Chatham County and that any omission of or misrepresentation of fact with or without intention of the
undersigned or any alteration from this application ( including changing subcontractors) without the approval of the Building Official shall constitute
sufficient ground for the revocation of any permit issued which was based on the approval of this application. The owner as listed above will be held
responsible for insuring that all permits have been obtained and that all required inspections have been made, The owner will be held legally liable for
any violations which may occur with or without his or her knowledge. The owner may request a Certificate of Occupancy or Certificate of Completion
when all required inspecn. > . �:p.roSed.
Owner/Agent
Owner /Agen
Date (U k 11/
Page 2 of 7
City of Tybee Island, Georgia
912 - 472 -5033 or 912 - 472 -5031 - Fax 912 - 786 -9539
APPLICATION FOR BUILDING PERMIT
Property Address:
❑ Single Family
❑ Duplex
❑ Multi - Family units
❑ Commercial units
(Check all that apply)
❑ Discovery/Tearout
❑ Footprint Changes — new
square feet heated /cooled
❑ Demolition of Structure
❑ Other
Details of Project:
Estimated Cost of Construction: $ (materials + labor + profit/overhead)
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
During construction:
On -site restroom fapjlities will be provided through / 04v.t 0.0 vlP . Construction debris will be disposed
by T if.c c� by means of &W1O 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 per fitted cen. uction.
Date: /elk / Y2C) /2 Signature of Applicant:.
Printed Name /O,i » ;4/ 7/t /A' rc
Note: A permit normally takes 7 to 10 days to process
Approvals:
Planning & Zoning Manager
Building Official
Water /Sewer
Storm /Drainage
City Manager
Signature
Date
FEES
Permit
Inspections
Cap Cost Rec
Water Tap
Sewer Stub
Eng. Fees
Aid to Const.
TOTAL
Name
Mailing Address
Telephone
Owner
Home:
Cell:
Architect or
Engineer
Contractor
Home:
CeII:
❑ Single Family
❑ Duplex
❑ Multi - Family units
❑ Commercial units
(Check all that apply)
❑ Discovery/Tearout
❑ Footprint Changes — new
square feet heated /cooled
❑ Demolition of Structure
❑ Other
Details of Project:
Estimated Cost of Construction: $ (materials + labor + profit/overhead)
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
During construction:
On -site restroom fapjlities will be provided through / 04v.t 0.0 vlP . Construction debris will be disposed
by T if.c c� by means of &W1O 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 per fitted cen. uction.
Date: /elk / Y2C) /2 Signature of Applicant:.
Printed Name /O,i » ;4/ 7/t /A' rc
Note: A permit normally takes 7 to 10 days to process
Approvals:
Planning & Zoning Manager
Building Official
Water /Sewer
Storm /Drainage
City Manager
Signature
Date
FEES
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 -cond one. The complete assembly and installation must be compliant; steel or
wood posts, po f, pacing pe C or A.
Signature for receipt of Lead Paint, Asbestos, and BMP notices. Date
/ /c4--)y r rs
Printed Name