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HomeMy Public PortalAbout11-0467 HanksDATE ISSUED: 08 -17 -2011 WORK DESCRIPTION WORK LOCATION OWNER NAME ADDRESS CITY, ST, ZIP PHONE NUMBER CONTRACTOR NAME ADDRESS CITY STATE ZIP CITY OF TYBEE ISLAND BUILDING PERMIT REPLACE 8 WINDOWS 4 CEDARWOOD DRIVE CINDY & CURTIS HANKS PO BOX 1951 TYBEE ISLAND GA 31328 -1951 THD AT -HOME SERVICES INC 2690 CUMBERLAND PKWY STE 300 ATLANTA GA 30339 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEES CHARGED $ 88.00 PROPERTY IDENTIFICATION # PROJECT VALUATION $5,305.00 PERMIT #: 110467 TOTAL BALANCE DUE: $ 88.00 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 Location: CITY OF TYBEE ISLAND, GEORCifA APPLICATION FOR BUILDING PERMIT -/ (1:e cla tdood 14-efe NAME ADDRES S PIN # TELEPHONE Owner l i 6y ,-,hs T hee 7s /./ e Aio .3/3 ,2 8 9-(i-9 Architect or Engineer Building Contractor <718, G /10'rfC dery s z66-c) d —t tv-r,.rd 4v < / —m a, 6,1 30359 i462-94)/-16,17 (Check all that apply) ❑ ' epair Renovation Minor Addition ❑ Substantial Addition ❑ Other Residential U Single Family ❑ Duplex ❑ Multi - Family ❑ Commercial Details of Project: ❑ Footprint Changes ❑ Discovery ❑ Demolition • Estimated Cost of Construction: $ 36-1-3 Construction Type (Enter appropriate number) (1) Wood Frame (4) Masonry (6) Other (please specify) (2) Wood & onry (5) Steel & Masonry (3) Brick Veneer Proposed use: Remarks: ATTACH A COPY OF THE . RTIFIED ELEV ION SURVEY OF LOT and complete the following information based on the constructiz drawings and site plan: # Units # B = : ooms # Bathrooms Lot Area ving . ace (total sq. ft) # Off - street parking spaces Trees located & listed on site . an Access: Driveway (ft. With culvert? Setbacks: Front Rear 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 On -site waste and debris containers will be provided by T/�4#62,� .6' <Sec6)/eeE Construction debris will be disposed by T,e,cc,C by means of 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 1 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: Y-77--/1 Signature of Applicant: Note: A permit normally takes 7 to 10 days to process. (0/d, The following is to be completed by City personnel: Zoning certification NFIP Flood Zone Approved rezoning/variance? Street address and number: New Existing Is it in compliance with City map? If not, has street naive and /or number been reported to MPC? 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: 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 LEAD -BASED PAINT Adapted from htto. / /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 use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. IF YOU'RE NOT EAD -SAFECERTIFIED, ISTURBING JUST SIX SQUARE FEET COULD COST YOU BIG TIME. Signa ure Date /714,eJi Via, ter 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. 11 Unde 1))i%t ned �1 24 4-CG= ,//e/c. Printed Name 6)// Date Office Use Only: Project Address: Permit Number: Branch Number: 36 Installation Address: Purchaser(s): Work Phone: 3731 'Northcrest Road, Suite 23, Atlanta, GA 3.0340 Toll' (877) 618 -2618; Fax (770) 986 -9038 # 01 593, S- 43165, SC Lic # 22647 Federal ID # 75- 2698460 iP State Zip Home Phone. • of, A Ma. {.. A 3 [ [ 1 1 [1 [ 1'4 G . 1 { 1 [' i [ 1 10 +4 ..if i Horne Address: (If different from Installation Address) • E -mail Address (to receive project commune -vions and Home Depot updates): 0 I DO NOT swish to receive' any maximizing emails from The Home Depot Project Information: undersigned( "Customer"), the owners of the property located at the above installation address, agrees to buy, and THD At -Horne Services, Inc. ("rho Home Depot ") agrees to furnish, deliver and arrange for the installation ( "Installation ") of all materials described on the below and on the referenced Spec Sheet(s), all of which are incorporated into this Contract by this reference, along with any applicable .Statr Supplement and Payment Summary attached hereto and any Change Orders (collectively, "Contract"): City State Zip Job #: (Inteoul ltekrenc ) ducts: Spec Sheets) #: ect Amount r� Cj t 44 ' •Roofing USiding ( `inflows LIInsulation . (C t 3 k - 1: $ 3' ' ❑Gutters / Covers ©Ex try Doors ■ t [j Roofing USiding Li Windows L„j Insulation $ ❑Gutters / Covers D ntry Doors ! DRoofing a Siding ■ Windows ■ Insulation DGutters / Covers DEntry Doors ■ —GRoofing [Siding 0 Windows ID Insulation DC/Utters / Covers • Entry Doors f lbli»isrlum 25% Deposit of Contract Amount due upon execution of this contract Total Contract Amount $ �� Customer agrees that, immediately upon completion of the work for each Product, Customer will execute a Completion Certificate (one for cacti Product as defined by an individual Spec Sheet) and pay any balance due. As 'applicable, each Customer under this Contract agrees to be jointly and severally obligated and liable hereunder. The Home Depot reserves the right to issue a Change Order or terminate this Contract or any individual Product(s) included herein, at its discretion, if The Horne Depot or its authorized service provider determines that it cannot perform, its obligations due to a structural problem with the home, environmental hazards such as mold, asbestos or lead paint, other safety concerns, pricing errors or because work required to complete the job was not included in the Contract. Payment Summary: The Payment Summary # /V 97- , included as part of this Contract, sets forth the total Contract amount and payments required for the deposits and final payments by Product (as applicable). NOTICE TO CUSTOMER You are entitled to a completely tined -ln copy or the Contract at the time you sign. Do not sign a Completion Certificate (note: there is one Completion Certificate for each listed Product as defined by individual Spec Sheets) before work on that Product is complete. In the event of termination of this Contract, Customer agrees to pay The Mine Depot the costs of materials, labor, expenses and services provided by The Home Depot or Authorized Service Provider through the date of termination, plug any other amounts set forth in this Agreement or allowed under applicable law. THE HOME DEPOT MAY WITIFIHOLi) AMOUNTS OWED TO THE HOME DEPOT FROM THE DEPOSIT PAYMENT OR OTHER PAYMENT, MADE, WITHOUT LLMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. Acceptance and Authorization: Customer agrees and understands that this Agreement is the entire agreement between Customer and The Home Depot with regard to the Products and Installation services and supersedes all prior discussions and agreements, either oral or written, relating to said Products and Installation. This Agreement cannot be assigned or amended except by a writing signed by Customer and The Home Depot. Customer acknowledges and agrees that Customer has read, understands, voluntarily accepts the terms of and has received a copy of this Agreement r'tcce ! by Cost, er's Signature X Subml Date Customer's Signature Date C'ANCELL.A.TION: CUSTOMER MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO THE HOME DEPOT BY MIDNIGHT ON THF: THIRD BUSINESS Sales • . sultant's Signature �' ` Date Tcicphonc No. / / ea 7� O 7 `" "J f Sales Consultant License No_ as applicable) KITTRELL 9129 73477 7/2011 10:46 Pre- Renovation Form Date ctir This form is used to document compliance with the requirements of the Federal Lead- Based Paint Renovation, Repair, and Painting Program after April 2010. Customer Address OCCUPANT CONFIRMATION Pamphlet Receipt Job Number (s) he received a copy of the lead hazard information pamphlet informing me of the potential risk of the lead hazard exposure from renovation amity to be perfumed in my dwelling unit. I received this pamphlet before cirf began. Home Year Built ././.1) Enter the year m{ home was built. If my Horne Year Bulit is Pre -1g7B, my home requires lead paint ies1irig to determine whether Lead -Safe Work Practices are necessary per EPA cr State regulations.. if Amy Horne Year Built is 1978 or after, Lead -Safe Work Practices are not required. Printed Narme of Orion : r- occupant Signature der- accuparti 1..18•1.■■ _J 9129273477 112 'ft 08/07/2011 c to mert WINDOW SEMI Fl CATION SHEET )Db13'4'4 spe.sh.tt 315136 Consultant; 11% iA Wet Date: wuntaser nterior coin; Two 11/41 w Say or Sox w indow %rettruniMalrcirttonyt onlyrilitch Ori flayPregdran Mier tie or 45 itrukts T :DR Stior Offal') Top at ASTI d rive to rafri odic%) If 114 d *OM, raw ftir nuierial moors Pod ur Garden W Mute: StarltragtP1,1rinteluttgltryl ontinAllke Pin nue, Kuril or tirk} '44 Th Wm, POW National INS Vex et Not 1.1hut a tgabMathri■repri411,swIl mai atrim $4101.0? 114, SPEC IAL CONSIDFROON'S: 1 l'ave:retiorkd red mee wit ihob %per Iliatbry ahoy.> arvel he SixtiulTerr*4nr$Corgirlsosor.the tett oi d-eyfilror Kte.lunv.v? tug/. Cistorner %Mire Existing Window New/Wind*, Meastrernents • Grids 'Precinct Options Latter Options Hinge Locations From outside, LAU RIO* Location Style Code b tk to Wrap 'IN N St le Code tk.k Series •de -64-t,i) Ceter Sough Openhg ., 5 j V of bars Ff ot bars Glass Rarolwere Scrum ,mull Mlic Items Code Saw, Boos, COM, 7 oni, ;IPA., Rios S. Room Pil Mot 4 S I 6 i . • 5 C .% '3 o 1 o For doors tile 's-= stailonary or '>■"•=, opareetingi 711 1 1) IA) LA-tv P.B -.- 1,11 k. ' )•.- t . Z i'l k• 1 4 )*1/4 I P) I 111111 11 II 11 1 ; 1 b 4 A-I , 04.7 4" IIIII FM c . 1 .. _ 1 i I 3v It 1 t14 I 'LI,' ... ... . Iii n 12 12 11111111 wuntaser nterior coin; Two 11/41 w Say or Sox w indow %rettruniMalrcirttonyt onlyrilitch Ori flayPregdran Mier tie or 45 itrukts T :DR Stior Offal') Top at ASTI d rive to rafri odic%) If 114 d *OM, raw ftir nuierial moors Pod ur Garden W Mute: StarltragtP1,1rinteluttgltryl ontinAllke Pin nue, Kuril or tirk} '44 Th Wm, POW National INS Vex et Not 1.1hut a tgabMathri■repri411,swIl mai atrim $4101.0? 114, SPEC IAL CONSIDFROON'S: 1 l'ave:retiorkd red mee wit ihob %per Iliatbry ahoy.> arvel he SixtiulTerr*4nr$Corgirlsosor.the tett oi d-eyfilror Kte.lunv.v? tug/. Cistorner %Mire Window Style WINDOWS Size Calor 1) Price 1 Window 1x2 Window Price Job#: 7 3 3 ATLANTA GRIDS Mgw Ea gm" 6'7L' 9 INUMMENINFIG� MINNIIIKOPOIMIT nai ad ss MEE IIIIIIIIIIII 111111111111111111=1 IIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIIIIIIHIIIIE 1111111111111111111111111111110111111111111111 11111111111111111111111111 11111111111111111111111111 MIN NM MIN NOM MI IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III NM 111111111•11111 IIIIIINIIII NM NUM INN NO 11111111111111111111111111111111111.11•11111111 NEM 1.119.11111=11111111111= 11111111 11111111111111111.1111111111•1111 MINIM 11111 1111111111111111 111111111111•111111111111111 MIN 11111111111.1111 IIIIIIIIIIIIIII 111111111111111111111111 11•111111111111111 INN NMI EMI NMI 1111111111111 11111111111111111111111111111111111111111111 Mil 11111111111:111=1111111I NS 111111111. lesio Ellipillm f4:.Prl. Will MIME 'Sashes w «V.dc Grid Price TOTA Windows Grids 1111111111111111111111111 111111111111111111111111111111111111 stouzatT TOTAL WINDOW PRICE BEFORE OPTIONS 1 LEAD-SAFE WORK PRACTICES CONTRACT AMENDMENT The under igned =gree to ..men + the Home Improvement Contract dated (the "Wial Contract") betw and ? j , r: ■ } (the "Purchaser ") relating to Job * '? : and hereby aut If Iead paint is coati ed, The Horne Depot will follow "Lead -Safe work practices." The Home Depot will only replac,� perform abatement or de- leading operations on the areas surrounding these components. • PROGRAM UNIT OF MEASURE QUANTITY BRANCH: ORIGINAL SPEC SHEET*: et.tAt et n Home Depot U.S.A., Inc. ( "Home Depot") orize the changes specified below. -ie components as described on the Spec Sheet but will not diM PRICE Increase WINDOWS f DOORS Per Opening WINDOWS - BAYS /BOWS/PATIO DOORS /ENTRY DOORS (WrIERE APPLICM E) SIDING Per Opening Per Square =ID Openings I .3b Openings Squares GUTTERS Per Linear Foot Linear Feet CUSTOMER ACKNOWLEDGEMENT lSIGNE6 AT True OF BALE. PRIMA TO MALI TEST} Homeowner actsnowledges lead paint may exist in the residence. If the Iead test is positive, isle additional cast charged in This contract amenumerr wi _ be required to follow ead -Safe work practice in the home. SUBMITTED BY: ACCEPTED BY: Sal Horn. *caner Homeowner Date Date The Contract Amount shall be amended as follows: Original Contract Amount' Increase Pius; Sales Tax Amended Contract Amount $ £3PS- $ ,2 t} $ „-- 1 If the Contract was previously amended, use tha amended Contract Amount (not the original Contract Amount). 2 If required by state or local regulations. WHITE - HOME DEPOT YELLOW - CUSTOMER 5 -7 -10 SFC Based on Ho LE SUBMITTE ACCEPTE APPROVE WHITE - Increase In Contract Amount: $ 0140 LEAD CHARGE CONFIRMATION positive Iead paint test, Lead-Safe work practices are required in the home. sower approves this additional case far Lead-Safe work practices. D TEST POSITFVE? BY: BY: YES NO RRP Lead Safe Renovator Date Homeowner Date Homeowner AMIMNIMMOI Date BY: IZLZ /L0/80 BSM / BIM Date ME DEPOT / SALES CONSULTANT TH D -4OOf) LLb6LZ6ZI6 m r r m 7 m