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HomeMy Public PortalAboutSECOND AV_304 1OF2.pdfCITY OF TYBEE ISLAND J CERTIFICATE OF OCCUPANCY DATE COMPLETED: 06/28/2013 This Certificate issued pursuant to the requirements of the Standard Building Code Certifying that at the time of issuance this structure was in compliance with the various ordinances of the Jurisdiction regulating building construction or use. PERMIT #: 130012 PROPOSED USE: RENOVATE OCCUPANCY TYPE: P CONTACT NAME VICKY PATTON CONTACT ADDRESS 107 SECOND AVE CONTACT CITY STATE ZIP TYBEE ISLAND GA 31328 PROPERTY ADDRESS 304 SECOND AVE PIN 4- 0004 -18 -002 APPROVED BY: P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -5737 www.cityoftybee.org 52sf 7 FILED FOR RECOR L, NONCONVERSION AGREEMENT I3 08 n 2atli FOR STRUCTURES IN THE FLgOiPI iN n i r'. I W. it a.= .zt r r Building Permit Number j 3 4 O 1 PIN ti- bodL} -- )$-- D0)- FIRM Zone A BFE feet (NAVD) Property Owner(s) Hwy 4 V.' cky P^ �)°�•, RECEIVED _' -(9 -13 p rg,p , i_.oi_i r i , i 1 �i_•�i7•a.%t tan Address of Propene. t pi.�.m +[> ti f} f k` 14; Panel Number • 0 a I it 1` , effective date el a b' b S Contractor GJ CX1, CO C0. sa=ik1 butilole..s 2 c In accordance with the Flood Damage Prevention Ordinance of the City of Tybee Island, Georgia, the Property Owner agrees to the following: 1. That the enclosed area below the Base Flood Elevation shall be used solely for parking of vehicles, limited storage, or access to tfi- building, and will never be used for human habitation without first becoming fully compliant with the Flood Damage Prevents Ordinance in effect at the time of conversion. 2. That all interior walls, ceilings, and floors below the Base Flood Elevation shall be unfinished or constructed of flood- resistant materials. 3. That mechanical, electrical, or plumbing devices shall not be installed below the Base Flood Elevation. 4. That the walls of the enclosed area below the Base Flood Elevation shall be equipped with at least two vents which permit the automatic entry and exit of floodwater with total openings of at Ieast one square inch for every square foot of enclosed area below flood level. The vents shall be on at least two different walls, and the bottoms of the vents shall be no more than one foot above grade. If located in a V -zone, breakaway walls are required. 5. That the requested structure may be subject to increased premium rates for flood insurance available from the National Fwd Insurance Program due to its location in a Special Flood Hazard Area. 6. That any variation in construction beyond what is permitted shall constitute a violation and be abatable as such. 11 C- "c t,t.d -- , � 6A-7/13 Si nature of Property Owner Date Ictoiria(r. P Printed Name of Property Owner Signature of ro erty Owner 11%/1) 1/2-44 r . P rc) 1t) Printed Name of Ploperty Owner STATE OF GEORGIA COUNTY OF CHATHAM s� I hereby certify � �at on this Ot 7/4day of , 20 /3 , before me, a Notary Public of the State of Georgia, perso . .eared U I GT'.9iA 6, r✓ , known to me, or satisfactorily proven to be tl person 7. name is subscribed to the foregoing instrument, who acknowledged that he /she has executed it for the purposes d that it is his act and deed. Date 0 7 - -A4(-r 3 • 0(.4401.41 GOpI N lief E &i4#, w GF6RCIA: 2016 : 4 ' �JL1O lei 114-]tAr1'j 2.ti 1 2G.%L hereof, I have set my hand and Notarial Seal. WITNESS SIGNATURE Printed Name Address 1)-t;)nn,i)Q. E 11LJ '_•1OCki 1534624 FILED FOR RECORD JERRIS A. BRYANT.,1 /201 09 :301 NataryPubllc, Chatham CPAPMGAI2 . _o My Commlasion Expires Ma. ,_? /,20 „fi. Clerk (Seal) +`_iperi:r Court of Chv.th.Erf1 1::,_j;i -':! Chatham Note: A Nonconversion Agreement must be used whenever an enclosed structure or portion of a structure is built or substantially improved within the 100 year Floodplain below the Base Flood Elevation. A Nonconversion Agreement must satisfy all of the above conditions and requires proper recordation in the land records of Chatham County, Georgia. c9-c. - Iz.<. AAJ :Q.: r A-21-k ., _ ,,i, G r W O O 0 G) Fri CITY OF TYBEE ISLAND BUILDING PERMIT ENGINEERING FEE DATE ISSUED: 06/21/2013 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 RENOVATE 304 SECOND AVE VICKY PATTON 107 SECOND AVE TYBEE ISLAND GA 31328 CATSKILL BUILDERS, INC. 210 CATALINA DR. TYBEE ISLAND GA 31328 1014 P $5,308.75 ENGINEER FEE - CLOSEOUT $46,000.00 PERMIT #: 130012 TOTAL BALANCE DUE: $ 131.25 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 uot CITY OF TYBEE ISLAND 403 Butler Ave PO Box 2749 Tybee Island, GA 31328 -2749 Ph (912) 786 -4573 FAX (912) 786 -5832 Vendor # : Issued to: 01- 002055 DAVIS ENGINEERING, INC P 0 BOX 1663 TYBEE ISLAND, GA 31328 F.O.B. Point - Tybee Island, GA PU7CHASE ORDER PO Number: 13_23291 This number must appear on ted correspondence, shipping papers and invoices. 06/28/ 2 0 1 IRequisition # : 13 -2329: Date: Ship to: CITY HALL 403 BUTLER AVENUE TYBEE ISLAND, GA 31328 Terms - Net 30 days LINE UNITS DESCRIP11ON PRICE AMOUNT 1 0.00 Eng for 304 Second Ave 100- 7220 -52 -1203 Davis Engineering, Inc. invoice #21202802 dated 06/20/2013 for engineering at 304 Second Avenue (Vicki Patton) Purchase Order void after 90 days. Special Instructions: 0.00 131.25 I agree to provide the items /services listed on this purchase order and accept the Purchase Order Terms and Conditions that accompany this form. Supplier Acknowledgement Date TOTAL 131.25 Authorized by For the City of Tybee Island Date DAVIS ENGINEERING, INC. P.O. Box 1663 Tybee Island, GA 31328 Tel. (912) 695 -7262 dkdbus(c�gmail.com INVOICE June 20, 2013 Diane Otto City of Tybee Island P.O. Box 2749 Phone (912) 786 -4573 Fax: (912) 786 -9539 RE: 2'' Ave & 4th St., NE corner PIN: 4- 00045 -002 06 -06 -13 0.25 hours. Site visit with Mark Boswell 06 -20 -13 3P 13 -0 °,2 PD /3-02.3,2/r 0.50 Site inspection and report 0.75 hours @ $175 Invoice #21202802 Tybee Island, GA 31328 $131.25 Total Due This Invoice 6:ttau, Dianne Otto From: Downer Davis [dkdbus @gmail.com] Sent: Thursday, June 27, 2013 9:49 AM To: Dianne Otto; lahbos @bellsouth.net Subject: Re: Vicky P. Griffin This is one of those instances where the adjustments to the site drainage or borderline in my opinion. If it were my sole opinion, I'd require more correction. Respecting the City process and the Engineer's letter, I concur with the Engineer that the drainage improvements are in substantial compliance. I offer this lengthy concurrence for possible future issues that hopefully won't arise. Downer 912 695 -7262. On Thu, Jun 20, 2013 at 2:49 PM, Downer Davis <dkdbus(algmail.com> wrote: Mark, As you advised over the phone a few minutes ago, your design didn't include a berm along the north side yard. This did not come to our attention when we previously reviewed the site with no swale functioning in that area. Your previous design did not block the existing flow from the lot to the north. At such time as they apply for a permit that includes regrading, the City can require they direct their flow elsewhere. While design is your purview, it appears possible that the berm could be removed between the two palm trees and restore drainage outfall on the adjacent lot. Diane, this is not a major undertaking and the rest of the lot appears to be compliant. I'll invoice this project as a recheck should be very brief. Downer Dianne Otto From: Downer Davis [dkdbus @gmail.com] Sent: Thursday, June 20, 2013 2:50 PM To: Dianne Otto; lahbos @bellsouth.net Subject: Vicky P. Griffin Attachments: photo.JPG Mark, 3 -ooi2- As you advised over the phone a few minutes ago, your design didn't include a berm along the north side yard. This did not come to our attention when we previously reviewed the site with no swale functioning in that area. Your previous design did not block the existing flow from the lot to the north. At such time as they apply for a permit that includes regrading, the City can require they direct their flow elsewhere. While design is your purview, it appears possible that the berm could be removed between the two palm trees and restore drainage outfall on the adjacent lot. Diane, this is not a major undertaking and the rest of the lot appears to be compliant. I'll invoice this project as a recheck should be very brief. Downer (0- 203 3f yr\ nn e Q. �-e d � a ) / �' oki'IG x- 0.1 )-e " u‘' v ✓\-\ At c- F e- l I 02-0-o38 BOSWELL DESIGN SERVICES, INC, 103 NASSAU DRIVE SAVANNAH, GEORGIA 31410 912 -897 -- 6932 LAHBOS @BELLSO UTH. NET June 20, 2013 To: Dianne Otto Planning and Zoning Department Tybee Island, Georgia 31328 Re: Vicky Patton Project Fourth Street Tybee Island, Georgia Dianne, L3- 03i)._ L QED O -13 At the owner's request, we have inspected the project referenced above for compliance with the approved plans. After a brief inspection of the project, it is our opinion that the project is in substantial compliance with the approved plans. Final stabilization has not yet been achieved but the site is mulched and double seeded with temporary and permanent seeding. Thank you for your assistance and please do not hesitate to contact us with questions or comments. Sincerely, Mark Boswell, P.E. Permit No. City of Tybee Island • Community Development Dept. Inspection Report E`s 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472 -5032 • Fax 912.786.9539 >r �.. iINTERNATIONAL CODE COUNCIL MEMBER )5- DO I Date Requested Owner's Name OY'1 Date Needed Gen. Contractor C.( �k : i i Subcontractor Contact Information Project Address 1-\'-)-\-\ 0 .n47 570 eO 13 -io= i Scope of Work rer1zpA nF Inspector PA Inspection E. Pl n Date of Inspection 2-?-13 Pass CI -% 1-�- -- € ( D : P 1 1- c 11 . v n: e I e u. Fail El Fee Inspection Pass Fail ® Fee ( o C oczl � n�jS �n rr`�i � svr€' 1,,5 n (4. t Li) c L de r ; 5 pt-34e f) r� 6 oa 5. ReJ S asec , Inspection Pass ® Fail ® Fee Nt . -� " perc k C" -2) P Inspection Pass EI Fail ❑ Fee U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program Important: Read the instructions on pages 1 -9. ELEVATION CERTIFICATE OMB No. 1660 -0008 Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al Building Owner's Name Vicky Patton Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 304 Second 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 21 -B ward 1 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5. Latitude /Longitude: Lat. N 32 deo 00.5660 min Long. W 80 deg 50.6270 min A6. Attach at least 2 photographs of the building if the Certificate is being use A7. Building Diagram Number 6 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 99 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 3 c) Total net area of flood openings in A8.b 726 sq in d) Engineered flood openings? ❑ Yes ® No Horizontal Datum: ❑ NAD 1927 ® NAD 1983 d to obtain flood insurance. A9. For a building with an attached garage: a) Square footage of attached garage n/a sq ft b) Number 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 13051CO214F B5. Suffix F B6. FIRM Index Date 9/26/08 B7. FIRM Panel Effective /Revised Date 9/26/08 B8. Flood Zone s) B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 12 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile Z FIRM ❑ Community Determined ❑ Other /Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source: 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. In Puerto Rico only, enter meters. Benchmark Utilized: Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 El NAVD 1988 ❑ Other /Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 7.4 ® feet ❑ meters b) Top of the next higher floor 16.8 ® feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) n /a. ® feet ❑ meters d) Attached garage (top of slab) n /a. ® feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 13.7 ® feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 7.0 ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 7.3 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 7.0 ® feet ❑ meters 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. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be 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 ❑ Check here if attachments. Certifier's Name J. Whitley Reynolds Title Land Surveyor Company Name licensed land surveyor? 0 Yes ❑ No License Number 2249 Address 636 Steph ' venue City Savannah State GA ZIP Code 31405 Signature FEMA Form .86 - % -33 (7/12) Date 6/25/13 Telephone 912 - 352 -0464 See reverse side for continuation. ' eplaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 304 Second Avenue FOR INSURANCE COMPANY USE Policy Number: City Tybee Island State GA ZIP Code 31328 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 Signature Date 6/25/13 SECTION BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -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 ❑ feet ❑ meters ❑ above or ❑ below the HAG. 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. 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 -G10. In Puerto Rico only, enter meters. 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 -G10) 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 Datum G9. BFE or On Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments. FEMA Form 086 -0 -33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 304 Second Avenue Policy Number: City Tybee Island State GA ZIP Code 31328 Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View' and "Rear View "; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Front View June 21, 2013 s• FEMA Form 086 -0 -33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 4 Building Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 304 Second Avenue Policy Number: City Tybee Island State GA ZIP Code 31328 Company NAIC Number: If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View "; and, if required, `Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. FEMA Form 086 -0 -33 (7/12) Replaces all previous editions. JUN -26 -2013 10:03 FROM:CATSK' BUILDERS IN 9127867512 ;8972246 P.1/1 Georgia Residential Energy Cole Compliance Certificate* ',�,7 "5 kr' // , Phone: q12 — 7g-G-‘/ .7 7 • List the R -Vatue for the following otanponan Flatvermg/roo ' - Exterior wan: - ato Attic fore wall: ni A Basement stud we N aawlspace stud wad: t rf Foundation slab: nrA Cantilevered Roor 1\I A 9aQedlverolt D: t - as Above grade mass well: N A Attic kneewall shea f:Wm NI A easernentarr>tinuouz n3 Cratvispace continuo/1w rf A Roars over unoondidoned sly 3 Other Ins#aeorc N A ▪ Flestradon Components Window U- iacbor: . 35 Wind*" SHGC: . a9 skylight 11-x: nt Ft Skylisht SHt ni A Gazed floor Ufa r: ASS Opaque Door t _ r: ■3 A (<50% glazed) • Building Envelope Tightness (BET): BET lest conducted by: g/; ,e Se kola( -c S Phonez el/2 - 40 V-0 95" 7 Fan Row at 50 Pasch / / 3 Z. O Taw Conditioned Volume = i! ?) 3 S-8 ft' ACH,, - Aso X 60 / V o l u m e = . a ....�.�- AQ$ , ova 6s k i s s n 7 EVCtb. Low Rise Multifamily Mel Inspixtion (Tht lesettopetem metes may he tsneetedtfrblrat it ie M e a d addeR rt ekrR'2 Visual Inspection conducO9d by Drier.) ifeshallialgaguana Water HoaterlEne y Factor: • 9 0 Ef Ftlid type: 0 Gas Ciet Electric ❑ Other Number of Hang and Cooling Systems: Hung System Type (choose one): O Gac - AFUE P'AtrSource Heat Pump:. a HSPF O Other:..r_ Efficiency: Cooling Type (standard Ca, Heat gyp, Geothermal, e>tc.); Cooling stem Efficiency: 13 laSEER O EER ❑ Otter Heating/Cooling road worry Performed by: ✓ U Phone: 13 S 7 7'_,7 Total Heath); Load (Owed on MCA test-. s er WV" a edthei MithOdClOSIO: s' 8W/h Total Cooling Lord Mend an A051 P%61.3 or other ai pored nteoeodowgr); -3y ` ditt/h Cooling Sensible Load: r Btu/ti Co big Latent Lid : % A- etu/h Total Air Handler CFM (based an design ): / 7 [1t putt Tightness Test Co.xtu fed by I" /'7'.� S g z ��: .... Phone:, Oa. 66 ge -0 5-7 min per 100 ft2 of conditioned floor area = CFMsx 100 / GondItk'ne,d floor ansi served Id ducts aria not (OObbtrI rain a=Mimed t builder trusty* tutelar MB Ocelot itnid lo�tWage to MOWS lender iss dame. ne'I�d NOS te� the duct bdtatr�ee*6a� duet blower (rr), arodlled bloom door subletataan silica (Pil, or eaelameied amuMpabrttieuer door ( MOO } - - Method • . rocs„ Mee) Test • • • PCT, Rid) • - Area served t Test Result 8 -cr //7 / $ ' to *Now This permanent cue shad be posed on or in the electrical distribution panel. Gertifitete shad be completed by the builder or registered design professional. Where there is mom than one value thr each component, =Mote shell bat the value covering the largess areea. Attn: Anthony Shipone Pages: including cover sheet 6 Fax it 912 - 786 -7512 From : Lisa Stevenson Energy Smart Insulation Please see the following data sheets. This was used at the following address: 304 Second Avenue Tybee Island, Ga. Hazardous Decomposition: Under tire conditions, carbon monoxide, carbon dioxide, hydrogen products halides and nitrogen oxides. SECTION 5 - REACTIVITY DATA Stability: Incompatibility: Hazardous decomposition: Polymerization: Corrosive properties: Oxidizer properties: Chemical resistance: Stable under normal conditions None known Under tire conditions; carbon monoxide and dioxide, hydrogen products halides and nitrogen oxides. None None None Stable in the presence of most solvents tbund in hinders, bituminous materials, wood preservatives and sealers. - Resistant to facers containing plasticizer, fuel, mineral oil, weak acids and weak bases. - Resistant to fungi and microbes. - UV rays cause a darkening of the tram surface and with time will degrade the surface. SECTION 6 - HEALTH HAZARD DATA Routes of entry: Eye and skin contact with dust: Dust inhalation: Dust ingestion: Inhalation, skin contact. only if dust is created during cutting. May cause mechanical irritation to skin and eyes. May cause mechanical irritation to respiratory system. May cause choking. if swallowed. SECTION 7 - FIRST AID MEASURES Eye contact: Skin contact: Inhalation: Ingestion: Irrigate with water for 15 minutes. Wash with soap and water thoroughly. Remove to fresh air if effects occur. If not breathing, give artificial respiration. If breathing is difficult, assist with oxygen. Consult a physician. No adverse effects anticipated by this route. SECTION S - HANDLING PRECAUTIONS Eye protection: Skin protection: Respiration protection: Ventilation: Safety glasses during cutting Protective clothing not necessary Dust mask during cutting Use sufficient ventilation to keep exposure to dust to minimum (below Sntg /m3 breathable nuisance dust). SECTION 9 - DISPOSAL CONSIDERATIONS Waste disposal: in accordance with Federal, Provincial and local regulations. SECTION 10 - TRANSPORTATION INFORMATION Proper shipping name: Primary hazard class: Secondary hazard class: Semi -Rigid Urethane Foam Plastic N/A N/A st.tacuUN" sou Semi -rigid Spray Polyurethane Foam Page 2 of 3 Label required: Placard required: Poison constituent: UN Code: EPA Registration #: TDC Classification: None None N/A N/A N/A Non - regulated SECTION II - APPROVALS Prepared by: Approved by: Current issue date: Julija Sinanovic, Chemist Dave Lall, General Manager December, 2006 sea[.rC I ION' 500 Semi -rigid Spray Polyurethane Foam Page 3 of 3 'ILECTION ` 500 Spray Foam Insulation Technical Data Sheet Semi - Rigid, Spray - Applied Polyurethane Foam SEALECTION® 500 is a two - component, open - celled, spray - applied, semi -rigid polyurethane foam system. This product is a fully water -blown foam system with a very low in -place density. SEALECTION' 500 meets the off gassing requirements of CGSB 51.23 -92 for new residential construction. SEALECTION® 500 has been approved by the EcoLogo5M (formerly Environmental Choice) Program of Canada and is listed as a Certified Green Product. SEALECTION® 500 complies with the intent of the International Code Council's residential and commercial building codes for spray polyurethane foam plastic insulation. SEALECTION® 500 is approved for use as USDA Incidental Food Contact material. Physical Properties Method ASTM D 1622 ASTM C 518 (R- value) ASTM E 283 ASTM E 2178 ASTM E 96 ASTM D 1621 ASTM D 1623 ASTM E 413 ASTM C 423 CGSB 51.23 -92 ASTM D 2863 ASTM D 1929 ASTM E 84 ASTM E 119 Description Density (core) Thermal Resistance 2 days @ 76 "F, per inch Thermal Resistance 90 days @ 76 "F, per inch Air Leakage (Air Impermeable JAW 2006 IRC Requirements) 3.5" @ 75 Pa (25 mph wind) 5.5" @ 75 Pa (25 mph wind) 10" @ 75 Pa (25 mph wind) Sustained Wind Load for 60 minutes @ 1000 Pa (90 mph wind) Gust Wind Load Test @ 3000 Pa (160 mph wind) Air Permeance if Building Materials 3.5" @ 25Pa 0.001 L /s•m' 3.5 " @50Pa 0.001L /s•m' 3.5" @ 75 Pa 0.002 L /s•m' 3.5" @ 100 Pa 0.003 I./sown' 3.5" @ 150 Pa 0.004 I./sown' 3.5" @ 300 Pa 0.008 L /s•m' Water Vapor Transmission (Class Ill Vapor Retarder at normal installed thicknesses) 3.5" 6.6 Perms 5.5" 4.2 Perms 7" 3.3 Perms 10" 2.3 Perms Compressive Strength 0.7 psi Tensile Strength 5.6 lbs/in' Sound Transmission Class (STC) 49 -51• Noise Reduction Coefficient (NRC) 75 Off Gassing Tests (VOC Emissions) Pass (No toxic vapors) Oxygen Index 22% Ignition Properties (Spontaneous- ignition temperature) 1040 "F (560 "C) Surface Burning Characteristics, 6" thick Class I . Flame spread Index 21 • Smoke Developed 216 Wall Assembly Test (non- loadbearing) Pass 1 hour* Value 0.45 —0.5 lb/ft' 3.81 ft'.h =F /BTU 3.81 ft'.h "F /BTU 0.001 L /s•m' 0.001 L /s•m' 0.002 L /s•m' No Damage No Damage 'based on specific wall design, LECTION° 500 Spray Foam Insulation Technical Data Sheet Liquid Components Properties Property Color Viscosity @ 77 °F Specific Gravity Shelf life* Mixing ratio (volume) • See MSDS for more information. Isocyanate A 500 Brown 180 -220 cps 1.22 —1.25 1 year 100 Resin B 500 Transparent Clear 150 -300 cps 1.09 —1.11 1 year 100 Processing Parameters Type of machine Components A & B temperature Hose temperature Ambient temperature Thickness per pass Substrate Imperial units Metric units Graco® Reactor E -30 with Fusion gun and 02 Mixing Chamber 130 °F 54.5 °C 130 °F 54.5 °C 70 °F 21 °C Full thickness of application Plaster board Reactivity Profile Cream time (s) 1 -2 Gel time (s) 3 -4 Tack free time (s) 6 -7 End of rise (s) 6 -7 Recommended Processing Conditions Primary heater Hose temperature Mixing pressure Substrate & Ambient temperature Curing temperature Value 130°F 130 °F 1000 psi >23 °F >23 °F General Information: it is recommended that the foam is covered with an approved thermal barrier in accordance to the local and national building codes when used in buildings and a protective coating when used outside. This product should not be used when the continuous service temperature of the substrate is outside the range of -609F ( -519C) to 1769E (802C). . &&ECT$ON' 500 Spray Foam lnsulahon Fs Disclaimer: The information herein is to assist customers in determining whether our products are suitable for their applications. We request that customers inspect and test our products before use and satisfy themselves as to contents and suitability. Nothing herein shall constitute a warranty, express or implied, including any warranty of merchantability or fitness, nor is protection from any law or patent infringement. All patent rights are reserved. The foam product is combustible and must be covered by an approved thermal barrier. Protect born direct flame and sparks contact. The exclusive remedy for all proven claims is replacement of our materials. DEMILEC (USA) LLC. POLYURETHANE SYSTEMS MANUFACTURER MATERIAL SAFETY DATA SHEET DEMILEC SEALECTION ' 500 SEMI -RIGID SPRAY POLYURETHANE FOAM SECTION 1: PRODUCT & COMPANY INFORMATION MANUFACTURER OF CHEMICAL COMPONENTS DEMILEC (USA) LLC 2925 Galleria Dr. Foam Plastic Arlington, TX 76011 Phone: (817) 640 -4900 Fax: (817) 633-2000 E -mail: info@sealection500.com Emergency telephone: 1- 877 - DEMILEC or CANUTEC: (613) 996 -6666 PRODUCT Trade name: Chemical name: SL:.ILECTIONR 500 Semi -Rigid Urethane Chemical family: Urethane TDG Classification Non - Regulated WHMIS CLASSIFICATION Non - Regulated SECTION 2: INGREDIENTS INGREDIENTS % # CAS OSHA PEL WEE. (AIHA) (TWA) - 8hr (TWA) -8hr Urethane Plastics 100 9009 -54 -5 Not Listed Not Listed SECTION 3: PHYSICAL DATA Physical State: Odor: Density Melting Point: Decomposition Temp.: Max. Service Temp.: Solubility in water: Semi -Rigid Open Cellular Plastic Neutral 0.45 to 0.5 pcf N /A, Thermoset > 260 °F 180 °F None SECTION 4: FIRE AND EXPLOSION HAZARD DATA Auto - Ignition Temperature: Extinguishing Media: Fire - Fighting Equipment: 1040°F. per ASTM D 1929 Use water, dry chemical, carbon dioxide or chemical foam. Because fire may produce toxic thermal decomposition products. wear a self - contained breathing apparatus with a positive pressure. SEaLECTION' 500 Semi -rigid Spray Polyurethane Foam Page 1of3 From: LISA STEVENSON lisacs:evenson com Subject: Data sheets for 304 2nd Ave. Tybee Island Date: June 26, 2013, 2:22 PM To: catskillbuilders @comcast.net Please advise if this is not sufficient. Thanks Lisa Curl Stevenson Energy Smart Insulation Co., Inc. 478 - 272 -3316 fax# 478 - 272 -3314 Energy Smart Insulation Jamie Shiver. Owner P.O. BOX 1224 DUBLIN, GA 31040 478 -676 -3316 www.energysmartinc.com jamieshiver@hotmail.com Below is a description of foam applied to 304 Second Avenue Tybee Island, Georgia: Ceilings- The ceiling has an R value of an R22.6, from the conjunction of 3.5 inches of Spray Foam, with a 1 inch rigid sheet of Owens Corning Sheet foam. Floors- R value of the Subfloor is 31, with 5 lh inches of open cell foam. Walls- R value of 19, with 4 inches of open cell foam. BOSWELL DESIGN SERVICES, INC. 103 NASSAU DRIVE SAVANNAH, GEORGIA 31410 912 897 --- 6932 f ICEI `l D L I- 'BOSCBELLSOU7:N f\(ET (0'17-13 June 27, 2013 To: Ray Hord Building and Safety Re: Vicky Patton Project Fourth Street Tybee Island, Georgia Ray, This letter is in response to the question of structural integrity of the corner window at the corner of the structure. We installed a flitch beam utilizing (2) — ' /2" thick steel plates with sandwiched wood between placed above the window adequate to carry the load of the roof above. The contractor has also supplied plywood panels to cover the windows in the case of a storm event. Thank you for your assistance and please do not hesitate to contact us with questions or comments. Sincerely, Mark Boswell, P.E. Permit No. City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472 -5032 • Fax 912.786.9539 Owner's Name INTERNATIONAL CODE COUNCIL MEMBER 001 Date Requested TOc\-1-0 r\ Date Needed 06/ .g7/0 Gen. Contractor Li* S , i 1 ).) I C`l i S • Subcontractor Contact Information n \ 2,1 0 - 1 0 1 i Project Address �3 0 4 CeC Ad Ave Scope of Work r �i- ,10,A ; 4 rN S r; Inspector '?/(;) Date of Inspection / Inspection i e' is s e .1' 6( 4 9. - :, -,0...d Pass ' Fail El Fee 1k \ Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Permit No. City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 Tybee Island, GA 31328 Phone 912.472 -5032 • Fax 912.786.9539 INTERNATIONAL CODE COUNCIL MEMBER '� ' t : Date Requested (6' " 2 - 13 Owner's Name 1--)a_4--1-- J Ir) Date Needed to' 2 r:-i 3 Gen. Contractor ec-L.-k `1I Subcontractor Contact Information A:+n -1 "Es^ 7r> , 210 _101 �7 Project Address �e_ .(` t-) e/, -4-. ( ,-� �`� P Scope of Work 3 0 (—,;(0,-,,,,c1 A ye.. Inspector Date of Inspectio e!! 6.1ec Inspection , r St0e L -r , l e 6., n c ! s Pass •'R Fail Inspection re i r D J- a (YZ c C2 1 � ff Inspection ,� -� : ,.., ( oil PeCAft Inspection Pass ® Fail ❑ Fee AS\ r41;0: I reMC. t Q... Fee C Q ,>a3:4 -6. Pi ry°S) Pass ` Fail ❑ Fee PS� Pass ® F Fee O r pw% W► . 430SiA1-G —Co ?.n3,'f,474 Permit No. City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472 -5032 • Fax 912.786.9539 i` I INTERNATIONAL CODE COUNCIL MEMBER /3-00 /Z Date Requested ()o4)‘)/f-3 Owner's Name fq1T'N Date Needed C_e', //4',2 // /3 Gen. Contractor ` 113k'J L t Subcontractor Contact Information ! `w%Nv,4 % ,2/0 - /D /7 Project Address .'L7 edN 0 Scope of Work /1 ,'VcJ 44 T1OA/ Inspector `I Date of Inspection Inspection r� Pass ❑ Fail q._-4:. -DL) D! v (- :0-1F:2, • jr47u,(-1 , j; . , :C , J t :ti1T l = Kam; C t ' /rec.. f~,i-' -)/'+ �� .s, }7Gx:1', .--65a, � .... . ., 212.L7t` � yy/t i i) li' ' 6 1"1 te !yl Y .{ 7f-� 7-r^ ':4-1 . f?.w rs.) 1' rc e •'�'(� ; tt i Ri V' _ _Ali ::1<.< i�a _!.. � \< I Pass Fa i i Efe ) c! 3.,/ rte{ L 1as.r Inspection Inspection J: /a/ F /1 C) , °1 U1 Pass Fee Inspection Pass Fail ❑ Fee t) • "� ! ice. 1 l I ! i _ ', � � It I -•' lrs. ! T 1-1" f'. (41, I ^tr+ TX Result Report P 1 06/11/2013 11:29 Serial N0. CM35228060004 TC: 406237 Destination Start Time Time Prints Result Note 18888514411 06 -11 11:28 00:00:55 001/001 OK Note THR: Timer TX, POL: DBDubl- SiangAictioSpeclSoia eCRTX: ND: DoededBidinren, Original : Siarignl, Forward, : F- Cod. Re -TX, RLY: Relay MBX: Confidential, BUL: Bulletin, SIP: SIP Fax, IPADR: IP Address Fax, I -FAX: Internet Fax Result OK: Communication OK, S -OK: Stop Communication, PW -OFF: Power Switch OFF, TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer, Refuse: Receipt Refused, BUSY: Busy, M- Full:Memory Full, LOVR:Receiving length Over, POVER:Receiving page Over, FIL:File Error, DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error. Tybee Island, GA GEORGIA POWER RELEASE FOR ELECTRIC SERVICE PHONE: 1- 888 - 748 -6843, Press 1, Extension 32855 or 32856 FAX: 1- 888 - 851 -441.1 • Location Address: 3 457'`f— S E C d N 1? . (e Release Coate: O4‘10/ /f Type of Release: Temporary ` \ Permanent Permit # /.5 Electrician: /I'GlSS 'LL �L�c TiE� / - Phone 4* ia- ‘-‘7/4 Builder: IOwner: �A T.Sf�ILG \/, tic —Pfa -� n Phone # CI'7-71z=) `7R ?— cog co Phone IS Location Address: Release Coate: Type of Release: Temporary Permanent Permit # Electrician: Phone # Builder: Phone # Owner: Phone # Planning and Zoning Jerris Bryant 912 - 472 -5033 Re,s-4/1 Tybee Island, GA GEORGIA POWER RELEASE FOR ELECTRIC SERVICE PHONE: 1- 888 - 748 -6843, Press 1, Extension 32855 or 32856 FAX: 1- 888 - 851 -4411 Location Address: 3,17L J A-ye Type of Release: i' Temporary Permanent Electrician: a5.5 LL £LgCri/ I G 6ci TSe/LL Builder: Owner: Ta_4D Release Date: tr%a// /4.3 Permit # % —4M/2. Phone # Phone # Phone # q10?- / 3o7 9/i-710- 10i 7 C'no) r7gr)- (0900 Location Address: Release Date: Type of Release: Temporary Permanent Permit # Electrician: Phone # Builder: Phone # Owner: Phone # Planning and Zoning Jerris Bryant 912 - 472 -5033 TX Result Report P 1 06/11/2013 10:18 Serial N0. CM35228060004 TC: 406008 Destination Start Time Time Prints Result Note 18888514411 06 -11 10:17 00:00:53 0011001 OK Note MIX: Timer Origiinal _TX11CAALL:UMaanual1TX, Original Size FVJD:FForward, PC: PC -Fax. BND: Double -Sided Binding Direction, SP: Special original, FCODE: F -code. RTX: Re -TX. RLY: Relay MBX: Confidential, BUL: Bulletin, SIP: SIP Fax, IPADR: IP Address Fax, I -FAX: Internet Fax Result OK: Communication OK, S -OK: Stop Communication, PW -OFF: Power Switch OFF, TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer, Refuse: Receipt Refused, Busy: Busy, M- Full:Memory Full, LOVR:Receiving length Over, POVER:Receiving page Over, FIL:File Error, DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error. Tybee Island, G,4 GEORGIA POWER RELEASE FOR ELECTRIC SERVICE PHONE: 1- 888 -748 -6843, Press 1, Extension 32855 or 32856 FAX: 1-888-851-4.411 Location Address: 3 0 .5E C d Af (> i c' Type of Release :: JC Temporary Permanent Electrician: A:?4- fSSZ 7-.e I G- Builder: �} TS/<< /L_G Release Date: Z /0///3 Permit /f Phone ft Phone # Owner: Phone # Location Address: Release Date: Type of Release: Temporary Permanent Permit # Electrician: Phone # Builder: Phone ft Owner: Phone # Planning and Zoning Jerris Bryant 912 -472 -5033 Permit No. City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472 -5032 • Fax 912.786.9539 :irk INTERNATIONAL CODE COUNCIL MEMBER -0O l . Date Requested CJ /1/01/3 Owner's Name /ATTOA/ Date Needed /1/ /i3 Gen. Contractor 4-"5,e )LL Subcontractor Contact Information Project Address Scope of Work Inspector Inspection JDF)nJti`! !P435 c CL ei o J.A-7"6, .�r lig Date of Inspection Pass • Inpectit'�' Pass ❑ Fail ❑ Fee !1 Fail ❑ Fee Inspection Pass FaR !l Fee II Inspection Pass Fee City of Tybee Island • Planning & Zoning Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472.5032 • Fax 912.786.9539 Permit No. Date Requested Owner's Name Date Needed / so 1.75 INTERNATIONAL CODE COUNCIL° MEMBER Contact Information 4r4-11 Project Address Scope of Work Inspector Date of Inspection Inspection Pass `Talit,LI Fee - Inspection Pass Inspection /// (E.---712L twee. nis,�. City of Tybee Island • Planning & Zoniag Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472.5032 • Fax 912.786.9539 INTERNATIONAL CODE COUNCIL MEMBER Permit No. r 3 DU Date Requested / ,/ Owner's Name /4 TT od Date Needed 0 1 /e) q 7/3 Gen. Contractor C (11-5,�1tL Subcontractor Contact Information JOON) Project Address 3 oil Sic °� D M i Scope of Work Ite NJ() AT /0 Inspector ' pis Inspection A) P - l --- Pass ® Fail Fee Date of Inspection Inspection Pass ❑ Fail ❑ Fee Inspection Pass Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee i i City of Tybee Island • Planning & Zoning Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472.5032 • Fax 912.786.9539 1:11/N am% INTERNATIONAL CODE COUNCIL' MEMBER Permit No. /3 --t0J /02- Date Requested e4-2_61/3 Owner's Name 4-9-r7 d") Date Needed Gen. Contractor (1413 ffi( Z- Subcontractor Contact Information A Ati Hold Y ,2 /0 - )O/ 7 Project Address ...qe Sic OA) D Scope of Work /61.%) VAT lot.) Inspector "7/ (1 Date of Inspection / Inspection p Pass El Fail • ) 20C - 6) -) c;) (.2 -7) Inspection Pass Fail o Fee Inspection Pass El Fail Fee Inspection Pass Fail Fee City of Tybee Island • Planning & Zoning Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472.5032 • Fax 912.786.9539 InniN INTERNATIONAL CODE COUNCIL' MEMBER Permit No. Date Requested Owner's Name /'� Date Needed c /� Gen. Contractor r! _-,/...../ // Subcontractor Contact Information ?/ 0 . /0/7 Project Address 3 5Lf 5/2.4:6,),04,' Scope of Work 1 c "�_> t" -744.7 J Inspector �'% /'� Date of Insp do ' Inspection %� Pass 1F I El Fee 1 / rJ 5(:1"4 `i�� J� ICJ /C / ate• 4,6 / 0 l=tyJ S v /)( )74-/- Inspection / Pass ❑ Fail ❑ Fee Inspection 7y 171z awl 004 -.75Tf-13 Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee City of Tybee 403 Butler Ave. • P Phone 912. Permit No. Island • Planning & Zoning Dept. Inspection Report .0. Box 2749 • Tybee Island, GA 31328 472.5032 • Fax 912.786.9539 Owner's Name Gen. Contractor Contact Information Project Address Scope of Work INTERNATIONAL CODE COUNCIL MEM B ER Date Requested 405/I Date Needed /1,/jibh Subcontractor Peor‘,16. d V4rfaI Inspector Date of Inspection Inspection ,(2,43 tiC Pass El ,7 5 Gut, I --1/0 US It-_1 Fail Inspection P /1; Inspection Inspection 44 /e Pass I:1 Fail Pass Fail Pass Fail Fee 2%, Fee Fee U.S. DEPARTMENT OF HOMELAND SECURIT`., Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -9. SECTION A - PROPERTY INFORMATION Al. Building Owner's Name Vicky Patton A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 304 Second Avenue City Tybee Island State GA ZIP Code 31328 OMB No. 1660 -0008 Expires March 31, 2012 For Insurance Company Use: Policy Number Company NAIC Number A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 21 -B, Ward 1, Tybee Island A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. N 32 deq 00.566 min Long. W 80 deq 50.627 min Horizontal Datum: ❑ NAD 1927 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 5 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b d) Engineered flood openings? ❑ Yes ® No n/a sq ft n/a n/a sq in NAD 1983 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 B2. County Name B3. State Tybee Island 135164 Chatham GA B4. Map /Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood 39. Base Flood Elevation(s) (Zone 13051 C00214F F Date Effective /Revised Date Zone(s) AO, use base flood depth) 9/26/08 9/26/08 AE 12 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) 16.8 ® 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 n /a. ® feet El meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 7.0 ELI feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 7.3 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 7.0 ® 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. I certify that the information on this Certificate represents my best efforts to interpret the data available.) understand that any false statement may be 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 . Stephe on A C City Savannah, Signa re FEMA Fo 1 -31, Mar 09 State GA ZIP Code 31405 ate March 29, 2013 Telephone 912 - 352 -0464 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the •esponding information from Section A. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 304 Second 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 House is under construction Date March 29, ❑ Check here if attachments SE ON E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For /. nes AO and A (without BFE), complete Items E1 -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 ❑ feet ❑ meters ❑ above or ❑ below the HAG. 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. 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 am 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 El 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 Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 304 Second Avenue Policy Number City Tybee Island State GA ZIP Code 31328 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. Front View March 28, 2013 Building Photographs Continuation Page For Insurance Company Use: Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 304 Second Avenue Policy Number City Tybee Island State GA ZIP Code 31328 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View "; and, if required, "Right Side View" and "Left Side View." Rear View March 28, 2013 Catskill Builders Inc. 210 Catalina Dr. Tybee Island, GA 31328 (912) 786 -6127 Fax: (912) 786 -7512 catskillbuilders @comcast.net Dianne K. Otto City of Tybee Island Planning & Zoning Manager P: (912) 472 -5031 F: (912) 786 -9539 DottoPcityoftybee.org Dear Dianne, ILL 2.,1 L ee r-; -I ca4 ov\ April 15, 2013 As Contractor on the Project at 304 Second Ave. for Mr. & Mrs. Patton, I have compared the Foundation Survey to the Building Plans, & no Setback Encroachments have been made at this time. Contractor will make sure that no Encroachments will be constructed as Project progresses. Sincerely, Anthony Sapone Catskill Builders Inc. Dianne Otto From: Sent: To: Subject: Dear Anthony, Dianne Otto Monday, March 25, 2013 1:06 PM 'catskillbuilders @comcast.net' 304 Second Ave. - 3 documents needed As a reminder, as stamped on page 1 of the approved building plans for 304 Second Ave. / Patton / 13 -0012, the City of Tybee Island requires a Foundation Survey and Certification Letter. The Certification Letter means that someone representing this project needs to write a letter stating the Foundation Survey has been compared to the building plans, and no setback encroachments will occur when the remainder of the house is constructed. This would be checking that stairways, chimneys, bay windows, window trims, shutters, deck boards, roof overhangs if greater than 24- inches, etc. can all be installed without protruding into the required setbacks. An Elevation Certificate /Building Under Construction is also required. I am available if you have any questions. Dianne K. Otto, CFM City of Tybee Island Planning & Zoning Manager phone 912.472.5031 fax 912.786.9539 4,3_,3 rec. SJ r e vv.\ 0 rt Y a� �s--� ..C', LQ-\ ■,, 1..Q- 4- r 9-5- 5 e-d • 1 Jam -(3 S W ..--2 W ,1l n�a, t-�- --I-o YvL , ASA 1 City of Tybee Island • Planning & Zoning Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472.5032 • Fax 912.786.9539 INTERNATIONAL CODE COUNCIL MEMBER Permit No. Date Requested Owner's Name Date Needed Gen. Contractor Subcontractor Contact Information Project Address Scope of Work Inspector Inspection Pass Fp Fee Date of Inspection Inspection Pass Fail El Fee Inspection Pass El Fail Fee Inspection Pass Fail Fee Permit No. Owner's Name Gen. Contractor Contact Information Project Address Scope of Work Inspector City -of Tybee Island • Planning & Zoning Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island; GA 31328 Phone 912.472.5032 • Fax 912.786.9539 INTERNATIONAL CODE COUNCIL MEMBER Date Requested 9,J-,//1%�J Date Needed a)///7/1.5 71-0-171/ Subcontractor 3°1/ .Fc DAiD AvE. :\.16 to - Inspection Date of Inspection � P'5 Pass ''"3 .0 Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass El Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee CITY OF TYBEE ISLAND BUILDING PERMIT WATER METER PICKUP DATE ISSUED: 02/19/2013 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 RENOVATE 304 SECOND AVE VICKY PATTON 107 SECOND AVE TYBEE ISLAND GA 31328 CATSKILL BUILDERS, INC. 210 CATALINA DR. TYBEE ISLAND GA 31328 1014 P $5,177.50 $46,000.00 ONE WATER METER - 3/ -INCH PERMIT #: 130012 TOTAL BALANCE $ 0.00 DUE: 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. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org , City of Tybee Island • Planning & Zoning Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472.5032 • Fax 912.786.9539 INTERNATIONAL CODE COONCIL MEMBER Permit No. /3 - a 0 / Date Requested 6 9 /0.,47 3 If /3 Owner's Name TA- ()A1 Date Needed 0 i b 4 113 Gen. Contractor ( ,•1 T$ K IL. L Subcontractor Contact Information A %/"" i40. - ') f)) 7 Project Address 2I d C Or) P ii U& Scope of Work iiet 6n)0 ti s to Inspector -111 Date of Inspection % ; Inspection f' o U 7 • /_ Pass Et F ? Fee Inspection Pass 0 Fail ❑ Fee Inspection Pass 0 Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee City of Tybee Island Planning & Zoning Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472.5032 • Fax 912.786.9539 INTERNATIONAL. CODE COUNCIL MEMBER Permit No. ' Date Requested Owner's Name P442,-3 Date Needed Gen. Contractor ( i Subcontractor l Contact Information \. %t> i-! � a .L) .� Y� �- 1 �.�:) � Project Address _ - .- :5" Ez ,t);JP) 4.,,a,. Scope of Work r's,l -r: ..`__) ", ; Inspector '7 /. Date of Inspection _...-- 74 J;'J Inspection Jr- `.�'(.^ ..j ," r .. Pass 'Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee IN Result Report P 1 01/08/2013 12:52 Serial No. CM35228060004 TC: 373755 Destination Start Time Time Prints Result Note 18888514411 01 -08 12:52 00:00:48 001/001 OK Note MR: Timer TX, POL: Polling, ORG: Original Size Setting FME: Frame Erase TX. MIX: Mixed Original TX. CALL: Manual TX. CSRC: CSRC. FWD: Forward, PC: PC -Fax. RLY: Double-Sided MBX: Confidential, : BulletiinC1SIP rSIPnFax.FIPADR:FIP Address Fax. I -FAX: Internet Fax Result OK: Communication OK, S -OK: Stop Communication, PW -OFF: Power Switch OFF, TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer, Refuse: Receipt Refused, Busy: Busy, M- Full:Memory Full, LOUR:Receiving length Over, POVER:Receiving page Over, FIL:File Error, DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error. RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR GEORGIA POWER PHONE: 1 -888- 748 -6843, Press 1, Extension 32855 or 32856 FAX: 1-888-851-44-11 Location Address: .��Xi, �7�s'�7e�1�� _ 3470- Release date: ,/�i /.A Type of Release: ✓ Temporary Permanent Permit # Electrician: L> ,7 4( El i Phone # 430? Owner /Builder: G24-fSjG# Phone # - Location Address: Release Date: Type of Release: Temporary Permanent Permit # Electrician: Phone # Owner /Builder: Phone # RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR GEORGIA POWER PHONE: 1- 888 - 748 -6843, Press 1, Extension 32855 or 32856 FAX: 1- 888 - 851 -4411 Location Address: 2 ' 4 -51k6 A- b• alhf Release Date: -Or at , Type of Release: V/ Temporary Permanent Permit # Electrician: 1) 6j 4( tj ZIC,., Phone # fix' -13v? Owner /Builder: 0:1454 II 6,064- Phone # 2.0l- (13 /l) Location Address: Release Date: Type of Release: Temporary Permanent Permit # Electrician: Phone # Owner /Builder: Phone # i DATE ISSUED: 01 -7 -2013 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 PERMIT #: 130012 RENOVATE 304 SECOND AVE VICKY PATTON 107 SECOND AVE TYBEE ISLAND GA 31328 CATSKILL BUILDERS, INC. 210 CATALINA DR. TYBEE ISLAND GA 31328 1014 P $5,177.50 $i.00' L+b 00c) TOTAL BALANCE DUE: $5,177.50 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. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org REScheck Software Version 4.4.4 Compliance Certificate Project Title: Patton Project Energy Code: 2011 Georgia State Minimum Standard Energy Code Location: Tybee Island, Georgia Construction Type: Single Family Project Type: Alteration Heating Degree Days: 1851 Climate Zone: 2 Construction Site: 304 2nd Ave. Tybee Island, GA 31328 Owner /Agent: Designer /Contractor: Compliance: Passes Compliance: 39.5% Better Than Code Maximum UA: 200 Your UA: 121 The % Better or Worse Than Code index reflects how close to compliance the house is based on code trade -off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum -code home. Maximum SHGC: 0.30 Your SHGC: 0.15 Assembly Gross Cavity Cont. Glazing UA Area or R -Value R -Value or Door Perimeter U- Factor Ceiling 1: Flat Ceiling or Scissor Truss Wall 1: Wood Frame, 16" o.c.:Not Attic Kneewall Window 1: Vinyl Frame:Double Pane with Low -E SHGC: 0.15 Window 2: Vinyl Frame:Double Pane with Low -E SHGC: 0.15 Window 3: Metal Frame:Single Pane — Exemption: Glazing replacement in existing sash or frame. Door 1: Solid 15 0.600 9 Door 2: Solid 15 0.600 9 Wall 2: Wood Frame, 16" o.c.:Not Attic Kneewall 285 0.3 26.0 8 Window 4: Vinyl Frame:Double Pane with Low -E 12 0.200 2 SHGC: 0.15 Window 5: Vinyl Frame:Double Pane with Low -E 12 0.200 2 SHGC: 0.15 Window 6: Vinyl Frame:Double Pane with Low -E 12 0.200 2 SHGC: 0.15 Wall 3: Wood Frame, 16" o.c.:Not Attic Kneewall 285 0.3 26.0 8 Window 7: Vinyl Frame:Double Pane with Low -E 12 0.200 2 SHGC: 0.15 Window 8: Vinyl Frame:Double Pane with Low -E 12 0.200 2 SHGC: 0.15 Window 9: Vinyl Frame:Double Pane with Low -E 12 0.200 2 SHGC: 0.15 Window 10: Vinyl Frame:Double Pane with Low -E 2 0.200 0 SHGC: 0.15 Window 11: Metal Frame:Single Pane Exemption: Glazing replacement in existing sash or frame. Wall 4: Wood Frame, 16" o.c.:Not Attic Kneewall 309 0.3 26.0 9 Window 12: Vinyl Frame:Double Pane with Low -E 12 0.200 2 SHGC: 0.15 Door 3: Solid 15 0.600 9 Door 4: Solid 15 0.600 9 1014 309 6 6 0.3 0.3 26.0 26.0 0.200 0.200 35 9 1 1 Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2011 Georgia State Minimum Standard Energy Code requirements in REScheck Version 4.4.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name - Title Signature Date REScheck Software Version 4.4.4 Inspection Checklist Energy Code: 2011 Georgia State Minimum Standard Energy Code Location: Tybee Island, Georgia Construction Type: Single Family Project Type: Alteration Heating Degree Days: 1851 Climate Zone: 2 Ceilings: ❑ Ceiling 1: Rat Ceiling or Scissor Truss, R -0.3 cavity + R -26.0 continuous insulation Comments' Above -Grade Walls: ❑ Wall 1: Wood Frame, 16" o.c.:Not Attic Kneewall, R -0.3 cavity + R -26.0 continuous insulation Continuous insulation specified for this above -grade wall has consistent R -value rating across full area of the wall. Comments' ❑ Wall 2: Wood Frame, 16" o.c.:Not Attic Kneewall, R -0.3 cavity + R -26.0 continuous insulation Continuous insulation specified for this above -grade wall has consistent R -value rating across full area of the wall. Comments. ❑ Wall 3: Wood Frame, 16" o.c.:Not Attic Kneewall, R -0.3 cavity + R -26.0 continuous insulation Continuous insulation specified for this above -grade wall has consistent R -value rating across full area of the wall. Comments- ❑ Wall 4: Wood Frame, 16" o.c.:Not Attic Kneewall, R -0.3 cavity + R -26.0 continuous insulation Continuous insulation specified for this above -grade wall has consistent R -value rating across full area of the wall. Comments. Windows: Li Window 1: Vinyl Frame:Double Pane with Low -E, U- factor: 0.200, SHGC: 0.15, For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments. ❑ Window 2: Vinyl Frame:Double Pane with Low -E, U- factor: 0.200, SHGC: 0.15, For windows without labeled U- factors, describe features: Panes Frame Type Comments • Thermal Break? Yes No ❑ Window 3: Metal Frame:Single Pane Exemption: Glazing replacement in existing sash or frame. Comments. Li Window 4: Vinyl Frame:Double Pane with Low -E, U- factor: 0.200, SHGC: 0.15, For windows without labeled U- factors, describe features: RPanes Frame Type Thermal Break? Yes No .Comments. Li Window 5: Vinyl Frame:Double Pane with Low -E, U- factor: 0.200, SHGC: 0.15, For windows without labeled U- factors, describe features: gr;Patiteb Frame Type Thermal Break? Yes _No 'Comments. ❑ Window 6: Vinyl Frame:Double Pane with Low -E, U- factor: 0.200, SHGC: 0.15, For windows without labeled U- factors, describe features: *Panes_ Frame Type Thermal teaks _Yes No Comments: ❑ Window 7: Vinyl Frame:Double Pane with Low -E, U- factor: 0.200, SHGC: 0.15, For windows without labeled U- factors, describe features: #kPanes Frame Type 'Thermall Break? Yes No Comments' ❑ Window 8: Vinyl Frame:Double Pane with Low -E, U- factor: 0.200, SHGC: 0.15, For windows without labeled U- factors, describe features: ##Partes Frame Type Thermal Break? Yes No 'Comments. ❑ Window 9: Vinyl Frame:Double Pane with Low -E, U- factor: 0.200, SHGC: 0.15, For windows without labeled U- factors, describe features: Panes ;Frame Type Thermal Break? _Yes_ No Co i i ments' ❑ Window 10: Vinyl Frame:Double Pane with Low -E, U- factor: 0.200, SHGC: 0.15, For windows without labeled U- factors, describe features: ttPartes. Frame Type Thermal reeky Yes No Comments ❑ Window 11: Metal Frame:Single Pane Exemption: Glazing replacement in existing sash or frame. ,Comme s• ❑ Window 12: Vinyl Frame:Double Pane with Low -E, U- factor: 0.200, SHGC: 0.15, For windows without labeled U- factors, describe features: tines _ Frame Type 'Thermal Break? Yes No Comments' Doors: ❑ Door 1: Solid, U- factor: 0.600 Comments' This door is exempt from the U- factor requirement. ❑ Door 2: Solid, U- factor: 0.600 Comments' LI Door 3: Solid, U- factor: 0.600 Comments' ❑ Door 4: Solid, U- factor: 0.600 Comments' Solar Heat Gain Coefficient: ❑ Solar Heat Gain Coefficient (SHGC) values are determined in accordance with the NFRC test procedure or taken from the default table. Air Leakage: ❑ Joints (including rim joist junctions), attic access openings, penetrations, and all other such openings in the building envelope that are sources of air leakage are sealed with caulk, gasketed, weatherstripped or otherwise sealed with an air barrier material, suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units, on exterior walls behind tubs /showers, and in openings between window/door jambs and framing. ❑ Recessed lights in the building thermal envelope are 1) type IC rated and ASTM E283 labeled and 2) sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space (e.g., attic, unconditioned basements and crawlspaces) are weather - stripped and insulated (without insulation compression or damage). Where loose fill insulation exists, a wood framed or equivalent baffle is installed to maintain insulation application. Required insulation values are as follows: (1) Hinged vertical doors have a maximum U- Factor of U -0.2 (R -5 minimum) (2) Hatches /scuttle hole covers have a maximum U- Factor U -0.05 (R -19 minimum) (3) Pull down stairs have a maximum U- Factor of U -0.20 with a minimum of 75 percent of the panel area having R -5 minimum insulation Q' Where air permeable insulation a "' -'s in vented attics, baffles are installed adjacent to soff+ and eave vents. A minimum of a 1 -inch of space is provided between the in, ion and the roof sheathing and at the location of the t. The baffle extends over the top of the insulation inward until it is at least 4 inches vertically above the top of the insulation. Q' Masonry, site -built fireplaces have gasketed doors and outdoor combustion air. Li Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Air Sealing and Insulation: Q' Building envelope air tightness complies with a post construction blower door test result of less than 7 ACH at 50 Pascals. Test conducted by a certified Duct and Envelope Tightness (DET) verifier. Exceptions: Blower door testing not required for additions, renovations, alterations or repairs that do not affect all aspects of the building envelope (e.g., gut rehab). Materials Identification and Installation: Q' Materials and equipment are installed in accordance with the manufacturers installation instructions. Q' Materials and equipment are identified so that compliance can be determined. Q' Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Q' Insulation R- values and glazing U- factors are clearly marked on the building plans or specifications. Duct Insulation: Q' Supply ducts in attics are insulated to a minimum of R -8. All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R -6. Duct Construction and Testing: Q' Building framing cavities are not used as supply or return ducts. All supply and return ducts are lined with metal, flex duct, ductboard or other material approved in section M1601 of the IRC. Q' Without exception all closure systems have mastic applied that is at least 2 mm (0.08 inches) thick. All joints and seams of air ducts, air handlers, filter boxes are substantially airtight by means of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Tapes, mastics, and fasteners are rated UL 181A or UL 181 B #and are labeled according to the duct construction. Metal duct connections with equipment and /or fittings are mechanically fastened. Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet -metal screws. Exceptions: Joint and seams covered with spray polyurethane foam and mastic. Where a partially inaccessible duct connection exists, mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking -type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). Duct tightness test has been performed by a certified DET verifier and meets one of the following test criteria when tested at 0.1 inches w.g. (25 Pascals): (1) Rough -in total leakage test (RIT) with air handler installed: Less than or equal to 6 cfm per 100 ft2 of conditioned floor area. (2) Postconstruction total leakage test (PCT; including air handler enclosure): Less than or equal to 12 cfm per 100 ft2. (3) Postconstruction leakage to outdoors test (PCO): Less than or equal to 8 cfm per 100 ft2 of conditioned floor area. Exceptions: Additions /Alterations: Duct tightness testing is not required for existing duct systems unless more than 50 pct of the duct system is modified. CI Additions /Alterations: If the air handler, furnace or evaporator coil is replaced on an existing system, all joints, seams and connections from equipment to duct system and duct system connections to plenums meet the sealing requirements of this code and be verified. Temperature Controls: Q' Where the primary heating system is a forced air - furnace, at least one programmable thermostat is installed to control the primary heating system and has set - points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. Q' Heat pumps having supplementary electric- resistance heat have controls that prevent supplemental heat operation when the compressor can meet the heating load. Heating and Cooling Equipment Sizing: Li Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. Q' For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and /or Service Water Heating (Sections 503 and 504). Circulating Service Hot Water Systems: Li Circulating service hot water pipes ^•e insulated to R -2. ❑ Circulating service hot water systt include an automatic or accessible manual switch t. .1 off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: • HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R -3. Swimming Pools: D Heated swimming pools have an on/off heater switch. Li Pool heaters operating on natural gas or LPG have an electronic pilot light. • Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar- and /or waste - heat - recovery systems. D Heated swimming pools have a cover on or at the water surface. For pools heated over 90 degrees F (32 degrees C) the cover has a minimum insulation value of R -12. Exceptions: Covers are not required when 60% of the heating energy is from site - recovered energy or solar energy source. Lighting, Power, Mechanical Requirements: • A minimum of 50 percent of the lamps in permanently installed lighting fixtures are controlled with an occupancy /vacancy sensor or automated lighting control system, or can be categorized as one of the following: (a) Compact fluorescent (b) T -8 or smaller diameter linear fluorescent (c) 40 lumens per watt for lamp wattage <= 15 (d) 50 lumens per watt for lamp wattage > 15 and <= 40 (e) 60 lumens per watt for lamp wattage > 40 Li Power attic ventilators are not permitted to be connected to the electric grid. Solar- powered attic ventilators are allowed. Li Central HVAC system does not use electric resistance as the primary heat source. Exceptions: Alterations of 50% or less of the original conditioned floor area in dwellings originally permitted after January 1, 1996. Alterations to dwellings originally permitted before January 1, 1996. Other Requirements: Li Snow- and ice- melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a) the pavement temperature is above 50 degrees F, b) no precipitation is falling, and c) the outdoor temperature is above 40 degrees F (a manual shutoff control is also permitted to satisfy requirement 'c'). Certificate: • A permanent certificate is provided on or in the electrical distribution panel or air handler listing the predominant insulation R- values; window U- factors; type and efficiency of space - conditioning and water heating equipment.. The certificate shall also list the calculated heating load, sensible cooling load, latent cooling load and cfm for space conditioning the duct tightness and envelope tightness test results. Buildings classified as R -2 occupancy shall indicate that the visual inspection option was used or provide envelope tightness test results. The certificate does not cover or obstruct the visibility of the circuit directory label, service disconnect label or other required labels. NOTES TO FIELD: (Building Department Use Only) / 2011 Georg 'a State V ,Minimum Energy Code Insulation Rating R -Value Ceiling / Roof Wall Floor / Foundation Ductwork (unconditioned spaces): 26.26 26.26 0.00 Glass & Door Rating U- Factor SHGC Window Door 0.20 0.60 0.15 NA Envelope Tightness Test Results CFM50 Total Conditioned Volume ACH50 DET Verifer (Name /Phone) Heating & Cooling Equipment Efficiency Heating System: Cooling System: Water Heater: ,HVAC Loads Heating Load Sensible Cooling Load Latent Cooling Load Total Air Handler CFM Load Calcs by (Name /Phone) Duct Tightness Test Results Test Type (PCO, PCT, RIT) CFM25 Floor Area Served (s.f.) Test Result( %) DET Verifer (Name /Phone) Stiilded /Design iRro 'tessiattafl: Rte: Comments: Location of Work: Owner's Name: Address: CITY OF TYBEE ISLAND SUBCONTRACTOR LIST 304 akd Av-e Vl ol� 5 Contractor's Name: Ca-4-41(4 I I List the company name, business type, address, license number, contact person and phone number of all participating subcontractors. 1. Company Address Contact Person 2. Company acks5cil E A wit -34 V,iy (vv3sci 011/4.1Pd j%_1 7i0,,,,1:4 136r Business Type License Number o 8 39 Phone Number Business Type o--) 33i Address License Number M T- Oro 1 (o a 3 Contact Person 3. Company 5;ii,yo.„10 %1 - w Address W; ■e\--)44 {� Contact Person Jp, -,,h OV-4,..d..1 Phone Number Business Type 16 -- 0`#a5 )4v AL License Number ' r 03 Phone Number 4. Company Business Type Address License Number Contact Person Phone Number 5. Company Business Type Address License Number Contact Person Phone Number Attach additional sheets if needed. Location of Work: Owner's Name: Address: CPI Contractor's Name: CITY OF TYBEE ISLAND BUILDING & ZONING DEPARTMENT Temporary Electrical Service Affidavit Soy — N.43f : 1) co.4.,540r, (..) 3 Ob 1' This letter is to confine the understanding of the owner / contractor to the compliance requirement of the Georgia State Minimum Construction Codes. "I hereby declare that the requested temporary electrical power is intended for the completion of the construction process and the testing of equipment installed within the structure." It is understood and agreed by the undersigned that the issuance of temporary power DOES NOT constitute the approval to occupy the structures. A Certificate of Occupancy must be issued by the City of Tybee Island prior to the structure being occupied. The owner / contractor is hereby held responsible for any violations to this policy. A violation of this policy may result in discontinuance of the electrical service. Temporary electrical service will be granted as an aid to complete construction only. It will be granted for a maximum of six months and may be revoked as circumstances dictate. Owner's Signature V 'le— g Owner's Printed Name Date Contractor' Date A Contractor's Printed Name Witness's Signature Witness's Printed Name Date Location of Work: Owner's Name: Address: PERMIT FOR INFRASTRUCTURE ALTERATIONS V7 C)(- 7 4,--\74 O0+ ' '0 k 5(ro[ -Not Contractor's Name: C NOTE: Any alteration to City owned streets, curbs, sidewalks, waterlines, sewer lines, drainage pipes, catch basins, or other elements of the City's infrastructure, requires a permit from the City, and an acknowledgement by the individual seeking to accomplish the alteration, that: a. The City's infrastructure will not be degraded in any way. b. All necessary safety precautions will be undertaken. c. The City will inspect the work in process and upon completion. d. The work will be accomplished to the City's satisfaction. e. The City shall be held harmless of any liability or damages of any variety. f. The individual has read applicable portion of the City's Code of Ordinance dealing with the alteration, and agrees to fully comply with such provisions. Description of alteration: Co V 1J p•y A sketch or drawing must be attached illustrating the planned alteration. Attached? City Design Standards and Specifications: All alteration to the City's infrastructure shall be accomplished in such a fashion so as to restore the infrastructure to essentially the same condition that existed prior to the alteration, or to an improved condition, as determined by the City. Certification: I hereby acknowledge the above requirements, and certify that I will perform the above described alteration in accordance with these provisions. Owner's Signature V\ ocy R '- Owner's Printed Name Contractor's i at re 4) Avocto 67. Contractor's Printed Name Date Date APPROVAL Zoning Date Building /Code Date Water /Sewer Date Drainage Date CITZ TYBEE ISLAND COMMUNITY DEVELOPMENT DEPARTMENT P.O. Box 2749 • 403 Butler Ave., Tybee Island, GA 31328 Phone (912) 786 -4573 • Fax (912) 786 -9539 Water Tap and Sewer Stub Application Location of work (street address) Contractor 3oLt. 94 4-c , Cad SV.:;11 Address of contractor p) p7A► NA- OJt'ov-e_ Contact name & telephone number of contractor Name of property owner Po. �-■ Ar, ovN y Scpo Mailing address of property owner J C ¥'r -ace Cov i.-c to 4- 3000 `?' Telephone number of property owner 110- "I 81 -b'o' Details of project (1• loved o■Akc._ ,a.� Residential )( Commercial Enter the required number of water taps /meters and the number of sewer stubs: WATER TAP /METER SEWER STUB Number Meter Number Stub of Taps Size of Stubs Size 3/4" 4" 1" 6" 1 -1 /2" 8" 2" Unauthorized use of water prior to installation of a water meter is prohibited. Installation of meters and lines shall be the responsibility of the owner /contractor. Contact the Water /Sewer Department at (912) 786 -4573, extension 122, for line and tie -in locations and for inspections. Contact the Community Development Department at (912) 786 - 4573, extension 136, to arrange pick up of a meter. It is the responsibility of the owner to establish a water /sewer account with the City. An application and deposit are required. Contact (912) 786 -4573, extension 110. Owner signatur Date �'► 01.1 ,p., Owner printed nave Contractor igi �atu�( Date S NC Contractor printed name I ' STATE ENERGY CODE AFFIDAVI1 Location of Work: J d ft. Owner's Name: a t1 0+ -, Address: '3 ° Are- Contractor's Name: <<-,1 This letter is to confirm the understanding of the owner / contractot to the 'compliance requirement of the Georgia State Energy Code for Buildings, 2009 Edition, y ith Georgia Amendments. I hereby declare that the design and construction of the above referenced project is in compliance with the Georgia State Energy Code for Buildings, 2009 Edition, with Georgia Amendments. A Georgia Energy Code Compliance Certificate will be required at project completion. It is understood and agreed by the undersigned owner of agent and contractor (if applicable) that the approval of the permit does not constitute a privilege to violate the Code and that any omission of or misrepresentation of fact with or without intention of the 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 knowledge. The owner shall be allowed to request a Certificate of Occupancy when all inspections have been approved. Owner's Signature Date V'1 G\L`'% Owner's Printed Name Contractor's ign ure ( Date S JP °ter, Contractor's Printed Name CITY OF TYBEE ISLAND BUILDING & ZONING DEPARTMENT P.O. BOX 2749 TYBEE ISLAND, GA 31328 PHONE (912) 786 -4573 FAX (912) 786 -9539 FEMA Certification of Elevation is required for structures in a Flood Zone. Location of Work: Owner's Name: Address: Contractor's Name: a4-S(L',11 D:1 \cieu This notice is to confirm our understanding that all equipment such as air conditioning compressors, water heaters, furnaces, electrical outlets, meters, etc., are not permitted below the required finished floor elevation. By accepting the building permit, I (owner /contractor) agree to construct /place the equipment above or up to the required finished floor elevation, which is stated below. BFE Acknowledged and agreed to this l)- 3`' day of De 'e`er . 20 1)- . Owner / Cont'ract'or Signature A .SM't Owner / Contractor Printed Name June 30, 2010 The following deficiencies have reached an unacceptable level on the projects in the City of Tybee Island. While the deficiencies are not necessarily the fault of the Owner or his agent, they are their responsibilities. The two areas of deficiencies are in the two most basic and common BMPs on local projects. They are: Co — Construction Exit Sdl — Sediment Barrier Correct installation information can be found not only in the "Green Book" but in the Field Manual for Erosion and Sediment Control in Georgia, Fourth Edition 2002, 4310 Lexington Road, P.O. Box 8024, Athens, GA 30603, telephone 706.542.3065, www.gaswcc.org, 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 the material. Specifically, the job site personnel are telling me the stone delivered is the 1.5 " -3.5" stone they requested. I have experienced on my own projects suppliers not adhering to the specs they are given with the orders. While I regret this situation, I will no longer be accepting any deviation from the State requirements. The stone will be a representation of 1.5 " -3.5" stone or larger. Gradations that are obviously smaller will no longer be tolerated. The smaller stone allows for a smoother surface with smaller voids, thereby reducing the function of the construction exit. Similarly, I am finding Type A sediment barriers installed where Type C is required and shown on the permit drawings. I have attempted to work with the Owners through increased inspections, additional backup BMPs, etc. This has evidently become common knowledge based on the installations I am finding. 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 second one. The complete assembly and installation must be compliant; ,steel or wood posts, post spacing, Type C or A. There has been no discharge into state waters due to previous occasional deficiencies. However, the increased frequency has created unnecessary exposure to: 1) Sediment discharge into nearby waters of the State, 2) Increased maintenance efforts by the DPW on downstream lines. 3) Due to #2, higher cost to island taxpayers. I will be adhering strictly to the manual on all BMPs and not just these two. Downer Davis City of Tybee Island Consulting Engineer Signature of Ow er /C ntrCar.'" REQUIRED FOR: Building Permits Relocation Permits Sign Permits Demolition Permits Land Clearing, Disturbance or Excavation Permits Tree Removal Permits Relocation Permits Special Review Permits Site Plan Approval Subdivision of Land Sketch Plan Approval Preliminary Plan Approval Final Plat Approval Minor Subdivision Plat Approval Major Subdivision Plat Approval In addition to specific requirements for the above permits and approvals, applicants must demonstrate that they are in compliance with the City of Tybee Island Storm Water Management requirements as outlined in Chapter 5 -4, Code of Ordinances. Section 5 -4 -9 Prohibition provides, in part, as follows: (4.) (5.) It is unlawful for any person to cause or permit any storm water to flow from their property onto the property of another person, unless such storm water naturally flowed thereon prior to any development activity. It is unlawful for any person to interrupt the flow of any storm water runoff from adjacent property onto their property by any development activity. As part of the City's approval process applicants must illustrate how these storm water management prohibitions will be met, including a showing of how storm water naturally flowed on the affected property (prior to any development activity), and what changes in storm water flow have occurred or are expected to occur, as attachments to this form. The City's approval or permit does not guarantee that the applicant's plans will result in meeting requirements. The final product must actually meet the City Ordinance requirements. Applicant name: Project I.D.: 0. -f- Attachments approved by: Date: During construction: On -site restroom facilities will be provided through 76 On -site waste and debris containers will be provided by aab co 0.1.„„10A L _� Construction debris will be disposed by pu,,,rps 4_, 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 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: 1 1), Signature of Applicant: Note: A permit normally takes 7 to 10 business days to process. The following is to be completed by City personnel: Zoning certification Approved rezoning/variance? W/A NFIP Flood Zone AE 1 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 Date 49 -171 t 2 8.e 90s4 Cap a_ 2- 1 o S ro .-4�n FEES Permit Inspections Water Tap Sewer Stub Aid to Const. CC Recovery 662 3D4+ 560 27000 rl SO 0.- 0(002 TOTAL 4 S l9.50 / 3- &>497.. Location: CITY OF TYBEE ISLAND APPLICATION FOR NEW CONSTRUCTION BUILDING PERMIT S 0 NAME ADDRESS sets of building plans T-Z _✓ I copy of survey showing ground elevations & flood zone AE 12 „/ py REScheck or COMcheck $250 plan deposit PIN # 14—D004-1V-002 TELEPHONE Owner \A c L -1- Ida N,a-, coy 4-.54.44.- G. rllo - ill- 69v0 Architect or Engineer Qo 2 wt 1i, t 4i a- 0,-,.. qla 1, 63-1 r3 c Building Contractor Contractor . SgIA i a_1 0 CA-TA 1 N)A- 94 -;40-1011 (Check all that apply) Details of Project: New Construction Other R�ov�'io„� • Residential �- Single Family ❑ Duplex ❑ Multi- Family ❑ Commercial Estimated Cost of Construction: $ Lie 7000 Construction Type o1 (1) Wood Frame (2) Wood & Masonry (3) Brick Veneer Proposed use: 1Z 2 s; a 1 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 Lot Area (300 # Off - street parkin,g spaces 2. Access: Sd-e.5 � Driveway 2,9' (ft.) Setbacks: Front 2o # Bedrooms Z Living space (total sq. Trees loca With culvert? N o Rear 1 O # Bathrooms 2 sted on site plan 25 With swale? 14 0 Sides (L) 0 (R) ie # 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.