HomeMy Public PortalAbout11-0184 KarpDATE ISSUED: 04 -5 -2011
WORK DESCRIPTION
WORK LOCATION
OWNER NAME
ADDRESS
CITY, ST, ZIP
PHONE NUMBER
CONTRACTOR NAME
ADDRESS
CITY STATE ZIP
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE
TOTAL FEES CHARGED
PROPERTY IDENTIFICATION #
PROJECT VALUATION
CITY OF TYBEE ISLAND
BUILDING PERMIT
DISCOVERY / TEAROUT ONLY
3 SIXTH TER
MELVIN KARP
PO BOX 2733
TYBEE ISLAND GA 31328 -2733
MELVIN KARP
PO BOX 2733
TYBEE ISLAND GA 31328 -2733
P
$ 350.00
$ 1.00
PERMIT #: 110184
TOTAL BALANCE DUE: $ 350.00
It is understood that if this permit is granted the builder will at all times comply with the zoning, subdivision, flood control, building, fire,
soil and sedimentation, wetlands, marshlands protection and shore protection ordinances and codes whether local, state or federal, including
all environmental laws and regulations when applicable, subsequent owners should be informed that any alterations to the property must be
approved by the issuance of another building permit. Permit holder agrees to hold the City of Tybee Island harmless on any construction
covered by this permit.
This permit must be posted in a conspicuous location in the front of building and protected from the weather. If this permit is not posted
work will be stopped. The building contractor will replace curb paving and gutter broken during construction. This permit will be voided
unless work has begun within six months of the date of issuance.
Signature of Building Inspector or Authorized Agent:
P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -9539
www.cityoftybee.org
CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
Location: 4•
NAME
ADDR
PIN #
Owner
Xr'i In u c,4Dos
# 3 � � Te(rflcc,
ii On e
Architect
or Engineer
Ni- , ran ne(
Building
Contractor
BL d 1 rX -
--"- Me--
(Check all that apply)
❑ Repair
❑ Renovation
❑ Minor Addition
❑ Substantial Addition
❑ Other
n Residential
[ingle Family
❑ Duplex
❑ Multi- Family
❑ Commercial
Details of Project: �15C
Footprint Changes
Discovery
Demolition
�5�`�ticr
qnq) nor Mikes or, f
We_ au. oocsvi 0_61.
Estimated Cost of Construction: $
Construction Type
(1) Wood Frame
(2) Wood & Masonry
(3) Brick Veneer
Proposed use:
Remarks:
cen .b s ucd
at -hn� po
(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 # Bedrooms 3 # Bathrooms 3 1/2_.
Lot Area Living space (total sq. ft.)
# Off - street parking spaces
Trees located & listed on site plan
Access:
Driveway (ft.) With culvert? With swale?
Setbacks: Front Rear Sides (L) (R)
# Stories 02 Height 39 Vertical distance measured from the average adjacent
grade of the building to the extreme high point of the building, exclusive of chimneys, heating
units, ventilation ducts, air conditioning units, elevators, and similar appurtances.
During construction:
On -site restroom facilities will be provided through
On -site waste and debris containers will be provided by
Construction debris will be disposed by
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: 3.31- aotI
Signature of Applicant: "Ma. f)ui_,,j *X-1
Note: A permit normally takes 7 to 10 days to process.
The following is to be completed by City personnel:
Zoning certification
Approved rezoning /variance?
Street address and number: New
Is it in compliance with City map?
If not, has street name and /or number been reported to MPC?
FEMA Certification attached
State Energy Code Affidavit attached
Utilities and Public Works:
Describe any unusual finding(s)
NFIP Flood Zone
Existing
Access to building site
Distance to water main tap site
Distance to sewer stub site
Water meter size
Storm drainage
Approvals: Signature Date
Zoning Administrator
Code Enforcement Officer
Water /Sewer
Storm /Drainage
Inspections
City Manager
FEES
Permit S�
Inspections
Water Tap
Sewer Stub
Aid to Const.
TOTAL
SS.-
LEAD -BASED PAINT
Adapted from http: / /www.epa.gov /lead /pubs /renovation.htm. Please use that site to access the following information.
Information for Property Owners of Rental Housing, Child- Occupied Facilities
Property owners who renovate, repair, or prepare surfaces for painting in pre -1978 rental housing or space
rented by child -care facilities must, before beginning work, provide tenants with a copy of EPA's lead hazard
information pamphlet Renovate Right: Important Lead Hazard Information for Families Child Care Providers,
and Schools. Owners of these rental properties must document compliance with this requirement. EPA's sample
pre- renovation disclosure form may be used for this purpose.
After April 22, 2010, property owners who perform these projects in pre -1978 rental housing or space rented
by child -care facilities must be certified and follow the lead -safe work practices required by EPA's Renovation,
Repair and Remodeling rule. To become certified, property owners must submit an application for firm
certification and fee payment to EPA. The Agency has up to 90 days after receiving a complete request for
certification to approve or disapprove the application.
Property owners who perform renovation, repairs, and painting jobs in rental property should also:
• Take training to learn how to perform lead -safe work practices.
• Learn the lead laws that apply regarding certification and lead -safe work practices beginning in April 2010.
• Keep records to demonstrate that you and your workers have been trained in lead -safe work practices and
safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeepinq
developed to help contractors comply with the renovation recordkeeping requirements that took effect April
• Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right.
• Read about how to use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting.
Information for Homeowners Working at Home
If you are a homeowner performing renovation, repair, or painting work in your own home, EPA's RRP
However, you have the ultimate responsibility for the safety of your family or children in your care. If
and planning to do painting or repairs, please read a copy of EPA's Renovate Right: Im•ortant Lea
Care Providers, and Schools lead hazard information pamphlet. You may also want to call the
424 -LEAD (5323) and ask for more information on how to work safely in a home with lead -b
Information for Tenants and Families of Children under Age 6 in Child Care Fa
As a tenant or a parent or guardian of children in a child re facility or school ou s Id know your rights when a renovation job is
performed in your home, or in the child care facility or s h.. $ at your child at
• Before starting a renovation in residential ildi gs .. before 197:, the c tractor or property owner is required to have tenants
sign a pre- renovation disclosure form, ch i d at s that t - tena}r received the Renovate Right lead hazard information
pamphlet.
• Beginning in December 2008, the contr ct r ust also
children under age six that attend child c re face ities a
care facilities and schools to be renovated a copy of
Care Providers, and Schools lead hazard informati
Information for Contractors
As a contractor, you play an important role in help'
dust that contains lead. By following the lead -
repairs, and painting jobs in pre -1978 hous
child -care facilities with a copy of EPA's le
Child Care Providers, and Schools. Contract
IF YOU'RE NOT
DEAD -SAF E CERTIFI ED,
DISTURBING
JUSTSIX
SQUARE FEET
COULD COST YOU
-BIG TIME.
that you followed lead -
checklist that EPA has
2010.
rule does not cover your project.
ou are living in a pre -1978 home
rd Information for Families Child
formation Center at 1 -800-
d Schools
ke
scho
r ovation information available to the parents or guardians of
s, and to provide to owners and administrators of pre -1978 child
novate Right: Important Lead Hazard Information for Families, Child
ent lead exposure. Ordinary renovation and maintenance activities can create
e w. practices, you can prevent lead hazards. Contractors who perform renovation,
hild- occupied facilities must, before beginning work, provide owners, tenants, and
information pamphlet Renovate Right: Important Lead Hazard Information for Families,
must document compliance with this requirement. EPA's pre- renovation disclosure form may
be used for this purpose. Understand that after April 22, 2010, federal law will require you to be certified and to use lead -safe work
practices. To become certified, renovation contractors must submit an application and fee payment to EPA. See: Application for firm
certification. The Agency has up to 90 days after receiving a complete request for certification to approve or disapprove the application.
Contractors who perform renovation, repairs, and painting jobs should also:
• Take training to learn how to perform lead -safe work practices.
• Find a training provider that has been accredited by EPA to provide training for renovators under EPA's Renovation, Repair,
and Painting (RRP) Program. Please note that if you previously completed an eligible renovation training course you may
take the 4 -hour refresher course instead of the 8 -hour initial course from an accredited training provider to become a
certified renovator. Click here for a list of eligible courses.
• Provide a copy of your EPA or state lead training certificate to your client.
• Tell your client what lead -safe methods you will use to perform the job.
• Learn the lead laws that apply to you regarding certification and lead -safe work practices beginning in April 2010.
• Ask your client to share the results of any previously conducted lead tests.
• Provide your client with references from at least three recent jobs involving homes built before 1978.
• Keep records to demonstrate that you and your workers have been trained in lead -safe work practices and that you followed lead -
safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeepinq checklist that EPA has
developed to help contractors comply with the renovation recordkeeping requirements.
• Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right.
• Read about how to use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting.
aQ)A\
Signature
Printed ■aude
3- 31 -aoll
Date
OEVr.a
SATURN.
RESOURCES
RESRCES
GEORGIA
Permit Acknowledgement of
Asbestos /Environmental Notification to Georgia EPD for
Projects Involving Demolition, Wrecking, or Renovation
The undersigned hereby acknowledges that the issuance of this permit does not in any way grant
permission to the owner, owner' representative, or permit holder to proceed with demolition,
wrecking, or renovation of a struci re prior to the filing of any required ten (10) day "Project
Notification for Asbestos Renovation Encapsulation or Demol ion" form in accordance with
the Georgia Asbestos Rules. T e l via Environmental otection Division administers the
rules. In most cases, the rules re • ire :.' , the owner a the involved contractors to assure the
portion of the building involvei. ' h. oject is the ughly inspected an Accredited Asbestos
Inspector for materials that con i ►estos; d the removal of e asbestos before renovation,
wrecking, or demolition begins w out exemption. Borgia EPD requires a completed
demolition notification from be subm' ed 10 workin s- days in advance even if no asbestos is
present in the building. Further is .nce for latory compliance and contact telephone
numbers are provided by the . ochures ent' ed Asbestos & Renovation and Asbestos and
Demolition. Other environm tal issues s h as asbestos removal techniques, lead abatement,
ground contamination, or u usual site c• ditions may have EPD regulations that could affect the
project.
Theo 1461,ey
Undersigns
4-ti)
siiteJ IN)4-ke 4.11L)
Printed Name
3-3/- a o//
Date
Office Use Only:
Project Address:
Permit Number: