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HomeMy Public PortalAbout11-0374 Ouellette_1of5CITY OF TYBEE ISLAND CERTIFICATE OF OCCUPANCY DATE COMPLETED: 09/16/2011 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 #: 110374 PROPOSED USE: NEW RESIDENTIAL - SF MODULAR OCCUPANCY TYPE: P CONTACT NAME JARRETT OUELLETTE CONTACT ADDRESS 18 VAN HORN CONTACT CITY STATE ZIP TYBEE ISLAND GA 31328 PROPERTY ADDRESS 18 VAN HORN APPROVED BY: .01,- P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -5737 www.cityoftybee.org City of Tyuee Island • Community Develop nt Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 Permit No 11 0 3 7 4/- Owner's Name e e4-4-e) Date Requested Date Needed q__-1(0_11 � -ACS -n MI Ma* INTERNATIONAL CODE COUNCIL` MEMBER Gen. Contractor D KV OL\\ 0 Subcontractor Contact Information 3.0kieN (057— 7 L-0) Project Address G oor, \4 0 Fr) Scope of Work nam' J 0 cloiar Inspector �- D Date of Inspection q'16-'11 �L��Inspection ‘-e...1 n Spa �- Pass [E] Fail Fee -� 1 0 O (-9/€-"`"`5-5 ►tia VC_ e en 101-14 \--)o )Se. Is 0n 6ev a re-d C ° (J Q � 4 (il h. la ° ce4:1 Inspection Pass Fail [j Fee Inspection Pass Fail Ell Fee Inspection Pass ❑ Fail ❑ Fee U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important Read the instructions on pages 1 -9. OMB No. 1660 -0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name E A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. City State ZIP Code J$4.6./vO _Oe.x72Cot4N. 3t3Z€ A3, Property Description (ot and Block Ntimbers, Tax Parcel Number, Legal Description, etc.) G-C�T l'iC`®.1 f-toiz,�lE FLAGS Policy Number Company NAIC Number A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) 6 S I 0 A5. Latitude/Longitude: LatJ`[ ?Z° 001.542 .ts gong./ EBC> %5® 3+6".7 to A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood in A7. Building Diagram Number 6, A8. For a building with a crawlspace or enclosure(s): A9. For a) Square footage of crawlspace or enclosure(s) / 520 sq ft a) b) No. of permanent flood openings in the crawlspace or b) enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b / -7 17 sq in d) Engineered flood openings? ❑ Yes M. No c) d) Horizontal Datum: ❑ NAD 1927 a NAD 1983 surance. a building with an attached garage: Square footage of attached garage 4+ sq ft No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade Ad --A. Total net area of flood openings in A9.b "1 ^-A sq in Engineered flood openings? ❑ Yes ® No • SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Commuilq Comm Name & Community Number C rre 6c t Y i3E>E, t Sus...► D 1 351(0 4 B2. County Name G t- w-t-st. ∎vl B3. State CnEo Cn AA Bd. Map /Panel Number l3O51c.OZt3 B5. Suffix F B6. FIRM Index Date Oct -z. &, -c ? B7. FIRM Panel Effective /Revised Date a9 -zeo -CIS B8. Flood Zone(s) A. E. B9. Base Flood Elevation(s) (Zone AO, use base flood depth) t l 810. 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 89: ❑ 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) Cl. Building elevations are based on: El Construction Drawings* ❑ Building Under Construction* IR Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al 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 Dt SK BV 62.51-14/ Vertical Datum AIesVb f gact Conversion/Comments 0.94/'SV$'7n.6.c._T D 1CRdM NICaVO teiZq Yi'ALLIE TO COivvit-e-r RD AI.O,VD f9$$ Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 1 C) . b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) f) 9) h) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) Highest adjacent (finished) grade next to building (HAG) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support feet g feet ❑ feet ❑ feet feet rte: feet ® feet 0 feet ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) 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 maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? Ci Yes ❑ No Certifier's Name JAMES M. KEATON, RLS License Number GEORGIA #2743 Title LAND SURVEYOR Company Name CHATHAM SURVEYING SERVICES, INC. Address P. 0. BOX 61649 City SAVANNAH State GA ZiP Code 31420 Signature Date Telephone 912 - 303 -0302 "Z"L 5 E.e''rfik(4! A, I51 201 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. / S V ./Li -azA.Jt= Cityr-. State a ZIP Code AY3EE 1.5 c 7 oizcp46. t3Z$ SECT! For Insurance Company Use: Policy Number Company NAIC Number 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 c z . S F4■le D PA# l t A! Ge V 464 OEM 714E f-(de3 r 774/3 1...6 F1_k atZ I. - t -A=,¢_ rs .®.r✓ awl c�..051cn 4. A.: 2. 114 -77 54va.2,S E J 6OSS ?E, r-r =M C2b. le, 7)41 1..1.a.a3t- r..t3e..E tr.‘.-oorz . ITi- GZ. IS. ,CsCT...'tior, U1PM£A(1- 0 •..r d wenv� ,., Pc,n.-r Fog . ITEM GZk /5 al/Zdnel ar 'ri. . L . cT' S i O+e . � A Date --4- � �/ . Az e. S Pr 15 'ZOw j ❑ Check here if attachments ON E - B ILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) Signat 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 El -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, crawispace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawispace, 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 Instruction e next hig . floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters 0 above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. /`. i " 4. E4. Top of platform of machinery and/or equipment servicing the building is . ❑ feet ❑ meters ❑ above or 0 be 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 -4- Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA- issued or community - issued BFE) or Zone AO. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9_ BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments 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. Policy Number City----,. State ZIP Code rre l� r , o,a _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. Pt-terry s �l�r�.►�3?2 l5, Zap/ f '2C,nt T V l F vJ �,, Ile.T 5./0 V l J Building Photographs Continuation Page For Insurance Company Use: Building ,Streeet Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. YAd r I-164mE. 5?72 -'T Policy.Number Company NAIL Number City_:. State ZIP Code b10 s l5 4,"s ./c, / C.17.e.o,Q Co /.a 3/32 S 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." 1?-4.Z-A Vi e-4,0 J` (CP147" (D. 17/ tf-e-J City --'-' / State ZIP Code /Y8 <-31.32-8. Al Property Description of and Block N mbers, TaX)Parcel Number, Legal Description, etc.) U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -9. OMB No. 1660 -0008 Expires March 31, 2012 Al. Building Owner's Name cTLETT CPO 5LL A2, Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. SECTION A - PROPERTY INFORMATION /g tir e_T Va �- iry2lL 1�l F -777,1_ For Insurance Company Use: Policy Number Company NAIC Number A4. Building Use (e.g., Residential, Non- sidential, Addition A5. Latitude/Longitude: Lat. 2'2'0 S .Y✓' "L A6. Attach at least 2 photographs of the bul A7. Building Diagram Number (e', A8. For a building with a crawispace or enclosure(s)- a) Square footage of crawlspace or enclosur. ) /52.0 sq ft b) No_ of permanent flood openings in the cr: pace or enclosure(s) within 1.0 foot above adjace t e6ie % Jr' c) Total net area of flood openings in A8.b ' / 4 5 Q sq in d) Engineered flood openings? ❑ Yts I Nv etc.) °50'3 S! i?"1 -'7L. •7 " Hori al Datum: ❑ NAD 1927 ® NAD 1983 e is being used to obtai flood insuran SECTIO B1. NFIP Community Name & Community Numbe C crie d fZ' (Yf3EF 1.5G.A...tf) 13 B4. Map /Panel Number - FLOOD t 3 CY" 1 C. p z t B5. Suffix B6. FIR1 r- ' B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Efilective/Revised Date Zone(s) AO, use base flood depth) F O.t- C0 -0S r.9 -'.2Co rod, ,i6.--�- t l B10. Indicate the source of the Base Flood E evation (L. _) data or base flood depth entered in Item B9. ❑ FIS Profile R. FIRM ❑ Community Determined ❑ Other (Describe) 811. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929, E' NAND 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date , CBRS ❑ QPA 4 9. For a bu' g with an attached garage: a) Sclr j footage of attached garage A& /S sq ft b) Alpo "of permanent flood openings in the attached garage Within 1.0 foot above adjacent grade n/-A- cy .:Total net area of flood openings in A9.b "1 -A sq in d) Engineered flood openings? ❑ Yes ❑ No -� P (FIRM) INFORMATION B3. State 45 Ca2Cott Yes ® No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Uri'den Construction* *A new Elevation Certificate will be required when construction of the building is complete. '" C2. Elevations - Zones Al A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, AR/AE ,R/A1 -A30, ARIAH, ARIAO below according to the building diagram specified in Item A7. Use the same datum as the BFE. -,, Benchmark Utilized h1514 BV (3,Z5 4'4 Vertical Datum jf.ILoV D tct 2.I Conversion /Comments 0 .414/ ' 5(J8 f -0 FiZcll h1LDV 0 I 1 2-1 "(AGUE Finished Construction Check the a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 10. Z. ® feet b) Top of the next higher floor I tg ...A_._ rig feet c) Bottom of the lowest horizontal structural member (V Zones only) t.( --A. . 0 feet d) Attached garage (top of slab) "4 -A. ❑ feet e) Lowest elevation of machinery or equipment servicing the building [ (p . 6 ig1 feet (Describe type of equipment and location in Comments) g f) Lowest adjacent (finished) grade, next to building (LAG) F _ Co ig feet g) Highest adjacent (finished) grade'next to building (HAG) t 0 . t Is feet h) Lowest adjacent grade at lowest elevation of deck or stairs, including I . 1 gI feet structural support ;' CL),./ V$.2.T Complete Items C2.a -h -r-O r tav6 1988 easurement used. ❑ meters (Puerto Rico only) meters (Puerto Rico only) eters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) CTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed an sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. t certify that the information on this Certificate represents my best efforts to interpret the data available.l understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? i7 Yes ❑ No Certifier's Name JAMES M. KEATON, RLS License Number GEORGIA #2743 Title LAND SURVEYOR Company Name CHATHAM SURVEYING SERVICES, INC. Address P. O. BOX 61649 City SAVANNAH State GA ZIP Code 31420 Signature Date Telephone 912- 303 -0302 i' LS gio-r na ,3$,2 !z 20 // t,;o.27 i IMPORTANT: In these spaces, copy the con sponding 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. /8 V&A" /a2.'6 c�'TI Ear City State ZIP Code re.. .3132 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 M C ?.A. r S Pl ute-i< u140E-A. 71-4 A-143 r-r.ar3LF FGCIO.e f S 4..,- G rsre.t.GS�,� ST<4rr�w�ee r.Or 12-1 77 5.44 ,l.4.42.= r SET Ofi ENCL.ouiz &. =-T=sM C24 is 714E ile.J3 tTd.i3L.E t-G.Op/L. ,�T�f C 2.a IS E. 7-52,1 14 V<5.c, det."IA•N dGL?a,A-! pc,.a rFO2n-r . =ram = m s AS 6 ,cw o 4•8 c 41,. CoArs 367244. t sr,) r•./Ce, od4.0 s . CZh_ Is &rrbog .&r 5714. Sign ture Date y% : yS 'ri -ss# , .i2 /Z/ Z.0// ❑ Check here if attachments Sign E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items El -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters, El_ Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawispace, 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), her floor (elevation C2.b in the diagrams) of the building is 0 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 ❑ belo 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. Policy Number Company NAIC Number 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, 13, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. El A community official completed Section E for a building located in Zone A (without a FEMA- issued or community - issued BFE) or Zone AO. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance /Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: _ ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation 0 feet ❑ meters (PR) Datum Local Official's Name Community Name Title Telephone Signature Date -_4-D Comments ❑ Check here if attachments 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. 1P) V 140i2.Nr T Policy Number City___- State/ ZIP Code Company NAIC Number l Y8 (S -II) j - diz62,e41 3!32-$ 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. [�µo-ro9 (d1��.1 ✓� 6i=7"7-# r3 o q 20 t I LEST --1 Ds V , =�'°J Building Photographs Continuation Page Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 18 VA-1J 1- (0/Z.M F -rr-.e City. For Insurance Company Use: Policy Number State/ ZIP Code / YBC 5 f C.PeDvz cot G� Company NAIC Number r 3 r326 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." cowl- SIDS V[ Permit No. Owner's Name Gen. C 111 City of Tyoee Island Community Development Dept. inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 Fax 912,786.9539 0-037471- ntractor Contact Infermatio.n Project Address Scope of Work t...>-".1 „.. MEW munsak mir.:::, IN CODE COUNCIC MEMBER Date Requested Date Needed Subcontractor Inspector Di 440 Inspection Date of Inspection q--/3-// \.( A C -P °G 4 i5 in Pass D Fait Fee Inspection Pass ri Fail Fee Inspection Pass El Fa E Fee Inspection Pass ri Fee Building Permit Number PIN NONCONVERSION AGREEMENT FOR STRUCTURES IN THE FLOODPLAIN �)-- 03711 �(- 0ou3 - UG - FIRM Zone BFE I 1 feet (NAVD) Address of Property � j 6 gof 41,45 -7 = 0,.2- .,*I"� Panel Number , effective date S J 3-4 e Property Owner(s) ± Qu e- 112 Ite.„-- Contractor OA-' /-.A 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 the building, and will never be used for human habitation without first becoming fully compliant with the Flood Damage Prevention 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 least 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 surance • oQ am hat an e may be subject to increased premium rates for flood insurance available from the National Flood o its location in a Special Flood Hazard Area. • • • do i r • • struction beyond what is permitted shall constitute violation and be abatable as such. dUi Si, ature •°Property •wner Date i cts -cc+4 o tl.eir! Printed Name of Property Owner 2U t l F i_7'D FOR RECORD 9/12/2011 02 7:16Pn: Signature of Property Owner Date Printed Name of Property Owner PAIN ss t i_ a0 Daniel W. _ _ _,-,. Superior _ _ r+ of -,:-.- ha.., County Chatham County i a STATE OF GEORGIA COUNTY OF CHATHAM L I hereby certify twat on tl}is `'1' -V- day of v r. r 20 [ ( , before me, a Notary Public of the State of Georgia, personally appeared a. r,----e_ 1 (--R it..I l �-- , known to me, or satisfactorily proven to be the person whose name is subscribed to the foregoing instrument, who acknowledged that he /she has executed it for the purposes therein set forth, and that it is his act and deed. In wi s_whereof, I have set my hand and Notarial Seal. DIANNE OTTO NOTARY ) Notary Public, Chatham County, GA r My Commission Expires November 6, 2014 ' My Commission expires on . (r l 1.0 i- WITNESS SIGNAT 111140 l /-r1 r� Printed Name j � ,/ iA (%C ry` L J' Note: A Nonconversion Agreement must be used whenever an enclosed structure or portion of a structure is built or subanti•r'y 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. Address al pekLcos- CITY OF TYBEE ISLAND BUILDING PERMIT ENGINEERING SERVICES DATE ISSUED: 09/16/2011 WORK DESCRIPTION WORK LOCATION OWNER NAME ADDRESS CITY, ST, ZIP PHONE NUMBER CONTRACTOR NAME ADDRESS CITY STATE ZIP FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE TOTAL FEES CHARGED PROPERTY IDENTIFICATION # PROJECT VALUATION ENGINEERING FEES NEW RESIDENTIAL - SF MODULAR 18 VAN HORN JARRETT QUELLETTE 18 VAN HORN TYBEE ISLAND GA 31328 972 - 998 -7479 OKWAHO CONSTRUCTION 2404 DESOTO AVE SAVANNAH GA 31401 2095 P $7,580.40 $125,000.00 PERMIT #: 110374 TOTAL BALANCE DUE: $ 175.00 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. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org DAVIS ENGINEERING, INC. 636 Stephenson Avenue, Suite C Savannah, Georgia 31405 Tel. (912) 355 -7262 Fax (912) 352 -7787 davisenginc@bellsouth.net INVOICE September 16, 2011 Invoice #205999LotB Diane Otto City of Tybee Island P.O. Box 2749 Tybee Island, GA 31328 Phone (912) 786-4573 Fax: (912) 786-9539 RE: 200599 Van Horn Subdivision 4- 0003 -09 -035, Lot B, 0.28 ares,SMB 37S 2 08- -11 n.c. Prelim conversation w /JG and site visits. 08 -08 -11 0.25 Communication w /JG and site visit 08 -12 -11 0.25 Communication w /JG and site visit 08 -14 -11 0.50 Final site visit and concurrence 1.00 hours @ $175 /hour = $175.00 Total Due This Invoice ci-I4 -11 Q JcLd ILo314- CHATHAM SURVEYING SERVICES, INC. 7370 Hodgson Memorial Drive, Suite A -3, Savannah, GA 31406 P. O. Box 61649 Savannah, GA 31420 Email ChathamSS @aol.com Phone (912) 303 -0302 Facsimile (912) 303 -0301 September 13, 2011 Ms. Dianne Otto, CFM City of Tybee Island 401 Butler Avenue Tybee Island, Georgia 31328 Re: 18 Van Horne Street Lot B Van Horne Place Dear Ms. Otto: BY : ....................... This letter will confirm that Chatham Surveying Services, Inc. has performed a boundary survey of the above referenced property and a topographic survey of the site drainage swales. Based on my observations, the site has been graded in substantial accordance with the approved Paving, Grading, and Drainage Plan. The Drainage swales on the eastern and western sides have positive drainage to the rear of the property and the swale running across the rear has positive drainage to the southeastern corner of the property. The rear swale is diverted out of the 20' Drainage and Utility Easement into Lot B, but this was to protect the large oak tree near the rear property line. Please feel free to contact me with any questions or concernA that I may be of help with. Sincerely, _ /0- James M. Keaton, RLS JMK/jmk G \5T No.2743 fM SUP, Dianne Otto From: Downer Davis [dkdbus @gmail.com] Sent: Tuesday, September 13, 2011 8:08 AM To: Dianne Otto Subject: Vanhorne Diane, To document one of our findings during our field trip yesterday afternoon at 3pm: The middle lot facing Van Horne on the former Van Horne Subdivision appears to be nearing completion. The one item that appears will most likely delay my concurrence on this project is the disturbance on adjacent lots. Initially, I noted the unpermitted disturbance on the lot to the west on Vanhorne. Later I noted this once more when the disturbance was not properly addressed and the disturbance had expanded to the western lot on Solomon to the rear. Yesterday, we observed the disturbance had expanded further into the eastern lot facing Van Horne. In summary, the unpermitted land disturbing activities have expanded across all 3 of the undeveloped lots in this 5 lot subdivision. It should be noted that Mr, Kimbrough's lot to the east has managed to contain its land disturbance to within its boundary. The disturbed areas have been rough graded. It is my belief that the most expedient method of the applicant addressing this matter is to complete grading, seed appropriately and apply a mulch covering. Please advise if you have any questions. Downer 1 City of T% Je Island • Community Develop at Dept. Inspection Report 463 Butler Ave. • P.O. Box 2749 • Tyree Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.7 6.9539 Permit No. ) - 03-74 Date Requested Owner's dame ()Ii. ( 11;..1 (- sate Needed Gen. Contractor UL ti0/ -t) Subcontractor Cant :c t formation U1 I r� Cv >� - 7441 1 Project Address Scope of Work Inspector Inspection t INTERNATIONAL CODE COUNCIL' MEMBER 1\41-6/0 - 1' \) <DCJI /q7:. Date of Inspection Pass Fail ® Fee Inspection BR- - L Pass Fail © Fee Inspection Pass ® Fail El Fee Inspection (Pass, [r °ailm. Fee mTrld 4 i IP�P@W L i l( (Jr j l� rl�: 1. H 1) :OCF CITY OF TYBEE ISLAND BUILDING PERMIT REINSPECTION FEES DATE ISSUED: 09/13/2011 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 # NEW RESIDENTIAL - SF MODULAR 18 VAN HORN JARRETT QUELLETTE 18 VAN HORN TYBEE ISLAND GA 31328 972 - 998 -7479 OKWAHO CONSTRUCTION 2404 DESOTO AVE SAVANNAH GA 31401 2095 P $7,405.40 PROJECT VALUATION $125,000.00 REINSPECTION FEE — FINAL ELEC & FINAL BUILDING PERMIT #: 110374 TOTAL BALANCE DUE: $ 100.00 It is understood that if this permit is granted the builder will at all times comply with the zoning, subdivision, flood control, building, fire, soil and sedimentation, wetlands, marshlands protection and shore protection ordinances and codes whether local, state or federal, including all environmental laws and regulations when applicable, subsequent owners should be informed that any alterations to the property must be approved by the issuance of another building permit. Permit holder agrees to hold the City of Tybee Island harmless on any construction covered by this permit. This permit must be posted in a conspicuous location in the front of building and protected from the weather. If this permit is not posted work will be stopped. The building contractor will replace curb paving and gutter broken during construction. This permit will be voided unless work has begun within six months of the date of issuance. Signature of Building Inspector or Authorized Agent: P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 w■w.cityoftybee.org 08/23/2011 Tue 13 :54 SEP 1 'H1' [3a5 );nn. ;-4 .- �'rocr ...12 6Ord C oC..roscl Sold To CASH SALE ALL CASH SALES ARE FINAL! TOM MURRAY ID: #5448 Page 2 of 2 Sandpiper Supply ,INC. 4101 Bull Street Savannah, GA 31405 Tel 912 - 236 -3351 Branch 01 /SDM Ship To CASH SALE ALL CASH SALES ARE FINAL! INVOICE Phone 912-236-3351 Fax 912 - 236 -3122 Page 1/1 Customer 9999950 Order Dte Order # Batch # Customer P/O # Ship Via Slmn 08/08/11 121951 080911 -5469 RANDY HECK 01 Inv Date 08/08/11 Ship Dte Freight 08/08/11 PREPAID Job Number Terms COD Ln Qnty Ord Qnty Ship Qnty B/o Qnty Pick Product Number Description Dom Net Price Extension 1 1 1 12 -TP100 1 /2X100'COUNTERSTRIKE TUBING Ea 189.0000 $189.00 2 2 2 12G01 1/2" GALV COUP Ea 2.3280 $4.66 3 2 2 12X6GN 1/2" X 6" GALV NIPPLE Ea 2.0020 $4.00 4 2 2 34X8GN 3/4 X 8 GALV NIPPLE Ea 3.6520 $7.30 5 2 2 12 -TPMA 1/2" TRACPIPE MALE ADAPTER Ea 7.5250 $15.05 6 2 2 12 -TPFA 1/2" TRACPIPE FEMALE ADAPTER Ea 7.3750 $14.75 7 2 2 12TPSO 1/2" TRACPIPE STRT STUBOUT Ea 8.7500 $17.50 8 2 2 12SHGV 1/2" SQ HD GAS VALVE Ea 7.9800 $15.96 9 2 2 12G16 1/2" GALV PLUG Ea 1.9920 $3.98 Prior Payments Received Prior Shipments Open Sales Order Tax 19.05 Cash Available Cash Balance Order Balance 0.00 0.00 272.20 291.25 0.00 0.00 0.00 Paid by CCV $291.25 Merchandise Amount .... Freight Misc Charge Sub -Total Taxable Amount Tax 01 7.000% Invoice Total 272.20 0.00 272.20 272.20 19.05 $291.25 Picked Chckd Packed Truck Check Delvrd Date Ship Special ordered material can only be cancelled or returned when the manufacturer agrees to accept return of the merchandise. Stock items returned most be unused and suitable for resale. MINIMUM 20% RESTOCKING FEE ON ALL SPECIAL ORDER RETURNS. (Archive Copy) 13:54:11 23 AUG 2011 Customer Signature X: / / 08/23/2011 Tue 13:54 TOM MURRAY ID: #5448 Page 1 of 2 SANDPIPER SUPPLY 4101 Bull Street Savannah , GA 31405 phone: (912) 236 -3351 fax: (912) 236 -3122 Fax Transmittal 08/23/2011 Tue / 13:54 From: TOM MURRAY Pages: 2 To: RANDY At: Fax: Subject: Email Comments: This fax transmittal was sent from the DDI System DMS - www.ddisys.com CITY OF TYBEE ISLAND BUILDING PERMIT REINSPECTION FEES DATE ISSUED: 09/13/2011 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 # NEW RESIDENTIAL - SF MODULAR 18 VAN HORN JARRETT QUELLETTE 18 VAN HORN TYBEE ISLAND GA 31328 972- 998 -7479 OKWAHO CONSTRUCTION 2404 DESOTO AVE SAVANNAH GA 31401 2095 P $7,405.40 PROJECT VALUATION $125,000.00 REINSPECTION FEE — FINAL ELEC & FINAL BUILDING 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. TOTAL BALANCE DUE: PERMIT #: 110374 $ 100.00 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: iffo P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org City of Ty..ee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 Fax 912786.9539 Permit No. 11-0374 Owner's Name 6?t,% 1T 1 Gen. Contractor O IL.-1/ 9--/C) a,- \_ :::gym INTERNATIONAL CODE COUNCIL` MEMBER Date Requested q/ 2-__,)‘ ( l Date Needed Subcontractor Contact,: Trbforrnation ICi i -.� -77)G7 �.' - Project Address I 6 \)- n-N_ Scope of Work (J itit/0 Inspector Inspection 171 r f 1 1 I� i✓ -� f i� l iN) n Date of Inspection Pass Fail Fee It71 Inspection Pass ErFaii Fee ■ spection Inspection F rZ R�- 4 0 i> L 1 // 1\3Tj - -i-ktrEL IL Pass Pass Fad ❑ Fee City of 1 , ,ee Island • Community Develov__Int Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 - Fax 912.786.9539 Permit No. D37 4- Date Requested 3 I - Owner's Name u -e._ _1_0 Date Needed — I 51,Vok !MM. INTERNATIONAL CODE =Nor MEMBER Gen. Contractor Ok" LA) a_ V-, 0 Subcontractor , Contact Information arci q'q6 Project Address Scope of Work Inspector "719 Date of Inspection (1/1 Inspection — . (\al V-i e c- . i ) , '1 ,i , i ,/e, r 5 Pass 0 Fail gi Fee r....C.) i . N 0 -I° i-,47:-A-D\I - -,--0 1 A-__. i 3 sr--,., . 1 ir .: „._) 4 (4 , ,,,-,-.i_ A- , i 1,,,)G. 1,L.,-1-(--: 1-i (>40,7A-z...--_. e 1,_,) oi I-. ) .3 , . .fr..- t_... , ,,..i -.,-;,,-\ , ,,,,,,,..._1(1i{,,,,y_,' „,:,;„.) (--.. -7--c.;-4::-7,7-p co u r-_,T-z: S 1E7 1.)(),,1 cf. 1--,,, ‘,0 ‘f:_i--7.-- -17-T--:_--,--,-,--.-c_-.-Tv-z-,;-- vi-E-7--T7-1 F--.. ( EU sf; i ,_,,(1.'.). c.::07z-.. <-_.<Lisj, _.. I :--) t 41) r.,„ 2 (.) -‘31 Y ,._14 .1:..t L. ''Inspection .1 ., r, Cx. i 71) ( 0, i'Y' 1) ' /15, Pass 0 Fail U c..) OC) 72-1-Em-) - To , ( \,) ci 0 Li /-Z. ', _1 -F\7,..:(A) f(- i -7-a. 110,-,_) 1- - -::, I (li ,,,,■--? -i'fK.-('-; (:'----- i-4(Y-1Z, P17-40)(1_ ,(F.. a (-‘ ( A(Li (,...k-616i,L (Ly: -4.:.>Z , L. ,7-;!: 3 , 177-;(.1),--ctr,Y;:. ,Y\---7-(Ly..1 , .•,:) T--: (..-)6i-c , 0 ,,i(--1,•---"K. , (E r.) 0 r- In ection (NA.2 ), Intpection Pass El Fail -1-75Z-4>.,)■ I 7-4 11-14-1 t (---L)C.-' 06-CZ L. 'biol Pass • c.)-1— \--217A-p,-1 t \ /it /-7:■(.7-__• A / Pi:3UL rsal, 1---tc,c.,) _ — A TX Result Report P 1 08/23/2011 09:13 Serial N0. CH35228060004 TC: 272021 Destination Start Time Time Prints Result Note Georgia Power 08 -23 09:12 00:00:31 001/001 OK Note TMR: Timer TX. POL: DBDubl- SidanAictionS elsorina - ceCRTX: ND: ooedeBidingreo. TX, Spciaoigl, Forward, : Fod. 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. RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR _ FAX TO: Lynn Brennan 9=7 Phone 912�goS 1��7 49or4:s 'Ps 4-ws 3_ - 2v'4ie 9 off" Ge=44.,1 SICier - z 62S Location Address: 1.43 _ %`J Lot # Release Date: Type of Release: Temporary ✓ Permanent Subd Name: Electrician: V Electrician Phone Number: Owner/Builder: Phone Number:l� /5" Location Address: Type of Release: Temporary Permanent Suited Name: Electrician: Lot # Release Date: Electrician Phone Number: Owner/Bnilder: Phone Number: Location Address: 'Type of Release: Temporary Permanent Subd Na me: Electrician: Lot # Release Date: Owner/Ru ildcr: Electrician Phone Number: Phone Number: RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR . FAX TO: Lynn Brennan 92-37 Phone 912=6 3 /orPour � y 2 (025 Location Address: A04-7AP-0 Lot # Release Date: Type of Release: Temporary VICmanent Subd Name: Electrician: /41 /54_646_ Owner/Builder: /,t04p Electrician Phone Number: GZ 43/97a Phone Number: 2Ze414 30,49‘c Location Address: Type of Release: Temporary Permanent Subd Name: Electrician: Lot # Release Date: Owner/Builder: Electrician Phone Number: Phone Number: Location Address: Type of Release: Temporary Permanent Subd Name: Lot # Release Date: Electrician: Owner/Builder: Electrician Phone Number: Phone Number: I ' City of ,,:ee Island • Community Develop._.cnt Dept. Inspection Report 403 Butler Ave. P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 ia" INTERNATIONAL CODE COUNCIL` MEMBER Permit No. - L..i Permit 1N�a. Date Requested Owner's Name de--/- 4. Date heeded if i n. Contractor a-=‘,947/c) Subcontractor Contact Information A;2(. ) _:Ti,„ . %f Project Address % .10") 74-44,--- l Scope ofoa-ldJ;;.(,L� r /,0G) r�%c: /; t Inspector '271/ Date of Inspections sl Inspection f /,7") k-1,),,,.. - Pass � Fai Fee Inspection i<ff °�'`'' "-- f Pass El Fee Inspection Pass bLy;c_)/}//:;3 /0, /Z.,..2; Inspection Pass s8 Fee Fail ❑ Fee City of Tp.iee Island • Community Develop■_:rit Dept. inspection Report 403 Butler Ave. • PM. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4a x73 ext. 114 • Fax 912.786.9539 Permit No. i 1— . 1(.,1- Owner's Name '47 :t Gen. Contractor Contact Information b.::/6/-- 31 Project Address VAA-) f - Scope of Work k)1=G+,A) f17041 Inspector Inspection ,'i.1r�?: a f� ^ ; Date Requested Date eeded INTERNATIONAL CODE COUNCIL` MEMBER Subcontractor •`7? 1 Date of Inspection 77- /1 Inspection / ;,k'-1 --1 - r r41) Pass Fail Fee' Fee Inspection Pass Fail ❑ Fee Hnspectian Pass ❑ Fail ❑ Fee Permit No. City of'' ,uee Island • Community Develo Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, Phone 912.786.4573 ext. 114 • Fax 912.786 / -° 039 Owner's Name Gen. Contractor ct Information f(- 1 Date Requested Date Needed Subcontractor i9 �� - %` ;4 t Dept. GA, 31328 .95339; N® unt INTERNATIONAL CODE COUNCIL' MEMBER 21/'1 -246. .74/Z6 Project Address j 1/9-&) +4 Scope of Wort f7�'0 'i°' /i'PAX- 7A2G. il Inspector `7 fq Inspection /44 Date of Inspection 1774-..> 6 Inspection Pass 1/44,,P> -66 /1;4 Inspection Fee Pass D Fail El Fee Pass Fail Fee Inspection Pass Fail Fee City of ', _ Jet Island o Community Develop_ .ant Dept. Inspection Report 40.3 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912,786.4573 ext. 114 • Fax 912.786.9519 Permit No. L d..3� Owner's came G J Gen, Contractor Date Requested g) / Date Needed Z if Subcontractor INTERNATIONAL CODE COUNCIL' MEMBER Project address 1/4134,274,--) M'S • 9 Scope of Work i/C) //1r/2 Inspector -7 el Date of Inspection Inspection 7` -/is)6 Pass ET. l/ Fee U Inspection f ) Pass © Fail Fee 00/-)J Zc--7 (/(-) Inspection Pass Fail Fee Inspection Pass Fail Fee ermit No. Owner's Name City of raee Island • Community Develop__.ent Dept. Inspection Report 403 Butler Ave, • P.O. Box 2749 Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.7869539 %?2 ,r f. //; Date Requested Date Needed,' 7/ r islwks, INTERNATIONAL CODE COUNCIL MEMBER Gen. Contractor 19L 7J/4//b Subcontractor 4 -1 ke4ce' /c.. Contact Ind or ration ,CI c't -A - ?`147 idgjA JO -,./--:-. l. z_9611•04-(-- ) ''% / Date of Inspection c' /i Z /l Project Address Scope of Work Inspector Inspection 7Z-71/ --7 — 004 --Or'cPssi>1 0 — i.1i2 )K - ,,� Ctii I %�1�) ter 11 Inspection Pass i i Fail Pass ® Fail El Fee Inspection Pass EI Faii [j Fee Inspection Pass Fail r—i Fee 4 City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 Permit No. 07 Owner's Name Gen. Contractor Contact Information I_ - Project Address / tiM Scope of Work Airr,,t4) ----;17 /7:hi( 1,1A<Z, Inspector -14 Date Requested Date Needed Subcontractor /2,_ 466 Nomalk EVA.B.nre INTERNATIONAL CODE mar MEMBER Inspection Date of Inspection / Pass E1_,Ala" Fee Inspection Pass Fail Fee Inspection Pass El Fail Fee Inspection Pass Fail Fee City . `2 Tybee Island — Community Development Department BUILDING PERMIT reT: +:rnrt Number: / � 037'L.. Issued Date: 7. 2 Sok/ • J A 1 -ress Job Name Type of Work: 0 ekgrJuerprJ 98 ' 9 Flood Zone (ijfpplicabie): /1° To avoid penalty this placard must be posted and visible from the street until completion of the project. TO SCHEDULE AN INSPECTION call (912) 786 -4573, extensi n -14, by 4:0© pm the day before you need an fins ection. Floyd Concrete Inc. 42 Telfair Place Savannah, GA 31415 231 -1334 Accounting 233 -1333 Plant 231 -0042 fax Sold To Cash Sale Ticket Number Description 54069 5000 PSI 89 stone 1% Retarder Cash Sales Date 7/21/11 Ship To Coastal City Contracting 16 Van Horn Tybee Island Invoice No. 11 -1259 Payment Method Check Number Ship Date Visa 7/21/11 Qty U/M Rate Amount 16 113.00 1,808.00T 16 2.75 44.00T Subtotal Sales Tax (7.0 %) Total $1,852.00 $129.64 $1,981.64 Permit No. City of Ty-de Island • Community Developmr..it Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 manwsk INTERNATIONAL CODE COUNCIL MEMBER / /" (23- 741 Date Requested tf-/ -' i Owner's Name CA'..)/L ///-1-14L. Date Needed -7/,'/ // Gen. Contractor L L' J1, -- Subcontractor Contact Information l� �' > _ .l �.� 1v ,`r i Project Address /6 Vicld 4- - Scope of Work IQ Jji <,17--- , ! — ( 1// -/t)i3 U /4T4 Inspector / 1 :I Date of Inspection Inspection i � T==-t? Pass Fail Fee Inspection Pass ❑ Fail ® Fee Inspection Pass Fail 0 Fee Inspection Pass ❑ Fail ❑ Fee Ideal Pest Control, Inca 61.15 Garrard Avenue Savannah, GA 3141 912-232-4992 Bill To: C1048363 John Smith 18 Van Horn r -venue Tybee Island, GA Work Date Time Target Pest Purchase Order WORK ORDER: 128147 WORK DATE: 07/20/11 Work Location: t:1048363 John Smith 18 Van Horn Avenue Tybee Island, GA Technician Wednesday 912-398-996' Time In Terms Last Service Map Code Time Out UPON COMPLET Service Description Price PT Pre - Construction Termite Treatment Thank you for your business. EST= Eastern Subterranean Termites Do not allow unprotected persons, children, or pets to touch, enter, or replace items or bedding, to contact or enter treated area (s) until dry. ewe Pesticide / Product • AI % UOM Amount 2 NA, 3 Q t 99 p 3 4 499.8 SUBTOTAL AL 499. 8 TAX 0.0 TOTAL 499.8 AMOUNT DUE $ 499.8 Pesticide / Product % UOM Amount Location of Treatment: Numbers correspond to line numbers above Kitchen Attic Office(s) Bar(s) Bathroom(s) Living Room Shed(s) Lawn Area Store Room Other Dining Room(s) Garage(s) Dumpster Area Rodent Burrow Family Room /Den Bed Room(s) Crawlspace(s) Basement(s) Rodent Pathway Laundry /Utility Site of Treament: Numbers correspond to line numbers above a Baseboards Cabinets Sill Area Eaves Outside Outside Perimeter Beddin Method of Treatment: Numbers correspond to line numbers above Carpeting W I Voids Oth r Zama =k ,. V IA Furniture Other Under and Behind Kitchen E uisment Spot Treatment ULV Machine Broadcast - Fan Spray Space Spray C & C Aerosol Duster Air Sprayer Fumigation Granulate Rat Station Mouse Station Actisol Machine Drill & Treat Voids Slab Injector Total Release Aerosol Other Other * Charges outstanding over 30 days from the date of service are subject to a 1 1/2% FINANCE CHARGE PER MONTH or annual percentage rate of 18 %. Customer agrees to pay accrued expences in the event of collection. I hereby acknowledge the satisfactory completion of all services rendered, and agree to pay the cost of services as specified above. PLEASE PAY FROM THIS INVOICE X CUSTOMER SIGNATURE lrj 7,-70 City of I o Jee Island • Community Develok. ant Dept. a\ S� Inspection Report 403. Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 �t�% Phone 912.786.4573 ext. 114 • Fax 912.786.9539 1/ 6)s 7, // Permit No. 1 D.• to Requested -7 Owner's Name Z-30/2. ilt /fi/,;...► Date Needed 1/2.4„)/// r Gen. Contractor 0/ , 1,1) Subcontractor Contact Informkation I 1 0- ZJh ,-)1---:)•q-14- Proi,ect Address i ,P) VCN./3 --- s: -:i 1 / Scope of Wore uraspecto.r dig' Inspection RR I - Pass nerza INTERNATIONAL CODE COUNCIL` MEMBER Date of Inspection Inspection viz-,C: /1/ &Gz,i x , /20v,/>,e..% r Q n1 F Fee Pass [( Fa Fee Inspection Pass n Fail El Fee Inspection Pass F „.ill 1, Fee City of T;_ee Island • Community Develop►._ -nt Dept. f°f' Inspection Report 15 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 g 00co` Phone 912.786.4573 ext. 114 • Fax 912.786.9539 I 11 Li k I INTERNATIONAL CODE COUNCIL MEMBER Permit No. / ,3 7 Date Requested 7 - 1 FF-1 ° t Owner's Name V (A e, ! ei t e) Date Needed ° I S - 1 t Gen. Contractor . .‹,v do 0 0 zi5-1-. Subcontractor Contact Information � 4 n5`ci Project Address 1 F Va 0 P o r n Scope of Work '(1 C sr Inspector % ! 1 Date of Inspection Inspection ''-- • n 4 Pass �� . l n Fee h ..%/ 6/4 / \jS , � ,. /-,2,47-2=4771 tt Inspection Pass ❑ Fail ❑ Fee Inspection Pass Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee CITY OF TYBEE ISLAND BUILDING PERMIT WATER METER PICKUP FORM DATE ISSUED: 06 -27 -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 # NEW RESIDENTIAL - SF MODULAR 18 VAN HORN JARRETT QUELLETTE 18 VAN HORN TYBEE ISLAND GA 31328 912 - 998 -7479 OKWAHO CONSTRUCTION 2404 DESOTO AVE SAVANNAH GA 31401 2095 P $7,305.40 PROJECT VALUATION $125,000.00 ONE WATER METER (1 -INCH) TOTAL BALANCE DUE: PERMIT #: 110374 $ 0.00 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 DATE ISSUED: 06 -27 -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 * * includes relocation permit NEW RESIDENTIAL - SF MODULAR 18 VAN HORN JARRETT QUELLETTE 18 VAN HORN TYBEE ISLAND GA 31328 912 - 998 -7479 OKWAHO CONSTRUCTION 2404 DESOTO AVE SAVANNAH GA 31401 2095 P $7,305.40 $125,000.00 PERMIT #: 110374 TOTAL BALANCE DUE: $7,305.40 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 APPLICATION FOR NEW CONSTRUCTION BUILDING PERMIT 4 tsk �U 2 sets of building plans copy of survey showing ground elevations & flood zone 1 copy REScheck or COMcheck $250 plan deposit 14-0?-74j 'O Location: / V`/ 4' 2 v4 -', o "Live P1..4ce_ PIN # 't-OD03- 01 -03N NAME ADDRESS TELEPHONE Owner TfrrcW o'(e$ I6 t/N7✓ 14reve (912)998-9y79 Architect or Engineer Building Contractor p k. w4I+a C . sr• cleassozwi yite i Awns A' e- s.44.4 6 4 . 311 D / 9i y -713-o0),3 (Check all that apply) lam- 358 -99(9 (o okwai+0c 9 n,a►.1. cow, Details of Project: (u N ftn u F yA•dwrto, ✓ New Construction ❑ Other Residential ❑ Single Family ❑ Duplex ❑ Multi- Family ❑ Commercial a."" 4Jltw Pe- rio I L,. Estimated Cost of Construction: $ 0 d d Construction Type 1 (1) Wood Frame (2) Wood & Masonry (3) Brick Veneer Proposed use: Remarks: (Enter appropriate number) (4) Masonry (5) Steel & Masonry F sLd (6) Other (please specify) /hvbN w ^ )fivs+ -c, ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the following information based on the construction drawings and site plan: ON # Units Lot Area D. Acres # Off - street parking spaces 1_ Access: Die,ve..,i ✓KN i- ►spa ,vc. Driveway / 0 (ft.) Setbacks: Front yo # Bedrooms 3 # Bathrooms 3 Living space (total sq. ft.) 21) 9C". Trees located & listed on site plan V-cs With culvert? Nv With swale? Rear YD Sides (L) /) (R) /a # Stories Height 31 �7 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 % Ti/✓ On -site waste and debris containers will be provided by A-d G 14,44`C, Construction debris will be disposed by 4tG wrjsrt- by means of 14f r+D A11 vrg 4811.,Pf61.4.4- „w. 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: CA A 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? 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: Zoning Administrator Code Enforcement Officer Water /Sewer Storm/Drainage Inspections City Manager .. Si ature X -IStp re.,k45'A , t\ne.c.v. \911 2og5sei,.P4. 1 '3 '° 2091100 FEES Permit 10(13.00 Inspections , 29.00 Water Tap i's ' 3 :.4o Sewer Stub 4" S$D, o o Aid to Const. 209100 CC Recovery 2000.00 TOTAL r]. 30540 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.) 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. (5.) 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. PLi9,✓ S S ON F1c.c. Applicant name: 0P#44 140 C.,,-s 2/�iJe'`'ll Project I.D.: Attachments approved by: Date: 4-/i l 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 r‘---11-7 Si ature of Owner /Contractor Location of Work: CITY OF TYBEE ISLAND BUILDING & ZONING DEPARTMENT Temporary Electrical Service Affidavit (C/ 1/1n/ N2 4 <- Owner's Name: TA rt G 1' it' a u c l .6 • Address: l6 V (»iai Oel Oro 194e- Jp. 6*¢. .31 Ya,) Contractor's Name: 0 l L 11q I#0 Ce ,-- sr- . This letter is to confirm 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 Date Owner's Printed Name Co "ractor's Signature Date �? 6vier.se.41 Contractor's Printed Name Witness's Signature Date Witness's Printed Name STATE ENERGY CODE AFFIDAVIT \q( Location of Work: >ek V /i-i✓'' -C ✓, Owner's Name: 1-* rre 4+ (),,e,/I et�'e, Address: 1g1//g-r-' ll,rr,c... Contractor's Name: 014,44j-0 Ca Asst: 'idy Oed∎ri 41c. 5,4,/ &t, 3) Yd) 50-- 7 13 -aay3 This letter is to confirm the understanding of the owner / contractor to the compliance requirement of the Georgia State Energy Code for Buildings, 2009 Edition, with 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 Owner's Printed Name ntractor's Signature A- timer ovvi 0 ,h?L4111O C, "tT' Contractor's Printed Name 6 tolii, Date 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. Ii Location of Work: X ✓ ifr✓ lhvr✓e, 4t.e_ Owner's Name: 14 rre-+ f ye /Ie-i-f e, Address: (6 I..T • ✓ A/ Jf t'e 4.L `' yo 1 Oaso f7 k Sslt,c CA. 3) yo J Contractor's Name: 0 k L'i'd Go 1-Sr 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. A e I,)-- BFE Acknowledged and agreed to this / day of 711A-'-e- , 201 . Owner / (Cntractor Signature 1/2-- <j A 4 ( Owner / Contractor Printed Name Location of Work: PER,IT FOR INFRASTRUCTURE ALTERATIONS V 1717ri✓ Ave Owner's Name: 4 ere f Address: ' D 17/44/ 117 Contractor's Name: a He- l /e -& odiero f�✓c. CFAs l^ .fio-v 910/) 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. b. c. d. e. f. The City's infrastructure will not be degraded in any way. All necessary safety precautions will be undertaken. The City will inspect the work in process and upon completion. The work will be accomplished to the City's satisfaction. The City shall be held harmless of any liability or damages of any variety. 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: 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 Owner's Printed Name retractor's Signature Contractor's Printed Name Date Date APPROVAL Zoning Building /Code Water /Sewer Drainage Date Date Date Date CITY OF 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 `<5 �%i-�✓ )f a rAit /19,e- Location of work (street address) Contractor Q 4 j..%#1 14b 6A-sr Address of contractor Z 9D 1 OR S 010 hive. Sht - (j.4 - 3) V 6 / Contact name & telephone number of contractor A. G tie'? `p). - 7 /3 -td o y3 Name of property owner JArre (/e i' t cG Mailing address of property owner I VI' ,9r r r7r { Telephone number of property owner 9 7 y — I T r-- 7 `% 7, Details of project (o "5 CAA. 'T s/ � % 7 4 ",,1, //i 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" I 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 signature Date Owner printed name Cont ctor signature Contractor printed name Dat CITY OF TYBEE ISLAND SUBCONTRACTOR LIST Location of Work: ) I/!M✓ Owner's Name: Tq rpe. -'1 Address: 1 ca,„J 1,-ad✓15t- Contractor's Name: 0 /L 6✓19-i,v CE9Mr. 2-yd'? ✓m 0 r0 G.i _ Si 'SDI IK 7)r -o"z3 List the company name, business type, address, license number, contact person and phone number of all participating subcontractors. d G�, 1. Company 0 k w ii- 0 I � Business Type alix 6C444 Co.-2P--.9,-7-14^- Address 2,404 Ns 6 il, Ave- i1✓- G 4 . License Number 6 6,-,E6 a 01 7-c0 Contact Person 12,1,44.0.1 6 e.v v 4 Phone Number 1/ 2- - 713-- 4 d )-3 2. Company Address .6e�M, Contact Person Business Type License Number Phone Number 3. Company 41 CL•e cry& c. Business Type 64,e-4741c Gota • Address Li(? fLA, 6,4• 11.44/ 1) £4 -313 "License Number t" NZ- 1y /y'1 Contact Person eRL,cc w.S Phone Number %l Y-'31- 5 J6 q b• y040'dG k}La.i- ffraW11 n.� 4. Company Business Type /4-✓I*-G 40nf•• Address ?- il f -e 4..-e • Contact Person 'r'- /0146), License Number C / d'/ 3'I Phone Number 40 -ilie-r,— 5. Company / f e 4L J°1 bi Business Type ply &, Iv (& . Address ?7'1 F -.. f �,w �l � 2 M" ' G4 License Number %'• I°n 0 0 6 3J- (1 Contact Person )1 d /+e- t. Phone Number 9i �. - ('3 - 6f3Y Attach additional sheets if needed. ORDINANCE NO. 36 -2010 AN ORDINANCE TO AMEND THE CODE OF ORDINANCES TO AMEND SEC. 3 -130, STRUCTURES TO BE MOVED, FOR THE CITY OF TYBEE ISLAND, GEORGIA WHEREAS, the duly elected governing authority for the City of Tybee Island, Georgia, is authorized under Article 9, Section 2, Paragraph 3 of the Constitution of the State of Georgia to adopt reasonable ordinances to protect and improve the public health, safety, and welfare of the citizens of Tybee Island, Georgia, and WHEREAS, the duly elected governing authority for the City of Tybee Island, Georgia, is the Mayor and Council thereof, and WHEREAS, the governing authority desires to adopt ordinances under it police, zoning, and home rule powers, and WHEREAS, the City of Tybee Island so as to amend Section 3 -130 of the Land Development Code pertaining to structures to be moved; and NOW, THEREFORE, be it ordained by the governing authority of the City of Tybee Island that Sec. 3 -130 is amended so that it will hereinafter read as follows: Sec. 3 -130. Structures to be moved. Sec. 3-130. Structures to be moved. (A) Existing structure to be moved. Any structure which has been wholly or partially erected on any premises located within the city shall not be moved to any other premises in the city until a permit for such removal is secured from the building and zoning department. Any such building or structure shall conform to all provisions of this Land Development Code in the same manner as a new building or structure. Structures that are determined to be historic and are contributing to the historic character of the neighborhood or are eligible for listing on the National Register of Historic Places may be exempt from having to come into compliance with current building codes as determined by the State Historic Preservation office. (B) Modular structures to be moved. No structure shall be moved into the city from outside the city until such compliance has been shown and such permit has been secured. Before a permit may be issued for moving a structure, the building official shall inspect the same and shall determine if it is in compliance with all city and state regulations. In addition, all modular units wishing to be located within the city limits must first provide to the Community Development Office the appropriate state certification for the construction of such a structure from the Department of Community Affairs. It is the intention of the governing body, and it is hereby ordained, that the provisions of this ordinance shall become and be made a part of the Code of Ordinances, City of Tybee Island, Georgia, and the sections of this ordinance may be renumbered if necessary to accomplish such intention. This Ordinance shall become effective on day of , 2010. ADOPTED THIS _ DAY OF , 2010. ATI`EST: MAYOR CLERK OF COUNCIL FIRST READING: 10.28.10 SECOND READING: 11.18.10 ENACTED: EMH/TYBEE /ORDINANCES /36 -2010 Sec. 3 -130 Structures to be moved 10.28.10 6-010 5 sag IBC 0I- (B -((; kas r oJ-90 4a CG (B) Relocation permit. A relocation permit is required any time a manufactured home, trailer, out Buildings used for the purpose of storage only with no need for electricity or plumbing are exempt from this requirement. A relocation permit is required any time a manufactured home, trailer, out building, house, structure, or component is moved to or from any lot or parcel within the City of Tybee Island. Electrical, mechanical and plumbing permits are not included within this permit. (C) Sign permit. Prior to the erection of a sign for either on- premises or off - premises advertising, the zoning administrator designated City official must first issue a permit in accordance with the sSign rRegulations set forth in aArticle 6. Permits are required for both temporary signs as well as permanent signs. (D) Demolition permit. Prior to destruction of a building, structure, or sign, a demolition permit is needed. Such permit may be attained from the city code enforcement department designated City official. Demolition permits may require review by designated City representatives. If the building, structure, or sign proposed for demolition is a contributing historic resource, the City has 45 days to arrive at a viable alternative to demolition. (E) Electrical permit. An electrical permit is needed before installing or replacing any electrical wiring or fixtures. This permit is may not be needed if a relocation or building permit has already been issued on the structure. (F) Plumbing permit. A plumbing permit is needed whenever a plumber installs a new plumbing system or fixtures in an existing structure or replaces existing plumbing or fixtures. This permit is may not be needed if a relocation or building permit has already been issued on the structure. (G) Mechanical permit. A mechanical permit is needed before a licensed installer may install or replace any mechanical device such as a heating and /or cooling system for air or water. This permit is may not be needed if a relocation or building permit has already been issued on the structure. (H) Land clearing, disturbance or excavation permit. Regardless of the use of the land, a permit is required prior to grubbing or the clearing of trees, topsoil, or water on any parcel of land in the eCity. A drainage plan with supporting calculations is required prior to the issuance of any permit for all new construction. The plan and calculations shall be prepared by a professional engineer licensed by the sState of Georgia to provide such services. Furthermore, there shall be no excavation or addition of soil, trees, or water until all proper permits are obtained. This permit is not needed if a relocation (I) Tree removal. A tree removal permit is required if a person intends to remove either a Gignificant tree or any number of trees that will result in a tree density of less than required. This permit is required regardless of any other permits obtained. (J) Reserved. (K) Prohibit placing materials in the marshlands. Notwithstanding any other provision of any ordinance or regulation to the contrary, no permit for building, land clearing, land filling, grubbing, or for the addition of materials to any area of "marsh," "marshlands," "coastal marshlands," "vegetated 05/31/2011 3 e: Oour;1 1.13 -1 A Motion to approve by Paul Wolff was seconded by Kathryn Williams. The vote was unanimous. • 2nd reading 3 -040, Substandard lots of record A Motion to approve by Bill Garbett was seconded by Paul Wolff. The vote was unanimous. • 2nd reading 3 -070, Permissible structures per lot /Accessory structures • 1st Reading LDC Article 3 in its entirety without 3 -030, 3- 040,3 -050, 3 -060, 3- 070,3 -130, 3 -140, 3 -190, 3 -200, 3 -250 (pgs 84 -99) A Motion by Kathryn Williams to postpone 2nd reading of 3 -070 and 1st reading of Article 3 was seconded by Wanda Doyle. The vote was unanimous. • Resolution authorizing application for DNR Grant to rework North Beach restrooms and shower. Kathryn Williams abstained. A Motion to approve by Paul Wolff was seconded by Frank Schuman. The vote was unanimous. • Sec. 5 -010 B -Amend to require relocation permits for ALL structures Wanda Doyle recused and left the room during the discussion. A Motion by Kathryn Williams to send Section 5 -010 (B) to Planning Commission for review in regard to requiring relocation permits for all structures was seconded by Bill Garbett. Garbett added a request to PC to review Article 3 -130 in order to make sure both code sections are consistent. Williams agreed. The vote was unanimous. • C -2 Zoning- Change C -2 to include only properties facing Hwy 80 Wanda Doyle recused. A Motion by Kathryn Williams to ask Planning Commission for consideration to review current C -2 zoning in order to get their recommendation to eliminate ambiguity was seconded by Paul Wolff. Prepared 01/14/2011vw Page 4 of 5