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Home My Public Portal AboutNINTH TERR_1Permit 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 1 3 0 Z 491 Date Requested 10-3-G Owner's Name —1-01,v-‘ pk..14nS Date Needed 10- 4 " 13 Gen. Contractor PPrt5 4- . 'o JLy Subcontractor Contact Information 'k2 i (d ,?j C ?5 . 6 r g / Project Address 1 1 I∎ /-04--k ar r 6 rd 4 ` - --P Scope of Work � („J:,-, ri 0 L,,ac- Inspector 7th Date of Inspection /4 . • Inspection r J Q c -- -C. n 0 ( Pass J Fail I Fee ifs EiZtrai INTERNATIONAL CODE COUNCIL MEMBER Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee CITY OF TYBEE ISLAND BUILDING PERMIT CHANGE SCOPE & VALUE DATE ISSUED: 05/02/2013 PERMIT #: 130249 WORK DESCRIPTION R &R SIDING /WINDOWS WORK LOCATION 1 NINTH TERRACE OWNER NAME R TOMPKINS & REIN ADDRESS 1337 PINE ST CITY, ST, ZIP NEW ORLEANS LA 70118 -5220 PHONE NUMBER CONTRACTOR NAME PRESTIGE ROOFING CONCEPTS LLC ADDRESS 414 TANGLEWOOD RD CITY STATE ZIP SAVANNAH GA 31419 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEES CHARGED $ 445.00 PROPERTY IDENTIFICATION # PROJECT VALUATION $50,000.00 ADD $40,000 FOR REPLACE WINDOW TRIM; NEW HOUSE & WINDOW WRAP; NEW SIDING TOTAL BALANCE DUE: $ 320.00 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 BUILDING PERMIT CHANGE SCOPE & VALUE DATE ISSUED: 04 -16 -2013 PERMIT #: 130249 WORK DESCRIPTION R &R SIDING /WINDOWS WORK LOCATION 1 NINTH TERRACE OWNER NAME R TOMPKINS & REIN ADDRESS 1337 PINE ST CITY, ST, ZIP NEW ORLEANS LA 70118 -5220 PHONE NUMBER CONTRACTOR NAME PRESTIGE ROOFING CONCEPTS LLC ADDRESS 414 TANGLEWOOD RD CITY STATE ZIP SAVANNAH GA 31419 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEES CHARGED $ 445.00 PROPERTY IDENTIFICATION # PIN #4- 0006 -05 -008 PROJECT VALUATION $50,000.00 ADD $40,000 FOR REPLACE WINDOW TRIM; NEW HOUSE & WINDOW WRAP; NEW SIDING TOTAL BALANCE DUE: $ 320.00 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.cityoft-bee.org DATE ISSUED: 04 -16 -2013 WORK DESCRIPTION CITY OF TYBEE ISLAND BUILDING PERMIT R &R SIDING WORK LOCATION 1 NINTH TERRACE 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 R TOMPKINS & REIN PO BOX 500 TYBEE ISLAND GA 31328 -0500 PRESTIGE ROOFING CONCEPTS LLC 414 TANGLEWOOD RD SAVANNAH GA 31419 P $ 125.00 PIN #4- 0006 -05 -008 $10,000.00 PERMIT #: 130249 S _ 2 .1 3 eLa^ $ G o L .I- V o, I v- 'i-q P °• -�or 11JA�� rC plQC.e►' -rsk.5 . LD Co r itaen t, �(4^ Jo krr5on. NPiP.a-1 c.e.INsEJ • TOTAL BALANCE DUE: $ 125.00 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 Property Address: ,� /TA e f'c4, City of Tybee Island, Georgia 912 - 472 -5033 or 912 - 472 -5031 - Fax 912 - 786 -9539 APPLICATION FOR BUILDING PERMIT Piee l5 4,cf, Ciu S-dda5-40Si Single Family ❑ Duplex ❑ Multi - Family units ❑ Commercial units Details of Project: 4-.1w, c - (Check all that apply) ❑ Discovery/Tearout ❑ Footprint Changes — new square feet heated /cooled ®"t C7 ((g?co /r ah/ ❑ Demolition of Structure ❑ Other Estimated Cost of Construction: $ ter. e— ( . z .r.i r h C.� \r■ Ag. 1— w ‘• ck 0 tr-) (materials + labor + profit/overhead) .t If applicable, attach a copy of the certified elevation certificate and /or survey of the property. Depending upon the scope of the work, two sets of construction drawings and /or a site plan may be required. Year Built: 2005 Listed on National Historic Register or located within a National Historic District? Y /( * Buildings older than 50 years may be eligible to be listed on the State / National Register. With this designation, you may be eligible to take advantage of various tax incentive programs while preserving the heritage of Tybee Island. * Also see the Tybee Island Land Development Code Article 14: Historic Preservation During construction: On -site restroom facilities will be provided through . Construction debris will be disposed by (oc. / c r by means of 2c 4 . I understand that I must comply with zoning, flood damage control, building, fire, shore protection and wetland ordinances, FEMA regulations and all applicable codes and regulations. I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected as required by Article 16, Stormwater Management. I accept responsibility for any corrective action that may be necessary to restore drainage impaired by this permitted construction. Date: 7 2 2/3 Signature of Applicant: Printed Name s'e Note: A permit normally takes 7 to 10 days to process Approvals: Planning & Zoning Manager Building Official Water /Sewer Storm /Drainage City Manager 7%ee7 —!3 FEES Permit Inspections Cap Cost Rec Water Tap Sewer Stub Eng. Fees Aid to Const. TOTAL Name Mailing Address Telephone Owner ipat ,-7,,_ 4..0,1,.. : ? /(pis / 9' %c<- rd- Home: c?'(2 --^l -no Cell: Architect or Engineer Contractor )' -e Is 6 h q (a,r Office: Cell: 91(Z�„2 60 7 Property Address: ,� /TA e f'c4, City of Tybee Island, Georgia 912 - 472 -5033 or 912 - 472 -5031 - Fax 912 - 786 -9539 APPLICATION FOR BUILDING PERMIT Piee l5 4,cf, Ciu S-dda5-40Si Single Family ❑ Duplex ❑ Multi - Family units ❑ Commercial units Details of Project: 4-.1w, c - (Check all that apply) ❑ Discovery/Tearout ❑ Footprint Changes — new square feet heated /cooled ®"t C7 ((g?co /r ah/ ❑ Demolition of Structure ❑ Other Estimated Cost of Construction: $ ter. e— ( . z .r.i r h C.� \r■ Ag. 1— w ‘• ck 0 tr-) (materials + labor + profit/overhead) .t If applicable, attach a copy of the certified elevation certificate and /or survey of the property. Depending upon the scope of the work, two sets of construction drawings and /or a site plan may be required. Year Built: 2005 Listed on National Historic Register or located within a National Historic District? Y /( * Buildings older than 50 years may be eligible to be listed on the State / National Register. With this designation, you may be eligible to take advantage of various tax incentive programs while preserving the heritage of Tybee Island. * Also see the Tybee Island Land Development Code Article 14: Historic Preservation During construction: On -site restroom facilities will be provided through . Construction debris will be disposed by (oc. / c r by means of 2c 4 . I understand that I must comply with zoning, flood damage control, building, fire, shore protection and wetland ordinances, FEMA regulations and all applicable codes and regulations. I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected as required by Article 16, Stormwater Management. I accept responsibility for any corrective action that may be necessary to restore drainage impaired by this permitted construction. Date: 7 2 2/3 Signature of Applicant: Printed Name s'e Note: A permit normally takes 7 to 10 days to process Approvals: Planning & Zoning Manager Building Official Water /Sewer Storm /Drainage City Manager 7%ee7 —!3 FEES Permit Inspections Cap Cost Rec Water Tap Sewer Stub Eng. Fees Aid to Const. TOTAL LEAD -BASED PAINT RRP RULES Ordinary renovation and maintenance activities can create dust that contains lead. Contractors who perform renovation, repairs, and painting jobs in pre -1978 housing and child- occupied facilities must, before beginning work, provide owners, tenants, and child -care facilities with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard information for Families, Child Care Providers, and Schools. Contractors must document compliance with this requirement. After April 22, 2010, federal law will require you to be certified and to use lead -safe work practices. Georgia Environmental Protection Division Lead -Based Paint and Asbestos Program (404) 363 -7026. Projects must be done by a Certified Lead Renovation Firm AND a Certified Renovator When disturbing lead -based painted or coated surfaces or components more than 6 ft2 per interior room or 20 ft2 of exterior surfaces AND all window replacements and partial demolitions of any size. * * * * * * * * * * * * * * * * * * * ** Asbestos /Environmental Notification to Georgia EPD for Projects Involving Demolition, Wrecking, or Renovation The undersigned hereby acknowledges that the issuance of this permit does not in any way grant permission to the owner, owner's representative, or permit holder to proceed with demolition, wrecking, or renovation of a structure prior to the filing of any required ten (10) day "Project Notification for Asbestos Renovation Encapsulation or Demolition" form in accordance with the Georgia Asbestos Rules. The Georgia Environmental Protection Division administers the rules. In most cases, the rules require both the owner and the involved contractors to assure the portion of the building involved in the project is thoroughly inspected by an Accredited Asbestos Inspector for materials that contain asbestos; and the removal of the asbestos before renovation, wrecking, or demolition begins almost without exemption. Georgia EPD requires a completed demolition notification from be submitted 10 workings days in advance even if no asbestos is present in the building. Further guidance for regulatory compliance and contact telephone numbers are provided by the brochures entitled Asbestos & Renovation and Asbestos and Demolition. Other environmental issues such as asbestos removal techniques, lead abatement, ground contamination, or unusual site conditions may have EPD regulations that could affect the project. * * * * * * * * * * * * * * * * * * * * * BMPs While BMP deficiencies are not necessarily the fault of the owner or his agent, BMPs are their responsibility. Two areas of deficiencies are in the most basic and common BMPs; Co — Construction Exit and Sd1 — Sediment Barrier. Correct installation information can be found in the Field Manual for Erosion and Sediment Control in Georgia, Fourth Edition 2002, Georgia Soil and Water Conservation Commission; http://www.gaswcc.org/docsifield_manual_4ed.pdf. Problems with the Co is not limited to the installation, but to material. The stone will be a representation of 1.5 " -3.5" stone or larger. Type A sediment barriers have been installed where Type C is required and shown on the permit drawings. Where two rows are called for they will be installed with a separation that allows for the first one to fail (fall over) without impacting the second one. The complete assembly and installation must be compliant; steel or wood p post spacing, Type C or A. Sfgnat or receipt of Lead Paint, Asbestos, and BMP notices. Date -54e/(47 ��cF Printedame Thunty Board of Assessors- 1.012 Property Record Card 4- 0006 -05 -008 i12 Chatham County Board of Assessors Property Record Card APPRAISER MT LOT 10, EAST EXT SUB OF BEACH LOT 56 & THE EAST HALF LAST INSP 02/04/2010 OF LOT 11 WARD 3 TYBEE APPR 000008 OZONE SALES BOOK / INS VI QU RSN PRICE PAGE 22 Apr 1993 159P - WD I U U8 58,400 0050 GRANTOR:REINSCHMIDT DANA C ET AL GRANTEE:TOMPKINS & REINSCHMIDT R 01 Jun 1985 GRANTOR: GRANTEE: PERMITS TYPE DATE 090025 RF 1080301 RN 040103 040190 1040103 CO BR NC COMMENTS: 04 May 2007 16 Mar 2006 31 Aug 2005 I U UO 67,500 AMOUNT 04 Feb 2010 Comp 3,800 18 Jun 2008 Issued 48,000 14 Jun 2005 Issued 04 Jan 2005 Comp 1 04 Jan 2005 Insp 333,750 TY07 AOS ENT /ROBERT 5-4- 07 TY06 10S ENT 3/16/06 LHN 2006 NEW PIN; COMBINATION OF 4 -6 -5 -1 & 4- 6-5-2 PER OWNERS REQUEST 8/30/05 PL ADD CHG PER FORM 08/02/05 JLM *SURV DEED 159P 50 LAND ID# USE DESC 109680 ATLANTIC OCEAN FRONT Page 1 of 4- 0006- 05 -OOf 1 9TH TER TYBEE !SLAN C CAMA ASMT 1,280,800 1,280,800 LAND ' 362,300 362,300 BLDG ' OBXF 1,643,100 1,643,100 Cost - MS TOMPKINS & REINSCHMIDT ROBERT & DANA C' PO BOX 500 TYBEE ISLAND GA 31328 [Click for larger picture] bChatham County �� ♦ Tax Commissioner CODES PROPERTY USE UTA NBHD 0006 RESIDENTIAL 0004 Tybee Island 020204.00 T204 TYBEE BEACHFRON EXEMPTIONS S1 L9 L1 SC L8 HISTORY LAND IMPR TOTAL 2011 1,052,500 709,500 1,762,000 MA 2010 1,052,500 709,500 1,762,000 MA 2009 1,052,500 709,500 1,762,000 Ow 2008 1,052,500 709,500 1,762,000 Ovi 2007 1,762,000 NC 2006 1,762,000 A/C FRONT DEPTH UNITS / TYPE PRICE ZONING LCTN TOPO OTHER ADJ1 ADJ2 ADJ3 ADJ4 MKT VALUI 70 175 70.00 -FF 19000.00 R2 RE -10 DP7 1280800 http: //boa.chathamcounty. org /DesktopModules/ ChathamCounty / BoardofAssessors /PropertyRecordCard.asp... 4/16/2 Chatham County Board of Assessors. 2012 Property Record Card 4- 0006 -05- Z Pag 2012 Chatham County Board of Assessors 4- 0006 -05• Property Record Card 1 9TH TER TYBEE ISL BUILDING SECTION CONSTRUCTION TYPE RCN AYB EYB DEP TYPE PHYS ECON FUNC OBSV / % TOTAL DEP % RCNLD U.FACTOR MK 85308-1 -2012 iltesidential 381,412 2004 2004 MS 5.00 0.00 0.00 0.00 5.00 362,341 362 [Click for larger picture] SECTION TYPE 1 - Main AREA 4424 TYPE 1 - Single- family Residence FRAME 1 - Stud Frame STYLE 2 - Two Story QUALITY 4.00 CONDITION 3.00 # UNITS 0 # OF BEDS / BATHS 5 / 4.10 COMPONENTS Units % QU, R1 108 Frame, Siding, Wood 100.00 R2 214 Metal, Preformed 100.00 R3 352 Heat Pump 100.00 R4 402 Automatic Floor Cover Allowance R6 601 Plumbing Fixtures ( #) 16.00 R6 602 Plumbing Rough -ins ( #) 1.00 R6 622 Raised Subfloor (% or SF) 100.00 R6 641 Single 1 -Story Fireplace ( #) 1.00 R7 721 Carport, Flat Roof (SF) 1183.00 R7 721 Carport, Flat Roof (SF) 69.00 R7 721 Carport, Flat Roof (SF) 64.00 R11 901 Open Slab Porch (SF) 170.00 R11 901 Open Slab Porch (SF) 170.00 R11 901 Open Slab Porch (SF) 156.00 R11 903 Wood Deck (SF) 69.00 R11 904 Slab Porch (SF) with Roof 280.00 R11 904 Slab Porch (SF) with Roof 72.00 R11 904 Slab Porch (SF) with Roof 69.00 R11 904 Slab Porch (SF) with Roof 64.00 R11 909 Enclosed Porch (SF), Solid Walls 324.00 R11 909 Enclosed Porch (SF), Solid Walls 100.00 R11 909 Enclosed Porch (SF), Solid Walls 72.00 http: // boa. chathamcounty. org /DesktopModules/ ChathamCounty/ BoardofAssessn mmr..,,Pr1,,no,.....,,,-.___ ____ DATE ISSUED: 06 -18 -2008 WORK DESCRIPTION WORK LOCATION CITY OF TYBEE ISLAND BUILDING PERMIT REPAIR DECKS/WINDOWS /SIDING 1 NINTH TERRACE OWNER NAME R TOMPKINS & REIN ADDRESS PO BOX 500 CITY, ST, ZIP TYBEE ISLAND GA 31328 -0500 PHONE NUMBER CONTRACTOR NAME CUSTOM CONSTRUCTION CO OF SAVH ADDRESS 9832 LEHIGH AVE CITY STATE ZIP SAVANNAH GA 31406 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEES CHARGED $ 399.00 PROPERTY IDENTIFICATION # PROJECT VALUATION $48,000.00 PERMIT #: 080301 TOTAL BALANCE DUE: $ 399.00 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 LY • Inspection Report City of Tybee Island \ 403 Butler Ave. P.O. Box 2749 Tybee Island, GA 31328 Phone: (912) 786-4573 ext. 114 Fax: (912) 786-9539 Permit No ._;?:. (D 1 Date Requested J_Lic, - 0 E Owner's Name I fl tv-k DJ( . r,.5. Date Needed 1/-7- 3 F Gen. Contractor ( ,.7.1-. S4—. Subcontractor Contact N umber Location I Kc 'k (' '41 --1---(2-r-r . Inspector /16 Date of Inspection I I )1 11 1-)g) Type Inspection , r o_ i -) I j 0. ..- cl- ,,3 V- r .: ire c:_"1- ;S S ored 0 i) Q LA- 7 - d 1, Fail Co r\iy \. Inspection Report City of Tybee Island 403 Butler Ave. P.O. Box 2749 Tybee Island, GA 31328 Phone: (912) 786-4573 ext. 114. Fax (912) 786-9539 rerm'it No. a<_ t93-D Date Requested Owner's Name i)rkciL Date Needed Gen. Contractor Contact Number Ora Ct 4 6 k Location Inspector 711 Subcontractor Type of Inspection L kk < r (2 p: pa4,ie7.0 ; 0- - Co_S_7,9 g a Date of Inspection ry 10- 2-0s) .5- e ci'o,T 1:-.) I k / t":- \to ‘,..t)61/3 IN, s4E Pass Fad / fps 4133 tut‘et Me. O, 31..14 PUotte. OW 70-4513 faor. (911) 7136-9539 y �� s�,ubrort'tr y L 2 or ktIer j)-->)--sj; \-. ___\.---- ,,,,P, Date 0i 105pectio, it) 1 ...% .,fir z or Inspectioli City of Tybee Island 403 Butler Ave. P.O. Box 2749 Tybee Island, GA 31328 Phone: (912) 786-4573 ext. 114 Fax: (912) 786-9539 iber 11) Date Requested Date Needed Subcontractor L II Date of inspection AD/Z/05 nspection (.,..=% 5a)ss--tt ocz PW-4141 t.)cy s ,7).1 P%--)-)72-001-&p Pasf -Of WI. Inspection Report City of Tybee island 403 Butler Ave. P,O,. Box 2749 Tybee Island, GA 31328 Phone: (912) 78-4573 ext. 114 Fax: (QV) 786-9510 113- 03D( . nee's !#ame I ( .1) 5-t--'7D EV1 n. Contractor f el rj c rvntact Number _ocation Inspector Type of Inspectioin IT Date Recple.KteAl ) 9_ 69 Date Needed 09- /7- De Subcontractor 1cLL2Si2- (2 .5 fQ r Date of Inspection ----77-> 0-c34-331 Location: Owner Architect or Engineer Building Contractor CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT NAME TOrvt P 4- J rJ S L \\ wA ttf ) Ar Son! ic>0 DAu ?LL-zit (Check all that apply) Repair ❑ Renovation ❑ Minor Addition El Substantial Addition El Other Details of Project: Re iWJ f= ct N7 Pc s e ,3 XNSTA -t-c_ F2 Ary I Estimated Cost of Construction: $ Construction Type (1) Wood Frame (2) Wood & Masonry (3) Brick Veneer Proposed use: Remarks: t PIN# C - - OGSS ADDRESS (-;,_ Jrac.) —Ty 13Et ( 2 (%.11-C_ C! Soo CIA C��t7 �Ss 3L Le 06-4 AVE Sqv. C- Residential Single Family El Duplex El Multi - Family El Commercial TELEPHONE Z q12 - & -l9iio 3 1 /-I o /12 -(0 S-4-4-0 ❑ Footprint Changes ❑ Discovery El Demolition / / 4 0e -ctc.c 4,— Sc_ke, FLGc�tL w:4 t eft 10/2_001---- Co rca4_ D SC) of ,C I-1 600x- 5( )) 1 NC, To !�',� 6L r ti _c/Ot- (Enter appropriate number) (4) Masonry (6) Other (please specify) (5) Steel & Masonry ATTACH A COPY OF THE CERTIFIED EL following information based on # Units Lot Area # Off - street parking sp : ces Trees located & listed • n site Access: Driveway (ft. Setbacks: Front VATION SURVEY OF LOT and complete the ings and site plan: Bedro iving s ce (istal s4. ft.) Wi cu vert. Re. # Bathrooms With swale? Sides (L) (R) # Stories Height ' errtical 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 I o Yu V — v On -site waste and debris containers will be provided by / D R 144 to i ��- Construction debris will be disposed by S AV4NNA H by means of —0(04--) p - C(2yvt) 41.1=-• a i c 4 S,4ti`( A r i oAi 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: G `jr 0 S 7 Signature of Applicant: /i� �� 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) Access to building site Distance to water main tap site Distance to sewer stub site Water meter size Storm drainage EX.I 11N1 Approvals: Signature Zoning Administrator Code Enforcement Officer 6#4,-4/---)„,_ Water /Sewer Storm/Drainage Inspections City Manager NFIP Flood Zone Existing Date FEES Permit Inspections Water Tap Sewer Stub Aid to Const. N/A N/A TOTAL 3q "1. Permit Acknowledgement of Asbestos /Environmental Notification to Georgia EPD for Projects Involving Demolition. Wrecking. or Renovation The undersigned hereby acknowledges that the issuance of this permit does not in any way grant permission to the owner, owner's representative, or permit holder to proceed with demolition, wrecking, or renovation of a structure prior to the filing of any required ten (10) day "Project Notification for Asbestos Renovation Encapsulation or Demolition" form in accordance with the Georgia Asbestos Rules. The Georgia Environmental Protection Division administers the rules. In most cases, the rules require both the owner and the involved contractors to assure the portion of the building involved in the project is thoroughly inspected by an Accredited Asbestos Inspector for materials that contain asbestos; and the removal of the asbestos before renovation, wrecking, or demolition begins almost without exemption. Georgia EPD requires a completed demolition notification from be submitted 10 workings days in advance even if no asbestos is present in the building. Further guidance for regulatory compliance and contact telephone numbers are provided by the brochures entitled Asbestos & Renovation and Asbestos and Demolition. Other environmental issues such as asbestos removal techniques, lead abatement, ground contamination, or unusual site conditions may have EPD regulations that could affect the project. //z/i;_e;„ Undersigned V'D • .-epLt tC�-� Printed Name Office Use Only: Project Address: Permit Number: / _C) Date