HomeMy Public PortalAbout11-0446 MeyerCity of „Jee Island • Community Develor. .ent Dept.
Inspection Report
403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328
Phone 912.786.4573 ext. 114 • Fax 912.786.9539
Irk
NMI*
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INTERNATIONAL
CODE COUNCIL
MEMBER
Permit No. S Date Requested
Date Needed
Gen. Contractor / Subcontractor
Contact Information L ;/- <-4b4-/
Owner's Name /1/2
Project Address -7//
Scope of Work
Inspector
Inspection ,- - Pass
,A;(74,
Date of Inspection/
Fail • Fee
Inspection Pass El Fail Fee
Inspection Pass Fail El Fee
Inspection Pass Fail 0 Fee
FROM
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fa M c ELROY METAL
CORPORATE OFFICE • P.O. BOX 1148 • SHREVEPORT, LA 71163-1148 • (318) 747-8000 • FAX (318) 747 -8029
051-w)
(TUR >AUG 9 2011 0:40/ST. 9 :47 /No. 9305296179 P 1
'TECH I I CAi BULLETIN
Issue Date : March 2, 2000 No. 01- 112 -00
Air and Water Infiltration
Meridian 26 Ga.
On January 27, 2000, McElroy Metal, Inc. tested its Meridian Panel for air leakage and water
penetration.
TEST METHODS:
Air Leakage: ASTM E1680 -95, "Rate of Air Leakage Through Exterior Metal Roof Panel
Systems"
Water Penetration: ASTM E1646 -95, "Water Penetration of Exterior Metal Roof Panel Systems
by Uniform Static Air Pressure Difference"
TEST SPECIMEN:
McElroy Metal, Inc. 26 Ga. 16 in. wide Meridian Roof Panel over #30 underlayment with 6 inch
overlaps. Panels were attached to 5/8" plywood using #10 -12 Pancake Head woodgrip fasteners at
21 inches on center. All plywood butt joints were sealed with silicone sealant.
TEST RESULTS: *Results are extrapolated to different panel widths.
Test Report No. : T124 -00 Dated : February 7, 2000
MIDWEST DIVISION - CLINTON, IL
NORTHEAST DIVISION • WINCHESTER. VA
WEST TEXAS DIVISION • MERKEL, TX
CORPORATE OFFICE
SHREVEPORT, LOUISIANA
SOUTHEAST DIVISION • PEACHTREE CITY. GA
SOUTHWEST DIVISION • BOSSIER CITY, LA
GREAT LAKES DIVISION • MARSHALL, MI
WESTERN DIVISION • ADELANTO, CA
BLUEGRASS DIVISION • LEWISPORT, KY
A 5 on fo T
Air Infiltration
Water Penetration
Specimen
Static
Pressure
Differential
(psf)
Air
Infiltration
rate
(cfm /lf)
Air
Infiltration
rate
(cfm /sf)
Static
Pressure
Differential
(psf)
Rate
(gal. /hr /sf)
Test
Duration
(min)
Water
Infiltration
*Meridian
12" 26 Ga.
+./ -6.24
0.002
0.002
12.00
5
15
None
*Meridian
12" 26 Ga.
+/ -1,57
0.002
0.002
Meridian
16" 26 Ga.
+/ -6.24
0.002
0.001
12.00
5
15
None
Meridian
16" 26 Ga.
+/ -1.57
0.002
0.001
*Meridian
18" 26 Ga.
+1 -6.24
0.002
0.001
12.00
5
15
None
*Meridian
18" 26 Ga.
+1 -1.57
0.002
0.001
Test Report No. : T124 -00 Dated : February 7, 2000
MIDWEST DIVISION - CLINTON, IL
NORTHEAST DIVISION • WINCHESTER. VA
WEST TEXAS DIVISION • MERKEL, TX
CORPORATE OFFICE
SHREVEPORT, LOUISIANA
SOUTHEAST DIVISION • PEACHTREE CITY. GA
SOUTHWEST DIVISION • BOSSIER CITY, LA
GREAT LAKES DIVISION • MARSHALL, MI
WESTERN DIVISION • ADELANTO, CA
BLUEGRASS DIVISION • LEWISPORT, KY
A 5 on fo T
FROM
(TUE)AUG 9 2011 10: 01 /ST. 10: 00 /No. 9305296180 P 2
McELROY METAL, INC.
KYNAR 500'
COATING SYSTEM LIMITED WARRANTY
APPLICABLE PRODUCTS: MCELROY THRU- FASTENED WALL AND ROOF PANELS AND MERIDIAN
McElroy Metal, Ine. ( "McElroy ") warrants to the purchaser of McElroy panels using Galvalume, galvanized
G90 or aluminum substrates with standard Kynar 500' or Hylar 5000' coating systems that when used in
exterior applications the coating system will meet the following standards. For warranty terms on special and/or
non standard colors, please contact a McElroy representative.
. For a period of 40 years from the date of shipment, the coating system will not crack, check or
peel (lose adhesion).
2. For a period of 30 years from the date of shipment, the coating system will not chalk in excess of
numerical rating nine (9) for sidewall applications and numerical rating eight (8) for roof
applications when measured in accordance with ASTM D- 4214 -98 procedures.
3. For a period of 30 years from the date of shipment, the coating system will not change color (fade)
more than four (4) OE Hunter units for sidewall applications and five (5) tE Hunter units for roof
applications when tested in accordance with ASTM D- 2244-02 method D659 procedures. Color
change shall be measured on an exposed painted surface that has been cleaned of surface soils and
chalk, and the corresponding values measured on the original or unexposed surface. It is
understood that fading or color changes may not be uniform, if the surfaces are not equally
exposed to the sun and elements.
Orange, Casco Orange, Safety Orange and Britc Rcd arc warranted under the same testing methods and
limitations as indicated on this warranty, but have special numerical ratings as indicated below:
I. For a period of 20 years from the date of shipment, the coating system will not crack, check or
peel (lose adhesion).
2. For a period of 10 years from the date of shipment, the coating system will not chalk in excess of
numerical rating eight (8) for sidewall and roof applications.
3. For a period of 10 years from the date of shipment, the coating system will not change color (fade)
more than five (5) dE Hunter units for sidewall and roof applications.
McElroy Metal also warrants that for a period of fifteen (15) years, panels coated With Kynar 500' or
Hylar 5000', when installed in vertical or non vertical application (min 3:12 slope) will not exhibit
accumulation of red rust greater than '/4" at any one interior point of the panel. This provision shall not apply
to any accumulation of red rust which occurs within '14" of breaks of discontinuities in the surface, such as panel
edges (factory or field cut) or metal penetrations (such as fasteners) at any time after application of pre-
treatment and paint systems.
Subject to the conditions, limitations and exclusions set forth below. If any panels fail to comply with the
warranty specifications set forth above, McElroy agrees to repair, repaint or replace such panels, at its sole cost
and expense. McElroy shall have the sole option of repairing, repainting or replacing the panels and may
contract for such work. Any repaired, repainted or replaced panel shall be covered by this limited warranty, but
only for the remainder of the period applicable to the panel originally purchased. McElroy's liability under this
warranty shall be limited to the cost of labor and materials reasonably necessary to repair, repaint or replace
the panels that do not meet the above specifications. All claims filed under this warranty must be presented in
writing by the purchaser to McElroy during the warranty period and not more than 30 days after discovery by
the purchaser of the problem for which the claim is made. All claims must reference McElroy's invoice number
and be either hand delivered or sent by registered or certified mail to McElroy at 1500 Hamilton Road, Bossier
City, Louisiana 71111.
THIS WARRANTY SHALL BE SUBJECT TO THE FOLLOWING CONDITIONS, LIMITATIONS AND
EXCLUSIONS:
A. This warranty covers only panels erected in the continental United States, Alaska and Canada,
which are exposed to normal weather and atmospheric conditions.
B. This warranty is for the benefit of the original purchaser only and is not transferable or
assignable.
C. In determining whether the panel meets the specifications set forth above, color change shall be
measured on an exposed painted surface that has been cleaned of surface soils and chalk per
ASTM D 2244 -02 procedures. McElroy does not warrant that color changes will be uniform.
D. This warranty does not apply to defects or failures which arise out of any of the following:
(1) the formation of rust on the panel edges;
FROM
(TUE)AUG 0 2011 10:00 /ST. 10:00 /No. a3052001a0 P 1
McELROY METAL
CORPORATE OFFICE • P.O. BOX 1148 • SHREVEPORT, LA 71163-1148 • (318) 747 -8000 • FAX (318) 747 -8029
TECHHICAL aULLEIIH
Issue Date : June 1, 2006 No. 03- 263 -06
UL Construction #529
Meridian
UL580 Class 90
1. Metal Roof Deck Panels` - No. 29MSG min coated steel. Max panel width 24 in. rib height nominal 1 in Panels
continuous over two or more spans. A bead of sealant may be used at panel end laps.
McElroy Metal Mill, Inc. "Meridian"
2. Fasteners — (Screws) - For panel attachment to wood deck (Item 3) fasteners to be No. 10 x 1 in. long No. 2 Phillips
Pancake head type A. Fastener spacing to be 12 in. OC with fasteners installed through prepunched slots in
fastener flange of panel. For attachment of plywood deck (Item 3) to joists (Item 5), fasteners to be min No. 6 by 1-
7/8 in. bugle head screw or annular ring -shank nails. Spacing to be 6 in. OC at plywood edges and 12 in. OC at
intermediate supports. When light gauge structural steel joists are used, fasteners to be No. 12 by 1 -5/8 in. long with
a Phillips head.
3. Substructure — (Plywood) — Plywood decking to be a nom 5/8 in. thick, exposure sheathing span C -D, 40/20
plywood. All butt joints to be sealed against leakage by using tape and /or caulk or with one -part urethane sealant.
4. Moisture Barrier — (Optional) — Any suitable membrane to protect substructure (Item 3).
5. Joists — Joists spaced at 2 ft., 0 in. OC may be one of the following:
A. Nom 2 by 6 in. wood joists No. 2 or better.
B. Nom 2 by 4 in. wood when used on top cord of a wood truss, No. 2 or better.
C. Light gauge structural steel framing with the member against the plywood to be a min. No. 22 MSG coated
steel.
Refer to General Information, Roof Deck Construction, (Roofing Materials and Systems Directory) for items not
evaluated.
'Bearing the UL Classification Marking
MIDWEST DIVISION • CLINTON, IL
NORTHEAST DIVISION • WINCHESTER. VA
WEST TEXAS DIVISION • MERKEL, TX
0
2' -0"
Max
0
CORPORATE OFFICE
SHREVEPORT, LOUISIANA
SOUTHEAST DIVISION • PEACHTREE CITY. GA
SOUTHWEST DIVISION • BOSSIER CITY, LA
GREAT LAKES DIVISION • MARSHALL, MI
D
WESTERN DIVISION • ADELANTO, CA
BLUEGRASS DIVISION • LEWISPORT. KY
FROM
<TUE)AUG 9 2011 10: 01/ST. 10: 00 /No. 9305296180 P 3
(2) acts of God, falling objects, external forces, explosions, fire, riots, civil commotions, acts of
war, radiation, harmful gases, harmful fumes, salt atmosphere or standing water due to failure to
provide adequate slope and drainage;
(3) failure to properly insulate panels from copper, lead, and other dissimilar metals, contact with
damp insulation, debris, soil, vegetation, animal waste, decaying materials, wet absorptive
materials, concrete or other foreign or corrosive materials from contact with or in close proximity
to the panel;
(4) use in manner not intended or improper storage or handling, including but not limited to
damage from condensation on the panels attributable to improper handling; or
(5) failure of the metal substrate;
(6) minute fracturing which may occur in proper fabrication of the building parts;
(7) if panels are applied without protection over lumber which has been treated with preservatives
or fire resistant materials, regardless whether such treatments arc present with or without the
knowledge of the buyer, the owner or any other party. This exclusion shall include, but is not
limited to, lumber which has been treated with pentachlorophenol, chromated copperarsenated
salts, creosote, Iluocltrome arsenate phenol, alkaline copper quaternary, or any similar treatment
for fire and rot resistance. Protection of lumber as provided for in the exclusion shall be defined
as any barrier that prevents the transfer of moisture and salts between the treated lumber and pre -
finished metal panel;
(8) abnormal corrosive atmospheric conditions. This exclusion includes, but is not limited to,
contamination from external sources such as manufactured chemicals and salt spray, and internal
contamination created by improper ventilation (design or operational defects) or improper
housekeeping;
(9) discontinuities in the paint film as a result of damage during installation or use of the building
e.g. scratches;
(10) design flaws that would result in moisture (water) or other foreign materials to accumulate
resulting in excessive exposure to moisture or foreign material.
F... McElroy shall have no obligations under this warranty unless and until McElroy receives payment
in full for the materials furnished.
F. The supplier of the paint coating applied to McElroy panels and the applicator of the paint coating
has made certain warranties to McElroy which arc same (or substantially similar) to the warranties
made by McElroy under this limited warranty. This limited warranty shall be of no further force
or effect if such supplier, or its successors or assigns, can no longer perform its obligations under
the coating system warranties made to McElroy.
THERE ARE NO OTHER GUARANTEES OR WARRANTIES, EXPRESSED OR IMPLIED, WHICH
EXTEND BEYOND THE DESCRIPTION AS STATED HEREIN, INCLUDING ANY WARRANTIES OF
MERCHANTABILITY OR FITNESS OF PURPOSE. McELROY METAL SHALL NOT BE RESPONSIBLE
FOR ANY INDIRECT OR CONSEQUENTIAL DAMAGES (SUCH AS DAMAGES TO THE CONTENTS
OR FURNISHINGS OF ANY BUILDING) OR ANY LOSS OF ANY KIND WHATSOEVER.
REV. 4/11
MM604
DATE ISSUED: 08 -9 -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
REROOF -METAL
111 LOVELL AVE
%SOUTHEAST CHAI MEYER
PO BOX 2267
SAVANNAH GA 31402 -2267
CRAIG PHILLIPS ROOFING &
CRAIG PHILLIPS
POOLER GA 31322
P
$ 85.00
$4,900.00
PERMIT #: 110446
TOTAL BALANCE DUE: $ 85.00
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
ezio
CITY OF TYBEE ISLAND, GEU..GIA
APPLICATION FOR BUILDING PERMIT
t-OL-f-Lko
Location: I /I .LO 4-c
NAME
ADDRESS
PIN #
TELEPHONE
Owner
eddy Nixes-3
11/ home// ,4 v -
Architect
or Engineer
Building
Contractor
,
LrrAi s 1 i.to 5
�
�- i S Cc s (....:4
3 k 96 -�
(Check all that apply)
❑ Repair
❑ Renovation
❑ Minor Addition
❑ Substantial Addition
❑ Other
Details of Project:
❑ Residential
('Single Family
❑ Duplex
❑ Multi - Family
n Commercial
? 6 fr/74Z-7
❑ Footprint Changes
❑ Discovery
❑ Demolition
S4�o,r•�-ci Sect n -%
snap - I o ck
Estimated Cost of Construction: $ 1/96,
Construction Type (Enter appropriate number)
(1) Wood Frame (4) Masonry (6) Other (please specify)
(2) Wood & Masonry (5) Steel & Masonry
(3) Brick Veneer
Proposed use:
Remarks:
ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the
following information based on the construction drawings and site plan:
# Units # Bedrooms # Bathrooms
Lot Area Living space (total sq. ft.)
# Off - street parking spaces
Trees located & listed on site plan
Access:
Driveway (ft.) With culvert? With swale?
Setbacks: Front Rear Sides (L) (R)
# Stories Height Vertical distance measured from the average adjacent
grade of the building to the extreme high point of the building, exclusive of chimneys, heating
units, ventilation ducts, air conditioning units, elevators, and similar appurtances.
During construction:
On -site restroom facilities will be provided through
On -site waste and debris containers will be provided by
Construction debris will be disposed by /E-K�
by means of
I understand that I must comply with zoning, flood damage control, building, fire, shore
protections and wetlands ordinances, FEMA regulations and all applicable codes and regulations.
I understand that the lot must be staked out and that the stakes will be inspected to ensure that the
setback requirements are met. I understand also that a certified plot plan showing elevation must
be attached to this application and that an as -built elevation certification is due as soon as the
habitable floor level is established. Drainage: I realize that I must ensure the adequacy of
drainage of this property so that surrounding property is in no way adversely affected. I accept
responsibility for any corrective action that may be necessary to restore drainage impaired by this
permitted construction.
Date: *. - 5 -/
Signature of Applicant:
Note: A permit normally takes 7 to 10 days to process.
The following is to be completed by City personnel:
Zoning certification NFIP Flood Zone
Approved rezoning/variance?
Street address and number: New Existing
Is it in compliance with City map?
If not, has street 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
Approvals: Signature Date
Zoning Administrator
Code Enforcement Officer
Water /Sewer
Storm /Drainage
Inspections
City Manager
FEES
Permit
Inspections
Water Tap
Sewer Stub
Aid to Const.
TOTAL
LEAD -BASED PAINT
Adapted from http: / /www.epa.gov /lead /pubs/renovation.htm. Please use that site to access the following information.
Information for Property Owners of Rental Housing, Child- Occupied Facilities
Property owners who renovate, repair, or prepare surfaces for painting in pre -1978 rental housing or space
rented by child -care facilities must, before beginning work, provide tenants with a copy of EPA's lead hazard
information pamphlet Renovate Right: Important Lead Hazard Information for Families, Child Care Providers,
and Schools. Owners of these rental properties must document compliance with this requirement. EPA's sample
pre- renovation disclosure form may be used for this purpose.
After April 22, 2010, property owners who perform these projects in pre -1978 rental housing or space rented
by child -care facilities must be certified and follow the lead -safe work practices required by EPA's Renovation,
Repair and Remodeling rule. To become certified, property owners must submit an application for firm
certification and fee payment to EPA. The Agency has up to 90 days after receiving a complete request for
certification to approve or disapprove the application.
Property owners who perform renovation, repairs, and painting jobs in rental property should also:
• Take training to learn how to perform lead -safe work practices.
Learn the lead laws that apply regarding certification and lead -safe work practices beginning in April 2010.
Keep records to demonstrate that you and your workers have been trained in lead -safe work practices and that you followed lea
safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping checklist that EPA h
developed to help contractors comply with the renovation recordkeeping requirements that took effect April 2010.
Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right.
Read about how to use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting.
Information for Homeowners Working at Home
If you are a homeowner performing renovation, repair, or painting work in your own home, EPA's RRP rule does not cover your proje
However, you have the ultimate responsibility for the safety of your family or children in your care. If you are living in a pre -1978 hor
and planning to do painting or repairs, please read a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Ch
Care Providers, and Schools lead hazard information pamphlet. You may also want to call the National Lead Information Center at 1 -8C
424 -LEAD (5323) and ask for more information on how to work safely in a home with lead -based paint.
Information for Tenants and Families of Children under Age 6 in Child Care Facilities and Schools
As a tenant or a parent or guardian of children in a child care facility or school, you should know your rights when a renovation job
performed in your home, or in the child care facility or school that your child attends.
• Before starting a renovation in residential buildings built before 1978, the contractor or property owner is required to have tenal
sign a pre- renovation disclosure form, which indicates that the tenant received the Renovate Right lead hazard informat
pamphlet.
Beginning in December 2008, the contractor must also make renovation information available to the parents or guardians
children under age six that attend child care facilities and schools, and to provide to owners and administrators of pre -1978 ct
care facilities and schools to be renovated a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Ct
Care Providers, and Schools lead hazard information pamphlet.
Information for Contractors
As a contractor, you play an important role in helping to prevent lead exposure. Ordinary renovation and maintenance activities can cre
dust that contains lead. By following the lead -safe work practices, you can prevent lead hazards. Contractors who perform renovatil
repairs, and painting jobs in pre -1978 housing and child - occupied facilities must, before beginning work, provide owners, tenants, z
child -care facilities with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard Information for Famili
Child Care Providers, and Schools. Contractors must document compliance with this requirement. EPA's pre- renovation disclosure form n
be used for this purpose. Understand that after April 22, 2010, federal law will require you to be certified and to use lead -safe wl
practices. To become certified, renovation contractors must submit an application and fee payment to EPA. See: Application for fi
certification. The Agency has up to 90 days after receiving a complete request for certification to approve or disapprove the application.
Contractors who perform renovation, repairs, and painting jobs should also:
• Take training to learn how to perform lead -safe work practices.
• Find a training provider that has been accredited by EPA to provide training for renovators under EPA's Renovation, Reps
and Painting (RRP) Program. Please note that if you previously completed an eligible renovation training course you n
take the 4 -hour refresher course instead of the 8 -hour initial course from an accredited training provider to become
certified renovator. Click here for a list of eligible courses.
• Provide a copy of your EPA or state lead training certificate to your client.
• Tell your client what lead -safe methods you will use to perform the job.
• Learn the lead laws that apply to you regarding certification and lead -safe work practices beginning in April 2010.
• Ask your client to share the results of any previously conducted lead tests.
• Provide your client with references from at least three recent jobs involving homes built before 1978.
• Keep records to demonstrate that you and your workers have been trained in lead -safe work practices and that you followed le,
safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping checklist that EPA I
developed to help contractors comply with the renovation recordkeeping requirements.
• Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right.
• Read about how to use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting.
IFYOU'REtJOT
EAD -SAFECERTIFIED,
ISTURBING
JUST SIX
SQUARE FEET
COULD COST YOU
BIG TIME.
Off _ 47— /1
Sig ure Date
Printed N
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.
Un
signed
-//
Date
Office Use Only:
Project Address:
Permit Number: