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Home My Public Portal About12-0121 Vicki's on TybeeCITY OF TYBEE ISLAND CERTIFICATE OF OCCUPANCY DATE COMPLETED: 12/20/2013 This Certificate issued pursuant to the requirements of the Standard Building Code Certifying that at the time of issuance this structure was in compliance with the various ordinances of the Jurisdiction regulating building construction or use. PERMIT #: 12 -0121 PROPOSED USE: RESTAURANT/BAR OCCUPANCY TYPE: P CONTACT NAME VICKI'S ON TYBEE CONTACT ADDRESS PO BOX 99 CONTACT CITY STATE ZIP TYBEE ISLAND GA 31328 PROPERTY ADDRESS 1105 HWY 80 APPROVED BY: 0,:c,,,,„,D Ok3 P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -5737 www.cityoftybee.org VICKI'S ON TYBEE VICKI'S RESTAURANTS INC DBA RICHARD HAMMONS PO BOX 99 TYBEE ISLAND, GA 31328 -0000 CUST NO #: 02 -2049 DATE: 12/20/2013 ITEM ID# DESCRIPTION PAYMENT DATE AMOUNT 201212271717 201303271752 ENGINEERING REVIEW ENGINEERING REVIEW 12/16/2013 12/16/2013 TOTAL: 1,400.00 262.50 1,662.50 12 -03 -2013 12:28 PM CUSTOMER SET: 02 ENGINEERING REPORTING: PAID ITEMS ,UNPD ITEMS,PPAID ITEM ACCOUNTS RECEIVABLE PAGE: 1 O P E N I T E M R E P O R T ITEM APPLICATION ACTIVITY - -- -- -- DATE -- - -- GROSS - -- - -- BALANCE - -- DATE CODE I.D. $ APPLIED DISCOUNT /ADJ 02 -2049 VICKI'S ON TYBEE STATUS: A 0- 201212271717 12/27/12 1,400.00 1,400.00 0- 201303271752 3/27/13 262.50 262.50 BAL FED: 0.00 DEBIT: 1,662.50 CREDIT: 0.00 DISC: 0.00 ADJUST: 0.00 BAL: 1,662.50 12 -03 --2013 12:28 PM CUSTOMER SET: 02 ENGINEERING REPORTING: PAID ITEMS ,UNPD ITEMS,PPAID ITEM ACCOUNTS R E C E I V A B L E PAGE: 2 OPEN I T E M R E P O R T GRAND TOTALS BALANCE CURR MONTH CURR MONTH CUSTOMER SET FORWARD DEBITS CREDITS DISCOUNTS ADJUSTMENTS BALANCE 02 0.00 1,662.50 0.00 0.00 0.00 1,662.50 **TOTAL ** 0.00 1,662.50 0.00 0.00 0.00 1,662.50 R E P O R T T O T A L S BALANCE FORWARD CURRENT MONTH DEBITS CURRENT MONTH CREDITS DISCOUNTS ADJUSTMENTS 0.00 1,662.50 0.00 0.00 0.00 BALANCE 1,662.50 U N P A I D R E C A P UNPAID OPEN ITEM TOTALS UNPAID INVOICE TOTALS UNPAID DEBIT MEMO TOTALS UNPAID FIN_ CHG TOTALS UNAPPLIED CREDIT MEMO TOTALS UNAPPLIED PAYMENT TOTALS 1,662.50 0.00 0.00 0.00 0.00 0.00 ** UNPAID TOTALS ** 1,662.50 *UNPAID G/L DISTRIBUTION* ACCOUNT NUMBER ACCOUNT NAME AMOUNT 100 -00- 11.1900 Accounts Receivable - Control 1,662.50 ** FUND TOTAL ** 1,662.50 ** TOTAL ** 1,662.50 12 -03 -2013 12:28 PM A C C O U N T S R E C E I V A B L E PAGE: 3 SELECTION CRITERIA SELECTION OPTIONS CUSTOMER SET 02- ENGINEERING CUSTOMER NUMBER 2049 THRU 2049 A/R BALANCE AS OF CURRENT BALANCES DATE TO USE POST DATE HAS BALANCE OR CURRENT ACTIVITY YES CREDIT BALANCES ONLY NO ADVANCED SELECTION NO PRINT OPTIONS REPORT SEQUENCE CUSTOMER $ PRINT APPLICATION ACTIVITY YES SORT TRAN. BY DATE NO J/L REVENUE DISTRIBUTION NO )NE CUSTOMER PER PAGE NO STATEMENT OF ACCOUNT CITY OF TYBEE ISLAND P.O. BOX 2749 TYBEE ISLAND, GA 31328 -2749 PHONE (912) 786 -4573 VICKI'S RESTAURANTS INC DBA VICKI'S ON TYBEE RICHARD HAMMONS PO BOX 99 TYBEE ISLAND GA 31328 CUST NO #: 02 -2049 DATE: 10/03/2013 DUE DATE: 10/03/2013 DATE REFERENCE DESCRIPTION ORIGINAL AMT PAYMENTS BALANCE 12/27/2012 0- 201212271717 ENGINEERING REVIEW 1,400.00 0.00 1,400.00 3/27/2013 0- 201303271752 ENGINEERING REVIEW - 262.50 0.00 262.50 CURRENT 30 DAYS 60 DAYS 90 DAYS 120 DAYS BALANCE 0.00 0.00 0.00 0.00 1,662.50 1,662.50 * * ** *THANK YOU * TOTAL DUE : 1,662.50 MAYOR Jason Buelterman CITY COUNCIL Wanda Doyle, Mayor Pro Tem Barry Brown Jan Fox Bill Garbett Torn Groover Paul Wolff March 27, 2013 Mr. Richard Hammons Vicki's Restaurants, Inc. P.O. Box 99 Tybee Island, GA 31328 Dear Rich, ?ED woo CITY OF TYBEE ISLAND CITY MANAGER Diane Schleicher CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes Enclosed are two invoices for engineering services related to Vicki's on Tybee. The invoice dated 12/27/2012 had been prepared at the end of calendar year 2012. The second invoice with today's date is the final billing for the remainder of the consulting engineer's services. The total amount due is $1,662.50. Payment is due within 15 days. I am available at (912) 472 -5031 if you have any questions. Sincerely, Dianne Otto Planning & Zoning Manager Enc: AR 201212271717 & 201303271752 P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328 -2749 (866) 786 -4573 — FAX (866) 786 -5737 www.cityoftybee.org INVOICE REMIT TO: CITY OF TYBEE ISLAND P.O. BOX 2749 TYBEE ISLAND, GA 31328 -2749 PHONE (912) 786 -4573 VICKI'S RESTAURANTS INC DBA VICKI'S ON TYBEE RICHARD HAMMONS PO BOX 99 TYBEE ISLAND GA 31328 ITEM DESCRIPTION ENGINEERING REVIEW - FINAL CUSTOMER #: 02 -2049 INVOICE #: 201303271752 INVOICE DATE: 3/27/2013 DUE DATE : 4/12/2013 P.O. # : CHARGE DETAIL UNITS TYPE PRICE AMOUNT 0.00 0.00 262.50 FINAL INVOICE - ENGINEERING FEES VICKI'S ON TYBEE * * ** *THANK YOU * * * ** TOTAL DUE : 262.50 INVOICE REMIT TO: CITY OF TYBEE ISLAND P.O. BOX 2749 TYBEE ISLAND, GA 31328 -2749 PHONE (912) 786 -4573 VICKI'S RESTAURANTS INC DBA VICKI'S ON TYBEE RICHARD HAMMONS PO BOX 99 TYBEE ISLAND GA 31328 ITEM DESCRIPTION ENGINEERING REVIEW CUSTOMER #: 02 -2049 INVOICE #: 201212271717 INVOICE DATE: 12/27/2012 DUE DATE : 1/11/2013 P.O. # : CHARGE DETAIL UNITS TYPE PRICE AMOUNT 0.00 0.00 1,400.00 * * ** *THANK YOU * * * ** TOTAL DUE : 1,400.00 1: 2 P M e' , I 4r3 \-\e -1..o arc \',.-, CITY OF TYBEE ISLAND 403 Butler Ave PO Box 2749 Tybee Island, GA 31328 -2749 Ph (912) 786 -4573 FAX (912) 786 -5832 Vendor # : Issued to: 01- 002055 DAVIS ENGINEERING, INC P 0 BOX 1663 TYBEE ISLAND, GA 31328 F.O.B. Point - Tybee Island, GA PURCHASE ORDER PO Number: 13_22219 This number must appear on a r ated correspondence, shipping papers and invoices. Date: Ship to: 03 /11 /2013`equisition #: 13 22219 CITY HALL 4 0 3 B U T L E R A V E N U E TYBEE ISLAND, GA 31328 Terms - Net 30 days LINE UNITS DESCRIPTION PRICE AMOUNT 1 0.00 Engineering - Vicki's 100 - 7220 -52 -1203 Davis Engineering - Invoice #213003030713 dated 03/07/2013 for $262.50 - Engineering for Vicki's Purchase Order void after 90 days. 0.00 262.50 Special Instructions: I agree to provide the items /services listed on this purchase order and accept the Purchase Order Terms and Conditions that accompany this form. Supplier Acknowledgement Date TOTAL 262.50 Authorized by For the City of Tybee Island Date DAVIS ENGINEERING, INC. P.O. Box 1663 Tybee Island, GA 31328 Tel. (912) 695 -7262 dkdbus @gmail.com INVOICE March 7, 2013 Invoice #213003 030713 Vicki's Diane Otto City of Tybee Island P.O. Box 2749 Tybee Island, GA 31328 Phone (912) 786 -4573 Fax: (912) 786 -9539 RE: Vicki's 3 -I1 -t3 02 -01 -13 0.5 hrs. Plan review 02- -13 n.c. Brief meeting at Bubba Hugh's Office 02 -06 -13 n.c. Partial plan review 02 -11 -13 1.0 Plan review 03 -08 -13 n.c. Coord. with DOT, Contractor (Barry Brown) and City 1.5 hours @ $175 /hour = $262.50 Total Due This Invoice b;Itabk. g)b 3_ t 1- 1 3 T. o . i 3 - ,2,72/9 A,� o, 30 3zf11'1 S2 CITY OF TYBEE ISLAND 403 Butler Ave PO Box 2749 Tybee Island, GA 31328 -2749 Ph (912) 786 -4573 FAX (912) 786 -5832 Vendor # : Issued to: 01- 002055 D A V I S E N G I N E E R I N G , I N C P 0 B O X 1 6 63 TYBEE ISLAND, GA 31328 F.O.B. Point - Tybee Island, GA PURCHASE ORDER PO Number: .3 -21544 This number must appear on a r ated correspondence, shipping papers and invoices. Date: Ship to: 1 2/ 2 8/ 2 0 1 Requisition #: 1 3 - 2 1 5 9 CITY HALL 403 BUTLER AVENUE TYBEE ISLAND, GA 31328 Terms - Net 30 days UNE UNITS DESCRIPTION PRICE AMOUNT 1 0.00 Eng fee - Vicki's 100- 7220 -52 -1203 Engineering fee from Davis Engineering for Vicki's - Invoice #212037 122612 through December 14, 2012 Purchase Order void after 90 days. 0.00 1,400.00 Special Instructions: I agree to provide the items /services listed on this purchase order and accept the Purchase Order Terms and Conditions that accompany this form. Supplier Acknowledgement Date TOTAL 1,400.00 Authorized by Date For the City of Tybee Island DAVIS ENGINEERING, INC. P.O. Box 1663 Tybee Island, GA 31328 Tel. (912) 695 -7262 dkdbus(c�cimaiBca'11 INVOICE December 19, 2012 Invoice #212037 122612 Diane Otto City of Tybee Island P.O. Box 2749 Tybee Island, GA 31328 Phone (912) 786 -4573 Fax: (912) 786 -9539 RE: Vicki's 09 -14 -12 1.00 09 -17 -12 0.5 09 -18 -12 0.5 09 -19 -12 1.00 09 -20 -12 0.50 09 -24 -12 1.00 09 -25 -12 1.00 09 -25 -12 0.5 09 -26 -12 n.c. 10 -10 -12 1.00 10 -16 -12 n.c. 11 -13 -12 0.50 11 -22 -12 n.c. 12 -11 -12 n.c. 12 -12 -12 0.50 12 -13 -12 n.c. 12 -14 -12 n.c. Submittal Review Met w /Otto on Vicki's ADA / GA ACCESSIBILITY CODE for Vicki's PRC research on Vicki's footprint, review of applicants concerns & coord. w'DOT Plan review w /Otto Field review (From SW) and report to City and BHughes DOT meeting and premeeting on Vicki's Coord. w /Hughes on bike rack and other issues Vicki' coord. w /BHughes Vicki's revised site plan review and coordination with the D.O.T. Vicki's at 1st PC meeting Premeeting w /City and CC meeting on Vicki's Vicki's at 2nd PC meeting Review of Vicki's position paper Comments to City on Applicant's position paper Vicki's discussion at City Council Code information on ramps 8.0 hours @ $175 /hour = $1,400 Total Due This Invoice Leydc.Q is -2g -�z 12 -27-12 2o2.\22-) Iii (0 /3 City of Tybee Island • Planning & Zoning Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472.5032 • Fax 912.786.9539 MOM INTERNATIONAL CODE COUNCIL MEMBER Permit No. 0 - 0 t a t Date Requested OF-1 �J� -1 2. Owner's Name , L 141 i/-5- Tes+. Date Needed Gen. Contractor ii 'o rl.L1 Subcontractor ': Lh Contact Information Project Address Scope of Work -to fie----s/ e w, Inspector 1/q Inspection re. n.Dec1' -Co 04-f nC� ! .J os- y Date of Inspection t 0704 Goy 4'L f'4/ 44 -7, Pass-E1 Fail a Fee 1 /e. 5 .�v Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee City of Tybee Island • Planning & Zoning Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472.5032 • Fax 912.786.9539 iii BM i INTERNATIONAL CODE COUNCIL' MEMBER Permit No. - DI a i Date Requested e` 9-12_ Owner's Name "; k : S 3 I i 6 erL Date Needed Gen. Contractor 1 Subcontractor Contact Information ----Ps + C- k 50?-1(-/-7-7 Project Address :3ct1'S ` 1o5" F# L.v 7 • ?0 Scope of Work rep \CCU 401e4-5 /CleCR /ramp Inspector � % Date of Inspection )/0/, L. f p1 Inspection p 0 - , (� 3 Pass ❑ Fail D' c �1 r- _'J -*1..-. Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee CITY OF TYBEE ISLAND CONDITIONAL CERTIFICATE OF OCCUPANCY * DATE COMPLETED: 03/08/2012 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 #: 120121 PROPOSED USE: RESTAURANT WITH ALCOHOL SERVICE OCCUPANCY TYPE: U CONTACT NAME VICKI'S ON TYBEE CONTACT ADDRESS PO BOX 99 CONTACT CITY STATE ZIP TYBEE ISLAND GA 31328 PROPERTY ADDRESS 1105 HWY 80 APPROVED BY: ,/0 * This CONDITIONAL CERTIFICATE OF OCCUPANCY may be withdrawn at any time and for any reason by the City of Tybee Island. Failure to abide by the following conditions would result in immediate withdrawal: • No tables, chairs, or any other objects may be placed within or upon the outside stairs, deck area, and ramp. The only allowed use of the outside stairs, deck area, and ramp is building ingress and egress. • A Site Plan Approval application and supporting documents approved by City Staff must be received by the Community Development Department on or before May 1, 2012. In addition, within 7 calendar days of consideration of Site Plan Approval by the Mayor /City Council a BUILDING PERMIT application must be received by the Community Development Department for: • the outstanding improvements required by the Building Official and Fire Marshal (i.e. provide footings for deck at rear) as well as any other improvements imposed by the Building Official and /or the Fire Marshal and/or the Mayor /City Council as part of the Site Plan Approval; OR • the demolition of the improvements that were installed without Site Plan Approval and construction to restore the site to its pre- improvement footprint. Any and all work that is permitted as required above must have passed inspections by the Building Official and the Fire Marshal within 30 calendar days of the date the BUILDING PERMIT is issued. P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -5737 www.cityoftybee.org City of Ty--:,e Island • Community Developn._At Dept., Inspection Report 403 Butler Ave. • P.Q. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 law% INTERNATIONAL CODE COUNCIL MEMBER Permit No. () _0(21 Date Requested Owner's Name V( k., S Date Needed Gen. Contractor L. C PN., r n Cr) A Subcontractor Contact Information 'R , c_ k 6D.0-1q-7-7 Project Address (I 0 "-) y • WO Scope of Work r l p L +0 (e -i-c J P c k/ ra wl p Inspector -1l4 Date of Inspection Inspection re ,.< e t- 1- -C,,r, I (91 c1 5_, Pass" Fail ® Fee 17, 1 CUw\---p)L7:4 "r of pr'ove �,�(4- c'0��S 1 i\ : 1 Cam- I —43 01• FA pol 20 rv►? ` :. kt....- Inspection Pass El Fail El Fee Inspection Pass El Fail ❑ Fee Inspection Pass ❑ Fail Fee City of Tybee Island Community Development Department Occupant Load Limit MAXIMUM LEGAL OCCUPANT LOAD 100 PERSONS MINIMUM NUMBER OF APPROVED INDEPENDENT EXITS FOR THIS OCCUPANCY IS 2 Vicki's on Tybee, 1105 Hwy. 80 This sign must be displayed in a clearly visible and conspicuous place, near the main exit of the business. It shall be unlawful to remove or deface this sign. March 7, 2012 'i1� Ray Hord Building Inspector City of ybee Island, Georgia Date CHATHAM COUNTY DEPARTMENT OF BUILDING SAFETY AND REGULATORY SERVICES OCCUPANT CONTENT THE MAXIMUM LEGAL OCCUPANT CONTENT FOR THIS PLACE OF BUSINESS IS id PERSONS. THE MINIMUM NUMBER OF APPROVED INDEPENDENT EXITS ACCESSIBLE TO THIS OCCUPANCY IS LOCATION /10 S l�l 5 • /lYia✓a 0 7'y6�P ZO"./ J ,74 3/ 3../ $ DATE 3/g /. 01. GREGORI S. ANDERSON, CBO BUILDING /FIRE OFFICIAL • FIR MARSHALL IT SHALL BE UNLAWFUL TO REMOVE OR DEFACE THIS NOTICE CHATHAM COUNTY DF RTMENT OF BUILDING SAFETY , .EGULATORY SERVICES TIRE SAFETY INSPECTION DIVISION FOR THE CITY OF TYBEE ISLAND YEAR OF 2 012 ✓°„ APPROVED CObi 1', \)a I ``�� DATE ' 14 DISAPPROVED ----t r e ‘. ,N 5?e e4-: ' P el You are hereby notified that this is an Official Order of the County Fire Marshall, stating the defects found to exist in the referenced structure, and further requiring that you, as owner, agent or person in charge of structure, shall have days to complete specified re airs or improvements. Business Phone Owner' CAN 4" t 4A4 : P a vl vn ta n S 50g-160 7 Occupant Load l J° 2 e x ; - C Name of Facility , C k i ' e_ 5. a 0 rc 1-\ Address I 17 5 y , $30 Occupancy: Business Assembly Storage Educational Day Care Personal Care Home Mercantile Factory Residential Hazardous 1. Number of Exit Doors Z 101 -SEC 5 2. Blocked Locked OK ' 101 -SEC 5 3. Exit Sign Good ✓ _ Unsatisfactory NA 101 -SEC 5 4. Emergency Lights Good ✓ Unsatisfactory NA 101 -SEC 5 5. Panic Hardware Good V Unsatisfactory NA 101 -SEC 5 6. Self - Closing Device Good ✓ Unsatisfactory NA 7. Fire Alarm Yes No ✓ NA NFPA 72 8. Smoke/Heat Detectors Yes No ✓- NA NFPA 73 9. Sprinkler System Yes No ✓ NA NFPA 13 10. Standpipe Yes No ✓ NA NFPA 13 11. Number of Fire Extinguishers Proper Type? Nt c`� NFPA 10 Inspected /Charged Yes v No NA NFPA 10 12. Fixed Hood System Yes No NA NFPA 96 13. Date of Last Service (REQUIRED EVERY 6 MONTHS) 14. Electrical Good ` Fair V' Unsatisfactory NFPA 70 15. Overloaded Sockets /Outlets Yes No ✓ NFPA 70 16. Missing Electrical Covers Yes No ✓ NFPA 70 17. Other (explain) 18. Excessive Storage of Combustibles Yes No NFPA 30 List Details 20tJ1I-4tO ` 1 VJ I : " H i -J I I l- :.t) A)& —tt7 L �.t)d.=.-; L.G-kz-J `, � �lR13 d-, ! 0,..) 1 6i14, --c..),)-4-1 h.V.s 1---C..-7Z-1 .),-.1.4:- L. 6,a, J.". .2A-7Z) t 4›. 1 v1,1-..,,--)"> k--'Z. vGr' ? The signature below of Owner, Occupant, Agent, signifies Inspection was made. Owner /Occupant/Agent Signature 1lv Chatham County Fire Marshall C:\Documents and SettingsVIMMY\Desktop \City Tybee 3 Part\Fire Inspection Form..doc CHATHAM COUNTY DE. .TMENT OF BUILDING SAFETY _REGULATORY SERVICES FIRE SAFETY INSPECTION DIVISION FOR THE CITY OF TYBEE ISLAND YEAR OF :4 I Z. APPROVED ✓ DISAPPROVED DATE _.?/.5 You are hereby notified that this is an Official Order of the County Fire Marshall, stating the defects found to exist in the referenced structure, and further requiring that you, as owner, agent or person in charge of structure, shall have days to complete specified repairs or improvements. Business Phone Owner 1—'.. c N c l/i�.�c., ,"_ l to iN S <08 - I ]I7 Occupant Load _ Name of Facility Vi i.- 1: = �;-- U1 Address 3i ....)e---: 1..1"..)'i e,J Occupancy: Business Assembly Storage Educational Day Care Personal Care Home Mercantile Factory Residential Hazardous 1. Number of Exit Doors .2 101 -SEC 5 2. Blocked Locked OK • 101 -SEC 5 3. Exit Sign Good L.-% Unsatisfactory NA 101 -SEC 5 4. Emergency Lights Good Unsatisfactory ..-- NA 101 -SEC 5 5. Panic Hardware Good Unsatisfactory NA 101 -SEC 5 6. Self - Closing Device Good ..- Unsatisfactory NA 7. Fire Alarm Yes No NA NFPA 72 8. Smoke/Heat Detectors Yes No ,/ NA NFPA 73 9. Sprinkler System Yes No i/ NA NFPA 13 10. Standpipe Yes No 1,/ NA NFPA 13 11. Number of Fire Extinguishers S Proper Type? NFPA 10 Inspected/Charged Yes t/ No NA NFPA 10 12. Fixed Hood System Yes L.,---. No NA NFPA 96 13. Date of Last Service :y..70/.. (REQUIRED EVERY 6 MONTHS) 14. Electrical Goo Fair ✓ Unsatisfactory NFPA 70 15. Overloaded Sockets /Outlets Yes No NFPA 70 16. Missing Electrical Covers Yes 4/ No NFPA 70 17.Other (explain) 18. Excessive Storage of Combustibles Yes t/ No NFPA 30 List Details �0✓1ei5',1y L"'S Ai5 ✓1'x.5): ito1 Lk.Jilt' (Cv 010,t Oi 1{40 - !E ma✓ �• re Pa,./ wu /l .! 4-0 5 'lore LA ! , 1 , i rr -e-,1 'I (O a The signature below of Owner, Occupant, Agent, signifies Inspection was made. Owner /Occupant/Agent Signature Chatham County Fire Marshall C:\Docu,nents and SettingsVIMMY\Desktop \City Tybee 3 Part\Fire Inspection For,n.doc City of T. ,:e Island • Community Develop►._.;nt Dept. Inspection Report iii►*, 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 312-- I= -�� iurE� MA-IU:IAI Phone 912.786.4573 ext. 114 • Fax 912.786.9539 CDDECDUNCfl MEMBER Permit No. t _O 12 Owner's Name / L i S Date Requested Date Needed 3-5-12 /b/ Gen. Contractor c E J (f S .t. Subcontractor I-C Contact Information : .✓N 5 V - `9 ! 7 Project Address I \ 0 5 Scope of Work r e_ p i Q c& 4 0 ;\ 4 J J e c rQ vh p Inspector 71"i Date of Inspection Inspection T- e ..^ Sp c e,L 4'. axi b i ci s • Pass Fail Fee i o V 1 Dit.. rx. ,3c=s m,2. D _uc. (,-, zr,17-) 17-Co v, D I �A I p i� -_-,v..--4-1., }ti )4 47a- :i A i - 1J i. z.,- 1-A, "e 12. v0 s/ CO A rJ - 2- Inspection Pass ❑ Fail L__! Fee Inspection Pass El Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee City of Tyree Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 . Tybee Island, GA 31328 Phone 912.756.4573 ext. 114 • Fax 912.786.9539 Permit No. - 01 2 I Date Requested Owner's Name ' ( ` , !.S Date Needed Gen. Contractor L C 'B J C r^ SQ Subcontractor Contact Information - -57 5-0 Project Address t \ '-t v� . Scope of Work \ e 1 C u2. `t . \ e s / `l .4) c k ro v p Inspector 1/4 Date of Inspection /) maali INTERNATIONAL CODE COUNCIL MEMBER InspectionL/ iI ,J,4 /- Pass ❑ Fail im Fee i. J - -- "t 49- 1 " .J, _)&. " 4, r,_ i'1) A.) !> -1-0 -:_ v.>, -) , =e)7l )--)/ L,. ►`- ►!'\ A)11,--)-6tJrf4-1 1)1 O iv, ii, Jar` )7, ti t% 5 — l,:;—:-, 541—ZUG) I" I Ir,)\,! —fi'J I I s;r? r Z/Z� ,,)4 y47—' I_ (c_`.) h�� _�RA� — _,,),',It. J.� ,,.Jt� ✓ :. ii t_4, ..1V U.1;> 7c ,`--, Inspection 0/7,1=- 6i,> ;zr,:-., ,4'04 )0 Pass , Fail El Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee DATE ISSUED: 03 -2 -2012 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 REPLACE TOILETS /DECK/RAMP 1105 HWY 80 VICKI'S ON TYBEE RICHARD HAMMONS TYBEE ISLAND GA 31328 912 - 786 -9869 E C BURNSED CONST 109 BUTLER AVE TYBEE ISLAND GA 31328 U $ 490.00 $1,600.00 PERMIT #: 120121 TOTAL BALANCE DUE: $ 490.00 It is understood that if this permit is granted the builder will at all times comply with the zoning, subdivision, flood control, building, fire, soil and sedimentation, wetlands, marshlands protection and shore protection ordinances and codes whether local, state or federal, including all environmental laws and regulations when applicable, subsequent owners should be informed that any alterations to the property must be approved by the issuance of another building permit. Permit holder agrees to hold the City of Tybee Island harmless on any construction covered by this permit. This permit must be posted in a conspicuous location in the front of building and protected from the weather. If this permit is not posted work will be stopped. The building contractor will replace curb paving and gutter broken during construction. This permit will be voided unless work has begun within six months of the date of issuance. Signature of Building Inspector or Authorized Agent: P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT M 3rd I 1.2 - o 2 Location: ilad> \ L"-S 1 %'+-k 5 NAME ADDRESS PIN # TELEPHONE Owner iz14 -kwynm ,nS /v C� i ,,(qs . -rib vls,_ Ts14,,.J 5 o - ici '7? Architect or Engineer Building Contractor , /-'-'` `e 5 R'' 4' "5175-0 (Check all that apply) Repair Renovation ❑ Minor Addition ❑ Substantial Addition ❑ Other Residential ❑ Single Family ❑ Duplex ❑ Multi- Family ❑ Commercial ❑ Footprint Changes n Discovery n Demolition Details of Project: 9\ 2 o vti v � ?� C e ck.cJ -1a✓ . Id a. c O.w.. 641r-Aik)f4- e- c x'u-,+ Estimated Cost of Construction: $ i L2c) 0 , Construction Type ' (Enter appropriate number) (1) Wood Frame (2) Wood & Masonry (3) Brick Veneer Proposed use: Remarks: (4) Masonry (6) Other (please specify) (5) Steel & Masonry ATTACH A COPY OF THE CERT IED ELEV • ION SURVEY OF LOT and complete the following information based on the con ructio • drawings and site plan: # Units # Be . oo s Lot Area ing spa - (total sq. ft.) # Off - street parking spaces Trees located & listed on site t an Access: Driveway ( With culvert? Setbacks: Front Rear # Bathrooms With swale? Sides (L) (R) # Stories Height Vertical distance measured from the average adjacent grade of the uilding to the extreme high point of the building, exclusive of chimneys, heating units, ventilation ducts, air conditioning units, elevators, and similar appurtances. During construction: On -site restroom facilities will be provided through On -site waste and debris containers will be provided by Construction debris will be disposed by by means of -Sc..k ?AL 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: 2.D °1r 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 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 Signature Date fork 1 : -L0 - FEES I0S IS Permit Inspections Water Tap Sewer Stub Aid to Const. TOTAL 0 Lfq 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 lead safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeepinq checklist that EPA ha, 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 project 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 homy and planning to do painting or repairs, please read a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Chil Care Providers, and Schools lead hazard information pamphlet. You may also want to call the National Lead Information Center at 1 -800 424 -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 i 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 tenant sign a pre- renovation disclosure form, which indicates that the tenant received the Renovate Right lead hazard informatio pamphlet. • Beginning in December 2008, the contractor must also make renovation information available to the parents or guardians c children under age six that attend child care facilities and schools, and to provide to owners and administrators of pre -1978 chil care facilities and schools to be renovated a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Chil 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 creat dust that contains lead. By following the lead -safe work practices, you can prevent lead hazards. Contractors who perform renovatior repairs, and painting jobs in pre -1978 housing and child- occupied facilities must, before beginning work, provide owners, tenants, an 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. EPA's pre- renovation disclosure form ma be used for this purpose. Understand that after April 22, 2010, federal law will require you to be certified and to use lead -safe wor practices. To become certified, renovation contractors must submit an application and fee payment to EPA. See: Application for fin 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, Repai and Painting (RRP) Program. Please note that if you previously completed an eligible renovation training course you me 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 lea( safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeepinq checklist that EPA hi 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 u lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. ft :AOC IF YOU'RE NOT LEAD-SAFE CERTIFIED, .DISTURBING JUST SIX SQUARE FEET . ' COULD COST YOU BIG TIME. Signature Rid Printed Name (1t(n5 <Jo zE=; 2- Date 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. Undersigned Printed Name Date Office Use Only Project Address: Permit Number: