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11-0623 Tybee Beach Vacation Rentals_1of3
City of Tybee Island • Planning & Zoniny Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472.5032 • Fax 912.786.9539 INTERNATIONAL CODE COUNCIL MEMBER Permit No. J/- ‘,/21...3 Date Requested / 47- Owner's Name 7:f. � ✓9G Z.] 4.1:-. Date Needed 4 %l,. Gen. Contractor ;,',J ;,:'Subcontractor Contact Information i 74 . ,,�iZ S 2 Zki , Project Address / /f, JJ.j &n Scope of Work ,of.jlrr1 f<)) G >,i, Inspector '71 Date of Inspection Inspection 17t--- 7f - Pass Fee Inspection Pass ❑ Fa , Fee Inspection Pass Inspection Pass ® Fa �tr4�, Fee Fee Permit No. Owner's Name City of 403 Butler Phone , ree Island • Community Developi.gent Dept. Inspection Report Ave. • P.A. Box 2749 • Tyree Island, GA 31328 912.786.4573 ext. 114 • Fax 912.786.9539 ` /� Date Requested yam/ 144 ia.h�o/5 Date Needed Rte" INTERNATIOIIA! CODE COUNCE'_' MEMBER i Gen. Contractor ; . G /3(1,0450.0/ Subcontractor Contact Information /Z/E4:74 aZ 4S 74 24 l�G Project Address Lam 7 45 b Scope of Work /,.ib Inspector 7lq Inspection / ✓�,�,� Pass L_.1 Fail fl Fee /nlc /vc :s 3 CY vrgzri I i c 4r J d�- 3t, /,1 tips �� z 410')(46" tei, rJ,JG Vie; 3y I h r, r,J ✓e gcces.s boar,-4,96e) ied/c, L1, -746 box s iii Date of Inspection Inspection Pass El/ Fail Fee (hkLJG de r�4P/z. 14,44- ,c,> . ,�PPob Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Dianne Otto From: Dianne Otto Sent: Monday, April 23, 2012 2:11 PM To: 'keith @buytybee.com' Cc: Diane Schleicher Subject: 1106 Hwy. 80 Attachments: S35C- 412042309110.pdf; FW: 1106 Hwy 80 - use of lower level prior to C.O.; S35C - 412042312040. pdf Dear Keith, As follow up to our telephone conversation today, I am emailing to restate that I had made the decision on Friday, April 20, that a temporary Certificate of Occupancy would not be issued for 1 106 Highway 80. That decision was based on the minimal amount of work required on the inspection reports that had been prepared last week by the Building Official (Ray Hord) and the Chatham County Fire Marshal (Rodney Smith). Attached are those 2 reports and below is an itemized list. s7• Install self - closing devices on all exit doors Provide cover plate at front receptacle Provide door for electrical panel • Install all switch & receptacle covers . Install breakroom plumbing - r,vd,plt for /lo..) a e,ge 016"' ) 4 >. c°' • Data sheet needed for interior wall finish (a fax regarding this was received on April 20) Please note that on April 13, I did accommodate your request to use the linen area only (see attached email). That agreement continues despite the fire at this location on Saturday, April 21. I discussed with Ray on Friday that a temporary C.O. would not be issued given the minimal amount of work required in order for a C.O. to be issued. Perhaps a miscommunication occurred between Keith, Jr., and Ray, or Keith, Jr. and yourself, or perhaps Ray was unclear on my position of not issuing temporary Certificates of Occupancy. Following my telephone conversation with you earlier today Ray did call me about this job. He said he made it very clear to Keith, Jr., on Friday that despite what was written on the inspection report about a temporary C.O. and a May 21 building final deadline, he was not the decision -maker on issuing or not issuing a temporary C.O. The repairs that are now needed due to the April 21 electrical fire can be accomplished along with the items on the above list. Please call following completion of the work to schedule an inspection. A Certificate of Occupancy will be issued as soon as the remainder of the electric work passes inspection and the reinspection of the building final passes inspection. Over and over Ray and I hear contractors /property owners /business owners express their anticipated completion dates but those dates are not met due to unexpected construction delays. My position remains that a deadline date established by an owner or a contractor will not be the basis for issuing a Certificate of Occupancy, nor will it be a reason for allowing temporary or conditional occupancy. Sincerely, Dianne K. Otto, CFM City of Tybee Island phone 912.786.4573 ext. 136 fax 912.786.9539 1 City of _ ,oee Island • Community Develoi _:'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 !I`` ia:, INTERNATIONAL CODE COUNCIC MEMBER Permit No. Date Requested Date Needed Subcontractor Owner's Name Gen. Contractor Contact Information k1 , - - !f > • L `7/ :_e- ? Project Address I I %(,rte 1 JO7 Scope of Work ' r0 ,/lr Z , = ! - :.alC-1-1 Inspector ) I ` 1 Date of Inspection ' i L Inspection (r1) v; _ Pass ❑ ❑ Fail Fee 1 Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee CITY OF TYBEE ISLAND CERTIFICATE OF OCCUPANCY DATE COMPLETED: 04/24/2012 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 #: 110623 PROPOSED USE: RENOVATION OF COMMERCIAL BUILDING OCCUPANCY TYPE: P CONTACT NAME TYBEE BEACH VACATION RENTALS CONTACT ADDRESS PO BOX 2802 CONTACT CITY STATE ZIP TYBEE ISLAND GA 31328 PROPERTY ADDRESS 1106 HWY 80 APPROVED BY: 0, .,,,,,,..) ph P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -5737 www.cityoftybee.org City of I.Tvee Island • Community Developnt Dept. 1 5 " Inspection Report \\ V) 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Permit No. Phone 912.786.4573 ext. 114 • Fax 912.786.9539 / f - > Liz Date Requested Owner's Name 7 ,.. '*; Gen. Contractor /Date Needed KRI .ate* INTERNATIONAL CODE COUNCIL MEMBER Subcontractor Contact Information • ' . 1 "/ �. c/7-Z6.24. r Project Address Scope of Work . Inspector %%) Date of Inspection Inspection - Pass a\,_P,a I El Fee 6. , rj /-1 Inspection Pass Faf Fee /7.:c /.--:(714) Inspection Pass Fail ❑ Fee Inspection Pass Fail ^ Fee Dianne Otto From: Dianne Otto Sent: Monday, April 23, 2012 2:11 PM To: 'keith @buytybee.com' Cc: Diane Schleicher Subject: 1106 Hwy. 80 Attachments: S35C- 412042309110.pdf; FW: 1106 Hwy 80 - use of lower level prior to C.O.; S35C - 412042312040. pdf Dear Keith, As follow up to our telephone conversation today, I am emailing to restate that I had made the decision on Friday, April 20, that a temporary Certificate of Occupancy would not be issued for 1 106 Highway 80. That decision was based on the minimal amount of work required on the inspection reports that had been prepared last week by the Building Official (Ray Hord) and the Chatham County Fire Marshal (Rodney Smith). Attached are those 2 reports and below is an itemized list. • Install self - closing devices on all exit doors • Provide cover plate at front receptacle • Provide door for electrical panel • Install all switch & receptacle covers • Install breakroom plumbing • Data sheet needed for interior wall finish (a fax regarding this was received on April 20) Please note that on April 13, I did accommodate your request to use the linen area only (see attached email). That agreement continues despite the fire at this location on Saturday, April 21. I discussed with Ray on Friday that a temporary C.O. would not be issued given the minimal amount of work required in order for a C.O. to be issued. Perhaps a miscommunication occurred between Keith, Jr., and Ray, or Keith, Jr. and yourself, or perhaps Ray was unclear on my position of not issuing temporary Certificates of Occupancy. Following my telephone conversation with you earlier today Ray did call me about this job. He said he made it very clear to Keith, Jr., on Friday that despite what was written on the inspection report about a temporary C.O. and a May 21 building final deadline, he was not the decision -maker on issuing or not issuing a temporary C.O. The repairs that are now needed due to the April 21 electrical fire can be accomplished along with the items on the above list. Please call following completion of the work to schedule an inspection. A Certificate of Occupancy will be issued as soon as the remainder of the electric work passes inspection and the reinspection of the building final passes inspection. Over and over Ray and I hear contractors /property owners /business owners express their anticipated completion dates but those dates are not met due to unexpected construction delays. My position remains that a deadline date established by an owner or a contractor will not be the basis for issuing a Certificate of Occupancy, nor will it be a reason for allowing temporary or conditional occupancy. Sincerely, Dianne K. Otto, CFM City of Tybee Island phone 912.786.4573 ext. 136 fax 912.786.9539 From: Dianne Otto Sent: Monday, April 23, 2012 9:32 AM To: 'keith @buytybee.com' Subject: additional invoice Keith, Attached is a $17 invoice for the permit to repair the fire damage at 1 106 Highway 80. Dianne K. Otto, CFM City of Tybee Island phone 912.786.4573 ext. 136 fax 912.786.9539 From: oceprinter@>oce.com [mailto:oceprinterOoce.com] Sent: Monday, April 23, 2012 10:12 AM To: Dianne Otto Subject: Scan from Economic Development toy .a SHERWIN WILUAMS1 As of 09/22/08, Complies with: OTC Yes LEED® CIv2.0 Yes SCAQMD No LEED® NCv2.2 Yes CARB Yes LEED® CSv2.0 Yes MPI Spec # 44 LEED®H Yes NAHB Yes 101.20 PRoMAR® 200 INTERIOR LATEX EG -SHEL B20W2200 SERIES CHARACTERISTICS SPECIFICATIONS SURFACE PREPARATION ProMar 200 Interior Latex Eg -Shel is a Block WARNING! Removal of old paint by sand - durable, professional quality, interior vi- 1 ct. Loxon Block Surfacer ing, scraping or other means may gener- nyl acrylic finish for use on walls, ceilings, and trim of primed plaster, wallboard, wood, masonry, and primed metal. 2 cts. ProMar 200 Interior Latex Eg -Shel Drywall 1 ct. ProMar 200 Latex Primer ate dust or fumes that contain lead. Expo - sure to lead dust or fumes may cause brain damage or other adverse health effects, especially in children or pregnant women. Color: most colors 2 cts. ProMar 200 Interior Latex Eg -Shel Controlling exposure to lead or other haz- Coverage: 350 - 400 sq ft/gal ardous substances requires the use of @ 4 mils wet; 1.6 mils dry Masonry proper protective equipment, such as a Drying Time, @ 77 °F, 50% RH: 1 ct. Loxon Concrete & Masonry Primer properly fitted respirator (NIOSH approved) temperature and humidity dependent 2 cts. ProMar 200 Interior Latex Eg -Shel and proper containment and cleanup. For Touch: 1 hour more information, call the National Lead Recoat: 4 hours Plaster Information Center at 1- 800 -424 -LEAD (in Finish: 15 -20 units @ 85° 1 ct. Premium Wall & Wood Primer US) or contact your local health authority. Flash Point: N/A 2 cts. ProMar 200 Interior Latex Eg -Shel Tinting with Blend -A- Color: Remove all surface contamination by Base oz/gal Strength Wood washing with an appropriate cleaner, Extra White 0 -5 100% 1 ct. Premium Wall & Wood Primer rinse thoroughly and allow to dry. Exist - Deep Base 4 -12 100% 2 cts. ProMar 200 Interior Latex Eg -Shel ing peeled or checked paint should be Luminous White 0 -5 125% scraped and sanded to a sound surface. Vehicle Type: Vinyl Acrylic Glossy surfaces should be sanded dull. B20W02251 VOC (less exempt solvents): Stains from water, smoke, ink, pencil, grease, etc. should be sealed with the 99 g /L; 0.82 lb /gal appropriate primer /sealer. Volume Solids: 41 ± 2% Water Vapor Permeance Drywall ASTM E96 A 4.2 perms Fill cracks and holes with patching paste/ Weight Solids: 54 ± 2% spackle and sand smooth. Joint com- Weight per Gallon: 10.9 lb pounds must be cured and sanded smooth. Remove all sanding dust. Masonry, Concrete, Cement, Block All new surfaces must be cured accord- ing to the supplier's recommendations — usually about 30 days. Remove all form release and curing agents. Rough sur- faces can be filled to provide a smooth surface. If painting cannot wait 30 days, allow the surface to cure 7 days and prime the surface with Loxon Concrete & Ma- sonry Primer. 12/2009 www.sherwin- williams.com continued on back http://hazard.com/msds/f2/c1c/cicmy.hto THE SHERWIN - WILLIAMS CO. -- PROMAR 200 LATEX INTERIOR FINISH SEMIGLOSS,BASE X,B31W201 - -- Product Identification Product ID:PROMAR 200 LATEX INTERIOR FINISH SEMIGLOSS,BASE X, B31 W 201 MSDS Date:03 /20/1998 FSC:NIIN:Submitter:N EN Status Code:A MSDS Number: CLCMY __= Responsible Party =__ Company Name:THE SHERWIN - WILLIAMS CO. Address:101 PROSPECT AVE. N.W. City:CLEVELAND State:OH ZIP:44115 Country:US Info Phone Num:216- 566 -2902 Emergency Phone Num:216- 566 -2917 CAGE:1NE25 __= Contractor Identification =__ Company Name:SHERWIN - WILLIAMS CO Address:101 PROSPECT AVE NW Box:City:CLEVELAND State:OH ZIP:44115 Country:US Phone:216- 566 -2902 CAGE:1NE25 Composition /Information on Ingredients Ingred Name:ETHYLENE GLYCOL. (VAPOR PRESSURE: 0.1 MMHG.) CAS:107 -21 -1 RTECS #:KW2975000 Minumum % Wt:l. Maxumum % Wt:6. OSHA PEL:50 PPM ACGIH TLV:C 50 PPM ACGIH STEL:C127 MG /M3;C50 PPM EPA Rpt Qty:1 LB DOT Rpt Qty:1 LB Ingred Name:TITANIUM DIOXIDE CAS:13463 -67 -7 RTECS #:XR2275000 Minumum % Wt:9. Maxumum % Wt:27. OSHA PEL:10 MG /M3 (AS DUST) OSHA STEL:5 MG /M3 (RESP FRAC) ACGIH TLV:10 MG /M3 (AS DUST) Ingred Name:CARBON BLACK CAS:1333 -86 -4 RTECS #:FF5800000 Minumum % Wt:O. Maxumum % Wt:2. OSHA PEL:3.5 MG /M3 ACGIH TLV:3.5 MG /M3 Ingred Name:WATER CAS:7732 -18 -5 RTECS #:ZCO110000 Minumum % Wt:40.3 Maxumum % Wt:55.8 1 of 4 4/23/2012 9:00 Al Ingred Name:CRISTOBALITE CAS:14464 -46 -1 RTECS #:VV7325000 Minumum % Wt:O. Maxumum % Wt:.1 OSHA PEL:SEE TABLE Z -3 ACGIH TLV:0.05 MG /M3 Ingred Name:2- (2- BUTOXYETHOXY)ETHANOL. (VAPOR PRESSURE: 0.1 MMHG) CAS:112 -34 -5 RTECS #:KJ9100000 Minumum % Wt:O. Maxumum % Wt:2. Ingred Name:CALCIUM CARBONATE CAS:471 -34 -1 RTECS #:FF9335000 Minumum % Wt:3. Maxumum % Wt:6. OSHA PEL:15 MG /M3 OSHA STEL:5 MG /M3 ACGIH TLV:10 MG /M3 Hazards Identification http:// hazard .com /msds /f2 /c1c /cicmy.htrr Routes of Entry: Inhalation:YES Skin:YES Ingestion:YES Reports of Carcinogenicity:NTP:YES IARC:YES OSHA:NO Health Hazards Acute and Chronic:ROUTES OF EXPOSURE: EXPOSURE MAY BE BY INHALATION AND /OR SKIN OR EYE CONTACT, DEPENDING ON CONDITIONS OF USE. TO MINIMIZE EXPOSURE, FOLLOW RECOMMENDATIONS FOR PROPER USE, VENTILATION, & PERSONAL PROTE CTIVE EQUIPMENT. ACUTE: IRRITATION OF EYES, SKIN & UPPER RESPIRATORY SYSTEM. IN A CONFINED AREA VAPORS IN HIGH CONCENTRATION MAY CAUSE HEADACHE, NAUSEA OR DIZZINESS. CHRONIC: CRYSTALLINE SILICA (QUART Z, CRISTOBALITE) IS LISTED BY IARC & NTP. LONG TERM EXPOSURE TO HIGH LEVELS OF SILICA DUST, WHICH CAN OCCUR ONLY WHEN SANDING OR ABRADING THE DRY FILM, MAY CAUSE LUNG DAMAGE (SILICOSIS) & POSSIBLY CAN CER. (EFFECTS OF OVEREXPOSURE) Explanation of Carcinogenicity:CARBON BLACK: IARC GROUP 2B, VOLUME 65, PAGE 149, 1996. QUARTZ, SILICA, CRYSTALLINE (RESPIRABLE SIZE): NTP 9TH REPORT, KNOWN TO BE HUMAN CARCINOGEN; SILICA, CRYSTALLINE (INHALED IN THE FORM OF QUARTZ OR CRISTOBALITE FROM OCCUPATION SOURCES): IARC GROUP 1, VOL 68, PAGE 41, 1997. Effects of Overexposure:HEALTH HAZARDS (CONT'D): CARBON BLACK IS CLASSIFIED BY IARC AS POSSIBLY CARCINOGENIC TO HUMANS (GROUP 2B) BASED ON EXPERIMENTAL ANIMAL DATA, HOWEVER, THERE IS INSUFFICIENT EVIDENCE IN HUMANS FOR ITS C ARCINOGENICITY. ETHYLENE GLYCOL IS CONSIDERED AN ANIMAL TERATOGEN. IT HAS BEEN SHOWN TO CAUSE BIRTH DEFECTS IN RATS AND MICE AT HIGH DOSES WHEN GIVEN IN DRINKING WATER OR BY GAVAGE. THERE IS NO EVIDEN CE TO INDICATE IT CAUSES BIRTH DEFECTS IN HUMANS. PROLONGED OVEREXPOSURE TO SOLVENT INGREDIENTS MAY CAUSE ADVERSE EFFCTS TO LIVER & URINARY SYSTEMS. RATS EXPOSED TO TITANIUM DUST (TOXICOLOGICAL) Medical Cond Aggravated by Exposure:NONE GENERALLY RECOGNIZED. First Aid Measures First Aid:IF INHALED: IF AFFECTED, REMOVE FROM EXPOSURE. RESTORE BREATHING. KEEP WARM AND QUIET. IF ON SKIN: WASH AFFECTED AREA THOROUGHLY WITH SOAP AND WATER. REMOVE CONTAMINATED CLOTHING AND LAUNDER BEFORE RE USE. IF IN EYES: FLUSH EYES WITH LARGE AMOUNTS OF WATER FOR 15 MINUTES. GET MEDICAL ATTENTION. IF SWALLOWED: GET MEDICAL ATTENTION. Flash Point:NONE Fire Fighting Measures 2 of 4 4/23/2012 9:00 Al http:// hazard .com /msds /f2 /c1c /cicmy.htn Lower Limits:N.AP. Upper Limits:N.AP. Extinguishing Media:CARBON DIOXIDE, DRY CHEMICAL, ALCOHOL FOAM. Fire Fighting Procedures:FULL PROTECTIVE EQUIPMENT INCLUDING NIOSH APPROVED SELF CONTAINED BREATHING APPARATUS SHOULD BE USED. WATER SPRAY MAY BE INEFFECTIVE. IF WATER IS USED, FOG NOZZLES ARE PREFERABLE. WATER MAY BE USED TO COOL CLOSED CONTAINERS TO PREVENT PRESSURE BUILD -UP & POSSIBLE AUTOIGNITION OR EXPLOSION WHEN EXPOSED TO EXTREME HEAT. Unusual Fire /Explosion Hazard:CLOSED CONTAINERS MAY EXPLODE (DUE TO THE BUILD -UP OF PRESSURE) WHEN EXPOSED TO EXTREME HEAT. FLAMMABILITY CLASSIFICATION: NOT APPLICABLE. Accidental Release Measures Spill Release Procedures:REMOVE ALL SOURCES OF IGNITION. VENTILATE AND REMOVE WITH INERT ABSORBENT. Handling and Storage Handling and Storage Precautions:DOL STORAGE CATEGORY: NOT APPLICABLE. KEEP CONTAINER CLOSED WHEN NOT IN USE. TRANSFER ONLY TO APPROVED CONTAINERS WITH COMPLETE AND APPROPRIATE LABELING. DO NOT TAKE INTERNALLY. KEEP OUT OF THE REACH OF CHILDREN. USE ONLY WITH ADEQUATE VENTILATION. AVOID BREATHING VAPOR AND SPRAY (OTHER PRECAUTIONS) Other Precautions:HANDLING /STORAGE (CONT'D):•MIST. AVOID CONTACT WITH SKIN AND EYES. WASH HANDS AFTER USING. Exposure Controls /Personal Protection Respiratory Protection:IF PERSONAL EXPOSURE CANNOT BE CONTROLLED BELOW APPLICABLE LIMITS BY VENTILATION, WEAR A PROPERLY FITTED ORGANIC VAPOR /PARTICULATE RESPIRATOR APPROVED BY NIOSH FOR PROTECTION AGAINST MATERIALS IN THE INGREDIENTS SECTION. WHEN SANDING OR ABRADING THE DRIED FILM, WEAR A DUST /MIST RESPIRATOR APPROVED BY NIOSH FOR DUST WHICH MAY BE GENERATED (HYGIENE PRACT) Ventilation:LOCAL EXHAUST PREFERABLE. GENERAL EXHAUST ACCEPTABLE IF THE EXPOSURE TO MATERIALS IN INGREDIENTS SECTION IS MAINTAINED BELOW APPLICABLE (OTHER PROT EQUIP) Protective Gloves:WEAR IMPERVIOUS GLOVES . Eye Protection:ANSI APPROVED CHEMICAL SAFETY GOGGLES . WEAR SAFETY (WORK HYGIENE) Other Protective Equipment:EYEWASH AND DELUGE SHOWER MEETING ANSI DESIGN CRITERIA . VENTILATION (CONT'D): EXPOSURE LIMITS. REFER TO OSHA STANDARDS 1910.94, 1910.107, 1910.108. Work Hygienic Practices:LAUNDER CONTAMINATED CLOTHING BEFORE REUSE. WASH HANDS AFTER USING. RESPIRATORY PROT (CONT'D): FROM THIS PRODUCT, UNDERLYING PAINT, OR THE ABRASIVE. EYE PROT: SPECTACLES WITH UNPERFORATED SIDESHIELDS. Supplemental Safety and Health THESE COATINGS MAY CONTAIN MATERIALS CLASSIFIED AS NUISANCE PARTICULATES (LISTED "AS DUST" IN INGREDIENTS SECTION) WHICH MAY BE PRESENT AT HAZARDOUS LEVELS ONLY DURING SANDING OR ABRADING OF THE DRIE D FILM. IF NO SPECIFIC DUSTS ARE LISTED IN INGREDIENTS SECTION, THE APPLICABLE LIMITS FOR NUISANCE DUSTS (TOX INFO) Physical /Chemical Properties Boiling Pt:= 100.C, 212.F B.P. Text:RANGE: 212 - 477F. Melt /Freeze Pt:M.P /F.P Text:N.A. Vapor Density:> THAN AIR Spec Gravity:1.13 - 1.50 pH:9.0 - 9.5 Evaporation Rate & Reference:SLOWER THAN ETHER. Solubility in Water:N.A. 3 of 4 4/23/2012 9:00 A] Appearance and Odor:NOT SPECIFIED BY MANUFACTURER . Percent Volatiles by Volume:56-80% Stability and Reactivity Data http://hazard.com/msds/f2/c1c/cicmy.htn Stability Indicator /Materials to Avoid:YES NONE KNOWN. Stability Condition to Avoid:NONE KNOWN. PHOTOCHEMICALLY REACTIVE: NO. Hazardous Decomposition Products:BY FIRE: CARBON DIOXIDE, CARBON MONOXIDE. Toxicological Information Toxicological Information:N /P. SIGNS /SYMPTOMS OF OVEREXPOSURE (CONT'D): AT 250 MG /M3 DEVELOPED LUNG CANCER, HOWEVER, SUCH EXPOSURE LEVELS ARE NOT ATTAINABLE IN THE WORKPLACE. REDNESS AND ITCHING OR BURNING SENSATION MAY INDICA TE EYE OR EXCESSIVE SKIN EXPOSURE. SUPPLEMENTAL SAFETY (CONT'D): ARE ACGIH TLV 10 MG /M3 (TOTAL DUST), 3 MG /M3 (RESPIRABLE FRACTION), OSHA PEL 15 MG /M3 (TOTAL DUST), 5 MG /M3 (RESPIRABLE FRACTION). Ecological:N /P. Ecological Information Disposal Considerations Waste Disposal Methods:WASTE FROM THESE PRODUCTS IS NOT HAZARDOUS AS DEFINED UNDER THE RESOURCE CONSERVATION AND RECOVERY ACT (RCRA) 40 CFR 261. INCINERATE IN APPROVED FACILITY. DO NOT INCINERATE CLOSED CONTAINER. DISPOSE OF IN ACCORDANCE WITH FEDERAL, STATE, AND LOCAL REGULATIONS REGARDING POLLUTION. MSDS Transport Information Transport Information:N /P. Regulatory Information SARA Title III Information:INGREDIENTS SUBJECT OT THE REPORTING REQUIREMENTS OF THE SUPERFUND AMENDMENTS AND REAUTHORIZATION ACT (SARA) SECTION 313, 40 CFR 372.65C: 2- (2- BUTOXYETHOXY) ETHANOL AND ETHYLENE GLYCOL. Federal Regulatory Information:TSCA CERTIFICATION: ALL CHEMICALS IN THESE PRODUCTS ARE LISTED, OR ARE EXEMPT FROM LISTING, ON THE TSCA INVENTORY. State Regulatory Information:THIS PRODUCT CONTAINS CHEMICALS KNOWN TO THE STATE OF CALIFORNIA TO CAUSE CANCER. Other Information Disclaimer (provided with this information by the compiling agencies): This information is formulated for use by elements of the Department of Defense. The United States of America in no manner whatsoever, expressly or implied, warrants this information to be accurate and disclaims all liability for its use. Any person utilizing this document should seek competent professional advice to verify and assume responsibility for the suitability of this information to their particular situation. 4 of 4 4/23/2012 9:00 A RECEIVED Dianne Otto From: David Garrett [David @renttybee.com] Sent: Friday, April 20, 2012 3:26 PM To: Dianne Otto Subject: Paint Specifications Attachments: ProMar 200 EDS.pdf; ProMar 200 MSDS.pdf; ProMar 200 PDS.pdf Hi Ray, I I -Oo23 As per our conversation this morning, I have attached the only spec sheets I could find on the paint we used. Please review and let me know if it answers your question; if not, where do we go from here? Thanks! David Garrett Tybee Beach Vacation Rentals PO Box 2802 802 1st Street Tybee Island, GA 31328 (912) 786 -0100 (800) 967 -4433 (912) 786 -8770 - Fax 1 ENVIRONMENTAL DATA SHEET (Certified Product Data Sheet) 22 00 [2271] PRODUCT NUMBER B20W2251 PRODUCT NAME PROMAR® 200 Interior Latex Eg -Shel Enamel, Extra White MANUFACTURER'S NAME THE SHERWIN - WILLIAMS COMPANY 101 Prospect Avenue N.W. Cleveland, OH 44115 Date of Preparation Aug 16, 2011 This document includes all data required by 40 CFR 63.801(a) for a Certified Product Data Sheet under criteria specified in 40 CFR 63.805(a). All data given below are MAXIMUM THEORETICAL VALUES based on the product AS CURRENTLY FORMULATED. Variations may occur on individual batches due to adjustments made during production. Product Weight 10.85 lb /gal Hazard Category (for SARA 311.312) I Acute I Chronic I Volatile Ingredients Specific Gravity 1.31 FLASH POINT N.A. Chemical / Compound SARA 302 EHS CERCLA SARA 313 TC HAPS 112 % by Weight % by Volume Ethylene Glycol 107 -21 -1 N Y Y Y 2 2 Water 7732 -18 -5 N N N N 43 55 Volatile Organic Compounds (follows U.S. EPA VOC Data Sheet) A. Coating Density B. Total Volatiles C. Federally exempt solvents: Water 10.85 lb /gal 45.8 % by wt. 42.5 % by wt. D. Organic Volatiles 3.3 % by wt. E. Percent Non - Volatile 54.2 % by wt. F. VOC Content 0.35 lb /gal 42 g/I total 1. 0.78 lb /gal 94 g/I less exempt solvents 2. 0.86 lb /gal 104 g/I of solids 0.06 lb /lb 0.06 kg /kg of solids 1299 g/I 58.8 % by vol. 54.7 % by vol. 4.1 % by vol. 41.2 % by vol. Hazardous Air Pollutants (Clean Air Act, Section 112(b)) Volatile HAPS 0.20 lb /gal 0.024 kg /I 0.49 lb /gal 0.059 kg /I of solids 0.03 lb /lb 0.03 kg /kg of solids Air Quality Data Density of Organic Solvent Blend 8.63 lb /gal Photochemically Reactive No Maximum Incremental Reactivity (MIR) (California Air Resources Board Aerosol Products Regulation, MIR Value July 18, 2001) 0.09 Maximum Incremental Reactivity (MIR) (per US EPA Aerosol Ctg Rule) 0.10 page 1 of 2 B20W2251 Waste Disposal Waste from this product is not hazardous as defined under the Resource Conservation and Recovery Act (RCRA) 40 CFR 261. IAddition of reducers or other additives to this product may substantially alter the above data. Since conditions of use are outside our control, we make no warranties, express or implied, and assume no liability in connection with any use of this information. page 2 of 2 MATERIAL SAFETY DATA SHEET B20W2251 22 00 DATE OF PREPARATION Feb 10, 2012 SECTION 1 — PRODUCT AND COMPANY IDENTIFICATION PRODUCT NUMBER B20W2251 PRODUCT NAME PROMAR® 200 Interior Latex Eg -Shel Enamel, Extra White MANUFACTURER'S NAME THE SHERWIN - WILLIAMS COMPANY 101 Prospect Avenue N.W. Cleveland, OH 44115 Telephone Numbers and Websites Product Information www.sherwin- williams.com Regulatory Information (216) 566 -2902 www.paintdocs.com Medical Emergency (216) 566 -2917 Transportation Emergency* (800) 424 -9300 for Chemical Emergency ONLY (spill, leak, fire, exposure, or accident) SECTION 2 — COMPOSITION /INFORMATION ON INGREDIENTS % by Weight CAS Number Ingredient 2 107 -21 -1 Ethylene Glycol ACGIH TLV OSHA PEL 0.1 14464 -46 -1 Cristobalite ACGIH TLV OSHA PEL 15 471 -34 -1 Calcium Carbonate ACGIH TLV OSHA PEL OSHA PEL 13 13463 -67 -7 Titanium Dioxide ACGIH TLV OSHA PEL OSHA PEL Units Vapor Pressure 100 MG /M3 CEILING (aerosol) 50 PPM CEILING 0.12 mm 0.025 mg /m3 as Resp. Dust 0.05 mg /m3 as Resp. Dust 10 mg /m3 as Dust 15 mg /m3 Total Dust 5 mg /m3 Respirable Fraction 10 mg /m3 as Dust 10 mg /m3 Total Dust 5 mg /m3 Respirable Fraction SECTION 3 — HAZARDS IDENTIFICATION ROUTES OF EXPOSURE INHALATION of vapor or spray mist. EYE or SKIN contact with the product, vapor or spray mist. EFFECTS OF OVEREXPOSURE EYES: Irritation. SKIN: Prolonged or repeated exposure may cause irritation. INHALATION: Irritation of the upper respiratory system. HMIS Codes Health 2* Flammability 0 Reactivity 0 In a confined area vapors in high concentration may cause headache, nausea or dizziness. Prolonged overexposure to hazardous ingredients in Section 2 may cause adverse chronic effects to the following organs or systems: • the liver • the urinary system SIGNS AND SYMPTOMS OF OVEREXPOSURE Redness and itching or burning sensation may indicate eye or excessive skin exposure. MEDICAL CONDITIONS AGGRAVATED BY EXPOSURE None generally recognized. CANCER INFORMATION For complete discussion of toxicology data refer to Section 11. page 1 of 4 B20W2251 SECTION 4 - FIRST AID MEASURES EYES: Flush eyes with large amounts of water for 15 minutes. Get medical attention. SKIN: Wash affected area thoroughly with soap and water. Remove contaminated clothing and launder before re -use. INHALATION: If affected, remove from exposure. Restore breathing. Keep warm and quiet. INGESTION: Do not induce vomiting. Get medical attention immediately. SECTION 5 - FIRE FIGHTING MEASURES FLASH POINT Not Applicable EXTINGUISHING MEDIA Carbon Dioxide, Dry Chemical, Alcohol Foam UNUSUAL FIRE AND EXPLOSION HAZARDS Closed containers may explode (due to the build -up of pressure) when exposed to extreme heat. During emergency conditions overexposure to decomposition products may cause a health hazard. Symptoms may not be immediately apparent. Obtain medical attention. SPECIAL FIREFIGHTING PROCEDURES Full protective equipment including self- contained breathing apparatus should be used. Water spray may be ineffective. If water is used, fog nozzles are preferable. Water may be used to cool closed containers to prevent pressure build -up and possible autoignition or explosion when exposed to extreme heat. LEL N.A. UEL N.A. FLAMMABILITY CLASSIFICATION Not Applicable SECTION 6 - ACCIDENTAL RELEASE MEASURES STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED Remove all sources of ignition. Ventilate the area. Remove with inert absorbent. SECTION 7 - HANDLING AND STORAGE STORAGE CATEGORY Not Applicable PRECAUTIONS TO BE TAKEN IN HANDLING AND STORAGE Keep container closed when not in use. Transfer only to approved containers with complete and appropriate labeling. Do not take internally. Keep out of the reach of children. SECTION 8 - EXPOSURE CONTROLS /PERSONAL PROTECTION PRECAUTIONS TO BE TAKEN IN USE Use only with adequate ventilation. Avoid contact with skin and eyes. Avoid breathing vapor and spray mist. Wash hands after using. This coating may contain materials classified as nuisance particulates (listed "as Dust" in Section 2) which may be present at hazardous levels only during sanding or abrading of the dried film. If no specific dusts are listed in Section 2, the applicable limits for nuisance dusts are ACGIH TLV 10 mg /m3 (total dust), 3 mg /m3 (respirable fraction), OSHA PEL 15 mg /m3 (total dust), 5 mg /m3 (respirable fraction). Removal of old paint by sanding, scraping or other means may generate dust or fumes that contain lead. Exposure to lead dust or fumes may cause brain damage or other adverse health effects, especially in children or pregnant women. Controlling exposure to lead or other hazardous substances requires the use of proper protective equipment, such as a properly fitted respirator (NIOSH approved) and proper containment and cleanup. For more information, call the National Lead Information Center at 1- 800 - 424 -LEAD (in US) or contact your local health authority. VENTILATION Local exhaust preferable. General exhaust acceptable if the exposure to materials in Section 2 is maintained below applicable exposure limits. Refer to OSHA Standards 1910.94, 1910.107, 1910.108. RESPIRATORY PROTECTION If personal exposure cannot be controlled below applicable limits by ventilation, wear a properly fitted organic vapor /particulate respirator approved by NIOSH /MSHA for protection against materials in Section 2. When sanding or abrading the dried film, wear a dust/mist respirator approved by NIOSH /MSHA for dust which may be generated from this product, underlying paint, or the abrasive. PROTECTIVE GLOVES Wear gloves which are recommended by glove supplier for protection against materials in Section 2. EYE PROTECTION Wear safety spectacles with unperforated sideshields. page 2 of 4 B20W2251 SECTION 9 - PHYSICAL AND CHEMICAL PROPERTIES PRODUCT WEIGHT SPECIFIC GRAVITY BOILING POINT MELTING POINT VOLATILE VOLUME EVAPORATION RATE VAPOR DENSITY 10.85 lb /gal 1.31 212 -388 °F Not Available 58% Slower than ether Heavier than air 1299 g/I 100 -197 °C SOLUBILITY IN WATER N.A. pH 9.2 VOLATILE ORGANIC COMPOUNDS (VOC Theoretical - As Packaged) 0.78 lb /gal 94 g/I Less Water and Federally Exempt Solvents 0.35 lb /gal 42 g/I Emitted VOC SECTION 10 - STABILITY AND REACTIVITY STABILITY — Stable CONDITIONS TO AVOID None known. INCOMPATIBILITY None known. HAZARDOUS DECOMPOSITION PRODUCTS By fire: Carbon Dioxide, Carbon Monoxide HAZARDOUS POLYMERIZATION Will not occur SECTION 11 - TOXICOLOGICAL INFORMATION CHRONIC HEALTH HAZARDS Crystalline Silica (Quartz, Cristobalite) is listed by IARC and NTP. Long term exposure to high levels of silica dust, which can occur only when sanding or abrading the dry film, may cause lung damage (silicosis) and possibly cancer. IARC's Monograph No. 93 reports there is sufficient evidence of carcinogenicity in experimental rats exposed to titanium dioxide but inadequate evidence for carcinogenicity in humans and has assigned a Group 2B rating. In addition, the IARC summary concludes, "No significant exposure to titanium dioxide is thought to occur during the use of products in which titanium is bound to other materials, such as paint." Ethylene Glycol is considered an animal teratogen. It has been shown to cause birth defects in rats and mice at high doses when given in drinking water or by gavage. There is no evidence to indicate it causes birth defects in humans. TOXICOLOGY DATA CAS No. Ingredient Name 107 -21 -1 Ethylene Glycol LC50 RAT LD50 RAT 4HR Not Available 4700 mg /kg 14464 -46 -1 471 -34 -1 13463 -67 -7 Cristobalite LC50 RAT LD50 RAT 4HR Calcium Carbonate LC50 RAT 4HR LD50 RAT Not Available Not Available Not Available Not Available Titanium Dioxide LC50 RAT LD50 RAT 4HR Not Available Not Available SECTION 12 - ECOLOGICAL INFORMATION ECOTOXICOLOGICAL INFORMATION No data available. SECTION 13 - DISPOSAL CONSIDERATIONS WASTE DISPOSAL METHOD Waste from this product is not hazardous as defined under the Resource Conservation and Recovery Act (RCRA) 40 CFR 261. Incinerate in approved facility. Do not incinerate closed container. Dispose of in accordance with Federal, State /Provincial, and Local regulations regarding pollution. page 3 of 4 B20W2251 SECTION 14 - TRANSPORT INFORMATION Multi -modal shipping descriptions are provided for informational purposes and do not consider container sizes. The presence of a shipping description for a particular mode of transport (ocean, air, etc.), does not indicate that the product is packaged suitably for that mode of transport. All packaging must be reviewed for suitability prior to shipment, and compliance with the applicable regulations is the sole responsibility of the person offering the product for transport. US Ground (DOT) Not Regulated for Transportation. Canada (TDG) Not Regulated for Transportation. IMO Not Regulated for Transportation. IATA/ICAO Not Regulated for Transportation. SECTION 15 - REGULATORY INFORMATION SARA 313 (40 CFR 372.65C) SUPPLIER NOTIFICATION CAS No. CHEMICAL/COMPOUND % by WT Element 107 -21 -1 Ethylene Glycol 2 CALIFORNIA PROPOS TION 65 WARNING: This product contains chemicals known to the State of California to cause cancer and birth defects or other reproductive harm. TSCA CERTIFICATION All chemicals in this product are listed, or are exempt from listing, on the TSCA Inventory. SECTION 16 - OTHER INFORMATION This product has been classified in accordance with the hazard criteria of the Canadian Controlled Products Regulations (CPR) and the MSDS contains all of the information required by the CPR. IThe above information pertains to this product as currently formulated, and is based on the information available at this time. Addition of reducers or other additives to this product may substantially alter the composition and hazards of the product. Since conditions of use are outside our control, we make no warranties, express or implied, and assume no liability in connection with any use of this information. page 4 of 4 Permit No. City of \,Fee Island • Community Develop_ _ant Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 Date Requested Z / Owner's Name <�. .. f` Date Needed Gen. Contractor Subcontractor ?LSD INTERNATIONAL CODE COUNCIL' MEMBER Contact Information r a Project Address Scope of Work Inspector Date of Inspection / /U Y � C) /1-1/ 1 ` d Inspection Inspection 3,f• ✓ 5 /-' / ;/4 l 4/4 Pass ❑ Fail Fee J /. /` / C7" i.{ i 101// ' /i y Pass %mot% ) /9J,� r tJ i�,� Inspection Fail El Fee 2'i / L Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee CITY OF TYBEE ISLAND BUILDING PERMIT ADDED SCOPE & VALUE DATE ISSUED: 04/23/2012 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 # WNDWS/WALLS /ELEC/DECK/PAVERS 1106 HWY 80 TYBEE BEACH VACATION RENTALS PO BOX 2802 TYBEE ISLAND GA 31328 912 - 786 -0100 E C BURNSED CONST 109 BUTLER AVE TYBEE ISLAND GA 31328 276 U $ 726.00 PROJECT VALUATION $49,600.00 ADDED $1,500 FOR REPAIR FIRE DAMAGE PERMIT #: 110623 TOTAL BALANCE DUE: $ 17.00 It is understood that if this permit is granted the builder will at all times comply with the zoning, subdivision, flood control, building, fire, soil and sedimentation, wetlands, marshlands protection and shore protection ordinances and codes whether local, state or federal, including all environmental laws and regulations when applicable, subsequent owners should be informed that any alterations to the property must be approved by the issuance of another building permit. Permit holder agrees to hold the City of Tybee Island harmless on any construction covered by this permit. This permit must be posted in a conspicuous location in the front of building and protected from the weather. If this permit is not posted work will be stopped. The building contractor will replace curb paving and gutter broken during construction. This permit will be voided unless work has begun within six months of the date of issuance. Signature of Building Inspector or Authorized Agent: P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT Location: ` b to US , NAME ADDRESS PIN # x TELEPHONE Owner T �� E 3 �� o� i It o6 QS, �` `�� t2 IS(o -V I O Zug° Architect or Engineer 1✓4k a5 ' 9'2_ 6S,=,- Building Contractor �a I �4'2 t�S'= A 1 .a 4 3 w`TZ�e �_I ^-- -��� - //2 -. W— V h^ (Che all that apply) Repair ❑ Renovation ❑ Minor Addition ❑ Substantial Addition ❑ Other Details of Project: 4.o rct o f' z io Est ated Cost of Construction: ❑ Residential ❑ Single Family ❑ Duplex ❑ Multi - Family ❑ Commercial n Footprint Changes n Discovery ❑ Demolition fad Construction Type (I) Wood Frame (2) Wood & Masonry (3) Brick Veneer Proposed use: Remarks: i (p......sgc„,_,...„.y.s.cyL.4;14.346 (Enter appropriate number) (4) Masonry (6) Other (please specify) (5) Steel & Masonry ATTACH A COP I F THE CERTIFIED ELEVATION SURVEY OF LOT and complete the following information Based on the construction drawings and site plan: # Units Lot Area # Off - street par Trees located Access: Driveway Setbacks: ront ing spaces listed on site r an # Stories grade of units, ve (ft.) Height he building to the extreme high p tilation ducts, air conditioning units, # Bedrooms Living space (total sq. ft.) With culvert? ar # Bathrooms LW:100 iq 0 With swale? Sides (L) (R) ical distance measured from the average adjacent nt of the building, exclusive of chimneys, heating evators, and similar appurtances. During construction: On -site restroom facilities will be provided through On -site waste and debris containers will be provided by Construction debris will be disposed by by means of I understand that I must comply with zoning, flood damage control, building, fire, shore protections and wetlands ordinances, FEMA regulations and all applicable codes and regulations. I understand that the lot must be staked out and that the stakes will be inspected to ensure that the setback requirements are met. I understand also that a certified plot plan showing elevation must be attached to this application and that an as -built elevation certification is due as soon as the habitable floor level is established. Drainage: I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected. I accept responsibility for any corrective action that may be necessary to restore drai s_._' e impaired by this permitted construction. Date: Zl I Signature of Applicant: Ato / V Note: A permit normally takes 7 to 10 days to process. The following is to be completed by City personnel: Zoning certification Approved rezoning /variance? Street address and number: New Is it in compliance with City map? If not, has street name and/or number been reported to MPC? FEMA Certification attached State Energy Code Affidavit attached Utilities and Public Works: Describe any unusual finding(s) NFIP Flood Zone Existing Access to building site Distance to water main tap site Distance to sewer stub site Water meter size Storm drainage Approvals: Signature Date Zoning Administrator Code Enforcement Officer Water /Sewer Storm/Drainage Inspections City Manager (5S -i34" FEES Permit Inspections Water Tap Sewer Stub Aid to Const. TOTAL CHATHAM COUNTY DE RTMENT OF BUILDING SAFETY . .EGULATORY SERVICES eIRE SAFETY INSPECTION DIVISION FOR THE CITY OF TYBEE ISLAND YEAR OF APPROVED DISAPPROVED DATE 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, charge of structure, sha 1 h ve days Business Phone cr'v�&& 2`&96�� Occupant Load Name of Facility - f i- .iu Vi-4,,.S TZ7:-43.111 I , Address I 1042 1 /30 and further requiring that you, as owner, agent or person in to complete specified repairs or improvements. OOwner Occupancy: -1Business J Personal Care Home 1. Number of Exit Doors ' / 2. Blocked Locked 3. Exit Sign Good 4. Emergency Lights Good 5. Panic Hardware Good 6. Self - Closing Device Good ate 9e /J 7. Fire Alarm Yes 8. Smoke /Heat Detectors Yes 9. Sprinkler System Yes 10. Standpipe Yes 11. Number of Fire Extinguishers k''4 -It -t-' is Assembly Storage Mercantile Factory Inspected/Charged Yes �! 12. Fixed Hood System Yes 13. Date of Last Service 14. Electrical Good ✓" 15. Overloaded Sockets /Outlets 16. Missing Electrical Covers 17. Other (explain) Educational Residential Day Care Hazardous OK Unsatisfactory NA Unsatisfactory NA Unsatisfactory NA Unsatisfactory Sc t NA No v- NA No r NA No ✓ NA No t/ NA Proper Type? No NA No - NA (REQUIRED EVERY 6 MONTHS) Fair Unsatisfactory Yes No r Yes No 18. Excessive Storage of Combustibles Yes No ,l List Details 4t.1240 S 4 If S c' The signature below of Owner, Occupant, Agent nifies Inspection was made. Owner /Occupant/Agen ignature Chatham County Fire Marshall 101 -SEC 5 101 -SEC 5 101 -SEC 5 101 -SEC 5 101 -SEC 5 NFPA 72 NFPA 73 NFPA 13 NFPA 13 NFPA 10 NFPA 10 NFPA 96 NFPA 70 NFPA 70 NFPA 70 NFPA 30 C:\Documents and SettingsVIMMY\Desktop \City Tybee 3 Part\Fire Inspection Form.doc City of Jee Island • Community Develoi 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 Innek Walk INTERNATIONAL CODE COUNCIL MEMBER Permit No. � = �. Date Requested � r� Owner's Name Date Needed Gen. Contractor /T . (. Subcontractor Contact Information /c : ; �J J �� 7 - Zi. (o Project Address Scope of Work afr:! =,t Inspector '7)1 Date of Inspection (0 (c'l ,L Inspection Pass [J Fail [J Fee Cam ),:_ r. 7�i� - � Inspection vyll- Pass Fail ❑ Fee Inspection / 1 Pass Fail El Fee �L7' ►i,i �` iU-- tF -+� =� v� ��v��7 ki •v I�C. Inspection Pass Fail ❑ Fee ME `�'�chJ' n+r c i a �'" ) _7 , City of .ee 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 912.786.9539 mom- Num Mittraii INTERNATIONAL CODE COUNCIL MEMBER Permit No. / s Date Requested Date Needed Subcontractor Owner's Name Gen. Contractor Contact Information Project Address Scope of Work Inspector "21‘:27' Date of Inspection y/ - Inspection kw %)--4,-„) Pass Fail El Fee (IL,1,./5 ) fr� / <Ti. i - (J,J1)-uz ?)/ . 40,-64) Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee City of ', -.,, -nee Island • Community Develoi,.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 tal il�* INTERN A ?ICNAL CODE COUNCiC MEMBER Permit No Date Requested f7/ �; %%1 ✓. Owner's Name _ Date Needed Gen. Contractor Subcontractor Contact Information Project Address Scope of Work Inspector Date of Inspection Inspection r� _� ' Pass `001'ti Fee f/-1 1 1 Inspection Pass El Fail 0 Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass Fail ❑ Fee City of`., Jee Island • Community DeveloF_,.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 Permit No. �' - U UZ Date Requested (-11 :fig INTERNATIONAL CODE COUNCIL MEMBER Owner's Name. VJk_.. Date Needed Gen. Contractor % C. 13 07,--n.)/2.4 Subcontractor Contact Information J—K" Project Address Scope of Work Inspector Inspection /10 J-z 11,44 727: . 4 i s 44-i G- Date of Inspection Pass F Fee Inspection Pass D Fail Fee Inspection Pass El Fail El Fee Inspection Pass ❑ Fail ❑ Fee Dianne Otto From: Dianne Otto Sent: Friday, April 13, 2012 12:34 PM To: 'keith @buytybee.com'; 'KEITH @VIPERCONTRACTING.COM' Subject: FW: 1106 Hwy 80 - use of lower level prior to C.O. Attachments: 1106 Hwy 80.pdf; S35C- 412041312120.pdf Keith, Attached is the invoice for the additional scope and value for the 1 106 Highway 80 project. Dianne K. Otto, CFM City of Tybee Island phone 912.786.4573 ext. 136 fax 912.786.9539 From: Dianne Otto Sent: Friday, April 13, 2012 12:20 PM To: 'keith @buytybee.com'; 'KEITH @VIPERCONTRACTING.COM' Subject: 1106 Hwy 80 - use of lower level prior to C.O. Dear Keith, This email is to document the agreement that use of the lower level of the building located at 1 106 Highway 80, which is currently being renovated, is allowed although the building has not been issued a Certificate of Occupancy, The use of the space is limited to entrance via the exterior door located on the north side of the building. No use of the southern exterior door, the interior door leading to the upper level of the building, or the spaces beyond those two doors is permitted. Please advise if further clarification of this agreement is needed. Dianne K. Otto, CFM City of Tybee Island phone 912.786.4573 ext. 136 fax 912.786.9539 i CITY OF TYBEE ISLAND BUILDING PERMIT ADDED SCOPE & VALUE DATE ISSUED: 04/13/2012 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 # WNDWS/WALLS /ELEC/DECK/PAVERS 1106 HWY 80 TYBEE BEACH VACATION RENTALS PO BOX 2802 TYBEE ISLAND GA 31328 912 - 786 -0100 E C BURNSED CONST 109 BUTLER AVE TYBEE ISLAND GA 31328 276 U $ 709.00 PROJECT VALUATION $48,100.00 04/02/2012 - ADDED $2,100 FOR PLUMBING & MECHANICAL 04/13/12 - ADDED $1,000 FOR VENTED ENCLOSURE UNDER REAR ELEVATED PORTION PERMIT #: 110623 TOTAL BALANCE $ 138.00 DUE: 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 tjtt date of issuance. Signature of Building Inspector or Authorized Agent: .,(ivvvI,L) 6)&0 P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 w ww.eityoftybee.org 1-010-t a 0 2,1-) C o /'Z coo/5.h ai/Z- 1�jryrrc1 /l e �� un 2 _ x751 ?dC)- 7 qv 67gAer ,o1,/ czva City of 'I ._,ee Island • Community Develop_ tnt 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. I Owner's Name r • , I\ • - ` • Date Requested 1 I I- !Mk% num seezz. INTERNATIONAL CODE COUNCIL MEMBER ; , Date Needed Gen. Contractor i) Subcontractor Contact Information LEI 7"---1 v Project Address Scope of Work Inspector Inspection f Date of Inspection Lti Pass U Fail Inspection Pass Fail Fee Inspection Pass El Fail Fee Inspection Pass Fail D Fee Permit No. City of l ee 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 - D(023 Date Requested ' 5-I. 12 ii\ aka INTERNATIONAL CODE COUNCIL' MEMBER Owner's Name b Q11i —ap Q Lh VQL . Date Needed Gen. Contractor a `, -R V r nseL Subcontractor Contact Information Project Address /J62 x'12 Scope of Work ,..._,-.)1/1 1/4 /4-77"2-AvU✓ 41 0� Inspector Date of Inspection Inspection ETZ J - Pass Inspection t— k- I� Inspection 7 1 _ Inspection Pass Pass I -► r - Pass Fee Fee Fait Fee ail Fee City of roee Island • Community Developk_,ent Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912386.4573 ext. 114 • Fax 912.786.9539 /2. iEY .nom INTERNATIONAL CODE COUNCIL MEMBER 4/-Permit No. / / --C.)Z 3 Date Requested Owner s Name Y r,t .. E-leAr/-1 . Date Needed 41/ 1- Gen. Contractor 4- .G. arz.L,' - Subcontractor Contact Information 1) ,54(/ .--)•--)(i) ` Project Address / %uG -✓7 ("C. Scope of Work ?A A�c„J k- )47.5 1 J Inspector /�� Date of Inspection �'� :- Inspection 77,71 — Pass (�j I n Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass El Fail El Fee Inspection Pass ❑ Fail ❑ Fee City of • aee Island • Community Develok.. 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. 1 , ,,e Date Requested Owner's Name -:, , 1 Date Needed -- i i Gen. Contractor 117 ,/-, L J , ; i Subcontractor Contact Information k:.r.: -,-;.. 7 Project Address I 1 ('- \ li'a 1 --- 1,, Scope of Work 71, i :, k N ▪ am* INTERNATiONAL CODE COUNCIC MEMBER Inspector ze4,1 Date of Inspection i ) / / Inspection 0,11_...-- 1 L _1 -t-r::... -L1 - Pass 0 Fail 0 Fee l, r( I\V"\ Inspection Fee Inspection Pass E1 Fail Fee Inspection Pass Fail Fee Dianne Otto From: Downer Davis [dkdbus @gmail.com] Sent: Monday, February 06, 2012 9:59 AM To: Dianne Otto Subject: 212001 Keith Gay /HWY 80 Attachments: 212001 020512 Keith Gay _ HWY 80.jpg Based upon my observations yesterday morning this site is compliant. Additionally, I will offer that while the lack of proper prevention exposed nearby state waters to impact of sedimentation, it does not appear likely that such occurred. It appears that activities will conclude today or tomorrow. I'd appreciate a heads up and confirmation from the Applicant to allow a timely final check and closure on this item Downer 695 -7262 i ar Dianne Otto From: Dianne Otto Sent: Friday, February 03, 2012 12:17 PM To: 'ECBURNSE @BELLSOUTH.NET'; 'keith @buytybee.com' Cc: 'dkdbus @gmail.com' Subject: FW: Keith Gay soil erosion Attachments: FW: Keith Gay on HWY 80; Tybee Island - Wilmington- 20120203- 00069.jpg; Tybee Island - W ilmington- 20120203- 00068.jpg Keith and Ed, Below are comments from Downer Davis, the City's consulting engineer regarding the job site at 1 106 Highway 80. Also attached are two photographs. Also attached is a previous email and photo regarding this matter. This is a serious issue requiring immediate attention. Noncompliance will Dianne K. Otto, CFM City of Tybee Island phone 912.786.4573 ext. 136 fax 912.786.9539 From: Downer Davis [mailto:dkdbus@gmail.comj Sent: Friday, February 03, 2012 9:10 AM To: Dianne Otto Cc: Joe Wilson Subject: Keith Gay soil erosion The grades of the existing parking lot appear to have been used as the top or the subgrade. Keith is still overlaying the existing ground with porous pavement. There has been no land disturbing activity,.... until now. I sent you two pictures earlier. They show dirt on the sidewalk, drive, HWY80 gutter and the Hwy 80 pavement. I had a second discussion with Keith Gay and his workers on this Sunday morning around Sam as they commenced work. They assured me that there would be no traces of sand or stone outside of their work area. I will reinspect this work at 4pm today. Please forward this to Keith to advise him of the violation. As simple as this is to sweep, there is NO EXCUSE for this. I am concerned no only about the sand, soil, etc... reaching state waters, but also the safety concerns of the stone on the sidewalk and pavement. Last Sunday was not the first time I discussed this with Keith and site personnel. For the record, I will be monitoring this late Saturday and Sunday. 1 Dianne Otto From: Sent: To: OA Ob.,y4.4.67ee Subject: Attachments: Keith, Dianne Otto Sunday, January 29, 2012 3:10 PM .000N' Keith Gay' 13C —D ow'w' FW: Keith Gay on HWY 80 Tybee Island -W ilmington- 20120129- 00037.jpg Below are comments from Downer Davis regarding the 1 106 Highway 80 site and attached is a photograph. Downer said you are already aware of the need to do a sweeping at the end of each work day. Dianne K. Otto, CFM City of Tybee Island phone 912.786.4573 ext. 136 fax 912.786.9539 From: Downer Davis f mailto:dkdbus(&gmail.com] Sent: Sunday, January 29, 2012 1:58 PM To: Dianne Otto Subject: Keith Gay on HWY 80 The pics show minor amounts of gravel on the sidewalk. Keith and his site personel agreed to keep the gravel off of the sidewalk and assured a final sweeping would be performed at the end of each work day. 1 4164 h... ' o z r U C oo !os 6 4 Project: Section CM -18533 Structural Mullion kk Anchorage Calculations LL - Company: MI Windows and Doors p Y� cy 650 West Market Street NGratz, Pennsylvania 17030 G N LIo Prepared by: Walz Engineering, L.L.C. (2 00 11111 Hall Road, Suite 110 ai Utica, Michigan 48317 N=z 0 4- Report #: WE- 2008 -187A t Date: November 6, 2008 srt A. W-a1z, p.r. Florida PE fl ase' , 5. Engineering Evaluation Report Report No.: WE -2008 -187 414 ts.- Evaluator: Robert A. Walz, P.E. 404 M cr) Walz Engineering 11111 Hall Road, Suite 110 Utica, Michigan 48317 610) N , -, 0) Manufacturer: MI Windows and Doors 6 650 West Market Street �` Gratz, Pennsylvania 17030 U- Product: Section CM -18533 — Vertical Fin Mullion o ' LO N--. N Q) o� Description of Product: Section CM -18533 — Vertical Fin Mullion. N The mullion is extruded from 6063 -T6 aluminum and used in the vertical - N orientation in the following window series: 165/3000/185/3185 / CO c 188/3188/450/ 455/ 650 /480/680/740/3740/3540/3500HP. The mullions Ctare secured to the substrate using the 5768 aluminum mullion clip. There LIU are two anchors in each 5768 mullion clip to anchor the mullion to a m aS concrete substrate and four anchors to anchor the mullion to a wood N, substrate. Submitted Technical Documentation: IS 1. Mullion Analysis and Anchorage Report, report number WE- 2008 -187A sealed by Robert A. Walz, P.E. 2. Installation Details, Report Number WE- 2008 -187D sealed by Robert A. Walz, P.E. Installation Requirements: Mullions must be installed as per the manufacturers published installation instructions and as described in the installation drawings listed in the technical documents section of this report. Mullion Design Pressure Table Section CM -18533 Vertical Flange Mullion Canacit Height/Width 24" 30" 36" 37" 42" 48" 53 -1/8" 54" >70.0 >70.0 >70.0 >70.0 >70.0 >70.0 >70.0 60" >70.0 >70.0 >70.0 >70.0 >70.0 >70.0 >70.0 63" >70.0 >70.0 >70.0 >70.0 >70.0 >70.0 >70.0 72" >70.0 >70.0 >70.0 >70.0 >70.09 >70.0 >70.0 84" >70.0 >70.0 >70.0 69.3 62.4 56.4 52.6 Limitations of Use: 1. Maximum product design pressure of +1 -70.0 psf. 2. Maximum unit sizes attached to each side of mullion: 53 -1/8" wide by 84" high. 3. Units attached to the mullion must have their own product approval. 4. Units may be mulled indefinitely as long as the maximum unit size is not exceeded. 5. Design load DOES NOT include any strength obtained from connected frame members. 6. Mullion shall be used in the vertical orientation. 7. Product is NOT rated for use in HVHZ. 8. Product is NOT impact resistant and requires impact protection when installed in a Wind Borne Debris Region. 9. Design Pressure of mulled units shall be the lesser of the design pressures of the assembly components, the mullion or the individual units. 10. May be installed in wood or concrete substrate as per installation drawing, Report Number WE- 2008 -187D. Compliance: The above listed products have been shown to demonstrate compliance with the 2007 Florida Building Code and with the Florida Department of Community Affairs for Statewide Product Approval as per Rule 9B- 72.070 method 1(d). w Walz, P F O -ida P.E. 40456 Date'. November 6, 2008 Purpose: Walz Engineering, L.L.0 was contracted by MI Windows and Doors to perform an alternate anchorage analysis on the CM -18533 structural mullion assembly for compliance to the 2007 Florida Building Code and not for use in the HVHZ. Anchorage Capacity: Anchor capacity: Fastener type: #10 wood screw with different side and main members Substrate: Spruce- Pine -Fir (NDS 2005, 113) Main member thickness: tm= 1.500 in Main member dowel bearing strength: Side member thickness: ts= 0.125 in Side member dowel bearing strength: Minimum required penetration: 1.330 in Screw bending yield strength: Duration Factor: Co = 1.6 Tabulated lateral design value: Allowable Design Value: Z'= 154 lbs /anchor Fem = 3,350 psi Fes = 23.00 kpsi = 80 kpsi Z= 96.3 lbs Mode Ills Fastener type: 3/16" ITW Tapcon Substrate: Concrete Minimum embedment: 1.75 in Minimum edge distance: 1.13 in Tabulated shear design value: Z = 160 lbs Minimum edge distance: 2.63 In Tabulated shear design value: Z = 229 lbs Actual edge distance: 2.63 in Design value per interpolation: Z = 229 lbs Allowable Design Value: Z'= 229 lbs /anchor Minimum C to C spacing: Actual C To C spacing: C to C spacing factor: 2.25 in 2,25 in 1.00 Frame Bearing Capacity: Frame Material: 6063 -T6 Aluminum Bearing Strength: 31.0 kpsi Thickness: 0.125 in Anchor Diameter. 0.145 in Allowable Bearing Strength: P= 561 lbs/anchor The mullion capacity will be limited by the shear value of the anchor. For a wood framing installation, the maximum allowable load on each mullion clip will be 308 lbs if two #10 wood screws are used or 616 lbs if four #10 wood screws are used. The wood screws will need a minimum of 1 -1/2" embedment. For a 3,000 psi concrete installation, the maximum allowable load on each mullion clip will be 458 lbs. The design pressures will need to be scaled depending on what anchorage type is used to ensure that the anchorage of the mullion clip is not exceeded. Vertical Mullion Design Load Capacity Chart Section CM-18533 Vertical Mullion Ca acit Height/Width 24" 30" 36" 37" 42" 48" 53-1/8" 54" 313.2 260.8 229.0 225.0 209.6 198.9 195.3 60" 250.4 206.8 179.5 176.0 161.9 150.8 145.2 63" 226.0 186.0 160.7 157.5 144.2 133.4 127.5 72" 164.2 134.6 115.7 113.2 102.9 94.2 88.9 84" 102.2 83.2 70.9 69.3 62.4 56.4 52.6 Area: Perimeter: Bounding box: Coaltroid: Moments of Inertly Piodoct of inertia: Radii of orotion: Principal mernants CM-18533 A44. AM OM .0 VII.114% .,'VI•••••••••••••••• 20.890 X; -1,733 1.852 Y. -0.717 0.718 X: 0.000 Y., 0.000 XI- 0.342 • 2.221 X'( o..0oo X: 0.483 Y. 1.231 and X-Y dirtions cfoo,,41 tntralc,1: t: 0.342 along [1.000 0.000) .); 2.221 °long LOAM 1 000) ROUGH OPENING SECTION 8 CONCRETE BY OTHERS , e :4 1-3/4' MM EM8E8MENT MULLION CLIP # 5768 SEE INSTALLATION NOTES SEE INSTALLATION NOTES MULLION CLIP # 5768 1 -1/2" MIN. PENETRATION SECTION A WOOD FRAMING BY OTHERS TWIN OR TRIPLE MULLED WITH MULLION CM -18533 3 MULLION CLIP #5768 (NOT TO SCALE) REVISIONS f cM -18533 VERTICAL MULLION DESIGN LOAD (PSF) CAPACITY CHART, WDW. WIDTH t> MULL SPAN V 24" 30" 36" 37" 42" 48" 53.13 54" 70.0 70.0 70.0 70.0 70.0 70.0 70.0 60" 70.0 70.0 70.0 70.0 70.0 70.0 70.0 63" 70.0 70.0 70.0 70.0 70.0 70.0 70.0 72" 70.0 70.0 70.0 70.0 70.0 70.0 70.0 84" 70.0 70.0 70.0 69.3 62.4 56.4 52.6 1) CHART APPLIES ONLY TO MULLION CM -18533 WHEN USED TO MULL SERIES 165/3000/185/ 3185 /188/3188/450/455 /650/480/680/ 740/3740/3540 WINDOWS SIDE -BY -SIDE 2) MULLION SHALL BE 6063 -T6 ALUMINUM ALLOY AND TEMPER 3) WINDOW WIDTH IS WIDTH OF INDIVIDUAL WINDOW 4) STATED DESIGN PRESSURES ARE FOR POSITIVE AND NEGATIVE WIND LOADS 5) MULLION SPANS AND DESIGN PRESSURES LISTED IN CHART SATISFY 2007 FLORIDA BUILDING CODE REQUIREMENTS FOR STRENGTH, DEFLECTION AND END REACTION ANCHORAGE 6) MULLION IS NOT APPROVED FOR WIND -BORNE DEBRIS REGIONS WITHOUT AN APPROVED PROTECTION DEVICE INSTALLED 7) REFER TO EVALUATION REPORT WE- 2008 -187 FOR MULLION ANALYSES MULLION INSTALLATION NOTES; 1) INSTALLATION MUST USE MULLION CLIP #5768 2) INSTALL #10 x 2" WOOD SCREWS WITH MINIMUM 1 -1/2" PENETRATION IN EACH HOLE OF CLIP (4 TOTAL) 3) INSTALL 1/4" TAPCON SCREWS WITH MINIMUM 1 -3/4" PENETRATION IN EACH HOLE OF CLIP (2 TOTAL). MINIMUM OF 2 -1/4" ANCHOR SPACING. 4) WOOD FRAMING SHALL BE SPRUCE -PINE -FIR (G =0.42). CONCRETE SHALL BE MINIMUM COMPRESSIVE STRENGTH OF F'C =3,000 PSI. 5) INSTALLATION DETAIL. IS FOR `VITRUCITURAL INTEGRITY ONLY PATEN& EST. AREA NI WIND AtJ$ 13 $50 WEST MARKET, STREET 3RATZ, PA 17030 NTS Cllr NO. WE- 2008 -1870 EST. NT. EST. PERM, DRAWN BY RAW ' PM SECTION CM -T8 33'`- - -VERTICAL FIN MULLION ABC INSTALLATION DRAW 'NOS CLEVATIONS AND NOTES 11 -08 -08 SMEET NO. 1 Of 1 EY7855404 M0. REV. City of T;...ee 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 V x -N 1 i INTERNATIONAL CODE COUNCIL MEMBER Permit No. \ 1 - 0 (o 2.3 Date Requested . - 2.1 a Owner's Name I T) n tom, /EC (in \/p . Date Needed 1 — 3 3 -12_ Gen. Contractor E 6_ u c r5 eci Subcontractor Contact Information E d (-1 `-t - 5 7 S3 Project Address \ \ C)e 1-L, Li ( i f Scope of Work Tar-lr, al V.lraU(5' ->LI e c. L,J.c.c`o ,1s / pieces Inspector Date of Inspectio ?,s', Inspection -CO 3 1-, n Pass it 0 Fee ) L -fD )12 , 6A)55vf d ;100/24, 30S,4i,t// os 5,--A. Inspection Pass ❑ Fail El Fee Inspection Pass El Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee CITY OF TYBEE ISLAND BUILDING PERMIT ADDED SCOPE & VALUE DATE ISSUED: 01/31/2012 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 WNDWS/WALLS /ELEC/DECK/PAV ERS 1106 HWY 80 TYBEE BEACH VACATION RENTALS PO BOX 2802 TYBEE ISLAND GA 31328 912 - 786 -0100 E C BURNSED CONST 109 BUTLER AVE TYBEE ISLAND GA 31328 276 U $ 571.00 ADDED $13,000 FOR PAVERS $45,000.00 PERMIT #: 110623 TOTAL BALANCE DUE: $ 39.00 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 • 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. !/1 '%� Date Requested Owner's Name ..:` Date Needed • Gen. Contractor Subcontractor Contact Information Project Address / /O& i Scope of Work f ;'f` f Inspector Inspection - / ._. Pass Fail Fee T Ei` caw INTERNATIONA! CODE COUNCIL' MEMBER Date of Inspectio Ins' Ins' ;2 ;SO OO / /- /odos'oi > 7, � c90 32 7 O . i oP ,ier-a? • 1.*5Y 13, roe\ rfi)D71-2,5cvipi, $ 45, n o o Fail ❑ Fee City of` -,bee Island • Community Develd. 4ent 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. // (J‘ 2 - Date Requested / ' / z. Owner's Name Date Needed / ; -L Gen. Contractor Subcontractor Contact Information E 6 L cl `1 /- --% S (U /C} Project Address / � 2 �-kJ 50 Scope of Work /77.701 c .)414= /,= Inspector '16 Date of Inspectio Inspection i:—/,-7/ )% /::: Pass Fail- Fee - -- INTERNATIONAL CODE COUNCIL` MEMBER << � � � � - �, � 2,4,-/ Inspection / k .. Pass Fai ;Fee 17';• Inspection Pass Fait ❑ Fee Inspection Pass ❑ Fail ❑ Fee ��s CITY OF TYBEE ISLAND BUILDING PERMIT CHANGE OF CONTRACTOR DATE ISSUED: 12/12/2011 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 WND WS/WALLS/ELEC/DECK 1106 HWY 80 TYBEE BEACH VACATION RENTALS PO BOX 2802 TYBEE ISLAND GA 31328 912 - 786 -0100 E C BURNSED CONST 109 BUTLER AVE TYBEE ISLAND GA 31328 276 U $ 510.00 $30,000.00 PERMIT #: 110623 TOTAL BALANCE DUE: $ 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: 0,0;4,A__12) P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org r CITY OF TYBEE ISLAND BUILDING PERMIT ADDED SCOPE & VALUE DATE ISSUED: 11 -15 -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 # WNDWS/WALLS/ELEC/ENCLOSE DECK 1106 HWY 80 TYBEE BEACH VACATION RENTALS PO BOX 2802 TYBEE ISLAND GA 31328 912- 786 -0100 D H HALL & SOCIATES INC 39 CARD AL RD SAV NAH GA 31406 276 U $ 510.00 PROJECT VALUATION $30,000.00 ADDED $7,500 FOR ENCLOSURE OF EXISTING ROOFED TOTAL BALANCE DUE: DECK PERMIT #: 110623 $ 220.00 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 ato City of Tyuee Island • Community Develop'. at 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. //- fJGZ; Date Requested ▪ * INTERN▪ ATIONAL CODE COUNCIL MEMBER Owner's Name �< ":iz. ►j Date Needed ' /� /i VA-6A �U� %f (s Gen. Contractor Subcontractor Contact Information ED ��✓ �:s�� Project Address Hoc, oc. Scope of Work Inspector -) I "\1 Inspection a I I - )1„) Z'2. (z ) Date of Inspection Pass El Fail Inspection Pass ❑ Fee Inspection - / —11 n Pass Fail '( Fee I - ,Z 1 Ir,_�s I,dv Inspection Pass ❑ Fail ❑ Fee (.1‚ S RC . National Fenestration Rating Council® &2: ",Ctear,NONE,Tempered); products MI Windows And Doors 850 West Market St Gratz, PA 17030 3500HP SHNINYL /No Grids Lite- 1 :(1 /8 ",Clear,HP- LOE,Tempered); Lite -2: 40114 X 78 1/2 may be subject to variation In performance vnunnw,....n.nn Panel 1 (118 Individual MEM ENERGY PERFORMANCE RATINGS U- Factor (U.S. /I -P) 0.35 Solar Heat Gain Coefficient 0.23 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0.44 - - Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance. NFRC Ratings are determined for a fixed se of envirennmental conditions and a specific product size. NFRC does not recommend any product and does not warm t the suitability of any product for any specific use. Access www miwo com for additional or duct performance information . www n re arg ■ ENERGY S IAIV,Unl3iitied in Highliyittod Rcytons 1 ` f if +DP '.30.13 !wide' 11547 -DP 50.13 Max Test Size 48.00 X 84.00 Water 7.52 Ratings are for Individual w ndows and doors only. For In ormation regarding mulled or stacked units, please contact your sales representative. Pos and Neg DP limited by unit test size. Tested to AAMANVDMANCSA 101/I.S.2/A440 -05 Glass According to ASTM E1300. 12960495.2.1.2 MEI f 1218,2011 8:46:22 AM CITY OF TYBEE ISLAND BUILDING PERMIT ADDED SCOPE & VALUE DATE ISSUED: 12/16/2011 WORK DESCRIPTION WNDWS/WALLS /ELEC /DECK/DECK SUPPORTS WORK LOCATION 1106 HWY 80 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 ADDED $2,000 FOR DECK SUPPORTS TYBEE BEACH VACATION RENTALS PO BOX 2802 TYBEE ISLAND GA 31328 912 - 786 -0100 E C BURNSED CONST 109 BUTLER AVE TYBEE ISLAND GA 31328 276 U $ 532.00 $32,000.00 PERMIT #: 110623 Q.ca 2,00-- o_c 6r-off. FOJ TiSiz 3 4* TOTAL BALANCE DUE: $ 22.00 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, Tvbee island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.citvoftybee.org v� Dianne Otto From: Shannon Winsness [ Shannon .Winsness @dnr.state.ga.us] Sent: Wednesday, December 07, 2011 5:55 AM To: Dianne Otto; Steele Knudson; Downer Davis Cc: lahbos @bellsouth.net Subject: Re: 1106 E HWY 80 EPD will concur with Mr. Downer summary and would determine this activity to be a minor land disturbance /maintenance project with no buffer requirements. Shannon K. Winsness Environmental Protection Division Coastal District 400 Commerce Center Drive Brunswick, GA 31523-8251 Phone: 912 - 554-3492 Cell: 912 - 230 -4880 Fax: 912- 262 -3160 »> Downer Davis <dkdbus@gmail.com> 12/6/2011 05:14 PM »> After speaking with Shannon Winsness with the DNR, it is my understanding that the proposed replacement of the existing foundation would be a minor land disturbing activity. While there is not an exemption that exactly matches this situation, the replacement does not pose a threat to state waters. Specifically, the proposed activity is located in the rear south side of the commercial lot at 1106 E HWY 80, Tybee Island, GA 31328 (PIN 4- 0026 -11 -008). The rear of the building is within 25' of the top of bluff along an existing tidal canal at the marsh. The area beneath the building and south to the top of the bluff is a mixture of concrete slab and patio consisting of both concrete and brick. Specifics as I understand them and described to Shannon are: 1) The Engineer's concern is that there is no basis for supporting even an assumption that the 3 post foundations supporting the elevated rear of the building are properly sized and installed. The Engineer pointed to the post support appearing to be only one layer of concrete blocks over what appears to be a patio. While the two end posts do not show any evidence of failure, the slab has cracked at the middle post support. The Engineer pointed to the lack of proper connection of the posts to the existing concrete block supports as justification for his concern. It is due to the Engineer's concern for safety of building occupants that I pursued this matter to closure within 24 hours of it being presented yesterday. 2) The area to be removed and replaced would be well under 100sf. 3) The Engineer's plans will call for all excavated soil to be placed in small containers such as wheelbarrows and not deposited onto the brick or concrete surface. Additionally the plans will call for a row of pine straw bales along the top of the bluff which can later be used for mulch maintenance in the flower beds at the front. i In summary, I find the proposed work to be a minor land disturbance activity. Please advise when the formal submittal is ready for my concurrence. Downer (912) 695 -7262 2 Dianne Otto From: Dianne Otto Sent: Tuesday, December 06, 2011 5:01 PM To: 'Lisa Boswell' Cc: 'Downer Davis'; 'mdcadman @cadmandesigns.net' Subject: RE: 1106 highway 80 project Mark, To add this work to the existing building permit it will be necessary to submit two sets of plans for review along with an estimated cost of construction. No work may occur prior to the permit being amended. Let me know if you have any questions. Dianne K. Otto, CFM City of Tybee Island phone 912.786.4573 ext. 136 fax 912.786.9539 From: Lisa Boswell fmailto:lahbos©bellsouth.netl Sent: Tuesday, December 06, 2011 4:40 PM To: Dianne Otto; dkdbus@gmail.com; Subject: 1106 highway 80 project Downer /Dianne, It is my understanding after phone conversation that any of the concepts faxed to Dianne will be acceptable. The design of the project footing will therefor be considered as a repair of a footing which corrects a life safety issue, will be considered a minor disturbance and will not require any special variances. We will be required to keep the disturbance and footing size to under 100 sf, we will be required to use hay bales between the disturbance and the marsh and will need to remove excess soil by hand (wheelbarrow, etc.) to prevent sediment from migrating into the marsh. If this is not the case please correct us, otherwise we will continue with the design. thank you Mark Boswell, P.E. Boswell Design Services 1 Georgia Department of Natural Resources 2 Martin Luther King, Jr. Drive, S.E., Suite 1152 East Tower, Atlanta, Georgia 30334 -9000 Chris Clark, Commissioner Environmental Protection Division F. Allen Barnes, Director (404) 656 -4713 MEMORANDUM TO: NonPoint Source Group, Program Coordination Branch Staff, and Local Issuing A horiti ?s FROM: Jim Ussery, istant Director Environment Protection Division RE: Minor Land - Disturbing Activity Guidelines The attached minor land- disturbing guidance document, dated September 2009, has been developed by the Erosion Sedimentation Advisory Council (ESAC). The intent of this document is to clarify minor land- disturbing activities as defined in the Georgia Erosion and Sedimentation Act and the applicable requirements of the NPDES General Permits for Storm Water Discharges Associated with Construction Activity. Please initiate implementation of these guidelines immediately for all applicable minor land- disturbing activities. Should there be any questions regarding this memorandum, please contact the appropriate EPD District Office or the Watershed Protection Branch's NonPoint Source Program at (404) 675 -6240. Attachment Cc: Jim Sommerville Linda MacGregor Larry Hedges Revised September 2009 MINOR LAND - DISTURBING ACTIVITIES As per O.C.G.A. 12- 7- 17(3), minor land- disturbing activities are exempt from the Georgia . Erosion and Sedimentation Act: "Such minor land - disturbing activities as home gardens and individual home landscaping, repairs, maintenance work, fences, and other related activities which result in minor soil erosion." The intent of this document is to clarify minor land - disturbing activities as defined in the Georgia Erosion and Sedimentation Act and the applicable requirements of the NPDES General Permits for Storm Water Discharges Associated with Construction Activity, as follows: A. The following land- disturbing activities are examples of projects not specifically listed in O.C.G.A. 12 -7 -17(3) that would be considered minor land- disturbing activities and therefore, exempt from the Georgia Erosion and Sedimentation Act and the applicable buffer requirements for State waters: 1. Elevated structures such as decks, gazebos, patios, walkways, viewing platforms and/or open picnic shelters, provided: a. No more than 100 square feet of footprint of the elevated structure extends into or over the buffer, with an exception for structures compliant with the Americans with Disability Act (ADA); b. No grading, cutting, filling or similar land- disturbing activities occurring as a part of the site preparation, construction or subsequent development; c. The structure is built on posts, concrete blocks and /or similar supports; d. Permanent protective vegetative cover remains or protective measures (e.g., mulch, gravel) are installed within the footprint of the elevated structure to prevent post- construction soil erosion; e. A natural canopy is left in sufficient quantity to keep shade on the stream bed; and f. No concrete and /or asphalt slabs, pads or foundations. constructed or placed as a part of the site preparation, construction or subsequent development. 2. A pervious ground level walkway approach to a dock and /or similar structure, provided: a. No more than 100 square feet of the constructed walkway extends into the buffer, with an exception for structures compliant with the Americans with Disability Act (ADA); b. No grading, cutting, filling or similar land- disturbing activities occurring as a part of the site preparation, construction or subsequent development; c. No concrete and /or asphalt slabs, pads, supports or foundations constructed or placed as a part of the site preparation, construction or subsequent development; and d. All ground preparation and walkway material placement is completed with the use of hand -held equipment. 3. Restoration of buffer area after the removal of an existing structure, provided: 1 Revised September 2009 a. No more than 100 square feet of the structure footprint is in the buffer; and b. The buffer area must be replanted with native vegetation. 4. Maintenance or repair of existing structures, the failure of which would result in a threat to human health or State waters, such as sewer lines, water lines, dams, or gas lines. Total disturbance must be less than 100 square feet. 5. Placement of rock riprap within the buffer not to exceed 100 square feet on any one property, provided: a. The placement of the rip -rap does not result in soil disturbance outside the placement area; and b. No grading, cutting, filling or similar land- disturbing activities occurring as part of the site preparation, construction or subsequent development. B. The following land- disturbing activities are examples of projects that are NOT considered minor land- disturbing activities and therefore, NOT exempt from the Georgia Erosion and Sedimentation Act and the applicable buffer requirements for State waters: '1. Any land- disturbing activity utilizing wheeled or tracked machinery and equipment resulting in soil erosion within the buffer; 2. Paving with poured or prefab concrete and /or asphalt; 3. Any project or combination of projects occurring within the same calendar year on the same property resulting in more than 100 square feet of any elevated structures and /or pervious ground level walkways within or extending into the buffer; , 4. Construction of a barbeque pit on a concrete and/or asphalt slab or pad within the buffer; 5. Construction of a ground level patio within the buffer; 6. Construction of a swimming pool within the buffer; 7. Construction of a structural or decorative retaining wall within the buffer; 8. Construction of a new seawall with land - disturbing activities occurring within the buffer; and 9. Backfilling any new seawall construction within the buffer. In addition, O.C.G.A. 12- 7- 6(b)(15)(A) and O.C.G.A. 12- 7- 6(b)(16)(A) state that "No land disturbing activities shall be conducted within a buffer and a buffer shall remain in its natural, undisturbed, state of vegetation until all land - disturbing activities on the construction site are completed. Once final stabilization of the site is achieved, a buffer may be thinned or trimmed of vegetation as long as a protective vegetative cover remains to protect water quality and aquatic habitat and a natural canopy is left in sufficient quantity to keep shade on the stream bed; provided, however, that any person constructing a single- family residence, when such residence is constructed by or under contract with the owner for his or her own occupancy, may thin or trim vegetation in a buffer at any time as long as protective vegetative cover remains to protect water quality and aquatic habitat and a natural canopy is left in sufficient quantity to keep shade on the stream bed." Therefore, for Common Development construction projects covered under the NPDES General Permit for Storm Water Discharges Associated with Construction Activity (Permit), the exemption for minor land- disturbing activities (O.C.G.A. 12 -7- 17(3)) within the buffer for State waters would not be applicable for an individual lot(s) until such time as a Notice of Termination (NOT) for the Common Development had been submitted in accordance with the Permit. 2 Revised September 2009 For Stand Alone and Infrastructure construction projects covered under the Permit, the exemption for minor land- disturbing activities (O.C.G.A. 12- 7- 17(3)) would not be applicable for a construction project until such time as a NOT is submitted in accordance with the Permit. However, for Infrastructure construction projects only, the installation of mandatory fences within the buffer for State waters is allowed prior to submitting a Notice of Termination and is exempt from the applicable buffer requirements. Compliance with the Georgia Erosion and Sedimentation Act and NPDES General Permits for Storm Water Discharges Associated with Construction Activity does not relieve an individual of any obligation or responsibility for complying with the provisions of any other law or regulations of any Federal, local or additional State authority, nor does it obligate any of the aforementioned to permit this project if they do not concur with its concept of development and control (e.g., placement of rock riprap within the stream channel may require a permit from the United States Army Corps of Engineers). 3 ge-04.+VE. Vac) 1 / Ti X f Q` RECEIVED I1. '(o -/ gi-Qtua F-V7 0CA-riot-) / Nife-4)-3 Leic-t“ t r,..) ti)%;:01' \00 � L.d 6 . 90 ° a Dec 06 Al 0220P p.2 c4Q <19 sitit 1.21. it I Dianne Otto From: Sent: To: Cc: Subject: Diane, keith gay [keith @buytybee.com] Monday, November 14, 2011 5:22 PM Dianne Otto 'David Garrett' RE: 1106 Hwy. 80 encAQ5Jte o.c c1ec..k qPP r•ovca • No W Of 1 all o„)ed Q.4 142.v c t I b e.l o u- or" around. C,ec.1 -c enClo54)re_ Ciw.c- r'c.rV- or:ah.ce The request has always been to enclose the existing deck that is some 20 feet above the ground and is covered by a (J ostc" roof. I believe that is why Debbie was so clear about the fact that there would be no marsh disturbance as we are not_ re doing anything at the ground level at this time. I also understand from you and Debbie that if we were to enclose any portion of the area under the deck, we would need to request a marsh variance permit. However, at this time, it is our intent to enclose the upper deck only. As noted in my voice mail, when I talked to Downer, he advised me that he had no problem in enclosing that section of the upper deck. I hope that I have clarified this better. Please call me with any questions... Thank you, Keith L. Gay Solomon Properties 912 - 665 -2480 Cell 912 - 786 -5228 Fax From: Dianne Otto fmailto:Dotto©cityoftvbee.orgl Sent: Monday, November 14, 2011 4:00 PM To: 'John Wynne'; 'keith @buytybee.com' Cc: 'Deb Barreiro (deb barreiro(adnr.state.ga.us)'; 'Downer Davis'; Steele Knudson Subject: RE: 1106 Hwy. 80 Keith and John, I am emailing additional information and questions related to the email below and the attached survey. Keith, please clarify your proposed plans for stabilization of the marsh bank. Downer Davis said he had a conversation with you today during which you said there was no proposed work at the ground level which does not coincide with an earlier conversation between you and me. John, absent of detailed drawings, I failed to let you know in the email below that the deck area of the proposed enclosure is under an existing roof. Sincerely, Dianne K. Otto, CFM City of Tybee Island phone 912.786.4573 ext. 136 1 Dianne Otto From: John Wynne [John.Wynne @dnr.state.ga.us] Sent: Tuesday, November 15, 2011 9:36 AM To: Dianne Otto Cc: 'keith @buytybee.com'; Steele Knudson; Alice Vick; Deb Barreiro; 'DownerDavis' Subject: Re: 1106 Hwy. 80 Dianne, Coastal Resources Division of GA -DNR does not regulate activities in the 25' erosion and sediment control buffer. There is a 50' coastal marshlands buffer that we do regulate but it only applies when there is a Coastal Marshlands Protection Act permit application involved which is not the case here. I have forwarded your inquiry to Alice Vick at since EPD issues buffer variances. Thanks, John »> Dianne Otto <Dotto @cityoftybee.org> 11/10/2011 6:14 PM »> Dear John, Attached is a survey for a property located on a marsh at 1 106 Highway 80. The contact for a proposed project at this location is Keith Gay, cell 912- 665 -2480. He has been copied on this email. The normal procedures of flagging the marsh line and determining the 25 -foot buffer would lead to the conclusion that the proposed project of enclosing the area labeled deck and coolers would constitute work within the 25-foot buffer. Based on the minor land disturbing guidelines, it is the City's position that based on current ordinances this would not be a minor activity which Tybee could permit as the issuing authority but would instead require a state buffer encroachment variance. Tybee Island has only had a couple of these in the last couple of years which were approved to the satisfaction of the applicant. Please advise if you are able to concur based on the information provided. Sincerely, Dianne K. Otto, CFM City of Tybee Island phone 912.786.4573 ext. 136 fax 912.786.9539 ****************************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the named addressee you should not disseminate, distribute or copy this e -mail. Please notify the sender immediately by e -mail if you have received this e- mail by mistake and delete this e -mail from your system. Please note that any views or opinions presented in this email are solely those of the author and do not necessarily represent those of The City of Tybee Island. The recipient should check this email and any attachments for the presence of viruses. The City of 1 DATE ISSUED: 11 -10 -2011 WORK DESCRIPTION CITY OF TYBEE ISLAND BUILDING PERMIT WNDWS/WALLS/ELEC -NO WORK ON DECK WORK LOCATION 1106 HWY 80 OWNER NAME ADDRESS CITY, ST, ZIP PHONE NUMBER CONTRACTOR NAME ADDRESS CITY STATE ZIP TYBEE BEACH VACATION RENTALS PO BOX 2802 TYBEE ISLAND GA 31328 912 - 786 -0100 PERMIT #: 110623 D H HALL & ASSOCIATES INC d II 39 CARDINAL RD SAVANNAH GA 31406 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE U TOTAL FEES CHARGED $ 290.00 PROPERTY IDENTIFICATION # PROJECT VALUATION $22,500.00 TOTAL BALANCE DUE: $ 290.00 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 -9.539 www.cityoftybee.org CITY OF TYBEE ISLAND, GEORuiA APPLICATION FOR BUILDING PERMIT (O(e23 Location: 1k (7 U$ I L 11- 12 -20ll Co, rackor Oro, N4MF. Owner &1, &. Architect • or Engineer Building Contractor WH .me. E,C 13u(nse (Check all that apply) R epair i Renovation ❑ Minor Addition ❑ Substantial Addition ❑ Other Details of Project: re /2/QC( C8 PIN # it "4 D0210 -.100S EC ! r v'SeoL ADDRESS TELEPHONE At i&zt 3! Ave v-r Pi a/E .54.147,1A/4-4,G 14.3f x/-06 Cell g't L' . tva4 7 $ 0 ❑ Residential ❑ Single Family ❑ Duplex ❑ ulti- Family Commercial ❑ Footprint Changes ❑ Discovery ❑ Demolition .5'/q en:576,5 wiJoi, F, re 7'v ✓ a-gc€ i4a.1IS c&ef A16 �er re < c e /- I Estimated Cost of Construction: $ 2,44,-61C0 v /v O Nt%44-1 5 06-1-pa L� 4 7 5-DD r e Pl c.i k.- Construction Type / (Enter appropria % (1) Wood Frame (2) Wood & Masonry (3) Brick Veneer Proposed use: OFFiLE ,SP4}CES Remarks: (4) Masonry ir2 21C (5) Steel & Masonry ther (please specify) -' AA 0, t r' �c- • 461 a�Q``'L celt 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 Lot Area Living space (t # Off - street parking spaces Trees located & listed on site plan Access: Driveway (ft.) Setbacks: Front With culve Rear . ft. # Bathrooms 23, With swale? 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 i Construction debris will be disposed by buktoatsre,r 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: 77 3 — / C 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) 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 NFIP Flood Zone Existing RECEIVED VED J Signature Date FEES Permit 212 / / • Inspections Water Tap 2-70)( co Sewer Stub to Const. ) 11-o3FR 340 50 TOTAL ;32 90 LEAD -BASED PAINT Adapted from http: / /www.epa.aov /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 leac safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping 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 projec 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 hom and planning to do painting or repairs, please read a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Chi, Care Providers, and Schools lead hazard information pamphlet. You may also want to call the National Lead Information Center at 1 -80( 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 tenan sign a pre- renovation disclosure form, which indicates that the tenant received the Renovate Right lead hazard informatic 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 chi care facilities and schools to be renovated a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Chi 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 crea dust that contains lead. By following the lead -safe work practices, you can prevent lead hazards. Contractors who perform renovatio repairs, and painting jobs in pre -1978 housing and child- occupied facilities must, before beginning work, provide owners, tenants, at child -care facilities with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard Information for FamiliE Child Care Providers, and Schools. Contractors must document compliance with this requirement. EPA's pre- renovation disclosure form m, be used for this purpose. Understand that after April 22, 2010, federal law will require you to be certified and to use lead -safe wo practices. To become certified, renovation contractors must submit an application and fee payment to EPA. See: Application for fir 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, Repa and Painting (RRP) Program. Please note that if you previously completed an eligible renovation training course you m 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 leE safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping checklist that EPA (- 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. F YOU'R OT EAD -SAFE CERTIFIED, ISTURBING JUST SIX SQUARE FEET COULD COSTYOU BIG TIM 4 d4" Signature Printed Name 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. 11- 3--// Date Office Use Only: Project Address: Permit Number: 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 w _ :. tin meeting requirements. The final product must actually meet the City Ordin. • - requi - ents. Applicant name: Project I.D.: Attachments approved by: Date: 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 proj ects 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 Signature of Owner /Contractor jLtE/ 7/ CIY Chatham County Board of As- ,ors: 2011 Property Record Card 4 -00" " 11 -008 2011 Chatham County Board of Assessors Property Record Card Page 1 of 3 4- 0026 -11 -008 1106 E US HIGHWAY 80 TYBEE ISLAND APPRAISER LALOWRIM PT OF LOTS 7 8 17 18 9 & 19 BLOCK 15 GARDEN WARD SAV BE ACH LAST INSP 04/24/2010 APPR ZONE 000008 SAVELL TIMOTHY B CAMA ASMT 12 SHAD RIVER OAK ROAD 390,500 390,500 LAND 1 SAVANNAH GA 31410184,300 184,300 BLDG 2 14,000 14,000 OBXF 7 588,800 588,800 Cost - MS SALES BOOK / INS VI QU RSN PRICE PAGE 15 Dec 2991 0497 WD I U UD 575,000 2005 GRANTOR:CHU ROBERT M GRANTEE. :SAVELL TIMOTHY B 29 Oct 242Y 254 WD 1 U UO 550,000 2002 GRANTOR:ISLAND GRILL, LLC GRANTEE:ROBERT M CHU 19 Feb 219D 0528 NA I U UE 2001 GRANTOR:MILLIKAN ROBERT EXECUTOR GRANTEE:ROBERT C MILLIKAN 19 Feb 219D 0531 WD I Q QW 365,000 2001 GRANTOR:ROBERT C MILLIKAN GRANTEE:ISLAND GRILL, LLC 11 Mar 165V 460 WD I U U2 45,000 1994 GRANTOR :POLLOCK,ALICE ELAINE GRANTEE: MI LL IKAN, ROBERT &CHARLOTTE 'PERMITS TYPE DATE AMOUNT 080393 CM 070241 CM 94 -00130 CM 118 CM 9400130 CM 15 Jan 2009 Comp 1,000 08 Jan 2008 Comp 2,200 12 Jan 1995 Insp 12 Jan 1995 Insp 06 Jan 1994 Issued COMMENTS: 23 May 2003 07 Feb 2003 11 Dec 2002 2003, LAND REVIEW. 2003, HCC, ADDED PAVERS, STG & CON BLOCK WALL. SALE REQUEST SENT 12/16/02 fir- [Click for larger picture] CODES PROPERTY 0002 COMMERCIAL .USE 'UTA NBHD 0004 Tybee Island 020500.00 T500 TYBEE TO BULL R EXEMPTIONS COMMCATEG 5300 Bar / Lounge HISTORY LAND 2011 390,500 2010 390,500 2009 532,500 2008 532,500 2007 532,500 2006 532,500 2005 227,000 2004 227,000 2003 2002 112,000 2001 70,000 2000 70,000 1999 50,000 1998 50,000 1997 50,000 1996 40,040 1995 40,040 1994 20,000 !1993 20,000 1992 20,000 IMPR TOTAL 198,300 588,800 198,300 588,800 398,500 931,000 398,500 931,000 398,500 931,000 203,000 735,500 182,500 409,500 182,500 409,500 409,500 131,500 243,500 100,000 170,000 100,000 170,000 100,000 150,000 96,000 146,000 94,500 144,500 95,590 135,630 96,080 136,120 1,616 21,620 1,616 21,620 3,000 23,000 Cama Cama Over Cama Cama Cama Over Over NC Cama Cama Cama Cama Cama Cama Cama Cama Over Over Over EXTRA FEATURES ID# BLDG SYSTEM DESC 143182 Dock 2 "light Post STATIONARY DOCK 143183 87557 Wood Deck Treated . ACCESS RAMP 143184 87557 CAN STY 13 FR AVG REAR DECK CANOPY 143185 87557 Wood Deck Treated . REAR DECK 143186 87557 Storage /Utility good FRAME STORAGE BLDG 143187 87557 8" CB WALL PER S.F. 44x8 CONCRETE BLOCK WALL 143188 87557 Uncoded Feature Description =BRICK PAVERS IN SAND BRICK PAVERS SEC DIM DIM UNITS QL UNIT 1 2 PRICE 0 0 248.00 3 22.38 0 0 224.00 3 7.69 O 0 312.00 3 20.25 0 0 312.00 3 7.69 18 8 144.00 3 12.30 O 0 352.00 3 8.45 O 0 1008.00 3 6.68 RCN AYB EYB DT ECON FUNC SP SP% RCNLD MKT VALUE 5,550 1994 1994 20 1,721 1,500 1,723 1994 1994 20 534 500 6,318 1994 1994 35 4,549 4,100 2,399 1994 1994 20 744 700 1,771 2002 2002 20 1,240 1,100 2,974 2002 2002 20 2,082 1,900 6,733 2002 2002 20 4,713 4,200 LAND ID# USE DESC FRONT DEPTH UNITS / TYPE 112612 BAR / LOUNGE 100 142 14,200.00 -SF PRICE ZONING LCTN TOPO OTHER ADJ1 ADJ2 ADJ3 ADJ4 MKT VALUE 25.00 RA 390500 http:// boa. chathamcounty. org/DesktonModules/ ChathamCountv /BoardofAssessors /Pronert... 6/27/2011 Chatham County Board of As ,ors: 2011 Property Record Card 4 -00" " 11-008 Page 2 of 3 2011 Chatham County Board of Assessors 4- 0026 -11 -008 Property Record Card 1106 E US HIGHWAY 80 TYBEE ISLAND BUILDING SECTION 87557 -1 CONSTRUCTION TYPE RCN AYB EYB DEP TYPE PHYS ECON FUNC OBSV / % TOTAL DEP % RCNLD U.FACTOR MKT VAL Commercial 284,360 1994 1994 MS 28.00 0.00 0.00 0.00 28.00 204,739 .90 184,265 24' I.' 21 E MT) Wood Deck 312 • 3W Restaurant Msu Restaurant 672 24' i TI1. 2 30' 8' •330 Restaurant 960 30' 2 '1 28' /Wm Wood Deck 224 8' [Click for larger picture) 672 SF UFA IS BAR; 960 SF OF 1ST FLOORIS A RESTAURANT /KITCHEN AREA; 672 SF OF 1ST FLOOR IS WAITRESS PREP AREA. 2003 ADDED FR STG BLDG, CBL WALL & BRICK PAVERS. 2008 SEWER STUB, NVC. 2009, TENANT B/O RENOVATION; NVC. COMPONENTS Units % QUAL C2 617 Complete HVAC 100.00 C1 812 Concrete Block 100.00 httn:// boa. chathamcounty .or>? /DesktonModules/ ChathamCountv /BoardofAssessors /Pronert. _. 6 /27/2011 Chatham County Board of Asr 'ors: 2011 Property Record Card 4 -00" " 11 -008 Page 3 of 3 2011 Chatham County Board of Assessors Property Record Card 4- 0026 -11 -008 1106 E US HIGHWAY 80 TYBEE ISLAND BUILDING SECTION 87558 -1 CONSTRUCTION TYPE RCN AYB EYB DEP TYPE PHYS ECON FUNC OBSV 1 % TOTAL DEP % RCNLD U.FACTOR MKT VAL Drawing Only NaN MS 0.00 0.00 0.00 NaN NaN 17' 8' BD2 2' 4' 8 14' 14' 14' 14' BD2 BD2 56 56 4' 4' [Click for larger picture] BD2 REPRESENTS A LOW COST WWOD DOCK STRUCTURE BEHIND THE MAIN BUILDING. COMPONENTS Units % QUAL httn- //hoa _ chatham countv_org/DesktonModules/ChathamCountv/BoardofAssessors/Pronert... 6/27/2011 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 Keith L. Gay Policy Number A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 1106 E US Highway 80 Company NAIC Number City Tybee Island State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Tax Parcel Number 4- 0026 -11 -008; Tybee Island; Garden Ward A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory A5. Latitude /Longitude: Lat. 32 °01'09.4 "N Long. 80 °51'17.8'W A6. Attach at least 2 photographs of the building if the Certificate is being A7. Building Diagram Number 1B A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) n/a sq ft b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade n/a c) Total net area of flood openings in A8.b n/a sq in d) Engineered flood openings? ❑ Yes ® No , etc.) Commercial Horizontal Datum: ❑ NAD 1927 ® NAD 1983 used to obtain flood insurance. A9. For a building with an attached garage: a) Square footage of attached garage n/a sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade n/a c) Total net area of flood openings in A9.b n/a sq in d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number City of Tybee Island 135164 B2. County Name Chatham County B3. State Georgia B4. Map /Panel Number 13051C/0213 B5. Suffix F B6. FIRM Index Date 09/26/2008 B7. FIRM Panel Effective /Revised Date 09/28/2008 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 12 B10. 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 B9: ❑ 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) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones A1-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 NGS Monument N 206 Vertical Datum NAVD 88 Conversion /Comments none a) b) c) d) e) Top of bottom floor (including basement, crawlspace, or enclosure floor) 7.06 Top of the next higher floor Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 6.8 g) Highest adjacent (finished) grade next to building (HAG) 7.7 h) Lowest adjacent grade at lowest elevation of deck or stairs, including n /a. structural support 11.01 n /a. n /a. 10.94 Check the measurement used. ® feet ® feet ❑ feet ❑ feet ® feet ® feet ® feet ❑ 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. / certify that the information on this Certificate represents my best efforts to interpret the data available.! understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No Certifier's Name Robert K Morgan III License Number Ga RLS #3087 Title Principal Company Name Morgan Land Surveying, LLC Address 104 Regal Court Signature City Savannah State GA ZIP Code 31410 Date , Telephone 912 - 658 -4302 O! FEMA Form 61 -31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the sponding information from Section A. Building Street Address (including Apt., Unit, Suite, a..a /or Bldg. No.) or P.O. Route and Box No. 1106 E US Highway 80 For Insurance Company Use: Policy Number City Tybee IslandState GA ZIP Code 31328 Company NAIC Number 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 The elevation shown in item C2.e is for top of wooden NC equipment pad located in the rear of the building. Signatur Date 9 //-lo 20(( ❑ Check here if attachments SECTION E - BUILDING ELEVATI 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 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, crawlspace, 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), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ 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 ❑ below the HAG. 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 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 05. 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: El feet El 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 FEMA Form 81 -31, Mar 09 Replaces all previous editions Building Photographs See Instructions for Item A6. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1106 E US Highway 80 City Tybee Island State GA ZIP Code 31328 For Insurance Company Use: Policy Number 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. FRONT VIEW (09/26/2011) REAR VIEW (09/26/2011) RIGHT SIDE VIEW (09/26/2011) LEFT SIDE VIEW (09/26/2011)