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Home My Public Portal AboutVAN HORN ST_78 1OF2 (2).pdfCharlie Padgett Terris, Thank you for your call on Monday morning. Please find enclosed a prepaid label for the permit package for AT &T Tower permit for 78 Van Horn along with a check for the fees. Thanks, Charlie Padgett Shirah & Company, LLC 201 Marina Drive St. Simons Island, GA 31522 Office: 912 - 268 -2083 Cell: 912 - 577 -9282 cpadgett@shirahandcompany.com CITY OF TYBEE ISLAND BUILDING PERMIT NO WORK ALLOWED ON TOWER DATE ISSUED: 09 -16 -2013 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 ELEC CABINETS ON SLAB 78 VAN HORN -TIPD AT &T 126 CHATHAM PARKWAY GARDEN CITY GA 31408 912 - 964 -7305 ANSCO AND ASSOCIATES LLC 736 PARK NORTH BOULEVARD CLARKSTON GA 30021 P $ 83.00 $7,500.00 PERMIT #: 130573 TOTAL BALANCE DUE: $ 83.00 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 /3 -o573 AT &T - 410 -358 Property Address: 78 Van Horn Ave 2013 BY: City of Tybee Island, Georgia 912 - 472 -5030 Fax 912 - 786 -9539 APPLICATION FOR BUILDING PERMIT PIN: 4- 0021 -05 -002 ❑ Single Family ❑ Duplex ❑ Multi - Family units ❑ * Commercial unit(s) Check all that apply ❑ Discovery/Tearout ❑ Footprint Changes ❑ additional square feet heated /cooled ❑ Demolition or Relocation Other Existing Cell Tower * A commercial project requires 2 sets of sealed drawings by a design professional and construction by a contractor with the appropriate State of Georgia professional license. A commercial project may require Site Plan Approval. Details of Project: Install Electrical Cabinets on existing concrete slab within existing lease area utilizing existing electrical service (all low voltage work only). Estimated Cost of Construction: $ 7,500.00 (materials + labor + profit/overhead) If applicable, attach a copy of the certified elevation certificate and /or survey of the property. Depending upon the scope of the work, two sets of construction drawings and /or a site plan may be required. Year Built: Listed on National Historic Register or located within a National Historic District? Y / N • Buildings older than 50 years may be eligible to be listed on the State / National Register. With this designation, you may be eligible to take advantage of various tax incentive programs while preserving the heritage of Tybee Island. • Also see the Tybee Island Land Development Code Article 14: Historic Preservation During construction: On -site restroom facilities will be provided through Ansco & Associates . Construction debris will be disposed by Ansco & Associates by means of TBD . I understand that I must comply with zoning, flood damage control, building, fire, shore protection and wetland ordinances, FEMA regulations and all applicable codes and regulations. I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected as required by Article 16, Stormwater Management. I accept r ponsibility for any corrective actions , that may be necessary to restore drainage impaired by this permitted construction. p4 p$ an 2`t.ci r: al ? Qim-rJ Date: �1'< -•13 Signature: Printed Name of Applicant: Note: A permit normally takes 7 to 10 days to process. Processing time for a historic structure may be longer. Approvals: Planning & Zoning Manager Building Official Water /Sewer Storm /Drainage City Manager tsi (J orK a,1'Utc 0 r' Date (--t -1(n-13 FEES Permit Inspections Cap. Cost Rec. Water Tap Sewer Stub Eng. Fees Aid to Const. TOTAL Name Mailing Address Telephone Owner AT &T: Antennas / City of Tybee: Land 5405 Windward Pkwy, Alpharetta, GA 30004 Home: 912- 268 -2083 Cell: 678-907-2940 Architect or Engineer PM &A "Patrick Marshall" 30 Mansell Ct, Suite 103, Roswell, GA 30076 Office: 678 -280 -2325 Cell: Contractor Ansco & Associates LLC 736 Park North Blvd, Suite 100, Clarkston, GA 30021 Office: Cell: 404-317-7133 ❑ Single Family ❑ Duplex ❑ Multi - Family units ❑ * Commercial unit(s) Check all that apply ❑ Discovery/Tearout ❑ Footprint Changes ❑ additional square feet heated /cooled ❑ Demolition or Relocation Other Existing Cell Tower * A commercial project requires 2 sets of sealed drawings by a design professional and construction by a contractor with the appropriate State of Georgia professional license. A commercial project may require Site Plan Approval. Details of Project: Install Electrical Cabinets on existing concrete slab within existing lease area utilizing existing electrical service (all low voltage work only). Estimated Cost of Construction: $ 7,500.00 (materials + labor + profit/overhead) If applicable, attach a copy of the certified elevation certificate and /or survey of the property. Depending upon the scope of the work, two sets of construction drawings and /or a site plan may be required. Year Built: Listed on National Historic Register or located within a National Historic District? Y / N • Buildings older than 50 years may be eligible to be listed on the State / National Register. With this designation, you may be eligible to take advantage of various tax incentive programs while preserving the heritage of Tybee Island. • Also see the Tybee Island Land Development Code Article 14: Historic Preservation During construction: On -site restroom facilities will be provided through Ansco & Associates . Construction debris will be disposed by Ansco & Associates by means of TBD . I understand that I must comply with zoning, flood damage control, building, fire, shore protection and wetland ordinances, FEMA regulations and all applicable codes and regulations. I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected as required by Article 16, Stormwater Management. I accept r ponsibility for any corrective actions , that may be necessary to restore drainage impaired by this permitted construction. p4 p$ an 2`t.ci r: al ? Qim-rJ Date: �1'< -•13 Signature: Printed Name of Applicant: Note: A permit normally takes 7 to 10 days to process. Processing time for a historic structure may be longer. Approvals: Planning & Zoning Manager Building Official Water /Sewer Storm /Drainage City Manager tsi (J orK a,1'Utc 0 r' Date (--t -1(n-13 FEES Permit Inspections Cap. Cost Rec. Water Tap Sewer Stub Eng. Fees Aid to Const. TOTAL LEAD -BASED PAINT RRP RULES Ordinary renovation and maintenance activities can create dust that contains lead. Contractors who perform renovation, repairs, and painting jobs in pre -1978 housing and child- occupied facilities must, before beginning work, provide owners, tenants, and child -care facilities with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard information for Families, Child Care Providers, and Schools. Contractors must document compliance with this requirement. After April 22, 2010, federal law will require you to be certified and to use lead -safe work practices. Georgia Environmental Protection Division Lead -Based Paint and Asbestos Program (404) 363 -7026. Projects must be done by a Certified Lead Renovation Firm AND a Certified Renovator When disturbing lead -based painted or coated surfaces or components more than 6 ft2 per interior room or 20 ft2 of exterior surfaces AND all window replacements and partial demolitions of any size. * * * * * * * * * * * * * * * * * * * ** Asbestos /Environmental Notification to Georgia EPD for Projects Involving Demolition, Wrecking, or Renovation The undersigned hereby acknowledges that the issuance of this permit does not in any way grant permission to the owner, owner's representative, or permit holder to proceed with demolition, wrecking, or renovation of a structure prior to the filing of any required ten (10) day "Project Notification for Asbestos Renovation Encapsulation or Demolition" form in accordance with the Georgia Asbestos Rules. The Georgia Environmental Protection Division administers the rules. In most cases, the rules require both the owner and the involved contractors to assure the portion of the building involved in the project is thoroughly inspected by an Accredited Asbestos Inspector for materials that contain asbestos; and the removal of the asbestos before renovation, wrecking, or demolition begins almost without exemption. Georgia EPD requires a completed demolition notification from be submitted 10 workings days in advance even if no asbestos is present in the building. Further guidance for regulatory compliance and contact telephone numbers are provided by the brochures entitled Asbestos & Renovation and Asbestos and Demolition. Other environmental issues such as asbestos removal techniques, lead abatement, ground contamination, or unusual site conditions may have EPD regulations that could affect the project. * * * * * * * * * * * * * * * * * * * ** BMPs While BMP deficiencies are not necessarily the fault of the owner or his agent, BMPs are their responsibility. Two areas of deficiencies are in the most basic and common BMPs; Co — Construction Exit and Sd1 — Sediment Barrier. Correct installation information can be found in the Field Manual for Erosion and Sediment Control in Georgia, Fourth Edition 2002, Georgia Soil and Water Conservation Commission; http://www.gaswcaorg/docs/field_manual_4ed.pdf. Problems with the Co is not limited to the installation, but to material. The stone will be a representation of 1.5 " -3.5" stone or larger. Type A sediment barriers have been installed where Type C is required and shown on the permit drawings. Where two rows are called for they will be installed with a separation that allows for the first one to fail (fall over) without impacting the second one. The complete assembly and installation must be compliant; steel or wood posts, post spacing, Type C or A. Signature for receipt of Lead Paint, Asbestos, and BMP notices Date Printed Name