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09-0250 Kefamily Enterprises_1of4
CITY OF TYBEE ISLAND CERTIFICATE OF OCCUPANCY * DATE COMPLETED: 06/28/2013 This Certificate issued pursuant to the requirements of the Standard Building Code Certifying that at the time of issuance this structure was in compliance with the various ordinances of the Jurisdiction regulating building construction or use. PERMIT #: 090250 PROPOSED USE: NEW RESIDENTIAL BLDG - DUPLEX OCCUPANCY TYPE: P CONTACT NAME BILLY RAY CONTACT ADDRESS PO BOX 2086 CONTACT CITY STATE ZIP TYBEE ISLAND GA 31328 PROPERTY ADDRESS 1230 SOLOMON AVE #B APPROVED BY: * Driveway must be installed by October 3], 2013 3. 2.3 - I LI ac! v'e tJ Gt$ n ; „s -Fall ¢o�• cl' e.. ',1e.. , ,/0 P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -5737 www.cityoftybee.org CITY OF TYBEE ISLAND BUILDING PERMIT ENGINEERING FEE DATE ISSUED: 06/28/2013 PERMIT #: 090250 WORK DESCRIPTION NEW RESIDENTIAL BLDG - DUPLEX WORK LOCATION 1230 SOLOMON AVE B OWNER NAME BILLY RAY ADDRESS PO BOX 2086 CITY, ST, ZIP TYBEE ISLAND GA 31328 PHONE NUMBER CONTRACTOR NAME HARRISON CONSTRUCTION & DESIGN ADDRESS PO BOX 2386 CITY STATE ZIP TYBEE ISLAND GA 31328 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE 1460 — TOTAL BOTH UNITS OCCUPANCY TYPE P TOTAL FEES CHARGED PROPERTY IDENTIFICATION # PROJECT VALUATION ENGINEERING FEE TOTAL BALANCE DUE: $ 175.00 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 403 Butler Ave PO Box 2749 Tybee Island, GA 31328 -2749 Ph (912) 786 -4573 FAX (912) 786 -5832 Vendor # : Issued to: 01- 002055 DAVIS ENGINEERING, INC P 0 BOX 1663 TYBEE ISLAND, GA 31328 F.O.B. Point - Tybee Island, GA P11; :CHASE ORDER PO Number: _23293 This number must appear on ted Date: Ship to: correspondence, shipping papers and invoices 06 /28 /201Jequisition # : CITY HALL 403 BUTLER AVENUE TYBEE ISLAND, GA 31328 13 -2329: Terms - Net 30 days LINE UNITS DESCRIPTION PRICE AMOUNT 1 0.00 Eng - 1230 -B Solomon 100 - 7220 -52 -1203 Davis Engineering, Inc., invoice #20990250 dated 06/28/2013 for engineering at 1230 -B Solomon Purchase Order void after 90 days. 0.00 175.00 Special Instructions: I agree to provide the items /services listed on this purchase order and accept the Purchase Order Terms and Conditions that accompany this form. Supplier Acknowledgement Date TOTAL 175.00 Authorized by For the City of Tybee Island Date DAVIS ENGINEERING, INC. P.O. Box 1663 Tybee Island, GA 31328 Tel. (912) 695 -7262 dkdbus(a�gmail.com INVOICE June 28, 2013 Invoice #20990250 RE: West half of rear duplex at Cottages on Solomon 06 -26 -13 06 -27 -13 0.5 hours 0.5 hours Co 1_3 site visit and email site visit and acceptance 1.0 hours @ $175 �3- 2243 $175 Total Due This Invoice RECEIVED 12 3' 3 5-.0,14.a,, A. Dianne Otto From: Sent: To: Cc: Subject: I concur. Joe Wilson Thursday, June 27, 2013 9:15 AM 'Downer Davis'; Dianne Otto lahbos@bellsouth.net RE: Fwd: From: Downer Davis [mailto:dkdbusgmail.com] Sent: Thursday, June 27, 2013 8:26 AM To: Dianne Otto Cc: lahbos@ bellsouth.net; Joe Wilson Subject: Fwd: I can give a signoff when all is stabilized. The site within the property is stabilized but not all of the disturbed areas. On a lot fronting a pubic street, stabilization includes not just the property but the R.O.W. shoulder that was disturbed. So, all areas obviously disturbed as part of the construction process for this project must be stabilized. The straw covered seed used withing the lot property limits is acceptable. The driveway was not installed. To the best of my knowledge we've never allowed the temporary stabilization method of straw covered seed. So, please advise if you wish the driveway to be installed per plan or allow another method of stabilization. The sparse covering of straw over seed in the area of the driveway is not acceptable. Between my site visit last evening and my communication this morning, I have 1/2 hour. Hopefully reinspection and resolution will not entail more than another 1/2 hour. Downer 912 695 -7262. Forwarded message From: Downer Davis <dkdbus @me.com> Date: Thu, Jun 27, 2013 at 7:51 AM Subject: To: "Downer K. Davis, Jr." <dkdbus @gmail.com> C nu.2-oIs ie a 61e .fie e� %4) ^I O �, `-1- (n C� CS - f +. C�l L s4- .Lt(2d Sent from my iPhone 4 BOSWELL DESIGN SERVICES, INC. 103 NASSAU DRIVE SAVANNAH, GEORGIA 31 410 912 -897 -- 6932 LAHBOSOBELLSOUTH.NET June 20, 2013 To: Dianne Otto Planning and Zoning Department Tybee Island, Georgia 31328 Re: Solomon Avenue Project For Craig Harrison Tybee Island, Georgia Dianne, At the owner's request, we have inspected the project referenced above for compliance with the approved plans. After a brief inspection of the project, it is our opinion that the swale is installed in substantial compliance with the approved plans. Final stabilization has not yet been achieved. Thank you for your assistance and please do not hesitate to contact us with questions or comments. Sincerely, Mark Boswell, P.E. FEDERAL EMERGENCY MANAGEMENT AG National Rood Insurance Program CI_CVA I ION t.rtt 19 -ICATE Important Read the instructions on pages 1 -S. )MB No. 1660 -0008 expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owners Name Billy Ray Policy Number. A2. Buikfing Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No 1230.8 Solomon Avenue Company NAIC Number. City Tybee Island State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 4-B of a subdivision of tots 4, 5, 6 and aportion of Solomon Ave., Garden Ward A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5, Latitude/Longitude: Lat. N 32 deq 01.2350 min Long. W 80 deg 51.5180 min A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood in A7. Building Diagram Number 6 A8. For a building with a crawlspace or enclosure(s): A9. For a) Square footage of crawlspace or enclosure(s) 182 Si ft a) b) Number of permanent flood openings in the crawispace b) or enclosure(s) within 1.0 foot above adjacent grade 4 c) Total net area of flood openings in A8.b 414 sq in c) d) Engineered flood openings? ❑ Yes ® No d) Horizontal Datum: ❑ NAD 1927 ® MAD 1983 surance. a building with an attached garage: Square footage of attached garage nta sq ft Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade ija Total net area of flood openings in A9.b eta_ sq in Engineered flood openings? ❑ Yes (3 No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bt. NFIP Community Name 8 Community Number B2. County Name Chatham Tybee Island 135164 83. State GA 84. Map/Panel Number 13051CO213F B5. Suffix F 86. FIRM Index Date 9/26/08 B7. FIRM Panel Effective/Revised Date 9/26/08 88. Flood Zone(s) AE 89. Base Flood Elevation(s) (Zone AO, use base flood depth) 13 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 /Source: B11. Indicate elevation datum used for BFE in Item 89: ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source: , B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No Designation Date: ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. 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, Vt -V30, V (with BFE), AR, ARIA, AR/AE, ARJA1-A30, AR/AH, AR/AO. Complete Items C2.a -h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through Ir) below. ❑ NGVD 1929 El NAVD 1988 ❑ Other /Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) 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) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 7.0 16.8 Na Na 15.¢ Check the measurement used. ® feet ❑ meters feet ❑ meters Lin feet ❑ meters ® feet ❑ meters ® feet ❑ meters 5.4 ® feet ❑ meters 6.7 ® feet ❑ meters 5.4 ® feet ❑ meters 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. I certify that the information on this Certificate represents my best efforts to interpret the data available. I 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 ❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No Certifiers Name .1. Whitley Reynolds License Number 2249 Title Land Surveyor Company Name Address Sigr:ture pfjerfsoo Avenue _iC y' Savannah State GA ZIP Code 31405 Date 6/21/13 Telephone 912 - 352 -0464 FE • orrn 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, pa" ? IMPORTANT: In these spaces, c, the corresponding information from Section A. OR INSURANCE COMPANY USE Building Street Address (including Apt, Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. r Policy Number. 1230-8 Solomon Avenue City Tybee Island State 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 C2.e) = NC pad Signatur Date 6/21/13 SECTION BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones A and A (without BFE), complete hems E1 -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For It s 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 endosure) 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 owners 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-G10. In Puerto Rico only, enter meters. 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. ❑ 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 G4-010) is provided for community floodplain management purposes. 04. Permit Number G5. 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 Datum G9. BFE or (in Zone AO) depth of flooding at the building site: G10. Community's design flood elevation: ❑ feet ❑ meters Datum ❑ feet ❑ meters Datum Local Official's Name Community Name Signature Comments Title Telephone Date ❑ Check here if attachments. FEMA Form 086 -0-33 (7/12) Replaces all previous editions. rr... �.�..v• vin, Ir1VM I CI p-r- -• Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No 1230 -B Solomon Avenue City Tybee Island FOR INSURANCE COMPANY USE Policy Number State GA ZIP Code 31328 Company NAIC Number. if using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front Veld and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. FEMA form 086 -0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, p' 4 Building Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No 1230 -B Solomon Avewnue Policy Number. City Tybee Island State GA ZIP Code 31328 Company NAIC Number. If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; 'Front View' and 'Rear View "; and, if required, 'Right Side View" and "Left Side View! When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. FEMA Form 086-0 -33 (7/12) Replaces all previous editions. C to cktt : I522904 FILED FOR RECORD NONCONVERSION AGREEINairal3 11 :o38.ra FOR STRUCTURES IN THE FLOCRYPIAIN Daniel 1/. Massey, Clerk Su.prerior Court of Cha.thu, ountj Building Permit Number a° ' ©t S 0 Address of Prop emu +J2 ,41/ 4ptcipjrbQile -. B PIN 7' ('.z 6 -- d..j��" FIRM Zone A LL BFE /3 feet (NAVD) Property Owner(s) WILD l Aim 5 /,fly R Panel Number (%) 3 f , effective date r �°'� 42Y Contractor 'A GA? CO In accordance with the Flood Damage Prevention Ordinance of the City of Tybee Island, Georgia, the Property Owner agrees to the following: I. That the enclosed area below the Base Flood Elevation shall be used solely for parking of vehicles, limited storage, or access to the building, and will never be used for human habitation without first becoming fully compliant with the Flood Damage Prevention Ordinance in effect at the time of conversion. co 2. That all interior walls, ceilings, and floors below the Base Flood Elevation shall be unfinished or constructed of flood- resistaK3 y materials. 3. That mechanical, electrical, or plumbing devices shall not be installed below the Base Flood Elevation. 4. That the walls of the enclosed area below the Base Flood Elevation shall be equipped with at least two vents which permit the automatic entry and exit of floodwater with total openings of at least one square inch for every square foot of enclosed area below flood level. The vents shall be on at least two different walls, and the bottoms of the vents shall be no more than one foot above grade. If located in a V -zone, breakaway walls are required. 5. That the requested structure may be subject to increased premium rates for flood insurance available from the National Flood Insurance Program due to its location in a Special Flood hazard Area. 6. That any variation in construction beyond what is permitted shall constitute a violation and be abatable as such. 4E6 1 W •3 /eois Signature of Property Owner Date WuM/tt. S . ?Ay Jr. Printed Name of Omer Prin Property Signature of Property Owner Date Printed Name of Property Owner STATE OF GEORGIA COUNTY OF CHATHAM I hereby certify that on this, /x'64 day of UItIE 20 /3 , before me, a Notary Public of the State of Georgia, personally appeared ti jai jam,, 4 , known to me, or satisfactorily proven to be the person whose name is subscribed to the foregoing ins me , who acknowledged that he/she has executed it for the purposes therein set forth, and that it is his act and deed. In witness whereof, I have set my hand and Notarial Seal. / i NOTARY i 12. RAY My Commission expires on Notary Public, C am County, (iA^i' WITNESS SIGNATURE n� Prinbed Name �Lt /IOA► V , /•�'s/�Q y Address 174 QRBvrRRD PO /A/T %R!/ •0 ✓A9!✓/vi} N/ 674, 3/4/// (seal) NOTARY SAS, Note: A Nonconversion Agreement must be used whenever an enclosed structure or portion of a structure is built or substantially improved within the 100 year Floodplain below the Base Flood Elevation. A Nonconversion Agreement must satisfy all of the above conditions and requires proper recordation in the land records of Chatham County, Georgia. RECEIVED l0 2 b-13 Permit No. City of Tybee Island • Planning & Zoning Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472.5032 • Fax 912.786.9539 - D2 Owner's Name Gen. Contractor 0 CO. kar r,5ar -, Contact Information �� r2 , Q Project Address 12 3 D - B S Scope of Work h eui dL)plex i,�,r°,• Inspector , D-1---- ate of Inspection (a " 2 3 -13 r•e--Alia Inspe ction Pass Fail (`(1SZ C k • El Fee ,i- r\ . 'Is e 1 q_ J c,,,-(-e_cLi J J <C- u , -y' YA e 4Q `f.- _ j e_ o ofc € 0 c' 0 "re- ', s t/ r1 i d \ u - ∎(10 - ' 6 r.N Q PP s r Q O ✓1 \ 5 1 6 Or\ TOS"fir0.1. S (� Date Requested Date Needed Subcontractor - 13 >;t INTERNATIONAL CODE COUNCIL' MEMBER S2 %S or Inspection Pass ❑ Fail Fee �.at� A 645 Per o v , .✓ e .iJG . Le-- ;/,5----1 a 11 e i s -k5-- • n par aNled Inspection Pass ❑ Fail ❑ Fee (� nP vm,- 5-4 ray- 6- c1 has b h mDv.e d 4- 0 tl J Q cen4- 104, 03v4-0 ke;44, 4„ Inspection Pass ❑ Fail ❑ Fee City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472 -5032 • Fax 912.786.9539 Permit No. q (Jvl,7(J Owner's Name ,\ .� y Gen. Contractor 1-412,t4/..50A/ Date Requested Of Date Needed Subcontractor IN TERrN,1Ti3:,laL CODE COUNCIL MEMBER Contact Information 6f /if; /,? _ d 7 '� Project Address /23t2 3 Aa..--,,,t, Scope of Work .4241 Inspector 1 /� Date of Inspection ;�i�,r • f / Inspection - !- Pass ❑ \ail ❑ Fee Inspection A/ MC, Pass ❑ Fail ❑ Fee Inspection „All 41 Pass Fail El Fee Z-4 dz.2,12,4\i/g 5-Ze;();‘,2/:-_) ?y ?�I Jam;. - Iz5�`w4� 6// 7 - t'l/J Inspection Pass ❑ Fail ❑ Fee eAAP>. , • /.i.l- /"1) -4. City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472 -5032 • Fax 912.786.9539 Permit No. J''.. o o?.'.; Date Requested Owner's Name `/?A V Date Needed Gen. Contractor ` "" A,f?, iS 1 "v' Subcontractor ,' Contact Information ( e,‘) ,c, i ( 4 ('K' 1S 01■/ Project Address INTERNAT,01,L CODE COUNCIL MEMBER 4Ct)/'►'IOn% Scope of Work Inspector Date of Inspection Inspection - G1 di Z a&) Si Pass F/ I ❑ Fee ,tL dieb G Inspection Pass El Fail ❑ Fe Inspection Pass 0 Fail Inspection Pass n Fit\ I--I Fee City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472 -5032 • Fax 912.786.9539 iNTERNATIOWL CODE COUNCIL MEMBER Permit No. O q- t) 2.O Date Requested (_. ,4 7/.3 Owner's Name }RAY Date Needed J fo //3 %/,� i Gen. Contractor �' P,eg1Sont' Subcontractor Contact Information / /,/ l 0793 Project Address Scope of Work Inspector ? / Date of Inspection 4250 = of o,n & j Av e., /1/014.) rtf Inspection Pass El Fail Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee / ": City-of Tybee Island • Planning & Zoning Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472.5032 • Fax 912.786.9539 INTERNATIONA CODE COUNCIL MEMBER Permit No. a I- do 5) Date Requested 0.3/103 Owner's Name /r Date Needed o3%a /�.3 Gen. Contractor ,MAA/49ic Subcontractor Contact Information (_,.k /& L/ez ' /sai/ ,?- Q7g5 Project Address /23 0 3 J0//Y/ON' Scope of Work / l.6(4) G 2 �,� Inspector -e ' Date of Inspection i ' � Inspection 6/95 L /nib /`Co (6 H Pass o Fail El Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee 09/0250 1230 A & B Solomon Ave. FRAMING INSUL FINAL 05/15/12 FINAL UNIT SAW FOOTING SLAB NAIL PL TOP ROUGH ROUGH ROUGH FIRE TEMP. FINAL FINAL FEMA C_ O. POLE PATTERN OUT ELEC. PLUMB. MECH. WALL POWER ELEC. MECH. PLUMB. BUILD. A(Ieft) pass pass -- pass -- pass pass pass pass pass pass pass pass pass pass pass pass 5/15/12 B (right) pass -- pass -- pass pass pass pass A $S Pos.A3 B no sprinkler u: \EXCEL \multi -unit check list.xls City of Tybee Island • Planning & Zoning Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472.5032 • Fax 912.786.9539 Permit No. 9�- Q�S� Owner's Name Ay. Gen. Contractor Contact Information Project Address Scope of Work Date Requested 10 ///3 Date Needed /o4/,3 Subcontractor nalik lm.- INTERNATIONAL CODE COUNCIL MEMBER () 4/07 - 793 /023o B �,-- i Inspector ../ Date of Inspection Inspection 7�y�,,L Pass LJ' Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee lak WI= INTERNATIONAL CODE COUNCIL MEMBER Permit No. City of '∎ , nee Island • Planning & Zoning Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472.5032 • Fax 912.786.9539 - v % Date Requested I/ ��� , Owner's Name f Date Needed Gen. Contractor 3,,i /J Subcontractor Contact Information j JLJJ 7 L1)(1. Project Address ` '') t : ,)njli Scope of Work N_\ r:‘ N; X Inspector /'j Inspection j y Date of Inspection PaSs- Fail El Fee Inspection P'asS ❑ Fail ❑ Fee Inspection Pass Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee EbLQ-Z1t L1-1°1°) r 0 X01 awo s crly)A4 \\A iciN. LAQS'�-129 -g; J-0 t) D31- ° wolas a-o\ IN Result Report P 1 01/11/2013 13:40 Serial N0. CM35228060004 TC: 374295 Destination Start Time Time Prints Result Note 18888514411 01 -11 13:39 00:00:48 001/001 OK Note MIX: Mixed Origginal_TX. CALL:CManual1TX. Original Size gFWD:FForward. PC: PC -Fax. AND: : Double-Sided MAX: ConfidentiDirection. , : BulletPiniC1SIP rSIPnFax.FIPADR:FIP Address Fax. I -FAX: Internet Fax Result OK: Communication OK, S -OK: Stop Communication, PW -OFF: Power Switch OFF, TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer, Refuse: Receipt Refused, Busy: Busy, M- Full:MemorY Full, LOUR :Receiving length Over, POVER:Receiving page Over, FIL:File Error, DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error. ,�-- To k r1 n is f -- e p v-G l I a e gA Po eJ- ( / Ian '� Dis �/ n d,d. no� W -fo./eacl +0 Sow, (A) 5 l-s RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR GEORGIA POWER PHONE: 1- 888 -748 -6843, Press 1, Extension 32855 or 32856 FAX: 1-888-851-4-411 Location Address: /,2,30 13 SOLDAk0rJ Type of Release: Temporary Electrician: GC S-seGL- owner /Builder: Permanent 1S0^/ C- Ol./STiQL4G"7-IoJ Release Date: /` // 11-3 Permit # p� 49 -) 0 ,7 _ ei Phone # s 4/ / _ f3 7 Phone # Location Address: Type of Release: Temporary Permanent Electrician: Owner /Builder: Release Date: Permit # Phone # Phone # RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR GEORGIA POWER PHONE: 1- 888 -748 -6843, Press 1, Extension 32855 or 32856 FAX: 1- 888 - 851 -4411 • Location Address: / 2 ,3d 73 SoLo'ito,) Release Date: /1/1 (13 Type of Release: Temporary V Permanent Permit # 0 g- i252 Electrician: Tu 55aL Phone# O 't-/347 Owner /Builder: 19"i 154/41 eoi8-rieUC_77 AJ Phone # Location Address: Release Date: Type of Release: Temporary Permanent Permit # Electrician: Phone # Owner /Builder: Phone # RI INTERNATIONAL CODE COUNCIL MEMBER Permit No. • City of Tybee Island • Planning & Zomrrg Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472.5032 Fax 912.786.9539 /- DeP250 Date Requested 1/11/3 Owner's Name /��� ( / ,14 / Date Needed /�j Gen. Contractor PAr ICI S OA/ Subcontractor Contact Information r� Project Address /(230 Soz_ofnad Scope of Work Inspector % 1 / Date of Inspection Inspection �' �p41 Pass ; Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR GEORGIA POWER PHONE: 1- 888 - 748 -6843, Press 1, Extension 32855 or 32856 Location Address: FAX: 1- 888 - 851 -4411 (-6v Ltlibeti om ..J Type of Release: Temporary ✓ Permanent Electrician: 7 ' f Owner /Builder: 150,.) X0,454 Release Date: Permit # Q%-dZS D Phone # Phone # Location Address: Release Date: Type of Release: Temporary Permanent Permit # Electrician: Phone # Owner /Builder: Phone # IN Result Report P 1 01/10/2013 11:14 Serial No. CM35228060004 TC: 373941 Destination Start Time Time Prints Result Note 18888514411 01 -10 11:13 00:00:48 001 /001 OK Note MR: Timer TX. POL: Polling. ORG: Original Size Setting FME: Frame Erase TX. MIX: Mixed Original TX, CALL: Manual TX. CSRC: CSRC, F D: Forward. PC: PC -Fax. BHD: Double -Sided Binding Direction. SP: Special original. FCODE: F -code, RTX: Re -TX. RLY: Relay MBX: Confidential, BUL: Bulletin. SIP: SIP Fax. IPADR: IP Address Fax. I -FAX: Internet Fax Result OK: Communication OK, S -OK: Stop Communication, P41 -OFF: Power Switch OFF. TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer, Refuse: Receipt Refused, Busy: Busy, M- Full:Memory Full, LOVR:Receiving length Over, POVER:Receiving page Over, FIL:File Error, DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error. RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR GEORGIA POWER PHONE: 1-888-748-684-3, Press 1, Extension 32855 or 32856 FAX: 1 -888- 851 -4411 Location Address: Type of Release :��_ Temporary Electrician : / �I /U�✓. -+�- / / ` Owner / Builder: Permanent Release Coate: Permit it oq-�ZS Phone ft �4"f' -�•J� Phone 4t Location Address: Release Oate: Type of Release: Temporary Permanent Permit ft Electrician: Phone tt Owner /Builder: Phone # CITY OF TYBEE ISLAND CERTIFICATE OF OCCUPANCY DATE COMPLETED: 05/15/2012 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 #: 090250 PROPOSED USE: NEW RESIDENTIAL BLDG - DUPLEX UNIT OCCUPANCY TYPE: P CONTACT NAME DONALD URBANO CONTACT ADDRESS PO BOX 1837 CONTACT CITY STATE ZIP TYBEE ISLAND GA 31328 PROPERTY ADDRESS 1230 -A SOLOMON AVE APPROVED BY: U,4/1v.iv..) Pt° P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -5737 www.cityoftybee.org 6_14-12_ Ka:4Am, 4; C,h e ` a- G. Q' BUILDING PERMIT epci 5- 11_12. ENGINEERING SERVICES Sag CITY OF TYBEE ISLAND rr•a.: lea DATE ISSUED: 09/18/2011 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 # NEW RESIDENTIAL BLDG - DUPLEX 1230 SOLOMON AVE A &B KEFAMILY ENTERPRISES,LLC PO BOX 2841 TYBEE ISLAND GA 31328 -2841 FIDELITY CONSTRUCTION INC PO BOX 15844 SAVANNAH GA 31416 1460 P $9,033.25 PROJECT VALUATION $132,000.00 ENGINEERING SERVICES 04/01/2009 TO 04/14/2009 PERMIT #: 090250 TOTAL BALANCE DUE: $ 350.00 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: (c),6 • 17 't P. O. Box 2749 - 403 Butler Avenue, Ty bee Island, Georgia 31328 Lc, 66-2t4s (912) 786 -4573 - FAX (912) 786 -9539 www.citvoftybee.org - ak 04-2.14-I2 ema' - 14 -I1 c1dta 1414562 FIB_ FOR RECORD NONCONVERSION AGREEMtEN 1 O :4 pr FOR STRUCTURES IN THE FL( ',Hie Oi'_; _; _:Ir 1:: _super_ or r :ou r't if r ).y» han %:gun ty Address of Prope r• } • C 6t. 13&" .0n10 Building Permit Number 0 9 V of J-0 PIN L i - - 0 0 2 1 , % ' - - 0 - 5 2 `` r0213 P FIRM Zone E B 3 fee / rxtitz, Panel Numbe , effective date Property Owners) .�; , / / �i1D Contractor SQL In accordance with the Flo Pd Damage Prevention Ordinance of the City of Tybee Island, Georgia, the Property Owner agrees to the following: 1. That the enclosed area below the Base Flood Elevation shall be used solely for parking of vehicles, limited storage, or access to tl e building, and will never be used for human habitation without first becoming fully compliant with the Flood Damage Preventi n9 Ordinance in effect at the time of conversion. CJ1 2. That all interior wails, ceilings, and floors below the Base Flood Elevation shall be unfinished or constructed of flood - resistant materials. 3. That mechanical, electrical, or plumbing devices shall not be installed below the Base Flood Elevation. 4. That the walls of the enclosed area below the Base Flood Elevation shall be equipped with at least two vents which permit the automatic entry and exit of floodwater with total openings of at least one square inch for every square foot of enclosed area below flood level. The vents shall be on at least two different walls, and the bottoms of the vents shall be no more than one foot above grade. If located in a V -zone, breakaway walls are required. 5. That the requested structure may be subject to increased premium rates for flood insurance available from the National Flood Insurance Program due to its location in a Special Flood Hazard Area. 6. That any variation in construction beyond what is permitted shall constitute a violation and be abatable as such. Si natur f�Pro erty Owner Date g / P IL A< 77eif9�o of Property Ow er igna re o Property Owner N Printed Name of Property Owner STATE OF GEORGIA COUNTY OF CHATHAM (C70 I hereby certify that on this U- day of I v__ personally appeared o the person whose name is subscribed to the foregoing instrument, therein set forth, and that it is his act and deed. Date , 20 , before me, a Notary Public of the State of Georgia, , known to me, or satisfactorily proven to be who acknowledged that he/she has executed it for the purposes In wi ess whereof, I have set my hand and Notarial Seal. h tV,.��,C1ZE c'1 - O+l_ �\\011111111/////// �� NOTARY ,� C ,"��) Ci Ur OCAA0 40 ;Ailo.14' .� My Commission expires on Sa n ua c,y �� , 9-O I l f 0 `* : 'bra!" f f t-- UAW ` frIA/D 2014 WITNESS SIGNATURE I d I�III Printed Name 1r(t S t-e C \NJ t ( I S C ■yyi S Address gb i��Vee IS \a - d C- I=1 5 ►32Si i4/•'9�gMCO. G� �.�. • Note: A Nonconversion Agreement must be used whenever an enclosed structure or portion of a structure is built or substantially improved within the 100 year Floodplain below the Base Flood Elevation. A Nonconversion Agreement must satisfy all of the above conditions and requires proper recordation in the land records of Chatham County, Georgia. City of . ae 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 maw% INTERNATIONAL CODE COUNCW MEMBER Permit No. Oci - C). S 0 Date Requested Owner's Name U r ba no Date Needed Subcontractor Gen. Contractor Contact Information $ { m) ZS O '- £) Q g Project Address 12 3 0 A Sol O M o..- Scope of Work } Ci3i) 1 e_X (.k n ,`P Inspector Date of Inspection Inspection f Pass El Fail Fee .rte. hoJSCE'Un,+ s or-) ` c 2 r-N_ns � n 3 E` Jt'� SS e 5e 5-4 r= ' • c' U 1\c, {S' .r ! i h C)') -e■n , i-4 Jr- } p ti� Inspection Pass ❑ Fail Fee II � �° :� ' p 0 1 � ' � '' �`L `� ,$) n Il1c.( p'�(n .c�4 C eE 3 Cr r e� r J.� )S4rJcj-,i re_, . 1 ...1. J st so J-41,--, aC 9r3 e. r (A I e. ,S j5--Ce-Q-711 Inspection Pass El Fail El Fee Inspection Pass ❑ Fail ❑ Fee U.S. DEPARTMENT QF HOMELAND SECURIT\S, ELEVATION CERTIFICAT ctio, Federal Emergency Management Agency Apt. National Flood Insurance Program 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 Don Urbano Policy Number A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 1230 -A Solomon Avenue Company NAIC Number City Tybee Island State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 4 -A of a subdivision of lots 4, 5, 6 & a portion of Solomon Ave, Garden Ward A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5. Latitude /Longitude: Lat. N 32 dell 01.235 min Long. W 80 deo 51.518 min Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 5 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 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 Tybee Island 135164 B2. County Name Chatham B3. State GA B4. Map /Panel Number 13051 CO213F B5. Suffix F B6. FIRM Index Date 9/26/08 B7. FIRM Panel Effective /Revised Date 9/26/08 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 13 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 localVertical Datum NAVD 1988 Conversion /Comments Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 16.8 ® feet b) Top of the next higher floor n /a. ® feet c) Bottom of the lowest horizontal structural member (V Zones only) n /a. ® feet d) Attached garage (top of slab) n /a. ® feet e) Lowest elevation of machinery or equipment servicing the building 15.1 ® feet (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) 6.0 Highest adjacent (finished) grade next to building (HAG) 6.7 Lowest adjacent grade at lowest elevation of deck or stairs, including 6.0 structural support f) 9) h) feet ® feet ® feet ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) El meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Aim 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 1001.0 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 J. Whitley Reynolds License Number 2249 Title Address 636 S Signatur Company Name J. Whitley Reynolds, Land Surveyor son -nue, Suite C City Savannah, FEMA rm 81 -31, Mar 09 State GA ZIP Code 31405 Date 5/3/12 Telephone 912 - 352 -0464 See reverse side for continuation. Replaces all previous editions rr it IMPORTANT: In these spaces, copy the ^esponding information from Section A. Building Street Address (including Apt., Unit, Suit,. Ad/or Bldg. No.) or P.O. Route and Box No. 1230 -A Solomon Avenue 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 C2.e) = C pad Signaare Date 5/3/12 ❑ Check here if attachments SECTIO E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and A (without BFE), complete Items E1 -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 owners 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, 8, 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. ❑ 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 G5. 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: ❑ feet ❑ 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. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1230 -A Solomon Avenue Policy Number City TYbee Island State GA ZIP Code 31328 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 May 3, 2012 Building Photographs Continuation Page For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1230 -A Solomon Avenue Policy Number City Tybee Island State GA ZIP Code 31328 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View "; and, if required, "Right Side View" and "Left Side View." Rear View May 3, 2012 CITY OF TYBEE ISLAND BUILDING PERMIT ENGINEERING FEE DATE ISSUED: 05/09/2012 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 NEW RESIDENTIAL BLDG - DUPLEX 1230 SOLOMON AVE A DON & BRIDGET URBANO 1230 -A SOLOMON AVE TYBEE ISLAND GA 31328 730 P INVOICE #21201301 TOTAL BALANCE DUE: PERMIT #: 090250 $ 87.50 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 ri:r=iFFP DAVIS ENGINEERING, INC. cS= P.O. Box 1663 Tybee Island, GA 31328 Tel. (912) 695 -7262 dkdbus(a�gmail.com INVOICE May 9, 2012 Invoice #21201301 Diane Otto City of Tybee Island P.O. Box 2749 Tybee Island, GA 31328 Phone (912) 786 -4573 Fax: (912) 786 -9539 RE: Don Urbano 1230 -A Solomon 05 -02 -12 0.5 hours Final inspection and concurrence with conditions after reviewing the approved plans. 0.5 hours @ $175 /hours = $87.50 Total Due This Invoice 5 -9 -1Z ac.J d 3a 09 -O2 SO 4-0 AP Dianne Otto From: Joe Wilson Sent: Wednesday, May 09, 2012 11:25 AM To: Dianne Otto Cc: 'dkdbus @gmail.com' Subject: RE: FW: urbano project - 1230 A Solomon /I will concur with Downer on this. From: Dianne Otto Sent: Tuesday, May 08, 2012 6:50 PM To: Joe Wilson Cc: 'dkdbus @gmail.com' Subject: FW: FW: urbano project - 1230 A Solomon Joe, Attached is a drainage letter from Mark Boswell for 1230 -A Solomon Avenue and below are comments from Downer Davis. Are you able to accept this lot within the subdivision? Dianne K. Otto, CFM City of Tybee Island phone 912.786.4573 ext. 136 fax 912.786.9539 From: Downer Davis [mailto:dkdbus@gmail.com] Sent: Wednesday, May 02, 2012 8:21 AM To: Dianne Otto Cc: Joe Wilson Subject: Re: FW: urbano project - 1230 A Solomon On Mon, Apr 30, 2012 at 6:49 PM, Dianne Otto <Dotto@cityoftybee.org> wrote: Dear Downer and Joe, Attached is a drainage letter from Mark Boswell regarding 1230 -A Solomon Avenue which is a duplex unit working toward a Certificate of Occupancy. Downer, your number of this site when Keith Gay had it was 2090180. The owner's name is Don Urbano (phone 578 - 258 - 6103). Sincerely, Dianne K. Otto, CFM 1 City of Tybee Island phone 912.786.4573 ext. 136 fax 912.786.9539 From: Mark Boswell [mailto:lahbos@ bellsouth.net] Sent: Monday, April 30, 2012 6:42 PM To: Dianne Otto Subject: urbano project - 1230 A Solomon I do not fully agree with Mark in his assessment of the site. However, I am not proposing to block the issusance of a CO with the following understanding. 1 the swales in place appear to have high spots but should not hinder site drainage. They do have high spots that I believe will hinder drainage. However the runoff should only affect the downstream lot(s) where the high spots are. The swales should be installed already on these lots and will be prior to my or Joe's accepting these lots as eligible for a CO. As the swales on these lots can easily be installed prior to home building, I will not object to a CO on the current lot at this time. 2. the final stabilization is in the form of wild grasses and weeds instead of sod or permanent grassing. The ground cover is actually permanent as it maintains a presence year round. Its just not the more formal grass cover homeowners prefer. Weed growth is acceptable per the State's ordinances that we enforce. As long as the weeds are cut in accordance with the City's ordinances, this is not an issue. 3. only the areas of drainage directly effecting 1230A was inspected. Acceptable. /Please accept this email as my concurrence. I was going to ask to see the latest of the several approved drainage plan for these lots. However, as the downstream lots will be a responsibility of the downstream owners, there is no need for that exercise at this time. Downer 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 Tybee Island accepts no liability for any damage caused by any virus transmitted by this email. City of Tybee Island P.O. Box 2749 Tybee Island, GA 31328 2 BOSWELL DESIGN SERVICES, INC. 103 NASSAU DRIVE SAVANNAH, GEORGIA 31410 912 -897 -- 6932 LAHBOS@BELLSOUTH. NET April 30, 2012 Diane Otto Planning and Zoning Tybee Island, Georgia Re: Don Urbano Residence 1230 A Solomon Avenue Tybee Island, Georgia Diane, APR R 201,E BY- .. At the request of the Owner, we have inspected the project referenced above for compliance with the approved site plan. After a brief inspection of the project, it is our opinion that the project is in substantial compliance with the approved site plan with the following exceptions: 1. the swales in place appear to have high spots but should not hinder site drainage. 2. the final stabilization is in the form of wild grasses and weeds instead of sod or permanent grassing. 3. only the areas of drainage directly effecting 1230A was inspected. Thank you for your assistance and please do not hesitate to contact us if you should require more information. We may be reached at 897 -6932, fax to 897 -2287 or e -mail to lahbos@bellsouth.net. Sincerely, Mark Boswell 4 -30-12 enya;led 40 7e + 11. fl...Jn,r Permit No. City of iee Island • Community DeveloE.. 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 FEW ::ems* INTERNATIONAL CODE COUNCIL MEMBER - D 4,V Date Requested 7�/Z, Owner's Name ii1- /540C) Date Needed 1ZziZ.- Gen. Contractor Subcontractor Contact Information ;-,,% > % . ? (.,-z2, , r s Project Address /Z (O A j -)I ioi73 Scope of Work ry)7�,J t).)//,- - ._� -; J Inspector % / 'I Date of Inspection Inspection m /-7 Pass I Fail Inspection �J- S Fee Pass { Fail ❑ Fee Inspection /" - Pass El Fail Fee Inspection Pass Fail ❑ Fee City of 1 403 Butler Phone J ; - 1rfU+U ,.,ee Island • Community Develop■..ant Dept. Inspection Report Ave. • P.O. Box 2749 • Tybee Island, GA 31328 912.786.4573 ext. 114 • Fax 912.786.9539 Permit No. (/� - Owner's Name J1,-.."_41/0 Gen. Contractor Contact Information Project Address Scope of Work Inspector Inspection s Date Requested Date Needed Subcontractor A-1,7 I kaiak INTERNATIONAL CODE CONNCIC MEMBER I Inspection Date of Inspection ,..JA J Inspection -pIC 17.43-Li it- Ac przaJi Pass Fail ® Fee Pass ❑ Fail ge Fee a 1- r=717:!--(... �I �� ✓ -� �l �F�ILI�r_ S� (-2_70 levito -7:1-,7,6;;T) Pass ❑ Fail mo Fee r- k �, tti/4 -4.7 ,Z I' i Inspection I I- Pass ^ Fail ® Fee it Ac;/ TZ h/ ,)� C --cc;? o ;14 I -Z- IJ --UV( i L � Lv Th �, t■J 1J( n) 1-, E F P�_ I "` City of Ty_.ae Island • Community Develop ■ at Dept. Inspection Report 403 Butler Ave. • P.Q. Box 2749 Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 maink INTEP,NATIDNAL CODE COUNCIL MEMBER In , ' - 0 2 S Q Date Re nested \ -2 " 2_ 9 - ! Permit No. L� q Owner's Name U r b a r 0 Date Needed \ 2- 3 0- I Gen. Contractor Subcontractor Contact Information -D b (5i o) 2 5? - (01 0 3 Project Address I2 3 - A o,m 0v v� Scope of Work \'-1.0..LJ (..)/D Inspector � i '1 Inspection `T 2 rv► Date of Inspection Pass kJ Fail ❑ Fee -IP i kl A-1) v0 1774-E 3.)j 1, Is ,,,-111 , L Inspection Inspection Inspection Pass ❑ Fail ❑ Fee Pass ❑ Fail El Fee Pass El Fail El Fee IN Result Report P 1 12/30/2011 12:12 Serial No. CM35228060004 TC: 305181 Destination Start Time Time Prints Result Note Georgia Power 12 -30 12:11 00:00:49 001/001 OK Note MIX: Timer Ori final- TX11CALL:UManual1TX. Original Size FWD:FForward. PC: PC -Fax. BND: Double -Sided Binding Direction. SP: Special original, FCODE: F -code. RTX: Re -TX. RLY: Relay. MBX: Confidential. BUL: Bulletin. SIP: SIP Fax. IPADR: IP Address Fax. I -FAX: Internet Fax Result OK: Communication OK, S -OK: Stop Communication, PW -OFF: Power Switch OFF, TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer, Refuse: Receipt Refused, BUSY: Busy, M- Fu11:Memory Full, LOVR:Receiving length Over, POVER:Receiving page Over, FIL:File Error, DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error. RELEASES FOR ELECTRIC SERVICE FROM MIEE ISLAND FOR _ FAX TO: Lynn Brennan 7 phone 912 - �ri gory • -5 -2. �({,e 03 6- zo G'y_ - 4 3c - 4=25- 0 9 - c7 Sa Location Address: 1-2- 30 - A Ay-G. Lot At Release Date: 2 -3 a -I 1 / 4 e.•.-'p , o'. --- Type of Release: Temporary ✓ Permai�e�ht Subd Name: Electrician: uilder'TV) o r-v cal. cL (_k. G) Electrician Phone TTumbeer: f Phone Number: L 5 1 c ) s - 4Q 1 '03 Location Address: - Type of Release: Temporary Permanent Electrician: Owner/Builder: Lot # Release Date: Subd Name: Electrician Phone Number: Phone Number: Location Address: Type of Release: Temporary Electrician: Lot # Release Date: Permanent Subd Name: t wrnerBuilder: Electrician Phone Number: Phone Number: RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR . FAX TO: Lynn Brennan 937 Phone 912 4eor9;4 'Po u+er 3040 -24, Lib 4 3aro -z�oS ea-+11/ 30S- 24925 0% -C72CD Location Address: -2,3o- A So (amok-) AK- Lot # Release Date: 12 -3o -I I Type of Release: Temporary Permaheiit w� V Subd Name: Electrician: 0 W Yur� Electrician Phone Number: uilderrb o In aid 1A. r bar1 fl Phone Number:65.1(4 2 5g-/ 4,103 Location Address: Type of Release: Temporary Permanent Subd Name: Electrician: Lot # Release Date: Owner/Builder: Electrician Phone Number: Phone Number: Location Address: Type of Release: Temporary Electrician: Owner/Builder: Lot # Release Date: Permanent Subd Name: Electrician Phone Number: Phone Number: Permit No. Owner's Name City of Tynee Island • Community Developrnent Dept. s +gyp Inspection Report f 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 D-o20 6a„--) Gen. Contractor Contact Information Project Address Scope of Work Inspector Date Requested Date Needed Subcontractor MUM INTERNATIONAL CODE COUNCIL MEMBER r Ana \cd(st3)2S \230 -A 6O(OO\V. clQpIN Date of Inspection Inspection 1 r1 j U O r . c rm ce , ns ('t Pass Li arl Fee — r , i -m6J IA47 o -tz b Ft.& il ( /55 / -LEON t 1"ZWt c. , Z(I4 f 6, Inspection Pass Fail ❑ Fee Inspection Pass Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Dec 14 11 11:bta Loveday & Co._ P.O. Box 658 205 Depot Street Brooklet, GA 30415 Phone# (912) B42 -7088 Fax# (912) 842 -7087 kim.landon@installed.net Fax To: City of Tybee 912 -842 -7087 p.1 From: Kim Landon for Danny Brown Fax: (912) 786 -9539 Pages: 7 Including Cover Page Phone: Date: 12/14/11 Re: Technical Data cc: ❑ Urgent 0 For Review 0 Please Comment ❑ Please Reply ❑ Please Recycle • Comments: Danny Brown requested that I fax the attached information to you. It is some technical data for the Demilec brand spray foam insulation Sealection 500. Please let Danny know if you require anything else. His cell# is (912) 429 -6553. Thanks, Kim Landon Office Manager uec 14 11 I I:ooa Loveaay ik uo._ P.O. Box 658 205 Depot Street Brooklet, GA 30415 Phone# (912) 842 -7088 Fax# (912) 842 -7087 kim.landon@installed.net Fax To City of Tybee 912 -842 -7087 p.1 From: Kim Landon for Danny Brown Fax: (912) 786 -9539 Pages: 7 Including Cover Page Phone: Date: 12/14/11 Re: Technical Data cc: ❑ Urgent ❑ For Review 0 Please Comment ❑ Please Reply ❑ Please Recycle • Comments: Danny Brown requested that I fax the attached information to you. It is some technical data for the Demilec brand spray foam insulation Sealection 500. Please let Danny know if you require anything else. His cell# is (912) 429 -6553. Thanks, Kim Landon Office Manager uec i 4 i i i csop Loveday & Co _ P.O. Box 658 205 Depot Street Brooklet, GA 30415 Phone# (912) 842 -7088 Fax# (912) 842 -7087 kim.landon @installed.net FaX To: City of Tybee 912 -842 -7087 p.1 From: Kim Landon for Danny Brown Fax: (912) 786 -9539 Pages: 7 including Cover Page Phone: Date: 12/14/11 Re: Technical Data cc: ❑ Urgent or Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Comments: Danny Brown requested that I fax the attached information to you. It is some technical data for the Demilec brand spray foam insulation Sealection 500. Please let Danny know if you require anything else. His cell# is (912) 429 -6553. Thanks, Kim Landon Office Manager Lit i GJ6p Loveday & Co._ 912 -842 -7087 p.2 t" ICC EVALUATION SERVICE Most Widely Accepted and Trusted ICC -ES Evaluation Report ESR -1172* Reissued October 1, 2009 This report is subject to re- examination in two years. www.icc- es.org I (800) 423 -6587 (562) 699 -0543 A Subsidiary of the international Code Councile' DIVISION: 07— THERMAL AND MOISTURE PROTECTION Section: 07210 — Building Insulation REPORT HOLDER: DEMILEC USA LLC 2925 GALLERIA DRIVE ARLINGTON, TEXAS 76011 (817) 640 -4900 www.demilecusa.com infe(demilecusa.com EVALUATION SUBJECT SEALECTiON® 500 SPRAY - APPLIED POLYURETHANE FOAM INSULATION 1.0 EVALUATION SCOPE Compliance with the following codes: • 2009 International Building Code (IBC) • 2009 International Residential Code's (IRC) • 2009 International Energy Conservation Code® (IECC) • Other Codes (see Section 8.0) Properties evaluated • Surface-burning characteristics • Physical properties • Thermal resistance • Attic and crawl space installation • Air permeability • Fire- resistance-rated construction 2.0 USES SEALECTION® 500 spray - applied polyurethane foam insulation is used as a nonstructural thermal insulating material in Type Ill and Type V construction under the IBC and in dwellings under the IRC. The insulation is for use in wall cavities, floor /ceiling assemblies, or attics and crawl spaces when installed in accordance with Section 4.0. Under the IRC, the insulation may be used as air - impermeable insulation when installed in accordance with Section 3.4. The insulation may be used in nonload- bearing fire- resistance-rated walls when construction is in accordance with Section 4.5. 3.0 DESCRIPTION 3.1 Materials: SEALECTIONe' 500 spray - applied foam insulation is semirigid, low- density, polyurethane foam plastic that is installed as a component of floor /ceiling and wall assemblies. The insulation is a two- component spray foam plastic with a nominal in -place density of 0.5 pct (8 kg/m3). The insulation is produced in the field by combining a polymeric isocyanate (A500 component) with a polymeric resin (B500 component). The insulation liquid components are supplied in 55- gallon (208 L) drums and/or 250- gallon (946 L) totes and must be stored at temperatures between 40 °F (4.5 °C) and 100 °F (38`C). The liquid components have a shelf life of one year when stored in factory- sealed containers at these temperatures. 3.2 Surface- burning Characteristics: The insulation at a maximum thickness of 6 inches (152 mm) and a nominal density of 0.5 pcf (8 kgJm3), has a flame- spread index of 25 or less and a smoke - developed index of 450 or less when tested in accordance with ASTM E 84. Greater thicknesses are recognized as described in Sections 4.3 and 4.4. 3.3 Thermal Resistance, R- values: The insulation has thermal resistance (R- value) at a mean temperature of 75 °F (24`C) as shown in Table 1. 3.4 Air Permeability: SEALECTION® 500 spray - applied polyurethane foam insulation, at a minimum thickness of 3.5 inches (89 mm), is considered air - impermeable insulation in accordance with Section R806.4 of the IRC, based on testing in accordance with ASTM E 283 and ASTM E 2178. 3.5 BlazelokTM IB Intumescent Coating: BlazelokTM" IB intumescent coating, manufactured by TPR2 Corporation, is a one - component, water -based liquid coating with specific gravity of 1.3. BlazelokTM' IS is supplied in 5- gallon (19 L) pails and/or 55- gallon (208 L) drums and has a shelf life of one year when stored in factory- sealed containers at temperatures between 45 °F (7 °C) and 90 °F (32 °C). 3.6 BlazelokTM' TB Intumescent Coating: Blazelolcim TB intumescent coating, manufactured by TPR2 Corporation, is a one - component, water -based liquid coating with specific gravity of 1,3. BlazelokTM TB is *Corrected October 2009 ICC -ES Evaluation Reports arc not to he construed a, representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject oft the nporr or a rrcommendalion for its use. There is no warranty by ICC Evalaa(ion Service. inc., expreu or irttplied, err to any finding or other molar in this report, or as to any product covered by the report. Copyright 0 2009 ue civ, ==z-- Page 1 014 12/15/2011 15:10 FAX 9127390014 Southern Foam & Coating Fax To: City of Tybee Building From: Lori Schondelmayer Inspector l 0001/0008 Fax: 912- 786 -9539 Pages: ? (including cover) Phone: Date: 12/15/2011 ATTN: Ray Hord RE: Donald Urbano ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle PO Box 398 Claxton, GA 30417 (Phone) 866 -487 -3626 (Fax) 912 -739 -0014 12/15/2011 15:10 FAX 9127390014 Southern Foam & Coating el 0002/0008 Most Widely Accepted and Trusted ICC -ES Evaluation Report ESR -1826 Reissued February 1, 2011 This report is subject to re- examination in one year. www.icc - es.org I (800) 423 -6587 I (562) 699 -0543 A Subsidiary of the International Code Council® DIVISION: 07 00 00— THERMAL AND MOISTURE PROTECTION Section: 07 21 00— Thermal Insulation REPORT HOLDER: ICYNENE, INC. 6747 CAMPOBELLO ROAD MISSISSAUGA, ONTARIO L5N 2L7 CANADA (905) 363 -4040 www.icvnene.com EVALUATION SUBJECT: ICYNENE LD-C-5OTM (formerly known as The Icynene Insulation System®) 1.0 EVALUATION SCOPE Compliance with the following codes: • 2009 International Building Code® (2009 IBC) • 2009 International Residential Code® (2009 IRC) • 2009 International Energy Conservation Code® (2009 IECC) • Other Codes (see Section 8.0) Properties evaluated: • Surface burning characteristics • Physical properties • Thermal performance (R- values) • Attic and crawl space installation • Fire- resistance • Air permeability • Noncombustible construction 2.0 USES Icynene LD-C-5OTM is used to provide thermal insulation in buildings and to seal areas such as plumbing and wiring penetrations against air infiltration, in Types I, II, Ill, IV and Type V construction (IBC) and dwellings under the IRC. The Icynene insulation System may be used in fire - resistance -rated construction when installed in accordance with Section 4.5 and in Types I through IV construction when installed in accordance with Section 4.6. 3.0 DESCRIPTION 3.1 General: Icynene LD- C -507M is a low- density, open -cell, polyurethane foam plastic insulation and air barrier system that is 100 percent water -blown with an installed nominal density of 0.5 pcf (8 kg/m3). Icynene LD -C -50 is a two - component, spray - applied product. The two components of the insulation are polymeric isocyanate (A- Component, also known as Base Seal®) and proprietary resin (B- Component, LD -C -50 Resin, also known as, Gold Seal®), The A- Component must be stored at a temperature of 50 °F (10 °C) or greater, and has a shelf life of six months. The B- Component must be stored at temperatures below 100 °F (37.8 °C), and has a shelf life of six months. 3.2 Surface Burning Characteristics: When tested in accordance with ASTM E 84 /UL 723, at a thickness of 6 inches (152 mm) and a nominal density of 0.5 pcf (8 kg /m3), Icynene LD -C -50 has a flame spread index of 25 or less and a smoke - developed index of 450 or less. Thicknesses of up to 7112 inches (190.5 mm) for wall cavities and 111/2 inches (292 mm) for ceiling cavities are recognized based on room corner fire testing in accordance with NFPA 286, when covered with minimum 1/2- inch -thick (13 mm) gypsum board or an equivalent thermal barrier complying with the applicable code. 3.3 Thermal Resistance: Icynene LD -C -50 has thermal resistance (R- values) at a mean temperature of 75 °F (24 °C) as shown in Table 1. 3.4 Air Permeability: Based on testing in accordance with ASTM E 283, Icynene LD -C -50, at a minimum thickness of 3.5 inches (89 mm), is considered air - impermeable. 3.5 Intumescent Coatings: 3.5.1 CAMAX2 /ShefterShield Intumescent Coating: CAMAX2/ShelterShield intumescent coating, supplied by Icynene, is a water -based coating supplied in 5- gallon (19 L) pails and 55- gallon (208 L) drums and has a shelf life of six months when stored in a factory - sealed container at temperatures of 60 °F (16 °C) or above. 3.5.2 No Burn Plus XD: No Burn Plus XD intumescent coating is a latex -based coating supplied in 1- gallon (4L) and 5- gallon (19L) pails and 55- gallon (208 L) drums. The coating material has a shelf life of 12 months when stored in factory - sealed containers at temperatures between 40 °F (4.4 °C) and 90 °F (32.2 °C). ICC -ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a rec'onmerrdation for as use. There is no warranty by ICC Evaluation Service, LLIT, express or implied, as an CZ to any finding or other matter in this report, or cis to any product covered by the report. a Y ; = =4a Copyright © 2011 Page 1 of 5 12/15/2011 15:11 FAX 9127390014 Southern Foam & Coating ESR -1826 I Most Widely Accepted and Trusted 3.5.3 DC 315: DC 315 intumescent coating is a water - based coating supplied in 5- gallon (19L) pails and 55- gallon (208L) drums. The coating material has a shelf life of 24 months when stored in factory - sealed containers at temperatures between 41 °F (5 °C) and 95 °F (35 °C). 4.0 DESIGN AND INSTALLATION 4.1 General: The manufacturer's published installation instructions and this report must be strictly adhered to and a copy of these instructions and this evaluation report must be available on the jobsite at all times during installation. 4.2 Application: Icynene LD -C -50 must be applied using spray equipment specified by Icynene, Inc. Icynene LD -C -50 must not be used in areas which have a maximum service temperature greater than 180 °F (82 °C). The foam plastic must not be used in electrical outlet or junction boxes or in contact with rain or water, and must be protected from the weather during and after application. Where Icynene LD -C -50 is used as an air - impermeable barrier; such as in unventilated attic spaces regulated by IRC Section R806, the insulation must be installed at a minimum thickness of 3.5 inches (89 mm). lcynene LD -C -50 can be installed in one pass to the maximum thickness. Where multiple passes are required, the cure time between passes is negligible. Icynene LD -C -50 must only be installed by licensed dealers, certified by lcynene, Inc., to install Icynene LD -C -50. 4.3 Thermal Barrier: 4.3.1 Application with a Prescriptive Thermal Barrier: Icynene LD -C -50 must be separated from the interior of the building by an approved thermal barrier, such as 1/2 -inch (12.7 mm) gypsum wallboard installed using mechanical fasteners in accordance with the applicable code, or an equivalent 15- minute thermal barrier complying with the applicable code. When installation is within an attic or crawl space as described in Section 4.4, a thermal barrier is not required between the foam plastic and the attic or crawl space, but is required between the foam and the interior of the building. Thicknesses of up to 71/2 inches (190.5 mm) for wall cavities and 111/2 inches (292 mm) for ceiling cavities are recognized based on room corner fire testing in accordance with NFPA 286, when covered with minimum 1/2- inch -thick (13 mm) gypsum board or equivalent thermal barrier complying with, the applicable code. 4.3.2 Application without a Prescriptive Thermal Barrier or Ignition Barrier: The prescriptive 15- minute thermal barrier or ignition barrier may be omitted when installation is in accordance with this section. The insulation and coating may be spray - applied to the interior facing of walls, the underside or roof sheathing of roof rafters, and in crawl spaces, and may be left exposed as an interior finish without a prescribed 15- minute thermal barrier or ignition barrier. The thickness of the foam plastic applied to the underside of the roof sheathing must not exceed 14 inches (356 mm). The thickness of the spray foam insulation applied to vertical wall surfaces must not exceed 6 inches (152 mm). The foam plastic must be covered on all surfaces with DC 315 coating at a minimum wet film thickness of 20 mils. The coating must be applied over the Icynene LD -C -50 insulation in accordance with the coating manufacturer's instructions and this report. Surfaces to be coated must be dry, clean, and free of dirt, loose debris and other substances that could interfere with adhesion of the coating. The coating is applied in one coat with low- pressure airless spray equipment. 1j0003/0008 Page 2 of 5 4.4 Attics and Crawl Spaces: 4.4.1 Application with a Prescriptive Ignition Barrier: When Icynene LD -C -50 is installed within attics where entry is made only for service of utilities, an ignition barrier must be installed in accordance with IBC Section 2603.4.1.6 and IRC Sections R316.5.3 and R316.5.4, as applicable. The ignition barrier must be consistent with the requirements for the type of construction required by the applicable code and must be installed in a manner so that the foam plastic insulation is not exposed. Icynene LD -C- 50 may be installed in unvented attics in accordance with IRC Section R806.4. 4.4.2 Application without a Prescriptive Ignition Barrier: Where Icynene LD -C -50 is installed in an attic or crawl space without a prescriptive ignition barrier, in accordance with Sections 4.4.2.1, 4.4.2.2 and 4.4.3, the following conditions apply: 1. Entry to the attic or crawl space is only for the service of utilities and no storage is permitted. 2. There are no interconnected attic, crawl space or basement areas. 3. Air in the attic or crawl space is not circulated to other parts of the building. 4. Combustion air is provided in accordance with IMC Section 701. 5. Attic ventilation is provided when required by IBC Section 1203.2 or IRC Section R806, or as required, except when air - impermeable insulation is permitted in unvented attics in accordance with Section R806.4 of IRC. 6. Under -floor (crawl space) ventilation is provided when required by IBC Section 1203.3 or IRC Section R408.1, as applicable. 4.4.2.1 Attics: In attics Icynene LD -C -50 insulation may be spray - applied to the underside of the roof sheathing and /or rafters, as described in this section. The thickness of the foam plastic applied to the underside of the roof sheathing must not exceed 14 inches (356 mm). The thickness of the spray foam insulation applied to vertical wall surfaces must not exceed 5.5 inches (140 mm). The foam plastic must be covered on all surfaces with one of the coatings described in Section 3.5. The coating must be applied over the Icynene LD -C -50 insulation in accordance - -with- the-eoating manufacturer's instructions and this report. Surfaces to be coated must be dry, clean, and free of dirt, loose debris and other substances that could interfere with adhesion of the coating. The coating is applied in one coat with low-pressure— airless spray equipment. The coatings must be applied to a thickness as follows: • CAMAX 2 /ShelterShield at a minimum wet film thickness of 12 mils • No Burn Plus XD at a minimum wet film thickness of 10 mils • DC 315 at a minimum wet film thickness of 8 mils The coating must be applied when ambient and substrate temperature is at least 60 °F (16 °C) and no more than 95 °F (35 °C). All other surfaces (including glass) must be protected against damage from the coating. Icynene LD -C -50 insulation may be installed in unvented attics or crawl spaces when the foam plastic is applied at a minimum thickness of 3.5 inches (89 mm) as described in this section in accordance with IRC Section R806.4. 12/15/2011 15:12 FAX 9127390014 Southern Foam & Coating Il0004/0008 ESR -1826 I Most Widely Accepted and Trusted 4.4.2.2 Crawl Spaces: In crawl spaces, Icynene LD -C- 50 insulation may be spray - applied to vertical walls and the underside of floors, as described in this section. The thickness of the foam plastic applied to the underside of the floors must not exceed 14 inches (356 mm). The thickness of the spray foam insulation applied to vertical wall surfaces must not exceed 31/2 inches (88.9 mm). The foam plastic does not require an ignition barrier or a coating. 4.4.3 Use on Attic Floors: Icynene lcynene LD -C -50 insulation may be installed at a maximum thickness of 51/2 inches (152 mm) between joists in attic floors when covered with one of the coatings applied as described in Section 4.4.2.1. The insulation must be separated from the interior of the building by an approved thermal barrier. 4.5 One -hour Fire- resistance -rated Assemblies: 4.5.1 Assembly 1 (Limited Load- bearing Wood Stud Wall): Minimum nominally 2 -by -4 [11/2 by 31/2 inches (38 mm by 89 mm)] southern pine (G = 0.55), No. 2 grade studs spaced 16 inches (406 mm) on center with a base layer of 1/2- inch -thick (12.7 mm) wood fiber sound board installed horizontally on each face with vertical joints located over the studs, attached with 6d box nails, 2 inches (51 mm) long and spaced 24 inches (610 mm) on center along the studs, and a second layer of 5 /e- inch -thick (15.9 mm) Type X gypsum wallboard installed vertically on each face, attached with 8d box nails, 2//2 inches (64 mm) long and spaced 7 inches (178 mm) on center along the studs. The stud cavity contains lcynene insulation nominally 2 inches (51 mm) thick. Axial loads applied to the wall assembly must be limited to the least of the following: • 1,805 pounds (8029 N) per stud. • Design stress of 0.78 Pc. • Design stress of 0.78 F'c at a maximum le /d of 33. 4.5.2 Assembly 2 (Limited Load - bearing Wood Stud Wall): Minimum nominally 2 -by -4 [11/2 by 31/2 inches (38 mm by 89 mm)] southern pine (G = 0.55), No. 2 grade studs spaced 16 inches (406 mm) on center with two layers of 1/2- inch -thick (12.7 mm) Type X gypsum wallboard installed vertically with joints staggered on each face, attached with 8d box nails, 21/2 inches (64 mm) long and spaced 7 inches (178 mm) on center along the studs for the face layer and 6d cement coated box nails, 2 inches (51 mm) long and spaced 24 inches (610 mm) on center along the studs. The stud cavity contains Icynene insulation nominally 2 inches_ -(51 mm) thick. Axial loads applied to the wall assembly must be limited to the least of the following: • 1,805 pounds (8029 N) per stud. • Design stress of 0.78 F'c. • Design stress of 0.78 F'c at a maximum le /d of 33. 4.5.3 Assembly 3 (Floor /Ceiling): Minimum nominally 2- by-10 [11/2 by 91/4 inches (38 mm by 235 mm)] Douglas fir, No. 2 grade wood joists spaced 24 inches (610 mm) on center, with minimum 1 -by -3 [3/4 by 21/2 inches (19.1 by 64 mm)] spruce bridging at mid -span. Floor decking must be minimum 1/2- inch -thick (12.7 mm) exterior grade plywood installed perpendicular to joists and fastened with 2 -inch- long (51 mm) ring shank nails 6 inches (152 mm) on center at the joints and 12 inches (305 mm) on center at the intermediate joists. Plywood joints must occur over joists. Icynene insulation must be applied to the underside of the Page 3 of 5 plywood deck between the joists to a depth of 5 inches (127 mm), Two layers of minimum 5 /e- inch -thick (15.9 mm), Type X gypsum wallboard must be attached perpendicular to the joists on the ceiling side of the assembly. The first layer must be attached with 11/4 -inch -long (32 mm), Type W drywall screws, spaced 24 inches (610 mm) on center. The second layer must be applied perpendicular to the joists, offset 24 inches (610 mm) from the base layer. The second layer must be attached with 2- inch -long (51 mm), Type S drywall screws spaced 12 inches (305 mm) on center. Additional fasteners must be installed along the butt joints of the second layer, securing the two layers together. These fasteners must be 11/2- inch -long (38 mm), Type G drywall screws placed 2 inches (51 mm) back from each end of the butt joint and spaced 12 inches (305 mm) on center. The wallboard joints on the exposed side must be treated with paper tape embedded in joint compound and topped with an added coat of compound, and the fastener heads must be coated with joint compound in accordance with ASTM G 840 or GA -216. 4.5.4 Assembly 4 (Non - loadbearing Steel Stud Wall): Nominally 6- inch -deep (152.4 mm), No. 18 gage, galvanized steel studs spaced 16 inches (406.4 mm) on center, are friction -fit into No. 18 gage galvanized steel floor and ceiling track with a layer of 5 /e- inch -thick (15.9 mm),Type X gypsum board applied to the interior side with the long edge parallel to steel studs and secured using No. 6, 11 /4-inch -long (31.7 mm), self- drilling drywall screws spaced 8 inches (203 mm) on center around the perimeter and 12 inches (305 mm) on center in the field. The gypsum board joints must be treated with vinyl or casein, dry or premixed joint compound applied in two coats to cover all exposed screw heads and gypsum board butt joints, and a minimum 2- inch -wide (51 mm) paper, plastic, or fiberglass tape embedded in the first layer of compound over butt joints of the gypsum board. The stud cavity is filled with Icynene insulation up to 6 inches (152 mm) thick. DensGlass® Gold Exterior Sheathing, 1/2 inch (12.7 mm) thick, is installed parallel to steel studs with vertical joints offset a minimum of 16 inches 406 mm) from the vertical joints of the gypsum board and the horizontal joints offset a minimum of 24 inches (610 mm) from the horizontal joints of the gypsum board. The sheathing is attached using No. 6, 11/4- inch -long (31.7 mm), self - drilling drywall screws spaced 8 inches (203 mm) on center around the perimeter and in the field. Hohmann & Barnard DW -10 brick ties, 6 inches (152. mm) long by 11/2- inches (38 mm) wide, are spaced 16 inches (406.4 mm) on center vertically on each -steel -stud, and secured,- -using two 15/8- inch-long (41.3 mm) self - drilling screws, through 4 -inch (102 mm) red clay brick 131/2--inches--(88.9 mm) by 21/4 inches (57.1 mm) by 73/4 inches (197 mm)] laid in a running bond pattern -with— Type --S mortar, leaving a nominally 1 -inch (25.4 mm) air gap between the brick and the exterior sheathing. Optional: It is permitted to add code- complying, expanded polystyrene (EPS), extruded polystyrene (XPS), foil - faced, rigid polyurethane board stock or polyurethane spray foam on the exterior of the wall (between the DensGlas Gold sheathed wall and the brick), while maintaining the 1 -inch (25.4 mm) air space. The length of the brick ties must be increased to account for the thickness of the insulation. 4.6 Exterior Walls in Type I, II, Ill and IV Construction: 4.6.1 General: When used on exterior walls of Types I, II, III or IV construction, the assembly must comply with IBC Section 2603.5 and this section, and the LD -C -50 insulation must be installed at a maximum thickness of 6 12/15/2011 15:13 FAX 9127390014 Southern Foam & Coating U0005/0008 ESR -1826 t Most Widely Accepted and Trusted inches (152 mm). The potential heat of Icynene LD -C -50 insulation is 494 Btulft2 per inch of thickness, when testing is in accordance with NFPA 259, 4.6.2 Exterior Face: Nominally 6- inch -deep (152 mm), No. 18 gage, galvanized steel studs spaced 16 inches (406 mm) on center, are fastened to No. 18 gage, galvanized steel floor and ceiling track using No. 8, /e- inch -long (22.2 mm), self- tapping pan head framing screws. GP DensGlass® Gold Exterior Sheathing, 1 /2inch (12.7 mm) thick, is installed over the exterior side of steel studs with the long end perpendicular to the steel studs, using No. 6, Type S, 11/4 -inch (31.7 mm), self- tapping bugle head screws spaced 8 inches (203,2 mm) on center around the perimeter and in the field. The stud cavity is filled with Icynene insulation to a nominal thickness of 6 inches (152 mm). 4.6.3 Interior Face: Type X gypsum board, 5/e inches (15.9 mm) thick, is installed with the long dimension perpendicular to steel studs with No. 6, Type S, 11/4 inch - long (31.7 mm), self - tapping, bugle head screws spaced 8 inches (203 mm) on center around the perimeter and in the field. The gypsum board joints must be treated with vinyl or casein, dry or premixed joint compound applied in two coats to cover all exposed screw heads and gypsum board butt joints, and a minimum 2- inch -wide (51 mm) paper, plastic, or fiberglass tape embedded in the first layer of compound over butt joints of the gypsum board. 4.6.4 Exterior Wall Covering: Details of the exterior wall covering must be provided to the code official by the report holder, designer or specifier, with an engineering analysis demonstrating that (1) the exterior wall covering conforms to ASTM E 136 and (2) the addition of the wall covering to the assembly described in this section does not negatively affect conformance of the assembly with the requirements of IBC Section 2603.5. 5.0 CONDITIONS OF USE The Icynene LD -C -50 spray - applied polyurethane insulation described in this report complies with, or is a suitable alternative to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: 5.1 This evaluation report and the manufacturer's published installation instructions, when required by the code official, must be submitted at the time of permit application. 5.2 The insulation must be installed in accordance with the manufacturer's published installation instructions, this evaluation report and the applicable code. If there is a conflict between the installation instr.uctiacs_and this report, this report governs. 5,3 The insulation must be separated from the interior of the building by an approved 15- minute thermal barrier, except when installation is as described in Section 4.3.2 or in attics and crawl spaces as described in Section 4.4.2 and 4.4.3. 5.4 The insulation must not exceed the thickness and density noted in Sections 3.2, 4.3, 4.4, 4.5 and 4.6. 5.5 The insulation must be protected from the weather during and after application. 5.6 The insulation must be applied by installers certified by Icynene, Inc. 5.7 Use of the insulation in areas where the probability of termite infestation is "very heavy" must be in Page 4 of 5 accordance with IRC Section R318.4 or IBC Section 2603.8, as applicable. 5.8 Jobsite certification and labeling of the insulation must comply with IRC Sections N1101.4 and N1101.4.1 and IECC Sections 303.1.1 and 303.1.2, as applicable. 5.9 A vapor retarder must be installed in accordance with the applicable code. 5.10 Icynene LD -C -50 is manufactured in Mississauga, Ontario, Canada, under a quality control program with inspections by Intertek Testing Services (AA -691). 6.0 EVIDENCE SUBMITTED 6.1 Data in accordance with the ICC -ES Acceptance Criteria for Spray - applied Foam Plastic Insulation (AC377), dated November 2009, including reports of tests in accordance with Appendix X (Section 4.4.2.1 and Appendix C (Section 4.4.2.2). 6.2 Test report on air leakage rate in accordance with ASTM E 283. 6.3 Reports of room corner fire testing in accordance with NFPA 286. 6.4 Test reports in accordance with ASTM E 119. 6.5 Test report in accordance with NFPA 285, and related engineering analysis. 6.6 Reports of tests in accordance with NFPA 259. 7.0 IDENTIFICATION All packages and containers of Icynene LD -C -50 must be labeled with the Icynene, Inc., name and address; the product name; the flame spread index and the smoke - developed index; the shelf life expiration date; the label of the inspection agency ( Intertek Testing Services); and the evaluation report number (ESR- 1826). Intumescent coatings are identified with the manufacturer's name and address, the product trade name and use instructions. 8.0 OTHER CODES 8.1 Scope: The products recognized in this report have also been evaluated for compliance with the following codes: • 2006 International Building Code® (2006 IBC) • 2006 International Residential Code'- (2006 IRG) - -- • 2006 International Energy Conservation Code® (2006 IECC) 8.2 Uses: See Section 2.0. 8.3 Description: See Section 3.0. 8.4 Installation: 8.4.1 General: See Section 4.1. 8.4.2 Application: See Section 4.2. 8.4.3 Thermal Barrier: See Section 4.3. 8.4.4 Attics and Crawl Spaces: See Section 4.4. 8.4.5 One -hour Fire - resistance -rated Assemblies: See Section 4.5. 8.4.6 Use in Noncombustible Construction: See Section 4.6. 1z/15i2011 15:13 FAX 9127390014 Southern Foam & Coating Z0000/0008 ESR -1826 I Most Widely Accepted and Trusted Page 5 of 5 8.5 Conditions of Use: The Icynene LD -C -50 described in this report complies with, or is a suitable alternative to what is specified in, those codes listed in Section 8.1 of this report, subject to Conditions of Use 5.1 through 5.6 and 5.8 through 5.10. 8.6 Evidence Submitted: See Section 6.0. 8.7 Identification: See Section 7.0. TABLE 1— THERMAL RESISTANCE (R- VALUES) THICKNESS (inches) R -VALUE ( °F•ft2•h!Btu) 1 3.7 2 7 3 11 3.5 13 4 14 5 18 5.5 20 6 22 7 25 7.5 27 8 29 9 32 9.5 34 10 36 11.5 41 14 50 For SI: 1 inch = 25.4 mm, 1 °F•ft2•h /Btu = 0.176 110°K-m2/W. 'R- values are calculated based on tested K values at 1- and 3.5 -inch thicknesses. 12/15/2011 15:14 FAX 9127390014 Southern Foam & Coating PRODUCT SPECIFICATION 0 ICYNENEINC. 1. PRODUCT NAME Icynene° and The Icynene Insulation System° are registered trademarks for polyicynene insulation manufactured by Icynene Inc. Icynene° spray formula is a 1/2 lb density free rise, open celled material. 2. MANUFACTURER Icynene® is made on site from liquid components manufactured by Icynene Inc. Installation and on -site manufacturing is supplied by independent Icynene Licensed Dealers. 3. PRODUCT DESCRIPTION Icynene® insulates and air seals at the same time. Its performance is less installation sensitive than factory manufactured insulation materials. It is an effective "breathing" air barrier that can adjust with the building to maintain a seal against energy- robbing air leakage for the life of the building. Convective air movement inside cavities is virtually eliminated, providing more uniform temperatures throughout the building. The result is superior quality construction, with higher comfort levels and lower heating and cooling costs. Energy savings vary depending on building design, location, etc. Icynene° is applied by spraying liquid components-onto an open -wa41; crawl space or ceiling surface. There they expand 100: I in-just-seconds-to-provide a flexible foam blanket of millions of tiny air cells, fillip 1xrfktn-g cavities and sealing cracks and crevices in the process. It adheres to virtually all surfaces, sealing out air infiltration. Excess material is easily trimmed off, leaving a surface ready for drywall or other finish. 4. TECHNICAL DATA (Based on Core Samples] Thermal Performance Thermal resistance R/ in. (Rsi /25min) ASTM C518: R3.6 hr. ft2 °F /BTU Rsi 0.62 m2 °C/ W Average insulation contribution in stud wall: 2" x 4" = R13 2" x 6" = R20 The Icynene Insulation System° provides more effective performance than the equivalent R -value of air permeable insulation materials. Icynene® is not subject to loss of R -value due to aging, windy conditions, settling, convection or air infiltration; nor is it likely to be affected by moisture related conditions. A FACT SHEET with R -value data is available upon request. Air Permeance /Air Barrier /Air Seal The Icynene Insulation System® fills any shaped cavity, and adheres to all materials, creating assemblies with very low air permeance. No additional interior or exterior air infiltration protection is necessary. Air permeability of core foam: ASTM E283 data 0.0049 L /S -m2 @75 Pa for 5.25" 0.0080 L /5 -m2 @75 Pa for 3.25" In all buildings, adequate mechanical ventilation /air supply should be provided for optimum IAQ (Indoor Air Quality). See ASHRAE Guidelines. Water Vapor Permeance Icynene® is water vapor permeable and allows structural moisture to diffuse and dissipate. It will not entrap moisture in materials to which it is applied. Water vapor transmission properties: ASTM E96 data 16 perms 941 ngl(Pa•s•m2) @ 3" (76mm) thick a 0007 /0008 ICYNENE® — Spray Formula low vapor permeable paint on the interior drywall is adequate. Water Absorption Properties Icynene® is hydrophobic and does not exhibit capillary properties. It does not wick and is water repellent. Water can be forced into the foam under pressure because it is open celled. Water will drain by gravity rather than travel horizontally or vertically through the foam. Upon drying, thermal performance is fully restored. Acoustical Properties Performance in a 2 "x4" wood stud wall: STC Sound Transmission Class - 37 Hz. Freq. 125 250 500 1000 2000 4000 ASTM E90 19 30 31 42 38 46 NRC Noise Reduction Coefficient - 70 Hz. Freq. 125 250 500 1000 2000 4000 ASTM C423 .11 .43 .89 .72 .71 .67 Actual performance is superior than reported test results because of Icynene®s ability to control air leakage. Burn Characteristics Icynene® will be consumed by flame, but will not sustain flame upon removal of the flame source. It leaves a charcoal residue. It will not melt or drip. It should be applied in accordance with applicable building codes. U.S.A. Specifications Surface Burning Characteristics of Icynene° ASTM E84 Flame Spread <20 10 perms 565 ng /(Pa•s•m2) @ 5" (127mm) thick Smoke Development <400 Fuel Contribution 0 Because of its low air permeance, Icynene® is not infiltrated by moisture laden air. Computer modeling of moisture movement in walls using a program (MOIST) developed by Doug Burch of the National Institute of Standards and Technology (NIST) suggested that a 1.0 perm rating was not required when Icynene® insulation was used, except in climates as cold or colder than Madison, Wisconsin (7500 Heating degree days). This conclusion was in general agreement with other computer modeling of moisture movement in building envelopes performed in Canada. In those situations that warrant a vapor barrier, the use of Oxygen Index ASTM D2863 23% NY._State Fire gas toxicity LC50-12 CANADA Specifications Corner Wali Test CAN4-S102 FSC3 Flame Spread 510 -530 Smoke Development 95 -150 1z/1/2011 15:14 FAX 9127390014 Southern Foam & Coating l 00oai000a Electrical Wiring Icynene' has been evaluated with both 14/3 and 12/2 residential wiring (max. 122 °F /50 °C). It is chemically compatible with all electrical wiring coverings. Note: For any insulation of knob and tube wiring, please reference local electrical code. Corrosion Icynene° did not cause corrosion when evaluated in contact with steel under 85% relative humidity conditions. Bacterial or Fungal Growth and Food Value Independent testing conducted by Texas Tech University has confirmed that Icynenee is not a source of food for mold; and as an air barrier, Icynene® reduces the airborne introduction of moisture, food, and mold spores into the building envelope. It has no food value for insects or rodents. Environmental / Health / Safety Icynene contains no formaldehyde or volatile organic compounds. It has been thoroughly evaluated for in -situ emissions by industry and government experts. VOC emmissions are below 1 /100 of the safe concentration level within hours following the application of Icynene. A 24 HR waiting period is recommended for highly sensitive people prior to occupancy. Not intended for exterior use. Not to be installed within 2" (50 mm) of heat emitting devices, where the temperature is in excess of 200 °F(93 °C). 5. INSTALLATIONS The Icynene Insulation System' is installed by a network of Licensed Dealers, trained in the installation of lcynene'. Installation is generally independent of environmental conditions. It can be installed in hot, humid or freezing conditions. Surface preparation is generally not necessary. Within minutes, the foaming process is complete. 6. AVAILABILITY Check regional yellow pages or contact Icynene inc. at 800 - 758 -7325 or our website at www.icynene.com. 7. WARRANTY WHEN INSTALLED PROPERLY IN ACCORDANCE WITH INSTRUCTIONS, THE COMPANY WARRANTS THAT THE PROPERTIES OF THE PRODUCT MEET PRODUCT SPECIFICATIONS AS OUTLINED IN THIS PRODUCT SPECIFICATION SHEET. 8. TECHNICAL Icynene Licensed Dealers and Icynene inc. provide support on both technical and regulatory issues. Architectural specifications in CSI 3 -Part format are available upon request. 9. RELATED REFERENCES All physical properties were determined through testing by accredited third party agencies. Icynene Inc. reserves the right to change specifications in its effort to enhance quality features. Please confirm that technical data literature is current. ICYNENE,„. The Icynene Insulation System® Healthier, Quieter, More Energy Efficient® Telephone: Toll Free: Facsimile: Website: E -mail: 7l03JPSA 905.363.4040 800.758.7325 905.363.0102 www.icynene.com inquiry @icynene.com 10. PACKAGING AND STORAGE Packaging - 55 U.S. drums Component 'A' Base Seal' Component 'B' Gold Sear' Storage gallon open top steel 550 lb. per drum Polyisocyanate MDI 500 lb, per drum Resin Component A should be protected from freezing. Component B can be frozen but must be protected from overheating (120 °F /49 °C] and prolonged storage above 100'F/38°C. Component B separates during storage and should be mixed thoroughly prior to use. 11. INSTALLATION SPECIFICATIONS Refer to the Icynene Installer's Manual for expanded information. 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 Permit No. 09- 02”. JO Date Requested - I 3 - i Owner's Name Lit. r Date Needed 2 - I 4 - ( Gen. Contractor Subcontractor Irk% maga U1TERNATIONA CODE COUNCIL MEMBER Contact Information -D n,0,1 ( 5?) (0t o3 Project Address - ,^-s 0r. Ave. Scope of Work J,J/01 Inspector 1 Date of Inspection Inspection Pass Fail t t , I -freoiJ — 1 . - Inspection Inspection Inspection Fee Pass Fail D Fee Pass El Fail 0 Fee Pass Fail Fee 17,3o. A S City of Tybee Island — Community Development Department BUILDING PERMIT Permit Number: 1_ �rel( Issued Date: Dtiv /X Zoe Job Address: 12 3 V R 61% N�V Type of Work: R.V 11170i'/1'(i'11' rvik 1.01r clorik5 Zatissw Flood Zone (if applicable): To avoid penalty this placard must be posted and visible from the street until completion of the project. Job Name: TO SCHEDULE AN INSPECTION call (912) 786 -4573, extension 114, by 4:00 pm the day before you need an inspection. 11 -2S -11 -r0 12 -4 -1\ \2 -S' -1 4Q 11-1t-11 City of Tybee Island — Community Development Department 2.4 3. BUILDING PERMIT Permit Number: 11 OS I I Issued Date: (1,05441 Job Address: t'l 3� � Solowl"c" Ave , Job Name: Ur b Type of Work: uR v 1 clay •ef M j'i. Flood Zone (if applicable): To avoid penalty this placard must be posted and visible from the street until completion of the project. TO SCHEDULE AN INSPECTION call (912) 786 -4573, extension 114, by 4:00 pm the day before you need an inspection. -rte l ( - 2 1 - i 1 1 - ' I - 1 \ 2- City of Tybee Island — Community Development Department i BUILDING PERMIT Permit Number: 1 21 I' Issued Date: ! f EP l' • 1' Job Address: , • .� - Q �� - . � � Job Name: u Type of Work: day e r � :'�' P Flood Zone (if applicable): To avoid penalty this placard must be posted and visible from the street until completion of the project. TO SCHEDULE AN INSPECTION call (912) 786 -4573, extension 114, by 4:00 pm the day before you need an inspection. To: KeFamily Enterprises LLC PO Box 1418 Tybee Island, GA 31328 City of Tybee Island Zoning Department Attn: Steele Knudsen From: Keith L. Gay Managing Member Subject: Lots # 3 and #5 Solomon Ave. Please be advised that M on these lots. RECEIVED o, a neighbor, has our permission to park City of Tybee Island — Community Development Department BUILDING PERMIT Permit Number: CA° DZSO Issued Date: t I 11• Job Address: %230A SOt vt 0 /1 Ave L/f �j � . c��-i' i' �o n Job Name: � O.r��'1s)a5g -�)o3 Type of Work: New 1.p1tst Flood Zone (if applicable): A E 13 + 1 40d+ To avoid penalty this placard must be posted and visible from the street until completion of the project. TO SCHEDULE AN INSPECTION call (912) 786 -4573, extension 114, by 4:00 pm the day before you need an inspection. o� J City of Tybee Island - Community Development Dept. /0 + ) pInspection Report - 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 3/325 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 Permit No. ____e2q - 0zso Owner's Name Date Requested a.F rli Date Needed Gen. Contractor 1-1 DeH (6,064- Subcontractor 14.1E ; ,- �r�'7 - 2(4(- Project Address ij 2_ 30 1 GL1L?� Scope of Work i iTzx n Inspector 1/6-; Inspection Contact Information Date of Inspection Inspection - - 1 ) Inspection Inspection I-k3141 I ) 5 -To 11- �QQSI L/21-092`i Fail Fee Fee r Fail ^ Fee tr- City of T tY Tybee Island Community Development Dept. Inspection Report 403 Butler Ave . • P.O. Box 2749 • Twee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 Permit No. 0 f - 02 SO Owner's Name K E to rr' , I Date Requested Date Needed Gen. Contractor}'. Ae t , - '1J 0 0' s 4 . Subcontractor ` Contact Information l ! jar+ . e. i �/ 1 Project Address 12 30 u +- B So( ,,h J ,.‘ Scope of Work f1_? _i_h_.) du' I e V Inspector , 'fi -�� 4-1 -10 -2 —t Q� r 517 Vii. Inspection Date of Inspection Pass %0 Fail ❑ Fee Inspection Pass Fail ❑ Fee Inspection Pass ❑ Fail j" l Fee _ Inspection Pass ❑ Fail ❑ Fee C k I Jon 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. 0(4-02 SY) Date Requested Owner's Name E Date Needed 14-1-ro Gen_ Contractor 1 cILL L4. Subcontractor Jin.S Elec . Contact Information turf - .!...110' S (a? Project Address 1 -2 3 0 A 4- 12) 5-0 1 o vy, Ajt. Scope of Work fl' A,),()ex. , - Inspector Date of Inspection Inspection V" Ocl - A Pass OFee Inspection r D0 5b e) e 6 . Inspection_ Inspection Fee Pass Fail Fee 60i Oc u6t- no-taz Pass 0 Fail .3 Fee N/101.10 Permit No. City of Thee 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. • -D ZS —C) Date Requested 1 410 i Owner's Name K.. }.1 -Er -- 7/ li Date Needed j 17 1)() Gen. Contractor F-1 E. 4( Subcontractor Contact Information C ► � 65 '7- Project Address 1 231 15 DiC).Yy> J Scope of Work 0 h) pif%X Inspector Date of Inspection I Inspection h41 1 � 4 cJ - Pass Fad El Fee �' 004 "A" Inspection Pass 0 Fail Fee Inspection Pass n Fail El Fee Inspection Pass ❑ Fail ❑ Fee Permit No,. Owner's Name 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 0q- oZs Gen. Contractor Date Requested i J 2.2 =-1J`1 )(I I--At 11 Date Needed D/th /A 1- l 7r�.1 1 J1 04 Subcontractor Contact Information Project Address Scope of Work Inspector Inspection zco`(o -.7/1 - 11 E;" oi311 Date of Inspection Pass Fee Inspection Icy, Pass F Fee (vii 3'') Inspection Pass 0 Fail ❑ Fee Inspection Pass o Fail Fee .mit No, 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 OQ-02 Date Requested Frier's Name E. g414/, / Date Needed n. Contractor ri 1,- 6) 105/. orEii,ii, Subcontractor ntact Information IS. f II oject Address !"7-7-)Ka me of Work Or4,3 NjpisX.. ipector 3P Date of Inspection ipection 117sg I -- Pass Fee ipection Pass 0 Fail E3 Fee ipection Pass 0 Fail 0 Fee spection / c`11- Ld Pass Fail Fee rmit No. 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 9 0 2 .cCi rner's Name Date Requested L )9 - I C? ly Date Needed I( 0 1 - n. Contractor �`" . 12-A. . ` n • Subcontractor Lk ;}Get . . 00,04 d . ntact Information eject Address D pe of Work ipecto r spection 1230 !+Z, 71g Date of Inspection AI r a) ,51 \ y� i V � . Ate_ I F:Az Pass Fail Fee "\) 40c -?10417--. 1jZ ‘0z o FAIN spection spectipn Pass ❑ Fail ❑ Fee Pass 0 Fail 0 Fee spection Pass Fail ❑ Fee City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.785.4573 ext. 114 Fax 9/2.786.9539 ermit No. O ~ 02S0 Date Requested q)i q % (i wner's Name 'ROW ti..LI Date Needed CJ en. Contractor 1 jam, i Subcontractor antact Information IGf..i -'y..k £ S7- c roject Address M Zd 5Z)//)0/40 cope of Work /Vii bi)yi ispector rri q Date of Inspection 2PSS ispection Nin 1 l 'T' ((? -- Pass Fa' Fee aA" Ispection Pass ❑ Fail 0 Fee ispection Pass 0 Fail ❑ Fee ispection Pass ❑ Fail ^ Fee City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.D. Box 2749 - Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 Permit No. eV•DZSb Owner's Name jZfer-474/61.7 Gen. Contractor ri D/W/ ‘4 Contact Information Project Address / 23a A Scope of Work Inspector Inspection - _ }'' N �/ ,3(,a MO 14 Date Requested vim! Date Needed Subcontractor Z k\lf4A:\ Rits)11SX_ ii ? Inspection -5(4)- F -1"czz uoi4. Date of Inspection Pass Pass Fee Inspection Pass Q Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee - F C20 — BXUV.U301 - Fire Resistawe Ratings - ANSI/UL 263 Page 1 of 4 /Z3o 4 ; , /o eq'--O Z3V ONLINE CERTIFICATIONS DIRECTORY Page Bottom BXUV.U301 Fire Resistance Ratings - ANSI /UL 263 Design /System /Construction /Assembly Usage Disclaimer • Authorities Having Jurisdiction should be consulted in all cases as to the particular requirements covering the installation and use of UL Listed or Classified products, equipment, system, devices, and materials. • Authorities Having Jurisdiction should be consulted before construction. • Fire resistance assemblies and products are developed by the design submitter and have been investigated by UL for compliance with applicable requirements. The published information cannot always address every construction nuance encountered in the field. • When field issues arise, it is recommended the first contact for assistance be the technical service staff provided by the product manufacturer noted for the design. Users of fire resistance assemblies are advised to consult the general Guide Information for each product category and each group of assemblies. The Guide Information includes specifics concerning alternate materials and alternate methods of construction. • Only products which bear UL's Mark are considered as Classified, Listed, or Recognized. Fire Resistance Ratings - ANSI /UL 263 See General Information for Fire Resistance Ratings - ANSI /UL 263 Design No. U301 July 25, 2009 Bearing Wall Rating — 2 HR. Finish Rating — 66 Min. Load Restricted for Canadian Applications — See Guide BXUV7 i6i10.C. 16'1 U.C. 1. Nallheads — Exposed or covered with joint finisher. 2 x 4S firestopped 2. Joints — Exposed or covered with fiber tape and joint finisher. As an alternate, nominal 3/32 in. thick gypsum veneer plaster may be applied to the entire surface of Classified veneer baseboard. Joints reinforced. 3. Nails — 6d cement coated nails 1 -7/8 in. long, 0.0915 in. shank diam, 1/4 in. diam heads, and 8d cement coated nails 2 -3/8 in. long, 0.113 in. shank diam, 9/32 in. diam heads. 4. Gypsum Board — * — 5/8 in. thick, two layers applied either horizontally or vertically. Inner layer attached to studs with the 1 -7/8 in. nails spaced 6 in. OC. Outer layer attached to studs over inner layer with the 2 -3/8 in. long nails spaced 8 in. OC. Vertical joints located over studs. All joints in face layers staggered with joints in base layers. Joints of each base layer offset with joints of base layer on opposite side. http: // database. ul. com /cgi- bin/XYV /template/LISEXT/ 1FRAME /showpage.html ?name =... 08/07/2009 BXUV.U301 - Fire Resistance Ratings - ANSI/UL 263 Page 2 of 4 When used in widths other than 48 in., gypsum board to be installed horizontally. When Steel Framing Members* (Item 6) are used, base layer attached to furring channels with 1 in. long Type S bugle - head steel screws spaced max 24 in. OC; face layer attached with 1 -5/8 in. long Type S bugle -head steel screws spaced max 12 in. OC. AMERICAN GYPSUM CO — Types AGX -1, AG -C, AGX -11. BEIJING NEW BUILDING MATERIALS PUBLIC LTD CO — Type DBX -1. CERTAINTEED GYPSUM INC — Types 1, FRPC, EGRG, ProRoc Type C or ProRoc Type X. CERTAINTEED GYPSUM CANADA INC — ProRoc Type C, ProRoc Type X, ProRoc Type Abuse - Resistant. CANADIAN GYPSUM COMPANY — Types AR, C, IP -AR, IP -X1, IP -X2, IPC -AR, SCX, SHX, WRC, WRX GEORGIA- PACIFIC GYPSUM L L C — Types 5, 9, C, DAP, DD, DA, DAPC , DGG, DS, GPFS6. LAFARGE NORTH AMERICA INC — Types LGFC -C, LGFC2, LGFC2A , LGFC6, LGFC6A., LGFC -C /A, LGFC -WD. NATIONAL GYPSUM CO — Types FSK, FSK -C, FSK -G, FSW, FSW -3, FSW -5, FSW -6, FSW -C, FSW -G, FSMR -C. PABCO BUILDING PRODUCTS L L C, DBA PABCO GYPSUM — Type C, PG -2, PG -3, PG -3W, PG -4, PG -5, PG -5W, PG -5WS, PG -9, PG -11 or PG -C. PANEL REY S A — Type PRC PANEL REY 5 A — Type PRX. SIAM GYPSUM INDUSTRY (SARABURI) CO LTD — Type EX -1 TEMPLE - INLAND FOREST PRODUCTS CORP — Type TG -C, Type X, Veneer Plaster Base -Type X, Water Rated -Type X, Sheathing Type -X, Soffit -Type X, GreenGlass Type X. UNITED STATES GYPSUM CO — Types AR, C, FRX -G, IP -AR, IP -X1, IP -X2, IPC -AR, SCX, SHX, WRC, WRX, USGX. USG MEXICO S A DE C V — Types AR, C, IP -AR, IP -X1, IP -X2, IPC -AR, SCX, SHX, WRC, WRX. 4A. Gypsum Board* — (As an alternate to Item 4) — Nom 3/4 in. thick, installed as described in Item 4. CANADIAN GYPSUM COMPANY — Types AR, IP -AR. UNITED STATES GYPSUM CO — Types AR, IP -AR. USG MEXICO S A DE C V — Types AR, IP -AR. 48. Gypsum Board* — (As an alternate to Items 4 and 4A) -5/8 in. thick, 2 ft wide, tongue and groove edge, applied horizontally as the outer layer to one side of the assembly. Secured as described in Item 4. Joint covering (Item 2) not required. http: / /database.ul. com /cgi- bin/XYV /template/LISEXT/ 1 FRAME/showpage.html ?name =... 08/07/2009 BXUV.U301 - Fire Resistance Ratings - ANSI/UL 263 Page 3 of 4 CANADIAN GYPSUM COMPANY — Type SHX UNITED STATES GYPSUM CO — Type SHX USG MEXICO S A DE C V — Type SHX 4C. Gypsum Board* — (As an alternate to Items 4, 4A or 48 -not shown) For Direct Application to Studs Only- For use on one or both sides of the wall as the base layer or one or both sides of the wall as the face layer. Nom 5/8 in. thick lead backed gypsum panels with beveled, square or tapered edges, applied vertically. Vertical joints centered over studs and staggered min 1 stud cavity on opposite sides of studs. Wallboard secured to studs with 1 -5/8 in. long Type W coarse thread gypsum panel steel screws spaced 8 in. OC at perimeter and in the field when applied as the base layer. When applied as the face layer screw length to be increased to 2 -1/2 in. Lead batten strips required behind vertical joints of lead backed gypsum wallboard and optional at remaining stud locations. Lead batten strips, min 1 -1/2 in. wide, max 10 ft long with a max thickness of 0.125 in. placed on the face of studs and attached to the stud with two 1 in. long Type S -12 pan head steel screws, one at the top of the strip and one at the bottom of the strip. Lead discs or tabs may be used in lieu of or in addition to the lead batten strips or optional at other locations. Max 3/4 in. diam by max 0.125 in. thick lead discs compression fitted or adhered over steel screw heads or max 1/2 in. by 1 -1/4 in. by max 0.125 in. thick lead tabs placed on gypsum boards underneath screw locations prior to the installation of the screws. Lead batten strips to have a purity of 99.9% meeting the Federal specification QQ- L -201f, Grade "C. Fasteners for face layer gypsum panels (Items 4, 4A or 4B) when installed over lead backed board to be min 2 -1/2 in. Type S -12 bugle head steel screws spaced as described in Item 4. RAY -BAR ENGINEERING CORP — Type RB -LBG. 4D. Gypsum Board* — As an Alternate to Item 4 - 5/8 in. thick applied either horizontally or vertically. Inner layers fastened to framing with 1 -1/4 in. long Type W coarse thread gypsum panel steel screws spaced a max 8 in. OC, with last srcrew 1 in. from edge of board. Outer layers fastened to framing with 1 -7/8 in. long Type W coarse thread gypsum panel steel screws spaced a max 8 in. OC, with last screw 1 in. from edge of board. When used in widths other than 48 in., gypsum board to be installed horizontally. All joints in face layers staggered with joints in base layers. Joints of each base layer offset with joints of base layer on opposite side. AMERICAN GYPSUM CO — Types AGX -1, AG -C. 4E. Gypsum Board* — (As an alternate to Items 4 through 4D) - 5/8 in. thick, 4 ft. wide, paper surfaced applied vertically and secured as described in Item 4. TEMPLE - INLAND FOREST PRODUCTS CORP — Type X Comfort Guard Sound Deadening Gypsum Board. 4F. Gypsum Board* — (As an alternate to Items 4 through 4E) - 5/8 in. thick, 4 ft. wide, two layers applied vertically as described in Item 4. GEORGIA- PACIFIC GYPSUM L L C — Type 6 5. Molded Plastic* — Not shown, Optional — Solid vinyl siding mechanically secured over the outer layer to framing members in accordance with manufacturer's recommended installation details. ALSIDE, DIV OF ASSOCIATED MATERIALS INC GENTEK BUILDING PRODUCTS LTD VYTEC CORP NEBRASKA PLASTICS INC 6. Steel Framing Members — (Optional, Not Shown)* - Furring channels and resilient sound isolation clip as described below: A. Furring Channels — Formed of No. 25 MSG galv steel. 2 -3/8 in. wide by 7/8 in. deep, spaced 24 in. OC perpendicular to studs. Channels secured to studs as described in Item b. Ends of adjoining channels are overlapped 6 in. and tied together with double strand of No. 18 SWG galv steel wire near each end of overlap. As an alternate, ends of adjoining channels may be overlapped 6 in. and secured together with two self- tapping #6 framing screws, min. 7/16 in. long at the midpoint of the overlap, with one screw on each flange of the channel. Wallboard attached to furring channels as described in Item 4. http: // database. ul. com /cgi- bin/XYV /template/LISEXT/ 1 FRAME/showpage.html ?name =... 08/07/2009 BXUV.U301 - Fire Resistance Ratings - ANSIJUL 263 Page 4 of 4 B. Steel Framing Members* — Resilient sound isolation clip used to attach furring channels (Item 6a) to studs. Clips spaced 48 in. OC., and secured to studs with No. 8 x 2 -1/2 in. coarse drywall screw through the center grommet. Furring channels are friction fitted into clips. PAC INTERNATIONAL INC — Type RSIC -1. 7. Wall and Partition Facings and Accessories* — (Optional, Not shown) — Nominal 1/2 in. thick, 4 ft wide panels, for optional use as an additional layer on one or both sides of the assembly. Panels attached in accordance with manufacturer's recommendations. When the QR -510 panel is installed between the wood framing and the UL Classified gypsum board, the required UL Classified gypsum board layer(s) is /are to be installed as indicated as to fastener type and spacing, except that the required fastener length shall be increased by a minimum of 1/2 in. Not evaluated or intended as a substitute for the required layer(s) of UL Classified Gypsum Board. QUIET SOLUTION INC — Type QuietRock QR -510. 8. Cementitious Backer Units* — (Optional Item Not Shown - For Use On Face Of 2 Hr Systems With All Standard Items Required) - 1/2 in., 5/8 in., 3/4 in. or 1 in. thick, min. 32 in. wide.- Applied vertically with vertical joints centered over studs. Face layer fastened over gypsum board to studs and runners with cement board screws of adequate length to penetrate stud by a minimum of 3/8 in. for steel framing members, and a minimum of 3/4 in. for wood framing members spaced a max of 8 in. OC. NATIONAL GYPSUM CO — Type PermaBase *Bearing the UL Classification Mark Last Updated on 2009 -07 -25 Questions? Notice of Disclaimer Page Top Copyright ©20U9 Underwriters Laboratories Inc.® The appearance of a company's name or product in this database does not in itself assure that products so identified have been manufactured under UL's Follow -Up Service. Only those products bearing the UL Mark should be considered to be Listed and covered under UL's Follow -Up Service. Always look for the Mark on the product. UL permits the reproduction of the material contained in the Online Certification Directory subject to the following conditions: 1. The Guide Information, Designs and /or Listings (files) must be presented in their entirety and in a non - misleading manner, without any manipulation of the data (or drawings). 2. The statement "Reprinted from the Online Certifications Directory with permission from Underwriters Laboratories Inc." must appear adjacent to the extracted material. In addition, the reprinted material must include a copyright notice in the following format: "Copyright © 2009 Underwriters Laboratories Inc. ®" An ■^depends organization working for a safer world with integrity. precision and knowledge http: / /database.ul. com /cgi- bin/XYV /template/LISEXT/ 1 FRAME /showpage.html ?name =... 08/07/2009 City of Tybee island - Community Development Dept. Inspection Report 403 Butler Ave. • P.Q. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 Fax 912.786.9539 lit No. ZS —0 Date Requested 441 er's Name 167L1741/7/ Date Needed v1` 2 //L Contractor 1 ! Subcontractor act Information V1-4_L 1--1 6‘CI ect Address 123o A e 2) / + re of Work t-E4A5 Date of Inspec�� ection S GOrJ � �� Pass ail Fee P {S4 ! , ;e. f=(00`2. 8/z4-4o9 , ection Pass J Fee rection Pass ❑ Fail ❑ Fee rection Pass a Fail ❑ Fee 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 912.785.9539 it No. of -O Z50 =r's Name ■ .11141 Contractor Date Requested Date Needed Subcontractor ictInformation 1s .4 (o c`7 t f ct Address iZ 3 b e of Work f5/z iS/2.1 Jo q .1ctor 7 "1 ate of Inspection !ction Pass !i tail j Fee !ction I 1 0kPr41) Pass Fail e !ction c.V.J- I r 1 5f47. Pass 'ction PIA) %TZ JIC i . r -e,/1l�<«� e Pass Erfail Fee -71n .4h14 IF Inspection Report City of Tybee Island 403 Butler Ave. P.J. Box 2749 Tybee Island, GA 31328 Phone: (912) 786-4573 ext. 114 Fax: (912) 786-9539 Permit No. L(�"/ -OZsb Owner's Name Gen. Contractor Contact Number Location lL /ni L l iLk • I Inspector 1 k 'Era_ Date Requested Date Needed Subcontractor ?//A' /// 50/7)wiA-N) Date of Inspection Type of Inspection 1/s,loci Pass Fail C a► Inspection Report City of Tybee Island 403 Butler Ave. P.U. Box 2749 Tybee Island, GA 31328 Phone: (912) 786 -4573 ext. 114 Fax: (912) 786 -9539 rmit No.- U 7,sd Date Requested �S/ wner's Name Kt --4•4/1 /� Date Needed // S/69 :n. Contractor 1:71 5-1-. Subcontractor ntact Number ti 1 - -73o 7_ A 47, cation 1 z A 'I OVY1 �r.. s ector Date of Inspection P � . Gr)41 tiY3- - T2 I�5�� pe of Inspection Fail tt " Inspection Report City of Tybee Island 403 Butler Ave. P.0. Box 2749 Tybee Island, GA 31328 Phone: (912) 786 -4573 ext. 114 Fax: (912) 786 -9539 rmit No. OO wner's Name 1� t �� .C� i n. Contractor (1q3'). ntact Number A cation / 2 3 0 4- 1 . $ >/O v� o .-� 1/c. Spector '1 � to of Inspection �o 1 ..� ' 771q - eofl v Date Requested t_© -1f' O 9 Date Needed t /� 1 L " () ?s_ Subcontractor �c/'7 730 Z p Inspection Pass _„, Inspection Report City of Tybee Island 403 Butler Ave. P.G. Box 2749 Tybee Island, GA 31328 Phone: (912) 786 -4573 ext. 114 Fax: (912) 786 -9539 rmit No. •QZ5 D Date Requested 2Cj /j1 vnervs Name !L(= 4 I IL Date Needed / 01 n. Contractor r (. Subcontractor •r `E el f C.49i 4 [„ ntact Number - , i - -7x 2 cation 11,. O (0 vL 1,.'S 4v6 FL., ,. zpector `7) 1 Date of Inspection pe of I nspectio n;1 tN► i J c a/oq Pass Fail CITY OF TYBEE ISLAND WATER METER PICKUP - UNIT A DATE ISSUED: 09/29/09 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 NEW RESIDENTIAL BLDG - DUPLEX 1230 SOLOMON AVE A &B KEFAMILY ENTERPRISES,LLC PO BOX 2841 TYBEE ISLAND GA 31328 -2841 FIDELITY CONSTRUCTION INC PO BOX 15844 SAVANNAH GA 31416 1460 P $8,683.25 $132,000.00 PERMIT #: 090250 ONE WATER METER (3/4 -INCH) 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: 4/tail/rug) P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.citvoftybee.org CITY OF TYBEE ISLAND WATER METER PICKUP - UNIT B DATE ISSUED: 09/29/09 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 NEW RESIDENTIAL BLDG - DUPLEX 1230 SOLOMON AVE A &B KEFAMILY ENTERPRISES,LLC PO BOX 2841 TYBEE ISLAND GA 31328 -2841 FIDELITY CONSTRUCTION INC PO BOX 15844 SAVANNAH GA 31416 1460 P $8,683.25 $132,000.00 ONE WATER METER (3/4 -INCH) PERMIT #: 090250 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: P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cit-oftybee.org �.a DATE ISSUED: 05 -22 -2009 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 TWO WATER METERS (3/4 ") CITY OF TYBEE ISLAND BUILDING PERMIT WATER METER PICKUP NEW RESIDENTIAL BLDG - DUPLEX 1230 SOLOMON AVE A &B KEFAMILY ENTERPRISES,LLC PO BOX 2841 TYBEE ISLAND GA 31328 -2841 FIDELITY CONSTRUCTION INC PO BOX 15844 SAVANNAH GA 31416 1460 P $8,552.00 $132,000.00 PERMIT #: 090250 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: P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org 209010 Wyman Sharpe There has been no recent activity. Existing BMP's are not in compliance with the plans under review by the City. 209018 Coastal Cottages ✓ Keith Gay on Solomon Ave. RECEIVED Ot0- 3o -0°J Looking west along front (south) property line. The Co has been repaired. Silt fence in the front is in need of repair. O e(f`Q,(e1+0 I10 vc . TX Result Report P 1 06/03/2009 12:13 Serial No. CM35228060004 IC: 78612 Destination Start Time Time Prints Result Note Georgia Power 06 -03 12:12 00:00:48 001/001 OK Note TMR: Timer TX. POL: Polling. ORG: Original Size Setting FME: Frame Erase TX. MIX: Mixed Original TX. CALL: Manual TX. CSRC: CSRC. FWD: Forward. PC: PC -Fax. BMD: Double -Sided Binding Direction. SP: Special original. FCODE: F -Code. RTX: Re -TX. RLY: Relay MBX: Confidential. BUL: Bulletin. SIP: SIP Fax. IPADR: IP Address Fax. I -FAX: Internet Fax Result OK: Communication OK, S -OK: Stop Communication, PW -OFF: Power Switch OFF, TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer, Refuse: Receipt Refused, Busy: Busy, M- Full:Memory Full, LOVR:Receiving length Over, POVER:Receiuing page Over, FIL:File Error, DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error. RELEASES FOR ELECTRIC SERVICE FROM "TYBEE ISLAND FOR SAVANNAH ELECTRIC_ FAX TO: Lynn Breaaan 9 7 Phone 912.E 3ocv -2ley� 03 6 -2�oS .. Z e25- Location Address: J 7-----,c) !_ / v14 - ',) 1:4-0-F____ Lot # /m o ry J42- Perm anent T yp e of Release: T ¢� J YVi s L(_< -4 Electrician: LG OwnerfB iilder: CL A� L Release Date_ Subd Name: Electrician Phone Number: Phone Number_ Location Address: Type of Release: Temporary Permanent Electrician: OwrnerBailder: Lot # Release Date: Subd Name: Electrician Phone Number: Phone Number: Location Address: Type of Release: Temporary Permanent Subd Name: Electrician: it # Release Date: Ownerif uilder: Electrician Phone Number: Phone Number: RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR SAVANNAH ELECTRIC. FAX TO: Lynn Brennan 99-37 Phone 9124 -4363. 3 0 (0 2 co yb 306-2So3 ea+1,1 34- 2,25 Location Address: )73 11-0001-'1\) ACE- Lot # Release Date: (O 3 Oq Type of Release: i/ Temporary Permanent in / s EITL-r[Z lC Electrician: Owner/Builder: DEA( Subd Name: Electrician Phone Number: Phone Number: 4t7. 230 Z. Location Address: Type of Release: Electrician: Lot # Release Date: Temporary Permanent Subd Name: Owner/Builder: Electrician Phone Number: Phone Number: Location Address: Type of Release: Electrician: Owner/Builder: Lot # Release Date: Temporary Permanent Subd Name: Electrician Phone Number: Phone Number: DATE ISSUED: 05 -22 -2009 WORK DESCRIPTION WORK LOCATION OWNER NAME ADDRESS CITY, ST, ZIP PHONE NUMBER CONTRACTOR NAME ADDRESS CITY STATE ZIP FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE TOTAL FEES CHARGED PROPERTY IDENTIFICATION # PROJECT VALUATION CITY OF TYBEE ISLAND BUILDING PERMIT NEW RESIDENTIAL BLDG - DUPLEX 1230 SOLOMON AVE A &B KEFAMILY ENTERPRISES,LLC PO BOX 2841 TYBEE ISLAND GA 31328 -2841 FIDELITY CONSTRUCTION INC PO BOX 15844 SAVANNAH GA 31416 1460 P $8,552.00 $132,000.00 PERMIT #: 090250 TOTAL BALANCE DUE: $8,552.00 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, GEORCn,i APPLICATION FOR BUILDING PERMIT /23°A -1-6 S� /cpi Location: Lo ADDRESS PIN# f 00262 2-- 031_ TELEPHONE Owner h` Ft..1,1 I - .O. x 2-8 -1326 `'112 -78(Q- -0100 Architect or Engineer tzG, 10 f 6e.,.,,`A1 Dat w, P.', l 2 k :) -t 31 324 2-3-1— q 3v .4.7.- 053/ Building Contractor P-:c�A; t `mot �-tt p,,,1S I,,3LfLf `?i I'+It po �y - ..-17` �3 ®Z (Check all that apply) ❑ Repair ❑ Renovation ❑ Minor Addition ❑ Substantial Addition ❑ Other Details of Project: ❑ Residential ❑ Single Family WDuplex Multi- Family ❑ Commercial ❑ Footprint Changes ❑ Discovery ❑ Demolition Pico Go s rt 1-11/4L `7 3o S( Estimated Cost of Construction: $ 1 3 2_, ova (Enter appropriate number) (4) Masonry (6) Other (please specify) (5) Steel & Masonry Construction Type (1) Wood Frame (2) Wood & Masonry (3) Brick Veneer Proposed use: Remarks: LL` L. �th1 t 5t Tic f�ZG ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the following information based on the construction drawings and site plan: 1 # Bedrooms I / i cl # Bathrooms I/sic), Living space (total sq. ft.) '? 3 J 4 2 L- l q- b Q # Units 2Z Lot Area {',`1 # Off - street parking spaces Li Trees located & listed on site plan Access: Driveway 2S' (ft.) Setbacks: Front 2 o With culvert? Rear I V With swale? Sides (L) 1 p (R) 10 4 11 # Stories Height 2? , 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 „ 44 _a ` Rt,v4✓(..:* ITO )0614 On -site waste and debris containers will be r vided by %�- 1 4K , , Irv. 5 - 1 Construction debris will be disposed by �v4 - by means of 4t14,641 • 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: 3 4.1 I Zoo, 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 NFIP Flood Zone Existing 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 I'-03o . 7S =1 0 Sow re FEES 5 Permit Inspections 3 2. 9 Water Tap /( o °_ Sewer Stub 1(0 0 Aid to Const. iYea CCU 40 00 TOTAL g SiZ