HomeMy Public PortalAbout12-0573 YesnerDATE ISSUED: 10 -29 -2012
WORK DESCRIPTION
WORK LOCATION
OWNER NAME
ADDRESS
CITY, ST, ZIP
PHONE NUMBER
CONTRACTOR NAME
ADDRESS
CITY STATE ZIP
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE
TOTAL FEES CHARGED
PROPERTY IDENTIFICATION #
PROJECT VALUATION
CITY OF TYBEE ISLAND
BUILDING PERMIT
R &R POSTS & HANDRAILS ON PORCH
160 S CAMPBELL AVE
ALAN YESNER MD
8207 NW 63RD CT
PARKLAND FL 33067 -5028
CATSKILL BUILDERS, INC.
210 CATALINA DR.
TYBEE ISLAND GA 31328
P
$ 67.00
$1,380.00
PERMIT #: 120573
TOTAL BALANCE DUE: $ 67.00
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:
D4- ZZ -t4- SPcc� -'.ten
recd »esd. —Too ,Old .
CI 05ed -: Ie,.
P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -9539
'on ' w.c i tvofth bee.o rg
/914- .o."7,5
Property Address:
City of Tybee Island, Georgia
912- 472 -5033 or 912 - 472 -5031 - Fax 912 - 786 -9539
APPLICATION FOR BUILDING PERMIT
() S rv,,A2e t
Single Family
❑ Duplex
❑ Multi- Family
❑ Commercial
Details of Project:
units
units
(Check all that apply)
Discovery/Tearout
❑ Footprint Changes -
new square feet
heated /cooled
❑ Demolition of Structure
❑ Other
{'rv. OckY\ -,c. se 3 4 ) $ ) 0-.01w o \ i b v-,
IR)pCU\ '- 5C\-eck-, a 6e RSJ-J he•.i 14- t S C n
Estimated Cost of Construction: $
c
1 ' (materials + labor + profit/overhead)
If applicable, attach a copy of the certified elevation certificate and /or survey of the property. Depending upon
the scope of the work, two sets of construction drawings and /or a site plan may be required.
Year Built: \ q go 'S Listed on National Historic Register or located within a National Historic District? Y / N
* Buildings older than 50 years may be eligible to be listed on the State / National Register. With this designation, you
may be eligible to take advantage of various tax incentive programs while preserving the heritage of Tybee Island.
* Also see the Tybee Island Land Development Code Article 14: Historic Preservation
During construction:
On -site restroom facilities will be provided through e,- S4 — . Construction debris will be disposed
by Cc; )-31,1 ( by means of „t,,1/4., . I understand that I must comply with zoning, flood
damage control, building, fire, shore protection and wetland ordinances, FEMA regulations and all applicable codes and
regulations. I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way
adversely affected as required by Article 16, Stormwater Management. I accept responsibility for any corrective action that
may be necessary to restore drainage impaired by this permitted construction.
Date: 1 /o. - ID Signature of Applicant:
Printed Name A Arot,
Note: A permit normally takes 7 to 10 days to process
Approvals:
Planning & Zoning Manager
Building Official
Water /Sewer
Storm /Drainage
City Manager
ianature
V1O0 se ; S FE ivtA come I
Date
FEES
Permit
Inspections
Cap Cost Rec
Water Tap
Sewer Stub
Eng. Fees
Aid to Const.
TOTAL
Name
Mailing Address
Telephone
Owner
A\c�.\f eSK
I c,O S C cw`p4.'cl I
Home: 1 ,4 - 31f 6g)`�
Cell:
Architect or
Engineer
_-_
• ----
N'�-
Contractor
C0-��V \)
a , \,�,.�, a`,,_
Home: 1f a -'18 (,--- 61 a'7
Cell:
Single Family
❑ Duplex
❑ Multi- Family
❑ Commercial
Details of Project:
units
units
(Check all that apply)
Discovery/Tearout
❑ Footprint Changes -
new square feet
heated /cooled
❑ Demolition of Structure
❑ Other
{'rv. OckY\ -,c. se 3 4 ) $ ) 0-.01w o \ i b v-,
IR)pCU\ '- 5C\-eck-, a 6e RSJ-J he•.i 14- t S C n
Estimated Cost of Construction: $
c
1 ' (materials + labor + profit/overhead)
If applicable, attach a copy of the certified elevation certificate and /or survey of the property. Depending upon
the scope of the work, two sets of construction drawings and /or a site plan may be required.
Year Built: \ q go 'S Listed on National Historic Register or located within a National Historic District? Y / N
* Buildings older than 50 years may be eligible to be listed on the State / National Register. With this designation, you
may be eligible to take advantage of various tax incentive programs while preserving the heritage of Tybee Island.
* Also see the Tybee Island Land Development Code Article 14: Historic Preservation
During construction:
On -site restroom facilities will be provided through e,- S4 — . Construction debris will be disposed
by Cc; )-31,1 ( by means of „t,,1/4., . I understand that I must comply with zoning, flood
damage control, building, fire, shore protection and wetland ordinances, FEMA regulations and all applicable codes and
regulations. I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way
adversely affected as required by Article 16, Stormwater Management. I accept responsibility for any corrective action that
may be necessary to restore drainage impaired by this permitted construction.
Date: 1 /o. - ID Signature of Applicant:
Printed Name A Arot,
Note: A permit normally takes 7 to 10 days to process
Approvals:
Planning & Zoning Manager
Building Official
Water /Sewer
Storm /Drainage
City Manager
ianature
V1O0 se ; S FE ivtA come I
Date
FEES
Permit
Inspections
Cap Cost Rec
Water Tap
Sewer Stub
Eng. Fees
Aid to Const.
TOTAL
LEAD -BASED PAINT RRP RULES
Ordinary renovation and maintenance activities can create dust that contains lead. Contractors who perform
renovation, repairs, and painting jobs in pre -1978 housing and child- occupied facilities must, before beginning
work, provide owners, tenants, and child -care facilities with a copy of EPA's lead hazard information pamphlet
Renovate Right: Important Lead Hazard information for Families, Child Care Providers, and Schools.
Contractors must document compliance with this requirement. After April 22, 2010, federal law will require you
to be certified and to use lead -safe work practices. Georgia Environmental Protection Division Lead -Based
Paint and Asbestos Program (404) 363 -7026.
Projects must be done by a Certified Lead Renovation Firm AND a Certified Renovator
When disturbing lead -based painted or coated surfaces or components more than 6 ft2 per interior
room or 20 ft2 of exterior surfaces AND all window replacements and partial demolitions of any size.
* * * * * * * * * * * * * * * * * * * **
Asbestos /Environmental Notification to Georgia EPD for
Projects Involving Demolition, Wrecking, or Renovation
The undersigned hereby acknowledges that the issuance of this permit does not in any way grant permission
to the owner, owner's representative, or permit holder to proceed with demolition, wrecking, or renovation of a
structure prior to the filing of any required ten (10) day "Project Notification for Asbestos Renovation
Encapsulation or Demolition" form in accordance with the Georgia Asbestos Rules. The Georgia
Environmental Protection Division administers the rules. In most cases, the rules require both the owner and
the involved contractors to assure the portion of the building involved in the project is thoroughly inspected by
an Accredited Asbestos Inspector for materials that contain asbestos; and the removal of the asbestos before
renovation, wrecking, or demolition begins almost without exemption. Georgia EPD requires a completed
demolition notification from be submitted 10 workings days in advance even if no asbestos is present in the
building. Further guidance for regulatory compliance and contact telephone numbers are provided by the
brochures entitled Asbestos 8 Renovation and Asbestos and Demolition. Other environmental issues such
as asbestos removal techniques, lead abatement, ground contamination, or unusual site conditions may have
EPD regulations that could affect the project.
* * * * * * * * * * * * * * * * * * * **
BMPs
While BMP deficiencies are not necessarily the fault of the owner or his agent, BMPs are their responsibility.
Two areas of deficiencies are in the most basic and common BMPs; Co — Construction Exit and Sd1 —
Sediment Barrier. Correct installation information can be found in the Field Manual for Erosion and Sediment
Control in Georgia, Fourth Edition 2002, Georgia Soil and Water Conservation Commission;
http:// www. gaswcc .org /docs /field_manual_4ed.pdf.
Problems with the Co is not limited to the installation, but to material. The stone will be a representation of
1.5 " -3.5" stone or larger.
Type A sediment barriers have been installed where Type C is required and shown on the permit drawings.
Where two rows are called for they will be installed with a separation that allows for the first one to fail (fall
over) without impacting the second one. The complete assembly and installation must be compliant; steel or
wood posts, post spacing, Type C or A.
A „ _
L ad
Signature for r eipt f Paint Asbestos and BMP notices.
Printed Name
Date
U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -9.
SECTION A - PROPERTY INFORMATION
Al . Building Owner's Name ALAN J. AND MICHELLE YESNER
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
160 SOUTH CAMPBELL AVENUE
City TYBEE ISLAND State GA ZIP Code 31328
A3. Property Desaiption (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 25, HORSE PEN HAMMOCK SUBDMSION, FORT WARD
A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. IZ,QQ941 Long. 80.85220
A6. Attach at least 2 photographs of the building if the Certificate
A7. Building Diagram Number
A8. For a building with a aewlspace or enclosure(s):
a) Square footage of aawtspace or enclosure(s) sq R
b) No. of permanent flood openings in the aawlspace or
enclosure(s) within 1.0 foot above adjacent grade NSA
c) Total net area of flood openings in A8.b Nja, sq in
d) Engineered flood openings? ❑ Yes ® No
OMB No. 1660-0008
Expires March 31, 2012
For Insurance Company Use:
1 Policy Number
ICompany NAIC Number
Horizontal Datum: ❑ NAD 1927 01 NAD 1983
is being used to obtain flood insurance.
A9. For a building with an attached garage:
a) Square footage of attached garage MA sq ft
b) No. of permanent flood openings in the attached garage
within 1.0 foot above adjacent grade Nth
c) Total net area of flood openings in A9.b sq in
d) Engineered flood openings? ❑ Yes tgl No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name
TYBEE ISLAND, GEORGIA - 135164 I CHAfiTHAM
B4. Map/Panel Number
13051CO213
B5. Suffix
F
B6. FIRM Index
Date
9/26/08
B7. FIRM Panel
Effective/Revised Date
9/26/08
B8. Flood
Zone(s)
AE
IB3. State
GA
B9. Base Flood Elevation(s) (Zone
AO, use base flood depth)
13
1310. 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)
812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
Designation Date N/A ❑ CBRS ❑ OPA
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/Al-A30, AR/AH, AR/AO. Complete Items C2.a -h
below acoorcing to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized LOCALVertical Datum NAVD88
Conversion/Comments NONE
a)
b)
c)
d)
e)
0
0)
h)
Check the measurement used.
Top of bottom floor (including basement, aawlspace, or enclosure floor) x.11 ® feet ❑ meters (Puerto Rico only)
Top of the next higher floor
Bottom of the lowest horizontal structural member (V Zones only)
Attached garage (top of slab)
Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments)
Lowest adjacent (finished) grade next to building (LAG)
Highest adjacent (finished) grade next to building (HAG)
Lowest adjacent grade at lowest elevation of deck or stairs, Including
structural support
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a lend surveyor, engineer, or architect authorized by law to certify elevation
information. 1 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 1(X11.
is Check here if comments are provided on back of torte. Were latitude and longitude in Section A provided by a
licensed land surveyor? ® Yes ❑ No
NONE. ® feet
J]9._
feet
NONE. ® feet
SEE COMMENTS,
$•$
❑ meters (Puerto Rico only)
❑ meters (Puerto Rico only)
❑ meters (Puerto Rico only)
® feet ❑ meters (Puerto Rico only)
® feet ❑ meters (Puerto Rico only)
® feet ❑ meters (Puerto Rico only)
0 feet ❑ meters (Puerto Rico only)
Certifier's Name BERT B. BARRETT, JR
Title OWNER/PRESIDENT
Address 1�3.�U�ROADn /
Signa , l
License Nurnber GA. 7775
Company Name BERT BARRETT, JR. LAND SURVEYING, PC.
City SAVANNAH State GA ZIP Code 31410
Date 10/07/09 Telephone 912- 897-0661
FEMA Fo 81 -31, Mar 09 V See reverse side for continuation.
WARNING: Due to the possibility that changes may have been done to this residence after this elevation certificate was signed and dated by the
surveyor, it is recommended that caution be taken in using this elevation certificate by anyone other than the person indicated in section Al.
IMPORTANT: In these spaces, copy the corresponding Information from Section A ( For trauma Compere/ UN:
Sutiding Street Address (inducting Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Poky Nunbar
160 SOUTH CAMPBELL AVENUE
City TYBEE ISLAND State GA ZIP Code 31328 1 Gamow NAIC Number
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both skies of this Elevation Certifcale for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments 1. MAGELLAN MERIDIAN GOLD GPS UNIT USED TO OBTAIN LAT/LONG
L• ST ELEVATION OF MACHINERY SERVICING THIS BUILDING WITHIN THE FOUNDATION WALLS IS AT 19.11' NAVD 1988.
N OF L O • IDE HEATPUMP UNIT (CONDENSER) IS AT 15.0' NGVD 88.
Signature � / Date 10/07/09
g Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete hems El-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rioo only, enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or be the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, crawlspace, or enclosure) Is N9. ® feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom furor (Including basement, oaawlspaca, or enclosure) is jyl9. ® feet ❑ meters ❑ above or ❑ below the LAG.
E2. For Buliding Dtagrarns 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 bul ding Is NA- ® feet ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is jy(9. ® feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and or equipment servicing the building is )y'(9. ® 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 tbodplain management
ordinance? ❑ Yes ❑ No ❑ Unknown. The Loom official must certify this Information M Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or oommunity- issued BFE)
or Zone AO must sign here. The statements in Sections A B, and E are coned to the best of my imowledge.
Property Owner's or Owners Authorized Representative's Name
N/A
Address N/A City N/A State GA ZIP Code N/A
Signature WA
Comments N/A
Date WA Telephone N/A
(-! Qbacithsere If atta girds
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, 8, 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.
01. ❑ 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 communttyIssued BFE) or Zone AO.
G3. ❑ The following information (Items 64-09) is provided for community fioodplain management purposes.
N/A .. Permit Number N/A Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy issued
G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: WA ® feet ❑ meters (PR) Datum
G9. BFE or (In Zone AO) depth of flooding at the building she: ha ® feet ❑ meters (PR) Datum
G10. Community's design flood elevation �. ® feet ❑ meters (PR) Datum
Local Official's Name N/A
Community Name N/A
Signature N/A
Garments N/A
FEMA Form 81 -31, Mar09
Title N/A
Telephone N/A
Dale N/A
r1 Check here if etachments
Replaces all previous editions