HomeMy Public PortalAbout06-0061 Neely_1of2CITY OF TYBEE ISLAND
CERTIFICATE OF OCCUPANCY
DATE COMPLETED: 09/06/06
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 #:
PROPOSED USE:
OCCUPANCY TYPE:
CONTACT NAME
CONTACT STREET ADDRESS
CONTACT CITY STATE ZIP
PROPERTY ADDRESS
APPROVED BY:
06 -0061
REPAIRS RESIDENTIAL BUILDING
P
JOHN & CAROLYN NEELY
106 W JONES ST
SAVANNAH GA 31401
507 MILLER AVE
P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -5737
www.cityoftybee.org
Inspection Report
City of Tybee Island
403 Butler Avenue
P.O. Box 2749
Tybee Island, GA 31328
Phone: 786 -4573 extensions 104, 107, or 114
Fax: 786 -9539
Permit No. J L
Owner's Name:
Gen. Contractor:
Contact Number:
Location:
0 Q (0
Date Requested: U 01 _
Date Needed: J - 3 ? J so
Subcontractor:
:-Q LO 0 Lc) 2
J M ; i )k.,/
Date of Inspection: FA' 46 Type of Inspection:
Comments:
pc
r 2 1
Inspector_ \ l Time of Inspection:
Inspection Report
City of Tybee Island
403 Butler Avenue
P.O. Box 2749
Tybee Island, GA 31328
Phone: 786 -4573 extensions 104, 107, or 114
Fax: 786 -9539
Permit No= Cln- C fl Lo i
Owner's Name:
Gen, Contractor: (Yl
Contact Number:
Location:
sf c.. 0
Date Requested: DT- 0 3- 0
Date Needed: Q?- 0 '7 - O b
Subcontractor:
St— (a Ca z
\Q
5 Dr7 A
Date of Inspection: 0/%/01‘ Type of Inspection:
Comments: n(�
`e,n 5ec- �.�o�`�
s
Inspector:
eke / Ira
Am Access
Time of Inspection:
Inspection Report
City of " Tybee Island
403 Butler Avenue
P.O. Box 2749
Tybee Island, GA 31328
Phone: 785-4573 extensions 104, 107, or 114
Fax: 786-9539
Permit No 0 Co - 3 0 (0 1 Date Requested: _LI — 2. ?_ 0 Lo
Owner's Name: N e..e.,16 Date Needed: 0 7 3 1 - o (r)
Gen. Contractor: lJn■ 0 Po 54, Subcontractor:
Contact Number: a r- Q■ Q
Location:
son M l«' /600
Co S Lo - La (e, 2 (r)
Date of Inspection: 7/346 Type of Inspection:
Comments:
T pet- to r:
r. it) I
gP4cly
t L,M
1 r
(A, ole /).,-0J{ 'OA)
Time of Inspection:
Inspection Report
City of Tybee Island
403 Butler Avenue
F.O. Box 2749
Tybee Island, GA 31328
Phone: 785 -4573 extensions 104, 107, or 114
Fax: 786 -9539
Permit No 0 - 0 0<0 I Date Requested: C - 0 3- 0 to
Owner's Name: . (' Date Needed: 0 - S co
Gen. Contractor: Dm a (1 s Y. Subcontractor:
Contact Number: —8,f,c -, 1,. -'aV, .oG( - 10(OZ�
Location:
5D-1 Aug•
Date of Inspection: 7/1,0(
Comments:
Inspector:
SSP
Type of Inspection:
Time of Inspection:
Inspection Report
City of Tybee Island
403 Butler Avenue
P.O. Box 2 749
Tybee Island, GA 31328
Phone: 786 -4573 extensions 104, 107, or 114
Fax: 786 -9539
Permit No. 0 to- 03(s) I Date Requested: a o .3 l7 - O (o
Owner's Name: I v Cit.\'1/ Date Needed: 0 (c - 3 0 - C) Co
Gen. Contractor: Dm a r 0,) S 7 Subcontractor:
Contact Number: ct. ,., (4 5LO (0 (40 2 (C)
Location: 53 '1 AA ,11
Date of Inspection: 7 ,44Z
Comments:
•
'V° /` C{ 5>
w
Type of Inspection:
r, AI
10 ,3
Inspector: -c---r Time of Inspection:
4
Inspection Report
City of Tybee Island
403 Butler Avenue
P.G. Box 2 749
Tybee Island, GA 31328
Phone: 786 -4573 extensions 104, 107, or 114
Fax: 786 -9539
Permit No. 0(n- Do
Owner's Name:
Gen. Contractor: C.,� ��-
Contact Number: Dr Gh onou,
Location: 53 fl , (� e i Je .
Date of Inspection:
Comments:
Inspector:
Date Requested: 0 5 3 e !47
Date Needed: n0 5 - 3 J -
Subcontractor: A s S (+,, rc
(p.5 (o - (a (o 2 (o
5 "3 1. 16 Type of Inspection: re . (\s cT ( 3)
7oc
Time of Inspection:
4:"°
* *T * * * * * * * * * * ** -COMM. NAL- * * * * * * * * * * * * * * * * * ** DATE MAY- 31 -20r * * ** TIME 10:23 * * * * * * **
MODE = MEMORY TRANSMISSION
FILE NO. =277
START= MAY -31 10:22 END = MAY -31 10:23
STN COMM. ONE - TOUCH/ STATION NAME /EMAIL ADDRESS /TELEPHONE NO. PAGES DURATION
NO. ABBR NO.
001 OK a 4438877 001/001 00:00:20
-CITY OF TYBEE ISL.
***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** -CITY OF TYBEE - * * * ** - 912 786 9539- * * * * * * * **
RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND
FOR SAVANNAH ELECTRIC. FAX TO: Lynn Brennan 9-12=971445,37 Phone 912 - 443 -5063
�!N 3 -S8'V7
O t�. 0 co
Location Address: 5 0 i Ni : (ue r Ave) . Lot # Release Date: S - 31- (2
V.:AaI
Type of Release: Temporary ✓ Permanent Subd Name:
Electrician: c , e 5 El tc. . Electrician Phone Number: (p t0 —j — I OR g
Owner/Builder: Oman ( ,
Phone Number: %o S ( - CQ Co 2 (a
O 5-13 'fro
Location Address: 14 5c h c4 Lot # 12— Release Date: S -31, O to
`Jaw Paler
Type of Release: Temporary — Permanent Subd Name:
Electrician: C 4" C (e c 4-r ; c,
Electrician Phone Number: ( 14) 2 1?-- tveSS-
Owner/Builder: , 5t-,p ,r-S Phone Number: ._;_I % -2 (!?3
Location Address: Lot # Release Date:
Type of Release: Temporary — Permanent Subd Name:
Electrician: Electrician Phone Number:
Owner/Builder: Phone Number:
DATE ISSUED: 05 -30 -2006
WORK DESCRIPTION:
WORK LOCATION:
OWNER NAME
ADDRESS
CITY, ST, ZIP
CONTRACTOR NAME
ADDRESS
CITY STATE ZIP
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE
TOTAL FEE'S CHARGED
PROPERTY IDENTIFICATION #
CITY OF TYBEE ISLAND
REINSPECTION FEE
REPAIRS RESIDENTIAL BLDG
507 MILLER AVE
JOHN & CAROLYN NEELY
106 W JONES ST
SAVANNAH GA 314014508
OMAN CONSTRUCTORS INC
918 ABERCORN ST
SAVANNAH GA 31401
P
$ 286.00
PROJECT VALUATION $31,414.00
REINSPECTION FEE
FINAL ELECTRIC
PERMIT #: 060061
TOTAL BALANCE DUE: $ 30.00
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 Bader Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -5737
www.cityoftybee.org
Inspection Report
City of Tybee Island
403 Butler Avenue
R.C. Box 2 749
Tybee Island, GA 31328
Phone: 786 -4573 extensions 104, 107, or 114
Fax: 786-9539
Permit No, O.c' () 3(c
Owner's Name: _J2--\ k' Date Needed: 3 - 3
Gen. Contractor: Subcontractor: kt"
t S
Contact Number: C;1 r' s ( r ,. A,07 -
Date Requested: OS-- 2 (v
Location: 5D 7 N I ¢.)' Av.ei
Date of Inspection: n („ Type of Inspection:
Comments:
Inspector:
0
Time of Inspection:
re Sp
�' � aI 2 (PC
Inspection Report
City of Tybee Island
403 Butler Avenue
P.O. Box 7 749
Tybee Island, GA 31328
Phone: 786 -4573 extensions 104, 107, or 114
Fax: 786 -9539
Permit No. D.' 0 O- 1 Date Requested: O ', q - c
Owner's Name: /V a/-4/ Date Needed:
(;en, Contractor: C-) .,s ; r ✓ e 4 :_.--0(.5 Subcontractor: A ' r e S • r /e c
Contact Number: f t a � Ovv^av-N. I DJ Co — i.40 2 {o
Location:
Date of Inspection: 1 S - o(e Type of Inspection: r, 01 r
5 r � M 41Ic- A i
Comments:
`�
i ��1, �,D. r v. `Ja
Oi-A' �c(' S N ), ID , I
�� r PJ i n► lea.
S�t� ��
tc� _
3f a tL-1' �,,�cS�vvn
UNCR I -tL G
Inspec r: 4�
Time of lnspec..
VOZ
DATE ISSUED: 03/28/2006
WORK DESCRIPTION:
WORK LOCATION:
OWNER NAME
ADDRESS
CITY, ST, ZIP
CONTRACTOR NAME
ADDRESS
CITY STATE ZIP
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE
TOTAL FEE'S CHARGED
PROPERTY IDENTIFICATION #
PROJECT VALUATION
CITY OF TYBEE ISLAND
BUILDING PERMIT
PERMIT #: 060061
REPAIRS RESIDENTIAL BLDG — ADDED VALUE
507 MILLER AVE
JOHN & CAROLYN NEELY
106 W JONES ST
SAVANNAH GA 314014508
JOHN & CAROLYN NEELY
106 W JONES ST
SAVANNAH GA 314014508
P
$ 256.00
$31,414.00
TOTAL BALANCE DUE: $ 81.00
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 -5737
www.cityoftybee.org
CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
ot Ct cl, 4-0 ftl-'nfi-1-
010-00 (v i
Location: 50 / /' J_! /
ADDRESS
PIN # 000i Do-)
TELEPHONE
Owner
fOki AeSc rs1,,
tl efy
/OL 'X 3 J € S
S ,A✓r,A,-,..►�. 2 /'/Q/
'7-33- / J l�
or Engineer
t 1A a\ Fo.�jry
a),il 67/0r/C
5iAv'.�,�„l4 3/�0✓
;13F" 5`id
Building
Contractor
0 ✓ i ,.
<e-sv4ro rr 1 i ' •
q/ g A 6erz -6 r .-+ 5±
3 ✓ ,n" 0. ti, A 3 /4f U i
c � ,
(Check all that apply)
❑ New Construction
❑ Duplex
HResidential
❑ Footprint Changes
❑ Other
Estimated cost of Construction: $ /j , 4// /
❑ Renovation
Single Family
Commercial
❑ Repairs
•
Construction Type
(1) Wood Frame
(2) Wood & Masonry
(3) Brick Veneer
Proposed use: ,� 4
Remarks:
C
,o Minor Addition
❑ Substantial Addition
❑ Multi - Family
❑ Demolition
(Enter appropriate number)
(4) Masonry (6) Other (please specify)
(5) Steel & Masonry
1G -1- ev-e-0 D ✓∎ 60 CST' /kg:)2--e-
ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOTS and complete the
following information based on the construction drawings and site plan:
# Units
Lot Area
# Off -street parking spaces
Trees located & listed on site plan
Access:
Driveway (ft.)
Setbacks: Front gpAf ;s
acdd,1 c
# Bedrooms # Bathrooms
Living space (total sq. ft.) // 6 ' , 0
;r
With culvert? With swale?
Rear L2 Sides (L) /1.1 (R) /2,
# Stories Height Vertical distance measured from the average adjacent
grade of the building to the extreme high point of the building, exclusive of chimneys, heating
units, ventilation ducts, air conditioning units, elevators, and similar appurtances.
During construction:
On -site restroom facilities will be provided through 0/1/4. -�, I n
On -site waste and debris containers will be provided by S,P f n acs 0,) r `.'-j
Construction debris will be disposed by at by means of
I understand that I must comply with zoning, flood damage control, building, fire, shore
protections and wetlands ordinances, FEMA regulations and all applicable codes and regulations.
I understand that the lot must be staked out and that the stakes will be inspected to ensure that the
setback requirements are met. I understand also that a certified plot plan showing elevation must
be attached to this application and that an as-built elevation certification is due as soon as the
habitable floor level is established. Drainage: I realize that I must ensure the adequacy of
drainage of this property so that surrounding property is in no way adversely affected. I accept
responsibility for any corrective action that may be necessary to restore drainage impaired by this
permitted construction. /1
Date: c2 Applicant: �l Signature of A licant:
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?
NFIP Flood Zone
FEMA Certification attached
State Energy Code Affidavit attached
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
Signature Date
•
ce
03- •2/ -06
FEES
Permit 157
Inspections 3[0 0O
Water Tap •
Sewer Stub
Aid to Const.
TOTAL
oo
Brian Oman
918 Abereorn St.
Savannah, GA 31461
Dear Brian:
Robert C. Mikan
GA Rag Prof raw # 5717
GA Reg Prof Land Surveyor t!552
P.O. Sox 2096
Tybee Wend, GA 31328
(912) 755 -
(772) 464.1010 Florida
February 10, 2006
As you requested, I have reviewed Lynda Ramsey's architectural drawings A 1.1 and A-
12 and suggest the following member sizes:
1) Porch Perimeter support beam: 2- 2'X12'"s with 314" plywood "bitch plates" glued, nailed
and clamped-anchored to piers_ Use stainless steel nails and treated lumber (Mils t 6" o_c_
max ).
2) Hoar joists: 2 "X 10"s Cc:3 16' o.c. with a tow of bridging @ mid -span.
3) Perimeter be re @ roof (rafter support): 2- 2 "Xl(rrs with 3/4 `° ply "flitch plates" glued,
nailed and clamped.
4) Rafters_ 2 "X10's @ 16" o.c. — Knee brace wall +a b€ ilding exterior wall.
5) 8"X8" posts @ Piers and 4"X4" @ mid -span as suggested will be adequate.
All anchors shall meet current code nequirements.
Please advise if
Robert t`'. Millikan, Pro es ional Enginter
itional is forrnation is required.
PO Box 2096
Tybee Island, GA 313`P.
CC: Joseph Neeley
Inspection Report
City of Tybee Island
403 Butler Avenue
P.U. Box 2749
Tybee Island, GA 31328
Phone: 786 -4573 extensions 104, 107, or 114
Fax: 786 -9539
Permit No,
Owner's Name:
Gen. Contractor:
Date Requested:
_D__3 -L3 - Lo
Date Needed: 03' i` I- 0 (oo
Subcontractor:
Contact Number: r. a r, O`er a r'
Location:
5p 411Ryd A.Jv.
Date of Inspection:
Comments:
Inspector:
(p.5-(0 - (r (d2 Co
Type of Inspection: Y e , nS p Q L*
S J q-I-. 9 r�
k s J^i
�n
Time of Inspection;
Inspection Report
City of Tybee Island
403 Butler Avenue
P.O. Box 2749
Tybee Island, GA 31328
Phone: 786 -4573 extensions 104, 107, or 114
Fax: 786 -9539
Permit No. • lC ao 1 Date Requested: n3- (0-
Owner's Name: k . ! Date Needed: 03- I s -0
•
Gen. Contractor: Subcontractor:
Contact Number: Q rm
Location: J 7
(oSCp -(�Co (o
Date of Inspection:
Comments:
Inspector:
3- i3 -_6'
Type
of Inspection: I n S I Q 't-
09itie)
work FLor) /e
/0 �
N° stc� s
Time of Inspection:
lti) (R
LI
Inspection Report
City of Tybee Island
403 Butler Avenue
P.O. Box 7 749 / e/t5 0
Tybee island, GA 31328 r 5- °�
Phone: 786 -4573 extensions 104, 107, or 114
Fax: 786 -9539
Permit No. O ( - 00 G- I Date Requested: n3- (--).5-
T - De.,
\(
Owner's Name: \ a I U, Date Needed: 0 3- D 9- c ca
0
Gen. Contractor: Subcontractor: A , P T S E l P c'
Contact Number: (/ h r . 5 --B10,r (0(6-7 -1o3
Location: 5 0 7 M I (er Au e
Date of Inspection: 279 /bG Type of Inspection: r Ou41 !--N e I e C= Oft
Comments:
,,,,, 5 (4.14 5 j-„
A! ( fi
2
FA
SE t r�
i
Inspector: Time of Inspection:
Inspection Report
City of Tybee Island
403 Butler Avenue
P.U. Box 7 749
Tybee Island, GA 31328
Phone: 786 -4573 extensions 104, 107, or 114
Fax: 786 -9539
Permit No.. 0( - OD Co 1 Date Requeted. 0 2 - 2 d - U
Owner's Name: Wes2, I r Date Needed; 03 - 0/ - 0
Gen. Contractor: Subcontractor:
Contact Number: ;-2 e Z 2 3 L/ "! Z
Location: i J / M %(e r A cd
Date of Inspection: 3•j-d(
Comments:
I nsriecto r:
7()
Type of Inspection:
r gk
,
Time of Inspection:
ky
Inspection Report ') (7 (
v
City of Tybee Island \�'
403 Butler Avenue
P.O. Box 2 749 _'
Tybee Island, GA 31328 ,k d<n
Phone: 786 -4573 extensions 104, 107, or 114 C7
Fax: 786 -9539
Permit No. O o ' 00 (n ( Date Requested: O 3 -- Doi 0 (r,
Owner's Name: Date Needed: 0 3- I 0- 0 co
Gen. Contractor: Subcontractor:
Contact Number: R T , rm l9 mPA ,.1 ((i S(Q (#0 2
Location: SDr7 M ei Lie).
Date of Inspection: 3
Comments:
Inspector: /
Type of Inspection:
v■ c -- 0(6 - 0/ /
rein5 ec fa�sl
P , 11-T-,�
r vv-■ n
P4 e7
Time of Inspection:
DATE ISSUED: 02 -2 -2006
WORK DESCRIPTION:
WORK LOCATION:
OWNER NAME
ADDRESS
CITY, ST, ZIP
CONTRACTOR NAME
ADDRESS
CITY STATE ZIP
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE
TOTAL FEE'S CHARGED
PROPERTY IDENTIFICATION #
CITY OF TYBEE ISLAND
BUILDING PERMIT
REPAIRS RESIDENTIAL BLDG
507 MILLER AVE
JOHN & CAROLYN NEELY
106 W JONES ST
SAVANNAH GA 314014508
OMAN CONSTRUCTORS
918 ABERCORN ST
SAVANNAH GA 31401
P
$ 175.00
PROJECT VALUATION $20,000.00
PERMIT #: 060061
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 Llspector or Authorized Agent:
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, GEORGIA
APPLICATION FOR BUILDING PERMIT
Location: 7 (Y i/ »r A ve„,,
NAME
ADDRESS
PIN # - 0001-1-021-00-7
Owner
5014n and --4roly n
Ilee V)/
/p 4 wed" JOrei 51
._a►i1Anr.o, h / 6.A 3 /Yoh
,23 - -, ii /
Architect
or Engineer
41 n ca /`t a,,z i Ay
,;.0 / .Ea 5 f /ark 5)-
sa, v s ir,,t\ 6,4 3/4/0/
2 3 g - J q
Building
Contractor
0.,r, Q n Co n ,sj's,4 o ,rs
,,;.7 ( .
y/ g i, v 'G o ✓ � S i
S� ,), n a l\, ,,,A 3/1/01
(S 6 a2 S�
(Check all that apply)
❑ New Construction
Duplex
Residential
Footprint Changes
❑ Other
-° Renovation
S Single Family
❑ Commercial
Xl Repairs
❑ Minor Addition
❑ Substantial Addition
❑ Multi - Family
Demolition
Estimated cost of Construction: $ �.() 000
i
Construction Type / (Enter appropriate number)
(1) Wood Frame (4) Masonry (6) Other (please specify)
(2) Wood & Masonry (5) Steel & Masonry
(3) Brick Veneer l
Proposed use: /'ei joie,-)4 1 ca / , ) s j1-e- q vv i
Remarks: -7-hi, /0/,as� /S' �4 4. 14 E's-;o.r I' CV OV00 -1+onJ desk
A h ( CO (JOffr 76 b 5 6,,, ed Seterlfc✓ '
ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOTS and complete the
following information based on the construction drawings and site plan:
# Units / # Bedrooms 2 # Bathrooms
Lot Area 2 o y p s% f-1 Living space (total sq. ft.) //: / 07 s y -1-/
# Off - street parking spaces 3
Trees located & listed on site plan
Access:
Driveway (ft.) With culvert? With swale?
Setbacks: Front 3 y Rear Sides (L) j.i• / (R) /07,
# Stories Height Vertical distance measured from the average adjacent
grade of the building to the extreme high point of the building, exclusive of chimneys, heating
units, ventilation ducts, air conditioning units, elevators, and similar appurtances.
During construction:
On -site restroom facilities will be provided through % o ✓� y Sod-) ns
On -site waste and debris containers will be provided by Sc il-i`' e.r
Construction debris will be disposed by at by means of
I understand that I must comply with zoning, flood damage control, building, fire, shore
protections and wetlands ordinances, FEMA regulations and all applicable codes and regulations.
I understand that the lot must be staked out and that the stakes will be inspected to ensure that the
setback requirements are met. I understand also that a certified plot plan showing elevation must
be attached to this application and that an as -built elevation certification is due as soon as the
habitable floor level is established. Drainage: I realize that I must ensure the adequacy of
drainage of this property so that surrounding property is in no way adversely affected. I accept
responsibility for any corrective action that may be necessary to restore drains a impaired by this
permitted construction. J I
Date: c� 7
Signature of Applicant:
Note: A permit normally takes 7 to 10 days to process.
i
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
Signa Date
/
p."7777 0/-0-. 06
11111/ 11111/
FEES i,o0
Permit l* /_'I "-
Inspections (20.00
Water Tap
Sewer Stub
Aid to Const.
TOTAL 713"e°