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INTERNATIONAL
CODE COUNCIL
MEMBER
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. I Z - ()ZI ( Date Requested %/Z 5-11
Date Needed
Gen. Contractor Subcontractor
Contact Information
Project Address 113 6-rg7Y)-zvvuoD
Scope of Work c+ . (J o �, =+
Inspector -211 Date of Inspection
Inspection ( - Pass Fee
Owner's Name Du 4,3
Inspection Pass ❑ Fail ❑ Fee
Inspection Pass ❑ Fail ❑ Fee
Inspection Pass ❑ Fail ❑ Fee
DATE ISSUED: 04 -13 -2012
WORK DESCRIPTION
WORK LOCATION
OWNER NAME
ADDRESS
CITY, ST, ZIP
PHONE NUMBER
CONTRACTOR NAME
ADDRESS
CITY STATE ZIP
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE
TOTAL FEES CHARGED
PROPERTY IDENTIFICATION #
PROJECT VALUATION
CITY OF TYBEE ISLAND
BUILDING PERMIT
LATTICE AROUND EXISTING SHOWER
113 CEDARWOOD APTS A &B
PAMELA DUNCAN
3103 ST REGIS RD
GREENSBORO NC 27408
PAMELA DUNCAN
3103 ST REGIS RD
GREENSBORO NC 27408
P
$ 50.00
$1,000.00
PERMIT #: 120211
TOTAL BALANCE DUE: $ 50.00
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
0,i%6
NAME ADDRESS
TELEPHONE
Owner
'3'03 /may.
336-60/-613
Architect
or Engineer
e/02-3-02-67,T65
Building
Contractor
YAW Rie-ho �
5.3 fiArelq ! A.
AL-Arrra / la(,77) 34?.?
04/13/2012 06:54 9124450005
Location:
YAUN
CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
f13 ,o )4 19,1.8
PIN #
PAGE 01/04
(Ch= all that apply)
Repair
Renovation
inor Addition
Substantial Addition
❑ Other
❑ Residential
❑ Single Family
plex
Multi - Family
❑ Commercial
❑ Footprint Changes
❑ Discovery
❑ Demolition
Details of Project: J y j- Slre-P4'S c n 0/e�
fin,.$ /-01-7L1 c frev 4yf rPjr /=5-75Jf j Dukhor S /over 1 x
Estimated Cost of Construction: $ g ego
Construction Type
Wood Frame
(3) Brick Veneer
Proposed use:
Remarks:
(Enter appropriate number)
(4) Masonry (6) Other (please specify)
(5) Steel & Masonry
ATTACH A COPY OF THE CERTIFIED BI .I; VATION SURVEY OF LOT 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
# Bedrooms
Living space (total sq. ft.)
With culvert?
Rear
# Bathrooms
With swale?
Sides (L) (R)
# Stories Height Vertical distance measured from the average adjacent
grade of the building to the extreme high point of the building, exclusive of chimneys, heating
units, ventilation ducts, air conditioning units, elevators, and similar appurtances.
04/13/2012 06:54 9124450005
YAUN
During construction:
On -site restroom facilities will be provided through
On -site waste and debris containers will be provid
Construction debris will be disposed by r' i ' 14 by means of r O u 7y
I understand that I must comply with zoning, flood damage cottrol, 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 ;;;` I by this
permitted construe ' ' n.
Date: ' c' ? Signature of Applicant:
PAGE 02/04
Note: A permit normally takes 7 to 10 days to pmcess.
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?
NFU' Flood Zone
FEMA Certification attached
State Energy Code Affidavit attached
Existing
Utilities and Public Works:
Describe any unusual flnding(s)
Access to building site
Distance to water main tap site
Distance to sewer stub site
Water meter size
Storm drainage
Approvals: Signature Date
Zoning Administrator
Code Enforcement Officer
Water /Sewer
Storm/Drainage
Inspections
City Manager
FEES
Permit
Inspections
Water Tap
Sewer Stub
Aid to Coast.
TOTAL
04/13/2012 06:54 9124450005
YAUN PAGE 03/04
LEAD -BASED PAINT
Adapted from httW, /J ww ,QQasiovfoadioub$/renovation.htm, Please use that site to access the following information.
information for Property owners of Rental Housing, Child - Occupied reedit lea
Property owners who renovate, repair, or prepare surfaces for painting In pre -1978 rental housing or space
rented by child -rare facilities must, before beginning work, provide tenants with a copy of EPA's lead hazard
informapon pamphlet Renovate_ Rlgtlt: Important Lead Hazard Information for famll/es. Ch11d Care Providers,
and Schools. Owners of these rental properties must document compliance with this requirement. EPA's sample
pre- renovation disclosure form may be used for this purpose.
After April 22, 2010, property owners who perform these projects in pre -1978 rental housing or space rented
by child -care facilities must be certified and follow the lead -safe work practices required by EPA's Renovation,
Repair and Remodeling rule. To become certified, property owners must submit an application for firm
certification and fee payrnent t4 CPA. The Agency has up to 90 days after receiving a complete request for
certification to approve or disapprove the application.
property owners who perform renovation, repairs, and painting jobs in rental property should also:
• Take training to learn how to perform lead -safe work practices.
• teem the lead laws that apply regarding certification and lead -safe work practices beginning in April 2010.
• Keep records to demonstrate that you and your workers have been trained In lead -safe work practices and that you followed lead -
safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeepino checklist that EPA has
developed to help contractors Comply with the renovation recordkeeping requirements that took effect April 2010.
• Read about how to comply with EPA's rule In the EPA Small Entity Compliance Guide to Renov,ate.R4ht.
▪ Reed about how to use lead -safe work practices in EPA's Steps to Lead Safe Renovation. Reoltr and Painting.
Iniormation for Hom9owners Working at Home
If you are a homeowner performing renovation, repair, or painting work In your own home, EPA's RRP rule does not cover your project.
However, you have the ultimata responsibility for the safety of your family or Children in your tarp. If you are living In a pre -1978 home
and planning to do painting or repairs, please read a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Child
Care Providers, and , 5shools lead hazard information pamphlet. You may also want to call the National Lead Information Center at 1 -800-
424 -LEAD (5323) and ask for more information on how to work safely In a home with lead -based paint.
Information for Tenants and Females of Children under Age 6 in Child Cara Facilities and Schools
As a tenant or a parent or guardian of children In a child care fecllity or school, you should know your rights when a renovation job is
performed In your home, or in the child care facility or school that your child attends.
• Before starting a renovation In residential buildings built before 1978, the contractor or property owner is required to have tenants
sign a pre - renovation disclosure form, which indicates that the tenant received the Renovate Right lead hazard information
pamphlet.
• Beginning in December 2008, the contractor must also make renovation information available to the parents or guardians of
children under age six that attend child care facilities and schools, and to provide to owners and administrators of pre -1978 child
care facilities and schools to be renovated a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Child
Care Providers. and Schools lead hazard information pamphlet.
Information for Contractors
As a contractor, you play an Important role in helping tb prevent lead exposure. Ordinary renovation and maintenance activities can create
dust that contains lead. By following the lead -safe work practices, you can prevent lead hazards. 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 faculties with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazardinformation for Families,
Child c4r Providers, and Schools, Contractors must document compliance with this requirement. EPA's pre - renovation disclosure form may
be used for this purpose. understand that after April 22, 2010, federal law will require you to be certified and to use lead -safe work
practices. To become Certified, renovation Contractors must submit an application and fee payment to EPA. See• agagation for firm
certification. The Agency has up to 90 days after receiving a complete request for certification to approve or disapprove the application.
Contractors who perform renovation, repairs, and painting jobs should also:
• Take training to learn how to perform dead -safe work practices.
• find a training provider that hes been accredited by EPA to provide training for renovators under EPA's Renovation, Repair,
and Painting (RRP) Program. Please note that If you previously compteted en eligible renovation training course you may
take the 4 -hour refresher course Instead of the 8 -hour Initial course from an accredited txainine provider to become a
certified renovator. Click here for a Iis of eligible courses.
• Provide a copy of your EPA or state lead training certificate to your diem
• Tell your client what lead -safe methods you will use to perform the job.
• Loam the lead laws that apply to you regarding certification and lead -safe work practices beginning in April 2010.
• Ask your client to share the results of any previously conducted lead tests.
• Provide your client with references from at least three recent jobs involving homes built before 1978.
• Keep records to demonstrate that you and your workers have been trained in lead -safe work practices and that you followed lead -
sate work practices on the job. To make recordkeeping easier, you may use the samole recprdkeeoing checklist that EPA has
developed to help contractors comply with the renovation recordkeeping requirements.
• R - t • • comply w- • EPA's ru In the EPA Small Entity Compliance rillde tg Renovate Right.
• - in EPA's ••stoL -.■ - - -.. . •r :-r,.ir.n. -inn /n
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04/13/2012 06:54 9124450005
YAUN PAGE 04/04
Permit Acknow led eement of
Asbestos/E�nvironmentttl Notlflcation to Geoff ein 1 1D for
jects Involviqg Demolition, Wrecking, or Renovation
The undersigned hereby acknowledges that the issuance of this permit does not in any way grant
permission to the owner, owner's representative, or permit holder to proceed with demolition,
wrecking, or renovation of a structure prior to the filing of any required ten (10) day "Project
Notification for Asbestos Renovation Encapsulation or Demolition- form in accordance with
the Georgia Asbestos Rules. The Georgia Environmental Protection Division administers the
rules. In most cases, the rules require both the owner and the involved contractors to assure the
portion of the building involved in the project is thoroughly inspected by an Accredited Asbestos
Inspector for materials that contain asbestos; and the removal of the asbestos before renovation,
wrecking, or demolition begins almost without exemption. Georgia EPD requires a completed
demolition notification from be submitted 10 workings days in advance even if no asbestos is
present in the building. Further guidance for regulatory compliance and contact telephone
numbers are provided by the brochures entitled Asbestos & Renovation and Asbestos and
Demolition. Other environmental issues such as asbestos removal techniques, lead abatement,
ground contamination, or unusual site conditions may have E1 D regulations that could affect the
project.
ersigned
re/ pq/i/
Name
Prin
(Om Use Only:
Project Address:
Permit Number:
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