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Home My Public Portal About12-0235 Krembs_1of2CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT Location: l 1() v0..0 -, �}/ 6 PIN # NAME ADDRESS .>< TELEPHONE Owner Jas ‘c' S,.. �t,.,4,� 1., , l ( L S7- 44icc Architect or Engineer Building ��,,�� 0(106- 'lv ,,;� 'S'r.\ww.\ Contractor • 1-- tt� .1C-A2, L. 1- �. . S� -�. C;', s 14°5- G. , z t (Check all that apply) ❑ Repair Renovation ❑ Minor Addition ❑ Substantial Addition ❑ Other Residential fIKI Single Family ❑ Duplex ❑ Multi- Family ❑ Commercial Details of Project: n Footprint Changes n Discovery ❑ Demolition l�r r .� o Estimated Cost of Construction: $ V/ b , n • onstruction Type (1 Wood Frame (2) ood & Maso (3) B 'ck Veneer Propos - use: Remarks. (Enter appropriate number) (4) Masonry (5) Steel & Masonry (6) Other (please specify) ATTACH A CO Y OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the following inf• u', ation based on the construction drawings and site plan: # Units # Bedrooms # Bathrooms Lot Area Living space (total sq. ft.) # Off - street p. kin spaces Trees located & liste+ on site plan Access: Driveway (ft. With culvert? With swale? Setbacks: ront Rear Sides (L) (R) # Stories Height Vertical distance measured from the average adjacent grade of e building to the extreme high point of the building, exclusive of chimneys, heating units, v- tilation ducts, air conditioning units, elevators, and similar appurtances. During construction: On -site restroom facilities will be provided through Fv.s-crc I G gicNrArz.co On -site waste and debris containers will be provided by Arks.,...-r-LwasT T__ Construction debris will be disposed byPstl.neckc, c was by means of P qs 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: 4- (z41/ 1 Z 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 Utilities and Public Works: Describe any unusual finding(s) NFIP Flood Zone Existing 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 Office- Storm/Drainage Inspections City Manager FEES Permit Inspections Water Tap Sewer Stub Aid to Const. -At 5'o 5�ote TOTAL J 1 LEAD -BASED PAINT Adapted from http: / /www.epa.gov/lead /pubs /renovation.htm. Please use that site to access the following information. Information for Property Owners of Rental Housing, Child- Occupied Facilities Property owners who renovate, repair, or prepare surfaces for painting in pre -1978 rental housing or space rented by child -care facilities must, before beginning work, provide tenants with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard Information for Families Child 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 payment to EPA. 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. • Learn 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 recordkeepinq 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 Renovate Right. • Read about how to use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. Information for Homeowners 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 ultimate responsibility for the safety of your family or children in your care. 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 Schools 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 Families of Children under Age 6 in Child Care Facilities and Schools As a tenant or a parent or guardian of children in a child care facility 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 to 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 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. 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: Application 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 lead -safe work practices. • Find a training provider that has been accredited by EPA to provide training for renovators under EPA's Renovation, Repair, and Painting (RRP) Program. Please note that if you previously completed an eligible renovation training course you may take the 4 -hour refresher course instead of the 8 -hour initial course from an accredited training provider to become a certified renovator. Click here for a list of eligible courses. • Provide a copy of your EPA or state lead training certificate to your client. • Tell your client what lead -safe methods you will use to perform the job. • Learn 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 - safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeepinq checklist that EPA has developed to help contractors comply with the renovation recordkeeping requirements. Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right. Read abgat'fiow,to use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. I F YOU'RE NOT 1E. )SA.ECfRiI IH) .DISTURBING JUST SIX SQUARE FEET 'COULD COST YOU -BIG TIME. ` ature Printed Name 0- I Date Permit Acknowledgement of Asbestos /Environmental Notification to Georgia EPD for Projects Involving Demolition, Wrecking, or Renovation The undersigned hereby acknowledges that the issuance of this permit does not in any way grant permission to the owner, owner's representative, or permit holder to proceed with demolition, wrecking, or renovation of a structure prior to the filing of any required ten (10) day "Project Notification for Asbestos Renovation Encapsulation or Demolition" form in accordance with the Georgia Asbestos Rules. The Georgia Environmental Protection Division administers the rules. In most cases, the rules require both the owner and the involved contractors to assure the portion of the building involved in the project is thoroughly inspected by an Accredited Asbestos Inspector for materials that contain asbestos; and the removal of the asbestos before renovation, wrecking, or demolition begins almost without exemption. Georgia EPD requires a completed demolition notification from be submitted 10 workings days in advance even if no asbestos is present in the building. Further guidance for regulatory compliance and contact telephone numbers are provided by the brochures entitled Asbestos & Renovation and Asbestos and Demolition. Other environmental issues such as asbestos removal techniques, lead abatement, ground contamination, or unusual site conditions may have EPD regulations that could affect the Qroject. ndersigned Printed Name hL 411743/ I 2_ Date Office Use Only: Project Address: Permit Number: OWNER RECONSTRUCTION / IMPROVEMENT AFFIDAVIT Name of Company y2 (�� ,{i- v/' ,({ r Telephone 972 6 S 2 33 Contractor Address 7a j 52.16& 31. va,,,,1z, /C/1 Name of Property Owner —i —r S c: " -C iC - 6,7,�j Location of Property g/o 0,,4Q)-Gt(, c .. � hey - k.1'i4 /G4 313zSfr I hereby attest to the fact that the attached itemized list of the Estimated Cost of Reconstruction and /or Improvements are all of the repairs and /or reconstruction and /or improvements proposed on the subject building for the attached Building Permit Application included with the estimate. Listed below are the date(s) and details of the last occurrence(s) of any repairs and /or reconstruction and /or additions and /or remodeling at this property: BEN V3. tiA- s z r'v��c � �� ' ROM-Ty I understand that I am subject to enforcement action and /or penalties and /or fines if inspection of the property reveals repairs and /or reconstruction and /or improvements not included on the attached list of the Estimated Cost of Reconstruction and /or Improvements as well as the Building Permit Application as well as the list of the last occurrence(s) of any repairs and /or reconstruction and /or additions and /or remodeling. I understand that any Building Permit issued by the City of Tybee Island pursuant to this Affidavit does not authorize the repair and /or reconstruction and /or improvement and /or maintenance of any illegal additions, fences, sheds, or non - conforming uses or structures on the subject property. Total Labor & Materials Overhead & Profit Total Cost STATE OF GEORGIA COUNTY OF CHATHAM L-6 $ G /3; c- $ `� 7--o , $ 67 t� Before me this day personally appeared 3 W � S V• Y1/4433 who, by his /her signature below, states that the information provided on this Affidavit is correct and that he /she has read, understands, and agrees to comply with all the aforementioned conditions. 's Signature vv.rn to and subscribed before me this /Id ignature of Notary Publi L • TTE A. WHITTLE \ o ary Public, Effingham County, GA My Commission Expires October 27, 2013 My Commission expires day of ,20 /.Z %f. CONTRACTOR RECONSTRUCTION / IMPROVEMENT AFFIDAVIT Name of Company C 62_1.-tky s2 U Telephone et V7- �� -�-� Contractor Address `� D3 _ S7, "�-- S''I- . .1 p .i 1\ 3 (4UC Name of Property Owner JANI`ieLs �� \� Vt21Fci -16 S Location of Property \ k C V>N7,�--.2N►'\ `(Ifs I hereby attest to the fact that I, or a member of my staff, inspected the above mentioned property and produced the attached itemized list of the Estimated Cost of Reconstruction and /or Improvements. Further, all of the repairs and /or reconstruction and /or improvements proposed on the subject building for the attached Building Permit Application are included in this estimate. I understand that I am subject to enforcement action and /or penalties and /or fines if inspection of the property reveals repairs and /or reconstruction and /or improvements not included on the attached list of the Estimated Cost of Reconstruction and /or Improvements as well as the Building Permit Application. I understand that any Building Permit issued by the City of Tybee Island pursuant to this Affidavit does not authorize the repair and /or reconstruction and /or improvement and /or maintenance of any illegal additions, fences, sheds, or non - conforming uses or structures on the subject property. Total Labor & Materials $ 4;--/c.ro Overhead & Profit $ 4, 3-t 0 Total Cost $ k) Q'ZM STATE OF GEORGIA COUNTY OF CHATHAM Before me this day personally appeared df)t■l S Me E2- who, by his /her signature below, states that the information provided on this Affidavit is correct and that he /she ha read, unders and agrees to comply with all the aforementioned conditions. Con ractor's Signature Swor , to and subscrib before methis day of q1'wi7 Sign ure of Notary Public My Commission expires ANDREA G. MILLER NOTARY PUBLIC - GEORGIA CHATHAM COUNTY My Comm. Expires Aug. 4, 201 / / 2 Chatham County Board of Assessors: 2' ' Property Record Card 4- 0009- 08 -00: 2011 Chatham County Board of Assessors Property Record Card APPRAISER TJSHEPPA WEST HALF OF LOT 17 WARD 5 SAVANNAH BEACH LAST INSP 02/01/2011 APPR ZONE 000008 SALES BOOK/ INS VI QU RSN PRICE PAGE 02 May 290N 0599 QC I U UQ 2005 GRANTOR:HOWARD EUGENE & CAROL GRANTEE:HOWARD EUGENE R 111 26 Nov 243U 0001 WD 1 Q 268,000 2002 GRANTOR:MCLEOD OWEN GRANTEE:HOWARD EUGEN & CAROL 24 Jul 224N 0498 WD 1 Q 217,000 2001 GRANTOR:O;CALLAGHAN WILLIAM J &J GRANTEE:MCLEOD OWEN 23 Apr 202U 0479 WD 1 Q 186,500 1999 GRANTOR:KELLER & MCNEELY SALLY L GRANTEE:O'CALLAGHAN & OLSON WILL 04 Jun 160L 0257 WD I Q 69,900 1993 GRANTOR:MILLER FLORINE BLIZZARD GRANTEE:KELLER & MCNEELY SALLY L 01 Aug 1 U UO 10,500 1971 GRANTOR: GRANTEE: ,PERMITS TYPE DATE AMOUNT 100398 WO 01 Feb 2011 Comp 500 080280 RN 31 Dec 2008 Comp 1,000 COMMENTS: ,14 May 2003 20 Feb 2003 20 Feb 2003 19 Feb 2003 23 Jul 2002 28 Mar 2002 HS1OS ENT 5/13/03 APW *TY2000 SURVS *TY03 SURVS TY03 HS210S REMVD NJV 2- 19 -03 FOR SALE 07/19/02 $274,900 MAIL ADD CHG PER OWNER 3/28/02 HS1OS ENT 3/28/02 PL Page 1 of 2 4- 0009 -08 -003 1810 CHATHAM AVE TYBEE ISLAND HOWARD EUGENE R 111 1810 CHATHAM AVE TYBEE ISLAND GA 31328 CAMA ASMT 156,000 156,000 78,800 78,800 1,000 1,000 235,800 235,800 LAND 1 BLDG 1 OBXF 1 Cost - MS [Click for larger picture] �`, �f� Chatham County A Tax Commissioner o \•-\ J-cr- CO S (o- 233( ffatc ¥inn- Ds - 0 W�'-5 EXTRA FEATURES ID# BLDG # SYSTEM DESC DIM 1 178651 WOOD DECK AV CODES PROPERTY USE UTA NBHD 0006 RESIDENTIAL 0004 Tybee Island 020275.00 T275 TYBEE INNERSOUT EXEMPTIONS L1 L9 S1 L8 HISTORY LAND IMPR TOTAL 2011 156,000 79,800 235,800 Cama 2010 262,000 70,000 332,000 MAV 2009 262,000 70,000 332,000 Over 2008 273,000 119,500 392,500 Cama 2007 273,000 119,500 392,500 Cama 2006 261,500 142,000 403,500 Cama 2005 151,000 183,500 334,500 Cama 2004 121,500 127,000 248,500 Cama 2003 121,500 127,000 248,500 Cama 2002 84,000 110,500 194,500 Cama 2001 74,500 106,000 180,500 Cama 2000 55,000 87,000 142,000 Cama 1999 31,500 71,000 102,500 Ca ma 1998 31,500 69,500 101,000 Cama 1997 31,500 65,500 97,000 Cama 11996 15,000 51,800 66,800 Cama 1995 15,000 54,240 69,240 Cama 1994 15,000 48,190 63,190 Cama 1993 15,000 38,570 53,570 Over 1992 15,000 38,570 53,570 Over DIM 2 UNITS QL UNIT PRICE RCN AYB EYB DT ECON FUNC SP SP% RCNLD MKT VALUE 6 10 60.00 A 16.47 988 2010 2010 2R 988 1,000 LAND ID# USE DESC FRONT DEPTH UNITS / TYPE PRICE ZONING LCTN TOPO OTHER ADJ1 ADJ2 ADJ3 ADJ4 MKT VALUE 110985 SINGLE FAMILY RES 62 74 4,588.00 -SF 34.00 R2 156000 http:// boa. chathamcounty. ore /DesktonModules /ChathamCounty/ BoardofAssessors /PronertvRecordCard. asn... 4/16/201: Chatham County Board of Assessors: 2' ' Property Record Card 4- 0009- 08 -00: Page 2 of 2 2011 Chatham County Board of Assessors Property Record Card 4- 0009 -08 -003 1810 CHATHAM AVE TYBEE ISLAND BUILDING SECTION !CONSTRUCTION TYPE RCN AYB EYB DEP TYPE PHYS ECON FUNC OBSV / % TOTAL DEP % RCNLD U.FACTOR MKT VAL 86435-1 I Residential 98,084 1945 1985 MS 27.00 0.00 0.00 0.00 27.00 71,601 1.10 78,800 6' 12 w7 Menge [. S , ]d (SFI 72 [Click for larger picture] ABOVE GRNDPL NV will R «f 54 SECTION TYPE AREA TYPE FRAME STYLE QUALITY CONDITION # UNITS # OF BEDS / BATHS 1 - Main 1314 1 - Single- family Residence 1 - Stud Frame 1 - One Story 3.00 3.00 0 2 / 2.00 COMPONENTS Units % QUAL R1 108 Frame, Siding, Wood 100.00 R2 208 Composition Shingle 100.00 R3 352 Heat Pump 100.00 R4 402 Automatic Floor Cover Allowance R6 601 Plumbing Fixtures ( #) 8.00 R6 602 Plumbing Rough -ins ( #) 1.00 R6 621 Slab on Grade (% or SF) 100.00 R11 903 Wood Deck (SF) 270.00 R11 904 Slab Porch (SF) with Roof 90.00 R11 906 Wood Deck (SF) with Roof 54.00 R16 1637 Storage Building, Wood (SF) 72.00 http: // boa. chathamcounty. org/ DesktopModules/ ChathamCounty/ BoardofAssessors /PropertyRecordCard. asp... 4/16/201