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City of bee Island • Community Devek lent Dept.
Inspection Report
403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328
Phone 912.786.4573 ext. 114 • Fax 912.786.9539
INTERNATIONAL
CODE COUNCIL
MEMBER
Permit No. /a2-03 X Date Requested 0643 //...
Owner's Name W,4-t D,A4 Date Needed O //.S 4.2,
Gen. Contractor Subcontractor
Contact Information B J 2�-O -201./- 4L- ,.5011.5"
Project Address /6/,' 6/A7-m44i
Scope of Work . ff/1/4) fief, /4 4D.D1-no,,,
Inspector --7/ i Date of Inspection
Inspection f' /A/At- Pass El Fail
?23J& F I re-c. r ,D41
Inspection. �G %-�� r\A I Pass 111 Fail
4-7L
Inspection Pass ❑ Fail ❑ Fee
Inspection Pass ❑ Fail ❑ Fee
City of 1 ee Island • Community Develoi 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
Permit No. /2- D ;3g Date Requested 064///4.2
Owner's Name /,/}AL- DnlY1. Date Needed eb ///
INTERNATIONAL
CODE COUNCIL
MEMBER
Gen. Contractor Subcontractor
Contact Information B. J. g3a - ,201- ,odic
Project Address 46, g t/ i,4 -yl) 41/f�
Scope of Work 56,P/fn%f D ,diee /4 4 D rri /m)
Inspector `7 /qt
Inspection fJiJ14t. - Aet >,4
Date of Inspection
Pass ❑ Fail
0A-Pi 11. 4-G4-7 1C-
Inspection Pass Fail ❑ Fee
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Fee
Inspection Pass Fail ❑ Fee
Inspection Pass ❑ Fail ❑ Fee
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City of Tyoee Island • Community Developnint Dept.
Inspection Report
403 Butler Ave. • P.O. Box 2749 • Tyoee Island, GA 31328
Phone 912.786.4573 ext. 114 • Fax 912.786.9539
II NIA*
INTERNATIONAL
CODE COUNCIL
MEMBER
Permit No. \ 2 - 02 �� Date Requested 6-/
-i Z
Owner's Name \,/4 a 1 A_ cuir Date Needed 5-/(6-12_
Gen. Contractor Subcontractor
Contact Information 1 .T, -6‘
:) n 3- 20 y 53 `-4 S
Project Address LO I (h Q`- k a ry Ave..
Scope of Work
Inspector 11 1 Date of Inspection
Inspection .7 -t . /Ng Pass Fee
U
Inspection Pass ("'"i Fail Fee
Inspection Pass Fail Fee
Inspection Pass ❑ Fail ❑ Fee
DATE ISSUED: 04 -24 -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
12 X 24 SCREENED PORCH ADDITION
1612 CHATHAM
AMY WALDNER
3586 CLUBLAND DR
MARIETTA GA 30068
AMY WALDNER
3586 CLUBLAND DR
MARIETTA GA 30068
P
$ 80.00
$4,000.00
PERMIT #: 120238
TOTAL BALANCE DUE: $ 80.00
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, GEORGIA
APPLICATION FOR BUILDING PERMIT
D..-030
Location: 1(41 - C ysTMtM /lye
NAME
ADDRESS
PIN #
TEL
Owner
,ir4 'F /9r'y
IAA 2
3'S% cc.c/r�-.A, /c. i>e_
Moi faE?A GR 3,i,_-0;
6,78 — Vey—A, v
Architect
or Engineer
tvi l
7 7o —,gb —3 b
Building
Contractor
1-.,___06-0._ i -j
ea, s _
(Check all that apply)
❑ Repair
❑ Renovation
x' Minor Addition
❑ Substantial Addition
❑ Other
Details of Project: "Idd
����- wad �•�,�
r(„42Er'
❑ Residential ❑ Footprint Changes
❑ Single Family ❑ Discovery
❑ Duplex ❑ Demolition
❑ Multi- Family
❑ Commercial , I al b ) d
SC!�ent1",� p 7l SidQ
of iJST1
j i X
(.
14- 1 -c,t .. tt . ypjntt 4 atCr (o C - - -,c sf (f;3&)!)
CO
Estimated Cost of Construction: $ 'y90
Construction Type
( Wood Frame
(2) Wood & Maso
(3) ick Veneer
Propos d use:
Remark
(Enter appropriate number)
(4) Masonry (6) Other (please specify)
(5) Steel & Masonry
ATTACH OPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the
following 1, . . rmation based on the construction drawings and site plan:
# Units
Lot Ar
# Off - reet parkin
Tree located & list
Acc ss:
Dr eway
S backs: Front
spaces
d on site plan
# Bedrooms
Living space (total sq. ft.)
With culvert?
Rear
# Bathrooms
With Swale?
Sides (L) (R)
Stories Heigh Vertical distance measured from the average adjacent
ade of the building to the e reme high point of the building, exclusive of chimneys, heating
nits, ventilation ducts, air conditioning units, elevators, and similar appurtances.
During construction:
On -site restroom facilities will be provided through Lige of - 6,61:4 gyp_„ s
On -site waste and debris containers will be provided by PEfyo,/►L 11f160
Construction debris will be disposed by VitS4N/'L t411klf-by means of _TAW-
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: // 2— Signature of Applicant: ?,r..„41
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
Signature
Date
FEES
Permit
Inspections
Water Tap
Sewer Stub
Aid to Const.
TOTAL
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 about how to use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting.
IF YOU'RE NOT
FAD SAECER`IIED
- DISTURBING
JUST SIX
SQUARE FEET
"COULD COST YOU
.BIG TIME.
Signature
Printed Name
Date
NIL OF
iufwu
RUCIMICEI
GEORGIA
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
project.
Unde}igned
P rinted Name
0)1E_
z/1601,2
Date
Office Use Only:
Project Address:
Permit Number:
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