HomeMy Public PortalAboutBUTLER AV_1304.pdfProperty Address:
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City • Tybee Island, Georgia
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(Check all that apply)
Single Family ❑ Discovery/Tearout EJ Demolitl n of Structure
❑ Duplex ❑ Footprint Changes — 29 Other S,
F-1 Multi-Family __ units new _ square feet
❑ Commercial units heated/cooled
Details of Project:
Estimated Cost of Construction: $ 31006-00 (materials + labor + prof it/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: 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:
►n-site restroom f ilities will be provided through &AU Construction debris will be disposed
I
by _�r�-ITAIL _ by means of - TA VC- I understand that 1, must comply with zoning, flood
damage control, . building, fire, shore protection and wetland ordinances, FEMA regglations 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. l accept -responsibility for any corrective action that
may be store drainage impaired by this permitted construction.
Date: Signature of Applicant:
Printed Name
u a, ITYW A
Note: A permit normally takes 7 to 10 days to process
Approvals: Signature
Planning & Zoning Manager
Building Off icial
Water/Sewer
Storm/Drainage
City Manager
N.
LEAD-BASED PAINT RRP RULES
Ordinary renovation and maintenance activities can create dust that contains lead. Contractors who perform
renovation, repairs, and painting it in! pre- 1978 housing and child-oiccupied facilities must, before beginn!ing
work, provide owners, tenants, and child-care facilities with a copy of EPA's lead hazard information pamphilet
Renovate RLqht: Important Lead Hazard information for Families, Child Care Providers . ......... and, Schoo .
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 • exterio r w replacements, and partial demollitions of any size.
asbestos /Environmental Notification to Georgia EP ID for
Projects Invollying-Dernolition 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 cond'itiions may have
EPD regulations that could affect the project.
BIVIPs
While BMP deficiencies are not necessarily the fault of the owner or his agent, BIVIPs are their responsibility.
Two areas of deficiencies are in the most basic and common BlVlPs; Co — Construction Exit and Sdl —
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;
littp: //www.gaswcc.org�/docs/fiel'd—manual--.4-ed,pdf.
Problems with the Co is not limited to the installation, but to material. The stone will be a representation of
stone or larger.
Inspection Pass F'a i I Fee
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/ . . . . . . . . . . . ..
ee
ty o Tybee Isd Community Development Dept.
Ci f la n
Inspection Report
Situ
403 Butler Ave. - P.O. Box 2749 - Tybee Island, GA 31328
TPNAMNAI
ro
Phone 912.472 -5032 - Fax 912.786.9539
CODE COUNCIL
M E NAB ER
Permit No.
Date Requested
Owner's Name
Date Needed
Gen. Contractor
Subcontractor
Contact Information
Project Address
Scope of Work
Inspector
Date of Inspection
Inspection
Pass Fail El Fee
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Inspection Pass F'a i I Fee
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DATE ISSUED: 05-13 -2013
WORK DESCRIPTION
WORK LOCATION
OWNER NANI F,
ADDRESS
CITY—ST, ZIP
CONTRACTOR NAME
ADDRESS
CITYS'TATE ZIP
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE
TOTAL FEES CHARCED
I'1?01-'I�IZT't'IDEN'I'IF,ICATION #
PROJECT VALUATION
1111W
muwm�� f
BUILDING PERMIT
REPAIR 3 PIERS AND s,rRAPS
1.304 BUITLER-IN BACK
DAVID F., SIPPLE
620 E 45TIl ST
SAVANNAH GA 3140'5-2436
FIRST CITY FNTERPRISES
PO BOX 1016
TYBE,E ISLAND (,.,A 31328
1)
s 75.00
PIN #4-0007-05-005
4
upcofflum,
TOTAL BALANCE DUF: $ 75.00
It is understood dual if Illis pCI-mil is granted the builder will at all tillics comply milh file rolling, subdivision, flood colilrol. building, fire, soil
and SCdilllCltltaXt idaap, wetlands, 111,11-sidands prolectioll and shore protection ordinances and codes IN 110110' 10C31, Sl'-ltC01JC(ICTqI, iltClUdillglitl
ell viroll menta I laws 1pul regulations whell applicabte, sobse(pueW (AAA hers should be informed that any niteralions to the propN,ty must be
a ppro % ell 1)), the isstul nee 0I another building pol-mil. Permit holder agrevs, to hold I hic City of''Tybee I s] and harmless oil an.N construction,
covered by this perojiC
his 1wrmil njosl he posled in a Conspicuous locallan in the front of building mid proledcd 6'0111 d1c N%C21110% If" this P(Willit k Hot Posted )1o1.k
will be stopped. The hoilding contractor mill replace Curb pawing and gtotter broken during constroclion. This pea-mil N01 be voided unless
mwk bars begun within six wnths ot'thc date ol'issuance.
Signature of"Building Inspector or Authorized Agent:
1'. 0. lto� 2749.. 403 Butler ANcnuc, J) bvc Wand, Georgia 31328
(9121 7864573 - FAX (912) 786-9.539
11 %I NN,•t) IM3 beemr,