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Home My Public Portal About09-0305 YMCA & Old School /77*' iMO CITY OF TYBEE ISLAND BUILDING PERMIT DATE ISSUED: Q6.44-969 7-2 Gi cues, Did s ciao PERMIT #: 090305 WORK DESCRIPTION YMCA &OLD SCHOOL - RENOVATE WORK LOCATION 204 FIFTH STREET OWNER NAME CITY OF TYBEE - YMCA ADDRESS 9 CEDARWOOD DRIVE CITY, ST, ZIP TYBEE ISLAND GA 31328 PHONE NUMBER CONTRACTOR NAME CITY OF TYBEE - YMCA ADDRESS 9 CEDARWOOD DRIVE CITY STATE ZIP TYBEE ISLAND GA 31328 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE U TOTAL FEES CHARGED $ 0.00 PROPERTY IDENTIFICATION # PROJECT VALUATION $30,000.00 TOTAL BALANCE DUE: $ 0.00 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: ( O. Box 2749 - 403 Butler Avenue, Ty bee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 44 w w .cittioftybee.org • it •, - city of' bee Island • Cornemsnity Deveio. ant Dept. i o : ,.. .=.,,,,... „.;:,, .:,...., .. Inspection Report R t.i:V/1A 403 Butler Ave. • P.D. Box 2749 = Tybee Idand, GA 31328 '-5 t• 1 912.786.4573 ext. 114- = Fax 91.2.786.V539 ......___.... :vhF.F.Ir..14.: 9, Permit No D ci - o 3C,J'5-; , DatFt Requested Owner's Margie _LI-) og - 1\,./2i41., Date Needed - i Gen. Contractor rt.)011 C. ii\ Subcontractor A D t / a. Contact information JO C. Project Address scope of Work (.21 12C-,L..LV;.) ( 6.)1,) 1---)726, c c: oir.7,1: NYZ,' r I r \) ,e - , 4 4 ACk I A - (14r72fri &16 „. I nspector - I i (C2h ai IP Date of Inspection 6.--1/..fj f te kJ I —......._ , i nspection f- 1 ,\IC ( _C )7.-ii".1/004 ( - Pass a Fail C3 Fee I e tspectio rt Ait 1 LA ( - Pass a - Fa ii 0 Fee Inspection i i Cf:: 2' 4. I A .° ..c. A4t. Pass Cl Fail tip - e * E \,) N.) CL' -D (,,e(301I\ 1 -- V -A . - - )- 1/4 41 L '1 7 (/5- 11;49A oft / rTfncei_?(WY t_ ci\)-- 4 - . - 1....---' O oolc)_--.7\iT (A-A-AT ) TO :1,_ alf.3 &it-v (- Inspection Pass 0 Fail 0 Fee. 1 , , l.,Tiv,VV City of tyhr:. iLl MI ld • Ccornontel5ty Ilevouptirvart*.: E*t,-, SAMMY'S 1.- Trospectia°3 gietpo,,--t ZAS% ''.:.... . .., 403 Butler Avo. . VA). E...ro;f, 274'.g. - .1 - ybee island, GA '''. • Phone ill:2 ;18%5,457 e 1.14 . F-AN -4, z- 1 12,786.953 4 D .. ..._._.... ..... Pe..-yrnit Mo., _IA- 0 Date Requested a ii 1 I i ..—.- OwllerS ivame, (21 ,-4 r)t ki‘ t'2,?_'' Date Needed 41-11-PCi 1 i ; 1 Gen„ Contractor lAY))FX.,. Subcontractor m g i f ..." I Contact Information -40 r;-% . I Pvoject Address _____---2.c.y4 P 1 Z - (14 ,-- a:IWdE.- i al < - , I Scope of Work l '101,, g I, - qii: ... , ---, - wr ilk ' ) rc.,105 " t".*1 1 ! , 1 /- i „ a , e' 714 Date of Inspect vii it L101 0 1 1 f riSP eCtif) a .._ 5 1 1: i ''" 6 0-4a a /Faiii 0 Fee I . r •-• ).1-4 t-libe. MI IDEA0E I ! I 1 1 Ins pe,ctio n, 41140 . '1 , f \ ,1 4 ("' t.0 / Fail CD Fee ER 7 , _ , , - .1.-.) e."-Li ol e.::e5ye? pi it-47z i_olia ,.4 . 1 - f 1 I I ' 1 Inspection L.I rzcz._3(4rri:..„,—, - 1 1)4, p-;,.. ' l iait, Fail 0 Fee I 11111 7 i-16 MI ex-i (Z EF. (1 - 3A t4-0.131 riligi uirz fax/ -I- 61Z.4 6) ( Diatqczre.lxi-1- „.... I t Inspection ( 2 , 1 - Vea)( 2 1- - 0:1)__1( .0 CiFrii' s . rpgil 0 ma Fee 3. b' 1 I i . ° , . - - • .414 i tor City of Tybee Island - Community Devek‘prnent Dept -- - • r Inspection Report i.'. ..,.:: :,...: 403 Butler Ave. - f Er 24 , - fyib a T..-: Isiond, GA 31328 II II Phone 912.786.4:573 ex'k. 114 . Fax 912.780.9539 .. ___....... [ e rrn i t Nor , , nq ,--) -2 )/Ie-, -- Date Requested c-34-46i ___. .... _ 1 3wner's Name (...4-4.1 (2,__A Date Needed en. Contractor --- j7: i_L14,..)(11Z ,.., Subcontractor 1 po intact information LID f' ‘Z..-- '•..2) 7 . Prf.pjec.:Th. Address - ZO 1_ ELETA___::.-i-iza:31- cope of Work 63 Ai kii 1 I t nspector 7 I - 211,0 Date of inspection 1 nspection 17 0 - ze i ()Thw 1, „ i ll Fail 0 Fee ( •o7 I i --.,,-->...,..- — -4--- t3 — - `,DL-1‹.;e.-1/3 01 , — 179 :L :1 E --- - -- litkS - 2 L c , 1. t i N ', i 1 - 60(41 -.". i i2lia•-64 - 0)( - n I ' 121El) 1,1 ''''' P ri 1100141-11q ( specton .( ,Aa , 1 -- Pa.s. -ail 0 Fee — -- 1 -- --, 1 nspertion Pass ri Fail 0 Fee 4 .....11 i pection . Pa:-R. ri Fail 0 Fee ) • 1 , • •• . . . .• i ,_ , _ _ __ ___ ___ __ ____ ___ __. _ - — • _ __. ___ ____ ____ __ 7a," iii! City of "rybee Island • Community Development Dept. ; ,,, UMW v # • • . # . -, ' . . :1 ' Inspection Report N .... ma ' 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 P • % ,. Phone 912.786.4573 ext. 114 • Fax 912.786.9539 ..xxr,e,sc,u I ...:'.' '''''. _............ - : 1 / 4 E 1, 45 r: R l rm it NO. e:,,q -.• 0305 Date Requested 8/3/09 wnerts Name _ (.2 , - --- #7,„z4azA Date Needed 841 kig J 1 ' ;jam. Contractor of3t it t.,Zie Subcontractor I contact Information I . 'roject Address iicope of Work __e,C2inw7 J U441 i 14i Inspector /71 Date of Inspection Eil , I inspection_____LAILLW\ou_l_ 1 41Rilh■ ii . it F ,.. Pass Fail El Fee I 1 1 i nspection N, Pass Fail 0 Fee , 1 i . , * 1 nspection Pass 0 Fail 0 Fee . V ' \ 1 :- i ..... ,, ,t,00 ,. 1- `.. nspection Pass Fail 0 Fee -_, 0 CITY OF TYBEE ISLAND BUILDING PERMIT DATE ISSUED: 06 -23 -2009 PERMIT #: 090305 WORK DESCRIPTION YMCA - REMOVE WALLS,BTHRMS; WNDW WORK LOCATION 204 FIFTH STREET OWNER NAME CITY OF TYBEE - YMCA ADDRESS 9 CEDARWOOD DRIVE CITY, ST, ZIP TYBEE ISLAND GA 31328 PHONE NUMBER CONTRACTOR NAME CITY OF TYBEE - YMCA ADDRESS 9 CEDARWOOD DRIVE CITY STATE ZIP TYBEE ISLAND GA 31328 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE U TOTAL FEES CHARGED $ 0.00 PROPERTY IDENTIFICATION # PROJECT VALUATION $9,000.00 TOTAL BALANCE DUE: $ 0.00 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. Si Signature of Building Inspector or Authorized Agent: ��' g g P g i_ �/ � ! A 411. _ P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityottybee.org During construction: On -site restroom facilities will be provided through On -site waste and debris containers will be provided by Construction debris will be disposed by 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 constructio . Date: Z* Signature of Applicant: c � Note: A permit normally takes 7 to 10 days to process. The following is to be completed by City personnel: Zoning certification NFIP Flood Zone Approved rezoning/variance? Street address and number: New Existing 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) Access to building site Distance to water main tap site Distance to sewer stub site Water meter size Storm drainage Approvals: S'', Date FEES Zoning Administrator ` /� �W 9 Permit 4 9 Code Enforcement Officer ' Ca Inspections Water /Sewer Water Tap Storm/Drainage Sewer Stub Inspections Aid to Cons . . City Manager l TOTAL DWI OF al • `+Y I' b �yt 73 = GEORGIA Permit Acknowledgement of Asbestos/Environmental Notification to Georgia EPD for Proiects 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. .A/ 7:11 Under ed Date k //V/ Printed Name Office Use Only: Project Address: Permit Number: o CITY OF TYBEE ISLAND BUILDING , PERMIT ff DATE ISSUED: 0.6.23-2.049 7- ZS' - 0 9 Q ct�e°ci Did S C h oo PERMIT #: 090305 WORK DESCRIPTION YMCA &OLD SCHOOL - RENOVATE WORK LOCATION 204 FIFTH STREET OWNER NAME CITY OF TYBEE - YMCA ADDRESS 9 CEDARWOOD DRIVE CITY, ST, ZIP TYBEE ISLAND GA 31328 PHONE NUMBER CONTRACTOR NAME CITY OF TYBEE - YMCA ADDRESS 9 CEDARWOOD DRIVE CITY STATE ZIP TYBEE ISLAND GA 31328 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE U TOTAL FEES CHARGED $ 0.00 PROPERTY IDENTIFICATION # PROJECT VALUATION $30,000.00 TOTAL BALANCE DUE: $ 0.00 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. I C Signature of Building Inspector or Authorized Agent: P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 ww ii. City of ..3s.e. Island = Cen nity neWliii2. ent. Dept. 6144;/ • Z.12 At. 4 :Insperticn Repo-5.-t 'iii;:;K•64-7 403 Later Awe, • P.D. Box 2749 - Tybee LT:land, GA 31328 ....raz..Ri !..!I'' Ph One P12.72,43.4573 ext. 114 = Fax 917_.7'Dgi.t:•:--;531? 1 / Permit No DC3 - 0 7,0S / Date A ectut )(,)/2.0/0" / . / - /4 _ ,, , Owner's Name f I 7.1-71 ( i v 214.1, Date Needed i - ,,--, 1 Gen. Contractor f../1911C. tA3OZIC..‹; Subcontractor 4.4,1) i A 1/1/0 co , Contact Infonriation JO E. Projzct Acich-es Ii ( ', - 1-4 ,g(72-i' i-TZ- 7 I /-:_ii) Scope of Work __k?? , 121ZZ C.) C:7 C.)•;31.2 f-ixfiZ. Pi2(7 —ILL i I \)19 i 4631 -(6-ite11 L .-- li„,-, Inspector _ IC2I CO I 1 1 - 1 DaInspection 1,--Vi./ 1 ' Li .(- i _.. _., inspection r- 1 K101 E-- 1 )7,( 1ik)f.a4 i - Pass IMI Fail 0 Fee Inspection A ki2W1 I:- i L.4 ( - Pass a -- Fail r-i Fee 1 ....1 Inspection 1....1 1 '', - Pass 0 Fail 1. 1 , v-)) 00.)b (200/r1 V71 1/4/:-.1 (i 607 i4. r v ? Giu ii4 - sST E,k / 0 - 7A.1 , ) ..„.„ ?..,1--1- ot:agio To it e 4.( --:-/ t■) V ..f.tt 'i'., - i nspectio ki Pass i: Fail Ej Fee . a I ... ... City of rybee. Uilanki • Community Demigopment_ D*!pt, cum- i I ;.!:::::' - ::•', : ItnIspecti Oil Report Zr - i •,;'',:.. ;:' 4O? Eutier Ave. , P.,C,t., Box 274,g . Tybee. Is !arid, Phsne q1.2,71:6.5.4573 ext. 114 . Fan 912,786.9537E,l' ,. • ,-. '•.....t......-__ _ ...... :,• *i VA '3 r".. ,71. Pegwiit No. _ ../:, Date Requested i o a / 1 i i ci . .1 , 1 Owner s: f _did t ame Date needed 4/ILIMi I i i I Gen. C1 F — 0 ) F ) i I _ ! dCZ2Z J.C6 S LI koc: o rt t ra c to r Contact Information 's-J0 IF , :.-p"? 1 Project Address 2Q 1::- 1 z --- J4 -4, ,( \14,04 frxj 1 l ' 1 , ,diAt- _ i • nl Scope of Work Ca , . i ro; • a 11 7 .---....4 --. 1" - 'P I Alir f --, .41 '. -.g, .74 ..41.446-ret ,.)a--it.r-, I Inspect° k ' ___ Date of Inspection g/,, 1 1 Inspection LtA.L.__C__12:E.A,Aigli , K)O-Ita S'' /Fail 0 Fee I ,... 1 -641r h MI ( 3(. pc,i0E I CdA I Fee Atxtaii .. ri ( - i(kr-1. pA-0 i Fail il 0 Inspection / \ , v ;2%, ?its) El 1. (41pire+z , r I 0[4W-'071 Co. --- -1 - c) - 6E - or\) .5,4).-4, reire,- . 1 . 1 . _ ,„1 p,-. -fr. ' 1 1 Fail 0 Fee Inspection L i frre,4- Fc. i - 1 - 7 . ti. 1 , - r/L14's Mi e.41..ielvistiA0,5 ! (, 2 u.41 3 A 40 Da rnid.)T2 _PQW1b i.-)( - i- 614",...\ G ..) iz. r 1 , , T - &,u,b1=i, a,,t.,÷ ,(..,i4,13 Q ialicic , 1 1: 3) '6i-4 i\)3-441( 06 1:::01 6-10/EZI::-- 7z) .,, (21-)Eiv 6 -0,4- o .,5 1 -7,,,,,,, - gai! 0 Fee InspectiD il • ._, . . , :......./E.'4, City of Tybee Island - Community Developyrsent Dept , MYSIMMv '. ',...::: • :: Inspecti Report 403 Butler Ave. . P.17), Lr 2749 , Tybee island,. GA 31 !-'., ... • • Phone 912.736.43 exri 114 . Fax 912.736.9539 -....,,..s. ermit No. r)q - (`') ' Date Requested r vfe,wee's Name mz., q Cate 'deeded Ccritractor 73/i( _1,4)(1 Subcontractor r , . ratact 511; • - ,' - 315(,) 7 . I p&-ject.l.ddressi f.0(1 1i r 627 s cope r f work e,a6A±11 1<,": A )0_124411:22 inspectop 71_ &I /LIZ) Date of Inspectton I . ma, I nspection P '07; --...i 13 - __-__1:.1::) 172 0 • • . .. .J gm Fail 0 Fee (7' 1 a — 3 l — R , , 6orfizpi 7 ,.\ ( 07: -z-. , )36',061zi. 4 1 — u3 c - 14ra maiol it vii-r ( / v!ki )5 ,...-.) ,. _1 pectio 12 1 cA SS 0 Fail 0 Fee 1 — 1 Y - rcipi k I /) - 1,-)A4 cl--,Z- (-1- nspection PaEs r7 Fa”, ,r- Fee LA 1,.....i 1 pection Pas;s - a Fa E3 Fee 1 1 , - 3 , 1 ) I -,. Ar....`"Warci City of Tybee Island • Community Development Dept., fr 1, ri; rim I Inspection Report 2 1 , v . ..,' I 403 Butler Ave. - P.O. Box 2749 • Tybee Island, GA 31328 tf:•` r ...Pir. - :.' Phone 912386.4573 ext. 114 - Fax 912.786.9539 il errnit No. Oq - 0,3os Date Requested 6/3/CR wner's Name _ - • i - i A Date Needed ,e/Li /0q en. Contractor Poi3t I/ lik)/317,4- Subcontractor F ontact Information NJ DIF _ roject Address 2O44 gi P - S4f2fErri - • . ,. cope of Work __20_0:102,_ )‹.___-1 f Inspector "71 Date of Inspection SI Li- I (Doi , 1 cton Pass nspei 72 ._1.A.L.a.A.11 la<ail El Fee nspection n., Pass 0 Fail 0 Fee • - , .•') , .} .''-- -.,-)‘:- ''.. inspection - Pass ri Fail 0 Fee .•••I '1-- i lt-spection Pass 0 Fail 0 Fee , - ti CITY OF TYBEE ISLAND BUILDING PERMIT DATE ISSUED: 06 -23 -2009 PERMIT #: 090305 WORK DESCRIPTION YMCA - REMOVE WALLS,BTHRMS; WNDW WORK LOCATION 204 FIFTH STREET OWNER NAME CITY OF TYBEE - YMCA ADDRESS 9 CEDARWOOD DRIVE CITY, ST, ZIP TYBEE ISLAND GA 31328 PHONE NUMBER CONTRACTOR NAME CITY OF TYBEE - YMCA ADDRESS 9 CEDARWOOD DRIVE CITY STATE ZIP TYBEE ISLAND GA 31328 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE U TOTAL FEES CHARGED $ 0.00 PROPERTY IDENTIFICATION # PROJECT VALUATION $9,000.00 TOTAL BALANCE DUE: $ 0.00 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 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org CITY OF TYBEE ISLAND, GEORL— APPLICATION FOR BUILDING PERMIT 09,03 Location: pC J ,S�• PIN # NAME ADDRESS TELEPHONE Owner "T oil v Igo .0 • - ` /Yl cI A t 4 Architect or Engineer Building Contractor _ (Check all that apply) n Repair ❑ Residential ❑ Footprint Changes rt ' enovation ❑ Single Family J Discovery Minor Addition H Duplex Demolition ❑ Substantial Addition ❑ Multi- Family H Other ❑ Commercial , >/ Details of Project: /6.(‘-d,--44 �i L� �-z� p2 t �°� " '�'�7" � j � - ee l 71 - ( Estimated Cost of Construction: $ 70-62 Construction Type (Enter appropriate number) (1) Wood Frame (4) Masonry (6) Other (please specify) (2) Wood & Masonry (5) Steel & Masonry (3) Brick Veneer Proposed use: Remarks: ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the following information based on the construction drawings and site plan: # Units # Bedrooms # Bathrooms Lot Area Living space (total sq. ft.) # Off - street parking spaces Trees located & listed on site plan Access: Driveway (ft.) With culvert? With Swale? Setbacks: Front Rear 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. During construction: On -site restroom facilities will be provided through On -site waste and debris containers will be provided by Construction debris will be disposed by 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 constructio . � Date: / G 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 NFIP Flood Zone Approved rezoning/variance? Street address and number: New Existing 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) Access to building site Distance to water main tap site Distance to sewer stub site Water meter size Storm drainage Approvals: S' �,, Date FEES Zoning Administrator (J4 Permit Code Enforcement Officer ' 6.013-0? Inspections Water /Sewer Water Tap Stonn/Drainage Sewer Stub Inspections Aid to Cons . City Manager t (-. 1 TOTAL OM OF .EE NATUNAL PesouxCES "' GEORGIA Permit Acknowledgement of Asbestos/Environmental Notification to Georgia EPD for Proiects 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. i r .� 7i Undetgned Date J /Ai/ Printed Name Office Use Only: Project Address: Permit Number: