HomeMy Public PortalAbout09-0413 Bolch I rA
CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 09-22-2009 PERMIT#: 090413
WORK DESCRIPTION DRIVEWAY REPAIR
WORK LOCATION 12 THIRTEENTH LANE
OWNER NAME SIDNEY BOLCH
ADDRESS 703 DANCY AVE
CITY,ST,ZIP SAVANNAH GA 31419-3005
PHONE NUMBER
CONTRACTOR NAME BLOOMQUIST CONSTRUCTION INC
ADDRESS 19 E PERRY ST
CITY STATE ZIP SAVANNAH GA 31401
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 35.00
PROPERTY IDENTIFICATION#
PROJECT VALUATION $1,100.00
TOTAL BALANCE DUE: $ 35.00
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 ally 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.
A Oro
Signature of Building Inspector or Authorized Agent:�'fy/„p
P.0.Box 2749-403 Butler Avenue,Tybee Island,Georgia 31328
(912)786-4573-FAX(912)786-9539
www.cityoftybee.org
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City of Tybee Island • Community Development Dept
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• "-: , Inspection Report Liilir/f
...,. 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 :-:;,'.1..,•,;:4-
Phone 912.786.4573 ext. 114 • Fax 912.786.9539
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1 Permit No (W- (ixr5 Date Requested 12 ._S 1 '
1 7 .
Owner's Name -139-61 Date Needed /OA/44
Gen. Contractor ,W(2.W4a,,k4<-7L Subcontractor
Contact Information ibld,\)/tid .. 2.5 -- '7.
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Project Address /2 11-71./. .6 .7-......ro /r.--- -
IScope of Work
17
Inspector '2/4 7 Date of Inspection 4)/4/44
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Inspection '' /0 e--/0 5/f CV/4 ........ Pass 0 Fail 0 Fee
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Inspection Pass 0 Fail r----1 Fee
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Inspection . Pass 0 Fail 0 Fee__________
Inspection Pass 0 Fail 0 Fee-
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City of Tybee Island Community Development Dept.
• Inspection Report
403 Buller Ave. - P.O. Box 2749 - Tybee Island, GA 31328 rati 4 11.
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Phone 912386.4573 ext. 114 Fax 912.786.9539
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Permit No. Ci L1 I
Date Requested -
Owner's Name r
Date Needed '
Gen. Contractor 1-'1A nrs, ..54--# Subcontractor
Contact Information - 78
Project Address
r ..112 o r\-1/4—t-\ L
Scope of Work V 0 • •
;4. •
Inspector . Date of Inspection 7
Inspection_ r e .r
Pass j Fade Fee
Inspection Pass 0 Fail Fee
Inspection . Pass 0 Fail Fee •
Inspection Pass Fail Fee
09/10/2009 14:45 9125257784 BLOOMQUIST PAGE 01103
from:CITY OF TYBEE ISLAND 912 786 9539 09/1012009 13:48 #376 P.001/002
/ CITY OF TYBEE ISLAND,GEORGIA
00,3 APPLICATION FOR BUILDING PERMIT
TTY'
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Location: , fe / ,� e fe PIN#
NAME ADDRESS TELEPHONE
Owner //e c7 /3e/c It IA /3 ,La#44- (ci " a t 5cr9
i 4,e—e /- ,ld C�/4
Architect
or En_incer
Building G v ern0 ut's Y/2 .c-,/S-
Contractor 51.r u c 1.07 IriggigNilin 'J? 1
(Cher I that apply)
Q'epair ential D Footprint Changes
0 Renovation Single Family Discovery
Minor Addition 0 Duplex ❑ Demolition
0 Substantial Addition ❑ Multi-Family
0 Other 0 Commercial
Details of Project: /o /^ ,s O (' / r Il'g I7 1'1 fi!�n cl
6r e, lk s. i' " " . : L —.
Estimated Cost of Construction: $ / /GC✓ G
Construction Type (17/ ) (Enter appropriate number)
(1) Wood Frame (4) Masonry (6) Other(please specify)
(2) Wood&Masonry (5) Steel &Masonry
(3) Brick Veneer
Proposed use; c 1 r LjDQo /d SJ f e rn c'ry ' e /4 j a i A 1c 3 ` 1V xj itch,
Remarks: _ al c A 1 _ c . e <
ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the
following information based on the construction drawings and site plan:
Ng n SJt -e- cAcd
#Units #Bedrooms #Bathrooms R
Lot Area Living space(total sq. ft,)
#
Off-street parking spaces
Trees located & listed on site plan
Access:
Driveway t,,. ' (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,
09/10/2009 14:45 9125257784 BLOOMQUIST PAGE 02/03
From:CITY OF TYBEE ISLAND 912 786 9539 09/10/2009 13;48 #376 P.002/002
During construction:
On-site restroom facilities will be provided through _U 5 t o A q f t.e5 I is OGill•
On-site waste and debris containers will be provided by ,fit•-, ,
Construction debris will be disposed b
]' by_AA a d by means of -S/?ov Lrf
I understand that I must comply with zoning,flood damage control,building,fire,shore
paarAtiaLagances,FEMA regulations and all applicable codes and regulations.
I understand that the lot must be stared 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.
I/ 2�/
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Date: � /� -� .r Signature of Applicant; � 'Az
Note: A ermit o ]lv takes fi e/q./ e r J /. /6G/44 f ur'f 1
p ,pa 7 yo l 0 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: , ignature Date FEES
Zoning Administrator \,.. 1\ - o \ Permit
Code Enforcement Officer �la Inspections
Water/Sewer ' Water Tap -
Stonn/Drainage _ Sewer Stub
Inspections ry Aid to Const.
City Manager .. ...
TOTAL
09'10/2009 14:45 9125257784 BLOOMQUIST PAGE 03/03
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• 19 EAST PERRY b MEET•SAVANNAH,GA 31401
912.575.7782
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www.bloomquist-construction.com
(91 2)525-7782
(912 525-7784
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