HomeMy Public PortalAbout08-0152 City of Tybee B8Em
CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 04-18-2008 PERMIT#: 080152
WORK DESCRIPTION REMOVAL OF ASBESTOS
WORK LOCATION 403 BUTLER AVENUE
OWNER NAME CITY OF TYBEE
ADDRESS PO BOX 2749
CITY,ST,ZIP TYBEE ISLAND GA 31328-2749
PHONE NUMBER
CONTRACTOR NAME SUPERIOR ENVIRONMENTAL FORCE rx i G l
ADDRESS PO BOX 1447 `t`17
CITY STATE ZIP GRAY GA 31032
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE U
TOTAL FEES CHARGED $ 0.00
PROPERTY IDENTIFICATION#
PROJECT VALUATION $9,365.00
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: A
P.O.Box 2749-403 Butler Avenue,Tybee Island,Georgia 31328
(912)786-4573-FAX(912)786-5737
www.cityoftybee.org
i
MAYOR �. _+ ;:, CITY MANAGER
Jason Buelterman r` - Diane Schleicher
CITY COUNCIL ,475"
`` ; r�; CITY CLERK
Wanda Doyle, Mayor Pro Tern 1 21 Vivian Woods
Charlie R. Brewer 1 �4 ..;:z. ,`
Barry Brown '\ \'$ + `r CITY ATTORNEY
Eddie Crone `tia- 4/ Edward M. Hughes
Dick Smith ., Yfax Ec1Yc.-ti=''
Paul Wolff ._-
CITY OF TYBEE ISLAND
r\-- , RECEIVED
CITY HALL MEMO
To: All City Hall Employees
From: Diane D. Schleicher
City Manager
Date: April 28, 2008
Re: Air Quality Testing Results on April 27, 2008
This memo is to bring you up to date with the asbestos abatement under the city hall building. The abatement of
the old steam pipes with the asbestos material and the surrounding soil was completed this weekend. I have
attached the report form the company that did the asbestos air quality sampling test on Sunday, April 27, 2008.
You will see in the attached report that the air quality sample results were 0.0016f/cc.
I appreciate you patience with the process and if you have any questions fell free to contact me.
IIou.
,M- Q - 5:4.
P.O. Box 2749-403 Butler Avenue,Tybee Island, Georgia 31328-2749
(866) 786-4573-FAX(866) 786-5737
www.cityoftybee.org
F ,,, ,_ ENGINEERING,ENVIRONMENTAL ________//1 ISTEN e RESPOND o '_'CFORM
D as\ &CONSTRUCT ION SERVICES
April 28,2008
Mr.Joe Wilson
Public Works Manager
City of Tybee Island
P.O.Box 2749
Tybee Island,Georgia 31328
Re-occupation Results
Tybee Island City Hall
403 Butler Avenue
Tybee Island,Chatham County, Georgia
WPC Project#WPC3408.00064
Dear Mr. Wilson:
WPC has completed the re-occupancy asbestos air sampling at the above-referenced
project site. The following report describes the scope of work provided, and our findings.
INTRODUCTION
The project site, located on 403 Butler Avenue Tybee Island, Georgia, consists of a two
story building that recently had asbestos abatement work in the building's crawl space.
WPC conducted five(2)re-occupancy air samples of the first floor area.
ASBESTOS CAS AW SAMPLING RESULTS
The asbestos air sampling was conducted on April 27, 2008, by Jim Mahnke of WPC,
using high volume pumps at a rate of 10 liter per minute for over five (5) hours in
accordance with standard practices. The samples were read using the Phase Contrast
Microscopy(PCM) analysis(NIOSH 7400).
The sample locations and results are summarized in Table 1. The analytical results are
included in Appendix I.
Table 1. Summary of Asbestos Air Sam'ling and Results
Sample# Air Volume mp
Sale Location Sa^ p e Results I
1 3000 Liters 1 Auditorium 0.0016 f/cc
2 3000 Liters j Front Entrance Hallway 1 0.0016 flcc I
2201 Rowland Avenue,Savannah,GA 31404 tel 9-12.629.4000 fax 912.629.4001 www.wpceng.com
Re-occupancy Asbestos Air Sample Tests WPC Project#WPC3408.00064
Tybee Island City Hall April 28,2008
CONCLUSIONS AND R.ECOM EN 1 ATIONS
The results of the asbestos air samples completed by WPC indicate that the levels on both
samples are below the <0.01 fibers/cc of air limit for a sample to be considered clear_
The working area of the building's air is clear of asbestos and is inhabitable for normal
(non-protected)workers.
CLOSING
WPC appreciates the opportunity to provide these asbestos related services. If you have
any questions concerning the information presented, or if we can be of further assistance,
please call us at(912)629-4000.
Respectfully submitted,
WPC
:p t %
Elise Zador William.S. Anderson, HI. P.E.
Staff Professional Senior Pnvironmental Engineer
Asbestos License No.B1-01673
Attachments: PCM Results
� � Page2of2
( --
Wr. v; ENGINEERING,ENVIRONMENTAL
r 11 / &CONSTRUCTION SERVICES
---.7- i L
-.. – Name: / ,‘" 0.e-t... C it 71/ )71 4 I( , —• c-
Project.Number. kei)f- „.% y 0 el , CPO ea (4 y__ Data: i-i..47, . el Y
Site: '----.„/,,/ - ', .; leL/L___L e,'ly )j v 1/ Rolomeier No.: l' 5/3 „/11,_ Microscope No.:—4-1 :-.).
Analytical Method:NIOSH 7400,A Counting Rules,Walton Beckett GrOcula Gra'..iele Fielci Amt.(OFA): 0 t 0 o 2 ,i'_) mm2
Note:II fibers counted(FCS)are lass
irt,FCS) .ii PCB Nil r..-.E than 10 In 100 fields then assume No. 1 No.2
1-ormula: i (0385 =f/cc --- ---
\FL.S. \FLB) (GFAXFRXT)1000 and report fiber conosntration Fibers Counted in SianL(FCB)
*
as less than(<)in the comptaed value. Fields Counted in Slane,(FLB) 100 100
FLOW RATE
TOTAL — -
-
START STOP TIME, SAMPLE SAMPLE (tFFCIF.,b)ar Cirrini '
IN LPM(FR)
SAMPLE LOCATIMCOMMENTS pump Precalibration
TIME TIME MIN. TYPE LOCATION
and :f Fields
NUMF.;;EI. NO (2j CODE CODE
Posi calibration IPA HR CLOCK) (FLS) ii cc*
....._......
32 - 27 4 1„....„,,,,,..„--
i --- 1 -/
fl-- ' r 1-1.--4-- re- r
_-
S> ...) .-----
/f
1 e, / I i
-
/ 6),.0, 7/ 7 /d/l (0 -,„
-
I
o
0
V -- -1----------A---'” 4,, , . c
— ...,-
7/ 7
. '''' / c"e• e,,-7''..)—
____. _
— .,/—
..-
---
i ''
/ /..3 . '.5.) 1 6,, 1,..,.-
...--
A
:::.. ,...........,'"
___c_j ___,- _±.1±22_ ___A
Collected By: — z■ze.... 6..- ,, Analyzed By: / ----- (.--- --- Reviewed By:
I Sample Type Code: G=General A=Ambient P=Personal rClearance S.-Background F.Field Sianlc S=Sealed Rank
I Sample Location Code: 0S----0ulalde Building ID-Inside Suildine OWA-Oulairls Work Ares AA/A.-Inside Work Area
, I Vinm2/1/cc fiestili9 Ot:ci-,: ;:01....Filter 0,ayloodsfi mr..r.:,I k.,‘P.I1 r.,L 1.7rf cc--.:' 7:':-P3,T=)1,7..":"-iiii''-::
WPC( ENGINEERING ENVIRONIAMT
------1-----
I.'''';,i &CONSTRUCTION SERVICE'S AL
H I : r i ' '''C / '
Pro joci Herne: \2iLI--1/4'. ` ,.. art I v., j,.4% // Project i'Ailaber: 1179 c-- ,g Y'-f-n 8: 4 f-5;'' t) Ce r Dale: Y— 2- r,"
_ _7_ _____.______—
sito; -... 'L.) --r-e-4e-- ...7-.3str,4,.,v d t'-..!/ i 404_, e i uz ....1....5
Flotorneter i\io.: --' 7 ...,'.-- i Microscope No.:
Analytical Method:NIOSH 7400,A Counting Rules,Walton Beckett Graticule Oracle Field Area PEA): ._________O . 0 e-)
- 7
t111112
Note:R Hem counted(FOB)are kea
than 10 in.100 fiskla then assume
Formula: (_.L1 -(FcBV .r iE)305 =lice E,L
FLS f ,FLB,1 I (GFAXPR)(1)1000 and report fiber concentration Fibers Countet:in
as less than(<)In the computed value. Fields Counled in Blank(ELS) 100 100
FLOW RATE TOTAL 0 Fibers i l
i/rnm2'
IN LPM(FR) STAFIT STOP TIME, SAMPLE SAMPLE (FCS)
SAMPLE LOCATIONiCflivIMENTS PUMP Precalibration TIME TIME MIN. TYPE LOCATION
NUMBER NQ. and ,
CODE CODE .Holds
Post calibration (24 HR CO CLOCK) (FLs.) i tice
i
L „4„/" 4.-es 1.--A 5.-.'a 1'v.. - 71' ---7 , — _,----- i
---7 ci .1-i, ,4 -)
i .____. (-.P._q___(....J .5>ii tet . s* le-.0 /-..,,,..) it ./..) - ' 4, :.0*-i
'e., ' -5'.., t"'• c., I-I '—44 ? 7
---1
/e).'efr 1. 1,- i 51--i -3' ' - ' " se-01
----Ai-S-67-• 0- fr--7 :-itl— --7 __,....."
-----
/41. , e) /5/2 '172-) i3 4,,c,- C- 13
,-----
_jle) i i
/ 0 1------- i:VI-45f) - 3.'-*-.
-i t
------1
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F)
__,..,__
_ ei , k
[
I/ 7/
ingigerv. ,,,
—
/
,-- '
-- -k- 0
Oollocied By: ...:, /(Z .t 0( Analyzed By: h ./..„--t... ,„ Reviewed By:
Sample Type Code: G=Goneral A=Ambient P45ersosal O=Cleararuce B.--BacItgroursi F=Field Blank Sr-Sealed Slant:
Sample Location Code: OFACutside Building IB.Inside 13ullitling OWA=Outaide Work Area 'WA...Inside Work Area
*1/mm2/*I/cc Resulie Code: POL=Filter Overloaded FTO.Fillar Tampered With or Dammed PF=Purnp Fallon-,
&- 0 5z
City of Tybee Island, PO Box 2749, Tybee Island, GA 31328
912-786-4573 I (fax)912-786-5832
What products/services do you provide to the City of Tybee Island:
Please provide copy of worker's comp
coverage when providing any service
ASBES'IOS ABATEMENT involving labor on city property
To whom shall we direct the Purchase Order?
Sales Contact MAAISON DE ES Email MAT1ISON @SUPERIORIlWIRON(`ZENTAL.US
Phone Fax
478-986-1460 478-986-1410
Address -‘s'9(P.O. BOX 1447 GRAY, GEORGIA 31032
To whom shall we direct Payment? h
A/R Contact MAn'ISON DEES Payment Terms `
Remittance Address
P.O. BOX 1447 GRAY, GEORGIA 31032
,=oven WINg Request for Taxpayer Give form to the
(Rev.October 2004) Identification N umber and Certification requester.Do not
oepertmmt of the Treasury send to the IRS.
lnternci Revenue Service
csi Name(as reported on your income tax return)
nBusiness name,if different from above
° SUPERIOR ENVIRONMENTAL FORCE, LLC
lndividueV Exempt from backup
'j Check appropriate btat, ❑ Sole proprietor ❑ Corporation ❑ Partnership El Other/ .��"_. ❑withholding
Addreee(number,street,end apt.or suite no.) Requester's name end eddreae foptionefr
1411 MONTICELLO HIGHWAY
i City,state,and ZIP code
a GRAY, GEORGIA 31032
3 List account nunrher(s)here(optional)
ase Taxpayer Identification Number(TIN)
Enter your TIN in the appropriate box.The TIN provided must match the name given on Line 1 to avoid Social security number
backup withholding,For Individuals,this is your social security number(SSN).However,for a resident ( ( 4 ( 4 ( ( (
alien,sole proprietor,or disregarded entity,see the Part I instructions on page a For other entities,it Is
your employer identification number(EIN).If you do not have a number,see How to get a TJVN on page 3. or
Mote.It the account is in more than one name. see the chart on pale 4 for guidelines on whose number Employer identiircation number
to enter. 3. I 641(7 (0 (1 (9 I 0( 2
Emil Certification
Under penalties of perjury. I certify that:
1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and
2. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal
Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has
notified me that i am no longer subject to backup withholding,and
3. I am a U.S.person(including a U.S.resident alien).
Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup
withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.
For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement
arrangement(IRA),and generally,payments ether than interest and dividends,you are not required to sign the Certification,but you must
provide your correct TIN.(Sea the i t. ore 4.)
Sign Signature of
Here U.S.person Or Date R
MAYOR CITY MANAGER
Jason Buelterman Y Diane Schleicher
4
CITY COUNCIL i °1 CITY CLERK
Wanda Doyle, Mayor Pro Tern '� .. ( Vivian Woods
Charlie R. Brewer
Barry Brown ` /;' CITY ATTORNEY
Eddie Crone ' tee N,4„/ Edward M. Hughes
Dick Smith
Paul Wolff "oct
CITY OF TYBEE ISLAND
CITY HALL MEMO
From: Diane Schleicher, City Manager
To: All City Hall Employees
Date: April 8, 2008
In order for all to feel comfortable returning to work at City Hall, I have attached the report from the
company that did the asbestos air sampling test on Monday, April 7. You will see that the sample
results were 0.0016 f/cc throughout City Hall. These results are below the 0.01 f/cc to be considered
clear for reentry. Therefore, it was decided that reopening City Hall on Tuesday, April 8 would be
safe. The asbestos abatement below the building had to be postponed due to unforeseen
complications with the company originally hired. We will be handling this issue as soon as possible
and will keep you notified.
As always, if you have any questions please feel free to contact me.
Thank you.
P.O. Box 2749—403 Butler Avenue, Tybee Island, Georgia 31328-2749
(866) 786-4573—FAX(866) 786-5737
www.cityoftybee.org
ENGINEERING,ENVIRONMENTAL
&CONSTRUCTION SERVICES
LISTEN•RESPOND•PERFORM
April 7, 2008
Mr.Joe Wilson
Public Works Manager
City of Tybee Island
P.O.Box 2749
Tybee Island,Georgia 31328
Re-occupation Results
Tybee Island City Hall
403 Butler Avenue
Tybee Island,Chatham County, Georgia
WPC Project#WPC3408.00064
Dear Mr. Wilson:
WPC has completed the re-occupancy asbestos air sampling at the above-referenced
project site. The following report describes the scope of work provided, and our findings.
INTRODUCTION
The project site, located on 403 Butler Avenue Tybee Island, Georgia, consists of a two
story building that recently had asbestos abatement work in the building's crawl space.
WPC conducted five (5)re-occupancy air samples of the first floor area.
ASBESTOS AIR SAMPLING RESULTS
The asbestos air sampling was conducted on April 7, 2008, by Jim Mahnke of WPC,
using high volume pumps at a rate of 10 liter per minute for over five (5) hours in
accordance with standard practices. The samples were read using the Phase Contrast
Microscopy(PCM) analysis (NIOSH 7400).
The sample locations and results are summarized in Table 1. The analytical results are
included in Appendix I.
Table 1. Summary of Asbestos Air Sampling and Results
Sample# Air Volume Sample Location Sample Results
1 3150 Liters Offices South Side of Building 0.0016 f/cc
2 3150 Liters Front Entrance Hallway 0.0016 f/cc
3 3150 Liters Hallway North Side Of Building 0.0016 f/cc
4 3150 Liters Southeast Side of Auditorium 0.0016 f/cc
5 3150 Liters Northwest Side of Auditorium 0.0016 f/cc
2201 Rowland Avenue,Savannah,GA 31404 tel 912.629.4000 fax 912.629.4001 www.wpceng.com
Re-occupancy Asbestos Air vie Tests WPC Project# WPC3408.00064
Tybee Island City Hall April 7, 2008
CONCLUSIONS AND RECOMMENDATIONS
The results of the asbestos air samples completed by WPC indicate that the levels on all
five (5) samples are below the <0.01 fibers/cc of air limit for a sample to be considered
clear. The working area of the building's air is clear of asbestos and is inhabitable for
normal (non-protected) workers.
CLOSING
WPC appreciates the opportunity to provide these asbestos related services. If you have
any questions concerning the information presented, or if we can be of further assistance,
please call us at(912) 629-4000.
Respectfully submitted,
WPC
./(//';
l�
L11 .
,,,- ---
Elise Zador William S. Anderson, III, P.E.
Staff Professional Senior Environmental Engineer
Asbestos License No. BI-01673
Attachments: PCM Results
FAPage 2 of 2
AIR SAMPLING FIELD FORM _�„ � ENGINEERING,ENVIRONMENTAL
&CONSTRUCTION SERVICES
Project Name: "r/ h e..- r J 71/ i-71`l l I Project Number. GI"?C- 3 N o 8 - Co G' is `7/ Date: Y- 7
Site: '7/by. s/9 n cI G-i' 1/ 1111 Rotometer No.: V3 ,941-1 Microscope No.: A t3
Analytical Method:NtOSH 7400,A Counting Rules,Walton Beckett Graticuie Graticle Field Area(GFA): 0 , 0 0 78'-7 mm2
Note:ii fibers counted(FCS)are less
than 10 in 100 fields then assume No. 1 NO.2
Formula: [1 FCSI _(FCB\1 =E (E)285 =f/cc E=0.1
L FLS I FLB (GFA)(FR)(1)1000 and report fiber concentration Fibers Counted in Blank(FCB)
as less than(<)in the computed value. Fields Counted in Blank(FLB) 100 100
FLOW RATE TOTAL #Fibers f/mm2'
IN LPM(FR) START STOP TIME, SAMPLE SAMPLE (FCS)
SAMPLE LOCATION/COMMENTS PUMP Precatibration TIME TIME MIN. TYPE LOCATION
NO. and ('I) CODE CODE #Fields flcc*
NUMBER Post calibration (24 HR.CLOCK) (FLS)
_O rPCe 5 .._,.5P44-lj .3. 'J o I fC' /
/G
•
J%r.e.- 7L t' h r 5-, c. I/cy 1/ 4.. a. -r 12 V /
S l 1....-A ili'ar f4 s/' /.a IO
J �- 13 '/f/,'"� :z-2- 1 0 � -o- . /?
. >""+ a
41'
CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 04-4-2008 PERMIT#: 080152
WORK DESCRIPTION REMOVAL OF ASBESTOS
WORK LOCATION 403 BUTLER AVENUE
OWNER NAME CITY OF TYBEE
ADDRESS PO BOX 2749
CITY,ST,ZIP TYBEE ISLAND GA 31328-2749
PHONE NUMBER
CONTRACTOR NAME SAVANNAH ABATEMENT SERVICES
ADDRESS 702 E DUFFY ST
CITY STATE ZIP SAVANNAH GA
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE U
TOTAL FEES CHARGED $ 0.00
PROPERTY IDENTIFICATION#
PROJECT VALUATION $9,365.00
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: ,Llyzy
ieV v
P.O.Box 2749-403 Butler Avenue,Tybee Island,Georgia 31328
(912)786-4573-FAX(912)786-5737
www.cityoftybee.org
APR-04-2008 09:87 CITY OF TYBEE ISL. 912 786 9539 P.91/04
CITY OF TYBEE ISLAND,GEORGIA
APPLICATION FOR BUILDING PERMIT A"(1
Location: Tybee Island City Hall PIN#
NAME ADDRESS TELEPHONE
Owner i f in 702 East Duffy Street 912-233-9926
Architect e-e-
or Engineer
Building S4.v'6 Ako4-k-�a^�
Contractor c-e S
(Check all that apply)
Repair ❑ Residential ❑ Footprint Changes
Renovation ❑ Single Family ❑ Discovery
❑ Minor Addition ❑ Duplex ❑ Demolition
El Substantial Addition ❑ Multi-Family
C Other El Commercial
Details ofProject: Removal of asbestos
Estimated Cost of Construction: $ 9, 365. 0 0
Cons k ction Type (Enter appropriat- umber)
(1) Woo. Frame (4) Masonry (6) Other(please specify)
(2) Wood Masonry (5) Steel &M.
(3) Brick Ven--
Proposed use:
Remarks:
ATTACH A COPY OF T CE' IFIED El.FVATION SURVEY OF LOT and complete the
following information based o e construction drawings and site plan:
#Units # : z drowns #Bathrooms
Lot Area Livin_ .ace(total sq. ft.)
#Off-street parking s.aces
Trees located&lis •d on site plan
Access:
Driveway ($.) With culvert? With swale?
Setbacks: Fr'nt Rear Sides (L) (R)
#Stories Height Vertical distance measured from the average adjacent
grade o'the building to the extreme high point of the building,exclusive of chimneys,heating
units, entilation ducts, air conditioning units, elevators, and similar appurtances.
APR-04-2008 09:08 CITY OF TYBEE ISL. 912 796 9539 P.02/04
During construction:
On-site restroom facilities will be provided through 4-05-08 - 4-30-08
On-site waste and debris containers will be provided by Savannah Abatement •
Construction debris will be disposed bysav Abatementby means of Transportat ion .
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: — 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: Signature Date FEES
Zoning Administrator Permit
Code Enforcement Officer Inspections
Water/Sewer Water Tap
Storm/Drainage Sewer Stub
Inspections Aid to Const.
City Manager
TOTAL
X`'
APR-04-2008 09:08 CITY OF TYBEE ISL. 912 786 9539 P.03/04
ooLoF
NATURAL
[/�•�Y
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.
Undersigned � Date
Ak>
Printed Name
Office Use Only:
Project Address;
Permit Number;
CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
5
Location: PIN##
NAME ADDRESS TELEPHONE
Owner
C;-?7 , /ty «
Architect
or Engineer
Building
Contractor p c___. 2ze)/ /2,,i...-/.1 I 4 i.,ti G,2 5 V.= .
(Check all that apply)
❑ Repair ❑ Residential ❑ Footprint Changes
❑ Renovation ❑ Single Family ❑ Discovery
❑ Minor Addition ❑ Duplex ❑ Demolition
❑ Substantial Addition ❑ Multi-Family
i I Other ❑ Commercial
Details of Project: A /',r- _5"' 4 ,-,,y)J,'
Estimated Cost of Construction: $
Cons'1 ction Type (Enter ap. .rriate number)
(1) Wo.,. Frame (4) Maso (6) Other(please specify)
(2) Wool : Masonry (5) Steel : Masonry
(3) Brick V=4,eer
Proposed use:
Remarks:
ATTACH A COPY O'THE CE TIFIED ELEVATION SURVEY OF LOT and complete the
following information bas<. o he construction drawings and site plan:
#Units #Bedrooms #Bathrooms
Lot Area ' .,Living space(total sq. ft.)
#Off-street parking space s
Trees located &listed .n site plan
Access:
Driveway (ft.) With culi rt? With swale?
Setbacks: Front Rear Sides (L) (R)
# Stories Height Vertical dist. e measured from the average adjacent
grade of th- .uilding to the extreme high point of the b'•;iding, exclusive of chimneys,heating
units, ventilation ducts, air conditioning units, elevators, id 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
srotections and wetlands ordinances FEMA re. lations 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: q- 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: Signature Date FEES
Zoning Administrator Permit
Code Enforcement Officer Inspections
Water/Sewer Water Tap
Storm/Drainage Sewer Stub
Inspections Aid to Const.
City Manager
TOTAL
OEFEOF
RESOURCES
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.
Date
Printed Name
Office Use Only:
Project Address:
Permit Number: