HomeMy Public PortalAbout12-0486 Goldberg ;t
CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 09-7-2012 PERMIT#: 120486
WORK DESCRIPTION INSTALL FENCE AND GATES
WORK LOCATION 1623 CHATHAM
OWNER NAME RONALD F.GOLDBERG
ADDRESS 9980 WHITEFIELD AVE
CITY,ST,ZIP SAVANNAH GA 31406-8505
PHONE NUMBER
CONTRACTOR NAME H G CONSTRUCTION SERVICES a d tl S Lc)
ADDRESS 758 SOUTHBRIDGE BLVD 1
CITY STATE ZIP SAVANNAH GA 31405 VOA v e/
FLOOD ZONE d
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P I ���
TOTAL FEES CHARGED $ 52.00 J .� _ I
PROPERTY IDENTIFICATION# \ �-I
PROJECT VALUATION $1,250.00
''__°
TOTAL BALANCE DUE: $ 52.00
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: / ("f , a-1 /
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
BUILDING PERMIT
ADDED SCOPE AND VALUE
DATE ISSUED: 09-7-2012 PERMIT#: 120486
WORK DESCRIPTION INSTALL FENCE AND GATES
WORK LOCATION 1623 CHATHAM
OWNER NAME RONALD F.GOLDBERG
ADDRESS 514 WHITFIELD AVE
CITY,ST,ZIP SAVANNAH GA 31406
PHONE NUMBER
CONTRACTOR NAME H G CONSTRUCTION SERVICES
ADDRESS 758 SOUTHBRIDGE BLVD
CITY STATE ZIP SAVANNAH GA 31405
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 58.00
PROPERTY IDENTIFICATION#
PROJECT VALUATION $2,450.00
TOTAL BALANCE DUE: $ 6.00
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: 4 ,, a 4,4_..ce-,i----
r'
P.O.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 • Planning & Zontrg
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0 54 & ep VI"
Inspection Report imariIk
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403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328
INTERNTONAI
Phone 912.472.5032 • Fax 912.786.9539 CODE COUNCIL
MEMBER
Permit No. I --) - O &4 S'' k2 Date Requested in _ :-.2 q - / 2_
Owner's Name 6 01 ci ker-1/49 Date Needed 10 - 30 —( 2_
Gen. Contractor — 6.11,.. 0 in S "/"... Subcontractor
Contact Information (_ C.A`'' G ax s -3go 7
Project Address Ln 2- 3 cro i
(_4-.), o --(-1,-) c, iry\
Scope of Work in li Se_o t -e,
Inspector liq 1 /
Date of Inspection
Inspection p 4 r 3,..j -e ...--i.- rmet. Pass
i ,-----
Ull -101=1 Fee
I
Inspection Pass El Fail 0 Fee
Inspection Pass D Fail El Fee
Inspection Pass 0 Fail 0 Fee
;01—D g2
fir�EE ``4w 9 City of Tybee Island, Georgia
912-472-5033 or 912-472-5031 - Fax 912-786-9539
APPLICATION FOR BUILDING PERMIT
\ ,„,,,onoe,,%
Property Address: /6 ,2 3 CC or l i1 ev Ail A- V'
Name Mailing Address Telephone .
G- f.l/ b vs--- Home: 35-.2 , 0 m 5--k
Owner ,n t- n 1 fri cr '
rl '--., t.f,, /J emu:, Cell: 45-'0;r 13 Li G
Architect or
Engineer
'7 e.,Thc o k,`fu b r I M`'c, l' /i, ' Home:
Contractor p o 0 ffi s rrv1'c-, f Cell: S - z, /n 7 Li_
(Check all that apply) °L'`���
Er Single Family ❑ Discovery/Tearout ❑ Demolition of Structure
❑ Duplex ❑ Footprint Changes - new ❑ Other
❑ Multi-Family units square feet heated/cooled
❑ Commercial units
Details of Project: /1/� . p q t'vr r,/ I.1�--r 2-- lb / r,,,., 'o./ ^"L
I r 1
11'
o r
Estimated Cost of Construction: $ /2 m (materials + labor + profit/overhead)*(cc-,c O�- ‘-L„
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:
On-site restroom facilities will be provided through 7..4 e.,ri..' es, m •-r V . Construction debris will be disposed
by /I-pc,,. a i,c/ CY ,e v by means of . I understand that I must comply with zoning, flood
damage control, building, fore, shore protection and wetland ordinances, FEMA regulations 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. I accept responsibility for any corrective action that
may be necessary to restore drainage impaired by this permitted construction.
Date: $ -/- - i "2-- Signature of Applicant: 4_k _/,, FEES
a� ,/ Permit
Printed Name
/fin r �' °r Y Inspections
Note: A permit normally takes 7 to 10 days to process Cap Cost Rec
Water Tap
Sewer Stub
Approvals: 0 S4_ ure Date Eng. Fees
Planning &Zoning Manager ! / y Aid Eng. Fees
Building Official ■ /r 7 /
Water/Sewer
Storm/Drainage
City Manager
TOTAL
COVED
STATE OF GEORGIA ) HOLD HARMLESS /
INDEMNIFICATION
COUNTY OF CHATHAM ) AGREEMENT
THIS AGREEMENT is made the '3 day of 1...j p 1 , 20 / 2,
by Rem q- f el,"/ k
(hereinafter referred to as "Owner")
WITNES SETH
Owner hereby agrees to protect, defend, indemnify and hold harmless the City of Tybee
Island, Georgia, (a political subdivision of the State of Georgia), its Mayor and Council,
officers, agents, and employees (hereinafter referred to as "City") from and against any
and all liability, damages, claims, suits, liens, and judgments of whatever nature,
including any claims for contribution and/or indemnification for injuries to any person or
persons, or damage to the property or other rights of any person or persons, caused in any
manner pertaining to the location of privately constructed or any other privately owned
structures and plants, which protrudes into the right-a-way of any City street.
The undersigned further recognizes and agrees that this license does not confer upon the
undersigned any rights, title, estate, or interest in said licensed premises; nor does this
license agreement confer upon the undersigned a license coupled with an interest or
easement. This license merely gives the undersigned a revocable privilege, it being
expressly understood and agreed that, regardless of any improvements or investments
made, expense and harm incurred or encountered by the undersigned, this agreement
shall be subject to revocation, cancellation or termination, this license shall be null and
void.
IN WITNESS THEREOF, Owner has hereunto set its hand and affixed its seal on the day
and year first above written.
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