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Home My Public Portal About10-0223 Brooks � h1C CITY OF TYBEE ISLAND BUILDING PERMIT DATE ISSUED: 04-29-2010 PERMIT#: 100223 WORK DESCRIPTION NEW SIDING&NEW WINDOWS WORK LOCATION 20 MEDDIN DR APTS OWNER NAME JOSEPH H.BROOKS ADDRESS 463 JOHNNY MERCER BLVD CITY,ST,ZIP SAVANNAH GA 31410 PHONE NUMBER CONTRACTOR NAME HARRISON CONSTRUCTION&DESIGN ADDRESS PO BOX 2386 CITY STATE ZIP TYBEE ISLAND GA 31328 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEES CHARGED $375.00 PROPERTY IDENTIFICATION# PROJECT VALUATION $45,000.00 TOTAL BALANCE DUE: $375.00 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: Clisafio"..„2 P.0.Box 2749-403 Butler Avenue,Tybee Island,Georgia 31328 (912)786-4573-FAX(912)786-9539 www.cityoftybee.org `!3: CITY OF TYBEE ISLAND BUILDING PERMIT ADDED SCOPE & VALUE DATE ISSUED: 07/21/2010 PERMIT#: 100223 WORK DESCRIPTION NEW SIDING/WINDOWS &AWNING WORK LOCATION 20 MEDDIN DR APTS OWNER NAME JOSEPH H.BROOKS ADDRESS 20 MEDDIN AVE#C CITY,ST,ZIP TYBEE ISLAND GA 31328-9733 PHONE NUMBER CONTRACTOR NAME HARRISON CONSTRUCTION &DESIGN ADDRESS PO BOX 2386 CITY STATE ZIP TYBEE ISLAND GA 31328 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEES CHARGED $397.00 PROPERTY IDENTIFICATION# PROJECT VALUATION $47,700.00 ADDED $2,700 FOR AWNING TOTAL BALANCE DUE: $ 22.00 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: / r 91 "/° P.O.Box 2749-403 Butler Avenue,Tybee Island,Georgia 31328 (912)786-4573-FAX(912)786-9539 www.cityoftybee.org (-4i 1 Ptzs-fr /1"�BEE (yj �� - City o'` ,bee Island • Community Devel lent Dept. 11W. Inspection Report �i��,1, `- l 403 Butler Ave. • P.O. Box 2749 • Tybee Island GA 31328 M-� `��4 / Island, INTERNATIONAL n„0,,, Phone 912.786.4573 ext. 114 • Fax 912.786.9539 CODE COUNCIL MEMBER Permit No. )L ) ,' ' 5 Date Requested e i 7 70 Owner's Name k:�,S Date Needed (0)/(_-.%/,.D Gen. Contractor -1,-7-: � ! =�° subcontractor Contact Information 67416 ( !?_- Ci 2c_ Project Address 7 0 Vyr' '7)d Scope of Work I , �) + :� , .., bc),,)� 0,,�_, ,) .J(, ■ Inspector ”%S Date of Inspection ( '`') / J 0 Inspection T2)/4-n- ->F--- ° 1� ; -:fin- - _L Pam ® Fail El Fee 1 Inspection Pass ❑ Fail ❑ Fee c',9-11 e- ;S a. \eak . el'Q; s.._ `� 9-o , c-P 4-o f c p a : r- s Inspection Pass 0 Fair 0 Fee Inspection Pass 0 Fail ❑ Fee CITY OF TYBEE ISLAND, GEORuIA APPLICATION FOR BUILDING PERMIT ' /C) 2:2-3 /gF.F Location: PIN # NAME ADDRESS TELEPHONE Owner 0.72 J-9.>A-- Architect or Engineer _ Building f7ter s�� Contractor 0/3-7 -1 /7f Ze,,At Y/2 - (Ch all that apply) Repair sidential ❑ Footprint Changes ❑ Renovation Single Family ❑ Discovery ❑ Minor Addition ❑ Duplex ❑ Demolition ❑ Substantial Addition ❑ Multi-Family ❑ Other ❑ Commercial Details of Project: /7- E-se )7y Estimated Cost of Construction: $ 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 C.J/V� On-site waste and debris containers will be provided by Cof/ r- -''---" 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 construction. Date: O8?- 7 - 1/ 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 LEAD-BASED PAINT Adapted from http://www.epa.gov/lead/pubs/renovation.htm. Please use that site to access the following information. Information for Property Owners of Rental Housing, Child-Occupied Facilities - Property owners who renovate, repair, or prepare surfaces for painting in pre-1978 rental housing or space rented by child-care facilities must, before beginning work, provide tenants with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, FYOU'R NOT and Schools. Owners of these rental properties must document compliance with this requirement. EPA's sample , EAD-SAFECERTIFIED, pre-renovation disclosure form may be used for this purpose. )ISTURBING After April 22, 2010, property owners who perform these projects in pre-1978 rental housing or space rented JUST SIX by child-care facilities must be certified and follow the lead-safe work practices required by EPA's Renovation, SQUARE FEET Repair and Remodeling rule. To become certified, property owners must submit an application for firm COULD COST YOU certification and fee payment to EPA. The Agency has up to 90 days after receiving a complete request for :BIG TIME. certification to approve or disapprove the application. ■ Property owners who perform renovation, repairs, and painting jobs in rental property should also: • Take training to learn how to perform lead-safe work practices. • Learn the lead laws that apply regarding certification and lead-safe work practices beginning in April 2010. • Keep records to demonstrate that you and your workers have been trained in lead-safe work practices and that you followed lead- safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping checklist that EPA has developed to help contractors comply with the renovation recordkeeping requirements that took effect April 2010. • Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right. • Read about how to use lead-safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. Information for Homeowners Working at Home If you are a homeowner performing renovation, repair, or painting work in your own home, EPA's RRP rule does not cover your project. However, you have the ultimate responsibility for the safety of your family or children in your care. If you are living in a pre-1978 home and planning to do painting or repairs, please read a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools lead hazard information pamphlet. You may also want to call the National Lead Information Center at 1-800- 424-LEAD (5323) and ask for more information on how to work safely in a home with lead-based paint. Information for Tenants and Families of Children under Age 6 in Child Care Facilities and Schools As a tenant or a parent or guardian of children in a child care facility or school, you should know your rights when a renovation job is performed in your home, or in the child care facility or school that your child attends. • Before starting a renovation in residential buildings built before 1978, the contractor or property owner is required to have tenants sign a pre-renovation disclosure form, which indicates that the tenant received the Renovate Right lead hazard information pamphlet. • Beginning in December 2008, the contractor must also make renovation information available to the parents or guardians of children under age six that attend child care facilities and schools, and to provide to owners and administrators of pre-1978 child care facilities and schools to be renovated a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools lead hazard information pamphlet. Information for Contractors As a contractor, you play an important role in helping to prevent lead exposure. Ordinary renovation and maintenance activities can create dust that contains lead. By following the lead-safe work practices, you can prevent lead hazards. Contractors who perform renovation, repairs, and painting jobs in pre-1978 housing and child-occupied facilities must, before beginning work, provide owners, tenants, and child-care facilities with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools. Contractors must document compliance with this requirement. EPA's pre-renovation disclosure form may be used for this purpose. Understand that after April 22, 2010, federal law will require you to be certified and to use lead-safe work practices. To become certified, renovation contractors must submit an application and fee payment to EPA. See: Application for firm certification. The Agency has up to 90 days after receiving a complete request for certification to approve or disapprove the application. Contractors who perform renovation, repairs, and painting jobs should also: • Take training to learn how to perform lead-safe work practices. • Find a training provider that has been accredited by EPA to provide training for renovators under EPA's Renovation, Repair, and Painting (RRP) Program. Please note that if you previously completed an eligible renovation training course you may take the 4-hour refresher course instead of the 8-hour initial course from an accredited training provider to become a certified renovator. Click here for a list of eligible courses. • Provide a copy of your EPA or state lead training certificate to your client. • Tell your client what lead-safe methods you will use to perform the job. • Learn the lead laws that apply to you regarding certification and lead-safe work practices beginning in April 2010. • Ask your client to share the results of any previously conducted lead tests. • Provide your client with references from at least three recent jobs involving homes built before 1978. • Keep records to demonstrate that you and your workers have been trained in lead-safe work practices and that you followed lead- safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping checklist that EPA has developed to help contractors comply with the renovation recordkeeping requirements. • Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right. • ad abo ow to use lead-safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. Si6ature Date [ /7 z e-/-2 ._ Printed Na DEPT.OF NAORAI. 4E • /.t y> GEORGIAanv„ 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. off_ Und gned Date Printed Name Office Use Only: Project Address: Permit Number: ��nota s, �A�-\ ��_ City of `fee Island • Community Develo lent Dept. WM ( ;. Inspection Report Ewa* , ) 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 �� y INTERNATIONAL Phone 912.786.4573 ext. 114 • Fax 912.786.9539 OD.ECO.11- MEMBER r_ ✓ Permit No. i 7 .f-,-) ' < _` Date Requested ''s'' (1 :c, .l -=) Owner's Name .I rx) Date Needed PTV/ (.3 1 Gen. Contractor 4-JA ! >,..) „6-2'.4./(-J Subcontractor Contact Information C-1,---.1+1 L- ? :_' „) 77 Project Address --- `''` ) Al14�i � \J l I Scope of Work 3! )1-5 '.fir >0 _-•.);:. ' at- ""(-9' I r FA%�� Inspector" 2 Date of Inspection `1,� ?-7 Inspection i "te r? i c_A- I--1 yl n i - Pass Fail• VA Fee fl, /'''- !` .) 1) s 1 t . , 3L- ..-1 �_ �"" -- tL /yam ) d� J 1-"I,_.- J �7 I \l i t�'-\c_' -"C'S'C 7) j i 1{-i,11 r C.r Inspection Pass 0 Fail in Fee �_- I -, % ,_--, - 4- S '' 1? 0 r- ) d' /,, • U�C��.. r WI z13 % �?- - (O <. . Inspection Pass El Fail ❑ Fee Inspection Pass ❑ Fail 0 Fee 2010 Chatham County Board of Assessors 4-0002 -09-002 Property Record Card Page 1 of 1 Requested By:READONLY 6/28/2010 20 MEDDIN DR TYBEE ISLAND APPRAISER LESTEPH LOT 3 BLK 23 FT SCREVEN WD TYBEE BROOKS JOSEPH HUBBARD CAMA ASMT LAST INSP 03/05/2010 463 JOHNNY MERCER BLVD 287,700 287,700 LAND 2 APPR ZONE 000008 STE B7 BOX 166 237,300 237,300 BLDG 1 SAVANNAH,GA 31410 0 0 OBXF 0 525,000 525,000 Cost-MS SALES BOOK/PAGE INS VI QU RSN PRICE CODES 2/29/2006 318X 0688 NA I U UE - PROPERTY USE 0006 Residential GRANTOR BROOKS KENT, UTA 0004 Tybee Island GRANTEE BROOKS JOSEPH HUBBARD, NBHD 020270.00 T270 Tybee Screven EXEMPTIONS L1 L8 L9 S1 PERMITS cip# DATE AMOUNT HISTORY LAND IMPR TOTAL 090340 GM 3/5/2010 Comp 3,500 2010 287,700 237,300 525,000 Cama 06-0540 RF 10/11/2006 Issued 5,600 2009 287,500 491,000 778,500 Over 2008 287,500 491,000 778,500 Over 2007 778,500 A/C 2006 291,000 338,500 629,500 Cama COMMENTS 10/27/2008 FOR SALE 11/12/99 FOR$639,000 NOTES 10/27/2008 TY09 MAILING ADDRESS CHG PER TXPR BECAUSE MAIL IS TAMPERED 10/27/8 ALF 4/13/2007 TY07 10S ENT 4-13-07 BJM 1/21/2007 COD 12/202006 TY07 10S REM BUILDING SECTION I CONSTRUCTION TYPE RCN AYB EYE DEP TIDE PHYS EGON FUNC OBSVI% TOTAL DEP% RCNLD U.FACTOR MKTVAII 84301-1 Residential 395,466 1935 1990 MS 25.00 0.00 0.00 0.00 25.00 296,600 237,300 jinn + SECTION TYPE 1-Main au AREA 4,802 ,, Nsd TYPE 2-Low-rise Multiple a. FRAME 1-Stud Frame 111 STYLE 3-Three Story 100.00% .11 auw 1. ,4 ',..'.10' QUALITY 4.00 __ 4.1.30•70.0•007•00 CONDITION 3.00 ay..ro i ---TM . ALL OVER OPEN #UNITS 0 ........ I(--,` - #OF BEDS/BATHS 7 / 7.00 21' ■+ 16$ p. ' COMPONENTS _. UNITS % QUAL- 1,,... „> / R1 108 Frame,Siding,Wood 100.00 ••••06.1r, / R2 208 Composition Shingle - 100.00 R3 352 Heat Pump - 100.00 " ' R4 402 Automatic Floor Cover Allowanc W •0^,+ R6 601 Plumbing Fixtures(#) 29.00 - o,a tea..•-. •M� R6 602 Plumbing Rough-ins(#) 3.00 >. r R6 622 Raised Subfloor(%or SF) - 100.00 R7 711 Built-in Garage(SF) 150.00 R+ R7 711 Built-in Garage(SF) 363.00 - I ' R7 711 Built-in Garage(SF) 112.00 - ,;`;.""'s�' •• R7 721 Carport,Flat Roof(SF) 1,440.00 - s. � R11 903 Wood Deck(SF) 198.00 - ax A•„o +s• > ALL OVER OPEN R11 903 Wood Deck(SF) 198.00 - 5• +"-'`+ R11 903 Wood Deck(SF) 126.00 - +r /' I'' -to TM• - ' R11 903 Wood Deck(SF) 324.00 - Lt.,'' '" <r� ' ' R11 903 Wood Deck(SF) 108.00 - ;3• : ,., �. ,• R11 906 Wood Deck(SF)with Roof 24.00 - h....ak'. R11 906 Wood Deck(SF)with Roof 24.00 - 3/5/10 UNITS ABB ARE THE BACK PORTION LS R11 909 Enclosed Porch(SF),Solid Wal 130.00 - R11 909 Enclosed Porch(SF),Solid Wal 130.00 - R11 909 Enclosed Porch(SF),Solid Wal 54.00 - EXTRA FEATURES 100 BLDG# SYSTEM DESC DIM 1 DIM 2 UNITS QL UNIT PRICE RCN AYB EYB DT SOON FUNC SP SP% RCNLD MKT VALUE LAND IO# USE DESC FRONT DEPTH_.. UNITS/TYPE PRICE ZONING SIZE LCTN TOPO OTHER ADJ1 ADJ2 ADJ3 ADJ4 MKT VALUE 108343 SINGLE FAMILY RES 0 0 7,000.000 SF 42.00 R1 1.00 279,300 108344 SINGLE FAMILY RES 0 0 840.000 SF 42.00 R1 1.00 SZ-75 8,400 ALL CONSTRUCTION MUST COMPLY WiT'd `74F SSTD. lb-44 AND THE !RC ENE AV_ 'P1.1 I VI [1::alrtt"oll'recjnify a:very effo:P FAMILY DWELLING ODD ?,,f�ro� i 6 ,le • t rode vlol�; r�I� t by 0 ',NE,. € T TF. OF OEORGiA AMENDMENTS reviewer sha ' -. � ,. as au_: ority 139" �.r -.- -- - : ',,a� REVIEWED BY rrr [11,-7"] 1 "^bphict'' q ti e6s7Y'Ii MOVABLE q1! 69}" '-3"] ANI S B �Y,F Y CUSTOMER !r� [5'-9 1/z^] 6" review and .,'[dBA 01RL at WIND d!F. NT. :I! 1 6� r �,lev t1 L _ _. THE E AN NC ORING METHOD IS Hi N q o�\� SCREW FASTENER s8! = DESIGNED TO WITHSTAND 130 MPH . `4 I \ IN PRE-DRILLED o' t' WINDLOADS. i Y �o ,o HOLE y, •O - •pd / 1 \ s':Ilikkh 4 i Pa„ 24" h-- - 25" 30" I�. z W !G 0. Z•CLIPS S 30"O.C. 60" I 5 MAX SPACING [5'-01 W & ,I�y, .o O e e is O It 211 FRONT VIEW SIDE 1/IEW . " �� 6 41 .11 15'-9 1/2"] ,\AR - \oi}" -a 1RC \sz,' U AR a v, ? I 1\ SO I � 45�° 48" 45i' I� 4 2" \ [3'•9 1/2'] [4'-0"] [3'-9 1/2"] \I I I SCALE 139" '\..\[II/i 1/4"_1•_0 [11'-7"] I/ >"RI• -ounmm REVISION DATE REASON l of 1 1 EACH ORALZ PLAN VIEW ISOMETRIC VIEW 66 1/2" 3/4" ma,111" Ra 314" `. SHEET NO, wun D' I'/a R 139" 3/4"AR F.020 r MG WRM vu- F/0 MU,U/,RD 8" 3/4"&1/2" • 1 0 2 on.OFTPANIETRUSS RIGID WRAP 3/4" wDRRDRDeR iO-. REVIEWED BY 91gq 139" I11" !1A [1 t,_7„] [9'-3"] al II 11 I`; z5.,-=--- ''- '-_.— I 41 e 2" i \ � ,_° `'- UNDERSIDE OF ��6 3 "�� RIDGE BEAM N !--'. 3 AWNING RAIL• FABRIC p�o gl RAFTER- �. \ 8 0 ' II��=�1��=rl v y i_.f Q.. ....A. - °° ` , HEADROD z 5 1^ u N ,t • SCREW FASTENER IN c � ,\ PRE-DRILLED HOLE US E 17 r SOFFIT IT MATERIAL Ea." g en z a .' !_' - - 'r - EXISTING WOOD �� U M z :_ '' LOUVER VENT TO REMAIN SECTION @ RIDGE Z F" o SCALE 1-1/2"=1'-0" fre o l_ o EXISTING 2X ROSF RAFTER OVERALL FRONT VIEW OVERALL SIDE VIEW � o z M Fi /\ RAFTER �„� 2 � a/--\ , FABRIC pq Q Ca AWNING RAIL x Y HEADROD \�, SCREW FASTENER IN z(-; W o W SECTION @ EAVE ATTACH H O.C.MAX g 0 -- _ _ .., ATTACH TO ?` SCALE 1-1/2"=1'-o" STRUCTURE BEHIND ti ' NEW SIDING 6 131" u 2., p [10'-I l"] Imo]- -. SCALE 139" 131" [I1 7] REVISION DATE REASON OVERALL PLAN VIEW i ==1317_211BEDEETE=, NOTE:CANVAS COVER IS REMOVABLE El , y� AND IS TO BE REMOVED BY CUSTOMER SHEET NO. I BEFORE 74 MPH(OR HIGHER)WIND Mir 411. EVENT. THE FRAME AND ANCHORING METHOD IS 2 of 2 DESIGNED TO WITHSTAND 130 MPH L:FT COLUMN PLAN RIGHT COLUMN PLAN WINDLOADS. STALE 1-1/2"=1'-0" SCALE E-1/2"=1'-0" . i CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT / Location: rZO ,yekc 7 ? PIN # NAME ADDRESS TELEPHONE Owner /'� ,3rs45 oo /7/e d' i �i�-alb -9727 Architect or Engineer Building f, r,sfl., C'� Contractor ,z �t �yy.�� ,}✓z• i, Y/2- Vi 2. - 79..3 (Check all that apply) Repair _Q Residential I I Footprint Changes ❑ Renovation Single Family I Discovery ❑ Minor Addition ❑ Duplex [ I Demolition ❑ Substantial Addition ❑ Multi-Family ❑ Other ❑ Commercial (02 s Details of Project: r,✓ j�47 �r a� Estimated Cost of Construction: $ "5.--; 2‘2 Construction Type l (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 (-,n-e On-site waste and debris containers will be provided by (-a �� Ste,,714-"-'---- Construction debris will be disposed by '-' 4'— by means of L1,,27,�,yy 430g r • 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. �j °a Date: � 1 Signature of Applicant: S.‘" 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 2-4 0 Code Enforcement Officer Inspections (Sc. Water/Sewer Water Tap Storm/Drainage Sewer Stub Inspections Aid to Const. City Manager TOTAL 3-7c DEPT OF NATURAL e1\2 ncsounua it GEORGIA �x `t 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. i ersigned Date Printed 'Jame Office Use Only: Project Address: Permit Number: