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Home My Public Portal About12-0371 Cook i F CITY OF TYBEE ISLAND BUILDING PERMIT DATE ISSUED: 06 -29 -2012 PERMIT #: 120371 REPL ROTTED WOOD ON CARPORT WORK DESCRIPTION NO FOOTINGS, STRUCTURAL WORK, OR CHANGE OF FOOTPRINT — REPAIRS ONLY WORK LOCATION 201 FOURTEENTH ST OWNER NAME JANET COOK ADDRESS 435 CANTERBURY RISE CITY, ST, ZIP FRANKLIN TN 37067 -6492 PHONE NUMBER CONTRACTOR NAME JANET COOK ADDRESS 435 CANTERBURY RISE CITY STATE ZIP FRANKLIN TN 37067 -6492 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEES CHARGED $ 65.00 PROPERTY IDENTIFICATION # PROJECT VALUATION $ 600.00 TOTAL BALANCE DUE: $ 65.00 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. j a Signature of Building Inspector or Authorized Agent: (1/ P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4.573 - FAX (912) 786 -9539 www.cityofty bee.org Cftyof Tybee Island • Planning & Zoning Dept. I ." Inspection Report mu ', 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 1�= .r� 1'5, y� % IN7EkNkT10htit Phone 912.472.5032 Fax 912.786.9539 CODE COUNCIL' --1 MEMBER Permit No. 1 - 7) 3 d 1 Date Requested n� Owner's Name L D 3V) Date Needed "''� Gen. Contractor Subcontractor Contact Information r� Project Address r< 0 ` 1 ST • Scope of Work r e n l c; c 21 t J 4--x .2 rt L i 3 1 ;, _,ti } , :) r 3 Inspector - J // ) Date of Inspection Inspection - pi - i P . -� 2 \ Pass R 0 Fee ( /_ , ,____r_. ''x ± , ,L, j L Inspection Pass ❑ Fail ❑ Fee Inspection Pass 0 Fail ❑ Fee Inspection Pass 0 Fail 0 Fee a CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT 1G t Location: 2-e 1 t ' � tA - 3 . 7e `1 PIN # NAME p ADDRESS TELEPHONE Owner ,a (Opt. X ) l q 1 % 93) 7eb 5 Architect 15 - 930 -O or Engineer�� Building 1 Contractor (Ch k all that apply) \ 1 ' Repair ❑ Residential (l Footprint Cha lo Footprint [1 Renovation Single Family ~ Discovery n Minor Addition ___. Duplex 1 1 Demolition ❑ Substantial Addition ❑ Multi- Family ! n Other n Commercial 1 Details of Project: 2E-i-rtqv � Afv.„ •,c-,,,-- „rlce-- Cam- c am' 7 1 ti11 - 1��= „ ,t} 1 , 6I () Estimated Cost of Construction: $ (9eQ 00 r Construction Type (Enter appropriate number) (1) Wood Frame (4) Masonry (6) Other (please spe y) / (2) Wood & Masonry (5) Steel & Masonry (3) Brick Veneer 0 Proposed use: 13 'kX (,x Z 6 - , 1N5 ?L� ..,_)(co› 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 5 t_�� On -site waste and debris containers will be provided by 5 �. Construction debris will be disposed by -5 L by means of ?:�Cw -vS 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 muse 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: Alt hcl1 7 -- Note: A peiinit 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 OS 11411011.41 /0 / MISOURCO • 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. /7-Vi Un ersigned Date l4A1 )t/ C0 0 tC Printed Name Office Use Only: Project Address: Permit Number: LEAD -BASED PAINT Adapted from htip: / /www.epa.gov4lead /pubs /renovation.hfm. 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, I YOU'RE NOT and Schools. Owners of these rental properties must document compliance with this requirement. EPA's sample r.:uu pre-renovation disclosure form may be used for this purpose. .DISTURBING 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 '(OUMO(OS1YOU 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 lei safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping checklist that EPA 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 projE 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 ho and planning to do painting or repairs, please read a copy of EPA's Renovate Riaht: Important Lead Hazard Information for Families, Ct Care Providers, and Schools lead hazard information pamphlet. You may also want to call the National Lead Information Center at 1-8S 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 jot performed in your home, or in the child care facility or school that your chitd attends. • Before starting a renovation in residential buildings built before 1978, the contractor or property owner is required to have tena sign a pre- renovation disclosure form, which indicates that the tenant received the Renovate Right lead hazard informat pamphlet. • Beginning in December 2008, the contractor must also make renovation information available to the parents or guardians children under age six that attend child care facilities and schools, and to provide to owners and administrators of pre -1978 c, care facilities and schools to be renovated a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, C, 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 cre dust that contains lead. By following the lead -safe work practices, you can prevent lead hazards. Contractors who perform renovati repairs, and painting jobs in pre -1978 housing and child - occupied facilities must, before beginning work, provide owners, tenants, , child -care facilities with a copy of EPA's lead hazard information pamphlet Renovate Right: important Lead Hazard Information for Famil Child Care Providers, and Schools. Contractors must document compliance with this requirement. EPA's pre - renovation disclosure form r be used for this purpose. Understand that after April 22, 2010, federal law will require you to be certified and to use lead -safe v, practices. To become certified, renovation contractors must submit an application and fee payment to EPA. See: Application for 1 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, Re and Painting (RRP) Program. Please note that if you previously completed an eligible renovation training course you r take the 4 -hour refresher course instead of the 8 -hour initial course from an accredited training provider to becorr 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 k safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping checklist that EPA 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. • Re-d about how to u le afe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. /I /Z Signa ure Date Printed Name