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10-0086 211 Butler, LLC
ocoto CITY OF TYBEE ISLAND BUILDING PERMIT DATE ISSUED: 03 -1 -2010 PERMIT #: 100086 WORK DESCRIPTION MECH /PLMB /ELEC FOR MIXED USE WORK LOCATION 211 BUTLER AVE OWNER NAME 211 BUTLER LLC ADDRESS PO BOX 2497 CITY, ST, ZIP TYBEE ISLAND GA 31328 PHONE NUMBER 912- 786 -6328 CONTRACTOR NAME J T ROBINSON CONSTRUCTION ADDRESS 2202 AUBURN ST CITY STATE ZIP SAVANNAH GA 31404 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE U TOTAL FEES CHARGED $ 879.00 PROPERTY IDENTIFICATION # PROJECT VALUATION $108,000.00 TOTAL BALANCE DUE: $ 879.00 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: P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org !E* Cit o f bee Island • Community Develc lent Dept. = � Inspection Report ���� X14 .r._ "� - 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 l "' � Phone 912.786.4573 ext. 114 • Fax 912.786.9539 CODE tin -� MEMBER Permit No. ! 0 -%0�7 Date Requested ' Owner's Name Date Needed / ) /If ! i . ! Gen. Contractor�1 Subcontractor Contact Information 1,A30'(4 Li 3 i 4-3`7 r Project Address - 2'1 O 1 r 1 . Scope of Work . 1 1/1 l rE cl ; ), Inspector Date of Inspection 4' (t4 -l/ Inspection 01 F ° Pass 11§ Fail ❑ Fee Inspection 1 > Pass mi Fail El Fee C C - .6 ..---.; Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee HhE' ,\'� �° City of , bee Island • Community Develo, gent Dept. l�t ` ,": �I Inspection Report Ru ` � / 4 03 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 "�C \h Phone 912.786.4573 ext. 114 • Fax 912.786.9539 CODE MEMBER Permit No. I i - 1),'.' ``J,/ , Date Requested i 1 Owner's Name 1\\ 41)63 Date Needed Gen. Contractor - O ( ? r�1 Subcontractor Contact Information Y ,-- ( f L-1 --, � �—, t r' 5 3 ,- / 43i Project Address 21 15 I L. Scope of Work . i` .c 1 14 7;' . 7 :( . ) ) ` t ='. Inspector K Q Date of Inspection L k( 3-11- Inspection Pi-- L. Pass ❑ Fail ❑ Fee '' - - QPS ° ) { , Inspection k.. Pass ❑ Fail ❑ Fee _ ass - A - Inspection Ed: 1 e- Pass ❑ Fail ❑ Fee \ , -4- l i n i. p ,„:„.„-_, Y fl rL �� ,_____\___ Inspection W141117) a C Pass 0 Fail 0 Fee /e.S k 3 , __-\----- - . - 72,. . \ i \ .)-- , ,,, ,L,... ; \ 1 p - L.5 J / ....:: : 7 -s° 1---..' 4 \--- 1' t t -' ` -. 5 " `i I ;_ / � �' \ 1- / ^ y 1 5 d I ._c.J , City of( )ee Island • Community Develo, nt Dept. 11}."•• Inspection Report mum\ 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 ermwra INTERZONAL Phone 912.786.4573 ext. 114 • Fax 912.786.9539 CODE COUNCIL MEMBER - / i Permit No. i (-- 4-- )(- ----= Date Requested Owner's Name A/ Date Needed / TA Gen. Contractor , IX,/(273 L- Subcontractor Contact Information 1 (/(/ 1 Project Address ..,-.% ,-.7 / 5 (.)--Wicz Scope of Work )) 1/1 Y 1 7 (7 C .'.. , ; .:)//,' Y / 1 ..) Inspector Date of Inspection Inspection PF - Pass E3 Fail El Fee c I\ re LI 0) 4 A --,,,,1,4tii,,-2-.„—,-_, sj,,I -/ -)11:= > Inspection vo ic - Pass El Fail 0 Fee Uk)/ 4° 1 7 - ] e.:631 T - T .( (-)D1 1 1-- L. ic:D V■A FLC404 1 1 --- ,--) Pr 1 1 -- Inspection 1 )1— Pass El Fail 0 Fee LiK)?4 _....;,...4..... r 1 A __ 6 4 i'l3" ,, Ta ( 17 r4 '0 570 0 - - A - --q p , _ — 01.) , i .-- Inspection I ss 0 Fail 0 Fee City of iee Island • Community Develo tnt Dept itik , Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Nam* ...... INTERMNAL ' s„fr Phone 912.786.4573 ext. 114 • Fax 912.786.9539 CODE COUNCIL 1 MEMBER Permit No. i 0 -00 Date Requested i__h / Owner's Name 6 Date Needed (1 /1 Gen. Contractor 0 Y:IL,7,1 Subcontractor Contact Information Vi/0.- ci / Project Address 2 1 i 1--.)+41e:4Z... / Scope of Work ;\ ) 7 cA,) M41 i K. 7 = i\, 4 - Inspector Date of Inspection i - i i - Inspection _ . Pass it Fail El Fee Inspection iNT - Pass 0 Fail 140 _ V ei /. -- 4 -g- - Inspection Pr - • a Pass it ra I ii Fee oku. Inspection Et- - Pass Fail in F(T) - I.-- (--( 3- �3 c -I( c o vl 4 ' Q r, ; c1 o k h 2 1 \ T04-ler Ave. 1:40,k)t-t1 e_ (62,- C,3 inniZt " h p-ck V a Ne-8 cr) aoni rvvei riLL-L23— (� LJt - //"..4C—.• 04/03/2011 13:46 3056536089 MARLITE PAGE 02/02 Premiers FR Flakeboard Medium Density Fiberboard EUGENE, OR & BENNETTSVILLE, SC FOSS ion for Panels' Flakeboard Premier" FR MDF is the preferred solution when you need flame-retardant MDF paneling, cabinetry, shelving, trim and furniture. Our Class A /Class 1. rated fire- retardant MDF panel is ideal for interior, non- structural use in public areas such as schools, hotels, hospitals and restaurants. Premier® FR MDF offers superior design flexibility because of its smooth surface for painting or laminating and its ability to hold a sharp edge. Premier' FR MDF Specifications (Eugene, OR & Bennettsville SC) APPLICATIONS Wide Range of Products and Sizes • Elevator Calls Flnkcboard Pre"nicr° Eli MI )F is stocked at distributors across • Commercial North America. Stocked lengths are 6, A', 4', 10' ;nd 12'. • Lobbies Case Goods I Thicknesses range firm "s" co 1 or metric units within this • Arclvtccturai Woodwork • Shelving range. Suitxianl widths range from 4' to 5', Cut -ro -size is also • Will Systems • tiookcase it;;tilable, • Display Panels • Cabinet% • Door Components • Countertops Finiclies and Decorative Laminates • Furniture • Mouldings Premier• FR. MDF' has a smooth surface rcgwrmg mtruinlal • Hittites • Trion sanding. which can Ix painted or s ti ced with wood veneers and high. and low-pressure laminates. PRODUCT USES AND FEATURES Flakeboarri Premier° FR Ml)F is a hint - quality, n tones USAGE NOTES non - structural panel made ti'om softwood particle - -- residuals, fire - retardant chemicals oral rt'siru. • Some laminates and coatings applied to Premier' FR Design Flexibility MDF may change the flame spread rating. Premier' PR M1.)F is dense, fiat. stiff, knot -ftroe and is • 5t.anda>rel available woodworking glues have been easily machined. Its tine fiber disoibtrcion and uniform, successfully used in lamination. However, some conolsccnt texture provides dirucn sonar Stability Without adhesive may have compatibility problems with a ptedonunaut grain. Premier' Flt MDF will deliver sharp the chemical system used to manufacture edges and has gond internal bond and screw holdnlg Premier" FR. MDP. Any adhesive should be tested for properrres. Ito stiffness and density yield good acoustical compatibihcv with the chemical system in Premier' FR dampening properties MD1' prior to lull -wile gluing. Questions should be directed to the glue supplier. ,Exrellenl Workability Premier" FR M1)F can he milled to just about any profile • When using Premier' Flt in wall system;, an int i rap Panels can be routed, dolled, btillnnsed beveled, ronKtu & vapor barrier must be a properly installed component grooved and finger-jointed of the wall in any of rhc following conditions: - the wall has an serer for hale Thick Board Applications the wall separate% +laces conditioned unrgnally Premier' Fri MDF is suitable foi thick board applications / _ias i tat i vns till to 1 '/1 inches without itavurg +u 4umnate or Om Premier" FR MI)F should be specified for interior, multiple panels together. non- stucturi use only std n not intended for use in exterior applications or damp conditions. e vo,our eves ai fb4,ea rd tow CV m m ir:164M1arlite d Retail systems Fire ratings -Aug. 2010 Class Flame Spread Smoke Developed Surface tested Sin:wei Sletwa11 Statwatl SLatwall Siatwrall- SI2twall. Non- Aturwnum) Nom Aluminum Non- Aluminum inserted insert inse1W insert in_Setted ins °n The foa7+rrno are results of Me AST/.{ ESE stanoafil meT.od Fob :est „7r Pant Grade C 8 115 70 80 90 surtax burning cheraclensbcs of Doling matE.bis Codes of mmplele Panto C C 115 10,s 700 95 test results are available upon request LP?A C C 190 _ 160 80 95 NPL C C 95 95 125 90 Note Flame spread drdates Gass FR Core & St0 tiPL NIP r run. 2 we. I or A 0 -25 FR Core & FR HPL N n (n , Na. / 20 f Nu 85 i Ld Hof or B 26 -75 `-� 1— 111 or C 76.200 Q N C 45s 6 JA indicates that product was not tested This rnformahorr supersedes all Caia prey oust, published " Note the use 6' hre rated core w'-1 reduce 17.2 bad ca,pacrty of die system You wit need to determine i1 d meets your needs CP m LID I1) Lo t[1 i fdrd Marlite to r:'; Oover,Ohro44622 8O0 - 7 - 1221 wwM info[.matlite.mrn .--■ CP .--r CV rrl Mar 31 2011 11:27 HP LASERJET FAX p. 1 03/29/2011 88:02 3056536089 MARL ITE PAGE 01/08 744 lefAl 0 -Ai 6\A- 1 (0/6, 1 f 111NNN Flakobasii FLAME SPREAD PERFORMANCE OF COMPOSITE WOOD PANELS AND FINISHES Unless otherwise stated, Flakeboerd particleboard or MDF in industrial or laminated' forms are not certified for a spedfic flame spread rating, Untreated particleboard and MDF have been tested for flame spread by a number of different manufacturers and the results met the Class 01 or C rating. The Department of Housing end Urban Development(HUD) In their Manufactured Home Construction and Safety Standards(Section 3280203) accepts particleboard 3/8 inch and thicker as having a flame spread rating of 76 to 200 for general use in mobile homes. The American Wood Council (AWC) of the American Forest end Paper Association (AF &PA) has published information in their "Design for Code Acceptance" series (DCA1) relating to Flame Sora Performa e nc of Wood Produots_The dooument can be found at www.awc.ora . Table 1 in that document places particleboard and MDF In the Class III or C rating. Likewise, Table 2 in that document places factory finished products (Le. printed or with overlays) containing untreated particleboard and MDF substrates In the Class III or C flame spread rating. Smoke data specific to every product is currently not available; however other manufacturers have found typical values of 100 -200 for smoke developed. The AF &PA document states that "a smoke-developed index was measured for some of the wood products listed in Tables 1 and 2'. None of the products tested exceeded 450, a limiting value commonly used In building code regulations. Flakeboard particleboard and MDF treated with fire- retardant' (FR) additives are vertified by Underwriters Laboratories to have a Class A or Class [flame spread rating. In addition, TFM laminated on Flakeboard's fire-rated particleboard or MDF substrates at the St. Stephen, NB or Simsboro, LA laminating facilities are classified by Underwriters Laboratories to have a Class A or Class 1 flame spread rating. George Woodson Technical Manager Ph. 318- 247 -2188 aeoree.woodsorigeakaboard.com www.flakeboard.com TFAA (thermally fused melamine), decorative paper ovelay, wet coaled— i.e.! Remote-paint or direct print 2 without a fire- retardant additive 3 Trade names: Rurenake. PR, Premier6e FR, VESTA FR Particleboard, VESTA FR MEW FSP - 4/2412008 Mar 31 2011 11:27 HP LASERJET FAX 03/29/2011 08 :02 3056536089 MARLITE PAGE 02/08 Material Safety Data Sheet 0 Flakeipnard Medium - Density Fiberboard Flakeboarb Phone Number: (905) 475 -9686 80 Tiverton Court, Suite 701 Revision Date: 9/08/2006 Markham, Ontario, Canada, L3R 0G4 : .,.. v.e14014+.. .i: i „5lLi+, : "" -.Ca 1,..; 41;0%.,' -.., Y ; .. r1 ii it. k *r -(' Product _ Sales Locetlerite) Medium- Density Fiberboard Canadian Reaione! Center 80 Tiverton Court, Suite 701 Markham, Ontario, Canada, L3R 004 Tel: (905) 475 -9686 Roc (905) 475-3827 US Eastern Reaional Center 100 Kingsley Park Drive, Fort Mill, SC 29715 Tel: (877) 273 -7680 Fox: (803) 802 -8073 US Western RtiglongI Center 2550 NE Old Salem Road, Albany, OR 97321 Tel: (888) 650.6302 _FEU: 926 -4116 Synonyms: MDF, Fiberboard. This MSDS is applicable for ell Flakeboard MDF including specialty products such as moisture - resistant and flame- retardant. k' ::. , i`,- i• i . .. M. .,. N ! ...... ,.... . 1, ; • - .. 1t11: Tie �. )* t - ' "'w :,.1„c• - tR . 1 .-,•'. t “ r r . � ^ Name CAS% t Percent A • e - Etc • • re Limits ` Comments Formaldehyde 30 -00 -0 <0,1 by OSHA PEL -TWA 0.75 pprn welgi,t PEL -STEL ppm , ACGIH TLV- CeiNn. 0.3 ppm ' Based tm sensory exposure Appearance and Odor: Straw yellow (light brown). No distinctive odor. Flame - retardant and moisture - resistant products may have red and green color additives, respectively. Primary Health Hazards: Wood dust and formaldehyde vapor, Primary Route(s) of Exposure: 0 ingestion: OD Skin: I® inhalation: I:0 Eye. X A l b Fltakeboerd MSDS P40 729.08. gIJC►1ifbf Page 1 at 7 Rev. OatOS /2068 Mar 31 2011 11:27 HP LASERJET FAX p.3 03/29/2011 98:02 3056536889 MITE PAGE 03/08 Sa ' '. " i. i i i' r 1 F7`";r —, fs A *Al.,' r 1 M a *:,,fi : +� !< Medical Conditions Generally Aggravated by Exposure: Wood dust or formaldehyde may aggravate pre -existing respiratory conditions or allergies. S -i 111 Of . _ coal r t 7, Acute; Wood dust can cause eye Irritation, Certain specs of wood dust can elicit allergic contact dermatitis in sensitized individuals. Wood dust may cause respiratory irritation, nasal dryness, coughing, sneezing, wheezing as a result of inhalation. Chronic: Wood dust, depending on the species, may cause allergic contact dermatitis and respiratory sensitization with prolonged, repetitive contact or exposure to elevated dust levels. Prolonged exposure to wood duet has been reported by some observers to be assocated with nasal cancer. Carcinogenicity Listings (Wood Duet): tD NTP: Known Human Carcinogen MI IARC Monograpren Croup 1 — Carcinogenic to Humans li OSHA Regulated: Not listed NTP: According to Its Tenth Report on Carcinogens, NTP states, "Wood dust Is known to be a human carcinogen based on sufficient evidence of carcinogenicity from studies in humans. An association between wood dust exposure and cancer of the nose has been observed In many ease reports, cohort studies, and case - control studies that specifically addressed nasal cancer. Strong and consistent associations with cancer of the nasal cavities and paranasal sinuses were observed both in studies 01 people whose occupations are associated with wood dust exposure and in studies that directly estimated wood dust exposure." IARC; - Group 1: Carcinogenic to humans; sufficient evidence of oardrlogenicIty. This classification is primarily based on studies showing an association between occupational exposure to wood dust and adenocarcinoma of the nasal cavities and paranasal sinuses. IARC did not find sufficient evidence of an association between occupational exposure to wood dust and cancers of the oropharynx, hypepherynx, lung. lymphatic and hernatopoieilc systems, stomach, colon or rectum. Signs end Symptoms of Exposure (For ldehivd+st: Acute: May cause temporary Irritation of skin, eyes, or respiratory system. May cause sensitization in susceptible individuals. Chronic: Numerous epidemiological studies have failed to demonstrate a relationship between formaldehyde exposure and nasal cancer or pulmonary diseases such as emphysema or lung cancer. Universities Associated for Research and Educailon in Pathology Inc. (UAREP) concluded neat there was no "convincing evidence" that formaldehyde exposure causes cancer In humans. Rats exposed to 14 ppm of formaldehyde for 24 months In the laboratory developed nasal cancer. Exposure of 6 pprn did not result In statistically significant levels. The NCI epidemiology study of 26,004 workers found little evidence linking formaldehyde exposure to cancer. Formaldehyde Is classified by OSHA and NTP es a probable or potential carcinogen, IARC has classified formaldehyde as carcinogenic to humans, . Carcinogenicity Listings (Formaldehyde): ® NTP: Reasonably Anticipated to be a Human Carcinogen SS IARC Monographs; Group 1 — Carcinogenic to l-4umsns MI OSHA Regulated: Formaldehyde Gas IARC - Group 1: Carcinogenic to humans. A working group of IARC has determined that there is sufficient evidence that formaldehyde Causes nesopnaryngeal cancer in humans. a rare cancer in developed countries. .t"R0= i dr ZI :, Eieia: kerns of ,:s nnen e ,o e , i s . ,, . . 1 i ingestion: NAP Eye Contact: Wash material but with clean running water. Skin Conteot: if skin abraded, seek proper first aid or medical treatment. Skin Absorption; NAP Fiakabtterd MISDS M0F722- O5.doc Pate 2 of 7 Roy, 09108/2006 ar 31 2011 11:27 HP LRSERJET FAX — M p.4 03/29/2011 88: 3056536089 MARLITE PAGE 04/08 Inhalation: Remove to fresh air. If irritation or other symptoms persist, consult a physician. Note to Physician: None Flash Point (Method Used): NAP Flammable Limits: LFL 0 Wood dust: 40 grams UF'L s NAP per cubic meter of air. Extinguishing Media: Water spray; carbon dioxide AutoignItion Tsmperaturre 425' - 475'F Spacial firefighting Procedures: Fire fighting procedures for wood products are well known. Unusual Fiire and Explosion Hazards: Medium - density fiberboard is not an explosion hazard, Sewing, sanding. or machining MCF could result in the by- product wood dust. Wood dust may present a strong to severe explosion hazard if a dust cloud contacts an ignition source, NFPA Rating (Scale 0.4): Health = 0 Fire = 1 Reactivity = 0 } a.._ ?' ,. . �.. _.. r _.. i ' .; ;ice fa �' ^:` } / ^ r�w.F I:k , .. { k -; - a Steps to be Token In Case Material Is Released or Spilled: Not applicable far product In purdt form. Dust generated from sawing, sanding, drilling or routing this product may lee vacuumed or shoveled for recovery or disposal. Wood dust clean-up and disposal activities should be e xomplshed in * manner to minimize cre stlon of airborne dust. Yiv ':t c t. ..i , , {� � . , r ?Yd'r,� „+�p ''it a+"`� :!'�r :r ry 'rY tr , _ ti •lg ,i _,,,i' .r� . 1 w .rs ,. y • Precautions to be Taken In Handling and Storage: Provide adequate ventilation to reduce the possible build -up of formaldehyde vapors, W` , s Engineering Controls: Cue to the explosive potential of wood dust when suspended In alr, precautions should be taken during sanding, saving or machining of wood products to prevent sparks or other Ignition sources in ventilation equipment, Use of totally enclosed motors is recommended. Provide local exhaust as necessary to meet OSHA requirements for formaldehyde and wood dust exposure. Personal Protective Equipment: RESPIRATORY PROTECTION: Wear NIOSl- i/A4SHA approved respirator when the permissible exposure limits to formaldehyde and/or wood dust may be exceeded. EYE PROTECTION; Recommend goggles or safety glasses as conditions indicate when sawing, sanding or machining wood products. SKIN PROTECTION: Protective equipment such as gloves and outer garments may be needed to reduce skin contact Physical Description: A panel product manufactured from tlgno- cellulosic fibers combined with e synthetic resin or other suitable binder. Boiling Point (42 780 mm Kg); NAP Evaporation Rate (Butyl acetate a 1): NAP Freezing Point: NAP Melting Point: NAP Molecular Formula: NAP Molecular Weight: NAP 011-water distribution coefficient; NAP Odor threshold: NAP Pill NAP Flak.bdend IMPS MDF729.O-dec Pap 3 of 7 Rev. OR/D8/2008 Mar 31 2011 11 :28 HP LASERJET FAX p.5 03/29/2011 08:02 3056536089 MARLITE PAGE 85/08 1 i 't�w7. � ,•; N a � � J�'�� ��. '� l` 9i � i ` t� .�S'' 1t�4 �� er a i ;�i1 {'d, 4'1 � , f� C' f�Ea iii Solubility in Water (% by weight): Insoluble Specific Gravity (H20 i$1): <1 Vapor Devise), (Mr =1; 1 atrn): NAP Vapor Pressure (ram Hg): NAP Viscosity: NAP % Volatile by Volume I@ 70 "F (21 0 { j} r . w.. ....... .,.. 1 ,l ", ifie 1. � k , ij p, i, ,l. ' ��0 �` i L ,i, '' ' x 1 i , - ' " Stability: 0 Unstahle ® Stable Conditions to Avoid: High relative humidity end high temperature increase the rate of emission of formaldehyde from medium- density fiberboard. Incompatibility (Materials to Avoid): Strong oxidizing agents, strong acids Hazardous Decomposition or ay- Products: Thermal and/or thermal - oxidative decomposition can produoe irritating and toxic fumes and gases. including carbon monoxide. aldehydes and organic adds. Hazardous Polymeriztdion: ❑ May occur ® Will not occur Sensitivity to Mechanical Impact: NAP Sensitivity to Static Discharge: NAP e T., : , i i . , a i {m .. f , 4 a ! l 4'1 ,,.. 1 .[ I !ui! I 5" ,, ; r l i« Wood Dust: Wood dust (softwood or hardwood): OSHA Hazard Rating a 3,3; moderately toxic with probable oral lethal dose 1a humans being 0.5.5 g/kg (about 1 pound for e 70 kg or 150 pound person). Source: OSHA Regulated Ha 'ardous Substances, Government Institutes, Inc., February 1990. Wood dust — generated from sawing, sanding or machining the product — may cause nasal dryness, irritation, coughing and sinusitis, NTP and IARC classify wood dust as a human carcinogen (IARC Group 1). This classification is based primarily on increased Asir in the occurrence of adenoocerclnomas of the nasal cavities and paranesal sinuses associated with exposure to wood dust. The evaluation did not find sufficient evidenoe to associate cancers of the oropharynx, hypopherynx, lung, lymphatic and hematopoietic systems, stomach, colon or rectum with exposure to wood dust. Formaldehyde: OSHA Hazard Rating or 3 for local and systemic acute and chronic exposures: highly toxic. Irritation studies: human skin, 150 413 days, intermittent exposure produced mild results; human eye, 1 ppm/6 minutes produced mid results, Toxicity studies: human inhalation TC ofd ppm reported, but response not specified; human inhalation TC,,, of 17 m for 30 minutes produced eye and pulmonary results; human inhalation TO of 300 ughe produced nose and central nervous system results; LC- (rat, inhalation) e 1,000 mg/m3, 30 minutes; LC (mice, inhalation) = 400 mg/m , 2 hours Exposure to gaseous formaldehyde may cause temporary Irritation to the nose and throat as well as lead to respiratory disorder::. However, in a thorough review of sensory /respiratory irritation studies of formaldehyde from the standpoint of occupational exposure, an expert panel has observed exposure up to concentratians el 0.3 ppm failed to produce irritation. With regard to respiratory disorders. studies have concluded the threshold for long -term chronic pulmonary effects is between 0.4 and 3 ppm and for chronic obstructive pulmonary disease is 2 ppm. Pre- existing respiratory disorders may be aggravated by exposure. Flakoboard NISOS MDP729 -064oc Page 4 of 7 Rau. OOf082DOe Mar 31 2011 11:29 HP LASERJET FAX p,6 03/29/2011 08 :02 3056536089 MARLITE PAGE 06/08 Epidemiology studies of workers exposed to formaldehyde have failed to consistently Identify an association between formaldehyde exposure and Dancer. In animal Studies, rats and mice exposed to high levels of formaldehyde developed nasal cancer while hamsters did not These exposure levels are far above those levels normally found in the workplace, Formaldehyde Is clesseeed by (ARC as carcinogenic to humans (Group 1). A working group 0 IARC has determined that there Is sufficient evidence that formaldehyde causes nasopharyngeai cancer in humans. a rare cancer in developed countries. NTP included formaldehyde in the annual report on carcinogens. OSHA regulates formaldehyde as a potential carcinogen for exposures exceeding 0.5 ppm, Source: OSHA Regulated Hazardous Substances, Government Institutes, Inc., February 1990; Registry of Toxic Effects of Chemical Substances (RTECS), National Institute for Occupational Safety and Wealth (provided by Canadian Centre for Occupational Health and Safety. CC1NFO May 1995). No Information available at this time, : .. • f e-, .; vie 'i� tr: :�, i4a4 .:$y .e�.{f:a,F„ r♦ J . ., ,,. .• : Waste Disposal Method: Incinerate or landfill in accordance with local, state, and federal regutationa. This product is not considered hazardous waste under federal hazardous waste regulations 40 CFR 261. Please be advised, however, state and ;mail requirements for weate disposal may be different than federal regulations. Dry land disposal Is acceptable in most states If disposed of or discarded In ' Its purchased form. It is, however, the user's responsibility to determine at the time of disposal whether the product meets EPA RCRA criteria for hazardous waste. l... .. �. _�. .. .� .. .:c.. '. , Ir ti ,g.i4;r �'1 oin..,. ?J 4, .lip t .`i �^"J .� "�� _�w , l r.. • pia Not regulated as a hazardous material by the U.S, Department of Transportatton. ...Rio 5: �' ` .. � 1..-1 wry '1:•P ..... t al Tn;■. S r y'vr • , ''i�'I. ",'` :` �. • TSCA: This product complies with TSCA inventory requirements. CERCLA: NAP DSL: NAP OSHA: Wood products are not hazardous under the criteria of the federal OSHA Hazard Communication Standard 29 CFR 1910.1200. However. formaldehyde emissions from this product and wood dust generated by sawing. sanding or machining tNs product may be hazardous, STATE RIGHT-TO- KNOW: Minnesota: kAnnesota Statutes, 1984, Section 144.495 and 325F:181 require that all particleboard and medium- density fiberboard used in newly constructed housing units or sold to the public as building materials in Minnesota meet the HUD Formaldehyde Emission Standard for Particleboard, 24 CFR Sections 3280.308 and 3280,406. Furniture and furnishings not normally permanently affixed to a housing unit are riot considered "building materials" and are excluded. New Jersey: Under certain conditions, this product may release free formaldehyde vapor at Concentrations at or abovo 0.1 parts per million (ppm) but Less than 0.5 ppm. Formaldehyde is a substance which appears on New Jersey's Environmental Hazardous Substbnce List. Flafaeboare MSDS MPF72R-06r0 Page 5 el 7 Rev, Q4i10al2005 Mar 31 2011 11 :30 HP LASERJET FAX p.7 03/29f2011 08 :02 3056536089 MARLITE PACE 07108 Pennsytvsnla, Under certain condttlons, this product may release free formaldehyde vapor at concentrations at or above 0.1 parts per million (ppm) but less than 0,5 ppm. Wood dust may be generated by sawing, sanding or machining this product. Formaldehyde and wood dust are substances which appear on Pennsylvania's Appendrk A - Hazardous Substance Lists. California: California's Safe Drinking Water and Toxic Enforcement Act of 1988 (initiative Measure, Proposition 85): Title 22 California Code of Regulations requires that a dear and reasonable warning tie given before exposure to chemicals listed by the State as causing cancer or reproductive toxicity. Formaldehyde is on California's list of chemicals known to the State to cause cancer. SARA 313 Information: None SARA 3111312 Hazard Category: NAP FDA; NAP WHMIS Classification: This product is not considered a controlled product. ti , a y7 . n , .. , } y : t ' �- ..,/ . � • �.7 1 -t i . ii Date Prepared: 9120/87 Data Revised: 0/0012006 Prepared ay: Flakeboard America Limited Flakeboard MSDS avaiabie on: www.flakaboatrd.00rtt User's Responsibility: The information contained in !his Material Safety Data Sheet Is based on the experience of occupational health and safety professionals and comes from sources believed to be accurate or otherwise tecinically correct. It Is the user's responsibility to determine if the product Is suitable for its proposed application(s) and to follow necessary safety precautions. The user has the responsibility to make sure that this sheet Is the most up- to{iate issue. Definition of Common Terms; ACGIH = American Conference of Governmental Industrial Hygienists C le Ceiling Limit CAS = Chemical Abstracts System Number DOT 16 U. S. Department of Transportation DSL s Domestic Substance List EC50 01 Effective concentration that inhibits the endpoint to 50% of control population EPA = U.S. Environmental Protection Agency IARC = International Agency for Research on Cancer IATA = International Air Transport Association WOG = International Maritime Dangerous Goods LCLo 51 Lowest concentration in air resulting in death LC5D = Concentration in air resulting In death to 50% of experimental animals LOW = Lowest dose resulting In death LD50 = Administered dose resulting in death to 50% of experimental animals LEL = Lower Explosive Limit LFL = Lower Flammable Um!! MSHA = Miring Safety and Health Administration NAP = Not Applicable NAV = Not Available NIOSH = National Institute for Occupational Safety end Health NPRI = Canadian National Pollution Release inventory NIP = National Toxicology Program OSHA = Occupational Safety and Health Administration Flakeboani MSDS MDF72508.doc Rape 6 of 7 Rev. D9108/200$ Mar 31 2011 11:31 HP LASERJET FAX p.8 63/29/2011 09 :02 3056536089 MARLITE PAGE 08/08 ..., T... ' . ? . ..�� -� y. E s,'i'• �ti ` r e . 0 PEL = Permissible Exposure Limit RCRA = Resource Conservation and Recovery Act STEL o Short -Term Exposure Limit (15 minute;) TCLo = Lowest concentration In air resulting Ina toxic effect TOG = Canadian Transportation of Dangerous Goods TDLo = Lowest dose resulting in a toxic pct TLV = Threshold Limit Value TSCA g Toxic Substance Control Act TWA = Time - Weighted Average (8 hours) UFL = Upper Flammable Limit WHMIS = Workptace Hazardous Materials Information System F1akeboard MSD9 MDF720.O8 dac Page 7 of 7 Rev tett1812o06 „ City of ')ee Island • Community Develo ent Dept. ■- (1`°Alyi ' ' ) \ Inspection Report i 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 :::�` ' INTERNATIONAL Phone 912.786.4573 ext. 114 • Fax 912.786.9539 CODECOANCIC /t MEMBER Permit No. / D - C. Dat Requested 0 4/ 4 f 1 1 � ' Owner's Name k . Date Needed (.1/ - : 1/ r Gen. Contractor f c: ' r ,:. Subcontractor O ( ): \J /. ) 7:... Contact Information -"~ (..4.\„,G- - P, ” - 2 (-- Project Address "- I 1 i� , - � ' WE-7Z. Scope of Work . _'A) VV (,-"b'''') U / i ; � Inspector - ,?/6 Date of Inspection ! / Ins p � � Pass Fail Fee �' ,� ' , Inspection � 3 J .\, tlly \l1'r ,i Inspection Pass 0 Fail ® Fee Inspection Pass 0 Fail ❑ Fee i Inspection Pass ❑ Fail ❑ Fee e � Cit of bee Island • C Develc ent Dept. It` �r�` Inspection Report mo / 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 le -� INTERNATIONAL _� Phone 912.786.4573 ext. 114 • Fax 912.786.9539 CODE COUNCIL / / MEMBER Permit No. r`, " - . ) C , _'« Date Requested :,- '1/ 1 Owner's Name ' - , Date Needed "�/,` ) /!e _ , Gen. Contractor 1-= -a r . Subcontractor 0 U! =� 7 rz1� :f I I Contact Information + , 4 %1 " Project Address : 2 1 1 t_ 4 I Scope of Work . IJ V4 T,. 1 Inspector .4 Date of Inspection c t; < ! Inspection E Pass MI Fail Fee '04,11:4_ t+ Inspection Li R Pass 0 ` Fail ae l t Inspection C/) 10,7) , - - Pass - -F air' Fee tal E• 1 ` \ .., 1 _L 1 -:_,, _ --- t 17_, LJ\--ii .4.-:, L ,_-:, -(--t , - -, -- 7.. T , e 5i lj \ ' Inspection Pass ❑ Fail ❑ Fee IN Result Report p 1 03/31/2011 11:32 Serial No. CM35228060004 TC: 243323 Destination Start Time Time Prints Result Note Georgia Power 03 - 31 11:31 00:00:44 001/001 OK Note MIX: Double- Si Direct onl, SP: Special S orig l i y nal, F CODE: F -Code. RTX: Re -TX. RLY: Relay MBX: Confidential, euL: Bulletin. SIP: SIP Fax, IPADR: IP Address Fax, I -FAX: Internet Fax Result OK: Communication OK, S -OK: Stop Communication, PW - OFF: Power Switch OFF, TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer, Refuse: Receipt Refused, Busy: Busy, M Full:Memory Full, LOVR:Receiving length Over, POVER:Receiving page Over, FIL :File Error, DC:Decode Error, MDN :MDN Response Error, DSN:DSN Response Error. RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR - - FAX TO: Lynn Brennaa 7 Phone 912�� 3 Qorg P .✓e r- 3D - aC 9 ab- 8o S' In— G� 3.odt- a 4..237 Location Address: 2 11 l tom- l Lot # Release Date: '.4•/:;:i f/ Type of Release: Temporary Permanent Subd Name: (( -� - 4434 - Electrician: a G'E�t'/�('a�Z I>r/�y�'�lectrician Phone Number: OwnerBuilder: phone Number: Location Address: Lot # Release Date: Type of Release: Temporary Permanent Subd Name: Electrician: Electrician Phone Number: OwnerBuilder: Phone Number: Location Address: Lot At Release Date: Z'ype of Release: Temporary Permanent Subd Name: Electrician: Electrician Phone Number: OwnerBuilder: Phone Number: �; f �, 111—V J W/ �j RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR S►LANNAII ELE-G-TRIC. FAX TO: Lynn Brennan 94-37 Phone 91263' 01 �org; 'Po cogr- 3 ®to- 2lea4 -((o 306 -2Bos— e�-+1 308- 2 (023 Location Address: 211 B(J4'[1eL Lot # Release Date: 31 l Type of Release: Temporary Permanent Subd Name: YP P Y Electrician: Di C0130(51L ( ,T%AkElectrician Phone Number: 4-0-- 537 OwnerBui der: ' Cp , Phone Number: Location Address: Lot # Release Date: Type of Release: Temporary Permanent Subd Name: Electrician: Electrician Phone Number: Owner/Builder: Phone Number: Location Address: Lot # Release Date: Type of Release: Temporary Permanent Subd Name: Electrician: Electrician Phone Number: Owner/Builder: Phone Number: City o lee Island • Community Develd ent Dept. Da Ihk% _ Inspection Report monaik 403 Butler Ave. - P.O. Box 2749 • Tybee Island, GA 31328 em.....ra ,,,- ,% INTERN7NAL ' 0, •-• Phone 912.786.4573 ext. 114 • Fax 912.786.9539 CODE COUNCIL / j MEMBER Permit No. , c- -) ),_:-.), . Date Requested .-- c N ir it Owner's Name -- // ,7,),41:-77 1 / T Date Needed 5/ Gen. Contractor 1 Subcontractor 0 GeJp3 ,..,1,, - , Contact Information - 13a4° ..1..,-e....)k.iNic.) (A-64 -37c- Project Address Z-/ I - :I: D0 i Scope of Work 1 , )7, AA') / 14 Inspector Date of Inspection — ,,,.... Inspection Li- 6-)-//4:L-,/ Pass I:1 Fail EI Fee b upire...Y, "" Inspection 1,....,,t - Z-t D / Pass a _ Faitti Fee ,.....-- 6-_,, Inspection 1 7:7- .-1 1, -F L _ 1--i/v172. - Pass mi if Fee - -,, , I , I A -,_-- (1 ,-, / //).L d* 2 / Jj -- 7 1 / ,..... i (4. t 2--,,, ... - Inspection ■ ct: ,--) RAJ t ".. . I Pass F tr ' Fee k..) F .. �� F 1 \� F RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR . FAX TO: Lynn Brennan M=944=3537 Phone 912 S P UP ItE- 0 01 '. - B ��� 0a -+-L 34- 2 (023 Location Address: 1 I i TEA Lot # Release Date: 3// / 11 Type of Release: Temporary Permanent Subd Name: Electrician: 0 l 0 �D'Z � K, Electrician Phone Number: , • -_1 - 0374 Owner/Builder: _ Phone Number: 414 -S Z- Location Address: Lot # Release Date: Type of Release: Temporary Permanent Subd Name: Electrician: Electrician Phone Number: Owner/Builder: Phone Number: Location Address: Lot # Release Date: Type of Release: Temporary Permanent Subd Name: Electrician: Electrician Phone Number: Owner/Builder: Phone Number: TX Result Report P 1 03/09/2011 12:34 Serial N0. C135228060004 TC: 239680 Destination Start Time Time Prints Result Note Georgia Power 03 - 09 12:34 00:00:32 001/001 OK Note NIX UD: D uble- SiggdedaBindingpDirecttion, TTSP: Special aa SRC! FCODE F- od RTX: Re -TX. • RLY: Relay MBX: Confidential, BUL: Bulletin, SIP: SIP Fax, IP I P C AddreSs F ax, I -FAX: Internet Fax Result OK: Communication OK, S -OK: Stop Communication, PW -OFF: Power Switch OFF, TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer, Refuse: Receipt Refused, Busy: Busy, M- Full:Memory Full, LOUR:Receiving length Over, POVER:Receiving page Over, FIL:File Error, DC :Decode Error, MDN :MDN Response Error, DSN :DSN Response Error. RELEASES FOR ELECTRIC SERVICE FROM TYB ISLAND FOR ^ - _ _ FAX TO: Lynn Brennan 9-31,2=94.4=3.5.37 Pawn.. 9I2� 4aeore :..s. 'pc. ....... v-- 3 OGo -. -. V 4 -14,.., 4 ob -2 -I-6 - 2 625' MP Location Address: — Lot # Release Dat¢- t Type of Release: Temporary Permanent Subd Name: Electrician: P t e-er?,31 ...De=Z '��(C lG Electrician Phone Number: g. r74. Owner/Builder: ' •� +� Phone Number: .4 J 1 �� Z_ Location Add ress: Lot # Release Date: Type of Release: Temporary Permanent Subd Name: Electrician: Electrician Phone Number: Owner/Builder: Phone Number: Location Address: Lot it Release Date: Type of Release: Temporary Permanent Subd Name: Electrician: Electrician Phone Number: OwnerBuiIder_ Phone Number: Building Projects Selection Name' Information I __ Arne ___ _ _ .. --- — .. ■ .dyes. - Advanced -- ( Individual C Entity 1' B • ;'; Street NA 211 d Number • - _I i ame . Street BUTLER Un l_ I. 1 tractor -- — .Selection �ein°re - ■ Code 1 p ! Status <Ary > . Project Type J <Any> 1 Project # T,•= Project Descr .tion £ .•. Date Status St NA Street UnI P a': 050442 N ELECTRICAL PERMIT : vd -TER I•:1AI 9:29.21106 I6 0 .en 211 E El_ITLER.AIE CONST 070290 R INSTALL FENCE 710512008 Complete 211 BUTLER AVE CONST # 070381 N "'"`ABANDONED PROJECT' "" 9/05/2007 Complete 211 BUTLER AVE 100021 N NEW MIXED USE BLDG - SHELL 0 111912011 Open 211 BUTLER AVE CONST L10 -01 N LAND DISTURBING 1/20/2011 Open 211 BUTLER AVE CONST A 1 100059 N LIFT HOUSE ON PROPERTY 211112011 Complete 211 BUTLER AVE — 100086 N MECHIPLMBIELEC FOR MIXED US 3101/2011 Open 211 BUTLER AVE CONST I r Display f` Name f FrojoteectDescriptptiori 11 -I Ok 1 , Cancel 12 2I-(0 ? ¢s - Pau( T Qv\, Ch - 6 Co 1 / 1 4 , c_4...0 r -Cr 0w• -- 3 - " T 20 b:r•s on 1-. - R a G v._■,-. )0 21 L.IO+ °I 1 , 0 ,, 0 0ci3- t" ,‘ t4! bee � - i, ilcity of b Island • • Community Devel(� Lent Dept. =t F Inspection Report Nome , '� 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 -® k 2' INTER Phone 912. ext. 114 • Fax 912.786.9539 CODE COUNCIL' MEMBER Permit No. 1 0 — ),'> , Date Requested I t 1 >> / C `=' ( / D 1 Owner's Name 1\)141)C-4J i )c J Date Needed (I/4 i 1 L Gen. Contractor , I�._c Subcontractor Contact Information } 4)-J i 7,(,-,0-.—Y--, Project Address 7 l 1 17 04- (I L�?z_ Scope ol"Nork \\{ /ti) 1M ! 4 li`5 i Inspector `i (tl Date of Inspection 41 11&i rJ Inspection 'j1,=- I Pass ' 11 Fee ( 4 ■ r71 p=it.. Inspection Pass D Vail fl Fee Inspection Pass Fail Fee Inspection Pass © Fail 1 3 Fee °y City oft bee Island • Community Develd d ent Dept. `6X >r �- .- Inspection Report ���� 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 -M INTERNATIONAL Phone 912.786.4573 ext. 114 Fax 912.786.9539 CODE COUNCIL: MEMBER Permit No. ,� � - 9 2 Date Requested Owner's Name 7.71 4 - `%:-: // Date Needed Gen. 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Contractor - Subcontractor -,........, Contact Information l'10,&) 1 Project Address - 2 1 Scope or Work IN, Ff....Lk3 04 I X,1I. -\ Inspector i , ,,j ./. ) (-1 Date of Inspection /-) if() 7, V( Inspectio ' bt 1 --.1 1 n„) — Pass 0 Fail rj Fe— , / tog 1, ) - R, 7) - ripl - r - : . :-/T - c 4L 1 Le-6i 15/ Li ilY'rc., )( 11,66---- IC ' , _ ..... _ 1 ( L- 6 ' ) _,. -- ypou f bit. 1:),DCA)01 It- Inspection Vs- • — 1: --- Os01,)i - lai Fj- . IP ..<,- Inspection Pass 0 Fail El Fee In5 "on a Pass Fail D Fee t L-,■,/ \ i°F-r City or bee Island • Community Develc gent Dept. h �t� 7 /,.r • i Inspection Report maim \`y' vi / 403 Butler Ave. • P.O. Box 2749 • Tybee Island GA 31328 -��� INTERNATIONAL Mti•,,,e. Phone 912.786.4573 ext. 114 • Fax 912.786.9539 . CODE // MEMBER Permit No. 1 a' (JOl G Date Requested ? Owners Name 7 1 1 C` ,A- i+ tom. W.-- Date Needed , Gen. Contractor \i .. 1- v _ , >1 , . � (.. Subcontractor Contact Information t`f-f" Li 6L - 6.1 Project Address 2 I 1 ai . }-1-)FE-T. Scope of Work Is/ 14 1 t ,1 I Inspector )(.1 Da of Inspection QP 1 r u Inspection )-- i - Ora 4- I Pass il ❑ Fee QPS Inspection n) r° — Z Pass Fee Inspection Pass ❑ Fail ❑ Fee \/' to Inspect'odi Pass ❑ Fail ❑ Fee \ \ Sf ill i t - ' " % . City of, ►ee Island • Community Develo !nt Dept. I "I i � " �1 Inspection Report S� ���� ) 403 Butler Ave. • P.O. Box 2749 • Tybee Island GA 31328 ATIONAL =/ " Phone 912.786.4573 ext. 114 • Fax 912.786.9539 CODE COUNCIL (� MEMBER Permit No. 10 -- 0 0 3 Date Requested Cl " 3 1- to Owner's Name 211 604-k €X L-- L-C Date Needed 1 - / - I 0 Gen. Contractor � 0 I9 , 1 S n n Subcontractor a ci C.Z Contact Information ' 1 �0 ,) 1 (, (0 0 75 2 Project Address 2 1 \ - E. P4 e T' /-\ve ll ! , Scope of 'Work . a , J IM • k2 d U S C. cL . Li 4- 1 /a1.4' c . Inspector '9/(1 Date of Inspection �rt '' Fe IpSpec Inspection r o v h I L 2 .- / Pass Fail ❑ Fee U i y A b --/ - / / 6 , tile,6'i4 ` 6A)/,:- /(,)444ji QZ":" (l) „ / /"' /z) �• mil/ •F"(• /�GJ v Z e ass I f c J 5 L F .04.1 . V e' ,- 5 P C+ Pass `il 0 Fee Inspection Pass 0 Fail ❑ Fee Inspection Pass 0 Fail ❑ Fee � City of )ee Island • Community Develo; 2nt Dept. 116 =� A Inspection Report i ''' 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 -��� ) Phone 912.786.4573 ext. 114 • Fax 912.786.9539 CO COUNCIL 1 r� MEMBER Permit No. 1 C ( Date Requested - 2 Li-- ! L..) Owner's Name 71 I ? 01--1 PT' L. Lei Date Needed . 2 S - f e Gen. Contractor _ I , L ? b., -)sr),. Con . Subcontractor MO P12 - Hi 2- q.' S" Contact information ' -- D0 r l` , q 12 - lo - F 1 a', ?reject Address 7 ' l L? V -�- 1 2.5' A ve . Scope of Work y f. 2q. / - t ". 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Contractor ,) / Subcontractor Contact Information i i (6 0. 77'' )2_, Project Address ,�% 1 1 S (1'1-- r L Scope of Work . 1\\0 r 1/1/11 y _ . !) l Inspector i ) Date of Inspection t / 0 / P= 1 Inspection s r- L,\ 1 f Pass 0 Fail INt.: = )v C OI 1:7,&S k / /4■34 Inspection Pass ❑ Fail 0 Fee Inspection Pass El Fail 0 Fee Inspection Pass ❑ Fail 0 Fee itt-"•-- r lir it:::er. City of )ee Island • Community Develo ent Dept. nailk‘ Inspection Report malikok 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 INTERMNAL Phone 912.786.4573 ext. 114 • Fax 912.786.9539 CODE COUNCIL: MEMBER , , 7 / / / --/ Permit No. ) ,,,-- -- )(, Date Requested Z f i 'I Owner's Name ) -,1 -, , irl. 1 ,(,_ , Date Needed / i Gen. Contractor Subcontractor ,,... i Contact Information r1,1 (._), ) - 'P, Project Address Scope of Work Inspector 1 / Date of Inspection Z?/ f i t 0 / i Q P■Se \ Inspection - T 7- e -- r -- -s--r I -c`.' - Pas ELi'il 0 Fee , CO L I I" IN) '5 ( I Inspection Pass 0 Fail 0 Fee ( Z ) Inspection Pass 0 Fail' 0 Fee Inspection Pass 0 Fail 0 Fee ' _ J --- It■ J City 43 bee Island • Community Develo - ._ lent Dept. Inspection Report ? ) 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 maul% ...... INTERNATIONAL Phone 912.786.4573 ext. 114 • Fax 912.786.9539 CODE COUNCIL: MEMBER Permit No. i /e) - 00,8‘, Date Requested Owner's Name -20 3, )_,),/r-T;-:: ((c. Date Needed / . Gen. Contractor Subcontractor ---) Contact Information , ,/ .e%,_,,_.) - 2 --, i) ---/ , Project Address :-/-f // Scope of Work ' ,,,- -- 7 J i>) / Inspector Date of Inspection Inspection , _ Pass D. Fail a Fee Inspection Pass 0 Fail 0 Fee Inspection Pass El Fail 0 Fee Inspection Pass 0 Fail 0 Fee ( City of Tybee Island • Community Development Dept. rilrill I. I::• inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 ...--. ,.... ,, • Phone 912.186.4573 ext. 114 • Fax 912.786.9539 ....... — .- Permit No. __11) - P & Date Requested i e" 1 ......--- . i ..',' / Owner's Name 4 , 1 -Aft" 1' _L,,,LL, Date Needed -2 2/ )/( Gen.. Contractor 1 Subcontractor V Y10.5r_k_17 Contact information \ .1) II') 14A---, ( -1- 1 / 7. • / _____ Project Address ‘-',/ ) t .-- ‘ Scope of Work Ajj 3 11/71' ,. 6 , x Inspector Date of Inspection/ , rf . -.......- ----) --, I , ----;,_7 Inspection bl1 1: ‘,.. k •" Pass Fail 0 Fee --- / r) itZ :...e. A,fii.--/-J/ - r 1 it.- ,--- / / --1 (--- - 6: - II 1- --/ ,...,,,,,,...- Inspection ,. Pass [3 Fail 0 Fee Inspection Pass 0 Fail 0 Fee ( Inspection_ Pass Ej Fail Ej Fee , 1 1 . CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT D-Oos . lC` ;,) Location: J1 \ PIN # - Oco4 - 0 004 NAME ADDRESS TELEPHONE Owner LLB .° 1 (3,1- 21 1 1 66- t' 3 2 , Architect Engineer .'; �- 0 ���� D�1 or En 1 g 5f► -�r� 0N A.- 31410 x` 143Z Building GOV. 2-o 2 -- V40 A - G Contractor ���.� v vAN� 44, G 314 4 (Check all that apply) _ n Repair '/Residential n Footprint Changes 1 Renovation 'Single Family n Discovery ❑ Minor Addition ❑ Duplex n Demolition n Substantial Addition 1 Multi- Family [L-Other +J Commercial Details of Project: ¶ ) O\L -f OLTT Estimated Cost of Construction: $ r 011 oc Construction Type I ) 2 ''a 4 s' (Enter appropriate number) (1) Wood Frame 1 (4) Masonry (6) Other (please specify) (2) Wood & Masonry (5) Steel & Masonry (3) Brick Veneer Proposed use: eNTt C c�� -�_2 Remarks: ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the following information based on the construction drawings and site plan: „ 2- R�S . # Units 5 --. O .- t+k # Bedrooms # Bathrooms Lot Area — Living space (total sq. ft.) 210 t # Off - street parking spaces Trees located & listed on site plan '— Access: Driveway Z- (ft.) With culvert? With swale? -- Setbacks: Front &:), Rear 6 Sides (L) (R) # Stories Height 35 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 560 - T1 = R £� I3 Q - 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 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: 'Z — k Signature of Applicant: AP- - � ( - D E T ) Note: A peiniit 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 Stalin drainage Approvals: Signature Date FEES Zoning Administrator Permit !j S Code Enforcement Officer �y �� / Inspections 324 Water /Sewer Water Tap 10- ootl Storm /Drainage Sewer Stub 10„0021 Inspections .. Aid to Const. 1 City Manager es cr.,ilr 10.0021 i)3So 00 o 4-4( .1 - r ob e c 4 Li 513, 0 00 a TOTAL r 1 - N�.•,s eu- �,, k t I o $, 000 \ DEPT. Of GIA h�,C7� 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" fowl 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. Q 2 Undersigned Date 6D5 Printed Name Office Use Only: Project Address: Permit Number: