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HomeMy Public PortalAbout11-0208 Hogan g, V CITY OF TYBEE ISLAND BUILDING PERMIT REVISED SCOPE DATE ISSUED: 07/19/2011 PERMIT#: 110208 WORK DESCRIPTION RPLCE DRS/WNDWS/TRIM;REMV DECK WORK LOCATION 1607 CHATHAM AVE D OWNER NAME JAN HOGAN ADDRESS 1607 D CHATHAM AVE CITY,ST,ZIP TYBEE ISLAND GA 31328 PHONE NUMBER CONTRACTOR NAME BRANNEN CONSTRUCTION CO INC ADDRESS 1311 E 59TH ST CITY STATE ZIP SAVANNAH GA 31404 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEES CHARGED $ 101.00 PROPERTY IDENTIFICATION# PROJECT VALUATION $7,000.00 TOTAL BALANCE DUE: $ 0.00 It is understood that if this permit is granted the builder will at all times comply with the zoning,subdivision,flood control,building,fire, soil and sedimentation,wetlands,marshlands protection and shore protection ordinances and codes whether local,state or federal,including all environmental laws and regulations when applicable,subsequent owners should be informed that any alterations to the property must be approved by the issuance of another building permit. Permit holder agrees to hold the City of Tybee Island harmless on any construction covered by this permit. This permit must be posted in a conspicuous location in the front of building and protected from the weather. If this permit is not posted work will be stopped. The building contractor will replace curb paving and gutter broken during construction. This permit will be voided unless work has begun within six months of the date of issuance. Signature of Building Inspector or Authorized Agent: 01.114A-4/`-12—) 017 P.O.Box 2749-403 Butler Avenue,Tybee Island,Georgia 31328 (912)786-4573-FAX(912)786-9539 www.cityoftybee.org . . r ! .. ---- - 1 . ' - - -- c +01 ;0'25 <ika\ City of% dee Island • Community Develop ant Dept. ce _I- eilkAk c7/ fli1, 1 Inspection Report 4_:()„..c... wok v 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 INTERrOt L '•' 6W<'*/ Pi10:te 912.786.4573 ext. 114 • Fax 912.77,6.9539 CODECOUNCIL MEMBER Permit No. I I - 02 c) Date Requested k) - i C- I I Owner's Name ---i 0 3 G v-- Date Needed __,__....n5; 4: ;;5_____ Gen. Contractor bra (--N cv, r. 00 , Subc,ntractor Contact Information 6---e. \12- i"\ (p 5 - q 3 2 --7 Project Address ka Crl "'" -1) 0 k0 41,-) a ry, i Scope of Work V° P fl Q ( -ed C\ .:-) r..., 4- I.AJ , n ci 0JS /-1-r, Inspector 1/q Date of Inspection Inspection 7 r 0 j e c+ --c‘ rm cx i Pass-D—F-eil-afree - 7 ) Inspectio,-,: Pass E-3 Fail 0 Fee 5e5--FT- (94 4A-- OFZIZsrikS Inspection Pass 71 Fail El Fee LA Inspection Pass 0 Fail 0 Fee FROM '. _ PcV, t40, 1912.3551:391 '-,. 21. 2.211:1. 1.1*.40ce Pl. RECEIVED j_ii 9' NSIL.)j) 000(5 utS5-\-k 2)1:1 / \ i ,%•,-,-;1, ICC fkik4, City'of Tybee Island • Planning & Zonsirhg Dept. :1161V Inspection Report istalk A ill , 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Etionwolg- INTMIONAI ,/ Phone 912.472.5032 • Fax 912.786.9539 CODE COUNCIL MEMBER r r / Permit No. i _ 0 Z2_, Date Requested Owner's Name --14._7 ,--4r,-) Date Needed - ‘ Gen. Contractor , \ .\, - I Subcontractor Contact Information - ' • ' , -- i Project Address 1 , . 1,) c --1,r) / ± , 1 /3-'t,'1, Scope of Work -i ---,--.., i --- 73 ;:, Inspector Date of Inspection Inspection I - ,- . — Pass1D=raliD-- fee 1 42 ere.6 , Wr77e‘ '''-;6' Inspection Pass El Fail 0 Fee Inspection Pass 0 Fail 0 Fee Inspection Pass 0 Fail 0 Fee -/ .._)0 ._:�>vim,i. ._� � � � d` City oL�,`bee Island • Community Develot.-.. ent Dept. �i`� Inspection Report n�',,� ,a � 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 T=�� -M' � INTERNATIONAL mow,..,, ' Phone 912.786.4573 ext. 114 • Fax 912.786.9539 CODECOUNCIL° MEMBER Permit No. / 1 J 0 .':—) Date Requested 1/('-')/ ' ` Owner's Name `-/--47C)-t, Date Needed 77 >r/// Gen. Contractor 1- 1_"J (...,(2),\17...71-: Subcontractor Contact Information ' , f= 1-)r-1a 1 11 `,7 . 4/ 'LJ Project Address I(a9 ? L ,_,,/1--4 1%%--/,Z ij 4.1IiZ..• Scope of Work .. , r' C. Y " <0,--/ ui, s - ;:A, Inspector -7 f`a Date of Inspection '2//`/1 /7 ' 1 / Inspection F Z \ tI4iOt,L l (+ i Pa FaiLia_Eee.. Li 7.�Zvvit i I r �r K- 11 ) ! 7L-0`7yr,�j `a �-/.r,.- 1i. rj r JC .° 1--- il _ T i ) u �i Inspection Pass ❑ Fail fl Fee I Inspection Pass ® Fail ® Fee Inspection Pass 0 Fail ® Fee `�' 1 < - y7 .. • :�,r .. '•a-•. ' ..dc .•. i c- 1 ._, .qty\ •.� .,,•, _ V;i t•Y1If 5, s+� R.•_ , -',',1 k}'` -: 4 ,. . _ ' �: . ' ry `if -, r 1 ~jy � 3R .. Yfi ` ..,,ter^^ _ ��•r- f•'. :#.: �' X41 ,.; ' •^ f:∎ � �" 1y .,. '.,a )11iiitroiltrj 1 t,,-. •r .F,t ea f t �� �� --,,,,-is.,,... ` •,• s ` 4."'ilt , -1..A....71:ct . .1":. i .4' . .1 C{,f.. ti . ,jii ‘,... ... ....,... . . ,, , ,, , , _ ,,, . ...„,. .... , ,,:„.„.. . ., , , i„,, 4 _ ... .. , ,. • „, t . . ., , _ ., , r •, `.. tF`_ •z. 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CITY OF TYBEE ISLAND, GEORUTA APPLICATION FOR BUILDING PERMIT 4$ I\+9G� 1 -- n a�' t_�_ Location: L (e,C)1 C) C32 Am Cz,Ve— PIN # NAME ADDRESS TELEPHONE Owner rrOc3 A-r5 l(..raCYT C) C1 thACA S-AI 3 L7 Architect or Engineer Building Contractor All nil Ccl j t 3[ 4 less-= 3 2-7 (Check all that apply) ❑ Repair a Residential ❑ Footprint Changes ❑ Renovation ❑ Single Family ❑ Discovery ❑ Minor Addition ❑ Duplex ❑ Demolition ❑ Substantial Addition ❑ Multi-Family ❑ Other ❑ Commercial Details of Project: CJ A-r1 R o ri s) (ue_- Construction Estimated Cost of Construction• `. J C- r A •� � ( V Tl a 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. 2011 Chatham County Boara if Assessors 4-0010 -04-008 Property Record Card Page 1 of 1 Requested By:READONLY 6/29/2010 1607 CHATHAM AVE TYBEE ISLAND APPRAISER mwthomas LOT 4 WD 6 TYBEE RESUB 10 SO HALF 11 HOGAN ELIZABETH JAN CAMA ASMT LAST INSP 05/15/2007 PO BOX 621 267,900 267,900 LAND 1 APPR ZONE 000008 TYBEE ISLAND,GA 31328-0621 121,500 121,500 BLDG 1 7,500 7,500 OBXF 2 396,900 396,900 Cost-MS SALES CODES 806K/PAGE INS VI DU RSN PRICE 6/14/1995 173E 0297 WD V Q 32,500 PROPERTY USE 0006 Residential GRANTOR:SANDERLIN 8 COWART PAULA, UTA 0004 Tybee Island GRANTEE:HOGAN ELIZABETH JAN. NBHD 020189.00 T189 Tybee Back Rivr 2/16/1994 171B 0596 QC V U UN EXEMPTIONS L1 L8 L9 S1 GRANTOR CHATHAM COUNTY, GRANTEE:PRICE JEROME MONAHAN, 0/26/1994 170E 0439 WD V U UN 20,000 GRANTOR:PRICE JEROME GRANTEE:SANOLIN 8 COWART PAULA 8, PERMITS TYPE DATE AMOUNT. HISTORY LAND IMPR TOTAL 040218 01,4g NC 5/14/2004 Issued 150,000 2010 267,900 129,000 396,900 Cama 02-368 GM 8/26/2002 Issued - 2009 268,000 157,500 425,500 Over 01-169 NC 6/18/2001 Issued 54,000 2008 268,000 157,500 425,500 Cama 2007 268,000 148,500 416,500 Cama 2006 201,500 171,500 373,000 Cama COMMENTS 4/27/2009 TY09 COA PER USPS CD NOTES 2/6/2008 TY95 CC SH/D 150A608 26/2008 ADD CHG PER P/O 02/06-08 DLB 12/29/2006 PHY ADD CNG PER CITY OF TYBEE BUILDING SECTION Q TRGC:TION TYPE RCN AYB EYB DEP TYPE PHYS ECON FUNC OBSV 1% TOTAL DEP% RCNLD U.FACTOR MKT VAL 86502-1 Residential 118,770 2002 2002 MS 7.00 0.00 0.00 0.00 7.00 110,456 1.10 121,500 21 I SECTION TYPE 1-Main -__ AREA 1,420 TYPE 1-Single-family Residence 6' FRAME 1-Stud Frame STYLE 2-Two Story 100.00% 15 ' 15 ' QUALITY 4.00 3.00 -� CONDITION i #UNITS 0 j #OF BEDS/BATHS 3 / 2.00 COMPONENTS UNITS % OUAL - 100.00 2 ■ 'OD R1 108 Frame,Siding,Wood WOO Deck R2 208 Composition Shingle - 100.00 2 R3 351 Warmed&Cooled Air - 100.00 R4 402 Automatic Floor Cover Allowanc - - 1 R6 601 Plumbing Fixtures(#) 8.00 ■CPT R6 602 Plumbing Rough-ins(#) 1.00 - Carport 31 r R6 622 Raised Subfloor(%or SF) - 100.00 IN lift 19' Base Living Area an 10 ' 81 81' ■SPO .'\\ Screen j'9rch Only 152 _-2' ill EXTRA FEATURES 108 BLDG# SYSTEM DESC DIM 1 DIM 2 UNITS QL UNIT PRICE RCN AYB EYB DT ECON FUNC SP SP% RCNLD MKT VALUE 140698 86502 AV CPT FLAT/SHED RF 0 0 710.00 A 8.43 5,985 2002 2002 IR 5,566 5,600 140699 86502 WOOD DECK GD 0 0 270.00 G 10.43 2,816 2002 2002 2R 1,887 1,900 LAND ID# USE DESC FRONT DEPTH UNITS/TYPE _. PRICE ZONING SIZE LCTN TOPO OTHER ADJ1 ADJ2 ADJ3 ADJ4 MKT VALUE 111091 SINGLE FAMILY RES 60 47 2,820.000 SF 95.00 R2 1.00 267,900 Ticker Door a friial)np. [ .2-W niCKSt iiii ACKNOWLEDGEMENT BM tilOsey 83 „ Wt Ma•W Ord Pt 910044-0 Phone: M)W7-4622 , . Route: 0016 Fax: (770)210-397 Page: 1 of 1 Order:0444/11 lq: T1ai100 Ship To: Sched: 04/19/11 T. H. WEARY 11/0131 ORM T. H.GLIM MEN CORPMIT P.O. B3X 23PED 123 NEST 441H STREET Printed SAYMNM GA 31403 SWAIM GA 31403 Date: 04/14/11 Tine:09:22 PA _ (912)23Z-3128 (912)232-312 . KO: IUD Entd ay:VI Pic Our Truck • onkred bp WICEITENSA 11 Type:186E In:52/Out:91 Tens:NET IOW Your Order:4751318. f • Wisner InStnr MRS A')) \A I(I Di D 4 4.y414vJ • t' Net Line i Item Biter *9 00 Derr:tenon ,u, tii r WM 1 Net itice Extended 0001.00 10444 /.0(1 PGIASS Mt 3/11X6/8,W V-E.. jjc UN EA INtaiTr.G10.12r. if 15 WE,SMOOTH KISH 23x65 C/O.LH. 011.IORE.Q'LON WS. 4-9/16 FRNESMER A Bra AEU SILL.NO Iff,SID Sife.Re HMIS. RAM UNIT. 010 DP47TEXt ""01347...11010NITA*** 1.00 EA 0002.00 *910444002.00 MASS SGL 7/406/11.NI 1.00 TA INSERT.fa III-E-22"I 15 WE.MOWN rum 23x55 C/O.1111.III BORE.DION W. 4-9/16 MED.111,En PIM SUL 10 St STD SEEP.ke HINGES.SW1I 1110)B., 1).0. 47 _X-- RATED WIT. 010 DP1.71EXT ****()P-f/RAM UNITAdmi, 1.00 EA Merchandise...: Tax mac Mmes..: Order Taal...! Less Cecarit..: • Wince Oue...: 5/13)2011 SHIP T°' Ofarvev-" 111111); ("A mr iiiit FROM : FAX NO. :9123551397 1. 21 2011 11:43AM P1 432362 4/13/2011 Load Date Not Set 2011.04-22 'Dade Lewis —11.11111/11.11.1111111— .110.111/.' 1.111111.1.1.1i CAMAcaO jcc Deity' cry: 1607D CHATHAM A•E TYBEE b Comment: CUSTOMER SIGNATURE DATE { Quote#: 452362 Pape 2 of 2 Printed:6/15120112;22:12 PM FROM : FAX N0. :9123551397 -t. 21 2011 11:44AM P2 MANUFACTURER'S CERTIFIED STATEMENT &7/(IDOOR • ,'1,:a.;u:.,_n3. DRGIDRSIDRAMORAIDRW Door Slab Onpt No Moot IlkOttralSmOolli 1MahapityIMao/betl raOak 0.16/0.01 ,all DRA24128/2C120/2E =CM 241/4•x38" Audit Who*iron Neat 0251013. iiim xd Oval Vbadgrain/Smooth Skin 3/4 Wad ate DR� n/3/4 Wet 0.29/0.13 Ell D GJDRS/RW00(5 &710) IMMO 22"x 64" VibotdWain/Smooth Sian/'Due white Oak.Rah Foll Lite 0.30/024 COM . DRWOR51DRWGO(618&7A1) FOl Full Oval NbodlS*/Siaoolh SIdn/Tate White Oak Plush Full Oval 023/0.13 KIM ■.,;,a,.;;{<�..;t 1.7:<±at 843 netalle Waslslgreur/Smaatts Skin oa ette.34 Horitage 0.28/0,19 IMMIll . .DRta/0RS40/0RW40(6/B&7ft) Matt Round kd senothf Thsa While Oak 4 Panel Wank 7bp 3 Reared 0.21/0,03 1303.1 • DRWDRS/DRW41(8J9&1/0) MEM 8'a6" •• : . ,/'month Skip!hue While Oak 4 Panel T4dn Lite 025/0.13 EMI ' DRG1DR3fi0/41 C6/8&710 MIN 22"x SS" _ ••• • n i5mcotn Skin/The While Oa True 4 Panor/Lit_ 0.25/0.13 MN . ORG1DRS4IF6V61(fd8&i 22"x 3S" Wf7oe ealnf Smooth Skin/Thee NMd*Oak Thee White Oak b Papal URI t L5 Lila 025/0.13 NMI DRG/OR549 WbodBt'ain/Smooth Skin 4 Panel VA the . 0.25/ail MN DRO/DRS29 DRG/DR549 342 Mre3.11.1 Waodgrain 1 Swab Skin 4 Panel 314 Lie 0.28/0.19 EMI 1213111111100a= tdelroD4ay 4ebrow 0.25/0.13 4 t■"/'4 0, lit':/l�}i ..)f EMIR 25-1/2 x ti-1/4`' 7++ _= , '.t ..Id 17..;. ■6 Petrel LSe 0.21/0.03 ' DRQ/DRs6C lit Woodgraln/Smooth Skin Draftsman 0.21/0.03 DRGIORSiDRW DF0400(618&7/0) raINIMEMZEM Ve0110111SMOOthrillO Whitt Odri bhoh:Orly 6 PanSf l/2 L5e 0.25/0.13 CM • DR81DRS80 8C2 MUM Woods In/Smooth Skin 8 Penal Center Arch 0.21/0,03 laMI ' DR81DRS90 9P1 IMMO. Wbodp/rein 9 Panel 13.21/0.03 glaill i DAS10RF3C 2311111.111 254/2"x 17-518° smooth Skin/Fir Stain Gralmmen 0.27/0.11 i B18$1/0 MUTES 1 31.0l33F;SLMBD '� 4 0431 **soda da/Smooth Skln/Matregtoy 44 Oval 042/0.1S SENEMILLIIIIIIILIENINII 0.28/0.13 i EMI SU343/MAw80 0337/0) " Wco /Smooth Skint Mahogany/True Whho Oak H&1 Ute 0.241015 M S L 8 f 5 61 ( 887/0} Woodgralh/Smooth Skin/Tfue White Oak Half Ute 024/0.18 OM • SBI (618&7A)) 34WS8O 801 B"x 41" Wioodarain/Smooth Skin 8 Panel Center Arch 0 410-18 131.111 • 6/S&WO ONELITE DOORS i 1 DRG/ORS12 MIME 20.15. x s4-15/x6' Ifax418raint Smooth Shin Flush Glazed it i ire-deer IG/GAG 0.27/0.14 MIN 4 ORG/DRS 12 La 20-346"a 34-1t/16• Waodgrain/Smooth Skin Flush Glazed 14 life-LaE 0.281008 DRGIDRsio I=MM in/Smooth Skin Flush Glazed Full Life-La 029/0.29 EM, • 1 0RG/D1tS10 (I 5 CE=1111 Woodalinf&woe)Skin Rush Giaaeet Fuii Lite-Clear iG/68G 0.442/044 • DRMIDR513 � Mahagaity/8n ate Skin Flush Glared 14 Lite-hE 02910.29 3.45 t D481080 DINECE=EN NbodgraiW Smooth Skin Plush Glued Full Lite-LoE 0.29/0.29 ECM t t 0881080 141 2614•i lo•lanir Nbodgta nJ&,w„M Skin Flush Waxed Veit file CEear 10/080 0.45/0.44 2.22 ! DRM/DRS1380 va 28. •zee-MI6" Woodgreinl Smooth Skin Plush Wooed Fun 1te-Clot Iq I GAG 0,35/0.29 8/0 DOORS ORG/ZIRS/DRM/DRA/DRW Door Slab OWN No Glass WooCglrain/Smooth/Mahogany/Rustic fro)White Oak 0.16/0.01 \., ;.l 04A2A/2C/2980 =I 2'~918"x 50-U4 i 29313"s60-1/4" Rustic WiouSit Iron Glass , 0.30/0,25 en ....83080 OM 22"x64" WoodBrain/Smooth Skin 3 PanslSf4 Lice 0.20/0.24 1311111 9R0.DR$3080 sus 18 oval W rahl/Smoot Skin 8 Panel 34i Ova! 0.2510.73 - Um/0884180 A"x 24" Woo ale/Smooth Skin 4 Pend Main Litt O.2g/0.13 • DRGIDRS4180,DRG/0R32580 • 22"x48^ • •: 0.28/0,39 Ell ' 01%/0946000 25-i12"x 50" ''0d,sin t 5rrtoieth Skin 6 Papal halt Lite 0.30/o.24 02Q10888080 803 ME= wopdpr8in/Smooth Skin 8 Panel Center Arch' 0.25/0.13 rini 0899150 ll Woodgatn 9 Panel 0.25/0.13 UM DRS/ORF3C80 EMM=11 Smooth Skin/Fh Wain Craftsman 0.27/0.11 3.7 8/0 S!DELITE 51.0/S4180 Weoduain/Smooth Sian Wolf Lite 0.28/0.1,a cum 1 j MANI fAGTURER'S CERTIFIED STATEMENT 1 141 rl CITY OF TYBEE ISLAND BUILDING PERMIT DATE ISSUED: 04-14-2011 PERMIT#: 110208 WORK DESCRIPTION REPLACE DOORS/WNDWS; TRIM WORK LOCATION 1607 CHATHAM AVE D OWNER NAME JAN HOGAN ADDRESS 1607 D CHATHAM AVE CITY,ST,ZIP TYBEE ISLAND GA 31328 PHONE NUMBER CONTRACTOR NAME BRANNEN CONSTRUCTION CO INC ADDRESS 1311 E 59TH ST CITY STATE ZIP SAVANNAH GA 31404 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEES CHARGED $101.00 PROPERTY IDENTIFICATION# PROJECT VALUATION $7,000.00 TOTAL BALANCE DUE: $ 101.00 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. _Cdte.)-4 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 CITY OF TYBEE ISLAND, GEORuIA APPLICATION FOR BUILDING PERMIT 5� I ( 0 2 cD Location: 1,60 1 T C✓1 kA^^- aye PIN # —00 (0-04 00 g NAME ADDRESS TELEPHONE Owner Zoe (-403A w► ■.(p0-7 D Gr,al ,oy,,. O1v`2._ CQ,55 l 327 Architect or Engineer Building Contractor BVGtr1/i en Ccs�S�' 4 k 15- Sa` (Q5 --`43-67 (Check all that apply) prRepair Residential — Footprint Changes Renovation 17 Single Family ❑ Discovery ❑ Minor Addition Duplex ` Demolition 111 Substantial Addition n Multi-Family n Other n Commercial Details of Project: k_ \, 2 Doo r5 z -A--00 vJ t,nrocc 0 I SC, 0(c X Q-Q en Oc 1r; o r `D tc✓'5 1 �-e o s4c r- Estimated Cost of Construction: $ © d °v 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 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: —( I Signature of Applicant: Upc (04/04 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 `x+10 Zoning Administrator Permit Code Enforcement Officer Inspections 2 Water/Sewer Water Tap Storm/Drainage Sewer Stub Inspections Aid to Const. City Manager TOTAL /01 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, IF YOU'RE' OT and Schools. Owners of these rental properties must document compliance with this requirement. EPA's sample EAD-SAFE CERTIFIED, pre-renovation disclosure form may be used for this purpose. r 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 COULD COST YOU certification and fee payment to EPA. The Agency has up to 90 days after receiving a complete request for BIG TIM 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. • Read about how to use lead-safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. Signature Date V J S+ e� 6-1-)ney Printed Name PVT.OF NATURAL RESOURCES /` � GEORGIA , A 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. t! :.� — f 4- H ni