Loading...
HomeMy Public PortalAbout11-0669 CorkumBuilding Permit Number PIN t 1•. 791[I;_ FOR RPCORD NONCONVERSION AGREEMiNP11 11 FOR STRUCTURES IN THE FL(,'.�,..,, Clerk FIRM Zone ig BFE feet (NAVD) Property Owner(s) petiN r" Superior Court of 1_ tl.y. t l'7$.rit County Address of Prope%ty" t%) ). r' ,1 L fier i ,( % / T w Panel Number P) ‘ ° effective date 6`i7/ 6 Contractor S /! tf In accordance with the Flood Damage Prevention Ordinance of the City of Tybee Island, Georgia, the Property Owner agrees to the following: 1. That the enclosed area below the Base Flood Elevation shall be used solely for parking of vehicles, limited storage, or access to building, and will never be used for human habitation without first becoming fully compliant with the Flood Damage Prevent Ordinance in effect at the time of conversion. 2. That all interior walls, ceilings, and floors below the Base Flood Elevation shall be unfinished or constructed of flood - resistant materials. 3. That mechanical, electrical, or plumbing devices shall not be installed below the Base Flood Elevation. 4. That the walls of the enclosed area below the Base Flood Elevation shall be equipped with at least two vents which permit the automatic entry and exit of floodwater with total openings of at least one square inch for every square foot of enclosed area below flood level. The vents shall be on at least two different walls, and the bottoms of the vents shall be no more than one foot above grade. If located in a V -zone, breakaway walls are required. 5. That the requested structure may be subject to increased premium rates for flood insurance available from the National Flood Insurance Program due to its location in a Special Flood Hazard Area. 6. Thatzvaria in construction beyond what is permitted shall constitute a violation and be abatable as such. Printed Name of Property Owner Sign re of Property Owner Printed Name of Property Owner /2- —0/-7/ Date �r // Date qlk TuO 3 2o12. BY: ........... STATE OF GEORGIA COUNTY OF CHATHAM I hereby certify that on this 1 ^T day of )eeptn� , 20 (1 , before me, a Notary Public of the State of Georgia, personally appeared-N. v 5 + 3711 ; a , known to me, or satisfactorily proven to be the person whose name is subscribed to the foregoing instrument, who acknowledged that he /she has executed it for the purposes therein set forth, and that it is his act and deed. In witness whereof, I have set my hand and Notarial Seal. NOTARY DIANNE OTTO Notary Public, Chatham County, GA My Commission Expires November 6, 2014 My Commission expires on N •J . (D 2.o t WITNESS SIGNATURE Printed Name 544.. id SZ .( Address p) ; (,'/ ' 5g _( � f5(ve j 6-A 3/V 8 Note: A Nonconversion Agreement must be used whenever an enclosed structure or portion of a structure is built or substantially improved within the 100 year Floodplain below the Base Flood Elevation. A Nonconversion Agreement must satisfy all of the above conditions and requires proper recordation in the land records of Chatham County, Georgia. Permit No. City of Tybee Island • Planning & Zoning Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472.5032 • Fax 912.786.9539 Owner's Name Cole a M. Gen. Contractor Contact Information Project Address Date Requested Date Needed Subcontractor 0-11003 esi a ®: INIERNAUIONAL CODE COUNCIL MEMBER I a�' ./ l ►L1. v6 Scope of Work &120U rt 00/e 6 nlC c45 tit 0� Inspector Inspection r 1, Date of Inspection Pass Fail Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass 0 Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee a�— DATE ISSUED: 12 -12 -2011 WORK DESCRIPTION WORK LOCATION OWNER NAME ADDRESS CITY, ST, ZIP PHONE NUMBER CONTRACTOR NAME ADDRESS CITY STATE ZIP FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE TOTAL FEES CHARGED PROPERTY IDENTIFICATION # PROJECT VALUATION CITY OF TYBEE ISLAND BUILDING PERMIT GROUND FLOOR ENCLOSURE 1408 MILLER AVE DENNIS &JILLIAN CORKUM 1408 MILLER AVE TYBEE ISLAND GA 31328 DENNIS &JILLIAN CORKUM 1408 MILLER AVE TYBEE ISLAND GA 31328 P $ 50.00 $1,000.00 PERMIT #: 110669 «Ofl C on ( ei-S- o n TOTAL BALANCE DUE: $ 50.00 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 1- 12/ 417- ALL CM. munok MUST---COP- SSTDAQ___AND THE FAMILY- DWELLING-CODE AND STATE OF GEORGIA AMEN l_WITH_ THE a-Z Special Hood Hazard Zone Flashed floor elevation fb- minimum above BFE. No nteri finishes, walls designed Mtn entry and exit of water, no m: chanic equipment, only parking, limite stora and building access below BF . SPA c',E BELOW FOC &TLN istkE-Zone)1 tLhateiLviLYls required to relieve viiterpzessurein4 nclose() spete flood elevation, 1 scuts inch of vent 1 square loot officer area - -Bottom & 1 :oot of the grad mut 6pposite walls t isefnlit vide lo exis77/.26 14.0%-■ e_ortver-5 czn A5r4 recapiacs itt fr,ithoom4, carag:3,. JLItdoens, and Kitchnn z.,ountp...r-topr, Ali Electrical InetaIlventa. met comply nth Th National Electric Code_2„orE7 ZdItior and State Gre-orgia Arlene:71PM:: t -D12- 17/ / - er7/4/t2e, alten,r- / CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT X10 .. �i `1 11-0(10(09 iydd /hiu.��t��- Location: NAME ADDRESS PIN # TELEPHONE Owner j)L"IA)tif 5 �e')OthIA. / `ring lg114:-e�I2 J rlar Zc 7 5 y1 /r`' // Architect or Engineer Building Contractor o -- (Check all that apply) ❑ Repair ❑ Residential [❑ Renovation ❑ Single Family Minor Addition ❑ Duplex ❑ Substantial Addition ❑ Multi - Family ❑ Other ❑ Commercial Details of Project: cx 7 Wa-Je* S 5 /) ❑ Footprint Changes ❑ Discovery n Demolition Si 66/ Col /TIC Estimated Cost of Construction: $ Construction Type (1) Wood Frame (2) Wood & Masonry (3) Brick Veneer Proposed use: Remarks: (Enter appropriate n (4) Masonry (5) Steel & Masonry INJflncpr%vef5'0'el ber) rQgvf,re (6) Other (please specify) ATTACH A COPY OF THE CERTI following information based on the const # Units Lot Area # Off - street parking spaces Trees located & listed on site pl Access: Driveway (ft.) With culvert? Setbacks: Front Rear ATION SURVEY OF LOT and complete the on drawings and site plan: # B-•rooms L. ing space (to sq. ft.) # Bathrooms With swale? 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 gi3z, e Construction debris will be disposed by 5 6- -- 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 drai; . g- paired by this permitted construction. Date: / /v // 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 Approved rezoning/ 'ance? Street address and num r: New Is it in compliance with CI- map? If not, has street name and/or umbefbeen reported to MPC? NFIP Flood Zone FEMA Certification attached State Energy Code Affida'it attached Existing Utilities and Public W'orks: Describe any unus 1al finding(s) Access to binding site Distance t water main tap site Distanc to sewer stub site Wate meter size Storm drainage Approvals: Signature Date Zoning Administrator Code Enforcement Officer Water /Sewer Storm/Drainage Inspections City Manager FEES Permit Inspections Water Tap Sewer Stub Aid to Const. TOTAL LEAD -BASED PAINT Adapted from http: / /www.epa.gov/Iead /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, and Schools. Owners of these rental properties must document compliance with this requirement. EPA's sample pre- renovation disclosure form may be used for this purpose. After April 22, 2010, property owners who perform these projects in pre -1978 rental housing or space rented by child -care facilities must be certified and follow the lead -safe work practices required by EPA's Renovation, Repair and Remodeling rule. To become certified, property owners must submit an application for firm certification and fee payment to EPA. The Agency has up to 90 days after receiving a complete request for 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 recordkeepinq 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 recordkeepinq checklist that EPA has IF YOU'RE NOT J [AD SASE CERTIFIED. .DISTURBING JUST SIX SQUARE FEET COULD COST YOU BIG TIME. developed • Read ab • Read o ,elp contractors comply with the renovation recordkeeping requirements. to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right. w to use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. Signatu e Printed Name / i -1i Date 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 cont.. t. on, or unusual site conditions may have EPD regulations that could affect the proj /� Unsersi_* Printed Name /j Date Office Use Only: Project Address: Permit Number: