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Home My WebLink About32270-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32883 Date: 02/12/08 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 10120 NASSAU (HOUSE NO.) County Tax Map No. 473889 Section 119 POINT RD (STREET) Block 1 CUTCHOGUE (HAMLET) Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 1, 2006 pursuant to which Building Permit No. 32270-Z dated AUGUST 4, 2006 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DAVID J & JOYCE CORCORAN (OWNER) of the aforesaid building. SUFFOLK COmITY DEPAR'DmlII'I' OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 7920 10/22/07 02/08/08 MATTI TUCK PLUMBING & HEAT PLUMBERS CERTIFICATION DATED h"~ Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUlLDI.NG DEPARTMENT TOWN HALL 765-1802 -------, , , ii' .~ 8 1 ~ APPLICATION FOR CERTIFICATE 01<' OCqJPANCY _J This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new nse: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/1 0 of I % lead, 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existiug" land uses: I. Accurate survey of properiy showing all property lines, streets, building and unusual natural or topographic features, 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, lhe Building Inspector shall slate the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Celiificate nfOccupancy - $50.00 5 Temporary CCliilicate "fOccupancy - Residential $15.00, Commercial X15.00 Date ---Jli./-e>.2..--- ____ New ConslnlctlulI _ ____.______. . Old or Pre-cxisting Building: ---A- C___c_ (check one) Localion ofl'ropclt)' ---lll.a.. nAJ.--fuiJ fi?d----CU:kbO--4V.-0__ /0/.)0 !louse No. Street I !lamlet Owner or Owners of Properly: ---~ili.d CO~Q.f_l1'hl_ _____ -------------________c__ Suffolk County "I DX Map No 1000, Section Block [(\j Subdivisioll __ Filed Map Lut PcOlut No _ .3.,22_20 L DaleofPen11lt. Pl,HlJlillg n(lard AppHl\'al .. rJ-lil__ - rufiY.. _c_ ApplIcant. J~~1'1c,) eJs..._____ Health Del'l Appro,'al_ Underwnlers Approval Request for: Terllllorary C:ertificate__ Fee Suhmllted: $ !5;),)_, 0 () Fmal Ccrlificale "/ VI J Jtvl' j) ___~_:::i-~~_~_~____~__ (check one) Applicanl Signalure OJcl'; 7(P~ eoi':. 3)\':)83 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 32270 Z Date AUGUST 4, 2006 permission is hereby granted to: DAVID J & JOYCE CORCORAN 38 SHERRY HILL LANE MANHASSET,NY 11030 for : ADDITIONS AND ALTERATIONS TO AN EXSITING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at CUTCHOGUE 10120 NASSAU POINT RD County Tax Map No. 473889 Section 119 Block 0001 Lot No. 017 pursuant to application dated AUGUST 1, 2006 and approved by the Building Inspector to expire on FEBRUARY 4, 2008. , Fee $ 244.20 e ORIGINAL Rev. 5/8/02 ~,j.,'r, Hall, 53095 Main Road POBox 1179 '1__ "~,::~: ,"";C'\\ York 1\97J-0959 Fax (631) 765.95[,: Telephone (6 J 1 ) 765. 1 ,~, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: J-ft/(J[ Butidlng Permit No 3JJ"I a L , O\\ner~f.V t J Cat (()'Lt4tV (Please print) Pumber fj7j/ L/~ P(uffL~ IL-~/~ (Please pllnt) I certify that the solder used in the water supply system contains less than 2/1 0 of 1% lead ignature) Swom 10 before me this chI oC ~~ rfJ!! 20 t2L- ~~4 DENISE KING Notary Public, State of New York Registration If01KI6041757 Qualified in Suffoik County My Commission Expires Mav 16, 2 tua. ~0ury PUbli~,,-LIfLL County ~ II II 5 A M U E L 5 & 5 TEE LMA N June 1, 2007 Building Department Town Hall Annex South old , NY 11971 . Re: THE CORCORAN RESIDENCE 10120 Nassau Point Road Cutchogue, New York BP# 32270 Z Attn: ~, 6c C'IC;(__ I hereby certify that all required hurricane strapping was installed per code on this job, and that the framing process was observed by me and done in accordance with the drawings, good professional practice, and all requirements. Thank you, Il;tl~~l~ I~ 2~ I, )~I ULU ,. OEPT j 1 --__I:~.~,yN OF Sf"\1 'THo.cr:> -- ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 16311 734.6405 FAX(6311734-6407 3d--~70 Z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION ~FINAL h ~ [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARK~ _ , ~ j'Zf}4', &-- ~ ;h-1 ~?' ~4. u- ok, E~ r:J-~J~ ~~~. DATE d- - l?" - 0 Z INSPECTOR ~,~ 3 'J-?-7() 7- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION ~ trn- DATE /0 ~ -;-;)... -07 [ ] ROUGH PLBG. [ ] INSULATION [XfINAL [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT PENETRATION iJ ) ~~ , INSPECTOR ~ ~ /:Jo F~~ - ---- - 32-2-]& (f) TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1 ST [ ] ~DATION 2ND [vf FRAMING I STRAPPING ,~ [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCT1ON tZ) REMARKS: ~J.P [ ] R~GH PLBG. [ ~NSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT PENETRAnON DATE ~ If! () 7 l l INSPECTOR. 3?-~70 7- TOWN OF SOUTHOLD BUILDING DEPJ;- --"I(_4A02 ____ ."'- -- - )(}-}-1n Z- INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RAE RESISTANT CONSTRUCTION - P(ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT PENETRAnON REMARKS: ~~~ f ~ ok, DATE Iv' 7~ ~ 7 INSPECTOR ~ ~ 3-;-7-7 0 ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND tJ><i FRAMING I STRAPPING - [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION ~- [j<[ ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON , ~U "tf- ~ ~~ ittil ~.oR ~ .~ DATE S-?-3--~1 INSPECTOR ~~ *k~~Jj rJ- ~~.-Hi{~ 3 J-J- 7 0 Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION o FRAMING J STRAPPING [] FINAL - [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRIJCnON [ ] FIRE RESISTANT PENETMnoN ,c~ f~~~ , ,- ~ , .- ~~, t7 ~--8-€ ~ ~ cer-.~~~ I , DATE 1--/3 -01 INSPECTOR .A~ '\ FIELD INSPECTION REPORT DATE COMMENTS . FOUNDATION (2ND) . 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" .lvnl."l V.l' ~VUlnVLl.I BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-180::- FAX: (631) 765-9502 www.northfork.net/Southoldl PERMIT NO. tlUILUINU PJ:.KMll APPLlCATlUN CHbCKLlS'j Do you have or need the following, hefore applying~ Board of Health 3 sets of Building Plans Planning Board approval Survey 3<9.:;)+0 t Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Examined Approved Disapproved ale 20 b :2rb Expiration ,20_ Phone: 104- Ca40S .. .....- ----.--..-, I) P 'J c, I: i . \ AI:l.G- . ~12"vo APPLICATION FOR BUILDING PERMIT Date ?? I I ,20lh ..______ INSTRUCTIONS a. This ~jJ6lication MUST ~e completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. ' e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLlCA TION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. '. (Si d3J36 ~ti. CR11d.t~ (Mailing addres~ of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder .t\tdU M ''Dewitt Cortor (UoL (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer Name of owner of premises (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Wot t~~ 1. County Tax Map No. 1000 Section Subdivision f{ailiu rlO'W (Name) tl9 Block () I Filed Map No. Lot Lot /1 Ii 2. State existing use and occupancy of premises and inten~e7 nus:ct,n~. ~ccupancy of proposed construction: a. Existing use and occupancy ~i'.II ~l L4 1rW~.e ~ " b. Intended use and occupancy AtUM.e" Addition Other Work I Alteration .; 3. Nature of work (check which applicable): New Building Repair Removal Demolition ~ ;)50, 0)() (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars (To bc paid on filing this application) Olte, Number of dwelling units on each floor - p ~'(~ tlA,l1J 6. Ifbusiness, commercial or mixed occupancy, specifY nature. and extent of each type of use. 7. Dimensions of existing structures, if any: Front G 2,Q i Rear I h. 5 I Depth %, 'i I Height I ~ I Number of Stories \OVte Dimensions of same structure with alterations oJ~~ditions: Front (p~ /9 I Re~r Jl~loJ 51 Depth LfG:> Ice I Height /J.JS/- 'r Number of Stories_i:W() 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size oflol: Front---1 G:io \ qq I Rear ca.J1' Rear Depth - ~\Jti-.tio1 lU1Wt~ ~Uct. Depth -.-100 \ q ~ I 10. Date of Purchase Name of Former Owner R-40 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO v' 13. Will lot be re-graded? YES_NO / Will excess fill be removed from premises? YES_NO I 14. Names of Owner of,.{lremises C~~~irl/ Address~~ Phone No. NameofArchitect~At1l0~ <t_ _1-~Address~.uL PhoneNo "'(S4.--w4:0S Name of Contractor Address Phone No. 15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES~NO_ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMIT&MA Y BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES --L NO_ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. ST ATE OF NEW YORK) ~. COUNTYOF~ - . 1ltoWlll~ C\ (~Lwu..t{'lxIbeing duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S )He is the fu-du te <J' (Contractor, Agent, Corporate Offi.cer, etc.) of said owner or owners, and is duly authorized to perfonn or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swom to before me th1"t.. ,r. J 'A ;;\- 20 .\1 /l .1.. day of nv~ ~ Q(Ik/'-J~~ 'lS;"JAi J1 etd Notary Public PATRICIA RICHARDS ~;;;ture of Applicant Notary Public, State olNew York No. 01 RI6042467 Qualified in Suffolk count~'~L ..\ Commission Expires May 30, '"""'"' ~ () / ()oo - /I OWNER TOWN OF SOUTHOLD PROPERTY RECORD CARD 1''1- :; " - L'ulcAo E ve DISTRICT SUB, LOT R f .v- )2 'AL I'''''' ACREAGE rfC0 TYPE OF BUILDING )A\J 'D :Y. COReD RAtJ <t-w FORMER OWNER --j 1+ STREET /0\ 20 , 1/;d.,j'J'<!" PiJ/~ fMd". N VILLAGE C~j.o- RES. )..10 LAND ~ Fr,. elrndfl S W SEAS. VL. FARM COMM. CB. I MISC. ,,It,rI/). LdT;tZ?~ J IMP. TOTAL DATE 1#11 /40 0 -' L..- '-'=- NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 Tillable 2 ,Tillable. 3 Woodland I Swampland Brushland -- House Plot -- Total t .it;~"" '1J"r~r "--,' /(0 .... M. Bldg. I~x"" Extension Extension /3 Extension t X / ~ /04' Garage ,- I ;2 k i St 1!, PQJ! ~,t< -Breeze...s, /.<:/ K 12 x.. () ....- .,!-J 7-7 /.~f( . -.)0 o. B. o Foundation Basement Ext. Walls Fi re Place Patio Driveway r ~ , ~ IS ~ r; /1 . ., j i 1 Y I ,. ~ I I" I f 1\ I '? I I 'It .., r_ o:f .- 2.. fi' '" 'J 0L) f'., I L -;...~ VJ 1""'-" L Bath z L f>H Floors c; ,') A- , .., Interior Finish i-</ /H. L !?:> Heat /.=:- C: - . Porch Attic I Porch Rooms 1st Floor Rooms 2nd Floor Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 6, 2004 Mr. Thomas C. Samuels Samuels & Steelman Architects 25235 Main Rd. Cutchogue, NY 11935 RE: JOYCE & DAVID CORCORAN 10120 NASSAU POINT RD., CUTCHOGUE SCTM#119-1-17 Dear Mr. Samuels: The Southold Town Board of Trustees reviewed the site plan prepared by Thomas C. Samuels dated February 3, 2004 and determined the proposed second-floor addition to the existing dwelling and new entry porch to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code and Chapter 37 of the Town Code. Therefore, in accordance with the current Tidal Wetlands Code (Chapter 97) and the Coastal Erosion Hazard Area (Chapter 37) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result frGlm your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. However, any activity within 100' of a Wetland line or seaward of the Coastal Erosion Hazard Area would require permits from this office. New York State Department of Environmental Conservation Division of Environmental Permits Rm 121, Building 40-SUNY Stony Brook, New York 11790-2356 Telephone (631) 444-0365 , Facsimile (631) 444-0360 LETTER OF NON-JURISDICTION Joyce and David Corcoran 38 Sherry Hill Lane Manhasset NY 11030 March 23, 2004 NYSDEC # 1-4738-03334/00001 Corcoran Property 10120 Nassau Point Road Cutchogue NY SCTM #1000-119-1-17 ~ ~ ~ ErinM;~ Q). IIII::JbU 1::2 Dear Applicants: Based on the information you have submitted, the New York State Department of Environmental Conservation (NYSDEC) has made the following determination. The portion of the referenced property landward of the 30-foot elevation contour interval, as shown on the survey prepared by Joseph A. Ingegno on 12/11103, is beyond the jurisdiction of Article 25 (Tidal Wetlands). Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6 NYCRR Part 661) no permit is required under the Tidal Wetlands Act. Please be advised, however, that no construction; . sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the res,B9nsibility of obtaining any necessary permits or approvals from other agencies. .. / ( John A. Wieland Deputy Permit Administrator ~,_",.\lt\!!li~t_;!,,'1'.II; ."L'~,';" 'j\"'.~', ',",,' cc: ~~'{@_,. Marine Habitat Protection file Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code RES check Software Version 3.5 Release Id Data filename: C:IProgram FileslChecklRESchecklCorcoran.rck PROJECT TITLE: CORCORAN RESIDENCE COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached I or 2 Family HEATING TYPE: Non-Electric DATE: 08/01/06 DATE OF PLANS: 8/19/05 PROJECT DESCRIPTION: New second floor addition to existing one story frame residence on Nassau Point Road in Cutchogue, NY COMPLIANCE: Passes Maximum UA ~ 145 Your Home UA ~ 127 12.4% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling I: Flat Ceiling or Scissor Truss 953 30.0 3.5 30 Wall I: Wood Frame, 16" O.c. 212 19.0 2.0 8 Window I: Wood Frame:Double Pane with Low-E 80 0.330 26 Wall 2: Wood Frame, 16" O.c. 212 19.0 2.0 8 Window 2: Wood Frame:Double Pane with Low-E 70 0.330 23 Wall 3: Wood Frame, 16" O.c. 254 19.0 2.0 14 Window 3: Wood Frame:Double Pane with Low-E II 0.330 4 Wall 4: Wood Frame, 16" o.C. 254 19.0 2.0 14 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page, they are attesting that to the best of his /her knowledge, belief, and professional judgment, such plans or specifications are in compliance with this Code. BUilder/DeSigner~AAeS Date~ Nassau Suffolk Electrical Inspections,Inc. P.O. Box 549, Aquebogue, New York + 11931 Tel: 63\-59\-3097 Fax: 63\-59\-3098 Applicatiou: 7920 Date: 10/22/07 Issued to: Coco ran Address: 10120 Nassau Point Rd Introduced By: M&B Electric Village: Cutchogue License #: 38879-ME Residential I2iI Commercial The following was examined and approved up to the above date and found to be In compliance with the NEe: Attic I2iI \" Floor I2iI 2". Floor I2iI 3'. Floor Garage Conversion Basement I2iI Hot Tnb Addition Detached Garage Pool Switches Receptacle Fixtures G.F.L Microwave Smoke Detectors 57 63 73 6 I Fans Dishwasher Washer/Amps Dryer/Amps Oven Rangel Amps Carbon Monoxide 2-Ex Bath ] 2 Furnace Oil Gas Heat Zones Whirlpool Bell Transformers I yes Rough Insp. Final Insp. Meter Amps Phase Motors 16/8/07 1 10/22/07 Other Equipment: Renovation ~;t:~3~, 3"".,~: g>~ Section: Block: Lot: This certificate must not be altered in any manner