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Home My WebLink About10637-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y, Certificate Of Occupancy No ..... $J.0.9.1.4 ... Date ........ .HAp.. c.. .h' 1.8... .............. 19 .~3.2 THIS CERTIFIES that the building ................................................ Location of Property ... ?..9. fi ............. 9?.e. qr~tqFj[y.[./.o~.g. .................. 0.~..~.n.~... House No. Street Hamlet County Tax Map No, t 000 Section .. 0 .15 ....... Block . .q I ........... Lot ... () -~.1 ........... Sub&wsmn...(Jr .~;~n. ~,cJ:~:~ ............... Filed Map No. 3.;~z/9 .... Lot No, . .1.1 .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... /~ p~n ~ l...1 ...... ,19 .~ 0 pursuant to which Building Permit No ..... 1.0. 6. .3 7..g. ......... dated ....... ~.pi~.S&. ~b ............ 19.8.Q, 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 ......... ....... a..private, o~e-:farail¥..d.w~%J.J, tlg, ..................................... The certihcate i~ issued to .... ,J.o.a e ph..E.. ~../~[~..C. ~. [Ip.c.l~[lgr ........................ [owner, le~e~ ~r-tenet~t~. of the aforesaid building. Suffolk County Department of Health Approval .1.0..- .B,0.-.~ $ ,..1.2. ./.1/.8.0. ,..lt.qb. e..~.~..~. :. Vi lJ.a UNDERWRITERS CERTIFICATE NO ...... [/../*.9 .~ 7.3.q .................................. Rev. 1/al Building Inspector FOEM NO. 2 TOWN OF SOUTHOLD BUILDII~G DEPARTME~IT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10637 Z Permission is hereby granted to: ..... ~.~,~,,../ .......................... ..... ~.z....~.~.~z..Z.~..~. ~¢-7. .............. .... to ................. "'~/~"~ ............................... ~./~...~....4Z..c~e~ ............. z~..,9?..~..~...sz.o ....... ./~.z...~...z.z~, .................. to application dated ~.~-2. v~k~ ........ /- ........................ , 19(::~'~-~., and approved by the pursuant Building Inspector. ~~n spector' ' FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin~ Inq~ctor Town Hall Southold, N.Y. Certificate Of Occupancy No .... ZJ.C~ 0 6 ....... Date ....... ~.~br~A~.Y. ~.Z, ........... 19 ~. ~S CERT~IES t~t the b~d~ff .. ............................................... f~y ...... ~9~..~9~.~V~Y..~ ........ ~ t. N.Y. ~tion o H~ ~o. ~r ~ T~ Map No. 1000 ~ctio~ ..:..~ ~ ..... Block .. 1 .~t 31 s~on.. Or~qv. ~.c~ ................ F~ Msv No. ~P~.~...~t ~o... ~ ~ ......... confo~s su~y ~ ~e AppU~tion for B~ Pe~it ~tof~e ~ ~ ~ o~ ~t~ . ~..~ ............ l~. ~pm~t to w~c~ s~s ~t No. ~ 0~3Vz dat~ ...... A~.E ~ ~. ~ ............ 19.0 0, w~ i~u~, ~d confo~s to ~ of ~e ~m~s of the app~ble p~om of the law. ~e o~up~cy for w~h ~ ~te ~ ~u~ ~ ......... ......................~va~ 9~~ ....... ~vsx~.~ .................................. ~e~ficate~uedto J.o~eph an~ ~nn of ~e ~ore~d b~d~g. Suffo~ Co~ Dep~a~t of Ho~th App~ ..... ~.~v~9~9..~d ] (~.q. ~.~. A ~. V~.~a ~ N494730 ~ff~R~ ~TI~IC~ ..................................................... -'~Buildin8 l~l~tor FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcation must be filled in type~vriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposel-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings, 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C, Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ... New Building ,, ~ ......... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . .~7..~.~...~¥~.~.,~y~y,../.~'~.g .~.../..Z~;,¢.~..% ................. . .~,~,~r,/.~ ~,~. ~'. ,~..~.~.-.,. House No. Street Hamlet Owner or Owners of Property ........................................................... County Tax Map No. 1000 Section ............... Block .... ./ .......... Lot, ,~,-/ .......... Subdivision.. ~ ?~.~.'~.~.~..../~,~'.~: .~ ............. Filed Map No..~.-~.~.~,~...Lot No .... .,x.z ........ Permit No.."~-~.J~',~..~.~. Date of Permi~,'~..~.'~?..~;.~pplicant .... ~.?..~..~'~.~..~.'~.....'~..'.~.~J~"./~.-¢~.~, · · Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval. :~./Y.~.~-.~.,~,~,~,~. ~j ........ Planning Board Approval ...................... Request for Temporary~Certificate .... ~ ................ Final Certificate ....... Fee Submitted $...?..'. f~-~.,. ................ Construct,on on above described building and~pernS~meets ail ap~plicabi~e codes and regulations. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall South,~d, N,Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and subr~itted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal}. 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a cerbficate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property Pines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date,. -J~/J~/~'"~ ,. New Building ..... ~. ..... Old or Pre-existing Building(Z) ~. ..... ~/Vacant Land '. ........... Location of Property....~..¢~'~ _~__._~',./~' .~.~.~.. ~: ~o~o. '"; ....... ~.. z ..... d;';;" 5 ................. ' ..... Owner or Owners of Property .~7~ %:~ ' ~~ . . CountyTax~No. 1000~tion ..... ~ ..... Block... ~ ....... Lot ..... ~ .... Subd v s on ~ ~ F edMa~ No ~/~Lot No /~ '' at. t Z. .... .................... Health Dept. royal ........ Labor Dept. Approval ...................... ,.. ....... ..... Request for Temporary Certificate ..................... Final Certificate .. '' ........... ~..... ' Fee Submitted $..~ .~..~. ~ ............. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTR C~ TY~ 85 JOHN STREET, NEW YORK, NEW yORK 1003~ .a,e Sep~r 2S, 19~ ~..~..on~o.o.~.~ 0aT~t N 494730 THIS CERTIFIES THAT only the electrical equipment ~ described below and int~duced by the applicant namfd on the able application number in the premises of Jonah ~, 295 ~,ay ~.*¢~.,.i.odon~p~: 22, ~9~ andfoundtobelncomphancewitb tberequirementsofthisBoard. FIXTURE ~ FIXTURES RANGES COOKING DECKS OVENS DISH WASHER 19 41 DRYERS SYSTEMS NO. OF FEET S E R NO O COND OF CC COND ~ 2/0 C AWG OF HI LEG E~ AWG NO OF N TRAL$ OF NEUTRAI` This D.W. Po return to the office of the Bo COPY FOR OF ~nspectors IN ANY MANNER, BUILDING DEPARTMENT 20 MEDFORD AVENUE - PATCHOGUE, LONG ISLAND, NEW YORK 11772 JOSEPH GOETZ CHIEF BUILDING INSPECTOR GRover 5-5500 April 7, 1980 Town of Southold Building Dept. Post Office Box 728 Southold, New York 11971 Attention: George Fisher Dear Mr. Fisher: In reference to our telephone conversation of 4/7/80, p~ease be advised that the structure of the one family residence oonetructed by the students of Newfield Bigh School, has been ~nspected during its construction and complies with the New York State Building Code. JG:jdet Very truly yours~ ~oseph Goetz Acting Chief Bldg. Insp. :1 ,Al,,/-'bF'__-. '11:7" 25 P .... ~O-OO ....... MIDDLE COUNTRY CENTRAL SC~H_OOL DISTRICT NO 11__ BUILDING DEPT. ANTHONY S. DI MA~CO Director of Vocational Educati SEP 1 2 1978 Mr Alert Carnes, Chief Buildin~ Inspector -- 20-~dford Ave Pa[cho~e NY 11772 0ENTEREACH, NEW YORK 11720 (516) 73'/-4219 September 11, 1978 Dear Mr Carnes: It is a great pleasure to inform you that we are in the process of building our sixth full-scale ranch house at Newfield High School, 145 Marshall Drive, Selden, NY and we would like an inspection made of the premises as you have done in the past. The house will eventually be sold at auction m the highest bidder. The inspection is necessary to make the buyer aware of the fact that the building meets with all Town of Brook- haven Building Code requirements. The house is now rough framed and sheathed and we Director o~le.d ~.reciate your advice as to when this inspection can be made. m ~ C~ ~ ] V ~ D Thank you for your continued cooperation. SEP 1 8 t978 MIDDLE COUNTRY' CENTP~L SCHOOL DISTRICT ~11 ASD:rn cc: It Frederick truly you,rs September 13, 1978 The above matteris being referred to BUilding Inspector Eugene Ferrente mbo mill be in contact mith you in refer- ence to the ~equested inspector. O,C :ks ALBERT CARNES Chief ~u~lding ~nspector MIDDLE COUNTRY CENTRAL SCHOOL DISTRICT NO. 11 C ntereach L ke Gro e CENTEREACH, NEW YORK 11720 SuperintendentofSchools GEORGE J. JEFFER$,Ed.D 737-4036 PURCHASING DEPARTMENT 516-737-4004 Assistant Superintendents DANIEL C. BIRECREE 737-4018 STEPHEN t. TUPPER 737-4016 APRIL 1, 1980 MR. JOSEPH E. HOCKER 12 EAST 25th STREET HUNTINGTON STATION, NEW YORK 11746 DEAR SIR: Enclosed are the following documents, pertaining to the Middle Country Central School District Pioneer VI, Vocation House, purchased by you. 1. New York Board of Fire Underwriters Certificate for Electrical Work along with application for same. 2. Copy of letter of January 30, 1979, requesting inspection. Original of letter of September 11, 1978 requesting in- spection of the house by the Building Department of the Town of Brookhaven. 4. Electrical Layout and Floor Plan of Pioneer VI, along with the Lighting and Power Panel. 5. "As Built", Blue Prints of Pioneer VI House. In addition this will acknowledge receipt of the balance of $11,521.35, plus the bid security of $1,280.15, for a total of $12,801.50, representing the total amount of your bid ($12,801.50) Thank you for your interest and may we wish you lick and happiness with the house. Very truly yours, JMF:pf ATTCHS: GINAGGENT P.S.-ATTACHED ALSO IS COPY OF RECEIPT 4550 DATED APRIL 1, 1980 IN THE AMQpNT. OF $12,801,50~ ~p~SAk[}Q~O~5[-~OC[ DEPARTMENT MIDDLE COUNTRY OENTRAL SCHOOL DISTRICT NO. 11 CENTEREACH, NEW YORK 11720 (516) 7374219 ANTHONY S. DI MARCO Director of Vocational Education January 30, 1979 New York 13oard of Fire Underwirters 85 John Street New York NY H)038 Gentlemen: Attached ts Inspection Request for the latest house b~ing built by the students in our Vocational Department. We have had similar buildings inspected In the past and would appreciate having this inspection completed as soon a~ possible so as not to delay the completion of this house. Thank you for your continued cooperation. Very truly yours Encl Anthony S Di Marco MIDDLE COUNTRY CENTRAL SCHOOL DISTRICT N0.11 VOCATIONAL DEPARTMENT introduces PIONEER SIX A town and country ranch home, designed and constructed by the Middle Country Vocational Carpentry Students at Newfield High School, contains 1400 square feet of living space, consisting of six rooms - three bedrooms, living room, eat-in-kitchen and dining room. There are provisions for two baths - one off the main foyer and one off the master bedroom. The exterior is finished in natural wood shakes and clap boards. The interior of the house is~ully insulated with R-19 reflective aluminum foil membrane and finished in sheet rock. 11'-':-7 I ~ " As you study the plan, you will note the entrance foyer, the room arrangement that eliminates unwanted traffic through major rooms...more than adequate bath- room space and ample storage. If you have been home shopping recently you will recognize these features as be- longing to costly homes. The unique beauty in this home Is enhanced by your selection of interior finishing and decorating of each room. All building code requirements have been met in the construction method used to erect the ranch home. The house was inspected by the Town of Brookhaven Building Department, The electrical service was installed by the Vocational Trade Electricity students and is complete except for fixturea which the buyer may purchase to suit his own tastes. The house has been inspected by a representative of the New York Board of Fire Underwriters and a certificate will be available to the purchaser. The house has been built on concrete blocks to facilitate it being moved by the purchaser to his lot. Sealed b~ds from the public wdl be accepted sometime in June of 1979. The house, located at Newfield High School, 145 Marshall Drive, Selden, ~New York, 11784, is open to the public for inspection For reformation, please call Mr. Anthony S. DiMarco, Director of Vocational Education, at 737-4.~, ' .., CONSTRUCTION SPECIFICATIONS FRAMING Double Sill 2 X 6 Wall Framing 2 X 8 Floor Beam~ Diagonal Sub-floo~ing 1 "X 6" 2 X 6 Ceiling Beams 2 X 6 Roof Rafters EXTERIOR Sheathing 1/2" C~D-X Roof and Sidewalls Roof Seal-o-matic 235 lb Black 3/8 Cedar Barn Shakes and Bevel Siding Windows - Wood-~o Locks INTERIOR Insulation - Walls ! Foil Faced 6" (3eilin~ - Foil Faced 6" Sheetrock - Ceiling - 1/2" Walls !- 1/2" Doors Flus,h' complete with trim and hardware FldoKs 5/8' Flakeboard Ki{Chen Cabinets L Mica Cabinets BUILDING DEPT. COPY OF APPLICATION FORM 4B~EL. NEW YOR~K BOARD ~{~FF~4~RI~ UNDERW~RITERS. F LE TH S ~OPY W TH BU LOING DEPT W~EN REO0 ~ED~ ~ ' BUILDING ) WORK ~' ~i ~ DE F~tCTS IS NEW [~ OLD [] REMODELED [] IS ~ NE~ LIST BELOW ALL EQUIPMEN~ WH~H YOU iN~ ED~ RE~ARK8. LI~O~HER ELECTRICAL DEVICES qOT S*T FORTH ABOVE' ~ r' i~ ~[. :; ~ ~0jNOT~,. US~ LT~IS SPACE. Y~ ~e au~0ri~{o ~a~e ~e ~0n a~ ~ju~ th~ f~ t~cover the addltmnal eRmp~b~t,~*~rovid~ ~y ~h~dp] ~a~ ; , S;ZE 0S ' ~ ELECTRIC SI~ ~PLICATtON ~Ay BE RETURNED C,TV O. '~' Selden POST OFFICE ZIP , AS FI~ED ~ ,~ ~,,~ ,~ ~:,~ - FOUNDATION FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY C0~E FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ,/~/~,~..,~ ~7 ·.. Application No./CY.~. ~/.C~ ........ ..· ~._~/ ./.2 Approve~_/~../..~...~. (~.., 19<J~ Permit No../.~,...o..~. ~. c_ Dlsapproved a/c .._ ...... :'.'~ APPLICATION FOR BUILDING PERMIT Date . . ~.~'.~./ ......... 19. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule· b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which ~s part of this appli- cation· c. The work covered by this application may not be commenced before issuance of Bmlding Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the pre~nises available for ~nspection throughout the work. e. No building shall be occupied or used in whole or ~n part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION 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 hereto described. The applicant agrees to comply with all applicable laws, ordinances, build, d~ing code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessa~gMfi~'~e_~tions. /9 .~'.~ ~,/~/?~'/Y .. .... (Signature of applica~ t, or name, ifa cprpol~ttion) ........ i~l'aili~g' afifi;e's~ ;~ '~p~ii~t)' 7;;} )t~.' ' ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· .. C/~.~.~e~ ~?.-~.. .............. :... ................ ~ ......... .~ ....................... Name of owner of premises.. ~¢~.~ .~. · ..4~. ~i~'n' ~~'~e;t' fi;~d') ............. : : i i If applicant is a corporation, sxgnature of duly authorized officer. (Name and title of corporate officer) Builder's License No ......................... Plumber's License No. /.o.. ~.-~.~.~.. Other Trade's License No ...................... . .,?~. ~.~..n,,~.,~j· ~. ~..~.~ ~.~...~.~.~.}/ 1. Location of land on which proposed work~jll be done ..... ......... - ..... :.: ........ House Number Street ff Hamlet County Tax MaD No 1000 Sec. tlon ..... ~ ........ Block ...... ~ ...... .... Lot .... ~.~ ........... Subdivision .~4~..~ /~.~ ............. Filed Map No. ~?:¢~; ....... Lot .... ~ ........ (Name) 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy...~?~(5~..~/~ ............................................... b Intended use and occupancy / .¢~t~, ~Y~. ~ ................................. 3. Nature of work (check which a~plicable): New Building ....~. .... Addition .......... Alteration .......... Repair .............. Rem6val ............ Demolition ............. Other Work ............... 4. Estimated Cost .' .................... F ......................... I (to be paid on filing this application) 5. If dwelling, number of dwellinglunits ............... Number of dwelling units on each floor ...... : ......... If garage, number of cars .... i ................................................................... 6. If business, commercial or mixe'd occupancy, specify nature and extent of each' type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Iteight ............... NunSber of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. D pth ' Hei&ht Nub r of Stori e ................... ; ........................ m e es ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... HeiSt ............... Number of Stories ........................................................ 9. Sizeoflot: Front .......... [ ........... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. 1,1. Zone or use district in which pr~mises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ i ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ' Address Phone No. Name of Architect ......... ~ ................. Address ................... Phone No ................ Name .of Contractor ........ i ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly al~ buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines· Give street and bloekl number or description according to deed, and show street names and indicate whether interior or corner lot. COUNTY OF ,~/d~~. S.S .... · ~.~2:'??./~... ~:.. ~.0 C?.(.A:.'?~. ................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ' He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dgly authorized to perform 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. Sworn to before m.e this NOTARY PUBLIC, State of New yir/~ . . .... No. 5Z.,1524771 I (Signature of applicant) I Qualified m Suffolk County Commlssmn Expires March 30, NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUFfDATION - TWO REQUIRED FOR POURED CONCRETE 2. R_U,=H - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTR~JCTION MUST BE COMPLETE FOR C. O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONEfBLE FOR USE JS UNI.A¥ FUL C[R'[iFJCATE OCCUPANCY C OLOI'qN$ C~ICJ N~ ~r?~. N '-'~ ~IN~.L~; I ( I ! ~_oo?_. -j, I I~-J. Z' 2 _-_2_ '-_ ZL- _' Z _F_-_-_ -_: 32- 2 2: :. -_ :. ---F --: _F_q_- L-_-J -: _'1L-_3 _-_ Z _1___ .I.- .2. _ :. -_ 'L ~_~.,,?-.Z _-:: _-TL.' ~ p,~,., ~ ,, F oo'r,, ~ ~o P-LOOF~ pOiJRED FOOIWDATZO~ lO' 7-,4x~ l FYi,