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Home My WebLink About23173-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24670 Date OCTOBER 1, 1996 THIS CERTIFIES that the building ADDITION Location of Property 1225 LEETON DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 1 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 5, 1995 pursuant to which Building Permit No. 23173-Z dated DECEMBER 11, 1995 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHRIS MITROFANIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-397059 - SEPT. 13, 1996 PLUMBERS CERTIFICATION DATED SEPT. 16, 1996-GREENPORT PLUMBING & HEATING B &d'Kg Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BURDING DEPARTMENT TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 99 BVD23173 Z Date ........... ................................... 19./.. Permission is hereby granted to: LAN,.&r ....... r.? p ! .............................. /...?.�-. o... .. �rr ..................................... ........... . to ... �i7?�l.�i. ...... ...... /��ii ZJ ✓............. ....... ... �...... :..................... �.�y........ w .... /. ic�........ f......d�r/� ....... �o, P...............�../....... .........../........................................................................................................I.......•....I.............................. ..........................................................................••.............................••......•...•....•.... •.... ....... .. at premises located at........./,rl 1JE s ......... ......................................... Es.7�'fl r�....................................................................... County Tax Map No. 1000 Seco ...J�~ ....•......... Block •.....0/.......Q... Lot No. ....� ............. pursuant to application dated ............ .6:4 ............�..... ........... 19....7. , and approved by the Building Inspector. Fee 5...... u..!. wilding Inspector Rev. 6/30/80 i ZI..lt IV l TOWN OF SOUT_HOLD i _. .. .-- •'�j y�:�1� SADING DEPARTMENT SEP 11 ;� _63--IS02 �J� l'"llnriFi-nEi. IdTHOLUES'T. AKLICATION FOR CERTIFICATE OF )CCi;?ANC'' � .+ SOTb A. This application must be filled in by typewr_cer OR ink and suomicted to the building inspector vich the following: for new building or new use: L . Final survey Of ?rope=y with accurate location of all buildings, property __nes, streets, and unusual natural or topographic features . 2. Final Approval from Health 'Dent. Of water supp17 and sewerage-disposal(C_^ _form) 3. Approval of electrical installation from Stara of Fire Underwriters. 4. Sworn statement from plumber certifying thac the solder used in system contains less than 2;10 of K lead. 5 . Commercial building, industrial building, mulc'-pia residences and similar Suiitings and-installations, a certificate of Code Compliance from architect or engineer responsible for the building. 5. Submit Planning Board Approval of completed site pian requirements. 3. For existing buildings (prior to April 9, 057) non-conforming uses, or buildings and "pre-existing" land uses: L . Accurate survey of property showing all property Lines , streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the appi-cant, if a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1 . Certificate of Occupancy - New dwelling 325 .00 , Additions to dwelling 525.00, Alterations to dwelling 525.00, Swimming ?oo1 525 .00 , Accessory building 525 .00, Additions to accessory building 325.00. Businesses 330.00. 2. Certificate of Occupancy on Pre-existing 3uildiae - SiO0.0O 3. Copy of Certificate of Occupancy - .25n T. Updated Certificate of Occupancy - 550.00 5. Temporary Certificate of Occupancy - Residential 315.000, Commercial 515.00 31 Date . . . . . 1. oV I .91 . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or ?re-existing Building. . . . . . . . . . . . . Location of Property. . . . /va� . . . . . . . ./!.�-C-' �!/!. /�///e . . . , .�^' . . . . . . House No. Street Hamlet Onwer or Owners of Property. . .!!! . ./� � .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' County Tax Map No 1000, Section. . . SO yy. . . .Block. . . .VVY . . . . . . .Lot. . . . ✓- r. . • . . . . . . . . . . Subdivision. . . . . . . . . . . . . /. . . . . . . . . . . . . ./. . . . =lied Hap . . . . . . . . . . . .Loots.. . � . . . . . . . . . . . . . . . Permit No��✓.. . .Date 0f Permit. App:icant. �T�"S . 5��'✓. �! • Health Dept. Approval. . . . . . . . . . . . . . . .Underwri___s iporovai .!!��%. U . . . . . . . . . . Manning Board Approval. . . . .��. . . . . . . . . 'Request for: Temporary Certificate. . . . . . . . . . . Fina'_ Car-ic.;.__. .Fee . 306mitced: 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f 1 e LE E T C� � � { �I E #n Mee rd ;g � xF Y w•�� 't o 'C) - � Y ` Jc � fI A tz:l MN ae rc x5.45'35'30"W 2' ` r , (-` s {lF1AFJ{HORtZE C E N T ZA � ,y.'h.._i `I C t0 TH15 SUR .i5 A YIOLATION OF SECt'ION 73 OFTHCNOW YORK 47 rs j."' f -x<•+ -s Y+v i b-""" S -' t'fAltaT LAw., 1 .('pP OF THIS SJRVEY MAP NOT OEAP.iN4I + % u, - �' AND SU.^•YE"OR'S-{MgD.SEAL DR DOWD SEAL 51444wOO m CONS IM. Sr s" x YOD&A VALIC'TnV',C^7f. - {{t STALE + �3' it CUMAMEE•S iDC A.0 k UfOM,CAtl ONLY TO a s I i'o t5 pipe u naAsc.AiD s� s vs To na a e xw '� ❑' b Mo n u.etca 1�" .mse m+FAsa DCr auYd'A+� Aw E', =- :K / IIDT a!3'vTysA4 3>rtl�1S.'S47D'i c'r'S -rct tx �" WrG IUTf=RIRffi d a# ru - _ i[ ht q•� 1 :�.. .: _ .:�.a x=� Aft=;i ;3�'�'x'��'"� Y' r,SL O:Y CJu r;,, X Q-1YC O 990uR6S9WOV7 _,Ri s �11 E4 �MS' ..fe A _ _ _ J�. syr�4• •'+l1.,. N L �°� � 11 (( [ 1 ..tl wt E pvl..l f�•y tP•..+c t. L_C_ E_ -1 l_ _ � F_ `tl•., �'��f _Y' 4 'f'.�'j[k ,..y)'y� "'r+o {§ yZ FG ° e ae a."Asir 4.° • , II ..r q � y u i • 4.. 9 MAP OF L: � T' 1 bU2V.EYEUA:Y C!t'��i�._ �_,V {`.. Yti, " S 4 U T H + Itt!1. + TOWN OF SOU'T ` 4 • �t, ��. ASN .J » �_ (- '` -i��, I I (YFAOTrICRItRyn .tPi1CN 02 PDDITIOtl - � JJ n . 4� 1O1E� N155'I,v�Avj,.JION OF {31rtT 8r'IFQ� V`Zi 5[CTION]'• c 11S Nl Y4.Cl.STATE r e EDUC 11p LA 60fjF50! 1E 1 Vrt nOT OP RINGrwl`�lYX1r'OYf tA, C 5'J RUEEED `.FL It t -T uk CL':%IDCRFB �bt"^Ss. �4fft!>~g4�� y� :�a, Tb DE P VAOl 0. r M.,SUY�I BI�T� s 7'K'�f+h T✓,'PAU RIM 'r"�`♦ '.Y GIIARAi.I[.; I. LUSY(Y `tz-oa�'"iZt;G l• ��F�!��M )�/ ONLY TO TO-. IH. 714 y1' N+9 *Cn+n..wss:.l G I "�'alez•au`dY- .. ,t,..0t rauav rn ,Cl FW100Rel4E - L,lG6S9Eed 1.Ct1[� '$UP 46�w+ w �F:rwww~ Gree„purf , N�wYa Town Hall, 53095 Main Road .'; Fax (516) 765-1823 P. O. Box 1179 a Telephone(516)765-1802 Southold, New York 119714] OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N p G/ DATE: Building Permit No . j�� Owner: Mle'7; (please print) Plumber: 67ir-al--o,ei RZaNYilZ�2- sWcATiN67 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signa Sworn to before me this _(i4e-'�day of c� 1� 0 N ary Public, c County i CLAIRE L.GL.EW Notary Public,State of New York No.4879505 Qualified in Suffolk County Commission Expires December 8, 19 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1185077 BUREAU OF ELECTRICITY 7 85 JOHN STREET, NEW YORK, NY 10038 Date SEPTEMBER 1.3,1996 Application No.on file 11702196/96 11 +7059 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of CHRIS MITROFANIS, 1225 LEETON DRIVE, SOUTHOLD, N.Y. in the following location; ❑ Basement 13 Ist Fl. ❑ 2nd Fl. .Section Block Lot was examined on SEPTEMBER 06,1996 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ► OUTLETS INCANDESCENTI,FLUORESCENT I OTHER AMT. I K.W. AMT. I K.W. AMT, K.W. AMT. I K.W. AMT. H.P. 10 5 2 10 1 1.2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SFECIAL RECTI TIME CLOCKS ULL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET SYSTEMS AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER I A, I a 3W 3 AV 3W 3.9 4W NO.OF CC.GOND. A.W.G. NO.OF 11AEG A•W.G. NO.OF NEUTRALS A.W.G. EQUIP. PER a OF CC.COND. OF HIAEG OF NEUTRAL T--T OTHER APPARATUS: E ROSLAK ELECTRIC LIC.#3677-I L P.O.BOX 164 CUTCHOGUE, NY, 11935 GENERAL MANAGER 1 ! - Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. H Z Town Hall, 53095 Main Road p Fax (516) 765-1823 P. O. Box 1179 �' �� Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 20, 1996 Chris Mitrofanis 1225 Leeton Drive Southold, N.Y. 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : ggg An application for Certificate of Occupancy is not on file. (Enclosed) ffi No Underwriters Certificate on file. %%% The check is (not on file. ) $25.00 No Health Department Approval on file . No final inspection has been made. ffi No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984 ) . BUILDING PERMIT # 23173Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. l M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMAR S: � f DATE* 4�6 INSPECTOR -Attl 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. j ] F DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: - C DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG BG. [ ] FOUNDATION 2ND [ NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR r f � .e3o2as,�wor Me z�Gk/B z X206 z,4' wtbD � OCCUPANCY OR b r D USE IS UNLAWFUL °� y UNDERWRITERSREQUIRED CERTIFICATE WITHOUT WITHOUT CERTIFICATE c'izoSS�nS�GT/off OF OCCUPANCY VI 1�'L �iyi�mum g 1"STEEL ,J z X6°CA2?ii _ �o<r 7iellS�.POfrEQ ��G�i s' O � y Z4, I ............................ . �� 6/z,906 i ...................._..._......_..._....__.....:.... . i i r U;LO SnSPI.(.r10N NerORi nAre COMMENTS FOUNDATf Ohl ( li'I) II IOUMDATION (2ND) IC N '� L� ROUrN FRArM? PLI1MI1I NG INSULATION PER N. Y. --- -- � —'--�---1.---- � ,----..----- h; � STATE RIfFRGY -------I� ----------------------------`-- 'i COUP: it I I _-_ F7NA1. ADDITIONAL COMMCNTS: _---- M --- ---------------------.—.�___ ----------------------------- Y a U �n y 7 i d -,c L E E-I D itif . IV E ;.� n G pia j RI i L .,_.:.��. I4s ss Bo iY AP- - i' CLiY9 F wtoa t r r� e- Fi008 Zone,g1. ,. " K r > w S.A-5'35'30'•W. - ' n r A ( t l i� {WA1JTHORR TfON OR AODRIW� t a ;..� ..`1t..t 4 �-.- T,O THIS SUR ,IS A VIOLATION Of F t,NOT -I=F s.. SEOTION 72 Oi THE NEW YORE STATE . . LT,ucArt LAw _ KOi Oi THIS SUR JLY'AAAE NOT BEA7WNQ $VRVCYORS {N(V,SEAL OR E F �zr _ BOSSED S AL S4t{LL t.OT Hk K " 'tb SEA VAIs TRJ PE � CO -- - SC U E ' :7 Q = i ';'QUARAXTEs cc CAT*W-4STDk SHALL Ellµ. n r ONLY TO THE A& O3 f� pN+l^'M 714k fIJEVE'L -, = CP PiPe- i ,4 n Is rAeED A sy A*�"TLiv S.Si[rD`OaFBL I.+� x `•TmD 2RIl A447GInl2�a.$`�➢rxu'. t�u��^r'S�,s bra •�^ «" :� n•il`� .'Cz•� A { ... l,4 . Nn'^>':>ix.Q3WAFAV « ff B�` .o urma�mxassuA @IIU^>!lW4y�61R�-' J � FORM NO. 1 — 3 SETS OF PLANS . . . . . . . . . . TOWN OF SOUTHOLD "' SURVEY . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT — CIIECK . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORII . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 1"OTIPY ; �✓�S — `n CALL . . . . . . , . Examined . . . . . /��. . . ., 19 .�'f MAIL TO : 9i 1 Approved . . . . �a�//. . . . .. 19 FJ Permit No. . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p f,995 (Big h pector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 19 . . . + INSTRUCTIONS a. This application must be 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 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 is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 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 herein described. The applicant agrees to comply with all applicable laws, ordinances, buildi code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary i e . . . . . . . . . . . I —_." —" -- �. . . . . . . (Signature f akplic((iXitor name, oration) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Mailing address of applicant) Slate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. p . . . . . . . E� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' APPROVED A5 P�bTEb" ' . . . C'i�✓c?�� . . . S.R.#. . Name of owner of premises / . . /v. . . . . .T DATE:• /. . ¢ -1 . . . . (as on the tax roll or laM:dee0 i BY: If applicant is a corporation, signature of duly authorized officer. NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE �. • FOLLOWING INSPECTIONS: • „ - (Name and title of corporate officer) 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING Builder's License No. 3• INSULATION 4. FINAL - CONSTRUCTION Mi1ST ['lumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY Other Trade's License No. CODES. NOT RESPONSIBLE FOR / DESIGN OR CONSTRUCTION ERRORS 1 . Location of land on/which proposed work will be done. /.�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . !louse Number Street Hamlet County Tax Map No. 1000 Section . . .��O() lock Lot . . . . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . J . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises amend intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . JQ�/ll�! Q . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . � � . . . . . . . . . . . . . . . . . . . . . . . .". . . . . . . . . . . . . . . . - . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition : :^;/; Other Wolk Alteration Repair of . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . q (Description) 4. Estimated Cost . . . . . . . . . ./...Via,°•,u U . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) If garage, number of cars its . . . . ' • /' ' ' ' • . • . Number of dwelling units on each floor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6, If business, commer of ldor mixed�ccupancy, specify n tie d extent of each type of use . . . . . . . . . . . . . . . . . . . . . G U 9 `� 5 7. Dimensions of existing structures,cif any: Front . . . fY. . . .� . . , Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Heh . . . ofStories . . . . . . . . . . . . . . . . . . . . . . . .y. . . . . . . . . . . . . . . . . . . . . . . . . . . . HeightNumberalterations or additions: Front . . . S . . . . . . . . . Rear 5. . . . . . . . . . . . . 8, Dimension entire new conslruo Height . . . . .�T/ . r`. �. . . Number of Stories . . . . I. . tion: Front . . . . r::; — Rear . . . . . . . , . . Depth U . . . . . . . . . Height Dimensions of same structure wits 1. Size ht lot: {Toni - v r of Stones . . . . . . .l. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ;. . . . . . . . . . . . . . .� Rear . . . . . .,/.d,¢. . . . . . . . . . . . . Depth . .aaA. . . . . . . . . . . . . . . . 10. Date of Purchase /f1?Y. . • , • • , , . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ie G t NumUe 11. Zone or use district in which premises are situated . . . . . , . cDee 12. Does proposed construction vi late any zoning law, ordinance or regulation: Name of Architect ` • Will excess fill e removed from premises: Yes �No 13, Will lot be regraded 14. Name of Owner of premises . ��,//j/,7,"�IU.�N'!r'�'Address . . . .J.Q!3?,!�'�, . , . . Phone No. . . . . . . . . . . . . . . .� i. . . . . . . �. . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . 15. Is this property within 300 feet of a tidal wetland? *Yes, , , . , . . . No. . . . . . . . . *If yes, Southold Town Trustees Permit may be required, PLOT DIAGRAM Locate clearly and distinctly all brildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. joo �,0I �a I 10 < J S ty i ,(� po, I STATE OF NEW�6�tK G o`c=C7av 2 0 1JN F . ,� �L( . ("( • � • • • • • • . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing G ontra(�) above named. lieis the . . . . . . . . . . . . . . . . . . . . . . . . . ',. . . . . . . . . . . . .y (Contractor, gen , orporate officer, etc.) orin have performed the said work and to make and file this Df said owner or owners, and is duly authorized to perf application; that all statements containe in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner sett forth in the application filed therewith. Sworn to before me this y . . . . . .119 . .L , .da of . Notary Public, . . . . . . . . !� "EW. . ��, . . County Notary Public, of K . . . . . - . Qualified in Suffolk County . . . . . . • • • • • . • • • Commission Expires December ,18 tire of applicant)