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HomeMy WebLinkAbout19181-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20224 mate SEPTEMBER 18, 1991 THIS CERTIFIES that the building ADDITION & ALTERATIONS Location of Property 4255 PRIVATE ROAD #10 MATTITUCR, N,Y. House No. Street Hamlet County Tax Map No. 1000 Section 112 Block 1 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, 1990 -pursuant to which Building Permit No. 19181-2 dated JUNE 10 1990 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 & ALTERATIONS TO EXISTING (NON-HABITABLE} ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to MICHAEL RACZ & GAIL DeSSIMOZ (owners) I of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL. N/A UNDERWRITERS CERTIFICATE NO. N-202952 - SEPTEMBER 9 1991 PLUMBERS CERTIFICATION DATED N/A , uilding Inspector Rev. 1/81 mass xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No Z Date ~~..~a 19~~ Permission is he~ y gran d ta: ~ ..a~.KrGC~.... .,...~~..r.. _ at premises I«ated at ....f ~..~~"..?`......P.~.... ~.~1' Pa;?~%~ti........................................................................... County Tox Map Na. 1000 Section ....~~,rz.......... Bt«k .....fi~,,,l.......®Lot No......lx?.~...... pursuant to application doted ......-T~~~ 19f:.~, and approved by the Building Inspector. Fee 5...°~...'a..~~.!.'~~ .c9!L~ .......g=~~~~""'9'.' ~uild Inspector Rev. 6/30/80 i~~~C~~A L~~ \'~L~~~ a Form No. 6 TOWN OF SOUTHOLD G. SEP 1 3{991 BUILDTOWNDHALLTMENT J~ Y~~~ ~ ~ ~ 765-1802 e FiL7(i. kS!=Y T. APPLICATION FOR CERTII'ICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 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 2/10 of 19, 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. il. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. 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 applicant. If a Certificate of Occupancy is denied, the Building lnspector shall state 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ::ew Construction. O1 Or Pre-existing Building....... '~a~,~,~.~.. f~ ~ , J GIG. n> ~ ~ s~~r~;G!~ Location of PropertyJ61~9~E; j1...~Q... /~[["aaYN`- House No. (~n Str//e~~et Hamlet Onwer or Owners of Property....1;IICry6atL. U "G7r.'..J. l9./k~ ,G~'L„~~,S,kfh°L,,,,,tt,,,,,,,,,,,,,,, County Tax Map No 1000, Section.. ~~..~:.......Block...... 1. ........Lot......` Subdivision ..............................n.,,.^...®.Filped Map............Lot...................... ['ermit No..I.%~~.~ .......Date Of Permit..lYlk~ ICJ.: ~lg~..Applicant... health Dept. Approval ..........................Underwriters Approval... 1'l:~nning Board Approval Request for: Temporary Certificate........... Final Certicate. ~ Fee Submitted: $ ~.>:,c~ yab s~ APPLICANT co~aoaa~ _ THE NEW YORK BOARD OF FIRE UNDERWRITERS ?AG"' ~ 1.0150RA BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK T0038 Date S$P7'Y.;MRl;R 09,199] APPlicotionNo.onfile 77924890/911 N )0295'?. THIS CERTIFIES THAT only the slectr•rcd equipment m described below and introduced by the applicant named on [he a6we application number in the premiaee of N'tCHAEP~, RAC,Z, HA[J,OCK GANF; FrnrnGI,P: p31C, t4A'P'T'i'fdCif, N.y. in thefotlouinp kxation> ®Beaement LJ let FL ©2nd FL 1'AR `~~117 .Section Block Let AUGUST ?6,7.997 woe esomined on and found W 6e in compliance with the requirements of thib Board. NKTUR! ACLlS SYYITCXlS RXTtNES RANGE COOKING DECKS OVENS qSN WASNRRS E%NAUST FANS OUTLETS INUND[ECENTPlUDI1EECENT OTNER NAT. K.W. Anti. K.W. Anti. K.W. AMT. K.W. AMT. N.P. 7b 34 77 70 h i DRYS EUETiACR MOTORS RITURE AMUANCE REDEK S~KIAL REC'~T 71ME CLOCKS FELL UNIT NEATEK MUlT40UTlET DIMMERS AMT. K. W. Wl N. P. GAE M. P. NAT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. N. P. ~ Of ~T Anti. WATT[ SlRVICE OfSCONNlCT NO.Oi _ S E R V 1 C E Anti. AMP. TYPE ~ t$ 2W 1 / SW a! JW J.e AW GPERCACOND. Of ZC. COND. ~ MI.IEG ~~H~'~ HO.Of NEUTKAlS D<'NlUGTIIAI 1. C6 7 X I 4/4 7 ?JO O7NER A/fARATUS: '1'kANSPORH6R:7.-1.,] hYA G & G F,LF;C'CRIC i,f.C.~l`!33 18 W.LANATNG RA. G/~%~ HRNPTON RAYS, NY, 1.1.94F, ORENAI 12 G~z Per - lhb certifieoM mutt not bs shared in any manner; return to tM office of the Roard if incorrect. Inspectors may be identified by their crodentials. BUILDING DEPARTMENT. THIS 6X1PY OF CERTIFIWTE MUST NOIF BE ALTERED IN ANY MANNER. ~ rss-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F UNDATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL i REMARKS: `~~-C~ ,~.9C~' DATE INSPECTOR 765-1802 BUILDING DEPT. G~ INSPECTI N ~ [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION Q [ ]FRAMING [ INAL REMARKS: DATE INSPECTOR T65-1802 BUILDING DEPT. 1 NSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: t r S f < C C4 t if V F DATE ~ INSPECTOR ' ' PEIX & CRAWFORD A R C H I T E C T U R E 208 FIFTH AVENUE NEW YORK NEW YORK 10010 (212) 683-9888 2-HOUSE 6ARA6E - BUIL81N6 PERMIT [6 / 16-1) 27 June 1990 Mr. Thomas Fisher Building Inspector Town of Southold Box 72E1 Main Road g, Sot.tthold, New York 11471 [5161 785-1802 RE: District iooa ~ ~3 , Section 112 block 1 Lot 4 ,p Dear Mr. Fisher: LL Based on your phone instructions and guidance in your call to me on 5 June, I have prepared the enclosed drawings: Z-1 On the original land survey of the property, I have shown the plan of the enlarged garage. As you directed, I am maintaining the minimum 4' set back from the property line on the East and South. Z-2 This sheet shows a Clear plan of the enlarged garage and two exterior elevations. The mid point of the gabled roof will not exteed 18'. I have enclosed three prints of each of the two separate sheets. Also as you requested, I am enclosing a blank, signed check payable to the Town Clerk, Southold, to cover the tost of the filing fees. Please notify me as soon as possible what the amount of this check is so that I can enter it into my checking account ledger. I look forward to hearing from you and I hope that all the enclosed meets with your approval. (`S~i/n c er"~~erl`~'yj"/, l Enclosure ~k I~ ' TEL.'7G5.1802 ~~FFOIK ~O~ toy' TOWN OI' SOUTIIOLD ' i -L, Li:~.t.~.~ = ~ UI~['TCEOI' 13UiLDING INSPECTO[Z a ;;1~.(, ~ P.O. QOX 728 ~ ~ ~ TOTVN EIALL ~,~f/O~ SOUT310LD, N.Y. 1 197I -1941 -~-a , ~~/1 / s ~ / l 1 f ~0 ~ 5 Mr. Michael Racs & Ms. Gail Dessimoz t ~ ' 4255 Private Road 9110 ~ ~aD~b Mattituck, N. Y. 11952 To G9hom This May Concern, We arc unable to complete your Certificate of Occupancy becau>e of the following reasons. nn application for Certificate of Occupancy i.^, not on filc- j~/ No Underwriters Certificate on file. Ttie check is(~t~:~€3ufnot on file.) $25.00 No [[calth Dept. Approval an file. /_1 Nu final inspccCion has been made. Please contact our office on this matter. Thank you for your cooperation. 7iuild9.n~{ Permit II 7y ~ I g 1 Z ' I3u ildincl Dcpt. / No Plumhcr Solder Certificate on file. ( all permit, involving plumbing being .issued after April 1,19IIA ) :1::L0 i::`:~~=-i1;i ~~U„:L j~ :;JMi9F;NTD i ~ a ~ .4 rOUNDATION (1st) '3~' - 1 S~` FOUNDATIOA] (2nd) - ~ 2. I o P.OUGH FRAME & PLUMBING "`1 . .-3 m 3. ~ m y I77SULATIOPI PER N. Y. STATE ENERGX CODE • ~ r m 4. ~ y FIiIAL ~ ' l o - ADDITI !AL COMMENTS: x ~ ~ .c~ 4 • e ~J ~ ' [T7 _ ~ ~ H r ~ t~ ~~`x ~ ! T ~ ~\v ~ M i. A r~ H T b d I • ~ m b ' H I PEIX & CRAWFORD A R C H I T E C T U R E , 208 FIFTH AVENUE :VEIti' YORK NEW YORK 10010 RIL b83-x888 ~ .~lN 2 s NM BLDG. DEPT. TOWN OF SOUTHOLD GARACZ -FILING (B /GAR-I] 17 June 1991 Town of Southold Building Department Town Hall Southold, New York Re: Building Permit # 19 18 1 To the Building Inspector: This letter shall confirm that the Lally column shown on the 1/8" scale Plan of Garage P-1 / 2 shall be installed at the midpoint of the main glue-lam beam (running East- West, the length of the garage) shall be 3" O.D. steel and capable of supporting an allowable service load of 13,717 lbs. The column must be plumb to the beam and the footing. Sincerely, . ~o J. Dougl Pe' ~~w~'^s ~ S ~ 1 :f a ~ ~ ~ e~'k'~ ~'f' . r .3 n ~-.,..5 y'+r I f ' BOe1RD OF HEALTH 3 SETS OF PL.1NS FORM N0. 1 SURVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC r•oart TOWN HALL $OUTHOLD, N.Y. 11971 NOTIFY b TEL.:7G5.1B02 CALL 19~~ MAIL T0: Examined. pProvcd 19`~.OPermit No~j~`~, ..,.m,,,~°•:'`~...... . A ~ 1 Disapproved a/c ~ t.,.. ^~~~~~MAY ~t 8 Ig9~?' E (B 'ding Inspector) TCMt!t~ls' - APPLICATION FOR BUILDING PERMIT Date 5.~~`........., 19e~.v INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with ? sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sttowin; 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, building code, housing code, and regulations and fa admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) 208 Fifth Avenue, New York, N.Y. 10010 . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......Archifect Mr. Michael Racz $ Ms. Gail Dessimoz Name of ownerotpremises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ,??ot yet selected „ Plumber's License No . . Electrician's License No . . n „ Other Trade's License No . 1. Lco~cAtion of land on which proposed work/will be done; !..°`~`S~l , D Mattituck............. . House Number Street. Hamlet 112 01 04 ~ County Tax I,1ap No. 1000 Section BI'ock . Lot , , , Subdivision Filed Afap No. Lot . ..(Name) . State existing use and occupancy of premises anJ intended use and occupancy of proposed construction: 0 a. Existing use and oScuPaPCy ...Garage . b. Intended Garage _ , , , . ~ use and occupancy #frtbr$PNbNN1hrI~. ,,..Itf , li Y'NW~A :a~r:d n~aaUnmb it , i 3. Nature of work (check which applicable): New [3uiWing Addition X...... Alteration . Repair X R~moyat Demolition ..........Swimning pool........... . Tennis Court accessory Building..........Fence .......Other Work... ,7,500 .Fee . , . 4. Estimated Cost .............1....................... (to be paid on IIling this application 5. 'If dwelling, number of dwelling units Number of dwelling units on each (7oor • If garage,numbcrofcars ..four 6. If business, commercial or mixed!, occupancy, specify nature and extent of each tYpc oC use . 7. Dimensions of existing structurc$, iC any: Front 12: 3% Rear .12:3......... Depth , 3:........ . . Hei=ltt 14.5.x...... Number of Stories 1-1 . . Di pensions of same structure wi~h altcr~ation or additions: Front ?f'............ Rear ~S ~ . De th . 40 . Flci t 1~ Number oC Stories . ,1-1 'L. • • - • • • • • • , • . . 8. Dimensions oC entire new construction: Front Rear bcpth , Hcigltt Number of ~ ories . . 9. Size of [ot• Front • • •70984•'' ~1~23. 95. • . • X24: 52:... , . • , , • • •UrDboatihel~os$ •beLeeuw' • ' I0. Date of Purchase , ................Name of Former Owner . , p 'miser are situated A :ReSi.detltl.a,1, .Agrictxl,tural, , , , , , , , , , , , , , , , , , , , , , , , 11. Zone or use district in which rc 12. Does proposed construction violate any zoning law, ordinance or regulation: yBS..8axage. in.: i"r0tat. yard:.... 13. 1Vi11 lot be regraded °O..... • . , , , • , , ......1Vill excess 11 be removed from premises: Yes No X. J Dou 1 cz $ Dessimoz 208 ~th Ave, NYC ,Phone No212 686.9000• 14. Name of Owner of premises R~ , ........Address . . Name of Architect g ~s• peix • • • , ,Address , r~..... f~......... Phone No212 683-9885 not yet• Selec~eS' • • ~ ~ ,Address ..Phone No..- Name of Contractor 15.Is this property locaited within f00 feet of a tidal wetland? *YES._..NO x... *If yes, Southold Towt! Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly ally; buildings, 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 comer lot. See attached survey showing existing garage and proposed set back dimensions from property lines for the proposed enlarged garage. , I i p*! ~ I t _ STATE OFNENYORK ! COUNTY OF .New, York• , , • , • , S.S J. Dou las Peix .........g..:.....~' , , being duty sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. , Fk lsthc.......,axchitect (Contractor, agent, corporate officer, etc.) oC Said owner or owners, and is dilly authorized to perform or have performed the said work and to make and Gle this application; that all statements cogtained in this application arc true to the best oC his knowledge and belief; and that the work will be perCorntcd in the manner set forth in the application filed therewith. Swom to bciorc//me [his ! ...........~IP.~.I:' ......day bf . 19~a. Notary Public . . : Count jn , , ~ C~^ / (Signat•re of applicant) PEIX & CR~IWFORD A R C H 1 7 Ej C T U R E 208 FIFTH AVENUE • NEW YORK NEW YORK 10010 (212) 683-4888 1=116USE GARAGE - BUILDING PERMli [6 / 15ARA6E2.N541 i Ap1^il 1494 Mr. Thomas Fisher Building Inspector Town of Southold I p Mai n7Road E i-? V ~1~1•~: Southold, New York 11971 ~ ~F~"~'~•'-"~~~~~~"~~~~~ [5167 765-1502 MAY 18 (990 RE: Distritt 1040 I~\~~ Section 112 FlLt7~.C)C.PT' 7L1V`JPJ i~f=~>t1UTN01_C1 Block i . Lot 4 Dear Mr. Fisher: I am in receipt of the Building Permit Application which you forwarded to me on the 26th of March. Thank you. I have filled it out to the best of my ability and am herein returning it to you. At the time of our meeting you indicated that you would not need plans in greater detail than the informatioh included on the survey of the property. I understand that you will necessarily have to issue an objection to the'iproposed construction because the garage is situated in the 'front yard' of the property. It wi21 then be my client's task toy,approach the Southold Board of Appeals to request a zoning variance, I await a formal response from you. Sincerely, f J. Do gl s Pe'x j Enclosures: Application for Building Permit copies of the survey plan showing the proposed expansion of the garage 1. 'aart~ ~,M'Q~vb'+~Irq Ory ~ app.'&t o ~ S 0 m ~ q h O ~ a ~ 0 n ~i +Jon•~d..L3~ , .p0'~S Nl yy 1 ~M npO, 5t e~8 .S +rae ~1 ' Q \V, 'off p w ~ ~Nr~~X~ ~ g~~ 0 N N a d ~ ~?r C} r _ It ,i 4~ ? ,r Y C ~f Cf~ i! .,S h , k y .z~a Q U Z o rn .rp 7 i ,1~ b "K a 7 N 0~ = N a Je r O d O J N Q. aG a a YYr "ter. O V y Q MOttYp4M~~ .L t, .38n X ~ ~ O / ~ C1 4 4 / 2 4 .,dry / ~ / J ~ ~ k ' / ~ 4 ~ 2 yem~ y~ °o 1 \ ~ I aD ~~p O~ a, Vf U1 c W ~ O Q b ' tt pR ~ 3 M ~4,ti~ g~ o o cr a S'Y3~ x w Zl~/n ti ~D ~.-J~ r~~Q~ O O t0 4 n O n o ~ ' a ~ 0 h /y~ ~ S ' ~Q ~ oy„ h ~ 9 ~ Y' W 9N~1~~ ~ D~~} ~ 0 N M a' a x ~ o r • ~ yr tO r .7 W `lam,,, ~ ~ ~ .z~a ~ V 7 Z o p i .lr~ c"" ~0- = N ~ N w a ,c 8 t Q ~ ~ N Q a Y b ~ O i a i ~ ct i ~ z° ,y/ a k ~ Mi \ ~ ~ O \ / 2 ~ / O / \ ~/f11~ yO W °r 1 i fA d' N w t 41 ~ O Q a ~ 3 ~ ~Qa ~ 0 ~ y ~ Q' o Off, z W PEIX & CRAWFORD ri~(L~li A~ A R C FI I i E~ T U H E S 20k III III r1A'I NI I (\I 1~ }i,yi, ti' DDVG. AS H, ~ NI H: 1n116 IUt,In rl~i ~,,.,~n e' . 1R `fin ()T g .+m y, (1~ llllll A S~oPeO i LiM II`I6L ~Iq.o' ~ ~ ~oOF yLOPED RGL/F 0 = ~ x ~ ~ ~ 4E OP~~4h11µLLE~ ~ hi - Q CiR,anE Gc~ ~ L-PttAG N~f/17oUi/2°~'~ / fNIGI~ Y~I--IWe»0» vru~oe U2 o. o,~ ~ ~ / Pdu ae-a u Na~ I ~ Gour~DP~TION ~coF GARAgg /'LOOK ROLL-uf GARA(~ E !DOORS I ~ J . ~ _ . I i _ ~ oTINU I L =-I E LE~/o.Tlvrl Lavle.ii-+4 WEST ' 2 ~/8 I-O" E'2/ ELEVATION Loo KIti1G So UTN ~l ~/a' ~ I_Ou 42'- o" OCCUPANCY OR ~ USE C~ UNLAWFUL A n t1ED AS DOTED ~ - T; ~ ~o~~ ~ 7/d d r<'e7a,N,rJG u,EiBS WITHOUT CERT6FICATE DATE. 4~ S/~,~R>r~~ FEES 8l7 N RY: T T ` ~ou~ SEC UAHic's I~LL•uP OF OCCUPANCY NOTIGY ILDI G DEPARTM ~C ~/y poo~S , 786-7802 9 AM TO 2 PM FOR THE FOLLOWING iNSPECT{ONS. //JJ i. FQUNDATION ~ TWO REQUIRED ~i!n ~F}I OE~~ YJOOO O FOR POURED CONCRETE __77""°°~r ?Q'U!~ ' .OI °a'r4 ' 2. ROl1GH -FRAMING & PLUMBING P,~10,~E FOUt~JPTION F.?PGF C7 ~/v ~lO'G' 'f'1'P N ~I 3. INSULATION WPLI.4 TO qE W,%?I GL~'Q'PNC~ ©F q 4. FINAL - CONSTRUCTION MUST ~p.M~l7 ~ ZK~O w~r7 ~ q o PP70Jpi til.,d6 FLOap- eE COMPLETE FOR C.O, rnTU(/G/ c. PI`Gfi~ p fir' G'~°"~I-dE Udl ALL CONSTRUCTION SHALL MEFT I(vtl O^~" fY01 [4W~f THE REQUIREMENTS OF THE N.Y. ~2~2KPJ N~~EF- C pLLI s~ STATE CONSTRUCTION & ENERGY d' ItL p0 ~~7 CODES. NOT flESPONSIBIE FOR 5 DESIGN OR CONSTRUCTION ERRORS ST.o,i as u 1700 ~----L-,_ _ STOR.cCaE _E~/ELl No,U -+/H 6 rTABC-E P-I PLAhI OF G/~KAGE la" = r o' N r