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17023-z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18845 Date FEBRUARY 23, 1990 THIS CERTIFIES that the building ADDITION Location of Property 315 AQUAVIEW AVENUE EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 21 Block 2 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 25, 1988 pursuant to which Building Permit No. 17023-Z dated MAY 23, 1988 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 SECOND STORY DORMER ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to VINCENT C. GEROSA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-050688 - DECEMBER 19, 1988 PLUMBERS CERTIFICATION DATED OCT. 6, 1988-HENRY J. SMITH & SON INC. uilding Inspector Rev. 1/81 FORM NO. I 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) NO- 017023 Z Date .... .................................... 19.n Permission is hereby granted to: ..... .. .... . .... ...... : ....: ..... ........ ....................... at premises located at ..199 i��........ . .. ..... . .........f ..................................................... ............................... ., .................................................................... ................................................................................................................................................................ County Tax Map No. 1000 Section ......... ®� ..... Block ................f-. Lot No. .............. —�..... ses, pursuant to application dated ......................................................... 19.42.., and approved by the Building Inspector. �7 d (!6� 3��3sT � 1 J �--!nl . . .. ...............- ...il g Inspector Rev. 6/30/80 k � FORM NO.6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ft er 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 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, 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. C. Fees: Additions S25 . 00 POOLS $25 . 00 ALTERATION $25 . 00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancy $ 5 . 00 , over 5 years $ 10 .00 4 .Vacant Land C.O. $ 20 . 00 5.Updated C.O. $ 50 . 00 Date . . :G .�(��ll.��. . . . . . . . . . New Construction• • • • • • Old or Pre-existing Building Vacant Land . . .. . . . . . . Location of Property �/i rv��� � ' /59:;*,/ 40 House No. ,��,�.yy Street Ham/et Owner or Owners of Property !/..� !�T ��ip"� County Tax Map No. 1000 Section . . . �. . . . . . Block . . . . . . . . . . Lot. . . . .d.��.� . . . . . . Subdivision ./. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No./ . . . . . . . . . .Lot No. . . . . . . . . . . . . . Permit No. !702 Date of Permit . . . . . . . . . .Applicant v ( Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . Final Certificate . . . . . .. . . . . . . . . . . Fee Submitted $69c6_1 �.I,_, , • • • , Construction on above described building and rmit ets ap ica fe des and rogulations. Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rev.10-10-78 en Ig84s February 21 , 1990 m , � I Mr. Gary J. Fish fFS J Building Inspector BLDG. DEPT. Town of Southold TOWN OFSOUTH0L.D Town Hall, Main Road P.o. Box 1179 Southold, New York 11971 Re: Building Permit # 17023-Z Premise: 315 Aquaview Avenue East Marion, New York Suff . Co. Tax Mgs . # 1000-21-2-3 Dear Mr. Fish: Enclosed, as requested, is a xerox copy of the Underwriters Certificate. In addition, I have enclosed a check for $25 to the Town of Southold. Please issue the Certificate of occupancy at your earliest convenience. Thank you for your prompt attention to this matter. Very truly yours, V. C. Gerosa Encl. HENRY J. SMITH & SON, Inc. PLUMBING, HEATING& FUEL OIL MAIN ROAD SOUTHOLD, N.Y. 11971 (516) 765-3690 C E R T_I_F_I_C_A_T_I_O_N_ y Date October 6. 1988___ I Building Permit No . I � I ---- Owner_ GergagL,IQb—Gentur-ion_Q-Qu-truo-Uon, GC Plumber__Henry_J__Smith & Soni_Inc_ I certify that the solder used in the water supply system contains less than 2/10 of 17 lead. --- — Z'------------- Henry P . Smith Sworn to before me this 6th day of _October—_--, 19-88_- IL�e -�- Notary Pu lic Notary Public , Suffolk County BERNADETTE L TAPLIN '40TARY PUBLIC H4844893 State of New York Residing in Suffolk County �q Commission Expires Sept.30,19-a r ,, J THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000121 BUREAU OF ELECTRICITY F 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date DECEMBER 19,1988 Application No.on file 56447188/88 N 050688 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises VINCENT GEROSA, AQUA VIEW RD. , /POLE S 3, EAST MARION, N.Y. in the following location; It Basement ❑ Ist FL X 2nd Fl. OUT .Section Block Lot wusexaminedon DECEMBER 12,1988 andfoundtobein eoreplianrewith the requirements of this Board. FOUTLUETS ECEPTACLES SWITCHES FIXTURES M u r RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS INCANDESCENT FLUORESCENT yApp HAT K W, aMT K W qM} NW. AMT N.W AMT N P 7 12 8 7 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS REII UNIT HEATERS MULTI.OUTLET DIMMERS AMT K.W OIL H.P GAS H.P AMT NO A WO AMT AMP AMT AMPS TRANS. Hq} H P SYSTEMS NO.Of FEET AMT WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP TYPE METER 1 0 2W 1.0 3W 3$3W 3 p AW NO OF CC COND A W G EQUIP. PER.e' OF CC CONO NO OF HIAEG A W O OF HI-LEG OF NEUTRAL NO OF NEUTRALS A.W G. 1 200 CB 1 X 1 2/0 1 1/0 OTHER APPARATUS: .I:-1 SMOK TOR:-1 =1r II N +i S%u. - m iu;a PAUL R. BURNS u ti— cIc- 275 TOWN HARBOR LANE o SOUTHOLD, NY, 11971 GENERAL MANAGER LICENSE NO. 282 E Per L I Ica a mus not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. M '.1 A Ixlll?xR rT TEL. 76S-1802 [)U{�<K- TOWN OIL SOUTH OLD orr1Cr; 01� BUILDING INSPECTOR ' P.0, BOX 728 TOWN HALL 50tJ'I'110LD,N.Y. 11971 To Whom This May Concern, We are unable to complete your Certificate Of Occupancy becauso ,of the following reasons. An application for Certificate of Occupancy is not on file. /✓// `10 Underwriters Certificate on file. /i/ The check .is 60, d/not on file . )j?W, u-0 No Health Dept . Approval on file . P!o final inspection has been made . Please contact our office on this matter. Thank you for your. cooperation. Building Permit # 1 3 Z Building Dept.. No Plumber Solder Certificate on file . ( all permits involving plumbing being issued after April 1 , 19134 ) oS�FV9Lk VICTOR LESSARD O L Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR , P.O. Box 1 179 (516)765-1802 y0 • Southold,New York 11971 FAX(516)765-1823Ol OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD February 5 , 1990 Vincent C. Gerosa 39 Rugby Road Manhasset, N.Y. 11030 Re: Building Permit #17023-Z Premises: 315 Aquaview Ave. East Marion, N.Y. Suff.Co. Tax Map #1000-21-2-3 Dear Mr. Gerosa: During a review of our files, it was noted that the above building permit has expired, and a Certificate of Occupancy has not been issued. A final inspection was made on October 5, 1988, and everything was okay for CO, but we needed your application and check for $25. 00, a Plumbers Certification, and Underwriters Certificate. We have received the Plumbers Certification, but do not have the Underwriters Certificate. Since your check for $25.00 dated October 17, 1988 is outdated, we return it herewith. Please send us the Underwriters Certificate and a new check in the amount of $25.00, and we will issue the CO. According to the Code of the Town of Southold, it is unlawful to occupy a dwelling until a Certificate of Occupancy has been issued. Please correct the above violation immediately. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Gary J. Fish, Building Inspector GJF:gar encl. T£L. 765-1807 TOWN OF SOUTHOLD OPI'ICH Ot: BUILDING INSPECTOR P.O. BOX 778 TOWN HALL M@ ' t�u0 ey, SOUI'IIOLll, N.Y. 11971 'rrom�uru�e� 7?. I1030 To Whom This May Concern, We are unable to complete your Certificate of Occupancybecause of the following reasons . An application for Certificate of Occupancy is not on file . /�✓/� No Underwriters Certificate on file. The check is (gin � /not on file . ).V as@ cry NO Health Dept. Approval on file . 1_! No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. auildinr Permit it L a 0 J 3 Z Iluildincl DepL. NO Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1 , 1994 } M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [v] FRAMING [ ] FINAL REMARKS: j.e e Qy� \ DATE INSPECTOR �t l)0 ; 3 rsS-180Z BUILDING DEPT. INSPECTION [ ) FOUNDATION 1ST [�OUGH PLBG. [ ) FOUNDATION 201D INSULATION [ ] FRAMING [ ) FINAL REMARKS: _ G 4 k v < DATE .91A 2 iD INSPECTOR F� 3 M-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ) FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL d REMARKS: DATE aZ X �� INSPECTOR Aw i 7o.z3 7sS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ( ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL REMARKS: s 4 DATE INSPECTOR i ON-13 M-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] R GH PLBG. FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL REMARKS: ywN� Z DATE, y �� INSPECTOR 9L ?,,0J2 765-1802 BUILDING DE". INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL REMARKS: i E F DATE a �'� INSPECT � 7 © � 3 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL REMARKS: DATE U INSPECTOR G - 1LLL + ,••• •••• • � •' pin . ., � .,v:`1t9 t.V l :. \� ca -OUNDATION ( 1st ) 1AV1 CIO c 'OUNDATION ( 2nd ) O t/. Ao �l�- TOUGH FRAME & G` PLUMBING y , 3 . m m y iIJSULATIOAI PER N . Y. rSTATE ENERGY CODE C.. FI1JAL zoex!• _ ADDITIONAL COMMENTS : x e x -n � a W O m a\ y �x c7 m ^o y r LON SOUND . I N.IZ' 45' f4"6. - ITS. / �I K _ + LINE :. .,_ LOapiNART 01r, WAtER lflA� Mrs �APPaOX. TOP BF RAAa� _ ' 1raLK P L A SUAVEysn FOX w f{ � . : 38t FR- utasE � L I n In G f'S V 5 MCC1 v p}4 A A Q I T 11 ,, '61TUATE AT ZI• , , i � BAST in LION : . x TOWN OF 56UT14OLO,N.Y. Seto I wba N I ilAf.PiLF PIAiFORAI ; a 7-%IRd 'y- - i 4 El = /A0HU[AE1:T 1Do.t1 Y5 p GUARAUTb ;n TO TUE SECURITY TITLE 0: T�. S.IT' f9' Sa" W. t 5.0 _ Run GUARANTY COIAPRUY e19T SUAYEY90 - 6EATEAAE9 Z4, 19G9 VRN TUYt 50u i N5 " TITLE N?- M - 5-332210 LicEusEp LAkn s.uavEYOKs "-' ` 6RE@uPoar , fdEW YORK JOHN -AMISANO ARCHITECT APR 2 71988 72 NORTH VILLAGE AVENUE TOVAV"OF OU UcP 101-0 ROCKVILLE CENTRE , NY 11570 �.a-..., w <v„w, 516 . 536 . 0042 APRIL 25 1988 TOWN OF SOUTHOLD PROJECT: GEROSA RESIDENCE BUILDING DEPARTMENT 315 AQUAVIEW AVENUE TOWN CLERK'S OFFICE EAST MARION, N.Y. SOUTHOLD, N.Y. 11971 SEC. 21 BLK. 2 LOT 3 ATT: MR. THOMAS J. FISCHER BUILDING INSPECTOR DEAR MR. FISCHER: I AM WRITING THIS LETTER TO YOU REGARDING THE PROJECT INDICATED ABOVE. AS DISCUSSED BY TELEPHONE IT IS UNDERSTOOD THAT THE PROPOSED ADDITION OF BOTH: A. BREAKFAST ROOM TO SIDE OF RESIDENCE B. WOOD DECK TO SIDE OF RESIDENCE WOULD NOT BE ALLOWED UNTIL APPROVED BY THE BOARD OF ZONING APPEALS. IT IS FULLY UNDERSTOOD BY BOTH MYSELF, THE PROJECT ARCHITECT AS WELL AS THE PROJECT CONTRACTOR (CENTURION CONSTRUCTION CORP.), AND THE OWNER, MR. VINCENT GEROSA THAT WE WOULD ONLY BE ALLOWED AT THIS POINT TO CONSTRUCT THE PROPOSED SECOND FLOOR ADDITION, AS INDICATED ON PLANS. THEREFORE WE REQUEST THAT THE BUILDING PERMIT BE ISSUUED FOR ONLY THE PROPOSED SECOND FLOOR ADDITION. THANK YOU FOR YOUR ASSISTANCE REGARDING THIS MATTER. Y TR Y RS, 0 AMISANO—R.A. FORM N0.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL Date . . .April 15... . . . . . . . . . . . .. John Amisano c/o Vincent Gerosa To . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 North Village Ave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rockville Centre , N.Y . 11570 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLEASE TAKE NOTICE that your application dated . . . ,Marc h 25... . . . . . . . . . . .. 19 for permit to CONSTRU.CT. .ADD. .ITION. . . . TO EXI. STING. . DWELLING. . . . . . at . . . . . . . . . . . . . . . . . . . . . . Location of Property , , , 315 Aquaview Avenue East Marion , N .Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet County Tax Map No. 1000 Section . . .? I . . . . . . . . . Block . . . . ?. . . . . . . . . Lot . .3 . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot No. . . . . . . . . . . . . . . . . . ARTICLE XI- . is returned herewith and disapproved on the following grounds . . . . . . . . . . . . . . . .1.00-. . 1 . . .I.9 2A. . . . Proposed construction will be closer than 100 feet to bluff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . or bank . Action required by Zoning Board of Appeals and . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DEC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '. . . . . . . B ild' gfnspector RV 1/80 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL Date . . .April 15... . . . . . . . . . . . .. 19 . 88 . John Amisano c/o Vincent Gerosa TO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 North Village Ave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rockville Centre , N.Y. 11570 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLEASE TAKE NOTICE that your application dated . . , ,March 25 , , , , 19 . . $.8 for permit to CONSTRUCT ADDITION TO EXISTING DWELLING , , , at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . . . 315 Aquaview Avenue East Marion , N.Y. House No. . . . . . . . . . . . . . . . . . . . . . . Sireei . . . . . . . . . . . . . . . . . . . . . . .Hamlet County Tax Map No. 1000 Section . . . . . . . . . . . . Block . . . . ?. . . . . . . . . Lot . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot No. . . . . . . . . . . . . . . . : . is returned herewith and disapproved on the following grounds . ARTICLE XI- 100- 119 . 2A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Proposed construction will be closer than 100 feet to bluff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . or bank. Action required by Zoning Board of Appeals and . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DEC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �� " Bu�ldin�Inspector RV 1/80 D 5our� n . i ;t���-�x.- > tQRt71NaRY AlG1{ 1YATER Ina K �APPRDX_ TOP^OF BONY, > C1ALN % ( i� O t z MU fi ,s• ' - `-1 o SUKVEYEri FOR cm I L R 0 5 91, �. PENCE ��0 I. T C, y 51TUATE AT inST IADKION TOWN OF 58UTUOLO,N.Y. ' ... Sato i ; FLAtent ,l4 Yteen i C, n l 4 s �t El = MHUTAEUT fOQ.Q 2; 0 GUARAUTEEB TO THE SECURITY Tl-.L[E ,(rs. S.TT` 19' SD W 1 g, 0 ONO GUARANTY COIAFANY PetNT SURYEYEd • SEPTEIAAER Z4, 1363 :- ' VAN TUYL SON i TITLE N°• BSW - 5-332210 110EusEn 1ANn suRVEYaas fi6EE11PORi _ NEIY Yfl¢K BOARD OF HEALTH 3 SETS OF PLANS . . . . . . . FORM NO. I SURVEY . . . . . . . . . . TOWN OFSOUTHOLD CHECK • . . . . . . . . . BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . : TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 CALL TEL.: 765-1802 ' MAIL T0 : Examined 9 -�✓� . . . . . . . .. 19 Approved:�5/ ? ` . . . . . ... .. 19�gPermit No. Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i (B iidin nspector) APPLICATION FOR BUILDING PERMIT Date 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 ispart 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 le Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for emov MCI' s herein described. The applicant agrees to comply with all applicable laws, ordinances, uilding ode o VC $ ulations, and to admit authorized inspectors on/premises and in building for necessary in pect s. A . . . . . . . . . . . ig nattuuree ofil� ican >i p ration) y 1 . . . . . . . . . dr �ICCGs (Maili sslDf Cep 1. NE State whether,applicant is owner, lessee, agent architect engineer, general contractor,eletrfdian, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises 't l � :� . . 4 •'• ! - L'"C��% . . . . . . . • • • • • . . . . . . . • . . . " ..... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) ALL CONTRACTOR' S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. . . . / "'aA ?k . H.1. . . . " e �� �Q °• C°'�`' Plumber's License No. .-T6 D. . . . . . . . . . . . . . . . . . . Electrician's License No. T jt p . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ` . � -�QU .. . .. �/. , - i�. . . . . . . . . . . ..1. . .1 1<z 1 . . . . . . . . . . . House Number Street ��'yy Hamlet County Tax Map No, 1000 Section . . . . ./ . . . . . . . . BIock . . . . . . .6;. . . . . . . . . Lot . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 . . C . . • . • �•« • • [ �5 �D2�s . . b. Intended use and occupancy — �• • • . • � �1- • • •�Z 'iL�i ZJC<1 (i(f�.i ?.'f a-�� . . . . 3. Nature of work (check which applicable): New Building . . . . ... . . . . Addition . . . . . Alteration . .e.. . . . . .-. Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition . . . . . . .,. . . . . . . Other Work . . , . . . . . _ (Description) . . . . . . . . . . . . . . . . . . . . . .4. Estimated Cost . . . . . . . . . Fee �v�?f�$�j�c v�EJts= 55 (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . If garage, number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . . .. 7. Dimensions of existing structures, if any: Front . . . . � .fT-. . . Rear . .? F l . . . . . Depth . . . T. . . . . Height ;2 j. .fT . . . . . . Number of Stories . . . .��w. . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front ✓�. . . . .1. . . . . . . Rear �? ��. . . . . . . . . . Depth . . 2.��F . . . . . . . . . . . Height . . . .�y.�. .. . . . . . Number of Stories . .t11 . . . : . . . . . . . . S. Height Dimensions of entire new construction:. N Front . �• ' QI ' : ' �r�r Depth q Depth �,: Height ± . Imo' f . . . . . . . Number of Stories .Rea `�G s. . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . 9. Size of lot: Front f. . . . c. .'. . . . . . . • 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . 11. Zone or use district in which premises are situated . , . :fi ". . , , . , , , , , , • , , , , , , , , , , , , , , 12. Does proposed construction violate any zoning law, ordinance or regulation: N6. . . . . . . . . . . . : . . . . . . . . . . . 13. Will lot be regraded . . . . H.4?. . . . . I . . . . . . . . . . . . . Will excess fill be removed from premises: � No 14, Name of Owner of premises\JW1 eu1',G?s IZC7 p , . AddressMLGBy,RV'I-A w tasler. Phone Nox(�--49 Name of Architect oNrl Mi is©. . . . Address"�Z.•. i?1VICC„ E% (LuG , Phone No.51(?:5��':dP.�2 Name of Contractor G'�t�TUPlo1Jm1J3TlZ�n,(��?. , , Address`.? .UI�� . ? RU!. Phone Nol6: 36'©�✓r3. 15. Is this property located within 300 feet of a tidal wetland? *Yes . . . . . No . . . . . *If yes, Southold Town Trustees PermitPma be required. Locate clearly and distinctly all 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 corner lot. UNb 'A0V/ 0 'QS2 - •3 „QI „5t'.81 S r M __"QQ1ZOQ4g6t7._F.._,1S' T_ _ .n " u 1-u 1tl i R M a r t_u OP 41 ZC -... -o Ole 6..: kc s`"-- XTPJ4g10htA`r.. +o * w o� Cam} Lei Ze •. ,r . �.� STATE OF NEW YORK, S.S m, >�. COUNTY ( ,r-- • � . • �� 1S/ U f�J�.�!r.41 . 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 duly 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 nd belief; and that the ',work will be,performed in the manner set forth in the application filed therewith. ��VkBD Qqe Jam . . 19 . aDa o�N AM'S (Sworn to before me this q Notary Public . " ' ' .day of. . !/s 0 A ry .k% � . County h`i3•: " ��� a- ; - BERNARD T. FUSCO Notary Public,State of Now York No.30-4512309 . . . . . . . . . . . . y �, . . . . ... . . . . . . . . . 1 Qualified in Nassau County a R n ) bommission Expires June 30, 1 N nature Of applicant) --- - - - - -- -- Revisions N0.1 Date IDescription ERGY CONSERVATION' EN CERTIFICATIIGP . , s d an spscif icationo These drawin6 arefl by ^r 'finder the have been prep reed and _ -_ -, _ -, -• ,t : C n r� direction of tthe undersigned's �J- �,�J�- L✓1. 1 oAl t� X—✓�i �Q - knowle B0 information arefl bNee fiat - _ uirement Yar]s State Ener C�etruction o v ° C GL�7 TM OF NE", 1 , EtyED 4qO AMIS A U )O b 'Joe 0 OF NEw PRoPOC-eD PPKp1r PLUMBER CERTIFICATION 2cT�M twP ITIoN ON LEAD CONTENT BEFORE t lv.as' 14 t6' TE OF OCCUPANCY "� o � U Plz,pos0 w�D CERTIFICA 0 I7EGIL A,DPITIOIIJ 0 c W SOLDER USED/N WATER O z SUPPLY SYSTEM CANNOT O a d >, en z b Fez �LEAQ z EXCEED 2/10 0/ f 9G N Cn z ; a d' �p PP \ IrLwlo�w Mno � a Isom = II if copper tubing Is used U o 1 l \\\\ 6l for water distributing system; Piping shall be �, A of types K or L onl �-- \ p cCSEp �ftoNT Ll\ R� Dv 2 1° �'ti`:> baRhne=e r.UDIr�oN r "Q � � �L. X.TBNSIDN � •� - . �t�•. OCCUPANCY OR , USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY a LLI ° y0 �� � � pWyp��Z�z••� �WyU<rn m�ome i A PRO EDASNOTEJ170�3 � o 1 DATE!' P E B.P.M �}BY: .I N 1� -dam✓ -yo w 240 .0o SS 1/ W,o5z NOTIFY BUIL ING DEPA E T AT / % u��,0�56° ` 765-1802 9 AM TO 4 PM FOR THE `• H 80oz SIT. FOLLOWING INSPECTIONS: " 1. FOUNDATION TWO REGUIRED 9O �xuV. n FOR POURED CONCRETE �V L% q�E 2. ROUGH - FIIAMINP &M.UMMMD a. INSULATION N MUST �/� Z 040 o u 4. FINAL - CE FOR CO. V I Q � o t"'l..-Lam. I i—I �\I ✓I +.J _ 1 V BE COMPLETE FOR C H _ �r/• � All. CONSTRUO'RON tHALL MEET a °z o�y _ THE REOUIRBWM Of THE N.K 1'• STATE CONSIRNCIION O ENMY �+ CODES. NOT IEFOMME F011 J 48 SF DESIGN OR CONSTIAICnt1N I91R0M6 0 u y � � INOOINRNERS �r � � m�Z�� r�KFSr �M= y la s� < a l2�fL. 2rjD FLQ�IL �CT�NsIDI4' ac) SF SIGNING ARCHITECTRESPONSIBLE SIB -�pQ� f->EC4-_ 5 y- SF NOT CONSTRUCTION SI S FOR CONSTRUCTION SUPERVISION. tll fvT�L �P,o St=D tapDITIDN= 3 2 2 eF 2'7 © 51r P d Izf N C-1 Title L I ENERGY CONSERVATION CERTIFICATION �,.r _ 11����t ����// � � � /�,� � /� '�1 These drawings and specifications �+ -4 /D (MAY,. F�..1.1••v Y'v-' � �/�v /O have been prepared by or Linder the _ I O� E41�.r{ ,� PV-DM'r1pR0 r FH P. FIL +A."1 - �" "" direction of the undersigned and .V Scale ll�=,ln Fr Job No. / to the best of the undersigned's _ p� knowledge, informati ief 1O:j ff->Q r. FIP-NIE'T FL�R- / ��M �_ I �'L'�`N Date 11-2_�+'� 37 meet the require - - " i o4 5. x,1'5T �•7TIG t7e1`�1 G7 1..Z11"1 1•l0•! York State Ene Y � ��� 1' Construction o p �� ,�D$ l�fLnPO�r=D FIt1� FL s r yplca PROpE�✓ED SE=G©N© LOr]2 �Lt�I`! 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No. OT y._ - — _ -- Revisions -P No. Date Description' 2x IO'l !Co' °.e. FOOP Rwe" p�a�.p�L # �.Iyr. �wcr. �t.ttrnr�.Y p �,�p l 1 7av_cN 9NINSLPh1FIA �rLtnlV 1.01N Hk �' 2x�o'hC��Jul dif� ¢ooF RFC lip Nle�f SIN 1.nF axi2KPH 2K8'sC' 'I(bIZ 1_L& s5T5 / t9 �606 Pqr, , sum P R - lip *P rsr/wp dQlf E.W/12"IN5J1. C2'38� 1/L"G(R9D Pho�TAb01ISHr�r�s, -RhFTL`R,5 MIN, 3 P'f• !1')ZKla 6uTT&i � - I ' � \QC1vk�VJ=. l �iltt II I �rI e WAIA, IF -,gE tJILf7- - 1 ° , I GUT e><iNr,4* DATA W+� 1�1±U MhT� RAM vn f7 2xsab w/Zone veNr I,I I I \' . „ I I I I EoD Rl+i N jL I pa�ec$ Fgc,poaMea I. I CQao9) P P) 2K�PLOlaoltPFte¢s I \ Nl1 y,: LS`�d�. 11Dw Nam%FMJy(a - ���NI S9Ub/( J �4/z".INSi.fL"I,, €Krerlo 2kluc.cnl2�.w. ,— ,,4i C5r8 DW6 I �„p,AaTs tz-I� � � sr✓5 -- _ f2)-2x12 W�h'kll° i I I C2) to )mo' i r dcl 0. ,,_ I' STL fill p,rs. I I I 9r io. nee you 2KA'�P III' /(r I . ' OF NE .`3 '..tJEYJ WII��, ,lwrj4 STL �bG CAL, ��- WINMIJS I I —Q eA GL.r� _ . -U I +1 . �NTR`i I LIVING Rivl 2 (4'SPt(i'n� 2xa'sC°'lb'•%c w/oval. 'TRTv r+odw vaeK i I F' p a� o en QED R1+4 K°A 7J6 tyCd hl-�? I New T+lex # FTC- I I Klsr.) „ a i %a'cvtf�rxeppedl (¢t�)' / , C [ v~i ;On 0 Cew T,Iryb) I Oise oWG Yoe) C "`+r• I - yz crncA 15 ppz• r'� 'I ` - Z tstu it , �011 IIIII(b V/AI1M 6H10 'UCA y y 'Z III 1 III ' • I =pw/ennlMeN p0. P4 -0 -pz I— ' e��iheMEMT P,a, zcoNc,sscae Nell arm - I I I z 14 I COiA A FTSS Z �G r 7N�11 hROPOSEt� 7►�� 12 h�l w 01d L -,/GIs;I ,C7n rlLL vEc VI 16 Tn n►J __ - - - T Y � l3 rs e„d 7613:¢6 V-0of-I ,i �1Z�,� P?441 5P, RLqn- a% PNIVE r . .;� MECHANICAL SYsCM YNycltTION _ ..��_ �`%i V is " ij IIg�Si 781 +'13'. p p` y �7o sF 'I yP e. a s� 1 �F hr ��•e h� YO}r" o1 ATE - `.' F1yd►on►c Lorr TMsp. r'• 9uirrTAiekd°ss. ✓ -� .'N�. ,��fir, �r'R4 �, .RO.n.6 ',' - 8NE8 rlN 'pywrlfs r :y. HUM'ID1ST P}p� Sian y� �f _.' � W. ° >,- h •. "- r Fr% si v`e, ,. ".r; "y, , _ ', .. iF- n '. an ,. I��Y2 �� �T �! tt$QUTABit$NTG 2 Y end ins a q Required 1: Sh4,e apeorbg tlatn ; , N. '.Re,Y 't, e,Huhiidilty ' "' . . -„ 5yd7,'stieds•vhi.eh .�;$ �pabie of pie# 'J l,q•7 'hF .�o �!� .. 1 a on barxxeF' Zoea th* wlnte*F artrw Ikidq bR', tli* N atil m. r "' 9k1'! +y" etailed iw a meaner that,;grbvid :t�nti{aity at'ihauetibn i �,#sEh rli" 30 '' Ina><iroum - p. .r,' ulati:oo, ahaZi bli'kA - ..i.. _ :�1; -' ,;,.i, ,cIF _ :,�?,5 p -;iuirti RequlTad , ' hJ s 'Lure 6 tmiln CJ G pi'1I liaes::a d eoegas`s" . ,� "aGl� at p1aCa � °°'•; Forced All y o� I R YI,Yu!': c �3 ^"�,+ ,v" P _ de •i.r�laska a int4:Gr. r , DQct Trmprrii;tura- - _ .r /� `,� I . .', ,.�. '..�dl'� ooze ,w`id'dk(ka shaiTbe a;Bned''to- 1 , ;.`h B- ,ar r, �' , °''" - '' ' I -r./ v�N 1• LI�7�� • V „3. All:ai%' ey' '„,F:, !.:� .r - re `'diio and ,ir},adoiia'�� shalla'id+V. '; `,.' : ., v .,. �'. Min'µ M M I H ,' i I ..� o .AdL.4> '¢t idng'0dvelpiaa'. . MgpJu 4 cified.iu 'ttla,e1+aF d C of '52;N'D°q. i, ar, 14ts ilt .(, RQ H wa 1nAdlt 'eC rn,.igteis^'oot' excae l3tg rho9a rhbwd: hetow a-'4 sceocdagc0,Vi 11 t �_ 1U G ad - $ ,:;ceaetraFted', doors and wlttdpi✓,a ;ehe11•ba aeake¢;3n _ prkl *�' ,`'. u , pp,�.� Q'.�lB - l 4•a 1� Dada, ssa i:. :; d, d7 'of iAore ,tYMn S 5'' Deq.:. F ¢`T Ua to hr.,' V� 1 2�q2 I?I �. �•1°� �� Q' /� n /y ,} "oo°a *the Coda sa'badwn' be Aw, �!«" ,a y;" ';AR , p- .r, - "a: C7 D "h�•V - - -^ f,'a, - o z' o TR 1 INFILTEATTON $A" 8,`C &k;3' 5�., .`+, . ` 's':, �(EMRE,RA U E �QN _ - �O/.�L12 ,iT� y w . . a � I rE _ ` y '�f'lj / 11L .�,\�jf'1 }/��� 1AYI�G � �I3o�j3ay� y„ �a f` p i i" ` Y�,i'�N^ ,, I ,y'riv ^W. , .l�V"/I/ V� %V /1 + SM• - _ � CQ •C,L7 NAIYlIOM-:pLLOpgU i^., i SFIIUTPI$0 r r ,r kP ,yt�•��.s'' �12�}I'aC�� >�' �+t`�� Q i)aT+EIIEET JJ � 'w I o `6" �y `.4 indo :5 eflo/i'i4e:r font¢ ' , lain 1<. A - kequind. .. .r.. 11 II �l �7 A 2.cJ 15P . 2 5P - W °ao - Sli,ding Glaae' ➢sore,`: .S 4im/q(luare foot ".':a l�s lsq t ' _ ��#$'/� 21F,�2 b+i �.1"J I.�t 1 ^ . 1:0 a4uere foots „'" r0w/s4 ft tRi, t�RrWgs�l1T' Each ,¢ystem F/ o - Swinging-,AdoH" ' �I i., , :t , ll Ytl Uo'it - f► o ii+irgw4tet " 'lith w R 1Ma'fmom Energy wills and .Agfl Q 4 g*ess�rdor ,joints around windows apd or € 1gmea ''apenirtit,'1)eaV�aan < �r ShuE-aff .fbch,Zoha Type.:,.' Fsti+or Requireit ' c�ozo�� Shyt-off . . ;Calliage'.agd.,,ketween wail panels: opgi}3aga'pt 'penatra'. .ii,,,�-' 'I Atil;ity ,serri}*'e4;.ti , "• E°ch�F�oor �GVjTi � . thrpugh fiotira and rbo€e; ,open#ABa for,.uCiliFY,aer�if`prvtec�ots. sad;' s, Eltctrie Storage 49' -, .QOtµ" �.57SF2.2 F ' walY.4. oao ieRLl ,dther open�tnae in the tuildine;agvalAPe sha11 6@,ca4lkeit� 'Sesketetl' rob„ Gat _ 60 ' .0019V �$ or:otherwiee sealed. - . , r ' , Gil' " .59 - .OpY94 ` - # = 82 8. �• 82. 8�� f�� �IuU "wpatheratTiPP,ed ;p a .,. w - l:bV {i 5. !1,Residential fireplace„ unite shell be iaf$'ltration loeacp M*11, e damper 'r ` - - /G�Ih-j'll�(b-� _ � . ,the closed position,not to exceed 20 Ito. Fireplace upt4', ?a. , . ; A' T4i 7813.23 1 ,f . '. with,a aouzpe of combustion air, ductal from the Autdoora� E'radff a, ds � ��: �}$MENt E'-R�QUIREMF,N , - ,t ,1 �, t} 8•?jB I '?• 8 � � � P. £�o��� 1 g6a?It3,tY'tb support co.Arcloeod..: This adlkrceshall be e4 M€1;,1i a dslnpsr .�i ;'e, r .,' ,, , � '-' � �12�� �. `T•I� V rtdpable of bein8 . It �(. ,� !? 2D O 2 O RR�� n pu �, _: 89Kh q 'Fond Miaiwei' CM1N11fSOM MAT$R'.NEAIING/6PACE HEATING (GU5'T) 9h �r water to a ` . 'outle davrp €Gh1imit LF�a '!1'ow ' ; - - 6 1Ss+lSttoriRa,& ehoweisl'eha11 ba a ui Yrith'' SERVICE' .ef s` 8p ,.Fierfor'auint� I�i.20sa- 3, 5 SFi aE of paxximum m. Sys a 4 uii rr+-- r, q 7Qt' AFfDE ,7. 'Zt c 1'.11ork- '„All proposed electrical„work ;*,, oP tneipl„ rilitlt�' :lie 6tYuge - Gey:+ , 7Q ?;AFLIE - - - - tr sal` ads. <v r des t AF E fiaaimyni`,$Lenpb Loss rc. `, "�a 9:'' . r �rTue� — VIN`(L Title m ical .dY - aq fat � itfttit,,,.A ,, , 7Sx"MYiiE 13 3 a ' * 400 I LL7�.�/j-� ?O P�� 15.iJDE(2^ t�1, (�CCLhfiXa- 54IIE� V�IFI( '8. PrgPtlaad::�fiha±!ital.,eg,uiptsiland. a9 .�, ,,.., :i EIEY, FyrdMc�, - J El EmOA€e; " p'. 1. a �w� " wl�c-a� , vl��>�L ►�JLDC 5G?IONS the f Air;:Sourc14 nCroX, N?c#i,IthCrmodati "e ° .:'CQIP �. CedCbleo(813:19,Temperature Co' 6 a✓� �/�E(✓� I �� -Q�ON� gapeblr of. Nei AIM temp 4# dR9 1 pOl�P�I-� I1�4rJU L GL 41 pG being set„ Pis . , I ;' j ,'telnp i dW.i 1:6 'Cp>P Scale Job NO. 8- r , , „ ; S B`3EIER NOT �VhILA P�L�- p� e 75' ib� a. 1,-Niltlb d tp CobtTtl-i�pating only: 4SI t oi�, �t , +. : k,r 0 COip , b.r..lNHkze ue ,ta:ooniawl+dod ng q 7 �G .:;,to 87 k a 1 'bourW „ 8 Date �j•��87 . c. t, 31a dssdEa tilt bofNiwat gd{adr cab'jifitS. Hta?dlh qR rf a, kMAt 4 lAi .6 S 'E!z art frogl € >o °F A. slid ahai ba aA lis of ! G I ym4ltb ajta als t,, t rk A heatyn91h4 '3t1 '9a�4PanGe: � 40e1r Control eebLgake an t ba provided,bbd +dig by 9f ibd d>5 t itk. es a�iWa „ f= `'�t t �, l �1 � i 1 Glfi t 3#YIt - �Wg. NO . q' t. I