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FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219366 Date SEPT. 18, 1990 THIS CERTIFIES that the building ADDITIONS AND ALTERATIONS Location of Property 9330 SOUND AVE. House No. Street County Tax Map No. 1000 Section 122 Block 02 Subdivision Filed Map No. conforms substantially to the Application for Bui1~ filed in this office dated APRIL 18, 1988 MATTITUCK Hamlet _Lot 04 Lot No. Sing Permit heretofore pursuant to which Building Permit No. 170582 dated JUNE 3, 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 ADDITION, DECK ADDITIONS AND ALTERATIONS. __. The certificate is issued to EUGENE K. & VIRGINIA L. JORDAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. HO1'1762 SEPT. 4 1990 PLUMBERS CERTIFICATION DATED EUGENE K. JORDAN JULY 17, 1990 Rev. 1/81 F08M NO. 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) N a 017 0 5 8 Z Date .....~~ ........................................ 1 ~. Permission is hereby granted to: ~ .... .....~. Q ~ ................................................. at premises located at ....../.(:~`~~,a3a.....~.Gl.:e.. .............................................e!,l~'ll ~,~.,L~~............................................................................ County Tax Map No. 1000 Section ....~!~..y:...... Block ........~........ Lot No.......~........... ~~7 pursuant to application dated ........ ...................................... 19r~..~, and approved by the ~~ ~~~ 6uflding Inspector. .~ ~O~ 3s..,. Fee $ ................... .. Bui g Inspector Rev. 6/30/80 ~~ ~/~~,w Form No. 6 ~~~ TOWN OF SOUTHOLD °~4f° « y~ BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY `~' ti •1. 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. B. 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 Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. 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 Uccupancy - $50.00 S. Temporary Certificate of Occupancy - Residential/$15.00, Co/mmercial $15.00 Date .../. /:.~~`:,......... .............. :few Construction.... .ccam~ Old Or Pre-existing Building... .. .. vocation of Property....l.~~~... ~-S,~C~~ „~f~/~~~!~-?. . /~?/~~/~j~~. House No. ~s~~ ~j~ ~;•Street Hamlet Onwer or Owners of Property.. 1~,~`~::,~5(,~_,C!G;.~ ~~~/ ~j~ County Tax Map No 1000, Section.,/ ~~,,,,Block...../~..........Lot..~' Subdivision ....................................Filed Map............Lot........ / ~ .....iy ... . Permit No„ f/~~.5 ~ , ,Date Of Permit.. ~,l.,.l.~~ „Applicant... e: ~/,'~f/,~~~~ ~~ Health Dept. Approval ..........................Underwriters Approval...................... Planning Board Approval ........................ ••'• Request for: Temporary Certificate.........,, Final Certicate.. Fee Submitted: $,~,,,,~iid;;;L~,C'>.~;;;~_e 4t~Yosly % .. ~/ -.. 1~~, ~`C~ 0 APP CANT ~ ~ . ~_._ - a THE NEW YORK BOARD OF FiRE UNDERWRITERS ~'~`''' ~~~~~~~ ~ BUREAU OF E4ECTRICITY BS JOHN STREET, MEW YORK, NEW YORK 70038 ~`17~3i~t?~~/FS~ N f~;t'i7t52 t ''d ~p ~ ' " ` ~!4.1 ~ i, i (~1, ~f?F1I? 5P;f ~ i/ ~Dtrl ip N ~t Date Nt!If~gTd ~IiCl; a7n''S 17q>j'a-;; THIS CERTIFIES THAT only the electrical equipment oa deacri6ed 6ebty and introduced by the applicant named on the above application number in the premiaea of >':IIC:P~lk~ & +Itt2GTN'tA ,7f1lfUAi3, a i 3(i ;>f)f9}'~3't ; VtiNt4:Y:, 4f~'jTI'1"'dYitK, Ytf.1' in thefollouinglocot~i~r~.;ti,i~~~~ax~r~r}plrtLlt ~ lxt F'f. ^ 2nd F'!. Section Block Lot 111,,, andfound to be in emnplianve with thr requirements qj this Board. was examined on FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS FIXTURE ECEPTACLES SWITCHES OUTLETS INCANDESCENT FLUORESCENT OTHEn AMT. K.W. AMi K.W ~ PMi N.W. AMT K W AMT. H,P ?'L 457 f>1 5w ~> t 1~3." I )..2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMi. K. W. Oll H. P. GAS N. P AMi NO. A W G AMi. AMP AMT AMPS. TRANS. AMi N P STSTEMS NO.OF FEET AMi WATTS I ~' f ~C1 L ° {~rt(s SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP TYPE METER EQUIP. 1 ~, 4W t %. 3W 3 %3W 3 % 4W NO OF CC. COND PER % A W G. OF CG COND NO. OF HI{EG A W G OF MbLEG NO OF NEUTRALS A. W G. OF NEViRAI sCtt) t,fS I ~ 1 ~Ijl k 4jt; OTHER APPARATUS: ~fR71~tt, r^UR -fofirG~-1 E;II~;t;, i2tat7T4 >,14A~`Pi:,kS'f~-1 t?.fd.,l-1 _I,`~ ii._Ejv,C--,'7~ [i.ld. Ff,i;r`, RC>+?i1 Hi;AT~:kS:2~.5 K,~t.. s`.F~c..T. D ~~ ~ ~;CI(;~,fV)r d: 9LN81J~T.~ aC3~t?Y~t~ ~~ ~/ 9'f3tt t~(')PfN11 a1V}:, ~IA'1."C f9't(C;ft , N'Y , "f i.9rs 2, GENERAL MANAGER "s "I Per ~~ This certificate must not be altered in any manner; return to the office of }he Board if incorrect. Inspectors may be identified by their credent+a4s. C®PY PQR EIBII.DING DEPA7tTMENT. TNI3 CDPY OF CERTIFICATE MlDS'P N®T,~E ALTERED IN AN'P Ft1ANNER. o~~//~'~FF//~~~~~~-~Or TO'4p/N OF SO~JTF30b,D ,?l.::'"4 Ltix''!Y.'{" ~c OFFICE OF DUILDII~IG INSPECTOR o ~'""<~ P.O. BOX 728 ~~ (~ 31~,~, rn -e TOWN HALL ~~ SOUTHULD, N.Y. 11471 ~~pl z ~b a' C E R T I F I C A T I O N TEL. 7G5-1802 Date~j (~~ Building Permit No. f ~[/~G~ ~106'G=~rG~'~'` ~ d~~.rJ Owner 1////cs~i~/ri~ ~.~//r,~i1/ (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. , Sworn to before me this _/ `J day of , 19 g0 . Notary Public,~~)i,,,~/~,I~County kI0?IIRY ofYak~ Two Exp a~ 181.-~1 Notary Publyc 1~LD I;: S; ::~':ii1;i ~ ~Di,iL ~ i;JaKMENT° ~ ~ ~- d ~_ ~ ~'1 ,a 3 O(j H FODUDATION (1st) _ . a ~e FOUIJDATIOIJ (2nd) -- r `ie 2 ~ ~ ~ . z'Ll o~ / ROUGH FRAME $( ~ y PLUMBING H 3. ~ m m IIJSULATIOPI PER N. Y. H STATE ENERGY OD E C x / ri [~ ~ r H FIiJAL ~ ~~ ADDITIOPIAL COMMENTS: f ~ , ~ ~ ~ ,, ~,a,~~ ~ ~~ Y ~ ,Q s n.. r ~ p 9 Q ~ .. .. ~ I~ ro x . \ ro H~ 77 ~ .~~ ~~ O ~ 1 •~ x ` ca~ ~ 1 - ~~ ~~\ \ d m ~ o H /~°s~' 765-1802 BUILDING DEPT. INSPECTION [ )FOUNDATION i5T [)FOUNDATION 2ND [ ]FRAMING [ ] ROUGH PLBG. [ ] INS~ILATION [ ~/FI/NAL DATE ~~~ G~ INSPECTOR 17Qs~ 1 ass-iso2 BUILDING DEPT. INSRECTfON [ )FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION REMARKS: DATE ~ ~l '`~ [ ]FRAMING [~INAL l7©~`1~ 7ss-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] fi~,OUGH PLBG. [ ] FOUNDATION 2ND [/]/INSULATION [ 1 FRAMING [ ]FINAL REMARKS: DATE ~ ~ ~ O~INSPECTOR ~D ~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [) FOUNDATION 2ND [)INSULATION ~RAMING [ ]FINAL REMARKS: ~i'~wC ~ . DATE ~D O INSPECTOR ~6 ~0 765-1802 BUILDING DEPT. INSPECTION [4~J FOUNDATION 1ST ~ ] ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ! ~~G%~.J,~ DATE d' t~~_INSPECTOR ..~ EUGENE K, SORDAN 150-65 6TH AVENUE WHITESTONE, NEW YORK 11'357 (718? 746-4403 April 14; 19$A mown of Southold Building Department Town Hall Southold, N.Y. 11971 Ref: Alterat.ian - 9330 Sound Avenue, Mattituck N,Y, Section 122,00 Black 92.00 Lot 004.OOn C,ent_lemen: Enclosed is an executed application far a building permit. for the above referenced property} A cagy of a survey and three sets of drawings, I am also enclosing a check_ in the amount of $167.45 which I believe shrn_tld cover the application fee, I have computed the charges as follows: Total square feet upon completion Jess exlt"+ti ng Net addition Less 850 sgare feet. at. $50,00 Additional square feet X,15 Fee far deck 480 square feet. X,15 Total Fee 1773.0 620.0 1153,0 850.0 = $ 50.00 303,0 = 45,45 = 72.On $767.45 If I am incorrect please let me know and I wi11 send any additional charges due. Thank You. /-' ~._ .. Eugene K. Jordan 150-65 6th Avenue Whitestone, N. Y. 11357 (718) 746- 4403 Nov. 4, 1989 Southold Building Dept. 53095 Main Street Southold, N. Y. 11971 Att. Tom Fisher, Building Inspector Re: Permit No. 170582, 9330 Sound Ave. Mattituck, N.Y. Gentlemen, 'R!Y ~ Q The above referenced permit I believe has expired on Nov. 3, 1989. I would like an extension of time if possible. Please let me know what I have to do in order to receive the extension. Thank you for your attention to my problem. Ver~ y~yoi Ar~~ ne K.~d r ,,ate~a ?"". ~ t~~ VICTOR LESSARD ~ ~jtt ~ ' p°v~ c~" _ ~ ~ Town Hall, 53095 Main Road EXECUTIVE ADMINISTRATOR ,. ,"a~/~:'=~ ., `' @' P.O. BOX 1179 (sty) 7es-tso2 s, ~~~ ~`~~' Southold, New York 11971 'e . Ni OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 24, 1988 Mr. Eugene K. Jordan 150-65 6th Avenue `'~_~~':~'diWhitestone, New York 11357 -,~ ~.w:, ~ Re:Building Permit Application " z' ' ~~' 9330 Sound Ave. Mattituck, N.Y. Dear Mr. Jordan: In order to process your application for a building permit for proposed construction at 9330 Sound Avenue, Mattituck, New York, we will require more detail on heating or lack of heating. Also, under the New York State Uniform Fire Prevention and Building Code Chapter E Part ]231.36, the provisions of Chapter B shall apply to an entire existing building, as if hereafter erected, when the cost of any alteration, addition or repairs made within any six month period exceed 509 of the cost of replacement of the building at the beginning of that six month period. Very truly yours, (~~~~, SOUTHOLD TOWN BUILDING/~~"' ~ ~- Thomas F'sher Buildi Inspe or TF:gar (( , `` ~ ~~'~ ~ ~ t j~F+~~~p ~~ '\ ~' • ' i T,M4~ VICTOR LESSARD ~~ ',:"; ,• EXECUTIVE ADMINISTRATOR °'~ .~w ~~.4 ~ ~ "'' '°~ i (516) 765-1802 t '~ ~' "~ ~ ~ , `- ~,- ~ O / -~ a'U .y~~ ;:~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 24, 1988 Mr. Eugene K. Jordan 150-65 6th Avenue ~'u,cl, „ Whitestone, New York 11357 y~`x'; '""`~~r~a3a`e"s~+ t'ytisr~ w ~ ~>vr~., Re:Building Permit Application "''''"^""°'~'" "" 9330 Sound Ave. Mattituck, N.Y. Dear Mr. Jordan: Town Hall, 53095 Main Road P.O. Box 1 179 Southold, New York 11971 In order to process your application for a building permit for proposed construction at 9330 Sound Avenue, Mattituck, New York, we will require more detail on heating or lack of heating. Also, under the New York State Uniform Fire Prevention and Building Code Chapter E Part 1231.36, the provisions of Chapter B shall apply to an entire existing building, as if hereafter erected, when the cost of any alteration, addition or repairs made caithin any six month period exceed 507 of the cost of replacement of the building at the beginning of that six month period. Very truly yours, SOUTHOLD TOWN BUILDING fi _~~~z~ ~ ~,~~ - Thomas F'sher Buildi Inspe~or TF:gar tai ~ u ~ ,s n .lid 7 Z 1~ 101 June 27, 1989 Southold Building Department 53095 Main Road Southold, New York 11971 Att: Thomas Fisher, Building Inspector Ref: Revised Drawing A-3 & A-4 to Permit Number 170582 Dear Mr. Fisher, Enclosed per our recent telephone conversation is two sets of drawings with revisions to framing detail on drawing numbers A-3 and A-4. I will be installing a full height roof on the south side of my house to serve as attic storage, with a pull down staircase in one of the closets. Please let me know what additional charges are due if any. Thank you for your attention to this matter. Sincerely, Eugene K. Jordan 150-65 6th Avenue Whitestone, New York 11357 Telephone # (718) 746-4403 or(212) 206-1140 ~~ ~' G~r~./ I, '-' c N/FL Y PYL KO MAP OF DESCR/BED PROPERTY SITUATED AT llll"'1 ~ ~! / ~~~ TOWN OF SOUTHOL D SUFFOLK CO., N. Y. oF_New 5/ ~~ ~9\ ~ - ':!'.dam 'F No ~ IAND S~ AREA: 20, 093 Sq. /1. (0.46/3 Acres) ~«. H4' MoN FNp, O.%E QN CERT/F/ED TO: REPUBL/C NAT/ONAL BANK FOR: EUGENE JORDAN sea and surveying 8~ engineering p.c. 0 west main street :~riverhead, new york 11901 (516) 369-1717 FEBRUARY 4, 1986 JOB N= 86-1131 1000-122-02-04 SCALE:I~~=30~ .. "a--* - - - -- BOAKD 3 SETS OF HEALTH 4 ~ ~ ~ ~ ~ ~ FORM NO 1 . .... OF PLANS . SURVEY , ~ a ' ~ TOWN OF SOUTHOLD CHECK '... . ~ -~a : , S UILDING DEPARTMENT SEPTIC FORM ,,,,,,,,,,,,,; TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 765.1802 CALL • .... • .. ' MAIL T0: Examined ~~~ :::::::::, 19 ~ p ' Approved ...l®~~ , 19 Fermit No. ~~®'~{. Disapproved a/c ..................................... ' . .. d1-- (B ilding I ector APPLICATION FOR BUILDING PERMIT Date April 7•r.........., 198.8.. 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 azeas, 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 pazt 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 to admit authorized inspectors on premises and in building for necessary inspections. .............................................. (Signature of applicant, or name, if a corporation) 15065 6th Avenue Y?hi;testgne,, Neia York••11357•,•,•••••••••••••• (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...Owner ....................................................................................... Name of owner of premises .Eugene.K..~4xdari.& .'17zzginia .Ta..~Oxdai7 ................................... . (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...~:~~•G.Y ............... . Plumber's License No. .Q"!"?"~:`'Q''.'• .............. . Electrician's License No. ~~~`.'.' ............. . Other Trade's License No . .................... . 1. Location of land on which proposed work will be done . ................................................ . •930•~oumd.l~v~nwe ..............................:?'Idttd.t,Eck.....................:............. House Number Street Hamlet County Tax Map No. 1000 Section .122.00••••••••••• Block .02,00............ Lot..004.000.......... 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 .,Hanes Resdentia;7.••••••••••••••••••••••••••••••••••••••••••••••••• Home -Residential t~ $.a b. Intended use and occupancy .......................~..t7 .~.~Q~,~............................ . 3. Nature of work check whiaemovlicable): New Building ...........Addition ~.: t . ,~..~ ation ,~* X .... . ( PI? ,Repair ............ al ..... . ........ Demolition ~ ....::,.. . pk...... r .~ ............: ( P ) i~~ ~ Descri Lion ° ~~ 4. ,Estimated Cost ...$35,000.00 ........................ Fee ...... St~Pi .~ .~. ~ .:: i`. C ............. . (to be paid on filing this application) w....~. _~__ -..,-,~ 5. Ifswelling,numberofdwellin. u•.,..••.....•••••....•..•... ••..••••..•••. If lrage, number of cars g nits .... (1) .:.... Number of dwellin ~~ or . .... • , tzi ~ ~ ..4..~~.~.:..;~ ........ . 6, If business, commercial or mixed',occupancy, specify nature and extent of each type of use .................... . 7. Dimensions of existing stnrctures; if any: Front .. (29).......... Rear .... (?.9)..... , . Depth .. (22)......... . Height .14'............ Numtier'of Stories ... (>.) .................................................. . De th . ,~7I~ .. It alterations or additions: Front ... (44)........... Rear .. (4R) ............ . Dimensions oiame structure µ'rt, Height ...1$' ................. Number of Stories ....(1)............... . 8, Dimensi, ' ons of entire new construction: Pratt ........... . . . . Rear ...............Depth , ............. . Height .......... Numlier of Stories . ................... ..................... . d7 ........ ... , 9, Sireoflot:Front.,,100 '•,,,••,,,, Rear .,122 :84•.,.,.•,..,,,, Depth 191,.23•&•200.•00••••••• 10, Date of Purchase ..Nat .5, .1gg'g ................Name of Former Owner ..Harold .Laudenbach ......... . 11, Zone or use district in which premises are situated ...Single .Familg .A • ........ .. ... . l2. Does proposed construction violate any zoning law, ordinance or regulation: ..No ........................... . 13, ,Will lot be regraded ..Yes ....., ..................Will excess fill be removed from premises: Yes NoX 14, Name of Owner of premises .>lu~ene .~Rxddri ......Address ..* ................. Phone No. (~~,$). 7Q6-4QQ3 , Name of Architect .~?k7.§ Va~sal,ot;ti , , , , , , , , ,Address ..** ...............Phone No. (51Fi,), 437-;3450 , Name of Contractor ....d".n??r .l ................ Address ...................Phone No............... . 15. Is this property located within 300 feet of a tigidal wetlandl *Yes ..... No ,X... *If yes, Southold Town Trustees PermitPLO~ DIAG1tAMed. 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 intetdor or corner lot. See drawings sulxnitted with this application, 14, *Owrter - Stxgene K, Jordan 150-65 6th avenue Whitestone,New York 11357 **Architect - Lanta & Vassalotti 2001 Marcus Avenue Lake Success, New Xork 11042 ~I STATE OF NEW YORK, SJS COliNTY OF ................ . (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the applicant Heis'the ....................... ................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly'~iauthorized 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 Itis knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to bef`or/~e me this I Notary Public, ..:.~..-.._ .../ ......... County ~/ LILLIAN SUSS ' '` ~~"A MANS ...., ....... ....................... ~N67ARV PUBLIC, Srate of New Yorl~ No, 41.4811720 (Signature of applicant) i I Cerr atiletl in New Yrirk County ~ Commission Expires October 31, y98~ i