HomeMy WebLinkAbout30336-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30999 Date: 06/22/05
THIS CERTIFIES that the building ACCESSORY
Location of Property: 68759 CR 48 GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 33 Block 5 Lot 14 .1
Subdivision Filed Map No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 19, 2004 pursuant to which
Building Permit No. 30336-Z dated MAY 19, 2004
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 ACCESSORY INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD WITH FENCE
TO CODE AS APPLIED FOR.
The certificate is issued to CONSTANTINOS VANGELATOS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 4320 07/27/04
PLUMBERS CERTIFICATION DATED N/A
ori ed Si nature
Rev. 1/81
Form No.6
TOWN OF \ f
BUILDING DEPARTMENT NT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be tilled in by typewriter or ink and submitted to the Building Depa t� ith the following:
A. 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 21110 of 1% 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 consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building htspector 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- $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy- Residential $15.00, Commercial$15.00
Date.
New Construction: Old or Pre-existing Building:Building (check one) �[
X Location of Property: G 43},S 9 ZT YS' 6,r,0" e0 T+
House No. I/Street Hamlet
X Owner or Owners of Properly: CIA dHTJVIV_' Va0U(617OS
Suffolk County Tax Nlap No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Penuit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: t/ (check one)
�C Fee Submitted: $ 2 S'
Apphc
C0Z_L y �
Y TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST. SUB. LOT
- S O
FORMER OWy�R N E _ ACR.
r
L - SLC F:- . .d, -
�, W ( TYPE OF BUILDING / r
SEAS, VL FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS G ! ;f;
G ! A/i+' .J t� �_d'�ol r �( 'A /,rid-•Fy°/ di f-a:pie/ ,t �' r
,M-O
l Ibex 60oo r'75 -5
2 y9 3 70 Z9 s"
2�
BC z3 `fZr L SLC ICS Tu E. � s a.WF— ATF4Ak.lq
ABO E ^ c � I--9 74 —13
NEW NORMAL BELOW �o A4 Yi uv �� + �It n a d� c'F (=� 17�OU'P
FARM Acre Value Per Value
Acre C d �' n:J�+ <1f'/ ())�! f ✓ —
�hj D 1
Tillable 1
Tillable 2 — —
Fillable 3
Noodland
swampland FRONTAGE ON WATER
3rushland FRONTAGE ON ROAD o U C /Y--,
louse Plot DEPTH Z�
BULKHEAD
Total - DOCK
s
.. �a..�....—.....,S.b...,-x.,y rK� •WMwY+wn.!wn a..� .. ,. . x ... , ,
:e
Nassau Suffolk Electrical Inspections, Inc.
5A Canal Street • Center Moriches,New York 11934 • Tel: 631-878-3500 • Fax: 631478-3764
Application:4320 Date:7-27-04
Issued to: Vangelatos
Address: 68759 Route 48
Village:Greenport Introduced By:B&R Mechanical License #:2761-E
was examined and approved up to the above date and was in compliance with the NEC
Attic 1 st Floor Residentialx❑ pod❑D pet Game
Baserna t 2nd floor CarrrTwaal Hat Tub Addition
I
Switches Receptacles Fixtures G.F.I. Range Hood Whirlpool
2 2
Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon
RangelAmps Monoxide
Furnace Oil Gas Heat Zones Smoke Bell
Detectors Transformers
Rough Insp: 7-26-04 Meter Amps Phase Motors
Final Insp: 7-27-04 1
z Ly> Other Equipmenti
r r Inground Pool
ut,Res
This certificat9vmust not be altered
in any manner
Mrait4:'30336Z
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FORM NO. 3
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)
PERMIT NO. 30336 Z Date MAY 19, 2004
Permission is hereby granted to:
ELEFTHERIOS & ORS PAPPAS
30 22 34 ST
ASTORIA,NY 11103
for
CONSTRUCTION FO AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR
at premises located at 68759 CR 48 GREENPORT
County Tax Map No. 473889 Section 033 Block 0005 Lot No. 014 . 001
pursuant to application dated MAY 19, 2004 and approved by the
Building Inspector to expire on NOVEMBER 2005 .
Fee $ 150 . 00
A tho iz d nature
ORIGINAL
Rev. 5/8/02
3 *,
o � 3� �avoo
lt OF S a
�ouNn,��r'
�s
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: C-fi
DATE �� �'� INSPECTOR
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ INAL
[ ] FIRE" E & CHIMNEY [ ] FIRE SAFETY INSPECTION
R MARKS:
2-
DATE INSPECTOR
FIELD INSPECTION REPORT DATE CONINIENTS
pv
FOUNDATION(1ST) -- — y
x
--------------------------------------
FOUNDATION(2ND)
� 2
` � O
� 1 H
ROUGH FRAMING&
PLUMBING --
-- - OQ
— r
INSULATION PER N.Y. �
P-3
STATE ENERGY CODE
Zg-
FINAL ot
ADDITIONAL COMMENTS
-0
(� m
U
— = k
L
z
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CONN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
3UILDING DEPARTMENT Do you have or need the following,before applying?
COWN HALL Board of Health
>OUTHOLD, NY 11971 3 sets of Building Plans
CEL: (631) 765-1802 Planning Boar approval
-'AX: (631) 765-9502 Survey
PERMIT NO. tZi Check
Septic Form
N.Y.S.D.E.C.
Trustees
.xaaunedc, 20 Contact: _
tipproved t 20a Mail to: �7 /�
disapproved a/c -1 -7 t (C.+2 Z6 Fes+
Phone: —704 -B100 wnb
i
expiration 20�_
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date 5 �7 0 , 20
— INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with
ets 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
reas, and waterways.
i. 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 issue a Building Permit to the applicant. Such a permit
hall'--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 what so ever until the Building Inspector
sues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
suance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
.-operty have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
Idition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
uilding Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or
egulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
)plicant agrees to comply with all applicable laws, ordinances,building code,housing code, and regulations, and to admit
tthorized inspectors on premises and in building for necessary inspections.
`(Signature of applicant or name, if a corporation)
�a8�15°t P-+e-- 46 y+ NY
(Marling address of applicant) t1 q Q L(
ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
une of owner of premises n 5 + NO,-.V (<(, Qeen
(As on the tax roll or latest deed)
applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
alders License No. 14 1 a q
umbers License No.
:ctricians License No. ` (n1 rj -
her Trade's License No.
Low�f�d on hich ro osed wor 1 be done: L
r 1
House Number Street Hamlet
County Tax Map No. 1000 Section 3 Block Q Lot I LV I
Subdivision Filed Map No. Lot
a. Existing use and occupancy ���� e :::�m I �Tf�SCi�dcri
b. Intended use and occupancy �D� y C) P��(- ems en�'11o'-Lti�- '000
Poo`
3. Nature of work (check which applicable): New G2 Addition Alteration
Repair Removal Demolition Other Work
0o (Description)
3. Estimated Cost10,00(1— Fee
(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 Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front .20 1 . ,3Q Rear P-0a - (a Depth 3 4
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES,NO ✓
13. Will lot be re-graded? YES ✓NO_Will excess fill be removed from premises?YES ✓ NO_
14. Names of Owner of premise �&QeW_Ir'AddresdAOM 0J. 49J
Phone No. L1-11-Igg4
Name of Architec Jc S Address tt6LAVDu Phone No -a I-a t 0 5
Name of Contrac r ddress `{-i 1 11-e2_64— Phone No. 'W( - IOU
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO /
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
(" I r<a.y �T �( eCkeX being duly sworn, deposes and says that(s)he is the applicant
(Name of individuallsigaing contract) above named,
(S)He is the q�we
(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 applicatic
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Swom to before me this
JA
�(d.J day of 20¢�
i-I i
j
Notary Public " igaa , of Applicant
NOREEN L.HAGER
NOTARYPUBI.,C STATEOPNEWTOM
QUALIFIFJ iN SUFFOLK COUNTY
REG.NO.OIKA452 3
COMMISSION EXPIRES
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF J
SO'UTHOLDTOIANZSA
Sc,-HOLD TOWN PLANNING BOO w
AP R V D AS NOTE W z
SOI,THOLDTOWNTRUSTEES � / -l� - � � �
DATE: B p z to q1 50�w DorroM
FEE: a - — — E/ cz < O
NOTI BUII r;- 16' SEMON A w
" NT AT 24
765-1802 8 AM ' - • - P; THE
Q O
FOLLOWING !NSE,
1. FOUNDATIC -'JIHED 5' 10' 5' " �{
FOR POURE-
2. ROUGH • FR,,,.. i:MBING V}
3. INSULATION 01 rn o
4. FINAL - CC' -=1
�e
BE COMFL= , -
ALL CONSTRUC.IUN ai L M T THE � Q� C
REQUIRE',,4ENTS OFTHE D OF NEW 16
YORK STATE. NOT RESP N IBLE FOR ro 10" E
DESIGN OR CONSTRUCT I N ERRORS. C:� ,L �
WA1PE UtdEtA
lPrN7D
OCCUPANCY OR3500 a /
USE IS UNLAWFUL FLOOD ZONE ror 0P
P51 pD C.ONCI?i1E � \
WITHOUT CERTIFICATE COMPLY WITH CHAPT "46" VINYL LIIuK
FLOOfO DAMAGE PREVENTION 2 t0 T1 5ANr7 \ a \
SOUTHOLD TOWN CODE.
OF OCCUPANCY
Liv�Eh��,;�iE �CEnifiGATE
REQUIRED WALL SEMON
FMAED CCAIK.STEps
\1' 0 I. SMr M 15 Un(,kE0 FOS[EZ DEI-oN G Afc AW or`-Y H Al-A5 WfZ H(,P U V
rot�JEa FRLIMFL1Ek T WKEP rADLE 15 A WAMA Of 9'-B" MLLOVV TFE PP.OPOSED FIMStD MAT.
F Ji✓31Nf:2
\ FE76;Pt`D PI1H7 2.DPO',FN1-W1m QEPN EAf:M,r TE OF PDOf5ANO PEDF15. F0 WfALLow Ilt ffvitf of
ALL CONSTRUCTIO ;. DPCrAl ro EXCEED nt 1t10ir Or TIE WKEP N of Poa.DY W0,1 fwNe (N f f
foTfm MEET THEREOUIREME VJAFE2r0EXLEfDDKA'111DYWI7 TFIMB".
IEN•9AG`ZO CODES OF NEW YORK STATE. wxrsror ornT+, hd rJv me, oPEaAwnYr o
F"LUP�9fBTil�9f� � a.wArEP��osfv.�w t.a uM1re�ro av�tPs Puy Fern ro SUJ La.:al n.�(ulnra�s
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Z � SURVEY OF PROPERTY
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SITUATED AT
N- WH Y- GREENPORT
OJ 9 y N'TfOC E •�I �Z.
°" re TOWN OF SOUTHOLD
DEC, m SUFFOLK COUNTY, NEW YORK
s A spas S.C. TAX No. 1000-33-05- 14. 1
SCALE 1 "=30'
6A` OCTOBER 9, 2003
e 4 In '
> � � •l AREA = 46,320.58 sq. ff.
r,\ ?• �' 1.063 DO.
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2504 p'
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CERTIFIED TO.
CONBTANTIN05 VANGELATOS
S CATHERINE SPANONDIS
n •\ CHICAGO TITLE INSURANCE COMPANY
�, c\ TITLE No. 0110-0500
REALTY AID PROPERTY SERVICES TITLE COMPANY INC.
;1 TITLE No. RAP—S-2588
• > 1
tP ' 91 i ll"\ GGWMN
LE •GATE $'
µ00o FE57 30„ E U {a; PREPARED IN ACCOROANC WITH THE MINIMUM
STANDARDS FOR i E VEYS AS EDABUSHED
S 7 25.08
N 7 .62 69 FAUN° \ � BY THE L . VEO AND ADOPTED
MON H - FOR 5 RK STALE VNO
TRUEpc3,g5272 cvac LE
�.97.fiY EDGE,OF PMEMFNF QR
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N.Y.S. LID, No. 49565
I
UNAOHCR17ED ALTERATION OR ABORTION
TG CATS SURVEY IS A MNEW YO OF
Joseph A. Ingegno
SECTOR 74D9 OF ME NEW YORK STATE
EDUCATION UW.
THE LA OF THIS SURVEY MM SNOTEA BONING Land Surveyor
THE SSD SURVEYOR'S INKED SEAL OR
EMBOSSED LID SHALL NOT RE CONSIDERED
TO BE A VALID TRUE COPY
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TD THE PERSON FOR WHOM THE SURVEY
5 PREPARED. AND ON HIS BEHALF TO THE TiNe SGN2y9 — SPbdIV1510n5 — Slle Plan — ConstrPaG.0 L,EKt
TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING REMOTION USTED HEREON, AND
To ME ASSIDNEFS of TME LENDING mso- PHONE (631)727-2090 Fax (631)727-1727
TU70N, CERTIFICATIONS ARE NOT MARBLE MBLE
OFFICES LOCATED AT MAILING ADDRESS
THE ER EASEMTENCE DF RIGHTS OF WAY 322 ROANOKE AVENUE P.O. Box 1931
AND. N EASEMENTS OF NOT
RECORD, 6 RIVERHEAD, New York 11901 Riverbevd, NOW York 11901-0955
ANY, NOT SHOWN ARE NOi GVARANTEEO
uVaLY11\V l1:/1�1f111 L'L).L111111\L'1\lililJX111/1l)1
DATE REVIEWED: '0/�04
APPLICANT: DATE SUBMITTED:S77/x/04
SCTM# DISTRICT: 1,000, SECTION: 5S , BLOCK: � LOT: / SUBDIVISION:
ADcle � CITY: ZONING DISTRICT:-CONFORMING?
DRESS: 09; �
BUILDING PERMITS OPEN/EXPIRED: PRE CO: Y OR N
BP -Z/C/0 Z- , INFO /BP -Z/C/0 Z-_., INFO
BP -Z/C/0 Z- , INFO /BP -Z/C/0 Z- , INFO
SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES:
LATS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LATS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after'
REQ. LOT SIZE: ACT. LOT SIZE:�� PQ-. LOT COV. e e ACT. LOT COV.
REQ. FRONT /4 _PROP.FRONT Q SIDE ,/ o _ACT. SIDE
REQ. REAR � PROP. REAR Q. HEIGHT PROP. HEIGHT
PROJECT DESCRIPTION: .�r ke a -
ESTIMATED PROJECT COST: ARCHITECT/ENGINEER:
WATER FRONT? DESCkIPTION: PANEL # FLOOD ZONE:
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED#): DTE: / /_ PERMIT#:
TOWN SEPTIC RECEIPT: Y or N
NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or NO DTE: /_/ PERMIT#:
SOUTHOLD TOWN TRUSTEES: YES or NO DTE /_/ ERMIT#:
TOWN ZONING BOA APPROVAL: YES or NO_ DTE: / _ PERMIT#:
TOWN PLAN. BOARD►'APPROVAL: YES or NO DTE_ / / itRMIT#:
TOWN HISTORICAL/PRE (SPLIA): YES or NOS
NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): Xx0or NO
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: SF
SECOND FLOOR: SF
OTHER: SF INIT OTHER TOTAL
TOTAL: SF FEE FEE FEE
1. ( _SF)- ( SF)= SFX$ _$ +$ +$ _ $
2. ( SF)- ( SF)= SFX $ =$ +$ +$ _
3. (_SF)- ( SF)= SFX $ =$ +$ +$ _ $
FINAL TOTA : $ ��d
NEW YORK STAVE CODE COMPLIANCE CHECKLIST
CLIMATIC/GEOGRAPHIC DESIGN CRITERIA:
Ground Snow Load: 45 Wind Speed: 120MPH Seismic Design Category: B
Weathering: Severe Frost Depth: 36" Termite:M-H Decay: S-M
Design Temp: 11 Ice Shield Underlay:YES Flood Hazards:
USE/OCCUPANCY CLASSIFICATION:
HEIGHT/FIRE AREA:
TYPE OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE
FULL FRAMING DESIGN ELEMENTS: Y/N
HEADERS: Y/N WALL STUDS: Y/N GIRDERS: Y/N
CEILING JOISTS:Y/N FLOOR JOISTS:Y/N ROOF RAFTERS: Y/N
LUMBER SPECIES AND GRADE:Y/N
DESIGN LOAD CALCULATIONS: Y/N
LIVE: Y/N Det p; Y/N SNOW: Y/N SEISMIC: Y/N WIND: Y/N
WINDOW AN�ibOOR SCHEDULE:
MIS"-LAWST REQUIREMENTS: Y/N l
1 66/"SS 5.7 S.F.: Y/N
LIGHT 8%: Y/N
VENT 4%: Y/N
NAILING/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRESS: Y/N
PLUMBING RISER DIAGRAM: Y/N
LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N
TRUSS DESIGN: Y/N
CERTIFICATION: Y/N
ENERGY CALCS: Y/N
TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE)