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FORM NO. 2 O + TOWN OF SOUTHOLD l u BUILDING DEPARTMENT m'I �— �� I C)n TOWN HALL (�J SOUTHOLD, N. Y. C'_�i' BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) �� 2 2 Z Date ...... .. ".d:Q X-4...... :�............ Permission is hereby granted to: .. .�. .. ..► ...... ... ............ �-�. .. . .! ..... .. L-q:.......................... .. c ..r...!�?: .:.....1.1.1C................... to .. .. . . ...0 '..... .....�:4. ... .. ....... ... dl�.,...4".,. .A!..,J1). .... J�...... ....... .................................... ................................ .......... aQ at premises located at ..... ..........\n r. . . . ... .. ........... .................................................................................................................................................................. ................................................................................................................................................................. County Tax Map No. 1000 Section ......)..4�..... Block .....Q..Z........ Lot No. ....1.v.t..l......... pursuant to application dated ....O.A- . ...... .............. .. 19.q.1.., and approved by the Building Inspector. Fee S..r.S�...... G 0-•t ....................... ............. ........ ............ ................ Building Inspector Rev. 6/30/80 LAW OFFICES WICKHAM, WICKHAM & BRESSLER, P.c. 10315 MAIN ROAD, P.O. BOX 1424 MATTITUCK, LONG ISLAND WILLIAM WICKHAM "' t ,` MELVILLE OFFICE ERIC J. BRESSLER `> i, NEW YORK 11952 275 BROAD HOLLOW ROAD ABIGAILA.WIC "- (:{r7 'r � 1, 4-.- = SUITE III `r.'F1 �• A i'"1.,t:.`=' 631-298-8353 MELVILLE, NEWYORK 11747 JYNNT M.GORDN• ` 1 - ;TELEFAX NO. 631-298-8565 JANET GEASA � ��; ;°,•� �1 631-249-9480 2 2Uli'( TELEFAX NO.631-249-9484 November 20, 2002 s Nr Michael J. Verity, Building Inspector Town of Southold Building Department 53095 Main Road P.O. Box 1179 Southold,New York 11971 Re: Owner: Dorothy Brock n/k/a Dorothy Stewart Certificate of Occupancy for Shed SCTM# 1000-100-3-10.9 QQ Dear Michael: C� The Brocks had applied for a C.O. for the shed on the above property on October 24, 1991, and paid the C.O. fee of$25. Please see copy of C.O. application enclosed, which was obtained from the Building Department file. Ms. Stewart has no record of ever receiving the C.O. Please forward me the C.O. for the shed. Very truly yours, C L Abigail A. Wickham AAW/dm 30/shdbd Form No. 6 Fes; + j T014N OF SOUTHOLD ae �` BUILDING DEPARTMENT OCT 2 81991 fi° TOWN HALL W� 765-1802 BLDG. DEFT. TOWN UTHO OF SflE!i HOLD . � F PLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 1Z 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. 3. For existing building-s (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 Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . .-/ . . . . . . . . . . . Location of Property. .: .:t�'���7�® , • ,�: i,¢�j72?-e- r . . . .•. . . . . . . . . House No. Street Hamlet Unwer or Owners of Property4��G . ... . ..d'g. . 7"f7!. . .'. .�- .��. . . . • . . . . • • • . . • . . . . County Tax Map No 1000, Section. . . .19T. . . . . .Block. . . . . . .3. . . . . . . .Lot. . . . . . . . . . . . . • . . . . Subdivision. . . .IvBE. .��. � . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . 0 . . . . . . . . . . .•7. . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . ... . . ... . . . ffealth Dept. Approval.'. ,; . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . "1:111ning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . 1Iequest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . °ee Submitted: $, , , , , , , , , , , , , • , , , , , , , , , , • , , , , APPLICANT . • • OCCUPANCY OR JFUL CE 44 d_ APPROVED AS NOTED 61, Cl .,-n �e��1� �E bat �e:: �. � I FI r i f ► e:$ T c[ t r?t?e v ICNI)r—e L.Ftl/11 1�"l�' E� c:aFY { BY: ✓ G�.L.. BUILDING DE*FARTII!I� ,,,, f I f ' J�C. {,0{ :^{c hl•• j)111 ~. R A_�� 7 5-1 SQ2 9 ANI TO 4 yt' e, FOR P 1G FgLLov!vING INSRECTIOWS: REQUiRED 110. 7�OR POURED CONCRETE I. FOUNDAT,'ON ( � sS H, 2. GH FRAMING & RLUMSI vC3 �� 4. ISv I_ - CONSTRUCTION MUST hhPE COMPLETE FOP, C . { : ' x !a 6r, �.�. �e�o�'_ o � ALI1 �CONSTRi lf.7lt)li! �. .� �. SHALL IWIEET i I Y-y A p -A o.G CCr3 Ito .-.1>o4vh� T s�g� 13Ed� lR ;�1E11RTS OF THE N.Y. STD S CONSTRUCTION & ENERGY I : , ovE 4-o S�v i d� ss-1►'�3a9c�C �1 ALSO NOT RESPONSIBLE t A N Gk 0 7L le.� FOR �p—m. a DESIGN OR CONSTRUCTION ERRORS Ao FROV7— CLCV R 7'ivn. J( i I r7 i I I EC _ G01101ENTS 1 . m0 • a 9� _ H � FOUNDATION T -_-. ( 1st ) FOUNDATION ( 2nd ) c 2 . ' z o phi ROUGH FRAME & 06 •PLUMBING 3 y Z rn INSULATION PER N. Y. m STATE ENERGY CODE FINAL I 0 n x ADDITIONAL COMMENTS : eJ,t ito - x H 9 _ H \ ' H ' O � • � W rn . ~d C@5FN11��%g �y� . . . . . . . . . y BO�1FD OF HEALTH FORM NO. 1 3 SETS OF PLA.1S TOWN OF SOUTHOLD SURVEY . . . . . . . _ . . . . . . . . . . OCT 2 0991 BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . iu TOWN HALL SEPTIC rort:l . . . . . . . . . . . . . . G,!-! +%= !• SOUTHOLD N.Y. 11971 TEL.: 765-1802 Examined . 0 ? p 19� ( ALL . , . �pp MAIL TO : Approved Do. 'cl�fn4.t.. . 'v 199 . Perrnit No. p� O a�� �. . . . . . . . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . .b!-.L. . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . . . /� . . . . . . . 19 6f. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 v areas, and giving a.detailed description of layout of property must be drawn on the diagram which is part of this appli- -ation. 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 ,hall 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 ,hall 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Zegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Fi lie 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 inspect: (Signature of applicant, or name, if a corporation) sue'o..> T � �. . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . " `l . . . .alf- . . �5 . .� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. Plumber's License No. Electrician's License No. . . . . . . . . . . . . . . . . . . . . Other Trade's License No. Location of land on which proposed work will be done. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . .V. . House Number Street Hamlet County Tax Map No. 1000 Section . . .� . . . . . . . . . . Block . . . . . . . . . . . . . . . Lot . . . fd'. % . . . . . . . Subdivision . . . .A(C.•. . . . . .y� . . . . . . . . . . . . . . Filed Map No.(1 . . . . . . . . . . . . . . Lot . . �. . . . . . . . . .� ) amc State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy S % _ b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition Repair . . . . . . . . . . . . . . Removal • • • • • • • Alteration• . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work.. . . . . . . 4. Estimated Cost �©�� � (Description) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . ...... . . . . (to be paid on filing this application) . .S. If dwelling, number of dwelling units . . . . . . . If garage, • • • • • • • • Number of dwelling units on each floor .. g g , number of cars • • • • • • . . . . 6. If business, commercial or mixed occupancy, " " " " " " . . • • • . . • • • • • • • • • • . . . specify nature and�xtent of each type of use . 7. Dimensions of existing structures, if any: Front . . .1. ' t t ' ' ' '.. ' . ' Height . . .e•�. �. . . . g`.Rear .l 'te' Q Depth ../.. '$ -2,b : . . . . . . . . . Number of Stories . /, Dimensions of same structure with alterations or additions: Front � . . . � Depth . . . . . Height . . . . . . . . . . . . .- . . . . . . . . . Rear . . . . . . . . .: . . . . . . . . 8. Dimensions of entire new construction: Front Number of Stories . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . Depth . . . . . . . . . . Number of Stories . . . . . . • • • - 9. Size of lot: Front . . . . . . . . . . .Rear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase .. . . . . ' • • ' • • • • • • • • • • . Depth . . . . 11. Zone or use district in which . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . premises are situated 1? Does proposed construction violate any zoning law, ordinance 13. Will lot be'regraded . . M6 or regulation: . . . . . . . . . . . . . . . 14. p ' ' ' ' ' ' .. ' '� • . . Will excess fill be rerMr oved-fro -premises: es N Name of Owner of remises 1_p4re .��-�'��• Address �C ° Name of Architect . ' ' ' ' ' • • • • • • Phone No. i.��.d'... . . Name of Contractor —f ' ' ' ' ' ' ' • • • • Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . 15. Is this property within 300 feet• of " " Address . . . . . . . . . . , Ph . . . . . . • . • . . . . . ' a tidal wetland? *Yes . ... . . . . . ` *If yes, Southold Town Trustees Permit may be required. � � � " NOV. . ' . . ' . . PLOT DIAGRAM Locate clearly and distinctly 0 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. � 1 � J SfoG35 —� � 4 FEa[� t TATE OF NEW YORK, p OUNTY OF A7.a yd l SSA S:s • ' ' ) eing u y sworn, deposes and says that he is the applicant (Name of individual signing co t )ove named. 2 is the Contractor, agent, corporate officer, etc.) ' ' ' ' ' ' ' ' ' . ' said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the )rk will be performed in the manner set forth in the application filed therewith. porn to before me this . . . .a .. . . . . . . . . .day of. . . . . . . . . .. .19 tary Public„ . . . . . . . . . . . . . . . . 4- . . . . . County UND J.COOPER . . . . . . . . . .. . . . . . .. . . . . . . Notary No.4822563 Sufolk Coouu ttyr (Signature of applicant) , Terra Expires December 31,19..�,� INSPECTORS Victor Lessard C4,SVfFO(�COG Principal Building Inspector �O� Curtis Horton y� SCOTT L. HARRIS,Supervisor Senior Building Inspector y Z Southold Town Hall Thomas Fisher P.O.Box 1179,53095 Main Road y Building Inspector • �! Southold, New York 11971 Gary FishBuilding Inspector ��l a Fax (516) 765-1823 Telephone(516) 765-1800 Vincent R.Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD ORDER TO REMEDY VIOLATION Date: October 16, 1991 TO: Mr. & Mrs. Earl Brock RD #1 Box 220 Mattituck, N.Y. 11952 PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance - CHAP. 100 Other Applicable Laws, Ordinances or Regulations at premises hereinafter described in that AN ACCESSORY SHED HAS BEEN CONSTRUCTED WITHOUT' A BUILDING PERMIT. In violation of ARTICLE XXVIII CHAP. 100-281 YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the law and remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at: 585 INLET VIEW EAST, MATTITUCK, COUNTY OF NEW YORK, SUFFOLK COUNTY TAX MAP #1000-100-3-10.9 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. VINCENT R. WIECZORE � � � ,, ORDINANCE INSPECTOR LM VIEW SURVEY TITLE NO.300862 Cerliheatlona ind.aolld hereon signify that this plat of the hereon described property 19 true and..Real rapredantollan of a a.-I survey made end platted unoer my of-1.an oreonce with the existing Code of Practice for Land.Surveyora by the New•York Slate A.soatal— f Prof—lonal Land Surveyors Said Certifications hall run only to tna person for whom In, aurvey,s prepared and on thetr behalf to the title company,governmental agencyy and lending atflutlan Iblad hereon This certification Is only for the Icnds as described hereon.'I not a eollilcallan of title,zoning or fraedom from sac—beroncos Certlll.atronn are not transferable to additional Institutions or subsequent owner. EW EAST \ I 13,41 V� WALL `'' `S 4B2.58' 0" tf, MONUMENT 3]'W I 26e 1 a FOUND Rp a,9'N 60 �O•oo� 42T hEtAi nN WALL vpo0 f]N WALL NIM w MONUMENT A]'E FOUND I 0 4'W d i a ° � g I> is CURB.t ]1'N F FE CDRB I �63•LN, N WN <7S0 Ip,��aONORE2 PpR Ki ll ■r■ f 3N I wCE ry4 'M(1+ •r] GI 2d3• 1� C5 I Ye ae.0 .B r NAND A a Ip>E 4 a" . 2 a -s m s It ss 1eY ^ 4,,SM%q •SLU ��#Cprya DI LY "iEP d iJ O 3, C N MK v Q NALL O ��(.� F OE 9 s / z 02% foe F Wis LOT I¢ I 8 U IS'epedN7 IN POOL LOT 1 9 C a as-0 VI U C q YY; �=r-e•,-� �rel���f 0 Ter . Y O U x sinrn a n i Z rE EE TC-A E FEwa w�_ f A' MONUMENT S 15 23'30" E FOUND 1 5.19' LOT LOT I L2 t /S The e(Nata or dimension.shown from etrust...a to the property line..,a tar a spec",.purP..e and use, and therefora,ore not Intended to gddo In the aroctlon of fences,rolalning walla,pools,fallen,planting crass,addlllane to buildings and any other construction. Subsurface .no onvbonm.ntol—dill net...mined a....idarad oa a orl of This eu Eee enle,Rlghle-of-Way of R—d.If ony,not ah— ProperPy ee �enI. a net placed a .pert or Ihie a .ey mar meeam vUNAUTHORIZED ALTERATION OR Barrett Bonacci&Van Weele P.C. REVISIONS: ADDITION TO THIS SURVEY IS A t VIOLATION 7209 OF CIVIL ENGWEERMURVEYORS!PLANNERS THE N' �r UCA- 175A Commerm Drtve.Hauppauge,NY 1I788 TION Ep0 TEL 6311435.1111 FAX6311435.1022 e J �pyQ�•� 9 www.bbvpaaom y 9 LOT 9 BLK. -- MAP OF: INLET EAST ESTATES �, L SITUATED AT: MATTITUCK, TOWN OF SOUTHOLD �✓0 Lugp3g9� � FILED: MAY 1 1975 NO.6249 CO.SUFFOLK NC PIOT B F ii CERTIFIED TO: ©sow aBv-Pc BOSSED SEAL SHALL NOT ee FIRST AMERICAN TITLE INSURANCE CONSIDERED A VALID TRUE COPY COMPANY OF NEW YORK JOB NO. A030003 ABN AMRO MORTGAGE GROUP INC. DAVID M. & NOREEN WARREN DATE JAN. 15, 2003 DR. A.V.R. CH. W.J.B. SCALE: 1" = 40' DIST. 1000 SEC.100 BLK.3 LOT 10.9 L-%DA031A0300031dvn41030003 daD.Model,0 1/1612 0 0 3 O1:SUS PM,1:40,Barrett.Bonacci 6 Van Weele 1 AVR 0.•78-0800748 TITLE N THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR FROM DATA OBTAINED FROM OTHERS THE WATER SUPPLY. AND'SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE 'WILL,CONFORM'TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMEN OF HEALTH SERVICES APPLICANT,----_�.--------=— ADDRESS-----=----- — TEL.---- Rv � EW HAP • Y. 1-0 t 8 •»Q got.: 311.94 ' .re.o V1 uN.. ch ZN:79°52 35 N 1-0 i 66� 061_SQ•ft'' m/y N --- -`---0 Area 40, (310 i C(-� �. CP ST. 53 4.4 t►Z ►. . �_ J t ' 281.63 ell- 00 EM�ys•z S.75 Ares".Otto :�. Rcre pork :1 + ' ;;NOTE ; in .F MONUMENT' ''SUBD/V/S/ON MAP FILEO/N THE OFFICE OFTHE CLERK OFSUFFOLK COUNTY: ON:-.` MAY'I;/975.ASF/LE NO. 6249 [• THERE ARE NO'OWELL/NGS W/TH/N/00 Per �F NFk' OF THIS PROPERTY OTHER THAN THOSE.:. R Evi s l o rl s D W, SHOWN HEREON . . YOUNG-.`&'. 1F0 N Dy�PK; 1-0 9� WATER SERVICE'=PRIVATE WELL MARCH30,/978 400 OSTRANDER AVENUE, RIVE 1 SEPT.h6�/979 i4LDEN'W. YOUNG!. W.Y. 1 G ' SUFFOLK.COUNTY TAX MAP ' FEB.'P/, I980' PROFESSIONAL ENGINEER AND 4 t T'L VEYO 1; ;'•Q/sr•• 10.9 I000 ',SECT''I.�� BLOCK 3 LOT. LAND SURVEYOR, N.Y.S. LTC. NO,�}2645: ' 'N NO. SB RIZ SURVEY.FOR: '' UNAUTHOED ALTERATION OA�ADDITION TO. , S• �.,''•, ':': •'r ' - THIS SURVEY 19 A':VIOLATION OF SECTION EARL�•�.BRD�'K r'• 7209 OF THE NEW-PORK„STATE.EDUCATION' - LAW,. 'LOT NO. It -COPIES OF,THIS,SURVEY MAP NOT BEARING' - '' •INLEV EAST-ES.rAT S..' - '. 1HE LAND SURVEYOR'S INKED'SEAL OR i., EMBOSSED 'SEAL*SHALL.NOT BE.CONSIDERED ' 10 B&.;4 VALID.TRUE.COPY. - AY' - C GUARANTEED TO: MATT/TUCK.:`:: E INSURA H/CAGO T/TL NCE CO. - RUARA'NTE EI^,-INUICATC I HEREON SHALL RUN KEY BANK •- Nc'v ru THE PrPs TOWN-OF voa rrF. '';IJRvEW IS PREPARED,AW, ON H;S'OEFALF„ SOUTHOLD: • T: n,� '1!I'LG :CMF:SFJY,G;,v EANM EN rAI r EN':YAND Ip IJI: iN:1 TiT1111014 E TIFD BY." F!E.<<EOrJ;AND TO HF ASS!GNrES OF THE '.SQFFOL'K CO., N:Y.'• NOIH6 ir:St T 1 WIJ f AN LK-T 'F. ARE Nr:Y 7woNsr'EkAIAL TO A 1rJITIDNrL SCALE: �� : .' p�T�7hlriNy i r11H3FLU� J1 .pN'NE1,5.'.•. [DATE :VAN:,/2,•I978 J.NC :