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HomeMy WebLinkAbout37266-Z OSU pf pt�.c Town of Southold Annex 10/3/2012 P.O.Box 1179 H 54375 Main Road oy Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35983 Date: 10/3/2012 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 520 GABRIELLA COURT MATTITUCK, SCTM#: 473889 Sec/Block/Lot: 108.4-7.23 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 5/30/2012 pursuant to which Building Permit No. 37266 dated 6/1/2012 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: finish second floor in existing one family dwelling as applied for. The certificate is issued to ROBERT BOPP (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37266 9/12/12 PLUMBERS CERTIFICATION DATED 10/1/12 Timothy Horton e t ed ignat re �f �L TOWN OF SOUTHOLD 7 O!f�gtlFFD�,Y�,p� BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy . N SOUTHOLD, NY �o V, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 37266 Date: 6/1/2012 Permission is hereby granted to: ROBERT BOPP P.O. BOX 403 MATTITUCK, NY 11952-2477 To: FINISH SECOND FLOOR AS APPLIED FOR At premises located at: 520 GABRIELLA COURT MATTITUCK SCTM # 473889 Sec/Block/Lot# 108.-4-7.23 Pursuant to application dated 5/30/2012 and approved by the Building Inspector. To expire on , 12/1/2013. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $540.80 CO -ALTERATION TO DWELLING $50.00 Total: $590.80 Building Inspector r Form No.6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: For new building or nIeev-ease: 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 2110 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"Iand 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 Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy= New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00; f Swimming pool$SOAO,Accessory building$50.00, Additions to__accessory building$50.0-0,B 2. Certificate of Occupancy on Pre-existing Building- $100.00 usinesses$50.00: 3- Copy of Certificate o€.Occupancy-$25 4. Updated Certificate of Occupancy- $50-00 5. Temporary Certificate of Occupancy -Residential$15-00,Comm ereial$15.00 Date. New Construction: Old or Pre-ex' . tsting Building: ' (check one) Location of Property: House No P-4�> 7 y G/� Street Hamlet Owner or Owners of Property: f�o h-O& i S AO Suffolk County Tax Map No'1000, Section_ - r Block— 7 Lot Z 3 Subdivision Filed Map. Lot: Permit No. d�LP(�O Date of Permit. - / - J I, Applicant: ] Health Dept.,Approval: Underwriters Approval: Planning Board Approval: bequest for: Temporary Certificate Final Certificate: (check one) =ee Submitted: $ APplica i I *of SO!/ryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502. P.O.Box 1179 Q roper.richerta-town.southold.nv.us Southold,NY 1.1971-0959 C0U01 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Bobby Bopp Address: 520 Gabriella Ct City: Mattituck St: NY Zip: 11952 Building Permit#: 37266 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Big Blue Electric License No: 35348-me SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor Pool New Renovation X 2nd Floor X Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 15 Ceiling Fixtures 3 HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 18 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures . Time Clocks Disconnect Switches 20 Twist Lock Exit Fixtures TVSS Other Equipment: 2-exhaust fans, 1-wirlpool bath Notes: Inspector Signature: Date: Sept 12 2012 81-Cert Electrical Compliance Form.xls a so�r�o Town Hall Annex �O l Telephone(631)•7654$02 54375 Main Road Fax(631).765-9502 P.O.Box 1179 G. Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD .CERTIFICATION Date: Building Permit No. Owner: 6�GR� S� G O (Please print) Plumber: /j � -r/ (Pie print) I certify that the solder used in the water supply system contains less.Ehan 2/10 of 1%. lead. ' .(Plumbers Signature) . :. Sworn to before me this ALBENA•-MITOVA day of 0 C \ 20 NOTARY PUBLIC-STATE OF NEW YORK No. 01 MI6249841 Qualified In Suffolk County � My Commission Explree October 11, 2015 � . Notary Public, County pf SOUlyolo �co cau , TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPEC ON [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ IF UNDATION 2ND [ ] INSULATION [ FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE y INSPECTOR OF SO(/r�,olo cOUMY,� 07 TOWN OF SOUTHOLD BUILDING DEP 765-1802 INSPECTION - ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE �� ��� INSPECTOR OF SO(/T�,OIo , 37��� TOWN-OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION '....-. [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION Y FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE 7 INSPECTOR OF SOOIy�� � TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH.PLBG. . [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: DATE INSPECTORS TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION " [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION . [ ] FRAMING/STRAPPING INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL(FINAL) REMARKS: � le - 12 - L.� DATE — INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) � - -------_._�,..,_._-------- FOUND ATION(2ND) cl , GC. v, IA ROUGH FRAMING& y PLUMBING l� ev� a y INSUL'ATION PER N.Y. STATE ENERGY CODE Y V FINAL CIAO . g ADDITIONAL COMMENTS Q Y A c-- O o Vz 141 m U' z x . TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 V 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. 3�o ,� Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ��,20 )a Single&Separate Storm-Water Assessment Form Contact: Approved ,201P Mail to: Disapproved a/c Phone: 45el Lf — q(oQ a Expiration 20 L3 Building nspector APPLICATION FOR BUILDING PERMIT Date , 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 waterways. c. The wort: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 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition 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 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) a o CAI a6A ao c.C+, Ma4 c F -ktk (Mailing address of applicant) State whether applicant is owner, lessee,agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises o ( son the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) "I 4 UJ Builders License No. Plumbers License No. LAY2012 Id Electricians License No. Other Trade's License No. PT. THOLD 1. Location of land on which proposed work will be done: 5a D C o y Pnr House Number Street Hamlet County Tax Map No. 1000 Section ) 019 Block L4 Lot a Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intend- use nd occupancy of proposed ponstruction: a. Existing use and occupancy �AZnMX b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 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 Rear Depth 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 �-7 14. Names of Owner of premises �( nVae T 604 Address 590°�4y IcI,&&CijPI:-Phone No.031-'f%q-q6l6z Name of Architect. Address Phone No Name of Contractor Address Phone No. 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual sig i g contract)above named, CONNIE D. BUNCH Notary Public,State of Now York (S)He is the No.01Bi161A5050 (Contractor;Agent, Corporate Officer, etc.) Qualified in Suffolk Counby Commission Expires April 14, b 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 knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me thi day of 20)d Notary Public Signat of Applicant Jun 01 12 09:33a NYSDOT 6314511390 p.1 JAMES I DEERKOSKI P.E. 260Deer Drive Mattituck,NY 11952 (631) 774 7355 Date: June 1, 2012 To: Town of Southold Building Dept Re: Bopp Gabriella Court Mattituck,NY To Whom It May Concem: This letter certifies that the Plans submitted on the above mentioned project meet all State and Local Egress, Lighting and Ven ' tion Codes. Any questions feel. free to call. r. Sin rely, f N Eiv ya • CD s S. koski P.E. n I w FG y° On AR�FESSI '; � J Town of Southold - Chapter 236 - Stormwater Management SWPPP - Storm Water Pollution Prevention Plan Assessment Form i GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) APPLICANT AME: Owner-Agent-Consultant-Contractor or Other(Circle One) Property OWNER:(If Different than Applicant) Address: Address: Telephone#: Fax#: Telephone#: Fax#: E-Mail: E-Mail: Property Address: Brief Description of Construction Activity,Proposed Structural BMPs,Soil S.C.T.M.#: 'I �t 2 Stabalization BMPs,Project Scope and/or Sequence of Construction Activity 1000 I bR "[ I• J (Provide Additional Pages as Needed) District Section Block Lot Name of^--•-- ' -• on--ihin for Implementation of SWPPP: Address: — _.__-----•-------------------'.-------------- Telephone#: Fax#: ____ ________________ ______________________ E-Mail: ———————————————————————————————————————————— —^------- -- -- --__________________________ Name of Persons Responsible for Installation B Maintenance of Erosion Control Practice: --------------------------------------------- Address: I Telephone#: Fax#: _______ _ __________________________________ i E-Mail: --------------------------------------------__________________________________ i. i Total Area of All Total Area of Land Clearing Project Parcels: and/or Ground Disturbance: _—_—_____ ._---__--_ ..—__.—__—_ .______________ (S.F.I Acres) Project Duration: Start End ---------------.----.---.-.-.--.-______________________ (Anticipated) Date: Date: (Number of Calendar Days) __ ______ Will this Project Disturbe five(5)or More Acres at Q 0 __ _______________________________Any One Time During the Proposed Development? Yes No ____________________________________________ If YES:Please Answer the Fo((owingl ---.------------------------------------------ a. Does the Applicant have a Qualified Inspector On Q Staff To Conduct the Required Inspections? Yes No b. Does the SWPPP Indicate How Frequently the Site O List the NAMES or description of all Potentially Impacted Waterbodies and/or Wetlands: Inspections will Occur and for What Period of Time? Yes No c. Does the SWPPP Adequately Identify All Temporary Q Q and/or Permanent Soil Stabalization Measures? Yes No ---- - -------------------------------------- d. Does the SWPPP Adequately Identify a Complete Q Q Project Phasing Plan? Yes No Status of Impacted Waterbody:(eq.TMDL,303(d)Listed,Impaired...) e. Does the SWPPP Indicate Additional Site Specific Q Q Practices that Will be Utilized to Protect Water Quality? Yes No f. Has the Applicant Submitted a Completed DEC Notice Type of Impacted Waterbody:(eg.Lake,Creek,Bay,Pond,Sound,Freshwater Wetland...) Of Intent and SWPPP Acceptance Form for Review Q Q by the Town of Southold? Yes No ................................................................................................._.............I..................._........._........... STATE OF NF,W YORK, Notary Public,State of New York COUNTY OF.......:...................................SS No.01 BU6185050 i Qualified in Suffolk Count a,�, That I,.......C 17( ... .p...............................being duly sworn,deposes art(�mmtboidh th§I1ttMpvP*1 or Permit, (Name of individual signing Document) I And that he/she is the .................................................................................................................................................................... (Owner,Contractor,Agent,Corporate Officer,etc.) Owner and/or representative of the 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 knowledge and belief;and that the work will be performed in the manner set forth in the application filed herewith. Sworn to be ore me this; .......day of... . ,20� ...... Notary Public: ( M... ` ' l............... ..�- :� .............................. ..... . ... . .. ..... (Signal Applicant) SWPPP Assessment FORM: 03-12 L0'*0 sok. '\ O Town Hall Annex I t Telephone(631)765--1802 54375 Main Road Co- • YOQ n )76ou rocer.richertaw �o1 .nv.usP.O.Box 1179 . Southold,NY 11971-0959 Ql� BURDINO DEPARTWNT TOWN OF SOUTOOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date:�.0 Company Name: PVrz �_�-- Name: e�- Ucense No.: QA1 -�� Address: D n� A-Ti: �✓ 12- Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: .*Cross Street: *Phone No.: Permit No.: ._. 37a6G Tax-Map District: - 1000 . Section: C)1� -_ Block: Lot.. 2 ,13 *BRIEF DESCRIPTION OF WORK(Please Print.Cleariy) {Please Circle All That Apply) *Is job ready for inspection: [ NO Rough Fn Final n *Do-you need a Temp Certd'icate: YES e0p Temp Information(If needed) *Service Size: 1 Phase 313hase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE-WITH APPLICATION fic .824Request for Inspection FoRn �� Generated by��REScheck Web Software j �n.A 44AA��/'� Compliance Certificate UN FIN ISHEDATTIC � °PLUM 1111,02 1r 11° 3-s^ I3_11 m ALL PLUMBit G WASTE fr &,WATERLI ES NEED TESTING kFQ. t.COVERING Energy Cam: 2N4 New York I Consenrat+on Construction Code � WALK-IN CLOSET Location: Suffolk CouftNew York � ° PLUMBEP'CERT -lCATION CQ116hLoon Twe: 5i se FarroEy m Profm T> a IU�rn 2'� '$ ON LEAD CONTE T BEFORE Degme Days:ZWW. i50 CERTIFICATE OF. -CUPANCY �_z. UNFINISHED. Construction Site: OwnedAgent Desowlcmtradar N 87� v i SOCDER USED! WATERN ®OPP Egres ,'�• 4- SUPPLY S,YSTE CANN07� EXCEED]-l'10.OF 1%LEADZ-I Coke:9-7i settormim Code 9 afffl en UA:IM Your UA:73 W TM1f dSital+lerrTrnOed�YdulrYCbllrie!>�l3oo�p�roj fthw IabLNionoa9�erarga'ed� MASTER BEDROOM 10'-9" Ir ft WrPWAj*anartmMAwryY Los ofe5dntYMGross Cavity ConL 'Glazing UA 4fegeraomAntd1r. ' tia ® 1.r C UPANCY CAR Assembly Area or R-Value R-Value . W actor MASTER BATH l IS UN LAINFU P4 375 30.D ©.D 13 b CeNng:chat T ,6 a� ¢� C E RTi F@ C TE pa-t Ce71ng:Flato'sTrues 55D 3U.D t7.D 19 4 --- Wafl:lWbod Frame,lSaL or 96D 19.0 0.3 27 �mM gress " � [ V aldow woad Flrane.2 Pane VW Lwf•E 45 0.310 14 'I x 4'-0' 3'-0'x 3'-0' 3'-0'x 1'4• .!a/C Ems'' H `J M Caffounae siarement Tt*proposed aiAMV design de6alDed here Is 0MWstent WO the trm� moons,, Ow ng PUM, o ,and I �1 caaaitaaails SUbM thed wtai the permit application.The proposed �gn ed to meet Me 2010 dew YOM Energy Conserva0on Lz�UR 1z-B° , 3-sK" � s-3° � o" � 4�—w c Confibuman Code relutrennenlis'In R cic-Web and to co �� is ELM in the REBctaerJr Inspection '°"st � DEER, °�p 2ND. FLOOR PLAN kc�'��� �� NOTED SCALE: 1/8"= 1'-0" 7)A 6 1 1 B.P. #ul LU QP ttliLDING DIfIRARTMENT,44, sF� No p725o� 765 Z(3 AM TO 4 PM .FOR TAf- ,o pv euLC-OVUG INSPECTIONS: ROFESS\O� ZATION-TWO REQUIRED 3.0ROOF VENTS POURED CONCRETE kOUGH-FRAMING,PLUMBING, 3 5 TRAPPING,ELECTRICAL&CAULKING -INSULATION ,,, +�� 11/� 11a FINAL-CONSTRUCTION Ei ELECTRICAL DRAWN BY: MH a�. W.C. 13• MUST BE COMPLETE FOR C.O. FAI. oR ATH a ATH ALL CONSTRUCTION.SHALL MEET THE May 21, 2012 REQUIREMENTS OF THE CODES OF NEW "" YORK STATE. NOT RESPONSIBLE FOR C.O. 3 SCALE: 1/4" = 1'-0" 3 J �S.IGN OR CONSTRUCTION ERRORS. L��TOAPROVED SHEET NO: SLOPE"114"PER FOOT PITCH TO DRAIN eOuS SEPTIC SYSTEM TW PLUMBING SCHEMATIC{. rR p asna,ne: Pap 1 or 4 N.T.S. INSWT-4:0H REQUIRED f�t