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1991-851 r f f CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date April 7 19 92 This is to certify that work requested to be done as shown by Permit No. 91-851 has been completed. This structure may be occupied as a s i nal a family dwelling Location Lot 40. Herald Drive, Herald Sauare Viliane Suhdiuieinn Owner Guido Passarel l i By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT a TOWN OF QUEENSBURY No. 91-851 WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to Herald Square Village cri OWNER of property located at Lot #40 Herald Square Street, Road or Ave. 0 in the Town of Queensbury,To Construct or place a Single Family Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. m 1 1. OWNER'S Address is —� 45 Herald Drive CI. Queensbury, NY 12804 v' 2. CONTRACTOR or BUILDER'S Name CD Passarelli/Cerrone 3. CONTRACTOR or BUILDER'S Address I- 0 4. ARCHITECT'S Name V 5. ARCHITECT'S Address fD Cu P 6. TYPE of Construction—(Please indicate by X) ( X Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications No. 1,176 sq ft Single Family Dwelling as per plot plan specifications and application 8. Proposed Use Single .Family Dwelling $ 179.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 11, 19 92 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury • D f December 19 91 SIGNED BY / for the Town of Queensbury Building and ning Inspector TOWN OF QIEENSBURY /f Alitti REVIEWED BY: :! 4e47 i r eis FEE PAID: 0, 117 PERMIT NO. : ,,� ; OF QUEENS :-. �l—��� _ ,Q gy BUILDING PERMIT APPLICATION A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS TWI'LL•B1 MADE (JNT L APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants spaces on this application MUST be completed and the signature of the applicant. MUST appear on the reverse side of this application. Owner of Property: a ' P.O. Address: Or _ Pre . ‘,:ee14.4.6e,iPHONE Yr- s_r?0/2/ Property Location: !� 4J Tax Map No./, S g / /D Has there been any split of this property since October 1, 1988? Yes No If yes, Planning Board Review is necessary. Subdivision Name, if applicable: Avy / 4--- Lot No. 4/0 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: PHONE NATURE/OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE Construction of new building * CONSTRUCTION: $ 9,C .moo �— Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BE OW: (no change to exterior dimensions) * Size of Property: /( ft. x 72j ft. (der work (describe) * Existing Building Size: • • . * ft. x ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: * property line: s�� Ap: *1st Floor f Sq. Ft. * Front Yard _Oft. Rear yard 5-�ft. r Side Yards ft. and ft. 2nd Floor Sq. Ft. cq * If on corner, setback from side street- * Other Floors Sq. Ft. * �� ft. (not cellar or basement) * OCCUPANCY INFORMATION:. TOTAL FLOOR AREA:7 la Sq. Ft. * Primary Building - * I1 One Family Dwelling Size of New Structure: 7r ft. x * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units Pier/Slab/Crawl/Partial/Full (Circle One) * Business * Industrial No. of stories (Habitable space) // * Other Height (grade to ridge) 7,2-- ft. If residential , no. of families: / * If addition, what will use be? No. of rooms (excluding baths): ,6. No. of bedrooms: * — • No. of bathrooms: I * Accessory Building: TypePrimary healing system: �, , /- A�,.2 * Detached Garage - One/ . Attached Garage - One'.Two Car. No. of fireplaces to be installed: * Private Storage Buildini - Will a woodstove be installed?: * Other Central Air Conditioning: Yes ✓� No * (OVER) • BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. �jfia ;e Will any second-hand or ungraded lumber be used? If so, for what? /42' Foundation Wall Material : '� /� � r �� z��.��; Thickness: F Depth of Foundation below grade (to bottom of f• ' - V1‘ Will there be a cellar? Heated o '1�-. Floor Sq. Footage: Will there be a basement? Will any portion be used as living space? If so, what portion? Sq. Ft. Type of Use? Type of Roof:<1 pel/Fiat/Sh d/Other Material of Roof , 1 Size, wood studs 2 x " ; spacing 46" o.c. ; length ft. Joists (floor beams) : 1st Floor " x /O spacing 6 o.c. ; span y ft. Joists (floor beams): 2nd Floor " x "; spacing " o.c. ; span ft. Overlays (ceiling beams) : " x "; spacing " o.c. ; span ft. Roof rafters: " x " ; spacing o.c. ; span ft. Roof trusses (pre-engineered): spacing zy " o.c. ; span �k' ft. Exterior Wall Finish: / ,6/ / of what material ? Interior Wall Finish: (5;4' zi If a garage is to be ttached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? fifer If so, will a Fire-Rated door, enclosure, self closing device be provided? (fel Will a flue-lined chimney be installed? Height above roof ft. Depth of chimney foundation below grade: ft. Depth of firep rth: ft. in. Water supply 'Municipa or private well : SEPTIC SYSTEM: Distance from aia private well (including adjoining properties: ft. (A separate application is necessary for any repair or new installation of septic system. ) NAME OF BUILDER & ADDRESS: AillaAj, Cam', o7(.c_ PHONE WI-S-11L/ NAME OF PLUMBER & ADDRESS: a - PHONE 47 _37 J 7 NAME OF MASON & ADDRESS: PHONE Z-Wte NAME OF ELECTRICIAN & ADDRESS: �a�� PHONE ;372,--.7g J() DECLARATION To the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner. Signature Lx- 'ter'` • Owner, owner's agent, architect contractor SPECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer ENERGY CODE COMPLIANCE APPLICATION • TOWN OF QUEENSBURY,. WARREN COUNTY - 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings; Multi-Family Dwel 1 i'ngs OF QUEENS - (3 Stories or Less) R ��'+1=D PART 4 - Design By Component Performance - Commercial Buildings - Hi-RiLsee ResiIreKtiaT PART 4 & 6 - Compliance Methods Require Submission of Worksheets APPLICANT S NAME PROPERTY LOCA TION ON PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - /f7t4 Sq. Ft. 2. Type of Heat - Elec. Base Board Other '4/!1 -RI 3. Is Building Mechanically Cooled? J/ YES NO 4. Percentage of Area of Windows and Doors Over 17% Z Under 17% THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED THE R-VALUES SHOWN ON PLANS SUBMITTED! Baseboard 5. Insulation Values: Actual Shown Elec. Heat Other A. Roof & Floors exposed to ambient temperatures R B. Exterior Walls R /9 C. Glazed Area R D. Exterior Doors - R 1/ E. Floors over unheated spaces R F. Edge of Slab on Grade (Heated Building) R G. Basement/Cellar Walls (Above Grade) R_47_ H. Basement/Cellar Walls (Below Grade) R '9 I. Heating/Cooling - Ducts - Piping in Unheated Space R 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code. YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED . ea.APPLICANT' SIGNATURE / . AA A • TELEPHONE NU BER { INSPECTOR'S REMARKS: - REVIEWED BY TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid Date: ,11i q ReviewedvBy ' ;"Jrr=D EENS , Z//- t1.z tiLOCATION OF PROPERTY FOR INSTALLATION: VCR Owner' s Name: r' DEC,e- Ll�l;f'.� ' . 1991 Owner's Mailing Address: 2;/C- - p" �4pCODE DEPT Installer' s Name: ( 1 earl" `—� Phone #: Number of bedrooms (if residential ): Total daily flow (residential-compute @ 150 gal . per bedroom) : 'V ob Topography-Circle One: Fla Rolling Steep Slope % of Slope Soil Nature-Circle One: Sand Loam Clay Other /Depth: Ground Water-At What Depth? Feet Bedrock or Impervious Material-At What Depth? Feet Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch Domestic Water Supply-Circle One: Municipal Well Other If domestic water supply is a well - Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank /47-7 gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench 6?) feet//Total System Length ?-D'f) feet Seepage Pit(s) : Number of / Size each: -ft. x ft. Size of Stone to be used: # Depth or Thickness feet ************** HOLDING TANK SYSTEM IF REQUIRED No. of Tanks Size\of Each Gal . Alarm system and associated electrical work to be inspected by a certified agency. **************** _ I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: C %� DATE: Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the -Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1) the proposed location of the system 2) location and distance to lot lines 3) location and distance to structures 4) location and distance to any water supply 5) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells B. No system shall be covered before inspection and approval by the Building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. - D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. Town of Queensbury Building & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks: EMIDDf° LE DEPARTMENT INSPECTION AGENCY; INC.� ' National Headquarters -••/ 1337 West Chester Pike,'West Chester, PA 19380 APPLICANT COMPLETES THIS SECTION - Date: /2/9A/ City, Town or Township r' %1Z Zee„ 74i..-7 County /tip/e.L State ./ , rs Location/Address /zi VC„) l{&/V (If Located in Rural Area-Please'ttach Directions) Pole # Owner -/;Z et; ,/ - tel{ Permit # / - 9/ Occupied As -,/ �Y �' Building: Newn Old Occupant Work Area in Building (Floor#,etc.): App. for: Wiring Ti Service n or: Ready for Inspection: Fee Remitted-$ Cash n Check n . M.O. n Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rough Wiring Outlets Elect. Heat Switches Lighting Amp. Service Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer - Pump Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner Amp. Receptacles _ Fractional H.P. Vent Fans - Other Equipment: MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size / I Applicant's / --`# Signature te` d z-4. ,- License # Permit# _-_ _ T/A / Utility: Applicant's Address: t1!F( �et? p (NAME) (OFFICE LOCATION) 6)r(City) .izoy2 ..-1� ., t.,r (State) ret,/.'7". (Zip) , .7fr-,V Service Request # Phone # /., - r.. e/2, / Electrician: )' ,A.'?•et ,L;69lrj MDtk USE ONLY DATE RECEIVED: DATE INSPECTED: - Correct Location: Same as Above n or: Red Notice Label n Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner ' Dryer - - Amp. Service Equipment Burner,Wiring &Controls for Amp. Receptacle • Amp. Service Conductors Pump Vent Fans MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE COFEECT FEE PAID ❑ RW Progress: Inc.❑ LKD❑ Contractor ❑ CFT Violation: Work Comp.❑ Inc. ❑ . n L/A Owner CASH n L/A Fee CHK # Due MO # n IPA Municipal INV # Applicant ❑ Date: Other Side❑ Utility • CI Owner Cut in Card n Temp # Date • Final # Date • INSPECTORS SIGNATURE v� [ 'W\ TOWN OF QUEENSBURY 531 BAY ROAD `/. • QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 _ _BUILDING ECTOR'S REPORT FINAL INSPECTION - J - REQUEST FOR C-- D NAME �,P/ o\ LOCATION jt,...71- O DATE 1.-/ /71 C,2 PERMITS 9/ TYPE OF STRUCTURE - RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL ST5,U CTURE) L OOTING FOUNDATION BACKFILL Y FR ING • OUGH PLUMBING FINAL ELECTRICAL SEPTIC cNSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION • B VENT/LOCATION 2( PLUMBING VENT e� ROOFING X SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES )C FURNACE/HOT WATER OPERATING % n BASEMENT INSULATION/DUCTWORK / K INTERIOR TRIM/PRIVACY DOORS / FINISH FLOORS: BATH/KITCHEN WATERTIGHT; k OTHER FLOORS SWEEPABLE ! ,✓ 7� OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS' ', HAND-IOAPP€D ACESS / SMOKE DETECTORS / n BATHROOM FANStWHO6EHOU&E-EANS\ jC ALL PLUMBING FIXTURES OPERATING X GARAGE FIRE P OOFING ), X DOOR CLOSERS, j' O1HfR-FIR€'S-EPAf ION 'F ErD-EttIS E WAtL-S- --BUMPS-TER-- SITE PLAN/VARIANCE REQUIREMENTS . FINAL ELECTRICAL t,Po'J 5;7-¢- IC OK TO ISSUE C/O OR C/C COMMENTS I 9/�.`3% -g my- y- '91:� E-",' friL,vi 1Zo Ats LA/ iff.fsi1L i e nd�E-r YL T /1-6-4`r u.L--:S A.r0 r/v'- ARRIVE /D;i•J DEPART Jd:24' > L-• IN P �� ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD Permit No. /�9i ''C CA Owner • Px-sS/2 ezz- Occupant /,, /°,� Location JO I VO e�'/xe) c& No. Street au �.tJs3 Z /, Town or City State Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. Installed by R. Pe ,19 6 Date 47`--6 z /�'icas{�ector MIDDLE DEPARTMENT INSPECTION AGENCY INC. FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ 08108 ROUGH WIRING OUTLETS� � H.P.AIR CONDITIONER •��; SUS"TS / ,`g WIRING &CONTROLS FOR / w BURNER Lf( RECEPTACLES H.P.PUMP FIXTURES - K.W.OVEN �07 MP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT CONMP.SERVICE CONDUCTORS / K.W.DISHWASHER /(/ K.W.SURFACE UNIT K.W.DRYER I/ K.W. RANGE . AMP. RECEPTACLE / K.W.WATER HEATER ly FRAC.H.P.VENT FANS 12t 6/Cc� I 40TORS N.P. I/20 1/12 1/10 '/e IA '/ % V2 '% 1 11/2 2 3 5 71 10 15 20 25 30 40 50 75 11 AARK NUMBER IF EACH SIZE 4PPARATUS .:, , (7<.--Ga'`-Cam/ . 47)). • . . Jain of tueenJbur 4 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 • • Queerisbury, New York 12801 • SEPTIC DISPOSAL SYSTEM INSPECTION NAME' /-/�v-a./0) S U 0,r`-2-- . LOCATION L -y r) /i 'Q/ cr&'( DATE ` 3 / 7 PERMIT NO. 9/.--.0 SOIL TYPE Sand,. Loam - Clay -. Percolation Required? YES 4 NO Percolation rate - Min/Inch • / ' f • TYPE of SYSTEM: . Absorption field, total lengt h Length of each trench' 5ei li t. Depth of trenches 3-V ,{` . . Size of gravel 2 / ' SEEPAGE PITS4Number of) 1 • Size- - ft. X -ft/ . Gravel size PIPING: §ize Type Bldg. to tank \ 'l . . Tank to dist. bcx ye, 40 /dy' Dist. box to field/Pit e/." 19 C Openings sealed? ' YES NO Partial LOCATION/SEPARA ONS: • Foundation to an /Oft. Foundation to abs rption _ 2ft. Absorption tc lottine ?d ft. Separation pf pits . 4 ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - - Left' side - Right side - COMMENTS SYSTEM USE-.APPROVED YE NO . , ' C- " ' Bui ing Ins ctor 01/86,md vi TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 • TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION,RECEIVED 3p/9,_ NAME 1-leis(c LOCATION 0� 9'J 'Z OP ,. DATE PERMIT # 9 l U 5/ TYPE OF S RUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS • MONOLITHIC POUR FORM . REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITEI FOUNDATION/WALL POUR ;; • 1' REINFORCEMENT IN PLACE {? / FOUNDATION/DAMPROOFING 'r f BACKFILL APPROVAL / ROUGH PLUMBING ��;1 PLUMBING VENT/VENTS IN PLACE 1' PLUMBING UNDER SLAB ,! 'FRAMING: r, JACK STUDS/HEADERS a; BRACING/BRIDGING_ Ph JOIST HANGERS I '; JACK POSTS/MAIN BEAM I _ HEATING ROUGH-IN v,"f , INSULATION: ' FOUNDATION WALLS INTERdIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- • _ WALLS 1 R- CEILING ;r R-' 9c, DUCT WORK OR PIPING,IN UNHEATED SPACES REMARKS: t i (1M (,L/6 4-- • L • .1 IS ,Lib 61--" L S L.Af G. ARRIVE :v -C!') • I �7t/ p s f F ,q ro DEPART (C.. 9 t /��'�• t' "INSPECTORL� r 1)0 TOWN OF QUEENSBURY PM BUILDING AND CODES DEPARTMENT 531 BAY ROAD . QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 ' BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME f/nd ',fr:.e (/,�l/�"; e_ f c/ n LOCATION fog/ ! � ,� DATE 6'�.?44' PERMIT # 9/" 1 S / A TYPE OF STRUCTURE I i° RECHECK APPROVED N/A YES NO &FOOTINGS/PIERS • A MONOLITHIC POUR FORM NFO CEMENTJN_PLACE THE C RACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 .URS FOLLO ING 111111 Po iCEBENI OF HE CONC''TE MATERIALS FOR THIS PURPO IN SITE X FOUNDATION/WALL PO REINFORCEMENT IN PL' E FOUNDATION/DAMPROOFI" r, BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENT: IN 'LACE PLUMBING UNDER SLgB FRAMING: JACK STUDS/H ,DERS BRACING/BRID:ING JOIST HANG 'S JACK POST /MAIN BEAM , HEATING R0 H-IN INSULATIO : FOUND ION WALLS INTERISR R- FOUN TION WALLS EXTERIOR R- FLO S R- W LS R- GEILING R- /DUCT WORK OR PIPING IN UNHEATED '`SPACES REMARKS: POY-F-63 Ho J604TrC 10617,06 8 'W"IK_ / c.--18-- upftirpov„ --fir r2o,� r 21A/ ARRIVE Z%S-0 , DEPART 5 INSP CTOR ,....,., ,, ---------, -. 1 1 ... ......:_i-r-f.42.-....j„...........4.- 4- . 1-1 CO t -• 1 rev 1:.1_ . al r\ � • .� - Sti v4 4. <o I. I� , oi. 1 i 1. . --4I 1 1 1-2 . : ,, , 0 <<• . • '.-2 Q ,2 �!):� I •• iz, Avg_OPP ri , li O. '0 II' 7 4 _g. 2 Y !n II' \ 1`i O d apt z a (17 . • ab ' Ei 8 ±6 . i 1 ,,, 2 1 ,+ . 30• V o in • w : 1 02 II a 61 . 0 0 --"C° • • . . 4- 8 0 0. . •ai . Ni- ffi . ' -. . .. , 05)0, - • -. N . N • 0 • 6, .. : 8 la . , -� J Cu ' n Cl[ l 1 0 1991 Q v � N . IT �i BODE ®EP "‘..° :rem ivo ',6419 L k4) . ii°Iv '' TOWN OF QUEENSBURY . ►ry • l Je Zonln: AcirY ! $r $ .5 C. .%t°3 4 .tit /. *N r) ...., \ :. 7 ` Its` fe'•`r •. • . .. 4:16),/ C , f . .441.