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1986-878 try CERTIFICATE OF OCCUPANCY • TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Junc,. S 19 co--' \ (1, - I „•, This is to certify that work requested to be done as shown by Permit No. 8 CI_ -' • has been completed. ()Irv? CQ".1 y Dv4110-) 11 (( This structure may be occu led a4 a One - Emil • ohm �Ch o(on (z LoCitloA John Gl endon Road wf owner � Y�I �LG�. zzH Q (S2(/ • By Order Town Board • • TOWN OF QUEENSBURY • Building & Zoning Inspector CRYATIVE "INSTA" PRINTING. GLENS FALLS. N Y 121301 I5181793-S6S8 TEMPORARY CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK • Date May 29 19 _87 This is to certify that work requested to be done as shown by Permit No. 86-878 has been completed. This structure may be occupied as a One—Family Dwelling Location - John Clendon road Owner Gerald arid Kim Kaiser TE1OORARY CERTIFICATE OF OCCUPANCY FOR 30 DAYS PENDING FINAL ELECTRICAL. By Order Town Board TOWN OF QUEENSBURY Building & Zoning.Inspector • BUILDING PERMIT TOWN OF QUEENSBURY No. 86-878 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Gerard and Kim Kaiser OWNER of property located at John Clendon Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a One—Family Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and 1-{ approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 0 1. OWNER'S Address is P. 0. Box 492 P. Lake George, N ew York 12845 5 - w 2. CONTRACTOR or BUI LDER'S Name Carl Roas cn Lake Shore Drive Crown Point, NY 3. CONTRACTOR or BUILDER'S Address Lake Shore Drive Crown Point, NY 12928 4. ARCHITECT'S Name 0 0 N ra 5. ARCHITECT'S Address 0 0 a. 6. TYPE of Construction—(Please indicate by X) ( Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications 44'x26' per plot plan, specifications and application submitted, �o No. including sewage system. 8. Proposed Use Per Var. 970 granted to Charles and Flora One—Family Dwelling . Matteson `-4 t7 0 $5.00 C/0 $ 84.00 PERMIT FEE PAID—THIS PERMIT EXPIRES July 1 19 87 (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 this 30th Day of December 19 86 SIGNED BY 227a, , a- for the Town of Queensbury Building and Zoning Inspector 'lU LSE CuMLLi LLJ LiY LILUIi. ur.e . . Application No. own of Queenitur, Permit Issued 19 FQWOFQUEN �UR Y BUILDING and ZONING DEPARTMENT Permit Expires 19 j Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation S'i`"--,, 2,2> 'r-� la L Queensbury, New York-12801 Variance No. q'70 l=el,- /q,I9� Site Plan re No. Ii : 2.3 , ' ‘ �2, i Approved P,. . Ir-----jeri7.- P.M. i . 516 APPLICATION FOR I I 11 o- E P i G 1 D 1. t G 1 1 S , BUILDING AND ZONING PERMIT s ‘--0 /VC 6- . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a-Building Permit to do the following work which will be done in accordance with the description, plans and specifications submitted, and such special conditions as may be indicated on the Permit. L ` The owner of this property is: (4-ert trcL i- /(iat A. ,1�/ j -, VP/XL --Address p.v. box 4.1. I�r 4e- ee 17-e Mgt.) r�2/= j� 5 (p(o� 8c1 Tel. -d g (p roperty Location: , j�4a)i�e 0 Matti-�A.in �`1VJIeu) 444e- /' -1-et,o,1 wcodi Tax Map No. Z/ / I? • Street number or building lot number S division name (if applicable) THE ERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: I iq )-- 1 I (Pc9 S S Z k 0 5 X el Y-,4. led S 9 7 — 3 7 ( Name P.O. Address Tel. No. �+ /A9AY Name of builder ear/ Rass Address) /to Je e Pei, (�'ou!n 9„A"fA' Tel. (Pi) - 7-3?7‘0 Name of plumber?(aw F.P i'S j lZ, A� i S Address Tel. Name of mason&zyaeo Ma.sonr/ Address pcgtie o,,f2l)3, /,72,nesucortNYiaV3/Tel. (57S)-19a-4-76,A 0.0. (6-i 5') '$,7`/-J566 3 NATURE OF PROPOSED WORK:� * ZONING INFORMATION: , "Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, _Addition to a building * drawn reasonably to scale and attached hereto, _Alteration to a building * showing clearly and distinctly all buildings, (no change to exterior dimensions) * whether existing or proposed and1indicate all Other work (describe) * set-back dimensions from property lines. Give * street and number or lot number and indicate * FOR DEMOLITION PERMIT,fr,STATE SIZE AND- * whether interior or corner lot. Show location LOCATION OF STRUCT1I.RES AFI EC`PED,.� of water supply and location and configuration . / * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. / * Size of property /D 0 ft X /9b ft. / * Existing building(s) Size ft X .:-, _ ft. * . . . PROPOSED BUILDING AND USE: * Existing building (s) Use Size of new structure 44 ft X .914 f * • • • ' ' . S 4eA-6, 5i --&'4a51--UJ Foundation-pier/slab/crawl/partial// * Proposed building, distance from property line (circle one) No. of stories (habitable space) *• Front yard Sa ft Rear yard //J/ ft ft * Side yards / ft and Height (grade to ridge) ft. , 1{�j If residential, no. of families * If on corner, setback from side street ft No. of rooms(excluding baths) (P * OCCUPANCY INFORMATION No. of bedrooms * * PRIMARY BUILDING - No. of bathrooms a Vne family dwelling Primary heating system g * Two family dwelling Type of fuel 6-,,,5 Multiple dwelling / Number of units No. of fireplaces to be installed None, Will a wood stove be installed? ,V * Permanent occupancy .r • Transient occupancy * BUILDING STYLE, PRIMARY STRUCTURE ' Industrial (Ranch ) Contemporary Log cabin * Other ' Raised ranch Mansion Duplex * If addition, what will use be? Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * * _Private storage bui ding ESTIMATED MARKET VALUE OF * Other CONSTRUCTION * $,�_4D�a��. - INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED: Form BPA 4/86 and-vl • BUILDING PERMIT APPLICATION CONTINUED - • BUILDING SPECIFICATIONS: Type of construction; wood frame, fire safe,etc. 60p0 -�rq e_ Will any second-hand or ungraded lumber be used? If so, for what? /Vp oundation wall material p¢�ativ_d CAriCie t Thickness 9 j��hPy Depth of foundation below grade (to bottom of footing) Will there be a cellar?Heated or unheated? Floor sq. footage 1 / sq ft Will there be a basemen ? 26 Will any portion be used as living space? to ( so, what port' sq.ft. - - Type of use? e of roof -/slope flat/shed/others/ , Material of ro V QS�/ra/� slit,' /eS ���///���/// ize, wood studs "X („. spacing 16 "o.c. length /fit. Joists(floor beams) 1st. floor "X // /p spacing j "o.c. span13g $ ft..+ (D_(0 ---3oists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. �' of rafters "X " spacing o.c. span ft r Roof trusses(pre-engineered) spacing ' 4' "o.c. span al ft. Exterior, wall finish#3 6cie z Sict aq Of what material? a.� Interior wall finish S heeJ-roc �' If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? If s yri11 a Fire-rated door, enclosure, and self-closing device be provided? 1\! /4- Will a flue-lined chimney be installed? Height above roof ft. Depth of chimney foundation below grade•Yqa.' ft. Depth of fireplace ..-. th ft. in. Water supply - U icip>or private well I L.ni Gp4d SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties ft. (A separate application is necessary for any repair or new installation of septic system) 'town of Queensbury AFF ID AV I T STATE OF NEW YORK County of Warren I swear that 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 provisi ns of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws lbertaining to the prop ed work hall be complied with, whether specifi r. not, and that such work is authorize by the owner. • ' � �_//L SWORN TO bEF � ME THIS Signature _- �,t��/� �, l"f, Owner, owner's ent,arcnitect, ontractor day o 19 / \ Notary Pub4ic, Warren County, N.Y. * * * * -* * * * * * \* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: 1 • By Jown .of Queen31ury APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 DATE j/ / / / g , LOCATION OF PROPERTY FOR INSTALLATION johil ( /end'dn boa -. OWNER'S NAME C'lerarr( 4-- kJ* , /tOj.ser- ADDRESS � ).,,-L. ( TEL rSeer) INSTALLER' S NAME 01,Ceens .6act -ef�i'c_ & ai'ce TEL 1 -3G4/k . Number of bedrooms(residential only) 3 . Total daily flow(compute @ 150 gal per bedroom) li SCE • Topography: Flat Rolling - Steep slope - (circle one) % of slope Soil nature an)- Loam - Clay - Other Depth ft. • Ground water -At what depth? li4 ft. Bed-rock or impervious material. - At what depth? / :7- ft. . Percolation test Not--reg`uired Reguired - -Rate . . min-inch. Domestic water supply Municipa - Well - Other - . Separation - Watersupply(if well) from Septic absorption- A44 ft. . Proposed System: Septic tank / O M gal.-( Minimnun size, 1000 gal. ) Tile Field - Each trench .6 f t. Total system legnth 9UOft. Seepage pit(s) Number of . . Size each rat X -- ft Size of stone to be used # , .. . Depth or thickness ' % ft. IMPORTANT! ! On a separate piece of paper, submit a diagram of the. proposed system • with all dimensions shown; including distance from any structure , .distance from property lines and from ANY DOMESTIC WATER SUPPLY or • shore-line of lake, stream,pond or wet-lands . Include all dimensions of the system, itself . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * I .have read the regulations 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. 114I • • f Signature of responsible person . ,� CCIAI.,.� • Date 1/ '� g cv Z, ��Q.C,�PiLJ • 05/86 and/vl • • • • Section II Septic System Inspections: A. All applications for septid system installation, alteration or repair, as required by the Town of pueensbury 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 he 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 WARREN COUNTY, NEW YORK Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the. following: • 1. Gross floor area //44 a,' e- 2 . Type of heat /T0_6 ' 13 Is the building mechanically cooled? No 4. Percentage of area of windows and doors / J G' A. Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to ambient' conditions • 2 . Floor over heat d spaces YE-S NO a. Are foundatio • walls nulated? YES NO 1. If YES , wha is he R value? 3 . Slab on grade YE- NO a. If YES, whatis the �2 value of insulation around • perim� of floor? \ 4 . Is basement heated? YES NO a. R ilue of insulation 5. pe of insulation \ B. Under 16% Only \ 1. R value of roof and floors exposed to ambient conditions ' 2 . R value of exterior walls -/9 3 . R value of glazed area('WWAOGWS c2, `) 4 . R value of doors /Y. 7S 5 . R value of floors over unheated spaces 6. R value of slab edge insulation - unheated slab . 7 . R value of slab insulation - heated slab • S. R value of heated basement/cellar walls (above grade) 12`/( 9 . R value of heated basement/cellar walls (below grade) 12, ..( 10. Type of insulation 4herq lass ,-/C. Controls o 1. Thermostat maximum heat setting 15 D. Duct Systems 1. Is duct system installed in unheated spaces? YES NO a. If YES , R value of duct installation • b. R value of duct in other areas - `t E . Piping Insulation All 1. Size of hot water or cooling carrying agent pipe 32 . R value of pipe insulation F. Service Water Heating 1 . Performance efficiency G�� 2. Temperature control setting maximum ig.h" G. For Swimming Pool Only 1. Maximum heating Telephone No. 4j / ?9‘, 4CAtc,,,A, a plican ' s signature) BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. (TEMP.# IDATE I s CITY OR /� -- 1 VILLAGE z,/11'L ,�( i TOWNSHIP ,1 t , - 1_t. / ,,,,/ COUNTY f/i 2;:_ _ a/ STREET AND NO.OR I ROAD AND POLE NO. ;. __i _ r,.f,;;; -, _j POLE NO. BETWEEN WHAT TWO ) / , CROSS STREETS IS , PREMISES LOCATED? fi��•f 7., I!J.,..y.to 0 f /._r i rr t..: SECTION BLOCK LOT OCCUPANT'S - f -- f BUILDING NAME _--r: fA.Y-!L.. .,'l /+•'i:,.l t . 1(!!l,;,5:.7 OCCUPANCY OWNER'S NAME _ - AND ADDRESS - - ; `~ // TEL.# - CURRENT r �- SUPPLIED I 1 2 lr f BY i i./�/ FROM THEIR r._ f-_ -"'�= - OFFICE ' BUILDINGDEFECTS NEW ID OLD III IS NEW ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No.oNUMBER OF OUTLETS Lampf fReceptacles MOTORS HEATERS Fixtures& CIRCUIITS OFFICE USE Loca- ONLY lion Side Attach't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION Out- side •Sub- base Base- ment 1st Fl. • 2nd Fl. 3rd Fl. • REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. • This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed, you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS BUILDING • OF SIGN • INSPECTION REQUESTED • ON OR AS NEAR AS POSSIBLE NEW ri OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION PRINT NAME AND ADDRESS (r./ ,< NAME OF - t .. SIGNATURE APPLICANT - J-'G! !'!-'re- X /!OF APPLICANT ,,•<`"':,. . "- •--y(Pj/_%_..• . - fr. t' /i STREET ADDRESS 'i "7 TELEPHONE# CITY OR 1 _ ' jF�' 1f� ZIP f )•, c - LICENSE NO, POST OFFICE . i.' !. l/` _.l_ CODE . - ( WHEN APPLICABLE •J 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING Down of Queen ihur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME QS/ /-----. _--CY( LOCATION P t ail J�47Jif1/ i Date 5 / L "/ ry Permit No. .W—Yl * * * * * * * * *' * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier'Forms Foundation Waterproofing Backfill Framing Roofing K Siding A Masonry Veneer Rough Plumbing Relief Valves Ext. Porches X. Finished Floors Interior Trim x Stairs & Railings X Cellar Drain Tile Concrete Floors Plbg. Fixtures 3{ Gar. Fireproofing / t Door Closers /741. Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling 4FINAL ELECTRICAL INSPECTION ' u RIVEWAY APPROVAL Final Building Survey , Next scheduled inspection (call when ready) Remarks- 177(7 5-0 t(-)7y) C Cam'` / /`.�./ 6i G'C', lvl// fd ,/, c% 7,„ 4/7 , ._. /--/ ,... Building Inspector 6/86 and-vl Jown of Queeni4ur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME v r- LOCATION J Pd' Date tel1i / 7 Permit No. 8(Q - so 8 * * * * * * * * * * A. * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Vraming SilL. ti ) C)/ Roofing Siding Masonry Veneer 1.R6ugh Plumbing ceAL r ] L% ' Relief Valves Ext. Porches Finished Floors Interior Trim / Stairs & Railings / Cellar Drain Tile Concrete Floors / Plbg. Fixtures / Gar. Fireproofing / Door Closers / Smoke Detectors Chimney INSULATION: Foundation Floors17 Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) --' --/L-(41' /7:::ti°1- Remarks- Q t.,4(.4.62„, 0"/.._. fp_e_ ID C itiZ .4 i /)4 d ,/,/.- Building Inspector (4. '7 6/86 and-vl If ri j U1 ( 1 Jown of Queeniur, q1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME 1 1 �/,�z// — Tc-t'r ✓c'e / N 7,`` '� a / LOCATION isr DATE L7/ Y �7 PERMIT NO. S G- 1i SOIL TYPE - Sand Loam - Clay - Percolation t Required? YES Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length g Length of each trench!,,L9 6(9 5 0 aj) Depth of trenches 6( Size of gravel it SEEPAGE PITS{Number of) Size- ft. X ft. Gravel size PIPING: Size Type Bldg. to tank it/1 Tank to dist. box Dist. box to field/ i Openings sealed? Y S 0 Partial LOCATION/SEPARAT ONS: Foundation to tan / CG ft. Foundation to abso Ryon a Oft.- Absorption to lot line D ft. 3 Separation of pits / . ' ft. • SN OF SYSTEM/ON PROPERTY(circle one) ront - Rear - Left side - Right side - •"i'ENTS: SYSTEM USE APPROVED dp NO Building In pector 01/86 and vl llaM - own of Queeniburey BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ra_ t � r LOCATIO� Date 3 / Permit No. P�U * * * * * * * * * * * * * * * * * * * * * * * Pr = APPROVED - YES / NO Footing/Pier Forms )oundation terproofing / Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors I Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney (/1 INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- / /c. �,c��)// Building Inspector 6/86 and-vl ...awn of Queenil �� BUILDING and ZONING DEPARTM.' ABay and Haviland Road, R.D. 1 Box PI Queensbury, New York 12801 r BUILDING INSPECTOR ' S REPORT • NAME t • LOCATION c.J D (4-k/ a &v QDAr R .v Date 3/q/ 7 Permit No. b'lo— I8 * * * * * * * * * * * * * * * * * * * * * * * 10/ = APPROVED - YES / NO Footing/Pier Forms ,i(O.U`GLI -,4-t c a.I . Foundation Waterproofing Backfill • Framing Roofing • Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors ` d Interior Trim \ Stairs & Railings \ I Cellar Drain Tile \ Concrete Floors V Plbg. Fixtures f\ • Gar. Fireproofing / \ Door Closers / A\ Smoke Detectors I \ Chimney • / 1 INSULATION: Foundation / Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - C� �(2,66 G� 'r? rt l� W% Building Inspector 6/86 and-vl ?1_25 4: r r (NI o ) 0_11, • _ o'Gti • . • _ . Qf 9 /S • i -.. • . • , -•_‘ • 9 1 /117 11 (5- 0 0 • E • •n • •• 4• , • '� � ., • . • • c Iqv � 3 w o L 41 h h '` � pOw �' o o `o �41 Of o o � Q� �! L4 N V 6 " �` � �; t�, w �. � > J w ••;��'9J pry\�F�S. Q ° cn;82 ;'I£;£8/N O N boo Ul Q � 4 Qop