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HomeMy WebLinkAbout26354-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27567 Date: 02/28/01 THIS CERTIFIES that the building ACCESSORY Location of Property: 2000 ALDRICH LA MATT/LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 125 Block 1 Lot 2 .19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 10, 2000 pursuant to which Building Permit No_ 26354-Z dated FEBRUARY 18, 2000 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 WITH FENCE TO CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR. The certificate is issued to THOMAS G & THERESA KOBER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-547665 01/12/01 PLUMBERS CERTIFICATION DATED N/A Auth rized ignature Rev. 1/81 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. 26354 Z Date FEBRUARY 18, 2000 Permission is hereby granted to: THOMAS G KOBER 2000 ALDRICH LANE LAUREL,NY 11948 for CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR. at premises located at 2000 ALDRICH LA MATT/LAUREL County Tax Map No. 473889 Section 125 Block 0001 Lot No. 002 . 019 pursuant to application dated FEBRUARY 10, 2000 and approved by the Building Inspector. Fee $ 150 . 00 Authori ed Sign ture ORIGINAL Rev. 2/19/98 s-.�a_ ocnn `Z%flAdi / 111gr Form No. 6 iI 1 i ;ii• ' TOWN OF SOUTHOLD � F BUILDING DEPARTMENT AJC TOWN HALL -� 765-1802 APPLICATION 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 19 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 t 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 dwel Additions to dwelling $25.00, Alterations to dwelling $25.00 Swimmingpool $25.00 Accessory building $25.00, Additions to accessory building , 25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildiniz - $100.00 3. Copy of Certificate of Occupancy - ' -2510 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . .�4h. e6rugry. . vZ9A.� . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing JBuild�inng. . ./. . . . . . . ..�. . . . . / dl- Location of Property. . . . . 000 . . . . . . . ... . . .. Yl. . .!�a ✓le . . . . . . . . . . .. C (/. . . . . . . House No. �y Street / Hamlet Onwer or Owners of Property. . . . . . . :. ::Y �?9 . . , Z . . . 1. . . ./74�JS� . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . .Z. . . . . . . .Block. . . . . . . . . . . . . . . .Lot. . /./0. . . . . . . . . . . . . . . . Subdivision. . . . .. . . .. . . . . . . . . . . .. . . . . . . . . . .�4. . . .g Filed Map. . . . . . . . . . . L�ot. . . . . . . . . .`. . . . . . . . . . . . Permit No.4�l0.0�s� T . .Date Of Permit.rla/vl�P. . . . . .Applicant. . ." !./ Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. 14� . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . X � Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . ./ . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . �. . . . . ,�e .. . . . . . . . . . . CO-"& a 75(p APPLICANT 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATIAN [ ] FRAMING FINAL [ ] FIREPLACE A CHIMNEY REMARKS: ' ,DATE INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ NAL [ ] FIREPLACE & CHIMNEY REMARKS: � �� ,DATE �� INSPECTOR ii ii ii %TTON ( IST) n ° � )ATION 2ND) II it II II II II II II iT FRAME S n 41J itu--- -- - --- -- ----- ------ ----- - -- -- Q5 PLUMBING ii —�i ------------- —..-- -- --------- 6 u n n ii u u LATION PER N. Y. I��N H TATE ENERGY CODE _ N N mil _________________—___ I'II OV l� H u t I h I fl �1 FINAL n n eW —==n_ 3 __= C—==— — -- --- _-- __ -- —___ ADDITIONAL COMMENTS: a to .z --------- ------------------------------------------ I THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1000760 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date JANUARY 12+20181A licat. n No. on file 11,483600/00 N 547665 THIS CERTIFIES THAT f'WIT. NO. 163542 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of 'POM KOBER, 2000 ALDRICH LANE, LAUREL, NY in the fallowing location; ❑ Basement ❑ at Fl. C1 2nd FG OUT Section Block Lot ' was examined on JANUARY 05,200➢1 and found to be in compliance with the National Electrical Code., FIXTURERECEPTACLES SWITFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS CHES OUTLETS INCANDESCEN FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. X.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MU171-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMi. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC GOND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. I 0 RW 1 D JW 3 0 JW J 0 4W pER 0 OF CC.COND. NO.OF HI-LEG Of HI LEG NO.Of NEUTRALS OF NEUTRAL OTHER APPARATUS: ROLANDS ELECTRIC, INC. LIC4147 E dwt 307 SUBURBAN AVE. DEER PARK, NY, 11725 GENERAL MANAGER 11 _...... Per This certificate must not be altered In any manner; return to the office of the Board It Incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING- DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT 85 ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 F]�.'000'160 BUREAU OF ELECTRICITY I 40 FULTON STREET, NEW YORK, NY 10038 Date JANUARY 12,2001 Application No. on file 114836+x0/00 N 547665 THIS CERTIFIES THAT PERE4IT NO. 263548 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of 'POM KOBER, 2000 ALI)RICH LANE, LAUREL, NY in the following location; ❑ Basement ❑ Ist Fl. ❑ 2nd FI. OUT Section Block Lot was examined on JANUARY 05,2001 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. X.P. 4 2 2 4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIALRECPT.1 TIME CLOCKS BELL UNIT HEATERS MUSYSTEMS ET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. I A.W.G. I AMT. I AMP. I AMT. I AMPS. I TRANS.I AMT. I H.P. NO.OF FEET AMT WATTS 1 P I I 1 1 20 SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC COND. NO.OF NI-lEG OF HI-LFG OF NEUSRALS Of NEUTRAL OTHER APPARATUS: SWI144ING POOL & POOL ROUSE-1 G.P.C,I:-2 "(S60I11MING POOL) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test/and or repairs made by a qualified person. � L a<K Continued on Page 2 >» GENERAL MANAGER PCY t" This certificate must not be altered In any manner;return to the office of the Board It Incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. o�osuFFoc�-oo o� Gyp Town Hall,53095 Main Road h Z Fax(631)765-1823 P.O.Box 1179 Oy ® �.F Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD FEB . 15, 2001 MR. THOMAS G. KOBER 2000 ALDRICH LA. LAUREL, N.Y. 11948 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file . (Enclosed) No Underwriters Certificate on file . XX The check is (not on file . ) $25 . 00 No Health Department Approval on file . No final inspection has been made . No Plumber Solder Certificate on file . (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26354-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. /Sp BUILDING PERMIT I e:21 G3Swa ISSUED TO 6bW, DATE l8 ADDRESS �- This notice must be displayed during construction and returned to Building Dept. to get a certificate of occupancy upon completion of work. ` BUILZ)INGIISPECTOR'S OFFICE, TOWN OF SOUTHOLD a �` ,+ "> �. +, t t mr r-w�F6�7�^.. � Mme, ;. i � r_ N�'�� b 4,xC"` �7 t `.0+, Y' ,'a^;rr`x vs ,FS x r y„, ,„ ,.•S ;�,„, N •�„; .� � � #bra � , ',� 4 ,��.�"�s � .ar 'ni ��. ''F � 2�tl- 9„�s� a�w4 a�`,���,'�` n. � s�� � '•� �:t �s`�'' "� ' w5i��' �t ��`'�r BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . .. . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765^1802 NOTIFY: �Q 22 CALL . . . . . . . . . . . . . . . . . . p 1 Examined.. ... .. '../!. ,sFfVZ� MAIL TO: SA1trn It I;,% I to!V Approved.. il`� Penni t No. p ? 7 N7 1 (?- Disapproved 2 .., __............................... Disapproved a/c .................................. lam!G k .. F:.. N y 11-17,? L.... ... 0% ... (Building Inspector I 0 APPLICATION FOR BUILDING PERMIT 2000 Date. . � .! . . . . . . . . t9. . . --- .__.,.j INSTRUCTIONS a. 'chis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application my 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 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS IMM MANE 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 reroval or demolition, as herein described. The applicant agrees to cdmply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary in , tions. g .. Scu t✓�. �� 1. ((bb� .............. (Signature of applicant, r name, if a corporation) ... A (e.I r.. p I �$j (Mailing address of applicant) . .!r } 4.. ?C C e r.d l .t✓ ......C n o o LS:...i ...........^.'..1 ..... .Q�+. /� r builder St o r ..cant fent architect,r� �..... lra� �� S electrician,oflumber it...... Name of owner of premises f... T.� i ................. ......................................................................... (as on the tax roll or latest deed) ,If applicant is a corporation, signalise of duly authorized officer. .....................� .......... .................. (Name and title of corporate officer) Builders License No. ....... ............ Plumbers License No. .........Nf .......... Electricians License No. ...�.�?. /�.s..... Other Trade's License No. .....1VA....... I. Location of land on which proposed work will be done.............................................................. y O v1CAI �-CA ........... . ..................... .............................r. .. ......................... House Number Street Hamlet County Tax Map No. 1000 Section ....... Block ...... ...... Lot ....)-.-..'.r.�.... Subdivision ...................................... Filed Map No. .1............. lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....�.::.�.... ./'1-.M t L-3...�W L 1• -1E�1�! G�'t`�"itL�2.(J �]AKAA4 �nww��om�+e�rua G b. Intended use and ocnxnparmcy ... ' ... `1 ,....�....v.. ... v;9. 3YttUtiO ............. A •'v:#� Nature of work (check hahidh applicabje): New Building ........ .. Addition ........ Alteration .. irerr pa' Removal ............. Demolition ............ Other Work ...... (°'o.0.4.................... 'r 6 D D D (Description) EstimatedCost ... .............. fee .......... . �� (to be paid on filing this application) If dwelling, number of dwelling units ............ Nud:er of dwelling units on each floor ...... ... ... . ... Ifgarage, number of cars .................I.................... If business, commercial or ndxed occupancy, specify nature and extent of each type of use.......... ............ i i Dimensions of existing structures, if any: Front..... (`.Q..(existing * .... Rear ....F7.p...... Depth .. ?� d.......... .......... Dimensions of sae structure with al r of Stories ons,............... erasions or additions: Front ............... Rear ........... .... Depth .................... Height r of SCori sr ............... �, Dimensions of entire new construction: Front .......... x Rear ............. Depth .......... .... Ileiglht ......................... 11u(her of Stories .................... . Size of lot: Front ................'.... Rear .................... Depth .................... Date of Purchase ...................!:. Name of Former Owner ....................................... . Zone or use district in which premises are situated ................................................ .............. Does proposed construction violate spy zoning law, ordinance or regulation: ........................ Will lot be regraded ......V......''.,... Will excess fill be removed from premises: = N0 Names of Owner of premises % *'rh+E2esq l�ogE resa .,, 000 �OC�RICN L.ANE (051-298-1"5 0 / ............ �n �} Phone No. T'ikomA Hare of Architect .yeo( 'e wt<L 05 101 01 d,1 (F '1} j,il—�2$—f] 3'I ..... ../�5,.. Feal........ ......... Phore No. ............. Nate of Contractor ANDy,�r,�q ec�Len'`i ,,,,r,Nndar as �W I.(2'lE7-S ky.f .t.�q,Plwne No. 4.71:.J,fy-bIoe ... ............. ....... .... . Is this property within 300 feet of a tidal wetland? * YES .......... NO .......... *rF YFS, SO1I111OLD MM TRUSIMS; PMJIT MAY M MQOIM. PLOT DTAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set—back dimensions n property lines. Give street and block number or description according to deed, and show street nares and indicate ther interior or corner lot. l ITh OF NU Y(NiK, VIYOF ho � �C SS ...... . ... II ..•• d l...1 ... .. ..`... . �c ...being duly sworn, deposes and says that he is the applicant contracta P ... .... . re of individual signing ) is emthe ....... .. .... .." ' t .� ... ........................................................... .... (Contractor, agent corpoFate officer, etc.) said owner or owners, and is duly auChotized to perform or have performed the said work and to make and file this licatioh; that all statements contained in this application are true to the best of his knowledge and belief; and t the work will be perfonned in the we"MI r set forth in the application filed therewith. rn to before me this ..,day of story Public MYAWM=4ArMMarmxro� (Signature o Appli t) �o VINYL LI IER SKIMMER 8`1R - RETU = 3-31W, BARS RN IR Lill FORM TIES 24 9 $ _ i \ , 'a TO FILTER �`. - B 8'R I!D'R 1 RO 3SKIMMERS 4.- LE FOAM O FROM ' B � _. LINER: FILTERond PUMP UPTImw STEPS �� __ _ 4R i C CRETE FROM FILTER S•R 2'R - 8'R :', 35001b TO RETURNS POURED CONCRETE TO WASTE VIN, I``` INER `;.�.j..:wd A;: PIPING ARRANGEMENT '• PLAN .... ., {c�i,A wig ,"'� 9' " I -�a� - 66• 16-GONG TOC. PYE63 2= 4* sA SECTION I IxI SEE TYPICAL T L"- —' WALL SECTION , FORM TIE FIBERGLASS coMOULDED I t°� co ^ PIECE 24" MAX 3/g.— , . n EARS Z".- 4"SAND BOTTOM~ .r Y SECTION B- B PLaN OPTIONAL STEP GRADETYPE I. O B=o•T- .a G _ T C A L WALL S E C T :O N A- A u�.�F NOTES: PROPOSED POOL FOR: CONTRACTOR: %, WALKS TO MOOTH, NON-SKID TYPE '� SLOPED AW E20M POOL. ' 1 RANDY T. RODECKER, INC. 151% r i .: t x WATER DIST' l SHALL BE LIMITED TO SWIM KING POOLS OWNERS PFS RfiY TO SUIT LOCAL REGULATIONS. 2 4 4 4 do �ssi 6i�c ROUTE 25A, ROCKY POINT, NY 11778 NppII` �CFESSiOi�a'`" - Iltl n APPROVED AS NOTED \� DATE: ' B.P. N d! FEE: BY: .��_ — NOTIFY BUILDING DEPAgTMENT /{7 765-1802 9 AM TO 4 PM FOR THE ap FOLLOWING INSPECTIONS: 44 46 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING rt PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE NY. STATE CONSTRUCTION & ENkRGY / y CODES. NOT RESPONSIB,� FOR DESIGN OR CONS7RUCT10%b`ERRORS / ' -•' r \ti bo, 'r CA 14 \ } A• JA L�O 0606 air♦ ♦. �� 4 yb Ctf ro - S ��r.- • .rte'- •�.�... q � ��- `S>� s \X f��o .,I * F Frani TIO- 0 9F r Opp \\w � SURVEY i WK061( =N� ' THOMAS KOM 81 THERESA KOREA wLr .i. ,sBB It"1E1 MFF,A°°W Ck+1L" "y LOT 10, I LAUREL ESTATES EAST, MZT I " !EE as, 192a Myi�._,..._�p7 H.S. Rf3>•tiU. t'f�"�Q'� AT IAUEIEL - Ga% Nov. 10, e .he 9TPItge dlcpmld W4 flaw w or tz'bw& ter VA 14VN OF SOUTNOLD SCALE iI= DO kK.0ti0R 1W been 41140W'aa by*DWAell sat OWAIW SOFOL.� Cow" NEw v'Oft 110. � I T9g I d%AUTIPDR1190 A060161"m 60 ALart'D0 m ry110 4LIARANTE0 TO �W fUMCT a$ 1106A6160 to %a(rlf1l tt(rA cr 1)0( FI$WT AMERI �_. 1 Ota 86FM pI ftt>o0 lft!!C wcw TOA►tnr! 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MIAIOIt 406 Aft POt TD ft IStD 110 ft1)AI ItM I' I0, ROA Ta! LaittlBa Q PCtAtRf V-AAM AytIF b0'd ZL2h j'Lc' 9bS _ ,i�. 6T :6T 000c-eO-93=i 1 �1Z) 1 Applicant/ _ /� <)wners Nam �o(�t/� � ` � ! �"'�� �/� Reviewed Architect/ Date Engineer: _- Subrrtitted SCTM It: District I ,000 Section 1 as Block Lot Project � I� �� Subdivision t_ocationoOO_ ld �h �,q _ Name Sin&le& sepai ate Required cemfication Yes/No __ -- -- — -- - Rcq -- - -- /moi► _ Itcy .4 770 /,onmg Oistlrct [l )(S7, �" Actual (I�x o,-r raltc Piolxwd — -- - / Rcq Rcq Rcq [Front Yard Pioposcd __. J (Srdc Yard ProrxOSCd _ _ (Rear Yaid Proposcd Project Description: j5lov�g AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? ,/� Flood Zone- i 14. Notes--.- 0