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HomeMy WebLinkAbout25530-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-26624 Date: 08/12/99 THIS CERTIFIES that the building ADDITIONS Location of Property: 215 ALVAHS LA CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 1 Lot 33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 8, 1999 pursuant to which Building Permit No. 25530-Z dated FEBRUARY 10, 1999 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 ADDITION AND RAMP ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to NANCY DERMODY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 496398 08/03/99 PLUMBERS CERTIFICATION DATED 05/14/99 PECONIC PLUMBING & HEAT. ildi g Inspector 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. 25530 Z Date FEBRUARY 10, 1999 Permission is hereby granted to: NANCY DERMODY 215 ALVAHS LANE CUTCHOGUE,NY 11935 for CONSTRUCTION OF A BATHROOM/ENTRY ADDITION & HANDICAPPED ACCESS RAMP & LANDING FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 215 ALVAHS LA CUTCHOGUE County Tax Map No. 473889 Section 109 Block 0001 Lot No. 033 pursuant to application dated FEBRUARY 8 1999 and approved by the Building Inspector. Fee $ 75.00 Authorized Signature ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT y^ TOWN HALL _. .- - 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildin 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-disposa ' form) 3. Approval of electrical installation from Board of Fire Underwriter 4. Sworn statement from plumber certifying that the solder used in ns less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple resid O Sim' r i1 i and installations, a certificate of Code Compliance f fc ect�i�gin er responsible for the building. �`��� 6. Submit Planning Board Approval of completed site plan emdht�. �, B. For existing buildings (prior to April 9, 1957) non-conforms u ildings a "pre-existing" land uses: C^ 1. Accurate survey of property showing all property lines, strretja, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applican 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . .. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . .. .. Old Or Pre-existing Building. . . . . . . . . . . . . . /n , Location of Property. . �5Q4 . . . . . . .. . . . . . . . . .... .. . .. . . 4 ,U,IP�S, _ (f�N ., , , , , , , . .. . House No. Street Hamlet Onwer or Owners of Property.W '^04- JAA.,,4-y._b1Cr v' o .,y . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . R � . . . . ..Block. . .d . . . . . . . . . . .Lot. 3­ . . . . . . . . . . . . Subdivision.. . . . . . . . . . . . . .. . . . . . . . .. . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Permit No. . . . . .Date Of Permit. . .. . . .. . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . .. . . . . .. . . . . .. . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . .. . . . . . .. . . . . . Request for: Temporary Certificate. . . .. . . . . . . Final Certicate. . . . . . . . . . . Fe$ Submitted: $.A?. . . . . . . . . . . . . . . . . . . . . . n r . . . . . . . . . . . . . . . . . . . . APPLICANT . Fo I(C49, Town Hall, 53095 Main Road y x Fax(516)765-1823 P. O. Box 1179 W- • Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE Building Permit No. ,255 owner: /7///1` "�KaI7c / it (please prQnt) Plumber: fiLO,071 ' 1"l O 'l1/JilL'�lTi/ r� (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. zqe aW4 l� (Plu er Signa re) Sworn to before me this day of 19� Notary Public, County RAMS pyy 1 + sONGWYork � �1P��5f4752 @!1dli6; fa PV"f fe f county 66Ri i�ss�n(x 5a Geµl,3Q 190 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000121 BUREAU OF ELECTRICITY (r 40 FULTON STREET, NEW YORK, NY 10038 Date AUGUST 03,1999 A lication No. on tle 18121599/99 N 496398 THIS CERTIFIES THAT Y�ERMIT NO. 5530 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of WILLIAM J. DERMODY, 215 ALVAH'S LANE, CUTCHOGUE, NY in the following location; ❑ Basement ® Ist Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on JUNE 15,1999 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 I OTHER AMT. I KW. I AMT. I K.W. I AMT. I K.W III MT.77 K.W. AMT. H.P. 9 4 11 1 4 1 5 1 1.2 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS M LTI-OE TET DIMMERS SYST AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF - -- - S - ---E- - R--- - V- I - - C - E METER NO.OF CC COND. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 30 3W 3 0 4W PER 0 OF CC,COND NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: PADDLE FAN F-1 PAUL R. BURNS LIC.#3897 E L F6L )L PO BOX 1061 SOUTHOLD, NY, 11971-0932 GENERAL MANAGER 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. �,rg�fFO��-cO o�O Gyp Town Hall,53095 Main Road yj. Fax(516)765-1823 P.O. Box 1179 Oy O�� Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD May 10, 1999 Harringotn & West, LLC P.O. Box 235 Southold, NY 11971 RE: Nancy & William Dermody, 285 Alvahs Lane, Cutchogue. 1000-109-1-33 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. 14-1G1 _/ (All permits involving plumbing being 5_2'v issued after April 1, 1984) . BUILDING PERMIT # 25530-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Nancy D. Dermody 285 Alvahs Lane Cutchogue, New York 11935 February 9, 1999 Southold Town Building Department Main Road Southold, New York To whom it may concern: We are requesting your assistance in expediting the approval of a building permit at 215 Alvahs Lane in Cutchogue. The alterations being proposed are necessary to provide ADA access and facilities for my mother, residing at this location. She is on oxygen therapy 24 hours a day and must use a wheelchair. A Certificate of Occupancy for this house was completed on Nov. 10, 1998 (#Z-26096). We understand the work load your department is faced with and greatly appreciate your earliest consideration of this matter. Thank you for your efforts in this regard. Sincerely, XL Nan D:Dermody � S73-10 c7�- M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: V� 2 DATE_� /_(�1 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ SULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A HIMNEY REMARKS: 1 Ile �2 DATE INSPECT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ , ROUGH PLBG. [ ] FOUNDATION 2ND [, NSULATION [ FRAMING ( `, ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: f �l 5 DATE INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [t�OUGH PLBG. [ ] FOU Ati ION 2ND [ ] INSULATION [ RAMING [ ] FINAL [ ] FIREPLACE &/CCHIMN�EY REMARKS 3 DATE INSPECTOR v- "V 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPILAC IMNEY REMARKS• DATE INSPECTO FIELD INSPECTION REPORT DATECOMMENTS =aaxxxxxz==x==acxax=a=xx=�x=aaxaxxsxxx==saxxx==ax-_____ --�__-=x==aa======-==aa====xxaa II H FOUNDATION 1 FOUNDATION (2ND) II ROUGH FRAME & A.-..I PLUMBING 0 � II INSULATION PER N. Y. II /lp ,ysls'r�se � oN.. y STATE ENERGYll QM2 CODE if II N N ----=zaa—zxx=acaa=azzmeaa---------- =oxx=== II Ii I H II II I FINAL ll _ _ �q d i p nN N 1 =asazxzaaaaaaax=x�==xazz3�a�-�-M zap_=m==ra-----z----zsas��sxszzacaaaa=saa=====z= O ADDITIONAL COMM]F.NTS: O d r r� b H K 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 / n( TEL: 765-1802 NOTICALL 7JI . . . .:. Examined... ..�....... 19 l ( MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved........2.—.1.... 19.1.a67 Permit No. '� 3�.. .................................... Disapproveda/c .................................. .................................... Building Inspector) A LICATION FOR BUILDING PERMIT IF Fl3 - 8 199$ ,) INSTRUCTIONS a. This application Fagmletely filled in by typewriter or in ink and submitted to the Building Inspector Wil 3 set's 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 mast be drawn on the diagram which is part of this application. c. 'Hee work covered by this application may not be cmmenced 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 thramg►mamt the work. e. No building shall be occupied or used in whole or in part for anry purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICMCN IS BMW MALE 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 bu/iging for neces inspecti . ............... (Signature of applicant, or , if a corporation) Q?........0. ... .. 1l T/. (Mailing address of applicant) State wbe r applican.t is owner, lessee, agent, architect, engineer, general contractor, electrician, plurber or builder ...... 'r .. ................. .................................................................... Name of owner of prenise�.�ll.�. !lC!Q.�1. .. {ti(�J�W� •.......................................... ( on the tax roll or latest deed) UUU If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. location of land on which proposed work will be done.............................................................. .............................. .... ....... idt4....... House Number Streeet Ham County Tax Map No. 1000 Section ../0.7........ Block .... �........ lot .a122.3.......... Subdivision .......................:.............. Filed Map No. ............... lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... .` `........................................................ r� 9,� b. Intended use and occupancy .... ur- T ..................................................... 3. Nature of work (check which applicable): New Building ....... Addition .l' .. Alteration .l.. Repair ............ Removal ... ......... Demolition ............ Other Work .................................. (Description) 4. Estimated Cost 7 d . .'....:........ fee .............................................. (to be paid on filing this application) 5. If dwelling, number of dwellingl,hmits ...... lknber of dwelling units on each floor Ifgarage, number of cars .....:................................ 6. IE business, commercial or mixer) occupancy, specify nature and extent of each type of use............ '' // �r �.......... 7. Dimensions�nof existing strhbctu s, if any: Front.... �..... Rear ..:C.1/fi�nn.r.L..... Depth ..3....... Dimensions OBeight . structure wt Number of Stories ...../... I/ / L wit alterations or additions: Front ....7..V ..f.... Rear .. /.Q.�../ .... Depth ... ....... tleiglit A.3 ............ Number of Stories ............... B. Dimensions of entire new'coostrtAction: Front ................ Rear ............... Depth .............. Height ........................ Number of Stories .......... 9. Size of lot: ont 10. Date of Purchase ..................... Naim of Former Owner .................. ..:......... ........ y , , 1_ I. Zone or use district m which p�;ehhises are situated [:' .....4 N .... 13. Will lot be aced to any zoning law, ordinance or regulation: ... 12. Does proposed construction violate regraded .......... ...... Will excess fill be removed fromprmi s: 14. Names of owner of premises IKL��L.. Address t�l7 Y!?.4?t•...r ' ,/ .... Phone No. /./ o Name of Arclhi[ecCYGI/.r1Rvl. F1F dl,�..... Address L U/Cufi.�pF (!:... Phone No.?;9 ::��UC /fir ' / q Name of Contractor i!r� j .Nie� .......... Address (p!i!��Je �iee��d. .Phone No.ZUr:C.24 �... 15. Is this property within 300 feet of a tidal wetland? * YRS .......... NO � .... *1F YES, SOITIll()[>) MM TROSII+LrS PERMIT MAY BE REQUIRED. PLOT DIAGRAM Locate clearly and distinctly all 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 nines and indicate whether interior or corner lot. SES QJ (� 4 Lwor�� srntF, or taw Yom, SS OOl1NlY Or ....................... . O.�e:`••h•.. r C��r� h.t /) ............being duly sworn, deposes and says that be is the applicant (Name of individual signing contract) above namd, He is the ..... (Contractor nt .c'' rrpo....ate....officer.,.........etc.)..................................................... ., I of said owner or owners, and is duly thorized to perform or have performed the said work six] to make and file this application; that all statements contned in this application are true to the best of his knowledge and belief; and that the work will be performed in the,imaoher set forth in the application filed therewith. Sworn to before me this � J......day ofl? :...}....19..7.T.. Notary Public . � uQ� :...... n UNDAJ.COOPER (Signature of Applicant) Notary Public,State of New V6rk No.4822563,Suffolk Coun Term Expires December 31,T(. ' I ? M �J D vic V) o cr O cl Y ti��6 J 043 6 a - • v� v o E•' • O • ' Q x, z • - �� W . . F ' ' r f t" \ \ O O il el pP�''"fid' ° ' • `�6� • ��� \ �at, a r � ,� A a v• \ In 1 b � q7.1 � �t �r•O� • 'd 1 � a1'N• �� P��tPgV Ilf OCCUPANCY ©R APPROVED ASNOTED DATE: &P# 3u£ USE I5 UNLAWFUL FEE: BY., •� Il \ WITHOUT CEf�TIFICATE 7611 H02 SLAM TO 4PPM DEPARTMENT THE III `\\•�, OF OCCUPANCY FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING cal — ` 3. INSULATION UNDERWRITERS CERTIFICATE 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ,/�,✓j - 1 �\ REQUIRED ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y.STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS y T 1 JI'L 1 I- I I f llllllll IIr17, -T1--__ — -- i I. ff --- -- I I — x L_ I I i I I I I i I I r '' J F-Ro�T ���//°.-Ti oi�,► R�E�-ti 2 �,�.�n.roti-.-a 0�z _� i III;, i I� Irl, I, BUILDING CONSTRUCTION NOTES CODE COMPLIANCE r` GENERAL' 1. Light Requirements:Hnhbts open except kitchne Mot Mw metol tight equal to 8%of floor me. jj 1. All amnahuctim work Mall coney With the New York Shap Building 2, Vewteflm Requhmente Connbrwtlm Care and With Bre requirements do any gowning departments. a. ton ulogee e klichans end bathrooms shelf haw n n Wadi as IMtequirements of authorlUn h■Wng Jurisdiction. xcaPt auual wnwstlen equal air ch of floor arca,W maManlcal wntlhtlan ar how. 2. AN walk"11 comply with the New York providing two(2)p, Manges mocha Stay Energy Coda b. BatMw n above, . tot ch Meeha Sal w metro ■. It shall be the omtraaoYo respowibiliy,m submit the elL■,design, a Bathrooms as above,or 26 afm meMankei veMletlm ',, and type of mechanical Systema which will be used In sufficient detail d. AN fano Mem exhaust dkacly to eidador as required by the Building Department. I 3. Secondary Exch(WNdov/s b. Insulate all ditch and ping w C. AN windows.door 51119 offMnpe am.&hall be caulked end r+kn til required by cods. )MaN he 4 push m um a minimum dimension of 10'end a me um MN height 0142'above flnlehed floor, Iii Na■tsarampped' 4, Sumusus Mall be 35'width m nknum,2'4'clear. 3. Provilde an ahem&detector on each floor Indudfrg bnernenL Pwide CARPENTRY ` wmkn datoclors in ail Sleeping arms. All defectors to be directly wind to y the aNeclrinl Statism of the home. 1. Framing Douglas Fir 02 or bemar 4. Engira&r is not fespmsible forth supervision ofconstrudbn. General 2. SIN Pham to be 2x5 Treated 48 year CCA with ami easier r CorMapM must verify all dimensions aw conditions before cmnuction of fabdeatim. Engineer not responsible Pot any changes without wrkfen prior 3. Provide double hwders and Ift nen at at Moir and flecr open",Under at approval. posts and partitions runnng pants to Same. Rehr to Plan. I 5. Do nml scale dnwinga. 1. Probe bridging for all floor JOWL l S. The wnginen dell M roeponsible or the content of time drawings any. He S. PnwM&wild bloddng under SO baedng points shot snot be hold resdmanaible for■fry materials,wodurenshlp,memo W e, Openings to haw(2)2'x18'hsedere unless othacah noted methade Mconatrrwgm. The Enginnr shell ret be held rnpartlM■tar fle' desigpl on InsW agon of mMed*W and equip end:Electrical,plumbing, - 7. Sbustund metal amneaors n required for an flush struMaal food cerMnp heading,wndWmn,air conditioning or any syabm net speaiRppy contained cmdMom r I in thwn dmAnge. e. AN Structural Meld conneMre for MN gad bonfi g pkdan,heerhre,air Mot T. Becteic corebwcttion Is to conform to the National Electrical Code,New York be Simpson-'OwrThe Top'Type or Equal li Shot Building Code,and LILCo. - CONCRETE/FOUNDATION S. Plumil ing to to conform to the County rand local heskh deportment t. Strength 3.000 PSI at 25 day ASTM C-04 ready rats concrete requtlnnRnfe and NYS Cede. , , 9. LIMIttATION OF PROFESSIONAL LIABILITY 2. Nfoomis,foundation etc Mag rest W undmeired nil. I' By eamptenco and Met of these plan the owner I builder I agant agrees to limml 3. Sol bomi g capWly IMN 4,000 PSI, Contractor&half conduct sol test e the Ilebft of Ent End DWNng A Design,and their draranen des to neglect, verity bearing ape*Nor so conmrceon and opal my discrepancy to acts Of error,such that One told Mragahliability or Eget End Ora"& Enghwer. Dmaofelpts proles dreifeneshn,OW Own ag SU not errcaeU the total fes services ices Random4. Footings Mal be 3e'new misled pude rpkwnunt. 10. An of[Our llam Pha red ehvolh w ars protected under redwei copyright law. 5. Nfootinps.founded"dot be formed. ' Noplan may be ropndieed W reconstructed wNhut written por m adon. I' I I, PRO P13 HANDICAP BATHROOM ADDITION EAST TOTNR END - 9 DER1MiQDY RESIDENCE SALE. 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