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HomeMy WebLinkAbout25215-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26638 Date: 08/19/99 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 1655 OLD FARM RD ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 26 Block 4 Lot 1 Subdivision Filed Map No. Lot No. \ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 13, 1998 pursuant to which Building Permit No. 25215-Z dated OCTOBER 8, 1998 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 REPLACE EXISTING DECK AND BALCONY, PORCH ADDITION AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ELIZABETH THOMPSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 495892 07/28/99 PLUMBERS CERTIFICATION DATED 08/16/9,9 MATTITUCK PLUMBING & HEAT Building Inspec r Rev. 1/81 74 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. 25215 Z Date OCTOBER 8 98 Permission is hereby granted to: ELIZABETH THOMPSON PO BOX 289 ORIENT,NY 11957 for TO CONSTRUCT AN ADDITION AND ADD TO AN ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1655 OLD FARM RD ORIENT County Tax Map No. 473889 Section 026 Block 0004 Lot No. 001 pursuant to application dated AUGUST 13 98 and approved by the Building Inspector. Fee $ 75 .00 Bu' Ing nspector ORIGINAL Rev. 2/19/98 M/YR 7 ? Elizabeth Thompson, Architect .h.._.. e�x;. o. 270 Lafayette Street, Suite 1303 274-8336 New York, New York 10012 March 17,1999 Mr. John Boufis Bldg. Inspector Building Dept. Southold Town Hall Southold,N.Y. Re: Thompson Residence 1000-026-0004-001 Dear Mr. Boufis, This letter is to confirm that I have reviewed the floor joists under the new tub in `Bath 2'. I have had the Contractor, Harry Springer, add 3 "cats" to the joist running under the middle of the tub, one to the east side and 2 to the west side, to transfer the load out from the center joist. From our recent phone conversation, I understand that this is acceptable to you. Thank you for your help in this matter. Sincerely, Elizabeth Thompson I'Wf- Lif ` S 1b:C1 li°bill OF JULMILILL, ` •� `- } w, 7 Town Hall,53095 Main Road i <;'j` } Fax(516)765-1823 P. O, Box i 179 ;a - ;:, N Telephone(516)765.1802 Southold, New York 11971 _ S OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I o IN DATE: 1 Building Permit No. ,I Owner: Rl 7n V, R•ty\_ {please .print) Plumber: ✓C n • %Iln {please print) I certify that the solder used in the water supply system contains less than 2/10 of 1t lead. 4(,5 4gnae) Sworn to before me this _ day of �dC 19 Notary Publics County . Notary � term Exyirp Jry j ,,,,,�� - TOWN HALL 765-1802 13 1999 APPLICATION FOR CERTIFICATE OF OCCUPANCY ld1 y Th-i-s,- _ tioi must be filled in by typewriter OR ink and submitted to the buildir Nt_ 1� O T �^l t ith he following: for new building or new use: inaT s y 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildi and installations, a certificate of Code Compliance from architect or engineer responsible for the building. b. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings < '-'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by `the applicai 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 Building - $100.00 3. Copy of Certificate of Occupancy - .25v,- 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $155..00, Commercial $15.00 Date . 31.13P .l . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . tC_:� . . . . . . • • • • Location of Property. . . I�57 7. . . .Q11 1t). .r%_'A M .WZ). s . . . . . . . . . . ©.N RN.T. . . . . . . . . . . . . . . House No. Street Hamlet r •���-�� Onwer or Owners of Property.f-- �` ""YS�•�• M:• • • • • • • • " ' " " " " County Tax Map No 1000, Secction. . .L �. . . . . . .Block. . . . . . . . . . . . . .Lot. . .I . . . . . . . . . . . . . Subdivision. . f7.�.�� +W . . 1".a . . . . . . . . . .FilCed Kap. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . Permit No. . . 2. Date Of Permit. . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . • . . Health Dept. Approval. . . . . . . . . . . . . . . . . .. . . . . . . .underwriters Approval. . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Jeee Submitted: $. . ) �> . . . . . � ���a� APPLICANT 4 1 Elizabeth Thompson, Architect 270 Lafayette Street, Suite 1303 T/F 212-274-8336 New York, New York 10012 M (� January 21, 1999 o , i FJ 51.,99 _1 f Mr. JohnBoufis, Bldg. Inspectori:; LJ M' Building Dept. Southold Town Hall Southold, N.Y. 11971 Re: 1655 Old Farm Rd., Orient 1000-26-4-1 Permit #25215 Z Dear Mr. Boufis, This is a letter regarding the concrete foundation on the west side of the above referenced house, at the location of the existing garage. As a part of the permit for renovation, enough fill will be removed from this area to expose the foundation a minimum of 8" above the level of finish grade. Thus the new finish grade in this area will match the rest of the finish grade around the perimeter of the house. Sincerely',�%/�///�//J/f ,l.Y^n ry p Elizabeth Thompson ' 1>326.c� o��gUFFOCkCOG 0 N Z PIT Town Hall,53095 Main Road Fax(516)765-1823 P.O.Box 1179 l Telephone(516)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD August 12 , 1999 Elizabeth Thompson 270 Lafayette Street New York, NY 10012 RE: 1655 Old Farm Rd. , Orient. NOTE: Stair access required before Certificate of Occupancy can eased. 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) XX 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. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 25215-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. i D • • Ir . �� �. Pill • • rrr % r ITEM,0 t - i ; 111111111 Jill III 1111111111111111111 1 �✓ / ice►, - ,_���%/� %V 14 Iii ►� ► M-1802 BUILDING DEPT. 1NSP CTION [ ] FOUND ON IST [ ] ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLAC�EACHIMNEY REMARKS: 42 DATE l INSPECT O M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG ' [ ] FOUNDATION 2ND [ ] INSULATION [ } FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY 112 REMARKS: DATEINSPECTOR 765_1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST-- [ ] R UGH PLBG. [ ] FOUND N 2ND [ INSULATION MING [ ] FINAL FIREPLACES CHIMNEY REMARKS: a, DATE INSPECTOR lae M-1802 / BUILDING DEPT. INSPECTIO FOUNDATION 2ND INSULATION FRAMING FINAL FIREPLACE & CHIMNEY REMARKS: dw. �- DATE i . 4j&46 V M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ) FRAMING [ ] FINAL REMARKS: DATE lf�� INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC CHIMNEY REMARKS: DATE INSPECTO I M-1 0 B PT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ) PIN ION [ ] FRAMING [ L [ ] FIREPLACE & CHIMNEY REMARKS: y� AV,.� e DATE INSPECTOR 768-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING/ [ FINAL [ ] FIREPLACE CHIMNE REMARKS: DATE INSPECT f•. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ) INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY R MARKS: e�16 7A DATE INSP TO QA-� --P-- -a2kz(a THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 1@0@121 BUREAU OF ELECTRICITY 40 FULTON UEF-ET,...NEWLYORK, NY 10038 AUGUST 06Date ,1999 �}� N fy� • 799/99 N 496820 THIS CERTIFIES THAT AM-LR.L'z NU�nlhKl55 only the electrical equipment as described below and z thea med the above application number is in the premises of MICHAEL BRAVERMAN, 2855 CEDAR BEACH ROAD, SOUTHOLD, NY in the following location• ] Basement ❑ 1st Fl. El 2nd FL ATTIC Section Block Lot was examined on n'll�C'US'1 02,2999 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENJ FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. I K.W. AMT. HP. 6 7 5 6 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT.j TIME CLOCKS I BELL UNIT HEATERS M LTi-6U8 ET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A W.G. AMT. AMP. AMT. AMPS. TRANS.j AMT. I N.P. j NO.OF FEET AMT. WATTS 1 6@@ SERVICE DISCONNECT NO.OF S E R V 1 - C - E METER NO.OF CC COND. A W.G. A.W.G. A W.G. AMT. AMP. TYPE EQUIP.11 0 2W 1 0 3WJ3 0 3WJ3 0 4W PER 0 OF CC COND. NO.OF HbLEG OF HI-LEG NO.OF NEUTRALS OF NFUTRAL OTHER APPARATUS: WYRLPOOL BATH-1 SHOKE DETECTORc-1 PAUL R. BURNS LSC.#3897 L PO BOX 1061 SOUTHOLD, NY, 21971-0932 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. 3. Maine of cxlrk Wieck rdnich applicable): New Buildiol. .......... Addition ...... Alteration ./.a...... ltelunir ............ itemrrval ............. Deialition ............ Other Work ... .............................. / (Description) 4. hsC iu atel Cost ...d!��............... 7 fee .............................................. II (to be paid on filing this application) 5. If duelli%, nrdrer of dwelling units .....5...... Unber of nh+elling units on each floor ................ Ifgarage, o nber of cars ...................................... � 6. If business, connercial or mixed occupancy, specify nature mxt extent of each type of use...................... 7. .Dimensiars of existing structures, if any: FronC... .......... Rear .6.6........... Depth .. .Q......... ... ! Deig)nt ....... ................ Umber of Stories ;Z.................. ! Dimensions of sane structure with alLeratirns or additions: Front Aa L.......... Rear .fa A.I........ Depth ...40.'.......:..... lleight .....Z6.1........... limber of Stories .. ........... ' 20 13. D{nensirxrs of entire new construc:Cioo: Front ...7.t........... Rear ..7........... Depth .............. Ileil�ut ...L.XP................... limber of Stories ................... d ¢ ' 9_ Size of lot: Ffont ....4m.�........... Rear .... ik.t........... Depth ..3 ?............. 10. Dave of Purchase ....1.10.4........... &Ire of Former Owner �a . :..n�.49 Nk.................... H. 7rxne or use district: in rJrich premises are situated ...........................,.`.................................. nr 12. Does proposed contortion violate any zoning law, ordinance or regulation: ...Met ................. 13. Will lot be regraded ...NA..•••••...... Will excess fill be removed from premises: YES Ili. Names of (kmer of premises .�1Ar/•!Fif"iTH.� '. }'�.?►al. Address 27p L/i;FhY (L°,. ST.' [3P. Phone No. .! NY• N•`f. 112 Name of Architect ('�.�1L/913E.'I?1..111?rnpSolJ„�RtHljl� Address .............................. flimie No. .............. Pkne of Contractor A............ . Ackiress .....flwne No. .............. .......................... .............. 15. Is this pruperLy within 300 feet of a tidal caetland? * YES .......... NO �... *IR Yes, sourinD wwN IR1151Ims 1'1s1AIfl' 1MY 11E w, Pum. PLo'1' DIAGRAM locate clearly and distinctly all buildings, whedner existing or proposed, and indicate all setback dimensions f'rmi property lines. Give street and block number or description according to deed, and shaw street names and inxticate %Awther interior or corner lot, �� � SdC fFTI►9ct+C't� b�uc+,s � , SI'Klli (A! tiW Y(M2K,n ..... '/, ..1,`. �..,.... .. duly ;;vxxn, deposes and says Lbat lie is Lhe applicant: (tiare oC irdividuat. signing ctntract) above sailed, lieis the ............ .................................................................. (Contractor, agent, corporate officer, etc.) of said owner or amrers, and is duly authorized to perform or have performed the said work aril to make and file this application; Unl: all stalemenLs ctmt.aioed in Lhis aliptication are true to the best: of his lio wledge and Ixilief; and that- Lhe work will be performed in llne imi ner set: forl.h in the application filed tlx;rewitlt. :sworn LO before ei .. ...... 19..ey tbt.ary Ad U . ............. .... . 11bAt (Signature of ApplicanC) !i fir' nonxD of 1TEnt.Tht . . . . . . . . . . . . . . . (�� 3 ;� DORM NO. I 3 SETS OF FLANS . . . . . . . . . . . . . . . TOWN OF SOUTNOLD SURVEY • • • • • • BUILDING DEPAR'T'MENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . Cli'^'• f%'f='t• N TOWN IIALL SEP'T'IC CORM . . . . . . . . . . . . . . . . . . . ,� �TOVNiV Gt Ctlllfm L61 w SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: Q 9 CALL . . Po�.:a2=7.x�.!'• 3`��` Examined... P/ ..... 19.//q�� MAIL TO: . . . . . . . . . . . . . . . . . . . . Apl)rOVed.��. ....... 19.F'°• Permit: No. .. '.�r.`Z`r .................................... Disapproved arc .................................. .................................... (14111( n��oC) APPLICA'T'ION FOR BUILDING PERMIT ��99 qq�� Date. . . . slip, . . . . . . . , 19.tC7. INS'T'RUCTIONS a. 'this application must be completely filled in by typewriter or in irik six) submitted to Lbe Building Inspector will 3 sets of plans, accurate plot plan lto scale. Pee 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 miust,be drawn on the diagram whirb is part of this application. ' r c. 'lhe work covered by this apIllication may not be ccmnenced before issuance 6f'Building Permit:. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall Ix- 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 fly die Building inspector. APPLICATION IS U RE-11Y M!DE to tbe Building Department: for the issuance of a Building Permit: pursuant to the Building ?.one 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 rctnrnral or den)lition, as herein described. The applicant agrees to cunply with all applicable laws, ordinances, building code, housing code, and regulations, six] to admit authorized inspectors on premises and in iwild/in for necppssa i ape tions. gi )spec prem tom, .............. (S��i((irriarr"lure of applicant o .,r n if a corporation) i?'1q bRGA4EtfF. � .#fl5a� ........................ (Mailing address of applicant) i State whetlier applicant is owner, Lessee, agent, architect, engineer, general contractor, electrician, plurber or builder ...................................................................................... rr Name of owner of premises ..F(�lIZJ4Pa�TF1, l4OrgE'SQh�.1��tG:.�r!4Rc,............................................ (as on the Lax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .................................y......I................ (Name and title of corporate off leer) guilders License No. .......�;L................. Plumbers License No. ....... ................. Electricians license No. .................. Other Trade's License No. ..,'.................. 1. Location of land on whirl) proposed work will be done.............................................................. Lt� FA 1.X55..........0 ...* k . .......................................b t�NT........................... (louse N4nber Street )hamlet Cnunty Tax Map No. 1000 Sudan ..d.Z4P........ Block ................ Lot .J.............. A^1 Subdivision ?� ft".A............... Filed Map No. ............... Lot ............... ....... (Name) 2. State existing use and occu:)ancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..r......1 . ,FF\Wlll \�f,Et t1 N ....k ............I........................... b. Lntended use and occupancy ...er.!N.A,PA..'F6IftW`.'.. 104,1.00 ................ . ............ d�'tr�t9 fmgtri! I 4p II 4 �I ' , � f L� f �f— FU��✓4/. �G f���i M1il��•" i 1 ' k5q in�' , 9 r02 la h�dM.�p Fua'aE^ EEFI,Gi�1'�pGl:� , 4 r `tai - r� ,wa,» i^ 4-01 -a9 ill U � Ifi ISI'(6WafL L,6VATICWA KITGNGN, �IYI I , 17 If l (6-16L 6�6v/Oows! -05T6K', Bi;PR©0` voay. � wlwov. 9 GEIJ�KRI, AIOTe;,: -� rIJISN ` 4#Ou •tioVb'I`j9k�;' - � R� t r-I �ST Looe �LRMI �iu PI Ay oq, ;;' '' „ PLUMBER CERTIFICATION 52 SECC��D PLUO� r�AM) U'G PLAiI �' ';� h ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY 53 eoo>' P�fl�11IJG PL.P�I „a° ' , 4., n, I' SOLDER USED IN WATER l EXCEED 2110TEMCAINNOT OF 1%LEAD. OCCUPANCY OR �1 USE IS UNLAWFUL PROVIDE SMOKE,DETE If copper tubing Is usedCTING _ for water distributing WITHOUT CERTIFICATE, ALARM DEVICES system;piping shall be OF OCCUPANCY . _ AS To vn BUILDING COD' :i• ; N.Y.S BUILDING CODE of types K or L only APPROVED AS NOTED ; PLUMBINGa5--?P Ys.R M -P S- } ; ALLPtuMBDATE © INGwASTE v7 - PROVIDE OPENINGSPQS ' h &WATER LINES NEED FEE: '7 0 TESTING BEFORE COVERING NOTIFY BUILDING DET7 IR EMERGENCY ESCAPE 765-100 E AM TO 4 PM FOR TMEFOLLOWING NOPECTOR REQUIRED BY PART. . , yl t pANORE0A1N1ED KY. STATE BUILDING PROMppEANTI•SCALDAND/OR FbRFDIMEDo0/1mm �( k THERMAL SHOCK PREVENTING s. INBIRiRIDN FtuTrwa I, DEVICES AS TOPAU.SO2.6(K) 4. FINAL • CONSTRUCTION MUST � COMPLETE N.Y.STATE BUILDING CODE. LL ACONSTRN SUCTIOMALL MEET u 41 �'- THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION It ENERGY ,*, W '•,,,, I CODES, NOT RESPONSIBLE FOR iYF _ UNDERWRITERS CERTIFICATE DESIGN OR CONSTRUCTION ERRORS + _ REQUIRED ., S}, ,ra ab �•, k , n�'; LdN �D.QUrO ' �Vb �112AI78th Thortipson + �{�rOtllte ' ,YXf 270. -,L,aLfBy9tte ,St. SLIL'19 Q', Titiil'"! ' �� , i ;,U, yev e. R w BuS. 1, NeYq,rk N. Y. 212, , r A, �r114?�0•. II I1 �r a m. II jj II II II II �s °` II II II II II III II II II � 4r II II III II tl II ��y, N - T, \ JL- LaUG, SLAoF NGI-ill; 10 q ppF C" r A w 1,F N6 -- �.YI' / ---------------------------- Y M r T pi \ 'd \ P 1 FIRST FLOOR PLAN I , A 0 2 4' $ k:. I„ yJOry�.414 poo"P6 Elizabeth Thompson Architect I 270' Lafayette §t• Suite 1303 741e — - ew York, N. Y. 22-394 0336 I' 70 r w,, i 7_,.. i a �v . r rl,. _ q } I 4 1 , I � ��M2 m ; '� gEPlu�a-I I � , pu -GPEIa tv p �1i 4 DU I'I 41 i, ATTIC- � � I �ts r. I1 2.1j�+ . — II II��I III r—uI j t 1 XS ' I} {I t I'II SECOND FLOOR .PLAN t, ' {(✓� d�` M� 1. 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