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HomeMy WebLinkAbout22739-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24877 Date JANUARY 31, 1997 THIS CERTIFIES that the building ADDITIONS Location of Property 1025 PETES HILL RD.(PVT. RD. ;6) ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 17 Block 4 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 14, 1995 pursuant to which Building Permit No. 22739-Z dated may 8, 1995 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, OPEN PORCH ADDITION, & ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT S. HUGHES (owners) of the 'aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO.-N-394062 - AUGUST 14, 1996 PLUMBERS CERTIFICATION DATED FEB. 13, 1996 - KING PLUMBING, INC. Buildi g Inspec r 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) Date NP 22739 Z Lam............ 19.L Permission Is hereby granted to: " ' ' t . Ile 7'. to .e........ . ...GPr/~ %RirMyLG~~k7~r~ y... .mac .................................A®....................... r at premises located s7..... ..........!7/..~//~~.......,,.,.,,.. County Tax Map No. 1000 Section Block .........T............ Lot No. `cam t.......... pursuant to application dated 19..%J..'.., and approved bYthe CC ~c °e / 5</5'r Building Inspector. Fee $...4 .r ..X Building Inspector Rev. 6/30/80 corm vo. o TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1302 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 17 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. 3. 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 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 dwelling $25.00, Additions to dwelling 525.00, Alterations to dwelling 525.00, Swimming pool 525.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses 550.00. 2. Certificate of Occupancy on Pre-existing Buildins - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Cer-.-. to of Occupancy - Residential $15.00,, Commercial 515.00 Date .../..~~.7./.C7..7 New Construction......YY..... Old Or Pre-existin Buil g ~2' %~~i f ri.D............~~« ' Location or Property House No. SitT/f . .eet Hamlet Onwer or Owners of Property .....P AC. ..1<.U C~ILS County Tax Map No 1000, Section.... 1.. ......Block........ (......Lot..... z Subdivision .....................................Filed Map............LLot........./.............. Y~ - ~1 Tl v~~r Permit No..`~.-.~7~~1. .Date of Permit. .'1l ..A!. .S. . . ..Applicant.. . Health Dept. A.DDroval ..........................Underwriters Approval......................... Planning Board Approval 3eauest for: Temporary Certificate........... Final Certicate. A Fee Submitted: S..~ ')t ~~C ?o~Je A2PLiC;V Cow'-{$~ Zi- B a 3 -2-Z , - -aa THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE i 1195099 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date AUGUST.' 14,1996 Application No. on file 10236895/95 N 394062 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ROBERT HUGHES, PETK9 NECK ROAD, SEC. 1000, ORIENT, N.Y, in thefollowinq location; ® Basement ® lst Fl. ® 2nd Fl. ATTIC/OUT Section Block17. 4 Lot 22 was examined on AUGUST 08 , 1996 and found to be in compliance with the National Electrical Code. FI%TURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER MIT. K W. AMT. K.W MIT. K.W WT K.W AMT. H P. 49 54 66 45 4 1 4.5 1 1.2 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALItEC'PT TIMECLOCKS BELL UNITHEATERS MULTI.OUTIET DIMMERS AMT. K. W. OIL H. P. GAS H. P. AMT NO. A. W. G AMT. AMP. AMT. AMPS. TRANS. AMT. H. P SYSTEMS AMT. WATTS NO.OF FEET 1 201 1 1 SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP. TYPE METER l,e tW 1,9 BW 3 d 3W 3 p AW NO. OF CC COND. A. W. 0 NO. Of HIdEG A. G' NO Of NEUtRAlS A. W TR EQUIP. P,0.$ OF CC.COND OF HI-lEG Or NEUTRAL 2 150 CB 1 X 2 1/0 2 110 OTHER APPARATUS: PADDLE FAN-1 WHIRLPOOL BATH-1 MOTORS t1-F H. P. PANELBOARDS:1-17 CIR. 150,1-2 CIR. 100 G.F.C;.Is°8 SMOKE DET"FCTORL-4 a ~c L L 17T.M SAGE ELEC. INC. LIC.#36335° GENERAL MANAGER 350 MARINE PLACE GREENPORT, NY, 11944 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be iddgntified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. a `Z Town Hall, 53095 Main Road Fax (516) 765-1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 f o/ J 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. Owner: ~o f S (please p((rint) Plumber: ely\1. (ple se print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this G_- _ day of to Ocw 19 4 Notary Publicty ROBERT -SCOTTrJR:---`-~ NOTARY PUBLIC, SyAte of N.Y. No. 4725089, S ffolk Cou Term Expires~y 31, 192'( FIELD =INSPECTION _REPORT DATE _COMMENTS u ii II d e~ i y FOUNDATION <IST) n n i FOUNDATION (ZND)--- ~ ROUGH FRAME 6 II Q IJII I II a\ PLUMBING I _J~ .-!mac II II _ I INSULATION PER N. Y. I~___ iI y STATE ENERGY jj II fly CODE i~ IcI E3 a? - fJ U u ii n n H IpI- II II 11 FINAL II _ ADDITIONAL COMMENTS: N G °x x~ ro H ~~o~~gUFFOC,~~OG o y~ Town Hall, 53095 Main Road p • Fax (516) 765-1823 P. 0. Box 1179 y Telephone 765-1802 Southold, New York 11971 (516) OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD November 19. 1996 Robert S. Hushes P.O. Box 764 Orient. N.Y. 11957 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. X_ 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 # 22739-Z * Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. *FINAL SURVEY ALSO REQUIRED BEFORE CERTIFICATE OF OCCUPANCY CAN BE ISSUED. -own natl. X3095 Main =oac -c~-t823 ? pox 1179 C -a!ecncre 515) 5.-802 3curncid.New Yom .:97' y~al ~~o OFFICE OF THE SUiLDiNG INSPECTOR TOWN OF SOUTHOLD C R T 1 F I C eA T_ 0 Y ;b; ~t DD(1 DATE: L. t":[,4, t~9.Ys Su_ld_za ?e--.m iz NO Owner: (please or:.-I ) (glaas pr_az) v ti Cer'`.__J _1dL Z7e 5o3der Rsec is _:1e wai.2r su=17 sV5L2..,n Conta_ns less --.'-Ian 2/10 of 1#` leac. (Plumbers „_gnatura) ~zwor- to before me th_s da<r a' ~~CS~eee 13 NCi.3-'"7 ?T11J1_C~~~_ C„'7llnLY LINDA J. COOPER Notary Public, State of New York No. 4822663, Suffolk Couotv/~i Term Expires December 31, 1 Addendum to Building Permit Application of Robert S. Hughes Question #3 Description of Work Existing structure to be divided in two pieces. Eastern piece to be removed from foundation, turned 180 degrees and placed back on existing foundation. Two story 15' by 18 1/2' addition to be built on west end of house. Upgrade windows and doors with insulated glass. APR 141995 vs i U._..U .,IS APR 14M 1 NEIZGY CODE CAloCULATIONS e,,LP+v.i:EVI, ~tovIFb,,_4CCS11Tt3OW_, , (For Non-Electrio Heat) Design Criteria 6,000 Degree' Days O.A. lOOF I.A. 70"F FOIt: PER: - DATED: DESIGN THERMEL REMARKS SUBSYSTEM AREA „o" RA'Z'ING Exterior Walls (Opaque) MRYt?~~ LJJ L` Glazing 2^7 Bu 48 Z Doors Ceiling/Roof (Opaque) q-3 b 33 4-6 Skyligl:Ls $ Floor ~f t~3 p'~ U Foundation Walls Slab Insulation T'O'TAL Notes: Building Envelope Systems to meet- requirements of 7015.2 IIVAC Equi.pemetit to meet requirements of 7915.11 IIVAC Systems to meet requirements of 7815.12 Duct Systems to meet requirements of 701.5.13 Veil tilaLions Systems to meeL- requirements of 7015.19 Insulation of Piping Systems to meet requirements of 7015.15 Service Water Heatitlg Systems & Equipment to meet requirements of '1015.21 Electrical & LighL-ing Systems & Equipment- to meeL requirements of 7015.31 ,i~OE >~9:{yY To the best of my knowledge, d,~~QVao°- G~ . belief, & professional.*¢ judgement, these plans are in compliance with the code. 1 s, r C+2 2.1 22 '-~7,~ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RO PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE IMNEY REMARKS: cl/ DATE INSPECT _ Jf M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ NAL [ ] FIREPLACE & CHIMNEY REMARKS:.__~c'~/~ ~L DATE INSPECTOR 75?f M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIME REMARKS: 4~~, % DATE ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTTROUGH [ ] FOUNDATION 1ST [ PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Gem DATE INSPECT r 765-1802 BUILDING DEPT. XINSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ar DATE INSPECTOR r. 7J* 765-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION 1ST [ OUCH PLBG. [ ] FO ATION 2ND [ ] INSULATION [ RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: rag n DATE INSPECTOR p~,5 ~~_~,r..,~...~._L. BOARO'OF HEALTH FORM NO. 1 fJ SETS OF PLANS TOWN OFSOUTHOLD //SURVEY $ BUILDING DEPARTMENT ,/CHECK TOWN HALL SEPTIC FORA f::i.i '.:;r''!• - SOUTHOLD, N.Y. 11971 " ' TEL.: 765.1802 nOT IPY; 3R.3"'26Lrti CALL `'J Examined . , I eT7 MA IL TO- Approved.......... 19qq/.~! Permit No.•222S3~ . Q y Disapproved, a/c uildiriO Inspector) APPLICATION FOR BUILDING PERMIT Date 48~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with, t 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 stieet or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl, cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permi 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 Occupanc• shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o 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, ordinance ilding cod , h sing code, and regulations, and tc admit authorized inspectors on premises and in building for necessa i ctio s. (Signature of appli t, or name, if a corporation) OR, (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. . Name of owner of premises R,?4AA;, (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . Plumber's License No . . . Electrician's License No . , : , Other Trade's License No . . 1. Location of land on which proposed work will be',do e. ffs~? ,l '44310.../r2+V':(............. ©e House Number Street Hamlet County Tax Map No. 1000 Section l.. Block • Lot . 2 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 U /NG It ; , ~Kk y jZroru~ bf „{yri" b~ b. Intended use and occupancy .....J.~/4'4~ U ..I„z I,v s~rnD;S - ?^@ot 1€5.1A 3. Retof work (check which applicable): New Building , . , , . • ; Addition . Alteration . . pair Removal Demolition Q"r Wor f'i (Description) 4. Estimated Cos <4°... Fee . . (to be paid on filing this application) S. If dwelling, number of dwelling units........ , , Number of dwelling units on each floor If garage, number of cars . 6. If business, commercial or mixed occupancy, specify n ure and extent of each type of use . 7. Dimensions of existing structures, if any: Front 0 13 , Rear , , 2......... Depth I ! . . Height , ..30. , Number of Stories , . i....... , • • • Dimensions of same structure with alterations or additions: Front , .1 o • , • • • • • , , Rear '7.0 . Depth , ..4l ............Height . • Number of Stories 2 A; . . , , , . 8. Dimensions of entire new construction: Front . . . . Rear Depth . .Height Number of Stories 9. Size of lot: Front . 1. O Rear, .....4 /.Q ,pepth , 2 f .....i......... . 10. Date of Purchase y, , , , ..Tame of Former Owner ~4 % lJ!q~ 11. Zone or use district in which premises are situated • • • • , • 12. Does proposed construction violate any zoning law, ordinance or regulation: . A W . , 13. Will lot be regraded . 5 , , • , , Will excess fill be removed from premises: Yes N 14. Name of Owner of premises (Ifir).. . , , , Address , I I, I, 16 t d (2.?I I ,Phone No. X $ 6 Name of Architect , Address . Phone No.. . Name of Contractor . . Address . Phone No.. 15. Is this property within 300 feet of a tidal wetland? styes. . No..d< . *If yes, Southold Town Trustees 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 names and indicate whether interior or corner lot. • STATE OF NEW YORK, S COU Y OF 40 ~/J~.. , . Q ~o'•'•v M`• r • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. 3e is the..•.~.G~?N.~ • . • (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements conta}ned in this application are true to the best of his knowledge and belief; and that the •vork will be performed in the manner set forth in the application filed therewith. ;worn to before me this 19 ~J lotary Public, County • ..NNE K. pILEV Notary Public, State of New York No. 5011092 (Signature of applicant) Qualified in Suffolk County Commission Expires April 12, 1995 N/F HUGHES i MAP OF PrcC -IF P(cOPE2T`( 5.892010E I210,51 I SU2V~YEG 1, YEP F22-- li In I ^s R,l shy i- i TOI.n1N ~f. °~C' ITL__ ' TIM6E2 i - 2ETAINING I . \NALL I j 30' rooEeo I - y 4.aov~ve wood vo¢cH 1 } 3 2 STorl FrU ME =E ~1 tout, ~ k O ~ aooreo ~ o r , ~cH ] W (}QdCL NALV CCNL. L'~.CI{ \ ~ ~ INJN (2E"TAII ING II I /d' vldLlJ s .3t- ~ FLAME TIME l~ J4AeJ'fELS / F 1 ~ Sp1UGE I W y 1~ u X ou hlZ Nnr (4661 z Nnr a IV L 1 Gl 11 si r O ' ~ SGALE~40 SGALE ~ 40'= f'~ i _ - ? MOMUMEt U MOMUME,iI" J_PIPE 1 I O_PIP_ AREA=?.588 r vlnpllnoM Il,dmn )"s, 0 nOOl llin NSw yO~p nlnly 'cllon lnw. Ex c:plm n' Mils suRey mnp no bondnp I'll n.1lons rs mlme...lnr i aneos.a.0 M.u nol b. mnatlnn,n so en. amlla Inds N. an ovlnoslntliuslodisnensenllr r m)ylo lho'... is, .1s. M, nm'o'. It pmpned Ntl on hk 1,00 to Ihn ~zo rln r s"s, no.. Ymmum m nporeu + y~ X39 6,p, % a cnneo111sisiAllnmppam o, nhomnamq mn~ ~s.>4 ss , 5248 E. SUFF. CC,. MAF UA71 :;nrn 1001'1-11-7 4 ZZ Z \9 Ir i 10 R3 ? AMENOEOJAN. 51,1995,E N. 51 , 1995, AP2IL 14.1715 O "V 66 ~v F-5 `I;RVcYUD i a.UC,,23,1994 p vJ:V Tc /5 ~D IT' a p' ~ t_IC LAND SU(tA,•EYJ125 ,•E.Yv125 ,.~REE~IP^f2i' NY i ~ > t~ a F, r- PROVIDE OPENINGS FOR - EMERGENCY ESCAPE AS REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE. i ' i I r- r-- II = I i PLUAABINO j _ ! - MLPLINNINGYS161! ~i •VOM tYES NEED - I 7BiNG INEFW COVERING - PLUMBER CERTIFICATION r " - - - - ON LEAD CONTENT BEFORE - ; _ - - CERTIFICATE OF OCCUPANC - - - - l r.- = - I-- - r - SOLDER USED IN WATER III..-. _ ~ JAI 1I~ ~~i. i SUPPLY SYSTEM CANNOT - EXCEED 2110 OF 1% LEAD. III - III i - - -~I I _ . - - - N copper t Wing is used for water distributing l ,s 71 system; piping shall be 1, 11,14 - OCCUPANCY OR - - - - - USE IS UNLAWFUL vaTHOUo CERTIFICATE. OENEWyo9f OF OCCUPANCY z~>ti r A R VEDAS NOTED (p^.G631 DATE! & B.P. M 2735 a w~ UNDERWRITERS CERTIFICATE ` a NY d : ree to 8915F_RV _ REQUIRED aFE55 0 T 1110TIFY BUILDWDEPART N AT 766-1802 .S AM TO 4 PM FOR THE ?~I FOLLOWING INSPECTIONS: _.._erov,:vgr-eur 1. FOUNDATION - TWO REQUIRED - FOR POURED CONCRETE 2 ROUGH - FRAMING & PLUMBING 3 INSULATION +a. FIN,41- - CONSTRUCTION MUST BE COMPLETE FOR C.U. ALL CONSTRUCTION SHALL MEET K< J i I-'95 _ THE REQUIREMENTS OF THE N.Y STATE CONSTRUCTION & ENERGY - c i:ODFS. NOT RESPONSIBLE FOR sc"`E ~~,j(! +annov[o o~+w" e6DFSi 122N OR CONSTRUCTION ERRORS Wl aEViseo 2, PROVIDE OPENINGS FOR d EMERGENCY ESCAPE AS REQUIRED BY PARL 714 OF N.Y. STATE BUILDING CODE. ITCN I, 1 E I':i PJ nc ~j u_ f leg" ryq ~ ~ ° ~ d o I i F. I I t OEM U-1 L- 7: 1 I ! fI 4 - i I - - 1 _1 T=- TIT I - ~ I 4 AI 1 117 Al y0 fan Ap° 7417 9e R E- 1 _A rf s7~ ' ~ - 3 St of MEW Y y14 NEE .TU ~9 y9 2 T 9 S ~tn f r~/ a C3 11 ~ O g g r H-1 - suYF iJy ~ ~,nernovev er oPnwv PFVi5F4 Dore onnwiNC NunwEn III REA (NGRTtI) ELE VA T4ON 2 or 1 li I i L ~ Imo. l y i ii.. 1 SE pF NEW YO ~1P 0~°~E .TVr Bfi i~r ,YYYllff h ~ ~ Q B~~~B oazz5a YP~'~~ 4-9-95 3-2~- 95 ~ 2.26 9S SCALE y( I r+l gPAOVED lY ~ DYLWN lY DATE AIVILFO ja R f~! 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