HomeMy WebLinkAbout31032-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32100 Date: 12/26/06
THIS CERTIFIES that the building ADDITION
Location of Property: 475 OLE JULE LA MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 114 Block 12 Lot 14 .3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 29, 2005 pursuant to which
Building Permit No. 31032-Z dated MARCH 31, 2005
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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JOHN & PATRICIA PERINO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO_ N/A
PLUMBERS CERTIFICATION DATED N/A
Authorized Signature
Rev. 1/81
Form No.6
F__ _ TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
6 765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. 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 1% 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 unusual natural or topographic
features.
2. A properly completed application and 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$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 - $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00 7 1
/ Date.
New Construction: V Old or Pre-existing Building: (check one)
Location of Property: 91
f � l� jv`o Z_' ie
House No. ^�— Street Hamlet
Owner or Owners of property: y C� t t1 d— i V, c: < <L/
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. _ Lot:
Permit No. Date of Permit. Applicant;
Health Dept. Approval: _Undertivriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ Z- J` ' U-0
Applicant Signature
(Kz,x,. 71569'
CU-F-3,2 100
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. 31032 Z Date MARCH 31 , 2005
Permission is hereby granted to :
JOHN & PATRICIA PERINO
475 OLE JULE LANE
MATTITUCK,NY 11952
for
DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR
at premises located at 475 OLE JULE LA MATTITUCK
County Tax Map No. 473889 Section 114 Block 0012 Lot No. 014 . 003
pursuant to application dated MARCH 29, 2005 and approved by the
Building Inspector to expire on SEPTEMBER 31, 2006 .
Fee $ 150 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
Of SobTyo6
-Teo
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [AIIXX FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIR/E-SAFETY INSPECTION
REMARKS:
[/L Ole
DATE /L L O� INSPECTOR �r '/ --
3 ° Z 765.1802
BUILDING DEPT.
INSP CTION
PFOUNDATION
1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REM KS: aAz OA-`
DATE ���� �� INSPECTOR '
3 � d32- �
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ j FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
Ott
��
DATE S / � � O� INSPECTOR � d �—
FIELD INSPECTION REPORT DATE COMMENTS
�';L7 D�
FOUNDATION (IST)
--------------------------------
FOUNDATION 2ND)
z
ROUGH FRAMING& - O
PLUMBING -- -
LI
� x
INSULATION PER N.Y. -
y
STATE ENERGY CODE
FINAL
"C1
ADDITIONAL COMMENTS
P
d
-- --- _. --- ---- -._ 'J z
m
71
x
y
x
d
b
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREVILLAGE DIST. SUB. LOT
ACR. ( 16a
REMARKS
TYPE OF BLD.
�V�II 'ic',l'. }�I I ( S PROP. CLASS,A(D
LAND IMP' TOTAL DATE
Ind
L � �
e 2- 2 9z � 1Q new-elw�, ll� w� ' 2219
DZ� ary 0v 1 Iq.3 a3 I aooDp778 -11660M en fo /4rl'no *wE ts coo
FRONTAGE ON WATER TILLABLE '0.2 56<
FRONTAGE ON ROAD OOD NDS ISO
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT
t �GC�
TOTAL , O
I
it
ii
� III
3
bo
2rr _
M. Bldg. 34s3,z= //Sz - 9°�=/� S•Sro sgy/ Foundation Ca �C Bath z Dinette
stennsion} FULL
xte9 X/o jo 3. 7S 33c� Basement SLABCRAf J Floors Kit.
SLAB V
Extension fib'iy"zzy� z� o o Ext. Walls Interior Finish L.R.
/! f 3= 3 �.S� [J NAL SlrLorlC
Extension Fire Place 25 Heat c!j D.R.
Patio Woodstove BR.
fQchr > JL 3`0 /08 Dormer Fin. B.
Deck Attic
Breezeway Rooms 1st Floor
Garage z 3 x,2 y = s52 /,Z 9 0 Driveway Rooms 2nd Floor
O.B.
Pool
7877 2""S ,le ..rte 7877
Mau Swd N4Y all (/A< _ "O
'7d773 00
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying'?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631)765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
www. northfork.net/Southold/ PERMIT NO. 31o32 z Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined,20 05 Contact:
Approved J'J 3 1 ,200�- Mail to:
Disapproved a/c
Phone:
Expiration `j ( � I , 2 n/
Building Inspector
PPLICATION FOR BUILDING PERMIT
IfL,:- !TP-1. Date r , 20
'r^— N.0 INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 waterways.
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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE 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 building for necessary inspections.
(Signature of applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
U WVNe-,�—
Name of owner of premises J Oki Q V s h�
(As on the tax roll or latest deed)
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 -oposed work will be done: �p
,1l S� Ole TUVv, 06- C,)L
House Number Street Hamlet
County Tax Map No. 1000 Section �� Block ) 1 Lot
Subdivision Filed Map No. Lot
(Name) r,:3
2. State existing use and occupancy of premi es and intended use and occupancy of proposed construction:
a. Existing use and occupancy 1ln
b. Intended use and occupancy bt c t /
3. Nature of work (check which applicable): New Building j/ Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost S'oo-o Fee
(To be paid on filing this application)
5. 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 nature and extent of each type of use.
SJ )
7. Dimensions of existing structures, if any: Front Rear Depth 3
Height Number of Stories
Dimensions of same structure with alterations or additions: Front '-f��l Rear SQ'iti v
Depth A Height Number of Storieg•- u +'
S. Dimensions of entire new construction: Front ti Rear Z f Depth Z L
Height Number of Stories
i p OJ � ZJ�
9. Size of lot: Front /?L) Rear J �f De th �� Z
10. Date of Purchase ' Name of Former Owner 1�6'0 w1 P1
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO
14. Names of Owner of premises � 06 9Y\fr Address Y)J- 6j C-3/ ) L Phone No.�/l-2/d Z
Name of Architect A"o>'14 bum 6-r- Address Phone No
Name of Contractor jAddress Phone No. /
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NOS
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
il
SS:
COUNTY .116
being duly swom, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the ujpl*�<—
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the sai wor and to make and file this application;
that all statements contained in this application are true to the best of his knowle e nd be ief; and that the work will be
performed in the manner set forth in the application filed therewith.
Swo tp before me t1y�
^ day of \f 20�
Nota P blic Signature of Applicant
MELANIE DOROSIO
NOTARY PUBLIC,State of Now York
No.01D04634870
Qualified in Suffolk County a1
Commission Expires September 30 b
RE
41- --D-1-N . -T
Al L
Applicant/ Date.
Owners Native:..._ n.o Reviewed:
Architect/ r lute:
Engineer — 1 Submitted: -3�
SCTM #:
District: 1.000 Section: �f Block: I,ot:
Project Subdivisioll
Location: ''� 7 J� J664, . _ — Name: ✓
Sin d: separate Required
ccttitfcatimi: (Yep f No)
Rcq. Itcq.
!_otting(Lot slzc: Acluaf: l'�fi�a4) [Loc covcragc — (dI'rupii.cd
Ray, 'T
Rcq. V Kcq.
(troall'ard Proposed: J (Side Yard C.v Proposed: f [Rear Yard �PC7l _ Prolmed-
Project Description:
t�GEC'S . 'Fr`z'S Per—m!f
R—EQUIR)tD FQR!REVIEW N.A. NO YES Number
Sufblk County Health-Dept.
Naw York State, D. E_C.
Town Tnwtees
Town Zoning Board approval:
Town Pliu ag Board approval:
Flood Plane Elevation 72?
Flood Zone: ` Y2�
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bVJELLItJf NOTE :
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LISA MCQUILKIN
LAND SURVEY/",/6
I1J o �, SSE F1l.�Ep MAP
54 SECO"D Sr.
7 2 W. SAYVI L LE, NY 11796,
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ADD
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Job No. Q - 9
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APPROVED AS NOTED Yo n ,
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DATE:_.1 . B.P.0
{� FEE: 15D BY:
NOTIFY BUILDING DEPAc
PLAN
�
765.1802 B AM TO 4 FM FOR THE �. 0322M-1 g�
FOLLOWING INSPECTIONS:
IG
5CALff: I `LL 2, ROUGH - FRAMING & PLUMBING Np SIOHP.
- - - -- 1. FOUNDATION • TWO REQUIRED ' FES
G}° -r_ 1�O° FOR POURED CONCRETE L
3/
3. INSULATION j
4. FINAL - CONSTRUCTION MUST
OCCUPANCY '-
BE COMPLETE FOR C.0 -
`hQR t ALL CON"TRUCTION SHALL MEET THE
J'lst: ps U)tjLAW WL REQUIREMENTS OF THE CODES OF NEW
�y
lORK STATE. NOT RESPONSIBLE FOR r
NSCt F� �t1T- 6ERTIFlo� DESIGN OR CONSTRUCTION ERRORS. RFTAIN STORM WATER RUNOLoLcL
yANCY11p P CSOANT,TO SECTION 45-10C
wpE
c
REGuIAED
, T, �e, lar y
- 91 M ";S v x� 1 r nk-
_ • � ',�:;Y, r r t tr_ W't e
t
k'
I
2"% 10' LEDGER BOLTED TO D(151ING r
HOU5E W/ 1/2"CARRIAGE BOLTS Qom" OC
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N
D D
Q
r r
® m
N PROVIDE PA U5P CONNECTOR BETWEEN
SONOTUBF qW 4'X 4" P05T •�"'
ACO POST ,
� � M
$5.50"MG FOOT ^'
MIN OF 3'FROM
GRADE ,.,
2-2"X10- ACO GIRDER BOLTED TO n"% p'•
1
POST W/ I/2"CARRAIGE BOLTS
O iU
4-4 I
T-O I/2' 6'-)0 I/2' - i 6'-10 I/2" � 7-0 I/2" k Cr1
A
FOUNDATION PLAN
SCALE: 1141,
a
N N
_ c 1
i
gar I�
36" RAILING HT. MIN
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a
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X574 X 6 TOP DECKING w
i W
T
. v; 2" X 8" ACO FJ 16"OC .T M
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11 k1l , PROVIDE JU526 USP-CONNECTORm III
- PROVIDE RT7 USP CONNECTOR0 IT
2' X 10" LEDGER BOLTED TO EXISTING
�22�
2-2" X 10" ACQ GIRDER BOLTED TO 4'" � � HOUSE W/ 112" CARRIAGE BOLTS Q :�'b"OC
I
POST W1 12" CARRAIGE BOLTS "
. I' v
3
I �-
4" X 4" ACO POST
00
PROVIDE PAU44 U5P CONNECTOR
8" SONOTUBE
25.5" BIG FOOT
MIN OF 3' FROM
GRADE / ;,;4 _
SECTION A- A
SCALE : 3/8" = P-011 "�`�
WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS
USE THE FOLLOWING OR APPROVED USP METAL CONNECTORS FOR PROPER WIND RESISTANT CONSTRUCTION. FOLLOW MANUFACTURE'S RECOMMENDED INSTALLATION INSTRUCTIONS TO. ACHIEVE MAXIMUM UPLIFT LOAD CAPACITY. ( 1 I f
,y}
11 VOM.MAXIMUM
I
0 DIX* - _ POST
GIRDERMEMER �� I
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POSTMALUMN tYx12k1Y - II'
CONCRETE FOOTING ex4+T • i `I
C"MUN
DECK POST FTG CONNECTION
DECK/PORCH RAILING LouroN USPNUM E D N
POST-TO-GIROERIHEADEICO_N,NECTION +X4 POST PAUbGRWEN PoSl"l ANCHO OF I'
STAIR RAILING BXB P09T PA fib R S re I
USE MW.(2)17 CIA,GALV.BMTSWITH WASHERSAND NUB
i4WSPACE
MINIMUM ,
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HANDRAILS GIRD
POST- GIRDER/HEADER it
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CONCRETE PIE W
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BALUSTERS RIMVDECKJOIST POST/COLUMN "
OPEN BALUSTER ATTACHED TO WALL
HANDRAIL CONNECTION
ALL HANDRAILS SHALL BE CONTINUOUS THE FULL LENGTH POST-TO-DECK CONNECTION HE,ADERIGIRDPR-TO-POST CONNECTION
OF THE STAIRS, HANDGRIP PORTION OF ALL HANDRAILS LOCATION USPNUMBER DEC I T� TgN 0 N
SHALL NOT BE LES THAN 1-1 W NOR MORE THAN 2'IN USE MIN 12)In'DIA.GA-V.BOLTS WITH WASHERS AND NUB 2)GENAS PAL"O POST .--"u.- ^.y'.'.LY TO a
CROSS SECTIONAL DIMENSION,OR THE SHAPE SHALL C)
PROVIDE AN EQUIVALENT GRIPPING SURFACE GIRDER/HEADER TO POST/COLUMN CONNECTION Is) EA s P OR WE66 POST/ EA A H A YTO Z
FLASHING TUCKED UNDER th
CE OF SIDING AND OD
OVER FIRST COMM.
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LAY PLASTIC BASE ON COMPACTED GRAVEL
LEVEL BASE
FR CONSTRUCTION TUBE AND FETING
BRACE LUBE w `
FlLL A9 PER MANUFACTURES'INSTRUCTIONS �(In.I
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WOODJOIST U
WOOD JOIST JOIST BLOCKING CONC. PIER FOOTING CD
2
BIGFOOT SYSTEMS FOOTING FORM
GIRDEWHEADER ICOMPLLI E WITH THE IRDANCEINBNT OF THE CODE AND THE MATERIAL OFFERED ISSECTION INJ I OF N.Y.S.RESIDENTIAL CODE THIS�SIGN O
WOOD JOIST GIRDERMEAOER WOOD GIRDER AT=EAST THE EQUIVALENT IN DURABILITY AND EFFECTIVENESS OF THAT
PRESCRIBED IN THE CODE LL-
THE DIVISION OFCODE ENFORCEMENT AND ADMINISTRATIONS FINDS THIS PRODUCT _l a
ACCEPTABLE FOR USE IN N.Y.S BASED UPON MO EVALUATION SERVICE REPORT Z
FLUSH JOISTS WITHHEADER/GIRDER SPLICED JOISTS MRHEADER/GIRDER ER-5AB5AND SUBJECT TOTHE CONDITIONS THEREIN. /�'I UJ
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ALL JOISTS CONNECTED TO A RUSH HEADER TO BE SUPPORTED WITH SPLICED JOISTS OVER HEADER/GIRDER PROVIDE BLOCKING BETWEEN JOISTS TWIT ARE SPICED AND }+{
THE PROPER STEEL CONNECTOR USEWITH RTIBTYDOWNAHCHORS
IF ABLE,SET FIR JOISTS APROX.IM'HIGHER THAN LVL HEAVERS LOCATION SP NUMB DESCRIPTION IIP ICA ON
To ALLOW FOR SHRINKAGE. JOISTTO GIROERM ER T10 N ANCHOR CONNE TO EA N IST ^1 Y
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DECK& PORCH NOTES: NAILING SCHEDULE _
t) Unless pNemi ontl all hsminp mebdelip he Ht ACO Pnpun Vaaletll mem. P �L ACL NOTE
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JOIST TO. 4 Atl COMMON PER TOE
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Inlo wnnrMe MNa Mnimum 1/2'tlnx Tlmp andbr EoltxM wuheleaM nun. 70 JOLT _ END _ _NAIL
CLIMATIC & GEOGRAPHIC DESIGN CRITERIA s mcoM
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f{fu {1 - -
Vasa ennln 11Y d4xr aW aWAnbMaiN sill and npn.Foubps SlWl I LOAD (MPHI CATEGORY DEEB TEMP. REOFARE HA2AR0S TOJDIST 1�C0MMO END _ TOE
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-IM COMMON
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JOIST ONLEOGER PBgJ
TOE
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