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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 12/13/07
110: Z-32785
THIS CBRTIFIBS that the building ADDITION
Location of Property: 1765
(HOUSE NO.)
County Tax Map 110. 473889 Section 107
WESTVIEW DR
(STREET)
Block 7
MATTITUCK
(HAMLET)
Lot 7
SUbdivision
Filed Map 110.
Lot 110.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
OCTOBER 24, 2007 pursuant to which
Building Permit 110. 33511-Z dated NOVEMBER 2, 2007
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 "AS BUILT" DECK ADDTION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
'!'be certificate is issued to ERNEST A & ANN R GAEBEL
(OWNER)
of the aforesaid building.
8lJFFOLJ[ UlUlll"n DKPAR'l'MBI!IT OF mmL'l'II APPROVAL
N/A
BLBC'l'lUCAL CBRT:IFlCATB RO.
N/A
PLUIIIlBRB CBRT:IFICATICIII DATED
N/A
~~,
thorized Signature
Rev. 1/81
\ f
N\!"\ \ ~
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Form No.6
~~\;. /,' TOWN OF SOUTHOLD
. ~.-~.-'--('~_\I. /~ \ \Ei \;,) \ BUILD~O;:~TMENT
\r7' " V
. I) \ \ \l ~ \ 765-1802
. ~~ \)t.\' ___
'J \..,-~,~ ::~j)\ ~ ICATION FOR CERTIFICATE OF OCCUPANCY
Thi~~t be filled in by typewriter or ink and submitted to the Building Department ~ith the following:
A. For new buDding or new use:
1. Final survey of prop~y 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 I % 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 Planuing Board Approval of completed site plan requirements.
.
"
B. For existing buDdings (prior to AprU 9, 1957) non-conforming use$, or buDdlngs and "pre-existlng" land uses:
1. Accurate survey of property showinll all property lines, streets, building and UJ11lsual natural or topographic
features.
-2. A properly' completed application and consent to inspect signed by the applicaiit.ij'.a Certificate of Occupancy is
denied, the BuDding Inspector shall state the reasons therefor in writing to the~pjlliel!llt.
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 buiI~g.$25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing BuDding - $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. I,). //0/67,
vi::Gk;
New Construction: Old or Pre-existing BuDding:
Location of Property: /7 t S- \.V 6 S (V \ ar ...,
House No. Street
-
Owner or Owners of Property: 'PI M N= .... a I- N..... L
Suffolk County Tax Map No 1000, Section. / If> 7
/
t> Po.
( check one)
h~~~-"'''-
HsmIet
Co ~ eo c..I= L.
Block 7
Lot 7
Permit No. 3-:SS'U ~ Date of Permit.
Health Dept. Approval: N/A-
Planuing Board Approval: N /4
Request for: Temporary Certificate
Fee Submitted: $ ;:J. s: () "
~ ~3~'l~S'
f?ec/735/1
Filed Map. Lot:
. -
AppliCant: ~ t-<.t..te ... ~"~E""7 Go "" Ei l..EL.
Underwriters Approval: "'/.4
Subdivision
-
Final Certificate: ~ (check one)
Applicant Signature
_''-''C'~_':'~ ",""",'';'j",._'''-..~_,~~_
"
/
~ Y~?c:SC&
PROFESSIONAL ENGINEER
1725 HOBART ROAD I PO Box 616 SOUTHOLD, NEW YORK 11971
TEL: 631.765.2954' FAX: 631.614.3516 . e-mail:joseph@fischetti.com
Date: November 26, 2007
Reference: BP #335112
Southold Building Dept
PO Box 1179
Southold, NY 11971
Dear Sir,
This deck was built prior to the 2003 New York State Building Code. I certify that the
current deck has been built in accordance with those codes and is adequate to support the
anticipated loads.
{D)~ ~.DWffGl
UlJ NOVer 2007 l~
ELL--'~-CEm. J
T Wt~ F SCU'THOlD
Gac:beI=1ilic:otim.<1K
BOARD CERTIFIED STRUCTURAL ENGINEER
/
The locallons of wells and cesspools
shown hereon ore from field observa/lons
and or {rom data obtained (rom others.
SCDHS Ref.# RfO-94-1/2
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ANY AL 1Il'M TXW Otf MJlIITKlN TO 1HS "'-"V&Y 1$ A
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AS I'EIf SECTXW ~ L ALl .
WHtIIIEwf1J'tfIs~~~L OF ..
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APD!TJONAU Y TO CQIft. Y fIlTH 8M) lAW THEM"~ rr
ItiAT . UIEP IIY ANY AND All .tt.f'~ .
OF ANOna ~ 1rW". 71'lIlIIIS SUCH AS , AND
"III'IOiJIHT- To-oA Tr ARE NOT IN COtr/f't.JMitE r1fTH ..'.
TEST BORING
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/ /IIfI ",., ... /he STAIDARDS FOR ~AL
AM) CONSTRUCTION OF SU3SURFACE SE'fME:
OISPOSAI.. SYSTEJIS FOR SNGLE F AMI. Y fl/S!llJENCES
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SURVEY OF
PROPERTY
AT MA TTlTUCK
~_ TOWN OF SOUTHOLl)
,-- SUFFOLK COUNTY, N. r:
o 1000- 707- 07- 07
"" Scale: 1"= 30'
Oct 26, 1994
June 6, 1995 (foundation)
July 18,1996 (finale
~
CERTIFIED TO'
ANN GABEL
ER~ST GABEL
\ ('t-rco- C'
.....e'.
"""I.#~...,' 4'"'' /'ls
I)~ViJ'.~. +1/) 1'$
a..ddJf/617.J 2/t..j/9s
aotd.l flt>"', 12/lfJ/'4-
add,i11Y15 12/13/'4-
KEY ItIAP /0/29/94 "__.'''''''
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[ AUG 26/996 I'
BLDG. DEPT
TOWN OF SOUTHOLD
8
,j,sj,s
NO. 49618
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PECONIC
(5t6) 765
P. O. BOX
MAIN ROAD
SOUTHOLD,
N. Y. 1/9n
94 -338
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.
33511 Z
Date NOVEMBER
2, 2007
permission is hereby granted to:
ERNEST A & WF GAEBEL
1765 WESTVIEW DR
MATTITUCK,NY 11952
for :
AS BUILT DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR PER TRUSTEE APPROVAL
at premises located at
1765 WESTVIEW DR
MATTITUCK
County Tax Map No. 473889 Section 107
Block 0007
Lot No. 007
pursuant to application dated OCTOBER
24, 2007 and approved by the
Fee $
600.00
n.zed Signature
Building Inspector to expire on MAY
ORIGINAL
Rev. 5/8/02
33511 Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
0: FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
~~
DATE / / -I f - 0 7
INSPECTOR ~~
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COMMENTS . ~'C
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FIELD INSPECTION REPORT DATE I
. . .
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
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ADDITIONAL COMMENTS
53
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James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Gbosio, Jr.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
August 10,2007
Mr. & Mrs. Ernest Gaebel
1765 Westview Drive
Mattituck, NY 11952
RE: 1765 WESTVIEW DRIVE
SCTM# 107-7-7
Dear Mr. & Mrs. Gaebel:
The Southold Town Board of Trustees reviewed the survey prepared by Peconic
Surveyors, last dated April 27, 1995 and received on August 7,2007, and determined
the proposed work of raising the roof to add a walk-in closet to the northern side of the
front of the dwelling to be out of the Wetland jurisdiction under Chapter 275 of the Town
Wetland Code and Chapter 111 of the Town Code.
Therefore, in accordance with the current Wetlands Code (Chapter 275) and the
Coastal Erosion Hazard Area (Chapter 111) no permit is required. Please be advised,
however, that no construction, sedimentation, or disturbance of any kind may take place
seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of
the coastal erosion hazard area as indicated above, or within 100' landward from the
top of the bluff, without further authorization from the Southold Town Board of Trustees
pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility
to ensure that all necessary precautions are taken to prevent any sedimentation or other
alteration or disturbance to the ground surface or vegetation within Tidal Wetlands
jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such
precautions may include maintaining adequate work area between the tidal wetland
jurisdictional boundary and the coastal erosion hazard area and your project or erecting
a temporary fence, barrier, or hay bale berm.
This determination is not a determination from any other agency.
2
If you have any further questions, please do not hesitate to call.
Sincerely,
Ja1::o,::i:
Board of Trustees
JFK:eac
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.netlSouthoIdI PERMIT NO. 3~ (~
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail 10:
Examined
Approved
Disapproved alc
I' I t,20-4-
I / 20 r
f '-
Expiration
,20_
Phone:
APPLICATION FOR BUILDING PERMIT
Date / ~ /.2";
,2007
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 oflot 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 ifthe 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 zouing 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 South old, 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.
L..... nJ ~. ~oo~~
(Signature of applicant or name, if a corporation)
17/,!)'u"E",-"vI1$1V l:>R_
)-11:>'1"(""",,""- N'I,
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
C7 w t-l.G>..a..
--.^ - L...
Name of owner of premises ~... ""l.C: ~, J.- 1:>, t-t.l-oL C, A. Ill' E /..,..
(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.
I. Location of land on which proposed work will be done:
/74-6
House Number Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
LDJ
Block 7
Filed Map No.
~t' 7
"""".;).",' l.Qt
(Name)
,
:;:'~
.r"~ ' , ,.,. I ,'.
,;;:rr.:,')
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy of R i: _ E:. i t ~( ~ N ~ 1> G. v?:::. I
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
Alteration
(Description)
4. Estimated Cost
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Depth
Rear
.
9. Size oflol: Front
Rear
Depth
.
10. Date of Purchase
Name of Former Owner
II. 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 ~ill excess fill be removed from premises? YES_NO_
,J;f _'" ",,,= ~~"''4;> A.
14. Names of Owner ofpremises~JlI.e:.j>A~....C. ~~dress 17?~ V'er~.....o;~ Phone No. ,;;zqK-S"'fll? I
Name of Architect Address Phone No
Name of Contractor Address 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_NO_
* 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)
COUNTYOF~S:
"i: R. ... ~ ~ c.. ~ ~ aE!: L-. being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
Ou.--,....g.:/L
(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 contained in this application are true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sw= '" bjfure = ""p
;~Of ~' ~.
Notary Public
20t77
"'7".. ,..,.X' ~ . C::;M~
Signature of Applicant
DeIoNe L UIo
NoIary PubIc
...01..... York. 8utII* CaunIr
No. 4841022
ea..........l...M.lIt,.< ec,f'
Town
of Southold
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
PROPERTY LOCATION: S.C.T.M. #:
In/) 107 07 07
Di&iriCt S8CiiOi1 BiOCk" LOt""
THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN
CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK.
----------------------------------------------------
"em Number: (NOTE: A Check Mark ( <I) for each Question is Required for a Complele Application)
Yes
l:!!!
- -1- - - - - ;;II~: ~;:~:a: ~ ~O:,:.:e~R~n:;G~n~ra:d~y~ ~w~(;) :c~ R~I:I~~:?- - - - - - - -7 R
(This item will Include all run~off created by site clearing and/or construction activities as well as all Site - l.=J
Improvements and the pennanent creation of Impervious 5ulfaces.) / .
Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & location? n
This Item shall Include all Proposed Grade Changes and Slopes Controlling Surface WalerFlowl - l.=J
6]1/
6]./
[J
[J
6]
[J
[J
2
3
Will this. Project Require any Land Filling, Grading or Excavation where there is a change to the Natural
Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel?
4
Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of
Five Thousand (5.000) Square Feet of Ground Surface?
5
,/
Is there a Natural Water Course Running through the Site?
Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach?
6
Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to
One Hundred (100') of Horizontal Distance?
./
7
Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Stonn.Water Run-Off
into and/or in the direction of a Town right-of-way?
,/
8
./
Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of
any Item Within the Town Right-of-Way or Road Shoulder Area?
(This Item wlll NOT include the Installation of Driveway Aprons.)
./
9
Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse?
NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark In the Box, a Storm.Water. Grading,
Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit!
-------------------------------.---------------------
EXEMPTION:
Yes
No
Does this project meet the minimum standards for classification as an Agricultural Project?
Note: If You Answered Yes to this Question, 8 Storm.Water, Grading, Drainage & Erosion Control Plan is NOT Requlredl
L
----------------------------------------------------
STATE OF NEW YORK,
COUNTY OF ........................................... SS
That!, .J."t~!y1.t;!.t;,...:;....L..l.s.g.....J..&............. being dull' swom, de'poses and says dIat helshe is the applicant for Pennit,
(Name of individual signing Document)
.....~.~.~~.~..~.~.~........................................................................................................................
(Owner. Contractor. Agent, Corporate Officer. elc.)
And that helshe is dle
Owner and/or representative of the Owner of Owner's, and is duly authorized to perform or have performed the said work and to
make and file this application; that all statements contained in dus application are Ime to the best of his knowle~and belief; and
that the work will be performed in d,e manner set fordl in the application filed herewith. 8/il\8/iM /illlll\~~.w '1orlt
Sworn to be"~r me this; 110"1'/ pu~\ie, Sris~ag5
,.,.4 '\' coun~
&0 t.,. '., S.I.o .' \4
Qua>- .... III
............. ............... ............ day of .... CommllSiOO E IIUIi\I
Notary Public: ....................................................
FORM - 06/07
........-.
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OWNER
FORMER OWNER
IMP.
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.
00 ....... 0300
00 'too
AGE
NEW
FARM
NORMAL
Acre
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
Brushland
i Hause Plat
Tatal
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.
TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET 6 !5 VILLAGE DIST. SUB.
I if Des
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LOT
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TYPE OF BUILDING
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FARM
COMMo. CB. MISe. Mkt. Value
DATE
REMARKS
BELOW
ABOVE
Value Per
Acre
Value
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
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M;I Bldg. 35,<30," /0 S-D 0.00 (P300 Foundotion PL Bath Dinette
~'~'l:- )' IZ~ (,,0 > -
Extenslan ~': '". :-"'.. /20 i.. 00 '12-0 Basement ful/ Floors ,,I,,, /J<'0 K.
~~ } . Ext. Walls (1e.<<.r. I"J>A/l- Interior Finish LR.
ExtensIon 13,,<12- .::: / 5/~ 3.5"0 5-4'6
Extension Fire Place lies Heat 0,'/ DR.
Type Roof Rooms 1 st Floor BR.
Porch ;z" 30'" ",0 .> I' 2.- 5L. Recreation Room Rooms 2nd Floor FIN. B
... '1"13 =- 52- I~O
~..~ 571,0, SQ\
~~n 14~.z-;:: 308' Dormer
Breezeway '#1'/7= ",a )
~"'''~_''..7;zS- 13)"/ f"o (, '7 () Driveway
Garage -..... ....,.\2; 7""11
Patio -- 16,12-7... .:: 352 I. itS- '1'10'
~ A(c.. ""par zoo
Total >93~ t;7
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