HomeMy WebLinkAbout33068-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32954 Date: 03/31/08
THIS CERTIFIES that the building PORCH ADDITION
Location of Property: 350 BLUE
(HOUSE NO.)
County Tax Map No. 473889 Section 57
MARLIN DR
(STREET)
Block 1
GREENPORT
(HAMLET)
Lot 25
Subdivision
Filed MaP No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 30, 2007 pursuant to which
Building Permit No. 33068-Z
dated
JUNE 4, 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 SCREENED IN PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to GERTRUDE MCLEAN
(OWNER)
of the aforesaid building.
N/A
SUFFOLK COUorr1" DEPAR'l'MBIIIT OF HEALTH APPROVAL
02/08/08
ELECTRICAL CERTIFICATE NO.
3057315
N/A
PLUMBERS CERTIFICATION DATED
ized Signature
Rev. 1/81
~
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
1 !
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This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
APPLICATION FOR CERTIFICATE OF OCCUPANCY
i
.ii. ,~,~28~oo!
L..
A. For new building or new use:
I. 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 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 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
L 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
Location of Property: -..:3.50
House No.
Owner or Owners of Property: 6er+...UJd.e.. M C- ~ Y)
(Js-7
Date. .J -.(J P -O,j
,/
,.
,
New Construction:
a'( I; ,:;]>r
Street
amlet
Suffolk County Tar: Map No 1000, Section
.
-So u. -f1;Jc / <I ~ S/1.wes
Block
000/
,
Lot 0 J..5'"
Subdivision
Permit No.
Date cif Permit.
Filed Map.
Applicant:
Lot:
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
1 r~u
Fee Submitted: $ ~ 5 "
Underwriters Approval:
Final Certificate: ../
( check one)
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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)
4, 2007
PERMIT NO.
33068 Z
Date JUNE
Permission is hereby granted to:
GERTRUDE MCLEAN
350 BLUE MARLIN DR
SOUTHOLD,NY 11971
for :
CONSTRUCT A SCREENED IN PORCH ADDITION TO AN EXISTING SINGLE
FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP # 21434
at premises located at
350 BLUE MARLIN DR
GREEN PORT
County Tax Map No. 473889 Section 057
Block 0001
Lot No. 025
pursuant to application dated MAY 30, 2007 and approved by the
Building Inspector to expire on DECEMBER 4, 2008.
Fee $
75.00
ORIGINAL
Rev. 5/8/02
v
TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET35o, VILLAGE DIST. SUB. v""LOT
/ "i'-'1 /'
( J' A' .A ,I, 'I'" A
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E ((TKu De C. VA "IS
FORMER OWNER
'4 f'DL re /:'$ . ANa
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RES. j 10
LAND
/00
3/{)(j
3/tJo
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'3 (00
NEW
FARM
Tillable
Tillable 2
Tillable 3
I Woodland
Swampland
Brushland
,House Plot
..... --'
TotaL.- _
SEAS.
VL
IMP.
TOTAL
1--000 /00
:2. 'SaD .5700
'I9'C() Of)
.6 0 DO d"/ (J 0
57()D S800
NORMAL BELOW
Acre Value Per
Acre
rv /U-t .,
Iv ~ N...... /1: D '.-lie.
N
ACR.
,530
TYPE OF BUILDING
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S
W
FARM
COMM. CB. MISe. / Mkt. Value
REMARKS
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/} ,", (I - ) ; -. i
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. Ras./f '" ~N' fa G.C.lJAvIS P SI("
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ABOVE
Value
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
I
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.....
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M, Bldg, ~ S "T.Y: J 5. :(0 39)'3 ~dotion IPI\'I'-~ j (',4>;;,,'; Bath -J.. Di nette
'33J122 =-'1.:t.-1,
Extension ~'v..cA.-! r2-....rt /~~u-~_ / 3. t'O )971 ~sement -pu[{ Floors ()",K K,
'''33' 4'9
Extension / /~~/ / A ~-'O 531 ~Wolls Il/hf-I'c.'-J.a',:, Interior Finish JJ.. fo]ft" , LR.
// .. /"'" ' / " -r' , , eel 0"',-1:
Extension Fire Place ()II e I V R,R. HdlJ,.f. DR.
Heat
- r ype Roof D-d. ~I~ Rooms 1 st F loar BR.
Parch Recreation Roam Roams 2nd Floar FIN. B.
Parch Dormer
Breezeway Driveway
GoroM 22- "26"" ~ 6'0) !:() e2~
\ ..'
Patio''''--'' )cj"jfr-- 1--24 )5"'" ,n; ,
..,9,;,.s.- I q 2- If' x/S..C - ",/,11 / /~ ~-
-
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Total
.... 7'./ ill .a V
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I Located at
~ Application Number:
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~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
~ herein, was conducted in accordance with the requirements of the applicable code and/or standard
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
~ authority having jurisdiction, and found to be in compliance therewith on the 8th Day of February, 2008.
~ Name OTY Rate Ratin. Circuit ~
~ Miscellaneous
~ certificate for service and
~ existing recepticle in porch
~ Wiring and Devices
~ Receptacle
~ Switch
~ Service
~ I Phase 3W Service Rating 200 Amperes
~ Service Disconnect:
~ Meters: I
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BY THIS CERTIFICATE OF COMPLIANCE THE 5'4 - /- 2';- ~
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NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
GLEN'S ELECTRIC OF L.I. INC
PO BOX 1304
JAMES PORT, NY 11947,
SHIRLEY McCLEAN
350 BLUE MARLIN DR.
SOUTHOLD, NY 11971
350 BLUE MARLIN DR. SOUTHOLD, NY 11971
3057315
Certificate Number:
3057315
Section: Block: Lot: Building Permit: BDC: n511
Described as a occupancy, wherein the prem~s ~Pct~~ system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, Outside, Porch/Deck,
o
o
General Purpose
General Purpose
200
cb
seal
I of I
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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Fbu.owtNi'i ~IIONS!
1. FOuNDATION . TWO REQUIRED
FOR POURED CONCRETE .
2. ROUGH. FRAMING.. PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
. BE COMPLETe FOR
ALL CON 'OF THE .. v
THE REOUIfl · .. . ..AGV
STATE or JlESPQN$8LE FOI'l
"OR~ERRORS
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F SOUTHOLD
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UIJ R 2 6 1993
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.---'-oCCOPANCy'OR L.. ,- . --~~-"
USE IS UNu\\VFUL
WITHOUT CERTIFICATE ~~,,';t.o;::~ ~Fe~t.~f.
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INSPE
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] I~LATION
[ trFlNAL
[ ] FIRE SAFETY INSPECTION
[ ] RAE RESISTANT PENETRAnON
-
DATE
INSPECTOR /
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785-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ J FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING ~
.
.
REMARKS:
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DATE /213l7'>
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765.1802
BUILDING DEPI'.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ J FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
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REMARKS:
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DATEJi /99
INSPECTO
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ J ~NDATION 2ND [ ] INSULATION
[~ FRAMING [ ] FINAL
DATE
INSPECTOR
.~
765-1802
BUILDING DEPI'.
INSPECTION
[~NDATlON 1ST [ ] ROUGH PLBG.
[ J FOUNDATION 2ND [ ] INSULATION
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[ ] FRAMING
REMARKS:
[ ] FINAL
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FOUNDATION (1st)
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FOUNDATION (2nd)
ROUGH FRAME &
3.
PLUMBING
INSULATION PER N. Y.
4.
STATE ENERGY
CODE
FINAL
HlJATE II
COMMENTS
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[,n!)' I FORM NO. 1
l.il: : APR 26.. . N OF SOUTHOLD
, . ING DEPARTMENT
'-'^~;;lBGDm TOWN HALL
TOWNOFSOUrHOlOSOU HOLD, N.Y. 11971
. -- , EL.: 765-1802
. 6'/17)5 .
ExamIned '1~' . . .. . . . . .., 19 7!;3 ..L'
Approved. . ij~......., 19"t?Pennit No.?/s,{.3..'l! ?
BoA~D Of HEALTH .........
J SETS Of PL~NS ..........
SURVEY....._...............
CHeCK ...... _ .. . . . . . . . . " .
SEPTIC FOR~1 _.............
~:(}~~~~:..: }~?:-:. ~.7 P..
HAIL TO:
. ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... .
Disapproved alc
... ... ... ... ... ... - ... ... ... ... ... ... ... ... ... ... ... ... .
.............. ,. ... ..,. ..... ..........
..~:>9~~
ding ~~tor) .
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date .....~.~, 197}
a. Tills application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
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 giving a detailed' description of layout of property must be drawn on the diagram which is part of this appli.
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 Pennit to the applicant, Such 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 whatever until a Certificate of Occupancy
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 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 ins ~t.i~~~.. ~ . .. . .~. . . . . . . ... . . . . . .
1 nature ~ant, or nam~, if a corporation)
. ...~p.. (M;ili';;;ddbti!f~j
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
...........:.... ~ev.YJ.~'!.'...................... _........................................ ........
. Gerfrw:k. :J)a...V" S
Name of owner of premIses ...........................................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly aut~orized officer.
. . . . . . . . (N~~~ ~~d iiti; ~f ~~;;~r~i~ ~ffi~~;)' . . . . . . a A4 ' ~~ A" N r:r . d...l.. Z (/?tor/!
Builder's License No. <=R.q~.7. il. .--:f-. . . . r' ~ -""",. r--- -7 ~r~v/ (/
Plumber's License No. ..... . . .. ..........
Electrician's License No. ......................
)
Other Trade's License No. ..................... . .
L ~~':~'~~., 1i::t'r;;;ii;': ~$7........ t ~........ .f!j.: 1fJff....
House Num ber . . Street Hamlet
County Tax Map No. 1000 Section . .~7 . . . . . . . . . .. Block..... .l. . '. . . .. . . .. Lot...~ C. . . . . . . .. "
Subdivision .So.u.1hq/i. 9JO.~$............ Filed Map No. .............. Lot. .1...........
(Name)
Stale existing use and occupancy oxremises and intended use and occu~ancy of proposed construction:
a. Existing use and occupancy .. (~~i ~Y! ~~ . ~ . /.~'f?J. ! . ~ . 0.0. ~ ~ ~ . . . . . '. . . . . . . . . . . . . . . .
b. Intended use and Occupancy . ~ ~~~>:~:. .'.~. . . .~. . .~? . P.f. .b.~:,! t l? Xl tc? . 6. q ~ ~
3. Nature of work (check which applicable): New Building,.:........ Addition . .'.~... Alteration ...........
Repair .............. Removal. '" ... ..... .. Demolition ... a~' 5lCl~. Other Work... . . . . " . .. . "
3 'cP " , .. . . (Description)
4. Estimated Cost 0 . . .4p. 9. . :-: . :. . 0 . . . . 0 . . . . . . . . . . . 0 . . . . Fee. . . . 0 0 . . 0 . . . . o. . . . . . . . . . . . . 0 , 0 , , . . . . . .
(to be paid on filing this application)
5. If dwelling, number of dwelling units 00.. . . . . .. . . 0 o. Number of dwclling units on each fioor. " " . '" . . . . .. .
. If garage, number of cars .............. 0 . . . 0 . . . . 0 . 0 . . . . . . 0 . . . . . 0 . . . 0 . 0 . 0 . . . . . . . . . . . . . . . . . . . . . ; . . .
6. If business, commercial or mi;'(ed occupancy, specify nature and extent of each type of use. . . . . . . . . . . . . . 0 ". . . . .
7. Dimensions of existing structures, if any: Front.. .. ..0. . 0 . .. . . . Rear. ... . . .. , . . . . 0 Depth...............
Height ............. 0 . Number of Stories. . . 0 0 . . 0 . . 0 0 . . . . . 0 . . . . . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of same structure with alterations or additions: Front .... 0 . . . . . . . . . . . 0 Rear..................
Depth....:........ 0.......0 Height.... 0" o. ............ .'. . Number of Stories ........... .'.. .'........
8. Dimensions of entire new construction: Front. . . . . . . . . . . . . . 0 Rear. . . . . . . . . . . . . . 0 Depth ...............
Height ......... 0 . . . . . Number of Stories. 0 . . 0 0 . . . . 0 . . 0 0 . . . 0 . . . . . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . .
9. SIze of lot: Front. 0 . 0 . .. .. ',' . .. .. .. . :.. Rear...... 0 . . .. . .. . .. .. . " Depth ......................
10. Date of Purchase ................... .'. ..... . 0 . Name of Former Owner .................... ..... .. ....
II. Zone or use district in which premises are situated. . . . . . . . 0 . . 0 . . . . . . . . . . . . . .. . . . . . . . . 0 . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: ................ 0 . . . . . . . . . . . . . . . .
13. Will lot be regraded . 0 . . . . . : 0 . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No
14. Name of Owner of premises. . . . . . . . . . 0 . . . . .. . . . Address. . " . . . . . , . . . . . . . . . Phone No. ... . . . . . . . . .. . .
Name of Architect ........................... Address 0 . . . . . . . . . . . . . . . . . . Phone No. ..... . . . . . . ~ . . .
Name of Contractor .......................... Add,ess ................... Phone No. ................
15. Is this property within 300 feet of a tidal wetland? *Yes........ No.........
*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
prop~rty lines. Give street and block number or description according to deed, and show street names and indicate wheth,-
mtenor or comer lot. '. .
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;TA TE OF NE\~ORK, So::;
OUNTY OF .. . .'If(P-JJ .. o. ')JJc.~
.... 0" 0 o~'N;;'~~~~~i;aOcOt)'" 0" o. 0 0
bove named.
being duly sworn, deposes and says that he is the applicant
, , OCO>1e, . . ,
e IS the 0" 0.... 0..0... o. 0 .. 0 ....... 0... 0........ O. 0..0.. 0 0 0.......... ...........................
(Contractor, agent, corporate officer, ctc.)
f said owner or owners, and is duly authorized to perform or havc performed the said work and to make and file this
1plication; that all statements contained in this application are true to the best of his knowledge and bclief; and that the
ork will be performed in the manner sct forth in the application filcd therewith.
":~~:.~~:~~'Ui~ . .H~HHs~<<:23
'''"Poblk. .HH. . H CO""~~!!:'~H
(Signature of applicant)
.~
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AR. SHA MOMAQUE
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TQ\NN OF SQ'J'T'HCLP I NY.
house bu.-i It- t\ /
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NOTES:
I. LOT NO'S. REFER TO. MAP OF SO',)THOL D
SHOQES", F,I leD I N _'!"4-E50'="f.<::.q-c:~~~
OFFICE lIS MA..P t-JO.~S3.
2. SUFF. a:;. T/>VI. MAP DATA' 1000 -OS7-! - 25
3. COt-lTOURStEL EVA TraNS- SHo0t--l R'BiE 12
10 MEAN SEA LEVE,L. N,(;.v. D.
I,
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1'1CLEA,N
~_nor_
.. thIo _Is a violation 01
_720801 the NewYlllk_
CAoo ---- Law.
CqllIo 01 "'..urvey _IlOl-'
.. _ ourvey..... Inked.... '"
'-1 n II t seal thall not be ccx .. ."
......---.
........1ndIcated hereon shaD nm
only to the person for whom th9 survey
II prepared, an\! on his behalf to the
ale compar.y, go'/emf"Bntal agerq''''
IIndiIg instiliJticr. ,~sted hereon and
ID'" usignee~ 01 (he lending ..
'*"" Ouarar;tSGS are not b......
ID mcIdanalinslilUliQns or - . . --
-
AS '5URVE:f_ED MAY lB, 1993
RODEQ\CI( VAN ,T\~YL~f..
V ___ 7=--- ('f
,.2. -~
GReE~PORT "-Iv.
,
ue. LAN~:;URVEYORS
- ,---_.~._--- -- "-'-~"-------'--'-'---'--"-'-"'--