HomeMy WebLinkAbout38461-ZCERTIFICATE OF OCCUPANCY
No: 37582 Date:
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 1255 Kayleighs Ct, East Marion
5/29/2015
5/29/2015
SCTM #: 473889 Sec/Block/Lot: 22.-3-5.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/17/2013 pursuant to which Building Permit No. 38461 dated 10/29/2013
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" BASEMENT ALTERATION (NON -HABITABLE) TO AN EXISTING ONE -FAMILY DWELLING
AS APPLIED FOR
The certificate is issued to Chimney, Edward & Gould, Elaine
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
38461 11-14-2013
All
t rize Signa ure
Town of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 37582 Date:
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 1255 Kayleighs Ct, East Marion
5/29/2015
5/29/2015
SCTM #: 473889 Sec/Block/Lot: 22.-3-5.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/17/2013 pursuant to which Building Permit No. 38461 dated 10/29/2013
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" BASEMENT ALTERATION (NON -HABITABLE) TO AN EXISTING ONE -FAMILY DWELLING
AS APPLIED FOR
The certificate is issued to Chimney, Edward & Gould, Elaine
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
38461 11-14-2013
All
t rize Signa ure
`zrz07" TOWN OF SOUTHOLD
`SUfFot#�' BUILDING DEPARTMENT
y x TOWN CLERKS OFFICE
o • SOUTHOLD NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 38461 Date: 10/29/2013
Permission is hereby granted to:
Paulik, Marie
1255 Kayleighs Ct
East Marion. NY 11939
To: "As built" basement alteration (non -habitable) as applied for.
At premises located at:
1255 Kayleighs Ct, East Marion
SCTM # 473889
Sec/Block/Lot # 22.-3-5.3
Pursuant to application dated
To expire on 4/30/2015.
Fees
10/17/2013
and approved by the Building Inspector.
AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $1,169.60
CO - ALTERATION TO DWELLING $50.00
1: $1,219.60
Building Inspector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
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 l % lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance fiom_"architect or engineer responsible for the building.
6. Submit' Planning Board Approval_ofcompleted site plan requirements.
I3. For existing build ings`(prior`-io-'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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory. building $50.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $106.00
3. Copy c f Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
.5. Temporary Certificate of. Occupancy - Residential $15.00, Commercial $15.00
Date.
New Construction: / Old or Pre-existing Building: (check one)
Location of Property: ��7 L6 / C-d0�L
House No. _1� T ��J� � T� V1,treet Hamlet
Owner or Owners of Property: abA e?/J,1k `/o ' (�l
J
'Suffolk County Tax Map No 1000, 'Section 0 yZ ' `::Block 03 Lot.
` Subdivision:.1~iled Map. Lot:
t
Permit No. '7 (�. Date of Permit._ XQ -4 d f Applicant: 1 6
Health Dept. Approval: Underwriters Approval:
Planning Board -Approval: .
Request for: Temporary Cerfifcate Final Certificate. (check one)
Cz
Fee Submitted:
Appl t Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephone (631) 765-1802
Fax(631)765-9502
roger. riche rt(aD-town.southoId. ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Paulik
Address: 1255 Kayleighs Court City: East Marion St: NY Zip: 11939
Building Permit#: 38461 Section: 22 Block: 3 Lot: 5.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
Residential
Commerical
New
Addition
Service 1 ph
Service 3 ph
Main Panel
Sub Panel
Transformer
Disconnect
Other Equipment:
SITE DETAILS
Office Use Only
X Indoor X Basement
Outdoor 1st Floor
Renovation 2nd Floor
Survey X Attic
Heat
Hot Water
A/C Condenser
A/C Blower
Appliances
Switches
Duplec Recpt
GFCI Recpt
Single Recpt
Range Recpt
Dryer Recpt
6 Twist Lock
X Service Only
Pool
Hot Tub
Garage
11 Ceiling Fixtures
Wall Fixtures
Recessed Fixtures 10
Fluorescent Fixture
Emergency Fixtures
Exit Fixtures
HID Fixtures
Smoke Detectors
CO Detectors
Pumps
Time Clocks
TVSS
Notes:
Inspector Signature: Date: Nov 142013
81 -Cert Electrical Compliance Form.xls
omm
SOUryo�
y 0
holy UNi'1,��
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND[ ]INSULATION
[ ]FRAMING/STRAPPING [vj FINAL
[ ]FIREPLACE &CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR//l�-
TOWN OF .SOUTHOLD BUILDING
765-1802
INSPECTIO
[ ]FOUNDATION iST.[ FFINAL
GN PLUMBING
[ ]FOUNDATION 2ND [
[ ]
FRAMING/ STRAPPING, [
[ ]FIREPLACE 8 CHIMNEY [ ] FlREINSPEC710N
[ ]FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL)
[ ]CODE VI O ION [ ]CAULKING
REMARKS: L-/ y LA-'�Lf� �o"�.�2t-E��
DATE INSPECTOR
rjf so
cot
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION',
FOUNDATION 1ST ROUG LUMBING
]FOUNDATION 2ND ]I
]FRAMING/ STRAPPING IN L
FIREPLACE& CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
]ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODE VIOLATION CAULKING
REMARKS: F
/Jo
A
DATE INSPECTOR
t t
W7
17
rjf so
cou
TOWN OF SOUTHOLD BUILDING� DEPT.
765-1802
INSPECTI N'�'...
RO
FOUNDATION A ST GH PL BING
FOUNDATION 2ND SU
FRAMING] STRAPPING FI L
FIREPLACE & CHIMNEY F I R;EiE TY INS PECTION
FIRE RESISTMT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODE VIOLATION ]CAULKING
REMARKS:
DATE INSPECTOR
_A964 3c-WWM' gw SECB
PROFESSIONAL ENGINEER
1725 HOBART ROAD / PO Box 616 SOUTHOLD, NEW YORK 11971
TEL: 631.765.2954 • FAX: 631.614.3516 • e-mail: joseph@fischetti.com
Date: 28 April 2015
Reference: BP # 38461
Building Inspector
Town of Southold
Main Road, Southold, NY 11971
Dear Sir,
have inspected the egress window in the basement at 1255 Kayleigh Court, in East Marion.
To the best of my knowledge the window is a proper sized egress window and has been
installed in accordance with New York State building codes.
Chimney eg�eetd— BOARD CERTIFIED IN STRUCTURAL ENGINEERING
In
MAY —4 2015
D G,PT
uF sou NOLD
It ) 1 0
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r 1 1' ns
PLUNMING
o
1 •
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NOW
WHA
Awm&At coMMENTs
0
LArlow
®�I '�� /Si.:il�'_.I .
•
r
Thy VN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
BUILDING PERMIT APPLICATION CHECKLIST
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502 ��
SoutholdTown.NorthFork.net PERMIT NO.
Examined 20 ; 7
7
Approved D 20�
Disapproved a/c
Expiration
20
OCT 16 2013
BLDG. DEPT.
TOVJN OF SOUTH_ OEC_
Building Inspector
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
C.O. Application_
Flood Permit
Single & Separate
SNC406
m -Water A7(lon
smenm
t For
Contact: L I" e/I I U
M til to: (420 aln V. _
% Phone: fC�� 7-C�O '
PLICATION FOR BUILDING PERMIT
INSTRUCTIONS
DateDC,��(� 1 (p , 20q_
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 pen -nit 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.
ignature of applicant or name, if a corporation)
(Mailing address of applicant) INP'-
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
nnea � 1--- s�� -.4c4.r-..4
Name of owner of premises
0
(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 proposed work will be done:
e Number
County Tax Map No. 1000 Section 0 22-
Hamlet
Block 03 Lot
06J
Subdivision
2. State existing use and occupancy of premises
a. Existing use and occupancy Si,
b. Intended use and occupancy
Filed Map No. Lot
)ed use and occup ncy of proposed construction:
I(�re ;
3. Nature of work (check which applicable): New Building Addition �e�ration
Repair Removal Demolition Other Work. S
(Description)
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
(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
9. Size of lot: Front
Rear
Rear
Depth
10. Date of Purchase -o y 6 Name of Former Owner �n L/ (/ V-
11. Zone or use district in which premises are situated ' (0
Depth
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO —"�
13. Will lot be re -graded? YES NO ZWi excesA fill, be removed from premises? YES NO
14. Names of Owner of premises i XAddress7 �< L41' Phone Nolo ��7
- U0 r
Name of Architect Address Phone No
Name of Contractor Address Phone No.
U 0+953 /
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.
18. Are there any covenants and restrictions with respect to this property? * YES NO ns
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
�iCLOJL n being duly sworn, deposes and says that (s)he is the applicant
(Name of inqpiduaf signing contract) above named,
(S)He is theA(/\ r e4 I .V�', A
( ontractor, Agent, Cc
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.
Sworn to before me this
day of _
Notary Public
I.1
Signature of Applicant
I e
S�
�r �r4'�V27-
oy� h'p
Town Hall Annex I Telephone (631) 765-1802 `d c /
54375 Main Road rp enrich (6 31) 765- 5 � )1
P.O. Box 1179 , Q og ert _iownsoutf�iold.nV.us
Southold, NY 11971-0959 Q �O
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: ,�s[A r, MA fl A Date:
Company Name: '; n-�� C S
Name:
License No.:
Address:
Phone No.: ,
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax -Map District: 1000 . "Section: 22..
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Block:
Lot:
(Please Circle All That Apply)
*Is job ready for inspection: ZE�NO. Rough In Final
*Do- you need a Temp Certificate: YES
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re -connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
.82=Request for inspection Form
31:�6*? I
Southold Building Department
Attention: Damon Rallis
53095 Main Road I E
Southold, NY 11971
OCT 3 1 2013
FP
October 30, 2013 I BLDG. DEPT.
TOWN OF SOU_ 12
Mr. Rallis,
Please find enclosed the check for the permit for the Certificate of Occupancy for 1255 Kayleigh's Court,
East Marion.
I can be reached at the number below if you need anything further or have questions.
Thanks,
Bob Reilly
Executor for the Estates of Marie and Edward Paulik
Home: 908-850-4907
Cell: 862-217-8900
email: bobreilly728@aol.com
LIC - 5,3 TOWN OF SOUTHOLD PROPERTY RECORD.CARD
- -
OWNER
STREET VILLAGE
IST.
SUB. LOT
\A i(te. I y- i s
1,e C t cf -s -.r, A?16.,t e-, o'
C�
Apo r!';�k)OLI.�
C(V- C,
ACR.
REMARKS
f Y) Y) cLe rTYPE
OF BLD.
PROP. CLAS
LAND
IMP.
TOTAL
DATE
N&L
16
e( v
A a-
I otno,
146c)
A"ob
A
"01's -W
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ko 12-,q 100
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*e 'AA V&
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FRONTAGE ON WATER
TILLABLE
FRONTAGE ON ROAD
WOODLAND
DEPTH
MEADOWLAND
BULKHEAD
HOUSE/LOT
TOTAL
ilY
NONE
z-:, - M N., I
mom
'-.; l 3 -14
NEON
NEON
NONE
0 M MINE
MAN
11010
MEN
0 rU SMON Ilmol
SIM
3ITIng
34 ng
1
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N
1 Lot -7
Young & Young, Land Surveyors
1
Lot 9
P
ROW
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Preo = 43.961 S -f-
t
57 W
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1 Lot -7
Young & Young, Land Surveyors
1 9il FC1 CCL?;TYDBPA, —,4E.1FC'P}ihLTHSERVICES
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yl,
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516-727-2303
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Young & Young, Land Surveyors
400 Ostrander Avemce, Riverhead• Yew York 11901
516-727-2303
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Alden R. J"33
olctg, P -E .# L.S. (1908-199a)
Ilaxvard R. IG, j?y Land Surveyor
Thomas C Xo}Perl, I'rafessim,al Engineer
as
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'-
John Schnu . Land Survayor
o
NOTE:§F
I. ■= MONUMENT FOUND
2. 6 = STAKE FOUND
a� B
SJ.
1
1
3. SLOT NUMBERS SHOWN HEREON REFER TD SUBDIVISION -pb�
HICHPOINT WDDDS" FILED IN THE OFFICE GF THE CLERKe1iRE
OF SUFFOLK COUNTY
ON JULY 25, 1997 A5 FILE NO. 10035.
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n
2DUO FINAL SURVEY
2000 OUNUA L i N
a
283-r' Z
1999 STAKED PROPOSED HOLT
71999 P aSED GARAGE
L—AU-
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tg'EE
SEDREV1510NS:a
-
SURVEY FOR:
-
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WIWAM J. SNYDER do
na
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KATHERINE SNYDER
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At: EAST MARION Town of.. SOUTHOLD
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Suffolk County, New York
;a
Suff. Co. Tax Map:
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CERTIFIED TO:
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tAILL1AM J. SNYDER
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KATHERINE SNYDER
NATIONAL GRANITE TITLE -
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HLR FEDERAL CREDIT UNION
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ROAD- (N.Y.S.
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DATE :NOV 25. 1998
SCALE :1'-50'
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FOUNDATION PLAN
SCALE: 1/4"= 1'-0"
ELECTRICAL
INSPECTION REWIRED .
APPROVED AS NOTED -�
DATE: —(Cl2--2j 13 B. P. # �_ 4` -_-tL�
FEE:, I 1 C � 6-o 5Y: �
NOTIFY BUILDiIN1u DEPARTMENT AT
765-1802 8 ASI TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
COMPLY WITH ALL CODES OF
NEW YO W STATE & TOWN CODES
AS REQUIRED 2 l
VVr.J 14. I�Lryy.M i....�i
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