HomeMy WebLinkAbout39304-ZTown of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 37538 Date:
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 745 King St, Orient
5/6/2015
5/6/2015
SCTM #: 473889 Sec/Block/Lot: 26.4-32.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/23/2014 pursuant to which Building Permit No. 39304 dated 10/23/2014
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:
additions and alterations, including covered porch, to an existing one family dwelling as applied for.
The certificate is issued to Gemma, Pasquale & Penelope
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 11/29/2014
39304
4/17/2015
4�QSUFFo��c TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTH'OLD, 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 #: 39304 Date: 10/23/2014
Permission is hereby granted to:
Gemma, Pasquale & Gemma, Penelope
40 E 88th St
New York. NY 10128
To: construct additions and alterations to existing one family dwelling as applied for.
Replaces BP 17643.
At premises located at:
745 Kinq St. Orient
SCTM # 473889
Sec/Block/Lot # 26.-1-32.1
Pursuant to application dated 10/23/2014
To expire on 4/23/2016.
Fees:
and approved by the Building Inspector.
CO - ADDITION TO DWELLING $50.00
PERMIT RENEWAL $91.93
ELECTRIC $90.00
FORM N0.2
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)
313oy
_ 64-3 Date.....1�.....�.�.....................................
Permission is her y granted to:...
-.......®.:................................
ro..,.....��......z...... ................ .......
.... ... ......... .. ..:.......................... ........
ctpremises located at... •i.? ..../K4.4l..................................................................
.............................................:!�..............................................................................................
................................................................................................................................................................
Counh/ Tax Map No. 1000 Section ....... ......... Block .......... a/... Lot No.......... . �M.�.
pursuant to application dote r0���......••.•.............................
pursuant 19........, and approved by the
........%... ...
Building Inspector.
Fee
Rev. 6/30/80
........-.L ..........................
6VA ( VZ & .
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 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 $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.- $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.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: rI "-K � fIV (y
House No. Street // Hamlet
Owner or Owners of Property: EA 5 0 vAIL— r PZ'6� t o e-2
Suffolk County Tax Map No 1000, Section P7 Block _ _ / n� Lot 3ZQ b 1
Subdivision c� Filed Map. Lot:
Permit No. - / _ Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 2 `
plicant Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
40fif SOUr�1
1
CA
f � aQ
` < couiurt,��'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephone (631) 765-1802
Fax (631) 765-9502
roger. riche rtCaD-town.soLitho Id. ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Gemma
Address: 745 King Street City: Orient St: New York Zip: 11957
Building Permit #: 39304 Section: 26 Block: 1 Lot: 32.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: "AS BUILT' DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor X Pool
New . Renovation 2nd Floor X Hot Tub
Addition X Survey X Attic Garage
INVENTORY
Service 1 ph Heat OIL Duplec Recpt 18 Ceiling Fixtures 4 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 2 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 6 CO Detectors
Sub Panel 1 A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt 30A Emergency Fixtures Time Clocks
Disconnect Switches 19 Twist Lock Exit Fixtures 11 TVSS
Other Equipment: AS BUILT - ELECTRICAL SURVEY - NO VISUAL DEFECTS- 1 -Paddle Fan
Notes:
Inspector Signature: Date: April 17, 2015
Electrical 81 Compliance Form.xls
BUD -DING DEPARTMENT
TONT OF SOU7:THOLD
CLRTIFICA.T10N
Ouilding Pcml t No.
(Please print)
� . (Phase F>r iiio .
I certify that the stildel; used in.the Oratec supply, system contains less.thaxl.2110 bf i*W
lead.;
Swom to before me
d&yof, nk-�amn P, Zoe
CAWL BE
Notaq Public, Count -y, WOtary'Pub1iC, State of
NQ.018E6097127
lif
Qua ldCwWwo Ex in st 1a oli
TO/TO 3Jdd S331sndi Q-10Hinos Tb9999LT€9 OO:TT bTOZ/bZ/TZ
Town Hall AnnexT�lepho4a
(634) 765-180'
� �
54375 Main Road
Pax (P 1). 765-9502
P.O. Box L 17950,
CAA
Southold, NewYork 11971-09$9
BUD -DING DEPARTMENT
TONT OF SOU7:THOLD
CLRTIFICA.T10N
Ouilding Pcml t No.
(Please print)
� . (Phase F>r iiio .
I certify that the stildel; used in.the Oratec supply, system contains less.thaxl.2110 bf i*W
lead.;
Swom to before me
d&yof, nk-�amn P, Zoe
CAWL BE
Notaq Public, Count -y, WOtary'Pub1iC, State of
NQ.018E6097127
lif
Qua ldCwWwo Ex in st 1a oli
TO/TO 3Jdd S331sndi Q-10Hinos Tb9999LT€9 OO:TT bTOZ/bZ/TZ
T65-802
3 � � D BUILDING DEPT.
INSPECTION
KFOU< ATION 15T [ ] ROUGH PLBG.
[ FOUNDATIQN 2ND [ ]INSULATION
[ ] FRAMING [ ] FINAL
DA
M-1802
ILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] !ROUGH PLBG.
[] FO DATION 2ND [ ]INSULATION
[ FRAMING[ ]FINAL
REMARKS: Y" 0 xcC r- SS
DATE�3 Vy INSPECTOR S['�Y�
Z),.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST ( ] ROUGH PLBG.
[ ] FO NDATION 2ND [ ]INSULATION
[ FRAMING [ ) FINAL
DATE 7,11YIN
INSPECTO
'765-1802
BUILDING DEPT...
INSPECTION
FOUNDATION 1ST�U
RO GH PLBG..
INSL
1. FOUNDATION 2ND INSULATION
FRAMING
REMARKS-
[ ] FI NAL
DATE- INSP'ECTO rj
TOWN. OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION'
FOUNDATION I ST.
FOUNDATION 2ND
FRAMING/ STRAPPING
FIREPLACE4 CHIMNEY
FIRE RESISTMT CONSTRUCTION
ELECTRICAL (ROUGH)
CODE VIOLAT,_ION
REMARKS:
I
]ROUGH PLUMBING
I I"ULATION
VrFINAL
FIRE SAFETY INSPECTION
FIRE RESISTMT PENETRATION
ELECTRICAL (FINAL)
CAULKIP19
DATE INSPECTOR 2L
��OF SOUryo
�yCOuuty �`�
TOWN:OF-SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION 1:ST "
] FOUNDATION 2ND
]
FRAMING/ STRAPPING
] FIREPLACE & CHIMNEY"
] FIRE RESISTANT CONSTRUCTION
] ELECTRICAL (ROUGH)
] CODE VIOLATION
REMARKS:
[ ] ROUGH PLUMBING
[ ] INS ION
[ INAL �qr
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (FINAL)
[ ] CAULKING
DATE INSPECTOR
SOOlyo�o
o!'YCOUM'l?c�
�v
� TOWN OF SOUTHOLD BUILDING DEPT.
765•1802
INSPECTION -
FOUNDATION
1ST [ ]ROUGH PtBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING /STRAPPING [ ]FINAL
[ ]FIREPLACE &CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) � ELECTRICAL (FINAL)
REMARKS:
DATE �� I� INSPECTOR`
1:LD I;:S:'EO:Iu,J JIUATE
FOUNDATION (1st)
FOUNDATION] ( /nd) /
7_.
.',OUGH FRAME &
-PLUMBING
r ,
. a � � �/ � // y.=moi •
INSULATION PER N. Y.
STATE ENERGY
CODE "gyp
4. y
FINAL
o
ADDITIONAL COMMENTS:ac-
x
. H
9
H 1-+
m
-o
H
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
�j B
G. DEpT. TOWN HALL
TOWN OF SOUTHOLD $OUTHOLD, N.Y. 11971
TEL.: 76� j5-1802
Examined .1� . ......., 19re 3p —3 o• T
Approved . � ......., 19 ePermit No.
Disapproved a/c .....................................
BOARD OF HEALTH .....
3 SETS OF PLANS .............
SURVEY .....................
CHECK ......................
SEPTIC FORM ................
NOTIFY
CALL .....................
MAIL TO: //A 7 f c"7 nrmw
50 2-00 1/-
(� ding Inspector)
APPLICATION FOR BUILDING PERMIT G� QQ
Date ..�/� ti !/• ....... lYT
INSTRUCTIONS
a. This 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 Permit 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, buildin code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary ins ctio
.. .GF!'' ........ ..
(Sign ture applicante
, or , if a corporation)
TC6r7-)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
....... D.�vu...D.. 24H -Gr ..........................................................
e�
Name of owner of premises ..!// % ..A..,,4A g? .. .. 5 .........
(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. ...I - RnAln.'a .. � . �� <�� H
A
Plumber's License No.
Electrician's License No. .�`� ).. !✓ra �fi.G. .t'�c
Other Trade's License No . ......................
1. Location of land on which proposed work will be done. � ��!��'..WWf£7. ,T�,�,) .. QK/.5;t.1r), • , , • . .
7. 5'� ...................K/f��- ...5T�2� T ................. ...................
House Number Street Hamlet
County Tax Map No. 1000 Section ..... �J:�......... Block ... ..... , , • .... Lot .:.3.% ..............
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 .... i"e`��• • • • • • • • • • • •..................................... .
C.
b. Intended use and occupancy . • • Y./ ..'° • • • • • • • .......... .. ...:............ .... .
3. Nature of work (check which applicable): New Building .......... Addition .. ....A teration
Repair .............. Removal .............. Demolition .............. Other o&_ ...... .
(Description)
4
Estimated Cost .... �%�v.......................... Fee ................ ...................
(to be paid _dn filing this application)
S. If dwelling, number of dwelling units ...... l........ 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 .
7. Dimensions of existing structures, if any: Front .... 30 .. Rear .,�•�, ........ Depth .�j.�, ,
Height . �y!... , , . Number of Stories ....�l2, .......... .. ..
Dimensions of same structure with alterations or additions: Front -35............ Rear s2
Depth ......; GY .1 ........... Height .. !............... Number of Stories ... 2,1z„ . ......
8. Dimensions of entire new construction: Front ............... Rear ............... Depth
Height ............... Number of Stories ......... ............. .
9. Size of lot: Front .. ...... Rear ................... Depth ...................... .
10. Date of Purchase l�G,l'" . (� . �j4. . , .... Name of Former Owner
11. Zone or use district in which premises are situated ..
12. Does proposed construction violate any zoning law, ordinance or regulation:.......... .. .
13. Will lot be regraded . K-0 ................. Will excess fill be removed from.....pr.e.mi..ses:..
14. Name of Owner of premises
�P.,:. •�?Jj1%Address Gii'?l Phone No.pS.��a/�
Name of Architect .. � ' .Lr j . . , • . , ... Address ......./.O./.yP .... Phone NohW(( �V�rj;��J�
Name of Contractor .. rTi�`D/ G
h/ll.f....... Address l/r7�{9q�r(J�dt! . Phone No. 771-5/.?,�
15.Is this property located 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
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,
COUNTY OF. ,,,,.. S.S
. ............
..... being duly sworn, deposes and says that he is the applicant
(N e o dividual 'gni.g c ntract)
above named.
He is the.........................N e /L.............................................................
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.
Sworn to before me this
C,;� 5 . f :►-..........day of .. 19
.,
Notary 4e__�Public, .. ..-./
.......... County
.... .. .
LINDA J. COOPER ..
Notary Public, State of New Yorl�, (Signature of applicant)
No. 4822563, Suffolk County
Term Expires December 31, 18� `
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
0k, -b,
Telephone (631) 765-1802
roger.n hert o`wr .sout�ioQd.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name:
License No.:
Address:
Phone No.-
JOBSITE INFORMATION: (*Indicates required information)
*Name: S V ,-f e_ -
*Address:
*Cross Street:
*Phone No.: 23/
Permit No.: _
Tax -Map District: - 1000 ection: o Z -b 6, Block: ® (0 o
*BRIEF DESCRIPTION OF WORK (Please Print CleadvY
Lot: o
(Please Circle All That Apply) �9ES
*Is job ready for inspection: /NO. Rough In Final
*Do -you need a Temp Certificate: / NO
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
49 0 _
.82=Request for fnspecbon Form
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
July 10th, 2007
Pasquale A. Gemma
40 E. 88th Street Apt 8-A
New York, N.Y. 10128
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RE: 745 King St. (addition/alterations)
SCTM # 26 132 1
Dear Mr. Gemma,
Fax(631)765-9502
Telephone (631) 765-1802
Please be advised that your Building Permit # 17643 issued November 29th, 1988 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $183`6; at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
n
SOUTHOLD TOWN BUILDING DEPT.
v, coo
FCpG
Southold Town Building Department
�OSr
P.O. Box 1179
-
54375 Main Road
a_ g
Southold, New York 11971
y�ol �ao�
(631) 765-1802
Parcel ID: 26.-1-32.1
Permit #: 17643
Permit Date: 11/29/1988
Expiration Date: 5/29/1990
BUILDING PERMIT RENEWAL LETTER
Dated: 10/14/2014
Applicant: Gemma, Pasquale & Gemma, Penelope
Location: 745 King St, Orient
Work Description: RESIDENTIAL ALTERATION
residential alteration and addition as applied for
A FEE OF $141.68 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: Gemma, Pasquale & Gemma, Penelope
Address: 40 E 88th St
New York, NY 10128
The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department, P.O. Box 1179, Southold, New York 11971
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
December 1, 2014
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Pasquale & Penelope Gemma
40 East 88th Street
New York, New York 10128
RE: 745 King Street, Orient
TO WHOM IT MAY CONCERN:
The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of $50.00.
Final Survey with Health Department Approval.
-�.�Iumbers Solder Certificate. (All permits involving plumbing after 411/84)
Trustees Certificate of Compliance. (Town Trustees # 765-1892)
Final Planning Board Approval. (Planning # 765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT: 39304-Z additions/alterations
Telephone (631) 765-1802
Fax (631) 765-9502
&E 19 1255 5-79 418800
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--�/2 �%` �i/RsT cow • - ��.-� : /�'= /� p i�
if copper tubing Is used
for water distributing
system; piping shall be
of types K or L en(Y
FLUMMEfs CEfMP-MATION
ON LEAD C0fffV ' DEF0J7E
CEI FIC4M OF OCCUPANCY
SOLDS-17 USED 11 VM TER
SUsaYSYSTm CANNOT
EXCEED 2110 of 1;S LEAD.
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T
�x¢tvooa �GS�- �y 5T1-• ��-�-�u'�V
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OCCUPANCY OR-Aiene 20*
�3 �
USE IS UNLAWFUL 0°5 ,,W2 9 AM 4'S"E"T`Az
FOLLOWING HOR TME
Vv'IT� OUT CE TI FI CATE tFOUNDATION- TWO NEOUMtED
FOR POUREID CONIUM
'� C
('� '' /2. mom"0�r' F CUPA U` 3. INSULATION
4. FINAL • CONSTRUCTION MUST
BE COMPLETE FOR CA.
ALL CONSTRUCTION =HALL MEET
....i'rt':� .iu• •��. THE REOUMtBROM OF TME M.Y.
STATE CONS'fIR10lr10N a view
CODES. NOT IIESrONSMXE FOR
DESIGN OR CONSTRUCTION ERAORS
--- j-/,�ST ��I�' ��/`�l�'I �/�/G >�'1.�i/✓- �F�..o0�2 i� C�/��iyU//zoo, J
PROJECT:
TITLE:
DRAWN BY:
CHECKED BY:
DATE:
SCALE:
DRAWING NO.:
i,
if copper tubing Is used
for water distributing
system; piping shall be
of types K or L en(Y
FLUMMEfs CEfMP-MATION
ON LEAD C0fffV ' DEF0J7E
CEI FIC4M OF OCCUPANCY
SOLDS-17 USED 11 VM TER
SUsaYSYSTm CANNOT
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