HomeMy WebLinkAbout38217-ZC
ILIG! A
Town of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
8/6/2015
37699 Date: 8/6/2015
THIS CERTIFIES that the building ALTERATION
Location of Property: 9780 Sound Ave, Mattituck, NY 11952
SCTM #: 473889 See/Block/Lot: 122.-2-24.5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/19/2011 pursuant to which Building Permit No. 38217 dated 7/26/2013
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:
alterations and additions, including covered porch, to an existing one family dwelling as applied for.
The certificate is issued to
of the aforesaid building.
Koren, Daniella
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
38217 02-06-2012
7/16/2015 Steve Marschoff
t
Aut ed gnatu
a
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 38217 Date: 7/26/2013
Permission is hereby granted to:
Koren, Daniella
160 Summit Ave
Montvale. NJ 07645
To: CONSTRUCT ADDITIONS & ALTERATIONS TO AN EXISTING DWELLING ,INCLUDING A
PORCH & CHIMNEY AS APPLIED FOR.REPLACES EXPIRED B.P. # 36355
At premises located at:
9780 Sound Ave. Matti
SCTM # 473889
Sec/Block/Lot # 122.-2-24.5
NY 11952
Pursuant to application dated 4/19/2011
To expire on
Fees
1126/2015.
and approved by the Building Inspector.
PERMIT RENEWAL $426.20
Total: $426.20
9&4�-
Building Inspector
TOWN OF SOUTHOLD
o�gu�F���ca
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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 #: 38217 Date: 7/26/2013
Permission is hereby granted to:
Koren, Daniella
160 Summit Ave
Montvale. NJ 07645
To: CONSTRUCT ADDITIONS & ALTERATIONS TO AN EXISTING DWELLING ,INCLUDING A
PORCH & CHIMNEY AS APPLIED FOR.REPLACES EXPIRED B.P. # 36355
At premises located at:
9780 Sound Ave. Matti
SCTM # 473889
Sec/Block/Lot # 122.-2-24.5
NY 11952
Pursuant to application dated 4/19/2011
To expire on
Fees
1126/2015.
and approved by the Building Inspector.
PERMIT RENEWAL $426.20
Total: $426.20
9&4�-
Building Inspector
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 36355 Date: 5/4/2011
Permission is hereby granted to:
Koren, Daniella
160 Summit Ave
Montvale. NJ 07645
To: construct additions & alterations to an existing dwelling, including a porch & chimney
as applied for
At premises located at:
9780 Sound Ave, Mattituck, NY 11952
SCTM # 473889
Sec/Block/Lot # 122.-2-24.5
Pursuant to application dated 4/19/2011
To expire on 5/3/2012.
Fees:
and approved by the Building Inspector.
J
CO - ADDITION TO DWELLING $50.00
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $852.40
Total: $902.40
Building Inspector
TOWN OF SOUTHOLD
G�
BUILDING DEPARTMENT
y
TOWN CLERK'S OFFICE
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 #: 36355 Date: 5/4/2011
Permission is hereby granted to:
Koren, Daniella
160 Summit Ave
Montvale. NJ 07645
To: construct additions & alterations to an existing dwelling, including a porch & chimney
as applied for
At premises located at:
9780 Sound Ave, Mattituck, NY 11952
SCTM # 473889
Sec/Block/Lot # 122.-2-24.5
Pursuant to application dated 4/19/2011
To expire on 5/3/2012.
Fees:
and approved by the Building Inspector.
J
CO - ADDITION TO DWELLING $50.00
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $852.40
Total: $902.40
Building Inspector
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION VOR 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:
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. SubmiManning 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 property 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: 1 Ibb q 1 KA
House No. Street r Hamlet
Owner or Owners of Property: GLI �Y.CX 4rw/
Suffolk County Tax Map No 1000, Section I ' Block Lot
Subdivision - . Filed Map. Lot:
Permit No. I Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: ~
Request for: Temporary Certificate- Final Certificate: .(check one)
�L
Fee Submitted: $ bu
ppl can gnature
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. richertR-town.southold. ny. us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
Issued To. Daniella Koren
SITE LOCATION
Address: 9780 Old Sound Ave
City: Mattituck St: NY Zip: 11952
Building Permit#- '33a)'1
X6355 -Section: 122 Block: 2 Lot: 24.5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor:
DBA. REP Electric License No. 46288 -me
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey Attic Garage
1►1TL1a][t] WA
Service 1 ph
Service 3 ph
Main Panel
Sub Panel
Transformer
Disconnect
Other Equipment:
Heat Duplec Recpt 17 Ceiling Fixtures 7 HID Fixtures
Hot Water GFCI Recpt 4 Wall Fixtures 6 Smoke Detectors
A/C Condenser Single Recpt Recessed Fixtures 12 CO Detectors
A/C Blower Range Recpt Fluorescent Fixture Pumps
Appliances dw Dryer Recpt 1-30 Emergency Fixtures Time Clocks
Switches 19 Twist Lock Exit Fixtures TVSS El
1 -combination smoke/co detector, 1 -exhaust fan, 1 -paddle fan, 1-GFCI circuit breE
3ft-of multi outlet strip
Notes:
Inspector Signature: - Date: Feb 6 2012
81 -Cert Electrical Compliance Form.xls
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold., NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Telephone (631) 765-1802
Fax (631) 765-9502
JUL 17 HIS
Date:
6 2,Z /6- Z5
Building Permit No. , 'L]� I
Ownen4a/—U 1'e 11,4
(Please print)
(P eas print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
2 -
(Plumbers Signature)
Sworn to before me this
day of 20 l�
LINDA L. MCKAY
Notary Public, State of New York
N4.01 MC6076250
'Qualified in Suffolk County
Commission Expires 6/24/20
Notary Public, County
A,
TOWN
SOUTHOLD BUILDING DEPT.
x e
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
L] FIE RESISTANT CONSTRUCTION[] FIE RESISTANT PENETRATION
ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
RMARKS:
DATE- •
SOF SO(/l�,
• �o
ol�,Cp�ry
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
[ ]FOUNDATION IST [ `]'ROUGH PLBG.
[] FQ1lNDATION 2ND [
[YjFBAMINO/STRAPPING [
[ ]FIR@PLACE.& CHIMNEY [
I 1
FIRE RESISTANT CONSTRUCTION [
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
rz
'/
lAl. mrMA102.1w"I
ic
DATE � � � INSPECTOR
I
--_%�
�'Af SOUIyo
TOWN •,;SOUTHOLD ,
765-1802 t
[ ] FOUNDATION IST
[ ] ROUGH PLGG.
[ ]FOUNDATION 2ND
[ S LATI N
[ ] FRAMING/ ST IN
[ ] FILIAL
[ ] FIREPLACE & CHIMNEY
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION
[ ] FIRE RESISTANT PENEMTION
REMARKS:
�,Z:) ,4J o2f�
Z_j
DATE INSPECTOR
(,'f so
Mum
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
]FOUNDATION IST
]ROUGH PLI3G.
FOUNDATION 2ND
INSULATION
FRAMING/ STRAPPING
FINAL
FIREPLACE & CHIMNEY
FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION
FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH)
ELECTRICAL �(FINAL)---,
REMARKS:
3
DATE INSPECTOR
OE SOUlyOlo
N �
clonkm
G,'nc • i�
TOWN OF SOUTHOLD BUILDING DEPT®
765-16®2
4 9 u iiSAFETY i O W
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINIAL)
rsf s 0
co
C
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
I FOUNDATION I ST
]FOUNDATION 2ND
FRAMING/ STRAPPING
FIREPLACE& CHIMNEY
]ROUGH PLBG.
INSULATION
FINAL
FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) 4—tp�ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTO���
SOUIyo�
u,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL
[ ] FOUNDATION 2ND[ ] IN ATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: Al 0 Acca -J sS
DATE
INSPECTOR
r �o�aOF SOUTyo�
�ycoum,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTtON
[ ]FOUNDATION 1ST [ ] R UGH PLBG.
[ ]FOUNDATION 2ND [ ] NSULATION
[ ]FRAMING /STRAPPING [ FINAL
[ ]FIREPLACE &CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL)
REMARKS:
DAT '2` % INSPECTOR /4�1� I -Al -A
2-4 7 ��OF SOUryo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION.
] FOUNDATION IST
] FOUNDATION 2ND
]
FRAMING/ STRAPPING
] FIREPLACE A CHIMNEY
] FIRE RESISTANT CONSTRUCTION
] ELECTRICAL (ROUGH)
] CODE VIOLATION
REMARKS:
[ ] ROUG LUMBING
[ ] I LATION
[ FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (FINAL)
[ ] CAULKING
,z /,--=
DATE � � INSPECTOR
910,
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthForlc.net
Examined 20 ( 0
Approved 20 0/
Disapproved a/c
PERMIT NO.
Expiration 20��
BUILDING PERMIT APPLICATION CHECKLIST
,6J
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
Flood Permit
Storin,Water.Assessment Form
Contact: `
Mail td-_
� I
Phone I P
L "Ery
APPLICATION FOR BUILDING PERMIT
Date , 20_1(
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.
® E C E U E (Sin re of applicant or name, if a corporation)
APR 18 2011 X t117 kPLA-�r,(-7yc1'<, /f -/y _
(Mailing address of applicant)
State whett er applicantg19)Q),PhRbr lessee, ag nt, architect, engineer, general contractor, electrician, plumber or builder
TOWN Of SOUTHOID
G
Name of owner of premises -M-0 t a,,A K6 gf� k
(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.
Location of land on which proposed work will be done:
Y 79 o 5`&V&M:$ A__rrl Tv CIV,'
House Number Street Hamlet
County Tax Map No. 1000
Subdivision
Section L2 '2"" Block
M
�! Filed Map No.
Lot .�� •
Lot
2. State existing use and occupancy of premises and intended use and
a. Existing use and occupancy 5t Air, t --e- F-0 --M .
b. Intended use and occupancy '5e A -AG L I _FA -" .
of proposed construction:
3. Nature of work, (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work lk� C tf dot Al` _
(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:
%/
fj
Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Dimensions of same structure with alterations or additions: Front
Depth Height. Number of Stories
eel
Dimensions of entire new construction: Front Rear 2 -
Height 1 ( Number of Stories
9. Size of lot: Front
10. Date of Purchase
.Rear Depth
Name of Former Owner
11. Zone or use district in which premises are situated
Depth
1M.
Depth 17
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, O
14
Names of Owner of premises 1"1 K-OAddress T780 CL -D 501- Phone;No-.
Name of Architect 7fA 19ALJA-TI Address 'gtcav "L, , z/ Phone No_
Naive of Contractor Address T -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 jEQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO r/
* 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 Von
"' IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
A -m ��oCW 6—/) being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
W.ouou
(Contractor, Agent Corporate Officer, etc. i'Me V �ouo folk
Agent, p � ) Qualffied in Suffolk County
Commission Expires April 14, 2-a/
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.
CONNIE 0. BUNCH
Notary Public, State of New York
K.- _
Sworn t before me this,
c�� day of 20_L�_
4
Notary Public
Sign u Applicant
FORM - 06110
Town of Southold
z
Erosion, Sedimentation & Storm-Water Run -off ASSESSMENT FORM
PROPERTY LOCATION: s.c.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
/®o �,� 7_dL STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL
$ g
0(
�j
L Z, , S PLAN
tb stnct e3 coon- B oc —Tot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK.
SCOPE OF WORK - PROPOSED CONSTRUCTION
ITEM # / WORK ASSESSMENT
Yes No
a. What is the Total Area of the Project Parcels?
1 Will this Project Retain All Storm-Water Run -Off
(Include Total Area of all Parcels located within
the Scope of Work for Proposed Construction)
Generated by a Two (2") Inch Rainfall on Site?
(S.F. / Acres)
(This item will include all run off created by site
b. What is the Total Area of Land Clearing
clearing and/or construction activities as well as all
and/or Ground Disturbance for the proposed
Site Improvements and the permanent creation of
construction activity? (S.F. !Anes)
impervious surfaces.)
2 Does the Site Plan and/or Survey Show All Proposed
PROVIDE BRIEF PROJECT DESCREMON (Provide Additional Pages as Needed)
Drainage Structures Indicating Size & Location? This
Item shall include all Proposed Grade Changes and
Slopes Controlling Surface Water Flow.
3 Does the Site Plan and/or Survey describe the erosion
laxC ( boy
and sediment control practices that will be used to
control site erosion and storm water discharges. This El
c
G�{ ( a
item must be maintained throughout the Entire
Construction Period.
4 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? ®
rj Will this Application Require Land Disturbing Activities
Encompassing an Area in Excess of Five Thousand
(5,000 S.F.) Square Feet of Ground Surface?
6 Is there a Natural Water Course Running through the
Site? Is this Project within the Trustees jurisdictionv1
or within One Hundred (100') feet of a Wetland or F] —
General DEC SWPPP Requirements:
Submission of a SWPPP is required for all Construction activities involving soil
Beach?
disturbances of one (1) or more acres; including disturbances of less than one acre that
are part of a larger common plan that will ultimately disturb one or more acres of land;
7 Will there be Site preparation on Existing Grade Slopes /
Which Exceed Fifteen (15) feet of Vertical Rise to ❑
Including Construction activities involving soil disturbances of less than one (1) acre where
`//
One Hundred (100') of Horizontal Distance?
the DEC has determined that a SPDES permit is required for storm.water discharges.
( SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit
8 Will Driveways, Parking Areas or other Impervious
for Storm Water Discharges from Construction activity - Permit No. GP-040-001.)
Surfaces be Sloped to Direct Storm-Water Run -Off
1. The SWPPP shall be prepared prior to the submittal of the NOL The NOI shall be
into and/or in the direction of a Town right-of-way?
submitted to the Department prior to the commencement of construction activity.
2. The SWPPP shall describe the erosion and sediment control practices and where
9 Will this Project Require the Placement of Material,
required, post-construction storm water management practices that will be used and/or
constructed to reduce the pollutants in storm water discharges and to assure
Removal of Vegetation and/or the Construction of any
Item Within the Town Right-of-Way or Road Shoulder F-1
compliance with the terns and conditions of this permit. In addition, the SWPPP shall
Identify potential sources of pollution which may reasonably be expected to affect the
Area? (This Item will NOT Include the Installation of Driveway Aprons.)
quality of storm water discharges.
NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark
3. All SWPPPs that require the post-construction storm water management practice
component shall be prepared by a qualified Design Professional Licensed in New York
in a Box and the construction site disturbance Is between 5,000.S.F. & 1 Acre in area,
a Storrs Water, Grading, Drainage & Erosion Control Plan is Required by the Town of
that Is knowledgeable in the principles and practices of Storm Water Management
Southold and Must be Submittedf� 'fit 0of Any Building Permit.
(NOTE: A Check Mark (j) I r'Ms a on rs caredf6F a plete Application)
No,0 1 Bus! 850500
STATE OF NEW YORK, Qualified in Suffolk County
COUNTY OF �Q.... .............. ........... SS Commission Expires April 14,
That I, L L..... .....60 li' *........ being duly sworn, deposes and says that he/she is the applicant for Permit,
(Name of indi idual signing Document)
&COeL
And that he/she is the .. . ....... ....... ...... .....
.... ..... ` .....................................................................
(Owner, Contractor, Agent, Corporate Officer, etc.)
Owner and/or representative of the 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 herewith.
Sworn to befo,rp me this-,
�.....�!. ......................... day of....................................... , 20.11
Notary Public:.. .... ..... ..: ....
(Signatu plicent)
FORM - 06110
Tdwa Ehff Annex
54875 Main Road
P.O.Z= 1179
�Southold, NY 11971-0959
Tdephone (631) 765-1802:
m
OW(6 e—rAchert nNoWol&ny.us
BUILDMDEPARTMEa
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED By: �nn -P-42--r Date
'
Company Name:
ea
Nam,b:
'cense. No.:
Address:
IPhone -No..
JOBSITE INFORMATION: (*Indicates. required information)
*Name-.
'Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District: .1000 Section:---. a77;- -9iock: Lot:
BRIEF DESCRIPTION OF WORK- (Please Print.Cleirly)
�16,,c Yt- A,-Ve) 0 A-4-) r) -AJ
.(Please Circle All That Apply)-
Isjob ready for inspection:
NO ough In. Final..
*boyo*u need a Temp Certificate:
YES NO
Temp -Infonnation (If neededl
*Service Size: I Phase Whase 100 160- 200 300: 350, 40,
New Service: Re -connect Underground Number of Meters Change of Service
Additional Information: PAYMENT DUE WITH APPLICATION
Other
Overhead,
V
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
October 14, 2014
Daniella Koren
160 Summit Ave
Montvale, NJ 07645
Re: 9780 Sound Ave, Mattituck
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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 Health Department Approval.
/Plumbers Solder Certificate. (Ail permits involving plumbing after 4/1/84)
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 — 38217 — Addition/Alterations
Telephone (631) 765-1802
Fax (631) 765-9502
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
October 20, 2014
Daniella Koren
145 Nassau St 6A
New York NY 10038
Re: 9780 Sound Ave, Mattituck
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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 $50.00.
Final Health Department Approval.
-A- ®$% Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
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 — 38217 — Addition/Alterations
no
Gam
U3(✓) 0�jo
Telephone (631) 765-1802
Fax (631) 765-9502
SUBDIVISION OF LAND
FREFAIZEV
roe
CAROL SULL'IVAN
MATTITUG,K
TOWN OF SOUTHOLD
SUFFOLK GOUNTY, NEW YORK
MAPPED JUNE 3, 2005
SUFFOLK COUNTY TAX MAP NUMBER
1000-122-2-24.1
FIRE 015TRIGT i No. 30
5GHOOL 015TRIGT Nos. Q
-• r
VAGHTIT
W W � - — H wnToz,,,
Test Hole by
McDonald &eo5cience
06-08-2005
1/4• PER FOOT
MIwMN F17GH
MIN. 4• dA. PIPE
SG N; r0l; rence
NOT TO SCALE
CAST IRON FR14-IE5 CA5T IRON FRAM¢ AND
AND COVER5 TO 6RADe GCTF-R TO GRACE
IO07 GALLON
-
MONOLITHIC
SEPTIC TANK
N;
OT
r -S
REMOVE IMPERVCV5 50IL WITHIN
3' HDRIZONTALLY AND V VERTICALLY.
BACKFlLL NTH CLEAN MATERIAL.
SEASONAL HIGH
6RCtWD HATER
f TYP I GAL FL6T T FLAN
not to SCCA le
I
W WATER wMAIN
ROADIi
THIS IS TO CERTIFY THAT THIS 51MIVISION PLAT HAS BEEN AttWN D BY THE PIAT` %
BOARD OF THE T" OF SGUM-0 W RE50W]ON DATED, 11
DATE SY:
APPLI CANT:
Caro 15u I I Ivan
10020 Sound Avenue
Mottltuak, NY 11,452
Notes:
M MONUMENT
® PIPE
0 MONUMENT SET
ELEVATIONS REFERENCE SUFFOLK COUNTY 7
PROPOSED LOT No. 2 15 5ERVIGED BY PURI
TOTAL AREA = 40(9,594 5F OR 9.33 ACRES
1 -
O MAPS
WATER
Revl5lons:
UPDATE 06-01-2005
H.D. INFO 0-7-11-2005
REVISED 09-15-2005
REVISED 04-26-2006, 06-26-2006
GRAPHIC, 5GALE I" = 60'
0 60 120 180
N
150'+ n
fromg we'd and septic, \'
150'+ FYoper;.' Itne 'J►��CX`_
5
\\\ \\\\ \\\
vineyard
x
d �
94f
O
3Q)
110P+
N
9c
\�
W * E
SUFFOLK COUNTY DBP.�TH SERVICES
Hauppauge. New York
Ibis is the proposod Realty Subdivision or Development
f� to l lV4n m the
50 with a total cI _ lots was
approved on the above date. Water Supplies and Sewage Disposal
Facilities must nonfarm to construction standards in effect at the time of
construction and are subject to permits p� inant to those
standards . This approval shall be valid only if the realty
snbdivision/development map is dnly filod with the County Cle& within
me year of this date. Consent is hereby given for the fr'ting of this map
on wbich this meat appears in the Office of the County Clerk in
accm*nce with provisions of the Public Health Law= the Suffolk
Z32wtl�
V1T0 A MIIdEI P.B.
Diroctor, Division of Environmental Quality
-1 FAY CERTIFY THAT THE KATER 5UPPI_Y(5) AND/OR SEWAGE
D15PO5AL SYSTEM(5) FOR THIS PROJECT WERE PE516NED FY ME OR
UNDER MY DIRECTION. BASED UPON A CAREFUL AND THORO H STUDY
OF THE SOIL, 517E AND 6R.0t1N0WATER CONDITIONS , ALL LOTS, AS
PROP05ED, CONFORM TO THE SUFFOLK COUNTY DEPARTMENT OF HEALTH
5ERVIGE5 CONSTRUCTION STANDARDS IN EFFECT A5 OF THI5 DATE.'
°I HEREBY CERTIFY THAT THIS MAP WAS MADE BY US FROM ACTUAL WZ,/EY5
COMPLETED JUNE 2, 2005 b THAT ALL CONCRETE MOMIP�T-NTS SHOhNRJSI
HEREON ACTUALLY EXIST AND THEIR POSITIONS CORRECTLY
ALL DIMENSIONAL AND GEODETIC DETAILS ARE CORRECT. 16 1
tp
JOHN G. r N.Y.P15. LIG # 50202 F ->
;ysc� Sn2�)2 '-
1 o
.rolaa a ..coal T3d1. r4Avn�en 2. a• w
IIY. Yar1t 5taf� ldKd1T las•
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by ..ryr a
w Nan Yslw Aratl 1e a IYOIrMs a1
lap S— •otl rwtMKdlorr .Hell rv. cM,
d N P-- P-
b~
b/v1 b tlr rllY eo.pag
eat seyy ed 1Mq nenRv. lrnre f.w�0. na
b tlr s>Nhlw a pr Mb•q .rfA4b. Grrtllco—
torr e. not Wrrrrml. Itl �atuM artMbr
JOHN C. EHLERS LAND SURVEYOR.
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF—\\Compagserver\pros\01\01-157 SUBDIVISION A.pi
IME
fe
BUILDING DEPARTMENT INFORMATION
PRESCRIPTIVE OR ENGINEERED:
SQUARE FOOTAGE ADDED:
DESIGN LOADS:
EXPOSURE CATAGORY:
SEISMIC DESIGN CATAGORY:
WIND ZONE:
PROTECTIVE GLAZING PANELS:
WIND ZONE:
WIND ZONE:
PRESCRIPTIVE
EXISTING PROPOSED
FIRST FLOOR AREA: 1,053 SQ. FT.
SECOND FLOOR AREA: S25 -SQ. FT.
PORCH FLOOR AREA: 288 SQ. FT.
ROOF: DEAD: 20 psf; LIVE: 20 psf; SNOW: 45psf
SECOND FLOOR NON SLEEPING AREA: DEAD: 20; LIVE: 40
ATTICS: WITHOUT STORAGE: DEAD:10psf; LIVE: 10 psf - WITH STORAGE: DEAD:10psf; LIVE: 20psf
STAIRS: DEAD: 10; LIVE: 40 - GUARDRAILS & HANDRAILS: DEAD: 5; LIVE: 200
C
B
120mph; ZONE iii - WITHIN 1 MILE FROM COAST, MISSLE D TEST APPLICABLE
1' PRECUT PLYWOOD PANELS FOR PROTECTION AGAINST AGAINST WIND BORNE DEBRIS. APPROPRIATE
ATTACHMENT HARDWARE SHALL BE INCLUDED. PANELS SHALL COVER ENTIRE GLAZED OPENING, INCLUDING
DOUGLAS FIR -LARCH, SELECT STRUCTURAL GRADE, Fb=1450psi
ENGINEERED LUMBER - LVL 1.9e Fb - 2,600psi & 11 g' TUI/560 SERIES MAXIMUM VERTICAL SHEAR - 2,0501 lbs.
FLOORS: (1) LAYER 4" CDX TOUNGE & GROOVE SUB -FLOOR, GLUED & SCREWED
WALLS: (1) LAYER 8" CDX APA RATED, NAILED WITH 8D @4" O.C. @ EDGES, 6" O.C. @ INTERIORS; IN PNEUMATIC GUN
IS USED, NAILS SHALL BE .097 -.099 NAIL 1-3/4" O.C. @ EDGES, 6" O.C. @ INTERMEDIATES
ROOF: (1) LAYER 2" EDX APA RATED, NAILED WITH 8D @ 4" O.C. @ EDGES, 6" O.C. @
INTERIORS; IF PNEUMATIC GUNS ARE USED, NAILS SHALL BE .097 -.099 NAIL 1-7/8", 3" O.C. @
EDGES, 6" O.C. @ INTERIORS
DRAWING LIST
A-0 BUILDING DEPARTMENT INFORMATION
A-1 FOUNDATION PLAN
A-2 FIRST FLOOR PLAN
A-3 SECOND FLOOR PLAN
A-4 BUILDING SEC FION
A-5 ELEVATIONS
MSTA30 or equal metal
ver ridge to roof rafters -
16" O.C. (not applicable if
es are present)
(8)10d common nails
d of collar ties - typ.
alternating Simpson H2
)r equal hurricane straps
,of rafter to dbl. plate &
P•
-Provide Simpson LPT4 or equal
metal straps to tie rim board to
dbl. plate - typ. @ 16" O.C.
Provide Simpson H6 or equal
metal straps to tie wall studs of
both floors to plates & band joist -
typ. @ 16" O.C.
Provide Simpson H6 or equal
metal straps to tie wall stud to
plate & band joist - typ. @ 16" O.C.
Provide appropriate metal plate
washer, nut & anchor bolt to tie
sill plate to conc. foundation wall
- typ. @ 6-0" O.C. (where 1 story),
T -O" O.C. (where 2 stories)12"
from corners of building &
openings, l2" min. deep
Provide Simpson LPT4 or equal
metal straps to tie rim board to
sill plate - typ. 9 16" O.C.
STRAPPING DIAGRAIV
Not to Scale
me -OW L• Lit flag • oil .I bti�' • m
Ma I
�
�
o
CD
CCA
0
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• : ••• 5,1 9 lM' • 1
r-�
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� C�'' ly • D.tiv •
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
r" Its �IP�a ar
1 §. 1 �.
PLUMBING
ALL PLUMBING %IJASTr
ATIER L !
TESTING �•'', r
PLU11,3ER CERTIFICATION
O, J LEAD COrVTENT BEFORE
CEr4 TIF'CA TE Oic OCCUPANCY,
SOLDER USED IN WATER
SUPPLYSYSTF_MC,4NPOT
APPROVED AS NOTED
� J
DATE- ��/ // n -
—�--._..._ B.P.
r,
i .n ✓ FEE:I By
NOTIFY BUILDING DEPARTMENT AT
765-1842 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR'POURED CONCRETE
2. ROUGH • FRAMING, PLUMBING,
.STRAPPING, ELECTRICAL & CAULKING
3. INSULATION
4. FINAL - CO^'STRUCTION & ELECTRICAL
MUST BE COMPLETE FOR C 0
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CQETES OF NEIL/
YORK STATE. NOT RESPONSIBLE FOR.
DESIGN OR CONSTRUCTION ERRORS,
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
ELECTRICAL
iNSPJ:-cTa0,1J nzui►
6
,` \ 0Z0o
� �
Zai
a
ATE: _ Feb. 27,2011
CALE: AS NOTED
RAWN BY: EPN
HECKED BY:
HEET TITLE:
'ERMIT SET:
OUNDATION
LAN
//a -O
�
�
o
CD
CCA
0
�-
r-�
L
1 z
S
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
r" Its �IP�a ar
1 §. 1 �.
PLUMBING
ALL PLUMBING %IJASTr
ATIER L !
TESTING �•'', r
PLU11,3ER CERTIFICATION
O, J LEAD COrVTENT BEFORE
CEr4 TIF'CA TE Oic OCCUPANCY,
SOLDER USED IN WATER
SUPPLYSYSTF_MC,4NPOT
APPROVED AS NOTED
� J
DATE- ��/ // n -
—�--._..._ B.P.
r,
i .n ✓ FEE:I By
NOTIFY BUILDING DEPARTMENT AT
765-1842 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR'POURED CONCRETE
2. ROUGH • FRAMING, PLUMBING,
.STRAPPING, ELECTRICAL & CAULKING
3. INSULATION
4. FINAL - CO^'STRUCTION & ELECTRICAL
MUST BE COMPLETE FOR C 0
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CQETES OF NEIL/
YORK STATE. NOT RESPONSIBLE FOR.
DESIGN OR CONSTRUCTION ERRORS,
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
ELECTRICAL
iNSPJ:-cTa0,1J nzui►
6
,` \ 0Z0o
� �
Zai
a
ATE: _ Feb. 27,2011
CALE: AS NOTED
RAWN BY: EPN
HECKED BY:
HEET TITLE:
'ERMIT SET:
OUNDATION
LAN
//a -O
NEW ROOF EXI5TING ROOF NEW ROOF
DUMBY :EXTEND 5HED DORMER'
MATCH EX15T!NG FRAMING
_ .........................:NEW CHA5E
= I
201' RIDGE
EG�S�
GVV t 3S
I G`1' 5D FL CEILING
NORTHERN ELEVATION
0 U5f SCAI£ DAR
r,SOUTIIFRN ELEVATION
USE SCALE BAR
OV
r---- SECOND FLOOR
FIR5T FLOOR
TOB
GRADE
20' I'
RIDGE
5D FL CEILING
88•
SECOND FLOOR
O,V
FIR5T FLOUR
TOB
GRADE
V Y t...✓ i L f �I V !..- L.t..- Y n t t u i V_
USE SCALE BAR
EASTERN ELEVATION
U5E SCALE BAR
12M
py
,.���GHITECT
y -Y l
d� No.��
STA�d�
rkoxCT 11F
KDRfFkJ9lF(SLblR)C6-
1-7bo O Soo/i L "&.
VN1YYlfVO1 ���
mm py
5c&�
moJECT #
CLAWING NUMM
i -------------
-------------------------i
s
1
i
1
f
S
!
t
1
i
3' VTR
3. 3'
R150R DIAGRAM
aNO 5CALE
.--------------
--------------
1
I
SECOND FLOOR ELECTRICAL PIAN
NO 5CALE
-------------------i—w--
1
i
!
2x5 I G"o.c.
1/2' cdx PLY
30117 FELT DBL
MATCH EXI5TING ROOFING
BLOCK I G'o.c. FOR VENT DETAIL
RIP TO 512E FASCIA 3/4' CEDAR
OVER 2x4 5UB FA5CIA
NEW 50FIT _.._......
I xG t4g BEAD BOARD
!3? 1-3/4'x7- 1 /4' MICRO LAM OR EQ. .._._._. _..........._._ .....
WRAPPED IN 3/4'x CEDAR
Ob' FIN15MED "EAD
I x6 Ma BEAD BOARD
MATCH EXI5TING G4411 . .
i
.::. . .
i
A.:-
EXl5T(NG HOU5E
12' DiAM. 50NO TUBE OR EQ.
FILLED W/ CONCRETE
PoRU"H/WALL SECTION
5CALE 112= 100
t
---------------------� ..._.._._......-__ !
I
f..
FULL-51ZE
CA6
--- ---- ---- AUNPRY
r .... . .. ..............1
= PANTRY
1
a
I t
1
I
f
I
:........................................................................................................_........_......-.... - _.__...._.. _ ..__... _._...__--_--_-__--__--_--__.._-----____---------------_-------------------
FIRST FLOOR ELECTRICAL PIAN
NO SCALE
ELECTRICAL_ KEY
RCCCPTICAL
R RECE55CD ! FOLK WAY
L LiGKT
P rAN THRCf WAY
M? MOISTLIRC PROTrCTION $i $WITCH
GN GROLND FAULT ?PWfCT .� MMOK
ALL RCCfPTIGA! 3 S•tCwVN ARE 3H ADC(TKA To onSTikG
R=PriCALS AS PCR CODE.
.. ... .... ........... .... ..... --- .................... .............. ..... ................
.
------- ---- --- -- - ---------- ---- -------
-------------------
PY
. PRGHITECT
JI��Ci SALV,q��
W NN
S TATS .
MOICT 1111X
V IV 1i' A `6
Y . / V `IC V. 1 ���iVi/V �•
1-72Z) DL [��f)V V 0�
lAk ATT(' -0CK , l
MVVN PY
5c&�
ProlcT #
PMWNCA NUM �
f
1
NEWCHIMNEYCHA5E?--- .........-...--.......--------------------------------------........
r------------------- ---------------------------
1 1
___________________J-------------- ------------------------- .----------------------------------
5'O' CE,LING A_... ...._ ...... _....
NEW C1,05ET:. y
1
I
1
1
I
I
I
i
I
NEW DOOR ;.;
I
1
%1
1
1
1 1
l
1
1
,
I
I
1
1
1
1
1
1
NEW DOOR; '
t
1
1
1
1
i
1
1
1
1
1
I
1
I
1
1
1
I
i
SECOND FLOOR
NEW FOUNDATION � EXISTING
FOUNDATION
MED CAB WALL MOUNT G e
............... .................... .............. ........ .............. ............ ;....:NEW WINDOW
----__..___--__
APROX.5'4' HEADEK NEW WINDOW:: ............ ..... _
24kA'5' ...._.._......._..-...._______________
I.•_____________�
'
'r.o.
+ _________________________-__ 4-___..-.,---------------------------------....._..._ ..
Y ,
BUILT -#N 1 c � y'
i
..... ...... '� + i
LAUNDRY
,.......__.._.._......_--------------- ...._ - ._..:BUILT-IN SHELVES NEW PORCH
I +
i
NEW WINDOW
0
SHOWER ..2'O"x4'5'r.o.
NEW 5ATH ; #
.... ..... .. ... 1
3 j
: WINDOW SEAT=+/'�.. i I WC
MA5TEK BATH , TABLE
e
1/2 BATH F"AMLY RC
p®sIYR'
BUILT-IN :-.-
,1 •
� I
REMOVE WINDOW
\ SOX NEW WINDOWi {
DO NOT REMOVE 2 O"x4'S'ro. #
" .
, STRUCTURAL � i f al:<� r •;
MEMBERS i
F
NEW DOOR ... .........._...}..
i I NIUD
: NEW FRENCH DOOR................. II 1:
::. 1 NEW LOCATION I 1 . �...._........... i.
....... .---7 ................. I 1,
•..; _.._......................
NEW WNDDOW .. ..... i......�. .. : ! 31KITCHEN' ...
0
BEDROOM N2 I'8"x3'6'r.o.
# 1 NEW WINDOW
I ,
• I
#
CL05ET:NEW CL05ET
I '
a
`.......... .............................�....................,...... i 1 :,m. aria
, -,... wP Y.dc
. NEW WINDOW � � �DOWN
2bx4 5 r.o. -r - _...s..>.........._..1...., ,,yivi "1,•:
F� 1
i NEW WINE COOLER
..... ........ ............ of t 1
i � 3 ,; ± .9.. SIN#C ►ZSAa. + +
I
I I 1 L_
1 ' ,
+ 1
1 I
I"I K5T .FLOOK
SCALE 1/4'li 'O"
. . .. ... .......
FOUNDATION PLAN,
5CAL E 1/411= 1 '0"
NEW ROO
EXISTING ROOF
.... .:.._............ ._........:NEW WINDOW
•• 2'4'x4'5'r.C.
..................................................................NEW HEATILATOR 30
ZERO CLEARANCE UNIT
NEW WINDOW
•• 2'4'x4'5'r.V,
RELOCATED RJ50R
f
—-. VENT W/ 1 (rd
DUCT IN CHA5E
EXIT ROOF
................................... . • ..... NEW 5TAIRCA5E
..................................................................:NEW KITCHEN CABJCOUNTER
-
x?-fy i
_....... ....._........--- -
MAIN'-
5GALE 1/44= 1 toot
0
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C3Y
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No. 0�
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5c&r
MOICT #
MWlN A NUMM