HomeMy WebLinkAbout40872-Z coo Town of Southold 9/23/2016
3 P.O.Box 1179
0
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38529 Date: 9/23/2016
THIS CERTIFIES that the building HOT TUB
Location of Property: 1890 Arshamomaque Ave., Southold
SCTM#: 473889 Sec/Block/Lot: 66.-246
Subdivision: -Filed,Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/26/2016 pursuant to which Building Permit No. 40872 dated 8/1/2016
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:
ACCESSORY HOT TUB AS APPLIED FOR
The certificate is issued to Ball,Thomas
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40872 09-07-2016
PLUMBERS CERTIFICATION DATED
Autho ' ed Signature
oSg ���oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S 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#: 40872 Date: 8/1/2016
Permission is hereby granted to:
Ball, Thomas
PO BOX 1708
Southold, NY 11971
To: install hot tub as applied for per Trustees.
At premises located at:
1890 Arshamomaque Ave., Southold
SCTM #473889
Sec/Block/Lot# 66.-2-46
Pursuant to application dated 7/26/2016 and approved by the Building Inspector.
To expire on 1/31/2018.
Fees:
ACCESSORY $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Bu ding Ins p r
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 I%lead.
5. Commercial building,industrial building,multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engine&r 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: V (check one)
Location of Property: I F 9 6 A r& CXm Om G1 q U C., &a, �+�_�(�!
House No. Street �/;, Hamlet
�
Owner or Owners of Property: 1Om n S J � CAA Iowa ��LJj�II
��.Suffolk County Tax Map No 1000, Section (o(P Block 2 Lot
Subdivision 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: $
xop
Applicant Si ature
pF SOUr�®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 iQ roper.riche rKED-town.southoId.ny.us
Southold,NY 11971-0959
®l�C4UNTY,N�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Ball
Address: 1890 Arshamomaque Avenue City: Southold St: New York Zip: 11971
Building Permit* 40872 Section: 66 Block- 2 Lot 46
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: HOME OWNER DBA: Thomas Ball License No: 2520-E
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub X
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Supply GFCI Protected Disconnect for Self Contained Hot Tub
Notes:
Inspector Signature: Date: September 7, 2016
00Electrical 81 Compliance Form.xls
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: .
DATE �� �� INSPECTOR �
sooryolo
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�ycoum,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[VfeFOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: D�
iG /�
DATE D� m INSPECTOR '
OE SO(/T�olo
courm,��'
TOWN OF SOUTHOLD BUILDING DEPT.
765-1602
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
REMARKS:
L4 u
DATE 12611� INSPECTOR S
�o��OF SOUT,yOIo
cOUNiY,�
TOWN OF'SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION -
I FOUNDATION IST [ ] ROUGH-PLUMBING
[ IF NDATION 2ND [ ] 1 ULATION
[ FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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DATE Z INSPECTOR
1
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1 � -
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631)765-1802 Planning Board approval
FAX: (631)765-9502 Survey
SoutholdTown.NorthForkanet PERMIT NO. �DK7Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
R
Flood Permit
Examined ,2Q Single&Separate
JUL 2 f VAST Storm-Water Assessment Form
Contact: I OmoL5 R)co 1
Approved ,20—til W"INGNM 1bl dHo: PD Bo/_ /70 g
Disapproved a/c TOWNQ1 SOMOM 3Jo uihn Id N / /I i�
Phone: 31—765-—,7"3,
Expiration ,20
Bu pector
APPLICATION FOR BUILDING PERMIT `
Date �.J U P e /,3 —,2o /(,o
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.
4� �_
(Signature of a icant or name,if a corporation)
�O Bob' /7D 2 , Flo LAn 0'4 kJ I/
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
0Wner-
Name of owner of premises -TA e►77Q S J q(- 73arba 4 J ��
(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 la d on which proposed work will be done: �d
8�1® r5 ham�P AVP . 53 Lt �-ha
House Number Street Hamlet
CO UAY'rax Kap M6 16M So_'t on Bl o c_k 6 2. t'= CS' ' q�,
Subdivision b e l xedoV1 -ES4-a�s Filed Map No. /4 72- Lot 7
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 71`�lLi f 0 -Pa 03 i 1\1 r e S'lap 10C
b. Intended use and occupancy 15Q m-P— Q S Q 6 V 4e.
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work n e LV
o ,(Des`ri off)
4. Estimated Cost060 ,00 Fee hO��b � ��, � deck
(To be paid on filing this application)
5. If dwelling,number of dwelling units 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 U Rear b Depth 59
Height 1915-1 Number of Stories Z
Dimensions of same structure with alterations or additions: Front 54me ct.S Above Rear
Depth HeightII Number of Stories
8. Dimensions of entire new construction: Front 1J r)c ha n5 eU Rear Depth
Height Number of Stories
9. Size of lot: Front 45- Rear /dp Depth -2 10
10.Date of Purchase �/'9 7 Name of Former Ownerc�.
11.Zone or use district in which premises are situated _ Tes i ej2A
12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO--YV—
13.Will lot be re-graded?YES NO Y Will excess fill be removed from premises?YES NO�
a �r/
14.Names of Owner of premises Thorg^c & ���ddress Fd 96Y -17M Phone No. �P31 765'V3 5 7'
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES�NO
* IF YES,SOUTHOLD TOWN TRUSTEES &D.E.C.PERMITS MAY BE REQUIRED.
b.Is this property within 300 feet of a tidal wetland? *YES �( NO
* IF YES,D.E.C.PERMITS MAY BE REQUIRED.
16.Provide survey,to scale,with accurate foundation plan and distances to property lines.
17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
18.Are there any covenants and restrictions with respect to this property? * YES NO-X
* IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS.
COUNTY OFs�,
T410Aas T /&/� being duly sworn,deposes and saG60N (OlWd�&applicant
(Name of individual signing contract)above named, Notary Pu*,State of New York
No.01 BU6186050
(S)He is the Qualifier)in Suffolk County
(Contractor,Agent,Corporate Officer,etc.) G-ornmissionExpiresApril 14,2_
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.
orn�tp before me
day of20
L k-u
John M.Bredemeyer III,President '%®f /y® Town Hall Annex
Michael J.Domino,Vice-President 54375 Route 25
Glenn Goldsmith `is' . P.O.Box 1179
Southold,New York 11971
A.Nicholas Krupski
�® Telephone(631) 765-1892
Charles J.Sanders ®� Fax(631) 765-6641
9
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 8844A
Date of Receipt of Application: June 28, 2016
Applicant: Thomas & Barbara Ball
SCTM#: 1000-66-2-46
Project Location: 1890 Arshamomaque Avenue, Southold
Date of Resolution/Issuance: July 20, 2016
Date of Expiration: July 20, 2018
Reviewed by: Charles J. Sanders, Trustee
Project Description: To reinforce footings to existing deck attached to dwelling;
and to install an 86"x86"x37' hot tub onto existing deck.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code. The
issuance of an Administrative Permit allows for the operations as indicated on the
project plan prepared by Thomas Ball, received on June 28, 2016, and stamped
approved on July 20, 2016.
Special Conditions: None.
Inspections: Final Inspection.
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
John M. Bredemeyer, III
President Board of Trustees
John M.Bredemeyer IYI,President 0f S0Ujif✓� Town Hall Annex
l 54375 Route
Michael J.Domino,Vice-President ,�O 0
P.O.Box 11799
Glenn Goldsmith Southold,New York 11971
D
Rc!0e� s G Q
� p Telephone(631) 765-1892
s Sty. a e O �� Fax(631) 765-6641
��cou
SEP 2 2 2016
BUILDING DEPT BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 1273C Date: September 22, 2016
THIS CERTIFIES that the reinforcement of footings to existing deck attached to
dwelling; and to install an 86"x86"07"hot tub onto existing deck;
At 1890 ArshamornNue Avenue, Southold
Suffolk County Tax Map#1000-66-2-46
Conforms to the application for a Trustees Permit heretofore filed in'this
office Dated June 28, 2016 pursuant to which Trustees Administrative Permit#8844A
Dated July 20, 2016,was issued and conforms to all of the
requirements and conditions of the applicable provisions of law. The project
for which this certificate is being issued is
for the reinforcement of footings to existing deck attached to dwelling; and to install an
86"x86"07"hot tub onto existing deck.
The certificate is issued to THOMAS &BARBARA BALL owners of the
aforesaid property.
?_ qV-% 6 .u--r_
Authorized Signature
oF S�jryo!
Town Hall Annex 4 4 Telephone(631)765-1802
54375 Main Road G Cd is �
P.O.Box 1179 roaenrichertw . ogg0tl
VuS
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: 7-16MO f 130 o t,,, a Date:
Company Name:
Name:
License No.: 2 v 4�F
Address: o
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
'Name: J-A 44e r 0 L u✓i
'Address:
"Cross Street:
'Phone No.:
3ermit No.:
rax-Map District: 1000 Section: Block: _ Lot: !Y 6 —
`BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Please Circle All That Apply)
Is job ready for inspection: YES! NO Rough In Final
Do-you need a Temp Certificate: YES! NO
7ernp 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
►dditionai Information: PAYMENT DUE WITH APPLICATION
BZ-Request for Inspection Form
TOWN OF SOUTHOLD PROPERTY ,RECORD CAR®
OWNER STREETVILLAGE DISTRICT SUB. LOT L�
FORMER OWNER N E ACREAGE °
.� S W TYPE OF BUILDING f
RES. ��/b SEAS. VL. ;; FARM COMM. I IND. CB. I MISC.
LAND IMP. TOTAL DATE REMARKS
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
Farm Acre Value Per Acre Value z 9 y
Tillable 1 'moo to
16-S Fr �s� �Q� z �P-
Tillable 2
2C - 3 7a
Tillable, 3
Woodland
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G.it`, • Q
Southold,NY 11971-0959
®lyc4UN11
September 13, 2016
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Thomas Ball
PO Box 1708
Southold NY 11971
Re: 1890 Arshamomaque Ave, 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. (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 — 40872 — Hot Tub
HIPPODROME DR.
LOT 3 '
)
(DWELLING ) A '"
N.60°20 q0 E_
P Lk-A 141 .83' /= IS_8 ( DWELLING )
( PUBLIC WATER) ` I 1
I 148
15' WIDE ASPH. PAVT , SURVEY OF
EASEMENT
qy - I I L O 1' 4
/.o j cn
p II MAP OF BEIXEDON ESTATES - 'I
I i i0 BLOCK 7
co
I I 0 2 FILED MAR. 16 , 1946 FILE NO. 1472
LOT 40
AT A R SHAMOMAQUE
-N I TH TOWN OF SOUTHOLD
LOT 5 I I I m .D SUFFOLK COUNTY N .Y .
14 0 1000 - 66 O 2 - 46
(DWELLING) N
` fl SCALE I" = 30 '
_ pl o- MAR 3 , 1987
a I I Ir 13.0 ( DWELLING ) FEB. 5, 1988(FINAL-)
13.6
132 SEPT 2611989 ( BULKHEAD )
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THOMAS BALL
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BARBARA BALL
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`ECONIC YORS a ENGINEERS, PC .
/( 516 )• 76 5 - 5020
ELEVATIONS ARE REFERENCED RfV/5/oN �- `�' �`'7 P. O . BOX 909
/
TO U S. G S Found /ac 6- 0-87 MAIN ROAD
312/x-7 SOUTI-IOLD , N.Y. 11971
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ApnD 1lED AS NOTED
DATP.# ELECTRICAL
FEE: � BY: INSPECTION REQUIRED
NOTIFY BUILDING DEPARTMEN AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION --TWO -REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING RETAIN STORM WATER RUNDh
3. INSULATION PURSUANT TO CHAPTER 236
4. FINAL - CONSTRUCTION MUST OF THE TOWN CODE.
BE COMPLETE FC'R C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
S
SOUTHOLD TOWN TRUSTEES
_C�-1€C--6
OCCUPANCY OR
USE IS UNLAWFUL
`WITHOUT CERTIFICATE
OF OCCUPANCY'
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LX1000 Digital Control
Model Specs TemperLokTM$TemperBas6*rm
6 Seats AccuLokTM Cover =
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86" x 86”x 37" PowerFloTM Filtration ;'
375 Gallons, 1,420 Liters EverPure7m Ozone w/EverLiteTM
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Lenght 15 5/8"
Weight 28.1 lbs
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