HomeMy WebLinkAbout41573-Z �4�guFPtattr�dGti Town of Southold
12/13/2017
0
P.O.Box 1179
.2. 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39402 Date: 12/13/2017
THIS CERTIFIES that the building ALTERATION
Location of Property: 955 Ships Dr., Southold
SCTM#: 473889 Sec/Block/Lot: 79.-3-34
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/21/2017 pursuant to which Building Permit No. � 41573 dated 4/27/2017
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 TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Zoll,Lori
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41573 11-21-2017
PLUMBERS CERTIFICATION DATED I1-13-2017 CNchoAPlumbmg
Au e ature
SofFn��c TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Q' TOWN CLERK'S OFFICE
oy • ;� SOUTHOLD, NY
bio! � dao
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#: 41573 Date: 4/27/2017
Permission is hereby granted to:
DePaulis, Paul
955 Ships Dr
Southold, NY 11971
To: make alterations to an existing single family dwelling as applied for.
At premises located at:
955 Ships Dr., Southold
SCTM #473889
Sec/Block/Lot# 79.-3-34
Pursuant to application dated 4/21/2017 and approved by the Building Inspector.
To expire on 10/27/2018.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $676.40
CO -ALTERATION TO DWELLING $50.00
Total: $726.40
Building Inspector
Form No.6
TOWN OF SOUTIHOLD
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 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$15.00
Date._ ®!!tl z I l z
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 95 ,5— s#(Pf agl y4r IV 77'i (,
House No. Street Hamlet
Owner or Owners of Property: G
Suffolk County Tax Map No 1000,Section 9 Block Lot
Subdivision Filed Map. Lot:
Permit No._ Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check )
Fee Submitted:$
Applic Si store
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Town Hall Annex Telephone(631)765-1802
54375 Main Roady Fax(631)765-9502
P.O.Box 1179 ® aQ roger.rich ert(d)-town.southold.ny.us
Southold,NY 11971-0959
lyc®UNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: ZOII
Address: 955 Ships Drive city Southold st: New York zip: 11971
Building Permit#: 41573 Section: 79 Block: 3 Lot: 34
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Platinum East Electric License No: 34091-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor X Pool
New X Renovation 2nd Floor X Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200A Heat GAS Duplec Recpt 97 Ceiling Fixtures 30 HID Fixtures
Service 3 ph Hot Water GAS GFCI Recpt Wall Fixtures 20 Smoke Detectors
Main Panel 200A A/C Condenser 3 Single Recpt 4 Recessed Fixtures 7$ CO Detectors
Sub Panel A/C Blower 3 Range Recpt 20A Fluorescent Fixture Pumps
Transformer Appliances DW Dryer Recpt 30A Emergency Fixture Time Clocks
Disconnect 200A Switches $7 Twist Lock Exit Fixtures t] TVSS
Other Equipment: 5- Paddle Fans, 4- Bath Fans, 1- Range Hood, 12 ARC Fault Circuit Breakers,
9- GFCI Circuit Breakers.
Notes:
Inspector Signature: Date: November 21, 2017
0-Cert Electrical Compliance Form.xls
*ov so�,�ffo��
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �O
Southold,NY 11971-0959O��C����
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date.—a 6 11,3
Building Permit No.
—
Owner:— z D l 1
(Please print)
TG�C �L
Plumber: �J� �15�78 Ji
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
f
(Plumbers Signature)
Sworn to before me this RA
day of � , 20�
D 17f D
111
Notary Public, ounEy Nov 1 3 2017
CONNIE D.BUNCH TOW14 OF SO- IROLD
Notary Public,State of New York
No.01 BU6185050
Qualified in Suffolk County
Commission Expires April 14,2
pF SOUr�,o� .
�yUOUNf'l,Oc�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] 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 "7 /?bLl INSPECTOR
� � OF SOU
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] I ULATION
[ ] FRAMING / STRAPPING [ FINAL
[ . ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS
hs -�v
DATE INSPECTOR
SOUTyolo
u4
A
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ j ELECTRICAL (FINAL)
REMARKS:
DATE 'S INSPECTOR�t-
cHITECT
MARK SCHWARTZ &ASSOCIATES 28495 Main Road•PO Box 933•Cutchogue, NY 11935
631.734.4185 1 www.mksarchitcct.com
November 8,2017 D
If
NOV 1 4 2017
Southold Town Building Department
54375 Main Road '
Southold,New York 11971 TO eIT[i Or SOUi:I OLD
Re: Edgett
955 Ships Drive
Southold,New York
Permit#41573
To whom it may concern,
I have been on site during portions of the construction for the aforementioned project. I have reviewed
the framing,strapping,rough plumbing and the insulation installation. To the best of my knowledge,
this work has been completed as per plans and meets or exceeds New York State Code.
Please call this office with any questions you may have.
Sincerely,
r„Mark Schwartz
t
AIA
Member American Institute of Ardii Lectwo
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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 ))L 2 Sury
SoutholdTown.NorthForLnet PERMIT NO. )�S�J 1- Checkey
Septic Form
nD [EQE0'V[g
N.Y.S D.E.C.
Trustees
C.O Application
Flood Permit
Examined 201M D Single&Separate
APR2 1 2017 Storm-Water Assessment Form
OC., 1-4 Contact: '.
Approved 20 g�•D1NG DEPT, Marl to G W/ 7—�
Disapproved a/c TOWN of►S®umow -7344t T '
Phone
Expiration —20 I
Building Inspector ,
APPLICATION FOR BUILDING PERMIT
Date 0 2 � 20
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 Pemut.
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 hai 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,anew 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.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner,lessee,a ent,architect gineer,general contractor,electrician,plumber or builder
Name of owner of premises 5
(As on the tax ro)f 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 Mof�attd oy y�l}i��_o�?/V4 be done:5a V T�`
House Number �/ Street '` Hamlet
County Tax Map No. 1000 Section 71 Block ®� Lot J
Subdivision Filed Map No. Lot
2. State existing use and occupancy of prem es and intended use and occupancy of propo sed construction:
a. Existing use and occupancy �N &C.E m/tl I L. y I"
A M
b. Intended use and occupancy—sfV
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work '!�aA ®-j 7#0-ovA?f
(Description) A.1 d
4. Estimated Cost Fee
(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.
5.,E r ,OCA' „S
7. Dimensions of existing structures,if ny:Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories
9. Size of lot:FrontQA ReDepth
10.Date of Purchase Name of Former Owner
11.Zone or use district in which premises are situated A 4,
12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO-X
13.Will lot be re-graded?YES SNO�Will excess fill be removed from premises?YES_X NO A
14.Names of Owner of premises✓ (K `/Address Phone No.
Name of Architect ddress 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 IkE PEQUIRED.
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-/—
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
S:
COUNTY OF C
Lleing duly sworn,deposes and says that(s)he is the applicant
(Name'of individual signing—co a t)ab ve amed,
(S)He is the
(Contr ctor,Agent,Corpo ate Ofl'ic ,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 worIMIN&EY L. DWYER
performed in the manner set forth in the application filed therewith. NOTARY PUBLIC,STATE OF NEW YORK
Sworn t before me thisNO.01 DW6306900
�►S day of rj 201-7 �QUALIFIED IN SUFFOLK COUNTY
EXPIRES JUNE 30,221-0
Notary Public rSdApplicant
Scott A. Mussell OSURS S�C't0>JRJMMA\�TJE]E.
SUPERVISOR V][A NA\(G IEIr�/l LENT
�
SOUTHOLDTOWN HALL-P.O.Box 1179 D ®wn ofouthold
53095 Main Road-SOUTHOLD,NEW YORK 11971
CHAPTER 236 - STORMWATER MANAGEMENT WORKSHEET
( TO BE COMPLETED BY THE APPLICANT)
DOES TI-IIS PROJECT INVOLVE ANY OF THE FOLLOWING
(CHECK ALL THAT APPLY)
Yes No
® A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑ B. Excavation or f filling involving more than 200 cubic yards of material
i within any parcel or any contiguous area.
❑ C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑ E. Site preparation within the one-hundred-year floodplain as depicted ;
on FIRM-Ai 4ap of-any watercourse:
❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Cbapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with pour Building Permit Application.
S.C.T.M. 1000 Date:
APPLICANT: petty Owner,Ben�rof�tonal Agent,Contractor,Othed D-otrict
S � ��J � p�
NAME: s section Bloc L
FOR BUILDING DEPARTMENT USE ONLY
Contact Information:
T Reviewed By:
- - — — — — —
- - — — — — — Dae: '7
Property Address/Location of Construction Work:_ — — — — — — — — — — — — — — — — —
955 �W� y R — — Approved for processing Building Permit. — —
[/F I f�� Stormwater Management Control Plan Not Required.
rf U.
V T- t;r ® Stormwater Management Control Plan is Required.
— (Forward to Engineering Department for Review.)
FORM # SMCP-TOS MAY 2014
Nc)V 1
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Town Hall Annex -Telephone(631)765-1802
54375 Main Road -05A
P.O.Box 1179r0 er-ri
tie AA
G � iQ
Southold,NY 11971-0959
Own D
JUN 1 2 2017
BUILDING DEPARTMENT
TOWN OF SOUTHOLD BUILDINGDEPT.
APPLICATION FOR ELECTRICAL INSPECTION ®FSOUTHOLD
REQUESTED BY: i iTIM Date:
Company Name: wvM VC
Name:
License No.: -3q091 _ r
Address: 13 0 Cc=wwekfS D o 0 T 1l0l,
Phone No.: 09.31 - ')&5'— `(q,2
JOBSITE INFORMATION: (*Indicates required information)
*Name: M1 4 M 9'>' BOLL
*Address: J SS 6)4(PS L r•P
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
SQ t— kootC �L I
(Please Circle All That Apply)
*Is job ready for inspection: YE / NO Rough Final
*Do you need a Temp Certificate: ES / 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
PAA'd Rec
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DIMENSIONS OF NEW WALLS ARE FROM STUDS V
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1 I I 4. FINAL - COi 7RUC TION �iiUCT LO LO .2 �
I I I I EL COW LF-T-7 FOR C.O. ..,_ GE-RTIFICATION � 6�0
i I I ALL C0'NS' i:LiCTiON S''I '"LL MEET THE �1 f siiiJ� 1' `f � � o >~
1 1 I t REQUIRE-',!,, E � 1 ` E c p CONTENT BEFORE � i?
tiT� OF TH CODE ,OF N4_V�, nN L EA � '� �
YORK STATE. NOT RESPONSIBLE FOR CEIR T IIFICATE OF OCCUPANCY Ln U 4
DESIGN OR CONSTRUCTION ERROR. SOLDIER USED IN WATER
WALL LEGEND 1
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1010 LEA
-.,�'-��� �-�1 EXCEED 2/10
L--------------- WALL TO BE REMOVED I _ ` 1,J f�i COI; :
EXISTING WALL AS I':L'Q`L;IRED ,n"Iwd.;
rA
NEW WALL —.- ,;
1ST. FLOOR GARAGE AREAS: 1044.3 SQ. FT. 1 �.�sj� T�
AA r r7n�Q
NOTE: "'�`r
DIMENSIONS OF EXISTING WALLS ARE FROM FINISHED WALL r� , nil E=S U`�t " V
[INT.:2X4=4-1/2 2X6= 6-1/2",EXT.:2X4=4-",2X6 O
=6") 1ST. FLOOR CONDITIONED SPACE: 1346.6 SQ. FT. •---�- --- --" LIF�TI R 0,. OOVERts1G
F
DIMENSIONS OF NEW WALLS ARE FROM STUDS A �;v Ci-'-- -��c,� ,:vC�
1ST. FL00R PLAN 2ND. FLOOR CONDITIONED SPACE: 2340.1 SQ. FT.
EXT. INT.:2X4 3.1/2",2X6 5-1/2")/ = =
SCALE: 1/4" = V TOTAL: 4731.0 SQ. FT. � F*
U �
IN SC
DRAWN: MH/MS
4; SCALE: 1/4"=V-0"
SJResra} �►
JOB#:
APRIL 07,2017
�'w •Q 230�,1`' SHEET NUMBER:
:
op vso
A- 1
REVISIONS:
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7
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DN W
l
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J VV
J
MASTER SUITE
J
Q
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1 1
1 I
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® 1 1 1
1 1 1
! „---------------- 1 1
I
t ♦ I 1 O
DECK ;
o ;
�---------------------, ---- ----- ----- I
LNDRY. C)
i-------- \/ w
ROOM MASTER BATH ;
B ATH
No. 1
' 8'-3�/2" CD , 41- I'f 1
WALK-IN CLOSET i —XSKYUI
o c7'-102 \��/// rrW3046-2 Q
00 Xx A
°eta
; WALK-IN LOSET REMOVE EX.DOOR
I NEW WINDOW Q
SHELVES (D
O
UP V
Z
MASTER BEDROOM No. 1
t
MASTER BEDROOM No. 2 00 cn c� a) E
Q
o°c rn m c
vcux
BEDROOM No. 2 BEDROOM No. 1
40
NEW MASTER c 1 � u
. s~
Io M
BATH No. 2 N o w u
s~
WALL LEGEND 1 I I I
1 1 1 1 U
--------------
.--------------, WALL TO BE REMOVED O
EXISTING WALL (JJ
NEW WALL 1ST. FLOOR GARAGE AREAS: 1044.3 SQ. FT.
N
NOTE: 2ND. FLOOR PLAN 1ST. FLOOR CONDITIONED SPACE: 1346.6 SQ. FT.
DIMENSIONS OF EXISTING WALLS ARE FROM FINISHED WALL QI
[INT.:2X4=4-1/2",2X6 =6-1/2",EXT.:2X4=4-",2X6 =6"] SCALE' 1/4" = V 2ND. FLOOR CONDITIONED SPACE: 2340.1 SQ. FT.
DIMENSIONS OF NEW WALLS ARE FROM STUDS
[EXT./INT.:2X4= 3-1/2",2X6 =5-1/2"] TOTAL: 4731.0 SQ. FT. r 1 V
v �
SO t1a��-����
i o �
�1 DRAWN: MH/MS
k SCALE: 1/4"=1'-0"
JOB#:
Y �q , 233 .t° APRIL 07,2017
?� .-C3F„�riG
SHEET NUMBER:
A-2