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95-224 BUILDING PERMIT VALUE $ 12®®® TOWN OF QUEEN.SBURY 95224 TAB MAP NO. 131. -8-19 No. WARREN COUNTY, NEW YORK MOORS, ROBERT L. & DONNA PERMISSION is hereby granted to OWNER of property located at RICHARDSON ST. Street, Road or Ave. in the Town of Queensbury,To Construct or place a ADDITION TO RESIDENCE at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 55 RICHARDSON ST. EST. GLENS FALLS, NY 12804 2. CONTRACTOR or BUI LDER'S Name SAME AS ABOVE 3. CONTRACTOR or BUILDER'S Address 0 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction— (Please indicate by X) RESIDENTIAL ADDITION ( )Wood Frame ( 1 Masonry ( )Steel ( ) 7. PLANS and Specifications 720 SQ• FT ADDITION TO RESIDENCE AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use ADDITION TO RESIDENCE $ 56 PERMIT FEE PAID —THIS PERMIT EXPIRES April 28 19 97 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 10 Day of May 19 95 SIGNED BY for the Town of Queensbury Building and Zo I ctor Department of Community Development Reviewed By: 2� Building & Code Enforcement uilding Inspector Town of Queensbury Permit No. 742 Bay Road C1170 Queensbury, New York 12804 11s:L Fee Paid $ . Zat (518) 745-4447 Building Permit Application A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants , spaces on this application MUST be completed and the signature of the applicant MUST appear on the application form. Applicant: ��c'1 �3 tL L- M 0 Z ICS/ Owner: IL t4 ���.Rt Address: ss�r76P-i I StYJ S-k /-., , Address: c'/ �ze�SciJ 5 �uf t�_n.-t(S ���1, i2ro l GI �,i s r«Cis /UY, idtiro/ Phone # ( 51 b ) 7F3 6 Y 13 Phone #_ Property I-,ocation: Sr �t�bi/�rtcvso�J S /- W, lT /ic•�s IS /U�l, /?��J —J—� Tax Map Number Subdivision Name: Section Block Lot NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ ZZ07) " residence / commercial Additio uilding: residence / commercial OCCUPANCY INFORMATION: � Alte Building: Primary Building - residence / commercial Single Family Dwelling Residence ommercial Two Family Dwelling no change to exterior size FamFe Office E ® Other Work (describe below) MercantiManufact 91995 Other GROSS AREA OF PROPOSED STRUCTURE: NSBURY If ADDITION, IN COD lst Floor. . . . . . . . sq. ft . of new, addition be? : 2nd .Floor. . . . . . . .7 ,_ts sq. ft. Other Floors . . . . sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: Detached Garage 1 , 2 car TOTAL FLOOR AREA: q- 0 SQ. FT. Attached Garage 1, 2 car Private Storage Building SIZE OF NEW STRUCTURE : Commercial Storage Building Other y FEET X j0 FEET Foundation Type : S �Y�-3 Will any second-hand or ungraded Number of Stories : �L lumber be used? If so, for what? (habitable space only) / O Height (grade to ridge) : feet TYPE OF HEATING SYSTEM: . Number of fireplaces and/or woodstove (circle all,_wl4ch applies to be installed: Eg�Hot ' / Gas / / Basebo r / Other Person respons b for supervision of wor as regards to building codes i s : � �Q _ Name Addresss Phone Fs4u _ilder: �df3� L� ✓�t+oi2S -- Plumber: (Mason: Electrician: - DECLARATION To the best of my knowledge the statements contained in this appli- cation, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further it is understood that I/we shall submit prior to a Certificate of Occunancv or Certificate of Compliance being issued, an AS BUILT PLOT PLAN RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive 3!1�jam/pm Depart n/pm Town of Queensbury Inspector's Initialls� 742 Bay Road Queensb ,New York 12804 NAME PERMIT LOCATION S - DATE ( b TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Comple Interior/Exterior Railin�s 30"to 36" Exterior Handrails,bal ones,landing 18 in.or more Interior Handrails stair both sides 3 or more risers Grade 203/4,avP v from ifundation 8"clearance to s' p Gas Valve shut-off exp I sed/reg or 18"above grade Gas Furnace shut-off wi 'n 30 feet or thin line of site _ Oil Furnace shut-off at a trance to furnace ^ Furnace/Hot Water Heat operating Relief Valve(s)installed Headroom,6 ft.6 in.on stars Basement stairs,6 ft.4 in. Handrail exterior stairs both ides more than 3 risers Interior privacy/trim/doors/man entrance 36"_ Floor Finish \ Bathroom/Kitchen watertight Interior Handrails Balconies/Lan ' g 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) C � RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive 3i Y°am/pm Depart am/pm Town of Queensbury Inspector's Initials 742 Bay Road Queens ,New York 12804 NAME PERMIT LOCATION DATE TYPE OF STRUCTURE (� ` N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Inte ior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landin 18"in.or more Interior Handrails stairs both sides 3 or In a risers Grade 2%away from foundation 8"clearance•to sill plate Gas Valve shut-off exposed/regul or 1 above grade Gas Furnace shut-off wthin-30-fee/ r within line of site Oil Furnace shut-off at entrance tp furnace area Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sees more than 3 risers hiterior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight I Interior Handrails Balconies/Lranding 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected 1 /7 Bathroom fansPlumbing fixtures Foundation insulation 3/4 hour fire door/door close Garage fireproofing Ci. Svyi J Garage penetrations sealed f 7 Furnace in separate room protected(in garage) Light ventilation per room / /C�G,f�'��tir►3 Safety glazing 18".or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) r. IBESIDENTUL FINAL INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: Building& Code Enforcement �/�� Dept. of Community Development Arrive�2 am/pm Depart am/pm Town of Queensbury inspector's Initials 742 Bay Road Queensbu ,New fork 12804 f NAME PERMIT# LOCATION G DATE =VC�t:1"3 TYPE OF STRUCTURE �E-_ N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"topn Exterior Handrails,balconies,l oI Interior Handrails stairs both sid Grade 2%away from foun 'on8"clearance to sill plate Gas Valve shut-off exposed/regboGas Furnace shut-oft'within 30 lOil Furnace shut-off at entrancere Furnace/Hot Water Heater opera Relief Valve(s)installed lJ(/ om..Headroom,6 ft. 6 in. on stairs w 6 v` 'v Basement stairs,6 ft. 4 in. Handrail exterior stairs both side more than 3 risers Interior privacy/trim/doors/main trance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in. or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif. of Compliance) Okay to issue temp. C/O(Certif. of Occupancy) Okay to issue permanent C/O(Certif. of Occupancy) r T-0b TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (! (518) 761-8256 ARRIVE: lF=, DEPART: INSP:'/� _ FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECATIpON REQUEST RECEIVED: NAME LOCATION DATE -\ PERMIT a A. TYPE OF STRUCTURE F-61D. AVID- FOOTINGS— FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N A YES FNO CHIMNEY HE GHT B VENT HEIGHT ..s PLUMBING VENT ROOFING EXTERIOR FINISH ECK PORCH STEP RAILINGS RELIEF VALVES FURNACE HOT WATER OPERATING INTERIOR TRIM PRIVACY DOORS FINISH FLOORS: BATH KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS LUMBING FIXTURES OUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN VARIANCE REQ. FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C C LA�r se� c� TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12004 ( (518) 761-8256 ARRIVE: C2 2 U DEPART: INSPQL— FINAI. INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST RECEIVED: NAME LOCATION , L� DATE ((�� PERRMIT 1 Rc- TYPE OF STRUCTURE o ROD FOOTINGS_ FOUNDATION BACKFILL FRAMING _ ROUGH PLUMBING SEPTIC _ INSULATION _ FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT B VENT/IJEIGUZ PLUMBING VENT ROOFING EXTERIOR FINISH DECK PORCIi STEPS RAILING RELIEF VALVES FURNACE HOT WATER OPERATING INTERIOR TRIM PRIVACY DOORS FINISH FLOORS: BATH KITCHEN WATERTIGHT OTHER FLOORS 'SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS /FINAL ELECTRICAL SITE PLAN/VARIANCE REO. FINAL SURVEY PLOT PLAN OK TO ISSUE C 0 OR C C SZ ,s lteefl-v,4 TOWN OF QUEENSIIURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: / DEPART: INSP: FINAI. INSPECTION REPORT - RESIDENTIA 7 C� DATE INSPECTION REQUEST RECEIVED: NAME LOCATION DATE �� C� PERMIT / l TYPE OF S RUCTU E FOOTINGS_ FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC _ INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N A YES NO H IGH CHIMNEY fiEIGHT B VEN PLUMBING VENT ROOFING EXTERIOR FINISH DECK PORCii STEPS RA L NGS RELIEF VALVES FURNACE HOT WATER OPERATING INTERIOR TRIM PRIVACY DOORS FINISH FLOORS: BATH KITCHEN WATERTIGHT OTHER FLOORS 'SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C C /Vb/ TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 J (518) 761-8256 ARRIVE: l DEPART: _ INSP: FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST RECEIVED: NAME LOCATION DATE PERMIT H TYPE OF STRUCTURE FOOTINGS_ FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/16,IGH PLUMBING VENT :"5 ROOFING r EXTERIOR FINISH DECK/PORCIi/STEPS/RAILINGS RELIEF VALVES FURNACE HOT WATER OPERATING INTERIOR TRIM PRIVACY DOORS • FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS •SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REO. FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C C TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT eL 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: C/-3 DEPART: INSP: FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION,,R U ST RECEIVED: NAME (� � yr LOCATION ClX DATE A ,U PERMIT N c TYPE OF STRUCTURE FOOTINGS_ FOUNDATION BACKFILL FRAMING _ ROUGH PLUMBING SEPTIC INSULATION _ FINAL ELECTRICAL WOODSTOVE OR FIREPLACE _ H A YES NO CHIMNEY HEIGHT/B VENT/11EIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCII/STEPS/RAI GS If RELIEF VALVES FURNACE WATER OPERATING INTERIOR TRIM PRIVACY DOORS • FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS 'SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REO. FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C C .r /r/A` PG�f�V CifQGrr TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR '7 fDEPART IN -� REQUEST FOR INSPECTION R EIVED: NAME LOCATION I r 1 't- f DATE PERMIT TYPE OF STRUCTURE: RECHECK APPROVED N/A YES NO FOOTINGS PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FR ZING FOR 48 HOURS FOLLOWING THE P CE- MENT OF THE CONCRETE. MATERIALS FOR NJIS PURPOSE ZN SITE FOUNDATION WALLP UR REINFORCEMENT IN ACE FOUNDATION DAMPPRo ING BACKFILL APPROVAL PLUMBING VENT VENTS I PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDSZ EADER BRACING BR GING JOIST HANG RS JACK POST MAIN BE AIR INFILTRATION ARRIER HEATING ROUGH-I INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WAL_LS R- _ CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- 14, 16 ry fir " (��=�- TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12604 INSPECTOR'S REPORT: ARR DEPART 3fr� INT_� REQUEST FOR INSPEC ON RECEIVED: NAME LOCATION DATE �J PERMIT # � � TYPE OF STRUCTURE: RECHECK APPROVED NIA YES NO FOOTINGS PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR I RESPONSIBLE FOR PROVIDING PROTE T ON FROM FREEZING FOR 48 HOURS POLL F1%NG THE PLACE- MENT OF THE CONCR E. MATERIALS FOR THIS URPOSE ON SIT FOUNDATION/WALLPOUR REINFORCEMENT IN PLA FOUNDATION DAMPPROOFI BACKFILL APPROVAL PLUMBING VENTIVENTS IN P CE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: _ JACK STUDS[HEADERS _ BRACING BRIDGING JOIST HANGERS JACK POSTS MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- _ WALLS R- CEILING _ R- DUCT WORK OR PIPING IN UNHEATED SPACES R- , a clez-lec ! axAk4j TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT T 531 BAY RD., QUEENSBURY NY 12804 r � INSPECTOR'S REPORT: ARR �/� DEPART $JI INT?) REQUEST FOR IN/ T O/N`RECEI ED: NAME ✓ r� �� LOCATION (CC- DATE % f PERMIT TYPE OF STRUCTURE: RECHECK APPROVED N/A YES NO FOOTINGS PIERS MONOLITHIC POUR F REINFORCEMENT IN PL CE THE CONTRACTOR IS RE PONSIB7 E FOR PROVIDING PROTE TION ROM F EEZING FOR 48 HOURS FOLLOWIN THE PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PUR O E ON SITE FOUNDATION WALLPOUR REINFORCEMENT IN PLACE FOUNDATION DAMPPROOFI G BACKFILL APPROVAL PLUMBING VENT�ENTS IN PLA ROUGH PLUMBING PLUMBING UNDER SLA FRAMING: JACKTRIDGING ADERS BRAC JOISJACKIN BEAM AIR INFILTRAIER HEATING ROUGH- N INSULATION• FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- _ FLOORS R- _ WALLS R- CEILING R- DUCT WOR OR PIPING IN UNHEATED SPACES R- l•' TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARRC5 DEPARTS O INT REQUEST FOR INSPECTION RECEIVED: NAME TI LOCATION 1 DATE 7 S PERMIT 1i 1-1 L TYPE OF STRUCTURE: RECHECK APP OVED NIA YES I NO FOOTINGS PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBL FOR PROVIDING PROTE TION FROM FRE ZING FOR 48 HOURS FOLLOWING THE PLA E- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON ATE FOUNDATION WALLPOUR REINFORCEMENT IN PLACE FOUNDATION DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS[HEADERS BRACING BRIDGING JOIST HANGERS JACK POSTS MAIN EAM AIR INFILTRATION BARRIE HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R-3j!° DUCT WORK OR PIPING IN UNHEATED SPACES R- �� `�l�:�- 3 i uv TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR 3JW DEPART J+� INT-c/k REQUEST FOR INSPECTION RECEIVED: NAME ( el-5 S-Y LOCATION y DATE : PERMIT H i TYPE OF STRUCTURE: RECHECK APPROVED N A YES NO FOOTINGS PIERS 1 MONOLITHIC POUR FORM REINFORCEMENT IN PLACE ,i THE CONTRACTOR IS RESPON¢IBLE OR PROVIDING PROTE TION FROIJ FRE ZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSES N SITE FOUNDATION WALLPOUR 1' REINFORCEMENT IN PLACE FOUNDATION DAMPPROOFING BACKFILL APPROVAL 1 PLUMBING VENT VENTS IN PLAOE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: 6 JACK STUDSZHEADE S BRACINGIBRIDGING JOIST HANGERS JACK POSTS/MAIN ;BEAM i AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: f J FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS E 1'ERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- hall'I � ,� e �c►�r��� �� �-ate, �� '