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91-745 • °1 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 00-2 /2 19 6 This is to certify that work requested to be done as shown by Permit No. 91-745 has been completed. This structure may be occupied as a Modular Single FAmily Dwelling Location Ridge Road Owner David & Doris Shultz By Order Town Board TOWN OF QUEENSBURY- 3 Director of Bldg. & Code Enforcement BUILDING PERMIT S -I TOWN OF QUEENSBURY No. 91-745gu WARREN COUNTY, NEW YORK ` 0 PERMISSION is hereby granted to David M. Doris E. Shultz cri crt OWNER of property located at Ridge Road Street,Road or Ave. 00 in the Town of Queensbury,To Construct or place a Modular Single Family Dwelling 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 RD1 Box 55 Queensbury, NY 12804 +� go 2. CONTRACTOR or BUILDER'S Name O Lamplighter Homes RD2Rt9 Fort Edward, NY 12828 3. CONTRACTOR or BUILDER'S Address e+ N 4. ARCHITECT'S Name 5. ARCHITECT'S Address 0' rD 0 ly d 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( I Masonry ( )Steel ( ) 7. PLANS and Specifications V1 No. 1250 sq ft Single Family Dwelling as per plot plan specifications and application 8. Proposed Use Modular Single Family Dwelling �• $ 144.00 PERMIT FEE PAID—THIS PERMIT EXPIRES October 21, 19 92 (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.) tC Dated at the Town of Queensbury this 21st of October 19 91 SIGNED BY for the Town of Queensbury Building a oning Inspector WN OF QUEENS RY . fete REVIEWED BY ,`; 1ftFEE PAID $ PERMIT NO. C,t """ It_:P_irNSBUt �� wol�� BUILDING PERMIT APPLICATION OCT 16 1991 BLDG. & CODE DEPT. A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS ▪ 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 reverse side of this application. • • • • • • • * • • * • * * • • * * • • * • • • • • • • • • • • • • • • • • * • • owner of this property is: _u�10 M. 1 choQi s ( S j-L4-0-7 2— • Address RZl x SS' / 2`Ifel 67f 7i2Q- rp 29 perty Location P ` A-GE oA(n Tax Map No. SS—/ // $. .. there been any split of this property since October 1, 1988? /yes �— es Planning Board Review is necessary. y no 3DIVISION NAME, IF APPLICABLE LOT NO. PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: hA sw LJ --v( -‘ e S RD R EAw A(i D ►*,-)v. l -z ,URE OF PROPOSED WORK: ESP,MATED MARKET VALUE OF • Construction of a new building „ CONSTRUCTION: $ 000 ..._. ...... .. Addition to a building • COMPLETE INFORMATION REQUIRED BELOW: * Size of property 3 co ft x 47( Jft. _Alteration to a building ' Existing Buildings(3) Size —o— ft. x — o — ft. (no change to exterior dimensions) •�,� Proposed building - distance from property line: _Other work (Describe) �"`� �' ' Front yard ft. Rear yard ft. • ikyk,eC .') -l�%EGA`f, Side yards ft. and ft. • )SS AREA OF PROPOSED STRUCTURE If on corner, setback from side street ft. st Floor 1:95 ) sq. ft. • * OCCtiPt NCY INFORMATION 'nd Floor — sq. ft. • Primary Building - )ther Floors -- �= sq. ft. One Family Dwelling (not cellar or basement) • Two Family Dwelling • Multiple Dwelling/Number of units AL FLOOR AREA /c20 sq. ft. of new structure_ft x ft. • Business • ldation-pier/slab/crawl/partial/full Industrial (circle one) • Other • of stori.' th^bitable space) / • ;ht (grade to ridge) /6 ft. • If addition, what will use be? sidentlal, no. of families / • of rooms(excluding baths) Co • Accessory Building of bedrooms • of bathrooms c • Detached Garage ONE/TWO Car lary heating system ' Las cen-9 Attached Garage ONE/TWO Car : of fuel 0 I L • Private storage building of fireplaces to be installed — ' a wood stove be installed o _ • ____Other tral Air conditioning — OV' ER BUILDING PERMIT .APPLICATION CONTINUED - BUILDING SPECIFICATIONS: T'\pe of construction, wood frame, fire safe. etc. et)e,r_n ` 4-Y17 tiill any second-hand or upgraded lumber be used? If so, for what? =oundation wall material Post ,) 3->1JC,al.„ Thickness % If )epth of foundation below grade (to bottom of footing) (410 Vill there be a cellar? Heated or unheated? Floor sq. footage sq ft. Vill there be a basement? yeS Will any portion be used as living space? /3© If so, what portion? sq ft. Type of use? Type of roof - slop flat/shed/other Material of roof W4200 -fo( ($J Pre-r- 54//t15/e, „ ;ize, wood studs "x e " spacing /(." o.c. length ft. 'oists (floor beams) 1st floor cZ "x /D " spacing /6 "o.c. span /3 ft. 'oist (floor beams) 2nd floor "x " spacing "o.c. span ft. overlays (ceiling beams) ci "x " spacing /jp " o.c. span /3 ft. toot rafters "x " spacing o.c. span ft. toot trusse (pre-engineered spacing / , " o.c. span (3 ft. :xterior wall finish s-} O of what material? C ecOF,‹ nterior wall finish ti57E_7 ioc_Cc f a garage is to be attached, describe materials to be used for FIRE SEPARATION: s there to he an opening between garage and dwelling? If so will a Fire-rated door, enclosure, elf-closing device be provided? Vill a flue-lined chimney be installed? 00 Height above roof ft. )epth of chimney foundation below grade _ft. )epth of fireplace hearth ft. in. Vater supply - Municipal or private well /4't SEPTIC SYSTEM Distance from ANY privat well (including adjoining properties /00 `f'- ft. A separate application is necessary for any repair or new installation of septic system) AME OF BUILDERbittr L C, 0161,14-e4) ADDRESS ROZ. Y'l S eapTEL. NO. 2 3- )3 5' 2- AME OF PLUMBER. fl WjC,Us ADDRESS g` TEL. NO. AME OF MASON 11 ADDRESS TEL. NO. Alt AME OF ELECTRICIAN C3►II' AfC ISADERESS TEL. NO. DECLAMATION To the best of my knowledge and belief the statements contained in this application, together with the ans and specifications submitted, are a true and complete statement of all proposed work to be done on e described premises and that all provisions of thy BUILDING CODE, THE ZONING ORDINANCE, and I other laws pertaining to the proposed s;,a.i ire complied with, whether specified or not, and that ch work is authorized by the owner. LAP, Signature 1-6-1Ak)k-ii ��"� Owner, owner's agent, architec contractor ?ECIAL CONDITIONS OP THE PERMIT: BY ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS Compliance Methods: TOWN OF QUEENSBUF RECEIVED PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwelling'. 1 6 1991 Multi-Family Dwellings (3 Stories or LesB .DG. & CODE DEPT. PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential PART 4 & 6 - Compliance Methods Require Submission of Worksheets NO (0 d cDO&IS �,� e � Qtkee_xl sect-C APPLICANT'S NAME PROPER LOCATION1713/4 S _ /_ So PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - 12--S L Sq. Ft. 2. Type of Heat - 1- ")�, f6-g. Base Board Other 3. Is Building Mechanically Cooled? YES k,"-"-- NO 4. Percentage of Area of Windows and Doors Over 17% Under 17% THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED THE R-VALUES SHOWN ON PLANS SUBMITTED! Baseboard 5. Insulation Values: Actual Shown Elec. Heat Other A. Roof & Floors exposed to ambient temperatures R bca- B. Exterior Walls R °( C. Glazed Area R D. Exterior Doors R E. Floors over unheated spaces R F. Edge of Slab on Grade (Heated Building) R G. Basement/Cellar Walls (Above Grade) R H. Basement/Cellar Walls (Below Grade) R I . Heating/Cooling - Ducts - Piping in Unheated Space R 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code '� YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED e41 4 WMA-4/ �p—4/6,_ Q/ �Fl 7 j -93 9id- APPLICANT'S SIGNAT DATE �4 �� TELEPHONE NUMBER INSPECTOR'S REMARKS: 11/ RE B TOWN OF QUEENSBURY APPLICATIOM FOR SEPTIC DISPOSAL PERMIT DATE: t° —�� jQx m° P LOCATION OF PROPERTY FOR INSTALLATION Owner's Name JF\v r. D TOWN OF QUEENSBUt- RECcivrD Address: . ��'X S � ' �5 13 Lt. OCT 16 1991 Installer' s Name: 04Y bn Z:1CC40,441,3Cj Telephone: Number of bedrooms (residential only) BLDC3. Si CODE tfEPT, Total daily flow (compute @ 150 gal per bedroom) 3(O C) Topography: Circle one: Flat , Rolling Steep Slope % of Slope Soil Nature: Circle on Sand Loam Clay Other /Depth: Ground Water: At what depth? , Feet Bedrock or Impervious Material : At what depth? Feet Percolation test: Circle one: not required required ,<V6 *��y� i9 iT,GcNF0 Rate - Min. Per Inch Domestic water supply: Circle one: Municipal �el Other If domestic water supply is a well : Separation: Water supply from any septic absorption 4210 '-f— feet. 3e �'�tte ' ' r / Ac Ed PROPOSED SYSTEM: Septic Tank 450 gal . (minimum size: 1,000 gal ) TILE FIELD: Each Trench feet/Total system length feet SEEPAGE PIT(S): Number of /Size each feet by feet Size of stone to be used # /Depth or Thickness feet HOLDING TANK SYSTEM IF REQUIRED NO. of Tanks Size of Each Gal . *Alarm system and associated electrical work to be inspected by an approved agency. I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Affri4DATE• SIGNATURE OF RESPONSIBLE PERSON: Cy M1 TOWN OF QUEENSBUR//' 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION R-E�CEIVED C NAME ` 0?,�7-) z--i V 1'(/ LOCATION CRi a _ l�J DATE ' i S' 9 PERMITS 9 / ` ) ys TYPE OF S UCTURE CV RECHECK, _FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) _FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL--_SEPTIC _INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/AI YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILING RELIEF VALVES FURNACE/HOT WATER OPERAT G BASEMENT INSULATION/DUCT RK INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIG OTHER FLOORS SWEEPA E OTHER FLOORS CARP ED ' STAIR CLEARANCE/ LINGSJ HANDICAPPED A SS /7 SMOKE DETE RS BATHROOM PANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPS TER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: `-/6 Lam=: i/. 'hl .11 - ,, .._r, leili..824A__yriyubid ARRIVE /dr DEPART /rl /S ---T INSP CTO ` 11C'2 `( _TOWN OF531 BAY QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 tITTNG INSPECTOR'S REPORT FINAL INSPECTION.__-) REQUEST FOR INSPECTION RECEIVED t 1I Il NAME �C�� C) �fi LOCATION ��* Og C�e \�, DATE la I , ) 1,, PERMITS - [ t ,''17 L-5 TYPE OF STRUCTURE S .' RECHECK ce 5 Ta4L(1,-) _FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) _FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL SEPTIC _INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YE�'s NO CHIMNEY HEIGHT/LOCATION t // B VENT/LOCATION 7 PLUMBING VENT e ✓ ROOFING �,/ SIDING / ✓ DECK/PORCH/STEPS/RAILINGS I ' RELIEF VALVES // ,/ FURNACE/HOT WATER OPERATING v/ BASEMENT INSULATION/DUC 0 K i/ INTERIOR TRIM/PRIVACY DO S FINISH FLOORS: ✓ BATH/KITCHEN WATERTIG T = / OTHER FLOORS SWEEPAB E \ 1 OTHER FLOORS CARPET D 4 ✓ STAIR CLEARANCE/RAI NGS a HANDICAPPED ACCESS SMOKE DETECTORS ✓ BATHROOM FANS/WH EHOUSE FANS', ✓ ALL PLUMBING FIXTURES OPERATING ✓ GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPS TER SITE PLAN/VARIANCE REQUIREMENTS / FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: __,,,,:„,,e1,4, 397.ic;7 -2dyivitei 7//,..eee,47.444;4.4e //64-64/4. .(6 ,..71 , gwe,00444y 6.„eiseaboex;-0,Jc_ae-if ARRIVE l -S DEPART / 7-4 INSPE k ATGC Y = i-1 r r v ` TOWN OF QUEENSBURY 7Q 3!)3. �� C' 531 BAY ROAD zO QUEENSBURY, NEW YORK 12804 _ 1h TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED 11 F I( II NAME 7 CAN : L:G�� a C LOCATIONS 1 C_ LL DATE 011011 c1I PERMIT/ TYPE OF STRU TORE WCi6, RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING (FOUNDATION YBACKFILL _FRAMING ROUGH PLUMBING FINAL ELECTRICAL _ySEPTIC _INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A! YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT I ROOFING SIDING DECK/PORCH/STEPS/RAILINGSi RELIEF VALVES / FURNACE/HOT WATER OPERAYING BASEMENT INSULATION/DUWORK INTERIOR TRIM/PRIVACY ()ORS FINISH FLOORS: BATH/KITCHEN WATERT GHT OTHER FLOORS SWEEP BLE _ OTHER FLOORS CARP ED STAIR CLEARANCE/RAI INGS HANDICAPPED ACCESS, SMOKE DETECTORS BATHROOM FANS/WHO EHOUSE FANS ALL PLUMBING FIXT RES OPERATING \ GARAGE FIRE PROD ING DOOR CLOSERS OTHER FIRE SEPA ATION FIRE/DEMISE WALKS DUMPS TER 1 SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: -64 A A l ‘7/eel, Vie,4;"d f } 44,401, 20141 IA:171e ,C1,4614 04,14/ ARRIVE j a DEPART // ' INS T VOW // G41I 5�/V awn ot Queensbury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSSAL SYSTEM (INSPECTION NAME ; 1. l i 1 Vif ") -N1fi S LOCATION CSC) DATE /1 / PERMIT NO. q)/ 7 SOIL TYPE - Sand Loa - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench 5Q Depth of trenches Z/ Size of gravel 0 2-- SEEPAGE PITS4Number of) Size- ft. X _ ft. Gravel size PIPING: Site by' pe Bldg. to tank it U Tank to dist. box `_ PVC- Dist. box to field/pit H rJ(/G Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank / Lift. Foundation to absorptiorr / ft. Absorption to lot line L.rb ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Left side - Right side - COMMENTS: SYSTEM USE APPROVED 410 NO Bu` ing Insp for 01/86 and vl I -i------- ------ — ••::`;l.:"...41,7) ' ! ..; 4. 11-, i I 1 1 4ZI I ! ' '' . 4 I I —- r - --i„_ !Pt) e ‘c, 1 I `-1„, peo'- I '1'4% / \'‘i 1 i : , ..f_t_,I_ef....,1 .' ill — __ _,4 /6-5 ! f - -- - --->fl z ! i 1 i I iof / -.....= . I 1 1 # C) 2. cscr,(41 ki tO i N., I *".••I i 1 .-- • . e 1 117 V•.) ; e \r).........---;\ 1 I -- Mot' C ° ! r j gGo•-ttil ,- , ' . , iV-1.5-,•.t— • 1 I, z...L- \ 6_ , ! I tz, ‘ 1 _-----f 1- - ; TOWN OF VAE E°QUEENStItitt r-EN I 2 7) (:( i \sq. OCI 17 199'1 27 (,.-,<.". 1 , , ‘ 131...DO• & CODE i3EPT. • .., 1 . i — 9/ 1 Oftte,-,1-9--- s' I. , ,........___,..--... ,, ... ........,,g7-, ., fr -)e,,,,, ft 5-5— 4A cdr-02kie--- ,..viz,,,„,_ el 1,G,,,,/ ,et _..e,, ,...c (.c......,...s.,C ..... e( .../I- ,..-'C....41....,trir..4,t44, TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT EQUEST FOR INSPECTION RECEIVED /C/�//GJ/ AME kV L -Z. J1G) klsr1S OCATION Gcolo?"- ATE /7/I;fM'i PERMIT # 7 f - 7 � YPE OF STRUCTURE k • N. ECHECK APPROVED N/A YES NO OOTINGS/PIERS f ONOLITHIC POUR FORM EINFORCEMENT IN PLACE HE CONTRACTOR IS RESPONSIBLE OR PROVIDING PROTECTION FROM REEZING FOR 48 HOURS FOLLOWING 'HE PLACEMENT OF THE CONCRETE. ATERIALS FOR THIS PURPOSE ON SITE OUNDATION/WALL POUR EINFORCEMENT IN PLACE OUNDATION/DAMPROOFING ACKFILL APPROVAL c/ OUGH PLUMBING LUMBING VENT/VENTS IN PLACE LUMBING UNDER SLAB RAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM I R ES TO PP ING WALLS CEILING IREWALLS EATING ROUGH-IN NSULATION: FOUNDATION WALLS INFERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WA LL S R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES EMARKS: IRRIVE iEPART I SPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED �Q (5---9/ NAME 1 (.t,ALL 4 D0v I ®--- LOCATION I i e r� DATE - PERMIT f — 5 TYPE OF STRUCTURE /I60 RECHECK APPROVED IN/A YES f VRT5Z7PIERS MONOLITHIC POUR FORM REINFORCEMENT PLACE THE CONTRACTOR` S RESPONSIBLE FOR PROVIDING P' 'TECTION FROM FREEZING FOR 48 0 RS FOLLOWING THE PLACEMENT OF E CONCRETE. MATERIALS FOR THI PURPOSE ON SITE_ FOUNDATION/WALL PO R REINFORCEMENT IN PUCE FOUNDATION/DAMPROOF G BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS I PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADER: BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAI BEAM FIRESTOPPING WALLS CEILING f FIREWALLS HEATING ROUGH7'IN INSULATION: FOUNDATION WALLS INTERIO•, R- FOUNDATIQ'V WALLS EXTERIOR R- FLOORS / R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES_ REMARKS: or 1:;:ix460,{ ARRIVE tb DEPART INSPECTOR - ---.......--__________ _........__,..... ." I : i ,..--.... ..i - ..I. ./:.''...k'. „ir "N • _ 1 I--------------T— i 1! ''l:' .:. I ! i I I i I f i 4ZI X'' 4: 44 N i , I 4 i,..(,, f i .. i t --- 14 ---1- - t i e cl t /, \,, (.... .! 'i,i, 1 '' /6.-S- i 1 0 / ----- ' 1 ) . ,i , :1---------i i i 1 I I IL I...?D / -...'4 1 .1 -.:1 1 t 4 i 6o/ _____s„ / / —.kZ 1 ! ,.,,1 c= )•:,, 1,--.:.\411 z ),- ,z s. i St i \ f ; ;. • I v \ .N.i. . so \\,) 1, , , `..,.. ; i 1 1 C--L- 4. <1 1 ' I ; r---- ' I \,...i u.1 .. . sj 1 in 41 "t- _---, ------ f I i / \ ,--t- ___ —-- -1--A-- 1 1 1 1 TOWN °F QUEENS°°i . __. ------ ,, OCT iri 101• , _ / r\ \ s " 1 1 6EPT• 1 //) / / \ , / , - . 9 7 ; C.--!,: , 7 ,,,•,,,_ • \ \ k 1 1 1 'l _- pf A f-i, , .,---.11 0 1 //, //1/- ; 1 . ii__ A ._---_ .) ......., --- ..--------- / 4 41A-4141-"" e--1 W' ••— ,_ ._.. •-•."6,1''t-"(1-'6-1-'14/