88-324 (2) Writ
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Lt-C 'i / 19
This is to certify that work requested to be done as shown by Permit No. 88-324
has been completed.
This structure may be occupied as a One family dwelling (additions & Alterations'
Cleverdale Road
Location
Owner Freda Tierney
By Order Town Board
TOWN OF QUEENSBURY
-2) /
Buffing & Zoning Inspector
lems
BUILDING PERMIT
TOWN OF QUEENSBURY No. 88-324
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to Freda Tierney
Cleverdale Road
OWNER of property located at Street,Road or Ave.
rn
in the Town of Queensbury,To Construct or place a Additions & Alterations to 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. h
CD
1. OWNER'S Address is W
Same
CD
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2. CONTRACTOR or BUI LDER'S Name LC
William Tierney
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3. CONTRACTOR or BUILDER'S Address
Upper Font Grove
Slingerlands, N.Y. 12159
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4. ARCHITECT'S Name
0
IL
5. ARCHITECT'S Address
41
6. TYPE of Construction—(Please indicate by X) r
0
( )Wood Frame ( ) Masonry ( )Steel ( 1 cn
7. PLANS and Specifications
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No. 24' X 26' as per plot plan, specifications and application
(septic permit # 88-209) rt
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8. Proposed Use
Additions & Alterations to dwelling
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5.00 C/O 89
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$ 77.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 19 RR
(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 2nd Day of June 1988
SIGNED BY for the Town of Queensbury
Building and oning Inspector
A
u tsr. LUMYL1 1'ED BY BLDG. DEPT. A -i'
TO'`'N OP' QUE�.:, !("t
Application No. n :
__Jown o Queenitur, 1 ,.." - .. _ - j
Permit Issued 19 C ' 2
BUILDING and ZONING DEPARTMENT J
Permit Expires 19
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation MY It-.
Queensbury, Ne v York 12801 Variance No. ,4Rt4. /3�5"
N., rvrl'' Site Plan Review No. B & ODL.pEPT
Approved 4 � "
77 3,,Pe&. �
L�/
4,71
0'1-, APPLICATION FOR •
f
!1/ __c.o FFli.
BUILDING AND ZONING PERMIT sr�'fiA. 'Pei. ii 8'B__ og. 9a 1
* * * * * * * * * * * * * * * * * * * * * * * * #• * * * * * * *.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will
e done in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
he owner of this property is: Fr q e / 1 ev fie ' •
.0. Address C/et/ `re. lr' // .4- y C 74"' - ,/6 - 2�s r-. 51 Je Tel. 4' '"•3 5-6 2
t. of .�! ,(�°v
roperty Location: e4.4, . Tax Map No. / /
Street number or building lot number
ubdivision name (if applicable)
HE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
G�l/itg i %i•ef,v e y; G p'_r0,/tGi'o'e;67/1,7 ,ejai./ //ifJ s G , • 35-5-2
Name O. Address 12/52 Tel. No.
ame of builder f Address Tel.
ame of plumber Address Tel.
ame of mason Address Tel.
ATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
/Addition to a building * drawn reasonably to scale and attached hereto,
,..--Alteration to a building * showing clearly and distinctly all buildings,
_._(no change to exterior dimensions) * whether existing or proposed and indicate all
Other work (describe) * set-back dimensions from property lines. Give
* street and number or lot number and indicate
DR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
*
)CATION OF STRUCTURES AFFECTED. of water supply and location and configuration
Irmo f6'ii•e i o , par, f QIs eidf * of septic disposal area.
f„/Y /447 2 Z s5 / * COMPLETE INFORMATION REQUIRED BELOW.
* Size of property GO ft X 2-.CO ft.
* Existing building(s) Size ZG ft X 3q ft.
20POSED BUILDING AND USE: * 60111.1i Ce,N10,vo( ewe ih fI;s19e1',Kr,� I c ice
* Existing building(s) Use reso�'P.vice'
Lze of new structure 2 ' ft X 26 ft. *
)Llndation /slab/crawl/partial/full * Proposed, building, distance from property line
(circle one) * (coal) L4ke
>. of stories (habitable space) * Front yard ft Rear yard �!S" ft
eight (grade to ridge) 2/ ft. * Side yards 9' ft and Z ft
residential, no. of families "/
* If on corner, setback from side street m44. ft
>. of rooms(excluding baths) ` ' * OCCUPANCY INFORMATION
>. of bedrooms 3 *
), of bathrooms * PRIMARY BUILDING -
. ,----One family dwelling
:imary heating system J/o,Ve- * Two family dwelling
ripe of fuel it///9 - * Multiple dwelling / Number of units
>. of fireplaces to be installed ' O Permanent occu anc
y
.11 a wood stove be insalled? 4/v * Transient occupancy
ntral Air conditioning? Nv Business
*
JILDING STYLE, PRIMARY STRUCTURE *. Industrial
inch Contemporary Log cabin * Other
iised ranch Mansion Duplex
* If addition, what will use be?
>lit level Old style Bungalow *
Lpe Cod of Other * ACCESSORY BUILDING- (F x-,5 fr 1.47)
>lonial Row Town House * Detached garage/one car/ two car/ 2- car
' ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * *_Private storage building
STIMATED MARKET VALUE OF * Other • ' •
ONSTRUCTION $ � v *
(FORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
........ nnT A /OG .....1_..1
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:. •
Type of construction, wood frame, fire safe,etc. 4iooGt" /6/4-,4 e,
Will any second-hand or ungraded lumber be used? If so, for what? yd-4/e
Foundation wall material co vc^e fC, Thickness art�O dr9 c�.►• •
Depth of foundation below grade (to bottom of footing) 5
Will there be a cellar? A/0 Heated or unheated? /V,44 Floor sq. footage 4//,¢. sq ft
Will there be a basement? N0 Will any portion be used as living space? ,f/Q
(If so, what portion? — sq.ft. - - Type of use? --
Type of roof - sloped/flat/shed/other(/ t Material..of roof g4.,,A4/¢- (51/4/7/es
Size, wood studs Z "X 4. " spacing G "o.c. length 8' ft.
Joists(floor beams) 1st. floor Z "X /O " spacing /6 "o.c. span /3 ft.
Joists (floor beams) 2nd. floor Z "X A, " spacing /6 "o.c. span /j ft.
Overlays(ceiling beams)A/9 ."X " spacing "o.c. span ft.
Roof rafters 2_ "X K�spacing /G o.c. span 8 ft.
Roof trusses(pre-engineered) spacing ,y/3 "o.c. span,wl•ft.
Exterior wall finish`/"%'/a,bac Of what material? JWA/e
Interior wall finish %a " uij 7 (Stieef hoc/‹/) •
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to e an opening between garage and dwelling? /01- If so will a Fire-rated
door, enclosure, and self-closing device be provided? /,f.
Will a flue-lined chimney be installed? i!/v Height above roof ,V¢, ft.
Depth of chimney foundation below grade /y/A.ft.
Depth of fireplace hearth�/ ,4-ft. - in.
Water supply - Municipal o private well /sy,ep Pdt"g P- DGtM,O�
SEPTIC SYSTEM _ Distance from ANY private well(includihg adj6inin4 properties/SO,' ft.to/AA
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury AFF .1 D AV I T STATE OF NEW YORK
County of Warren
I swear that to the best of my knowledge and belief the statements contained - •
in this application, together with the plans and specifications submitted, are a true and
complete statement of all proposed work to be doneion 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 specifies or not, and that such work is
authorized by the owner.
.67/9/II°
SWORN TO BEFORE ME THIS Signature /IJ G ��_-
Owner, ownefs agen,,arcn ,tect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
By
•
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
•
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work .
ANSWER ALL of the following:
1 . Gross floor area /, o it?
2 . Type of heat
3 . Is the building mechanically cooled? h...0
G. 3G y3„S: /14 z _ ���J
4 . Percentage of area of windows and doorsd�� qx� a7 S_ As 3- 2041�- (((//�'`, /v
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2 . Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
1. If YES , what is the R value?
3. Slab on grade YES NO
a. If YES, what is the R value of insulation around
perimeter of floor?
4 . Is basement heated? YES NO
a. R value of insulation
5. Type of insulation
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
F/oos - k .f G-S' // Woofs = e- .25
2 . R value of exterior walls ,e' /9
3 . R value of glazed area ki , a 11
4 . R value of doors ii\> (� T 42ood Arls s.1 S far.y id d✓'SJ
5 . R value of floors over unheated spaces ///.
6. R value of slab edge insulation - unheated slab /01-
7. R value of slab insulation - heated slab iY//1 .
8. R value of heated basement/cellar walls (above grade) ///// .
9. R value of heated basement/cellar walls (below grade)-J4i¢.
F/00✓e .. Phe.4,oPc_ Poar► •.e
b 1 ,�10. Type of insulation c,y7.5- , t " c; .„.. 4F A,,,,/ 3�y ' =ocr•7
C. Controls
1. Thermostat maximum heat setting /1///4f
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES NO
a. If YES , R value of duct installation /f//¢.
b. R value of duct in other areas y/iq .
E . Piping Insulation
1. Size of hot water or cooling carrying agent pipe // .
2 . R value of pipe insulation /4//4/,
F. Service Water Heating
1 . Performance efficiency 1j,/ / ' c. q/
2 . Temperature control setting maximum vp/c-�l fre e,�,� Pell el i.
G. For Swimming Pool Only A
1 . Maximum heating ///
6/(0y3gy2 /// �Telephone No. G�� � �.' ,
(applican ' s signat e)
2 o/''J
T�TO OF ENSBURY
531 BAY ROAD
NEW YORK
TELEPHONEY� (518) 745-44447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED_L7 // ' —
NAME , lf; /l/L- tiff I?6f�
LOCATION , ,//dli:depj'e._ R__
DATE kl `,e7 PERMIT# g - p i/
TYPE OF STRUCTUREa d/i7,, 2 k
RECHECK ll,4'7 A
_FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
- ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
- INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILANGS
RELIEF VALVES
FURNACE/HOT WATER ERATING
INTERIOR TRIM/PR ACY DOORS
FINISH FLOORS:
BATH/KITCHEN ATERTIGHT
OTHER FLOOR SWEEPABLE
OTHER FLOC) CARPETED
STAIR CLEAR CE/RAILINGS
SMOKE DETE ORS
DOOR CLOSES
BATHROOM VANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMI,SE WALLS
FINAL ELECTRICAL ✓�
OK TO ISSUE C/O OR C/C
COMMENTS:
/1/.� /077' 1/90- 9/
ARRIVE
DEPART ` `�
SPECTOR
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY,ELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED -Z-
NAME
LOCATION///Ijd4 h,.7
DATE i/�4/9,,? PERMIT# f H04'
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
SOOTING FOUNDATION BACKFILL t.-FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS % 7,,t4r f2 ,p rf�9olli�;�
APPROVAL
N/A/ YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION ��
PLUMBING VENT .
ROOFING
SIDING t ,
DECK/PORCH/STEPS/RAILINGS I
RELIEF VALVES
FURNACE/HOT WATER OPERATI``NG id/
INTERIOR TRIM/PRIVACY DOORS :r
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED :! l
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS ✓�
DOOR CLOSERS /�
BATHROOM FANS �
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
e'
FINAL ELECTRICAL 72 6 �
` .-V /
OK TO ISSUE C/O OR C/C L/
COMMENTS:
/ 1,7%7°1-- -(74r-J
%f�
ARRIVE /r 51-
DEPART cx9) i1 (2( ,
IN CTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT( 'c) i
REQUEST FOR INSPECTION RECEIVED
NAME 1' 5flc-
etV--t.
LOCATION (�� �-1{7
DATE 9/fl/ 9/ PERMIT # 8n -_�,
TYPE OF STRUCTURE Add,+44-/-
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPP ING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
VINSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR' R-
FLOORS R-
WALLS
CEILING
DUCT WORK OR PIPING IN UNHEA ED
SPACES
REMARKS: / yk
�� ��/� /1) fX �Sp/ waft°7
V
ARRIVE
DEPART
PECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPOR ?sprit
/
EQUEST FOR INSPECTION RECEIVED
OCATION (AEIN.Q.) c.)4.)
ATE 2Ar/ ``PERMIT # n--- ;,-)Lf
YPE OF STRUCTURE Add; t/ s- P4ARA 1
ECHECK APPROVED
N/A YES NO
OOTINGS/PIERS
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
OftrikUMB IN
LUMBING VENT/VENTS 0 PLACE
LUMBING UNDER SLAB
RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM \ fit,
IRESTOPPING
WALLS
CEILING
IREWALLS
EATING ROUGH-IN
NSULATION:
FOUNDATION WALLS INTERIORFOUNDATION WALLS EXTERIOR a-
FLOORS R-
WALLS ; R-
CEILING R-
DUCT WORK OR PIPING 'IN UNHEATED
SPACES
EMARKS:
ARRIVE
1EPART . 1)5
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801. 7 /
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION e�D,e/Xd��j j1/
DATE/0Q PERMIT # /If ;�07g
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL '\
ROUGH PLUMBING
' FRAMING �'` ✓
ELECTRICAL ROUGH-IN '
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
HEIGHT CHIMNEY 1
ROOFING '
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF V. LVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY,' MUST BE
OBTAINED FROM THE BUILDING DEPARMENT BEFORE
THESE PREMISES ARE OCCUPIED!
ti
REMARKS:
111
kRRIVE /
)EPARK/a20S I .I
(44
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
i
BUILDINe INSPECTOR'S REPORT
4 -34
REQUEST FOR INSPECTION RECEI D
NAME shtf,di, %l, , ,y ,
LOCATION Ikzi/‘,: de-
DATE �� ' PERM T # AP-321
,nt APPROVED
add d de,'
GZ.4516 ri YES NO
FOOTING/PIERS
MONOLITHIC POUR FO S
FOUNDATION/DAMP-PR FIN
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN,
INSULATION: j
FOUNDATION 5
FLOORS 11
WALLS 1.
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING i
a
SIDING
EXTERNAL PORCHES,ST S
STAIRS-CLEARANCE'& ILS
PLUMBING FIXTUR /RE EF VALVE
INTERIOR TRIM/P IVAC DOORS
FINISHED FLOOR _
GARAGE FIREPROlFING
DOOR CLOSER(S),
SMOKE DETECTO'S
FINAL ELECTRICA INSPECT ON
FINAL APPROVAL ;.F CONSTRICTION
OK TO ISSUE C/'4 OR C/C
A SIGNED CERT ICATE OF •#CUPANCY MUST BE
OBTAINED FROMiTHE BUILDIN : DEPARTMENT BEFORE
THESE PREMISS ARE OCCUPIE►!
REMARKS:
kri41
' 1-� \J
t
�1 cC Erl't,
/� \..e.okvi.. cl F
ARRIVE
O
DEPART /� G ,), : 2sell
INSP TOR
c�
awn of Queens ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
fr\
BUILDING INSPECTOR ' S REPORT
NAME letafet:Tuflpkta
LOCATION 11.00014
Date l.s: / D \ Permit No. .c?. 3a`�
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
►Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Ven=er
Rough Plumb .ng
Relief Valve .
Ext. Porches
Finished Floor.
Interior Trim
Stairs & Railing.
Cellar. Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls_
Ceiling
FINAL ELECTR AL INSPECTION
DRIVEWAY APPROVAL
Final Buildin: Survey
Next scheduled inspection (call when ready)
Remarks-
n
Bu' g Insp for
6/86 and-vl
1
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I� Ex%st%�:';pop,.cis - e re bu•'/f: I. S beiAi9 , S l/�o/
c evisf,•..,f ,o,,cti - fobe e€hm,/YL- i,� s�o/'i;vy t "2' �r
`D add,'fi u va/ pact c !. - 13o ti cA�f/os. .0 P�ch
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