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2011-467 ...41A TOWN OFQ UEENSBURY too742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20110467 Date Issued: Wednesday, December 07, 2011 This is to certify that work requested to be done as shown by Permit Number P20110467 has been completed. Tax Map Number: 523400-296-013-0001-057-002-0000 Location: 159 MONTRAY Rd Owner: JOHN A WINSLOW Applicant: JOHN A WINSLOW This structure may be occupied as a: Fireplace Porch By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, ' Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20110467 Application Number: A20110467 Tax Map No: 523400-296-013-0001-057-002-0000 Permission is hereby granted to: JOHN A WINSLOW For property located at: 159 MONTRAY Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: JOHN A WINSLOW 159 MONTRAY Rd Fireplace Porch $18,000.00 QUEENSBURY,NY 12804-0000 Total $18 Value ,,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, September 28,2012 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at thea�Quee uryi / )V nesday,September 28,2011 C71,344/2,V ' ` -- SIGNED BYv 7y t` � `� for the Town of Queensbury. Director of Buildint &Co Enforcement 2y61/3--/-57. FFI' USE ONLY ............. �" � : .- -- -_--,. , t- TAX MAf., NO I i PERMIT NO. - I # 1 I FEES: PERMIT �' �E�ATION ' t� m, ENGINEERINGJorWoniti-- -a �.a r.0 (If applicable) �JIL D'N<C A CODES _v --- /4, ,Z` PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING A PERMIT MUST BE OBTAINED BEFORE BEGINNING CO PERMIT REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.APPLICATION IS SUBJECT TO PP CANT BUILDER: 3,:) .k..) ` '� `A) OWNER: \ i —��.v� W L 4J S \0 W ADDRESS: ��C � ,�� ADDRESS: �ov \1\-k 0 vk k.--LA y PHONE NOS. - G\ ' ,__ PHONE NOS. 1-\,Q,b - Q\C)• / -. CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: J, QiOs\Q\i'l PHONE: r-\°\, --r\Ck C LOCATION OF PROPERTY: LS C\ N HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 12 YES id NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z PROJECT APPLY O YOUR Oz QO 0 F- cr p � O • -J � "- T wp w --J LL „ � w -' 0 = 2 0 L d o 2 H a 2 2 z Q Q , U) Nd 0U- F- LL D: Wz Cl- 2otf SINGLE FAMILY TWO-FAMILY — MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHE N am vv\ y `� IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: � - ESTIMATED CONSTRUCTION COST. ��6. 0 T„�� (� n I B 3-LGL 11-05 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? 0 ARE THERE EASEMENTS ON PROPERTY? b I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above. Signed `` *&,_ .)),),_A..,..AD.„ Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) r Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queensbury. Application: C , .1\-1\-7-- ) .—......v9____)----- BUIL ING & CODES APPROVAL ZONING APPROVAL DA E DATE QUESTIONS? CALL 761-8256 OR EMAIL Office Use Only codesAqueensbury.net VISIT OUR WEBSITE FOR MORE INFORMATION Operating Permit Issiiae• V,. .. cDc't- e24011-611CP7 I F ((- #tt i Thq,f� '7,\j 'I-I,,, ,,:?!; ,-,,, : ,..-:2,,,_„,.,:; -,,,,-,; - -:, , , ,,, , z,,i-,„ -; ; ; ;; ;; -: :-; - \ 1 0 SE . `� _011 11,,LII i i6 CO ES BUILDING APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the New York State Fire Prevention & Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances,regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. IMPORTANT NOTE TO APPLICANT:,, \ ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED. OWNER: -� cg�+� tR• W N S.0 C.A.) INSTALLER/BUILDER:��R��a ' I-, OWNER: ADDRESS: 0 \' \ 0 6vilVC+1r‘t. ADDRESS: cif\ 1r GCv, 1R.i ‹`)R PHONE NOS. 4-V\%' t'`C\ G �- PHONE NOS. `'J V 0 — Ck1 LOCATION OF PROPERTY: ` CN 0\ 'N.1C'--140( ' ,A.. SUBDIVISION NAME: r-----~"'- _ L50. LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: V 10 \P.-0 b t1w ii.\, A o4 W \�`1W .\l '�' \ N CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: .) C:) \..) 'k 'N S\'J\ PHONE: rk 0\.rO - C\.(, ✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT L/. FIREPLACE, FACTORY BUILT* X FIREPLACE,MASONRY FURNACE (GARAGE ONLY) i1 �-� *IF FACTORY BUILT, PLEASE PROVIDE: MANUFACTURER NAME: `� 1- ' CIS() t MODEL NO.00 V-T1'41'-t LISTED BY: NUMBER: C-JZ o v �5 ' 'C.J QUESTIONS? CALL 761-8205 or 761-8206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL.: _ a`a°: v, ,.;fie_ , a:,n=, MASONRY** CHECK ONE ✓ VISIT OUR WEBSITE SIZE IN FOR MORE INFORMATION TILE STEEL INCHES www.queensbury net FLUE CHECK ONE ✓ DOUBLE 44°TRIPLE WALL INSULATED DIRECT VENT CHIMNEY WALL LINER CHIMNEY MATERIAL CHECK ONE ✓ **IF NON-MASONRY, PLEASE PROVIDE: MANUFACTURER NAME:CO VA ' 4 , :c MODEL NO.W4t' 'tr,r:- ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS.PRESENCE OF CARBON MONOXIDE DETECTION IS REQUIRED UPON INSPECTION. /V-(01 Queensbury Building & Code Enforcement - Residential Final Inspection /0/Office No. (518) 761-8256 ! /� ,;, Arrive: . a ,�/ I rt. a Date Inspection requ st received. / Inspector's Initial sS, NAME: � �.1 (,� � RMIT#: , Z o7( `4LC,7 LOCATION: c Sr`t .ZI�_,�.r� DATE: l dl.f ) TYPE OF STRU URE: Comments: Yes No N/A 4" Building Number Address visible from road Chimney Height/13"Vent/Direct Vent Location (i Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck, porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification/Sticker on Panel Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum 1/2"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing 1%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sti - Site Plan /Variance required Flood Plain Certification, if required Okay to issue C/C or C/O[Temporary/ •ermanen L:\Building&Codes Forms\Building&Codes\Inspection Forrns\Residential Final Inspection Form_revised_100405.doc; Revised January 7,2008; Revised 6/26/08; Revised 12/22/10 ht:f?1&,;•• i)- --,.-)--/J,1„ III Queensbury Building & Code Enforcement - Residentia in , • pection 40 Office No. (518) 761-8256 Arrive: \2 .-9(7a, • i:•art: V\br /p DateInspection I spection request received: /, -/ ,3-a/ Inspector's Initial- NAME: 9k.-4--- IA-)i - - 411 #: ,C i'ir/— -k° 7 LOCATION: l Sq /t L--n. -c D• /y-:%-/LO,(/ TYPE OF STRUCTURE: A .'lief) 61.-- Comments: Yes No N/ 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers / Guards at stairs,decks, patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more ,/f Handrail Termination at Newell Post or Wall ✓ Interior/Exterior Railings 34 inches to 38 inches ///Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches V Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification/Sticker on Panel V— �4 �'• c e Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade '� . �� ty Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area \ 0L ` ) Furnace/Hot Water Heater operating p\j Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum W Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing 1%hour fire door/door closer Duct work Sealed properly \ Gas Logs in Sealed or Glass Enclosure \is \ � Final Electrical V U�\Q Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required / Okay to issue C I C or C I 0[Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised January 7,2008; Revised 6/26/08;Revised 12/22/10 Town of Queeashury Fire Marshal 742 Bay Road Queensbury,NY 12804 7614205/7614206 fax 745-4437 /--0 e-aC 1 Factory Built Gas Fireplace/Stove Inspection Report L/ (MSc' New York State requires that all 11L,Listed„fad built appliances be installed according to the instructions and specAcad ia•s contained in the Installation Manual accompanying the appfianoe.No deviation from the • instructions or specifications is snowed. / trait#,;9v'/f-7(a'.7 Sdaetisie Inspection '_.?1.)-E.'ti Time /) ') an _mlythrie • , /ti1'�� / ��^ V LJ 1 S (i).3 Address 5 C ' t 1 . L >-�i Rough v 14 optimism 2•UtTh. lirect Vent fractery Built Chimney Flue She Doable Wall Triple Wall Insldated Yes No N/A Comments Moor Protection ✓ learances to Combustibles(all sides) / Pirestop(s) Vortical Chase J Wall Penetration v Vent Clearances to Combustibles I Vent I Chimney Termination Chimney height must be 3 feet above roof01 / penetration;2 feet above any cede ssstruc1ion witlun 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension(if any) Mantel Height aboveUp opening Witness Operation Tank Placement(if LP) White-Deilding De-dingDept. Yellow-Catemer rink-Fire Marshal l - -3;7-- Rough 3'7'""'Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: ( l( Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ! �l NAME:_ \ ( � v� s ( PERMIT #: 1( - K r LOCATION: t 5 y r.vt- -(Ns/ tz,alb INSPECT ON: ( ,/q! TYPE OF STRUCTURE: Y N NIA 13,1) C R• !h Piumbin! /Nail Platesc.)O�` Plumbing Vent/Vents in Place �r� V� Ica<lei 1 IA inch minimum Drain Size C Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain/Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I for 15 minutes A Insulation/Residential Check/Commercial Check T =k or Similar Exterior Sealant Proper Vent, Attic Vent „ ea Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: • A , Rough Plumbing Insulation Report.revlsed Nov 17 2003, revised February 15,2005, revised January 7,2008 Framin / Firesto ( g aping Inspection Report Office No. (518)761-8258 Date Inspection request received: l l ( i Lit j ( Queensbury Building&Code Enforcement Arrive: am/pm Depart:/Hf r� am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:&.. � — ,*) NAME: ,f0in n ,N ( A, PERMIT#: LOCATION: ( 5 Of ll7 in' )7- 4 2-EA4 f> INSPECT ON: 1111ON TYPE OF STRUCTURE: c. V Co c r Y COMMENTS: taming Attic Access 22' x 30'minimum Jack Studs/Headers 2 V/ Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12'O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '6(w) 16 gauge (8) 16D naks each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:1Buitdl g&Codes Fo ms OLD1Buildinq&Codeslltapedlon Fomis Frsn*g Firestoppirg inspection Rspott doc Rsviesd January 7,2008 Framing / Firestopping Inspection -epo Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ Depart:tzsf am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials. iilAq NAME: (AS lr-L) s PERMIT#: LOCATION: /5-, "Mir INSPECT ON: TYPE OF STRUCTURE: Y ft HA COMMENTS: Framing Attic Access 22" x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 'A(w) 16 gauge (8) 16D naua each side Draft stoppi • 1,000 sq.ft.floor trusses • - 6 ft • less on center Ice and water - • =id 24 inches from wall • • - ' •n 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side IA inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0sfgrade L:tBuuding&Codes Fortes-OLD1Building&Codes Inspe tion FonnscrarMrg Fksstapping Inspection Report-doe Revised January 7,2048 litic-'a . - 1 C) ail- Foundation Inspection Report / Office No.(518)761-8256 Date i •- tion . ye.. ved: t .3 / _ Queensbury Building&Code Enforcement Arrive: • '. , Depart: •' •;!!-, 1 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initt: s`,V -- NAME: V� Iv116 1•\.J PEN I T#: LOCATION: lam`) e'l'f c ✓ • ' t� PECT ON: 161,3-(4-0 i, TURE: TYPE OF STRUCTURE: p •�1 W Comments S\ I Y N N/A '-'~— of ic81a .._— 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/Wallpour Reinforcement in Place tie ",g Dowels or Keyway in place Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: i 12 inch width hes above footing _Lvar as under slab Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspectlon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 2-g (--r,:(---1/k7 . Foundation motion Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: J NAME: UPERMIT#: /7-41) 74. LOCATION: / „� rr 07 INSPECT ON: t2•- /7 TYPE OF STRUCTURE: `J r``) '). Comment _N NLA Footings Y Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. A4a6 s or ose on site. Foundation/Wallpour Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. ' L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Reportdoc Last printed 12/20/2005 9:24:00 AM 7- - 11/1- Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: /6//7/// Queensbury Building&Code Enforcement Arrive: am/pm Depart:��Lam/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: .0 -' t NAME: 0,'n 5 l G u) PERMIT#: I (0-1 LOCATION: 159' r,,v- ) Fei.,c 4'> INSPECT ON: ! (3/) TYPE OF STRUCTURE: Comments N N/A >\(' Footings Piers Monolithic Slab 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/Wallpour Reinforcement in Place 1� Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LABuiiding&Codes Forms\Building&Codes\Inspection FormsWoundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM