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HomeMy WebLinkAboutBP21-217PERMIT # �c/ y 7! DATE; /
SECTION //�� c� BLOCK 0 4
TYPE OF WORK)eeoke� O 1lJiAA ve
CONTRACTORI 12.42.Ck
i 7� lvX&c
'ove//oC9r1)90!a-��lo.�
CST. COST <b cmvLW IoC FEE w W
O # 4A� � FEE `% � iLL>DATE % oZG� 3.
TCO # FEE DATE
INSPECTION RECORD
DATE INSP
F0071NG
FOUNDATION
FRAMING
RGH FRAMING
INSULATION
PLUMBING C7
RGH PLUMBING
GAS 0
SPRINKLER
ELECTRIC
LOW -VOLT
ALARM
AS BUILT
FINAL
e - APPROVALS
Z8A
OTHER
AS-BUILT/FINAL SURVEY
REQUIRED PRIOR TO
FlNAL INSPECTION
VILLAGE OF RYE BROOK
WESTCHESTER COUNTY, NEW YORK
NO: 22-005
Certfftcate of QOccu.pacucp
This is to certify thatBrIal-) Aalano ie 'l
of, ��� S& Cn having duly filed an application on
D?,�eM her- p�2 1, 20 requesting a Certificate of Occupancy for the premises known as,
Rye Brook,NY, located in a ` Zoning
District and shown on the most current Tax Map as Section: o Block: / Lot: 1 ,
and having fully compliedwith the requirements of the Building Code and the Zoning Ordinance under Building
Permit No. I"c�I , issued 20 C2 1, such authority and permission is hereby granted
to the property owner to lawfully
occupy or use said premises or building or part thereof listed under the New York
State Use Classification of: /S.—`� / 0 h 6 " �(t/YI I �`,/ ,for the following purposes:
Re[) In ce e e a very
� fia w�- 11 � c e ° �i
Subject to all the privileges, requirements, limitations and conditions prescribed by law, and subject also to the
following:
This certificate does not in any way relieve the owners or any person or persons in possession or control of the premises,
building,or any part thereof from obtaining such other permits or licenses as may be prescribed by law for the uses or purposes
for which the building or premises is designed or intended. Furthermore, it does not relieve such owners or persons from
complying with any lawful order issued with the object of maintaining the premises or building in a safe and lawful condition.
No changes or rearrangement in the structural parts of the building or in the exit facilities shall be made, and no enlargement,
whether by extending on any side or by increasing in hei4it s made,nor s Il the building be moved from one location
to another until a permit to accomplish such change has b tained ing Inspector.
Building Inspector,Village of Rye Brook: Date: JAN 1 12022
D ��rr33 For office use only:
DBUILD1xi i- TMENT PERMIT#
DEC 21 202i VILLAGE OF RYE BROOK ISSUED: — — )
938 KING STREFJT RYE BROOK,;NEW YORK 10573 DATE:
VILLAGE OF RYE BROOK (914)939-0668 FEE: PA MA
BUILDING,DEPARTMENT www,mebrook.org
APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE,
AND CERTIFICATION OF FINAL COSTS
TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION
******ss+ss*+**✓,�vww*rs*wrrrrrwr*sws*rewrrrw►wrwrwwt++ttt*t***********st+t++++*t*rs*rstst*s*s**s*w+*tts+t**w**r***w**srsawrwrr
Address: !'r 4 ��Na� Ono le
Occupancy/Use: j4 Parcel ID#: Zone: "�5
Owner: l3rir,•, I ee ' -F ,�an,is 0".'OiCl Address: -L Im 44,e 13Yyt,1',1V y'
P.E./R.A.or Contractor: ,,,u 4y'dho Ganwls We A Address: 6Yv hkls4ejA Aot Xo^,r.-w-ck! &Y
Person in responsible charge: M;k.6 AiotKlr!, Address: 69`6 14,,,jj4e,,.� 4%m /Wc4 „4 c lr. key
—
Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a
Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance
with law:
STATE OF NEW YORK,COUNTY OF WESTCHESTER as:
r 1 a n 13 a 1&4 o L� being duly sworn,deposes and says that he/she resides at / ne/e wo od l M
(Print Name of Applicant) (No.and Street)
in�y Q Brook ,in the County of kle)"J e/ in the State of N Y ,that
(City/Town/Village)
he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements,
labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may
have been donated gratis was:S u,Gn p
for the construction or alteration of:_J�•ck.
Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of
Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in
accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and
as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an
owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly
or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building
Inspector as per§250-10.A.of the Code of the Village of Rye Brook.
Sworn to before me this s Sworn to before me this
day of �- v 1 ,20_ZL_ day of ,20
vSignature
�of Property Owner
/ ature of Applicant
I /�rctin /tea f41;;alCr �tik t, Y7riy o
�e of Property Owner pi ' t Name of Applicant
Notary Public N`bt6yPublic
SHARI MELILLO SHARI MELILLO
Notary Public,State of New York Notary Public, State of hdewYork 8/12/2021
04o. i.i Cri�_,,��,j3 No. 011" Fit ^r J3
QllaI'fied in W[3tCl-,'Aer County 0'-10I1`ed in Wcstch.;.ter County
Commission Expires Januant 29.202 Commission Expires January p9,20-a .
�E 4R(�j�•
t7
�c
1982•��O
BUILDING DEPARTMENT
❑BUILDING INSPECTOR
ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK
❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573
(914) 939-0668 FAX (914) 939-5801
www.ryebrook.ore
- - - - - - - - - - - -- -- - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - -
1
ADDRESS:— � ''� DATE:
PERMIT#�71 � ~� ISSUED: �\�l SECT' BLOCK: LOT:
LOCATION: ��_'r. Z_ (, ��XIC� -�� ` OCCUPANCY: t
s
❑ VIOLATION NOTED THE WORK IS...���1ACCEPTED I] REJECTED/ REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING LAI �c.'C—A
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION
❑ NATURAL GAS
L.P. GAS
FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
FINAL
❑ OTHER
t
Building Permit Check List&Zoning Analysis
' Address: D SBL: n . ZZ - l _ Z
Zone: J S Use: 10 Const.Typei,= Other.
Submittal Date: Revisions Submittal Dates:
Applicant:
Nature of Wor t-,4G L,Q c
Reviews:ZBA: A U G - 4 JUL PB: BOT: Other.
(� OK �39�()
( ) FEES;Filing. S• n BP: C/O: Legalization
( ) ( APP: Dated ✓ Notarized SBL: t.-t iss I.D. Cross Connection: ✓ H.O.A.:
( ) ( ) Scenic Roads: Steep Slopes: Wetlands: Storm Water Review: Street Opening:
( ) ( ) ENVIRO: Long. Short: Fees: N/A.-
SITE PLAN:Topo; Site Protection: S/W Mgmt.: `�ree Plan Other.
( ) (�SURVEY:Dated I L Q l Current: Archival: ✓ Sealed Unacceptable:
( ) ( ) PLANS:Date tamiped Sealed Copies: Electronic: Other:
(► � ( License Workers Comp: Liability ✓ -Comp.Waiver. Other;
( ) ( ) CODE 753A Dated N/A:
( ) ( ) HIGH-VOLTAGE ELECTRICAL:Plans; Permit: N/A: Other.
( ) ( ) LOW-VOLTAGE ELECTRICAL:Plans: Permit N/A: Other.
( ) ( ) FIRE ALARM/SMOKE DETECTORS:Plans: Permit: H.W.I.C.:_Battery:_Other.
( ) ( ) PLUMBING Plans: Permit Nat.Gas: LP Gas: N/A/: Other
( ) ( ) FIRE SUPPRESSION:Plans: Permit N/A: Other.
( ) ( ) H.V.A.C.: Plans: Permit: N/A: Other:
( ) ( ) FUEL TANK Plans: Permit: Fuel Type: Other.
( ) ( ) 2020 NY State ECCC: N/A: Other.
(� { ) Final Survey. Final Topo: RA/PE Sign-off Letter. As-Built Plans: Other.
( ) { ) BP DENIAL LETTER C/O DENIAL LETTER: Other.
( Other:)GARB mtg.date: ;t0(' ( !Wf approval notes:
( )ZBA mtg. date: .% approval: notes:
( )PB mtg.date: approval:- notes:
REQUIRED EXisnNG PROPOSED NOTW APPROVED
Area AUG 1 Q 7n2l
cu
FFropW
Fro=
Front;
Sides:
Rm_r;
Main Cov
Accs.Cov
Fc H Sb:
S .H S :
GFA
Tot,
Ft.Imp:
Raddw-
acight/stories.
notes:
BUILDING DEPARTMENT d "
VILLAGE of RyE, ,OOK JUL 3 0 2021
938 KnvG$IkKET RYE BR[3k ,NY 10573
(914)939, 9 39-5801 VILLAGE OF RYE BROOK
r BUILDING DEPARTMENT
ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS
This form must be completed and signed by the applicant of record and a copy shall be
submitted to the Building Department prior to attending the ARB meeting. Applicants
failing to submit a copy of this check list will be removed from the ARB agenda.
Job Address: Date of Submission:
Parcel ID#: / 34 - Z Z ,I -1 (o Zone: R IS'
Proposed Improvement(Describe in detail): APPLICANT CHECK LIST-
MUST BE COMPLETED BY THE APPLICANT
The following items must be submitted to the Building
Department by the applicant-no exceptions.
1 Completed Application
/ 2. Two(2)sets of sealed plans. (one full size{maximum
Property Owner: 13 f/6,✓1 Ft[R N(� allowable plan size r 36"x 42"}and one 11"xl7')
3. ( /f Two(2)copies of the property survey. ,
Address: >i ✓�ayG�r�=4�1 �,. 4. (-fTwo(2)copies of the proposed site plan.
Phone# 9/ 7 r-7 (p&G ` 5. (,. ne electronic/disc copy of the complete
Applicantapplication materials.� appearing before the Board: 6. (-IFiling Fee.
aJ r ru 7. ( -)-Any supporting documentation.
Address: kN01e. e.L L, 8. ( )HOA approval letter. (rfapplicable)
9. ( photographs.
Phone# `j/-1 S 7 10.( )Samples of finishes/color chart. (a sample board or
Architect/Engineer: model may be presented the night of the meeting)
Phone#
By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit
Instructions&Procedures,and that their application is complete in all respects.The Board of Review reserves the
right to refuse to hear any application not meeting the requirements contained herein.
Sworn to before me this Sworn to before me this
day of `i , 20 iZ day of , 20
Signature of Property Owner Signature of Applicant
/3 r'IGh 6441no�f'
Print Name of Property Owner Print Name of Applicant
— � f
r5 Pullli Notary Public
ALEXANDRA H.FRANK�/�i1,tl'l')ItLLt�� M
Notary Public,State of New ark
No.01FR63637ii
Qualified in Westchester County
Commission Expires August 28,20 L 3121/19
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
938 KING STREET, RYE BROOK, NY 10573
(T) 939-0668 (F) 939-5801
ARCHITECTURAL REVIEW BOARD
Tuesday, August 17, 2021
NAME & LOCATION TYPE OF APPLICATION MOTION SECOND APPROVED REJECTED APPL.#
2 Old Orchard Rd Expand Existing Patio Consent 5 2 f)4
(Zaino/Schinfield) Agenda
44 Country Ridge Dr Amendment to Prior Consent 5205
(Wechsler) Approval, (Outdoor Agenda
Kitchen Countertop
Change),
226 S. Ridge St Change Exterior Brick Consent 5236
(Tucci) Facade To Vinyl Siding Agenda
1 Maplewood Lane Replace Existing Wood Consent 5237
(Balanoff) Decking w/Timber-tech Agenda
Peakon, Existing Masonry
Patio & Wall
w/Westchester Blend
Pavers
31 Talcott Road New Windows, New Patio Consent 5238
(Frank/Israel) Doors; & Replace Siding Agenda
In-Kind
121 Country Ridge New Windows & Doors 5239
Drive(Novick) For Interior/Exterior
Changes
2 Old Oak Road New Deck & Patio In Rear 5240
(Wexler) Yard
19 Beacon Lane Re-Appearance Exterior 5241
(Nebauer) Changes. New Front
Porch& 2nd Floor
Terrace
78 Tamarack Road Legalize Rear Deck 5242
(Zahl) Remodel
52 Valley Terrace Re-Do Driveway, 5243
(Uzzo) Retaining Wall &
Walkway
ML NM
MR SE /
JM SF
AC MI
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Laura Petersen
From: Laura Petersen
Sent: Thursday,August 19, 2021 11:16 AM
To: 'bbalanoff@gmail.com'
Subject: Building Permit Application - 1 Maplewood Lane
Good morning Mr. Balanoff,
The building permit application has been approved by the Building Inspector. Before I can issue
the building permit the following items must be submitted to our office,
✓ Copy of general contractor's valid Westchester County Home Improvement License.
General contractor's valid liability insurance (the Village Of Rye Brook must be the
certificate holder)
3 General contractor's valid workers compensation on a NY State Board form (C 105-2 or
U26.3)
4. Building permit fee $450.00 (due once permit is issued and ready for pick-up)
This information can be emailed to me.
Thank you and have a good day
Laura
Laura Petersen
Office Assistant
Village of Rye Brook
938 King Street
Rye Brook,New York 10573
Phone(914)939-0668 1 Fax(914) 939-5801 1 petersen@[yebrook.org
1
Laura Petersen
From: Brian Balanoff <bbalanoff@gmail.com>
Sent: Thursday, August 19, 2021 4:06 PM
To: Laura Petersen
Subject: Re: Documents for Permit for Balook.or
idence
$26,000 8P!� A 350
On Thu, Aug 19, 2021 at 3:57 PM Laura Petersen<LPetersen a >w ote:
What is the new estimated cost of construction?
Laura (Petersen
Office Assistant
Village of Rye Brook
938 King Street
Rye Brook, New York 10573
Phone(914)939-0668 1 Fax(914)939-5801 1 Ioetersenarvebrook.org
From: Brian Balanoff<bbalanoff@email.com>
Sent:Thursday,August 19, 20213:54 PM
To: Laura Petersen<LPetersen@rVebrook.orf;>
Subject: Re: Documents for Permit for Balanoff Residence
Laura,
The fee I believe is based on the estimated cost of the project. Because I had to scale back the scope of work, how do I
get an adjustment on the permit cost?
On Thu,Aug 19, 2021,3:47 PM Laura Petersen <LPetersen@ryebrook.ore>wrote:
Good afternoon,
The permit for I Maplewood Lane is ready for pick up. The permit fee is $450.00 (checks made
payable to the Village of Rye Brook). Our office is open Monday — Friday 8:30am to 4:00pm.
1
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A`"R" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
08/19/2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not corder rights to the certificate holder In lieu of such endorsemen s.
PRODUCER CO"TCT CHRISTINE MAJOR _
NAME:
THE LANZA INSURANCE AGENCY INC PHONN �dk 914-835-8000 wG fit. 914-835-6999
18 HALSTEAD AVE AIL CHRISTINE(�LANZAINSURANCE.COM
HARRISON NY 10528 INSURERISI AFFORDING COYStAGE NAIC N
INSURERA, State Farm Fire and Casualty Company 25143
INSURED v
INSURERS:
NOVELLO,DOMENICK INSURER C:
DBA DOMENICK NOVELLO LANDSCAPING INSURER0:
640 HALSTEAD AVE INSURERERE:
MAMARONECK NY 10543 wsUR F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERT)FICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTRNSR HYPE OF INSURANCE DDL iffin POLICY NUMBER-_Y� POLICY EFF POIJ uNTS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,00(1,000
CLAIMS-MADE I OCCUR p 1Es pocu�nce S 300,000
MED EXP one ) S 5,000
98-CS-P989-OF 02/11/2021 02/11/2022 PERSONALSADV INJURY $ 1,0w,000
GEMLAGGREGATE LIMIT APPLIES PER GENERALAGGREGATE $ 2,000,000
X POLICY❑PRO-
POLICY 2,000,000
JECT LOG PRODUCTS-COMpA3PA00 S
OTHER: I S
AUTOMOBILE LIABILITY 3175331-811-52 0211112021 02/11/2022 DSINGLEUMIT = 1,000,000
ANYAUTO BODILY INJURY(Per pwwn) S
OWNED SCHEDULED BODILY INJURY Pereeddent S
AUTOS ONLY /� AUTOG ( )
HIRED NON-OWNED OPERTYDAMAGE
AUTOS ONLY AUTOS ONLY p S
s
UMBRELLA LAS OCCUR EACH OCCURRENCE S
EXCESS LIAB HCLAIMS-MADE AGGREGATE $
DED RETENT N S
WORKERS COMPENSATION PE H-
AND EMPLOYERS'LIABILI Y y/N ER
ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT S
OFFICERIMEMBER EXCLUDED? N I A
(Mane"In NH) �F_L.DISEASE-EA EMPLOYE S
rdesalbe undwI N F OPE Tl N below L.DISEASE-POLICY LIMIT S
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DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addltlonel Remark*Schedule,may be ettecned ff more space Is uired
reQ )
ADDITIONAL INSURED:VILLAGE OF RYE BROOK,978 KING ST,RYE BROOK NY 10573
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
VILLAGE OF RYE BROOK
978 KING ST AUTHORIZED REPRESENTATIVE
RYE BROOK NY 10573 0—
ID 1988-2015 ACORD C70FMTION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
100148E 132849.13 Ck1-22-2020
N `IrSIF
New York State Insurance Fund WESTCHESTER ONE,44 SOUTH BROADWAY,10TH FLOOR,WHITE PLAINS,NY 10601-4411
1 nysif.com
CERTIFICATE OF WORKERS` COMPENSATION INSURANCE
AAAAAA 133408790
DOMENICO NOVELLO
DBA DOMENICK NOVELLO LANDSCAPING
640 HALSTEAD AVE
MAMARONECK NY 10543 SCAN TO VALIDATE
AND SUBSCRIBE
POLICYHOLDER CERTIFICATE HOLDER
DOMENICO NOVELLO VILLAGE OF RYEBROOK
DBA DOMENICK NOVELLO LANDSCAPING 978 KING ST
640 HALSTEAD AVE RYEBROOK NY 10573
MAMARONECK NY 10543
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
W2362 374-7 791550 06/14/2021 TO 06/14/2022 8119/2021
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 2362 374-7, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR
WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL
OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW.
IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS,
OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:IIWWW.NYSIF.COMICERTICERTVAL.ASP.THE NEW
YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS.
THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY,
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE
COVERAGE UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICY.
NEW YORK STATE INSURANCE FUND
DIRECTOR,INSURANCE FUND UNDERWRITING
VALIDATION NUMBER: 668738881
U-26.3
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