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HomeMy WebLinkAbout23832-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25122 Date JULY 9, 1997 THIS CERTIFIES that the building ADDITION Location of Property 1160 TOWN HARBOR LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 64 Block 5 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 13, 1996 pursuant to which Building Permit No. 23832-Z dated NOVEMBER 28, 1996 was issued,. and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PERRY T. & JILL B. CRISCITELLI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-423166 - JUNE 18, 1997 PLUMBERS CERTIFICATION DATED N/A Building In ector Rev. 1/81 FORK NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 23832 Z Date . . .. ....... 19 /// ....................................... Permission is hereby granted AP: . . . .................. .......... ......... .. . ...... ive ....... ZZI... d.L.,q.... ........... ........ ... .... .~...to .. .......... ........./................................................. at premises located at ...lla.a..... ... ...................................................... ... . .. ............................................................................ .............................0............................................................0...................................................................... V County Tax Map No. 1000 Section ....... ..... Block ....... ......... Lot No. ................. pursuant to application dated ..... ................................... 19..9 and approved by the Building Inspector. ew, Fee . ... ... . ............ . .. .. .. . fit. ........................ ild! g Inspector Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS PA(3E 1 101?1 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK; NY 10038 1 Date JUNE, 15,1997 Application No.on file 13679597/97 N 423166 THIS CERTIFIES THAT I only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of PERRY CRISCTTELLS, 1160 TOW HARBOR LANE, SOUTHOLD, N.-Y, in thefollowinq location; X Basement ® Iqt Ft. ❑ 2nd Ft. OUT Section Block Lot was examined on JUKE, 13 r 1997 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 4 7 3 4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL I H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H P SYSTEMS AMT. WATTS NO.OF FEET 2 600 SERVICE DISCONNECT NO.OF S E '` R V- I C E METER NO.OF CC.COND. A.W.G. A.W.G. A:Wd G,' IM - AMT. AMP. TYPE EQUIP. 1,B'YW 1,0 3W 3 X 3W 3*4W PER 0 OF CC.COND. NO.OF HIAEG OF HIAEG NO.OF NEUTRALS OV NEUTRAL .' 1 200 CB 1 X �� 1 2/0 F OTHER APPARATUS: i to PADDLE FAN-8 MOTORSt1-F H.P. P UL R. BURNS LIC.#S38'97-E ` � l_. L PO BOX 1061 � SOUTHOLD, NY, 11971-0932 GENERAL MANAGER to .I` _ Per This certificate must not be altered in any manner; return to the o e of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CE IFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION l FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 3 �� L INSPECTOR ors-isoz BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ �RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,�, Y✓��v cam. DATE INSPECTOR O �G� ass-iso2 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS:,��� DATE � �S /�� INSPECTOR-'����'` �� n�3(fz 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] Jl�ULATION [ ] FRAMING [�]FINAL [ ] FIREPLACE & CHIMNEY REMARKS: i b DATE f -INSPECT Form No. 6 .� 1160 l av_y' /IA nS - TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of -property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for .the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '-'pre-existing" land uses: •l . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .2 . 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . 9� . . �.1 Tom. 7. . . . . . . . . . . . . . ... . . . New Construction. . . . . . . . . . . Old-O�r- Pre-existing Building. . .V./. . . . . . . . . . . . I J Location of Property. . l 1 .(,PQ. . . . 1gm). . . �W. ka . . 1H. . . . . . . . . �LAhrA �. . . . . . . . . . . . . . . . House No. Street n p Hamlet isOnwer or Owners of Property. KJS . . .I. . .�i�.�-. .:�!:. . � %... . .. . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . .Block. . . ©c5 . . . . . . . .Lot. . . 0.7 . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . ;J 2 - Z v1-2a-9� �'qr2 - - C�1sc�TeLu Permit No. .�✓.� . .Date Of Permit. . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. I.}�. . . . . . . . . . . . . . . . . . . .Underwriters Approval. . (, . Planning Board Approval. . . J!7. . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . � . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 l�y . . . .APPLICANT. . . . . . .. . . . . . . . . . . . . . . . . . . . . C ���� o��S�ffO(,�coG o� Z�c Go Z Town Hall,53095 Main Road p • Fax(516)765-1823 P. O. Box 1179 y� 0� Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 17, 1997 Perry Criscitelli 129 Iris Avenue Floral Park, N.Y. 11001 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An. application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23832-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. '"I LD_TNSPE(TI61N REPORT DATE COMMENTS II II f � II FOUNDATTON ( 1ST) it n II a I\�1 it n n u I —OIINDATION (2ND) ROUGH FRAME & PLUMBING II I r INSULATION PER N_ Y_ ;! �{ �� c I 6:1 STATE ENERGY " ii ii I CODE it I II it u ;I I� II FINAL it II �I I ----- -- ADDITIONAL COMMENTS: I I Mll i v I — I N �1 I v i I I _O HOARD OF M"AI,'fll Pow 6eac(T-eL-GG r011ll No. I 7 Sr,TS Or 1'i.nNS . . . . . . . . . . . . . . . 12-4? /2fs /}vC TOWN OF Sc UT11O1,1) SURVEY . . . . . . . . . . . . . . . . . . . . . . . . NY //oo( nu i i D I NO t)r,rnllTHEI.NT (AWCK . . . . . . . . . . . . . . . . . . . . . . . . . 77s 3V2_S -TOWN IIAI,I. $l".l'Ti.(: FORM . . . . . . . . . . . . . . . . . . . S011'1'I101.1), N.Y . 11971 'IT"L! 705- 11107 MOTIl?Y: � CALL — 4 1 . .7r/S0. 1;x:11111 x'd.�`.Y ./.... .... 19 PlnlL TO: . . . . . . . . . . . . . . . . . . . 2 Apptcrved.•././,��j .••-.-., 19�.� 1'ernliC NcY. .. . . . . .. . ..................... . ... . . . . . . . / ......... ..... •Oir.:1pp1(rv(,.d a/c .:............. ... ... ..... ...... . !1PPLICATION i-OR 111l11,1)INC I'RIIt1IT Da A.v. . J3. . . . . . 119.9. . 1 NS'1'Illl(:'I'1()N a. 'Illis nplllical:ion exist be culprletely filied in by, Lylxa•iriter or ill illk atxl sul.rlilled to Ole Iklildinl; lospec-lor Wllh -I sptr of plans, accurate plot: 14.111 to scale. I.ee according; to schedule. h. I'lot. plrn stwx-jifig localAO'll of lot orxl OF Ixtilding;s cnl picmiser, reloticnr.rhip to :xljoining; pr(Illir:es or- tx)hl is srr(•(9*s or Area., aril g;iviol; o detailed de-scription of lnycxll: of property imst. Ire (h-MA) in) the diog;rrtn Wllir•h is Iurrt of 111Ps application. - - r.- 'IlW A-Mrk covered lyy 00's, icat loll,t,vly 'not! Ix? ccamnlir.-eil before ii;eirnx:e Of: .ikiildinR N.IlTlit. d. ,11lxnl approval of ,Allis .1ppl,icotiOn, l•Ile-Itlt_itil"Ing; lnspec-I.or will i,roe :i 'lkrildinl;',i'eiiiiiL •t(i the applicant:. Sprh lxtlaliA ' ha'1I lie kept: oil tire' pr-einises avail:thle for irispeeLicnr Lhroojg uouL the work. e. Net Ixtifiling sluff ile cx_tatpied or used in whole or in pal-I: for ally 1nnixlse ldratever until n (ert:ificale of (k-copalwy simlI. have been Ilr,arrl:ecl Iry Ole. 1k11Iclinl; insl.lector. nl'1'LICAI' OM IS III--.10FI1'( MADE—to the Ik1i.Idinil Deivirtmvi l: i'or the ismiance of a Ikr(iding 11etmit i>,irsOnol_ to the Ikti Iclinl; Zoo,i! Ordiomwe of the Tcx-n1 of &xtllrold, Suffolk Lonely, New York, '110 Other a11r1 icohle I.?wr, Ordinaix:cs or IIrl;ulal.ions, for the coosl.rcrclicm of Ixtildings, additioos or- nll.eratiuns, or for rcitxrval or dotxrlition, ar herein do rr.t ibed. 'lire oppl ic::tnl: al;rceit to cu'prly Willi al I appl icahle I:lws, ordinances, Ixri Iclinl; ccxle, hooshig; ccxle, aril veg,lrlal:icnrs, :fix] to :xiuil: mithorized inrlxtctors Orr proidnes mxl in Inlildin' or nece(isary instrecticnrs. ... ... .... . . . .. (S11;r1:11.1n� of appl icrnl', or 11,11r, i f'a .col Ixrral ion) .. ......... ... ..... ......................... . .. . ... (tlrilint; m1drerr of: applicant) Stole i-Awthe�r/ nlj)I icmL is name[', lessee, ng;erlt, architect, eug hover, g;eixernl conlr:retor., eleclricinn, plunixtr or lxti kh,i . Q .._. ..-•..... ........ ... .... ... . ... ........ .. ... .. . .. . ... ....... .. .. . . ... ... ....... .. .. . . ..... . ... .. . . .. tJ:xtxt of crcnxtr of prrrniser .. . !. ...... t .(-. . .5 r._. .�.�1\JJ-�iJ. C�-Lj..... . ...... . .. .. . . .. .... . .. .. (as cxl the I.roc roll or latest tice(1) If appl icmw if-, :1 cortxornti0o, ril;nalure of duly aol.hori7.Vd officer. . ... . ... ... . ... . ........ ................... ........ . ..... (N:rlx, :110 1_illct of corix)ra[e officer) Ikiildcrs License No. ........ ................. I'lutixrrr Licvnse No. .... .... .. ............... Electric;iaus I.icenra No. ..................... OLlrer Tr:xWs License No. ..... ....... ........ I. i[x-;11 icni of larxl Oil width prolxrscd Wotic Will IX! (lolxe... J.1.�.b• TW.h Y�?0✓ LfI. �?oUTf'fOL�, f�Y . ... ... . . . . . . ... . ... ......... .......... . ........ ....... .... . .. . .. ... ....... .. . ....... .................... ... .. ....... .. Iknrro 1°kiii6er Street lknileC (:ceurl.y Tax R-11) Nu. I(X)O `'xtcticxt ....(Q. .!.�/...... 141cx:k . ...©.� ...... I.oL . .P.�......... !411xlivisicnl . ... . ...... ........................ ... l ilccl 1Lrtr fkl. i.,c)I: ......... . . .... (N:nre) 7.. SlaAe exisl.ing; use atxl cx:cup:nx:y of premises a11c1 iinletxlced usm oixl mcugaocy of prolx)sed confArucl-ion: 11. I:xirl.inl; use nK1 cx'.culr:ux:y ... ............. . .... ...... . .... .... ..... .... ... ....... h. Intctxk'd use atxl ocxarp:ux:y .. .1Q��1/Ql�fi /(O.. 1. I'.i1u11: ill' Inlllc (d1t!(:Ic %.Milli iyillirtlllle): IG:Iullr .. . . . .. . .. . . IGsiic>val . IknYll il.loo . . . . . .. ... 011lei' Ikillc ... . . . . . (Ddlicrilll:ioo) ' ilwilod Coal� ..�./G/�lY.�. .. . . . .... . . . Fei. . . . . . . _ (to Ix? Rigid on filing; Ibis lipplicaCion) i. 1 f 11,n:1 l io11, ot.ilwr ill` tl.x:l l )nl; urti l s . ... . . . ... . . Iknllt:r' of.: IhJA:I I log till(l's no eclr-II fIoor. .. . . . . . . .. I' l;;n iy;e, lwnlx:r (Il` calif . . .. .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . li. 11` Ixl:tilu::;:;, riniir:rclal or mixed occullancy, Glxecil`y nalort., luul exlt:nl' of: each tylx: of u:;e. ._ . j/ . . .. . . . . . . . 70 ' !. IILIY:nsltxls ol` cxlGl'Inl; sl.rtuaur ell, 11` uuy: Frog l .. . . . .. . . . . _ . Hear IkJI)il. . .. . .. . .. . ...... .. . . . .... ligiber of 5tnrle:; . . . . . . . . .. ... . 011wndoo.'i o1: stars slrtu:ltire uilb ill It:ral.ltxle or culdll.Iol I�ronC . . . _ . . . . . . . hear 70 I�il;lll: 1?- . . . . . . . . . IkaIIII . . . .. . ..?t�/ tkul>(:r of 5lorit:s .. . . . . . .. . . ... . ev H. I)InY:nni(xIn ul` enl 11I!Vx coo.'altu:I i(xI: Floot . . . . . .. . .?!L Ik:i(;III. .... . ..•. .. . �.... Ikillier of` tiforie.0 . , .1. . . . 2 '.1. L. of: log ixll .. ..�'37. . . . . . . . . . . . I(c:ar . . . . . . . Iklilb . . . . .��. . . .. . . -. . . . I(1. 14t1e if: 11u(:hose .....7/1H2!. .. . .. . _ Ik>iY: nl` 1'uo1Y.:r (aatusr _. 4y0{�fs . . . .. . 1 . . . . . .. .. . . .. . .. ... . . . . I I. llxle or use Ilisl rill: ill t,Alicll pruildiwil are shoaled .. . 4v ... . . .. . . . . . . . . . .. . . . .. .. ... .. . . . . . . . . . . . 12. Ikx:G Ilrulxised ccxislllw:l.l(xI vlolnfe any z<xlinl; Itnl, ordinance or. rcl;ulal,inn: . . . . . O I ). will log. Ix: Ira;rwk:d .. ....No. . ...... ... Flill axreGG I`ill lu: I"t1110ved f'14111 lir(ynises: I:: pt) Q. I�s I�t c � ��++► �-Ta•() C .•g •/V�!�S�.T��pt11t((1l��li t::;:t .1.�_9 .. �v Mt jW /oo1CLt; e wlwr 1/1 of (lnusr' of 2� eW/ s yZp' �J. . .L. . . . Him! of; Aicbilecl S " J�Ga�(�'l6�C1 .. .. lvklre:;:t��S.�N1QI'y.L?1�. (n4O/GIWr.. 11w,Iw: Ia1.7.Y.7'.1�60. . . lingo: nl` ('till raclor . . . ..... .. .. ..... . . ..... . ..... .... . nildress .. ..11xxw t•kl. .. . . . . . .. . . . . h. Air llli ; I)Iolx:rly Nllldil `)(X) feel: of: it Iidiil Ix:Clllod? * YLS . . . . .. . _ . . PiO , .� . . . . . . x1v ws, 'Xitilim) 'ICXJ(l '1141:i119:(i I7 1uI•I' HAY 111", I(VdAllIWD. I'I.OT I)IAGIIAt•1 IOCillc ciciu"ly aliil (Iit;l:ilx_ely till Ixlild'lngs, t.11elller exist inl; or propositl, alul itxlicill'e all sel--back Illnionninrin IItn1 Iuolx:Ily Iiiwns. Give aCrret:l: alxl bin(:I( iralwr or (I(:rcrlllCinn nc.cordlul; fo deed; nlicl Gbina !if reel: IIiYIY.?G cuxl 1lxlir.ale %Awilu:t inlet )or or corlu:r lnl:._ Csee svrvecl� • 11Al111Y (1(., . . . .. . • ,, , . ,,, Pqrn . .. ( �� C54'f "'r" ? . . . . . . . . .beilil; duly IkaIIII, duixist?a mxl tinyu Iliac be ill lbe nI1111 i(•aol (tlinY: of i1wllvidtall sil;itilig cool roll) i llx lV l:� IIiYIYaI, Ik: i:; I Iit! . . . . . . . . . . . . . . . . . . . . . . . . .. ...Cow . . . . . . . . . . . . . . . . . .. . (Coil(laclov, ill;euC, corlx)i ill e ofl`icer, etc.) of. Gald (mnur or tnjix:r:i, mxl in iJ1_Il.y aulbnrized In (x:rfullu ur' biive Iu:rl`unlKal' Ibe Ilnid txirlt MKI to urdce mxl lile Mir n11111 icui ioii; (lull ill I :ilal(:IIK?nl s i:uulailwil in Illitt a1,1)1 ical ion ilre IIIx: to IIIc bt:sl: of: Ilk Iclxn4lc:dg(! 1110 NO iof; iilul Hull Ilu: (.,ills kill Iw IxsrfontK:d e IIGIIin(a' Get: I'm ill ill Ille appl ic:rlcion Hied lber(a)illl. ,,\..nn to lwloto GY? IbiG �l . . . . . . . .day of . . . . . . . . . . . . . . '). .(. Ikll uI'y I'tibl is ... . . . ... .... . . . . . OBERT1.SCOTT.JR. (S'(l;oi Lilt' of: ApId icanl ) TARY PUBLIC.State Y. No.4725089.SuffoI ou Term Expires May ; 19 0 0 0'0'��- �A A!; 10 GG & 09 �z 100111 01f 'A0 uh % -0 0,$ 1% CERTIFIED TO, A 044. 6. 60 SECURITY TITLE 9 GUARANTY CO. S TG A SSOCIA TES, INC. & PERR Y T. CRISCI TEL L I 1f JILL B. CRISCITELLI A _`IQ S92-00746 SURVEY FOR AREA =25,367 sq ft PERRY T. CRISCI TEL L I & ALL B. CRISCI TELL I A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000- 64 - 05- 09 Scale: 1"= 30 June 11, 1992 7 by A10.49618 in accordance with the minimum Prepared title surveys as established PECC 'kR by the L.I.A.L.S. and approved and adopted (5161)'76NN 49 for such use by The ew York State Land P. O. B& RF "i" NE Title Association. MAW ROAD SOUTHOLD, N.Y. 11971 92-188 lot Ipro 1 7 IIIInix IIIIIIIIT+f [>4Kjj,I;IF_- 14 A NOr fM T:, 7 1 w bin, -J e-V4 �ILAFFLY WIN IIIIVIyols, I17r 6-r IIIA�1;7At v rl AINV AL_ t2l LrI I p1`4 FA It I ,'"m U AL V9 v7i� Z�4 r khm via., t4�_i T r IAUL, pin 6MA I`LE�M r;-,N-IrA�y J4 T�501 X Ad 'INV,p mini DA II A4 f-7.F, 'Wit M,r,&Ioil ALL, Not'40 Z5 rA,�Ti F I I�Aj lot-V ;A[h I�fA L-AV-:�Wr-,A A I,I lit 4��/I-T IIV_e IIN­ III1)+r-- A IIIW VT- Ae 0�r;�4 rr,7 AL -170�7X- POP -L. IIIIilia' YXI14 T IIIIIV- -TV "Mot-IIION ell JZ III-AV I'M IA� IIIAW H4vu,719 'A IIAL�w An. "y loc,7-a 'A A IA-9 M�1�4r) MI 00 L JAL. 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