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HomeMy WebLinkAbout23534-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24770 Date DECEMBER 2, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property • 17525 COUNTY RD. #48 CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 95 Block 4 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5, 1996 pursuant to which Building Permit No. 23534—Z dated JUNE 25, 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 INGROUND SWIMMING POOL WITH FENCE ENCLOSURE IN REAR YARD AS APPLIED FOR. The certificate is issued to LORRAINE MILLER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-391111 — JULY 12, 1996 PLUMBERS CERTIFICATION DATED N/A Bu ding Inspector Rev. 1/81 FORK NO. 2 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) N? 23534 Z Date ..............6-../.........5............................ 19../•� Permission is hereby granted to: ........... ....... ............... ...A/........ll-cx- .......... '7 V ... . . ...... IA! 'j U ov .................................. at premises located at ....... .......................................... ........................................................ . . ......... ................................................. ................................................................................................................................................................. Iq County Tax Map No. 1000 Section ......9r........ Block ....... Lot No. ..... /............. pursuant to application dated ........ si�pq............... ................. 19 and approved by the Building Inspector. Fee $........................ ......... . . ... .. ..... Kellidiing Inspector Rev. 6/30/80 TOUN OF SOliTHOLD 3UiT DT\IC DEP ART-IfENT TOW-LIT ; 302L 011 SEP 9 1996 1�1 BLDG.DEPT. FDLICATION FOR CERTIF"IC ATE OF OCCUPANCY TOWN OF SOUT�iOLD A. This aupiication must be filled in by tyre*writer OR ink and submitted to the building inspector :with the following: or new building or new use: t 1 Final survey Of property with accurate location of a,k 11 buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-, -form) . 3. Approval of electrical installation -from Board off Fire underwriters. 4. Sworn statement from olumb.er certifying that the solder used in system contains less than 2/10 of 10 lead. 5 . Commercial building, industrial building,. multiole residences and similar buildings and-installations, a certificate or Code Compliance from architect or engineer responsible for the building. o. 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: 1 . 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 325.00, Additions to dwelling $25.00 , Alterations to dwelling 825.00, Swimming pool S25.00, Accessory building 325 .00, Additions to accessory building $25.00. Businesses 550.00. 2. Certificate of Occupancy on Pre-existin-a Buildina - $100.00 3. Copy of Certificate of Occupancy - .25 . 4. Updated Certificate of Occupancy - S50.00 3. Temporary Certificate of Occupancy - Residential Si3..00, Commercial S15.00 Date . . ... . . . . ./.✓.9 . . . . . . . . . . . . . . . . . . . . . . New Construction. .© �. . Old Or Pre-existing Building. . . . . . . . . . . . . Location of Property. ./ a0: . . . . �®.c��J,T. . . . . . .`1.�. . . . . �. C1�✓��. le. . . . . . House No. // Street Hamlet 'Onwer or Owners of Property. . . .�1.G�� / . . . . . . .1. � ram. . . . . . . . . . . . . . . . . . . . ..... . . . County Tax Map. No 1000, Section. . . 4. . . . . . .Block. . _ .:T. . . . . . . . . .Lot. . :f .9. . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed lVap. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. �� .Date Or Permit. . .eP/.� % . .AppIicant. .-�_q?'5w. . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Under-writers _-'_puroval. . . /.� . . .� . . . . . . ?fanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Reauest for: Temporary Certificate. . . . . . . . . _iaai Certica--- - - � Fee Submitted: S . . _ Q aNT �` THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1145059 BUREAU OF ELECTRICITY F 85 JOHN STREET,. NEW YORK, NY 10038 Date JULY 12 F.1996 Application No.on file 12022996/96 N 391111 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of'. t MILLER, 17525 COUNTY ROAD 48, CUTCHOGUE, N.Y. in thefollowing location;: ❑ Basement ❑ lst Ff. ❑ 2nd Fl. OUT Section Block Lot was examined on JULY 09,1996 and found to be in compliance with the National Electrical Code.." FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.' 1 1 1 DRYERS FURNACE MOTORS FUTURE,APPLIANCE FEEDERS SPECIAL REC-PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS" H.P. AMT. NO. ' A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. M P SYSTEMS AMT. -WATTS- NO.OF FEET I 1 20 SERVICE DISCONNECT NO.OF S . E R V I C E METE AMT. AMP. TYPE F 1.02W 1,0'3W 3 0 3W 3 X 4W NO.OF .COND. Of CC..0. NO.OF HIAEG A.W.G. NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: SWIMMING POOL-1 I .TIME CLOCKS-AMP.40-1 G.:F.C.I-1 PANELBOARDS:1-3 CIR. 125 *(SWIM IING POOL) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test/and or repairs _ «<.Continued on Page 2. >>>' _ Al Per This certificate must'not be.altered in any-manner; return to the office of the Board if incorrect: Inspectors may be identified bY their credentials. 01 SEP 9 1996 t' + i ®1.DG.:)FPT. h TOWN OF scilUTHOL, �.� i THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1145059 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 j Date JULY 12,.1996 Application No.on file 12022996/96 N 391111 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 MILLER, 17525 COUNTY ROAD 48, CUTCHOGUE, N.Y. in the following location; ❑ Basement [Ilst Ft. ❑ 2nd Fl. OUT .Section Block Lot was examined on JULY 09,1996 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST. FANS i OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K:.W: AMT. K.W. . AMT. K.W. AMT: K.W. AMT. H.P.- DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC:PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS. - SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT: WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT. Amp. TTPE METER EQUIP. TN 1,9'3W 3 0 3W 3.0 4W NO.OF CC COND. A.W.G. NO.OF HIAEG' A.W G. NO.OF NEUTRALS A.W.G. EOUIP. PER B OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: made by a qualified person. NORTHEAST ELEC.CONTR.INC. LIC.#3810-EL. 30 JERICHO TPKE.SUITE 282 _ COMMACK, NY, 11725 GEN MANAGER\k ::: 11. .; a5`Per- This certificate must not be altered.in any manner; return to the office of the Board if:incorrect:..,Inspectors may be identified by eir,credentials. F SEP 9 1996 _. �I..C-G. Cif=P-('. 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Lb(NC�,ut .c'..r•..-ce.c .,cc. t• •r S1 TREATED wOOD ..r..r. f•lee.re.O a ' pjn ANCNOMEO TO CONCw ETE CORE H`ST co-CRETE "L DRE CASs SO F•rrG f I TO RLTER aET L•R+rS f��l•I _ �L':fir { p FROM SK7Y HERS S�OOE J_ F" Re 7VN9 v O° F FORM ?tES m 1 I + L'E? 1 ' /l TO RETURpS vl I-UL" NFOAM ° PIPING ARRANGEMENT v .1'r L,NER Q V. CONCRETE r i 73OOro^---= •--� 0 t-- i..i a��� ' STEa -'L PLAN j POURED CONCRETE .• V!$M LINES i•, j'�= ; .. f FIBERCLAS m SC=_ TTe_*L i FF: srOULOED m «aLt SEtTtOw � I a+[CE a SECTION .. 5.3 YD 9OTTOM •� /. �-- FORM T1E - 13 �••• t•-C•---^� 3 I '"}` OPTIONAL :;TE? w c. .. :^�o� -ilk� s .e 9Aas - pF I. J� ECTION B-8 r TYPE CRAOE T•-• fists' ^ •.�.,' 11/7 STEPS �J_..;r a D• PtAN •'..A ", a `.. -^��• cebe wets -- -- i reef %.•.•++ •. TYPICAL WALL + -7- SECTION A- A OPTIONAL. STEP 317E A e � O E F C. motj cm1 �,, � TYPE 2. FEET n, rr. rT n R rt K wn •al NOTES_ , g• Ohs` Sf �_uKLRACTOR �- VALA3 To RE SWMTN- wpw SKID TYPE. SLOPE? AWAT FROM POOL f:'.� i1 PCIVEC+MR. INC- T<ATEw OrSTCSAI swtl LIMfrED tO vxw E R'S i fir' :''�= 2 K5 POOLS 1t '� 1i. IA•. 32 t6 72 i"•i !) I IZ ♦ StZ �100 PROPERTY TO SWT iDGI wE6UEaT1ONi •?. K a 3E Ii 36 Q_J.e r a t 3T6 t m � Lb LL C z m - i m i 0 oo�c [0ac¢ "TA£ATED w�4 `�^ I s.[s ter[+a�s•�o .a`y ems. ANCRORED TC CONCPM PRECAST comcrt—T I . /f j;N^ iOt�7NG d= PPE CAST _ '3 ScmxEFS f CO PING k� FILTER Sal PE .W?6 IIf G a' 3.7,B' BARS J . I � � FP.JM Sxic[MERS O �' �1• 1 FORM ?tE$ FILTER-07ux4 t y Y rR'-).A FiL---? TO RETV RNS - u • ' ti o is 10 V. AM I BMEENEgLCKEq Of- $'PING Di fti i14 6Y IYL 7t L �4 CO Nt FETE ; r so4�- E t= v_ ---7s0C It `� C L A C'rd 1 ,� PO�Ren COwCRETe T�...- —, • ql to -:-.a c_.- [ � FIBE= f1l SCi' Ts❑ '-_L :._ `� f JAOJLL:.,. F- ..At. SECTMI[ I PfECE 92, " SECTIGitl I EiLL= � 6._0• ' h CA a — I ri i OPTIONAL -TEP �-lg° a'S�VD 30 TTQM -e � _ 4 � /; STEPS � -�-- ^� � 12 A,L STEP T goZC • e t { 0 E F 6 CAP ._�.� - - - .v.,_.�. d-�PogW — - FC:T R, n rT n R r2 >K wPi ems .. !--• ? rFA bag ag Bz s[arirw- [xs:a !:GtE YTs^F,SLOP! F=- eaVAT r-no[ aCOL - tt a:.Y�c7 Lt53'LSaL SI�tL %; L. IT YO 'aw:,C t6¢ SZ i6 1}: 8 I It R / O t9CL -3-1w FI, -T-1 T6 UNT .ECbL 63EC.IL2.Ts0mS �• �s� � f PO ".]pti fa f /z-J.is •12 4 4 976 Fn BOARD OF HEALTH . . . . . . . . . . . . . . . f FORM N0. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . I� n� _ C � TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . F FU J BUILDING DEPARTMENT CHECK . . . ... . . . . . . . . . . . . . . . . . . . . 1 TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . LBLDG.DEPT. SOUTIIOLD, N.Y. 11971 TOWN OF SOUTHOLD TEL: 765-1802 NOTIFY: CALL 7 �-_�S1s . . . . . . Examined...... �--, 19e/ MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved....._.tU ., 191�.(a Permit No. I �.. .................................... Disapproveda/c .................................. .................................... ...................................................... /../.... .------ ( ij'ng nspector) APPLICATION FOR BUILDING PERMIT 91 Date. . 61 . . . . . . . . INSTRUCTIONS r a. This application must be completely Filled in by typewriter or in ink and submitted to the Building Inspector wit: 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property mist be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval. of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HERM- I->AX,: to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the l wn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances-.or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on,premises.and in building r necessary inspections. ;C,�.................. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State'wiiether'applicant' is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . Gv!� .............. Name of owner of premisesltl�tl ETA.. :..!bl�!�� ... .f,�% � �!l? ... .:! 1.�� �. ............ (as on the tax roll or latest deed) If applicant is, a corporation, signature of duly authorized officer. ............................0............................ (Nam and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... l. Iocation of land on wbnicbn proposed work will be done.. / o2s__... OL..iU 7`_;�.. ?s. .................. ...............................................................................�LC 7�1 0.��. ......... ....... House Number Street ll Hamlet County Tax Map No. 1000 Section .....� ..... Block .....`7:........ Lot .1., .......... Subdivision ...................................... Filed Map No. ....... ...... Lot ............... (Nave) 2. State existing use and occupancy of Aemises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... � .......... q- .................... iPC�us �. r b. Intended use and occupancy .. f=S.f �. C�. ..... ............. 3- Nuture of wouk (dieck c.Aricli applicable): Ncia Iluilding .......... Acklition ....... Alteration ..:-:..... Repair ............ Reuaval ............. Demol itioil ............ Other Work (Description). 4. EsLinated Cost ...............?.• ... fee ...................................:..... ... (to be paid on filing; Lhis appl.icaticxi). 5. if (kaelling, ranber of: &elling units ... Umber of dwelling units m each floor ..�!........... Ifgarage, rxnber of cars ...................................... 6. if Imsiness, camiercial or mixed occupancy, specify nature and extent of each type of use...................... 7. 1)imensiOtis of existing structures, if any: Front................ Rear .............. Depth ................. lk-Aght lAxiber of Stories .................... Dimensions of sane structure with alterations or additions: Front ............... Rear ............... DepLli .................... lleiglrt .................... Umber of Stories ............... 8. Dimensions of entire new construction: Front ................ Bear ............... DepLlu .............. Heidit ......................... lAuber of Stories ..................... 9. Size of lot:: Frcx)L .................... Rear .................... Depth .................... 10. iate of Purchase ..................... Minx- of Former (7vmer ........................................ 11. Zcxue or use district in which prenises are situated ................................. ........................ 12. Does proposed construction violate any uxiing law, ordinance or regulation: ........................ v 13. Will lot be regraded .................... Will excess fill lie renaved Fran premises: YES ND 14. Planes of Owner of premises ........................... Acklress .............................. Plxxie No. .............. None of Architect .................................... Address .............................. Pluone No. .............. Nave of Contractor ................................... Address ............. .........Yhone No. .............. 15. is Lhis properLy within 3W feet of a tidal wetland7 * YES .......... NO .. .. *IF YES, 90U11> n 7l m 'IR smis PERMIT' MAY il- Rcign m. Pi.o'r DIAGRAM i.ocate clearly and distinctly all buildings, whether existing or proposed, and indicate all. set—back dimensions Fran property lines. Give street and block rnrtber or description according to deed, and sluow. street vanes and indicate %Aiet.lier interior or corner lot. #sI!'Ii MEDIATELVii APPDROVED AS NOTED ENCLOSE POOL TO CODE UPON COMPLETION DATE: B.P.fi 3�3 BEFORE "WATER" FEE:'k 4 `—kl- BY: ` NOTIFY BUILDING DEPARTMENT AT 765-1602 8 AM TO 4 PM FOR THE L FOLLOWING INSPECTIONS: UNDERWRITERS CERTIFICATE 1. FOUNDATION - TWO REQUIRED REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION FINAL - OCCUPANCY OR 4. BE COMPLETE FOR C.OTION MUST USE IS U1!LAWFUL THE REQUI EME ALL CONSTRUCTION OFALL THEMEET N.Y. STATE WITHOUT CERTIFICATE. COD S.0 UCTION NOT RRES ON &IBLE EFOR DESIGN OR CONSTRUCTION ERRORS OF OCCUPANCY S IME, (X, "M YORK, S CXJf1NIX (A --- ` SS •-.. d ........ .... :.. .��.� ...........hieing duly swcmu, deposes and says that he is the appLicanC (Msme of individual signing contract) above named, "Ite is Llie ........................... ..JJ.I .....-..............-.......................................-- (CcmLractor, agent, corporate officer, eLe-) of: said (m)er or comers, and is duly m)Lhorized to perfonn or have performed Uie said work aril to cmke and file this application; LhaL all sLaLenenLs conLained in this application are true to the best of his knowledge aril ixAief; aIxl thaL Lhe cork will be performed in Lhe manner set forth in the application, filed therewith. 'Mum to before nn Lhis rye ...................clay .... .19.. Notary Public ........... ...... ROBERT 1, SC JR. NOTARY PUBLIC.S to of N.Y. (Signature of Appil icant) No.4725089.Su Ik Cou Term Expires M 31.19 , cOs(� 6 s opt �o / D 00, • , :S , r r �'�,1 Q .M ,1 JT, '�" � ,. �.1a �� •r b Gl_� :�F sg S ` 1 �;' l!•,./�,.A' '+{ a a 1... ( irk 54 •�' i a{ t'?< rJ'�1t9.Suti�l y�d, �tt%� m 4J fly,u}t"'�+�,•! �! , ' % Y' // `a e � ��Ey�yli•Jr�.� +'•!'t,;ci�;n 1S7L�t / ',\': � f J j..1'}tl'" Y 1 .1_ l�Il p �X;., ',1•-J 1A l �j v J N , r , �,, , l � '.MOB $r: �� _ `�•1 r�. 4�,+T' 1.4t �. ,,�2� . tit r ttt a` I �. ��artkq a r.'xs h I �� rf'b `Yi I,Yi T+s��a lf'r' f,. r,l ( .��.• ��< �JY'f� . .' tc-�4 �i,� ��{•�ri ;'l M�� ai-'ray ���,',��'S�Y i' 4c � `, '�' xYr' '�rt i '_t. •['�. Tc 'Sr"^i"r�+�.�+i �1 r , � , fit a A illy+ �,�.��St'l t t, \a� x ^Ji�ar�'i ��� '��' �'x_N�Ca.•, b z `y ' r " > / a (S ' rr q• r� �k r -':`tt glC+fl }1'Cl ayr :!.• ;,:e"• .ar_ ,� _l///''''�� - ..' _ � .. . � `_.__ ,i fa F!,' ,. I � t ! j` .1 .y �p •, d' ! � :.1� n aft„ , ff aa� ,4lr f S l�`. �•. �%, ,gyp�'1�w ^ .n Id�'���� „r'Itl� ,�� �I ' 1 1 1 C>. , S U R V f. . 1i KENNETH S. MILLER °' AT" DATE AUOUST.23,1894°:. ; .TOWN OF` SOUTNO - AUVUST'2, t984 ' r ` SUFF SCALE t OL.K�:000NTY; NEW PORK' NO. �,i UhIXUTHORIZED :ALTERATION OR:ADDITION TO; THIS k it 1 Y' SURVEY iS A'.VIOLATION OF SECTION 7209 OF-THE l } zs , NEW•PORK STATE;EDUCATION Li*. ': it COPIES,OFr�TH13'SURVEY NOt1 BEARING THE LAND OF 1 fURy YOR > �HKED;iEAL,.OR•EMBOS§ED`SEAL SHALL'% �' N01re CONSIDERED TO sE A'VALID TRUE COPY;: 1� }O �' �aa 1 •E;MQUARANTEES, INDICATM.HEREON,SHALL;RUI� aNLY iO �tnti''� i' ;F' I TH 'PERSON�fbR<wHOM THE SURVEY 13 PREPARED .ANCf'A, FIIS �ENALf'.TO THE Ti?4E COMPANY;f30YERN n f� 4Y>3 't ,ME.NTAL{� t�OENCY,ANQ..LEND1.NO'�iNSTITUTI0f1 k,'I$ZED :'j, '' + ' ° 7 �` f `HEREON-AN�,TO T,HE AS3iGNEE9,OF tHE LENDINR � � ri* sIN9TILUTIOTi ,(iU/IRANTEIM-ARE''NOTJTRANSFERAwLE • p 1F DAO OW . .. R. B I;CL)NNSS HERED �FO fi T 13d M O E _ APEGI`Bf l Y PUhP03E.'ANQ /�1RE.NOT-TO BE..USE.D�TO.,EST'ABLI3H nalyaC■T�/ i 0k 614 FnA THE'A TIO m 1 ' r �.r.' .{ t. �MIR�R