HomeMy WebLinkAbout1996-008603 (Addition) . ! �. � - � � s � ' --, , !
PERMIT
CITY �AF ORONO PERMIT TYPE: I
2�50 Kelley Parkway-P.O. Box 66 ��`,��l����.t�� �
Crystal Bay, Minnesota 55323 Permit Number: s};y_;�.,�;:; I
(612)473-7357 Date Issued: �•�f i,f:=;l�a�,
� SITE ADDRESS: i
: t:��� �i�'��s�; :=:T
.�� �
�'. � .la�. � .R�)—�1/—.'i�_i—_a�—{D�BCi�.
DESCRIPTION:
��°�!Cg :,:TCi�;� �C'C�s T I�=�t� i
E,�ail��;���� F'tirr��i�� T���� '_,F—t�i��3f�'�t1�+G��L
E�!�i �o�irn� 4+J��ai`��: I ;'�_� �C�C�?'TIs�4'J
t1�;�: �:���o�F��l-��y fi—_:
'���_'1'i�'C•9'�IC�:.a���i� �w��� ���
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�:�1l�ld� �:�ei�a� d�:r�� ��� A . �+:�=:������a ��9� i
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II
REMARKS: ,
`=:EF't��'�l i E F��Ni T T'=� d��'� �'Ec;��j T 6�`E6 F+i�; F'L��r•1��Tl�t�r C�Ft,::Nt�t��T�:t�� ��'� '��I r�TE �L�t��T�;i�:►�L .';
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FEE SUMMARY: I
��-4��j"Nt���_��'� '�;;°(_1�tiS_)i8
E���� FYN �:��e 7 .�`� ''
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'se.�►�ci—�Ni,��� ------ �,�ia �ra�
�i 3335
To��•�l F�� ���.:�,:=;,'�i_�
II
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CONTRACTOR: OWNER: — ���������+j�t• — �
��=ft�a�L�� pi—!L:_;T�'tii� 1�.��a:�.�.°�5 ::.�1TH��;L��i� I�r�'�I� ��
�_��.�� F`f��Et�l�-•:o PF'� �C', �.=o�,� ��E,i='� '��T
i�fiaF°LC: F'Lf�I t�l C•ii� �S:�5�+ d#;;�ft�l9 i fi�lt� ��=e'�1 ,
�7:�°—d�.;;�_� �
T���' 4�t����'°:a��.�'i�3�� �a�.���>`r' f=�'��:��.p�'r��`°�� �`��t��'°:o°_e T���`� ��rk td�s���;�" T��� �°�:.�L ���F`��t�°���1�€'��i'��
e,�=°�c�:I�F�C� ��t�C� �����`r� T�=t ��:� �L.� �?s��F�:r: �#�! °:�';��,fL:�' t:t����l�'�.:.�'����.:� 4�Z i�i ��� R:i i';' o��F
a`:�'€���.�i� '=ii=��I h�r����t=�'`_ ;������ `=��'��'� �¢�= C•1 I�t�i°.i�°=��a}�'� �.'s��L��z tE.iR� ti���t�' �`d�r:;t���:��1�t�T`;�.
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNAT
' Total Fee: $ 7"� � �"/ � Date Received: /�0?5 '� �O
Entered By: Permit#: ��O,3
�
CITY OF ORONO - BUII.DING PERMIT APPLICATIOIV
All information must be submitted ia full before plan review will be started.
(please print all infofmation)
------------------------------------------------------- ------------------=----------------------------------
� THE APPLICANT IS: (circle one) WNE OR CONTRACTOR
JOB SITE ADDRESS: / 6 � �r^�r J�. Zg': �S��.3
�r�ys-t�- ��yo�n�,.
NAME OF OWNER: �fl'(JI����1 �v�`�ti'���PHONE: ome) �7�� T���
(work) — � 7 �
MAII.ING ADDRESS: �?D• �o X �b� CITY:�(n � ZIP: S'S,�Z�
�yl �
CONTRACTOR �o r� Cl I��S�m �S�� PHONE: ��7 �—��q�
CONTACT PERSON: ,���, ���1� ���� 1VIOBILE/PAGER:
MAILING ADDRESS: Q CTI'Y: i'b Pr1�I�e�1 Q i�ZIP:�3�
STATE LICENSE: #�"� �'"�'
ARCHITECT/ENGINEER: � o � � PA�NE:
MAILING ADDRESS: CITY: ZIP:
rJAME; REGISTRATION#
TYPE OF WORK: New Addition�C Accessory Structure
Move RemodeUAlteration Land Alteration
PItOPOSED WORK(describe in detai�: a ����� �e�v�f �`� e x�S��`� � 1 t���S�
STORIES: � SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: �, GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ a� }O�'�
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City and with
the State Building Code; that I understand this is not a permit and work is not to start without a
permit; and that the work will be in accord ce with the a roved plan.
APPLICANT'S SIGNATURE: TE- � � ��
NOTE! Parade of Somes events require separate permit approval by Police Department and ,
City Council 60 days prior to the event. Non permilted events will not be allowed.
9
Sec.13.04 RIGHTS OF S[JBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the daha is swred or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked W supply private or co�dential data concerning himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency,political subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identity of other persons or entides authorized by state or fede�al law to receive the data. This requirement shall
not apply when an individual is asked to supply invesdgative data,pursuant to section 13.82, subdivision 5,to a law enforcement officer.
The commissioner of revenue mav nlace the notice renuired under this subdivision in the individual income tax or nronertv taz refund
iastrucdons instead of on those forms.
Subd.3. Access to data by iadividual. Upon request to a responsible authority,an individual shall be inforcned whether he is the subject
of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires,shall be informed of the content
and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disciosed to him for
six months thereafter ualess a dispute or action pursuant to this secdon is pending or addirional data on the individual has been collected or created.
The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the da[e of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an addidonal five days within wluch to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private
data concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authority describing the nature oF the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the data found w be inaccurate or incomplete and attempt to notify past recipientc of
inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04,Subd.2, "Rights of subjects of data", we would like to inform you that your request
for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or
confidential information.
You aze notified that:
1. The information you furnish will be used to determine your qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to process
the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
First Middle Last
Address
City State Zip Phone
I understand my ' ts as stated abo e
�
re
' CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 1'3 do� �(�'(.��� �i
PID: '
DESCRIPTION OF WORK: ��+ �� �� r.�1$��
ZONING REVIEW BY: DATE APPROVED: /�,•��-`I� ,
BITII.DING REVIEW BY: DATE APPROVED: `Z- .��S 6
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes � No
PLAN REVIEW Yes �O' No SEWER CONNECTION
STATE SUR��iAKC� Yes � No WATER CONNECTION
INVESTIGATION-�EE Yes No PARK FEE
SAC Yes No SITEINSPECTION -
Number of SAC Units OTHER (specify)
ZONING CHECB LIST Zoning District: ��� o� � M M ������
Fire Department: �l�a�,r� L� Post Office: � �'�9� School District: �'j C���
,
Lot Area: Sq.ft. `�,c�� Acres � �� Width �� Depth `��-`� �'
Survey Submitted: Yes� No Date of Survey:. ��-�,��'� � '
Proposed Setbacks:
Front(Lake): �Dp Right Side: ��° ,
Rear(Street): ��_ Left Side: ��� •
Adjacent Structures: 3 P Wetland: nl 0�
Building Height: Def. Hgt. �C9-� Peak Hgt. �•��
Lot Coverage: �-i�- p� l�v
Grading: Staff Approval Date: /+-� d a/�— By: Council Approval Date:
Septic: Staff Approval Date: � � � By: �
Zoning File: # `Z 19� Resolution: # Resolution Date: 1 f Z�' �(� ',
Shoreland Dis�ict: _T,Q��
Avg. Setback: /z,r�'d- Bluff Setback: ��%� LotCoverage: /idr�'�
� Existing Proposed
Hazdcover: 0-75'
75-250'
• 250-500' �
500-1000' Z .Zc� ��-z.+�
Hardcover Variance Required: Yes No Date of Council Approval:
REI�ZARIZS(in house):
• 26
BUII.DING REVIEW CHECK LIST
�C: �" � CONSTRUCTION TYPE: �/�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ ���, ���o"
Inspections Required: Work Requiring Separate Permits:
Site , ,_�Plumbing Fire
Hardcover Removal �Mechanical Water Connection
� Footing Septic Sewer Connection
� Framing Fireplace Lawn Irrigation
�Insulation (Masonry) Other
�S_Wall Boazd (Mfg.) Well (State Permit)
�Final Grading/Filling rae Electrical (State Permit)
Other
REMARI�.S (IN HOUSE): w
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS(TO BE NOTED ON PERNIIT): '
27
,
� I
EXTERIOR ENVELOPE AV�RAGE "U" COMPUTATION �I
(To be submitted with building permit application) 1 '
One or two famil.y dwelling ✓ Owner
All other
:�ite Acldress
Contractor Date a Phone
LINEAL FT. OF
EXPOSED WALL + + + + + + + + above grade = lin. ft.
`T'O'I'AL �XPUSED WALL AREA
OPAQUE WALL COIvSiRUCTION: "U" value x area
"U" x sq, ft. _ (U) (A)
��U�� �!(� X 5q. ft- S.OU = �.,$�C� (U) (A)
Detail reference � � "U" ,�y�x sq. ft. ,sl.�(,tZ� = L.t�l,fv (U) (A)
from ' "U" ,�g�i L x sq, ft. 1z,G.Cjd = S,3 C1 (U) (A)
attached sheets "U" ,�c�x sq. ft. — _ (U) �A)
"U" x sq, ft. _ (U) (A)
"U" x sq, ft._ _ (U) (A)
WINDOWS: "LJ" value x area
Make & type "U" x sq, ft. _ (U) (A)
n �� IND�WS ��Ui�-�X gq. ft' �U'U - �7r.�� �U� �A� .
" " "U" x sq, ft. _ (U) (A)
" " "U" :� sq. f.t. - (U) (A)
�ORS: "U" value x area I
Make & type "U" Y sq. Lt. _ (U) (A)
n n nUn X SC;. fi�. _ (U� �A� i
�� .� ��U�� x sq. ft. _ �U? �A)
�� ��
TUTALS 7?f�� Sq. ft. �(�.�� (U? (A}
TOTAL (U) (A) VALUES �I}I3�UU - AVG. °U"
DIVIDED BY TOTAL WALL AREA ►O�j
.�, Avg. "U" Value, State Code
KOOF/CEILING: '
TOTAL AREA: �-{g(�(, sq, ft.
Detail reference "II" x sq. ft. _ (U) (A) I
from 112JSS I5� vL_ ��U��,OZ,� x sq. ft. �-{.S'�'��� _ �,� (U) (A) '
attached sheets. � ,MS���h ��u��,�X S�, ft. Z�,,�� _ ,G� (u) (A)
Describe openings "U" x sq, ft. _ (U) (A)
in roof "U" x sq. ft. = (U) (A)
TOTALS L���d� Sq. ft. l('.�]2 (U (A)
TOTAL (U) (A) VALUES [(97Z, _
DIVIDED BY TOTAL ROOF/ ��(,,OV `�ZZ l�Uv' ��iJ�� �
CEILING AREA .�Avg. "U" Value, State Code, Vented
.lU Avg. °U" Value, State Code, ilnvented
MINNESOTA ENERGY COD� MAXIMUM TIIIS BUILDING ESTIMATED
BTU LO5S THIS BUILDING BTU LOSS - --��
S . FT OPA UE WALL @.,`1' _ � �
?73.vv Q . Q $S�t�3 SG.� �
�t����f� SQ. FT. CEILING @�(� _ �2.L�-J � (�.'1 Z
SQ. FT. UNVENT CLG. @.lU =
TOTAL BTU LOSS/HR./5Q, FT./
DEGREE OF TEMP DIFFERENTIAL = � .(p� �(Q ,�� !
�
-------- ' ...._..._._--�----- -- - - - ____--_
. ttUn � � �._ 2
� WALL SECTIONS '
�TE: 'Use 10$ of opaque wall area for R-Value R-Value
frame construction � Construction
' �" �"� 1. Interior air film 0.68 0.68'i�
--� 2• v�� �
3 3. 3 inches soft wood ��25 / �fS
� 4. � , ��. +r ,OL
� 5. I'�irit. 0�2(�
AASIC _.-0 6. Exterior �ir film 0.17 �
Total Op
�"ALL 6 .
� ' ttUn � 1 � /�V ��LJn - ,' a
'd�
FIG. #1 TOPt'r'IF4`! OF 1. Interior air film 0.68 0.68
FRASvi�: V'IALL � 2. " S •
3. " L. �
_ 4. k sT�4 Z�6
� 5. � ' O, v
FIG. # 2 � 2 6. Exterior air film 0.17 0.17�
Total �.�(,,
_� . ��U�� = 1 ��,�5��U�� � 1 �
: � � �
1. Interior ai.r film 0.68 0.6
^ Z, •- ov
..._. - ' 3. i �� ,2 S ,
sill sealer 2 q. i ' �r ��L
�. 'J 5. � ;.., �� /�.2.0 �_
Periph�ral ! � 6. Exterior air film 0.17 0.17
Floor `all . ' �---'-�_� Total �� - �
o,:o.;:�� �: ��U�� _ ?Z.SS' ��`���U�� = 1 �
r
" � ' O ' 1. Interior air film 0.68 0.68
•�' o ; o. � 2 Z, ' f` � Z` r 5�
� 3 3. )z" vwr uc� l � Z�
FOJIV�ATION •� ' 'a• .
�'lALL . � :' � , 4.
•• .
� RADE 5.
D ' -_. _________
�•. • •• � ���� { ' � 6. Exterior air film 0.17 0.17
e ' `���'��C.l� Total '7�33
�6 ._-..�'�[
��Un _ 1 a �� ��Un � � -
SLAB ON GRADE ��33
'� .
• '. . �='. ' . _ . . .• .• '� •, - . . v ' i
C�(Z _ ��� � � o' . ' . : .. o ' _ o .' � .
� � •° • G ---1" :���- • -a C� . . • , ..
° . ° o` ° ' :.'�•o• � � ( :-_�'��E �er�T*..a�5�°gS � _ '11� . ° • , o • .;
, � � � . .� � �,� j�:g,� , - • . • • , . .
� � o o _= t { _ --- - .e - � • y, • -
�� .e .. 1f 1; = � 1►� . . . . . ' .
• • O • �7�I� ��'� � N ♦� � � • �. ' • • �
FIG. # 3 � , R i��^ I > ;• •,• . . .
. ��•t�r, ia�� _J
� � .G� ; - -- ---i
. � , . . NOTE: Indicate type, "R" value, depth and
� o • . ' . • o � • •� � • � � • � placement of �insulation. � � ,
',^ e • � o • • o
. _ . � ,
" __ s_,__N_._ � �- - -.:=.;,:.:--
� , • 3
ROOF/CEILING � ��U�� - �
Construction R-Value R-Value
3 1. Interior air film 0.61 0.61
2. ` �S
� 3. L . �v
i4, Exterior air film (still) 0.61 0.61
�� . . Total
2 � � „U,. � 1 �
,. �,. .
" � 4��g �d
xeat Flow iJp
Vented
� 1. In erior air film 0.61 0.61 ° •
FIG. � 15 (� 2. �``S . 's
���`. 4- 3. Cord Depth 3� " � ��
i 4� <<
FIG. # 16 . �--0 5, Exterior air film (still) 0.61 0.61
_c� Total 2.�ilL
2 1
� I „U„ � 1 � „U„ _ _
��� -�-.
. 1. Interior air film 0.61 0.61
n � 2- _ _
3.
� � 4. Exterior air film (still) 0.61 0.61
.�
Total _ ---
OZ 3 4 „U„ � 1 � � „U„ � '- � .
Heat Flow IIp Vented �
FIG. # 7
3 4 5 I
.�• ;�; :�:,
�' � �'� �•~� � % 1. Inside air film 0.61 0.61
'r,M, •. �" �`%'�/ � �. . 2.
~��� ,' ;' �• 4. � --�
.;,� . 1 � s. outside air film o.17 0.17
;�• To tal __
! NON VF1�T� 1 . 1
ntjn m � n(J^ � �
Ne�L
Flow Up N��: Use additional sheets if more space is
. FIG. # 6 � • ••� � • � needed 'for details and calcu�lations�. � ;
t
�, . �. ,� � �'i���� � . ��i.,lii.:i,� ti ���.1.�.. .. . � •'L� t �..�1 ..ii..��J.:.ILUU C�1.dS:i E1Yf:rA`.�-S
- NOTE: Unit Quantity=Number of units in <�roup Sg1=1, mu11=2, etc.
QTY DESCRIPTION UNIT QTY SQ FT/UNIT TOTAL SQ F'T
� L'z.4 tJ 1� � l� �_ � �.1�� 3G�o
TOTAL WINDOW SQUARE FEET 3(�.OG
"U" Rated @ ,ss�
Entry Doors
Doors With Insulated Glass Figure Glass Area With Windows
Entry Units With Side Lites List Side Lite Only Separately-Double Door Equals 2 x Single
QTY DESCRIPTION UNIT QTY SQ FT/UNIT TOTAL SQ FT
�
TOTAL DOOR SQUARE FEET
Door "U" Rating
�
i
Side Lites
QTY DESCRIPTION SQ FT/UNIT TOTAL SQ FT
Side Lite "U"
Rated
TOTAL SQUARE FELT
Patio Doors
QTY DESCRIPTION UNIT QTY 5Q FT/UNIT TOTAL SQ F�'
"U" Rated TOTAL PATIO DOOR SQUARE FEET
r
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� ' S
WALL AND CEILING AREA COMPUTATIONS
To Figure Stud Wall Area
-- �4'�ZG ,
Standard stud wall incl. plate= Q ' sq. ft./lin. ft. x ,�lin. ft. wall= � � , sq. ft. wall
Knee stud wall incl. plates= sq. ft./lin. ft. x lin. ft. wall= :sq. ft. wall
Other stud wall incl, plar.es= sq. ft./lin. ft. x lin. ft. wall� sq. ft. wa11
Other stud wall incl. plates= sq. ft./lin. ft. x lin. ft. wall= sq. ft. wall
TOTAL ;('e�/ ..�
Stud And Plate Area
Total sq. ft. stud wall area including knee wall area =�� sq. ft.
10� total stud wall area(���J.?�(J = (o� sq. ft. stud and plate. This percent allowed by state.
Rim Joist
Lin. ft, rim joist �j() x r�U sq. ft./lin. ft. rim joist � pp sq. ft. rim joist
Lin. ft, ri.m joist x sq. ft./lin. ft. rim joist = sq. ft. rim joist
Lin. ft. rim joist x sq. ft./lin. ft. rim joist = sq. ft. rim joist
Exposed Basement Block
Inches above grade • x .0833 x lin. ft. wall = sq. ft. block
Inches above grade x .0833 x lin. ft. wall = sq. ft. block
Inches above grade x .0833 x lin. ft. wall = sq� ft. block
Inches above grade x .0833 x li.n. ft. wall = sq. ft. block
Inches above grade x .0833 x lin. ft. wall � sq. ft. block
Inches above grade x .0833 x lin. ft. wall = sq. ft. block
Inches above qrade x .0833 x lin. ft. wall = sq. ft. block .
Net Wall Areas
Total stud wall area ��17e�v' Basement block area
Less windows '����v Plus area well
Less doors --- Less windows
Less patio doors --� Less doors
Less stud and plate (,�'� Less fireplace
Less fireplace - TOTAL BASEMENT BLOCK AREA '
TOTAL - S�(e� Z,Q ,
� Ceiling Joist or Cord .
Number of cords or joists � x �, length = Z/ � total lin. ft. x .125 = z,?��O sq. ft.
Number of cords or joists x �' length = total lin. ft. x .125 = • sq. ft.
Number of cords or joists �_ x length = total lin. ft. x .125 = , sq. ft.
Ceiling Area
Ceiling width � x ceiling length �� = Lf�(,.00 • sq. ft. ceiling
Ceiling width x ceiling length = sq. ft. ceiling
Sq. ft. ceiling � �OV less sq. ft. cord /I_ /.!/V = l:�,�'J6(90 '' sq. ft. insulated ceilinq
��
Sq. ft. ceiling less sq. ft. cord = sq. ft. insulated aeiling
• FIREPLACE �
Opening width x opening height � � sq. ft. fireplace �
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ��►' �� 9� �0
PERMR NO. COMPLETEO zt -�_
ADDRESS ���'� '���
OWNER s��'Me�2c�A CONTR.
TELEPHONE NO.
� DESCRIPTION �« �A-� �,�ti,�;o�4r�.� �� D�n e�e� ?nr�
� 01 FOOTINO it MECHANICALRI 18IXCAV/ORADINO�/FlWNQ��
y �FRAMIN� 13 MECHANICAL FlNAL 19 LAI�SHOREJNIETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FlRERIACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� p5 FlNAL 14 SEWER HOOK-UO 06 PROCiFiESS
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