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F d i, 11 p'•, d I h,:., a, h (f 1 1 _fM1¢�y 7 a'S Gj, . 1. 1. .,. ,� , e n , i ,., , , , r kr , , 1 :- - +., , r. , „ , , A l`' Town of Barnstable *Permit# �- I v Expires 6 months from issue date r7D Regulatory Services Fee BARMABMKAM * J ©V 039• Richard V.Scali,Director ;q (y(J�Jty� Building lWistionM �U7W10(�� Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02 MAR 94 www.town.bamstable.ma.ustolvN/� 2016 Office: 508-862-4038, V +�i�R�V ax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL 0at-E Not Valid without Red X-Press Imprint Map/parcel Number � �/p ��' Property Address 95 Eben Smith Road, Centerville, MA 02632 ®Residential Value of Work$5,0000 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Eric G. Roth 95 Eben Smith Road Centerville, MA 02632 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side q [� Replacement Windows/doors/sliders.U-Value a C l (maximum.32)#of windows 14 #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\Decoll \AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doe Revised 040215 The Coninromvealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 n mnmass:gm,1dia Workers' Compensation Insurance Affidavit Budders/ContractorslElertricians/n mbers Applicant Information Please Print Let=_ibly Name(BasmeWorganaatiminClividoel>: /6 7 Address: City/StatelZi�� � /" �' s!✓�Zdex1 Phone#: ��`�`�c�•� —,�'� Are you an employer?Check the ap ropriate._boa: T of project 4. am a general contractor and I J� P ' t(required): El I am a employer with ❑I g 6- Q New construction employees(full and/or part tiam).s have hired the sub-contractors .2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-cofactors ha-.v S. Demolition working for me in any capacity. employes and have workers' 9. Q Building addition [No workers'comp.insurancee comp-insurance- r 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. am a homeowner doing all work officers have exercised their 1 Ln Plumbing repairs or additions myself [No workers'comp. right:of exemption per MGL 12.❑Roof repairs insurance required.]1 c-152,$1(4),and we have no employees.[No workers' 13.0 Other comp_insurance required] ;Any appht.ant that checks box#1 must also fill our the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mast smbmit a new affidavit indicating such 2Coutracmrs that check this box must attached am additional sheet showing the tame of the sub-co mactors and state whether of not those entiti--have employees. If the mb-contractors have employees,they must provide their workers'comp.policy number_ I am an ernplo.w tirat is prot�iditrg nrorkers'compensadon insurance for my employees. Below is the polio,and job site If formation. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a. fine up to S 1,500.00 andfor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce ' finder the pains and penalties of perjury that the information provided above is hue and correct: S' Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License 9 Issuing Authority(circle:one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Phrmbing Inspector 6.Other Contact Person: Phone#: Town of Barnstable Regulatory Services ox" Richard V.Scali,Director Building Division t � Tom Perry,Building Commissioner 039. &�� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE. 3125/16 Please Print JOB LOCATION: 95 Eben Smith Road Centerville, MA 02632 number street village: "HOMEOWNER": Eric Roth 774.283.1000 name home phone# work phone# CURRENT A&U-i'NOA 1IRMSS_ 95 Smith Road Centerville MA 02M2 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who.does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Pers0n(s)who-owns apand of lanai on wbii h Wsheremides winuadsio resi ,on which thew is,or is intended io be6 a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The unders4ned"Itotneo 'acei responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection proc sand requirements and that he/she will comply with said procedures and requirements. .,Wudwe of Homeowaff Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this.exemption are.unaware that they are as the responsibilities of'a supervisor (see Ap ix.Qg Rules&Regulations for Licensing Canstswrtim _Supervism-s.,sect 2J5) This lack of awarenes often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\DecollikWppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PI0IDHR\EXPRESS.doc Revised 040215 Town of Barnstable cr� ;:.a �:° ' e Regulatory Services trtroy1% Richard V. Scali,Interim Dire"ctorlj , a� w > SIPABLE : Building Division «� , y� MASS. g Tom Perry,Building Commissioner to:: 00 16g9. �0 jOrEp ,ta 200 Main Street,Hyannis,MA 02601 M www.town.barnstable.ma.us - - � � ° F Office: 508 862 4038 x: 508-790-6230 a Approved:. Fee: Permit#: —:)_0l LiUS HOME OCCUPATION REGISTRATION Date: 8/1/14 Name: Eric Roth Phone#: 774.283.1000 Address: 95 Eben Smith Road vrlfage Centerville Name of Business: Roth Property Services ----------------------------------------------------------------------- Type of Bns;ness: Property Maintenance Map/i or: 171 / 287 = INTENT: It is the intent of this section to allow the residents of the"Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions ol'Sec•tion 4-1.4 of the Zoning ordinance,provided that.the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in trail-ic above nornial residential vohunes;and no increase in air or groundwater pollution. Alter registration with die Building Inspector,a customary home occupation shall be permitted as of right subject to(lie lollomng conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than�400 square feet of space. • 1 rti • � dwellingw�i h•r not •ustonruv in residential biiildin and there There are no external alterations(o the d elfin I c are c t c ee e b is no outside evidence ol'such use. • No traffic will he generated in excess of normal residential volumes. • The use does not involve the production o'f ollensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • 'There is no storage or use of toxic"or hazardous materials,cn-.flannnable or explosive materials,in excess of normal household quantities:,. • Any need lot-parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the rewired front yard. • "There is no,exterior storage or display of materials or equipment. • There.are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet-in length and not to exceed 4 tires,parked on the same lot containing the Customan,Home Occupation.' • No sign shall he displayed indicating the Customary Home Occupation: • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be , included. • No person shall be employed in the Customary I Iome.Occupation who is not a permanent resident of die dwelling Unit. , I,the undersigned e read and agree with the above restrictions for my home occupation I am registering. Applican: �j�( f Date- �<XV Homeoc.doc Rey. 103113 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200-Main.St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall).and get the Business Certificate that is required by law. DATE: C Fill in please: APPLICANT'S YOUR NAME/S: Eric Roth �& BUSINESS YOUR HOME ADDRESS: 95 Eben Smith Road, Centerville-MA 02632 774.283.1000 ' TELEPHONE # Home Telephone Number 774.283.1000 NAME OF CORPORATION: Roth Property Services NAME OF NEW BUSINESS Rath Pmpe Services TYPE OF BUSINESS Prnrnerty Maintenance IS THIS:A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS 95 Fben Smith Road_ Centerville, MA 0 j MAP/PARCEL NUMBER 171 287 (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended.to assist you in obtaining the information you.may need. -You MUST.GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street)Qha ure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMR'S OFF E OCCUPATION This individuinfer edilof n er it require ents that ertain to.this a of busin ST COMPLY WITH,HOME Y q P type FAILURE TO T REGULATIONS . F AILUR / � RULE S AND * Y RESULT IN FINES. z ig r COMPLY MAY OMMEN T r _ l v�l C 2. BOARD OF EALTH This individual has 4e in for ed o the permit re -'r�eme hat pertain to.this type of business. * U MUST COMY WITH ALL Aut orized Si a TI0dS .IALS REGUTA 9 1�T�, COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual ha formed of the licensing requirements that pertain to this type of business. �(f,QuToriz d Si nature* COMMENTS: lC� . L�zl ���1 ./ 148.73 1 %71 (D i N -670 147.49 Joe -# 85-420 GEPTIFIED PLOT PLAN PREPARED FOR.- LOCATION., LOT 5 EBEN SMITH RD SCALE: 1 °=30 ' DATE: 7/21/86 _.. REFERENCE: - - - - PB 403 PG 27 LEBEL.-SOLLOWS I HEREBY CERTIFY THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON `�H OF ,y o ARNE y� X H. �" #26 4s down cape engineering OJALA a- o CIVIL ENGINEERS � q LAND SURVEYORS 23 /98G �s Si / ROUTE 6A YARMOUTH MA DATE AEG. URVEYOR Asse*or's map and lot number /,.. oK...�... 2 S�ALLE®�6V O�UIP��". �� ..°fTNEro� _ Q Sewage Permit number .....g5 ^ ........ LIAN WITH TITLE 5 Z, 111USTABLE, House number 14.31............................... 'NVIIIIPI!'1MENTAL CODE A oo M639. •� D�6 Tdiiy 7r�9 r`�,Pr4 q n79,CC, `!fin to11ara` TOWN OF BARNSTABLE .BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............... u./..15�....... 1..! 5. ?!GY............................................................... TYPE OF CONSTRUCTION ....................L�P.O.R..... 4:....C...................................................................... Qc, ....�:5.. 10...... TO THE INSPECTOR OF BUILDINGS: The undersign id hereby applies for a permit according to the followi informati n: Location ..... ..., .. ........ 1....,,�. .....l. I�.. 7 'v� I .............. .. .. .................................................. ProposedUse ................... .1.M..`,.................................................................................................................................... ZoningDistrict ............................................Fire District .................. `.................... (...G.................................................... Name of Owner 5.��..�K;✓5�-.......................Address /UPS �r ...1..3.�.,.. ts..�rn.r.S...................... ....... ................................ Name of Builder ........�b.4%��.. ?��Uu�S ..:...........Address S.l !v' ............................................ ................ ............................ .... Name of Architect �Odl`FS.Il7. .....�........1�t4. .......Address ............./ i....�O.l ...�t`f ............. .... ..... Number of Rooms ...................5............................................Foundation ...... . :�...........� / :......................... Exterior .................................Roofin Grg-F g .................................................................................... Floors .�� u. . ...................................Interior ................S�t 2t✓7L.COC.ac .............................. .................................................................. Heating ...............................�..&5..........................................Plumbing .........�V..c-��02� Z .... �. . .. ................................. .... ........ Fireplace ...............Approximate Cost .5Z 000 ................................LI. ............................................. Definitive Plan Approved by Planning Board ------------_________O_______19$S__. Area . ......... Diagram of Lot and Building with Dimensions Fee CL1 SUBJECT TO APPROVAL OF BOARD OF HEALTH \O OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable ega ing the above construction. Name .. .. ........... . .. ............................. Construction Sup visor's License .. Cl. ,�. .. S L, S. TRUST. R 29705 Permit for .....1 Story.............. Y .............Skig!f •..&milt'„Dwelling,•••,•.,•..,..••• Location ....Lo 5mitb..AQ.aa ....................Q. nt.e'x:villa................................... Owner $..I...$..... .utik................................. Type of Construction .....Frame .•........ ................................................................................ Plot :........................... Lot ................................ July 25, 86 Permit Granted ........................................19 Date of Inspection ........ . 6...................19 O�1l <<; Date Completed ..., .......19d 1,2 Assessors map aril lot number .., `":' THE 'Sewage Permit number ..... ....... 1.. .q...................... row o� Z BARNSTABLE, i House number .............:........................eta ..........................:.. 9�� MAB \�0 9 0 MAY a' TOWN . OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO X-Z.........1...........%O y TYPE OF CONSTRUCTION _. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followirA information: �-- I r---e-,jl Location ..../1,7 .... o •• ... Proposed Use ................. Zoning District �" �.......:Fire District ` ` ................................. f... . ..... ............�.....U............ Name of Owner Sr - Address ", Name of Builder ........�C�...�<'.S:..:z?�/UL S... .:...........Address ............................(..... .5 ..........:................................. r Name of Architect ........�r`.� :'..fr: .'��. ...... .�'.tlh...........Address ................ .... ?`!��d�C. ............ Number of Rooms ....................> Foundation •�...., s-f�.`. ....(,rrC. ...4:,. _ .............................. .............. ............................. Exterior} .h �PS ......Roofing V � ....................................... ....:.............................. .................:.. Floors ( woo c� Interior ��/ ee4k. oC.L ............................................. ... ............... ............. ................. Heating ................................I1. .��......:.........................................Plumbirig :..:..... Jc Cv�?�I E i _.. � '`��>.:.... a Fireplace ................................1 . "r..........................................Approximate. Cost Uv�...... , ...................... . ...... ... ......... ... 5 8 Definitive Plan Approved by Planning Board ________L�__R_E___-------19________. Area .I.....,}> �5.............. Diagram of Lot and Building with Dimensions Fee !. SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 J , a�. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstab� re g rding the above construction. � •� Name.......��. y... .. .r .................................... �,f Construction Supervisor's License .......... S L S TRUST A=11TOT" ,.r 171 - ,2g7 P! No ...22705... Permit for ...1.1. Stor y............... ..............51a g le...Farm.J,y...AWP_11.i]Ag................. Location ..Lot #5....... ... 95 E.ben. ... ... Smith Road. .. .. . .... . . .... .......... ...... . ................... Centerville ` Owner ...S._L...S Trust .................................................... Type,,of Construction ..,,,,,Frame ............................ ................................................................................ Plot ............................ Lot ................................ Permit Granted ......July....25 A................19 86 Date-of Inspection ....................................19 Date Completed ......................................19 r�oM/�,C�Tc i� 87 o�Twsro• TOWN OF BARNSTABLE Permit No. ..2 0.5 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash /.. .. HYANNIS,MASS.02601 Bond x.� CERTIFICATE OF USE AND OCCUPANCY Issued to S L S Trust . Address Lot #5, 95 Eben Smith Road Centetville, MA. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. November"12, $6 �` ^� 19................. `. Building Inspector r I. 4. z 7.., ; Igr^r. fS' A .. �� .F....r"� ".�� t ~t - J TOWN' OF : BARNSTABL.E BUILDING DEPARTMENT.' = 11Aas7TAIM ' TOWN OFFICE BUILDING mwa 1619. `� HYANNIS, MASS. 02601 �a IN 6• MEMO TO: Town 'Clerk FROM"r Building"Department DATE: An" Occupancy Permit has been;,issued. for ;t'he ,building"authorized by Building Permit # 2 1!3 ..... issued to- :... .% .!� J Y G / `J ' , Lwr •"w. Please release the performance bond. d. k , E TOW, OF BARNSTABLE, MASSACHUSETTS J ERMIT . JOB WEATHER CARD DATE 19 PERMIT.NO. 1 APPLICANT 3st� fs�� SL"la S?'a Ai 'V� ADDRESS L 53 1h"fu 1 , U ? $3Y3 L :1 a } (NO.). IS - (CONTR'S LICENSE) OF PERMIT TO .�1CS F�ytd�} i ll, ( �) STORY s•lTy is 1?oi`E7.i: pWELLRNG UNITS (TYPE OF IMPROVEMENT) - NO. - (PROPOSED USE) - - Jout #5, 95 E544i Wjait a Road, �a,zzt��v1�1+� ZONING AT (LOCATION) DISTRICT (NO.) (STREET). ti I BETWEEN AND I (CROSS STREET) - (CROSS STREET) LOT £; SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY. FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION r I (TYPE) REMARKS. .,: AREA OR 11�'f1R • is r�k,�?( �� PERMIT VOLUME ESTIMATED COST $ FEE .� P (CUBIC/SQUARE FEET) - - Pa.L it Trust OWNER R am 4A 4' &3¢Yi ft BUILDING DEPT. r ADDRESS" 'x BY r * 4, THIS PERMIT CONVEYS N RI GHT IGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR" ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE;MUST BE AP- _: PROVED' BY..THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINEC FROM THE DEPARTMENT.OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITION OF,ANY APPLICABLE SUBDIVISION RESTRICTIONS. - y MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE. INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ALL`CONST.RUCTION WORK? PERMITS ARE_REQUIRED AND r ELECTRICAL, PLUMBING AND I. FOUNDATioNS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE.- MECHANICAL INSTALLATIONS. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL'INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE - �; - OCCUPANCY. „ POST THIS CARD SO IT IS VISIBLE FROM STREET -"2ti I B LDI-NG INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL NSPECTION APP OVALS., C y I 3 HEATING INSPECTING APPROVALS REFRIGERATION INSPECTION APPROVALS cR ,T O'. HER 2 r0'1%*-� -'WCRK SHALL NCT PROCEED 'UNTIL THE PERMIT WILL BECOME NULL AND-VOID IF CONSTRUCTION iNSPECTIONS INDICATED ON:THIS ±R( OR HAS APPROVED THE VARICUS WORK IS NOT STARTED WITHIN.SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TF a OF CONSTRUCTION. PERMIT IS ISSUED AS i NOTED ABOYF.. OR WRITTEN NOTIFICATION. %+ +� I ✓