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0025 HAYES ROAD
c� .''huh •we -:r �.. �;.� F e .s. x. r GS K , � x A7%CIL . y , „ r > c A . u` r a F M n ' S ° ° Oc o , n. c ^ e F u v - � �6� � ��� D�� ��� �- ��� � � a r � w � _ _ � � --� 5�=ems ,, , ° _ . �� .. . . , 2� ; . _, . o .:_. _ � - � :., { :, � �� � - _ `- "� .� _ G .. .. .. x..: ;.: " %F . ::. _ {� 1 .. ;. .. '� "' ;:' _ � '� .. h .. - ... y: _ _ . - 4 � s. � � _ .� .� R � ,. .. � .. .6 n _ a.. ,. .. � �: -. -. :, :: y 7 .. � J � .. �, � .... 'v, '. � � .. .z ,- .. .. �. ... .. L� .. .. a .' :.x .. . .R ". _"' w i. .. c c p ♦ ' �; _ - ... -. � �. �, _ � ., y„ .. ;. .. .. -� .. .. M1.. r .. .. x � ' ,p. .. - - a ,,. :_.. :� a s � y v ;,, o ,. , .:.�, fir.. .. , �.. .. .. � 'r '.a .r � P` d 14ays� r z ! ' v . r n G t I t , « .. ^ r , r Town of Barnstable `Permit Regulatory SerAces =Expim Fee 6mondtsfratttisstte r a o BAMSlABLE BUM Richard V.Scali,Interim Director apBe�plsY a �, y_� "Building Division � ® � . Tom Perry,CBO,Building Commissioner ����"ai 200 Main Street.Hyannis,MA 02601 NOV 0 4 2015 w«r"I.town.barnstable.ma.us Office: 508-862-4038 TOWN ORM. 6rb, &-p� o EXPRESS PERM U APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Properly Address_ o2S l�A vP.C [R/Residential " Value of Work S�, 3 `�. Minimum fee of S35.00 for work under$6000.00 Owner's Name&Address A ry'a-C4 a i 11 S , J --kt&YeS MCP• ("I("b j - Contractor's Name�r�ern aI,C.0,r4n,,S / {��;�,,,��nr�i �.,n Telephone Number(4p 1 -q k ao Home Improvement Contractor License-.4'(if applicable) /73 2 L Email: Construction Supervisor's License a(if applicable) 0.9 S 7 O:7 2fWorkrfian's Compensation Insurance ,F Check one: ❑ I am a sole proprietor ❑ I°am the Homeowner I have Worker's Compensation Insuranc: Insurance Company Name rem n a—'it anSu<g Yi Ce_ Workman's Comp.Policy" iri/C �.gp $ 3�52 3 9 y ` Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to ❑Re-roof(hurricane nailed)(not stripping. Going over _ existing layers of roof) ❑ Re-side P"Replacement Windows/doors/sliders.U Value . 3o (maximum-a A of windows ) of doors: - ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Mlhcre required_ Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: PropertygOwner must sign Property Owner Letter of Permission. A copy o the Home Improvement Contractors License&Construction Supervisors License is required. 0 SIGtNATURE: QAINTFILESIFORIt4Slbuiiding permit fotmsWMRESS.doc Revised 061313 01 rum M ut RNE`VL BY ANERSEN:Vi nn,F5W,ew wg � wmnnikaas :'tadab taw 04-0,Se66eo i ' '9q"�i�a N'ew:F. {wFtad4rvi T1iC�/�/a _ `,•- .-;: Sm ewil.ty Andmm of Soottre mMm mod C3MT OM W UMOW ANO 66OR R$M$OMMO _ 111'cbf 1 uS HtrY�(a1 h 'aunt$oft". s�ts�ll�agrees to pui#h�are tkts p�du� :an Blur seevoees of 3outhaton 6Yetiy l;nglam�VYfndbvnyy I .dJbla Rcnc+ l: by AedeeaerL Suuihcnr iYcia+bland Contracc�"), tt�rdamee t terms a ,.camdlde dibid a9si faamt ake reveaae of tea nrciment asid'v34 kii anaeQY�d spec isatio tBieet(i}(a�9aca lyt ahos:S ee oemt"} Q mw�mft "�halo a BOAT, I Totel)abAmaua�e . tMf 41eed D MedImddPgmene'Q Ow 0Cob Vfkurmd . 3 tag R ' • i ere tar.dipasit aiy.=crisdtiiiur/l PfI Qrem Behnee sr Sm at)ob Erdtnued ,py P cast�b�e;see Gad Ib�mme tom ilpr 11 +l ih . Ap+ao+re� pemiftm e-ftttJso8shmot"9 'mfJabao," BehneeaY I r l r•� r� l `4t+�S ;men SAMMW ofJeod�ede. dam,b lir4 t of jmb � � and>nd must brhds l )i aBreer tbd taads tit 11la,ASreemeat coattuleo! mtiee ooder�taod eetsreee ttie parties. thk i e+b tto aay.,uf t�s twos o[tlrls A eemeot•'.6�S+Gr{s): t H ier ; him read this Abet,griderrtaada the teees of tlsis Agee and lxas r+eotivsd a aompie gsr y tod la A eF ids shirt to eaoaal ;. 1, _ it shoe an f2).�tLsA tsed loaarCU e th daeemtwsd A BLANK t`OOliO9 9O� Tl18yO1 (,Il iodlt liJt�relSalia d (1)ft aotiiBa tw ftmenim ►^[say apace/iateeudtd '11leda`e�eed terssu' to dio ea tent ai Uiedavi � tee lef!boh.d7t)16ma tae gadded to a`oopy oP tl5is A�veerooeert at t�t{ e you .. Yoi sssy as sag t�rae pay. the ioemaid balsa w data smdar'ihla Adtaiemtati sad is soa doiri yria�3'6e eadtked tt . pattial:.`rehote at tllro Bariee sad lusaraaeo di- m ssAer>roa no rlrt to ably.;aotaq your ps+emitaes. oe sit say�ieach'nt dte pea"10, parade l►urelsed ttuder tBls i: Sj.Yoa •amass! lge� it It Gam heesi`dpod',at&I'miantz. tho"un pr.' d yriu L. tLa ev at her ar ibraesh 411tea is t Aft h!' ered'oe eeei3fled sngll;t+fhleG ibeJl$w pmated see latee tltra the t�+d saleindard efter the alwy asr vriioh t6 � - �, A�soeaf,aootodruB Seaidy told soiy taoLidsp as whim' eeBolaa e�ail�eriea a oet a See tia aceoeAp easioe oy waeeoaferm lmr aq rn%Ph i, rri R k ? 1 P y l -77 17 iV f t sr a Vie}eeuted e�neimaa of caan m�tsna� d hl she ltlsAde Ulaa�i Ca cGorr4Reepatsaroi� riir1' � y�)heNhl Aen#iV j by o o!`Son New Sngtaad i} i Buptr(a Nurip pralact Nzit'N a6i . ,:7 Manx 4s . IN6AC1<JOAi AT A !' 1714 l!8tt7R'�1 AUNT O>?THB i'H1>tD B4l�5QS),. Y flAl 7 [!a OsA�tik A>I1 .DA�'S;OT47`Fi2l 1RA 8AdQ1`ON,11 .'I1FI8+'1'>�14JYi# D IrT i'i�OFtT, 1'ZON mCE i MANMOIANATtON OFTNlB'.RtG� I�aEE al tetaan • a Xiov q`.tatreN ' I�i#er0��anl EflAll yoq MR Cam4f do- ' `7rOatn Mltii tiW _ .i > .OralNl�eb'01t,Widtltt +on `to sd nlaMa UAM&fi�h1" UNoa btdalitess IIr®I tl d�a�4aAnls data.if bmineas Gaon the Oort,drttati.lf' ija�we4+� y yrMder the I .traded et; Y pgeeNa ertads by Srap uerdar 1Ge; bl►youKwiM 6.rsturt�ed�+R h tx 4utlnpu or 541* id JiIWI esroeyet r +6bt►b0ct or Sale,"atyr n Nr6ao P�tr�mettt eaeat#ed t `i twill beu rem oat nr:of ei�ilr�e SiNar o?�j .can�llalieit 16 Shcet'of Ipattr wn� ,f AoMoe ant!rrxY acraiey. tat 'a►tsiraj' # a! ro t+a<aactPan`will he ed.lf ueariaael, _nwstn #010140tuatitoSatPar' tance�ad.iO yo<ii out o/ the #vaAsactia�t waB 6a u ttouai maloe aratTable 6a the Seller sit yatur ,to n� tolly as jppd oa�dralai;ar when at your eeoldon-1 hr sui�uid�ry as goods d�hrored i a u'.tntde�Ilhis Corttraet or` reoeiVad condPd as wMisir} . MY 9QQda "I�r01 t'b 6u mn&rthTG COIItf�C AR; mft ar you'M_�if"u wish;worn hr wi*the hw vutd&ft of;r. SaleCor� ytw � vaTtll the tme:�ans at fie Seim regards the rtle dh rat of 11410 It at the tl+be Belden tNb hetunu e of the odE at tiui" srllar'k�' :"atitre' you'de malka.the sowilSlbl'e .#o flea SMfat-rWtd,th.3Nlar daar;Aa#�.uy;wtpda. -bb the i�ev-,sod��rdlar•deit.Aoe kt� M'•'d�01 tlMe da4e oF`taltEitfaNann,ypy rtpgr reds or t l irrntli the o� wlulon ryrN+etain an': of the ►qo w6eGout ar�r fv�rtErer o li ion it yam F..��p #Iwr a wltGaut tx r fttrtl;er.o If tttairo tira' t�th avalVlsla bo else Raov Ifyeti tree,l; fiY�e niu tlt.go '.,►aao4lo.#o tive Salhh �iey ate I toe tfhC tar the Seller iu+d field bo.do so;then u to ro t _"" Itabla _ 1"o I tt►mma�p-oft to#!te ftlfw and fag tlo db ikthan yoga rnna!+ee of sll a�li rmrfcr tha i srrnraln!!able for rtl' of all g Car+trttt,Tbeoneol eroeituNan;snailordera�ipted o„t,seeTbe oli}ita s o ��dQm 4utdartAb and dstid Copy of d o ladoit nodoe or ahli;,othar 'attd dated of this'cancNl,d�er�tff er dell�af a d ;> weiltan'nadme Satld,ita, ttiltan,ew:lbyAttdiraeAat I.,weie Aad a an nwhe or, 11r' eq,ort�8a tafianerirall�iAndta�al KS�"tom ET i SotHlariu Nrw EE�'iuni 26A slon �1 2gd6,`.' y p,:,N01'Kilt FF1llM 4,51SOMI MF lop f NF�ANClIgT1111N$,14TIO1N. a: (pittia • BY'tAHCELTIiIiTRf4N�ASTfOf�l« j - AM fa*'VMhi[e 6uper Cogr'lolbiw`R C�Pl�ie« t1Ma M� � Southern New England Windows d.b.a Renewal by Andersen of SINE Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS4)95707 BRIAN D DENNL96N 7 LAMBS POND iE'IIt Chariton MA 01507NJ ,r to'*' Expiration commissioner 0910=016 { �J2e ty!! mlc�' � Office of Consumer Affairs find Business Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement.Contractor Registration Registration: 173245 s Type: Supplement Card SOUTHERN NEW ENGLAND WINDOM LL` Exoratinn: 9+1912016 DENNISON.BRIAN -- ------ , 26 ALBION RD —— LINCOLN,RI 02865 ul*ft Address and return card.Mork reason for change. SCA 1 6 2~1 ❑Address C Renewal Employment [Lost Card �e(ra�owsnrowrcrnlOd clf0�i•+ma�irroeQ3 a of Coasewr Affairs A Business Regulation License or registration valid for fodividul use only IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Attain and Business Regulation e8 °n: 173246 Type 10 Park Plana-Suite$170 Expiration:!1fl0/n018 Supplement.:ard Boston,114A 02116 SOUTHERN NEW ENGLAND WINDOWS LLC. RENEWAL BY ANDERSON DENNISON BRIAN 26 ALBION RD r UNCOLN,RI 02805 Uaderseerebry Not valid without signature The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations a 1 Congress Street, Suite 100 Boston,MA 02114 2017 www massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): SOUTHERN NEW ENGLAND WINDOWS Address:26 Albion Rd City/State/Zip:Lincoln, RI 02865 Phone #:401-228-9800 Are yoq an employer? Check the appropriate box: Type of project(required): 1.1K I ar• a employer with Zfl+ 4. I am a general contractor and I employees (full and/or part-time). * have hired the sub-contractors, 6. ❑'New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g_ Demolition workingfor me in an capacity. employees and have workers' Y P tY• t 9. ❑ Building addition [No workers' comp. insurance comp• msurance. required.] 5. We are a corporation and its 10.0 Electrical repairs or additions work officers have exercised their I I.[]Plumbing repairs or additions �.❑ I am a homeowner doingall myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] T c. 152, §1(4),and we have no employees. [No workers' 13, Other a l I n�o+� CP IwoeM�.."f— comp. insurance required.] P *Any applicant that checks box 91 must also fill out 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 must submit a new affidavit indicating such. }Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:ARGONAUT INS. CO. Policy#or Self-ins-Lic. #:WC 928058352394 Expiration Date:8/21/2016 Job Site Address: O2 5- rIaX O S ` 1 O a c1. City/State/Zip: 62 fife-11 i (e� 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'6f MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or 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 urance coverage verification. I do hereby cerh under the ' s andpenalties ofperjury that the information provided above is true and correct. Si afore: c 4 Date: Phone#: 4012289800 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# LIssuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: SOUTNEW-01 SHETTYSHT ACORO® DATE(MM/DD/Y M CERTIFICATE OF LIABILITY INSURANCE 811912015 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 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 confer rights to the certificate holder in lieu of such endorsemen s t( .) CONTACT PRODUCER COWil NAME: lis Certificate Center Willis of New Jersey,Inc. PHONE FAX c/o 26 Century Blvd a/c No Ext:(877)945-7378 A/ Na:(888)467-2378 P.O.Box 305191 ADDRESS:certificates@vAllis.com Nashville,TN 37230-5191 INSURER(S)AFFORDING COVERAGE NAIC If INSURER A:Selective Insurance Company of Southeast 39926 INSURED INSURERB:OneBeacon Insurance Company 21970 Southern New England Windows LLC INSURER C:Argonaut Insurance Company 19801 D/B/A Renewal by Andersen 26 Albion Road INSURER D Lincoln,RI 02865 INSURER E: INSURER 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 CERTIFICATE 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. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDD MM/DD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR S 2029459 08/1012015 08/10/2016 PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY�JE� a LOC 1 PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident) A X ANY AUTO S 2029459 08/10/2015 08/10/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE S 2029459 08110/2015 08/10/2016 AGGREGATE $ 5,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITYSTATUTE I ER B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN X 0000068028 08/2112015 08/21/2016 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N❑ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-'POLICY LIMIT $ 1,000,000 C Workers Compensation WC928058352394 0812112015 08/21/2016 See Attached DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) 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. AUTHORIZED REPRESENTATIVE Evidence of Insurance !'-14 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD �- - ; l 0- 2— p ,�✓. mac/ _ /���0/� n ,y SEPTIC SYSTEM MUST BE V.QGd / IPA ''LLED IN COMPLIANCE A-TIC,_E ii STATE SA''ITA sY CODE AND TOWN e�Qy°ftHET TOWN OF BARNSTARLE i BAHISTAME. i M6 9 BUILDING,, INSPECTOR o ,, DM a. -/ZIr APPLICATION FOR PERMIT TO ....... .............................................✓.................... .. ......................�.........�..:!. A/ CZ TYPE OF CONSTRUCTION ............................................ ................................................19.13, TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according jp the following information: Location ................. .. ..... ! J...... .:. ...........t:b ............ .................................................................................. ProposedUse ...............!CC'Z��C... ......................................................................................................................................... Zoning District C" ^ • Fire District �F�T J?ERv Name of Owner .... � ......... . ..mall VVG.�ke s.....................Address ..............�=li....��.......t� ddj!t �%g........tl—,sa .... . C, KIC a1) Address .......... Ul�I� .S. �'Name of Builder ........1�.�....�!.................. ......... ......... �"• .... . .:....... .�Hlt�9.t............... Nameof Architect ..............................:...................................Address .................................................................................... Number of Rooms ..................................................................Foundation .............� .....CJ© .C�...... �Csu ............... Exterior .................... ! .®b.( ............................................:.....Roofing ................1't."F"W!...... .�.i.......................... Floors V"o Interior WCA `..... .1� . .................................... ................. Heating .......A ..W.��°:��V........ ..f?.c � .. :.Plumbing ......... y`R' ..`............................................................... • � cis Fireplace �� Cam......... ,1,�L... .�....................................Approximate Cost .............3®.tC� 4... Difinitive Plan Approved by Planning Board ---------------_---------------19________. Z *1 G Diagram of Lot and Building with Dimensions n 00 12l.'DI' e_ y J:as,�a Pd CPr HOY cs I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....1m,AK .. .:. ........... - Markaitis, Algis ..... 3 No ...1664 .. permit for . .�Mq..§�kM......... ........... single family dwell#g..... i .. ... . ti .......... Loca oAHayes Road ............................................. /11 ............................Centerville ................................................... Owne4 ....... "arkaitis r .............................................. Type of Construction .................f rA=.............. r ................................................................................ Plot ............................ Lot ..............in........... Octo r 10 73......... ...... ....Permit Granted ......... Date of Inspection ..... ...... r1l 0/7-70 keq"C Date Completed I PERMIT REFUSED ................................................................. 19 . ............................................................................... ................................................................................ .. ............................................................................... ............................................................................... Approved .............................................. 19 .................................................................. ................ ........................................................ "aAb � NE The Town of Barnstable • snxtvsraBt.E, Department of Health Safety and Environmental Services ArED1V1e'�A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Cross en Fax: 508-790-6230 Building Commissioner October 1, 1998 Vida Margaitis 22 Wells Avenue Dorchester,MA 02122 RE: 25 Hayes Rd.,Centerville,MA Dear Property Owner: On Friday,September 18, 1998,I met you at your property located at the above referenced address. This property is zoned for a single family use and all our records show this as a single family residence. Any other use of this address as anything other than a single family home is illegal. The layout of this house as it is now is configured as a two family residence. This house needs to be returned to a single family status. If you should need assistance as to what needs to be done,please feel free to call this office. Sincerely, Thomas Perry Building Inspector TP:lb g981001a s� pA. Engineering Dept.(3rd floor) Magn, 01 I U Parcel 0-9a2-,, Aggermit# HIM ate I4s--, o2�JBoard of Health(3rd floor)(8:15 -9:30/1:00-4:30) �7 Gf/Oly7g Fee 0-,) Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) tv,196 dmi g.) $�p'�I�$YS'�E � '.BE IN TALLED 6 NCE 19 VA TH �® )y11R MEN M A A'a0 TOWN OF BARNSTABRO N RED , Building Permi't'Application Project S reet Ad ess A ues ©Gt [-o :w - Village P r ' 1e Iles Owner ? � Q////Y Address cQ f Iles e, Telephone a D -1'-3,94 Permit Request [ids f0/',e -/0 S1/7 ,f qAi/le, / A,e-P, First Floor JLO square feet Second Floor square feet Construction Type W0047 Enfmf- Estimated Project Cost $ /t'" - ''L Zoning District Flood Plain Water Protection Lot Size lz:z- Grandfathered ❑Yes [r]No Dwelling Type: Single Family ®' Two Family ❑ Multi-Family(#units) Age of Existing Structure W3 Historic House ❑Yes UaN—o On Old King's Highway ❑Yes f9No Basement Type: Gull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing 4 New Total Room Count(not including baths): Existing New First Floor Room Count e3 Heat Type and Fuel: ®'Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes EyN o Fireplaces: Existing L---�New Existing wood/coal stove ❑Yes 10-b Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) Lallqone ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 10 If yes, site plan review# Current Use Proposed UseI,c�,t� J � ikler Information Name G" jy��/ ' Telephone Number ( �20- ,6 Z;? Address ��(` � ��� ��/ License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ,r / l DATE BUILDING PERMIT DENIED F R THE FOLLOWING REASON(S) i p + � . .. � . _ i. .x .�.�..'�;�'t C � {a���:t qc_...a ... � ....r.. ( .. ... J.-�...W� «,.+ten eJ-�s �.r w...m • ...r..r.... .y J �G ... -. a. .c:) . - � i � � , t �1> , _ L . a t �. - - ._} .. � ? S .. � � � a � • . . � lM.a * r . "�� ,,r Y • � 1 a a �' - � 4 � r .. � f� r l• r � ..` 4 � ., ,� . r. .� � �t s • �, ,t s; r 1. - �"� The Contmonivealth of Alassats ;.. . _ etts Deparltnent of Industrial Acc n i r M ^r, Office ollnvestigat/offs I': :-r^ 600 «'ashinrton Street ��`�\ ,'°` Bustott A1uss. 02111 �� `- Workers' Compensation Insurance Affidavit name: If I c ti cit. ' e vl e # ro l� F9'S 306 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity is.:�.-:a.�...._«ma�. l ..p'a!' "�,..z•cza'7 amSR'er-�pBl47�� ...y,,,.t?.v�r..::�'+_r'.^_t �.z�� +s .w++s. r•..mrn+-�....« ':".,e,r„ =L,. .x.:s..,a«:ss�.�:z�ruas , .."LN...s.u_«�:�.��•+a.�:i� -..... ...�.,_a x. ,:.,K; �y.....r'dpn�"�E''.",._c:,,,.;,,�s,,,,,.. . �_Y,•,.::� .I am an employer providing workers' compensation for my employees working on this job. co_mt_►anv name: address: city: Shone#• insurance co. policy# i?r�am a sole proprietor, general contractor,R homeowner circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: Av/ address: ¢ hone#• f/O �t"J Jam" 6 insurance co. h6 Policy# 74 .a, rrrsr«.: .n�as-a<•,r'•r•.;*'t.:v' ' �cery r.-+aee+'rvoti-c--�'M'F'a`ri'rgm x$.'pT" �"�+v�:,...-rslw•_.w -'•�e-•-•- --�F' ..._.�_...._...vz:, y..___ :.is.-n• - �a.a:.::a.:►:.ias::.::a:Jtow.aal. :ei. �,�.3Y7Y•^ , _. `!:'2c :a+iiaxus company name: address- city: Phone#- insurance co. policy# Atiachh additional shin if necessary, Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do here .1 ccrlifj,under dt•pants al d penalties of perjuJ:r that the information provided above is true and correct. Signature f Date Print name /P ��y/I/�/S Phone#�1�� � ���' .S 30� official use only do not write in this area to be completed by city or town official ' city or town: permit/license# MBuilding Department oLicensing Buard check if immediate response is required 13Selectmen's Office contact person: phone#; nOU(hcrh Ucpartmcnt s. 1 raised 3,9;PJ A) s I\ Onformation and Instructions* 4 Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their zmployees. As quoted from the "law", an empinree is defined as every person in the service of another under any ::ontract of hire, express or implied, oral or written. An etnpl(rver is def►►ncd as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the -rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that even,state or local licensing agency shall withhold the issuance or rencival of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely;by checkinj the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to.sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy, lease call the Department at the number listed below. P P � -,.- - s City or Towns Please be sure that the affidavit is complete and printed legibly. Tile Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. r-awcr^�. ,.,.... -.,.,..�,..-,.Y _.._"--...,..tvn-r:-t..,. +T ,s._-.s.. .........,m..?tt.gv�„nsn�+�w�rrv,.rc�..'S.�'�e+'^'*"s."'—y..�x.-- -.*..T►.*vx�a^a;�.lvr-rt;-:w,.v+-z`�.an+..-�.---}..+.,, 77 The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents office of Investigations 600 «'ashington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 �y VE The Town of Barnstable KAM ienxsrnsT.E. �0� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: Est.Cost Address of Work: Owner's Name L Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law !/ Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Ownerli Na die � 1 r '- �SiA� 1 A e sec movelOdf ., - • _ �. ._.ram--. � _ _. .,. _ - , - �'_ , -_.,�.—_. .._�. - ,----._.-" - _-, t_ , - �'i.-•-�'__ 1--_'_ - 1 - __ f _ ,. ._ t t , ! .. _ .t , - - -.yam— .. _ — - t -� , .- 1 ; -. -_` ...—t_ -"{...-,_-.r.�'-'sue-_.._j_�..• _ -.� -_.T'-_ ' f � I 1 .�a. - —.., �. _ .. .. '_ _ _ �,. i. ._.,...F i._.... .r. - — _._.1__ �._• --.� - t. _ l - 1._.. ;._�.__ .I. _. .i_ --I -_ -�- —l_ _.i.___4 __ _. .. 1 _ '_ — i } —`.}—. , I � 1 t ' r I r I F , 4 t 1 , 1 I r , � f r { s . - 0'.0Ll { ! r I I t Ivi b rU4 pift I t a I I t , I' — i _. _-+.� �Y ._ _-.1'..--..�..�, � i { 1 --f-`-----r•---••�•+ -{ i----•:. 1--=r��.-- w-! ..•}......e� � - r r 4 -.�.....wr.p r t I I , r ' , 1 ___l.- - --,-- j- -I-1t t !1 r f i _•._.1.�ti_.. `.--'_-(--...- _-t�-...) _.._�._ ,Y.-.. I.. __.S—...{-___,. ...5.-.�._ T .-? ._ # _-, .��...�f-Ly:.r.�......i - _ -_ __ .- _" _ - -_ r _ 1 � , 11 I EL LIE t 1374 E 'z B ILDING SERVI E •'t€II � �x - EE TF a E Ja' €,E :T �y,, a\�€ E Urenas N £ � FIItl \\EEE ..' .;. �a" Z E E•,€Mxa+ 3 w T Ett "1 E EE O - :., Z € �� � Q\� €E€ ��� �.\�'\ .3-?x.. .� 'E•:� .v,£€;,:".. a.:"'; .. .. 1...E a�u. � \ Y� :F - �€ 3 25 Hayes Road, Centerville Map 210 Parcel#92 Concerned that they are renting the 1 st floor of a x single-family home and using the second floor off �y€ E and on throughout the year. Is this allowed in a Y residential zone? Complaintant will call back early €E E next week. '\ r•Fi T€ ICE � \` EEFa :.. \\a iE : t�. . / `••u \\:a E'€IE�IIEI€4i` E E E E '.:.E ££2}.a -\ ELadE EEEE EE E E i All f } � � E £ A -&•a h �� E EE - vvEi ux._:' J.�i I €,E E �� €E. �E� ���:€ " E��{�I• �E a r i TOWN OF BARNSTABL �997 STREET LISTINGYOB OCCUPATION —•.t0 NAME Ypl i V STNO NAN ig ROSE,JOF.N A t p;!; 1956 ELEC ENG �. ROSE,JOHN M la t!Ili r 15 WILLIq.at',KEITH R 1934 BOOKKEEPER 99 tp� MASSIK,PAUL I • 27 WILLIAMS,BETTY L 1930 BUILDER 108 MYERS,HENiTA S tht WILLIAMS,R ARTHUR 115 ty� II,1 I( • 1959 MERC MAR , 115 MYERS,STUART F 34 I ,illllil 27 PACKER,ANDREW tails Di.'°II!i PACKER,DONNA L 1958 SELF-EMPLOYED . , 120 PARMENTER,DORIS K Di: '! I ' • 129 LEDERMAN.DORA E Ila li'I I�, j , 129 LEDERMAN,STEVEN J �� Dill,,,'``III HAVES RD , DESMARAIS,ARNOLD JOSEPH P 1924 RETIRED 130 t9ys DillI tali 1, II 5 WILCOX,EDWARD E 1926 HOUSEWIFE 130 DESMARAIS.PATRICIA D ty� D�F ;!If�Ijl Ij , 5 WILCOX.JEAN M 1915 RETIRED • 140 DUNCAN,FREDERICKJ ty� 11 a,` ETHEL B ZOUFALY,JANE F t HOWARD, RETIRED 150 � ; 6 1913 VIN A ZOUFALY,JEFFREY A t DII;I ,Ih.i HOWARD,MEL 1941 SELF EMPLOYED 150 oVA n DJUI!`;'I;i l 20 SOLOMON,HARVEY 1970 TEACHER • 185 HALL,DAVIDM tp� 25' - BARTLETT,RAYMOND A , 212 SIMON,GLORIA N tt 1972 HOME SIMON,SIDNEY J llg I,(, 25 PAPPIJICHI,S,MART 1941 f 226 PHILBRICK,MARIANNE D tor D�jli'' jlp'I' 25 PAPPAS,MARIANNAE 1954 MANAGER 226 I , ACETO,DENNIS J PHIL9RICK,THOMAS L Ion DI''.` 111ill.' 28 1928 HOUSEWIFE 226 i I+ �N�'I • 98 MERRY,MYRTLE M 1912 RETIRED 246 STEIN,MARILYN B tgp Dlsl I�I III II , 98 CMERRY,ANN FF,JO CE D REMINGTON 1942 HOUSEWIFE • 246 FRANC IS,KEI H A t� j D! 106 GILES,ETHEL M 1904 HOUSEWIFE 249 FRANCIS,SUSAN J 114 I 113 1933 SUPERVISOR • 249 j in;,:q;�li,, • 129 ADAMS,RICHARD C 19� RETIRED • 249 FRANCIS,TODD A . tpfs 129 THOMAS,FRANK W PRATT,CANDACE H THOMAS,GEORGIA S 1938 SECRETARY 256 ROCHE,JULIA tIU� 143 266 , 266 ROCHE,LAWRENCE DENTS 191t 276 PASTMAN,DIANE tt� HIGH NOON DR 1977 STUDENT r P83 BURMAN,EUGENE' ago , i,;''II; Ij 19 ROSS,CHRISTOPHER J 1974 STUDENT r 283 BURMAN,MARCELLA tt D4 if PI"' ROSS,JAMIE C i I'�''I i' 19 1938 MRG-MUSEUM 286 NITENSON,SHELDON tqg ROSS,MARY JANE 1937 COMM R E HOLMQUIST,BARBARAY tel • 1s 295 ROSS,ROBERT J HOLMOUIST,MARKH tlst D III i! 19 PAHIGIAN,BARBARA C 1964 t 295 KUMIN,ANITA H toll I , 33 1958 305 tots D'dlil'!:Ili. 'I , 33 PAHIGIAN,CARY L 1951 SPORTS MGT r 305 KUMIN,JULIAN DSk III 40 MORSE,GUY L 1951 HOMEMAKER D i,IIIIIIIi LI; , 40 MORSE,JANICEA 1g77 STUDENT HUCKINS NECK RD I, I 40 MORSE,JILLIAN E 1974 79i4 DSti' 'lll l 11 53 WILLIAMS,BRIAN F 1972 • 1 MCCLELLAND,SANDRA L to DSRIII I'1�,14�11 53 WILLIAMS,JANICE M , 3 WILSON,SYLVIA tw. FINN,MATTHEW D lox D(III I�Ilil'''I I 4 JACKSON.JAY L I;i 4 1 , ll''III HILLSIDE DR D'V'li,II,III•1 1958 FINANCIAL REP . 4 JACKSON,JOAN L t1� 'I l'i''!I I SYLVIA,MATTHEW J 1956 TITLE EXAM. r 16 LYNCH,JAMES E t� D ' I 'I 14 JONES,MARY LOU I!�II;I!II' I 14 SYLVIA,SHEILA M 1965 25 JONES,STANLEY A 1� D I';' I BLAKE,GAIL ELIZABETH pNEILL,ALICE E II �,I I I; • 41 1966 CO2 TECH * 25 l D!I'(Ijljlljl 44 SLAKE,HARRY J 1962 HOUSEWIFE r 26 t�.. Ij'li I; I , 47 WILLIAMS,EMILY G 1961 AIR CFT MECH. . P6 ONEILL,EDWARD E t I'I ONEILL,ROBERT P t91S I,i1 IIl Iil I, 47 WILLIAMS,KIRK D 1921 RETIRED 26 a j 48 OCONNELL,EDWARD M 1924 RETIRED 35 GALANTI,GREGORY M tlY_ 49 OCONNELL,MARY T 1945 ATTORNEY GALANTI,ttAREN L to D�i a IIiIIIIi ! KIRK,EDWARD W HARLES S 93 1955 FLIGHT ATTEND 49 CROCKER,CHARLES S t� KIRK,SARA A , 49 CROCKER, I� Dl'I:L Ilil6!�'I 93 REEVES,DONALD t9a1 CROCKER,COLLEEN L tom. REEVES,ELEANOR M 1944 49 CROCKER,DENISE M tt6D: D�1II I�iljl%Ilii I, 705 REEVES,LISA MARIE t� I ESPINOZA,LUIS A 1973 49 D� lil�l'I;� 105 HUETTNER,MARY LEE 7932 HOMEMAKER • 52 WILBERT,PAULAS lI l j • 115 1974 DEPT MGR • MAYER 1 hi COLEMAN,KEVIN t EAuII !';i!;I�!• • 116 ROBERTPAUL 1944 DPWSUPERVISR 60 RUBENSTEIN, „!l li ' 116 COLEMAN, 1945 INS BROKER 63 CASEY,ALICE F rAs. Ep"I'I"t'at l GALLAGHER,JOHN A SUMMERSALL,RICHARD P j �I Illli;,l • 125 1948 OFFICE MNGR , EA'';. I I i j GALLAGHER,MIRIAM J 70 BETSY 1';I Ilij;li!' 125 SAMARAS,STEVE 0 1962 INVESTMENTS r 133 LATIMER, t1 ! 1928 HOUSEWIFE • 133 LATIMER,HAL F.L Egiu; ,;I LIA 139 CROWELL,BEVERLY M WELCH,ERIN R l r 183 WELCH,ROBERT Eeel;Ii'il;i+ 13s CROWELL,JAMES FREEMAN 1923 RETIRED I i 139 1938 HOUSEWIFE 183 SEAN ROBERT MICHELINE GUNDAL, WELCH, FQ �;, ill Ii 146 GUNDAL,PETER H 1932 CH MECH ENG ' 183 WELCH,SUZANNET ll��i ,'I iI 11 146 PERRY,MARCEL PI 1930 RETIRED 183 STARR,RHODA L 155 1934 HOUSEWIFE E�i,I,I lill'i1 155 PERRY,PEARL 1958 CARPENTER • 225 STARR,ROBERTE Eplj I{,u,! NIBLET,GREG T ETHEL P 225 TEIMER, 160 1931 HOUSEWIFE u ij,l^jl' r t 80 NIBLET,PAULINE 1933 GOLF PRO r 243 TEIMER,WILLIAM H E III NIBLET,THOMAS F 253 MOORE,DONALD P E -ill III, i I 760 253 MOORE,TERRY D Ili,l!I II 253 NADEAU,JAMES E E l hiil�!il I HOLLY POINT RD 263 ; I I' I 1795 r NADEAU,JOYCE A 30 COHEN,DAVID B 283 MARIE J 1795 AT HOME pUTTON, E��;!' ullll!i'i i 36 MORSE,MARY M tg13 RETIRED r 273 LARSON,RICHARD W I'i j tIIIj • 36 MORSE,RICHARD H • 293 283 NICHOLS,GEORGE A GOL.DSCHMIDT.JOAN 1941 RETIRED , 45 GOLDSCHMIDT,ROBERT 1941 RETIRED • 303 WHITE,BERNICE H EEC L,� III• 45 1930 RETIRED 303 WHITE,BERTRABETH L T I '' • 46 PALMER,ANN M EE jIIIIIII II • 1929 RETIRED 323 SHAPIRO,ELIu+ El:f'I. '.I I:I . as TRITSCH,PETER R BARADARAN,PATRICIA J 1960 LEVESQUE,BARBARA W 7937 RETIRED �Ii�I II�I 69 1932 RETIRED INDIAN TRAIL !Ili IIIt i 69 LEVESQUE,GEORGE E EGAN,LOUISE W 1930 RETIRED 15 EGAN,MARK IR III IIIIIIII III 79 MULLIN,MARJORIE M 1930 RETIRED 15 + EI_I`dl II:I: MULLIN,WILLIAM E JR 15 " Ij'� il'lil .� 79 ALPER-LEVY,DARLANE 1929 MERCHANT EGAN,ROBERT B EL; II1 i;� II 91 LEVY,MAURICE W 1919 INS BROKER II 28 VOTER - [ a, p tr:; ' ll'1I III II III i i . i �► � htV� 11q �" ODrn �nfer�a�h rnen 1 6eand Igor z,;'YYY:YYYY•`Kv;YYYYY;;Y;;`:;YK~<.rYYyYkktkkk:e;.ak:'}.^^^}}kYYrt:".'^^kkkkYYY`YY:YYy>YY::YYYkxYYYYkYYYY.K>.�x'kKYkkYYYY�YYYY>.eY•x';:kk.�,a;�wkk; Y,«:x::,,i•}:tiff,«:::•.L..:•n:::..:::::::.:.i,..,,,..,,,..ati,;.}:,.}:ti,:,:,::tititi,:,:,•:.>.•::::::i.:a..a..�:::nx.::::.:,..,,,,,:.::.,.:.,..,,..,..,..,::::..:,:..�:.xx YY`�eYYYr,',,"`rk�`:r::YY;:ak:YYkYx�;:kY:YYYYxYYY�KK.:Y:xzKYY.`�::'Y: xYY::YYYYYY YY::YY>.>.YYYY>.YYYYYYYYYYkYYYYYkkkYkYkkkkkkk::<kkkkkkYkk<kYYY::k>.>.>.Ykkk::Y Y::kYYkkYkkk>.Yk:: ...:Y,..:•:.:YkYYkk>Yt;$YY�LYYy:.,.}},x..::,:..:::,.::y.}..y:},k:...i..«:..y:.yx: YYYi:x«xv xxvvixx„Y„•.:,tikki Li`YYYY`)Y`YYYYrikkkktikikk;`,tY:i"Y :.Y{•ti.YYYYYYYYkkY•`.YtjnC�:i ,:,Y•„ }•>YkkYkYYkkkkkx 4 uki�YkS'Y"` YYYY{t,vvv}vvw.}v.}•.};.}}x vkkkkkkkkkkkkkY;`.YYYY`vkY`Y nvvv:.:•.vv.vvx::v:n:•.w:.,,vv:vvvvvvvvvvxvxv:::::::.:vv.:x«:vw:::•• •••••,•• :vxx n.. xvv.,•.vvv: kkkYY�:Y'tY22Y:.Yt222YYY>::kYY .,,Y,,.•.,:,,w.,w.::nw:.k,:,:„x•.vxxv.v..:. }}::��:::: YkYYYY"Y v:•.vYYYY,i,`YYYYYkkkktiktikYYx}},xYkYYk}"k`; •.:•.v:,.•;+}vnv:xvvvvvvvvvvvw:.v:. 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