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0130 NYES NECK ROAD
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Thomas F.Geiler,Director pl 0.19• Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma us Office: 508-862-4038 Fax:.508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address I l� �i L � ' 1 ❑Residential Value of Work L U Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 1 IV 441,9 /Contractor's Name Jl 1 G, Telephone Number `.�-t I Home Improvement Contractor License#(if applicable)— q Construction Supervisor's License#(if applicable) (9-7 L16 ®PRESS PE'RM'T Zftorkmanl Compensation Insurance APR 2 9 2013 Check one: ❑ I am a sole proprietor ❑ I am the Homeowner - TOWN ®F �ARIVSI"A�LE ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# _ ?� Copy of Insurance Compliance ertificate m st accompany each permit. Permit Re nest(check box) y� rLe F 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 L #of doors ❑ Replacement Wmdows/doors/sliders.U-Value (maximum.35)#of windows ❑ 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. * * Owner m sign roe Owner Letter of Permission. Note: Property P �3' A copy of the Ho Im ovement Contractors License&Construction Supervisors.License is required. SIGNATURE: the aCamynoniveafth of Massachuset#s Depart nmt of lndustrid A ccidenft ,—. Office of Investigations 600 Washhvton Street Boston,, 211.1 . Workers' Compensation Insurance Affidavit Builders/Contractars/Electiicians/Pinmbers Applicant Informatiau /' Please Print Leidbly Name(Busi wXhganization&&vidnal): L4 tAddress: a/0 cit /stat zip: Leo li AV n an employer?Check the appropriate box Type of project(required : 1. am a employer vrith 4 ❑ I am.a general cautractor and 1 6- ❑New�con=kix-ion employees hill asa or- .* gavehiredthe sub-contractors if a Fad- listed on the attached sheet` 7. ❑Remodeling ❑ I am a sole etor or Theme sub-contractors hatre ship.and have no employees S_ ❑Demolition w for me in a employees and have warms' orlrsnbQ any�'�5`- 9. ❑Building addition o workers'comp.insurance comp.ictsu ante 1 reqaired] 5. ❑ We area coLpontica audits 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all wo& officers have exercised their 1I_❑Plumbing repairs or additions right of exemption per Ia1GL my�s�ed£[No warkErs camp. 12.❑Roof repairs insurance required,]T c.152,§1(4�andwe have no 13.0 Other enployem_(No workers' camp.inmraom required.).. *Any Rpp&=that checis box i=1 mwst also fill am-dLe sectiaa bdawsbu g their wales'rampens+tan policy iufa®ta iam- I HamemAmets wbo submit this xM&v it iadiratiag they asedomg aawad end dm hue outside convm mrs mast sobmu a new afdaeit indicatmg sack tCamrncimrs thst chPrk this boa must attached an addiiiaaal sheet dwvdag the mane o#the sub-angrxtm and state whether ar not[bmse entities bsce em#ayees. Iftbe sdb-con=ars have empleyees•,they mnstgmaide thou workers'wmp.policy number. i I atn art erg er ti?trrt is pt�idrrtg tvar�kers'�corrrpsrrsati�rrl iiasurarac-e for'ari��enrglaf B�tv is thc�p�e.�*ertd jab site i�t for�rrrrti8r�. . I- hmurance Company Nam "e: Policy a or%eff inss.Lic. T"?7 L` y!J` •,vf YFacparatikm Date: Job Site Address: d �/C City/Stata 2� p: � Attach a cop} of the workers'compensation policy declaration page(shoving the policy member and expiration date). Failure to secure coverage as required under Sectim 25A of MGL c- 152 can lead to the imposition of criminal penalties of a fine up to S 15OD 00 and/or one-yeas imprison,as well as tail 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 hmestsgatiims of the DIA for' a -erage vet4ftaticm.. ' 3 do hereby cv-Wft th ' s a arni ins ofperjaq that the information prmrided above is bus and correct Date: Phone# ©dal use anly. Da not write in this area,to be amptated by city or tomi o wiaL . Utf tar'Tawn• PerinibUcense At issuing Authority(circle one): _ 1..B0a rd of Health y.Budding Department 3.CVyff.own Clerk' A.Electrical inspector 5.Plumbing inspector Phone 9: . Acv� CERTIFICATE ®F LIABILITY °"E(""`°°'"�'^� �- LITY INSURANCE 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 endorsement(s). PRODUCER FRANK L HORGAN INS AGENCY INC CONTACT NAME 44 BARNSTABLE ROAD H Y A N N I S, MA 02601 B:!9tE(A/C. Eft: 508 775-5830 FAX at_�vot: (508)775-6688. EMAIL ADDRESS: INSURERS)AFFORDING COVERAGE — —NAIC A INSURERA: LIBERTY MUTUAL INSURANCE INSURED & ISLANDS CONSTRUCTION COMPANY INC iNsuRERq,PO BOX 210 InsceER C: -- -- CENTERVILLE MA 02632 INSURERD: --- INSURER E: -- INSURER F: -- COVERAGES CERTIFICATE NUMBER: 13095795 REVISION NUMBER: THIS 15 TO CERTIFY THAT THE POLICIF-S OF INSURANCE LI.=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 (x-:R-nn('ATE MAY BE IS,St1ED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, D(CLI AI(X,N AND C A-JNDITIONS OF SUCH POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _...._- ADOLINSp TYPE OF INSURANCE SUB P NKOOP UVfiSA� POLICY MAYOER I C.ENERALLJABIUIY EACH(=URRENCE $ I-'— �_.__. (YTv1MER[AALGEVERALUARIUTY i __aurrexxl - I CLAIW MADE I - (X:(718 fVl®EXP(Any one persal) PERSONAL&ADV INJURY -- — --------------._._ GENE ALLAMREG4TE —$ (',ENL AC,RE('ATE UMIT APPLIES PER: PRCDI ICTS•C(T�Ar�llY'Alm $JE- - --'---- _.._1 MJCY I._. PRn I LOC —---.-- AUTOWBILE LIABIU tY aCo nd) $ - ANY Al frC1 BODILY INJURY(T person) A1(WIM �XHEDl1LED -------_-- -_ AIfRy, NM Alf (VNED BODILY INJURY(Fla acddert) $ AUTM, zc-Ci q S $ $ UMBRELLA LIAR OCCUR EACH CCCIJRRENCE $ EXCESS LIAB ]-- CLAIMS MACLE — $ $ A WORKERS CONPENSAMON r!N WC5-31 S-377540-012 5R12012 5/7/2013 TV r-STAB" ANO EMPLOYERS'LIABILITY ' ANY PRi)PRlr.TiIRIPARW-.FtfEXECl1TIV[ -------- QrF1CCR1MEAT1FF1OCCLUDrU? [7N N/A E.L EACH ACIIDEM $ 100000 (Mn�Ory III EL DISEASE FJt BNPLOYE _. . 11 yes,deuYilr;turhx —_ _$ __ _ 100000 ciF4-.RIrrnriTI nFC)PFRATIC)J',l 4rnv EL DISEASE-RDl1CY LIMfT DE9CF7fTTi5N OF OPERATIOPS/LOCATIONS!VEI BOLLS(Attach ACORD 1 Dt,Additional Remarks Sdiedule,If more space is Tequireo Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. i CEFtTIFICATE HOLDER CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL 8E DELIVERED IN 200 MAIN.STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS MA 02601 AURIORQED REPRESSWA11 VE Jeff Eldrid e lJ rf 0 196E-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD i J':1' r.u..: 1:u•:}:::. Aaahr ''1', 'UL_ 8: `+:il`1 AM F>ax J of 1 - a.ea ALL previously issue-.i certiiicites. r THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A m / �(' :0:JJ LI DATA �L 67/ .� )jr, c e ofConsumeAr °� 1 HOME liy►P &Business R` LPY R01/EMEENT C R guiation r ti ; Registration 165936 ONTRACTO j �r Expiration 4f9> TYPe: i 2014 Private T CAPE&ISLAND C.;'��VS -� Corp 7r ! lTl CO INC. JOSHl1A KOURI a 55 _ r 3 �r ELM AVE. i, _ 7; s' � HYANNIS,IVIA 02601 ( Under .� rsecretary + •' arc c r �u Massachusetts -Department of Public Safety } Board of Building Regulations 9 and Standards t.r Construction Supen'isor License: CS-074660 r JOSHUA X KOUR PO BOX210 CENTERVH LE MA 02. 2 �. 1 fi ly Expiration "Commissioner 02/12/2015 x lY� { tad Y� 7t Y� 31 _ for►idrvidul:use only Mound return to: nBusmess::Regulation s4 , r gn"afore z EsUmatez� Y 570 Date Apr 15,20113 £ u Y � x Cape &:Islands Construction Co. Po Box 210 r` Centerville Ma. 02632 Terms } r , 508 775.7663 Ship Via il` { Ship Date .. • Sam Nablo (508)362-2370 130 Nyes Neck Rd Centerville MA. United States ID Descri. . - • • CERTAINTEED Certainteed Shingle Roof 12,640.00 Strip existing shingles from roof. Secure any loose sheathing. Install Hicks brand vented aluminum drip edge. Install Wip brand Ice&Water Shield to all eves, rakes, valleys and all protrusions. Install Surround brand Synthetic Felt Underlayment. Install Certainteed Quick Start starter shingles to all rakes&eves. Install Certainteed LIFETIME architectural shingles. Storm nail all shingles. (State building code requires 4 nails, we use 6) Re-flash all vent pipes with new boots. Install Rigid Vent II ridge venting. Remove and dispose of all job related waste. leave your property looking like we were never there! Provide all manufactures warranties and 15 year labor warranty, it's the longest in the business. Please note our wind warranty is also the best And longest available ANYWHERE! Carpentry repairs available for$55 per man hour plus materials. Total.(0) $12,640.00 Signature Op SfAie. ; test _ Page 1 t a• ... - /CA V / w , ` Ma #2 3 3 Lot' #22 �' Assessor's map and lot number ........�?............................... SEPTIC SYSTEM MUST BE ST Sewage Permit number ... . . • N �� COMPLIANCE �..7 ................� ............ WITH TITLE 5 °Qyo� CODE THETo� TOWN OF BARN IIT��" LA°oN'AN® BARNSTAILE, i "69 ON Or•,•� . BUILDING INSPECTOR o•EpY i APPLICATION FOR PERMIT TO ..........Const.ruct. . .. an Addition. .........•- b- oe...(;AV4( .�. ...... .. .... .... .. ....... ....... TYPE OF CONSTRUCTION Frame ..................................................................................................................................... .......AP.r.i%...1.3. 19.1. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. Nye.'. ... s Neck. ...Road. . r....Centerville. . . . . . . i....Mass. .. ............................... . .. ..... ..... .. .. ..... ..... .. ....... .. .. . .. .. ..... .... .. Proposed Use ........Residential. R 6 -1........................................... .............................................................................I......................... Zoning District .......2XXXVXX&XRM$kx)1'}&XXXSSXX4 Fire District ....Centervi.11e. . .—.Osterville. . . . . ........•...... ..... .. . .. .. .... .. .. ....... .. .... 6 Brigham Rd. , Lexington, MA.02173 Name of Owner ....Sam Vr....&..h'? th...s�n... r�; .�,Q.....Address .................................................................................... Name of Builder Lester Wade Address Nye s...Neck Road Centerville,,,,,, ............................................................ .... ........ ..R..................... S. V. Nablo 6 Brigham Rd. Lexington, MA. Nameof Architect ..................................................................Address ......................................f............................ ............... Number of Rooms LVg.Rm/Bath/K1tCh,..,..._.•......•.Foundation P.aur.ed...C.onanete........................ .............. Exlerior ..................Cedar. . ....Shin. . ...g.le. .....................'..........Roofing ....... AUbAl.t...XSlXiX1g1.e.................................. ..... .. .... ..... . .. . .. Floors Vinyl ,,•,•••••••Interior P1 wood Panellin O en Ceili„g, ..................................................... X....................................g/...P....... ;n Heating El.Convective Wood. 5to.Ylombing ..Goppgr...'•itubi.ng...&..E;�1v.....Stee1�......• .................. ..... .... Fireplace ................None........................................................Approximate Cost -$20 000 ........... ............................... Definitive Plan Approved by Planning Board _A.P_rll_6�---------1981 Area .- 'r"�''B'a'...... Diagram of Lot and Building with Dimensions Fee ..45.20x:.................. jt .e SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding t e above construction. ��AA V� Name . .. ... ......`. ............................ NABLO, SAM V. & RUTH J. 23013.. - ADDITION No ............. .. Permit for ..................................... & MOVE ,GARAGE ........................................................................... Nye' s Neck Road LoOtion ................................................................ i Centerville ................. ....&... Sam V. & Ruth J. Nablo Owner ..................................................... ............ Frame Type of Construction ..................... z ..................... Z: ............................................................................... Plot ............................ Lot ............................... 0 April 14, 81 ........,— ......... ..-Permit Granted ....... Date of-Inspection 12.-1;&,R✓?/......... 10........ iT, Date Completed ................ PERMIT REFUSED .................................................................... 19 ................fn: ............................... •..................... > .................................................. It ............................................. M 0 M ...... Ac.. . ..........................::::............... Appfov%%e .......................... ....... 19 �T n ....... .rs....... ' xi................................................. 5z . ............... ................................................... Assessor's office(1st Floor): SEPTIC SYSTEM us Assessor's map and,lot number � -� _ .�""""` `'�—% INSTALLED IN COMP E roe Board of Health(3rd floor): l „H�E 5 Sewage Permit number �(� �-y/ �/— �7 ENVIRO YONMENTAL C g5eDLL Engineering Department(3rd floor): TOWNGUTO 1aso. House number. Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN , OF BAR N S T A WLom BUILDING "INSPECT "at ' APPLICATION FOR PERMIT TO k&WL476d 6<4& UZt XOV TYPE OF CONSTRUCTION !N D?1� 7 4,4—A-0— TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use Zoning District /l U Fire District (2 —o M Name of Owner 6i11.1 /L Address Name of Builder �Cc,G // �G�L� Address ( P-, Name of Architect /(tip AddressIV Number of Rooms Foundation 49-(�d Exterior Roofing rlt11-46t Floors ai,4� t4 1/i(/u'�� Interior Heating /��-C U�t� !sue' v` �G t 9- �A— Plumbing P VC- FireplaceApproximate � ,r�K-7L ilt Cost /5 Area /,F,)v Diagram of Lot and Building with Dimensions Fee yy� o o v ISM OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License 0.0 NABLO, SAM No 34674 Permit For REMODEL & ADDITION �. Single Family Duelling Location 130 Nyes Neck Road Centerville ' Owner Sam Nablo Type of Construction Frame Plot Lot s Permit Granted ' November 1 , 19 91 Date of Inspection 19 .i Date Completedrl 20 y = Y too � F a /LL I { pp xo� , gas o" � gEt•^,o.,E �T. .flow ,W-0 A o A34w-LEv::cripLt>=k5 i " l A4.T o I i t -' p'ININ4:' � � ..�:� � :BEDRovNl ,\ ; �;hx - �I , .�l✓ ,._iraN_ava�.lsu�as:� &. 1 ` L h ------ 1" 1 77-7 77 - u F I I 11Ltwd Lfei@I. " __..¢4 sc of v ;rxr iia..oavC NOTE CHANGE 4 � t I • ��� 1/ ! f--'�MISfLL.d/l p TOWN OF BARNS TABLE _044,e u Building Inwpection Department • - Al , _ --.. ., yx rl ,K. > wA^�' .. � ._...�c w....... .,. ._.«........... ,v+..,..ei:,..eda;:.-bnwmn„�..raw.r..,....,....�...•..+.,xa,::..lw I � I -F 1(I_ult �I I p i� I tl I I. 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F,r{' . \r •.^.a,y-.v•'"W+i � ,,.,j....�^.ivr li� b'4_.<y+ •„S �R,r^ti. --.e.w<r`�.v`+.�'�f' "'i.'.! trFY.'y.•'.,� Y' ,T' t �--M+r �+• �."r R E M O D E .L +M�>, TOWN OF BARNSTABLE Permlt too. . 34674 BUILDING DEPARTMENT. `G t .... I TOWN OFFICE BUILDING Cash J} .,� NSA 1 boa+ HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to SAM NABLO Address 130 Nyes Neck Road Centerville, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL,NOT BE VALID, AND THE BUILDING SHALL NOT, BE OCCUPIED UNTIL E SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH. TOWN REQUIREMENTS AND,IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE: ff. March 270: 92 u ...... .... ..... 19 .... . ... , .. B ildi g Inspector r 'Y` CjW iV OF BARNSTABLE, MASSACHUSETTS DIN A-b233-022.001 November 1 91 Bayside Building Co:TE :ems_ cE� vI11 � 34 7 APPLICANT ADDRESS (NO.) (STREET) -(CONTR'S LICENSE)NBER I ' PERMIT TO Remodel & add to dw(ll n&TORY Single family dwelling DDWELL IN OF UNITS 1 4 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 130 Nyes Neck. Road, Centerville ZONING RD DISTRICT (NO.) (STREET) d BETWEEN AND ; (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 .(TYPE) . Sewage 481-173 REMARKS: AREA OR Add 1800 SQ• f t. 150,000 144.00 PERMIT VOLUME ESTIMATED COST $ FEE i (CUBIC/SQUARE FEET) OWNER Jam Nablo yes BUILDING DEPT. NeckoaCenterville, ADDRESS BY T THIS PERMIT CONVEYS NO RIGHT 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 OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.' 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 PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI 7o BEFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE i OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS n PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2i, 2 2 `Mxar-2(.-9 Z 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT t BOARD 0 HEALTH OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE { TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT.IS ISSUED AS NOTED ABOVE. NOTIFICATION. I f.3bS/K1ftO�fJ �..,,e"�. 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