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HomeMy WebLinkAbout0834 PHINNEY'S LANE i r x f :i i"t iF k YL 4h V Ic[✓�;�$w t x � r r yr _�,,,,x:dn''1 .. 'r o'?f��r��!r.��i'F•,..X�a,s�a.�yJ l a ,'q(,.rFr K�T' 1,n✓ "1r�..E- {v�,,r:. 't.`p,Y,.7M.. 9 .: �, n ._,n➢.+:.r',:Yet R r I Id,%B� .c8r..».'•'Fri, ifa,h ,�, ri ,r, .41. i'r9:. -`:•'..i.F1h.t.:Y:'.. Ri.qxF'.. � a, r+^tr �. .1�4-J; e-µ J. !ti.a'^.•:�.� .,� �yt x fi f} '�1'p�tr���'` r N�rr �� n�3�7��o,�+�1.�� x�'��.u f 'vb{}y t!�r h v rA��r 'nu, �+�k>✓r - `� . , e r r ^ All ir � r a , •x U y Town of Barnstable *Permit# Regulatory Services Fee 6 months from issue date BAR MBt.E +� o 'Richard V.Scali,Director Building Division 'P Paul Roma,Building CommW ���0 �� 200 Main Street,Hyannis,MA 026 1] www.town.batnstable.ma.us Office: 508-8624038 '9h� Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTID NLY G�j Not Valid without Red X-Press Imprint Map/parcel Number �,� Property Address O 3�e / h i 4ryS 44,r (fe47sPrv,,AF JO Residential Value of Work$' 7� Minimum fee of$35.00 for work under$6000.00 ' Owner's Name&Address jrr'rs Contractor's Name pAh ra J SSA•-'- Telephone Number Home Improvement Contractor License#(if applicable) / �f� 2 7 Email: +sw Cre-s w r f c C a.41 cn`S/ Construction Supervisor's License#(if applicable) 0 '766`3 G K[Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ® I have Worker's Compensation Insurance Insurance Company Name L i rr I Y A u?U Workman's Comp.Policy# A/C 23/6 a/'62 �, Vo/c Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ' [k Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over---, existing layers of roof) ❑ Re-side. ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. *.**Note:- Property Owner must-sign Property Owner Letter of Permission. + A copy of the Home Improvement Contractors License&Construction Supervisors License is required. 7 SIGNATURE: . t QAWPFILESTORNIMbuilding permit foims\EXPRESS.doc w 01/25/17 III - , Ct . The COMMOn7veakh qfman=hmeft ' RqJtdl-1==t afradusaid Acc id _ o fce vfrMWdkafiff= 600 wasb&gfoxt met - Berstein,M4 02HI tvcviv mmmgvv1dra _ Wbrkers7 C Ins>Mce Affdzvib BRmIderslCnnft=WrsM - - -n�ers Applican#Tsfgmnatia n. Please Prim Eby Name S Cruel �. & Addre ciwstat �E y��lC Phc o - 77�- ` 5 sm you an engbyer?:Checic.-the appropriate bay 'Type of Pro] (require I_I�l am a employerr With 7 4 ❑I mn a geuaral caai�cha and I. 6. El ldPr ew c=sertiction. employees(hilt andkr part-time)* have,hired$ie sx&cogtmd ss 2.❑ I am a sole proprietor or partner- listed o4the attached sheet. 7. ❑remodeling: slsp and Dave no awpk5eees r Wiesesib-candractoxs 1 g_ ❑Demolition mornag foYees and - Bnd addition 9..Q ' [NO wud=W comp.issurance Camp-Msara„cf reTik'd-] 5. W-e are a-cmpazation iinf its 1O-0 Elechical repairs cr adcroions officers have exercised tis;ir I❑ I am a bomsou�-dairrg aft IL Q Pbzmbffig repairs or addYiiams ' mym9f[No w arke s'oamp_ fightof man per MGL iLo Rooi'repaim imsux =rid_]Y c- .§1{4�andwebameno(Nd � f _❑Other , . oY cam-mismamce,requi l ti •Aapapgsantdsrc5edxbaa in ML r #�eearaecs�&o sabot dvs i g Sre7r axg 3am�erg cPe¢3c }�au�decn�ac samst�vbmic a nesvaffida�t mc�iest na sacTi , Sir e3iedk ids bmc=au—r3v�sff sadism rimer sLaa�ag iisea�e of aye s�-ca �a stye whether�nnc e e esha�e emptopeaL Iftbem9KAntzctamhmmmnpIoyam%tfieram pnidetUer vadEeWa*-P•pang-Maber lam an i?rsriraaas for csry dMFLGJ eM $elury is tice prrffcy rued jab srfe ixfarraalimrt _ .' Insa a.,r-e campanpfEsme- z r/8,"/'%y /-�U A-1111 , �Po-ficg�orSelf�€I.i�� .LC/Ct °� 3/�.S'f�lC��2 ���6 - aDz� .7 j�/ r •' ' Job SiteAddre �` `. f g/1 .. S C'�r r. � 3a2 `,y �" citgtSra - atioagoIie declaration gage(showing the policy,number and espirafiori date. Afbrch a-cagf of the w:arkers'eoeapens Fa&M to Secure coverage as required under Se-tiun 25A of MGL a 157—can lead to the imposition Qf erir ninal penalties of a fine up to$L,5t}b OU aadfor ade:Y&irimpd oameot,as wreR astivl penalties a ffie fnan of a STQP WORK€MMand a foe of upto 5M a day 2Mdust the violator Be adsised t%t a copy oftip statemat rangbe hrwarded to the t3fffe of Iavestigatio=oft a DIA for fi===coverage ve ho- Frfa Itptreby arrdsr iYts - arrdpsnrrlties of padittp ifiat the iMfbrma6vrtprmi&dabmv is tress and correct .,� Phnm 0 .01ciat MW aaaFy Do unt awft w f#ih area,frr be catrip&Mff by c*8rtacvrr affmfit My or Ta im PermfiIicense S Lnuing A fi mrity(drde one): L Board*fH=Itk r.BwTAEmg Department 3.f rcnm clerk d.Efech ical Emspector SS:Pluibing Inspecfa►r A Offi4w Contact Person: Phone 9:` . 6 me Was i/: `•=►■Iat.:=■F -.• _ .■:n■� �•nt:•. -1 Erna a i.F u n • ■" •'a7■1iF r.nna ra All all ■•1 to" l Is iu •'- a. ■.nl to in +- rlm■ .n ..I, , ■" am�• -•r •rF•a u i■" r • a■.n i m• cn rnn■ :r u ■■ - �•.••i inR • a.11• 1�• •a: •1 ••alltir ■ Yi I, I •I w •aan is : ... tl• .1.: /1:■ to iiR nt.a _`t.•A1:1■•t■ r•7 .• _.••n •) a■I �i■t■1 • •: :••• ••a • an•1 • ■■ a• SIR _l: is la •1• i _Ia• n la nam' Ia' -_ •1 iC•�al Yla•i. • _ •: �• illn. •• •I ■■ ii - • ■ • ■�- • :il Il■■• to. .. i-l ■. all• _ww■h.1■•11 ■1 •■■ii -_ �f■■1 �.■1■ ■• IN_ .:na• ••- i•• • a■- ••'•►f • _ •• It•• 1•lA- •-•1■ ■• .I•1 - ■•_.■ in i .■•:t 111 iall :.al• ••t• i.Y.�+ it� �l•a a1 ■•- • r1[••:n1 • ll" •• 1 n- .•t • :n■it a• inl• •- a i F•n tt .• n-nallit.n r •n r ■ ■•1■ a ..91 a., an • l ■- Iw: ■•tw • •na u J ••a■• • 1 n ■■■e, :u.n lilr.tn is ii -u ■. 1 ■• •►ru • . .■ i+nu ••n r1/ •- 1«u�■ u •- a• inu ••r _ • •� r:u:.. ua - - r r I -I.� -■ Y■. - a t - 1 ■1 ■• • ia - ■ a I is ■-n a1 - - ■ - • ■ i■f - . a .111 a• .. .n" • IwYa1 YR a 11 /a.w■ I Y • t• • I■ = lI ■t r.Ilan • • - ■. ■ ■ V I . . 1 - .• . ■1 I Yi:a rY-/ Y ■ -• .i:1 •- I .tt Il - .r .t aa.- t■ l • •- - -• ■ a r• • •. n••. 1 � C7 ■.n■r Y � r■:. am.� n r�ium m-•r tit a• .0• ■ ta. •• 1■■.: t/•l• Y m ■.1 rt t- n n _n •■ • .r lu n" •spa n■:7.r- • •■• •••a. 111111 :rri•r• •:n r • •lop a.n n is" u n .n i•an iln�'■1■. • la .1:n ar t- •iiil a ��■Ili• I• t■- ►•all ..Val■ .1■tt••a • i��- ilI a n 1• - •••F�:tF •nn�:a`I:a a a \.1• 1 r•lna• it.- • r•i .•1■_ ■ � .•f� n.1 J.• • (• •••■ Y.•.n•• -.1■ 1 ire J • to. ■• rntl■ :rl•t ■_m i eV.l :•. :n i .1 al• al•.•a.:1 a a: u l■" t ri ■■•rlri • n n a■ u■ ai• r.. algal■:m.. n. tall Ii1 1 .■ 1 ':I n iF•u -•lil ■• rnn ■•�-+ •i1 a n-n n- n an.i • ..■ ■•r :■ a• RR is m is n r:n ••a.: i rannu i:a w_■m ■■ n :u r- Ja a ' ■•:. ■. .5210 • -- _ /• �•m i• .■ •-• ■■: ■■ is■ •1 n. •- ■ms lui• n n- �1. n■:rat a ■as u. • •illw t• •t tt■■■.1••1■ • U ■1 .Il►- r■•- ::" '�a I. 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Ia 1 • a• It •nn t•■ 1� w -. :■a■ n■•i •• 111- � •■I i.V. ■ ..1•l�rnl ■• 1 •••ll" t/••■ •• • n- �■a. •1 la a •i:r!1 • [a n s 1• rmp is •I n J•A.-u a• a■ - •�1 n ■r••l n ■- /a •• •is RR - _n a r:n. •1 •• •e. ■ n.: t a 1 w7 a loot •2.111. Iw a ►ins.:+ •- Ga a.• t oat .- :11�• ■n -:1 ■r■r ■a an - •••t r al n1■Ira •■r_■n n riu n a Ina t ■• ni■ a J■• ■a Yn�. • ►•n■•i Iw. •inn■t - a• 1 ra■ • e ran 1 n a n1 �r r�• ■�:F a 1 � ►a gal �a n ,plop it- ■1 - �■• ■ O wi■ - • ■ �••-n m ••.• . .■- n n a• •'■t to .■•J■r. n •n r••a¢ .t►■n a1• l•• ■ •.■ 1_ .0 •a i.a m •a - - •• ■• ■wYmem an J• aw r: 1 ■a i•a:1 ■la rr .OR iy. a- r1 1•11 .t■t Y. ■Itlt'1. eaii •- i 1 'iv.■ R . �1� ��.cti1 tt• t•±1 ■ �� •s• :i-1 IJ i. / Town, of Barnstable Regulatory Services r r r r BEAM � Richard V.Scali,Director. R - Nua�1 Building Division.' Paul Roma,Building Commissioner 200 Main Street,.Hyannis,MA 02601 www.town.barnstable.maus Office: 508-862-4038 Fax:, 50&790-6230 Property Owner Must. Complete and Sign This Section If Using A Builder as Owner of the subject property L,r rr hereby authorize' </ a`�' to act on riybehalf, " in all matters relative to work authorized by this building permit application for. • (Address of job) , : **Pool fences and a]arrn are-the,responsibility of the applicant Pools are not to be filled:or utilized before fence_ is installed and all final spections are performed and accepted. Signature-of Owner Signature of Applicant Print Name Print Name Date QXORM&OWNE"ER USSIONPOOLS Town of Barnstable Regulatory Services Richard V.Scab,Director Building Division s Paul Roma,Building Commissioner 059. ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 Fax: 508-790-6230 HOMEOWNER LICENSE EREMPTT Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": - name home phone# work phone# CURRENT MAILING ADDRESS: cityhown zip code The current exemption for"homeowners"was extended include o er-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not ssess a cease,provided that the owner acts as supervisor. D OF OMEOWNER Person(s)who owns a parcel of land on which he/she resides or' to ds to reside,on which.there is,or;is intended to be,`a one or two- family dwelling,attached or detached structures accessory to such a and/or farm structures.`A person who constructs more than one home in a two-year period shall not be considered a homeowner. h"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsib a fo such work Rerformed under the building ermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for co fiance with a State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she`understands the Town of B le Building Department minimum inspection procedures and requirements and that he/she will comply th said procedures and quirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 5,000 cubic feet or larger will be required o comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION ' The Code states that: "Any homeo er performing work for which a building permit is required shall be exempt from the provisions of this section(Section 1 9.1.1-Licensing of construction Supervisors);proded that if the homeowner engages a person(s)for hire to do such wor that such Homeowner shall-act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for/Licensing Construction Supervisors,Section�2.15) This lack of awareness often results in serious problems,particularly hen the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed Berson as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner, fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowne -certify that he/she understands the responsibilities of a Supervisor.`On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in . your community. Q:\WPFILES\FORMS\building permit fonns\EXPRESS.doc 06/20/16 KV V�. Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5.170 Boston, Massachusetts 02116 Home Improvement C ctor Registration Registration: 160627 Type: Individual z Expiration: 8/8/2018 Trft 290900 STEPHEN W. CRESWELL STEPHEN CRESWELL tl 195 PINE ST �` w CENTERVILLE, MA 02632 1b' Update Address and return card.Mark reason for change. M sv P g SCA 1 0 20M-05/11 Address 0 Renewal Employment ❑ Lost Card Office of Consumer Affairs&Business Regulation' License or registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration- 160627 Type: Office of Consumer Affairs and Business Regulation 8/ 10 Park Plaza-Suite 5170 Expiration'=8/.8/20?8 t Individual Boston,MA 02116 STEPHEN W.CRESWELL`'/ �A STEPHEN CRESWELL 195 PINE ST CENTERVILLE,MA 02632 Undersecretary Not valid without signature Massachusetts Department of Public Safety Board of Building Regulations and Standards OF License: CS-076536 Construction Supervisor :{ STEPHEN W CRESWELLx. 195 PINE STREET CENTERVILLE MA 026324 Expiration: Commissioner 08127/2017 y UU.JU l�r►t�rrtlyinn PAGE 02/02 AC a �..— CERTIFICATE OF LIABILITY INSURANCE [fEX MMrDD/Ytml THIS CERTIFICATE Is ISSUED A$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 I3Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THEASSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT; If the certificate holder Is an ADDITIONAL INSURED,the pol;cy(ies)must tie 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). [KERRY ODUCER rciAntE W.Scott Kerry INSURANCE AGENCY PNONs.MAIL (508 255.8000 O Box 1946 SS: kerryinsurance.com EASTHAM INSURERS AFFORDINGCOYERAOE NAICA INSUREo MA 02851 INSURERA: LIBERTY MUTUAL FIRE INS CO 23035 S CRES INC INSURER a IN9URERC: 195 PINE STREET INBURERO: CENTERVILLE INSURER E COVERAGES MA 02632 INSURERF: CERTIFICATE NUMBER: 131589 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED REVISION NUMBER;NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER FOR 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. INS TYPE OF INSURANCE n—DtICY EFF POLICY NUMBER ypY EXP COMMERCIAL GENERAL LIABILITY DIYYYY LIMITS CWMS.MADE OCCUR EAQ4OCCURRENCE g PRE Ea oaouE n $ N/A MED EXP Any one peMcn _ OEN1 AGGREOATE LIMIT APPLIES PER; PERSONAL&ADV IwURY S POLICY E]JECT PRO- a LOC GENERAL AGGREGATE; g OTH ; PRODUCTS-COMPIOPAGO $ AUTOMOBILE LIABILITY $ ANY AUTO CO;BI I E NOLE LIMB $ ALL OWNEp SCHEDULED BODILY INJURY(per pan=) $ AUTOS HIRM AUTOS NON-OWNED OWNED N/A BODILY INJURY(Per accldanl) S pR0 R e DAMAGE $ UMBRELLA LIAR $ OCCUR EXCESS UAB CLAIMS MADE NIA EACH OCCURRENCE' S OED RETENTIONS - AGGREGATE $.. WORKEtSCONFENSATION $ AND EMPLAYERS,UABRJTY ANYPROPRIETORIPARTNER/EXECUTNE YEN X SinT ER A OFFICER/MEMNEREXCLUDED9 NIA NIA NIA WC231S61022401a E.L EACH ACCIDENT S 500,000 If ea,dairy In NM 04M 912016 04/19/2017 If Yea,desedbe V O E.L.DISEASE-EA EMPLOYEE $ 500,000 DESCRIPTION OF OPERATIONS Delow EL DISEASE-POLICY LIMIT 9 500,000 NIA oEBCRIPTION OF OPERATION*!LOCATION*I VEHICLES{AGGRO 101,AddRlonsl Remarks fthedule,may be attached V more apace la raquMed) Workers'Compensat)on benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given Calms for benefits to employees in States other than Massachusetts if the Insured hires:or has hired those employees outside of Massachusetts. t0 pay This certificate of insurance shows the policy in force On the date that this Certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verificefion Search tool at www.mass.govAwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE rHyannia THE EXPIRATION DATE THEREOF, NOTICE WILL BE Town Of Barnstable ACCORD DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Main St AVTHORIIEDREPR[EBENTATIVE MA 02601 �K^'� �`•'�j� Danlei M, y,CPCU,Vice President—Residual Market-WCRIBMA ACORD 25(2014/01) 0 1988 2014 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD * Engineering Dept. (3rd floor) Map 2,j r Parcel ZQ Permit# S)10 7 House#' 5���/,{��� Date Issued A®-Vwl- Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) 0 Conservation Office(4th floor)(8:30- 9:30/1:00-'2:00) Planning Dept.(1st floor/School Admin. Bldg.) t tME Definitive Plan Approved by Planning Board 19 SEPTIC SYS'T ?E %fjJ'rM T®p TOWN OF BARNSTABL �;S a S�, 'r `' AND Building Permit Application 3 Project Street ess 3 LA �r'.� S Z_d � T Village C,e r 1 ( Owner ¢ t d ? !d H S O Address e 3 Telephone ` 7 . S 2- D t Permit Request .First Floor - square feet Second Floor square feet Construction Type Estimated Project Cost $ D©d--D d Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Z14 D Historic House ❑Yes ANo On Old King's Highway ❑Yes qNo Basement Type: I Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing 9 New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing S New First Floor Room Count S Heat Type and Fuel: `�j Gas ❑Oil ❑Electric ❑/ Other Central Air 0 Yes ❑No Fireplaces: Existing / New Existing wood/coal stove ❑Yes �No Garage: ❑Detached(size) Other Detached Structures: /�j Pool(size) /1 ❑Attached(size) J Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use Builder Information � D Name � (� }' cP l la � Telephone Number � V7 Address i?A -f 1- License# (� Q / 1^ Home Improvement Contraccttor# D D Worker's Compensation# 6 Z 3 D n 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 & -ki S"1,,� 4o dHd/ SIGNATURE DATE C BUILDING P RMIT DIERNIA FOR THE FOLLOWING REASON(S) �� f - FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED 1..s�L• MAP/PARCEL NO: ADDRESS r i VILLAGE' OWNER - ` DATE OF INSPECTION: FOUNDATION FRAME t/ INSULATION FIREPLACE ± ELECTRICAL: ROUGH E FINAL - PLUMBING: ROUGH FINAL { GAS: - ROUGH ' FINAL FINAL BUILDING ► _ - - ` `' DATE CLOSED OUT! ± ASSOCIATION PLAN NO. 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