HomeMy WebLinkAbout0300 HUCKINS NECK ROAD LL
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Town of Barnstable 1
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Permit NO. B-20-479 Applicant Name: Robert Rostocka Approvals
Date Issued: 02/21/2020 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 08/21/2020 Foundation:
Location: 300'HUCKINS NECK ROAD,CENTERVILLE Map/Lot 253 004 Zoning District: RD-1 Sheathing:
Owner on Record: BAKER MOLLY M I � r�Contractor Name ,,ROBERT A ROSTOCKA , Framing: 1
Address: 300 HUCKINS NECK ROAD Contractor License 113252 2
CENTERVILLE, MA 02632 Est Protect Cost: $5,509A0 Chimney:
l
Description: Insulation&Air Sealing. Permit Fee: $85.00
Insulation:
Project Review Req: x j Fee Paid, $85.00
�
� Final:
V Date 2/21/2020
z r
Plumbing/Gas
n� ry rLr Rough Plumbing:
... '` Building Official Final Plumbing.
This permit shall be deemed abandoned and invalid unless the work authorizedby this permit is commenced within six months after issuance.`
All work authorised by this permit shall conform to the approved application and th6'approvecl construction documents.for wh{ch this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures,sh611,be in compliance with the local zoning bylaws adcodes.
This permit shall be displayed in a location clearly visible from access street or,roa in d and shall be.maintained open for public spection for the entire duration of the Final Gas:
work until the completion of the same. r
Electrical
The Certificate of occupancy will not be issued until all applicable signatures by the Building and Fi�eOfficialsareprovidetl othi�permit.
Minimum of Five Call Inspections Required for All Construction Work �, �• Service:
1.Foundation or Footing '
W'. Rough:
2.Sheathing Inspection .�.'. . ._. ...,.; K.
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
Final'
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Fire Department
Building plans are to be available on site
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Oh/L� Final:
�
Town of,Barnstable Permit it
� OF°tHE rQly� _ Expires 6 nonths from issue die
Regulatory Services Fee
Thomas F:Gejler,Director
��0 1 6 REV-Bu lding Division
By 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 ' L
Property.Address OD 9tG Y_ &n
residential Value of Work 0 0' Minimum fee of$35.00 for work under$6000.00'
Owner's Name&Address L 0 V" l' oJ)
Contractor's Name j w�, Telephone Number p?g!-F3S r.- 5Qq
LLC
AD 19
Home Improvement Contractor License#(if applicable) 4' Orti�Gr jig 13 -
Construction Supervisor's License#(if applicable) '{ 090
j
QVorkman's Compensation Insurance
Check one: .
❑ I am a sole,proprietor
❑ I am the Homeowner
E�Xave Worker's Compensation Insurance
Insurance Company.Name
Workman's Comp.Policy S 9 3 3 19
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris wil1be taken to
❑Re-roof(hurricane nailed)_(not stripping. Going over existing layers of roof)
❑ Re-side _
#of doors __.._ ..
❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows.
s
jkrSmoke/Carbon Monoxide dete U s 4 ans mark with red S and inspections required.
Separate Electrical&Fire Permits
*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: h E -
Q:IWPFILESTORMbuilding permit forms\EXPRESS.doc
e�
Revised 053012
YAM
Town of Barnstable
Regulatory Services
Thomas F.Geiier,Director
Building Division
Thomas Perry,CBO ;.
Building Commissioner
200 Main Street,-Hyannis,MA 02601
www.toft.barnstable_ma.us '
Office: 508-962.4038 _ }Fax: 508-740-6230
Ptop erty Qwrnei Must
Complete and Sign This Section
ff
~� � Art--�J LOLL�,W -OY ;asowneroftheS*ectproperty
heteb7 anthotize A of to act on' my behalf,
in PI matters relatnre to work authorized b7 this bmlding permit application for.
(Address of Job)
Signature of Owner Data/
m i i co
R.Property Owner is applying for permit,please complete the Homeowners License Exemption Form onthe
reverse side.
Q IWPFULESIFORM51buDdmgpamitformsl£XPRESS.doc
The Commonwealth of Massachusetts
Department of Ind-ustrlal Acc€€tents
R 1a 1 Congress Street,Suite 100
t Hostons MA 02114-2017
Workers'Campensation Insurance Affidavit:Builders/Coat€-actors/Electricians/Plumbers.
x T611ILEII WITH THE RNUTTING AUTHORITY.
Applicant Information L-L.0 Please Print Legibly
Name (Business/Organization/Individual): 410 L lniveEg y Avenue
Westwood, MA,02090
Address:
City/State/Zip: Phone#:--I% 1' 2 S S - S q
Are you an employer?Check the appropriate box: Type bf project(required):
110 I am a employer with 1 S employees(full and/or part-time).* 7. [1 New construction
2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling
any capacity.[No workers'comp.insurance required]
3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition
4.�I am a homeowner and will be hiring contractors to conduct all work on my properly. I will 10 D Building addition
ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions
proprietors with no employees.
12. Plumbing repairs or additions
5.E]I am a general contractor and I have hired the sub-contractors listed on the attached sheet I3.0 Roof repairs
These sub-contractors have employees and have workers'comp.insurance.x
6.❑we area corporation and its officers have exercised their right of exemption per MGL c. 14V Other A�,.
152,§1(4),and we have no employees.[No workers'comp.insurance required]
'Any applicant tliaf checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners:who submit this affidavit indicating they are doing all work and then hue 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.
1 aria an employer that is providing workers'compensadort innsardlice f6r lily ettptoyees: Below is the poi'gcy andjob site
informadopt
Insurance Company Name.,F C Tg46Lx iL Ptak-
Policy#or Self-ins.Ltc #: V4 ' f,4{gc q I Expiration Date:
Job Site Address: 'oo �H P-0 P,0 City/State/Zip:CD3 1 v�.b�-
Attach a copy of the workers'compensation peilicy declaration page(showing tliepolicy number and.expiration d to),
Failure to secure coverage.as required under NIGL a 152, §25A is a criminal violation pimishable by a fine up to$1,500.00 '
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORbER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification. 47
.f do hereby certify alley tk . &iris a tees ref PerJNry that the pit®trrftrati€sta�r�v ed above es tr a and c®rPect
Si afore: Date:
Phone#: 1� (
®fie W use OftlY Da hot write is this ate►t,to be Completed by city or town�ffec€a1
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing inspector
6.Other
Contact Person: Phone#:
1 A6®r - DATE(MMIDD/YYYY) .
CERTIFICATE OF LIABILITY INSURANCE 09/28/2015
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 CONTACT
Marsh USA Inc. NAME:
1560 Sawgrass Corporate Pkwy,Suite 300 A"/CON o A/c No:
.Sunrise,FL 33323 E-MAIL •
Attn:FtLauderdale.Certs@marsh.com ADDRESS:
INSURE S AFFORDING COVERAGE NAIC/
048953-ADT-GAW-15.16 INSURER A:ACE American Insurance Company 22667
INSURED INSURER B:Agri General Insurance Company 42757
ADT,LLC
ADT Security Services INSURER C:ACE fire Underwriters Co 20702
1501 Yamato Rd. INSURER D:
Boca Raton,FL 33431
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: ATL-003442307-05 REVISION NUMBER:1
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 ADDL SUBR POLICY NUMBER MM/DDPOLICY EFF
POLICY EXP
LTR MM/DD/YYYY LIMITS
A X COMMERCIAL GENERAL LIABILITY XSLG27400954 10/01/2015, 10/01/2016 EACH OCCURRENCE $ Z000,000
DAMAGE TO RENTED
CLAIMS-MADE 17 1 OCCUR - PREMISES Ea occurrence) $ 1,000,000
X SIR$500,000 MED EXP(Any one person) $ .
PERSONAL&ADV INJURY $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 4,000,000
X POLICY JE O- LOC PRODUCTS-COMPlOP AGG $ 4,000,000
OTHER: $
A AUTOMOBILE LIABILITY ISA H08865073 10/01/2015 10/0112016 COMBINED SINGLE LIMIT $ 1,000,000
Ea accident
X ANY AUTO BODILY INJURY(Per person) $
ALLOWNED SCHEDULED BODILY INJ
AUTOS AUTOS URY(Per accident) $
NON-OWNED PROPERTY DAMAGE $
HIRED AUTOS
AUTOS Per accident
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAR CLAIMS-MADE - AGGREGATE $
DED RETENTION$ $
A WORKERS COMPENSATION WLR C48593318(AOS) 10/0112015 10/01/2016 X STATUTE ERH
AND EMPLOYERS'LIABILITY
6 ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N/A WLR C4859332A(TN) 1 010 112 0 1 5; 1t110112016 2,000,000
'E:L EACH ACCIDENT $
i G OFFICER/MEMBER
M in NER EXCLUDED? SCF C48593331 WI 1010112015; 10/0112016
(Mandatory ) I ) -E.L DISEASE-EA EMPLOYE $ 2,000,000
If yes,describe under 2,000,000
DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) -
CERTIFICATE HOLDER CANCELLATION
ADT LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Attn:TOM LEE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
410 UNIVERSITY AVENUE ACCORDANCE WITH THE POLICY PROVISIONS.
WESTWOOD,MA 02090
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Manashi Mukhedee Aura �+dLuxt r e c
@ 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
CA
ti :COMMONWEALTH OF M/1SSACHUSETTS j
� ., E�ECThtICIANS
ISSUES THE FOL'LOWIN'G LICENSE
`_ A REG I S'f RED' SYSTEI'! CONTRACTOR
AQT tLC QBA ADT SECURITY �
t}i�1MASu J LEf : 3s
4103 UN I UEASTITY AVI~ W
WESTW00D
0MA 02090 2311
17` G /31/16 33986
i
.u_
Commonwealth of Massachusetts !
Department of Public Safety
.. Securitc S.arm.-S-Licenry
License: SS-001779
Thomas J Lee
410 UniversityAve r >
Westwood Mrs 02090 ,`
� s
Expiration:
Commissioner 05/16/2016 1
rZt% °
A.
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Assessor's office(1st Floor):
Assessor's map and lot number
Board of Health(3rd floor):
Sewage Permit number
Engineering Department(3rd floor): j Z ssassrAntt
rua
House number dU 14?ic/yi °° i679•
Definitive Plan;Approved by PlanningBoard a �� 19 �
APPLICATIONS PROCESSED 8:30='�30,A.1M4and 1:00-2:00 P.M.only
j. kTWWN OF BARNS &7- !S �
BUltDIN}G INSPECTO
APPLICATION FOR PERMIT TO CA/SI72vC%— —C'/�vt coC�6
TYPE OF CONSTRUCTION Cat JOo�� / �i9+�i��-- ('C.veicFy� /�o[�.G7i ✓fiT7orV
~ _ 1971
TO THE INSPECTOR OF BUILDINGS: `.
The undersigned hereby applie for a permit acc rd'ng to t e follov# information:
Location
Proposed Use e
Zoning District Fire District
tt J
-Name of'Owner Ua/i 1 fe Address 8 I
r //7 l)V� Address l•� T��G�JGGo� �/I E'f' //`/�
s Name of Builder
..fin . /
S/
Name of Architect Address /1✓
Number of Rooms R e Foundation eowCR /
Exterior JUQ'r Roofing A
Floors �r✓C/e�/ Interior W641
e
Heating A d4le Plumbing -
Fireplace / Y a�1- Approximate Cost
Area
Diagram of Lot and Building with Dimensions Fee
r
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin the above construction.
Name
Construction Supervisor's License ` ��
RITTEL, ARTHUR A=253-004 �- •
r. No 34143 Permit For Build Garage
Accessory to Dwelling
Location 300 Huckins Neck Road
Centerville
Owner Arthur Rittel
Type of Construction Frame
Plot Lot
Permit Granted January 18 , 19 91
Date of Inspection 19
Date Completed 19
P
EDMIT COMPLETED
EM MUST BE
60 SEPTICISN'COMPLIANCE
,Assessor's office(1 st.Floor): INSTALLED
Assessor's map and lot number WITH TITLE 5 5j TWE t0`
Board of Health(3rd floor): J�-f . ENVIRONMENTAL CODE A
Sewage Permit number BSc
TOWN REGULATIONS : ssassTODLE
Engineering Department(3rd floor): rua
House number U q"-/zi- _ ° t630.
Definitive Plan Approved by Planning Board 19 '
A P P R O V E D or�vd�
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1�00-2:00 P.M.only Barnstable Conservation Commissi n
7 ' TOWN - OF BARN -
te
BUILDING IN,SPECTOP D
APPLICATION FOR PERMIT TO CUN S'TYL V C/ C re t (9 &
R TYPE OF CONSTRUCTION
19
TO THE INSPECTOR OF BUILDINGS:
+ The undersigned hereby applies for a permit according to the follo ,• information:
Location 90 C kI A' IVCJ(k 0�I
Proposed Use e
Zoning District Fire District
Name of Owner /f Vp, i,y �I Address
Name of Builder I Vr�S l) �� Address �l�`✓f �'wr✓Gr< C�
Name of Architect /eep �ug Address % S/' 1
E
Number of Rooms 1. Foundation C
s Exterior Woorl Roofing
Floors Cwc�E� Interior
Heating Plumbing 4/0 4/(f
Fireplace / f'Q 1�le Approximate Cost (���3
Area
Diagram of Lot and Building with Dimensions Fee CSC
f
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin the above construction.
Name
Construction Supervisor's License
emu,' RI EL, ARTHUR
No 34'14'3" ..Permit For Garage #•; : �' M v � ! , ,
`- Accessory to Dwelling
uckins Neck Road
Location _.
K •Centerville
Owner 'Arthur �Rittel }-
r•
' Type of Constructiom Frame
p". t /Cfr�f .•!p a. r' {•aye }. ' is f
�` l Jai' ! s f F J S3, � . • u� ' t. F ,f � . ( , c � `•�. i.
"Permit Granted Jarivar 18 , `,19 91
Date of Inspection' ; ,119
fs Date Completed 19
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s C C PROJECT:
-
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TITLE: _ TER�ZY LUFF Assoc. 6vc. ARCHII ECTS
'
U NA Maln Ni"t•Hyonnls,MA•02601 (508y7:E.1 y�'S `'"
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In ! H PROJECT:
�?=L�FI1�+511JJ. NECK E 7— —
`�' TITLE: TERY LUFF Assoc. INc. ARCHITECTS -
5, iP1iA70H pELG1LJ SlxMolnStreet•
0 Hyannis,MA 9 02601 (508)778.1555
SEP'1 ACi �O S E'o VwS d- BE
Assessors office(1st Floor): y INSTALLED IN COMPLIANCE
Assessors map and lot number WITH TITLE 5 0 0
Board of Health(3rd floor):
Sewage Permit number �'�6- ENVIRONMENTAL CODE AND
5 �
Engineering Department(3rd floor): TOWN REGULATIONS
House number ' out
163
Definitive Plan Approved by Planning Board 19 00 o ysrb,
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
P P R 0 E� s �N OF BARNSTABLE,
Fj
�. ,rvation
WILDING INSPECTOR
Date
�LICATION FOR PERMIT TO
TYPE OF CONSTRUCTION �Y(�>rr,.� .
Pn 19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according) to the following information:
Location Z on
(am I
Proposed Use I Ua 1 e�
Zoning District` Fire District "Cl
Name of Owner �'Y I YAW 11 a ( I Address
Name of Builder �2 r�l y u � )i`�'Y f Y":S Address - w.
Name of Architect Q ^% Address
Number of Rooms yrk Foundation
--,,-!`..'Exterior C'` a' erg t��t Roofing _ s"
Floors Interior
Heating CQS Plumbing
Fireplace P /� Approximate Cost bob
. r. Area
Diagram of Lot and Building with Dimensions Fee_ d
r n.
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding a above construction.
LLI Name
..� ¢
?r
Construction Supervisor's License
;
RITIELL, ARTHUR A=253-004
No 33973 _Permit For Addition 2nd Floor
Single Family Dwelling
Location 300 .Huckins - Neck Road _
CentQrvi1_1e_ ,-.
Owner. _Arthur -Ritiell
Type of Construction Frame ,
Plot Lot
ttt �
f P
Permit Granted September 18, 19 90 E
Date of Inspection 19 ?
f
i
Date Completed 19
.f
PERMIT CO
MPLETED
i
01 SEPTIC SYSTEM wUST BE
Assessor's office(1st Floor): •j/ . INSTALLED IN COMPLIANCE
Assessors map and lot number WITH TITLE 5 moo*Twc
ENVIRONMENTAL AND
?o�
Board of Health(3rd floor):
Sewage Permit number �'�e- 5- �. e
Engineering Department(3rd floor): � TOWN REGULATIONS { ,,DLz
House number l ' M~`
Definitive Plan Approved by Planning Board 19 0��0 039.
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
p p P R O V E N OF BARNSTABLE
Ba St c Co
er—ion as
ILDING INSPECTOR
Date 1
1�PPLICATION FOR PERMIT TO f--1 p1_—I(I 1�• r�.-'Y1 �-� l P'�"1
TYPE OF CONSTRUCTION
P~]� 19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location (�� ,l>! (mil Vt S �C' — W
Proposed Use ��I Uat�,
Zoning District -b `� Fire District —0
Name of Owner r I Y V �\1 I I e ( � Address
Name of Builder 2 h'1 y N �U f'��f V-S Address
Name of Architect L h fA Address
Number of Rooms r- - Foundation�T
Exterior rk 1a!� 017 K-<� Roofing
Floors —0e`vt.11).1L--- Interior
Heating � S — 44;TI�MA-1 Plumbing 6)a2�j=
i
Fireplace //V LA Approximate Cost 5 aQ
Area L ►'l
Diagram of Lot and Building with Dimensions Fee zi
Ir
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding a above construction. i a
Name r
4. Construction Supervisor's License -
RITIELL, ARTHUR `
No D-973";_Permit For Addition-. 2nd--Floor
Single Family Dwelling
Location - Neck- Road-Hckins Neck- Road
:u
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Centerville-. ,
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