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22-A076 11 Ridgewood Drive Denied
YARMOUTH TOWN ;;ERS" RECEIVED °` o TOWN OF YARMOUTH � 11: 38 REC " 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 JUN 2 3 2022Telephone (508) 398-2231 Ext. 1292 -Fax (508) 398-0836 YARM09,�D KI G'S HIGHWAY HISTORIC DISTRICT COMMITTEE t l �u+nrnv APPLICATION FOR CERTIFICATE OF APPROPRIATENESS Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of 1973 as amended, for proposed work as described below & on plans, drawings, photographs, & other supplemental info accompanying this application. PLEASE SUBMIT 4 Copies OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION. Check All Cate ories That Apply: Indicate type of Building: Commercial Residential 1) Exterior Building Construction: New Building Shed _Solar Panels I.Other: Addition Alterations Reroof Garage 2) Exterior Painting: Siding Shutters Doors Trim Other: 3) Signs/Billboards: New Sign Change to Existing Sign 4) Miscellaneous Structures: Fence Wall Flagpole Pool Please type or print legibly: Address of proposed work: 11 Ridgewood Drive, Yarmouth Port, MA Other: Map/Lot # 114/111 Owner(s): Chrismond Jean Jacques Phone #: (336) 327-3360 All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: 11 Ridgewood Drive Yarmouth Port MA Year built: 1971 Email: jjchris2000@gmaii.com Preferred notification method: Phone Agent/contractor Bruce A Junior Phone #: 508-291-0007 Email Mailing Address: 20 Patterson Brook Rd. Unit 1 W. Wareham, MA 02576 Email: permits.wareham@trinity-solar.com Preferred notification method: Phone _]Email Description of Proposed Work: Install 13.20kw solar panels on roof. Will not exceed roof panel, but will add 6" to roof height. 33 total panels to be located on both from and back of home and to be partially visible from the public way. Signed (Owner or agent): Date: 06/21/2022 Ownerlcontractodagent is aware that a permit is required frorruil1ff1g Department. (Check other departments, also.) v If application is approved, approval is subject to a 10 -day appeal period required by the Act. > This certificate is good for one year from approval dale or upon date of expiration of Building Permit, whichever date shall be later. All new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on-site for framing & final inspections. Rcvd Date: Amount !IV, UV Cash/CK #: Rcvd by: I'r+ �• 45 Days: Date Signed: k 2- Z Approved Approved with Modifications I Denied Reason for Denial: c3 -.tee. , �c^+-1� �—. /- Signed: 1 APPLICATION #: ;P- ' ``-76 TOWN OF YARMOUTH ° OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 1 146 ROUTE 28. SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836 STATEMENT OF UNDERSTANDING CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN As property owner/contractor/agent for construction at JjJ& WQ0J Map/Lot 119/0 1 C/A # __3d— A077& Approval Date: A11A I certify that I understand the following requirements regarding any changes that may be required for this project: In accordance with paragraph 2(a) of section 1.03(General Procedures) of the OKH 972 CMR Rules and Regulations: Only minor changes may be approved by the Committee without the filing of a new application and a new hearing. Minor changes include alterations that can be done without a detrimental impact on the overall appearance of the project such as altering a single window or door change or a minor change of colors. All minor changes by amendment will require the local Committee's or its designee's approval. All changes to previously OKH approved plans require notification to and approval from the local OKH Committee. Change requests must be submitted to the Committee in writing on the appropriate request form, which may be obtained from the OKH office. All change approvals must be obtained before incorporating the change into the project. If the change has been implemented prior to receipt of OKH approval, a Minor Change approval or Certificate of Appropriateness application for the revised plans is still required and will result in a doubled filing fee for the appropriate category of work. Failure to comply with the above statements will result in the Building Department issuing a stop -work order or delaying issuance of an Occupancy Permit or final inspection approval. I have read and understand the above statements. Date: DENIED Signed: Signed: HAOKH COMMITTEEVAppkatren Forms�Statemem of Understanding 2015.docx Updated 1212015 (Owner/Contractor/Agent) (Chairman, Old King's Highway Committee) \ nT,r -.I I I t SOLAR June 21, 2022 MA, Master Electric Contractor N 21233A MA, Home Improvement Contractor H 170355 Rhode Island Contractors' Registration and Licensing Board Registration No. 34372 Rhode Island Renewable Energy Prof REPC-126 For other jurisdictions, please visit: http://Www.trinity-solar.com/about-us/locations-and-licenses Tristan Souza Applications Specialist 20 Patterson Brook Rd. Unit 1 W. Wareham, MA 02576 (732) 722-1278 Tristan.Souza@trinity-solar.com RE: Permit Application for Solar Installation Building Department: Town of Yarmouth Bldg Dept 1146 Route 28 South Yarmouth, MA 02664 RECEIVED JUN 2 3 2022 YARMOUTh Enclosed please find an application and check for 11 Ridgewood Dr. Certificate of Appropriateness. If you have any questions, please contact me at 508-291-0007 x1231. Check attached Very truly yours, Tristan Souza DENIED Applications Specialist Wareham, MA and Rhode Island Offices 1 -877 -SUN -SAVES 20 Patterson Brook Road, Unit 1 Ph: 508-291-0007 Wareham, Massachusetts 02576 Fax: 508-291-0040 www.Trinity-Solar.com Mai GENERAL SPECIFICATION SHEET Proiect Address: 11 Ridgewood Drive, Yarmouth Port, MA FOUNDATION: Material: Exposure (Not to exceed 18"): CHIMNEY: Material/Color: GUTTERS: Material/Color R1 &R2 4112 Asphalt ROOF: Material: p Pitch (7112 min) Height to Ridge: Color: Pewter Gray SIDING: Material/Style: Front: Sides/Rear: COLOR CHIPS Color: Front: Sides/Rear TRIM: All windows & doors to be trimmed with: 1x4 1x5 (Circle one.) Material: Color: DOORS: Qty: Material: Color: Style/Size (if not listed/shown on elevations):3 FRECEEIVED 2022 STORM DOOR5: Qty: Material: Color: I H GARAGE DOORS: Qty: Mat'l: Style: Color: HIGHWAY WINDOWS: Qty/sidle:: Front: Left: Right: Rear: Color: Manufacturer/Series: Material: Grilles (Required): Pattern (616, 211, etc.) Grille Type: True Divided Lite: Snap -In: Between Glass: Permanently Applied: Exterior Interior STORM WINDOWS: Qty: Material: Color: SHUTTERS: Mat'L Style: Paneled Louvered Color: SKYLIGHTS: Qty: Fixed Vented Size Color: DENIED DECK: Size: Decking Mat'I: Calor: Railing MatT Style: Color: WALLS/FENCES* (Max 6' height): Height: MatT Style: Color: (Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area. UTILITY METERS/HVAC UNITS: Location: Screening: LIGHTS: Qty: Style: Color: Location(s): LIGHT POSTS: Qty: _ Location(s): Additional information: Material: Color: 2 -General APPLICATION #:. . * t. TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE Applicant's (Owner) Name: ABUTTERS' LIST Chrismond Jean Jacques Property Address/Location: 11 Ridgewood Drive, Yarmouth Port, MA Hearing Date: Notices must be sent to the Applicant and abutters (including owners of land on any public or private street or way) who's property directly abuts or is across the street from the Applicant. Please provide the Assessor's Tax Map and Lot numbers only. The OKH Office will send out notices using the addresses as they appear on the most recent applicable tax list. Note: Instructions for obtaining the abutters Map and Lot numbers can be found on the Old King's Highway Department page on the Town website: www.yarmouth.ma.us Map Number Lot Number Applicant Information: Abutter Information: RECEIVED JUN 2 3 2022 Y AHMOU n DENIED IN I( -.'>- .'> -UD U D 11q Application #: 22 -- ftb-7 b Q N O N N C'? N 4 Ln w N +1 RECEIVED JUN 2 3 2022 YAKIVIUU'l h DENIED 7LL � grn E WE E 00 N � %d � ti Z i, n CC77 O.E to � g zr F w a RECEIVED JUN 2 3 2022 YAKIVIUU'l h DENIED 1141 1161 1 ! SMITH JEFFREY SARGENT TRS SMITH CYNTHIA SUE TRS PO BOX 214 YARMOUTH PORT. MA 02675 1141 115/ 1 I SMITH JEFFREY SARGENT TRS SMITH CYNTHIA SUE TRS PO SOX 214 YARMOUTH PORT, MA 02675 114/ 971 1 1 FEIGHTNER MATTHEW L FEIGHTNER HILARY E 20 HAMBLIN HILL RD YARMOUTH PORT, MA 02675-2332 1141 1121 1 FOREST TERESA G PO BOX 856, OTIS , MA 01253 1141 1111 I 1 JEAN JACQUES CHRISMOND JEAN JACQUES MARIE F 11 RIDGEWOOD DR, YARMOUTH PORT, MA 02675 114/ 1101 1 1 WALTER MICHAEL 30 LAUREL ST APT 1 SOMERVILLE , MA 02143 1141 105/ ! 1 REHG HEATHER A 18 RIDGEWOOD DR YARMOUTH PORT, MA 02675 JUL 1 1 2022 YARMOU-r-h DENIED A`" Q® CERTIFICATE OF LIABILITY INSURANCE DATE5/1312022 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: N the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or 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 Arthur J. Gallagher Risk Management Services, Inc. 4000 Midlantic Drive Suite 200 Mount Laurel NJ 08054 CONTACT NAME: Mark GlasBla PHONN . 856-482.9900 FrC Nc ; 656-462-1888 IAIC an�or:Ess: CherryHIiII.BSD.CertMCWG.com INSUREIRl AFFORDING COVERAGE NAIC9 INSURER A: Gotham Insurance Company 25569 GL202100013378 INSURED TRINHEA-03 Trinity Solar Inc. 20atterson Brook Road, Unit 1 20 Pa INSURER B: National Union Fire Insurance Company of Pittsburg19445 INSURER C: Liberty International Underwriters INSURER D: W. Wareham, MA 02576 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 590414193 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 LTR TYPE OF INSURANCE ADDL SUER POLICYNUMBER POLICY EFF (mutopiYyyyj POLICY EXP ifielityDiDiiLIMITS A X COMMERCIAL GENERAL LIABILITY GL202100013378 6/1/2021 6/1/2023 EACHOCCURRENCE $2,000,000 CLAIMS -MADE i -i -I OCCUR DAMA E PREMfSES Ea occurrence $100,000 MED EXP (Any one personi $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECTT F LOC PRODUCTS -COMPIOPAGG $2,000,000 $ OTHER: B AUTOMOBILE LIABILITY CA 2960145 6/1/2022 6/112023 COMBINED SINGLE LIMIT $ 2,000,000 Ee aCCitlent BODILY INJURY (Per person) $ X AINYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY tROPERTYhLIURY(Per acddent) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PCIAMAGE $ Per accident $ A C X UMBRELLA LIAB X EXCESS LIAB OCCUR CLAIMS -MADE EX202100001871 ELD30000989101 1000231834-06 6/112021 61112023 6/112022 611/2023 6/112022 61112023 EACH OCCURRENCE $ 5,000,000 AGGREGATE $5,000,000 DED RETENTION $ Limit x of $5,000,1100 $ 19,000,000 9 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N WC 13588108 1 611/2023 X I STgTUTE ERH E.L. EACH ACCIDENT $ 1,000,000 ANYPROPRIETOR/PARTNERIEXECUTIVE OFFICER)MEMBEREXCLUDED? NIA E.L. DISEASE -EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ 1,000,000 9 Automobile CA 2960145 6/1/2022 611/2023 All Other Units $2501500 Comp/ Collusion Ded. Truck -Tractors and Semi-Traifers $2501500 DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence of Insurance RECEIVED DENIED JUN 2 3 2022 CERTIFICATE HOLDER I ,-, vr' n"r.rClc�c Evidence of Insurance ACORD 25 (2016103) 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 Y4 O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD RECEIi/ED The Commonwealth o Massachusetts f LOLD Department of Industrial Accidents US! 2 3 2022 ' Office of Investigations YHt� S 1 r; KI G'SNNIGHV4 Lafayette City Center 2Avenue de Lafayette, Boston, MA 02111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Let=_ibly Name (Business/Organization/Individual): _ Trinity Soler Inc Address: 2211 Allenwood Road Uty/State/Gip: Wall, New Jersey 07719 Phone #: (732) Are ou an employer? Check the appropriate box: 780-3779 Type of project (required): 1.I am a employer with 300 4. ❑ 1 am a general contractor and 1 6. New construction employees (full and/or part-time). have hired the sub -contractors City,'State/Zip: 2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. addition [No workers' comp. insurance required.] comp. insurance.i 5. [] We are a corporation and its ,[_],/)3uilding 10.Llectrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, § 1(4). and we have no 13.F1 Other employees. [No workers' comp. insurance required.] 'Any applicant that checks box ti 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 hire outside contractors must submit anew 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 am an employer that is providing workers' compensation insurance for my employees. Below is the poli E D information. Insurance Company Name; American Guarantee and Liability Ins Co Policy €i or Self -ins- Lic. #: WC 13588108 Expiration Date: 06/01/2023 .lob Site Address: 11 Ridgewood Drive City,'State/Zip: Yarmouth Port, MA Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $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 insurance coverage verification. Ido herebZAed4JtVxd Lr the pains and penalties of perjury that the information provided above is true and correct (508) 291 Official use only. Do not write in this area, to be completed by city or town official, City or Town: Permit/License # 06/21/2022 Issuing Authority (check one): l❑Board of Health 20 Building Department 30Clty/Town Clerk 4.0 Electrical Inspector 5EIPlumbing Inspector 6.❑Other Contact Person: Phone #: RECEIVED JUN 2 S 2022 fawVIOm3 0 � L § s 2 ;z co 1 . < 3 J W .— � �d k co / LL O 3 - k`\6/ w « 2 § �] £ t R vLoC> 0 22'nCL � k � in� ^ U 4 - Lu .S � O f � ■ � � � 2 | )� ;EI■ 72■f 227; k�&MCC )k§ §J§9 L2%2z M -a Up W o 8 to § k w m § z � a r -'a _o e u k ; 2 2�0 \ v « 2`zj0 ) m o §�Z � g =-�L ) 2 kk� a§ 2 Lu o� LO �|w�.n 0 � zk��^�)w U) �G■ � k \� %§\ Lu & �§ « o f \ � %I0 I /: . 2w f . f � ■ � � � 2 | )� ;EI■ 72■f 227; k�&MCC )k§ §J§9 L2%2z M -a Up W o 8 to § k w m § z � a r -'a _o e u ; 2 2�0 \ o•° �n «;/22 « 2`zj0 in \ §�Z =-�L ) k4§ a§ Lu o� LO �|w�.n 0 � zk��^�)w k� �G■ � S�2 \� %§\ Lu & �§ q§\ o f \ / k bEf §k§ DENIED ECEIVED ,JUN 2 3 2022 YARMOUTh Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constructio 744 i4q.i & 2 Family ' CSFA-067961 I!Oires:0711312022 i BRUCE A JUNIOR 7, B SOMERVILl p ST ` } MARSHFIELD-PA .3 Commissioner �SG ". i7 mcQ DENIED p' P051,� n rN ® NJ, Electrical Contractor business permit number34EB01547400 I TrET I I L NJ, HIC reg. # 13VH01244300 SOLAR For other jurisdictions, please visit: http://www.trinity-solar.com/about-us/locations-and-licenses RSD IVFin IEU JUN 2 3 2�Z2 HOMEOWNERS AUTHORIZATION FORM I, , YHHM4�l� h (print name) KINGS HIGHWAY am the owner of the property located at address: 11 Ridgewood Drive Yarmouth Ma 026 (print address) I hereby authorize Trinity Solar Inc. ("Trinity Solar") and its employees, agents, and subcontractors, including without limitation, , to act as my Agent for the limited purpose of applying for and obtaining local building and other permits from the Authority Having Jurisdiction as required for the installation of a Photovoltaic System, Battery System, roofing or other Trinity Solar offerings located on my property, applying and obtaining permission and approval for interconnection with the electric utility company, and registration with any state and/or local incentive program(s). This authorization includes the transfer/re-administering, and/or cancellation of any existing permits on file for the purpose of updating/applying with an alternate subcontractor. Without limitation to the generality of the foregoing I specifically authorize Trinity Solar et al. to populate technical details, fill-in, edit, compile, attach drawings, plans, data sheets and other documentation to, date, submit, re -submit, revise, amend and modify application, submission and certification documents ("Approvals Paperwork"), including those for which signature pages are included herewith for my signature, in furtherance of the related transaction, and I am providing any signatures to Approvals Paperwork for purposes of the foregoing. Trinity Solar will provide copies of Approvals Paperwork when submitted. My authorizations memorialized herein shall remain in full force and effect until revoked. I acknowledge that these authorizations are not required to proceed with the transaction and are not a condition of the related agreement included herewith but are being given for my own convenience and benefit in order to expedite the approvals processes. Electric Utility Company: EvCrsourCe Electric Utility Account No.: 14557770030 me tric Utility Account: Customer Signature Print Name 5/10/2022 Date Corporate Headquarters 2211 Allenwood Road Wall, New Jersey 07719 DENIED 1 -877 -SUN -SAVES Ph: 732-780-3779 Fax: 732-780-6671 www.trinity-solor.com FOR INFORMATION ABOUT CONTRACTORS AND THE CONTRACTORS' REGISTRATION ACT, CONTACT THE NEW JERSEY DEPARTMENT OF LAW AND PUBLIC SAFETY, DIVISION OF CONSUMERS AFFAIRS AT 1-888-656-6225. 4�p-Au�71 ® �a • Cie < mi J � 0 _ c3 W H W W fn H Z 00_ W Z 06 U D o Q �O o W 0 to Zui N❑ZZW J DENIED Wzz�Z00Q ��OOUx R 0 x -¢ --Z W W 0> U W �� D Z00OOwWwa R�rCF, U W W W Q l��rr[4� W —N(?V� JUN 232022 � aaaaa¢ 0 W YAHNIUU I f* OLD KING'S HIGHWAY e t V) '° o �//�� L/) yl °- Q u ; Z W OC w CD hxxx °° s t12 Q 4� Jzz4z1�rc �chg$xa��s N zzz gg ��esssz�azz9 da���a� j O � Q a 0005 �_ _ N w O° �i�N°r O y rc goo��-o w szs was_'<Bw-�ac'z ua o s a w 1.i 5 w3°L�°3hu ° ;ww�W,=6m Q � C) Lu'w ";» g �e kY$�i° mu�'u BS�wwLL'. ass �i Q z J =° °8zow� 'Ac- ° pj o FEW$ i�s?oyozw "aSa8Wrc awo i$s �� V / Occ_ : WWw -Nzi -gym_ ~' $i ��-aw�j� g°N�a w ��au s�wu�"J`mzuaa�xN$°wsazaipw zw�z Z Qag3 a azw Qw E°�h�zgw g$wo a° oQ�o��Q�oS�h4n�a�z�w 2�'�' °igs rc���rc�zd ■..r.� ��o�3 �SQ�wwao w oN x ozaiz°a Avg;- a�4zaai�cLL�v�?`2 gu°9�°ra.a iu�m w LL w m m p x aa U O i gw K O a w '0 wi l]� v1JR26H 6 1wZ iU' N d VMS © �aQ a� j ii4 o�a w ° i y h Sm °° g =`.mg. 990WIME! iwg Www >m iO i..� -�no s uo <z3,��zw'� o saw z3Qi $"dw .fog,.,�° �8 U3�F� j�znw�ww�LL iao6�z iazll3 iU 6? 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