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BLD-23-003985
/2I-4 Z13/23 ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department 'oF r ... 1146 Route 28, South Yarmouth,MA 02661 1492 ;'i l 508-398-2231 ext. 1261 Fax 508-398-0836 .,._*'�,.,1 ■ Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish : ....,,i.. -:-."; a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: �Db�C1�'s Date Applied: V',vr-, 4)u'AC 5 ,%, = � . .---3Building Official(Print Name) Sign- ig aatur`re R E UteE I E SECTION 1:SITE INFORMATION 1.1 Property Apdress: 1.2 Assessors Map&Parcel Numbers JAN 19 2(23 1.1a Is this an accepted street?yes no Map Number Parcel DEPANUA•TM E N T 1.3 Zoning Information: L4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required I Provided Required Provided Required Provided 1 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 11 Private❑ Zone: _ Outside Flood Zone? Municipal 0 On site disposal system lir Check if yes0 SECTION 2: PROPERTY OWNERSHIP` 2.1 Owner'of Record: Scc, it ge id Sc;.tL- Y61 r m.,.-d-1,t A/4 , 0 (vt t% Name(Print) City,State,ZIP 66) Gc l.//2j .5-4 -2y/-?7,? P c Esc h 44)j YV ltAi /,le ;✓t No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building II? Owner-Occupied 0 1 Repairs(s) i Alteration(s) el Addition 0 Demolition 0 1 Accessory Bldg. D Number of Units Other ❑ Specify: Brief Description of Proposed Work2: . _A , /4'. , C in t?- ' l e / c-'',.i . 4/..l/ At- . it. TZfrt 4 I MIESIZVIffligeffre / `Z / ' SECTION 4:ESTIMATED CONSTRUCTION COSTS. . Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 3Q` <<,,,,, 1. Building Permit Fee:$ (S 0 _Indicate how fee is determined: la Standard City/Town Application Fee 2.Electrical $ l 5-PO Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2,f-ii& 2 Other Fees: $ * 4.Mechanical (HVAC) $ 4 '?2 List: 357.66 (11.-41. i 5.Mechanical (Fire - - \�\/� " )✓ Suppression) $ Total All Fees:$ Check No. Check Amount Cash Amount., 4 6.Total Project Cost: $ 3 , mo C]Paid in Full l l Outstanding Balance Due: `t��� \19 r ! 1 r . ?' . .=3 , . . SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number Expiration Date Name of CSL Holder List CSL Type(see below) No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) _ R Restricted l&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering • WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D I Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and Street Email address City/Town,State,LIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes 0 No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date • SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my ame below,I hereby attest under the pains and penalties of perjury that all of the information contained ' i j•�., n is r and accurate to the best of ray knowledge and understanding. ..." - 69/////)0,,?7 Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca information on the Construction Supervisor License can be found at www.mass.eov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" • The Commonwealth of Massachusetts Department of'Industrial Accidents air ]siw —•' '~ 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dui Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/ -J lT OOrganization/lndtvtdual): CO •st , Address: �'6'? 6l ' / `L. City/State/Zip: Sout4 r rL, � ,¢ �C —vw tJ y Phone#: _S"& 'ac V-72 Are you an employer?Check the appropriate box: Type of project(required): I.E.1 am a employer with employees(full and/or part-time).* 7. fl New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. NkRemodeling ' any capacity.(No workers'comp.insurance required.] 3. V I am a homeowner doing all work myself. (No workers'comp.insurance required.]: 9 ❑ Demolition 4.Q coon-actors I am a homeowner and will be hiring cooctors to conduct all wort:on my property. 1 will 10 Building addition ensure that all contractors either have workers'compericarion insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet These sub-contractors have employees and have workers'comp.insurance.t 13.0 Roof repairs 6.111 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[1]Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box Q 1 must also till 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. l am an employer that is providing workers'compensation insurance for my employees_ Below is the policy and job site information. Insurance Company Name: Policy k or Self-ins.Lic.4: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable 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 ORDER 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. .do hereby certifypnder the pains an penal( of perjury that the information provided above is true and correct Date: Phone 4: ,5"-e "02 Y/-3 77; Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License 4. Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone 4: TOWN OF YARMOUTH of.Y�i?E °) BUILDING DEPARTMENT 6 ,L; „. °� 1146 Route , South Yarmouth,MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: JOB LOCATION: S('ei #& 9 L:,li /L1i )tV - :S•t%d..fi V&1�c/1L NAME STREET ADDRESS SECTION OF TOWN "HOMEOWNER" NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS CITY OR TOWN STA'I LIP CODE The current exemption for `Homeowner' was extended to include owner—occupied dwellings of one or two units and to allow such homeowners to engage an individual for hire who does not possess a license,provided that such homeowner shall act as supervisor. (State Building Code Section 110 R5.1.3.1) Definition of Homeowner: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is or is intended to be, a one or two family attached or detached structure assessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner;such"homeowner"shall submit to the building official, on a form acceptable to the building official,that he/she sbnll be responsible for all such work performed under the building permit. (Section 110 R5.1.3.1) The undersigned `homeowner' assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned 'homeowner' certifies that he / she understands the Town of Yarmouth Building Department minimum inspection procedures and requirements and that he / she will comply with said procedures and requirements. HOMEOWNER"S SIGNATURE rC& t--'t APPROVAL OF BUILDING O1141CIAL INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch.142. Yes No If you have checked ves, please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent h:homeownsiicexemp §TOWN OF YARMOUTII 1146 Route 28, South Yarmouth, MA 02664 508-398-22311 ext.-1261 Fax 508-398-0836 Office of the Building Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Ch. 40, §54 and 780 CMR- Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at id ilia h Ate.` 4v Va/.441 o lit Work Address Is to be disposed of oat the following location: rA( ti.- fit ©ui,. U rVL e4 f Zvi L s f . j r YL fCr Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. a///100.23 Signature of Application Date Permit No. ♦ w • • a r'. x • Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined 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 grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal 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,MGL chapter 152, §25C(7)states"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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The 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. In addition,.an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fature permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02 1 1 4-20 1 7 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 02-23-15 www.mass.gov/dia 3 - .Z We, ROBERT J. SEWARD, of 110 Chestnut Street, Apartment 6, Waltham, Massachusetts, individually and as Personal Representative of the ESTATE OF DOROTHY EMILY SEWARD, also known as DOROTHY E. ARMS (see Docket No. BA22P1463EA) , late of Yarmouth (South) , Barnstable County, Massachusetts, by power conferred by said Will and every other power, and BARBARA J. JENKINS, individually, of 40 Rosa Lane, Marstons Mills, Massachusetts, for consideration paid, and in full consideration of FIVE HUNDRED THOUSAND AND 00/100 ($500, 000 . 00) DOLLARS, grant to SCOTT L. REID, Individually, now of 60 Wood Road, South Yarmouth, Massachusetts 02664, with quitclaim covenants the land together with the buildings thereon, located at 60 Wood Road, Yarmouth (South) , Barnstable County, Massachusetts, bounded and described as follows : NORTHWESTERLY by Wood Road, as shown on plan hereinafter mentioned, one hundred one and 51/100 (101 . 51) feet; NORTHWESTERLY, NORTHERLY and NORTHEASTERLY by a curve at the junction of Wood Road and Sylvan Way, as shown on said plan, fifty-four and 51/100 (54 . 51) feet; EASTERLY by Sylvan Way, eighty-three and 46/100 (83 . 46) feet; SOUTHEASTERLY by a portion of Lot 12, as shown on said plan, eighty and no/100 (80 . 00) feet; and SOUTHWESTERLY by Lot 3, as shown on said plan, one hundred three and 86/100 (103 . 86) feet . Containing 11, 590 square feet, more or less, and being shown as LOT 4 on plan entitled "Subdivision Plan of Land in South Yarmouth, Mass . for George H. and Mae E. Murray Scale 1" = 40' December, 1960 Gerald A. Mercer & Co. , Inc. Engineers South Yarmouth, Mass. ", which plan is duly filed with the Barnstable County Registry of Deeds in Plan Book 161, Page 35 . Together with a right of way over Sylvan Way, as shown on said plan, in common with all others legally entitled thereto. The above-described premises are conveyed subject to and with the benefit of restrictions, rights, rights of way, easements, appurtenances and restrictions of record insofar as the same are now in force and effect . The Grantors named herein do hereby voluntarily release all our rights of Homestead as set forth in M.G. L. Chapter 188, if any, and there are no other persons entitled to any such rights . For title see deed to Dorothy E. Arms dated September 16, 1982 and recorded at the Barnstable County Registry of Deeds in Book 3562, Page 248 . Said Dorothy E. Arms, also known as Dorothy Emily Seward, deceased March 7, 2011, late of Yarmouth (South) . See Barnstable Probate Docket No. BA22P1463EA. (Signature pages to follow) j h + ' Witness my hand and seal this 16th day of January, 2023. Ro ert J. ewar Individually and as Personal Representative as aforesaid COMMONWEALTH OF MASSACHUSETTS Barnstable, ss . On this 16th day of January, 2023, before me, the undersigned notary public, personally appeared ROBERT J. SEWARD, individually and as Personal Representative as aforesaid, proved to me ,through,; atisfa. tory evidence of identification, which was r ('% to be the person whose name is signed on the preceding' or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose. - (11A,,, ' -1 ) ' G \.4A' - .. . 0/ --,'clq_(,/ Y k).--: 1)j ( Notary Public My commission expires : "� CONSTANCE A. BACI >=: :z t NOTARY PUBLIC ;.' ,y ?a i;Gtnmonwealth of Massachusetts r: I :`5-Y Oly Commission Expires "�,tNovember 2, 2023 Law Office of Karen Weston Hanesian,P.C. 889 West Main Street,Unit 2 P.O.Box 2218 Hyannis,MA 02601 Tel.508-790-4326 Witness my hand and seal this 16th day of January, 2023 . - ,,nth4a _ Barbara J. s COMMONWEALTH OF MASSACHUSETTS Barnstable, ss . On this 16th day of January, 2023, before me, the undersigned notary public, personally appeared BARBARA J. JENKINS, individually, proved to me through satisactory evidence of identification, which was V' %Vvl,L%�-�4h \IR (. (,41 to be the person whose name is signed on the preceding or attached document, and acknowledged to me that she signed it voluntarily for its stated purpose. Notary Public My commission expires : 1.411 CONSTANCE A. BACI :4 $ NOTARY PUBLIC -1 dOfimOnwsalth of Massachusetts iy;,:•r My Commission Expires w November 2, 2023 Law Office of Karen Weston Hanesian,P.C. 389 West Main Street,Unit 2 P.O.Box 2218 Hyannis,MA 02601 Tel.508-790-4326 1`1 e4.w► (Q0 3 J' w 1IVH l r F /- ! J V.( CA t0*.) . ,____.-- -......) ,„.„,osoop t. ,i� . 3 f 0 o r RFC�!F . , 1 At.' . ',',^LI Al-. ..L THE 1. Cu auk { Qom,LD,G FICIAL 1 1 I I .'.� — •.^ ,m �. `r'' I _i I _ ....I0 ---, V 0 o m 001 I 1 U) i or ,ti r 0 I * f.. 1 Y I .> / s 1 , 1 h !` ! f s i yv 1 El 1 _ IN 1 I I _ i 3 all' .,,,,,, 1 .___ „.., , + , , , 1 , , 1 , cp, , 1111111111111111111111111111111111111111111111111111111111111111 , , L ...„ ,,,,, , ,, , , , , , _ , ...... 4 V 1 C. ,a. (44 ! ammilmaimemmun 4,r tit / i 1 I1 (*>)ise Cascade Double 1-3/4" x 7-1/4" VERSA-LAM® LVL 2.1E 3100 SP PASSED FB01 (Drop Beam) BC CALC®Member Report Dry E 1 span E No cant. January 19,2023 15:56:44 Build 8435 Job name: 60 Wood Road File name: Reid-60 Wood Road Address: 60 Wood Road Description: City, State, Zip: South Yarmouth, MA, 02664 Specifier: Customer: Scott Reid Designer Kevin Lonkart Code reports: ESR-1040 Company: Mid Cape Home Centers 1 1 1 1 1 1 1 1 1 4, 4, 1 4, 1 4, 4, d 4, 1 1 4, 4, 1 1 1 1 l 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 k � 10-oo-oo B1 82 Total Horizontal Product Length=10-07-00 Reaction Summary (Down /Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live B1, 3-1/2" 1376/0 727/0 B2, 3-1/2" 1376/0 727/0 Load Summary Live Dead Snow Wind Root Tributary Live Tag Description Load Type Ref. Start End Loc. 100% 90% 115% 160% 125% 0 Self-Weight Unf. Lin. (Ib/ft) L 00-00-00 10-07-00 Top 7 00-00-00 1 Attic Uninhabited Limited Unf. Area(Ib/ft2) L 00-00-00 10-07-00 Top 20 10 13-00-00 Storage Controls Summary Value % Allowable Duration Case Location Pos. Moment 5092 ft-lbs 83.3% 100% 1 05-03-08 End Shear 17471bs 36.2% 100% 1 00-10-12 Total Load Deflection U286(0.425") 83.9% n\a 1 05-03-08 Live Load Deflection U437(0.278") 82.3% n\a 2 05-03-08 Max Defl. 0.425" 42.5% n1a 1 05-03-08 Span/Depth 16.8 % Allow %Allow Bearing Supports Dim.(LxW) Value Support Member Material B1 Column 3-12"x 3-1/2" 2103 lbs n\a 22.9% Unspecified B2 Column 3-1/2"x 3-12" 2103 lbs n\a 22.9% Unspecified Notes Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum(U360)Live load deflection criteria. Design meets arbitrary(1")Maximum Total load deflection criteria. Design based on Dry Service Condition. BC CALC®analysis is based on IBC 2009. Calculations assume member is braced at ends. See engineering report for the unbraced length. Connection Diagram: Full Length of Member to--1 G hos-- a — .- jH . � • • I • • • { Page 1 of 2 .y. .xti0. e y • :.�., • 1 T • • ` ' i s .at:s tr k 1(4 ♦ aoisecascade Double 1-3/4" x 7-1/4" VERSA-LAM® LVL 2.1E 3100 SP PASSED FB01 (Drop Beam) BC CALC®Member Report Dry I 1 span I No cant. January 19, 2023 15:56:44 Build 8435 Job name: 60 Wood Road File name: Reid-60 Wood Road Address: 60 Wood Road Description: City, State, Zip: South Yarmouth, MA, 02664 Specifier: Customer: Scott Reid Designer. Kevin Lonkart Code reports: ESR-1040 Company: Mid Cape Home Centers Connection Diagram: Full Length of Member a minimum= 1-3/4" c=3-3/4" bminimum=6" d =24" e minimum= 1" Calculated Side Load=0.0 lb/ft All FastenMaster screws may be installed from one side of multiply Versa-Lam beams. Connectors are: FMFL312 Disclosure Use of the Boise Cascade Software is subject to the terms of the End User License Agreement(EULA). Completeness and accuracy of input must be reviewed and verified by a qualified engineer or other appropriate expert to assure its adequacy,prior to anyone relying on such output as evidence of suitability for a particular application.The output here is based on building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call(800)232-0788 before installation. BC CALC®,BC FRAMER®,AJS'1°, ALLJOIST®,BC RIM BOARD'"",BCI®, BOISE GLULAMTM',BC FloorValue®, VERSA-LAM®,VERSA-RIM PLUS®, Page 2 of 2 44,0 t s • . - f . ,... •rv,x-._.r,...ne;.n.. .a...m....,._..,,: .....�..... ... ..,.. ......m.,...,..n ,:. ..�:...,.u.-......:,xw-., ,..xn�.•. [[++ee.?? ,,,..,�..:....+.n-w,..abr•:.«. ,._ .. .. y ..... � .y.•.. . .. e..,.., ditlh. • • • ,--