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I- uN a a D U (n 0 Town of Montville Building Department CERTIFICATE OF OCCUPANCY APPROVAL VAZek h Lei vi/ L- Property Address L 1 Job Description - Re•uired for all •ermits ® - At least one re•uired for all •ermits ❑ - Re•uired as indicated below Required Department Permit Issuance Approval Approval Planning &Zoning rfI ( J I'7-1 J I L Signature/date Comments: ()1\C kr\caL9 (9 1 "2)0ip(_n Health Department Required for properties with septic systems—Not required for Plumbing,Electrical,Mechanical,Roofing,Siding,Windows&Doors Signature/date Comments: WPCA, Administrative N\(\ ) j4AJi" L D Required for properties on sewer gnature/date Comments: WPCA, Operations When Required by WPCA Signature/date Comments: ❑ Fire Marshal Required for all properties EXCEPT one and two family Signature/date Comments: Department of Public Works Required when project includes driveway work or certain drainage requirements Signature/date Comments: ❑ Copy of State Dept. of Transportation Certificate Required for Structures over 100,000 sq.ft. or with more than 200 parking spaces-Official copy of STC Certificate of Operation required—per CGS 14-311 Signature/date Building Department Final Inspection 4visaTrauem6er5,2008 io Town of Montville -44' Building Department Date: �3 of` Field Inspection Notice Permit#: , Address: 7 `-/ti 164.(,) cD a Not Comments/Corrections Required—re-inspection required: Inspection Approved Approved 'AlFootingClt 0 0 Backfill 0 ❑ _ ❑ Framing Slab 00 OOiT/� c / %//CSG 4777 75-- ❑ Rough Elec ❑ /749,e- 0 Elec Service 0 0 ❑ Rough HVAC 0 0 ❑ Rough Plumbing 0 0 ❑ Gas Line 0 0 ❑ Fireplace Throat 0 0 ❑ Chimney 0 0 ❑ Fire/Draftstopping ❑ 0 ❑ Insulation 0 0 ❑ Final Inspection 0 0 ❑ C of 0 0 0 ❑ 0 , ,lam ,-------77,-- l�J/` ,.s..,tor's Signature j/ 000 $ Town of Montville .0 1 Building Department Date: /i/vs Field Inspection Notice Permit#: Address: " £a, ,,L,,, Q,, Not Comments/Corrections Required—re-inspection required: Inspection Approved Approved ❑ Footing 0 0 p_51- e;, -.7- /L - : 9 El Backfill 0 0 y� '`��� i ❑ Concrete Slab00 ❑ Framing 0 0 ❑ Rough Elec 0 0 ❑ Elec Service 0 ❑❑ ❑ Rough HVAC o Rough Plumbing 0 0 ❑ Gas Line 0 0 o Fireplace Throat 0 0 ❑ Chimney 0 0 ❑ Fire/Draftstopping 0 0 0 Insulation 0 0 o Final Inspection 0 0 ❑ CofO 0 0 G, c �sf r / 0 \--i-- � ��C•"'_ ,/: -) /)-ter Inspector's Signature Town of Montville Building Department A el Field Inspection Notice Address: 64 Rainbow Drive Job Description: Manufactured Home Permit Numbers:B2004-0562—BE2005-0102—E2005-0102—M2005-0081 gas—P2005-0058 Footing Not Approved: Approved: 6/22/05 DJ Deck Piers Comments: 1. Certificate of Not Approved: 3/22/06 JS Approved: Occupancy 1. Shed not anchored to the ground 2. No cap on sewer cleanout 3. Extension cord for the heat trace on the water line is not grounded Certificate of Not Approved: Approved: 3/28/06 VV Occupancy Comments: 1. Re-Inspection Not Approved: Approved: Comments: 1. Comments: Page 1 of 1 Town of Montville Building Department Field Inspection Notice Address: 64 Rainbow Drive Job Description: Manufactured Home 'L Permit Numbers:B2004-0562—bE2005-0102 Footing Not Approved: Approved: Comments: 1. Backfill Not Approved: Approved: Conunents: 1. Framing Not Approved: Approved: Comments: 1. Rough Electric Not Approved: Approved: Comments: 1. Electrical Service Not Approved: Approved: 5/24/05 DJ Comments: 1. Rough HVAC Not Approved: Approved: Comments: 1. Rough Plumbing Not Approved: Approved: Comments: 1. Gas Line Not Approved: Approved: Comments: 1. Fireplace Throat/ Not Approved: Approved: Chimney Comments: 1. Fire/Draftstopping Not Approved: Approved: Comments: 1. Insulation Not Approved: Approved: Comments: 1. Tie downs or Not Approved: Approved: Anchorage Comments: 1. Unit on site and in place as 5/19/05 DJ Note that there are no tie- downs into the new slab. Certificate of Not Approved: Approved: Occupancy 1. Not Approved: Approved: Comments: 1. Not Approved: Approved: Comments: 1. Comments: ( a'Z (01-e- Page 1 of 1 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 BUILDING PERMIT Permit Number: B2004-0562 Date: 08-Sep-04 Map/Lot: 016/029-T64 Owner ID: 5770000 Project Location: 64 RAINBOW DRIVE Unit: Job Description: Manufactured Home Owner Name: John D Gardner Tenant Name: N/A Careof: 64 Rainbow Drive Uncasville CT 06382- Telephone: Contractor Name: Property Owner Telephone: (860)793-0281 DBA: Lic/Reg Type: NHC Lic/Reg No: 149 Exp Date: 30-Sep-05 Construction Value Permit Fees Construction Information Building Value: $15,760.00 Building Fee: $128.00 Use Group: R-4 Plumbing Value: $420.00 Plumbing Fee: $8.00 Code: 1999 State Building Code Mechanical Value: $450.00 Mechanical Fee: $8.00 w/2000 Amendment Electrical Value: $210.00 Electrical Fee: $8.00 Construction Type: 5B Total Value: $16,840.00 Penalty Fee: $0.00 Permit Code: R6 C of 0 Fee: $25.00 Comments: Plan Review Fee: $15.20 State Ed Fee: $2.69 Total Fee: $194.89 It shall be the owners reosonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. LI Footing -Prior to pouring concrete ❑ R Plumbing and leak test ❑ Backfill-Footing drains and waterproofing ❑d R Electrical ❑ Concrete Slab -Prior to pouring concrete 0 Elec Trench-with conduit installed El Framing ❑ Electrical Service CRS No: 0_ ❑ Fireplace Throat-One flue above throat ❑ R HVAC ❑ Chimney-One flue above thimble ❑ Gas Piping and leak test ❑ Firestop Draftstopping ❑ Final Inspection Cl Insulation ❑d Certificate of Occupancy Building Official's Approval: AO' ,if`�� r v Town of Montville Building Department Permit # 310 Norwich-New London Tpke. Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231 One & Two Family Building Permit Application Form New Construction 0 Addition 0 Alteration 0 Accessory Structure 0.1•titer gleLr4 01&vv Job Location 67 kc:A.bew O: V� Job Description/Materials Ref/Gte. A. itlC /4�,t,v4&c"1 v.re AMC- / -. Owner -_1GASG,n3 .-.1itc, Mailing Address a 0. 60?0 6c '5 City ,SOUL:nc,4-Grtn, Cr State C f Zip dao rs f Tel gG 0 / 9? / 4028 Contractor ,saw e,) Mailing Address City State Zip Tel / / Contractor's License/Registration Type&Number New hL1 c 4v/r7 Exp. Date 930 1.240S— I hereby certify that the proposed work will conform to the Basic Building Code and all other codes as adopted by the State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee and that I am authorized to make application for a permit for such work as described above. Owner/Agent Signature (4:44.-..— Date $ / 12 / d y Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total $ $ STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION BuiIdin: Permit Affidavit for Pro.e Owners or Sole Pro.rietors (Conn- Gen. Stat. §31-286b) Property located at In the town of Name of building permit applicant: Please check one: I'_I am the owner of the abovero P perty. 2. I am the sole proprietor of a business- -2A.Name of business 28.Federal Employer Identification Number Pursuant to § 31-286b,« ................. a Property owner or soleproprietorc--- ge •.a_--- contractor or principal employer"may [who] -to act as a general insurance o a sworn notarized provide either a cite of workers`compensation affidavit... stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this cher Please check one: 1._I do not intend to act as a general contractor or principal employer. [Sign and stop here] Signature of applicant 2. I intend to act as a gena-al contractor orrinci provide a certificate of workers`compensation �employer.Applicant most either below. insurance or sign the affidavit ........... Affidavit ................ I hereby swear and attest that I will requirep ..._....---••-- conhador, subcontractor, or other wp-bCft"ooO�fhv h�of �compensation insurance accordancentactor, ubcwith the Workers'Comfor every gages in work on the above property in Compensation Act(Chapter S68). I under nd that pursuant to §31-275 C.G.S.,officers of a co partnership may elect to be excluded from coverage by filingwaiver and the partners a District Office; and that a sole proprietor of a business is notedwith the appropriate files his intent to accept coverage. required to have coverage unless he Signature of applicant Subscribed and Sworn to before me this day of 200_ (Notary Public/Commissioner of the Superior Court) Town of Montville. Building Department Receipt 1 Date / / / 4" No. 04244 1 From: Job Address: 9 ,Fa. A/)40 Amount $ /40° 9. V Cash WO Check # 0. 7 , 1 / Air i I Received by ,.,11t-,-,, , /, ' l / , > .i/ Permit #J6144-40p2 i Town of Montville Plan Review Form Date: A c1f-r. us-r Zj,2oc0 Street Address: 6 LI, goat D1Z1 va" Job Description: /✓JAG, We have received a building permit application for the above referenced property. In accordance with Connecticut General Statute 29-263,your application is being rejected for the following reason(s)that are checked-off or commented on: • Supporting Documentation Plans are to be drawn to scale including dimensions of rooms and spaces and all framing information Building permita plication not completed,signed,dated Permit fee$ /'7I/ Worker's comp.Affidavit or worker'comp.Insurance Copy Contractor's registration or license Construction permit sign-off sheet Street address of project on all drawings and documents Field set of approved plans need to be picked up from our office Comments: '' , icial acoRo. CERTIFICATE OF LIABILITY INSURANC.E OP ID NK DATE(MM/DD/YY) PRODUCER NSE-2 03/03/04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MaSouth & Moniello Cos. , . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Ma South Main to Street Ste Incc1HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. West Hartford CT 06110-2815 one: 860-313-2000 Fax:860-561-2882 INSURERS AFFORDING COVERAGE ` RED --- INSURER A: Hartford Fire Insurance Co. Jensen's, Inc. INSURER B: Alan Krieger INSURER C: -- - 246 Redstone St. PO Box 608 Southington CT 06489 INSURER D: COVERAGES INSURER E: 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER -- — _— _-- - --DATE (MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE ' $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY I PE I LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY • 1 ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) —1 HIRED AUTOS NON-OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) _ • GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESS LIABILITY OCCUR EACH OCCURRENCE $ , CLAIMS MADE AGGREGATE $ I DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND $ A EMPLOYERS'LIABILITY X I TORY WC TLIMITS] OER 31WBKM5473 12/31/03 12/31/04 E.L.EACH ACCIDENT $ 500000 _ E.L.DISEASE-EA EMPLOYEE $ 500000 OTHER E.L.DISEASE-POLICY LIMIT I$ 500000 • DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ' N ADDITIONAL INSURED;INSURER LETTER: CANCELLATION MONTVIL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Town of Montville NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Building Dept. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 310 Norwich-New London Tpke. REPRESENTATIVES. Uncasville CT 06382 AUTHORIZED REPRESENTATIVE ACORD 25-S (7/97) Kathy A. Bellemare ©ACORD CORPORATION 1988 '6843 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION 165 Capitol Avenue + Hartford Connecticut 06106 Attached is your registration. Registrations are non-transferrable. Such registration number shall be displayed in a conspicuous manner on all printed advertisements. To report an address change, please contact the Department of Consumer Protection, Licensing Division at(860)713-6000. Visit our web address: www.dcp.state.ct.us/licensing/for information and applications. STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION NEW HOME CONSTRIION CONTRACTot JENSEN'S RESIDENTIAL COMMUNITIES JENSEN'SRESIDDNTjAL`CQ,MMUNITIES 246 REDSTONE ST ?4f� Ds�i�(EE(ST PO BOX 608 s ,cMa6489 SOUTHINGTON, CT 06489 ' LIC./REG NQ - E IVE EXPI'S 149 , 14El4a''l, 09/3%005 SIGNED fr.' rd�S'tihlrsr'l/ �sf !/•.. 1l r L" ♦:/�j Wit/—':/ _ ./4,-> .. : •r 4 :t rr }i°.. '4:.y!y°$', :.;: .•;.j y,y4+ "✓�__r \���. r:fia , ..<sa •r.• 1 k:y.• S•a:"'r:,.`'a\t^S�,%': ♦}yJ' ,.}.'•},.'Fr .7ti,+i{;�I 1 ..,+: ,••;.•r�/...;; �. :�• .:h. mf.,•..Rr�r,• �'fi:Y/r � ,:�'�•''r. ...,r.r •:ry,•,• :.ti� •:i. t :i �:n:.�V.:ti•:•'•.•.�IIr�.t� ,♦1:V R. d .h .�Y 1 « -. skii' t1•' *:4'" •. - rr -,44—..,,,„#/—* r—..,, PtR* r Re,.. .r r'-- ' 1 rte' i''40:1›-ii:�.�A ,i STATE OF`CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTEIN ys j s li Be it known that ' JENSEN'S RESIDENTIAL COMMUNITIES , -4 214G �f7S)CSS �° a .� _4 .OX tat SO t7' TON„- 489 .E a has been certified by the D � y e'er Protection as a registered NEW HOME CO k F,O:N CONTRACTOR it) v` , r < Regist � • 149 - I lit. Effective: 10/01/2003 = Expires: 09/3.0z---.4 , l :, „J'y.. t.: .„r 1 "rr \ n r �+r i$ ...i', �t 3 t .. ^ t " ,,�,i -.t i to i;--- -- r--'tf t`•`' '•d}'' :4:g..i:i:�.., rr:�.lco,,.. ,,,,r. , ..�:.� „ a d r r r,• a yY to •� _ � ::L7;:r} .. :•.J . ...'t':. M1.. .... r.i i Ik 4. �r.\. `i yrr � E' `J F,r .= x� ,� '� .'t.•::. ;.. r.:. .:�. r ... r,•n ,,. ,r ..4r•,� � .. .� :t'i,..4� •.:9f r^:tV`."�J/?�: Town of Montville Building Department 848-3030, Ext 82 ONE & TWO FAMILY CONSTRUCTION PERMIT // SIGN-OFF SHEET /I FnUt,.) Drkv-ri Property Address Job Description: !2-(p0-CA- nti6 loi Lk, I-0. . f �� fe-c-11.A zdG y� Jrn-t� T G/ S(� !L The owner/agent shall be responsible for the completion of the form, no construction permit will be issued until all signatures below have been obtained. HEALTH DISTRICT 848-3030-882 Septic System 0 Permit#: ❑ Not Applicable Date ❑ Permit#: ❑ Not Applicable Private Well Date WPCA DEPARTMENT q 848-3030,Ext. 881 c?"// 0 Permit#: Municipal ewer Date 0 Not Applicable ❑ Permit# ❑ Not Applicable Municipal Water Date DEPARTMENT OF PUBLIC WORKS 848-7473 Director ❑ Permit#: ❑ Not Applicable Date PLANNINGG DEPARTM T / 848-3030,Ext. 81 ?.,/ G 4 Permit#: :2-0`� -- 0 0 Not A licable Zoning Drate PP //Xi- Permit#: Inland-Wetlands ❑ ❑ Not Applicable Date Wz0 N I En1 (~!)DawW a � o `11 m Z Q10 °o WmC 0Z u o ! 0 U= mw - a Na NK.) o ,n v a W J J_ W V) U _ g I— zn Lu zf O Q \ .:\ H n a R. �s : O ��-..., 4 d Z Z U N o2 O .1 !' R 1 \ . i M1 N ' 1- O 8 ygw�p ' -d 1 ,. 19 91 m li ) r L—B—J o N o — O �n vea we, b g O �`35„,.eoew /e I err, ae I 0 V '..______J 1 O . /" , . I I Q .,.:, }IL-;' , ,, '3 .It11 1 SI n ..-s, JENSENS, INC. ; JCB CSN ec..',. ti 4 Dts.vL 246 Redstone Street SHEET No. OF P.O. Box 608 • SOUTHINGTON, CONNECTICUT 06489 CALCULATED BY DATE (860) 793-0281 FAX (860) 793-6909 CHECKED BY DATE /'= SCALE yS • • ......_..............._e.._.._...o.._..._.::.._.._.._._.....__>__..�.._...._e I - .._....._. .._..._s..____........_._...._.__._._»_.. _.__.._.__.»__...__..___._.._..._..._._...._.._..._ i .,__.._..W �� ..___... _.._.._..__.._. gt .. , I I : ...,.... ........._ , . • . ., , • , . . . • .:........_i _ ._.,._ a.._.___..._..:..._ JENSENS, INC. JOB - 246 Redstone Street - - SHEET NO. OF P.O. Box.608 • SOUTHINGTON, CONNECTICUT 06489 CALCULATED BY DATE (860) 793-0281 1 FAX (860) 793-6909 CHECKED BY DATE SCALE . A.,a w..... 3 -a x3 . cosi- 0 h 1DDo 5-4y,(6 T)to g` .- ._., .—, _ aXkk PT- Apron 3 �, . . axa,Pr, Lus-krs • • 5 PACS . : ._.... . 5 .y..k.l,.. N-c..k . •— — — . ax $, .FLoe.Soisr (16"0,c,,k0) axe • , • A 41 00 S [.• . 1. i- tit` 70( 42„Ccy.cr c. Pyr . Q. , . TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 ELECTRICAL PERMIT Permit Number: E2005-0102 Date: 24-May-05 Map/Lot: 016/029-T64 Owner ID: 5770000 Project Location: 64 RAINBOW DRIVE Unit: Job Description: Electric Service Owner Name: Jensen's Inc. Tenant Name: N/A Careof: P. 0. Box 608 Southington CT 06489- Telephone: Contractor Name: John Morton Telephone: (203)245-3644 DBA: Lic/Reg Type: El Lic/Reg No: 101835 P.0. Box 771 Exp Date: 30-Sep-05 Killingworth Ct 06419- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 Included on Building Permit State Ed Fee: $0.00 Total Fee: $0.00 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING, MECHANICAL, ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete LJ R Plumbing and leak test ❑ Deck Piers R Electrical ❑ Backfill- Footing drains and waterproofing ❑d Elec Trench -with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framing 0 Electrical Service CRS No: 432500 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑ Certificate of Appro .l Ce :.te o •• upancy Building Official's Approval: - - V T Town of Montville Building Department 310 Norwich-New London Tpke. • Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential Trades Permit Application Form Permit# fp3z35# Die) 0Tfum6ing X'Electrical _ �9Kechanical C12S /# ,3�5 0 D9feating Air Conditioning Gas Piping Single'Family Lj Two-'Family 0 Townhouse Job Address bow j) , (Number) (Street) (Unit) Job Description jJ s7,9 L( 3(---Rt)t c e f).4," i/efrt.} .p Owner JC'.4/SC../._S" ,,(/C', Mailing Address. AD 6 City co l% ilvt-rivti State Cr— Zip 1? YY Tel / / Contractor TO k vk AO 12.7-0 A, Mailing Address /0 — -77/ City gr LL-ta,,vi C1Jc7 N State C.� Zip a,5// 9 Tel Z03/2 V5---/ .3C. V cl ©OSIContractor's License Type&Number Z/ — /0 F-3,- Exp. Date#9 /34:1_/ ZOOS-- I hereby certify that the proposed work will conform to the Basic Building Code and all other codes as adopted by the State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee and that I am authorized to make application for a permit for such work as described above. Owner/Agent Signature � Z Date 3 / 3 / D Construction Value Fee Plumbing $ $ Mechanical $ $ ' fipi/ Electrical $ $ fr Plan Review Fee $ 'WOMEN State Education „i,ar Penalty Fee $ /-„/,. Total $ $ Mr 111 • 9zvisejNovemfer1,2004 Town'of Montville CONSTRUCTION PERMIT APPROVAL • 6 2 JF9- ct 13v,J P r, Property Address Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Approval Department Permit Issuance Approval Tax Collector Uo S11-3/0,5"— J WPCA 5-43/0 3"--- s ip -�Si!naittre date ❑ Planning& Zoning Signature, date ❑ Health Department Signature'date ❑ Fire Marshal Signature date Comments/Conditions 4çvzsei7[ovem5r 1,2004 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION ELECTRICAL UNLIMITED CONTRACTOR El JOHN W MORTON 13 PARTRIDGE BOLLOW ROAD KILLINGWOR '; ,CT 00419 • LO{ E ` f Na 1 4 M o9/AITS15 (ou yr J V6 4tew \.SIGNED ��t TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 MECHANICAL PERMIT Permit Number: M2005-0081 Date: 07-Jul-05 Map/Lot: 016/029-T64 Owner ID: 5770000 Project Location: 64 RAINBOW DRIVE Unit: Job Description: gas line&tank-100 Gal. Owner Name: Jensen's Inc. Tenant Name: N/A Careof: P.0. Box 608 Southington CT 06489- Telephone: Contractor Name: Amerigas Telephone: (860)537-5925 DBA: Lic/Reg Type: G1 Lic/Reg No: 388666 275 South Main St. Exp Date: 31-Aug-05 Colchester Ct 06415- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code Mechanical Value: $580.00 Mechanical Fee: $8.00 w/2004 Amendment Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $580.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.09 Total Fee: $8.09 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framing ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble © Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑ Certificate of ••proval 11. • •: of Occupancy Building Official's Approval: -411K GNP' Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential LP-Gas Permit Application Form 2/ Sing1 �FamiCy 0Two-Famicy [] Townhouse Permit#rc,Z ,d Cog' Job Address Lp 41 / c-44, (Number) (Street) (Unit) Job Description i/,i� i / / Owner :leA%d �.1 Mailing Address PO 6Q8 City State CY Zip O 1-/kg Tel / / Contractor AMERIGAS Mailing Address 275 SOUTH MAIN ST City COLCHESTER,CT 06415 State Zip Tel / / 060)531-592 Contractor's License Type&Number c,3 666 a / Exp.Date / 3/ / U.� I hereby certify that the proposed work will conform to the Basic Building Code and all other codes as adopted by the State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee and that I am authorized to make application for a permit for such work as described above. Separate applications are required for electrical. Owner/Agent Signature 4,,,,2(h•-__ Date () / 63/ C7_ Construction Value Fee Mechanical $ J' r► o" $ X. l Electrical $ $ Plan Review Fee $ State Education $ Total $ $ , tO RFviseiSeptem6er 9,2004 Town of Montville Building Department File Receipt Date: 05-Jul-05 Receipt No: 383 Received From: Amerigas Job Address: 64 Rainbow Drive Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $8.09 Check: $0.09 Check No: 501211404 Construction Value: $580.00 Demolition Value: $0.00 A OF Received By Sandra Pandora ;fir -!O �i I Town of Montville Building Department Customer Receipt Date: 05-Jul-05 Receipt No: 383 Received From: Amerigas Job Address: 64 Rainbow Drive Fees Collected Cash: $0.00 Check: $8.09 Check No: 501211404 ArReceived By Sandra Pandora 44/ 46" I,r/A.i!�/i 11/15/04 12:20 FAX 6109923238 Uhl 'LrJuu1 �� ,� ,,i1PIr4D112ka tpp 0 re TSPI4t a r++ JtP'M�_. .I 54; 'Wel r �;ACORDTM • 41'1 -3*-1_, G ��rir� 7 A�•5.--A -vr r y *r r� .r / / L 4t=-1,`.,• *r .,zs "moi gI Iy, 7 TE(MM F,rT r t •yar5."' ,d' ...r:_r.. '"r's'aL= a'.EC x-'1�-..I-`�'i:::�..cra,• "`�.. :y� .t, r ,. F4 ii• :a t.'II&: .#�� �.R . 06 29 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ' AOn Risk services, Inc. of Pennsylvania ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE one Liberty Place HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR 1650 Market Street ALT R TH COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 1000 Philadelphia PA 19103 COMPANIES AFFORDING COVERAGE COMPANY ACE American Insurance Company L PHONE (866) 266-7475 FAX- (866) 467-7847 INSURED COMPANY t AmeriGas Propane LP and Subsidiaries B S PO Box 858 Valley Forge PA 19482 USA COMPANY 13 C 2 4COMPANY D E-:r'la>=~ .MJ�.t�.ae-r aE.x.,.. u .,. .V. .;.tF?';,.` -..'2M.-,^lluTZATRk'riitaax �.��s �.'t.�•..--.i�. 11111�n:.. +.�,�-a�M7L ,`_X drit 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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDO ED BY PAID CLAIMS. CD TYPE OP INSURANCE POLICY NUMBER POI-ICY EFFECTIVE i r EXPIRATION LIMITS 1,TR DATE IMP/VDD/V10 DATE(MMAILVVI) N. A GENERAL LIABILITY HOOG21707478 07/01/04 07/01/05n / GENERAL AGGREGATE 52.000,000 H 04-05 General Liability/Prod PRODUCTS-COMP/OP AGO 52.000,000 N. © COMMERCIAL GENERAL LIABILITYrs, . CLAIMS MADE 0OCCUR PERSONAL a ADV INJURY $1,000,01. 8 I. OWNER'S S CONTRACTORS PROT EACH OCCURRENCE 51,000,441 r' rr ■ FIRE DAMAGE(Mvone Null 51,000,001• I. MED EXP Any one oersonl 510,001 Z A AUTOMOBILE LABILITY SSAHD7R42600 07/01/04 07/01/0s ti COMBINED SINGLE LIMIT 51,000,000 © ANY AUTO 04-0S AUtomobi le - All States P. . ALL OWNED AUTOS BODILY INJURY V IISCHEDULED AUTOS (Per person) © HIRED AUTOS _. BODILY INJURY © NON-OWNED AUTOS (Par arsJtlenl) ■ IIIPROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ■ ANY AUTO OTHER THAN AUTO ONLY: % F1.. . 'I' III EACH ACCIDENT • AGGREGAT EXCESS LIABILITY EACH OCCURRENCE ■ UMBRELLA FORM AGGREGATE ■ OTHER THAN UMBRELLA FORM ® 07/01/05 A WORKERS COMPENSATION AND wLRC43983076 07/01/04 ,] q � .:© ■®i a � EMPLOYERS'LIABILITY 04-05 Workers Comp. - ADS EL EACH ACCIDENT ��1;1i 1 A THE PROPRIETOR/ . INCL SCFC43983155 07/01/04 07/01/05 PARTNERS/EXECUTIVE EL DISEASE POLICY LIMIT 51,000,000 OFFICERS ARE ■ ExCL 04-05 MC Non-Deductible: WL FL DISEASE-EA EI4PLOYEE 51.000.000. a DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL REALS e ..°_. lir.n,.°:. , 71 itn. li 'e,4t'> a Y,s • ,yie� ¢ ... .Tnt 55c• '.Ur o:it'"1,,. P y- ..r,'",-. '; -1114:1 r- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWN OF MONTVILLE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAL II-A- 310 NORWICH NEW LONDON TURNPIKE 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. '_- UNCASVILLE CT 06382 USA BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY IOND UPO THE COMPANY. ITS A. . •; -_PRESENTA71 !�' AUTHORIZED REPRESENTATIVE Aon Risk Ser ices,Inc. of PwnnnyLwn Br r My 'c,.7�. •'Tf 'S�7,x?..k ,.:� �... .,__.= .. . - r :.,.., . ...r�'T I i} ..*:- •_: [n-11 .--IBP4zijr/MICIMITI- Amer.Gas America's Propane Company Building Official: Town of '----.221try.Z&' Dear- Sir and/or Madam, During the course of my business day I am needed in many areas of the state. Today AmeriGas requires that 1 apply for a permit for a propane gas installation_ As the propane contractor for AmeriGas it is my responsibility to over see these installations: however I am unable to arrange my schedule. Please accept this letter as a proxy,in lieu of a persona! appearance for a permit application. Our customers name is The work will be performed at ��� �� c/7 ' Start date will be(approximately) �/L 'e / 2 and will be completed . Below is a copy current 0-1 Gas Contractors license. My agent piii,g will process the nu essat y papezwork on my behalf. to, l_ s C h' re-1 s4 -ft n� ✓� 6/}s - (-ô/ 17e:5771-- STATE es72rSTATE OF CONNECTICUT - DEPARTMENT OF CONSUMER PROTECTION HEATING,PIPING&C00141.40 0 LIMITED CONTRACTOR `I JEAN,I'J3ARA.CCO 18`'WE1G.DEN DR '> WINbHAMV;l, 196280 LIC./REG NO _ EFFECTIVE,- EXPIRES, 388666 09/0122004 08./31/2005 gat ; SIGNED Thank you, for your cooperation Jean Baracco Senior Service Technician • ,4d "1/1 67. 6-a&a,,c,c,e,- p P.O. Box 56 - Hampton, CT 06247 - Tel. (860) 455-9595 • Town of Montville Building Department 848-3030, Ext 382 RESIDENTIAL LP-GAS PERMIT CONSTRUCTION PERMIT APPROVAL (49 y RC%in 86w Vr•Ve ( J is&ts) Property Address - 100 CC4)) tket FOC/HA T Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Approval Department Permit Issuance Approval Tax Collector Si4inature: date WPCA i (1 )` loc Signature% .a(. Planning&Zoning Mut Ot Signature/date ❑ Health Department Signature/date Fire Marshal 1J(It t. SI`rYl'cltllt'c` chte Comments/Conditions: rgviseiSeptem6er9,2004 TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 PLUMBING PERMIT Permit Number: P2005-0058 Date: 13-Jul-05 Map/Lot: 016/029-T64 Owner ID: 5770000 Project Location: 64 RAINBOW DRIVE Unit: Job Description: plumbing for Mfg. Home Owner Name: Jensen's Inc. Tenant Name: N/A Careof: P.0. Box 608 Southington CT 06489- Telephone: Contractor Name: Efficient Plumbing Telephone: (860)572-0571 DBA: Lic/Reg Type: P1 Lic/Reg No: 204880 P. 0. Box 68 Exp Date: 31-Oct-05 Montville Ct 06353- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code Mechanical Value: $0.00 w/2004 Amendment $0.00 Mechanical Fee: Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $0.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 Included on Building Permit State Ed Fee: $0.00 Total Fee: $0.00 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS ❑ Footing -Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill- Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framing ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑d Certificate of Approval Z7."-"iflc of Occupancy Building Official's Approval: . Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential Trades Permit Application Form Permit# A2,e,42•15-...- o b..5 fum6ing 0 E(ectrica1 U.Mechanicaf CRS # .7/eating Air Conditioning Gas Piping ❑ SinA Eamiy 0 Two-rFamiIy 0 Townhouse Job Address V V gni Il./( t,`J V i.S1�,L t c Cr (Number) (Street) (Unit) Job Description 1r t,e c' k....14\-se" . - "(1) Owner J :"."--'1,,--,5 _,,p.,25 Mailing Address<:P y(o �i`'�s�'b n.r+r--. S f City Sri-77W 4 1 .T a� State GT Zip Cx SC5 Tel Coc7 /193 / O $ Contractor 1----;"---G/ 7 LL", _v, Mailing Address TU . ,--774›,s- (o , r City '(tel,,,v...\.t i L,1_i State (---C Zip 0(0- S3 Tel S GO / 57,2 / os-( Contractor's License Type &Number?-1 ... .c3,4 is is Exp. Date /0 / 7 t / 0 5 I hereby certify that the proposed work will conform to the Basic Building Code and all other codes as adopted by the State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee and that I am authorized to make application for a permit for such work as described above. J • Owner/Agent Signa e_____/‘--e_____/‘-- J Date -1 / 1‘-' / c Con L Ilk tion Value Fee Plumbing $ $ Mechanical $ $ Electrical $ $ Plan Review Fee $ State Education $ Penalty Fee $ Total $ $ 44.viceINovem6erl,2004 • Town of Montville CONSTRUCTION PERMIT APPROVAL 6-3-1 RAI�.r �/� ibst,i L 1, t C.7-- Property Address Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Approval Department Permit Issuance Approval Tax Collector ©p,. • b l i z_I o s WPCA - �I .7/Z. fol ❑ Planning & Zoning Signature, date n Health Department Signature: date ❑ Fire Marshal Signature date • Comments/Conditions: 44viserfNovem6er1,2004 N 7A 713 7C •r State of Connecticut ' Workers' Compensation Commission oJ DIRECTIONS 14- e4 „%lt rn DIRECTIONS for FILING FORMS 7A, 7B and 7C Ix 5�5 Building Permit Requirements for Workers' Compensation Section 31-286b of the Workers'Compensation Act requires anyone who requests a building permit to first submit"proof of workers' compensation coverage for all of the employees who are engaged to perform services on the site of the construction project for which the permit was issued." The only exceptions to this law are the sole proprietor or property owner who will not be acting as general contractor or principal employer. What to give to the Building Official to obtain a Building Permit: 1. The General Contractor or Principal Employer must provide a written certificate of workers' compensation insurance for all of the employees on their project. This certificate may not be for liability, disability or any other type of insurance. 2. The Sole Proprietor or Property Owner who will not act as a general contractor or principal employer is not required to have workers'compensation coverage. In order to obtain the building permit, a FORM 7A should be completed and given to the building official. 3. The Sole Proprietor or Property Owner who will act as a general contractor or a principal employer must provide a written certificate of workers' compensation insurance for all of the employees on their project and must file a FORM 7B with the building official—OR he will sign a sworn notarized affidavit on FORM 7B, stating that he will require proof of workers'compensation insurance for all those employed on the job site. 4. The General Contractor or Principal Employer who has properly excluded himself from coverage using the appropriate WCC form (see NOTE below) must file the FORM 7C with the building official. This form certifies that they have properly excluded themselves, and attests that they will require proof of workers' compensation insurance from every employee that works on the designated job site. NOTE: The general contractor or principal employer may exclude himself from workers'compensation coverage by filing one of the following forms with the appropriate Workers' Compensation Commission district office: Form 6B for employees who are Officers of a Corporation or Managers/Members of an LLC Form 6B-1 for employees who are Members of a Partnership 'STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION PLUMBING&PIPING UNLIMITED CONTRACTOR CRIS*KERFUS pf X 402 MOWV4p3,CT 06353 t N LIC./REG NO. EFFE I2V x 204880 J1/04/404 10/31/2005 kno h 44. SIGNED Ate' :��-% 1 ensen's RESIDENTIAL COMMUNITIES March 22, 2005 Town of Montville Building Department 310 Norwich-New London Turnpike Uncasville, CT 06382 Attn: Sandra Pandora Re: Letter dated March 4th and subsequent phone call Dear Sandra, Pursuant to our conversation, this letter will confirm our phone conversation concerning the Building Departments inquiry about the status of the building permits issued for replacement Manufactured homes on the lots, 1 and 5 Marina Drive and 64 Rainbow Drive. Jensen's had all intentions of completing these lots in the fall of 2004, due to some timing issues and the delay in removal of some old electrical poles by CL&P; we did not get to them before the cold weather set in. The lots are currently being built and homes will be installed this spring. Jensen's or our contractors will be contacting the Building Department for all required inspections. Any questions,please call me at 860-793-0281. Sincerely, Jensen's Inc. 4 (:,,, Keith . Jensen Vice President CC Mike Jones Mike Kane Noel Gonzalez Jensen's, Inc., 246 Redstone Street, P.O. Box 608, Southington, CT 06489 Tel (860) 793-0281 Fax(860) 793-6909 Town of Montville Building Department 310 Norwich-New London Tpke. Uncasville, Ct. 06382 Telephone 860-848-3030 Ext.382 Facsimile 860-848-7231 Date: March 4, 2005 Jensen's Inc. P. O. Box 608 Southington, Ct. 06489 RE: Permit for a Manufactured Homes at Lot 1 and 5 Marina Drive and 64 Rainbow drive Dear Sir/Madam, During a recent update of our files we found that the there have been no inspections at the above referenced property Please contact the building Department within ten days and let us know the status of your project and when you plan to install the home. Your permit will have to be renewed prior to any work at the above referenced address. Thank You, Building Department Cc: File • RESIDENTIAL PERMIT CALCULATION (MANUFACTURED) Address: QTY $/UNIT TOTAL Site Work Slab on Grade 840 SF $ 6.99 $ 5,871.60 Foundation SF $ 29.70 $ Anchors SF $ 6.69 $ - Garages Attached, 1 car EA $ 8,885.10 $ - Attached,2 car EA $ 15,113.70 $ .. Attached, 3 car EA $ 20,913.90 $ Detached, 1 car EA $ 11,657.10 $ - Detached, 2 car EA $ 17,456.25 $ - Detached, 3 car EA $ 23,256.45 $ Breezeway/Decks Open SF $ 22.31 $ Enclosed SF $ 94.76 $ Porches Open 192 SF 1 25.52 $ 4,899.84 Enclosed SF 123.90 $ Carport 240 SF $ 9.85 $ 2,363.76 Sheds 100 SF 26.25 $ 2,625.00 TOTAL BUILDING $ 15,760.20 Electrical New Service EA $ 1,519.19 $ - Tie-in 1 EA $ 210.00 $ 210.00 Misc. Electrical 0 SF $ 1.24 $ - Plumbing New Sewer EA $ 1,250.00 $ - Sewer Tie-in 1 EA $ 210.00 $ 210.00 New Domestic EA $ 1,200.00 $ - Domestic Tie-in 1 EA $ 210.00 $ 210.0( Mechanical Oil Heat EA $ 579.76 $ LP-Gas 1 EA $ 450.00 $ 450.00 IIs air conditioning included(Y/N)? $ - I PERMIT FEE CALCULATIONS Fee Building $ 15,760 $ 128.00 Plumbing $ 420 $ 8.00 Mechanical $ 450 $ 8.00 Electrical $ 210 $ 8.00 Work Commenced before permit issuance $ _ CO Fee $ 25.00 Plan Review $ 15.20 State Ed Fee $ 16,840 2.69 Total Fees $ 194.89 Based on 2003 RS Means Residential Cost Data 8/25/2004 dss „; pallimpalsommi et 11 ! , a A 4 orempieram -11 mmilm ammim i I 1111E11 mmommummush.6. lil ii iihN091111111 1 III 1 immommummilimin mmmmummum ..•••=•••=ummomosibrammumn 1 i � 1i 11111111111111111N milmommom um e& ..0MMENMEMEMMINIMMUMMINIMMEMMEMINIMMEMME utd MENEMENIERMEMETIIMMINIVISIMEMI EINIMEMEMUNIMMAIE 111111111111111.111 110•11111111•11 gl ;Ei 1111111111111110111111 1111111111 C;i! 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