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HomeMy WebLinkAboutBuilding Permit #523 - 90 COVENTRY LANE 4/6/2009Permit NO: Date Issued: "1 -1 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received 4121 1 1 IMPORTANT: Applicant must complete all items on this naize LOCATION QD Cb Vr vl% Vii✓ Print PROPERTY OWNER C10CI6&q Print MAP N4 PARCEL: ZONING DISTRICT: Historic District yes Machine Shoa Villaae ves TYPE OF IMPROVEMENT O ~ a A Non- Residential New Building .p 7. TYPE OF IMPROVEMENT PROPOSED USE Resid Non- Residential New Building Onefamily " Addition Two or more family Industrial ARer4tion No. of units: Commercial re I Assessory Bldg Others: emo ition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: SAID -- Identification Please Type or Print Clearly) OWNER: Name: Cal laeE 4 Sh.c Phone: Address: CONTRACTOR Narne.)4,4, Address: 45- I or Rt\ 4A y E alt+ �( rf/i— Supervisor's Construction License: Oki k53 Exp. Date:_ O .24 - !O i Improvement License: 1aY77 ARCHITECT/ENGINEER Phone: Address: Reg. No FEE SCHEDULE. BULDING�/PERRMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $12 0 PER S.F. Total Project Cost: $ w/� 7� — FEE: $ / Check No.: Receipt No.: �- l NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund °Signature of Agent/Owner&asignature of contracto Location / u t( (JVD, ! L , AeLl No. `��a ` Date NORT1y TOWN OF NORTH ANDOVER 3? �. O F w 9 } �o ; . Certificate of Occupancy $ 04UsE<� Building/Frame Permit Fee $ it Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 219r� Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Mas'sage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE AP PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Locatea ;J64 US ooa Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 MainStreet Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes MGL Chapter 166 Section 21A -F and G min.$100-$1000 fine NU I t, and UA I A - (tor ❑ Notified for. pickup - Date Doc.Building Permit Revised 2008 nt use No Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ -Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed.Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Building Permit Application Revised 2.2008 The Commonwealth of Massachusetts Department of Industrial Accidents ill Of, face of lnvestigadons 600 Washington Street www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Annlacant Information Please Print Le lv Natne (Business/organization/Individual): T Dbod-s I iNc . City/State/Zip.-_&&k Il A 04?32 Are you an employer? Check the appropriate box: ut 1. I am a employer with = 4. ❑ I am a general contractor and I employees (full and/or part-time).* 2. ❑ I am a sole proprietor or partner- have hired tFie sub -contractors listed on the attached sheet, t ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. ' [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, §1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] *Any applicant that checks box #1 must als All th ' Type of project (required): 6. ❑ New construction 7. E] Remodeling 8. E] Demolition 9. E] Building addition 10.❑ Electrical repairs or additions 11. ❑ Plumbing repairs or additions 12.E] Roof repairs 13.E] Other 0 o e section below mowing theirw. or`•lfew compensation policy information. f 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 ofthe sub -contractors and their workers' comp. policy infomaation. Iain an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:_ Ft -e4 C . (:6re-k Policy # or Self -ins. Lie. #: 0 9 W G AJ L- S ON Z 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 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 tlsis"statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert& under the pains and penalties of perjury that the information provided above is true and correct. Sisnature: rit/ /S/ Date Phone #: Official we only. Do not write in this area, to be completed by city or town offrciaL City or Town: PermMicense # Issuing Authority (circle one): 1. Board of Stealth 2. Building Department 3. City/Town Clerk 4i. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone M ACORD�, CERTIFICATE OF LIABILITY INSURANCE T7�Q220081142m . PRODUCER .(800) 225-1865 c THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 41 Wellman Street Lowell, MA 01851 800-225-1865 MSD' ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED New England Window & Door LLC 45 Fondi Road Haverhill, MA 01832-1302 INSURER A Citizens lnsutance Company of America , INSURER B: Hanover Insurance Company INSURER C: Massachusetts Bay Insurance INSURER D: Twin City Fire h>s mce Co. 29459 INSURER E: COVERAGES 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. TYPE OF INSURANCE POLICYNUMBER POLICYEFFECTIVE POLICY EXPIRATIONNARIM DATE (MMIDDNY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE -TO RENTED PREMISES Ea occurence $ 500,000 rA 7D' X COMMERCIAL GENERAL LIABILITY MED EXP Anyone person)$ 10,000 CLAIMS MADE OCCUR PERSONAL & ADV INJURY $1,000,000 ZBN8161407 7/l/2008 7/1/2009 GENERALAGGREGATE $ 2,000,000 GEN IL AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOPAGG $ 2,000,000 POLICY PRO- LOC AUTOMOBILE LIABILITY X ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ C ALL OWNED AUTOS SCHEDULED AUTOS X HIREDAUTOS X NON -OWNED AUTOS ADN8162169 7/1!2008 7/1/2009 BODILY INJURY $ (Per accident) PROPERTY DAMAGE. $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ ANYAUTO AUTO ONLY: AGG $ EXCESSIUMBRELLALIABILITY EACH OCCURRENCE $ 9,000,000 AGGREGATE $ 9,000,000 X OCCUR EICLAIMS MADE $ B UHN8167305 7/1/2008 7/1/2009 $ DEDUCTIBLE $ X RETENTION $ WORKERS COMPENSATION AND TATdTH- X WCSLIM 0ER E.L. EACH ACCIDENT $ 500,000 D EMPLOYERS' LIABILITY ANY OFFICERWE BEREXCLUDED?ECUTIVE 08WBNL5742 7/1/2008 7/1/2009 E.L. DISEASE -EA EMPLOYEE $ 500.000 E.L. DISEASE - POLICY LIMIT $ 500,000 ff es, descdba under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Proof of his mce w England Window & Door LLC Fondi Road verhill, MA 01830 ACORD 25 (2001/08) Client # 2960 Mst # 08-009 GL, UMB, WC, Cert # Aut SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE UAGUKU GUKrUKAIIUN Tylia \ \ / \ / \ / m < m r . \ \ < E m / m o_ M, ■ / / § _ n `\ 2 t § m o ® 2 I k r cn m CD o o Q 0 0:)a= § �k kE�\� 2 0)§ §'a o E E R @ 2 o E 2 7 7 C , M ® m 2§ CD /, \ co 0 § ` / k • \ ( § n g 2 2 E 2 $ - y» m -c G\$ E y e - , ( n » $ » _ ~ § z 7 r'—- �- - . ) Kk § / 0 \ 2 a � j ƒ 2 k % ƒ o ( In n g g§ 0 m�■ q F � CD o- � ■ E 7 k Ss m 2 CD n ? _ n § o § g � R \ �. c 2 0 G a � ? 2? 0 7 �, � � N $� � ",.,Jj \ < ƒro \ rL <kk -- .. § E ■ >CR E ■ Q / co a % / a R CD $ § ■ J�$29290 0 2 IDo r ®$ a�zZz a � F cr cr § § A. o >2 N3 --4 47 E2 7k x e § E CO q- \ \ 3 2 m p s k 0 f \CL a £ I B � E ƒ 3 0 + In M \ In /� � NI "� 0 @ � R \ �. c � 0 § � a � � . 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I lj'�.Vcr ;ill, I'vi A (d S. ------ CYs frolzi thc datc� olf I fict-ch.y ca"'wc! I. " ransa,'-,tiol. Raw DISPUTES THE CONTRACTOR AND THE HOMEOWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT PELLA HAS A DISPUTE CONCERNING THIS CONTRACT, PELLA MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE CONSUMER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATJg, A, 5 PROVIDED IN M.G.L.c. 142A �-,, C'`" 'l ctor i' Homeowner NOTICE: THE SIGNATURE OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. PELLA WINDOWS AND DOORS CONTRACT 1. TERMS AND CONDITIONS These 'ferns and Conditions are an integral part of the contract set forth on the Product Order (tile "Contract') between New Nigland Window and Door LLC dba Pella Windows & Doors. Inc. ('Pcllu") and the person(s) identified on the Product Order ("Owner') to supply the products (the "Products"), and perforin the work ( the "Work") described or referred to in such Contract. For Product Only purchases, a signed "Product Only Addendum- is a required pan of the contact. 2. OWNER Pella is not responsible for any existing security systems. Owner shall remove all shades: verticals, blinds, curtains, drapes or window mounted air conditioners, prior to the installation of the Products. Pella's installers are not responsible for the removal or installation of' these types of items. Pella is not responsible for pre-existing window coverings fitting un newly installed Pella windows. The Owner shall provide complete access to the work site between the hours of 70) a.m. and 6:00 p.m. (Monday through Friday) for Pella's installers to deliver the Products and perform the Work. 3. PELLA Pella will he responsible for and have control over constriction means, methods, techniques, sequences and procedures and for coordinating all portions of die Work. Pella will be responsible for the Work of its Pella Contractors who will instal the Products. Unless provided otherwise in the Work description. Pella will provide and pay for all labor, materials, equipment, tools and machinery, transportation, and other facilities and services necessary for the proper execution and completion of the Work. The materials and equipment furnished under the Contract will be good quality and new unless otherwise required or permitted, the Work will he free from defects not inherent in the quality required or permitted, and [ire Work conform with the requirement~ of this Contract. Pella shall not be responsible for damages or defects caused by abuse, modifications not executed by Pella, improper or insufficient maintenance, improper operation or normal wear and tear. Pella will keep the premises and surrounding area free from accumulation of waste materials or rubbish caused by performance of the Work. CHANGES The Owner may order in writing changes in the Work consisting of additions, deletions, or modifications ("Change Order"). Any Change Order shall include an adjustment to the Price and the Substantial Completion Date, as determined by Pella. Pella reserves the right to approve or disapprove any Change Order and any such Change Order must be signed by berth Owner and Pella to be effective. SUBSTANTIAL COMPLETION (honer understands and agrees that the Substantial Completion Date is an estimate only and that the actual date on which the Work is completed may be extended to allow for Change Orders requested by Owner or if the time to complete the Work is affected by conduct of the Owner, weather, labor disputes, availability of subcontractors, acts of God, fire or other causes reasonably beyond Pella's control. If for any reason the Work is not fully completed by the Substantial Completion Date (including any extensions contemplated above), but is substantially completed by such date, i.c., the Product has been installed, but minor parts or components are missing or need to be replaced or repaired, a hold back proportionate to the cost of remaining parts or work to he completed is acceptable. However, the holdback will not exceed the amount of the completion costs ur 10 k: of the remaining unpaid balance of the Price, whichever is less. FINANCING PAYMENTS Pella shall he entitled to stop the Work upon written notice to Owner for any material default or failure by Owner, including but not limited to, the Owner s failure to pay Pella the amount due within seven days after the date payment is due. CORRECTION OF WORK Pella sball correct installation Work not in confurmance with the requirements of Ute Contract, if notified in writing by the Owner within two years after the Completion Date or, if earlier, the date on which the Work is substantially completed and payment of the Purchase Price made subject to a holdback as provided above. Correction of Work as herein provided shall be Owner's sole remedy for defective workmanship, and is provided in lieu of any and all other remedies. Pella's obligation to correct Work is conditioned on Pella's prior receipt of all payments then due. LIMITED PRODUCT WARRANTY Pella shall warrant all Pella products, but only in accordance with the Pella Windows & Doors Limited Warranty. T141S LIMITED WARRANTY SHALL BE THE SOLE WARRANTY WITH RESPECT TO THE PRODIICfS AND PELLA SPECIFICALLY DISCLAIMS ALL OTHER WARRANTIES. EXPRESS OR IMPLIED, WRITTEN OR ORAL (INCLUDING WITHOUT LIMITATION ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE). 10. NO CONSEQUENTIAL DAMAGES UNDER NO CIRCUMSTANCES SHALL PELLA BE LIABLE FOR CONSEQUENTIAL, INCIDENTAL, INDIRECT, OR SPECIAL DAMAGES. WHETHER FORESEEN OR UNFORESEEN. HOME IMPROVEMENT CONTRACTORS All home improvement contractors and subcontractors shall be registered with the director of the Home Improvement Contractor Registration Program administered by the Board of Building Regulations and Standards. Pella and any of its subcontractors identified in this agreement have been registered. Any inquires about Pella or any of its subcontractors relating to registration should be directed to: Director, Home Improvement Contractor Registration, One Ashburton Place, Boston, MA 02108, 617-727-8598 12. PERMITS (MA customers only) c t ot�ligated,tgt and will obtain the following permits for this project: —meowmers who secure their own permit.- will be excluded from the guaranty fund provisions of Massachusetts General Laws, chapter 142A. In addition to the rights and warranties enumerated in this agreement, you may have additional righ(s under Massachusetts General Laws, chapter 142A and 780 Code of Massachusetts Regulations R6. 13. NOTICE OF CANCELLATION You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller, which may be his main office or blanch thereof, provided you notify the seller in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. See the attached Notice of Cancellation for an explanation of this right. Do not sign this contract if there are any blank spaces. If payment of the Price is linanced with a financial institution through Pella, all r I-maneing paperwork must be completed upon signing of this Contract and th�nner requisite approvals and authorizations for the full amount of the requested financing shall have been received from the financial institution. C ssignature `t Fel- -71n- ate CO) m m m Icm x CO) CO) v m CIO d CD d 'v O t" � Z CA CL '0• r c � � c CL y C) O v cD CDCL O cr CD CD 0 CD mm O N)• C. CL y co CD S v CO) O 10 Z CD O CD C CD Ki m cn Cn n O cn i v G_ O O Z 0 m 0 R m CL O F m CO coc 0 CA G 0 CZ H N m 00"0,0 E?�. s = M y O.y�my m n m co y 0 N O d C9, o 00 .� r b t� y :v == ?� Eno. y '7'I r. I p C CDz co CO w O m m r ��myoy � com a � W m �o 0 S.d 0C2, . Ca =r=7 ' h -m CL ,,,... c CD - m m c7 C :V CO)CL CO d y 3 Q. w�`�a m IE O y OCIO !. O m q: It 'O O ? i a3•t COD to �. CD: go: o� m : n n O a) moo: CAo c o w� rD 0 0 M y C7 7d O n o 00 .� r b t� y :v == n ;o OQ o � �_ul r. I p C CDz o fl x " w O m o � � omi 0 Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street North Andover, Massachusetts 01845 WILLIAM J. SCOTT Director (978)688-9531 March 5, 1999 Charles Dalton, Attorney at Law Dalton & Baron 68 Main Street Andover MA 01845 Re: 90 Coventry Lane Dear Mr. Dalton: Fax(978)688-9542 Enclosed are copies of the Building Permit and corresponding paper in the file for 90 Coventry Lane. The charge for the copies is $5.00. Please remit this to the Town of North Andover. If you have any question please call me. Very truly yours, Jeannine McEvoy Building Department BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 DALTON & BARON ATTORNEYS AT LAW 68 Main Street P.O. Box 608 Andover, MA 01810 Charles F. Dalton, Jr. Allan L. Baron Susan T. Dalton February 23, 1999 Office of the Building Inspector North Andover Town Offices 120 Main Street North Andover, MA 01845 RE: Property located on Coventry Lane Salvatore Vaudo and Peter Lanell To Whom It May Concern: Telephone: (978) 470-1320 Facsimile: (978) 470-3346 We represent Peter and Kathleen Lanell concerning a claim for damage to their property caused by a company known as New Aqualine Pools. At the time of the alleged. damage, New Aqualine Pools was constructing a swimming pool for Salvatore Vaudo who lives adjacent to Peter and Kathleen Lanell. It is the contention of Mr. and Mrs. Lanell that New Aqualine Pools crossed over to the Lanell property and caused substantial damage to their landscape, trees and shrubs. From our information, it does not appear that New Aqualine Pools or Salvatore Vaudo obtained a permit from the town at the time of the alleged injuries. The injuries were sustained by my clients on May 9, 1997 and May 10, 1997. The property owned by Mr. and Mrs. Lanell is located 100 Coventry Lane and the property owned by Salvatore Vaudo is located at 90 Coventry Lane. New Aqualine Pools is also known as New Aqualine Pools, Inc. and at the time was a Massachusetts corporation registered to do business in Stoneham. The principal involved with New Aqualine Pools was an individual named Neil Gooch. We believe Mr. Gooch obtained a permit after he caused the alleged damage or sometime following May 9, 1997. I would like to know whether or not you have any permit on file for this particular project. If so, I would appreciate your furnishing a certified copy to me. If there is a fee for such services, please forward your bill to this office and I will see that it is paid upon receipt. CFD/kac C.F. Dalton also admitted in New Hampshire Very h All attorneys admitted in Massachusetts yours, s Dalton, Jr. A. 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