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50 FREEDOM HOLLOW - BUILDING INSPECTION (5) '4�zvl AY The Commonwealth of Massachusetts VDepartment of Public Safety 4 Massachusetts State Building Code(780 CMR) Building Permit Application for any Building other than a One- r Two- m' y well' rg (This Section For Official Use Only) Building Permit Number: Date Applied: Building Officiar. SEC/TION 1:LOCATIIOO]N(Please indicate Block Ck and Lot f'forM:loc/at lions for which a str I d s is not available) n l-Y?o O✓ln i-'�01 to j �OL1_J(. am('e M �l O l 9_70 _V1 tx. EILrxiit-k.S ur+_✓-e No.and Street City/Town /_ip Code Name of B dvrg(if applicable) G� SECTION 2:PROPOSED WORK Edition of MA State Code used- _ If New Construction check here❑or citeck all that apply in the two rows below Existing Building Repair❑ Alteration Addition❑ Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify:_ Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No Is an Independent Structural Engineering Peer Review required? 1 Yes ❑ No 1/ Brief Des criplion of Proposed Work:�_[f_S. a,� S d-�7 wb�.2 h t.wxot 'U+tn� Y'e.0)A.C2.vtnl.vt. SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION, ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed (See 780 CMR 34) ❑ Existing Use Group(s): _— Proposed Use Group(s):_ SECTION 4: BUILDING MIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq. ft.) HE Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A-I❑ A-5❑ B: Business ❑ E: Lducational ❑ —� F: Faclo F-1 ❑ P2❑ h Hazard H-1 ❑ i-f-2❑ H-3 ❑ }i-4❑ H-5❑ I: Instihitimial I-1❑ 1-2❑ 1-3❑ I-4❑ Inity rcantile❑ R: Residential R-10 R-2❑ R-3❑ IZ-4❑ S: Storage 5-1 ❑ S-2❑ ❑ _ Special_Use.❑and please describe below: Special Use: CO ___ SECTION 6: NS"FR UCTION TYl'I' ec.(Chk as applicable) - ---------- ---- -- IA ❑ IB ❑ IIA ❑ !IB ❑ IIlA ❑ IILB ❑ TV ❑ VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) --------- ------ -- ---_---�_- 1 Water Supply: Flood Zone Information: Sewage Disposal: 'French Permit: Debris Removal: Public❑ Check if outside Flood Zone❑ Indiauc municipal❑ A trench will not be Licensed Disposal Site❑ required ❑ or trench or specify: Private❑ or indentify Zone:_- or on site system Cl permit is enclosed ❑ Railroad right-of-way: FIazards to Air Navigation: ti lutnric C om r 4 rn;_� c . ,cgcc v5: Not Applicable❑ Is Structure within airport approach areal Is their review completed? or Consent to Build enclosed ❑ Yes❑ or No❑ 1 Yes❑ No Cl SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s):, — Type of Construction: Occupant Load per Floor: Does the building contain an Sprinkler System?:____-Special Stipulations: ..— 6✓� �l �� SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner �P4'✓t Cor�vto� r.Z r2eclDM Nol�o ✓ a 01970 Name(Print) No.and Street City/Town Zip Property Owner Contact Hrformation: Title Telephone No. (business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes ChriS20,-2W 11's- Norfks-- <, c�.2&,, YIA- 0197y Name Street Address City/Town State Zip to act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) If building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here❑and skip Section 10.1 10.1 Registered Professional Responsible for Construction Control (,(nriS7oe-2� qW BA - 0qq__-L C17n Chu a Re 'cosea^ C505-7733 Name Reg ephone No. e-mail ddr ss Re iB Stratton Number o✓ 1L� S{ 9 Pl 9P OIY G� S 2Cv Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Company Name Name of Person Responsible for Construction License No. and Type if Applicable Street Address City/Town State Zip Telephone No. business Telephone No. cell e-mail address SECTION 11: 1'vSAT[01N TIvi:JRAN ` A%J FIDAVI'1_(M.G.L.c.152.§ 25C(6)) A Workers'Compensation Insurance Affidavit from the MA Departrnent of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes❑ No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ 1.Building $ L ( TO. Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ appropriate municipal factor)_ 3. Plumbing _ $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ _(contac municipality) 5.Mechanical Other $ Enclose check payable to 6.Total Cost $ Lr ( q0- I (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Cl,,- Zat_r _cam, h-aG r&A-e✓ q ?�?YL �t Please not and si n name Title. Telephone No. Date No Street Address City/"Town State Zip Municipal Inspector to fill out this section upon application approval: Name Date i SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) - II ,, 3 3 - � �-r3 e( ,x ��{^Ze— �d✓z-� License Number Expiration Date Name of CSL lio er List CSL Type(see below) No.and StreetType Description S1e— M (�^O U Unrestricted(Buildings u to 35,000 cu. ft.)) l7\ - r,,l Q,—t-' ` / R Restricted 1&2 Family Dwelling City/Town,Slate,ZIP M Masonry RC Roofing Covering WS Window and Siding q SF Solid Fuel Burning Appliances l78--741-6 (aq I Insulation Telephone Email address D Demolition 5.2 Registered �Home Improvement Contractor(HIC) to t (PO9 YC.I--L1 }Y.VVt CQS lVIC - HIC Registration Number Expiration ale HIC Company Narr�e"or HIC Registrant Name Y\J _115 a✓ r1� Sf No. d[reel Email address a fo,VA 0I-r?0 q18--141-o`/a`! City/Town,State,ZIP Telephone SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152. § 25C(6)) x 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 .......... No ........... ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner of the subject property,hereby authorize C,l"v%t S �.£✓ �.fir�2� to act on my behalf, in al matters relative to work authorized by this twilding permit application. Print wner's Name(Ele tropic Signature) Date SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information containe t this applic ion is true and accurate to the best of my knowledge and understanding. /� k"i 2, Prim wner's or Authorized Agent's Name(Electronic Signature) Date NOTES: I. 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.mtiss.,ov/ooa Information on the Construction Supervisor License can be found at www.mass.eovidps 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" e�9fo A c& A SERVICES, INC. A&ASERVICES 115 NORTH STREET,SALEM,MA 01970 HINVAIMIll• s Telephone:(978)741-0424 Fax:(978)741-2012 Contractor Registration No. 101609 Federal EIN:04-3090162 - Construction Supervisor No. CS057733 WINDOWS AND STORM PRODUCT SPECIFICATION SHEET Suyer(s)Name Date of Contract Buyers)Street Address,City,State and Zip Code So S2 nor 0LZ_ 0/570 Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address �rYvt eEr-L T(Ir Wa2IG '. ' S7�- Y9s-�3b0 7�/-Gam/-ara� The Buyers)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,in accordance with the prices and terms described on this Specification sheet and the front and the reverse of the accompanying CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,of which this Specification Sheet Is a pan. WINDOW REPLACEMENT ORemove and dispose of# existing windows. /l'' Install # S new _�//';Aim S/ C- windows:/r onnyl 9 Wood (Manufacturer) / I A Options: Style ��>raR Cr /Iv C- Grid pattern 616 6 If Color Interior [ni/-//YC-= Color Exterior P...F{/TF Glass Type t Wrap exterior trim with aluminum: Style Color tU' All windows will be installed according to the installation procedures in the portfolio. TU LL- & Caulk all interior and exterior edges. SCl2 Fr.VS ® Insulate where possible around new units. If Insulate window weight pockets if exist,and around new window units where possible. G Included in this proposal are set up,clean up,Helps vacuum and cleaning windows inside and out. Building permit included. BAY/BOWS/CASEMENT UNITS/ANY FULL CONSTRUCTION WINDOWS t Create new window opening by cutting through existing home and framing in opening.If Remove and dispose of existing unit(s)in its entirety. Note:Electric and plumbing may exist in wall and will require additional costs to customer if need to be dealt with. t Install window(s)into opening(s). Note: If Bay or Bow installation to include cable support system,new roof system(matching color as close as possible) or tie into existing soffit system. f Bay If Bow If Casement f Other window(s)to include new interior style trim and new exterior style trim and head flashing as needed. t Note: Painting and staining not included. STORM PRODUCTS f Remove and dispose of# existing storm window(s). t Install new storm windows# Manufacturer Style Color Option f Remove and dispose of# existing storm docr(s). f Install new storm doors# Manufacturer Style Color Type: f Aluminum t Solid Core SPECIAL INSTRUCTIONS: It is agreed and understood by and between the parties that this Specification Sheet,along with CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,constitutes the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms. This contact may not be changed or Its terms modified or varied In any way unless such changes are in writing and signed by both the Buyer(s)and the Cartel Suyer(s)hereby acknowledge that Buyers) has mad this Specification Sheet. 1 Contractor Initials: 1_11_� Date: /G' ( l<- Buyer's Initials: 1 Date:LP ( ,y , } Asada Sheol a2 , A & A SERVICES, INC. A&A SER IICES 115 NORTH STREET,SALEM,MA 01970 ett Telephone:(978)741-0424 Fax:(978)741-2012 Contractor Registration No. 101609 Federal EIN:04-3090162 Construction Supervisor No.CS057733 CUSTOM REMODELING AND IMPROVEMENT AGREEMENT Buyer(s)Name Data of Contract /v1 O t�.flati- f` A2 Buyer(s)Street Address,City,State and Zip Code SO r2E�f�ovv 1foL�ow di s�dl Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address: The Buyers)listed above hereby jointly and severally agree to purchase the goods and/or services listed on the accompanying specification sheets,in accordance with the prices and terms described on the front and the reverse of this agreement and any specification sheets(this"Agreement'),and Buyer(s)have requested that such goods or services be installed or provided at Buyer's address listed above. A&A Services,Inc.("Contrectot),hereby agrees to install or cause to be Installed the products or services listed In this Agreement at the Bur ads)address written above. This Agreement represents a cash sale of goods and services. The Buyers)agree to pay in cash the cost of the goods and Services purchased as described herein,regardless of liming or approval of any financing Buyers)may seek for their purchase. Purchase Price: II (G Est.Staining Date: l/—lam—yZ Down Payment: J 00 Est.Completion Date: If r� ❑Cash Amount Due on Start of Job: Ie ?-'T ck 3 / !b O Credit Card _ Amount due on of Completion: No Amount Due on_of Completion Expiration Date: Balance Due on Upon Completion a O CVC Code: I It Is agreed and understood by and between the parties that this Agreement,front antl back and any addendum,constitute the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms of this Agreement. Buyer(s)hereby acknowledge that Buyer(s)has read the front and the reverse of this Agreement and has received a completed,signed and dated copy of this Agreement,including the two attached Notice of Cancellation forms,on the date first written above. Buyers)also (1)acknowledge that they were orally informed of their right to cancel this transaction;and(ii)request that they be contacted via their telephone numbers or e-mail, as listed above,In the event Contractor believes Buyer(s)would be Interested in any additional quality products or services of Contractor. DO NOT SIGN THIS CONTRACT IF IT CONTAINS ANY BLANK SPACES. A&A Services,I Buyer S) Signature Signer. Croke NOS Z_ 0/./rr t_-/boa L3� J et.vvl e t Print Name Print Name Signature Print Name You,the Buyer(s),may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See the following Notice of Cancellation form for an explanation of this right. ARBITMTION:The contractor and the homeowner haretw mmualy beck.in aavanca Mouth the avont ewer poky Free dispute concerning Maddened- aconed. n either pa may submit such dispute to a pirate araddlan service which has been approve!by the Secretary of the Erzeccal Office of cmvsumer Al and Business Regulations and the other party Mau be mgulrea to submit to such arbitration as proved in M G.L.C.142A. duchal matichs L C' Boyer's Weals: NO71CF OF CaNnELLARON 110apro OF CANCEL ATON Gate of Tradesman10 Z.You may cancel He beresetlan,without eery penalty or Out.of Transaction/./r/fz.You may ea 1 Nls banaaetbq without any penaltyor otergallon,within three business days from the above date.if Wacanca,anypropertythadedln, obligarmn,widlnlhree Lfi lnce.daysfmm Neabovedate.Ilyoucance,odypmpeMlrsdedid any payments male by you under Me Contract or Sale,and any reachable instrument whouted any payments matte by you under the Contract or sale.and any negotiable instrument executed by you will be earned within 10 days following scale by Me Seller of your cancellation miles, by you will be returned within 10 days Welding receipt by the Satyr of your cancellation notice, and any security interest arising out of the transaction will be cancelled.If you cancel,you must antl any cemdty interest edsing out of Ne Oansaation will ba cancelled Il you rardeb Ywu must make avalable m the Seller at your restlance,In wbffi any as good combrin as when received, make a actable to the Seller at your onedowss,In shwextiawes good oondeonas when receivetl, any goods delivered N you under this Contract or sale.or you may,If you wish,wmPly with Me any goods delivered to you under this Contract or Sale;or you may,It you wish,comply with Na InsWclions of the Seller regarding the mom shipment of the goods at Me Sellers absence and Instructions of Me Seller regarding the ratum shipment M the goods at the sellers expense and hsk. If you do make the goods available to the Soler and the Seller does not pick Nam up dsk It you do make the goods avallable a me Belle,end the Seller dead not pick them up within 20 days of the tlate of Your Notes ad Cancellation,you may retain or dispose oldie goods within 2J days of Me data of your Notice of Cancellation.you may retold or dispom of me good. without any inner obligation,if you tall to make the goods available to the Belles or if you agree winner,any,further obllgaWn.if you fallbmake the gcatls avallable�othhe seller,wllyou agree re drum Me goods to the Seller and far Ed do so,then you remain liable for performance of all to rated me sows to me Seller and fail to do so,Men you remain liable for performance at all obligations under m,Contrail.To cancel Nis transaction,mall or deliver a signed Me tlafal copy obligations under me Contract To cancel Nrs lrensactlon,mall or caftan a Signed and dated copy of the cancellation notice or any other written notice,or send a asegrem,to A&A�/`^s��(�//11�5 of Me cancellation Mtke or any other written notice,or send a telegrem,to ABA Se Ices, 15 North Street.Basin,Massachusetts 01970.NOT LEVER THAN MIDNIGHT OF rJ�2 North Street,Seem.Massachusetts 01970.NOT IATER THAN MUNIGHT OF l/ l (Date) (one) I HEREBY CANCEL THIS TRANSACTION. Consumer§SignaNre IHEREBY CANCEL THIS TRANSACTION, Consumeh CigraNre Dale , DISPOSAL OF DEBRIS AFFM NIT In aoc®rdanoe With the provisions of M. G. L. c. 40, Sao. 64, a condition of Building pe nir It Number is that Me debris result no from this Work shall be disposed Of in 8 prOPMY licensed facility as defined.by Igo G. L, 00 919, Sec. he debris will be ®ispDsgd ato as&aca r e����e���oon Owned by NafthsHe G Fier Date e�ea1Uppn ®� Nsmm Of Permit Applicant . A A S&FOg—asq. Inn c�sprr��g5 s®916 a g p� p d 6 NOfth 96� '"G'6eSalem aMA {��2'F0 . AddraRs, City, Stptia, Zip Coda The Commonwealth of Massachusetts � Department of Industrial Accidents ( `r office oflnnestfgations �tVIE 600 Washington Street, 7o Floor �+ Boston, Mass. 02111 5` ,: Workers' Compensation Insurance Affidavit: Building/Plumbing/Electrical Contractors Anolicant information: / Please PRINT legibly name: _�h r ICJ / �'n tt nAke 0- address: 15- i--eP4 city '0 M6C} zip' Q 97� phone# / D - 7f-o ay work site location(full address)' ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction ❑Remodel ❑l 1 am a sole proprietor and have no one working in any capacity. ❑Building Addition F I am an employer providing workers' compensation for my employees working on thisjob. company name: A 'l— address: ( l{{S t�/O ✓"� �l r' p �7 �[ R' / city SO. 1 e lMC l�.'rl phone#: _! ^-t E— 7 ^7 (1�'r—/0 Y �7 insurance co Q t ,-a t✓'e �'� r— n-5 policy# 01-ILL 3 t a 1 6 1 5 ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: companyname: address: city phone#: insurance co policy# company name: address: city: #• insurance co policy# Attach additional sheet if necessary Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Ffice of Investigations of the DIA for coverage verification. 1 do hereby/certify unde th pains mtd p patties ojperjury that the information provided above is true and correct. Signati / Date Printname L, ✓i f�a0) / ZO✓2�/ Phone# official use only do not write in this area to be completed by city or town official city or town: - permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised Sept tom) THE COMMONWEALTH OF MASSACHUSETTS _ EXECUTIVE OFFICE OF LABOR AND WORKFORCE DEVELOPMENT DEPARTMENT OF LABOR STANDARDS 19 STANIFORD STREET,BOSTON,MASSACHUSETTS 02114 DELEADER CONTRACTOR LICENSE A&A SERVICES, INC. 115 NORTH STREET SALEM MA 01970 LICENSE: DC000440 EXPIRES: Friday,May 10, 2013 IN ACCORDANCE WITH M.G.L. CH. 111, § 197B(b)AND 454 CMR 22.63, THIS LICENSE IS ISSUED BY THE DEPARTMENT OF LABOR STANDARDS TO THE CONTRACTOR ABOVE FOR THE PURPOSE OF ENTERING INTO OR ENGAGING IN DELEADING WORK. THIS LICENSE IS VALID FOR A PERIOD OF ONE YEAR. THIS LICENSE MUST BE MAINTAINED BY THE CONTRACTOR WHEN ENGAGED IN DELEADING WORK IN ACCORDANCE WITH M.G.L. CH. I I I § 19713(b)(2)AND 454 CMR 22.03. HEATHER E.ROWE,DIRECTOR �j ;Massachusetts - Department of Public SAO% �e Ipovrrrrreovamea�l/oy VVGiryiac�zua Board of Buildin!Z Regulations and St:m-dar('ls Office of Consumer Affairs&Busihess Regulation OME IMPROVEMENT CONTRACTOR Construction.Supervisor License 19,stration: 1016o9 Type: License: CS 57733 xpiration: 6/26/2014 Private Corporatio A&A SERVICES INC CHRISTOPHER ZORZY t t 115 NORTH ST Christopher Zorzy -_ SALEM, MA 01970 115 North Street Salem, MA 01970 Undersecretary c. �i-•� !` ! Expiration: 5/26/2013 _ Yti ___ �___ � 11 � ('unuaissi,rm•r Tr#: 15935 BUILDING.PERFORMANCE INSTITUTE„INC: _ \ ' Y07 Hermes Road, Suite Lfo - I'iAdvanced Malta, 27 220'20 r " Program Malta NY 12020 274 www.bpi.org SF CertainTeed ! Fiber Cement Siding ¢] Christopher Zorzy n 20120426000840 �,. v • :Y:' A&A Services Inc Exp 4/26Y2017 n 115 North St ji l CHRIS ZORZY Salem, MA 01970 CANDIDATEID=:CAN07649 ri Ivlztthew J Gibson �'•` i raycr CA fP s � _„ � _-Litscai. •R._Ic�\T,...i�_vlvaTa._ p,ImmielereA h.i rl..M\�/n rL. I..M.....\.......1 Ins From:East Coast Properties LLC 978 745 9684 1 11 /08/2012 14:21 #324 P.002/002 PROPERTY ® MANAGEMENT EASTCOAS P yI'liT SECTION Ji 1l �ORTTL J, LLC NATIONAL ASSOCIATION OF REACTORS W' AUTHORIZATION TO DO REMODELLING WORK DATE: NOVEMBER 8,2012 RE: UNIT#204,50 FREEDOM HOLLOW, SALEM,MA OWNER: JEAN O'CONNOR CONTRACTOR: A&A SERVICES FAX TO: CIT OF SALEM,BULDING DEPARTMENT This letter Nadll confirm that Jean O'Connor has approval from the Board of Trustees of the Village at Vinnin Square Condominium"Crust to have new windows installed in her condominium unit located at 50 Freedom Hollow,Salem,MA.,which work is being done by A&A Services of North Street, Salem Mass. East Coast Properties,LLC,Manager BY: Cyn Anselmo U REAL ESTATE AND PROPERTY MANAGEMENT 400 HIGHLAND AVENUE,SUITE 11 email: EastCoastProOaol.eom Phone: (978) 741-2003 SALEM,MA 01970-1777 Fax: (978) 745-9684