HomeMy WebLinkAboutBuilding Permit 03-0038
--------- ---.--- ------- ~------ ----~~---- .----
-,
Ql~difitatt of @ttupautl!
CITY OF PRIOR LAKE
~tparfmtuf of ~uilMug JIusptdillU
~Final Permitted ~J Conditional e.O. Expires "
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying
that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior
Lake regulating buildir:g construction or use. For the following:
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit Nn
N/A
Zoning District
03-0038
R1
Use Classification
SINGT"E FAMILY
Legal Desc,iption. L33, B3, THE WILDS SOUTH
Owner of Building _
Site Address
15365 EAGLES RIDGE
ContcacW"s Name & Add",s TC CONSTRUCTION. POST OFFICE BOX 51, ELKO, MN 55020
DON RYE
ROBERT D. HUTCHINS
A) 1< BUildin2f~~1 () J
V . / I' POST IN CONSPICUOUS PLACE
CityPIO"
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED I}j 3103
~~ (lJ~
ADDRESS
15"'J~s
OWNER
CONTR.
PERMIT NO. <S -rY 3 8
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
)l!; WATER HOOKUP
',l, SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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f
~S'Z.-
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GtAAr~c;_
( )
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
Owner/Conte
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNDTJ
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 15~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
DATE TIME
SCHEDULED
G:r~
~~
CONTR.
PERMIT NO. 63-/')1),9.
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
~EWER HOOKUP
LUMBING FINAL
MECH FINAL
o EX/GRAD/FILLiNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LiNE AIR TST
o
COMMENTS:
I. Fi....t (j;,.,.d~ ~\A..<;.rpJ.U'^- \.oq~.-<... 9.,~
'2 . ~,..,&. .I- -n-."pal. ~"rPOALoO""..:lc p---
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~. Jp ~,,_..t "'1'~""~ ~1o.JG.)I.....-.
~k \DJlt'r \-0 So~p~ </M-l\c),~<Pr-
5". CAIA.....-~5<...".(' +,..,. ('I.....r-..,;,.~ rl.~~ )k
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v~"5W~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)( cORRE . K, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
. Owner/Contr:
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
lREMENTS ARE FOR YOUR PERSONAL HEALTH,{ SAFETYI
INSNOTI
_ _~_.,_...,.__~u__.__......,..._-'-----
(r2b.o -'
!L;3~)" E~/(>5 ~~
CONTR. TL ~v1~./'
(l) 3- 3J
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
C>I'lFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
COMMENTS:
bl"'~.4-
oK..
(.,,1 L, TSL7f.- C/ JC..
6,-~ ''''' rt"~ 1m)
DATE TIME
~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/~ 3: I
~~nQK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:$~ _ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
J 53l,S-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED g.~? '
~~
CONlR.
PERMIT NO.
?-03e
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
1 D. <;'~-r
~'{4-t~
o~
)t. WORK SATISFACTORY. PROCEED
o CORREC CTION AND PROCEED
o CORR TO. CALL FOR REINSPEcTION BEFORE COVERING
Inspector:
CAL
Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
EQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
,,,,,,,,n
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec\
(Please'!vpe or mint and SilDl at bottom)
ADDRESS
White File
Pink City
Yellow Applicant
I PERMIT NO. 03 -063g
j:J.- ~ j -O(f-
I
/5 3 ~S-
eac;1 eS R, 'Jjje-/
V
I RjING(OfficeuSe) I
LEGAL DESCRIPTION (office use only)
LOi33BLOCK ,:S ADDITION !J!.)LfJ~ &4
PIDd5".3f;<- ()R?-O
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
f!fltl/5rr
-'it /YJ ~; /c:<;
fJ, tJ JjtJ'( 5- /
-.-:>-
TC
~.
(Phone)
(Phone)
Qt}d- 46/- 3qgLj
- ..
(Address)
Elk6
57-ON)
TYPE OF WORK
~ New ConsOUction
DLower Level Finish
ODeck
DPorch
ORe-Roofing
ORe-Siding
o Fireplace
DAddition
DAlteration
DUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) S
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the 1'.....1'....~J to perform needed inspections.
x ~
Signature Contractor's License No. Date
I Permit Valuation ~i9J> "00.00 I Park Support Fee # $ Rs-a,CJ D I
I Permit Fee $ /.l:;'1L.5'5.1 SAC # $ I~ }'r.O 0 I
-
Plan Check Fee $ /00 Z. ~" I I Water Meter Size 5/8"Q::J $ ~(UJ. 00 I
State Surcharge $ 19. () 0 I I Pressure Reducer $ 70. 00 I
I Penalty $ I I City SAC and WAC # $ IWO,DO I
I Plumbing Permit Fee $ Ian. 00 I I Water Tower Fee # $ 7Do.oc I
I Mechanical Permit Fee $ 1"""1 01"1 I I Builder's Deposit $ I C:;Dn.OO I
I Sewer & Water Permit Fee $ .~S". 5"0 I I Other $ I
I Gas Fireplace Permit Fee $ ~Q.()O I I TOTALDUEt.A'lA..erJ 1~/O"3 $ [3 PJ/4- . 1/ I
l~ ,0- 7i I' -~-
This Application Becomes Your Building Permit When Approved Paid I Receipt No. t/ :?' / l)cr-->
~ :;I~", /2./:U.,1n z--- Date ;:;)- j;::; -{L"'J By U'./'
Building Official I Dale
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~~ r 'J1 /"
~ 1~ /.2.-/J-/"/O-z.- /.-..il a..fl,! ~~" ,+:.:. '
Planning Director I ~te~ Special C;'~o~s, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
White - Building
C' ","a~~;-i - ;:;-;;;;-;..arrng-y
Pink - ....Iannmg
Tht'('t'n''''Orlh..I..bCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
----
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-:%/ ~;l+'.)<-1-1'/A -~--
it ';'11", /, ,.' // "'IF A.,
(~~...-,c.>' ,./"~/'r'. / :,:.-.,-,;:--/_-".~~(,---t';)/\_~~
APPLICATION RECEIVED I
I c;l- ;:). 3- o;r-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/S"3b) J:;:aq/.p5
;<,'~
(/
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
M1B
Date:
/2- 30 -0 L
Comments: ~"'''' Reverse Side for Additionallnformatirml
SP.P. A.ttachmp.nt~. 11 nradin~ Plan, 21 Erosion Control Measures
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~~
White - Building
Canary - Engineering
Pink - Planning
Tht ("toll" of lht 1.lkl' Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
,"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.-
..< :' .- ")
"
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
rz~ 7'~
Date: Id~(';;-z...-
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
~~
Qhite - Building:./
Canary - Engineering
Pink - Planning
Thf ernlrr flf lhr I..kr <-'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Ie
APPLICATION RECEIVED I d - ;;;L 3--od---"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//)'5 &)" l,::::aq!.p5
- .
Accepted
Accepted With Corrections
;<,'~
u
/'
Denied
Reviewed By:
~
,(?~
:f~ Date: /.;;-h 4> k L-
ab ada-dUJ ~-o-z;:t;;-
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
APR-24-2003 13: 12 I)IERECk FIREPLACE 861 0456
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TOTAL PER,\II,J HT
TOTAL P. 01
From JECHEEXC
PHOt,E No.
612 8926396
F eb. 20 2003 7: 22Ar1 P0l
Date Rec'd
Ol-O~~
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---
CITY 01" PRIOR LAJ< t<:
~EWEH. AND WATER PERMIT
I 0"," ';1. rjij~ItMIT NO. 0 7 - 3l/ I
2 Vellt,.. IllY ":) b
1 (:.t,ld ^pl'beBII\ )
~:;a..:.:.!~_tvoo or nrlnt .I.nd si'Z!a'loollnr;a:!) _,__.
ADJ)HE~S .."
1 ~~..-/
',' "1 t--' .- "".~" ." - ~...._--
~ ~,-,- .........
. ".......-. .......-.......
LEGAl. DESCRIPTION ("ff", u"' only)
2J~ BLOCK~J,._ ADlll'!.ltm
.lE3/}; i;~1hQ~( A/lit
...---.... .--..........--... .----- ."
1") . \)J \ \\.. .l11
. \.L_U.LL . ... .~-
ZONING (om..< .,,)
PIU
-
OWNFR
(Nome)
'T', Q." ~O 11'+
. - ." .(;,
.....,.._.,--_...~..
(Phone) __..
(Addrcs>j
.'",,--_.
(Add,.,,)
..____._.._~."..____.. ....u..____~,..
(LilY)
..._._._-_..~.-'----- .
(7.ip c;nde)
,....~ "._,,--- ~,.-,.-...----..
API'LlCAN1'-r I '-
Oolame) ve.e.l\e..- .f:.YQ.
(Address) JalD JO.~.....fla.0-.t<
(AOQreS~)
(Contact Person) _ ID ~., JcfL-'...ffl+-""
APPLICANT SIGNATURE. t~~L. ..n._'
_"___ (Phone) t./ ;;j,;}{) 7!::1 S-fo
EI /JfHrl ; ltJ+Pl.tJ}1.N ,C;S:1::13/
( .il,) (Z>!, Code)
fJ/J 1;;{ ~ ?y.s7,
l::_Jg~:.~ ?_=-
(Phone)
DATE
APPLICANT I'LEASE COMPLETE nt:LOW
Si:t.e of wlIlenel viee I inches.
Location of any e<lllplillgS from structure _..__ feet.
Type of sewer pip~. 0 A13C 01'VC 0 CaS! IrOIl
Estimated lenglh orsewer lilll; <10 fed.
Clean oul (ifrcy"ileo.l) loe"leu at ___ feet flom structure.
.."....-.....- --'.-' .-,
Rc:sidt.:llti~11 !:icwer and water line connection
Sewer c(Jnnection unly
$35.50
$17.50
FEE SCHEDULE
ImluslriCtl, O..IIU'} &. Muhi-[amily
Water connC'ction only
1 (1/'0 of job cost with a ,$39.50 minimum
$17.50
1::stimatcd Cost $ _c-;; ,~;'i1
Building l'c:rmit tJ
SFWER AND W ATEl{ PERMIT FEE
STATE SURCHARGE
TOTAI.I'lmMIT FEE
$
$
$
...-,.~Q
,'5"
." ""-!f;.
'.
(omutJteUul)')
UuilJinc Ofli(inl
---..--.-.-i.)a~-'...._._.._."_...".,, .
This Application Be~omes Your Building I'crllllt When Appro_ed
doC 3 02: 39 P11 FROM FGTN P~G HTG
TO 9524474245
s~:
""NIWI!:SO'\1"
PO I
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
_( f'lrasc rYO! or olint and !itm at bottom}
ADDRESS ZONING Coffi" '''I
1 BI~c fil. I PERMIT NO
,0.;, eil, .
l'VrI(ov.o "",,,lltllIll
Eoole~
(j
'R.;j"e
o
_.lli3JoS
LOT
I FOAL DESCRIPTION (ofiic. use only)
BLOCK
ADDITION
OWNER
(Name)
(Addrcs,)
T.C C"",-~JrLo. t.:.\.",,~
Elko
APPLICANT I
(Name) r-::.,..r""" .. "M tt1 '"' P ~ H
(J
(Address) ."J-IO.3Y Ch:I"l(?"t'.",k(~ (.l",<-
(AddrdsY
(Conlact Person) . JJn. ...
Al'PLICANTSIGNATURE""Dovv-. 00 L~"
i
~.-
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]
I
I
i'-
I
Quantity
;)...
\
I
4
I
I
i
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower .3
Dishwasher I
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Slall
I Sinks
Bar Sink
I Water Closet (Toilet)
3
PID
(Phone)
(Phone) l"sI-LJlr;?:'- 78~~
Th.," rY\' ~3 it, '" c::.59.) 4
(City) U (Zip Code)
(Phone)
DATE
(D-l ~ ::O~
Type or Fixture
Rough-ins
Water Heater
Water Softncr
I Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
. Other
FEE SCHEDULE
Industrial. Cnmmer;;lal & Multi.family 11% of job l,;O~t with a $39.50 minimum Residential. New One & Two-Family $99.50
Residential, Additions &. A1teratinnK: $39. SO
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE S
STATE SURCHARGE $
TOTAL PERMIT FEE $
(omt(~ ll,e- Only)
Thi, Applle.lioll Becomes Your Building Permit When Approved
Rulldlne Offici.'
Dirt
24 hour notice for Illllnspections (9S2) 4.&7-98~O. fax (9S2) 447-'2"5
.50
Paid
Receipt No.
Dale
By
5073344811
CITY OF PRIOR LAKE
CArjrjON VALLEY MOTORS PAGE 01
9524474245 P.01/01
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Da.. Rec'II
(JIIH!! M>!. or we 1fd1im Illloctollll
I ADDRESS , .r"
J .:::>3 /" ~
t ~ ~~ l PERMIT NO.
J, v.u_ """pI,OIIII
FA-/(tA
LEGAL DESCRD'TION ,.Il\oc.....nIy)
Ajro,
Ilt1tiJ I ZONlNG<'-uMl I
LOT
BLOCK
ADPlTION
PID
OWNBR
(Na.me)
(AddJeu)
~
ee"., s'l--
(Phone) tJ~2.. t./(;,/ :??Jy
APPLICANT .(J 1_ C "7"-,
(N.llte~ 1Jtl.' - . ,J!.(;;...,<' ~ - (phone)
(Address) d.. 417'1 f ~ &Ji{;. .J1. Jl4a/ tilfJ~( IjJ! ~;f
t?A ( ddml) (CIIy) (Zip Codr)
(Conr.etPerson) ~ (Phone) t1S"':? 7~)' ~ 7:r 7
Al'PLICANTSIONATURE ~ O;TE (, -1.7-/J.r
, J -~ (PPUCANT PLEASE COMPLETE SELO;'
~w CONST CTION 0 I}EPLACEMENT 0 AL TEkA nONS i1~
FURNACE MAKB ANR MODEL . Mtl;!-...... -!?F/J FUEL. ~
FLUE SIZE 2" jJlv. RE RNOPIlNINOS~ "T ti:- INPUT fal.9lJ OUTl'UT 7?,.(12J
TYPE 01' SYSTEM HEATlNO OR POWl!R. PLANT
OSIeMl
o Hoc Willer
o I\&clialioa
D Spcx:II' Devlt"
o 01!le, O..i...
linn AW Pi....
OrAvlt)'
.dlllllC1l1
Air ConclltloAln,
DVllIt. Syolom
'LEASE NOTE:
AI. Conditioner Unill
ClIlIllot EnuollCll into
Required Side Ya,d
Setblleks
FiREPLACE MAKE AND MODEL
FEE SCHEDULE
lndu:otrhll, co_tll .. Multi.family 1% of.l.b COI' 1l.,idm,i.l. 0.. PI'.pl...
139'0 minimum
Reoldenij.l. H..ting a AIC (New Con""'.lion) $99.'0 11I,idenlill. Addl~on. '" AltenIti.n.
1l"'ldenl.lI. HUll.. Only (New ConlllllCllon) 564.'0 R,sldlnll.l. AC Only
539.50
539.'0
$39.'0
Ealimated Co., $
BUlldln, Pormll N
REA TlNG PERMIT FEE
STATfSURCHARGE
TOT AI.. PERMIT FEE
$
$
$
.50
(Omet lJlC O,,~)
Thil Application ........ Y.ur Bulldl.. 'erlDil When Ap,rvud
...181.. omo."
I t>lla
I Date
Dok
14 hour _oa.. r... en ....,........ (9n) 447.,.,<... (lI1~ U7~
Reoelpt No.
By
TOTI'\.. p.e1
PRIOR LAKE
INSPECTION RECORD
ItS' $ ~J~~E
USE OF BUILDING . ~.f=; 1:>. .
PERMIT NO. 03-00'58 D~lE ISSUED .IlIt.c. O~ AI
CONTRACTOR ~ud1.~ PHON" .,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I ~~ECTOR
, FOUNDATION (Prior to Backfill) I P,(f> ~'J''''''~ I
7J~ -(,'<V PLACE NO CONCRETE UNTIL ABOVE'HAS BEEN SIGNED
ROUGH - INS
I .~
I a.5 41- /)
I -Ph --- -Y--l8
I
I fll5 _ tf- f?
I /J~
.1
~1h7
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
I FOOTING
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
We
,
9"/.]1
- ,
~'/b
GRADING (Prior to Sodding)
BUILDING ~ '/"'8-1.-o7FU
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
A/fl t.Z6,OJ
j
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I
(;,-1.3
I
FOR ALL INSPECTIONS (952) 447-9850