HomeMy WebLinkAboutBuilding Permit #03-0335
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
218(,
,
~~~sr
OWNER
CONTR.
DATE TIME
II-'-f-O?
Pa~
PHONE NO.
PERMIT NO.
--
~ - -:3..?.5
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
5;d /7' -roT' - 5
~ '
~~TISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:::m;;;?r REINS::::::FORE COVEmNG
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
SCHEDULED
DATE TIME
~
ADDRESS 7 '!:>'9/.Q ~ 0 ~ E...Uf.s-r fA. 114
OWNER CONTR.
PHONE NO.
PERMIT NO.
o~..-~~s
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
J:KfINAL
/0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXI~/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
- '(2.~
u.;;.R:('..,. ~ ~l..lST) W / &l^'Ot.
I
- ~t...c>O f- ~ ~O~
~,.\ I)'1 A/6 U~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
EXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
I
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NonCE SCHEDULED ~ 1;24/.t'3
ADDRESS 2~~ ~~~~~
OWNER
CONTR.
PHONE NO.
-5 -- ,\,3,~ .
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Q(fFINAL
/0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
IJ PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASL/NE AIR TST
o
~rr~, c ~ 0 'Ie q. lC03
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 4- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
lNSNOTl
II'
.__.__.__._._.._~_.._._--------_.. ..--.....------- .--...,...
"
ADDRESS
73~
/DA/
SCHEDULED C::>~
~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
3-'Q:)
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3 - 3fL~S
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTIO
o PLUMBING RI
o MECH RI
TER HOOKUP
R HOOKUP
UMBING FINAL
ECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS
o WORK SATISFACTORY, PROCEED
o CORRECT ACTI ND PROCEED
LL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl
-------,r-...-----.--... .-.--.. .... ---.--y----.-.-- ..____._...._m_
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3...33r
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
A WATER HOOKUP
~ SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~OMMENTS:
~-z
o WORK SATISFACTORY, PROCEED
'\1' 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.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSJlOTl
T
714303
~?~ ~Cv^e-~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
DATE TIME
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Ji1?FINAL
PO SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
,I 0 PLUMBING FINAL
k -'MECH FINAL
3 - 3 3,~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
;?CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
'---'~-'-_.'-"""--'_.'-'--'T".'-"-'--'---""-"--'
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2r1/o3
I PERMIT NO. 03-6335 I
L White File
2. Pink City
3 . Yellow Applicant
ZONING (office use)
~~
<cJ..
LEGAL DESCRIPTION (office use only)
LOTstl BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER ~
(Name )- -/I1,t?
(Contact Name) .' <;):y:>70A
(Address) ~/1J~
SI hJ.;/
79-~?J33--~3
(Phone)
(Phone)
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
ORe-Siding
ew Construction
"FirePlace o Addition DAlteration
PROJECT COST IV ALUE (excluding land) $
DLower Level Finish
DUtility Connection
o Misc.
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 uil 'ng official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon p~rty to perform d . nspe . ns.
Oyb~'5
?{?la7 7 U 7 5 ;t
Contractor's License o.
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
$
$
$
$
$
$
$
$
$
#
#
-
7$. 04
:2-f:Ot dO
4.f": ()O
I ).. 00 d)O
OO.()O
I ~OO ,00
Water Meter Size 5/8"; 1";
Pressure Reducer
#
#
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
'05./
I Re",iptNo.t~.;c3
By ~.
10l{~: r!.
3- &,- 3
I Paid
Date
B comes Your Building Permit When Approved
] -).(--0'].
Building Official
Date
This is to certity 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 Ci PI ncr constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
R~a J C)( 110 {~5 .../-. I-J.al'7c0vf '}
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
t
? - )/-0'3
Thr Center of Ihe Lake Coun..,"
White - Building
~ry - Engin~g
Ink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I " ,
,...:.../v-
,.-- I"~
-?
I
/
--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
to.-
--I-
, ,-..' t
Accepted
Accepted With Corrections
~
#11:-
R-t'G{ c! 4 (( rid f~ 's 4
Date:
'J --iI-C)].
(-/-0 VI d oc/ 1-5
Denied
Reviewed By:
Comments:
liThe 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."
---""'-.--"'ii'""'-"'--.'-'''''''' .."" .... '....-T
...,.--.., '-'-or---'-
White - Building
Canary - Engineering
Pink - Planning
Th, (",nt,r of .11. I..k. ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ll:/x~k~
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'-(', _ -;- -.,,)
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..;.t/U""f}tf2.~'//
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propo~ed at:
.l /~ ",., _ ,0 ,,',. - ,-, r'o' .::., -":r ~t
./"l..,{J rLt C',/c.2..~,j r . (v '-.-.T \...
Accepted
x
"
Accepted With Corrections
Denied
Reviewed By:
~B
Date:
3 -/f--03
Comments: See Reverse Side for Additional Information!
See Attachments. I) Grading Plan, 2) 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."
I
Th~ ('f'n_f'r of _hf' l..kf' <'oun_ry
Pink
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(j~7b:f ~
3- 7--3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~3f&- ~&U-4+ !~
~
Accepted
Accepted With Corrections
Denied
ru~
e c~ c! a I ( I4v VIe! I1(J f I;
Date: '5 ~.l (-cJ J
~ /'10 I-cJ
Reviewed By:
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 yiolate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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*Permit#
*JobAddreas Z3~6 S to/\~trt/;j
._""",,-H~~!NG TWQ
*Teste~JSignature A .-'
/
.GlI$ Une
Pressurized
Inspected
.Percent CO2
.Percent 02
Final Inspection
Date
Time
PERFORMANCE TEST
.07%
<,Q~?,I)
.Percent co
.Stack Temp.
Date
II
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f
Pounds
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APPUC.~."T ?LL~5E CO~(PlETE BElQ\V
<\II;.~:H:r; T;<p': J)(f';:crUI't! I Q'l:Jncir:-- I
"-~r'-'~,i5T~li W!C:l ';r WIC:l;J'.lC s:-t\;wo:::- ..3 I R.JU:;IHns
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-----~f 'I L:"i,1cor. (P',lC~;-r::nrt S'I~:~:) .I I ::;c~r.c p:r.~ r \V~;'llr.~ ."'~"::1\:':~' ___._.-
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f I l:l1..lnlJr:. Tr:':i { l IJr: c.;;,r.r;:..:r.:i:":~:lC ;lr.:..: j St:w:l~-:: EJ't..::or
I S;,owe:, Se:.ll I 8acktlow Assr=moly
I I Smks I 8.1ckrlow Assembl:-- T~st
r---'" B.u Sink I L:1wn Sprin.kle:-
:-I-- Water Close: t.Tudr::~) I Oth<::"
T~p~ ()f F"i::::u:-::
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f E.E. ::it.: HED lJ'lf
[(:C:u~:;-::.~, C;;mr.;:::-c:::J.! & ML.:lti.f::.t:'l.il;' [% o{joo c:::m wiC:1 :1 S:i9.50 minimur:l
Rc:sid~ti::11. Nc:'." One: & i""o-F:1:r1j[~ SI9.~O
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[ni' "ppli""o. 8<<..,,, Y'U=i1:~ P"mic Who. App.....d
Bill/dim; Offic:i2f O"tc;
PU.J'!vCBrNG PER...\UT FEE :s
STATE SURCHARGE S
TOTAL P.E~'UT FEE S
10/TQ"d
Jt.~ I OJ:J~~ I 8lJnld/,3lllj(1
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II
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. :i:'e:n ~:~ I PERMIT NO.3" - 3 --:;l. c-I
3. Yellow Apphcant . _ uJ .
ZONING (office use)
2386 STONE CREST PATH NW
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
CENTEX HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
4/25/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO SL-550TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
~~. ~
~~ :it~
~Q~~
~
Buildine Official
Date
(Office Use Only)
This Application Becomes Your Building Permit When Approved
8
24 hour notice for all inspections (952) 447-985 ,
u
I
FROt'1 : HEAT I t~G-COOL I t~G- RIO
FAX NO. :7634283682
t'1a'::i. 13 2003 10: 53At'1 Pi
CITY OF PRIOR LAKE
REA TING/AIR CONDITIpNING/FIREPLACE PERMIT
Date Rcc'd
~~(\E-~~' ~ +~
~: ~~ JJ~I..ftl I PERMIT NO.3, "3 '35 T
;J, uJ, . I ZONING ,-...., I
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
prD
I OWNER
(Name)
(Address)
Cy:,~4
c\\a<'^.E'S"
(phone)
APPLICANT
(Name)
(Phone)
(Address)
I.;f4TING t CO'Ut~G TWO llJ~.
< ~~' (' t -. e'
(Ad !tit') ",.:lUll Y r,,,,. I
Maple rove, MI~ 5536S.~;:;J',
"/8"<' L./2._~~7-
If
(Phone)
(City) (Zip Codc)
-J;, /.;) "'. ~ ~3 -, "i::> (p 7
S -j..j -03 '
(Contact Person)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
::gNEW CONSTRUCTION o REPLACEMENT o At TERA TIONS
FURNACE MAKE AND MODEL /1 ~ (Jo(\t- ... -:a~ '-/!d8' 0 FUEL
FLUE SIZE vJ ~ REruRN OPENINGS 11 IN"PUT ao. 006 OUTPUT ? ~ dd 0
I
TYPE OF SYSTEM HEATING OR POWER PLANT
~nn Air Plo.nts o Steam PLEASE NOTE:
. OOrl\vity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
~ Conditioning o Special Devices Required Side Yard
ent. System OOlher Devices Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercia.l &. Multi.Family
"FEE SCHEDULE
1 % of jOb cost Residential, Gas Fireplace
$39,50 minimum
$99.50 Residential, Additions &. Alteration!:
$64,50 Residential. AC Only
$39.50
Residential, HeDting &. Ale (New Con,truction)
Re,idential. Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
.50
PAID WITH
BUILDING PERMIT
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
Building Official
D_lt
,'-'"
.
Receipt 0,
6y
(omee Use Ohly)
This Application Becomes Your Building Permit When Approve
24 hour notice for all Inspections (9
'MB50. fu ~52~ 4~
If
11
07/23/2003 14:40 9524612166
FEB-13-2003 09:06 CITY OF PRIOR LAKE
DASEri CWTRACTH,jG
PAGE 131
9524474245
P.01/01
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~ ~.:.. ~ I PERMIT NO. 3."3 '"'2 51
" ~ "l'pU- ;:)
'~-~~~-:
[ADDREss --~ YoMC/ld-fJoa;a. IZONmG~K.w_J I
LEGAL DESC:R1PTION (office uae only)
LOT BLOCK
ADDrnON
Pro
OWNER
(N a.me)
(Address)
(Address)
~
(Clty) 1-0 __ (ZiP Code
(phone to ~ 0dfTJ
DATE . J -?J~i5t5 . "')
(Contact Person)
APPLICA..N'T PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from strUcture _ feet,
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length ofsewer line _ feet.
Clean out (ifrequired) loca.ted at _ feet from strUctur!,
FEE SCHEDULE
Residential s~er Il1d weer line cOlUlccnoD S35.50 Industrial, Com'l &: Multi.ramIly 1 % of job cOSt with a $39,SO minimum
Sewer cOnDcction only S17.50 Warl!r conneonon Ot1~y S17.50
Estimated Cost $
Building Pennit tI
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
S
$
.so
PAID WITH
BUILDING PERMIT
(OMr.e OJe 011'7'
Thl. A.pplication Becomes Your BuildtnlJ Permit When Approved
8ulldln~ Omei.'
Date
TOTRL P,01
J
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS J.~ ~~~A.""
NATURE OF WORK ~ e
USE OF BUILDING ~
PERMIT NO. ()j'~ 335" DATE ISSUED 2.~~-"]~
CONTRACTOR c.~~ "'~.1 PHONE~t'f)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
- -
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING I. ~ I ~/(j,kJB
I FOUNDATION (Prior to Backfill) I ~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER rSEPTIC
FRAMING
INSULATION
ELECTRICAL L
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I . . I
FINALS ~t~
I
f) 'ify t ~03
GRADING (Prior to Sodding)
BUILDING LV 'C- 7
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE
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.
FOR ALL INSPECTIONS (952) 447-9850
If
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