HomeMy WebLinkAboutBuilding Permit 03-0084
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMI ,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please ~ or orint and siJm at bottom)
ADDRESS
/~~I
C:-.oU~An ,.:;
/4;/1< e:r--
/ ;1- :? 0 --0;;;.-'
I PERMIT NO. ~
ZO~~officeuse)
I. White File
2. Pink City
3. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT/~ BLOCK f1. ADDITION ~'-''''''''A'J,..) t-./ill~ 2N'f)
~~e~!AkNmv.rV~
(Address) 179s rp(Az,.A
BUILDER
(Name)
(Contact Name)
(Address)
s-~
TYPE OF WORK
o Misc.
~
i))L .q:F ZOb
IiiiNew Construction
oDeck
PID..2.Y 3'to- (;') /7- 0
(Phone) t;,~/~Y~(, - ~~(){)
A,OJ s-s-/ d. :2
,<':~ At< A,u
(Phone)
(Phone)
oPorch
ORe. Roofing
oRe.Siding
o Fireplace oAddition oAlteration oUtility Connection
PROJECTCOSTIVALUE (excluding land) S lo:~.7~8' '"
"
W/IJ~ d"",()O I
$ jl'J/I~ ./'5-
$ IDlltJ, P;
$ Sz.(lO
$ --
$
$
$
$
/tJOdJO
ItJo.IIO
3'5". <:;""0
-lI(), {)O
This Application Becomes Your Building Permit When Approved
oLower Level Finish
/ .b.;>-Ha
/ Date
I Park Support Fee
I SAC
I Water Meter SizeS/8"j l"j
I Pressure Reducer
I City SAC and WAC
1 Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Pai8l t, S ;;.. <f dO
I Date A -tl-/).:j
~
#
#
#
#
I hereby certify that I have furnisbed 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 y~"'y_nJ and that all construction will conform to all existing state and local laws and will proceed in accordance with
subnutted plans. I am aware that the building offiCial can revoke this permit for just caus~.:urthermore. I hereby agree that the city offiCial or a designee may
;t:ruponth~<:A:'dinspecnons / YSY
10 J ~Ignature Contractor's License No Date
~ -:t'~"';J
Building Official
$ ,f5a.D'B
$ I:.. 7S; tJO
$ - .;1)0.00
$ <ff),t)tJ
$ /2aJ,~
$ 7m,O"
$
$
$'324-. /5
I ReceiPt No. '-:f r',' / (51
By rr./
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
~+~
Planning Director
/h-.3-~3
, Date Special Conditions, if any
24 bour notice for all iuspectiollli (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Ptior Lake, MN 55372
-;W~
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
=M;
.
."
,
~/ h..-I..;'4I;
Heating Contractor ~~ ~
Name of Tester &~6"" i?>
/ ~f&l3
/1,170
~,v
5;.5'''10
98 of
Job Address
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 /# )
input /tJ dVcJ (,3.-y
~~
c:5k #lit/tV FiLe
Tht' ('''nln of thr L.k" ('ollnlr)
~11;~!! - R~lild1iiQ-,.
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/IJr//J1~~
/;;2---50-();r
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ t/d-O /
F07k11 /~ o/JJ.L
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
Comments:
~ L,/J~
,
Date: ;p.~/a~
"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,"
~~
. ~'..
t.e~A.;1A:~ Ff~
,....I
Th, ('rnlrr of Ih. t..kr,('ounlr)'
White - Building
Canary - Enqineering
c:::. Pink - PIaJ1I1Tnll"""l
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
/ j') ',~4 .'. n_, ,.
,.A // /'. u'J'~ I" / .'"^)'
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I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ / / () /
i
" i:"-(_/~.
i>
j..,
""""f t "
v' ',_,~_
Accepted
~
Accepted With Corrections
Denied
~?'~
.,
Reviewed By:
Date: {I';y{1.3
.
i<o;.
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."
~ .h1~ liJ fiLe
Th.. ('..n..., of lIw l.ak.. ('o."Ury
White - BUildina.
C ~narv . t::nglneerlnV
Pink . - I>lannlng
BUILDING PERMIT APPLICATION DepARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
j
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f ",/ /J/l/l.{?/'JJ')('~;",},!>",'J'f-'} f ~...." 1 ,'/-' SL. ~..J-,./'
/;;' -~' ~'3 (j:"(),..~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
It"'" f /. ::'/'/ ,1/
lVi-C) / 'C'7L4/ T 0.?<... rv'1 Lit.,
Accepted
><
Accepted With Corrections
Denied
Reviewed By:
/YlJ-!3
5.a..- fJ1c,(y" P,'/e..
Date: ',",-03
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."
FILE No.174 05/09 '03 06:42 ID:PLYMOUTH PLUMBING
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FAX: 7635331121
PAGE 11/.
CITY OF PRlOR LAKE PLUMBING PERMIT
Dale Rec'd
j Blue Filt
: Cillb' C',lIr
l ',Unw .lppliClnI
I PERMIT NO~ -:; ---'8;(./
i
zowrN G I, tllfl(~ Uh I
(J'llcol~ tvp~ or prml 3J'ICI ~ierT III l':Ol1nm I
ADDRESS
I L\ rl-Q( I- () U\^+ f\,( ,/" ~ rl '-,
LOT
LEGAL DESCRlPTlON '"Ili" ".r only'
BLOCK
rJD
OWNER ) ~\ ;/"r
(Name I \'\..vV\,:,,'~(' iHH\ HVVIAP<-, (Phune) ,;j1i~ -~y)
(Address) f~Cj c) P r il-r::;::., Dc ~,i', +< d.,('{) erN} N.A. ~ r0 '-i C)\ ;+'3-
/ \ I /
APPL1CANT ./).
CNamel..._ PI 'JWl.nC'\-\'\ V I l.-ltV\.\.'\ I 1"5 _ (PhOn~)!'J (e JY;}:')?-rll~5 (
'Addr"S~1 1.4 (, q \^ I. "., Vi r + ~ ~ A 1'-1' . L {L,r (,(..IL \ j"" At\{ r)SLI;'I-r~
l"cLcLr.R~) (Clt)'t . (ZIp Cod,)
ICllnlilCl Person! ,-'f: l \ .:<, r h \'\j/ Pffk' i) f II .t r (Phone) C!Y:Y ':'"' ~ .~- L/ 3 <=) '7
^PPLl(A).JTS1GNATURC1{!P(~f111~jfid_ DAT~.. c,q -n-;;'
APPLlC ANT PLEASE COMPLETE BELOW
I 1')'1". of Fil:tu r. I Qu"n tirv I Type of Finu re
I Bnth TLlb w,th or wltlwlII sl1\,wer ~ I !\(,lIgh.ins
I Dishw~$h"r , Water He;:r.r
I FlOur Drain ) I Water Softne,.
I L;:v~to,.y (Barhrc,Qm Slnkl \ Stand Pipe (W'$h,ng lvlachine)
I Laundry Tr:l)' ( I or J comparlment sink I Sewage ~Iecwr
I Shower Stall I BackfJow Assembly
Sinks Bncldlow Assembly Test
QU~nti1)
~
I
J
I
I
~
AflD1TJ(I!'J
I
I U~l' ">11''''
I Wlller (,I(I~el I Toiletl
I O~I;~; -,.. ".".-,
.
.1
FEE SCHEDULE
lndumi:ll. Commcrc.iul &. Mlllti-l'amily I ~"I ~\f,~)l~ I.:.Il~r \~,ilh:t t3lJ.50 !))inin)um
Rc:.~ilJc:nli2.l.1, Nl.'W One e;, Two-Fi.lmdy ~~lJ,5n
RI:Sldl:nlilJ1. ~d~t;lillll:; &. Altc:r:illlm~i ~;;;!t.511
blll"O'cct (os, ~ J!::It.ft.f. tt2..
Building Pcm1 it tt
PAID WITH
BUILDING PERMIT
PLUMBING PERMlT FEE $
~iT; TE SURCHARGE $
TOTAL PERMIT FEE $
'lllr",II"rh,'y) rr~F 1. i!'.: ~ il \-v1.T!ff9
ThIS ApphcOTllllI Bccllnlc' \ 0"'. lluild>n~ Purmn Wh." Apr'" '1. ~I~~ 2:0;~~' ".eeIPI ,,~ !
Ai [ltI,tl ~ ~., /h '
'-'-""",1",. (Jil'''''. . ~ ....- II ," - -. - I. . ---&/J-!.
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.5U
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
~lease ~ or orint and sis at bottom)
ADDRESS
/~O/ h~-<-
,61 //-?J?
~~ ~:~ I PERMIT NO. 2~/J I
3. Yellow Applicant . -:1 - U 7
d~
ZONING (office use)
C/.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
/
OWNER" ') /b
(Name) U/~$~~4/ _ .~ ~
(Address) / ,;;'9.5 ~~..:?'... .c:::;...
(phone)
Clllt...--.-
~ -
APPLICANTA. /. ~ _ J . /' ~ L
(Name) _,-r/h4,d~" ,~~.......~ (phone) , -~/- r,?$-?-,.:?77.:s-
(Address)~ //~--::7~ 61!!!' ~ ~_ ~ tl?L-L 55/....?.,..?
(Address) (CiryV (Zip Code)
(Contact Person) .; --:'~7,-!fr~ (phone) ~5/-~...:?7:J'-'-
APPLICANT SIGNATURr ....- _ DATE 5&2/ l']"'<:,
/ f '
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION OREPLACEMENT 0 ALTERATIONS
FURNACEMAKEANDMODEL-:R(?y~ ~AVrrZ-t/~o FUEL ~-r CAS
FLUESIZE ..;~}, PVt _ RETURNOPENINGS '6 INPUT h--..,.-.,("\() OUTPUT <5'"< 000
- t . F
TYPE OF SYSTEM HEATffiGOR POWER PLANT
OWarm Air Plants o Steam
j$;Vlty DHot Water
eC~aniCal [] Radiation
r Conditioni~g D Special Devices
DVent, System o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEES...n...u.JLE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$39.50
Residential, Heating & ArC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
Building Official
'd'~
,SO _ -'(~...
~ ~ "'-:~
~J~ @ 11 \l \!J _- ceiptNo. '.
- ~ie MAY 'Z 1 Luu3
Dote tt\ '
24 hour notlee for oil inspection. (952) 447-985 ,.fox (952) 447-424! _-
cy--
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Offiee Use Only)
This Application Becomes Your Building Permit When Approved
rr
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
l!'I!- ~ or 1llint and sim at bottom)
I ADDRESS
('{Z.O (
l ~ ~,~ I PERMIT NO.
,. 00Id ...,..... . 0 '3 -I7O:X '-1
ZONING (_PIe)
~<ltJ1'"^,IL' l..lllt ( e...,.-
LEGAL DESCRIPI10N (office use only)
\1-, I.
LOTlb BLOCK L ADDmON h,UAj~~ Idill< ~},
OWNER
(Name) v./eN<r.I/14lll!lAJ /:j.4:M~
(Address) -LMt;' P/,.6~ In-
(A )
PID ;J)' ~ :n 0- O!? - b
~A/.IJJ
(City)
(phone) J,~/,t./tJ~ -'111'0
tt/~
(Zio Code)
APPLICANT ~.
(Name) ~&
A<
Atf.Z71A~
(Phone)
(Address)
(Address)
(Contact Person) R,~'7 ~/;,,4(l;r'
Vi::lJ~
APPLICANT SIGNATURE J;;;
, f
APPLICANT PLEASE COMPLETE BELOW
Size of water service / inches,
Location of any couplings from structure vr- feet
Type of sewer pipe. ~ ABC 0 PVC 0 Cast Iron
Estimated length of sewer line b2 Sleet
Clean out (if required) located at feet from structure.
(City) (Zip Code)
(phone) ~/"Z-,l.Z,I-/~ 29
DATE
FEE SCHEDULE
Residential sewer and water line connection $35,50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connecticm only $17,50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,50
PAID WITH
BUILDING PERMIT
(Ofllee v.. Only)
This Application Becomes Your Building Permit When Approved ~ ~~~ ~ 0 -Ifl ~ '~1' \ I :~i~ NerO'
BnlldlDl Oflldal Date j L^ I~ 12 1 'ill.Ol.-
14 hour notice for all inspections (9S1) 44i ~:fa. (9S2) 447-4US --'
By
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
tj :3. 03
l:':. ~~~. I PERMIT NO.",,? -00 AI" I
3. Yellow Apphcanl IV 11~
(!'1ease tvoe or orint and siJm at bottom)
ADDRESS I
/42.-0 r()()Iv7)'tl,J INA,/ r
a-
. LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
(Address)
(Phone)
. APPLICANJ\ ,
(Name)~l"\ ~'rM'Itl::::.lZ-
'S.
AYi::>T
ZONING (office use)
PID 25":3'90 ()/7. c)
(phone)
/'/2 -7"30 -'>"" I
(Address)
(City)
(Address)
(Zip Code)
(Contact Person) /I (Phone)
APPLICANT SIGNA'TIlRB" ' ~ or~. DATE
-APPL~CAN.fh.EASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
nVent. System
~ACE MA~D MODEL
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$6450 Residential, AC Only
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ---
$ """"'-.50
$/
,/
IP~
I Da~.l. 0 \
<
(Omee Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
:(.v" .3
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$3950
$39.50
~/ () pi
f BI/PfV,
R~
By lib
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PRIOR LAKE
.
INSPECTION RECORD
SITE ADDRESS /!lId I ;;I.t~ N'Ll.r 0:
NATURE OF WORK ND4J CIiiir~rllltl
USE OF BUILDING ~.~ /4 .
PERMIT NO. ~ - 008~ DATE ISSUED J/I. a&,
CONTRACTOR ~"" WM1&L PHONEl.r/. ~~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~.. ,-., ...... r'.~
DEPARTMENT 0 - _ ~ - _ '
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
...--::'A
SEWER I WATER / SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
, HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to SOdding)
BUILDING <'[c-., V L ~/II{)?' ~ /o'MIdl.
. .
ELECTRICAL ~
PLUMBING
HEATING
DO NOT OCCUpy
tvr:. f25 :f'-~
./:;;i4 /p/1,1.{ ~
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 shail be placed near main entrance,
FOR ALL INSPECTIONS (952) 447-9850
~
QIttfifiraft of Ql)rtupaut1!
CITY OF PRIOR LAKE
;!E}eparfmrnt of ~uilMng Jlnsprdion
I'1fFinal Permitted D Conditional CO. Expires _
This Certificate issued pursuant to the requirements ~f 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 building construction or use. For the following:
Use Classification
SINGLE FAMILY
03-0084
R4
Bldg. Pennit Nn
N/A
Occupancy Type
R3
Type Construction
VN
Fire Zone
_ Zoning District
LegalDescription 1.16, B2, FOUNTAIN HILLS SECOND ADDITION
Owner of Buildinr Site Address 14201 FOUNTAIN HILLS COURT
Contractor's Name & AddressWENSMANN HOMJjS ~'5 PLAZA DRIVE, SUITE 200, EAGAN 55122
ROBERT D. HUTCHINS 1/ v," _ City Planner_DON RYE
G Building Official
Date: ~,- ((,.f!1. I Date:
,
.,
.'
,
"
ADDRESS
tLtUJ J
llA 1E TIllE
SCHEDULED /Ql vf
~{~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~. ~e./:
[] FOOTING [] PLUMBING RI
[] FOUNDATION [] MECH RI
[] FRAMING [] WATER HOOKUP
[] INSULATION [] SEWER HOOKUP
[] FINAL [] PLUMBING FINAL
[] SITE INSPECTION ){ MECH FINAL
:r~;t~ (.
....t--~
~/
[] EXlGRADlFILUNG
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLlNE AIR TST
[]
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Y M_ 44'Jt.,t>~
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[] WORK SATISFACTORY. PROCEED
[] sPRRECT ACTION AND PROCEED
II(CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector. *" Owner/Contr.
CALL "7-9850 FOR THE NEltT INSPECTlON:U HOURS IN ADVANCE.
"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETYI
WNDTJ
DAtE TIllE
CITY OF PRIOR LAKE 9-2T-f) ~ 2: 1-)
INSPECTION NOTICE SCHEDULED
ii,
ADDRESS / l{ 20 { F.;;.....J. +1Jf
OWNER CONTR.
PHONE NO. PERMIT NO. '5"OAc/
o FOOTING o PLUMBING RI o EXlGRADlFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL )(,pLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: _
~~' Cuc.""-..
~X\l'~~-
< . ~~ ar("~~ 2.,J. f'f
~, Crlf.l',jI, ("lo,.~ ".,c..:t-' b \;Ul...~ clJ~
I
o WORK SATtSFACTORY, PROCEED
~ORR cTION AND PROCEED
o COR ECT CALL FOR REINSPEcTION BEFORE COVERING
CA L OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'-'
COD QUJREMENTS ARE FOR YOUR PERSONAL HE.4LTH & SAFETY/
Owner/Cont..
Inope ..
INSNOn