HomeMy WebLinkAboutBuilding Permit 04-0174
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
2., 1..-",.04-
See Main File
~i~:' ~::y I PERMIT NO. (fI-. 0 /7 A L
Yellow Applicant ~
(Please type or Print and sign at bottom)
ADDRESS
tjf5't~
BUt p,.:::
J).G/c#r:,
~
//JA,L~
i I
ZONING (office use)
PUD
LEGAL DESCRIPTION (office use only)
LOT~9BLOCK I ADDITION '?;'I1/V/l 1511'_'- ?412i(
PID 25'. +Oz.. OZq. D
OWNER
(Name)
ff/)..n:::. J/o;1'Y.C:
f)5" J2f,llr#L~t[cr
4.!/4tJ.4-</
. I
.<j~11 Lt-
(Phone) 6S/-~S2. -S2t::fj
J3',464f1,---PlVl 5:51 Z/
(Address)
/nJ.
BUILDER
(Name)
(Contact Name)
(Address)
CAn1E.
Cm.r
J{ [4J<:l7' ,(;)
(Phone)
(Phone)
h2 -2.1-/- "-HS':,,,,-
TYPE OF WORK
/
M"New Construction
ODeck
OPorch
ORe-Roofing
ORe.Siding
DLower Level Finish
o Fireplace OAddition OAlter~on, _ _ ;;Utility Connection
PROJECTCOST/YALUE (excIudingland) $ /~I U:/::i- ,,}/", tJOt). 0'0
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 t""y-"j 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 property~~rm ne~~spections.
",/ ;z,d~ &,/371
/ /.... Signature
Contractor's License No.
2. /.zb ~I/
/ .r- l!ofa.te /
I Permit Valuation i/1tI" Oot!). ot) I Park Support Fee # $ J
I Permit Fee $ 102-7. ~ SAC # $ 13r;() ,dO I
--==---
I Plan Check Fee $ 14t. 7. IE I Water Meter CSl'Ze 5/~'1"; $ dlSo.oo I
I State Surcharge $ q.?, d " I Pressure Reducer $ is:: tJ 0 I
I Penalty $ I City SAC and WAC # $ /~t'1,do I
I Plumbing Permit Fee $ Ild,OO I Water Tower Fee # $ /Od. tJO I
I Mechanical Permit Fee $ 100.00 Builder's Deposit $ I
I Sewer & Water Permit Fee I $ 35'. 5''' Other I $ I
I Gas Fireplace Permit Fee I $ 40, 00 I TOTAL DUE 1$ 5jS7,,:J Sf'; I
,
This Application Becomes Your Building Permit When Approved Paid :5:c:03. % 4" Recei~,{'o. ~
~. ~t-J .3/i I III ~/ Date J .;2.~.OI-- By '1--
{/
. ,
Building Official Date
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
~ ~~ :Ill/II</ See Main File
Planning Director 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
-------~--.._--------_._-----------_._."--._-"----~-~---------.----
~Tr
ue~
"
~ yi\~ 't1-~
Th.. ('rn.t'. of Ih.. L.... ('ountry
,
While - Building ..
r Canarv.. ~ngll";;~11I19:>
- Pink - Planning -
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
F'l,: l TF rt0hE'~
'-7 -iI (j/ ,
1,..'- 1_.'." <..;--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
c;"Ci ,::; I'> 1';.. i i; ,-- C i-of '/'-';" -,-]/.(
., _..-'"....... ~....- ...J' r- \ .') _#' ""-""" .
Accepted '><
Accepted With Corrections
Denied
Reviewed By:
RrL
Date: 3 ('2..t{ /0 <{
,
Comments:
See l\laiu File
"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,"
c~,
See Main File
C:---Whit.. - Buil!!!!!i)
Canary - Engineering
Pink - Planning
--
rh..C..n,.., nf,h.. 1.akrCounlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PUGn; l1vMtS
"2--. z,(p .04-
The Building, Engineering. and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
4-Cf5lo
/'
gL.,Vj::"F l-tn ~.
Accepted With Corrections
Denied
~_. r
Reviewed By: ~
~t0
Date:
3/1 ( j() '-I
I I
Comments:
See Ivlain File
"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,"
~~
See Main File
While - Building
c~n==-r:y - Enaineering
,-p'R" - Plann;ni=:>
--
Th.. (-..nl..r or the J..kt ('ounlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I J '-r r=-
. \ l. . ,_
He; It .,
APPLICATION RECEIVED
i_
/! i /
<.' V~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
.
, ,
(
'- ',/ k :-'
\ I'" \
L L-- '
. ..
.
Accepted
/'
Accepted With Corrections
Denied
Reviewed By: ~
Comments:
~
~
Date: 3// If t.j
~ee Main File
"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,"
Feb 19 04 02:06p
METRO GENERAL SERVICES
763-428-2968
p.7
GRUN - f1l1!
YEL\.OW . APPLlC.'"
OOt.D . en.
sewer and Water
contractors must
be registered
with the city.
.l " ~
,"p",CANT' p~li\~? . #fJlJ}'/1l, ~ON" J!!."..I/1i.m~
ADDRESS: ~~-ntJ:; (J.f,U~l1L !lut... 171 ,DATE: '
SIGNATURE: A)rli't.D:]/U;l;:{\ ,~LDG. PERMIT #
SITE ADDRESS: i/II9,; -f}lu..I4.' JuilIzi:5Jnu:.d,o#-
,F~~N n{; BLANK~
1. Estimated length of water service___<t)[)
2. size of water service j/i inch(es).
CITY OF PRIOR LAKE
SEWER' AND WATER PERMIT
FA"f.. c}5~ J/'I7-tf"Z,tI./i' NOTE:
S,WNo,
(jGf-/"lf
feet.
:""!,
3. Location of any couplings from structure~fJ feet.
4. Type of sewer pipe. ABS____ pvcL,I" cast Iron
'--- 5. Estimated length of sewer line '10 feet.
6. Clean out (if required), located at feet from
structure. AlA
==================================================================
This application becomes your permit when approyed.
DATE:
BY
========fJ~7T~==~~~======~======================================
FEES: {11dJ P'!.-fV',f- .sewer and water line connection permit.
'. , surcharge
/VO (-'e,e... TOTAL
* Fee for either sewer or water individUallY is $20.00 plus
$ .50 surcharge.
* Sewer al1lT~er--parmitsissued for new construction must be
recorde~, pli\ 1[;he.b1?-~;1;d;~ng.. ,\permit card at the time of ~ssuance
to insur~)-€hat nd'dup~ic;ate sewer and water ~erm1ts are
issued. ! 1111 MAR 2 6 2004 · i ':', ,.,J ZClB:O wm..-
jl . ,I"" ...iI- I II !:'"'\''!!'\~.-. ,v
<DATE),P.AI:P - . AMOUNT PAID . . -.!~.;~,t., ~~,~1J1Jir
"RECEIPT:'~ 3y - ..,.~_ REC' 0 BY Il
11' - _~_'_A_~__.-.::.~i
~
.,., >,..,',,,
16200 Eaglc;:CreekAv. S,E., prior Lake,Minnesota 553721 Ph. ('152) 447-4230 I FAX (962) 447-4245
An Equal Opportunity Employer
_~AR-3.1~2004 WED 088 PM VALLEY PLUMBING JORDAN
FAX NO, 9524922617
p, 02
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
:~~: ~::, I PERMlTNOAL.A'~
]Vellllw Appti'~1\l ~ ~
(Plca.~ L'VtIe or "rint and sil1Jl. at bonom)
I tfQ5~ 'b~ UU~ j~
ZONING (olIi,,",,)
LEGAL DESCRIPTION (oInc' use only)
LOT
ADDITION
pID
BLOCK
OWNER f'I.. !\b
(N ame) 4" l.A.)L
APPLICANT ~ 1\ ~ b'
(Name) \)(\ \HI n ~\ 7' ~ U[l~
(Address) 9-lrf) (\l \ ~ .. D ~ :
. '(Address)
(Contact Person) ~ n I ,sn .1'(1
APPLICANT SIGNATURE
(Address)
, I
I
r
I
I
f
I
I
Qu,tntity
fj!';J
1
I
~
\
,
I
'<
(Phone)
(PI10ne) o.~-l\C\~~.;). \~I
%Cf\ na~ f\ CSC; 3~
(CIty) (Zip Code)
(phone) (\c:..3 ,UCi ~,-7';XJq
_ DATE
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture
Type of Fixture
Batn I ub with or without shower
iJisi1washer
t loor urain
L.avatory (Bathroom Sink)
Launary Tray (lor 2 compartment sink
Shower :;;all
SinKs
Bar ;;nK
Water Cio~et (Toilet)
Quantity
3
-\
\
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Back-flow Assembly
Back-flow Assent b Iy Test
Lawn Sprinkler
Otner
FEE SCHEDULE
Industria). Cammc:rdnl &. Multi.family Io/a of jab eost with a $39.50 minimum
Residential. New On, &. Two.Family S99,50
Residontial. Additions &. .....I\erations $39,50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
~A~r;J ~~.
~:~_C~N:~ p~:;;;:;.r:7
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Receipt No,
I Paid
I Dat,,"PR 0 1 2004
By
Building Official
Do,e
24 hour notice lor .U i.spe<tl... (952) 447-9850, Cas (952) 447-4245
1620D ERgle Cro.k A",,", 5,E.. Prior L..... MN 5531l-1714
4-30-04; 2:23PM; ;952 894 0925 # 9/ 9
_ !-4" ~)U.IV:I ~C1^- f.t!- U~;+
I RHVAC -Residential & light Commercial HVAC Loads . O~~\II Elite Software Development, Inc./
Bumsville Heeting & AlC Inc Putte 17822 Waters Edge Manor
Savaoe, MN 55378-1122 Poo. 32
i -
i I System 1 Room Load Summary -
Htg Htg Run Run Clg Clg Clg Zone Clg Air .
Room Area Sens Nom Duct Duct Sens Lat 'Nom Adj Adj Sys
No Name SF Btuh CFM Size Vel Btuh Btuh CFM Fact CFM CFM
---Zone I--
I Foyer 66 3,878 73 1-6 198 830 317 39 1,00 39 39
2 living Room 234 3,480 65 2-6 234 1,959 159 92 1,00 92 92
3 Dining Room 120 3,226 60 2-6 284 2,379 190 111 1,05 117 111
4 Kitchen 115 1,147 21 1-6 363 1,522 0 71 1.00 71 71
Zone 1 subtotal 535 11,731 220 6,690 666 313 319 313
---Zone 2--
5 Bath 2 80 630 12 1-6 37 154 0 7 1,00 7 7
6 Master Bedroom 195 3,933 74 2-6 332 2,783 650 130 1.25 163 130
7 W,LC, 49 766 14 1-6 44 184 0 9 1,00 9 9
8 Bedroom 2 176 3,189 60 2-6 258 2,162 363 101 1,25 127 101
9 Laundry 120 776 15 1-6 46 192 400 9 1.00 9 9
Zone 2 subtotal 620 9,294 174 5,475 1.413 256 314 256
---Zone 3---
10 Basement 546 8,553 160 2-6 356 2,986 349 140 1,00 140 140
Zone 3 subtotal 546 8,553 160 2,986 349 140 140 140
Syst13ITlJ.t~tlll . 1,7()1. 35,;113 554 16,240 3,5S,? 710 773 710
System 1 Main Trunk Size: 12x12 in,
Velocity: 770 fUmin
Loss per 100 ft,: 0,068 inwg
II Cooling System Summary Cooling SensiblelLatenl Sensible Latent Total I'
I
Tons Split Btuh Btuh Btuh :
Net Required: 1.65 82%/18% 16,240 3,563 19,803
Recommended: 1.76 77% 123% 16,240 4,851 21,090 ,
I Equipment Data I
Heatino Svslem Coolino Svslem
Type:
Model:
Brand:
Efficiency:
Sound:
Capacity:
Sensible Capacity: nla o Btuh
Latent Capacity: nla o Btuh
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4-30-04; 2:23PM;
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+'NNES01'"
;952 894 0925
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
# 8/
9
I, P;flK
2. Grun
J. Ydlo....
~~. I PERMIT NO.^ .1. I~ J
AppIJr:;mt ~ .." If;
~.';"
,,,,.
*.
'W
-
~
;;;
I
(Please.!Y.:Ee or print and sim at bottom)
ADDRESS
495 Iii
, ZONING (office use)
.A&I/;-LJlc;
, .
LEGAL DESCRIPTION'(~ffice use only)
[frY Jj!.
,LOT
PID
BLOCK
ADDITION
)WNER] /"
Name) (l tl.rc
Address) >( f.C)
~.fl
lhl-lI7!J/CCf ~/
?Yoi!flL7
(phone) G--5-r L;J'2 -Je OJ
1M SS/Z /
Cj \7 -;f:CIC('(;{;(2j'
J'PUCANT
Name)
Burnsville Heating & Ale, LLC
IL6foOl t\uuut:' 1:SlcUlU t\ve. ~u.
Savage, MN 55378-1122
(AddJess)
(phone)
\..ddress)
(City)
(Zip Code)
:ontact Person) _ ' (phone)
PPLICANTSIGNATURE W/L ,A/kiln Ji/J /7_ DATE I./YJ~()t--/
- -'
APPLICANT PLEASE COMPLETE BELOW
, '~NEW CONSTRUCTION !;J REPLACEMENT 0 ALTERATIONS
JRNACE MAKE ANO MpOEL [O./l/7(J)f 1;c,I/jI/(..?-,:;)t-I,#;-OL!('", FUEL f/{Jfy() /)
,UESIZE RETURNOPENlNGS If INPUT 4c;,(}(YJ OUTPUT0-!:L/)()
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants , 0 Steam
OGravity 0 Hot Water
o Mechanical 0 lWIiation
OAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
PLEASE NOTE:
Air Comjitioner Units
Cannot Encroach into
Required Side Yard
Setbacks
~PLACE MAKE AND MODEL
--.-
~.- -
lstrial. Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50
$64,50
$39.50
$39.50
$39,50
dential. Heating & NC (New Construction)
dential, Heating Only,(New Construction)
,
Residential, Additions & AJterations
Residential, AC Only
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
~, j\)
$' ~
I
Paid
I Receipt No, '
.50
oe Use Only)
:is Application B,comes Your Building Permit When Approved
Buildillg Officill
}1ter~,W U tl LUU4 jBY
. Date
24 hour notice for. a1llnspeclions (952) 447.98~, fax (952) 447-4245
16200 Eagle creek Avenue. Prlnr La~.', ~1N~g.n: ,"
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3, Yellow
File
City
Applicant
I PERMIT NOOq../'1'f
ZONING (office use)
(Please tvoc: or mint and siOl at bottom)
ADDRESS
4956 BLUFF HEIGHTS TRAIL
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name PlJLTE HOMES
(Phone)
(Address)
APPLICANT
(Name) AT J .TED FTRFSTDF DRA FTRFSTDR HRARTH & HOME
(Phone)
<\<;1-<\33-2.1<\1
(Address)
2700 NORTH F AIRVIEW A VENUF
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
0/11/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent, System
o Steam
o Hot Water
D Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-550TR-D
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & NC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only '\.... ~
Estimated Cost $ Building Permit # ~..b,:;<')1
HEATING PERMIT FEE $ 't)~ {'~
STATE SURCHARGE $ ,50 . ~~~?t.
TOTAL PERMIT FEE $ '.<~
(O;::su~ep:::~ation Becomes Your Buildiug permitDaWtehen Approved II :j1 ~~ ~ : 1~o~1!lr::"" ~
Buildine Official IU'U r u / J-
24 hour notice for all inspections (952) 447-9850}ilgt (952\ 447-4245 -1 l()
Industrial, Commercial & Multi-Family
$39.50
$39,50
$39,50
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~~ .Zu.t,q::- H{)6H7S 7.2A/~
NATURE OF WORK NE/AJ ~fJ/J~, ~4,J
USE OF BUILDING ,),,...-A I
PERMIT NO. 04-.0/74- DATE ISSUED ~ .
CONTRACTOR euL.T~ PHONEt,It....nt..i{9iS"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
.
FRAMING $r 6/.J/61( .
INSULATION ~ ~/7/o'
ELECTRICAL
PLUMBING .#IJ . GI)~f .
HEATING (if required) #i~ ~/rl<l~
FIREPLACE 12. -1, .!<<.# ~.bft'f
GAS LINE AIR TEST #L~ 7;6//0/"
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I ,j
FINALS
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.
See,#l;k
~
//f/;e .1
~
UNTIL ABOVE HAS
NOTICE
6 Ye..-
7po~r'
7/-?-</o,,/
7//~;h'f/
7/x/';;'f
BEEN SIGNED
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
I HEATING
DO NOT OCCUpy
FOR ALL INSPECTIONS (952) 447-9850
~~-"-"-~,..--_.._._---,.,,_...... _..~".
BUHNSVILLE
Heating & Air Conditioning, L.L.c.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
Orstat Test Report for Job# to ;),9..cj
Address 40(( V' 'B1.A'L ~h ~ City :Pho( ~
Occupant
Dale of Ins1al1
Type of HT, F/A /. HW Space HT Unit HT
Other
Make L--n vI rx
Model a.S-1 ",,1>. ::2413 - 0</..,- - 0 I
Serial 5"704-L./3'111
Input 'I..) coo
Pilot Type HOT SURFACE IGNITOR
70/
Pressure '3. S C02 t, . f 0
Input CFH 4<.J 02-9.15 1>/0
S1ackTemp 10d"" CO c23 ~
Date Tested -qj "7/0"
Company BURNSVILLE HEATING & AIR CONDITIONING
/C
Technician J.t;:;Cn-.,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
7'?-5'b
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
--"'HAL
o SITE INSPECTION
DATE TIME
SCHEDULED 7A ~~
g/vn -4t- "/;-/
CONTR,
PERMIT NO,
C) .y'- /7<;/
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 GASLINE AIR TST
o
COMMENTS.; . A
fl"/" /' ~ / ~~ / h,t:. c;. / /' ~r €..
/ '
7/-2 ~ Y
/" /
/, / h q /
......./
Ol'c
~ -------...
/. / / \,\
( .....r"\ ~4 ": ("l ~ /~ /
~/~~/' ~
~ORK SA TISFA-;ORY, PROCEED
~ ~'ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~/
I' V-
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSNOTl