HomeMy WebLinkAboutBuilding Permit 03-1416
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
File
City
Applicant
ICJ~7::3
I PERMIT NO. D~~I '-lIb
See Main Fib~t
(Please '!vpe or print and sign at bottom)
ADDRESS
514:A"lJoQrn~Jd C;rc.1-~
LEGAL DESCRIPTION (office use only)
LOT If) BLOCK ADDITI~^'e.Jcl q-t:::
OWNER
(Name)
(Phone)
(Address)
ZONING (office use)
!Z~
PID;;l..5~ 40D-O!8-0
(Phon('15~9e6 -12:fJ PJ
(Phonel:'153?)d,d,(P - (3?Jtf
. BUIL~ (1'\ I I. :l..
(Name)~. 1"--. H.JOPYI
(Contact Name)S"ttLK. G,'e..Ks.ov-... \ f(-.,'-tZ '5rnU5V\...
(Addressi/~(d). <l6.enbrid'if.< .~ULJ2i:li:?<{o()
~\Jllli . mN "SS'1tJ6>...,
.
TYPE OF WORK
~ew Construction
DLower Level Finish
o Fireplace
DAddition
DPorch
ORe-Roofing
DAlteration
DDeck
PROJECTCOST/VALUE (excluding land) $ lOR J
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 loca11aws 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 property to perfo:'fteeded inspections. ~ /
~ -=I ~~y- ~{)f..p51 0 /(j~
J (J Signature Contractor's License No. ate
$ P5'(J,--
$ JC). ,5'.---
$ .Q..<;"O.-
$ tlg'" -
$ 1::>.:fJ()-
$ ,GO .-
$
$
DMisc.
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
\ Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I Park Support Fee
I SAC
I WaterMerer SiZ~; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
/00,-
100-
35'.60
tfD,----
This Application Becomes Your Building Permit When Approved
~
~ffici~~ ~1j
I Paid
I Date
.. -.,.... '-
(/-'(_~ ::>~ . ~ 0
(1- "';..('')d
ORe-Siding
DUtility Connection
197
#
I
I
I
I
I
I
I
I
. $ Ud3S-7;'-6 I
#
#
#
-
......... ..._-r. '../
I Receipt No. Lf'<y d .7)7
By /
J\
This is to certify that the request in the above application and accompanying documents is in accordance ~e City Zon~~tance and may proceed as requested. This document
when signed by the ~" Planner cnnsti;utes a tempn"'" Certificate of Zoning compliance and allows consi:)eeml V 1 I1'inCY'Filte of Occupancy mu" be
~';'ning~ ~t:.3 Special Conditions, if any 1 e
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
See Main File
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White - Buildinq
~aft~rv _ Fl"'oinp,erinif'
Pink - Planning
Th.. ('fnl... of th..l..k.. ('ountry
NAME OF APPLICANT
APPLICATION RECEIVED
t I
.. T-~' .
i../I /'\' .,A-.,..............
~,' I.'" , I
;,.....
".-;,_...;J.,
,--- ,I -,-_..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: r
~;'!A'l;J.., i /1 .1 4. / el>-(i i'
........ . ..-"', ,.- ;_.:<:..-f:._-,,~.~/ l...~'r,.,... tJ:.../'\ ._,(".,..L",..'
Accepted
'X
~
Accepted With Corrections
Denied
Reviewed By:
//#ljs
,S-u_ m.,'i/1
Date: If') ,J7-o')
Comments:
F,'/r
"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
White - Building
~n..'1' - Fnllineering
ink - Plannin.9>
Th~ Crnr.. of thp L.kr <.'ounlry
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i ' GI_-"
/0- 7-'-::'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is prol?osed at: '
/, 1;//..)..' j I:' / ..(' ,
'-~" . " " (,; (... (/"'.---
",p,'
Accepted
/
Accepted With Corrections
Denied
""
Reviewed By:
Comments:
~~
Date: /0 f .7 ~ "7
"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
~ite - Buildin9.-:::>
Canary-;-E,ng,neering
Pink - Planning
TlirC..nl..,nllhrl.abCoUnll')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
il Rt~
10- 7d
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is pro osed at: r
5W~ ~
(/
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
~f-l
Date:
/0/;7/"3
,
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."
Oct.IO. 1003 li:OiAM
GENZ RVAN PLUMBiNG AND HEATING
No.5363 P. 3/9
"'~2J~ P~~10ol' <
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''i\':.l.~~y.tt<:...1tE5
Date Rec'd
CITY,OF PRIOR LAKE
SEWER AND WATER PER1\fiT
; ~~!w ~~~. I PERMIT NO-3_ ILI(f
3. Gokl AppbCIIRC - f t.P
(fleasc: ~r: OT'lJ:nnt.and sil?;l11tbottom)
. ADDRESS
1544 (1 i'uU2J1 d J Ci t2- ~ r;-
ZONlNG (cfiice ",.)
LEGAL DESCRIPTION (ollie. Uk only)
LOT I~BLOCK I ADDITION ~f2--h i. ~ d
q~
PID
OWNER
(N'ame:)....l'1) u..........+-........ f"11=r"m 11911l.9["
(phone) _ qs2.-Q'65-,g,v\
(Address)
20&,,0 Kev1ei<..\t:6e Or STi".JN1
(Addr~,,)
LaUIj Ii Ie..
(Clry)
"59"'''u U
(Zip Code)
APPLICANT
(Nrum~ Genz-Ryan Plumbing & Heating
(phone)
651-423-1144
'.,ICANT SIGNAlURE
Robert Trai~ Rosemount, MN
(A~,,) (City)
Qltl r?j sti t; I ( ~ _ (Phone)
(\{A~ ~LL> DATE
55068
(Zip Code)
(Address) 14745 So
(Contact Person) _
651-423-1144
(0 - /0-07,
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet,
Clean out (if required) located at _ feet from structure.
feet
o Cast Iron
ResJdentlaJ sewer and water Ime connection
Sewer connection only
FEE SCHEDULE
$3550 Industrial, Com'l & Multi-family 1% of job cost With a $39.50 rnlnJmum
$17.50 Water connection only $17,50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERiWT FEE
$
$
$
,50
,
i
BuildIng 01llcl.1
PAID WITH
. . IiIUII hlNG PErMIT
I~ .m_ "-+.~ -, ecelpt No .
. . ',I (j
I,..m.ate ". ' .. ... !I'..l&y j I
· '. OCT 2 8 ZM3 IJ' .
24 hour Dotice for all iD,pectioD' (952) 447-9S/;Q,'r..t (952) 447-4245 L..)
I
!,
D2;te
(Ollie. U,. Only)
I This Application Becomes Your Building Permit WheD Approved
~
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.~,{I,h' ....to
'.";"-.";""'\':f" ....HeSO-'
'ri.\0~~~r
-:;';",\\,r,,1.'
Oct.IO. 2003 11:02AM
GEN2 RVAN PLUMBING AND HEATING
No 5363 P 7 9
Date Rec'd
CITY OF PRIOR LAKE PLUlVIBING PERMIT
~. ~~ ~~ I PERMIT NO_~ ~/,J!I/
3. Y~Itcr.v Appllca", . )- cr. C/:?
(Ple.asc:: ~t or'PIl!lt.lndsl$1;11 atbonom)
ADDRES54~2. ~ dJ. 0J (L [;,[i
ZONJNG(_.",.)
LEGAL DESCRlPTION (office"", only)
LOT I~ BLOCK ! ADDITION b.lt2fit..rd. qtiv
Pro
OWNER
(Name) DR Horton Custom Homas
APPUCANT
(Name) (~r" ",'''' ", ',mll~::,g , u. '.'."If:
(Address) 1474.5 So Robart Trail
. (Address)
(Contact Person)
(phone)
9C,2 - q '2,~ -7'6DO
2O'SlvO KenB~l))&e'_ C. $re 100
UIUVI1IG IM,-J E6bLJ LJ
(phone) ~ <1 _l<?'_ 1 1 l<J,
Rosemount
MN
55068
(Zip Code)
(Address)
~(L1Jf1SfL-G I [S _
rA~ '--4:!-LP,vC)
(City)
(Phone)
651-423-1144
APPUCANT SIGNATDRB
DATE
ID -rO~-:<"
Quantity
GJ.,
!
I
tI
1-
I
:<
..;;
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
I Type of Fixture
Rough-ins
I Water Heater
Water Softner
I Stand Pipe (Washing Machine)
Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn S'JrinkJer
Other
I .
~-r.
, /
FEE SCHEDULE
IndustnaJ, Commerclal & Muln-famlly I % of Job cost WIth a 139 50 minimum Reslden".I, New On. & Two-Fl1Illtly 199.50
Resido:ntial, Additions & Altrnrtions $39.50
(Offict Use Only)
Estunated Cost $
Building Pelllllt #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT :FEE $
PAID 1An-.
8UiLOINa"rfl11
PERMrr
,50
I Par 1 Ree('t No.
I D~,i OrT''}, 8 ZgJ Br I
Ii I V.; II; j
-~ I
24 hou' notlce for III Inspections (952) 447-9850, ~~ ~~2) 447-4H5 ~"'i
This AppliC2tioD Becomes Your Building Permit When Approved
CI
{/
Building Ofllclal
Dstl!:
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
(!'lease o/Peor Print and si2D at bottom)
ADDRESS ~
. 4q'~. ,Z/~& /c:/
aL~
LEGAL DESCRIPTION (office use only)
LOT/hLOCK / ADDITION
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
APPLICANT /1 0 A
(Name\ /oo//- hL ~ :.;r.-/AA./ra./
(Address) "-:~~ ~~A~ I'! ~
-:2:Addre'
(Contact Person) A ~ . -6 .~
APPLICANT SIGNATURE. """"' ~,,-.
Date Rec'd
I. Pink
2. Green
3. Yellow
/7c/9?
~:~ I PERMIT NO. 3 - J I Ii )
Applicant 7(~
ZONING (ofliceuse)
~
PID
(phone)
(phone) ~5/- 45",,('-"'? :?.?'.:r
~~~ ~.5:f..,??
(alJiff (Zip Code)
(phone) ~ - c;/~ -.,f 77-;-
DATE
< APPLICANT PLEASE COMPLETE BELOW
llINEW CO~TRUCTION [] REPLACEMENT [] ALTERATI9NS ,
FURNACE MAKE AND MOD~/r-,b'; ~. :?/OAA~ FUEL '" ~ .~J':"-..(
FLUESIZE.y~k~.ARETURNOPENINGS ~ IN~UTc't.; ~ OUTPUT 5Z_~
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
~ir Conditioning
~ent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
$39.50
Estimated Cost $ . q~~BuildingPermit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
$ /',,;;;/ ~",1/c:4..r
$ ~ .50
$ t?
_ PAID WITH
dUILDING PERMIT
\ .
P@I'Ccd
. ".\ Receipt No.
" 1.1
I, ; .~
Building Official
Date R@Nl'/.LUUJ'J")'BYf{-
24 hour notice for all inspections (952) 447-~850. fax (9S2) 447 1240.---
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tvoe or Print and siltll at bottom)
ADDRESS
~: ~~~~nw ~i~icant I PERMIT NO-oS.l!W
ZONING (office use)
5442 DEERFIELD CIRCLE SE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDF DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
?700 NORTH F AIRVIEW A VENUF
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVIL T P
(City)
(Phone) _651-633.2561
'5113_
(Zip Code)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/30/04
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
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent System
HEATING OR POWER PLANT
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-750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
.50 PAID WITH
tlUILDING PERMIT
(Office Use Only)
BuUdine: Official
Date
I Paid
I DiliEB 1 0 2004-
Receipt No. J
By --I
..,;;;.,. .
U
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
J)~~rP,'~/J (I iJ,
DEPARTMENT oSee Main File
BUILDING AND INSPECTION
SITE ADDRESS 5i14f{~
NATURE OF WORK ~
USE OF BUILDING ~A
PERMIT NO. ~3- /4770 DATE ISSUED
CONTRACTOR ~t' I ~iJ PHONE;t_'. 13'~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELO
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING I I
, FOUNDATION (Prior to Backfill) I I i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I GRADING (Prior to Sodding)
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING U, G' fV'V'/ trr~ J~ }.J--OL(
HEATING (if required) YW 2--10-0'-'(
FIREPLACE ~ .J-rO-tt-f
GAS LINE AIR TEST I/I/V J ~ (l--OL-{
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS ./
(See ffi/h /~ /e , .
~ ,?'P...v~
A
fitly
{!J;r
2. {QUe/
:;,/p/t)t(
,
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
tAl
t}>\.\1\ ~1.()lj
I
tA)(e- I ~ ~
I 1./1/Y
UNTIL ABOVE HAS
NOTICE
'3! }-f/)-!f)<{.
OCCUpy
BEEN SIGNED
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
~tdifitatt of Q1}trnpanq!
CITY OF PRIOR LAKE
~tparfmtuf of ~uilMug Jlusptdiou
;6 Final Permitted 0 Conditional CO, 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 afthe City of Prior
Lake regulating building construction or use. For the following:
Use Classification
SINGLE FA11ILY
Bldg. Permit No. 03-1416
Occupancy Type R3
Type Construction VN
Fire Zone
N/A
Zoning District
R2
Legal Description
L18, BI, DEERFIELD 9TH
Owner of Buildiny
SiteAddrm 5442 DEERFIELD CIRCLE S. E.
Contractor's Name & Ad~< R. HORTON '/;;;;:t' 20860 KEN BRIDGE
_ ROBERT D. HUTCHINS /~ CityPlann,' DON
nate f~..L~rffiCia1 nate
CT., SUITE 100, LAKEVILLE
RYE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
s'l42-
v<<c ~ I c1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
LFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
)2rMECH FINAL
COMMENTS:
J.........
&--.-1.
'.ll!~
DATE nMe
L./-I/. '0< I
,
{il-
S -ICllc.
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~.:
(f) h~( t>)rade 40'j///"w":1 ~+=+e,-
. C;; rc!"..v..(/'
(/'/''''''''''''/ -./-
(2) 5: c1d. -'? T y"Yor5 0..." ~/tf,r7~d
v ,
i I-e '-</ t? (/VI h I
I
q-/-c}<.,./
\
o WORK SATISFACTORY, PROCEED
o C~CT ACTION AND PROCEED
~RRECT W?1R~ FOR REINSPECTlON BEFORE COVERING
Inspector: I VI,/ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.l SAFETY!
<-..n
DATE
J7i-0t/'
LJ.ee/'4/d Cr
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
-s- r f",i'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
/0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
,/
~'/
/,//17
C7/
tyee.
---
TIME
cJ...? - /11' /~
o EXIGRAOIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
---
~-
( '/ /'
( 1G:'.r;-e
"-
-~
\)
r / Ie /
~
~.-
---
/r:'/
--- -
f: WORK 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..
1NSNtJ"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
ADDRESS
6~W
DATE TIME
SCHEDULED ~ Jje;> le<{ ~
;ri:$e
tfM~/J r AA.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR,
PHONE NO,
PERMIT NO.
f9YytfI~
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
g( PLUMBING FINAL
/0 MECH FINAL
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
_1/JYLe~,MA1"cP ~)p~ (~ -
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
4k
Inspector:
OWner/Contr:
CALL ~7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
u<sNO"