HomeMy WebLinkAboutBuilding Permit 00-0894
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OA TF !::U=r.I=IVi='1
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I.
2.
3.
File
City
pplicant
Permit No.
{-Il-OO
DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN ~
BEFORE PERMIT IS ISSUED (Please Print or Type and sign a~cftftI.IJ'7J Ai! '.. J - t~ -:i.rm
2. SITE ADDRESS 11+ 1 . /l t '\/ IV :;, ~ql"/ ,
~4/d-- I ~ L~, l Xf-... J:;-Lf?7..."I.
3. LEGAL DESCRIPTION' B \ D b U
~\0\ 1 J ~\,-, IB~K ~
ADDITION ~~ ~04-1~ \ \ 1\ \{L<:;:
4. OWNER (Name)
BUILDING
11. SIZE OF STRUCT
(Height) (Width) (Depth)
12. NO. OF STORIES
PID
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
15. ARCHITECT
6. BUILDER
(Name)
(Address)
(Tel. No.)
(Name)
34b0 iNc,g,[~dreSQ)~, r~ a()4
6~ S6(~~
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS LI PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ---k~,~ 0""
SURVEY
PLOT PLAN
o COPIES
o
USE OF BUILDING
St='A
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
R S U
City:
Amount Brought Forward .................. $
Park Support Fee ..............".."....... $ as") .00
SAC .........."""..........."""",..... $--4' dO .OQ.
Collective Street Fee ........................;::
Sewer Tap ....................................;::
$
~,!. 7t:;
1.(38. SCr
~~ .' ..'"
Penalty ....................................... $
Pressure Reducer ........................... $
MeterHom ................................... $_
Water Meter ................................. $
Sewer & Water Connection Fee ........... $-1 \ 7no . ,-')0
WaterTowerFee ........................... $ ')"0 i"!)'"Z)_
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $~ __~_.._ _____
Total Due ...,............""""...... L'sZ 7 I. B4-
. .
Paid.-z:;z.7/.fr~ Receipt~9. <:R""('O'-'
Date J()' /'5.(Jl) By ,fiL-:-
certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed a~;qUested. This document when
e City P erconstitutes a temporary Ce.::si~~lian~ows const ion to commence. Before occupan~, a Certifi of Occupancy must be issued.
~y nner Dale p9Clal Condi ons if any
-
IDO .l!lO
1t>C .~O
Z6.~
Gas~~""n .........""""""" $ tlt').tx>
This Be,.,.,L~ Your Building Permit When Approved.
By ^ oateJ/1-t..-~
,
Certificate of Occupancy
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
24 hour notice for all inspections 447-9850
00 ' o~qtf
White - Building
Canary "Engineering
Pink - Planning
The Ctntt" of thl! LJ,kt Count!')'
.BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
APPLICATION RECEIVED
D 1<-'. HiJ/2'iu/V
7 /1.00
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
I
Accepted With Corrections
Denied
Reviewed By: ~rAAI /t,-/sn-t Date:
Comments: 5~" Ihf reyerc;,~ 51ck ~r
~}~
d~~~...j M ;;.",,~-hhz..
,
~t'. ~1Ittdv>>,~k: ./ h/1d/ C-~ ~rafp." ~~,:/.: _. .l ~S4
=? E.~S/~ r:;-~/ ,~t?5ar"f 1: FJ/"t5'/fTh cJ.""::IT,,,/.~~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed tobe 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,"
~~
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Th'C"tnIIl'rOrlht' Laheaunl""
White - Building
Canary - Engineering
Pink - Planning
BUILDING eJ:RMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
DR. fl()J2WtV
70/7- O()
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Denied
Accepted With Corrections Y-
Reviewed By:
f2J 11/ D,'e /0- {r=
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,"
White . Building
Canary - Engineering
Pink - Planning
Th~ <'~nlu of th~ L.'.., Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
; ,-' I ! " , /
/ /'-- " ./
/ / / 0
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:
r;rAlkd~
Date:
w/q/&JO
Comments:
&lu/\ "'" ('... ~S (2.. '\ ~ liHl(\ (II l/~ ~ ( t<u:?
- '
_(aoM 14- ~U(Z{JC' (.2,C) l~ ~lSI4Jl~kllMlr?~.) C:~
~~(~<:9F ~AJN~% ('G4-SS.1.~flAu(L'S
(~~f' ,1ht-~ \ ~ .
"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,"
CITY OF PRIOR LAKE MC ,j;;OL!
16200 Eagle Creek Av. S.E. Permit No. 0 (> ~
Prior Laka, MN 5,5372
HEATING APPUCATlON I PERMIT
Date 1\ lla Ibo PlDtI~:r--~-?3~9P.-P'
SileArldress 5L\.ll,i~.ltl'5.IID' 11,1&,/'1 HtWY\ 1Ylauhw (Ufve SE.
Lot J.." Block ~ ~dition _ () p,iv ~ ~ e~ I),
Own81's Neme V Q. rmr toll -
Addr8SS~ Wllsliu1C1htl'l7).r~4 ,eaNm MN sslz;i
Heating Conllador Fr-clrit1'iJDJ1 lkaiU-wr- '" .
Address 3it5D. ~.(llj')LfJtL J)y- -1t:-J ~ NlN 55/12-
Telephone' --ElLioS/- 452.-2175 J
Furnace Make & Model ~~ TYPE OF SYSTEM
#-?C . VA/ WarmAirPlanls
Model Size ,;> 0 Y /'VY yo ;Z Yo 7t:> Gravity
Mechanical
Air Candllioning ;z. -"7'D~~~
Vont.System ;t-P4r-;H~
HEATING OR POWER PLANT
Steam
Hot Water
Racfialion
Special Devices .
Conn. Load
Z 7.J'Y?
Flue Size Y/' u4::r(
/3'....
Fuel h'K
Supply Openings
.'?
.y
Return Openings
Inpur,:? 0,0<>0
OUlpUl flJ """" C>
Edr.
Clm.
A/?~
Other DeviClls
TYPE OF WORK
Allerations
l/""
Replacement
New Car'Slruclion
Repair Est. Camp. Date
Est. Cast $. .3 60eJ /" auHding Pennll /I
HEATING PERMIT FEE$,
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
PAID \>"
BUILDING Pc,-;"" ,
Receipt #
TVPE OF STRUCTURE
I. Piak
1 Qroea
J. Ydlow
me
C;ty
C4.""""
Single Family
Commercial
Multi-Family
v
_ TVlo.Farniy
Induslrial
Public
Other
.
,
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>
>
F" Schedule
Inclustria~ Co... ..~...:..d & Mutll.Family
Residential, Heating & AC
R"~; ~,..".aI, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
.
c
1 %'01 job cost ($39,50 minimum)
$99.50 PLEASE NOTE: ~
$64.50 Air Conditioner Units CannL c
$39.50 Encroach Into Required Side ~
$39.5C Yard Setbacks. ~
$39.5C / NOV 8 2lXXl, ~
I' . c
lJ!
v
Remember to add the State Surcharge on (he bottom otll1!JiappUr..","
I
The price of your heating permit includes one rough-in and one linal inspection.
Additional inspections wil be billed at $35.00 each.
House Healing Test Record must be submitted with buildim IlIlIDiI nllmo., belore build,
ing certificale 01 occupancy will be issued,
1:IEM CAlCULATIONS REOUIRED with number 01 supply and retum openings fisted per
room with CFM's per opening. Now struc!Ures or addUions send Iloor.plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR UW6V162Q(l ~G.lE
CREEK AVE, S,E. PRIOR lAKE, MN 55372. - :J aw
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City Hall business hours IlIe 8 a.m. . 4:30 p,m.
Ii
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.-----...,,___ ~/ f
Al.L WORK MUST BE INSPECTED (ROUGH.IN AND F1NAL)-.eAli.-~
447-9850
I hereby apply lor a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work win be in conlormance
wHh the ordinances and codes of the city and wilh Ihe state buUdingfmechanical
codes; that this form does not become a permit untii signed by 1he BUILDING
OFFICIAL; that the work will be in .'lccordance with the approved plan in the
case at an work which requires revIew and approval 01 plans,
~
, -- ,...
fl~. "i~<e~'\, "'?~::;:.~ /ot'/.:z9'/1'O
7 ' ,f" AJlI:lficanrs Signature - . ' 'Date
~ II~c,j)
Building Ollical's SIB"ature Date
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PL. FA;;i 447- 4248'
RUG, 8.2000 4:11PM
GENZ RYRN 6513226147
. .'No.528' P.12/17
CITY OF PRIOR LAKE
. PLUMBING PERMIT # 00 {)8CJ4-
Applicant ~'n7- R-~ Phone:.L:.. SI- W7..?"-Jf4lJ
Address: fc..J'Iu<;:;: ."'-- Jl?r .0 {_ eO'5l?'rr::J.1-<:-r. 1("\, cC"~
Signature: \A...J.~. 0-
"\,eQaIDescription: ~ot ~~BIOCkt.ltr", P" 1;ub l):.",~",\~ \J;\\~:---'
Site Address::.. ., 5l1-li./. \~ ^,AiPI.P (\ I oF~. _
Building Permit II ,PID II
NOTE: This permit "1)11 not be precessed without complete Informaticn.
FIXTURE UNITS
I. Bile FfI$
2. Gold Cl."
3. YdIow AppII....
n... Cltftln-.r I,", L.I_ Cellnl.,.
Quantity
I
I
I
D
I
2-
"
" .
I Type of FIXture Quantity Type of FlX!ure
I Bath Tub with or without shower Rough-ins
I Dishwasher , Water Heater
I Floor Drain R11 Water Softner
I LallatDry (balhrQom sink) \ Stand Pipe (washing machine)
I Laundry Tray (1 or 2 compartment sink) Sewage Ejector
I Shower Stall Back1Jow Assembly (RF'Z, DoUble Check, F'VB)
I Sinks Backllo"l Assembly Test
I Bar Sink Lawn Sprinkler
I Water Closet (toilet) Other
FEE SCHEDULE .
Industrial, Commercial & Multi-Family
(1% of job cost, $39,50 minimum)
Residential, New One & Two Family
Residel1tial, Additions & Alteratlons
Slate Surcharge
$99,50
$39.50
s
s
$
$ .50
'/11\,,11-\ :t
\ p~\O G p€.f\\'II\
$ '1fJ\\.D\~
\
GRAND TOTAL
This pcnnit is grunted upon tho ...p....s condiaon lllal saic!
ccntQCtcr. shall comply' .......,_...... with the Qrdinances
of the StillO Plumbing C tho omlllldmcnlS thereof,
'R.E o. jfJ. ''''dO DATE
A TI'EST
'---
Call for all inspe 'ons 24 hours in ad'lllUlce.
16200 Eagle Creek Av, S.E.. Pnor L:lke, Minnesota 55372 / Ph. (612) 4474230 / FAX (6\2) 447-42~5
An Equal Opl"oltUllilj' Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK ~..,
USE OF BUILDING ..:. s~ A
PERMIT NO. (JIL/) PJt!d-- DATE ISSUED It) -1.- u=o
CONTRACTORn R, \-\r-_l-.'4 ~S/- 25'"l, - 7/;J.Cj
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
Mc.t'\~ Qul'V.e..
u...:\- '3(., - 'R \"'-~. a
~
INSPECTOR
DATE
I FOOTING wIt I ~ I loltiA {/7lJ
.
I FOUNDATION (Prior to Backfill)~ I f7? /I>/~~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
. SEWER I WATER I SEPTIC J..r:'t. IA,~ A-, Idt? 7/t>D '
FRAMING ~I ~ left! (
INSULATION a" :j"0/fj/
ELECTRICAL
PLUMBING~,<oc. ~, JI /:;/ ~ ~. _ . ~/J3/t) / fffi 3/0 I
HEATING {ifrequiredH.J.e. f!;J:r. 10/;' '7/tn> 1~ br If A 1#
FIREPLACE . L ,~. ' ~1/iD/D1 ~/5;~/v(
GAS LINE AIR TEST \~if"~' t;?~. 3((.r!D!
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I Wi41dl~~ 5T~ I5:r-. 13J~o I I
FINALS
q. 19'd-
~lz'3 fD (
j
GRADING (Prior to Sodding)
BUILDING,. CJ). e,.., +.JJ rd t/o I
ELECTRICAL . ,
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an elec\-ic;al s(!rvice 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.
QJ~
tfj} AJ Pi
, ClJ !;J,-Oo--
@'B
u- 10-01
Call between 8:00 and 9:00 A,M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
---------- ------------------~---~-~ --- -- - -- - -- ---- ----------
ti8':~"~.-~y-.;..c~~
; :":.J'~~'.'~,;..", .:';~.'~.:~'9';.:;'."S: j~;;-. "'",..,.,". ,.,.~.,;,~
~ '. 7' _~ ' """",' r.,.i':,- :_'~~='n'_'-. ",,',
t:,1 QLertifirau nt OOrrnpanry
.~. CITY OF PRIOR LAKE
.~ 11lepartment of lSuilbing Inspection
(Final Permitted 0 Conditional C,Q. Expires
This Certificate issued pursuant 10 the requirements of Seclion 307 of Ihe Uniform Bui/djng 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 Ihe following:
'1
Use Classification
SINGLE FAMILY
Bldg, Permit N', 00-0894
N/A Zo' Di' R2
. lUng strict
Occupancy Type
R3
LOT
VN
Type Construction . Fire Zone
2, BLOCK 2, DEERFIELD THIRD ADDITION
Legal Description
OWDCr of Building
C:;ite Address
5414 FAWN MEADOW CURVE
Contractor', Name & Addrcss pR HORTON, 3459 WASHINGTON DR., SUITE 204, EAGAN 55122
Date: _
"
ROBERT D, HUTCHINS \!Y)
Building Official, , -.-
'1-ld -o?---
rity Planner
DON RYE
Date:
POST IN A CONSPICUOUS PLACE
CONTROLS
THERMOSTAT. J;;- (~I// H.ot Plug
Valve _ (,J, II"
Limit
limit Setting
Fan Setting _
Pilot Type
Pi lot Make
Pilot Model _
AODRESS
OCCUPANT.
HEAT LOSS.
SOLD BY
Electrical Work By
TYPE OF HEAT
MAKE _
Mod.1 _](t7/f/1('~) ,/;-:nr
Serial (/LY/TI . ,1,-:.! "",.
INPUT. /.h
Pilot Timing
L, W. Cut Off
Pre.sur"
Input CFH
Stock Temp. ? ":,:
Form 235
HOUSE H EA TlNG TEST RECORD
JOB#,
,::'/",
APT._FLOOR
f1WNER
SUBURB
CITY _
DATE HTG. INST.
INSTALLED BY
("'..as Line By .
GA _ FA ~HW _STEAM _SPACE HTR, _UNIT HTR, _OTHER_
GAS DESIGN CONVERSION
MAKE OF BURNER
Mod.1
Max. BTU Rating
MAKE OF FURNACE.
Model
-
Vent Size
KIND OF LINER
Draft Hood.
Fi Iters Size
Chimney Location
Chimney Construction
I"sid..,
Outside
'-j --/
SIZE
RegulaTor
.Numb.r
NONF
; I i
n \ I
) ..-_r
J
/!
Wiring.
Test Tag
Lighting Inst.
Smoke Bomb
Droft _
Door Pres sur..'
"
Percent CO2 ~")
Percent O2
Percent CO
,'-)7 t1
Frederickson Heating & Ale. 3650 Kennebec Dr" Eagan, MN 55122
/' / .'i
Dot. Tasted
Company Testing
Name of Tes..r _
q-I d.. -;2.....
J51Lt/ ~ ,)11/:;- 7a-l>>lJ !41J;/JcUvJ
~
PERMIT NO, ao - tf'ij ~ g'1/
CITY OF PRIDR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR,
PHONE NO.
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 '1.H 7-1-
COMMENTS:
O/f
/1' q
(bl () ') '=-
DATE TIME
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
\
/I;/~
I"
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ALL FOR REINSPECTION BEFORE COVERING
Inspector: -Y h Owner/Contr:
+-
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
4.23.0 I /;/5
ADDRESS
59-/2- - s t./-/8
H9wtJ
OWNER
CONTR.
PHONE NO,
OU -O~.51 t:7f-
PERMIT NO, P,9S; A9b
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAMnl
~MECH FINAL '<LS/
COMMENT5:,'5<I/;:>.-(i1J W A,C'-, ~
?"&!f'l- (fJ..kJ- A-L ~
,C;</ It. - (fJ .../.:J- A. C_ , ( ~
5!Jj.r.({l.Je,f~,4, c. ~ (flu lM~\
@~-I-~'_' ~ ~ iJ--.tI' ..~
(f))~V CY;I'~ "'- ;/' - -' r~ ,~Yfo
4fJ ae~.
(1J.') ~ ~~~ p.-t ~~
~)r~ ~ ~~U+~
, J4~ ~ (Jo-.r .
~ f!.. ...:r ~ (~Jf
u -' ~
o FOOTING
o FOUNDATION
o FRAMING tr
INSULATION
FINAL
~SITEINSPEC N
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
.._,
.....
~ Y/ / !f) /~ )
-~
-~r L'I 5"l.f I" .ELI /8'.
I I
o WORK SA TlSFACT , PROCEED
'ji1 CORRECT ACTIO AND PROCEED
o CORRECT WO~, 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/
JNSNOTl
CITY OF PR~O KE
INSPECTlO N SCHEDULED
'54-/& FA w rJ
ADDRESS 64/8
OWNER
CONTR,
PHONE NO.
PERMIT NO.
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
)l(PLUMBING FINAL
o MECH FINAL
COMMENTS:
I. O(e\VV1\~ ^L~"s;:' G:.!'? <:::
.
DATE TIME
4-. /0,01 Z~ O{)
O( -O&~r
aD . fRS
a~, fl,9(~
o EXIGRADfFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o W.,9RK SATISFACTORY, PROCEED
lrCORRECT ACTION AND PROCEED
..... , - ~
o 'CORRECT ~9lU<: CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~1 '- I) .
Owner/Contr.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
.___.__.__._...__""..._...,._.___,_..___._... __m__.....___..____._._ __.._.._.____..