HomeMy WebLinkAboutBuilding Permit 04-0830
QIntifiratt of (@rtupanqz
CITY OF PRIOR LAKE
~tpadnumf of ~uilMng ~nsprdion
,AFinal Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential I D International
Building Code certifying that at the rime 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:
SINGLE FAMILY 04-0830
Use Classification Bldg. Permit No.
Occupancy Type
R3
VN
Zoning District
R2
Legal Description
Type Constructin-
L12, BI, DEERFIELD 11TH
Owner of Building Site Address
D.R. HORT~~l ~086(fKENBRIDGE
conttactor;o;';~~A;~~UTCHINS 4/6f
_ /' ,~, City PIann!;'"
7 ~U~'ldin fficiayr .
/.2/ /:y: oq _ Dale
I POST IN CONSPICUOUS PLACE
17469 DEERFIELD DRIVE
COURT. #100. LAKEVILLE 55044
JANE KANSIER
Date:
;'~,;t;.~'";..., "i...,~"'~";,~c:,_<",,,,,/.;:;.:;.,j:.'
,," ',.'" -""i.~ "" ..;,
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DATE T1IIE
SCHEDULED ~~~
~e"/)e /c1 .dr.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7d9
OWNER
PHONE NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
tiULATION
NAL
SITE INSPECTION
CONTR.
PERMIT NO.
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
~H FINAL
~-';>jO
[] EXlGRADlFILLlNG
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLlNE AIR TST
[]
~MEN1iS: _
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AoRK SATI~ACTORY. PROCEED
[] CORRECT ACTION AND PROCEED
[] CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~
-
OwnerlContr.
CALL "7.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
.-n
DATE TIME
SCHEDULED ~~~~
/k~rl!e-id 4r
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7~~9
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
[] FINAL
[] SITE INSPECTION
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
~BING FINAL
[] MECH FINAL
COMMENTS:
//kd~~L
~- k<'o
[] EXIGRADlFILLlNG
[] COMPLAINT
[] FIREPLACE RI
o FIREPLACE FINAL
[] GASLlNE AIR TST
[]
/ 7 /'
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~?KSATISFACTORY.PROCEED u..---/ C
~~~~~ECT ACTION AND PROCEED
[] CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ) OwnerlContr:
~ALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""""
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec' d
1. ~ '6. 04-'
1. While File I PERMIT NO ~ k
~ ~;~~w ~~;);"" . 04-. b B.:;JG)
(Please ~ or Print and sirrn at bottom)
ADDRESS
lLL{(gq~~'bu'w.-
ZONING (office use)
IU-
LEGAL DESCRIPTION (nffice use nnly)
LOT It.BLOCK ADDITIO~t-J.d l r---
PID Z5'". 4tJ'1. O,'Z.-. 0
OWNER
(Name)
(Phone)
(Address)
~C~~~~ Na:D.'R. +-lcrdo-n (Phon~Cf?E5-1333
(ContactNa~ L.001lno..d:k.J.... (Phone) q ;],2/.476 z..
(AddreSS)ze>B[aD~bu:~U.*m) Lo{LI)/i~mAl650 .
TYPE OF WORK ~ew Construction DDeck DPnrch DRe.Roofing
OAddition DAlteration DUtility Connection 0 Misc.
ORe-Siding DLower Level Finish
~O ~.
PROJECT COST/VALUE
(excluding land)
o Fireplace
CODe,I.R.C. DI.B.c.
-, Type Constroction: I n ill IV V A B
,
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
. .:t-
s
16 I ?:>'-IOJ
I
1 ht.'Tcby certify that 1 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.mentlOned propel1y 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
:c:tcan lCvoke thi, pe~ f~'~;OlC,1 hereby .gree thatthecityo~~s~~i the propcrtyto pcrform needed 0P:"Zn~ -at.!
~d' Signature , . Contractor's License'No. . Date
I Permit Valuation .., '2..(P , QOO. 00 I Park Support Fee # $
I Permit Fee $ 17/:5<:t. 'SO I SAC .-----.. # $
I Plan Check Fee $ 7S?'f. '" 'l' I Water Meter( Size ~J I"; $
I State Surcharge $ (" , . C 11 I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ , Do.GtG I WaterTowerFee # $
I Mechanical Permit Fee $, I:) O. 0 0 I Builder's Deposit $
I Sewer & Water Permit Fee $ .35, 5"0 I Other I $
I Gas Fireplace Permit Fee $ 4-0.0 <:) I TOTAL DUE I $ 5. A 7'1. / P,
13se.DO
'2.."Sa. 0 0
'-Is. f)€)
1'2.00.00
700. Dc
~::t:rllidmgp~(:iDA;roved
Building Oflicial DAte r
I Paid
I Date
g?PJ 1//
R". il. fill
/1
I Red>iPt No.
Bv]",
I'
-rn,J J
, 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 '
:~:: C~ty:l~nner ?;:'~Z~ Certificate of Zoning rO:li.n~;llows construction to cOSee~eQaliialCFileust be
. Planning Director qIi Le . Special Conditio..., if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
/~~
See Main File
White . DWI!lin\l,
t. Canarv. I!!nnlneer~nlb
Pink . Planning
Th~ (""1ft or lhf 1..kt Country
BUILDING PERMILAPPUCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l) t.. 1-1' , '., --I I' \ I
- _, . ,-- - '. I'. . "II "-
--7 ~'- ~" 4-
. " " /, ...-
L, ..:. L/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
174(()q DE:FI2,i':I[.L[) DIZ-
Accepted. X
Denied
Accepted With Corrections
Reviewed By:
1111/3
5a !i4r'"... F,'/(
Date:,
& - 'f-() L/
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 ordina.nce 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
....... lAlhita. _ Ruildi.o.si:=>
- Canary . Engineering
Pink - Planning
Th~ (-..nl... of lh..l..k.. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. g . HOrzTOtV
,.Z,9;.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
17~!r;q
/'
DE~ f2.,Pt ELO DYZ..-.
Accepted
Accepted With Corrections
Denied
Reviewed By:
~~
Date:
9ftd/o Y'
Comments:
See 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."
1
;
;
i
.
f),,'
"-
~\
See Main File
White - Bllilding
Canarv - Ineering
r- P,ink - Planning
Th~ ('f'nlf't of lh~ I..k, Counlry
B~ILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. k . He /cTU0
/''ZYi.C4--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
174(cQ DEF-I~FlELU DJL.
Accepted
V'
Accepted With Corrections
Denied
Reviewed By:
1f~ -1.-.... ,:
q'~:f).~
?/, 010 t{
Date:
Comments:
See Main }"ile
"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."
JUL. 30. 2004 3:45PM
GENZ RYAN SERVICE,
NO. 011
P. 4
Date Rec'd
CITY .OF PRIOR LAKE
SEWER AND WATER PERMIT
(pI.... ""'. o,nril1, an4lic 'a' bottom)
ADDRESS 114 (aq btt41 ~(}t !'}11- {f
l: ~~ ~~~ I PERMIT NO.AL ^D..~
3. CJoJd Applillll"l. U"T'..~
ZONING (alike ..e)
LEGAL DESCRIPTION (office "'" only) ,
LOT '~BLOCX / ADDmON ~1 11 ~ (ljrt I ~fr1
OWNER
(Name) "0 F~rtt'~ C'..r.....- u*:
PID
(Address)
20&00 ~e~\i::ce. Cr Sn.J m
CAdd:cll)
(Phone) _
.,La.u~ille...
(Cil!/)
'16.2 -q88-1RM
"?~IJ
(ZiIl Cod4) ,
APPLICANT
~wn~ Genz-Rvan Plumbiua & ReatiuR
(phone)
651-423-1144
(Addle") 14745 So Robert Trail
(Add,...)
(Contact Pmon). 1M.JiiSB1 rn. { l.s .
',.rCANT SIGNATuRE J.J J /i!If;J-:t;,
Rosemount. MN
(CilY)
55068
(Zip Code)
(Phone)
P 1/1 DATE
651-423-1144 (
1... alJ-or+.
APPLICANT PLEASE COMPLETE BELOW
Size of water sexvice 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
Residential sowor and water line connection
Sewor connection only
FEE SCHEDULE
535.50 Indultrial, Com'l &: Multi-fm1i]y 1% of job cost with a 539.50 minimum
517.50 Water connection only 517,50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$
S
p~'r ~!:" ifi
eflfW1!\1G F'~Mrr
. I
,
(om.. Un Only)
I Thi'APPll.atlonB..ome.YourBUlldlugp.'mltWh.nAPproveli'~r~F~ U \D ~ ~il :ceiptNo.
, Dulldlne orn.lsl Dlle I i1fu 1 7 2004 " II 'Y
~- .
Z4 bour nottce tor alllnspediDn. (952) 4 11-9850, tax (95.1) 4414245
By
I'
I
JUL, 10, 2004 3: 45PM
GENZ RYAN SERVICE,
NO, 011
p, 5
Date Rec'd
CITY OF ,PRIOR LAKE PLUMBING PERMIT
I. I'.. "0 I PERMIT NOOf: D630
2. Gald ell'
J. "'.JIow ","ianl .
i!'leue,OOle or nrint and DJ!l\ ae bollllllll
I ADDi7~p.1 ti' M)l1
I ZONING(om.elUe)
LEGAL DESCRIPTION (office "S. OIllY) '1'\ .. ,~ IJ . '. I j)
,l;;/lI BLOCK I ADDmON fJ-UA'~
iJ
OWNER.
(Name) DR Horton Custom Homes
(Address)' ZO'SloD Kb181'tl t>Ge.. Cr $re./DD
{ HM.,;
PID
(phone) %2-q)},~ -'1zslJCJ
fA IuJ/i 1It"~ 1M N ,E,60Lj W
APPUCANT
(Name)~o_..-":.,,'" "'.""''''jJ:l8 :. alr""-:
(phone) ~/,"_' 'fA
(Address) 14745 So Robert Trail Rosemount MIl 55068
(Address) ~ (City) (24' Code)
("-<"_l J:,tu2l~ __ _ - ^ "",,"l "'-"'-U44 ,
APPLICANT SIGNATUltE .-'--_A_) WI )A/o DATE /j-- 8t){)L!
. - - I
APPLICANT PLEASE COMPLETE BELOW
I .
12-T
f
I Type of FIxture
I Rough-ins
I Water Heater
I Water Sotlner
, Stand Pipe (Washing Machine)
I Sewage Ejector
I BacIdJow Assembly
I Bacldlow Assembly Test
I Lawn Sprinkler
I Other
I
I
I
I
I
I
I
I
I
I
Quantity
~
I
I
~
I
I Type of Fixture
Bath Tub with or without shower
I Dishwasher
I Floor Drain
Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity
,:;(
FEE SCHEDULE
IndustriAl, Commercial 8t Mul~-flllllily 1 % of job cost wllh a $39.30 minimum Residelltial, New 01w &. Twa-PtIIIlily 199,50
Rcsidcatial, Addition. &< AJteration. $39.'0
Estimated Coat $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERl'r'nT FEE $
~,)VJJiH
"I"'~c"'~~
~",' \ '..;;s r~i:J_1
J
(om.. u.. Only)
I This Application Becomes Your Bulldlng Permit When Approved I ~ ~~.I~ ~ \!J Th~ I Receipt No,
Julldlng omel.1 DIl. R I ~11G 1 7 2004 _ I By
24 bour notic.lor .n lnspec~o.. (!l~) . 17-9850, &x (.9~) 447-4245
. By
tf1'15f1
, .,' .""',, .", ,,',',', .' .' uI'iOF PRIOR:L~' , ,,'. 'Date~ec'd
'H]!L~\;:.!JJ1~G/AIR CONDmONING~:PLACE PERMIT
":;;,/';~'.'--:.'"
~~, , PE~T:NO...A..'O' Q.::2,"o,'1
APPliclDt. .'. ;:.", '~'''''' C"I~
~~;~1#~alJ'lx. s6. .
'." 'i>:.'-_~"",'_''''
....:,.:.. '....,
"":z;O~~(IiT;~~)' '
,',~,", ',"" , .
',.'.~r:i~ic~G:;;tlJf{~;i"(;t40r+Of) (phone)
.i;')':~~~~t,;,:;::,!.~~~~~~i~i'~\~tj;~i.,: , .'",. '.". ,'.: ";.;i,~~,~;~~!~'~~;;;,,
"'lJ~"Y"I""iM" "h A"" 'L~ii'l~tkb~liil;..:#fjji;;,~Ji~:}';-~'~\'\'ii, i
'~!i~I!~~zt~~?
"~.",'",.',..,"!t.f<,...",.,.,".",..'~,,',,',',,',",',,' '",'~.',',.,.,,',', ',', .,.,"." ~,',:':,',~'..,:,'...~,",.,~~,:rn,',",", .,',',,'.,.,.,~,.',.",'~",.,',",',',,','~",','~..,""',','",,.,.'.' ""'".'"',',.,'..,.,,,"",,',,, ",',',".u=,~,,',..,'_,',',',',',1'
'<k~:; ..;::\~:::~\:~{\.:~:::~~S;: :\,} " . .
", .,......,..
<>)~-:,;.:-.,~ . ",""-'
,.-.::.."..,......
0"" "
DRild!i!tion ' . " ,." ...',',,'. .'liim~'"
D,S :i"',~;;~'" ",:~'., " '<C': "',R:ii' ':" eo' :~"
, ~.~"", .q" .~,,' ,,,:' '
O~~,},f;~'-~. ',\" '.~i?i>l,,::";:,"'~;~,;,~':~;":,:~:~'::'.
._ ..n..';,-"
,~:;;U:::::f:I~:
. ",.",,,.
:',;, ._~:".
:1_'1.,:
;-.;,-
, ~-~~~:,
" ". ,,""'.' .',.',..*!t..::~rf.~twiRr;f:~1i!:;ii. '
" 'lrId\JS\rial~Comm~,8!:MJ1!tj-f~ly
.: ..; .,_" .:: _- : ';. ~. :; :."', ,?',:' __:":,-,.:r H;\t~;\'-';::.,<,:.~-),:, <.
Residential, Heating 8tN~(jtI:W:C'ohstiuction)
, Residential; He8tingo..IYW~~ii~c;iion)
FEE SCHEDbtE:i',:{;'':<"
1% ofjol! Cllst . ,~(~af,Clas"I'irq>~ '
$39.50 minimum" '>,....,"\:.. ' '
$99,50 Resiilioiitial, AdditionS &. Al1er8tiorlS. ' ' '
$64.50 Rl:md,,;,;;al;ACOllly
'Y':',\:',~
.',''-'"
si9.SCf ",. "
139.50
'~.5O>
Building ~ermit #
, .PAlU Wrl'.tI
$
$ .50 BUILDING,
(om"" Use Only) S ' U "'KMIl'
, This AppJication Be."mesYou~ Building Permit When Approved . ~" ~~ a: &--H "\J 'ReceIPt NO.
n 'Dl1ct' 1 0 2004 II By ,
Date I Jl ;J
24 hour notice for an inspections (95Z)~~50, fax (952) 447-4245 " i
, . Estinillled Cost $
HEATING PERMIT FEE
STAlE SURCHARGE
TOTAL PERMIT FEE
Building OffIcial
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~ ~ orurint and sim atbottoml
ADDRESS
i~ ~~ I PERMIT NO..-..L AIl"2J1\
3.YeIlow Applicant ~
ZONING (office use)
17469 DEERFIELD DRIVE S.E.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PlD
lJWLIII~.l\.
(Name DR HORTON
(phone)
(Address)
APPLICANT
(Name) AT T TRD FIRRc;;.TnF. ry'PA FmF~TnF: HRARTH & HOll~,
(phone)
651-li1~-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVTT T P
(City)
(phone) _651-633-2561
';5113_
(Zip Code)
APPLICANT SIGNATURE
RRFN!)A J-IUSTON
DATE
9/27/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
REA TN GLO SL-750TR-D
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
PAte wnH
'~I!LOING PERM"
(Olliee Use Only)
This Application Becomes Your Building Permit When Approved
BuUdine: Official
Date
~ ], ~
Receipt No.
24 hour notice for all inspection. (952) 44 - 0, fax (952) 447-4245
ISy
PRIOR LAKE DePARTMENTOF See Main Fill
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~1 'J)-... ·
NATURE OF WORK ~ ~~
USE OF BUILDING s.. w:: Ii..
PERMIT NO. tJq..f} ~30 DATE ISSUED
CONTRACTOR . PHONE - ~
NOTE: THIS IS NOT A PERMIT FO ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR, Jf DATE _
'FOOTING I /<<~. I ~9/7 I
I FOUNDATION (Prior to Backfill) .ei:v,.Jj ~d ~ I "1tb;J);f ,
PLACE NO CONCRET~ UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS .I
SEWER I WATER I SEPTIC 4"$ !"~/ /0/
FRAMING //PI ,Io/Z.5' ~</
INSULATION ~ /o//~y'
ELECTRICAL, /0/ p:-/6( .
PLUMBING(/. G. //ttI 1/9/",/ ., ~ /lY..u/of
HEATING (if requlred~... $',~)IId ~ry ~ /d/. zs/~
FIREPLACE ~ /tI/~r/~~
GAS LINE AIR TEST JIt,,.J,. .;- ~ If 1#'1- /6~~;C,-/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I J
FINALS
-"",/
GRADING (Prior to Sodding) J e e ~./r. /tIe. "
BUILDING ## /..2 ~y/Ci/
ELECTRICAL / ..1/2/dc/
PLUMBING .IIt4 . I..J..///of ~
HEATING ~ /~Nft:/
DO NOT OCCUPY 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 shall be placed near main entrence.
FOR ALL INSPECTIONS (952) 447-9850
~
.
~
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor ~-r-I~
Name of Tester r J.,.J
Date "../';.bi
.
"
Job Address 1711'" OJr;~tJ
Heating Contractor ~MuIf
Name of Tester 'Ch4.Ji
Date I U'/,"(
Percent 02 , \. '1 0/,
~fI~
S.,%
~~\~
Percent CO
Percent C02
Slack Temp
Combustion air is adequately supplied per
UMC Sec. 606 Y 1-"
input
~ I'JNJ ,'tr..
.