HomeMy WebLinkAboutBldg Permit 05-0034
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CITY OF PRIOR LAKE BUILDING PERMIT, I,. :') .
TEMPORARY CERTIFICATE OF ZONING COMPLlAN~~
AND UTILITY CONNECTION PERMIT lli I
. OCT': ; ~~:~\
J
See Main File
(Please type or pint and siJm at bottom)
ADDRESS
White
Pink
Yellow
File
City
Apphc~nt
By-=",,---
I PERMIT NO.05. 0034-1
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ZONING (office use)
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LEGAL DE~ CRIPTION (office use only)
LOT /OBL OCK I ADDITION/ Jt".,vS}?l~ NI\I frr I~?j fj)~J
PID';'i)-'-{li ,ottQ-D
OWNER/ ,
(Name) L<./ e~/17f>AJrI
(Address) h,'9s ?fA.ZA
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/) IL Su ,17';- 2..oD
(Phone) 0S7- YO.{, -lft/oo
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BUILDER .L"
(Company N, me) -o~
(Contact Nan e) Ac..n....'2
- </ -./
(Address) ~.,~
(Phone)
(Phone) ~Jz..~ ZZ/-/? zA
TYPE OF W"JRK.......E:f'New Construction DDeck o Porch ORe-Roofing ORe-Siding DLower Level Finish ~Fireplace
OAddition DAlteration DUtility Connection 0 Misc.
CODE: DI.R.c. ~.B.C.
Type of Const, Llction: I
Occupancy Grl ,up: A B E
Division:
II
F
1
III IV Q A (jj)
HJ::.M@SU
2 l3.l 4 5
PROJECT COSTlV ALUE $ J.1.!4i 0 bt? -
(excluding land)
I hereby certify thai I haw 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 authonted agent for the
above, mentIOned p operty 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 buildmg
:fici'l '~ Ii, p:~m" fo' JUS> ::;:'h"mo". I h",by ,,,eo .h" .h, "ty offici,1 ;/:r~8'" upon .h, PfOp",,'o p"form :;';':j'''on'o(
c..---- .....,/" Stgnarure Contractor's License No. Date
Permit valuatiT /looOD.oO Park Support Fee # $ ,
Permit Fee $ ,1/3.5""0 SAC # $ Ia.-S-o. 00
Plan Check Pet $ 7';;'3.5'0 Water Met~ Site S/SYI"; $ 'Z.sC.l90
State Surchargf $ 55: Do Pressure Reducer $ 4s-.00
Penalty $ Sewer/Water Connection Fee # $ l'2..oo.a -()
Plumbing Pern it Fee $ ID13. e~ Water Tower Fee # $ IbO.oo
Mechanical Pet~it Fee $ . Builder's Deposit I $
100 . I!) 0
Sewer & Water Permit Fee $ 35.50 Other I $
./
Gas Fireplace I ermit Fee $ i/o, (J 0 TOTAL DUE 1$,56/.).7 r
/
This Applicatio 1 Becomes Your Building Pennit When Approved Paid s,f"J.>. 78' Receirit No. -rYM,~-f
~~~ I a/~~/o 'f Date / ,. ".r-. ByA I
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Buildi: Ig Otlicinl
This is to certify thz : the reqllesl in the above application and accompanying documents is in accordance with the City Zuning Ordinance and may proceed as requt'stcd. This document
~1?= :Iaon,;;:o:ocary CeI,ifi"" o~in;;p:: ,nd ,Hows com.mClionSee' MaIil"'''Fire,nry mus>b,
Plaoning Directo, ~ ~ale Sp,cial Conditions, it aoy
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 5S372
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fhe Crnle. of the I..ke ('ountry
See Main File
White . Building
Canary - Engineering
,..-f~II"" _; "'IC:III."III'~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ ME OF APPLICANT
At' PLICATION RECEIVED
~.v E,JS/iifl IJ;j
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Th 3 Building, Engineering, and Planning Departments have reviewed the building permit
ap Jlication for construction activity which is proposed at:
/1/ ('r () ! i/ / L Ij.'S //// 77-1 /V 1:/
Ac :epted
~
Accepted With Corrections
"
~,!.~
De 1ied
Re viewed By:
~
~
Date:
ICJ!r4 t'
,
"
Co llments:
"The issuance or granting of a permit or approval of plans, specifications and
conputations shall not be construed to be a permit for, or an approval of, any violation of
an) of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pre suming to give authority to violate or cancel the provisions of this code or other
ord nances of the jurisdiction shall not be valid."
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ue~
See Main File
<Wmt:. ~Ilild~
~.- -
Canary - Engineering
Pink - Planning
-
The ("fnl... If thO'I,.k.. Countr).
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W6r!.sr119 NtJ
10.&.01-
Th ~ Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
11-/~q W/L,OS fJrJT11 /tiN
Ac ~epted
,/
Accepted With Corrections
De nied
r
Date: Ie?! xl r'
Re viewed By: _
~
7LJ2~
Cc mments:
See Nlaiu File
"T he issuance or granting of a permit or approval of plans, specifications and
cc mputations shall not be construed to be a permit for, or an approval of, any violation of
ar y of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr 3suming to give authority to violate or cancel the provisions of this code or other
or:Jinances of the jurisdiction shall not be valid."
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White .. Buildina
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Pink . Plannmg
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJl ME OF APPLICANT
APPLICATION RECEIVED
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Th'l Building, Engineering, and Planning Departments have reviewed the building permit
aplllication for construction activity which is proposed at:
I'J/ fc' r; I ; L /.J:5" jJn iT,;:;'i
" I
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ACI :epted
Delied
x
Accepted With Corrections
Re ,iewed By:
/iyJ/!;J
jtc.. 1114''" F,'I('
Date:
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Co nments:
"T~ e issuance or granting of a permit or approval of plans, specifications and
conputations shall not be construed to be a permit for, or an approval of, any violation of
an) of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pre,suming to give authority to violate or cancel the provisions of this code or other
ord nances of the jurisdiction shall not be valid."
04/29/2005 FRI 8:02 FAX 6513226147 GENZ-RYAN
~017/031
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please me r ttrint and si2n at bottom)
ADDRESS
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1.>1" "I. ~ERMITNO~. ~
1.. Gold City
3. YdIow Applicul
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ZONlNG(offia,,,,.)
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LEGAL I ESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
, OWNER
(Name) .ensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, MN 55122
APPLICAl IT
(Name) I ;enz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
o. (Address)_..
(ContactPecson) l~Jw-lsh -rId I:')
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APPLICAJ'o T SIGNATURE ( 'itl j-/Jj,
(phon~ 651-423-1144
Rosemount. MN
(City)
55068
(Zip Code)
<"'-.fIr I) I;~
I V\.x..k;~j
(phone) 651-423-] 144
DATE _
.1-/ /~M/(JS
I
~
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity I
I Bath Tub with or without shower I Rough-ins
I Dishwasher I I I Water Heater
Floor Drain (L Ii Water Soflner
I Lavatory (Bathroom Sink) I i I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I I Sewage Ejector
I Shower Stall I I BacktIow Assembly
Sinks I BackfIow Assembly Test
I Bar Sink I I Lawn Sprinkler
I Water Closet (Toilet) I I Other
Type of Fixture
I
1
I
1
I
1
I
I
I
I
I
I
I
I
I
I
I
I
I
Quantity
i
Lj
I
FEE SCHEDULE
Industrial, CO"llmercial & Multi~family 1 % of job cost with a $39.50 minimum Residential, New One & Two~Fam.ily $99.50
Residential, Additions & Altel1ltions $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
PAID ,..
8lllLO/N rv'm.,
G Pe~M/f
(Offi.e Use Only)
Tbis AppliCll lion Becomes Your Building Permit When Approved Pail!
Buildi: g Official
Date
DatMAY 2 2005
I Receipt No.
I~ rr
24 hour notice for ail inspections (952) 447-'l!l50, fax (952) 447-4245
04/29/2005 FRI 8: 02. FAX 6513226147 GENZ-RYAN
(gJ 018/031
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
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I
.l'?least:!V.Ee lr Drint and sisto. at bottom)
ADDRES;
11 111, /)
t 1..-1.vLJ
~: ~ ~~; I PERMIT NO.~_
3. Gold Appli~1 .,.,
LEGAL D ESCRu- UV1. (offioe use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) 1 Tensmann Homes
(phone)
651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Address)
Eagan, MN
(City)
55122
(Zip Code)
APPLlCAI IT
(Name) (enz-Rvan Plumb in!> & Heatin!>
(Phone) 651-423-1144
(Address) ~ 474.5 So Roh~rt Trl
r., (Address) _
lii\Aii,q, r.ll i '~
(Contact Pe 'son) _ L-/ I i' 1..:-):, i 1". c,,-,\_ !-
',ICM T SIGNATURE (~- ti.l S4!JJ.i! Y-c'lflJ/:J
lI.oAP"lntmt. ''N
(City)
?596fl.
(Zip Code)
(phone)
DATE
651-421-] ]44
_l. / ;;-) '6102..
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
Residential se .er and water line connection
Sewer connec ion only
FEE SCHEDULE
$3550 lndustriaJ, Com'l &; Multi-family
$1750 Water connection only
l% of job cost with 0$39.50 minimwn
$17.50
Esthnated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
SUl'l.PAID W"., .
.50 DING ,; I 11
'l:AlvTrr
(Office Use Only)
Build! Ig Official
I Poid
I Date
MAY ~ ZUUJ
24 hour notice for all inspe<tion. (952) 447-9850, rax (952) 447-4245
Date
I Receipt No.
I By
1:'---
7f
This Applic. lion Becomes Your Building Permit When Approved
04/29/2005 FRI 8:02 FAX 6513226147 GENZ-RYAN
~ 019/031
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+'.\tPiES ,,,,,,
--
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
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3. v.now
~:~ I PERMIT NO. -:-". "D JJ
Apphcant r ...".iiiI ..,
(Please Me I !l 'Prinr and sian at bottom)
ADDRES;
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I ZONING(ofli"...)
LEGAL D ESCRlPTION (ollice use ooly)
LOT
BLOCK
ADDITION
PID
OWNER
(Name).JiJ~nn J.J"mOl:!
(phone) ~ 5'-9n ,_ uno
(Address) 1895 Plaza Dr Ste 200
Eagan, MN
55122
APPLICAllT
(Name) (snz-Rv.::ln Plllmhing & HP-.::lt;T1a
(Phone) ~ " _I, ?, _ 11/..,<
Rosemount, MN
(City)
55068
(Zip Code)
(Address) 14745 So Robert Trl
(1 1>'\/:8J, (Awr')r; '\iC
(ContactPe~on) ~ IV I, 1\ 'j--"{;\.. \ )
. ('j, ,- .Ii<:>
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APPLICAl' T SIGNATURE ,,' i ,I .J J.I L\
~ (10
(phone) --6..' L/, "-".4.4
DATE L( /;;'[:/06
J APPLICANT PLEASE COMPLETE BELOW
~CON~~U~;'ON" ,P~.~CEMENT ~,,.... pALTERATION:.1 .
FURNACElifAKEANDMODEL l~(J ('}(JX !-,-Llu/.)ft - :51rl) (U FUEL r ){Ll. O{)')
FLUE SIZE RETURN OPENINGS Lj INPUT I d tOJ(! OUTPUT ,f>Y..~1)O
TYPE OF SYSTEM HEATING OR POWER PLANT
JJWann Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
tf9Air Conditioning 0 Special Devices
OVout System o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Com nercial & 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, He lting & NC (New Construction)
Residential, He .ting Only (New Construction)
$39.50
$39.50
Estimated Cost $ Building Permit #
REA TING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
PAID WITH
BUILDING PERMIT
{r - '" Un Oniy)
_ ,... Appliel tion Becomes Your Building Permit When Approved
Buildi tg Md.1
Ddc
I PlUd
I Date
MAY
I Receipt No.
lBY. ~
2 2QBJ l'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONINGIFIREPLACE PERMIT
Date Rec'd
t.Pint
1.0._
J. Vella""
~:~ I PERMIT NO. r AA WA-
Appllclnl ~..V~
~ase. ty~_l r print ilnd si1;n ilt bottom)
i4\~~ W~
'P~
I ZONING lofll<.
us,)
I'
LEGAL D aSCRIPTION (office us. only)
LOT
BLOCK
ADDITION
PID
OWNER I \
(Name) ~ ' ) a ry.. l\ ,,,,,^In "" "" ~ 0 J"l
(Phone) loS 1-\..fOto.LI~OO
(Address' \~~S ?~ ~.~OCO ~.rnn S~\d;;).
APPLICI NT
(Name~""~"""'\Jo rN-A. cI- t=. P
(Address I
.<9cn /09.u. D..oIJf'_ IJ .JJJrno CAn-nyll,:.r, fhl'1 5S3/L.
(Address) , (C'ity) (Zip Cod.)
(Contact Person) -k ("""\3 ~npnv>""" (Phone) ..Q(....~ - S'l<'o-/~ I \e>
APPUC.L"ITSIGNATURE 4{^~~ ~ DATE
i APPLICANT PLEASE COMPLETE BELOW
I ~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNA';E MAKE ANO MODEL FUEL
FLUE SllE RETURN OPENlNGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
DAir Conditioning 0 Special Devices
OVent System 0 Other Devices
FIREPL f\CEMAKE AND MODEL \.kn%::1\.....4-~ t0t)Lr~3ln
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
S99.50
S64.50
(phone) 'llo::. - 5111- dSdS
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industria. Commercial & Multi-Family
S39.50
Resident aI, Heating & NC (New Construction)
Resident ,201, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
S39.50
S39.50
(Office t Sf: Only)
50 PAID WITH
BUILDING PERMIT
-- -- ------. --- ...('
This f\pplication Becomes Your Building Permit When ApprOVe< :) l~ ~.WJl \ i', I,. \ .. i~ ~ \ Receipt No.
\ , IRfE 0 6 2005 J ) By
L_;:..\
24 hour notice for all inspections (952) '47-9850, fax (952) 447-4245
l~Y -;-:::.:.::.~--~_::.;'~:':-:-:~---'-
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pannit #
$
$
$
Dundin\! Official
D.h:
ZOO~
Hooa auVuv~ ~I~ynO~ilV
66ZL 9LS C9L XVd OC:Ol SO/gZ/90
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS I'll" 9 tJ/t../)S PA7:~ ~.tJ.
NATURE OF WORK ~ Ch>'Ht._J~q~
USE OF BUILDING S,,::- A . .
PERMIT NO. {)S.063'4-- DATE ISSUED /'/Ie!tJtI
COt\ TRACTOR JNl:)JSIKA#.IV ~Q PHO'NE~' "'/~ U
NOl E: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
DATE
I~t/ )(l~
. - .
I FOI'NDATION (Prior to Backfill) I I' .-1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - IN~C
SEV fER I WATER I SEPTIC I"/"I'/..z; / / I
FR~MING Ft (,!ar/~
INS~LATION &-" f?., . 7':' !I
ELE CTRICAL
PLU IIIBING
HEAlrlNG (if required)
FIREPLACE
GAS LINE AIR TEST j1I,!f.t.['~
;;fOR
, FOl )TING
j if? G/z~1
I rlf /
I pJIJ v7
/
COVER NO WORK UNTil ABOVE HAS BEEN SIGNED
IlItTHe / ~ f,(r; JAJ/lAP I I
I FINALS
GRA~ING (Prior to Sodding)
BUILblNG
ElEe TRICAL
PlUllilBING
HEAT ING
DO NOT OCCUPY
I (};);
I .
I ~_ ~/~~
I (111/ I '7/dl/0<5
UNTil AB-OVE HAS BEEN" SHINED
NOTICE
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Tl'is card must be posted near an electrical service cabinet prior to rough-in inspections
ar d maintained until all inspections have been approved. On buildings and additions
wllere no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
9/;;1)05 TIME
Lt);/Js ~
SCHEDULED
ADDRESS ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
~F ING
o ULA TION
FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
E;-DCX~q
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
()
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~RK SATISFACTORY, PROCEED
o CORRECT AND ROCEED
o CORRE K~A FOR REINSPECTION BEFORE COVERING
Inspector: } Owner/Contr:
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSImTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I '""I ( ~ ,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
~
TillE
v':X~
CONTR.
PERMIT NO.
'E)-O"'3,q
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~R HOOKUP
,....-:: ~.':.~':'.BING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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hORK SATISFACTORY, PROCEED
~CORRECT ACTI AND PROCEED
o CORREC ORK, L F R REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CAL 7. 8 THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~NTS ARE FOR YOUR PERSONAL HEALTH.{ SAFETY/
"""""
Job Address I -, (""'1 v-' ",., r... I
Heating Contractor ~ 2. ~..
Name of Tester ~L
Date '1/1'1/-5
8~
Percent O2
Percent CO "1" f?12.-
Percent C02 _ ~ ~
Stack Temp 3:5 z. ..
Combustion air is adequately supplied per
UMC Sec. 606 ve-/
Input
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