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HomeMy WebLinkAboutBldg Permit 05-0387 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERlulCATE OF ZONING COMPLIANCE AND l.J IILITY CONNECTION PERMIT (Please type or print and sign at bottom) ADDRESS I'-fllf 7 W(&D~ Date Rec' d tj-~o-~ I PERMIT NO. ~ij8-=1 , See Main Fi~iw ~:;Iicant ~77r LEGAL DESCRIPTION (office use only) LOT;b BLOCK I I ADDITION ~d!.-IV5/J1ArJ,J 4-~ OWNER (Name) (Address) BlITLDER . ~ J (Company Name) VI/(!";v5fr1l'tJJ (Contact Name) ..6'-'1'7 ./.) (Address) /J?'7' ?V~ ;-f-OIV.- ~ ~ . (Phone) ZONING (office use) J(4- PIDtPt:;"-LfI g -c)/~-I (Phone) ~-I/O~ -4/~/t1 (Phone) W Z- Z-~ -/t:: ~ AAAl ~/~ . oa...6 A", ,,~ / TYPE OF WORK. CJ"New Construction DDeck o Porch ORe-Roofing ORe-Siding OAddition o Alteration DUtility Connection 0 Misc. DLower Level Finish CODE: DI.R.C. BI.B.C. Type of Construction: Occupancy Group: A B Division: I E II F 1 III IV GJ' A @ Hl.....M~SU 2 ~ 4 5 PROJECT COST IV ALUE (excluding land) o Fireplace s /t?~()~. . / I ht'reby 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 aU construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building ;rn' ,m p:': j~, ".- """""""".' h=by."",..., ". "~ 'IIkW;/ ~~'Jf~ 'I'm m. -'" m ,<.f~... """" J~ .A ::J Signature Contractor's License No. Date I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee f; It), O(}O, ()O $ 1/13,~O $ /~~ 7r $ S~OO $ $ $ $ $ /OO,{)O /00,0 t!) $5. sa ~, Do This Application Becomes Your Building Pennit When Approved ~~ Building Ollicial 5/~ /or Date I Park Support Fee I SAC ..".- -' I Water Mete( Size5&:)I"; Pressure Reducer Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit Other TOTAL DUE I Paid I Date Qq-/1. -'l/ -J 'I or- ( ,. # # # # $ c $ J~So, 00 $ . '2..$a, oo--~ $ 5""0. 00 $ /'3XJ,fJO $ IOO{).()O $ . $ $ ~. 4/7. TPJ 1 - , ReceipfNo. 4-1'/1 ~ By .<L- , o ThIS IS to certifY that the request in the above application and accompanying documents is in accordance with the City ~~uceMProc.-d a., reql~~!lis document :~ -"~_""C'-tt'f~/;;;;.m"_"=_ti'''''~v" mrrrl_~""" 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 s .. M · · 1H"- ~vee _ ,roll ~ JL,.t~ Whit~, - Buildln9 <:: ""analv -.,E:nalneerIl1g:, t-lnK L _ Planning B.Ul.LDIN~MIT APPLlc:.ATION DEPAt11 nIIENT CHECKLIST / ,/ J NAME OF APPLICANT l.// / APPLICATION RECEIVED ;iJ"'k:~:(~"-,/l~,~,,,-;,,'l../"" () -'- ~) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is Proposed at: I 1/ 1/ ,Ii ./.'.' /) ./'/ ../. It. / -./, Ji.'/'/'.." / -. / . C..-(_./_.--r:'"'-:'.--<./~' Accepted x Accepted With Corrections Denied Reviewed By: Comments: /J/J1~ -- .S e (. ;J1&,1 /) F; 1(. Date: 5-- .5 -ce-o liThe 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.1I See Main File t1'lhite . Bulldii1g) 'i..dllidl'y . Engineering Pink . Planning BUILDING PERMIT APPLICATION Def.ARTMeNT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED iI /~~/V/l/ k-dtJ-S The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /L/lq/-j W~ P I Accepted Accepted With Corrections Denied Reviewed By: Comments: ~.. .~ -:t~.~ ~- ~ Date: S-/o/' 4 S- liThe 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.1I ,." 1 F", " .. .~ .", "l _.;,..,' ~: ~... ' 'I ' ..... I. ". ""'..,. See ~ain ?i~e White . Building Canary ..~!,,~ineering ~ ....,D.f- ~ r"ulDnnjg-, .BUILDING PEm/lIT APPUCATION D~RTMENT CI-(ECKLlST NAME OF APPLICANT // / ,t'........'1 .,..,/ II /' /1 / / /'t/ APPLICATION RECEIVED //.~. 1/" ,..... () - :) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is Proposed at: I i/I II /7 (~~~<!!/~A" {{:~{;.~. J'-- Accepted ~ Accepted With Corrections Denied Reviewed By: Comments: ~~ Date: S/L/~r . . ., .. " liThe 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." 08/16/2005 TUE 10:47 FAX 952 767 1900 GENZ-RYAN ~ 020/031 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT (Please tvDe orpnnt and sim at bottom) Anr RESS .lIl W, I.L\I \t1>, POJ1r') i =w ~:. I PERl\1IT NO. 05. 0:5,<0-1 I 3. Gold ApplIcant. '0 / ZONING (o1Ilce use) LEGAL DBSCR.t..t-J ION (office use only) LOT BLOCK ADDITION PID OWNER' '. . . \ (Name) 11 :fk\S, \'\YAl\l/'\ \--tOi"\ne.S (Address) I S<Q5 PloClO~_J Dv. S1(<')rX) (Address) (phone) f~UO OJ\ f\/l N (City) (r)j- q(J5- :rl(fi ~"S5I)') (Zip Code) APPLICANT n (./\ n . a /l (Name) t:1 1'11'_- IL..{A (. I . I (Address) 1. 7.1JD VV. H1/\/1!.1 i :3 ./ . ~AddreSS) \. (Contact Person) - <J ry, . f' ~ 'vf \ t>. "?LICANT SIGNATURE ~ f),{i1.1tJ . ,-. (phone) 1101- 71fl.- (ODO Bu J(lI! \ Vi f l-t. MN q;-?;37 (CitY) (Zip Code) . (Phone)q~:-J(;)]-l ~ I DATE J(f1f.pIClS- APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron Estimated length of sewer line feet Clean out (if required) located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ Building Pennit # SEWER AND WATER PERMIT FEE STA'IE SURCHARGE TOTAL PERMIT FEE $ $ $ PAID WITH aeJilOlNG PERMIT (Office Vse Only) I This Application Bec::omes Your Building Permit When Approved Building Omcia' Dlte , ~ \, ~i@ [E ~ 'iJ] ~ \ Receipt No. ~ " j _J DAtJG 2 4 2005 I' By 24 hour notice for alllnspecdons (952) 44 ffJSO, fax (952) 447-42.45 08/16/2005 TUE 10:48 FAX 952 767 1900 GENZ-RYAN III 021/031 CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd (Please tyPe or print and sign at bottom) ADDRESS L \L-.1 1 .1161'S PDvt11) LEGAL DBSCRtrnON (office use only) LOT BLOCK ADDITION OWNER I U' ,I) f"'-C \l)(\ r. lYt') I..)." [ (Name) \ I 'rJ \")' 1 it iLl ,I \ r If )(,{'t'-:J 'j r>fj~.: if> '\ n --, /. r) r ,,- I ". (Address) X vi) I-~ l,\. lA..1\.p L If. o1\:... ~;r() I. 8'., FiJ, I PERMIT NO I 2. Gold City. 'O~-. 0.1/37 3 Yellow Applu,.nt ZONING (office use) PID (phone) (ni.CY,/5' 37tfl 1:771 (~ (t. 1'.'\ 1'\)'\. N "7~ i :) ~\ l ..U; ,VJ ..l, J _ .___0 i~ --" J AP(NamPLIeC) ANT f:..P JIJ"j... 1) 'j a',1"\ IA""-:: --111'11' . ODO c~ ~v I I (phone) ~ ['77-- Ivl - ( . (Address) 21-00 \lV. l-/1,iJ['1 L~ BtAtlVIc..V/.{lf. MN S'J~-537 (Address) ) . , (City) (Zip Code) (ContactP.....v..) krm:<:PJrlVI J{( / (Phone) cr-iA7/t7-/~ I . APPLICANT SIGNATURE lfiin ~fJljU11l DATE APPLICANT PLEASE COMPLETE BELOW Type of Fixture I Quantity Bath Tub with or without shower I . Dishwasher I I Floor Drain I I Lavatory (Bathroom Sink) I I Laundry Tray (lor 2 compartment sink I I Shower Stall I I Sinks I IBMS~ I I.~ I Water Closet (Toilet) I Quantity d It L{ I , Type of Fixture Rough-ins i I Water Heater , I Water Softner \ I Stand Pipe (Washing Machine) I Sewage Ejector Backtlow Assembly Backflow Assembly Test I Lawn Sprinkler I Other .1l.i!..ESCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Offiu Use Only) This Application Becomes Your Building Permit When Approved Building Official Date Building Pennit # PAID WITH .5~ILDING PERMIT $ .$ .$ ~~ ~ r~ n np rc;-] I ~~~. ~v LS J LJ U; IiceiPt No, mattAUb ~ 4 LUU:J ~'Y 24 hour notice for all inspections (952) 447-~1 rn ~ 4U7-41.dC 08/16/2005 TUE 10:48 FAX 952 767 1900 GENZ-RYAN ~ 022/031 CITY OF PRIOR LAKE REA TING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~:~r:" ~:~ I PERMIT NO. 0 ~. 6.J87 I ,y.u.... ApplkMI (Please.",e or print and ~ at bottom) ADDRESS n l L\ \L~I \lJ, t (tS \-fA:th ZONING (oalce Ule) LEGAL DESCRIPTION (of lice use only) LOT BLOCK ADDITION PID OWNER I \ I (Name) \ i\ jerf'Xf\(), Xli'! LJ.O'''.''P'C.. \ \ .II I L-J (phone) (1'7 r - (,)U,--}. 370'1 . (Address) I ~qr5 P10:l(A~ r)(., Sk. ?()O t:~ag Cll'1 r\/\ f\1 /--::.;::- : .J" ~j ) f <:.-,:j APPLICANT ("- _ _/ /j (Name) C1 C't\ t.. - k.J J. (11'1 ) (Address) r-'1I'( I ';'\ ~J i I '.: " ','? i;fv./-u.....; l--'V . r \ \.IV"!} 'J \_<,< . ~ess). (City) . . (Zip Code) (Contact Person) l '\...\YY\ ~~ffi\!I ,e, (phone) t161-7&l-lX(o I APPLICANTSIGNATUREJ:2ih kPmiJ &; DATE /( If{ ()/f:f:J- _ ~ APPLICAPrr 1iEASi COMPLJH.E BELOW ONEw CON~T~UCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL .l.t:.rl\OJC(~4)O~'-3({rD1J . FUEL rv;-t~t ~ FLUE SIZE RETURN OPENINGS ;-f INPUT Jdp( 11) ou~.D TYPE OF SYSTEM HEATING OR POWER PLANT 1l21Wann Air Plants 0 Sleam lJGravity 0 Hot Water :J Mechanical 0 Radiation \ ~r Conditioning 0 Special Devices OVenL System 0 Other Devices (Phone) (j1\~ .:.7 if7 - 1000 BUJ'Vlsvi lie ~:J)3'j-7 PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL -----.,....... -.--- ...-..-.-" " FEE SCHEDULE Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace S39.50 minimum Residential, Heating & AlC (New Construction) S99.50 Residential, Additions & Alterations Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50 $39.50 $39.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ (Offi<< Use Only) ,-' This Application Becomes Your Building Permit When APprov.ed. \ D~~~ l;: D ~ ~ . IA~ 2 4 2005 Buildinl! Official Date l --' PAID WITH .50 BUILDING PERMIT ... ..-~\ ~\ I( Receipt No. By 24 hour notice for all inspection, (952) ~7-98S0, fn (9.52) 4474245 \8y_ CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd ~. ~:n ~~~. I PERMIT NO/') ~. ::79'1 1. Yellow Apphcanl 'JJJ ~ (please lVpe or Jlrint and sign at bottom) ADDRESS _J'I/lfI (.J ~'j~ p,:i::-h ZONING (office use) r LEGAL DESCRIPTION (office use only) PID LOT BLOCK ADDITION . (Phone) G, 5""1-liOG- y't((bO SS/;;)..';L APPLICANT (NameD ..~ ,,_ . 'lk> ~ ~ D fl<p ..1- l" P. (Phone) 'l~:',' S '11- 'dS'dS (AddressL x9co /o9~ ~ -li/OOO cAa/WL/JL~ .rnn 5S3/L, ~~' -.-~ ~ ~~ (Cont"" P""on) t <',5 \J. ..nn"....-o...... . (Phone) .QV -" - S 'llr ., ~ APPLICANT SIGNATURE :kP..:~ Uo~ . DATE - . APPLICANT PLEASE COMPLETE BELOW ONEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL . FUEL FLUE SIZE RETURN OPENINGS . INPUT . OUTPUT TYPE OF SYSTEM HEATING OR POWER PLAN{ OWarrn Air Plants OGravity ;1Mechanical . ~Air Conditioning OVent. System o Steam o HotW~ter o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks . FIREPLACE MAKE AND MODEL /J~~ ~)n~:t~ FEE SCHEDULE Industrial, Commercial &. Multi-Family 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) 564.50 Residential, AC Only 539.50 $39.50 $39.50 Estimated Cost $ . -' HBA TING PERMIT FEE STATE SURCHARGE TOT AL PERMIT FEE Building Permit #. $ S $ .50. PAID WITH BUILDING PERMIT (Office Use Only) l This Application Becomes Your Building Permit When Approved . -~ ~- \ - r, l ,. 1UI~t~I.' \ Dak .~ J APR 9. 0 ZUU~ 24 hour notice for III inspections (952) 4 :.. U50, fu (9~2) 447-4245 Buildine: Official i :.\ Receipt No. 1\ By \:.1. I' :J ~- ZOO~ HaaG 3~V~V~ JI~VWO~1V 66ZL 9LS C9L XVd to:tl 90/Ll/tO PRIOR LAKE INSPECTION RECORD SITE ADDRESS _/JlI~ AJll d t' 111711 ' t - NATUREOFWORK )I!JZ.>.J C'~~N (~/t,L. ~~iJ')lL USE OF BUILDING S'~A. a PERMIT NO. 1/'.3ej DATE ISSUED \'I{t$' CONTRACTOR ~AJ HlM."~ PH N IZ-Z~'-/('2i' 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 FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED llA,rfe/ H~t/ScllJl2AfJ I I I FINALS , - , ~~..' ~.?J.. /~~ sb~ #If sa4/~ ~~ ~?~ OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE fb .7J~7/6~ fJAhh'IL/ I" ~ _ f4 , 12A!J~1- f/J ~!~~ fI~ e0f'~ GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT 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 QIerfifirafe of @rmpanrl! CITY OF PRIOR LAKE ~eparftttenf nf ~uil~ing Jf nspetfinn ~Final Permitted D Conditional C.O. Expires_ This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 International Building 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 the following: SINGLE FAMILY 05-0387 Bldg. Permit No. R4 Use Classification Occupancy Type R3 VN Zoning District_ Legal Description _ Type Construction L16, Bl, WENSMANN 4TH Owner of Buildinl! Site Address 14147 WILDS PATH WENSMANN HOMES, 1895 PLAZA DRIVE, EAGAN, MN 55122 Contractor's Name & Address "' _ ROBERT D. ~UTCHINS ./// ffi City Planner / 0u. i~Official ~,' Date: _ <.- / ~ (j f.o Date: - / POST IN CONSPICUOUS PLACE JANE KANSIER ,,' ',',;,"". .." 'r' ,i~f'.'''~..'.' '" .~ ~ "".,.",' ..... DATE TIME CITY OF PRIOR LAKE .-L. / INSPECTION NOTICE SCHEDULED $/M/'" ADDRESS 1/f/~7 6U;1k /A' OWNER PHONE NO. CONTR. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o ~TION ~FINAL '0 SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ...Ji!"'MECH FINAL C~NTtl': _ , rt",frF~~ ! /') /-:/~ ( ..- . . ~-J%/ o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o j / ,S/zr /i:J(, , , ~~L _~4/.- .-' ~~~/,t;,,.-- &r~ ~ r::::;;'L4s. ~,(j.. +- ~A ~ (!1 .M~ ~H-,t ~ r ~~?;:.s/). ~mC~.. 9")~...9~O~'/ - .C/ / (~/~~ { / (/~( C ------- ~,,/' ~ /..(:, r~ '" RK SAlISFACTO;". P~EED ~ORRE 1......(4 ANB F~e",cu o CORRECT WO~~..J'yREINSPECTION BEFORE COVERING Inspector: / ~ Owner/Contr: CALL ~7-~850 ~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.. ~/~, /7 /~ " -~ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! 1JI6NOTl CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS I 'l ~ 411 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING ~SULATION Z ~~NAL o SITE INSPECTION COMMENTS: ;1 elc. LJ Z Hi;) l -f~ DATE TIllE SCHEDULED !;~ ~~~ CONTR. PERMIT NO. ~- ~7 o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o J /1 rt--- G'4l.O 1 .. L-t. "'.r-~-)Y \. ~~RK SATISFACTORY, PROCEED ~RRECT ACTION AND PROCEED . o CORR K, CALL FOR REINSPECTION BEFORE COVERING Owner/Contr: E NEXT INSPECTION 24 HOURS IN ADVANCE, "ENTS ARE FOR YOUR PERSONAL HEALTH (( SAFETY! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /~/<V7 ~/~ 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 -'iJ,fLtlMBING FINAL o MECH FINAL COMMENTS: ./ / ~~~~ c/- s7~ , r A/( nilE S--JP7 o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~ /' 7us/ /) / / /./, {' / o /I/",~ dk/ 5Le.4e^-~ (j/~~ _;h.\.~/r;[ ~rcd:t?Lde/ ) 4 / _ // ~ 7 / ~ / C'lv~k- (~.J5(/( /7 fr~ / j o WORK SATISFACTORY, PROCEED / / /, ~RECT 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. INS/IIOn CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!