HomeMy WebLinkAboutBldg Permit 05-0650
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I, White File
2. Pink City
3 Yellow Applicant
Date Rec' d
{;- Q 9- o:s-
PERMIT NO. 05 ~ (p5a
(Please type or print and sip at t " ~ ~ , . ...)
ADDRESS .
3~LC;L C~ 7' CL:( Ti!-;/ lUJ.
LEGAL DESCRIPTION (office use only)
LOT , BLOCK~ ADDITION -j-J,-t:- f ~/I J.>
- .....-'
OWNER /1/J / I I) I ~ /-
(Name) /' { f'~ c/ L~'" 5 ~
(Address) .$ ,_~ (Y'~ ~l' c,v-.s7r
b~(
ZONING (office use)
1<1
-
PID 11/:1.- DO ~
I
(Phone) 95';;2. .~3'~. ?h tJ (
1#i.~jcrfJ _h~ J>~~
BUILDER /7 ~/l . f,
(Company Namey47 ,../.k-d 1 "'('O~ s.7 ~ (Phone) C ~_..,3'-;l. · 960 ,
(ContaetName) ;:rr~f2 a~ .:!b- c., '2 -7(:)/ ,tf!be.r4 (Phone)~~~~ Wf-;l ~?W (
(Address))~O( ICtr/~ ~'f-..~)...us'f ~~ ~'" .< ~-rail
TYPE OF WORK ~ Construction ODeck o Porch ORe-Roofing
DAddition DAlteration ~tility Connection
~ 0 O~
CODE: ~R.C. I.B.C.
Type of Construction:
Occupancy Group:
Division:
A
B
I
E
II
F
I
llIIV
H I
2 3
V
M
4
A
R
5
ORe-Siding DLower Level Finish
B
S U
PROJECT COST /V ALUE $
(excluding land)
~ Fireplace
~DI99r-OO
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 tt)e owner or authorIzed agent for the
d roperty 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
~~~_~_herebY agree that the city OfficiaL: el~ne~..?-fjl.. the property to perform n~d ~/ DS
- ~ Signature Contractor's Licerire" No. / Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I{O '6} t:;OO .-
$ ;Z fO/,.6'D
$ I 8~5'.. q~
$ ~OL./.
$ .
$
$
$
$
ItHJ" -
It/t). -
3S,!;;"O
t-/O,---
tV
This Application Becomes Your Building Permit When Approved
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I Park Support Fee
I SAC
I WaterMeter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
I TOTALDUE ~
/
Paid II. o? I. cjy
Date ' "7 ,..}{I. C1 r
#
#
#
#
7.1.1J5
$
$ /1../50.-
$ ?Jd.>:--
$ - -?,-~.--
$ 15tJtJ.-
$ '/tlIl/J- - I
$ - ~
/ ,'!)/JI)"
$
$
.........
-
/~ 09/. 78
?fee. e' No. ""'IJU
BY~
, .
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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
~~-
. - Pianning Director
7hh-c-
- Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R72 Districts'.
Reviewed by: ~ /~:JIIr
Date: .~A-
PID: ~/",2 -6lO...r Zoning: ~ I
1;~. '/
Subdivision: the ~'IL.s 6 r~
Existing Nonconforming Structure? YES@
&iJ NO
Building Permit #
Address: ~Y.A ~r;, /'
Legal: L I . 8 ..2-
Existing Structure? YES I@
CONFORMS TO ZONING
ORDINANCE
--- -..",
I Yard Setbacks: NA 1 FAIL'SLCOM~~
. Front Yard (can be 20' if av~. w~ 150')
. Side Yards
Standard
25'
10'1
25' if abutting a street
. Sidewall exceeding 50' requires additional side 2" 10' setback +
setback for every l' over 50' in length 2"/1' over 50'
I. Rear Yard "f ~ 25'
. Patio Door. provide for minimum 10' deck or sign fc, '(W'c , ~O' sidel
statement indicating no deck will be built in the future 25' rear
. From 100 year flood elevation of wetland/NURP 3D'
pond
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no
less than 50'
,,--- - '.
J Floor Area Ratio: NA 1 FAIItS 1 COMPLlI;S)
_._~
. Yard Encroachments: NAI FAILS/Ct{MPLU;S"
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements).
Ale and other equipment cannot encroach on interior
side yards.
.30 Maximum
Standard
Tree p,e.ervallOn@AILS / COMPLIES
. Total caliper inc s
I. Permit 25% Removal
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
Standard
%:1
L:\TEMPLA TE\BLDGLIST.DOC
Proposed
~$'
,
If. if .
/1, 'l~.
J~'
~. "M~WjJ~
.5tf ~
/11
I. /$""0/0
I
Proposed
;(/
III
rr
Proposed'
i Driveway: NA / FAILS (~~ Standard Proposed
. Maximum width at property line 24' ~fI'
. Required setback 5' from side lot line or
30' from r-o-won comer lots ,
I · Maximum slope 10% ~7%,
. All parking areas to be paved including R-Vor
spaces adjacent to the garage
I · location to match subdivision grading plan
~ Building Height: COMPLIES / FAILS 35' Maximum ,
i Shoreland Distri~AILS / COMPLIES Standard Proposed l
Minimum lot ar1!'a' (square feet) 7,500 Rip, 7,999 Non-rip
Minimum lot width 50' Rip, 57.3' Non-rip
Shoreland alterations
I Impervious surface 30% Maximum
I Bluff in Shoreland~~ FAILS I COMPLIES Standard Proposed
. Setback from top of bluff By planning dept.
. Bluff impact zone 20' From Top of Bluff
I · Engineering certification submitted/approved By City Engineer
I. Grading in bluff or bluff impact zone No importing/exporting
I FloodPlain:~~ FAILS I COMPLIES Standard Proposed
. 1 00 year1lood elevation 908.9' Prior lake
914.4' Spring lake
. lowest floor elevation 909.9' Prior lake /
915.4' Spring Lake
. Proposed lowest floor elevation Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90-11/22197 then
additional foot is not required.
. Elevations 15 feet from structure Must be flood elevation. or
. higher
. Road access must be no more than 2 feet below 907.9' for Prior lake
Regulatory Flood Protection Elevation 913.4' for Spring lake
I Accessory Structure:I~FAILS / COMPLIES Standard Proposed ~
I
· Size '-1(.,1' 832 sq.ft. or 25% rear yard
. Not located in front yard (Materials) I
I · Side yard and rear yard setbacks I 10'
I. Maximum height I 15'
I · Materials compatible with principle structure I
L:\TEIvIPLA TE'BLDGLIST.DOC
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~hite - BUild;;;:'
- Canary - Engineering
Pink - Planning
The- Cfnlf'r of Ihf L.kt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT '--1iJd ~o.M./ /I~
APPLICATION RECEIVED ~- ~ <1 - S-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for con3anqC~itY w~:rroP7:t~ l T r
Accepted
Accepted With Corrections /
Denied
Reviewed By:
~~
Date:
7/?AJ-
/ r
C~ments:
W ~~,/ ~;{~e
-se~t:-~ ri;~ ~~ t: e
dee/ IL- so ,. ~~,.k~~
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(JJ f/) /2,{~e A~~ dao~ ,~
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"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
(Pin~ - t'lanmn~
Th. C..... of Ih. Lib Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLlCANT!J 7(1 L~oJw iJ~-
APPLICATION RECEIVED ~_ ;;.'7, '{- ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for cons...truc. tion activity which is proposed at:! .Th
3,d II ~ -~;/o,t -;a 1 . ,
,/
.,
(--\- 0
Accepted With Corrections
It
/
Accepted
Denied
Reviewed By:
/#'~
Date:
7h~s-
/ ~
~ents: r)
(j) ../~r;/ 1~/vJ-e ctc/ 4y
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se,L~c/ fr jJce ~ ~
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"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
Thf' ('..nlf't of 1hf I..k~ ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for const~~ction activity which .is proposed at:
:..' r'! /1......1..- -;;/ ..---:--'; /
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Accepted
,>(
Accepted With Corrections
Denied
Reviewed By: /J/lJf; Date:
Comments:'. See Reverse Side for Additional Information!
(J7-S--e;j
Spp Attac'hment~. 1) Grading Plan, 7) Erosion rontrol Mea~ures
"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."
08/10/2005 17:33
9528816976
BOB ,JECHE
PAGE 01
Date Ree' d
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please type or print and. sim at bottom)
ADDRESS
~la iJ. ~. ldJ
T~; {
l\}W
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK ~ ADDITION 71UL Wl' 1<1,,,
~~e~~t/ !":JnrM It!
(Address)
C>tJl1 ~ t
(Address)
APPLlCAN'!
(Name)
JECHE EXCAVATING
~"I U .JUI~t~ t"'LALit:
BLOOMINGTON, MN 55431-2834
(Address)
05-Ca.,~
1. 0.... FU, I PERMIT NO - ~
2 v.Uow City . ~ J.
,. GQld "-\lIllielnr V ~J
ZONING (ol'lke use)
(Il It{
PID
(phone)
~City)
(Zil) Code)
(Phone)
(City) (Zip Code)
(Phone) kl~.J, f).J. f\ 't:I ~-~...
DATE cn,(- /) L,-
(Address)
(COnlact Persoo) J6.W? '}{i -..:} -Cl .4
APPLICANT SIGNATURE I ~ ~ ~.
, " /
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 ') & Multi-family 1 % of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connectIon only $17.50
Estimated Cost $
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(OCfi<:t Use Only)
This Application Becomes Your Building Permit When Approved
Building Omc(nJ
Oat4'
Building Permit #
$
$
$
PAID WIni
.SIIUllOfNG PERMIT
'11\~ r:" [-=> 0 rn R r-\j
I U l~ U'J\ ~J ll; receipt No
'pat"UG 2 4 2005 iBy
J~ )
24 hour notice for lIll inspections (952) 447-9fMiO. In (952) 447-4245
f')Y
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
i =.. ~ I PERMIT NO. ~ '-.M'A
1. Yallaw Appll.... v. II' eilV
(Pleue ttPe or print and. sint at bottom)
ADDRESS
,.~;)-'iJ) rcJC
N(~l
ZONING (office
-)
/ ;:;}/ //fAJ/
LEGALDESCRu llON (office use only)
LOT BLOCK
ADDmON
PID
~= htdJoaJ~ Cc~I-.
(Address) A,~p 1tB!#I\
~~~ Q,AJ&/~(J Oi/'
(Phone)
-i .s 0) ~ 7 60 I
(phone)
c..<;:.~/ - ~ +-I,.. J{ rl. (j~-
(AddressJ-J
I~/('\
t!:!:Z } .
(Oty)
~~.;)'-/
(Zip Code)
~~~,
1~0~( {tcJe.
(Address)
(Contact Person) / ,.. , (Phone)
APPUCANTSIGNATURE ;;~ 7~ DATE' ~ -~J ....oS"'
, APPLICANT PLEASE COMPLETE BELOW
,..E:INEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS .
FURNACE MAKE AND MODEL (, q J?7Pf;} /()(') FUEL NAI-
f' 01 .
FLUE SIZE ~ IV~ RETIJRN OPENINGS INPUT /~ OU1PUT ~~ CleO
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants
OGravity
~ec:hanical
~CODditioning
~ent. Sysll:m
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices ,
PLEASE NOTE:
Air Conditioner Units
Cannot Enoroacl1 into
Required Side Yani
Set~ks
II
FIREPLACE MAKE AND MODEL
Industrial Commercial & Multi-Family
FEE S\..n..DULE
I % of job cost Rcsl<lential, Gas FiJqJlIwc:
539.50 minimum ·
$99 .50 Residential, Additions It Alteta1:iODS
$64.50 Residential, AC Only
15:
~o
Rcaidential, Hell.tiDg &: AlC (New Construction)
Residential, HcaDng Only (New ConstruetioD)
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE ~ .SQ OAID WITH
TOTAL PERMIT FEE ., rl'\
(Office Use Only) _ _ _ _ _ ~U1LD~NG PERMIT
This Application Becomes Your Buildiue Permit When Approved 1 y~ I,:~; I_~ lJ \D li: . receipt No.
, ~a~CT 2 0 2005 l.y
BlIIJdiDI: Official Date ~ J
24 bour .otiee for alllDspeetion. (952) 447. .850, fax (951) 447-4145
By _
1001il
liIV a3110li.LNO::>
9L6909tlS9 IVd Sl:Cl anL S006/C6/S0
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CITY OF "PRIOR LAKE PLUMBING PER..VIT
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3d YdPoxio i J !rrA; I Nt W
v.,. ft." '
f' a i.. ..1 t r&uu.' i~~. .~.5lJ
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PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS - ~A'~ IDA- 7.;;./ /n:"y
NATURE OF WORK .... -- '-';'__.s'~
USE OF BUILDING .s...' <1 .
PERMIT NO. ()~h5o. D~ ISSUED *? e,os-
CONTRACTOR"""~ ".;,1 ~.sr I PHONE~.~-~fJ/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECT9"1.. !JATE .. )
I t/iL '} /za /~
I I"
r FOUNDATION (Prior to Backfill) I fP6 8 - c I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH-JNS
// /J e~/O /
'(~ (/', 7/;'/
I
r FOOTING
SEWER I WATER I SEPTIC
FRAMING
INSULATION t .-214.).. (l
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE _
GAS LINE AIR TEST frf^cJ--
UJ(..,
tYb
#h
PI'>
7" .!-Itf
1:"')4
. COVER NO WORK UNTIL ABO)l,E HAS BEEN SIGNED
I Abv.se {.,L//c, ~ I l1"iJ 7!.../? I
/;~ 0~",^~J.sJ.. FINALS
GRADING (Prior to Sodding) -AJ[j,
BUILDING ~~.~o tJ-I-Q.!o I/~
ELECTRICAL ' fJ
PLUMBING Jf b
HEATING (tf7
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
.
f.(. ;)<, ~ ,f:;
S-~~I
''/
I
/ / //0
I iI'd./ J I ~
. ,
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
(tltrfifitaft of (ll)ttupantll
CITY OF PRIOR LAKE
~~pntfm~nf nf ~uilbing Jlnsp~tfinn
~Final Permitted
~Conditional e.O. Expires_
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D 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 05-0650
Use Classification Bldg. Permit No.
Occupancy Type _
R3
VN
Rl
Legal Description _
Type Construction Zoning District
Ll, B2, THE WILDS SIXTH ADDITION
Owner of Building
MCDONALD CONSTR,
Contractor's Name & Address (ffJ
I RO~ERT D. HUTCHINS ~
-I J. Building Official
Date: l-) 1: -Z b ( /) Date:
I (...... POST IN CONSPICUOUS PLACE
3242
Site Address
7601 145TH ST. W.,
I
FOX TAIL TRAiL N.W.
APPLE VALLE'V; 55124
I .
City Planner
JANE KANSIER
.......
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DATE TIME
CITY OF PRIOR LAKE . J .,.,/~
INSPECTION NOTICE SCHEDULED /}~
ADDRESS 3.2..42. & ,.. U ("f;(.
OWNER
CONTR.
PHONE NO.
c;-G,YD
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
~LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COM~E~W: ...
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1-
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t.J'I7- f~fb
~ ,ORK SATISFACTORY, PROCEED
~RECT CTION AND PROCEED
o CORRE CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ Owner/Contr:
CA - 4.C7-9850PbR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COj~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IN6NOTl
---.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
c32~ ~ l"'a-:l
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
J5 FINAL
[] SITE INSPECTION
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
COMMENTS:
DATE TIME
5"'/:2:z/6.6
f- 3t1~
,- ~
S ., 2..(, (
1) EXIGRADIFILLlNG
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
~ ~i:.~'R TST
J
CK
'j) f
.N.. .Le
-6 C' 6~
[] WORK SATISFACTORY, PROCEED
[] CORRECT ACTION AND PROCEED
[] CORRECT WORK, 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!
/NSIIIOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nile
SCHEDULED
I.(.~~
ADDRESS
3z..YL ,c;~ I-c,,. ( 7/ I
~ ~,,/I
o~.6r1)
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
C FOUNDATION
o FRAMING
o INSULATION
.,..
V"" '.II",,~L
o SITE INSPECTION
o PLUMBING RI
C MECH RI
o WATER HOOKUP
C SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~LLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(;~- ~!
Cv;lo ~~, &t
,
rWORK SATISFACTORY, PROCEED
~ 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.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1NSII011
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