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Home My WebLink AboutBldg Permit 04-1254 "i.~"" (Please type or print and sip at bottom) ADDRESS CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1_ White file 2. Pink City 3 Yellow Applicant PERMIT NO. J ~-3l1o W:1J TLA.JJr>- r:t-. JJ.W, LEGAL DESCRIPTION (office use only) LOTq BLOCK LJ ADDITION iL (v.i)~ . ~=R ;ne.a~J r:1J~ f- (Address) ~() y~c Date Rec' d /2-. /4-.04- 04-.(j~ .f ZONIN;P (office use) /f3/ PIDz5.3J32., 1/+. (L (Phone) .9 ~-~-J/J';>' 7 fD ( BUILDER ~ /J /' j r;) .. L (Company Name))J?4{.IO~ v ~ o-l';;. ~ (Contact Name) ~j;1 CbALs<')~ ~1~ Ji~~ (Address)7b01 (U<"IA. S-r-r~~.6rr:..7: -,4,itJI.d:.j~ ~,.. · (Phone) s;2.s:'~ - 4: g ~.. 7 b c> I (Phone)~J.I - ~ ~.~ y~... (0f.~ J'e~UI~-7o'-e&q C( TYPE OF WORK ~ew Construction DDeck o Porch ORe-Roofing ORe-Siding , DAddition DAlteration ~tility Connection 0 Misc. CODE: bu.R.C. OLB.C. Type of Construction: Occupancy Group: Division: DLower Level Finish !sir Fireplace 00 PROJECT COST/VALUE S. ? '-Il G; :5 ~. (excluding land) -, A B I E II F 1 IDlY H I 2 3 A R 5 B S U I hereby 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 authonzed agent for the above. entl n 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 ;cial an e thi ermit ~ r just cause Furthermore, I hereby agree that the City OffiCii~r a eigng~n~~he property to perfo~_ /<~..o r Signature Contractor's License No. Date v 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 V M 4 ,-# 3'-/ '2.... f)OO , ad $ 2-5ac;:, sol $ I '" "2..? $8 I $ I?{.Do I $ I $ $ $ $ .ro~,o 0 ,oo~()O 3S, So '-lO.O 0 This Application Becomes Your Building r __n..:: When Approved ~ ~ /z/~t/ Building Otlicial r Date I Park Support Fee I SAC # # $ ?S-OLS-o $ '~54, 0-0 $ 30t:l, 0'8 $ 7o,0-t9 $ l~Ot f)1) $ 700, (JO $ ,S-~O. 00 $ $/tJ.SSD. S8 I Paid lo/.<;~o.sr~ I Date /'I,~lr-1ID~ Receipt No. +86Z-o By ft,()// ThIS tS 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 i~~ ~ /z/zpI~'1 Planning Director I - Dille 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 Water Meter Size 5/8"~ Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit Other # # TOTAL DUE ~ t2.Vf"i4-- Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R.2 Districts Reviewed by: ~ ~. Date: 1c:J-/d)-tY!o c{ Building Permit # PID: Zoning: Address: /5":5 I ~ tU ~ T~ t!.:f. Ai: w . , '_ Legal: L q ,8'1 Subdivision: riJL- J~ ~ Existing Structure? YES~ Existing Nonconforming Structure? YEs@) CONFORMS TO ZONING ORDINANCE YES NO f Yard Setba~ks: NAI FAILS'(COM~ · Frent Yard (can be 20' if av~. w/in 150') . Side Yards Standard 25' 10'1 25' if abutting a street ~: '.::}i:r""'l Proposed l z... s- t /0 ' · Sidewall exceeding 50' requires additional side 2" setback fer every l' ever 50' in len~th I. Rear Yard · Patio Door. provide fer minimum 10' deck er sign statement indicatin~ no deck will be built in the future · From 100 year flood elevation ofwE;!tl~n~/NURP ,;'".,-:;'.;' pond · Frem OHW (Prior er Spring Lake) 10' setback + 2"/1' over 50' 25' j" 1 0' sidel 25' rear 30' ".",. '~;'~.,.~s 'l:.~:~:p./''-'~.;. ~Jl~.~ ./0. ~~-~;.,., .', ';."".'''.i".'.,,:.~~'i~~: 75' or setback average of adjacent structures, but nO' less than 50' , Fleer Area RatiO': NA 1 FAILS(1 ~~ Yard Encroachments~ NA f FAIL$1CO"MPUES>.7 - Eaves.:mGuttersnamQre thai12feet'lh width andna cfasedflarr.5 feetro a.fot Ifne- (Easements}. " AJCand.other.equipmentcanaot encroachonimedOl: sideyani~ .~ .30 Maximum I . tJA- l,'f7jh,;~, , Standard Prop(isecf~?~t~"':c'> . 'free pr~rvatiort~AlLS fCOMPLIES: · Iataf, caliper inches I. Permit25% Removal I. CaliperJnches Removed '. I. Callper-fnches Preserved I, · Reolacement Staircfard r- L ". ,- ~:1 ~ -. ""~:y&.::;;~~,,:,.. L:\TEl\.1PLA TE\BLDGLIST.DOC . . Driveway: NA / FAILs<.L.cbM~~ . Maximum width at property line . Required setback . Maximum slope . All parking areas to be paved including R-V or spaces adjacent to the garaqe . Location to match subdivision grading plan . .. , Building Height(cofJIPLI~FAILS - Shoreland DistricttfN,AJ/ FAILS / COMPLIES Minimum lot area (square feet) Minimum lot width Shoreland alterations . Impervious surface i Bluff in Shoreland;1N~AILS / COMPLIES L., . Setback from top of bluff . Bluff impact zone . Engineering certification submitted/approved . Grading in bluff or bluff impact zone I Floodplairi(~/ FAILS / COMPLIES . 1 00 year flood elevation . Lowest floor elevation . Proposed lowest floor elevation .. Elevations 15 feet from structure .. Road access must be no more than 2 feet below Regulatory Flood PrbteetiorfETevanon ....~- tr" . -! ~c:.ory SlIucturef~FM:SF~ l. Notlocated in front yard (Materials) .. Side yard and rear yard setbacks .. Maximum heiQht I.. Materials compatible with principl&structure L:\TEMPLA TE\BLDGLIST.DOC Standard 24' 5' from side lot line or 30' from r-o-w on comer lots 10% Proposed z..a ' , I z..... JO~o "-:~Y ,~"'.~',:,~:. i 35' Maximum trh- f~ ~". ",~-h (~ :1 Standard 7,500 Rip, 7,999 Non-rip 50' Rip, 57.3' Non-rip Proposed . 30% Maximum Standard By planning dept. Proposede f 20t~FromToPC)fBluff' By City Engineer" . No impoctin!:l/exPorting Standard' 908.9'Pririf Lake 914A' SprinQ Lake 909.9' Prior Lake / 915.4' Soring Lake Must be l' above flood elevation for new and existing structures. 11 exiSting structure ~~. c9..n~~ed , 911_1j:'~"""~'''''~'''''' . 'adE Must be flood. . . ~r~tf!{~,~~~~~ . ... ~':;lt'~:-~""""" 907.9', fOr fu'kake 913:4t'fOf'Sljm{i'tafi" $taiiCJaca;;V:' :; ,; 832 Sq.ffoF25%rear~ .' 10' 15t . ,,~':j)..-'.t_rrJ -.!&_4I 1!111 lit: _i.__~..~~.:2...d._ . ~,~ J'itjr_- ~iItI;.:* '. " ..~~., ...i ;" '~'~-"~:l:;:1'< ;"':.~~' -,. -.,~":'; Th. C.n..r of tho I..~. Counlry White ~ Buildin9 (" \'anary - Cogineering:) Pink - - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /~? e, LJ () /vI ~I,L 0 (!.,I) /Vj7lc:... . /2. /4-, ()q APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / !;; 31 &:':' Iv! L U Z2//~~~/U Y e::r. , Accepted X Denied Accepted With Corrections Reviewed By: ./J!l1i3 Date: 12- ;;,..t:J'I Comments: See Reve.rse Side.for Additionallnformationl See Attachments: 1) Grading Plan, 2) Erosion C:IlDtmI Measures "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 C~narv - Engineering (Pink - Planning.:> Tht ("tnler of Ihe' tak. Counlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ji/cLJOIVrILU (V)/\/.J77c. /2. I <r-. 01 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / 5 ..5 / f/ I 1/ / L /..J 'I? /t:.-Ic;t;.. y' e7. , Accepted Accepted With Corrections ,,/ Denied ". Reviewed By: ~~~ ~ MY~. ~~~~ Date: /d-/~~ if ( ' A.c, ~/~. I 4--LJI-~ ' 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." Ii c..whit~ - ~lli~ Canary - Engineering Pink - Planning Tht ("tn'f'r of the L.kr Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED jJ1c,LJON'/JLO CLJ/\/J77l-. /2., / ~~ 04 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /53/~ W/t.-O 7l/~ e:T. , Accepted Accepted With Corrections ~ Denied Reviewed By: ~ ~ r 'l~ CLd ~~t Date: /~~/ () t./ t 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." Date Ree'd CITY OF PRIOR LAKE PLUMBING PERMIT ~: ~n:: ~~~ I PERMIT NO. 11"'. ~->>~, I 3. Yelloot Applica1ll -, '~II (Please tvee or urine uad sUm atbottoml ADDRESS }~:]J~ l/;;/d TuVl ~ \? Y Vf I N,W ZONING (olllcnse) , LEGAL DESCRIPTION (oftke use only) LOT()qBLOCK OY ADDITION wilds ~v.+h ~v::r.JjrjDn.nJd Gn~frl,\c;t/'Oh. J:nc (phone) 9~d-Y.J;)- ?/,()) (A44Jess) 7W IM/..gf; J.4.d-~AnzJe M/Pyj Jtb ~rl;)Y , =fANTbJ;~ ,-,fat' P/UYh~;hj ,LnG. (Phone) 6~'- Y--s-9'- cP /d15 (Address) .b~y Sufhf!(' /0. nd fJr/Vt? )" }J/t>IJ},6/if Y L1n s-\r-/~9 I 4(:7)' , (city) / (Zip Code) <,contact, Penon) I ' 4!?l Y h .. .' (Phone) h~/, ,Y\l-9,- -PI <f'D ~ AfPLICANT~GNATU:RE ., II ~...' ..~,ff~ . DATE () .... 7--j\\ AP}tLICANT PLEASE COMPLETE BELOW I Type 01 Fixture, Quantity Bath 'tub with or without shower " . Dishwasher I I Floor Drain LaVI:.i."j (Bathroom Sink) Laundry Tray (1 or 2 compartment sink Shower Stall Sinks I Bar Sink I Water Closet (Toilet) FEE SCHEDULE Industrial. Commercial & MuJti.family I % of job cost with a $39.50 minimum Residential, New~ e>na I $99.50 Residential, AdditioalfA ~O Estimated Cost $ / /; 000. ad Building Penn it # () Y -I a. ~(g ;''/;/f PLUMBING PERMIT FEE S$ ~l1f}- j~.50 ' ~4f". STATE SURCHARGE ~ TOTAL PERMIT FEE $ !~J1~ I.'" I ~J[B J 2:G~J LL ~y Quantity I I I V I / I I .:) (Office Vie Only) PID I 1)'i)e of Ftsture RouJJh-ins Water Heater Water Softner I Stand Pipe (Washing Machine) Sewage Ejector ' Backflow Assembly Backflow Assembly Test Lawn Sprinkler Other ' P \ I' Thl.Application BeeomesY'our Building PeI'll*WbepApproved ~ ..- Receipt No. a.o".1I& Oflldal Dale 24 .our notice for all tn.pectio.. (982) 447~Jn(951) #74245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/.rJAEPLACE PERMIT ~ 5:. s.. I PERMIT NO'!" IdS LJ Date Ree'd I!'!- ~ or mint aDd Ilia at bottom) ADDRESS ~~~(~ uJ,!() /{/~r\ rJ-, ZONING (office wel LEGAL DESCRIP110N (office use only) LOT BLOCK AUUJ.uON PID ~=R/7?~&:)~^ \OID ~~. (phone) (Address) =~~~" f)h->~h0 (Add.ress~ ~'U -: /_ Q,a.'/9/rl ;-~h,) (A~d:ress) ~~ (Phone) jt:..o ~ b() Q cQ. ~le _ '1J~ _ S"S"Oc:>J2f (Zip Code) (Contact Person). (Phone) APPUCANTSIGNATURE _g.J..a6...._~~ DAlE APPLICANT PLEASE COMPLETE BELOW ~w CONSTRUCTION 0 REPLACEMENT 0 ALTERA.I..I.V!olS . FURNACE MAKE AND MODEL r r.n?~.f--~~r CQfJ1}>!::Jn7e( FUEl.. u~1- FLUE SIZE ;5 .It Pt/~ RETURNOPENINGS q INPUT 7~ ~ OUlPUT a9/~ TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Plants 0 Steam D9taVity 0 Hot Water ...{:f~banical 0 RadiatiOD ~!r Coaditiocing 0 Special Devices ,J;3'\1'"eut. System 0 ~ DmCQs ~-7-os" PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL -- FEE k.1U.J)ULE lDdUSlrial, Commercial &. Multi-Family 1 % of job cost $39.50 minimwn Resideatial, Heating &: Ale (New Construction) $99.50 RQSidcDtial. Heating Only (N~ CODSllUCtiOll) $64.50 Estimated Cost $ HEA TlN"G PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE ResideDtial. Gas Fireplace $39.50 R.esidential, Additioas &~Jil4Il> ~ $39.50 Rcsid.catial. AC Only -V11..DIIVl - :..~ I ff 539.50 ~g_ # _ G P~f:1A4". $ .50 S (OIIiee VIII OuJy) Thil ApplieatiOD B. _.,' ,es Your Building Pennit When Approved . ...._~.. .----.~"_.----~~-.......,..~-' I e8i~! l: I' i , ' ~-,-~_.~_..-._.. I BlIUdI8e 0ftIda1 Dare Qatei FEB 8 ZOO~Bl I..~' l_' 24 hour DOtlce for aU IDspectioll5 (951) 447. ru (952) 44704M! , ' too~ HIV G3110&LNO::> 9L6909ttS9 XVd tt:6t NOW S006/LO/60 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd (Please tvDe or orint and siu at bottom) ADDRESS 1. Pink File 2. Green City 3. Vellow Applicant PERMIT NO~.., /~ i.f ZONING (office use) 15316 WILD TURKEY COURT LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name MCDONALD CONSTRUCTION (Address) (Phone) APPLICANT (Name) ALLIED "FIRESIDE DBA FIR~E HEARTH & HOME (Phone) 651-633-2561 (Address) _2700 NORTH F AIRVIEW AVENUE (Address) ROSEVILLE (City) 55113 (Zip Code) (Contact Person) BRENDA HUSTON (Phone) 651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 2/9/05 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 OWarm Air Plants o Gravity o Mechanical OAir Conditioning OVent. System HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family HEAT N GLO 6000TR-OAK FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Residential, Additions & ~erati'" $39.50 Residential, AC Only ~ :4lIf4) $39.50 Buildmg Pennit # D4\fG ~ ~ .50 ~"'''' $ (Office Use Only) This Application Becomes Your Building Permit When Approved Buildine Official Date I P, '~!i,.d '-','. : - ! L: ~ ~~~ FEB 2 4 2005 ~ ': (: \ i i ~~eipt No. ii :t ~ 24 hour notice for all inspections (952) 447-985 ),,{jlx (952J~~'Z::~H~t PRIOR LAKE INSPECTION RECORD SITE ADDRESS 15 SIt. WiLl) T&.(a,-.f'-f . c..T. ~.<<-U. NATURE OF WORK t-JEw c:e~'T~A USE OF BUILDING S. t:: t) , PERMIT NO. tJ3. /z.. 54- DATE ISSUED W'l.B/o.., CONTRACTOR~I;'~NAa..~*T, PHONE!sz"'I11- '61)1 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW , THE PERMIT IS BY SEPARATE DOCUMENT (,~,a~~, I D~ FOOTING T~ I Vo/6C---- " , FOUNDATION (Prior to Backfill) I 111/1- I / /1/ k ~ .. .. ~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS DEPAI\TMENT OF BUILDING AND INSPECTION .. SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING (J f1:? 2. -I c.-oY HEATING (if required) , I FIREPLACE ridJ ~/I ~ / flj GA..S LINE AIR TEST ~~ 'I ' .. COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED . -- t.RHE { t\OCAIE IIJI.A.P I ~ /'Lt' ~ FINALS GRADING (Prior to Sodding) ~ \~ J(\)j ~ ,lib': vV() I { rYtf:! ;~/~ tJc. .A f'b 11\N/ I ~ 2//1>/'~~ I ti-)... 3,0) BUILDING ELECTRICAL PLUMBING HEATING DO NOT 1-1n I'} I" a'4 .()r 5 ~ '3 ~ I Ol,o 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 entrance. FOR ALL INSPECTIONS (952) 447-9850 -. ,;. ,.~,. DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED PHONE NO. Is 31' Ivv, 111i~{ K~" c'l', CONTR. ' tr7 t 'l:bl/lf /I () '1--/ zsf ~~ILLlNG C COMPLAINT o FIREPLACE RI C FIREPLACE FINAL C GASLINE AIR TST C PERMIT NO. ADDRESS OWNER o FOOTING C FOUNDATION o FRAMING C INSULATION ~INAL C SITE INSPECTION C PLUMBING RI C MECH RI o WATER HOOKUP C SEWER HOOKUP C PLUMBING FINAL C MECH FINAL COMMENTS: ~-Ol GI_Jr/J ~ - (9 t )twoRK SATISFACTORY, PROCEED C CORRECT ACTION AND PROCEED C 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! 1NSNOT1 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS j 51~ U, OWNER PHONE NO. D FOOTING o FOUNDATION D FRAMING D INSULATION D FINAL D SITE INSPECTION COMMENTS: DATE TIME SCHEDULED ~ \U;t& ~1t~ CONTR. PERMIT NO. l./ - 1'2 $l{ D PLUMBING RI o MECH RI D WATER HOOKUP D SEWER HOOKUP )if PLUMBING FINAL o MECH FINAL D EXIGRADIFILLlNG o COMPLAINT D FIREPLACE RI D FIREPLACE FINAL D GASLlNE AIR TST o - ~ORK SATISFACTORY, PROCEED D CORRECT ACTION AND PROCEED D CORREC RK, CALL FOR REINSPECTION BEFORE COVERING Inspector: . Owner/Contr: CAL L('4 850~R THE NEXT INSPECTION 24 HOURS IN ADVANCE. COD'JI ~MENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETYI _n CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ) 5 ~l~ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ....FINAL o SITE INSPECTION ~11?li~:- SCHEDULED ;11 O'-t \JJ;\i h'\tbu- (j TIME CONTR. PERMIT NO. ".~- I <./ - J'2si 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 GASLINE AIR TST o COMMENTS: I. h.l cu-cl ~tC'Cll.A.' _ f\.. (J.J) ,,^QK 2<l L..... ~tDr.. L.W? 2. e~M~~ ~te.~ -1-0 r,~ ~c- . ~ "~~t Co&u"~ lj. f',~ <at~ l"v..9'P" h.P~t.4. ~.o~ 5.~~ . k~~~ ~f'OCi,"nz.. r''D4 -i:t-...A - ku.o ~f~d-\. . - , ck. ( , . J4.C. ~\M,rNl~O\ ; (A ~{ ~fc -'"\.... ~. G~ Ocr . /;;~ ,1f fj Jo Jf-i-t!:J , ~ - QUlREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI INSNOTl