HomeMy WebLinkAbout2004-P07767 - pool PERMIT
C I TY O F O RO N O Permit ►vumber:
2750 Kelley Parkway - PO Box 66 P07767
Crystal Bay, Minnesota 55323 Permit Type: a��esso�-y sm��cures
(952) 249-4600 Date Issued: siioi2oo4
SITE ADDRESS: 75 Ferndale Rd N
Wayzata,MN 55391
P I D: 3 6-118-23-44-0006
DESCRIPTION:
Proposed Use: Residential
Pernut Class: Building Census Code 329
Pernut Sub-type(s): Pool-Outdoors-In Ground
Permit Type: Accessory Structures
DETAILS:
Approved per resolution#:
Separate pernuts required: iviecnanicai Eiectricai�siaiej vmer-�j
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 321.25 Valuation: $ 20,000.00
Plan Review Fee: $ 208.78
State Surcharge Fee: $ 10.50
TOTAL FEE: $ 540.53
APPLICANT: Dolphin Pool&Spa OWNER: Mr. &Mrs. Brinkman
3405 Highway169 North 75 Ferndale Rd.N
Plymouth,MN 55441 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
1 r
' ' '-� liy/'1 c��'1 �f�
APPLICANT PERMITEE S[GNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
7 ^^�
C��D� �
Total Fee: $
.SS�D. 5„� Date Received: `l�� � ��` �
Entered By: i Permit#: '�%� q/c�/
,
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please prirzt all infor»aatio�z)
TAE APPLICANT IS: (circle o�:e) OWNER O CONTRACTOR
JOB SITE ADDRESS: 7S ���N D�4L� �,r2EEill �W f}-� Z g r�t- ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes � No If yes, a special eveitt pernzit is required wit17 Police Department and City
Couricil app�roval 60 days prior-to the event. Non per�riitted eve�ats will�iot
be allowed.
NAME OF OWNER: R<<N�-2-(7 .` �e1�1JeCLyti'� Lv��� PHONE: (home)
(work)
MAILING ADDRESS: 75 �RN�Ft-� �,��it/ CITY: IW�-`'JZ�4<<4 ZIP:
CONTRACTOR: ���Ec►'� ooi�S PHONE: ��3� 5 `fZ'qa�v
CONTACT PERSON: CHR� S OBIL PAGER: �7���- 300 -9oos,f
MAILING ADDRESS: 3�{c�S- l--(��1�4� Ilo`t r✓ CITY: ��y�vtov c`�-f ZIP: S�`�`f�
STATE LICENSE: # �3 C zo Z �!o�fS 2
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New X Accessory Structure
Addition Move
RemodeUAlteration Land Alteration
PROPOSED WORK(describe in detai�: 1�J ��o�n�i� ��N c� r s�„� i vn v�i N� (-�Sc; �--
U
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ L�����
0
I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate;that the
work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I
understand this is not a pernut and work is not to start without a permit; and that the work will be in accordance with
the approved plan.
�----
,
APPLICANT'S SIGNATURE: � ���_ DATE: �"Z y ��
r
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd.1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or conedential data concerning himsel(shall be
informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)
whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identity of othe�persons or entities authorized by state or[ederal law to receive the data. This requirement shail
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav nlace the notice required under this subdivision in the individual income tax or properh�tas refund
instructions instead of on those forms.
Subd.3. Access to data by individual. L`pon request to a responsible authority,an individual shall be informed whether he is the subject of
stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject o(
stored private or public data on individuals shall be shown thc data without any charge to him and,if he desires,shall be informcd of the content and
meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for siz
months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The
responsible authority shall provide copies o(the private or public data upon request by the individual subject of the data. The responsible authority may
require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days o(thc
date of thc requcst,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If he cannot comply with the request within
that time,he shall so inform the individual,and may have an additional five days within which to comply rvith the request,excluding Saturdays,Sundays
and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual muy contest the accuracy or completeness of public or private data
concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreemenL The
responsible authurity shall within 30 days either: (a)con•ect the data found to be inaccurate or incomplete and attempt to notify pust recipients of
inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individuul that he believes the data to be correct. Data in
dispute shall be dlsclosed only if the individual's statement of disagreement is induded with the disclosed data.
The determination of the responsible authority may be appcaled pursuant to the provisions of the administrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S.13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request
for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or
confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualitication for the permit or license requested.
2. You may refuse to supply data,but refusal may require that the City deny the permit or license.
3. The information may be shared with other local,state or federal agencies to the extent necessary to process
the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself.
6. Your full name is required to process this application or permit.
First Middle Last
[�' l. ���
Address
City State Zip Phone
I underst nd my rights as stated above.
�---�
�S G-�----
Signature
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: � � �c2nr��i,�; �.,(�,�,-�
PID:
DESCRIPTION OF WORK: d� `
ZO.VI�Ii G REV�`V BY: DATE APPROVED: � - S vy
BUII.,DIVG REVIE`V BY: DATE APPROVED: � -S-_��
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERI�IIT Yes t/� No
PLAl�t REVIEW Yes � No SEWF.R CONNECITON
STATE SURCHARGE Yes No WAT�ERCONIVECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZO�II�1G CHE.CK LIST Zoning District:
Fire Department: Post O�ce: School District:
L,ot flrea: Sq,ft. Acres Widch Dep[h
Survey Submitted: Yes�[ _ No Date of Survey: bns t=1 c�
Proposed Setbacks:
�roat(�s): ((�a � � Right Side: '�0 1 t
Rear (Si�eet): _ �� 'L Lef[Side: �(�v' "�
Adjacent Structures: (0 � �Vetland: �f � A
Building Hei;ht: Def. Hgt. — Peak Hgt. �-
Lo[ Coverage: �
Grading: Staff Approval Date: � By: Council Approval Date:
Sep[ic: Staff Approval Date: — By:
Zoning File: # � Resolution: t� Resolutioa Date:
Shoreland District: /J v
Avg. Setback: Bluff Setback: L.otCovenge:
Ezisting Proposed
Hardcover: 0-75'
75-250'
250-SQO'
500-100Q'
Hardcover Variaace Required: Yes No Date of Council Approval:
REMARKS (in house):
7
BUII,DING REVIEW CHECK LIST
�C� CONSTRUCTION TYPE:
_ Sq Footaje $ Per Sq Fto
Basement x _
lsc Floor x _
2nd Floor z =
Garage x =
z -
TOTAL
Estimated Construction Value: $ 2 C�, C�O O `�
Inspections Required: `Vork Requiring Separate Permits:
S ite Plumb ing Fire
Hazdcover Removal pc Mechanical Gns��� Water Connection
� Footing ` Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (�iasonry) Other
Wall Boazd (Mfg,) Well (State Permit)
_�Final Grading/Filling _�Electrical (State Permit)
Ocher
REI�iARK.S (L�'HOUSE): ,
---------------------------------------------------------------
REV�W BY OTHERS: DAT'E:
Access: Ezisting New
Access Approval: Dace By;
----------------------------------------------------------------
RENIARKS (TO BE NOT'ED ON PERitiII'1�:
8
July 28, 2004 REVISED AS PER CONTI�C�
Richard and Frencelyne Lurie
75 Ferndale Green
Wayzata, MN.
Dear Richard and Frencelyne;
The following is our proposal for a swimming pool to be installed at your
new home in Wayzata, MN. Imperial Pool will manufacture the pool; Trie pool_
will be a 21' by 40' Mountain Lake �ith a 12' radius end �te� �n ���
shallow end. The pool depths are to be determined by the homeowner.
PI�ANS AND SPECIFICATIONS:
Dolphin Pool will furnish all plans and specifications covered by this
quotation to meet Local building codes .
T�XES AND BUILDING PERMIT:
Dolphin Pool will pay all local, state and federal taxes on the labor_ �nd
materials for their work on this pool . Dolphin Pool will also furnish the
building permit .
P(�OL CONSTRUCTION:
The entire pool will be constructed of a 14 gauge galvanized steel panel
42" in height. The panels are supported with a 12 gauge A-Frame brace and
a deck brace located every 4 ' . A concrete bond beam, minimum of 6" i_s
then poured around the perimeter of the panels, base and braces .
W��RRANTY:
The structural integrity of the galvanized steel panels is warranted for as
long as the original customer owns the pool . The Liner is warranted for 7_5
years against manufacturing defects . The equipment such as Lhe pump, fi_lter
and heater has warranties up to 5 years .
POOL BASE:
Minimum of 2" of a Vermiculite and Portland
Cement base is troweled on the bottom of i=he
Pool.
VINYL LIN��:
A 20-30-mil vinyl liner is then inst�l]_ed into the
entire bottom of the pool and snapped into �n
extrusion. The liner is available in many
patterns with tile trim and pattern bottome You
can order the liner without the tile trim.
Page 2 .
CbPING:
The coping will be white aluminum.
PI,UMBING:
Dolphin Pool will run all plumbing from the pool to the pool equiprrlenL .
All pipe and fittings will be sized and approved by the Wayzata building
department .
F�FdAIN:
Dolphin Pool will supply a backwash line to be run out from the equipment
area into a suitable area in the utility room for backwashing and draining.
WATER SERVICE:
A standard garden hose will be used for filling and adding malce-up water to
the pool .
ELECTRICAL SERVICE:
Adequate electrical service and grounding facilities to the pool equiprnent
area, wiring of filter pump, electronic ignition heater, under water Sam
light, grounding of pool, and all deck equipment will be b� other�.
Aolphin Pools will secure pricing and will coordinate the elee��ic�.�. �a:�
the owner. The electrical should cost approximately $2 ,200 .00 �o �� ,�iU(� . d(j .
GAS SERVICE:
Furnish and install the gas supply to pool heater, final connection, and
permit and test line as per city code by others. Dolphin Pools will secLtre
pricing and coordinate the gas service for the owner. The gas 1�.a�� «i1.�.
cost approximately $650 . 00 .
17E�K AREA:
1, 000 Sq. Ft . Brushed concrete decking has been included. �,J.1 aelditiana].
decking will cost $5 . 50 Per Sq. Ft. The exact amount of decking will I��
de�termined when the landsca e plan is available. This proposal daes n�t
2nclude any concrete steps or exposed aggregate.
�XCAVATION AND BACKFILLING:
Dolphin Pool will do the necessary excavation and back filling for this
pool . Any excavation for retaining hralls and grading of yard is 7�� �h�
�.andscaping company.
%
f.J�rl�l .J ..
� ,.
�VU11'A.i'dJ,LVL9 rQ�� l].LVL l�Q�./��1.11:JLV�l
�'�(�;:����`.��:X':�.".� PA,�tT MFGR.
�'TI��'�,'rION
1 DE'� . rilLer Hayward
1. Se-Lf_ Pr_iming Pump, 1 1/2 hp Hayw�rd
:l C;�� Ileater, 265, 000 BTU Raypak
3 ti�ur_Lace Slcimmers Hayward
� P,c1j us Lable Inlets Hayward
=1_ l:�[ai_n D.r_ain, Anti-vortex Hayward
D�C�{ EQUTP�!'EY13'
:L E�' Spring Diving Board S . R. Smith
�_ Colored light Sam
:L :�tairiles� Steel Ladder SR Smith
2 (_;oncr�te Dec)t Anchors Perm Cast
; ):�scuLcheons Hayward
J. ;��feLy Mesh . Century
��N�'�IQ.�NC� & SAFETX S:��JIPMENT
1 I�uLornatic Cleaner Polaris
"1 i`��_ner�l Spring Bio Guard
1_ De:l_ux� Vacuum Head, Telescopic Pole 16 ' Aquality
"1 Le�:f I�Iet� Wall Brush and Vacuum Hose Aquality
1 ���zter ':Cest Kit Aquality
1 Chemi_cal Start-up I{it Bo-Guard
"1 Safety Rope w/Floats Aquality
'1'he tot�l insLalled price of the 21' by �0' k�ountain Lake Swimming Pool
�,aitPl the above listed equipment and conditions will be $ .
'T'han)c you Lor the opportunity to bid on this installation. I look forward
Lo hearirig favo.rable from you and assure you of our fullest cooperation and
service in the Euture ,
Sincerely, Accepted':�'
i,..;.
�._ � ,
;
, _ _
Cor_.r,i_� Nelson Dated:
� .^ s ����- h�SYt�`�. � �c:.. �7i�kUi3MAfi.�� a,cari.4;,id�4.S, .�F;�q, �-`�7 sa�t. �,.' F� s:�� � �._r.g., .;. � _.
.- .. ry�q >�`�""yq�p - '��� ��"$r +�—� �' .
.yL/ ����n ^"'_E�.�,^"_"' �...,--.:P . �' ' �� .� ¢u � ` � �j� l.�$ ,+��}1 c' A�z a s'k ��'S y��, `�. t
f I ���� .�. � a - ,�.�, �. t+ � Si' .�� S�,d � 4�- �� # e1, �3eli �^ �.r�
�"j'o1•` � �' �:�,w s � � t �z����i te e��. � �i d h ` �i' _
vy�. � , �7 ,�
,�/y,ry , .
`U � ' y7�s�A�' ..'r::�F s "�; - .`..`�s�'3""Y.�i:�, y ;,*4�'�1 � s� ,.:}.�� �.z� H4-,,m.3�-^�.+4� ...;�'s` ,^Y`-�.'�,, sw�' �;x �.r�-:,,.�cx, .
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-; �, `
tIES �`�`Ta'o1eJ�?L��E�bt/ �
�ADIUS E�'RX I 2'W STEEL STAiRS � I� --� �
30��W��S� JTcP �
av° � � J ��„
-� ��scRi�a�o� — — — —`
a�
38 2' i I/2" Plain Pa�el i
�9 �' Plain panel All dimensions are fini5hed dimen5ione
\
>2 8' Radius Panel 6' 3" �'^,����.���.,
P�EF,�RE D GOrOI s
>5 8' Reverse Radius 6'3"
i7 8' Radius Return 6'3" � i4' � s' �3'-6"� � 3'-6"-�-- 9'—� �'-6"I
�6 8' Rad.Skimmer 6'3"
37 6' Radius Panel 6'3" ��v�s�s��9ere�
39 6' Radius Return 6'3"
35 6' Radius Panel 5' 3" � �e' --�
�4 6' Radius Panel I'I I" �
I6 2' Radius Panel �„ � ao��
>_3 Adjustable A-Frame � _ _ _ _
i5 600 Nut& Bolt Pack 8'
J All dimensions are finished dimensions.
�5 Radius 6'Rxl2'w Steel Stair
SNR 8' ��rd Radius Step-n-Resi �
2"MINIMUM
PREPFFED6GTTpM
L3'-6'� 9� �g�_g��J �3�_6�,-1— 8� � 14� �
. . .
n where the ground wmcr�able is a minimum uf 4�G"
not nllow the hcign<<,r b�o�:ru�o�x��od�n�t����n�or BOTTOM
�ced backf II by morc�han R". STEP
e�er.minimum R'�deep.
nJa.dnpcofU4"tor SAFETY NOTE 13i4��
Pcx�lbouomcunfgumtion.nre� � ,
ilurundi>lurbcdcanh. fur illu.vaiive purpo. .only.
:d 1'0"Io ihc shallnw Thc conf�_ura�iun shown cun-
r���n�uaii,c�Rc�,�Ns.r.i.u�- Radius Freeform 6'R x 12'W
nn manuaL gcued minimum sianJards for 5talr Filler
�re n��iw.������e���- r�",�`��,��°°�e r„��.�wiih Left-04487.Right-04889
inanufac�urcJ di��ing equip-
c dici:,��d hy���dou. . .. (right flller pictured)
iheres�wnsihiliiyol ihc °cnt.I(Jivin,�cywpmrni i.
ins�allcd,follow ita cyuipmcm
i1O�'O°0°���n'. ienufnc�urer's insiallmion.
a..����.��e i�x�i n��ia-�,
uu and�a(ciy instruciion�.
f� �' � f� f� �' �'� �f f fi (� � � � i� T� tT �' I� R R �P � � �' Tf T� f� T� Tl 1� �! �1
v: ���7/�'.-' �L
�'�" &P�
� 6����
6'RAD.�12'W V� i 2'i-i/2" 1
`'i==Lyf:,(i2 gpn�\ �`j/� I
8'Z,�,GIUS �',°` GR oi2 �.� G'3/ G.i' 6K ��N-i��LICHi
Tii�P.i�dO?LfiSTIC ��� ,��' l �T ����� PANELO°710N
57�P �SF /
��� � /\ 76'-11" 16'-1 3/^,-�� / \ v 8P.
� \ I9�-Z1I��� 2O�IO�� 21�"J1IZ�� J1-tI'�Ir�
70'-4 3l���� 11'-3 3/4�� SP.
6,j�i
I � 12' 6R / 1� / 21'-�1/^.-��
\ r\
�����
� '9° 1-^r'-91/2" � 14'-91/2�� of
/ 24'-5 3/4" 1� 16' 6'3"
���_6�� LI6HT
,__�
SF � 6R 15'-5" 8�
6R 61, 6'0" �63 &R
5�3�� 191" � BRP. ��R BP.R
6�3�� Z 6'3' 6,3" 39-V2"
SF-STEEL STAIR FILLER p ZR 11'-3 3/4" 8R gR C
T-A-FRAME 6RACE 6�3�� 6�3°
B-Y T-71/4" TO SQUARE THE POOL,ESTABLISH POINTS A-X 9'-71/2"
B-Z 23'-11" W,X,Y&Z AND VERIFY BY MEASURIN6 A-W 2�-4 3/4"
D-Y 1T-81/2" TRI.ANGLES WXY&XYZ.THE OTHEP. C-X iT40 3/4"
D-Z 14'-8 3/4" DIAGONALS CAN THEN BE USED TO AUGN GW 13'-10 1/4" 3g,_���q„ ��`y��4�
THE REMAINING PANEL JOINTS.
--- -- 39'-51/2'.
� // 31/4
Bicakover
To Panr,l Joinc
g� 8R 8� R20' A -
4"Panel Joint �,
toCenterline. g� t)'-t" 8RR ?�_����„ � ��,�
� Fanel
G� 6� � f1R
15,_g,. 5,_.T,
4'-91/4' �-y^
� 4'-21/'L" 8R
�h' S'-51/4" 3'-10"
3'-f11/4" pg� 21'-41/4"
FiR F1 4,_g„ 3'-d3/4"
5'-111/4" 4'-1/2"3'-53/4" 3'-6"
9'-43/4" T-103/4" 3`�' �
3'-81/2' �2'-73/4"
11'-63/4" Rp'-6" PanelJoint
ToCenter
6R. 3,_6. Line
fl��` 8�k 8KK �R
81/2" R12'
cr��a�overio �R gK g� C
��'-�___ PanelJclnt
�
7.1'23/a"� 19'-21/4"
M
9��flu�aaAen� N�,a:� � �9 x d�b � S ann��o,ie�°�a��*v
� � � � � � � � � � � � � � � � � �--�'���� �� �� �� 1� �� �r� �� » � � ��t. �_�=� -u
_ �� �,� � � �� ��.��. . � � .
A; ���5„�� _
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I23'-�.3/a"
10'-51/'L" �5'��tO V\�l"
T-- , �— 8P.��8f: ,/�L/-1��
`�j�� D E TIME J
Cv"' ��
CITY OF ORONO CALLED IN -���—�a`
INSPECTION N TICE SCHEDULED - �
PERMIT NO. COMPLETED
ADDRESS �S �f� �.P �3�
OWNER CONTR.
TELEPHONE NO. !b 3 3� / �� �---'
� DESCRIPTION �`�) �L �" '�D 6�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOH T�MEET YOU:_YES_NO '
� COMMEN •
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� WORKSATISFACTORY:PROCEED fi PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �; pHOTOTAKEN
INSPECTOR WILL RETURN � CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contr n i :
Inspector.
White Copy/InspectoPs File Canary CopylSite Notice