3829 Country Creek Way - COC111 City of Evan
City of' Eagan, Minnesota
Property Address:
COMPLIANCE WITH INITIAL INSPECTION
g_, This is to certify that the property listed above has been inspected by authorized City personnel on a , 201_1
and found to be in compliance with Section .3.40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
Ihis is to certify that the property listed above has been found to be in compliance with Section 3.40 of the City Code
after satisfactorily completing the required corrective repair work under (check all that apply):
n City Sanitary Sewer Permit
City Approved: T „� Ot7.�-
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
n City Plumbing Permit
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of Ekau
NOM Applicable only if box is checked: ased on a review of the Sewer Service video inspection /report on file, it is
recommended that pe odic - cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, oot Intru ip /Settlement in Pipe, Other 5`7.-G
i--
rev 2 23 2090
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112713
Date Issued:08/22/2013
Permit Category:ePermit
Site Address: 3829 Country Creek Way
Lot:10 Block: 2 Addition: Cedar Grove 11th
PID:10-16711-02-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Reinaldo Cintron
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel Jeska
3829 Country Creek Way
Eagan MN 55122
Ralow's Roofing
4351 Parklawn Ave.
Suite 108E
Edina MN 55432
(952) 210-4988
Applicant/Permitee: Signature Issued By: Signature