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4835 Sheffield Dr - COCCity of Eagan City Approved7G L2 Property Address: � �/ e / ( COMPLIANCE WITH INITIAL INSPECTION n Ihis is to certify that the property listed above has been inspected by authorized City personnel on , 201_ and found to be in compliance with Section 3.40 of the City Code and no corrective work was required. COMPLIANCE AFTER CORRECTIVE WORK PERFORMED is 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): 1.� n City Sanitary Sewer Permit City Plumbing Permit NOTE: Applicable only if box is checked: (Based on a review of the Sewer Service video inspectionheport on file, it is recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due tar Grease Build -up, Root Intl usion, Dip /Settlement in Pipe, Other: Print name White Copy: Property Owner SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION City of Eagan, Minnesota 1 / Signature Date Yellow Copy: City of Eagan (Parcel F ile) City of Etall rev. 2 23 2010 -I For Office Use Permit#: ` l D ,a ,, '' '/ E AG A N .., /tet .... • Permit Fee: `/ RE C ~` EIV Date Received: '''.7— ate"+ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 AUG 0 2 1018 (651)675-56751 TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinainspectionst cityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: iWc:)-1)/g Site Address; 64 g 6 'S 1}6.. .1_{N / A/ Unit#: Name: -3-i if". 1C 4 se,V S Phone: to 5/-36 a-19®5 Resident! l--i. O OWner Address/City/Zip: F 3 6 Ss � (iy\ * h.,... .S 61 c ..)- Applicant is: Owner Contractor Type of Work Description of work: ga 0F Construction Cost: D® — Multi-Family Building: (Yes /No g---r- Company: 514 Yr�_Q�.Y Contact: �QJ�/2�t9't� Contractor Address: . -. _. City: State: Zip: P e: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? 1 Yes T No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public Infonnatlon. Portions of the information maybe classified as non •ublic if •u•rovide s•eciflc reasons that would• rm the CI to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecali.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit, but only an application for a permit, and work i not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval o ns. x 1 vv. �® -e 1- s x _246-- Applicant's Printed Nailhe Appii 's Signature