HomeMy WebLinkAboutPoint of Sale Application - 12-08-20completed within 90 days of the first inspection. If repairs cannot be completed prior to the transfer of a
property, proof of an escrow equaling 110% of the estimated cost ofrepairs shall be provided to the city. If� SC�o
repairs are not completed a monthly surcharge will be applied to the utility bill until the property is in I
compliance. See City website or call (952) 249-4600 for more information.
Property Information
Property Address: 3i,; Cv-r :-h-iO w A„ e . ( n'nO r./
+M
PID: os 2 3 1 - OD > v -
Owner Information —
Name:
I Fee Paid: g Yes L_No
Mailing Address:
(if different from
Property)
Inspection Date and Time:
Phone:
iail: ; ( ptfii 1 'fno,t
Fees - Inspection Fee due at time of application
Residential Inspection $250 Commercial Inspection: $750
Pay at city hall or Call (932) 249-4600 to pay by phone
Private Inspection O`tion
If you would like to hire a private inspector
instead of allowing a City inspector to
complete the inspection please provide the
following. See private inspection info sheet.
Ins ection Company:
Ins ectot's Name:
Phone:
Email:
Signature
Applicants Name
Iilag4ts� '
Date
C�1 ��' f`�•' � UJ
Inspector:
087Z020-
Co(1?
City Review --
Application Date:
I Fee Paid: g Yes L_No
Inspection Date and Time:
;OO ow- b l
Inspector:
Compliant: u Yes U No
v
If not compliant ---
Corrective Action Required:
Corrective Action Due by:
Re -inspection Date & Time:
o
Inspector:
Compliant: U Yes U No
Certificate of Sanitary Service Line Inflow
and Infiltration Compliance
Date:
Certificate of Compliance
Expires:
Signature:
Name:
Co(1?