City of Richfield
The Minnesota State Building Code and Richfield City Code provide minimum standards for creating
an environment of health and safety for all Richfield residents.
Dwelling Address: ____________________________________________________________________
License Number ________________________ Issued by______________________
Please check one:
This inspection reveals that the entire roof and roof covering is in satisfactory condition with no
evidence of leaks.
Repairs were considered necessary and have been completed in a workmanlike manner. The
entire roof and roof covering is NOW in satisfactory condition with no evidence of leaks. The
repairs made are shown on the attached list. :
I certify that I am authorized to sign this certification on behalf of (company name print or type)
_________________________________________, and that, by the signature hereinafter made, (Name of
company – please print)____________________________is duly bound under the terms and conditions
of the certification.
I further certify that I have no interest, present or prospective, in the property, buyer, seller,
broker, mortgagee, or any other party involved in the transaction.
Whoever, for the purpose of influencing in any way the action of this office, makes, passes, utters, or
publishes any statement, knowing the same to be false, shall be turned over to the City Attorney for
prosecution. Also, the licensing authority and bonding agent shall be notified for the appropriate
(DATE) (SIGNATURE & TITLE)
City of Richfield 6700 Portland Avenue South Inspections Division (612) 861-9860
Housing Inspections (612) 861-9882
Fire Marshal (612) 861-9855