Point of Sale Inspection Application

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r—) City Of Orono Point of Sale Sanitary Sewer Service Inspection Application 5)-5&& CERTIFIED EXPIRES:—!E—S —a031 Inflow & Infiltration Compliance Inspection Before any property is offered for sale/transfer an Inflow and Infiltration (1/I) Inspection must be completed. The inspection will look for any improper connections or significant defects in the sanitary sewer service pipe. For properties that pass inspection, the City issues a Certificate of I/1 Compliance which is valid for 10 years. Properties that don't pass inspection are issued a correction notice delineating the problems. Repairs should be completed 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 of repairs shall be provided to the city. If repairs are not completed a monthly surcharge will be applied to the utility bill until the property is in compliance. See City website or call 952 2494600 for more information. Property Information City Review Property Address: � ne- Fee Paid: Yes ❑ No PID: Inspection Date and Time: OH 05 2q:00A-.M. Owner Information Inspector: Name: CompliantAL Yes ❑ No Mailing Address: (if different from Property) p v If not compliant--- Corrective Action Required: Phone: �l 5 q) � Email: 1 PU6/-1. b W t jo c6K4 Fees - Inspection Fee due at time of application Residential Inspection $250 Pay at city hall or Call 952 249-4600 to pay Commercial Inspection: $750 by phone Inspector: Private Inspection Option Compliant: ❑ Yes ❑ No 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. Inspection Company: Inspectors Name: Certificate of Sanitary Service Line Inflow and Infiltration Compliance Phone: Date: 14— -10 al Email: Signature Signature: Ap licants Name Appliarrkts Signature Date LA City Review Application Date: 3515 Fee Paid: Yes ❑ No Inspection Date and Time: OH 05 2q:00A-.M. Inspector: rphk-d 0-V%— CompliantAL Yes ❑ No p v If not compliant--- Corrective Action Required: � Corrective Action Due by: Re -inspection Date &Time: Inspector: Compliant: ❑ Yes ❑ No Certificate of Sanitary Service Line Inflow and Infiltration Compliance Date: 14— -10 al Certificate of Compliance Expires: Signature: Name: LA