HomeMy WebLinkAbout1040 TONKAWA RDcl;0
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,•.,.f % Point of Sale Sanitary Sewer Service Inspection Application
Inflow & Infiltration I/I Compliance Inspection
Before any property is offered for sale/transfer an Inflow and Infiltration (I/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/I 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 952 249-4600 for more information.
Property Information
Property Address: / pv1? E'a,cu &- o a d. 0/'040
Pm: 08-//7-23 /3 00/3
Owner Information
Name:
AMCA2. orskef
Mailing Address:
(if different from
Property)
,1t -[vi // be- ch4t4gal� J2nuarcf
d,( 95-5 AlMn nka. Blvd �itg
Lwe zn A.Vod M N 63•x l
Phone:
&/2. 91,T - 733 Email: I 5noWmn/4/3 Qo% L'om
Fees - Inspection Fee due at time of application
Residential Inspection $250 Commercial Inspection: $750
Pay at city hall or Call 952 249-4600 to pay by phone
Private Inspection Option
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:
Phone:
Email:
Signature
Applicants Name Own
Applicants Signature �ryj ,V
ate /z
Inspector:
City Review
Application Date:
j i an Fee Paid: Yes ❑ No
Inspection Date and Time:
13,1161a0ab9:00 q,m.
Inspector:
Compliant: ❑ Yes ❑ No
n,
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:
Certificate of Compliance
Expires:
Signature:
Name: