HomeMy WebLinkAboutCertificate of Compliance - Expire 12/15/30completed 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
comnliance. See City website or call (952) 249-4600 for more information.
Property Infon nation
Property Address: (A/ Ave , (71 Uy10 nl
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PID: os 2 31 cx)
Owner Information
Name:
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Mailing Address:
(irdifferent From
Property)
pyo (�-IG��Artrt.
Phone:
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Fees -Inspection Fee due at time of a plication
Residential Inspection $250 Commercial Inspection: $750
Pav at city hall or Call (932) 249-4600 to pav by phone
Private Inspection Otion
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:
Inspector's Name:
Phone:
Email:
Signature
A plicants Name
l� . '
Date
of ompl'ance
Expires: ( l � 36
Signature:
17
c001
6,Ak Sr0oS
CERTIFIED .
EXPIRES:—L"-1 -30
City Review�� ----- - -- --
Application Date:
e1 e -i0 Fee Paid: Yes U No
Inspection Date and Time:
:OD ODi bl
Inspector:
pyo (�-IG��Artrt.
Compliant:X, Yes Iv No
If not compliant ---
Corrective Action Required:
Corrective Action Due by:
Re -inspection Date & Time:
Inspector:
Compliant: U Yes L No
Certificate of Sanitary Service Line Inflow and Infiltration Compliance
Date:Certificate
2.,lrJ'O��
of ompl'ance
Expires: ( l � 36
Signature:
Name: ZAnx lA 1P Ue
S
17
c001
6,Ak Sr0oS
CERTIFIED .
EXPIRES:—L"-1 -30
JNCO
Date Called in 1a,
I Date Scheduled 1 15 btu
s� z1
City Of Orono LOU- j2rt�c
Point of Sale Sanitary Sewer Service I&I Compliance Inspection Form
Property Address:
31 CJM, !,aw
Avl
PID:
1 o
0 o 3 cl
Owner Information
Name:
W 'tS
Mailing Address:
(if different from
Property)
5 �i`C� (�W
Phone:
(VIA. C(64 LC)2)4 I Email: I m',cka.e,1 ,
Inspector Information
Name:
.,
Company/ Organization
/ 1�
i`
License number:
Roof drains and leaders Roof drains should not be connected to the sanitary
Phone:
Email:
sewer but should discharge to the ground outside of a building. If the roof
Inspection
System
Standard
Pass
Fail
Roof Drains
Roof drains and leaders Roof drains should not be connected to the sanitary
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sewer but should discharge to the ground outside of a building. If the roof
drains are connected to the sanitary sewer, disconnect them, plug any open
connections to the sanitary sewer using a non -shrink permanent material, and
redirect the roof drains onto the ground outside the building.
Foundation
Foundation drains are underground pipes that collect storm water from
Drains
around the base of a building and into a sump basket, where it is then
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pumped outside of the building. Foundation drains should not be connected
to the sanitary sewer.
Sump Pumps
Sump pumps are designed to capture surface or ground water that enters
basements or crawl spaces and pump it away from the house. The basic sump
system includes drain tile, a sump pit, a sump pump, a float or switch, and a
drain line. Sump pumps should not be connected to the sanitary sewer.
Sewer Service
Sanitary Sewer Inflow & Infiltration (I/I) Compliance Inspection Sanitary
Line
Sewer Lines. All sanitary sewer lines serving Property, from the house to the
P'
main line, shall be in a safe and functional condition and shall be free from all
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leaks, failures including but not limited to partially collapsed sections or tree
root intrusion. The sanitary sewer lines shall meet the City Code standards and
specifications. Details on back of this sheet)
Notes:
CityReview
Inspectors Signature: -
Date: /Z//'
Owners signature: p
Date:
CityReview
Com pant
❑ Corrective Action Required
Certificate of Compliance Expires:
Corrective Action Due by:
Date:
Signature:
Name:
CERTIFIED
EXPIRES: 4 ~� Service Line Inspection Details
Weather Conditions:
)ximate Depth of Service
and Size of Service
Overall Condition of Service Pipe
Please note all connections, fittings, points of concern on service line including infiltration, tree root,
cracks, misaligned joints, etc.
This report must include a digital copy of the televising.
Feet
Comment
Example:
0
Start for 4" cleanout in NE corner of Basement
1-10
Misaligned joint —Infiltration
o
Owl
Notes: