HomeMy WebLinkAboutInspection & CertificationAuthentisfgn ID: 353BB2D2.04B6.479A-BEDD-9393E1782367
City Of Orono
Point of Sale Sanitary Sewer Service Inspection Application
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CERTIFIED
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EXPIRES:
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 UI 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: 1000 Old Long Lake Road
PID: 31-118-23-13-0003
Owner Information
Name:
Laurie Erlandson
Mailing Address:
(if different from
Property)
501 Carlson Parkway #102
Minnetonka, MN 55305
Phone:
6b1-270-1632 Email: laurie.erlandson mail.com
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
Applicants Signature
Date
Laurie Erlandson
ut ent0c>lr
Rade Uar�on,
u
01/05/2021
11512021 3:42:20 NM G51
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City Review
Application Date:
1 5
a
Fee Paid: Yes ❑ No
Inspection Date and Time:
t/'I
., 0o PM
Inspector:
O1t., KSi.1C.
Compliant: Yes ❑ No
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If not compliant---
Corrective Action Required:
Corrective Action Due by:
Re -inspection Date & Time:
o
Inspector:
Compliant: ❑ Yes 0 No
Certificate of Sanitary Service Line Inflow
and Infiltration Compliance
Date: t/1
Certificate of Compliance
Expires:
1 ZD31
Signature:
Name:
M
City Of Orono
i > r Point of Sale Sanitary Sewer Service I&I
Date Called in I .�
Date Scheduled 1-I I1 ,Db
Compliance Inspection Form
Property Address: CM cla LDA0 LOURb
PID:
Owner Information
Name:
D
Mailing Address:
S—ol CQU•j,:�Ur,'141O �1
(if different from
Property)
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Phone:
§ _ Email: I IuLyzc. ev ,
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Inspector Information
Name:
6 G•v\
Company/ Organization
i
License number:
U
Phone:
Name:
Email:
drains are connected to the sanitary sewer, disconnect them, plug any open
Inspection
System
Standard
Pass
Fail
Roof Drains
Roof drains and leaders Roof drains should not be connected to the sanitary
sewer but should discharge to the ground outside of a building. If the roof
/
Name:
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
around the base of a building and into a sump basket, where it is then
VDrains
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
main line, shall be in a safe and finretionai condition and shall be free from all
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:
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City Review
Inspectors Signature:
I ❑ Corrective Action Required
Owners signature:�- t
Date:
City Review
Sj Compliant
I ❑ Corrective Action Required
Certificate of Com liance Expires: A
I Corrective Action Due by:
Date:
I -i
I a o3j
Signature:
Name:
A
Service Line Inspection Details
Weather Conditions:
Approximate Depth of Service
Type 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
Notes: