HomeMy WebLinkAbout01-13-2021 Inspection - Compliant Expires 01-14-2031Cj�O 0a4ln
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a40-Q,0City Of Orono 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 VI 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: lollo pnLia,wa- oad— Orono
PID: 06'—//7-2.3 13 00/3
Owner Information
Name:
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Mailing Address:
(if different from
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Phone:
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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 ;tr,!
Applicants Si ature pp f ate /z
If not compliant---
Corrective Action Required:
P
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City Review
Application Date:
lal i Ian I Fee Paid:
I W Yes 11 No
Inspection Date and Time:
13,1161 aozb 9:U0 c1,m.
Inspector:
^E ` hA\-, C, CAYV—
Compliant:11 Yes No
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If not compliant---
Corrective Action Required:
Corrective Action Due by:
3 to aA 1 \
Re -inspection Date & Time: 1 131 a0
a
Inspector: Cr*p
Compliant:
Yes No
Certificate of Sanitary Service Line Inflow and Infiltration Compliance
Date:
1 �) a0 a1
Certificate of Compliance
Expires:
Signature:
Name:
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Date Called in -
��n'p Date ScheO"A
City Of Orono
Point of Sale Sanitary Sewer Service I&I Compliance Inspection Form
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Property Address: 1011e) 7.4
PID: &Z - .. 3-00 3
Inspector Information
System
Owner Information
Name:'i�
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License number:
Mailing Address:2fSs
(if different from
Property)
Phone:
r %l-tif�i
Phone:
sewer but should discharge to the ground outside of a building. If the roof
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Inspector Information
System
Standard
Company/ Organization
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License number:
0
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
/
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
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
V
drain line. Sump pumps should not be connected to the sanitary sewer.
Sewer Service
Sanitary Sewer Inflow & Infiltration (I/1) 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 functional 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:
1'71("� `10' / //�✓ %1'7
City Review
Inspectors Signature: �--
Date: / ;'
Owners signature:
Date: 1,3 1
City Review
Compliant
I Yl Corrective Action Required
Certificate of Compliance Ex ices:
Corrective Action Due by: 01 ar),N
Date: 1/1414031
Signature:
Name:
Q CILUSt rl G 113W
Service Line Inspection Details
Weather Conditions:
Approximate Depth of Service
Type and Size of Service Z/
Overall Condition of Service Pipe`h✓ice
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
0
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Notes: