Laserfiche WebLink
i City Of Orono <br />, oa�% Point of Sale Sanitary Sewer Service Inspection Application <br />Inflow & Infiltration Com' liance In ction <br />Before any property is offered for sale/transfer an Inflow and Infiltration (1/1) Inspection must be completed. <br />The inspection will look for any improper connections or significant defects in the sanitary sewer service pipe. <br />For properties that pass inspection, the City issues a Certificate of 1/1 Compliance which is valid for 10 years. <br />Properties that don't pass inspection are issued a correction notice delineating the problems. Repairs should be <br />completed within 90 days of the first inspection. If repairs cannot be completed prior to the transfer of a <br />property, proof of an escrow equaling 110% of the estimated cost of repairs shall be provided to the city. If <br />repairs are not completed a monthly surcharge will be applied to the utility bill until the property is in <br />compliance. See City website or call (952) 2494600 for more information. <br />Pro ftfortnation <br />Property Address: a +� p FVN ea6m. i- R a <br />PID: Q Q3 a. vo. <br />Owner Information' <br />Name: <br />n c� L Soh �sc <br />Mailing Address: <br />(if different from <br />Property) <br />�� 14 �t E0.Sav�i- AveYlue- SULA`I <br />Nt V ecko i k 5 M N 5-5'i/ 9 <br />Phone: <br />95;� - q 5 (- 535 Email: 1- 01N n S 0 V) C over 60 c a 1 <br />Fees:- Inspection Fee due at time ofapplication <br />Residential Inspection $250 Commercial Inspection: $750 <br />fa at cLtE hall or Call 952 249-4600 to b hone <br />Privatejfis 'otion . tion <br />If you would like to hive a private inspector <br />instead of allowing a City inspector to <br />complete the inspection please provide the <br />following. See private inspection info sheet. <br />Inspection Company: <br />Inspectors Name: <br />phone: <br />Email: <br />Signature ` <br />Applicants Name <br />Applicants Signature <br />Date <br />1Rayotai(A E _J_c_16)s oV, <br />Inspector: <br />3 ay- a <br />ry,Ctltvl <br />°.City; Review <br />Application Date: <br />-�a 1 I Fee Paid: Yes 11 No <br />Inspection Date and Time: <br />a Z <br />Inspector: <br />Compliant:X Yes El No <br />v' <br />If not compliant --- <br />Corrective Action Required: <br />Corrective Action Due by: <br />Re -inspection Date & Time: <br />v <br />Inspector: <br />Compliant:0 Yes ❑ No <br />..Certificate of,5anitary Service Line. Inflow. and Infiltration Compliance <br />Date: <br />D3 .q (0) ao <br />I Certificate of Compliance <br />Expires: 03 a to 3 <br />Signature: <br />Name: <br />ry,Ctltvl <br />