Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
52-,130 <br />3�3o/al (�a:oa�.M <br />SON\ CERTIFIED <br />�`1 1 City Of Orono EXPIRES:-6--�—�� <br />Point of Sale Sanitary Sewer Service Inspection Application <br />Inflow & Infiltration (I/I) Compliance Inspection <br />Before any property is offered for sale/transfer an Inflow and Infiltration (I/1) Inspection must be completed. <br />The inspection will look for any improper connections or significant defects in the sanitai-f sewer service pipe. <br />For properties that pass inspection, the City issues a Certificate of I/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 952 249-4600 for more information. <br />Property Information <br />Property Address: 11115 Brown Road South <br />PID: 11011723240005 <br />Owner Information <br />Name: <br />3 Fee Paid: Yes U No <br />Mailing Address: <br />(if different from <br />Property) <br />Ck- o <br />Phone: <br />a- O Email: c <br />Fees'- Inspection Fee due at time of application <br />Residential Inspection $250 Commercial Inspection: $750 <br />Pay at city hall or Call 952 249-4600 topay by phone <br />Private Inspection Option <br />If you would like to hire 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 />Inspector . s Name: <br />Phone: <br />Email: <br />Si nature <br />A licantsName <br />Applicants Signature <br />Date <br />` <br />Inspector: <br />lay al <br />E <br />City Review <br />Application Date: <br />3 Fee Paid: Yes U No <br />Inspection Date and Time: <br />3 , 1 a;Ob am <br />Inspector: <br />- <br />C <br />Compliant: Yes 0 No <br />v <br />If not compliant--- <br />omp iant---Corrective Action Required: <br />Corrective <br />8 <br />Corrective Action Due by: <br />Re -inspection Date & Time: <br />a <br />Inspector: <br />Compliant:[] Yes 0 No <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Date: S - <br />' <br />Certificate of Compliance <br />Expires: <br />Signature: <br />Name. <br />