HomeMy WebLinkAboutPoint of Sale Application Form52-,130
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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/1) Inspection must be completed.
The inspection will look for any improper connections or significant defects in the sanitai-f sewer service pipe.
For properties that pass inspection, the City issues a Certificate of I/1 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: 11115 Brown Road South
PID: 11011723240005
Owner Information
Name:
3 Fee Paid: Yes U No
Mailing Address:
(if different from
Property)
Ck- o
Phone:
a- O Email: c
Fees'- Inspection Fee due at time of application
Residential Inspection $250 Commercial Inspection: $750
Pay at city hall or Call 952 249-4600 topay 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:
Inspector . s Name:
Phone:
Email:
Si nature
A licantsName
Applicants Signature
Date
`
Inspector:
lay al
E
City Review
Application Date:
3 Fee Paid: Yes U No
Inspection Date and Time:
3 , 1 a;Ob am
Inspector:
-
C
Compliant: Yes 0 No
v
If not compliant---
omp iant---Corrective Action Required:
Corrective
8
Corrective Action Due by:
Re -inspection Date & Time:
a
Inspector:
Compliant:[] Yes 0 No
Certificate of Sanitary Service Line Inflow and Infiltration Compliance
Date: S -
'
Certificate of Compliance
Expires:
Signature:
Name.