HomeMy WebLinkAboutPoint of Sale Inspection - Non CompliantTask 54033
Date Called in 06/11/21
Date Scheduled 06/14/21 @ 8:30 Ai
City Of Orono
Point of Sale Sanitary Sewer Service I&I Compliance Inspection Form
Property Address: 11856 Shadywood Road
PID: 11711723240017
Owner Information
Name:
Milton Seifert
Mailing Address:
(if different from
Property)
PO BOX 216, Excelsior, MN 55331
Phone:
612-723-1975 1 Email: I mike@seifertcompanies.com
Inspector Information
Name:
Company/ Organization License number:
Phone: Email:
Inspection
System
Standard
Pass
Fail
Roof Drains
Roof drains and leaders Roof drains should not be connected to the sanitary
Name:
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
\1
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/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
0
root intrusion. The sanitary sewer lines shall meet the City Code standards and
specifications. (Details on back of this sheet)
Notes:
Toilet Removed
o Yes l( No
For Inspection:
CityReview,
Inspectors Signature: It V&
Date: —j - aoal
Owners Signature:
Date:
CityReview,
❑ Compliant
I X Corrective Action Re uired
Certificate of Compliance Expires:
Corrective Action Due by: Da
Date:
Signature:
Name:
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,
This report
cracks, misaligned joints, etc.
must include a digital copy of the televising.
Feet
Comment
Example:
0
1-10
Start for 4" cleanout in NE corner of Basement
Misaligned joint —Infiltration
�0
Com
\IS` C�\� '�b'i)z�.s
� b'0
�
zd�
rn-s() -
AINA
Notes:
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
�erQ C- 14 1) W Pe�r4Qi`n
row
1
W'A1
VA')
Notes:
Date Called in
�pNp Date Scheduled
City Of Orono
0�.;�,�S��op� '� Point of Sale Sanitary Sewer Service I&I Compliance Inspection Form
Property Address: CJ
PID:
Owner Information
Name:
Standard
Mailing Address:
(if different from
Property)
Fail
Phone:
Email:
Inspector Information
Name:
Standard
Company/ Organization
Fail
License number:
Roof drains and leaders Roof drains should not be connected to the sanitary
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
x
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 iucludes drain tile, a sump pit, a sump pump, a float or switch, and a
x
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:
City Review
Inspectors Signature:G i
Date: -
Owners signature:
Date:
City Review
❑ Compliant ❑ Corrective Action Required
Certificate of Compliance Expires:_ Corrective Action Due by:
Date:
Signature:
Name:
Service Line Inspection Details
`ikcsnoa�./
Task 54033
Date Called in 06/11/21
Date Scheduled 06/14/21 @ 8:30 A
City Of Orono
Point of Sale Sanitary Sewer Service I&I Compliance Inspection Form
Property Address: 11856 Shadywood Road
PID: 11711723240017
Owner Information
Name:
Milton Seifert
Mailing Address:
(if different from
Property)
PO BOX 216, Excelsior, MN 55331
Phone:
612-723-1975 1 Email: I mike@seifertcompanies.com
Inspector Information
Name:
Company/ Organization License number:
Phone: Email:
Inspection
System
Standard
Pass
Fail
Roof Drains
Roof drains and leaders Roof drains should not be connected to the sanitary
Name:
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
\1
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
1
drain line, Sump pumps should not be connected to the sanitary sewer.
Sewer Service
Sanitary Sewer hnflow & Infiltration (1/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 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:
Toilet Removed
0 Yes Q4 No
For Inspection:
on
Inspectors Signature: Date:
Owners Signature: Date:
CityReview
❑ Compliant
I K Corrective Action Required
Certificate of Compliance Expires:
Corrective Action Due by: D
Date:
I Signature.
Name:
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,
This report
cracks, misaligned joints, etc.
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
proCoo
/'0'S
f 6 J
A
Notes:
-yE wws sa.�
W1 +kL vy_A"6cv' _+0 6-e-
Date Called in
�DNO Date Scheduled
z City Of Orono
f`�•r SIIOQ'�` Point of Sale Sanitary Sewer Service I&I Compliance Inspection Form
Property Address: 5
PID:
Owner Information
Name:
Standard
Mailing Address:
(if different from
Property)
Fail
Phone:
Email:
Inspector Information
Name:
Company/ Organization License number:
Phone: Email:
Inspection
System
Standard
Pass
Fail
Roof Drains
Roof drains and leaders Roof drains should not be connected to the sanitary
Name:
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
x
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
%e,
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:
City Review
Inspectors Signature: G 1
Date: 1 -
Owners signature:
Date:
City Review
0 Compliant
❑ Corrective Action Required
Certificate of Compliance Expires:
Corrective Action Due by:
Date:
Signature:
Name:
Service Line Inspection Details
Weather Conditions:
Approximate Depth of Service
Type and Size of Sei vice
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
°
� aS
�1
r oo��
�3
Cl A, ale
of BkZA
Notes;