HomeMy WebLinkAboutPoint of Sale Inspection Form - Compliancy Expires 9/13/2031Date Called in 09/10/21
INTask 55873 Date Scheduled 09/13/21 @ 9:00 a
..��- City Of Orono
Point of Sale Sanitary Sewer Service I&I Compliance Inspection Form
Property Address:
884 Dakota Ave
CERTIFIED
PID:
1 2611823330020
EXPIRES:
Owner Information
Name:
Janet M Benway Trust (Keith Gasner)
Mailing Address:
(if different from
Property)
215 Barry Ave S Unit 321, Wayzata, MN 55391
Phone:
952.210.2966 1 Email: I kjgasner@gmail, com
Ins ector nformation
Name:
Standard
Company/ Organization
G
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
Z//
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
Z"1
drain line. Sump pumps should not be connected to the sanitary sewer.
Sewer Service
Sanitary Sewer Inflow & Infiltration (I/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
o Yes No
For Inspection:
CityReview
Compliant ❑ Corrective Action Required
Certificate of Compliance Expires: Cj-j-A,_&flAl Corrective Action Due by:
�J
Date: Signature:
ot- 3 10 01„1 Name: ftVIKJ l t S
Inspectors Signature:
Date:
Owners Signature:
Date:
CityReview
Compliant ❑ Corrective Action Required
Certificate of Compliance Expires: Cj-j-A,_&flAl Corrective Action Due by:
�J
Date: Signature:
ot- 3 10 01„1 Name: ftVIKJ l t S
Service Line Inspection Details
Weather Conditions:
Approximate Depth of Service
Type and Size of Service NO SC;^
Overall Condition of Service Pie p
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
C o v4
V'o AO.PC
4 •
- 10
Notes: