Point of Sale - Inspection Application

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S_ a..o4 a- �t�NO I i City Of Orono Point of Sale Sanitary Sewer Service Inspection Application Inflow & Infiltration (1/1) Compliance Ins ection Before any property is offered for sale/transfer an Inflow and Infiltration (1/1) Inspection must be completed. The inspection will look for any improper connections or significant defects in the sanitary sewer service pipe. For properties that pass inspection, the City issues a Certificate of 1/1 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 1 10% 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) 2494600 for more information. Property Information City Review Property Address: Zzd 1J ' Oa Fee Paid: I K Yes ❑ No PID: Owner Information I OO ` — Name: Compliant: ❑ Yes No Mailing Address: Prod erterent from �k Q1✓� 51 nc If not compliant--- Corrective Action Required: Phone: i:oIZ-7Cx 0_. 3 - 'jEmai1: Inspector: Fees - Inspection Fee due at time of 'application Residential Inspection $250 Commercial Inspection: $750 Pay at city hall or Call (952) 249-4600 to peiv by phone Certificate of Sanitary Service Line Inflow and Infiltration Compliance Private Inspection Option Date: 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: Inspectors Name: Phone: Name: Email: Signature Applicants Name Applicants Signature Date «pct esu '��.- 2-zs- City Review Application Date:2_a5- Oa Fee Paid: I K Yes ❑ No Inspection Date and Time: Inspector: Compliant: ❑ Yes No 0 °N' If not compliant--- Corrective Action Required: � }� ,� S b&l &DIC: a,,6 a-A-eaw oda m t4ew btjt � d ASW (.p Mf_ Corrective Action Due by: iNt3� 5 -J� Re -inspection Date & Time: Compliant: U Yes U No Inspector: Certificate of Sanitary Service Line Inflow and Infiltration Compliance Date: Certificate of Compliance Expires: Signature: Name: