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5a1 ss <br />CERTIFIED <br />EXPIRES: 3- O31 <br />City Of Orono <br />Point of Sale Sanitary Sewer Service Inspection Application <br />Inflow & Infiltration (l/I) Com liance Inspection <br />Before any property is offered for sale/transfer an Inflow and Infiltration (I/I) Inspection must be completed. <br />The inspection will look for any improper connections or significant defects in the sanitary sewer service pipe. <br />For properties that pass inspection, the City issues a Certificate of I/I 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: <br />12523 Kelly Avenue, Orono MN 55391 <br />PID: <br />20-117-23 12 0039 <br />Owner Information <br />Name: <br />DIRK Family Associates Benjamin Sachs <br />Mailing Address: <br />refrom <br />Pro e <br />Property) <br />9091 County Road 50 PO Box 44 Rockford, MN 55373 <br />Phone: <br />763 477 3224 1 Email: I cjmdpi@yahoo.com <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 to pay 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 />Inspectors Name: <br />Phone: <br />Email: <br />Signature <br />Applicants Name <br />Applicants Signature <br />Date <br />Carl Mura <br />X Cavd 9 xz&� <br />03/03/2021 <br />U <br />City Review <br />Application Date: <br />- —a p Fee Paid: Yes 11 No <br />Inspection Date and Time: <br />3 Od <br />Inspector: <br />S <br />Compliant:A Yes 0 No <br />If not compliant --- <br />Corrective Action Required: <br />Corrective Action Due by: <br />Re -inspection Date & Time: <br />aInspector: <br />Compliant:[] Yes 0 No <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Date:Certificate <br />3'8`a04, <br />of Compliance <br />Expires: <br />Signature. <br />Name: <br />U <br />