Laserfiche WebLink
City Of Orono <br />Point of Sale Sanitary Sewer Service Inspection Application <br />Inflow & Infiltration <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 19 q <br />Property Address: f KofQrd n o /'I SS -3-7 <br />PID: 17117232 <br />Application Date: <br />Owner Information <br />Name: <br />e�a� Q!^ cC p eVl-LGt C �✓` <br />Mailing Address: <br />(if different from <br />Property) <br />Phone: <br />j 2 -(p(D - 4 "f 7 Email: <br />04 / <br />Fees - Inspection Fee due at time of application <br />101 <br />Residential Inspection $250 Commercial Inspection: $750 <br />Pay at city hall or Call (952) 249-4600 to pay by phone <br />Corrective Action Due by:aQ <br />Private Inspection Option <br />Re -inspection Date & Time: <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 />kkp_ A_Q rG2 <br />Inspectors Name: <br />phone: <br />Email: <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Signature <br />Date: <br />Applicants Name <br />Appli is Signature <br />Date <br />T)a�ewtRcicev-/�� <br />/2 <br />If ew kI <br />City Review <br />Application Date: <br />3p Fee Paid: Yes ❑ No <br />Inspection Date and Time: <br />_ q•,qo <br />Inspector: <br />Compliant: ❑ Yes No <br />_ <br />0 <br />v <br />If not compliant--- <br />Corrective Action Required: <br />sots e, 1 V1 V k*& <br />Corrective Action Due by:aQ <br />Re -inspection Date & Time: <br />oInspector: <br />kkp_ A_Q rG2 <br />Compliant: ❑ Yes ❑ No <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Date: <br />-0155 - Jt <br />I <br />Certificate of Compliance <br />Expires: a5 ?jJT <br />Signature: <br />Name: <br />If ew kI <br />