1481 Pinetree Pass - Inspection Form
Residential
City I Ir Compliance Inspection
Date ,r, lr_. --~1 Time pm Record Number
Q Bin
Time t pm
Name Disk
PID Number,
House Number, '7 1 Street Name r l_r`~ ° ! E~
Alternative Mailing Address Phone
r
Owned ccupont Signature Inspector Signature
!r
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
No foundation drain connection O Clear- water connections to Unable to push past O No one in
r~ No roof drain connection sanitary sewer feet O Access to service
O Service lateral defects lateral needed
O Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary refused
O Sump pump properly piped sewer,
C~ No sump pump O Flexible sump pump piping
fr
Service Later-a[ Inspection Findings Number, of stacks Entered S L ate"
Roots -
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection _
Damaged Pipe
Transition / 7 = e
4" to 6" Transition: Length of Service: j Final Cleanout:,:. ;
Notes
Number Discharged
Total Correctly Incorrectly Unknown
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH