668 Brentwood Lane - Inspection Form40
r 01 'iagA
Residential Sanitary Sewer Service .
Compliance Inspect O
Date / (, / 10 Time
Name
PlD Number
House Number
White Copy: Property Owner
LL cj Disk #
Owner /Occupant Signature
o am
o pm
Street Name
Yellow Copy: City of Eagan
Record Number c2)
1 1
Time
L
o am
O pm
Alternate Mailing Address
Phone
Inspector Signature
Compliance
No foundation drain connection
r i �
,e No roof drain connection
Ay
0 Sump pit not connected to
sanitary sewer
0 Sump Pump properly piped
No sump pump
Non - Compliance
O Clear water connections to
sanitary sewer
o Service lateral defects
O Defective manholes
o Sump pump connected to
sanitary sewer
O Flexible sump pump piping
Obstruction
Unable to push past
feet
No Access
o No one in
o Access to service lateral
needed
o Inspection refused
Service Lateral Inspection Findings
Roots
Poor Pipe Joints e93 t_
4" to 6" Transition:
Number of stacks
Length of Service:
Entered S L at
r
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout: %
For Information call 651.470.2788
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551
Total
Notes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
Foundation Drains
r 1
Roof Drains
40
r 01 'iagA
Residential Sanitary Sewer Service .
Compliance Inspect O
Date / (, / 10 Time
Name
PlD Number
House Number
White Copy: Property Owner
LL cj Disk #
Owner /Occupant Signature
o am
o pm
Street Name
Yellow Copy: City of Eagan
Record Number c2)
1 1
Time
L
o am
O pm
Alternate Mailing Address
Phone
Inspector Signature
Compliance
No foundation drain connection
r i �
,e No roof drain connection
Ay
0 Sump pit not connected to
sanitary sewer
0 Sump Pump properly piped
No sump pump
Non - Compliance
O Clear water connections to
sanitary sewer
o Service lateral defects
O Defective manholes
o Sump pump connected to
sanitary sewer
O Flexible sump pump piping
Obstruction
Unable to push past
feet
No Access
o No one in
o Access to service lateral
needed
o Inspection refused
Service Lateral Inspection Findings
Roots
Poor Pipe Joints e93 t_
4" to 6" Transition:
Number of stacks
Length of Service:
Entered S L at
r
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout: %
For Information call 651.470.2788
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551
4111
Cit of bpi
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 2 r' /o
Name
PID Number
House Number
71 f Disk #
41
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Proper ty Owner
Time /
Owner /Occupant Signature
o am
. 6 pm
Street Name /,.<'
Non - Compliance
O Clear water connections to
sanitary sewer'
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number.
Phone
Time
Obstruction
Unable to push past
feet
Entered S.L at
Zfer 7.6-b
i ,.nspector Signature
i f
Final Cleanout:
• O am
• O pm
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes ,,
- 7:‘jjr,e-g-a-7„,-05-e. y,,,,,.
{ M
Total
Sump pumps
F oundation drains
Roo# drains
4111
Cit of bpi
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 2 r' /o
Name
PID Number
House Number
71 f Disk #
41
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Proper ty Owner
Time /
Owner /Occupant Signature
o am
. 6 pm
Street Name /,.<'
Non - Compliance
O Clear water connections to
sanitary sewer'
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number.
Phone
Time
Obstruction
Unable to push past
feet
Entered S.L at
Zfer 7.6-b
i ,.nspector Signature
i f
Final Cleanout:
• O am
• O pm
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH