4875 Knottingham Cir - Inspection Formo
Resideritial Sanitary Sewer Service
Compliance inspection
Date -3 1) Co I 10
Name
PID Number
House Number �N lS
Alternate Mailing Address
White Copy: Property Owner
Owner /Occupant Signature
am
Time /3 - .:7U a pm
Disk it
Street Name
Phone f. ; l - 2/9
Yellow Copy: City of Eagan
Record Number V 4/
Time
C r"
Inspector Signature
o am
o pm
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551
Obstruction
Unable to push past
feet
No Access
o No one in
o Access to service lateral
needed
o inspection refused
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
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
Number of stacks
Entered S L. at F i C 1 0
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection GC,
Damaged Pipe
Transition
4" to 6" Transition:
Length of Service:
Final Cleanout:��
Total
Notes
3
r
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
Foundation Drains
Roof Drains
o
Resideritial Sanitary Sewer Service
Compliance inspection
Date -3 1) Co I 10
Name
PID Number
House Number �N lS
Alternate Mailing Address
White Copy: Property Owner
Owner /Occupant Signature
am
Time /3 - .:7U a pm
Disk it
Street Name
Phone f. ; l - 2/9
Yellow Copy: City of Eagan
Record Number V 4/
Time
C r"
Inspector Signature
o am
o pm
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551
Obstruction
Unable to push past
feet
No Access
o No one in
o Access to service lateral
needed
o inspection refused
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
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
Number of stacks
Entered S L. at F i C 1 0
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection GC,
Damaged Pipe
Transition
4" to 6" Transition:
Length of Service:
Final Cleanout:��
of Ewa
Residential Ba nal Sewer Service
Compliance Inspection
DateD 1� c
Name ( /0,
PID Number
House Number ,t _jce7
y7/v
White Copy: Property Owner
Time
5 ; v - , A. °7 5 0 �,
trc
Owner /Occupant Signature
Disk #
o am
o pm
Street Name
Yellow Copy: City of Eagan
Record Nurnberc71 3 1
Alternate Mailing Address
Time
Inspector' Signature
LV<J.. ,�, C;r
o am
O pm
Phone CSI ;St✓ SC:!
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
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
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Number of stacks
X2,1 . 3 3 S c-c) s�
1 -\ L \ ° i S" "? Co
Length of Service: (,
Entered S L. at
Final Cleanout: 3 0
For Information call 651.470.2788
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551
Total
Number
Correctly
Discharged
Incorrectly
Unknown
N otes
Sump Pumps
Foundation Drains
Roof Drains
t
4
of Ewa
Residential Ba nal Sewer Service
Compliance Inspection
DateD 1� c
Name ( /0,
PID Number
House Number ,t _jce7
y7/v
White Copy: Property Owner
Time
5 ; v - , A. °7 5 0 �,
trc
Owner /Occupant Signature
Disk #
o am
o pm
Street Name
Yellow Copy: City of Eagan
Record Nurnberc71 3 1
Alternate Mailing Address
Time
Inspector' Signature
LV<J.. ,�, C;r
o am
O pm
Phone CSI ;St✓ SC:!
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
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
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Number of stacks
X2,1 . 3 3 S c-c) s�
1 -\ L \ ° i S" "? Co
Length of Service: (,
Entered S L. at
Final Cleanout: 3 0
For Information call 651.470.2788
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551
Sump pumps
4 i
i --
r‘,,
,„...---..., , ,...-"L'..:.---/„_, )
',0--
Foundation drains
Roof drains
4 City of Eapo
Residential Sanitary Sewer Service
Compliance Inspection
)
Date ) ) / / 1/ .;
)
Name
- .
PID Number
House Number .-- ,-------', ./- ,..:...D Street Name
--,,:,-,„
, . ) 1 ,/.2 /1,-
1 i
ling Address Phone ' ) -> . - J- ---..-/-,--, - (---^, e ) i
) ) I 7.--",// ,-.......,,
Alternative Mai
.„
4" to 6" Transition:
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Propel ty Owner
• Wam
Time
to pm
OwnedOccupant Signature
LE-
For information call 651.470.2788
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 Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Number Discharged
Total Correctly Incor rectly Unknown
Record Number
Time
Obstruction
Unable to push past
feet
Length of Service: Final Cleanout:
• o am
• 0 pm
inspector Signature ]
,.4 47. i
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Notes
T7
Yellow Copy: City of Eagan Pink Copy: SEH