933 Trail Ct - Inspection FormsSump pumps
_____
„\/:
Foundation drains
Roof drains
4 11. City of Cap
Residential Sanitary Sewer Service
Compliance Inspection
Dat '1
r3
Name
PID Number
House Number
Alternative Mailing Address
- PL'crie: /
Owner / ccupant Signature
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:
,'f ; Disk#
Time
Street Name
?• ✓ am
• ///// pm
Total Correctly Incorrectly Unknown
J -LLB
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 Discharged
Record Number
Time
•
Phone 6:-7,-t7)
f
Inspector Signature
Obstruction
Unable to push past
feet.
For information call 651.470.2788
Length of Service: Final Cleanout:
0 a
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S. L. at
Roots
M i ner. eposits _ ., c__ : - i'1,-:,-".2_ fl? "--..' :Je.-- -, '''''I"
Transition
N t
1'7' r
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. „:,...„ .,i.......„...-„,.._, -r�G -- . ) (_ � - :) ) , 44 . -n e-"1 -- --
Property Owner Yellow Co City of Ea ,,", ` 19
White Co . Cop -277 y: P tY Copy: ty ��m. --- / g /' ; Pink Co SEH
Account # 260536
Invoice
Benjamin Franklin Plumbing
1424 3rd St N
Minneapolis MN 55411
612 -604 -4285 FAX: 612-822-5408
FID#27- 1025956
Invoice #
Date:
Page #
A71514
09/13/10
1 of 1
City of Eagan/City Dept at:
Wayne Schwanz
3419 Coachman Pt
Eagan MN 55122
Service At:
Rick Larson
933 Trail Ct
Eagan MN 55123
Service Date 09/13/10
Camera inspection of sewer line. Pull & reset toilet.
Description Of Service
Camera inspection of sewer line
Terms: Due 10/13/2010
PO #
Remit 'T o:
Benjamin Fr anklin Plumbing
1424 3rd St N
Minneapolis MN 55411
Job # 216490
Quantity
DUNS #027314893
1
Please Detach and Return with Remittance
Check Enclosed [ ] Method of Payment
Master Card [ ] Visa [ ] AmExp [ ] Discover [ ]
Acct # Exp Date
Name on Card
Signature
Unit Pr ice Extended Price Tx
Please pay fr'om this Invoice.. Thank You
Amount Due
Amount Paid
$215.00 $215.00
Balance Due $215.00
Invoice # A71514
Date :
09/13/10
Account # 260536
City of'Eagan/City Dept at:
$215.00
of aw
Re_ si 'ential Sanitary Sewer Service
Compliance inspection
Date
Name ; t
PID Number
House Number
Il
S3
No roof drain connection
Surnp pit not connected to
sanitary sewer
o Sump Pump properly piped
O No sump pump
White Copy: Property Owner
Time
Owner /Occupant Signature
Compliance
o No foundation drain connection
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
4" to 6" Transition:
Disk#
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
o am
o pm
Street Name
Number of stacks
,....,�: , Length of Service:
Yellow Copy: City of Eagan
Record Number ; J (921q
Obstruction
Time
Unable to push past
feet.
Inspector Signature
Entered S L at
o am
o pm
Alternate Mailing Address Phone
For Information call 651.470.2788
No Access
o No one in
O Access to service lateral
needed
o Inspection refused
Sag /Pipe Deflection
Damaged Pipe i3
Transition
Final Cleanout:
Copy: Benjamin Franklin Plumbing
651- 222 -1551
Total
Notes
�„
.r ,
F ..,,:.'
r. :.
r
,
$
t7
rk „ ,,
1
,2
r
(- ) !
a
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
Foundation Drains
r"%
Roof Drains
of aw
Re_ si 'ential Sanitary Sewer Service
Compliance inspection
Date
Name ; t
PID Number
House Number
Il
S3
No roof drain connection
Surnp pit not connected to
sanitary sewer
o Sump Pump properly piped
O No sump pump
White Copy: Property Owner
Time
Owner /Occupant Signature
Compliance
o No foundation drain connection
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
4" to 6" Transition:
Disk#
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
o am
o pm
Street Name
Number of stacks
,....,�: , Length of Service:
Yellow Copy: City of Eagan
Record Number ; J (921q
Obstruction
Time
Unable to push past
feet.
Inspector Signature
Entered S L at
o am
o pm
Alternate Mailing Address Phone
For Information call 651.470.2788
No Access
o No one in
O Access to service lateral
needed
o Inspection refused
Sag /Pipe Deflection
Damaged Pipe i3
Transition
Final Cleanout:
Copy: Benjamin Franklin Plumbing
651- 222 -1551