949 Trail Ct - Inspection FormsCity o ,aa
Residential Sanitary Sewer Service
Compliance Inspection
Date t, l2ZI l 1' • Time , 441-10 r
Namei/VO 4/A
PID Number
House Number f Street Name
Alternative Mailing Address
r
Compliance
O No foundation drain connection
O No roof drain connection
S ump plc not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
Disk #
Owner/Occupant Signature
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 Pipe Joints
Mineral Deposits
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone1 n 7 '
• / ., 1,
% In.pector Signature
For information call 65 1
Obstruction
Unable to push past
feet
Entered S. ,L at
Final Cleanout:
pam
•
• o pm
No Access
O No one in
{i Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged.,
Incorrectly Unknown
Notes ,,
M7, x`,;. -, (-) C �i� ''(
_
!r -7"
r __' ir , 71 ,./ r' V ,' '.f `r / �.r
Total
Sump pumps
�,
--._. w"
Foundation drains
Roof drains
,, :rte, `.
City o ,aa
Residential Sanitary Sewer Service
Compliance Inspection
Date t, l2ZI l 1' • Time , 441-10 r
Namei/VO 4/A
PID Number
House Number f Street Name
Alternative Mailing Address
r
Compliance
O No foundation drain connection
O No roof drain connection
S ump plc not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
Disk #
Owner/Occupant Signature
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 Pipe Joints
Mineral Deposits
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone1 n 7 '
• / ., 1,
% In.pector Signature
For information call 65 1
Obstruction
Unable to push past
feet
Entered S. ,L at
Final Cleanout:
pam
•
• o pm
No Access
O No one in
{i Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Account # 260536
Service Date 09 /01 /10
PO #
Camera inspection of sewer line. Pull & reset toilet.
Description Of Service
Camera inspection of sewer line.
Remit To:
Benjamin Fr'anklin Plumbing
1424 3rd St N
Minneapolis MN 55411
Invoke
Benjamin Franklin Plumbing
1424 3rd StN
Minneapolis MN 55411
612 -604 -4285 FAX: 612 -822 -5408
FID #27- 1025956
City of Eagan/City Dept at:
Wayne Schwanz
3419 Coachman Pt.
Eagan MN 55122
Service At:
Lot i Risting- Clark
949 Trail Ct
Eagan MN 55123
Job # 215973
Quantity
1
Please Detach and Return with Remittance
Check Enclosed [ ]
Master Card [ ] Visa [ ] ArnExp [ ] Discover
Acct #
Name on Card
Method of Payment
[ 7
Exp Date
Signature
Invoice #
Date:
Page #
A65764
09/01/10
1 of 1
Unit Price Extended Price Tx
DUNS #027314893
Terms: Due 10/1/2010 Please pay from this Invoice., Thank You
Amount Due
Amount Paid
$215.00 $215.00
Balance Due 5215..00
Invoice # A65764
Date :
09/01/10
Account # 260536
City of Eagan /City Dept at:
$21 5..00
Res id nt a n tal Sewer Se ice
Compliance Inspection
0.
Date ( 7 / / / 49
Name
PID Number
House Number
I
lea
?ter (
Owner /Occup 'nt Signature
Compliance
or No foundation drain connection
o No roof drain connection
o Sump pit not connected to
sanitary sewer
O Sump Pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots wi
4" to 6" Transition: r ' 1 a/ ) .p
White Copy: Property Owner
Time - d
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
,G7 pm
Street Name
Number of stacks
Obstruction
Length of Service: ///,'
Yellow Copy: City of Eagan
Record Number
Time
Alternate Mailing Address Phone /.„„ %- S/ - 3 el b'
Inspector Signature
For Information call 651.470.2788
Unable to push past
feet .
o am
O pm
No Access
O No one in
O Access to service lateral
needed
O Inspection refused
Entered S L at i
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551
Total
Notes
7
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
Foundation Drains
r
Roof Drains
C2
Res id nt a n tal Sewer Se ice
Compliance Inspection
0.
Date ( 7 / / / 49
Name
PID Number
House Number
I
lea
?ter (
Owner /Occup 'nt Signature
Compliance
or No foundation drain connection
o No roof drain connection
o Sump pit not connected to
sanitary sewer
O Sump Pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots wi
4" to 6" Transition: r ' 1 a/ ) .p
White Copy: Property Owner
Time - d
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
,G7 pm
Street Name
Number of stacks
Obstruction
Length of Service: ///,'
Yellow Copy: City of Eagan
Record Number
Time
Alternate Mailing Address Phone /.„„ %- S/ - 3 el b'
Inspector Signature
For Information call 651.470.2788
Unable to push past
feet .
o am
O pm
No Access
O No one in
O Access to service lateral
needed
O Inspection refused
Entered S L at i
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551