Loading...
865 Ivy Lane - Inspection FormsCity oi Irapa . Residential Sanitary Sewer Service Compliance Inspection Date r;) Name ; 1 ' f47-7 / /Pp./Disk # PID Number House Number " 3 Street Name Alternative Mailing Address i / • Compliance O No foundation drain connection O No roof drain connection O Sump pit not connected co sanitary sewer O Sump pump properly piped O No sump pump Service Lateral Inspection Findings 4" to 6" Transition: White Copy: Pr Owner Cram Time �� • � 'p pm Owner /Occupant Signature - LL1 -[1J 1 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 Record Number Time Phone% i .. � �2' - . 1 Irpector Signature For information call 65 Obstruction Unable to push past feet Number of stacks Entered S.L at Length of Service: Final Cleanout: ® O am • O pm No Access 0 No one in pg{ Access to service lateral needed 0 Inspection refused Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition Notes ----° ( Yellow Copy: City of Eagan Pink Copy: SEH Total Number Discharged Correctly Incorrectly Unknown Sump pumps Foundation drains Roof drains City oi Irapa . Residential Sanitary Sewer Service Compliance Inspection Date r;) Name ; 1 ' f47-7 / /Pp./Disk # PID Number House Number " 3 Street Name Alternative Mailing Address i / • Compliance O No foundation drain connection O No roof drain connection O Sump pit not connected co sanitary sewer O Sump pump properly piped O No sump pump Service Lateral Inspection Findings 4" to 6" Transition: White Copy: Pr Owner Cram Time �� • � 'p pm Owner /Occupant Signature - LL1 -[1J 1 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 Record Number Time Phone% i .. � �2' - . 1 Irpector Signature For information call 65 Obstruction Unable to push past feet Number of stacks Entered S.L at Length of Service: Final Cleanout: ® O am • O pm No Access 0 No one in pg{ Access to service lateral needed 0 Inspection refused Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition Notes ----° ( Yellow Copy: City of Eagan Pink Copy: SEH Account # 260536 Service Date 08/31/10 Camera inspection of sewer line. Description Of Service PO # Camera inspection of sewer line Terms: Due 9/30/2010 Remit To: Benjamin Franklin Plumbing 1424 3rd St N Minneapolis MN 55411 Invoice Benjamin Franklin Plumbing 1424 3rd St N 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: Kathy Ameluxen 865 Ivy Ln Eagan MN 55123 Job # 215807 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 Invoice # Date: Page # A63736 08/31/10 1 of 1 Unit Price Extended Price Tx Amount Due Amount Paid $215.00 $215.00 Balance Due $215.00 Please pay from this Invoice. Thank You Invoice # Date A63736 08/31/10 Account # 260536 City of Eagan /City Dept at: $215,00 City o lava Resideritt'al Sartitary Sewer Service onpi an ce Inspection Date .$? / Name r ,_ r PID Number i.? House Number (9 ;, .1 Owner /Occupant Signature Compliance o,( No foundation drain connection No roof drain connection o „ Sump pit not connected to sanitary sewer o Sump Pump properly piped No sump pump Service Lateral. Inspection Findings 4” to 6" Transition: t O/t White Copy: Property Owner Time 1 r i Disk # T`ifs� i.'1 o am 0 pm 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 Street Name Record Number Time "nspector Signature o am o pm Alternate Address Phone 1 - - ;; °; ., .r 7, 2 For Information call 651.470.2788 Number of stacks Entered S L. at Length of Service: Yellow Copy: City of Eagan Obstruction Unable to push past feet No Access o No one in o Access to service lateral needed o Inspection refused Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe E - Transition Final Cleanout: Pink Copy: Benjamin Franklin Plumbing 651- 222 -1551 Total N otes Number Discharged Correctly Incorrectly Unknown Sump Pumps Foundation Drains Roof Drains u. City o lava Resideritt'al Sartitary Sewer Service onpi an ce Inspection Date .$? / Name r ,_ r PID Number i.? House Number (9 ;, .1 Owner /Occupant Signature Compliance o,( No foundation drain connection No roof drain connection o „ Sump pit not connected to sanitary sewer o Sump Pump properly piped No sump pump Service Lateral. Inspection Findings 4” to 6" Transition: t O/t White Copy: Property Owner Time 1 r i Disk # T`ifs� i.'1 o am 0 pm 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 Street Name Record Number Time "nspector Signature o am o pm Alternate Address Phone 1 - - ;; °; ., .r 7, 2 For Information call 651.470.2788 Number of stacks Entered S L. at Length of Service: Yellow Copy: City of Eagan Obstruction Unable to push past feet No Access o No one in o Access to service lateral needed o Inspection refused Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe E - Transition Final Cleanout: Pink Copy: Benjamin Franklin Plumbing 651- 222 -1551