2105 BROADWAY 2022-05-23 - Laserfiche WebLink

2013 LARGE STORM RESPONSE PAPER FORM CHECKLIST ,,...,,,,, Date of inspection: (off;4 ( /r? Inspected By: i i-/G 1 DC:V&A Address: (O /��o'04'L"�y Service Request Number: Resident: ,J / IS )1 A( / Owner? EKES ❑NO Phone Number: Email: General Building Details: Is this building within the combined sewer area? YES ❑NO Does the building have a basement? ❑YES 21 NO Does the building have a backwater valve(BWV)? ❑YES NO (If yes)Was BWV installed through City program ❑YES ❑N0;/ [- Does the building have a sump pump? ❑YES NO Does the building have a grinder pump? ❑YES ago Storm Event Details: Where did water entering building come from? SURFACE FLOW ❑GROUNDWATER ❑SEWER BACKUP-FIXTURES ❑UNKNOWN Details: DO1 -r S?U, .-S From trod"- •ei,f4(-- CO 111 iradi C' h"s ti,rae,. Ar0 1nitgre- fr- ri is to D(44„ h. Where did w water go within the building? El BASEMENT PERIMETER ❑BASEMENT NEAR FIXTURES ❑OTHER Details: h 1 Ar€/ U�e{h w" efANd/ -P41n- ova'— sA - r/ alb je . Site Observations: 9 99 .�„ Downspout/site grading issues noted: 3 N1.41.c pp(.�S a ID -C�S 1- IN di 5 r l` (iii/Vie wr �C�'T n ✓Iry c i' s Je tr-� a< 4� • Buil i elevation relative to sewer an surrrroun in area issue note . �� rJ Ai k di"r t s af4 9- i6 -eL%!— Site pump i sues noted: ✓V( Historical Information I Other Information: Previous"flooding"issue Service Requests at address: Y TY-WS Lri G�13 C! SP/w Orr 0✓1 M l f4L-P41 Pt Previous"flooding"issues noted by homeowner: 0116 f �<a*i S - S.piy,.� T-f-k e Recent stormwater/sewer projects completed in area: i W Q Proposed stormwater/sewer projects in area: Ar0 Property owner interested in beginning City Backwater Valve Program at address:0 NO Details: - Notes: ,4Ltt 4/ r s G4la- �'Lc(A /14T ( 1 cL '- L hi) Al,- fit it-'-- 10 -ens. �,'l �s., I41 ILIA, -e,.rje c && ;idols A ?.0..P I---n cbe_._ -`)fr DOLi so,wf,q- Revision:3 TRW 1 Thursday,September 05, 2013