Meter Swap � Request Number: 11429
Public Works Division
� Service Request
�..�:
Problem Address: 1515 N Innsbruck Dr Requested By: Beverly Baer
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMIt METER Phone Number: 571-6030
Scheduled Date: 2016-OS-09 me: Ol:00:00
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A :AMR for both domestic an irrigation.
Created by: Wendy Hiatt Date Created: 2016-OS-06
ACTION TAKEN:
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Status: In Progress Resident Contacted [''
Date Completed: Completed by:
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Hiatt, Wendy
Subject: BEVERLY BAER 763-571-6030 ON AMR INSTALL LIST AND HAS IRRIGATION METER
AND HER OWN METER TO UPGRADE TO AMR'S
Location: 1515 N INNSBRUCK DR
Start: Mon 5/9/2016 1:00 PM
End: Mon 5/9/2016 1:30 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Hara, Sandra
Required Attendees: Hiatt, Wendy
i
' - City of Fridley
- . . . _ � Watpr Department .__ . :. ... .
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
1/we hereby autharise tl���11��dley and/ar its
employees to do what i�necessary to replace the water meter. ����nd����°��°Nm�
�isl7able for e water tine from the main to the premise and all interior plumbing. (Per 1�11 code _
402.06) I.alsa hold the Ciiy of Fridley and/its employees hariml�ssfor any damages tnai may Qccur
arhile duing this oAeration. This t�include,but not limited to;vaN►es►Piping.wai�s,fl°°rs ar the curb
stop box and service line. I understand I am also required to olrtain a Perrnit Priar to any worty if
necessary. �,, .
- � ���� - ���
. Final m�ter readtng(old meter) `G��"�--'
5(S� �U , I N�S�3�� �� �
Name• Addre�• � .
Phone Number• ��e• ��� � �-v
Signature: � � � � ��
1Nitness 5ignature•
FRIDLEY CITY CaDE .
CH,aPTER 4�Z.WATER,5T8RM WATER,A(dD S�lC['ARY SEWER
ADMINISTRATit}N
(Ref Ord�ln 113,454,565;556,629,638,fi62,92Z,988,1�.44,1156,1191}
402.05.PERMIT FEE �
Prior to canstructing or repair nf any water or sewer tine connectingthe existing municipal system and any house
ar building far which tfie appiication is made,the awner or co�rtrac�tar shall be required to obtain a permi�for such
ca�rrectian,and shall pay a permit fee as provided in Chapte�11 of thi�Cnde. After such connecxlun 6as 6een
made,the 1Nater and Sewer Department shaU be nat�fied. It shall he unlawful to caver any connecting Gne u�til an
inspection has been made and such cannecCion and the work incid�rt thereto has heen app�aved by the Cily as a
properand surtable connection.
402.06.REPAIRS AND MAIMENANCE TO�ON�IEC(tQN
��p��u�rt�nn has tu��nrna��to the water service cur6 stap hax ar the sewer lead at the propert'
line or a water service or sewer lead has been extended to the propertyline for cunnecfion,the apptimnt,uwner,
ar the occupant or user of such premises shall be liable for ali�epa�required to any wate�iine and sewe�Hnes
necessary for connectinn of the premises from the maln ta the premise�. if the propetky owner requests
maintenance service�r repairs he performed by the City,the praperty awrrer shall be charged far the c4sts af the
. maintenance and/ar repairs, inciuding eny ne�es�ary street repairs,at a rate set annuaily by.an admin9shative
policy. It shali be the responsi6ility afthe appiirant,owner,occup�t or user to perform standard rnaintenance af
• the sewer service line from the premises ta the main including de6ris clearing�r root cutting and to malntain the
water senric�cur6 stop box far operability and at 5uch height as w�ensure that it remains above the finished _
,,.grait"eoftir��ta�dvr�rnp�riy.��R�6;8,��.55;-t���:� _. . _ ..._ ._.- _ .:.._ . ... . --_. -:-.� ._..
� - City of Fridiey
- . , -...• Wa#�r Department
....
6431 University Avenue NE - .! , � -
Fridley,MN 55432
[763j 572-356fi
I(we here6y attthorixe d��tY�Fridiey and/or it�
employees to do what i�necessary ta replace the water meter� �under�and that the pro�rt�Y owne+'
ic lia6�f+nr the water line from the main to#�e premise and all inte��o�'P�urobing. (P�Gty cade
402.Q6) I.alsa huld the C�ty nf Fridtey andJil�employees harm�ss ar any amages a ma -
while doing this aperation. This t4 indude,but not limited ta;uaH!es,P�P��•��S►�°4�°c the cur6
stop bax and service line. 1 understand 1 am afsa required to o6tain a perrnit prior to any work,if
necessacy.
- �`� ��� `� (�.�Z���t[��1
�inal meter reading(old meter}
���j �. 1��5��� .
Name: Address: .
Phone Num6er• Date• " ` � �` � . .
5ignature� � ' � �—
Wifiess 5ignaCure•
� �tio«t cinr cooE
CHAPTER 40Z.WATEIt,STORM WATER,MID SANITARY SEWER
ADMINf5TRA17UN
(Ref�rd No 113,464,565;566,6Z9,538,562,9Z2,988,1144,1156,1191J
40Z.05.RERMIT FEE �
Priur to constructing or repair nf any water or sewer line cpnnectingtfie existing municipai system and any house
ar 6uilding for which tfie application is made,the owner ar contractar sha(I be required to obtain a permi�for such
conrtectian,and shall pay a permit fiee as p�avided in Cf�apte�11 of this tbda. Aftes such r,�nnectiaa 6as been
made,the 1Nater and Sewer DePa�tment shall be notified. it shali he unlavuful ta caver any r.onnecting line until an
inspection has 6een made and suth cannecCion and the work incident thereto has been approved by the CitY as a
properand suftahte cannectian.
402.46.REPAIRS AND MAINTENANCE TO CONNEC(ION
�����p�� . •- � �•+a+.,the Water service cur6 stoo bax or the sewer lead at the ptopett'
line or a water service or sewer lead has been extended ta the propertyline for connection�the appticant,owner,
ar the occupant or user of such premises shail be liabte for alf�epalr�required to atry water line and sewer lin+e�
necessary for connection af the prernises from the main ta the premises, 1f the prapecky owner requests
maintenance senrice or repairs 6e performed 6y the City,the pmperty owner shali be tharged far the c��ts of the
. meintenance and/ar repairs, inciuding any ne�essary street repairs,at a rate set annaally by.an adminish'ative
policy. It shall be the responsihility of the applirantt awner,occupant or user to perform standard ma9n#enance af
• the sewer service fine fram the premises ta the main including de6ri5 dearing or root cutting and to mairitain the
water servic�cur6 stap box for operability and afi 5uch height as w�I ensure that it remains abave the finished .
,,.graife of tiri�tand ar�r���ty.-{R�►6;5,�.�55,_:t�9�:� .. .. _ ...._ ._. .. _ ....._ . . .�-� .. _.:. _:..� --�-