Meter Swap ��'���_�/���9�
02--1 I
Request Number: 6787
Public Works Division
Service Request
Problem Address: 860 Ouerton Dr Requested By: Mary Loberg
Departrr�ent: WATER Address: No address provided
Problemllssue: INSTAI.L METER Phone Number: 572-0478
Scheduled Date: 2013-0&26 3cheduled Time: 09:00:00
ACTION NEEDED:2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-21
ACTION TAKEN: � �
Old meter#4 12 qd reading• 01 80 mete�#Same ERT#35191805
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Status: Complet� Resident Contacted ❑
Date Completed: 2013-08-26 Completed by: Keven Becldin
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' INSTALLATION
�.NOF ATER METER
FRIDLEY
Address �6� aV8(`TG'h, U�
Name �by Lober�
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Date �"'��i�, �' l�
Old Meter Number � � �C"�� 3�b
Old Meter Reading L� � a� �
Replacement No. `�� � g � ��' �
Re lacement Reading T
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Replacement Make ��- ���
Remarks: �
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Signe •
Request Number: 6787
Public Works Division
Service Request
Problem�ldress: 860 C)verton Dr Requested By: Mary Loberg
Department: WATER Address: No address provided
Problemllssue: INSTALL ME'fER(WAlER) Phone Numbe�: 572-0478
Scheduled Date: 2013-08-26 Scheduled Time: 09:OO:OQ
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ACTtON NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&21
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: Compteted by: �
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6 -i3 �`�
Hiatt, Wendy
Subject: Mary Loberg, 763-572-0478, AMR @ 9:00 AM �
Location: 860 Overton Dr
Start: Mon 8/26/2013 9:00 AM
End: Mon 8/26/2013 9:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
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City of Fridiey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. t understand that the property owner
is liabie for the water line from the main to the premise and all interior piumbing. (Per City wde
402.06) 1 also hoid the City of Fridley and/its empioyees harmless for any damages that may occur
while doing this operation. This to inciude,but not limited to;vaives,piping,walis,ftoors or the curb
stop box and service line. I understand i am atso required to obtain a permit prior to anywork,if
necessary. �
Finai meter reading(old meter) � , ` � � �
Name� Address•
' � � � � I
Phone Number• Date:
Signature• ���'
Witness Signature: ��
�RIDLEY CITY CQDE
CHAP'TER 402.WATER,ST�RM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,562,922,988,1144, 1156,1'191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any hous.e
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawfui to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
402.06. REPAIRS AND MAINTENANCE TO CONNECTiON
After the initial connection has been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shali be tiable for alt repairs required to any water line and sewer tines
necessary for connection of the premises ftom the main to the premises. If the prope[ty owner requests
maintenance service or repairs be performed by the City,the property owner sha�l be charged for the costs of the
maintenance and/or repairs, includin�any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
- the sewer service line from the premises to the main including debris ciearing ar root cutting and to maintain the
water service curb stop box for operability and at such height as wi!!ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
Request for Ser�ice Report
Cit�r of Fridley
Reierence No: 601-11-2932 Date: �3I24I11
Request Type= Install regular meter Entered By: Wendy Hiatt
Department: Water Citizen Name: Roy1a41�ery 1-..ob�rq
rf
Address: $60 OVERTON DR NE Callback Phone: 763•572-047$
Scheduled Date= 03I24I11 1:00 PM Property Owner:
Location Details: Request Details= Change old meter
Action Taken:
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Responsible Person: � E �c��
Appro�er:
Completion Date: � ��� _ r / �en Notified
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. ' City of Fridley
' Water Depa.rtrnent
6431 University Avenue NE
Fridley MN 55432
(763) 572-3561
Uwe �'l��y �6�-�y hereby authorize the City of Fridley and/or its
employees o do what is necessary to shut off the water at the curb stop box. I understand
that the property owner is liable for the water line from the main to the premise. (Per
City code 402.06) I also hold the City of Fridley and/or its employees harmless for any
damages that may occur while doing this operation. This to include, but not limited to,
sod, yard, landscaping, trees, shrubs, driveways, sidewalks or the curb stop box and
service line. I understand I am also required to obtain a permit prior to any work.
Name: _�lry ��' bB r`i Address: ��'o � J��1�n ��-. �, `
Phone Number: �� �- S'1a-��'��l� Date: � - a�( -�(
Signature: �� IU�ti'"j ,�`�`7
.r--F-
Witness Signature: � � i�r--�� �� �
FRIDLEY CITY CODE
CHAPTER 402. WATER,STORM WATER AND SANITARY SEWER
ADMIl�IISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156, 1191)
402.05. PERMTT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any
house or building for which the application is made,the owner or contractor shall be required to obtam a
permit for such connection,and shall pay a permit fee as provided in Chapter 11 of ttus Code. Af3er such
connection has been made;the Water and Sawer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto
has been approved by the City as a proper and suitable connection.
402.06. REPAIRS AND MA.INTENANCE T�CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the
property line or a water service or sewer lead has been e�ctended to the property line for cnnnection,the
applicant,owner, or the occupant or user of such premises shall be liable for all repairs required to any
water line and any sewer lines necessary for connection of the premises from the main to the premises. If
the property owner requests maintenance services or repairs be performed by the City,the property owner
shall be charged for the costs of the maintenance and/or repairs,includi.ng any necessary street repairs,at a
rate set annually by an administrative policy. It shall be the responsibility of the applicant, owner,occupant
or user to perform standard maintenance of the sewer service line from the premises to the main including
debris clearing or root cutting and to maintain the water service curb stop box for operability and at such
height as will ensure that it remains above the finished grade of the land or property. (Ref 638, 1156, 1191)