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Meter Swap City of Fridley Water Meter Information CALLt(763�5`I2-3�04 TO SCHEDULE FINAL INSPECTION (�.., / i$�-�i1�-�t�c� �r{�1�'V C�/S��,C.,rL.ib l InstallAddress �� -�`7 �,�V� Type: OResidential ❑Commercial �rrigation � ' Cost of Meter �(n f •�'� Tax `�a-- �'i� Paidj�itials� Total Q' �� Owner L��'r��S�;'E-r�G4 S r.t t'�'�SM A�-� Installer /Vd2'p--t "5`t-r�r� �'1�-��f1ti✓1c.� Inspected Meter#yqa��v3Size � �+ C7 ERT# Io9�y�'3y Oials � ��I� inspected Reading inspec�ed By Date � — � �-�'�. Notes White-Customer Canary-Utility Biliing ' , ManUa Ta�Secure to meter until final inspection, inspector to return to UB � _ i ��` 1 � CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE I'��'�'�I�� FRIDLEY,MN 55432- (763)572-3604 FAX: (763)502-4977 ISSUED: 08/15/2017 Permit#2017-01580 ADDRESS : 230 57TH AVE NE PIN : 233024320013 LEGAL DESC : FRIDLEY MARKET 2ND ADD : LOT 2 BLOCK 1 PERMIT TYPE : PLUMBING-LABOR BASED PROPERTY TYPE : COMIv1ERCIAL , CONSTRUCTION TYPE . : NEW INSTALLATION ~� VALUATION . : $1,500.00 NOTE: 'CALL FOR INSPECTION WITHIN 10 DAYS • WOODHILL SUITES-NEW WATER METER AND RPZ FOR IRRIGATION SYSTEM ' A�PLICANT PLUMBING PERMIT FEE,COMM 35.00 STATE SURCHARGE,PLBG VALUE 0.75 NORTHSTAR MECHANICAL INC TO'fAL 35.75 5215 SLTNSET LANE LORE'FTO,MN 5535Z Payment(s) (651)248-2707 CREDIT CARD 3888 01580 35.75 Minnesota State License#:PF.BG-PC645310 OWNER T-L FRIDLEY LLC 11840 VALLEY VIEW ROAD EDEN PRAIRIE,MN 55344; ' AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced wRin 180 days or if�onsVuction or work is suspended or abandoned for a period of 180 days at any time after work is commenced. I hereby certiry that I have read and exami�ed this apptication and know the same to be true and correct. All provisions of iaws and ordinances goveming this type of work wili be complied with whether specfied herein or not The grenting of a permit does not presume to give authority to violatp or cancel the provisions of any other state or local law regulating consVucBon or the performance of construction. ApplicaM Date ' Bidg Insp Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. S� �� . .�.��--s�u� G�'� Request Number: 1b710 Public Works Division Service Request Problem Address: 230 57th Ave Requested By: Cory-North Star Mechanical Department: WATER �,a�,r,s hw� Address: Woodspring Suites Problem/Issue: D Phone Number: 651-248-2707 Scheduled Date: 2017-08-15 Scheduled'ISme: 11:00:00 ��/l � I , ACTION NEEDED:Needs water shut off for about tvNo hours to replace a valv�e,does not anticipate needing water off long. Created by: Beth Kondrick Date Created: 2017-Q8-14 ACTION TAI�N: .........................................................................._._........................................_..__.__._....__......_................_...___..._..__..._..�_....__.........____.__......_......................_.............__.�__..............__...._..........�..._...___._..._._._ �� 0��' � � ��. �L�ra�ry�� ...........................................................�........._.._........................................_....._.__._................_.....�:.........__..........�..............................._._�........_�.................._.........._..........._................._......................_.._......__._____.._ ............................................_....�._�..��.-t�.--�.........__..��..3..............._�.�I��.��w___ .......................__. . ____._. : _. _ � t ............... ...... ........... u�� Z� � �� o� � ........................................................................._.......__..........._....._.................................................._........................................................................... ..............._.._......_. ............._...................____._.____.._............._.....__......_...__._ Status: In Progress Submitter Has Been C, Contacted Date Completed: Completed by: ..' � � — (� � Request Number: 12044 Public works Division Service Request Problem Address: 230 57th A�e Requested By: Tony DeForge-Building Inspectionc Department: WA'IER Address: No address provic�d Problem/Issue: STANDPIPE Phone Number: Scheduled Date: 2016-09-30 Sc6ednled 1ime: 1 � ACTTON NEEDED:Wood Springs Hotel had gr�led lot and the two standpipes are approximately 1 1/2'-2'below grade and need risers.Tony suggested lxinging(2)2-ft pieces and cutting on site.Would like them raised to grade level on 9/30 Created by: Wendy Hiatt Date Crexted: 2016-09-29 ACTION TAI�N: � ......:.................__.._._......._..._��.�P �� _._.._r_�.....n��.�.p�__�c� h � .............................__.._�� --��--�-��n��ti/��'. Status: In Progress 5ubmitter Has Been r Contacted Date Completed: Completed by: ., �1 - 3� -�G ��-�� " ��-� �� Re uest Number: 11772 9 Public Works Division Service Request Problem Address: 230 57th Ave Requested By: Todd wBreth Zen Zen Department: WATER Address: No address provided Problem/Issue: FLOW TEST Phone Number: 612-816-9221 SchedWed Date: 2016-07-28 Scheduled'Rme: Q2:30:00 � - / \ ACTION NEEDED:Flow test Created by: Wendy Hiatt Date Created: 2016-07-27 ACTION TAI�N: .....................................................................................��..........._�_�.....��..._��.._..._`:..�YT`.�-.-........_.__.................._....._____..____...._...... c � .........................................................�I�_�.��......`��.............�......_W�'S��-��_�.�.._.°.................___ ______.._....................................._��_c.-_..�.��-�c'..........o�.........I_�..�1..._�:��.`_�..................................................................._...__............ ..................................................................�.........._�....._4��............NJ...�.........._....._.L�.�....�.°�5....._�.........................................................................................__._..._....._...__.___._._._...._.......___.. .................................................................................................................................................................................................._.............................................................................._..._........................__._........................................................................_.............. _................................................_...................................................................................._..._.............._............._.................................._.................................................................................................................__...._..__...__.._._.____..._...._......................... Status: In Progress Submitter Has Been C, Contacted Date Completed: Completed b : _7_ �$--l� Request Number: 11741 Public Works Division Service Request Problem Address: 230 57th Ave Requested By: Todd wBreth Zen Zen Department: WA1ER Address: No address provided Problem/Issue: FLOW TEST Phone Number: 612-816-9221 Scheduled Date: 2016-0'7-21 Scheduled Time: 02:00:00 -..�c� 2l bT c� ACTION NEEDED:Flow test Created by: Wendy Hiatt Date Created: 2016-07-20 ACT[ON TAI�N: ...�.....�.._.....�-......�................_�ls��__�.......�".......�...�................�_�....�......`�...........�--._.............._............................................_. _.__. _. — �........_�._�._�..1.-....._.2��--�L............'��........��`�I�._..��.r....................... ................................................................... _................................._��c..�........�.._�..:�t...._��......�02.._..`r_�=..............�-r�'L.....................____..___....................._........ ��S�R.�c.z� C�--t�� .............................................................................................................................................................................................................................................................................................................................................................................._.__...._._...._..... .........................................................................................................................._......................................................_.......___..............._................_........................_......................................_................_..............._..........:.._............._.............__.._..._.__ ........................................................................................................_.__..................._..........................................................._...._............................................._......_.._.................................................__..........................___........�....................__............ Status: Tn Progress Submitter Has Been C Contacted Date Completed: Completed by: � -- 1-l� � > J ` Request Number: 12213 Public Works Division Service Request Problem Address: 230 57th Av�e Requested By: Departme�: WA1ER Address: No address provided Problem/Issue: 'IURN WATER ON/OFF Phone Number: Schednled Date: 2016-11-10 Sc6eduied 13me: ACTION NEEDED:Turn water on. Created by: Wendy Hiatt Date Cre�ted: 2016-11-10 AGTION TAi�N: .___..._.. �._ ._.._._._ ___ �r ____.__ _ ___._ �� o►� �U�'c � �°�. -� Status: In Progress 5nbmitter Has Been r ContActed Date Completed: Completed by: , � �- l�-�, . „ ' I 333 Main Street NW Wate r P.O. Box 388 Laboratories Elk River, MN 55330 Phone: 763-441-7509 �Cl C. Fax: 763-441-9176 DRINKING WATER LABORATORY TEST REPORT Last Name: JULIAN M. File#: 12471 First Name: JOHNSON CONST. DatefTime in Lab: 7»arzo�s�o:5s Aau Address: 6191 140TH AVE NW City: RAMSEY Unique Weil�: State: MN Zip Code: 55303 Drillers#: County: Legal: JOB: 1219; WOODSPRING HOTEL, HWY 47& 894, FRIDLEY, MN 5544$ Ordered By: JULIAN JOHNSON Sampied From: Riser r Sampled By: JEFF-JULIAN JOHNSON Date�me Sampied: 07/14/20161015 CONST. Reason For Test: Colfform Only Sample Temp: >4”C AdALYTE$METHOD DATE&TIME OF AAAXIMUM CONTAMINATION TEST RE3ULTS ANALYSIS �FyF�IFPe1 Colifortn Baeteria(SM 9223 B� 07/14/2016 1135 Negative Nega6ve This sampk DOES meet EPA guidelines for safe drinidng water fa the Analy6es bated. Notes: The test r�esuHs are only indicative of the sarr�le tested irom the sar�le point on the date collected. This report must not be reporciuced,except in full,without the written approval from Water Laboratories,Ina Minnesota CertificatiorMt 027-141-110,Wiscons�Certification�399044470 Water Laborato�ies,Inc. Amount Billed: $25.00 B , �� Date Paid: y. �, �,.s..�.,,�.,� Amount Paid: Date: 07/15/2016 Received 8y DA Entered By EK Edited By DA