Meter Swap I
� Request Number: 13334
Public Works Division
Service Request
Problem Address: 5835 Central Ave Requested By: Richard Hadl�d
Department: WATER Addreas: 5835 Central Are
Fricgey,MN SS432
Problem/Ia:ue: INSTALL AMR ME'IER Phoae Numbers 763-571-7664
5cheduled Dsite: 2017-02-15 5cheddled Tlma: 09s00:00
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ACTION NEEDED:
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�Created by: Beth Kon�ick Date CraaRed: 2017-Q2-07
ACIION TAI�N:
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Ststus: 1a Progress Sabmitter Hsis Been r,
Coqtncted
Datt Completed: a— �,5 ' �,� Compteted by: ���aL
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�li/a�e��e�sar�a��s�
�4�1.l9niversitqf J�vea�a��NE �� �,�, �
Fracltisy,lU1N 55432
y � 7�3-572-3555 i� �1� " I �]�� �t J "� /
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,�'"°� hereby autharize#he�tity of Fridfey andjor its empioyees to s!o what ds necessary tn
replace the wafier meter. �understand that fihe propea-ky owner is liable foa-the+arater(ine#rom the main to the premise and all irrterior
p4e�errbing. (Per C"rry cosle 402.06j i elso hold the City of Foidley and�ts emptoyees fiarm{ess#or any damages that may accur�rhife daing this
o�eration. �'his#o�nclude,bufi no#lim�ted io ualves,piping walis,floors or the curb stop box and service fine. In understand!am aiso regui�
to obtain a permifi prio�r to�arry a�ork,if aiecessary.
F1l1tAL METER READMIG�ofd mefierj � ��`� � �
lYame• `�'�V�1�-�Y_� �'e[`�GtiY�,G Address,✓ U�� 1.�1/1,�1/�,! �Y' •
Phone 9Yumber !�OKj"'�/ 7� '" ���' 1 Bate �� ��^ ` �
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Signature Wiiness S+gnature
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NEW METER# ! � { �� � ( V
NEW READ1t1PG O
FR�# _� ! � ! G�3o�, �
fRlDLEY CITY Cf9DE
CHAPTER 402.WATER,570RM WATER AND SANlTARY SEWER
ADAAtA11STRA'f{ON
(Ref Ord No 113,464,565,566,629,538,662,922,988,1144,1156,1191j
R02.5 pERMIT FEE
Prior to constructing or repair of any wafier of seover line connecting the exisfing muniapal system and arry i�ouse or buildin�for which the
applicafiivn ss made,tfre owner or vorttractor shatl be required to abtain a permit for such connection,and sF�al{pay a permit fee as provided in
Cha�ter 11 of this Code. After such connection has been made,the Water and Sewer Departmes►t�aA be notified. R shall be untawful to c�
any connecting line until an irrspection has been made and such connection and the wos�c inciderrt Chereto has been appraved by t,he C[ty as a
proper and suitabie connection.
402.06 REPAtRS AND MAINTEIYRNCE TO CONNECTION
After the initiat connection has been made to the water service cu,ti stop box or the sewer lead at the property itne or a water service iead has
been extended#o the property fine for connection,the appiicarrt,owner,or a+ccupani or aser aF such prem�ses shatt be tiabie for a8 repairs
required to any water line and sewer lines necessary#or connectian afi the premises from the mai�to the premises. If the propert,y owner
requests mairrtenance service or repairs be performed by the Ctty,the property owner shat!be charged for the tvsts of the mairrter�anae and/o�
repairs,incfudtng necessary y�ereet repairs at a rate set annuai{y by an administrative poticy. tt shatl be the responsbility vf the appficarrt,
owner,occuparst or user to perform standard mairrtenance af the sewer service line from the premisEs to#he main induding debris deartc�g or
rvot cutting and to mairrtain#he water service sa�rb sfiop box for operability and at such height as wiil ensure that it remair�above the fiaished
grade of#he land or property. (Ref 638,1156,1191)
, Request Number: 1ll93
Public Works Division
Service Request
Problem Address: 5835 Central Ave Requested By: Citizen
Department: WATER Address: No address provided
Problem/lssue: WATER MAIN BREAK Phone Number:
Scheduled Date: Scheduled Time:
ACTION NEEDED:Water main break.Gopher ticket#160540007
�iL I I.e�, i�(CI��C��2-�—'� I!00 J1-I c�?�(�-/ °
Created by: Wendy Hiatt Date Created: 2016-02-23
ACTION TAKEN:
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.............................................................................................................................................................................:...................................................................................................._..................._.............................._................._..._.._.._._.......................___......
Status: In Progress Resident Contacted C�
Date Completed: Completed by:
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Hiatt, Wendy
From: do_not_reply_mn@korweb.com
Sent: Tuesday, February 23, 2016 6:17 AM
To: gsrequest
Subject: Ticket 160540007 Sent by GSOC One Call
KORTERRA 70B CITY-LOCAL-1 160540007 Seq: 1 02/23/2016 06:17:@2
Gopher State One Call Locate Request
----------------------------------------------------------------------------
NEW
Ticket Number: 160540007 Old Ticket:
By: mncathle Source: VOICE
Type: EMERGENCY Date: 02/23J2016 6:15 AM
Send To: CFRDLY01 Sequence: 1
Company Information
----------------------------------------------------------------------------
CITY OF FRIDLEY Type: FACILITY OPERATOR
6431 UNIVERSITY AVE
FRIDLEY, MN 55432
Caller: GARY BULAN Caller Phone: (763) 572-3566
Contact: GARY BULAN Contact Phone: (763) 238-8069
Company Phone: (763) 572-3566 Company Fax:
Company Email: JENSEN7(�CI.FRIDLEY.MN.US
Work Information
----------------------------------------------------------------------------
State: MN Work Date: 02/23/2016 6:15 AM
County: ANOKA Done For: tITY OF FRIDLEY
Place: FRIDLEY
Street: 5835 CENTRAL AVE
Intersection: GARDENA AVE NE
Type of Work: EMERGENCY - REPAIR WATER MAIN
Explosives: No Tunnel/Bore: No
Right of Way: Yes Duration: 5 HOURS
Area Marked: No
Remarks Information
----------------------------------------------------------------------------
MARK A 75FT RADIUS OF THE ORANGE CONE ON THE SE SIDE OF THE STREET PLEASE
MARK WITH PAIPIT AND FLAGS WATER IS BUBBLING UP
CREW IS Ofd SITE
Link To Map_LINK for CFRDLY01: http://mn.itic.occinc.comlVK3R-F2A-5RZ-EAG
Facility Operators
----------------------------------------------------------------------------
Code Name Phone Number
----------------------------------------------------------------------------
ATTLCL@1 AT&T LOCAL SVCS/TRANSMISSI-TCG (608) 85@-9280
CFRDLY01 CITY OF FRIDLEY (763) 572-3566
COMCST03 COMCAST (612) 522-8141
1
�iiatt, Wendy
From: do_not_reply_mn@korweb.com
Sent: Tuesday, February 23, 2016 7:49 AM
To: gsrequest
Subject: Ticket 160540044 Sent by GSOC One Call
KORTERRA JOB CITY-LOCAL-1 160540044 Seq: 2 02/23/2016 07:49:07
Gopher State One Call Locate Request
----------------------------------------------------------------------------
NEW
Ticket Number: 16054@044 Old Ticket:
By: mnsophia Source: VOICE
Type: EMERGENCY Date: 02/23/2016 7:48 AM
Send To: CFRDLY01 Sequence: 2
Coropany Tnformation
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VALLEY RICH COMPANY Type: CONTRACTOR
147 JONATHAN BLVD
CHASKA, MN 55318
Caller: SCOTT COFFIN Caller Phone: (612) 839-8504
Contact: SCOTT COFFIN Contact Phone: (612) 839-8584
Company Phone: (612) 839-8504 Company Fax:
Company Email: SCOTTC�IVALLEYRICH.COM
Work Information •
----------------------------------------------------------------------------
State: MN Work Date: 0212312016 7:45 AM
County: ANOKA Done For: CITY OF FRIDLEY
Place: FRIDLEY
Street: 5835 CENTRAL AVE NE
Intersection: GARDENA AVE NE
Type of Work: EMERGENCY REPAIR WATER MAIN
Explosives: No Tunnel/Bore: No
Right of Way: Yes Duration: 1 DAY
Area Marked: Yes
Remarks Information
----------------------------------------------------------------------------
MARK 75FT RADIUS OF ORANGE TRAFFIC CONES AND WHITE PAINT IN FRONT OF THE PROPERTY.
CREW ONSITE.
Link To Map_LINK for CFRDLY01: http:llmn.itic.otcinc.com/BEAA-3RR-F25-Z66
Facility Operators
----------------------------------------------------------------------------
Code Name Phone Number
----------------------------------------------------------------------------
ATTLCL01 AT&T LOCAL SVCS/TRANSMISSI-TCG (608) 850-9280
CFRDLY01 CITY OF FRIDLEY (763) 572-3566
COMCST03 CC3MCAST (612) 522-8141
CTLMN01 CENTURYLINK - CTLQL (855) 742-6062
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