Meter Swap - Request Number: 15806
Public Works Division
Service Request
Problem Address: 175 Logan Pkwy Requested By: Peter Berglin
Department: WATER Address: No address provided
ProblemfIssue: INSTALL AMR METER Phone Number: 612-695-0035
Scheduled Date: 2017-06-17 Scheduled Tlme: 11:30:00
-��` ' �
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 201�-06-06
ACTION TAI�N:
..................................................................................................................................................................................................................................................................................................................................................._.._................__....._.._._�......._..._..
..................................................................................................................................................................................................................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................................................................................................................
Status: 1n Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
3,1 -��� r�o d �
Ci#y o#�ridley `'.� ��!
� Water Depa�trraen�
' b431 l�niversity Avenue NE
Frodley, MN 55432
763-572-3565
�/"'Ve hereby authorize the City of�ridley and/or its 2mp{oyees to do what is necessary to
replace the water meter. f understand that the�roperty owner is tiab[e for the rnrater line frorn#he anain to�he premise and all irrteraor
plurnbing. (Per Crty�ode 402.06� 1 also hold the City of Fridiey and0its employees harmless for any damages that may occur whiie doing this
operatiom. This to include,but not limited to valves,piping,walls,floors or the�urb stop box and service line. in understand l am also requirE
to abtain a permit�rior to any work,sf a�ecessary.
FBNAL ME'9'ER READING(old metert W� � ���
Name: S t� l�eN ��nf`�L l� Address �7 � C�{� t�J 1(� �
�
Phone Number ��' C:�CI 3�Oate 6 / I� I { �
�
Signature " � Witness Signature
OLD NlE�'ER# ` � i � �1�1 �1('� � � 2� ` ��� �
OLD IiEAD9NG�.c�� '��
��,� ��E�# II IIIIIIIIII{IIIIIIIIIIIIIIIIIIIII
49226339
NEUI/ i�EADING
E�T# Illlilllllliilllllllll E -
11 72227448
FRIDLEY�ITY�ODE
CFiAd�TEIt 4(�2.WA�'ER,S3'OR1VI WATER AND SANI7'ARl(SEWER
ADMBNlSTRATION
(Ref Ord No 113,4f4,565,566,624,538,662,�22,988, 1144, 1156,1191)
402.5 PERf1t11T FEE
.
Pcioc to constructing ar repair of any water of sewer line connecting the existing municipal system and any house ar buitding for which the
application is made,the owner or contractor shall be required to obtain a permit for such cannection,and shall pay a permit fee as provided in
Chapter 31 of this�ode. After such connection has been made,the Water and Sewer Department shall be notified. It shall be untawful to cover
any connecting line until an inspection has been made and such connection and the work incident fihereto�as�een appcoved by the City as a
proper and suitable connecCion.
A02.06 REPAIRS AND MAINTENANCE TO COMNEC'T'TIOiV
After the initiai connection has been made to the water service curb stop 6ox or the sewer iead at the property line or a water service lead has
been extended to the p�operty line for connection,the appticant,owner,flr occupant a�user of such premises shall be liabte for all repairs
required to any water line and sewer fines necessary for connection of the premises from the main to the premises. if the property owner
requests maintenance service or repairs be gerformed by the City,the property owner sha(I be charged for the costs of the maintenartce and/or
repairs,including necessary street repairs at a rate set annualty by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perEorm standard maintenance of the sewer service line from the premises to the main including�ebris clearing or
root cutting and to maintain the water secvice curb stop box for operability and at such height as will ensurs that it remains above the finished
grade afi the iand or property. (Ref 638,1156,1191)
. , ' Request for Service Report
City of Fridley
Reference No: 601-11-3276 Date: OSI02I11
Requesk Type: Turn water oFflon Entered By: Wendy Hiatt
Department: Waker Citizen Name: Mike-J J Plumbing
Address: 175 LQGAN PK4lY NE Callback Phone: 952-406-2843
Scheduled Date= 08l04111 9:00 AM���� Property Owner:
.��
Location Details: Request Details= Shut water oFF learre kep
� ���L� �������� ����
"x""B I LL'x""'
Action Taken:
� .._..�-- ---...�...�_ _�_.._ _-_
��q�s�- � ��� � -� � � � c � � b �d�.
�Q�� �y �� �� U � uwv �2 � • Pi t� �ee� iJ p-
1
I��'� `-u�+�' � n � �- �o�.y ,
I
�
Responsible Person: I � '
� .
�__,.__
Approver:
Completion Date: ���� `�Citizen Notified
� �_���� �.
� , _ .._ ._... _.
City of�'TiC31e,1
�'aie�De�a��?ent
5�31 LT�v�rsity_�v enue�aL.
Fridley�i�'r�T 55�32
(i63) �72-�5�1 �
U�re he�ei�v aut�io�:� thv �i�� oz�'��ley a.�c�'/or its -
employetis ifl �o ��at��.e��ssary t��r;,-�lace Lhe wazLr me�er_ T_understand 'r11ai�.�e
propeiiy o�.er is liable ior ihe�vater line�o�i.he m�ai�to t�e p�e�is� an�.a11 i�.i,�ror
p�u�bi�a- (�er�i� c�d��L�2.0� 1 a?sfl �old i�e Lity�i Fridley and/or iis e�lo;retis
�ar�nless iar any damaQes t�ai�a1 o��u�w3�i3e �oi-nG t�is opeiaTifln This to incla��.but
�oi li�iterl to; �ialves, pip�ng, svalls, f oors or t;�e c•�'�st��b�n an3 s���ice line. 1
undeistand I am alsa zequ'u-e� �o ob� a i��it pror�� �n;�io-�?�, :z neti�ssa�-V.
��ame: _���ess:
�nc�ne l�u�aber: Date-
/ ,•' `
Si�i atur�: ..• ' -
�� `
�l1r1tL�S5 �1�a.tlll':,: /
i43 :'' .��T�i�� `����'''�I "_
- �'��'�'��=�fl?.���ly�,��'�'$�1Y��n�'-��+'��'� 5��3:�i3�'����'�
�l�i��'�'��'�'�fl2�T
(IZei Ord i�Ta 11�, ?b�,�6�, �a'o, 0'29, o�o, 002, 92�',938, 11=1=1, l l�o, 1191)
=#a2.�5_ ��'�s�'��� ,
Prnr to consuuc�ng or rep�ir oi any�,vaie:or sewer_line c�naecriug the e„isting municips.l system and any
house or ouiI�g�or wiiicn t�e a�pl�cation is made,the o�it�r or cantractor shall be re:�usre�to obiain a
pemit for such conne��ion, ar!d s�zll pa�a per_niz fee �s provideci in Cnanter 11 oi-i�is Code. _�er�such
cannzc�an has buen mad��e�?atzz an�Sztive<:�epa�-l�en��all be�o�e� it shall be urlaw�iti iL co��er
any con�ec�n�iine until aa iuspecrion has be�n�ade and su�h canne��on and the woric i��id�ni ti��reta
has been a-�prcVed by�e Ci�T as a prooer ar�ct s�i.table canne;tion_
=±02.�a. �.��'a���i"��..�rd'�'��Ta�'T���'�"3 �����'T��1T
�1�e�the iai��l.con���iion uas bee��ade ta i�L��arer service c�.�-b stop bon or u�e�awe�lead�t�e
oroper��line�ar z wate:ser�n_'cs�r seuzer'ead'�as b�tin z�endeu ifl�.he prape�-ty lin�for ean�ec�o�;�e
appLtcani, Ownei,or the occup�t or user 3i sac��rzmi�ses shall'oe liable tar ai't re��ss rzquir�d to any
;vater line an�any se��-]i�.es netiessa.�,��r ca�nec�on o'r�?�e premises Trom�e m-ain ta �.he gzemises_ Lf -
the proper�y o��r?ier re�uesis��n�zrance se�nces or re�,aL-s�e perrormed by?he �ii�l,�e propez?y o�x�ne�
shall be c�ar�eci ior�e costs oi�he maiute�anca a�d/or��a�rs, incl'�diu;anY necess�J sireet repairs,at a
rdiv Se�aIlI'ii13]JY DV 2Il 3CiID1�1,STSgI1✓��olicy. ?=shail�e ti�e respcnsib�iit�r ofthe a��3�c�T, o��ner, oc�,�ani
�r us�r to pezi�rm st��dard�anie�anc�Qz he sewer servic�_1_;ne aom the p��ises io the�am inclu�g
de'�ris clQa�-ing or r�ot c�sifi�a�d io mainTain i�e wat�r servic� curb si�p b��iar aperabiliiy�nd at suca
he��t us will ensrs-e;�at i�rem�s aba�r��ue�i.s�i��ade oi u�e laad or�ro�ezty_ �2�i 534, 7���, 11�1)