Land Alt 5980 Anna Ave NO PERMIT NeededReceipt#\ P i'
Fee: PemtitNo.
�) CITY O_ F FRIDLEY
LAND ALTERATION PERMIT
APPLICANT METRO ASPHALT & CONCRETE SERVICES Tel.# (763) 428-4121
Contact Person JULIE ROLFES Email: JULIE@METROPAVINGINC.COM
Address 14350 NORTHDALE BLVD. ROGERS, MN 55374
PROPERTY OWNER(S)
]FAME NORTHSTAR PROPERTIES OF MN, INC. Tel.# (612)788-5600
Address 2505 SILVER LANE NE, MINNEAPOLIS, MN Email: BRYANJONES@COMCAST.MET
NAME
Address
Lot: J Block:
Tel. #
LEGAL DESCRIPTION OF PROPERTY
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DESCRIPTION OF LAND ALTERATION
Value of Work: $, 65 • gg�Q� Starting Date:Irl, 7 Completion Date -011,16 a S f 7
Source and Composition of Fill: RECLAIM EXISTING PARKING LOT
PURPOSE OF LAND ALTERATION
INSTALL NEW BITUMINOUS
ATTACHMENTS TO APPLICATION
Include the following information if applicable. Contact City Engineer for questions regarding applicability.
[ ] Half -section map or sketch of property showing all adjacent property indicating the existing buildings and/or structures.
[ ] Grading plan showing existing and proposed finished contours and evaluations.
[ ] Drainage plan showing existing and proposed drainage structures, stabilization walls, retaining walls, cribbing, dams, or
other protective items.
[ ] Drainage report or calculations demonstrating compliance with Fridley Code Chapter 208 and local watershed
requirements.
[ ] Calculations for and approximate quantities of excavation and/or fill required.
[ ] Signed statement from the property owner accepting responsibility for the operation and granting permission for land
alteration/mining operation.
[ ] Statement to be attached to deed advising of potential need for soil tests prior to any construction on lots where additional
fill material has been placed.
[ ] Copy of local watershed approval or correspondence for work within Rice Creek Watershed District or Coon Creek
Watershed District.
[ ] Soil Borings
[ ] Erosion and Sediment Control Plan (SWPPP)
Other /i✓or-SOL' 7y1' f®cyrwi,v� fjyt�?S .ts'
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STIPULATIONS
READ BEFORE SIGNING APPLICATION
I. A surety bond or certified check in the amount of $ (5% of value of work to be completed) must be
submitted after approval of application and prior to any work commencing. This bond or check is to ensure satisfactory
performance and compliance with the below stated stipulations and/or approved plans. The surety bond or check shall
be kept active until the completion of work and/or expiration of permit and can only be released by written notification
of the City after a satisfactory final inspection has been performed by the City.
2. All access and street frontage of the land alteration site must be controlled by a fence, a minimum of four (4) feet in
height. All entrances must have gates that are capable of being locked.
3. Only rock, sand, gravel, dirt, or similar natural earth fill is permitted. No concrete, asphalt, or demolition wastes will be
permitted as fill unless a demolition landfill permit is first obtained from Anoka County.
4. Operations shall be limited to daylight hours and shall not interfere with the health and safety of surrounding residents
and the premises shall be maintained at all times so as not to create a nuisance.
5. Any explosives used must be done so in accordance with Chapter212, subsections 212.07.5A, .5B, .5C, .5D, and .5F. of
the Fridley City Code and any other applicable standards, e.g. Federal, State, Industrial, etc.
6. At the end of each season's operations and no later than the last day of December each year, the site is to be left in a neat
and orderly condition, with maximum slopes of 2:1 with no overhang or vertical banks and with a level bottom.
7. On the Friday of each work week, or when required by the City, material from this operation that is found to exist on
City streets shall be cleaned to the City's satisfaction by the applicant.
8. Upon completion of land alteration operations, the land must be left according to the plans and contours submitted with
this application and planted with suitable vegetation to prevent erosion.
9_ Upon completion of land alteration operations or expiration ofthis permit, an inspection will be made by the City of the
premises and adjoining streets. Any damage found to have been caused by these operations will be corrected by the
applicant upon notification by the City.
J Date: I
Applicant's Sig ature
Property Owner's Signature
Property Owner's Signature
Recommended for Approval By:
Approved By:
Date:
Date:
FOR CITY USE ONLY
PERMIT EXPIRATION DATE: �� /7
Date:
LAND ALTERATION PLAN -CHECKING FEES
50 Cubic Yards or Less
..........................................................................................................
51 to 100 Cubic Yards..............................................................................................................................$
No Fee
101 to 1,000 Cubic Yards.........................................................................................................................$
23.50
11,001 to 10,000 Cubic Yards
35.00
........................
............................................................................................
0,001 to 100,000 Cubic Yards.................................................................................................................
$ 49.25
$ 49.25
for the first 10,000 cubic yards plus $24.50 for each
additional 10,000 Cubic Yards or fraction thereof.
100,001 to 200,000 Cubic Yards
.............................................................................................................$269.75
for the first 100,000 cubic yards plus $13.25 for
each additional 10,000 cubic yards or fraction
thereof.
200,001 Cubic Yards or More
50 Cubic Yards or Less.........
51 to 100 Cubic Yards ..........
101 to 1,000 Cubic Yards .....
1,001 to 10,000 Cubic Yards........
................................................ $402.25
for the first 200,000 cubic yards plus $7.25 for each
additional 10,000 cubic yards or fraction thereof.
LAND ALTERATION GRADING PERMIT FEES
10,001 to 100,000 Cubic Yards ......
100,001 Cubic Yards or more
............................................................................... $ 40.00
............................................................................... $ 47.50
........................................................................... $ 47.50
for the first 100 cubic yards plus $10.50 for each
additional 100 cubic yards or fraction thereof.
................................................ $167.00
for the first 1,000 cubic yards plus $9.00 for each
additional 1,000 cubic yards or fraction thereof.
..................................................... $273.00
for the first 10,000 cubic yards plus $40.50 for each
additional 10,000 Cubic Yards or fraction thereof.
................................................ $662.50
for the first 100,000 cubic yards plus $22.50 for
each additional 10,000 cubic yards or fraction
thereof.
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