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CITY OF LITTLE CANADA <br />515 East Little Canada Road / Little Canada, MN 55117 <br />FILLING AND GRADING PERMIT APPLICATION <br />Applicant to complete numbered spaces only. <br />1047 <br />Job Address <br />2817 Edgerton Street <br />Bldg. Permit No. <br />Legal <br />1 Descr. Part of 1,2,3 5 <br />Lot No, Blk. <br />Tract <br />Gervais Heights See Attached Sheet <br />Owner <br />2 <br />Mailing Address Zip <br />Phone <br />Don /Joan Rada 2817 Edgerton St. St. Paul, MN 55117 484 -5348 <br />Applicant <br />3 <br />Mailing Address <br />Zip Phone <br />Architect or Eng. Mailing Address <br />4 Veit & Co. Inc. Rogers, MN 55374 <br />Zip Phone <br />428 -2242 <br />Contractor Mailing Address <br />5 Frattalone /Veit /Don Rada <br />Zip Phone <br />Purpose of Fill or Excavating <br />6 To blend property and enhance overall Gervais Mill Pond Project <br />Type and Amount of Fill or Excavating <br />7 Clean, compactable; approximately 11,000 yards <br />8 <br />Special Conditions <br />PERMIT FEE$ 300.00 <br />NOTICE <br />This permit becomes null and void if filling or grading authorized is not <br />completed within 180 days, or if filling or grading is suspended or <br />abandoned for a period of 180 days at any time after work is com- <br />menced. Any work not completed within 180 days requires a new permit. <br />I hereby certify that I have read and examined this application and <br />know the same to be true and correct. All provisions of laws and <br />ordinances governing this type of work c p whether e sums to <br />specified herein or not. The granting of a <br />give authority to violate or cancel the pr i r state or <br />local law regulating filling or grading. <br />MAR 3 0 1993 <br />CITY OF LITTLE CANADA <br />50 cubic yards or less $15.00 <br />51 to 100 cubic yards 22.50 <br />101 to 1,000 cubic yards - $22.50 for the first 100 cubic yards, <br />plus $10.50 for each additional 100 cubic yards or fraction thereof. <br />1,001 to 10,000 cubic yards - $117.00 for the first 1,000 cubic yards, <br />plus $9.00 for each additional 1,000 cubic yards or fraction thereof. <br />10,001 to 100,000 cubic yards - $198.00 for the first 10,000 cubic <br />yards, plus $40.50 for each additional 10,000 cubic yards or fraction <br />thereof. <br />100,001 cubic yards or more - $562.50 for the first 100,000 cubic <br />yards, plus $22.50 for each additional 10,000 cubic yards or fraction <br />thereof. <br />Other Inspections and Fees: <br />1. Inspections outside of normal business hours $30.00 per hr1 <br />(minimum charge -two hours) <br />2. Reinspection fees assessed under provisions of <br />Section 305 (g) 630.00 per hr1 <br />3. Inspections for which no fee is specifically indicated $30.00 per hr.' <br />(minimum charge - one -half hour) <br />for the total hourly cost to the jurisdiction, whichever is the greatest. <br />This cost shall include supervision, overhead, equipment, hourly wages <br />and fringe benefits of the employees involved. <br />Signature of Contractor or Authorized Agent <br />■ <br />Signature of Owner (I <br />.a —rtT_ 7 7�.."�i/C,. i <br />ner Contractor) <br />(Date) <br />(Date) <br />Building Official <br />(Date) <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />WHITE - Inspector <br />CANAR Y-Customer <br />PINK- Office <br />Page 38 <br />Permit Validation Ck MO <br />Total Fee Collected S <br />By <br />Cash <br />