PRE 2010 DOCSDate:
e M =—
Address
May 19, 1967
Arthur Silseth
400 Rice Creek Blvd.
Builder
Address
N° 9254
Charles Johanson
160 Hartman Circle
LOCATION OF BUILDING
No. 400 Street Rice Creek Blvd. ____ part of Lot
Lot 1 Block 2 Addition or Sub -Division . Holiday Hills 2nd Addn.
Corner Lot _—._ Inside Lot — Setback 35 Sideyard — 5 - 17
Sewer Mevation ____ _ _850.48NNNNUAKEXUPfflon_ __ 853.48
Top of Footing
DESCRIPTION OF BUILDING
To be Used as:
Dwelling Front 4. , Depth30' Height ._._.. 20 Sq. Ft. 1265 Ca. Ft
Garage Front 24 Depth T^2 Height 1 Sq, Ft_ 576Cu. Ft
Type of Construction Frame FAt. Cost $181000 ----To be Completed Sept. 1967
SEWER LOCATION 1'North of Manhole
WATER LOCATION 11' North of Manhole
Variance from 17.5' to 17' in the side yard-- approved by the City Council.
In consideration of the issuance to me of a permit to construct the building escribed above I agree to do
the proposed work in accordant with the description above sett tfo and,4n ..e pliance with ll provisions of
ordinances of the city of Fridley. /"-
.00 NSSSD
45.00
In consideration of the payment of a fee of $ , permit is hereby granted to Charles
Johanson to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work.
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit xray be revoked at any time upon violation of any of the P� of said
ordinances.
CLARENCE BELISLE Building Inspector
NOTICE:
This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sore to see
the Building Inspector for separate permits for there hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNERS NAME Mr. Arthur Silseth
BUILDER Charles E. Johanson, Inc.
ADDRESS Lot 1, Block 2, Holiday Hills 2nd ADDRESS
N0.° STREET
LOT 1 BLOCK
2
160 Hartman Circle
LOCATION OF BUILDING
Rice Creek Blvd. PART OF LOT
ADDITION OR SUBDIVISION Holiday Hills 2nd
CORNER LOT x INSIDE LOT SETBACK 35 SIDE -YA
RD 51 and 171
SEWER ELEVATION TOP OF FOOTING
Applicant attach/41 this orm two certificates of survey of lot and proposed
�
building location drawn on these two certificates. r-(,�. ) " �
"" aLw
`�/// -/-)7 /_/ DESCIPTION OF BUILDING
To be Used as; Residence
Residence Front 441 Depth 301 Height
Sq. Ft. 1265
Cu. Ft.
Garage Front 241 Depth 241 Height%
Sq. Ft. 5761 Cu. Ft.
Type of Construction Frame Estimated Cost $18,000.00
To Be Completed September, 1967
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City of Fridley Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application Ore true and correct.
d? qfRLEf,S E. J SQN , INC.
DATE M_ay 15, 1967 SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Sid.
f t�
City of Fridley
Application for Plumbing and Cas Fitting Permit
Dept. of Bldgs. Phone S 3,
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Locaho
y
F
�
x $3.25
y1
Z
�
i
Z�
FINAL
QZ
�Z
O�W}
J
U'
U'
Z
�
•
WATER HTR.
GAS
ELEC.
x $5.00
$
O
Base
1st1
l
2nd
3rd
4th
° Future Connection Openings
Connected with
1Sewer
e New Fixture, Old Openings J
[]
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ....... .............. x $2.00 $—
Future Fixture Opening ................ x $1.50 $
New Fixture Old Opening .............. x $1.50 $
Catch Basin ...... ..................... x $325 $
Water Heater (Up to 99,000 BTU) ......
New Ground Run Old Bldg . ............
Electric Water Heater
GAS FITTING FEES:
1st 3 Fixtures ..........................
Additional Fixtures ....................
Gas Range to 199,000 BTU .............
REPAIRS & ALTERATIONS—Refer to Code
City of Fridley:
6i1-e�J ��- e—
The undersigned hereby .makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley, Minn 19—
'/f 1--?
Owner
Kind of Building���
.G7 , ,, 1
Used as
To be completed about
Estimated Cost, $ 1�� > eC
Old—New. Building PerNo �� Permit No.
Signe
By
Business Phone No.�G�, y
✓ x$300
$
x $3.25
$
ROUGH
_ z $2.00
$
FINAL
NO. RATE
TOTAL
1' rD
x $2.00
$
x$.75
$
x $5.00
$
Description .............................................. $
TOTAL FEE $ 42
Application for Power Plants and Healing. Cooling. Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 560.3450
GRAVITY WARM AIR: RATE TOTAL Location
Furnace Shell & Duct Work .......................... $10.00 $
Replacement of Furnace ............................. 6.00 $ City of Fridley:
The undersigned hereby makes application for a permit for the work herein
Repairs & Alterations—up to $500.00 .................. 6.00 $ specified, agreeing to do all work in strict accordance with the City Ordinances
Repairs & Alterations each add. $500.00 ...... , 3.and ruling of the Department of Buildings, and hereby declares that all the facts
00 �+ and representations stated in this application are true and correct.
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $
Furnace Shell & Line—to .640 sq. ft. EDR Hot Water ... 10.00 $ l b °h
Each add. 200 sq. ft. EDR Steam ...................... 3.00 $
Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $
OIL BURNER—to 3 gal. per hour .............. .........
6.00
$
over 3 gal. per hour --See Fee Schedule
GAS BURNER (up to 199,000 BTU) .......................
5.00
$
A<
over 199,000 BTU See Fee Schedule
GAS FITTING FEES:
NO RATE
TOTAL
1st 3 Fixtures ......................
x$ 2.00
$
Additional Fixtures .................
x .75
$
Gas Range to 199,000 ...........
x$ 5.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
$
ROUGH
Fridley, Minn 19
Owner _
Kind of Building ���9vfryr-ee
Used as
To be completed about
Estimated Cost, $
Old -66 �Building Permit No. Permit No. .= % Ca
DESCRIPTION OF WORK
HEATING or POWER PLANTS --Steam, Biot Water, Warm Air—No
Trade Name �� ���r�� Size No
Capacity Sq. Ft. E.D.R G d BTU4�"reveo ' '
Total Connected Load Kind of Fuel &gE,��.��
BURNER —Trade Name �Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Signed
By.
ax Business Phone No
FINAL
(REMARKS -OVER)
01
SUBJECT
PERMI
City of Fridley
14559
AT THE TOP OF THE TWINS
D[RvI
BUILDING
r
VTE®ING
e COMMUNITY DEVELOPMENT DIV.
;;;,z7g
r I PROTECTIVE INSPECTION SEC.
NUMBER -
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
JA f %.J 612-560-3450
910-F15
12/30/77
JOB ADDRESS 400 Rice Creek Boulevard N.E.
1 LEGAL'
LOT NO. BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1 2
Holiday Hills 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Charles. J. Johnson 400 Rice Creek Boulevard N.E. 574-9552.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION l ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install free standing fireplace
9 CHANGE QF USE FROM TO
STIPULATIONS
SEIOERATE PERMITS REQUIRED FOR WIRI
HEATING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP Q
CCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING;
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT. CU.
FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS gOMMENCED.
NO. DWLG. UNITS
OFFSTREETPARKING
I HEREBY CERTIFY THAT I HAVE0 READ AND EXAMINED THIS APPLICATION
STALLS
ARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION °
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1,000
$.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$7.50
OR THE PERFORMANCE OF CONSTRUCTION.
JCTION
PLAN CHECK FEE
TOTALFEE
$8.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
)s `�
WHEN PROPERLY VALIDATED THIS IS
ZR PERMIT
0\" r •a ) 3 a
A cyl lc.'i
-e30 -017
SIGNATURE OF 0WNER IIF O NE BUILDER) (DATE) �-
BLDG- INSP
DATE
01
• CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PER14ITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: u sy IIUILUER: S
Address: L,) L C> Address:
Tel. No.: 5 -) cJ S s
No.: 0 C) Street: c P C-, -e -c
LOT: BLOCY.: a ADDITION: !-� u 1; 1`I 1 %s
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:
Applicant attach 'to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
ice S��n1; Front: Depth: Height:
r- RIacSquare Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: Estimated Cost: $ 1 0 ° Q. 0 a
To Be Completed: Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side for additional information.
DATE: i a 1 3 u l'7 SIGNATURE: v-" L�-� o la, 1V.,v �-0
Stipulations:
CINOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287
March 30, 1993
Keith and Nancy Shaw
400 Rice Creek Boulevard N.E.
Fridley, MN 55432
RE: Property at 400 Rice Creek Boulevard
Dear Mr. and Mrs. Shaw:
A recent inspection revealed that a tree located at the northeast
corner of the above referenced property appears to be creating a
visual obstruction at the intersection of 69th Avenue/Rice Creek
Boulevard. This obstruction extends into what is called the
"vision safety zone" (see enclosed definition) restricting a clear
sight path for motorists at this intersection.
Please take the appropriate action to bring this property into
compliance with the enclosed ordinance. I will be reinspecting on
or shortly after April 15, 1993, at which time compliance is
expected. Feel free to call me at 572-3595 if you have questions
or wish to discuss this further. Thanks for your cooperation!
Sincerely,
Steven Barg
Planning Assistant
SB:ls
CE -92-127
!./ 'Ili N
SUBJECT
PERMIT NO.
City of Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT
2 4 3 3
r
RECEIPT
COMMUNITY DEVELOPMENT DIV.
L'e_e-__-I PROTECTIVE INSPECTION SEC.
It
14oLl
�
1 i
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
4/19/94
JOB ADDRESS 400 RICE CREEK BLVD NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1
2
Holiday Hills 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Keith & Nancy Shaw 400 Rice C574-1943
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House &Tenr-nff
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
1 STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$57.38
IGNATURE OFC TRACTOROR THORIZED AGENT IDATEI
WH PRO VA TED THIS IS YOUR PERMIT
llOi V�
BLDG INSP naTE
S-,—GNATUREPF JWNMIP OWNER BUILDERI IDATEI
!./ 'Ili N
NEW [ 1 Effective 1/ 1/94
ADDN CITY OF FRIDLEY
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application '�7 go y
Construction Address: ®Q + C 0----
-t)-�ag
Legal Description: L o "i b � pct
# % Lqy :?:NOwner Name & Address: 10 1e
Contractor: 0 w n e Y! MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length n Width Hgt/Ground
Pp � R-)�(...
n "t I c A A 4 0, V -a el �p
Corner Lot [ ] Inside Lot [ ]
Type of Construction:
Approx. Completion Date: _
-I';e.a r O: -'Pe
Ft. Yd Setback
Tel. #
Sq. Ft.
Sq. Ft.
Sq. Ft.
3�
Side Yard Setbacks
Estimated Cost: $ =Zs -
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: --1 c— APPLICANT: Tel. # 5 % I
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ 79.3 U6
ciTY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$800 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]