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Home My WebLink AboutBayview Shores_55000990485000_Shoreland Permits_White — Office Yellow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Permit No.,LEGAL DESCRIPTION Aie ofTov^rn^\v'd\.c- II r^i TWP /Range AND Oh k)i H fe.li LOCATION Lcc^n(Lake Classif.TWP NameSec.Lake No.Lake Name IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— Nol Street, City and St^tefC ^ ica h fayt-dS / _ - Last Name i____________________First InitialETtJev/icK,Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling ( ) Multiple Dwelling Specify:,( ) New Building .S'axdm^^I^ClIerafion Units S><t:^er ( ) Other Size 7ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: (U-j« I( ) Masonry Frame ( ) Structural Steel ( ) Other — Specify Basement: ( ) Yes Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well Baths CHARACTERISTICS: Water frontage is feet.Maximum depth of lot feet.square feet.Lot Area is ,2sjr.feet. (Building Line)Building set back from high water mark is.................... Land height above high water mark at building line is Building set back fro te highway right oLway.... and........../..U 5 feet (5X>50 feet.feet — from road right of way is feet.Side yard is .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Sewage System Permit must be obtained before installation). Structure will be located Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management OrdinancepLOtter Tail.pounty. I understand I must contact my township in order to determine whether or not any additional permits are required by^e township for my^iifoDOsad prefect. IT^¥ture of Owner"^ Dated. Permit: Permission is hereby granted to the above named applicant to perform the wopk described in the above statement. This permit is granted upon theexpress condition that the person to whom it is granted, and his agent, employees and workmen shall conform^all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at.any time upon violation of said ordinances. i / j Dated Shoreland,AA3nagement Officialo>a / Permit Fee $.Receipt No. Comments: iForm No. MKL-0286-019 229971@ VICTOR LU.NDCE.S C.O.. PRINTERS. FERGUS FALL.S. MINN. White — Office Yellow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE aPhone; (218) 739-2271 — Fergus Falls, Minnesota 5653^ 11 APPLICATION FOR SITE PERMIT /I M Permit No,./ ^ i ifjO:LEGAL ; ' ^; iJl__/j DESCRIPTION !f 'MAND T - ! ■^ > tII}:f !LOCATION /I!I j RangeTWP TWP NameSec.Lake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateFirstInitialLast Name I J \ y K 4 iJ\ ^Owner 1 Llf NameContractor Architect Nanrre. /NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: c- J Specify:( ) One Family Dwelling ( ) Multiple Dwelling ( ) New Building ( •l.^Alteration ( ) Other________ Units I ( Other Size ESTIMATED COST OF IMPROVEMENT|$ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: IBasement: ( ) Yes ( Stories above basement: ......... Sq. feet (outside dimension) Bedrooms ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well ( ) Masonry ,L ) Vypod Frame ( ) Structural Steel ( ) Other - Specify Baths CHARACTERISTICS: Maximum depth of lot feet.feet.Water frontage is^square feet.Lot Area is feet. (Building Line)Building set back from high water mark is....................... Land height above high water mark at building line is Building set back from State highway right of way.....\ : \.1......... and ........ .u _s feet •feet.feet — from road right of way is feet. •feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Sewage System Permit must be obtained before installation). Side yard is Structure will be located Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. Dated. Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. • /V wi Dated /Shoreland Management Official Receipt No.Permit Fee $. Comments: Form No. MKL-0286-019 229971@ VICTOR LUNDEEN CO,. PRINTERS. FEHOU8 FALLS. MINN. * \ •■■■ rI- y ^--5 ■ , ;> i.' \>i /'■r •'’t • 0 v» INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS I MINIMUM Shall Be 4.Sq. Ft, Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft. Ft. Building Set Back from High Water Mark Ft. Ft. Building Set Back from State Highway 50 Ft.Ft. Building Set Back from Street or Road 40 Ft.Ft. Side Yard &Ft.&Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: AJ a H A ^Ct f \ ^-^603 ____________/ j Inspector's Signature Title V 19 Ij]Inspection Dated Agency VICTO* UIMBECM ft CO . PRIKTEOft. PtHftUS PALLI. MINN. 4-!L.'; X7i-4 -t feet/inchesScale: Each grid equals GRID PLOT PLAN SKETCHING FORM 19Dated Signature Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each building currently on lot and any proposed structures. -—^ A I I f I ;1-I i N3; r+!r:•f nI:;T -P -T 4-^ /1 L1- t1-4 .I T r1S::f---1-4 X4t !N1-X 3 t>v% ^ ^ Ati*-f4- 4-;■f i. oq 4 I \I ■t CV’4- r -4 !t4 I 4i.1 •t- I t -t 4 i I t i !4tr ■■r T r 4.-I f rMt [ 4 f;r A-1I -.1- 4 o X o1 Ii-- f t J 5QI:<D 1 OT4i-4 i i£>r 1 Q;CsJX!.CMI |n1;i- 4i'--;I 21598 7®MKL-0871-029 VICTOR LUNDECN CO . PRINTERS. FERGUS FALLS. I White - Office Yeiiow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Permit No„LEGAL DESCRIPTION AND LOCATION B>^ \J\-t^ c/o Lake Classif. 3iiTWP TWP NameSec.RangeLake No.Lake Name IDENTIFICATION: Please Print All Information Tel. No.TfVCUaCleb Zip No.Mailing Address— No. Street. City and State_____________/^cjck M/1/Last Name Initial )fOwner NameContractor Architect Name. r NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling ( ) Multiple Dwelling ( )Other X Specify:j___________ JJ y -i] f ro ~^ro( ) New Building ^ '^^^Iteration ( ) Other__________ rc_Units< Size ESTIMATED COST OF IMPROVEMENt|$I DIMENSIONS:PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL: Sp 1^77^-!Basement: ( ) Yes Stories above basement: Sq. feet (outside dimension) Bedrooms ......xO-............... ( ) Masonry "^sJ^Wood Frame ( ) Structural Steel ( ) Other - Specify ( ) Public 'f—)-4ndividual Septic Tank, etc. WATER SUPPLY: ( ) Public “tViilndividual Well /. BB.k Baths ....O. CHARACTERISTICS: ZlOO ......feet.Maximum depth of lotWater frontage is feet.square feet.Lot Area is -7$^feet. (Building Line)Building set back from high water mark is..................... Land height above high water mark at building line is Building set back from State highway right of way..... Side yard is Structure will be located feet feet.feet — from road right of way is ZO .............feet. .feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation). and /O 0-0Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STA TE STATUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. Dated. signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. VDated Shordtand INMnagement Offic/<y^ Permit Fee $.Receipt No. Comments:_______, CS rz’.<Li-€u€J [fy i />oy^A -fir I nO rt .-fOk IAS Form No. MKL-0286-019 229971® VICTOR LUNDEEN CO.. PRiNTKRS. FERGUS FALLS. MINN. r Whita - Offfca Yellow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT i- S /1 , ' 'V > -lit ^V Permit No„/LEGAL : 4.L H-i (DESCRIPTION 7 !AND ^■-1j 'J f .JLOCATION iI I Lake Clatilf.TWP NameSec.TWP RangeLake No.Lake Name IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City arid StateFirstInitialLast Name Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: .0 Specify:.( ) One Family Dwelling ( ) Multiple Dwelling I ) New Building ( ) Alteration Units ( ) Other( )Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: //y Basement: ( ) Yes { ) No Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public 1 ) Individual Well ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify Baths ^'i CHARACTERISTICS: Maximum depth of lot feet.feet.Water frontage issquare feet.Lot Area is feet. (Building Line)Building set back from high water mark is..................... Land height above high water mark at building line is Building set back from State highway right of way..... Side yard is ..................... Structure will be located feet ,feet.feet — from road right of way is ..............feet. .feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation). and Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. TH/S IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. Dated. Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated Shoreland Management Official Permit Fee $.Receipt No. Comments: Ai't ** t Form No. MKL-0286-019 229971® VICTOR LliNDESN CO.. PRINTERS. FERGUS FALLS. MINN. 1 vi&'f p 'T'rr': V INSPECTOR'S CHECK LIST Make all measurements and computations ACTUALIS Jr MINIMUMShall Be i Sq. Ft Sq. Ft.7P Sq. Ft.Lot Area (Square feet) xoo \dOWater Frontage Ft. Ft. Ft.Building Set Back from High Water Mark Ft. Building Set Back from State Highway Ft. 50 Ft. F«.0U> ^ Ft 7/^ & Ft. Building Set Back from Street or Road i^Ft.!0Side Yard & ■3^^ F,.Rear Yard Ft. f-Occupied Building to Septic Tank Ft.10 Ft. ^0 ^ Ft. Occupied Building to Absorption System 20 Ft. Elevation at Building Line above High Water Mark_____________3 Ft. 3 Ft Inspector's Comments: Xt-// -1 SIC Inspector's Signature Title Inspection Dated 19 Agency VICTO* LUHOfCH t CO.. MINTtM. rCI«U» FALL!. HIHN.