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HomeMy WebLinkAboutCozy Cove Resort_14000990550000_Shoreland Permits_WHITE - Office GOLDENROD - Inspector YELLOW - Owner PINK - Assessor APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218) 739-2271 • FERGUS FALLS, MN 56537 Permit No.LEGAL DESCRIPTION BLUFF ZONEAND □ YES NO LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER SECTION TWP NO.RANGE TWP NAME -^4(5 CLASS ^I5S PARCEL NUMBER (S)TOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS ^ NO_______________________ FIRE NUMBER IDENTIFICATION: Please Print All Information TELEPHONE NO. Last {jame Initial Mailing Address — No. Street, City, State, and Zip Coderst (Daytime) Property Owner NameContractor State Lie. # PROPOSED PROJECT ^^New Structure(s) ( ) Addition(s) ( ) MH/RV____________ PROPOSED USE (^Dwelling ( ) Non-Dwelling ONSITE WATER SUPPLY Individual ( ) Public ( ) None ONSITE SEWAGE TREATMENT SYSTE Individual Permit #___ ( ) Collector Permit #___ ( )OTLSD J09Y)/ { ) Water Oriented Accessory Structure (WOAS)YEAR CHARACTERISTICS OF NON-DWELLING ( ) Garage ( ) Utility Structure CHARACTERISTICS OF DWELLING CHARACTERISTICS OF WOAS ^ Dwelling ( ) Addition to Dwelling ' ( ) Boathouse ( ) Screen Porch /( ) Gazebo ( ) Utility Structure( ) Other Outside Dimension (i^/)^asement (/^walkout Basement Ft.x ( ) Other. Outside Dimension .Ft. Outside Dimension .Ft.x .Ft.Lotline Setbacks Ft.Ft. Ft. & Ft. /^O Lotline Setbacks OHWL Setback .Ft. Lotline SetbacI ,Ft.&.Ft. OHWL Setback Bathroom;) Yes fes / a complying Sewage System Required) ( )No OHWk^etback .Ft. Total Bedrooms / SOFt^^tory)'^Maxim Maximum Height /18 Ft. (1 story)Maximum Height /10 ft. (1 story) Lot Area is (Sq. Ft.)Water frontage Ft. Maxinnunn depth of lot Ft. 3Elevation of lowest floor above OHWL (3 Ft. Min.)Ft. Slope of lot .% Structure setback to right-of-way Ft. laStructure setback to septic tank Ft. (10'minimum) (Sewage System Permit required before installation). Dwelling setback to Soil Absorption System Ft. (20’minimum) (Sewage System Permit required before instailation). Non dwelling setback to Soil Absorption System Ft. (10’minimum) (Sewage System Permit required before installation). THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STATE STATUTES. 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. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibility to inform the Land & Resource Managem^office once the building footings have been constructed. ------Dated: Signature of Owner Dated: Land & Resource Management Office SO-of)PERMIT FEE $RECEIPT NO. Comments: Form No. BK — 0795-002 277.di0 • Victor Lundeen Co Printers • Fergus Falls. MN • •800-346-4070 WHITE - Office GOLDENROD • Inspector YELLOW - Owner PINK - Assessor APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 Permit No.LEGAL DESCRIPTION k BLUFF ZONEAND A-□ YES NO LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME j■/ i J PARCEL NUMBER (S)TOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS FIRE NUMBER 1- Y'?- ■%iI NO IDENTIFICATION: Please Print All Information TELEPHONE NO. RfStLast Name Initial j Mailing Address — No. Street, City, State, and Zip Code (Daytime) Property Owner \JMmet ,jr 70 NameContractor )State Lie. #'1 ■j PROPOSED PROJECT (^) New Slructure(s) ( ) Addltion(s) ( )MH/RV____________ PROPOSED USE {^Dwelling ( ) Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) ONSITE WATER SUPPLY Individual ( ) Public ( ) None ONSITE SEWAGE TREATMENT SYSTEM ^ ^ Individual Permit # ‘ //)• \ ( ) Collector Permit #. ( )OTLSDYEAR 11 CHARACTERISTICS OF NON-DWELLING ( ) Garage ( ) Utility Structure CHARACTERISTICS OF DWELLING Dwelling ( ) Addition to Dwelling Basement (/^Walkout Basement Outside Dimension CHARACTERISTICS OF WOAS 1-1( ) Boathouse ( ) Screen Porch i1 { ) Gazebo ( ) Utility Structure( ) Other Outside Dimension Ft.x .Ft.( )Other, Outside Dimension.Ft.x Ft.Lotline Setbacks .Ft..Ft. Ft.& Ft.Lotline Setbacks OHWL Setback Ft. %Lotline SetbacI Ft.&.Ft.HOOHWL Setback Ft.Bathroom:( )No (Ihfes / a complying Sewage System Required)OHWL Setback .Ft. Total Bedrooms Maximiim Height / 30 Ft«^ story)^Maximum Height /18 Ft. (1 story)Maximum Height /10 ft. (1 story): t.Lot Area is (Sq. Ft.)L y. Water frontage Ft. Maximum depth of lot Ft. 3Elevation of lowest floor above OHWL (3 Ft. Min.).Ft. Slope of lot ■*- Structure setback to right-of-way .Ft. ID.Structure setback to septic tank Ft. (10'minimum) (Sewage System Permit required before installation). Dwelling setback to Soil Absorption System Ft. (20'minimum) (Sewage System Permit required before installation). Non dwelling setback to Soil Absorption System .Ft. (10'minimum) (Sewage System Permit required before installation). THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. 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. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. Iad -o- DO-of) QtDated: Si^aiure of Owner Dated: Land & Resource Management Office PERMIT FEES RECEIPT NO. —/fComments: /(/ If/ Form No. BK — 079S-002 277 AIR • Victor Lundaen Co Prirwors • Fergus Falls. MN • 1-800-346-4S70 INSPECTION RESULTS Make all measurements and computations Ft.Ft.Structure Set Back from Ordinary High Water Level Ft.Structure set Back from Top of Bluff Ft. Ft./5 Ft.Structure Set Back from Road Right of Way 51 Ft.&Ft.Ft.&Ft.Structure set Back from Lot Lines Ft.Ft.Structure Height Ft,Ft.Structure Set Back from Septic Tank Ft.Structure Set Back from Absorption System Ft. Eievation Of Lowest Floor Above Ordinary High Water Level____________________/5^Ft.Ft. %%Land Slope at Building Line Inspector’s Comments / Sketch: L/\ib C lA & V T S~r T?ISJo V /nspector^Stfj^ture Date of Inspection /•on Time of Inspection . l-I . 1. i i;%•i J ■ • i. 1I \y>I iI! f [! r\ 'NP I fr Ti A TN}i I w T n/!I II -1-i4-r T -i — AA -oN—- -b\- +> "\ V) \ r:\:bi ;....i H(/.£ ^C^£S) % ^ 'V N X) yNN : 1 SEC. 2 ^ySEC.I\\ ACRES^ /y) / SEC.III I SEC.12■!i ! ; cy-.1 ii « A «i 1 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor LEGAL Permit No. DESCRIPTION Cl o z y C-O'vBAND LOCATION LAKE NUMBER LAKE/RIVER NAME SECTIONLAKE/RIVER CLASS TWP NO.RANGE TWP NAME ma eTotj GO ^'0I2>S PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER Doo -“T - osrr - IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No. Street, City and State Zip Code Telephone No. 'Bft o o 12 / Box 13^ DC rcr: m J Property Owner NameContractor State Lie. # PROPOSED PROJECT PROPOSED USE ( ) Residential ( vZNoh'Pssidential RESIDENTIAL USE NON-RESIDENTIAL USE ( (/''fcarage ( ) Utility Structure ( ) Water Orientated Accessory Structure CHARACTERISTICS OF PROPOSED Basement (t) ) Walkout Basement ( Outside Dimensio of Structure____ ( ) New Structure ( ^,^<T^dition ( ) One Family Dwelling ( ) Multiple Dwelling ft of Units ( )°^K^€0( ) MH/RV YEAR /IfTYPE OF FRAME ( ) Masonry ( ■^,^ood ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ( ) Public ( ^Xflndividual ONSITE WATER SUPPLY ( ) Other Height of Structure. ft Of Stories______/( ) Public (-O) Individual ) None OFFICE USE ONLY ( a/) Bluff Impact Zone ( t\l) Shore Impact Zone ( kI Sensitive Area ft Of Bedrooms _ # Of Bathrooms(Permit ft ( ) OTLSD LOT SIZE AND SETBACKS: Lot Area is square feet. Water frontage is feet. Maximum depth of lot feet. Building set back from ordinary high water level is feet. (String Test) ok^2^0Land height above ordinary high water level at building line is feet. Slope of lot % /2-0Building set back from road right-of-way.feet. oo'/SOLLot line setback is and feet. IVStructure will be located feet from septic tank (Sewage System Permit must be obtained before installation). Structure will be located feet from soil absorption system (Sewage System Permit must be obtained before installation). THIS IS A SITE PERMIT ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STA TE STA TUTES. 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 accord­ ing to the provisions of the Ordinances of Otter Tail County. Minnesota. I further agree that any plans and specifications submitted herewith shali become a part of this permit appiication. i also understand that this permit is valid for a period of six (6) months (I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed.) Dated: Signature of Owner Permit: Permission is hereby granted to the above named applicant to perform the condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. k described in the above statement. This permit is granted upon the express c7-S'-?'/rDated: Land & Resource Management Office Us-sri IPermit Fee $,Receipt No.. Comments: Form No. BK — 0292-002 270.500 • Victor Lundeen Co Printers • Fergus Falls. MN • 1-800-346-4870 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739-2271 • FERGUS FALLS, MN 56537 " WHITE — Office GOLDENHOD — Inspector YELLOW — Owner PINK — Assessor JTLTrrPermit No.LEGAL IDESCRIPTION do Z,Co VCAND/ LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME Xmo exoKj C^JD I2>X PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER OOO -“1 =) - OS'S"© - IDENTIFICATION: Please Print All Information Mailing Address — No. Street, City and State Zip CodeLast Name First Initial Telephone No.4L«^Sq O 2 / Box 130 fT) J Property Owner NameContractor State Lie. # NON-RESIDENTIAL USE Garage "Y CHARACTERISTICS OF PROPOSEDPROPOSED PROJECT PROPOSED USE ( ) Residential { vl^on-Residential RESIDENTIAL USE Basement ( fj ) Walkout Basement ( Outside Dimensiorvj of Structure fOtf (( ) New Structure ( ^^^--f^dition ( ) MH/RV ( ) One Family Dwelling ( ) Multiple Dwelling # of Units ( ) ( ) Utility Structure ( ) Water Orientated Accessory Structure ( ) Other YEAR ONSITE SEWAGE DISPOSAL SYSTEM ( ) Public { ^,,<Tndividual Permit # / 1 “ ^ ( ) OTLSD ONSITE WATER SUPPLY ( ) Public ( ✓^Individual ( ) None TYPE OF FRAME ( ) Masonry ( yH^ood ( ) Structural Steel ( ) Other Height of Structure. # Of Stories______OFFICE USE ONLY ( a/) Bluff Impact Zone ( a/) Shore Impact Zone ( Sensitive Area It Of Bedrooms it Of Bathrooms LOT SIZE AND SETBACKS: feet.square feet. Water fri feet. Maximum depth of lotLot Area is feet. (String Test)Building set back from ordinary high water level is ok^feet. Slope of lotLand height above ordinary high water level at building line is % Building set back from road right-of-way.feet. so'/feet.Lot line setback is and 17Structure will be located feet from septic tank (Sewage System Permit must be obtained before installation). Structure will be located feet from soil absorption system (Sewage System Permit must be obtained before installation). THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STATE STATUTES. 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 accord­ ing 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 (I understand that it is my responsibility to inform the Land Et Resource Management office once the building footings have been constructed.) .'f7- &■-V ft?.---Dated: Signature of Owner Permit: Permission is hereby granted to the above named applicant to perform the condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. k described in the above statement. This permit is granted upon the express •7 - 5"- 7 VDated: Land & Resource Management Office sro’l/rsi fPermit Fee Receipt No. Comments: r 1:: 270.500 • Victor Lundeen Co Primers • Fergus Falls. MN • 1'600-346*4870Form No. BK — 0292-002 INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. /oo -fBuilding Set Back from High Water Level Ft. Ft. Building Set Back from Top of Bluff Ft.30 Ft. Building Set Back from Road Right of Way Ft.20 Ft. Ft.Ft.Ft. &Building Set Back from Lot Lines H Ft. Ft.Building Height Building Set Back from Septic Tank Ft. 10 Ft l';o+20 FtBuilding Set Back from Absorption System Elevation AboveHigh Water Level at Building Line 3 Ft.Ft. 3 %Land Slope at Building Line Inspector's Comments/Sketdi:. I 7 S'' 4P V Inspector's Signature S-lhq^ Date of Inspection Time of Inspection r - OfflfeWhite Yellow — Owner Pink* — Anessor Goldenrod — I nspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT *^7 71Permit No..LEGAL Oo 1^(5DESCRIPTION sae / 5v.b AND /> Coz Coy L-LOCATION z3 yn a Y! Q kJ bo SL US' TWP NameSec.TWP RangeLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateInitialLast Name First /3 £ V S o tJ o AOwner T0e.r^'/^ 'm A/-Ac-i-fNameContractor Architect Name. RESIDENTIAL PROPOSED U.S£: j j NON-RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling^;—' ^ ^ ^ ^ J^^’'^pecify:..^ ( ) Multiple Dwelling '—' . , Units ( kf^ther TYPE OF IMPROVEMENT: (vT^w Building ( I Alteration /!/:^>5 X3o CR3Z( ) other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL: Basement: ( ) Yes ( Stories above basement: Sq. feet (outside dimension) Bedrooms .....>3................... ( ) ^blic (yT Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( tX'individual Well ( ) Masonry (Frame ( ) Structural Steel ( ) Other — Specify ( 1Baths - fCHARACTERISTICS:GVo3.3 feet.feet.Maximum depth of lotsquare feet. Water fmntage is 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 ^ay.... Side yard is ............................. and ^ Lot Area is 75 feet. (Building Line) 3..feet 2-^.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). (11 Z <■ ' Structure will be located I 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 ONL Y 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. (3/- S'9Dated. 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. /- n - ■% IDated Shoreland Management OfficialO 0.30.Permit Fee $.Receipt No. ikA (Y) dh I Ll h C ‘lbb p/A c ly\6 \/in^Comments:d Form No. MKL-0286-019 229971@ VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS. MINN. SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT jOt - Inspector i: /Permit No,,LEGAL -/DESCRIPTION ■ ^ /d.■ ' ki / AND n. I I 'LOCATION ' ■ 1 -■-/ '). I ! TWP NameTWPLake Classif.Sec.RangeLake NameLake No, IDENTIFICATION: Please Print All Information Tel, No,Zip No.Mailing Address— No. Street. City and StateFirstInitialLast Name H f. ^Owner / J/ / NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify;.( ) One Family Dwelling ( ) Multiple Dwelling (. ) New Building ( ) Alteration <.1 Units /a i-'j■ 3( ) Other ( Other IESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME:v'l^oLfBasement: ( ) Yes ( Stories above basement: Sq. feet (outside dimension) Bedrooms .................. ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( l^blic ( Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( lK Individual Well J / I Baths I ffv (_/CHARACTERISTICS;V()Maximum depth of lot.feet.feet.square feet. Water frontage is 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 \fray..... and...... Lot Area is /feet. (Building Line) .3.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 fj 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. rn/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. I > ^//Dated Shoreland Management Official \'■ 0 Permit Fee $__^Receipt No. ' I (■ LLIh. I'yA-I ■Comments:r* ' ✓ I / ■ „I f I ■t I Form No. MKL-0286-019 229971@ VICTOR LUNDEEN CO,. PRINTERS. FERGUS FALLS. MINN. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 4^MINIMUM Shall Be X Sq. Ft, Lot Area (Square feet)Sq. Ft Sq. Ft. \Nater Frontage Ft.Ft. Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. IBuilding Set Back from Street or Road > \Ft.40 Ft. &Side Yard VJ 1 s Ft.&G>_ 1-- ■ \c .sX <5^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_____________ h-3 Ft.3 Ft. Inspector's Comments: % 7^ 0 1O /■O vjMI S■' uu \A v^ U Gf-/-^o e, t\c^ o3o Id \ / (j ci^ -F" 0 ^}\d ^0 J-<( [y X \MPI yv\TnspectoPsSlgnaturi^ Title Inspection Dated d- 10-19 Agency t V uV t '~j \ Vv C||V\ -w* /■ S vieTQ* uiBSCtM i M.. vnuTcaa. f(K«u* r<Lk*. mimb.-L-U (> V o I- C p ~ Co V 'Qvjvn tr ■r ovv.«. ■/) \i> t t>W' \ VI 0 ft /-^0Cs M^c*'f \ y\•« S 0(f> <'Vs/ ,e^ f\\ y Ov\ .roTivei SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Dffice Owner Pink Mssessor Goldenrod — Inspector /Vo do^c Permit No.LEGAL Date.DESCRIPTION AND LOCATION ^ /jr VoOr-n TWP NameLake No. Lake Classif.Sec.TWP RangeLake Name IDENTIFICATION: Please Print All Information Last Name Initial Mailing Address— No. Street. City and StateFirst Zip No.Tel. No. r>ri cJ'7 70OwnerX NameContractor Architect Name. TYPE OF IMPROVEMENT: ( i-Hflew Building RESIDENTIAL PROPOSED USE: ( u-K5ne Family Dwelling ( ) Multiple Dwelling ( ) Other NON-RESIDENTIAL PROPOSED USE: Specify:. ( ) Alteration Units ( ) Other Size 9000ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) No( ) Masonry ( cyniood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public (.-+'1ndividual Septic Tank, WATER SUPPLY: ( ) Public ( -F-fndividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: Stories above basement: Sq. feet (outside dimension) Bedrooms / etc. .o.IBaths HEATING: ( ) Electric (H'^as ( ) Coal Other: (-ArXioType of Roof:( ) Oil ( ) Nonec.p ( ) Unit CHARACTERISTICS: .S.QD.Lot Area is square feet.Water frontage is . feet. (Building Line) ...............................feet feet. Building set back from high water mark is................... Land height above high water mark at building line is Building set back from State highway is........................ Side yard is Building will be located........... Building will be located :^0±.feet — from road or street is feet. .«2r.Q.f/.O.and feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation). feet. .d^.O.feet from soil absorption system (Cesspool, Drainfield, etc.). 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. Signature of Owner / f 3 ,y>■2_Dated. 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. 3/yin ■Q.Dated Shoreland Management OfficialJT O Permit Fee $.State Surcharge $. Comments: Form No. MKL-0771-002 ..,.158899 vieiea lumoeih 4 ea.. Wh\® -SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Office YellcJ'^v jC Owner Pink Assessor Goidanrod — Inspector0 Permit No„LEGAL y Date.DESCRIPTION AND LOCATION o L7.r Of^JJLk Lake No. Lake Name :xid TWP NameTWPRangeSec.Lake Classif. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateFirstInitialLast Name /- .^>1 r IcX-y f na u.il milOwner-=W NameContractor Architect Name, NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:_________________!___f— ^ TQ ( ) One Family Dwelling ( ) Multiple Dwelling ( ) N^ (•^Alteration Building t—/(yiUnits ( ) Other Size( ) Other •?T7>0.ESTIMATED COST OF IMPROVEMENTS (omit cents) DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: : ( I No( ) Masonry (VjJBkJ^ Frame ( ) Structural Steel ( ) Other — Specify ( ) Public (t^-KTridividual Septic Tank, etc. WATER SUPPLY: ( ) Publifr Basement / Stories above basement: Sq. feet (outside dimension) Bedrooms z:all3Baths (L-Kfn^idual Well HEATING; ( ) Electric ( ) Coal Other: MECHANICAL EQUIPMENT ; Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central (H”^ ( ) out 0^'wne Type of Roof: ( ( CHARACTERISTICS: 1.1 feet.Water frontage is feet (Building Line) square feet. J—I2.JC.L..Lot Area is Building set back from high water mark is Land height above high water mark at building line is Building set back from State highway is.......................... Side yard is........ Building will be located Building will be located 1 •feet feet.feet — from road or street isDrrt)..Trrfeet.feet. Rear yard is ..p.......feet from septic tank (Sewage System Permit must be obtained before installation). ..................................feet from soil absorption system (Cesspool, Drainfield, etc.). and zs 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 partpf this permit application. I also understand that this permit is valid for a period of six (6) months. Signature of Owr>^^ ^ ~ Dated. Permission is hereby granted to the above named applicant to perform the work dscril 1 in the above statement. This permit is granted upon the lall conform in all respscts to the ordinances of Otter Tail Permit: express condition that the person to whom it is granted, and his agent, employees and workmen County, Minnesota. This permit may be revoked at any time upon violation of said ordinances.! Dated Shorel^n^Management Official/-7i~^ .0 0 State Surcharge $.Permit Fee $. Comments: Form No. MKL-0771-002 158899 VICTOM UIHaCta 4 CO.. PRIVTII rM.1 ^^\Vhite _ Office Owner Pink Assessor Golcienrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Permit No..LEGAL Date.DESCRIPTION AND LOCATION Lake No. Lake Classif.Sec.Lake Name RangeTWP TWP Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street, City and State Zip No.Tel. No. Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Specify:, Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: { ) Masonry ( I Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning; ( ) Yes ____ ( ) Central Basement: ( ) Yes ( ) No Stories above basement; Sq. feet (outside dimension) Bedrooms Baths HEATING: ( ) Electric { ) Gas ( ) Coal Other: Type of Roof:( ) No ( ) Oil ( ) No ( ) None ( ) Unit CHARACTERISTICS: Lot Area is square feet.Water frontage is. feet. (Building Line) ...............................feet feet. Building set back from high water mark is................... Land height above high water mark at building line is Building set back from State highway is........................ Side yard is.................... Building will be located Building will be located feet — from road or street is feet. .......................................feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). and feet. 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. 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 l^^agement Official Permit Fee $.State Surcharge $, Comments: \ o Form No. MKL-0771-002 (g)158899 VICTPK LUNPCEN 4 CO.. PRINTCM. FC««US FALLS. NINN INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS -I MINIMUM Shall Be Sq. Ft. Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft. Ft. Building Set Back from High Water Mark Ft.Ft. FtBuilding Set Back from State Highway 50 Ft. ’ Ft.Building Set Back f'^om Street or Road 40 Ft. Side Yard &Ft. Rear Yard Ft.Ft. (y'lC- Ft.Occupied Building to Septic Tank 10 Ft. Ft,Occupied Building to Absorption System 20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: / ^ f! u spector^Signature TWe Inspection Dated 19 Agency VICTOR UIM9CCH 4 CO . ORIRTEOt. FfOOUO FALCO- Miaa. White — Office Yelloy^ — OwnerPink Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Assessor NO /•/o VPermit No,.LEGAL cDate.DESCRIPTION AND LOCATION fhcK T \ 0 r\ Lake No. Lake Name Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No. z ,7 , (j i ly P/- ; . / ^ .a /C ^ /)s / n r ‘a;Owner N'b~^ i is 00f rJ ^ NameContractor Architect Name. TYPE OF IMPROVEMENT: (New Building ( ) Alteration RESIDENTIAL PROPOSED USE: ( i>^5ne Family Dwelling ( ) Multiple Dwelling NON-RESIDENTIAL PROPOSED USE: Specify:, Units 5...7-z y X 'i>6 r- '~( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ J C (omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Masonry I ) Wood Frame ( I Structural Steel ( ) Other — Specify ( ) Public (k'^rlnZividual Septic Tank WATER SUPPLY: ( ) Public (^^'Tn^idual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Yes ( ) NoBasement: Stories above basement: Sq. feet (outside dimension) Bedrooms o, etc.TELIBaths HEATING: ( ) Electric ( ) Coal Other: (ir^as ( ) None Type of Roof: ^( ) Oil (f^F~ 0 ^ P Z- 7CHARACTERISTICS; 1..A.ALot Area Is square feet.Water frontage is feet. Building set back from high water mark is Land height above high water mark at building line is ............feet. (Building Line)Zc - cZ ^■feet; T X'dBuilding set back from State highway is Side yard is Building will be located Building will be located feet — from road or street is feet. 0 ij...>-and feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation). feet. S-/...ti feet from soil absorption system (Cesspool, Drainfleld, etc.). 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. Dated, Signature of Ownei 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^ // 0-? /Dated ibreland Management^^fficial71)/TJ 1. /.Permit Fee $.State Surcliarge $. Comments: O Form No. MKL-0771-002 158899 Ytera* UWMtM A 0*.. PIHVIt**. PtACUA PAAU.I SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Office Yello,. — Owner Pink — Assessor G6ldenrod — Inspector W.. /i/i> /,i u Q^o^y QjcrUe. ^<^1^ Crcn) / 3“ /33JPermit No„LEGAL (f r- ret .X ^0DESCRIPTION 3AND LOCATION .:l/Vc /3 5T V<Do r / Lake NameLake No.Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No. / /j!r 7 />7.Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: I ) New Building ( ) Alteration (me Family Dwelling Specify:. /^?o h< /e I ) Multiple Dwelling Units Size XI ) Other I ) Other ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: ( ) Yes {>-K^o Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public { Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( 4'lndividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central .vJ./Baths HEATING: ( ) Electric ( ) Coal Other: Type of Roof:( ) Gas ( ) None ( ) Oil ( d-No ( ) Unit CHARACTERISTICS:S...I.Lot Area is square feet. .... Water frontage is. feet. (Building Line) .feet feet. Building set back from high water mark is Land height above high water mark at building line is Building set back from State highway is........................ Side yard is Building will be located Building will be located J.Q.Y. feet — from road or street is feet. c50 ^and feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). feet. 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 furthepggree that any plai shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) mont^,/ specifications submitted herewith /Dated. Sighatufe.j)f Owner V 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. />!K. Shoreland Manasjpjnent Official AJo Dated Permit Fee $ ■State Surcharge $. Comments: Form No. MKL-0771-002 1S8899 ViffTail UIII8CKH * CO.. PMIMTIM. FCM8UI PM.L8.