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Home My WebLink AboutCross Point Resort_39000050030000_Shoreland Permits_1 APPLiCATBON FOR SBTE PERBMBT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WHITE - Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor Permit No.LEGAL DESCRIPTION AND GtyL / ^LOCATION RANGE TWP NAMELAKE/RIVER CLASS SECTION TWP NO.LAKE NUMBER )56S6b-GD FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER (S)- CrO^O -6-(yo IDENTIFICATION: Please Print All Information Zip Code Telephone No.Mailing Address — No. Street, City and SlateLast Name_______ _____________ First_____Initial ie.f3 .Hdu/fMl PffpjLrL) yUft Property Owner sApNameContractor State Lie. # CHARACTERISTICS OF PROPOSED Basement Walkout Basement ( Outside Dimension /„ j •O of Structure_____ W A !Ft. ffeiWt of Structure NON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure { ) Water Orientated Accessory Structure PROPOSED USE ( ) Residential ( ^ ) Non-Residential RESIDENTIAL USEPROPOSED PROJECT (/fa ( ) Addition ( ) MH/RV New Structure ( ) One Family Dwelling ( ) Multiple Dwelling # of Units ( )YEAR ) ^ Ft.ONSITE WATER SUPPLYONSITE SEWAGE DISPOSAL SYSTEM TYPE OF FRAME ( ) Masonry ( '^)Wood ( ) Structural Steel ( ) Other ( y ) Other Iif Stories( ) Public ( y) Individual ( ■ ) None OFFICE USE ONLY ) Bluff Impact{ ) Public (ly") Individual Permit #_ ( ) OTLSD (le # Of Bedrooms ( ) SJjerSnmpact Zone ) Sensitive Area # Of Bathrooms LOT SIZE AND SETBACKS: /”/>/,/ ■O.Vi.y. / square feet. Water frontage is feet. Maximum depth of lot feet.Lot Area is feet. (String Test)Building set back from ordinary high water level is A feet. Slope of lot %Land height above ordinary high water level at building line is \Building set back from road right-of-way_____________________4(3 feet. /A /Oand feet.Lot iine setback is /A .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 .■ADStructure 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. Signature of Own^ Dated: Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the expres: condition that the person to whom it is granted, and his agent, employees and workmen^all 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. (/ L Dated: Land & Resource Managenwtii Office Receipt No. / O A 3Permit Fee $. Comments: Form No. BK — 0292-002 262,316 — Victor Lundeen Co.. Printers, Fergus Falls, Minnesota --». 7.’'r ■% • -X •, »-:‘T ■^■A—'-.V ,V 5 S APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WHIT^ — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor L-fl- 77f^i Permit No.LEGAL DESCRIPTION AND 1. LOCATION ? i; RANGE TWP NAMESECTIONTWP NO.LAKE/RIVER CLASSLAKE NUMBER LAKE/^IVER NAME A136z'.54- 6ii'7 7GDa>tD\i .1FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER (S):?,0^5^- --^0 0 ! P IDENTIFICATION: Please Print All Information Telephone No.Zip CodeMailing Address — No. Street, City and StateFirst InitialLast Name Giir n -jij kh / /cUj , ;4? Property Owner fUi^u Gh^. A (j ' Gif t'GG/c NameContractor 7State Lie. # CHARACTERISTICS OF PROPOSED Basement (/Vj) Walkout Basement (/j/f} Outside Dimension /, ,/ y ‘; of Structure______'/ X ! (P- '.Height of Structure • '# Of Stories______ NON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure ) Water Orientated Accessory Structure ( / ) Other RESIDENTIAL USEPROPOSED USE ( ) Residential ( ) Non-Residential PROPOSED PROJECT ( ) One Family Dwelling ( ) Multiple Dwelling # of Units ( ) ( ) Addition ( ) MH/RV New Structure ■S i("Ft.1YEAR IONSITE WATER SUPPLYONSITE SEWAGE DISPOSAL SYSTEM TYPE OF FRAME ( ) Masonry ( )<^)Wood ) Structural Steel ( ) Other Ft. -! L( ) Public OFFICE USE ONLY, ( ) Bluff Impact Zdfie ( ) Shore Impact Zone ) Sensitive Area i( ) Public (V ) Individual ^ Permit #_ ( ) OTLSD # Of BedroomsIndividual i3^(# Of Bathrooms) None LOT SIZE AND SETBACKS: J. J square feet. Water frontage is feet.feet. Maximum depth of lotLot Area is feet. (String Test)Building set back from ordinary high water level is Land height above ordinary high water level at building line is feet. Slope of lot % _feet.Building set back from road right-of-way. lA feet.andLot line setback is III .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 .4?5Structure 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 /S A SUE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.I.< 7■/JlJ y y A / L ry~—f'J^/Dated:Signature of Ow^ Permit: Permission Is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the expres 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. .y,/Dated: Land & Resource Managenjeift Office 1/ / y 7 .3, 7 iReceipt No.Permit Fee $. Comments: i262,316 — Victor Lundoen Co.. Printers, Fergus Falls, MinnesotaForm No. BK — 0292-002 7 /INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. mf-Building Set Back from High Water Level Ft.Ft. Building Set Back from Top of Bluff Ft.30 Ft.• ■ 't‘J» Building Set Back from Road Right of Way Ft.20 Ft. Ft. &/^^jT_Ft.Building Set Back from Lot Line Set Back Ft. hBuilding Height Ft. Ft. <6 oBuilding Set Back from Septic Tank Ft.10 Ft Building Set Back from Absorption System Ft.20 Ft Elevation Above High Water Level at Building Line V Ft.3 Ft. Land Slope at Building Line % Inspector's Pomrnents: Sketch: X ... -—f V r/ 11^:\i / J P D a :T ■ \iI 4 . - A -.n \ ■ / \\ \\.1\\•'v I i l! f'r- I I Inspector's Signature Date ol Inspection » Time of Inspection t_E:C3^ Government Lot a Minnesota* exceq according to tha Dock 517 of Deeq * Section 5* Tov t the dedicated recorded plat t 3 * page 527 » fil ftrea of the property = 40.35 aci SLjr-?v/E:Yi 1 hereby certifyj that this survc- my direct Supervision and that 1 aHs of the Stat'e ! of Minnesota. ; _ _»Lar arjir t Jio.m _ _ SOUTH LIDA LAK 89- Sy 58' W08m N 89’29’04'W 273'+/-4^ 1 I I' ii 'at I NS'S PARK WEST SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739 -2271 - Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT WHITE - Office GOLDENROO — Inspector YELLOW - Owner PINK — Assessor Permit No,.LEGAL P I Vt 4'2b S o r'TDESCRIPTIONc fOSS AND LOCATION 5“gz-(^SDFh TWP NameTWPRangeSec.Lake Claself.Lake NameLake No, IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialFirstLast Name RiZ 6 a / H S ^Owner ( Frli-z 9 Sf'PTPs m rJ 1 £€.U=NarrteContractor Architect Name. NON-RESIDENTIAL PROPOSED USE;RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:.I ) One Family Dwelling ( ) Multiple Dwelling (• ) New Building ( ) Alteration Units (Vf^ther ( ) Other Size PDphJ -ht/)nO I'V—OESTIMATED COST OF IMPROVEMENT $S&is;DIMENSITYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: >/noBasement: ( ) Yes ( Stories above basement: Sq. feet (outside dimension) Bedrooms ( )^blic (t/f Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ^^'^ndividual Well ( ) Masonry (vflwood Frame ( ) Structural Steel ( ) Other — Specify ./. Baths CHARACTERISTICS: feet.feet.Maximum depth of lotWater yontage issquare feet.Lot Area is I D(ge^h'in<^ ■FKc7.^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 . Jt.feet .feet.feet — from road right of way is//o'/a .............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. 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. Si^atu^d of Owner 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. Shoreland Management Official M c4- f ' T/Dated Permit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971® VICTOR LUNOEEN CO.. PRINTERS. FEROU6 PALLS. MINN. SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT \WHITE - Office GOLDENROD — Inspector YELLOW - Owner PINK — Assessor 10'3> 8Permit No^LEGAL p i) in 2b. So r'T^DESCRIPTION CrossAND LOCATION 13^ Q ^i“0“7A/7 TWP NameTWPRangeSec.Lake Classif.Lake NameLake No. IDENTIFICATION; Please Print All information Tel. No.Zip No.Mailing Address— No. Street. City and StateFirstInitialLast Name \ALL,0E.E f F jc'lZ 3 Ba / M S' 3>Owner ( Fr^Fz }2.7 NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:.( ) One Family Dwelling ( ) Multiple Dwelling ( •) New Building ( ) Alteration ( ‘T^her______ Units /t7 X w( ) Other Size f^DQhJ Fa ho n—ESTIMATED COST OF IMPROVEMENT $I ir\-K DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: >/no Basement: ( ) Yes ( Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) ^blic ( Individual Septic Tank, etc. WATER SUPPLY: ( ) Public .individual Well ( ) Masonry { y/) Wood Frame ( ) Structural Steel ( ) Other — Specify /. % Baths ( CHARACTERISTICS: feet.feet.Maximum depth of lotWater frontage issquare feet.Lot Area is -Fkc 1:3 u I /4^<2.C.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 .3.feet fZc?S70 .feet.feet — from road right of way is/I /a/o ..............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 /Jo 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. 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. dAi/ttll iLf- i . A Signature of Owner 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. £4 - g" TDated Shoreland Management Official Permit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971@ VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS. MINN. •■‘4 1! INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS ir 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 ■ ■" Ft.50 Ft. Building Set Back from Street or Road Ft.40 Ft. Side Yard &Ft.&Ft. Rear Yard Ft.Ft. JOOccupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________S-Ft.3 Ft. Inspector's Comments: Insp^or's Signat^j^ Title Inspection Dated IL19 Agency >0 V ( .V w(? y?yt UX '* ;i ;i/■ I ■ i M■ri i\ ;/ !■/• f>JisI C7» O y» 3T p V White — Office Yellow — 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 nalp ^ / 7 - 7 ^ Permit No„LEGAL PDESCRIPTION AND LOCATION AAI up k TWP Name s- lpA S'S D-E>£_Z1Z TWPLake No.Lake Name Lake Classif.Sec.Range IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No. A^n(X. 'X,'(■‘1 (-1Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: One Family Dwelling( ) New Building Specify:, n Alteration ( ) Multiple Dwelling Units A’ x/y( )Other ( )Other Size C C 0ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry C]^ 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 ( ) Coal Other: Type of Roof:( ) No I ) Gas ( ) None ( ) Oil ( ) No ( ) 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 3..±. So..0.feet — from road or street is feet. c?C ^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. JA 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. V - !3-7rDated. A Permit: Permission is hereby granted to the above named applicant to perform the work described in the above stat^ent. Thn f 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. Signature of Owner permit is granted upon the 7- /3 -7rDated Shorelahd jIMahagement Official^ Kcc y 7 75'A Aor3.Permit Fee $.State Surcharge $. A ' y > 1'^C XComments: h'U C ^ Form No. MKL-0771-002 VICTOR LUHOCCm 4 CO., OOIHTCOO, FCRSUt r*LCl. ,158899 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 White — Office Yellow — Owner Pink — Assessor Goldenrod — Inspector Permit No„LEGAL Date iTuy\E 2 Cj M 7 7 DESCRIPTION AND pOS/l/T fieSOi^TLOCATION Range TWP Name Flr>" ~l4n gJ ^ih/a> TWPSec.Lake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street, City and StateFirstInitialLaNamebkcXj\JCi<L^ Owner r NameContractor Architect Name, NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:.( ) One Family Dwelling( ) New Building ( ) Alteration (/.•T'tfther_____ OA 4“27741-^(Units ( ESTIMATED COST OF IMPROVEMENTS .PRINCIPAL TYPE OF FRAME: ^(omit cents) i,...-)'^dividual Septic Tank, etc. ' WATER SUPPLY: ( ) Public (j,>Tfi3ividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central DIMENSIONS:TYPE OF SEWAGE DISPOSAL: { ) NoBasement:( ) Masonry ( iJ-WSod^rame ( ) Structural Steel { ) Other — Specify /Stories above basement: Sq. feet (outside dimension) Bedrooms /.Baths....../. HEATING: i ) Electric ( ) Coal Other: ( ) Oil( ) Gas ( ) None ( ) NoType of Roof: ( ) No ( ) Unit CHARACTERISTICS: feet.Water frontage Is. feet. ilBuilding Line) P...:rtrT.......feet Lot Area is square 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.feet — from road or street is xS.A 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.and /A AO 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. (o -7JDated. CO ChamIL^ is granted upon the rdinances of Otter Tail Permission is hereby granted to the above named applicant to perform the work described in the love staiPermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Shoreland Management Official A0 aPO ~7/Dated Permit Fee $ g>?■ OV .^'799State Surcharge S /. O O Comments: ep iForm No. MKL-0771-002 , .... 1S8899V<eTe« LUHOCCI) 4 co.. 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 White — Office Yellow — Owner Pink — Assessor Goldenrod — Inspector Permit No..LEGAL Date.DESCRIPTION AND LOCATION TWP NameLake Classif.Sec.TWP RangeLake No.Lake 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:NON-RESIDENTIAL PROPOSED USE: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 ( ) 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 ( ) Coal Other: Type of Roof:( ) No ( ) Gas ( ) None ( ) Oil ( ) No ( ) 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. 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 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. a,cxa:Dated Shoreland Managernent Official Permit Fee $.State Surcharge $. Comments: FILED NOT-CALL ED 8 2q 78 Form No. MKL-0771-002 VICTO* LUHBCCN 4 CO.. BMiaTtM. fCaOUS FM.1.4. ,158899 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 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. Building Set Back from State Highway Ft.50 Ft. Building Set Back from Street or Road Ft.40 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: inspector's Signature Title Inspection Dated 19 Agency viciea WMCtii 4 M.. ratannt. rc4«u« r«i.C4. wnn., }V r r 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 White — Office Yeilow — Owner Pink — Assessor Goldenrod — Inspector ’ZycfqPermit No,.LEGAL 7V^/-7y>Date.DESCRIPTION pOi'MT AND LOCATION Lake No. f Lake Name 13'^ ^ ^ Ai/l TWP_____ Range_____ " / TWP fMame c; PCi Lake Ciassif.Sec. IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street, City and StateFirstLast Name Initial Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:c2-r fS^^One Family Dwelling ( ) Multiple Dwelling Specify:.( ) New Building ( ) Alteration Units (yO Other_____________________ ESTIMATED COST OF IMPROVEMENT $ ( )Other Size (omit cents) DIMENSIONS:PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL: (y^es ( > No ^( ) Public Individual Septic Tank, etc. WaVeR SUPPLY: ( ) Public Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes _________( ) Central ( ) Masonry t^) Wood Frame ( ) Structural Steel ( I Other — Specify Basement: Stories above basement: Sq. feet (outside dimension) Bedrooms ..............................Baths <y HEATING: ( ) Electric ( ) Coal Other: ( ) Gas ( ) None ( ) No < ) OilType of Roof: ( ) No ( ) Unit CHARACTERISTICS: feet.Lot Area is square feet.Water frontage is feet. (Building Line) ...............................feet ^0 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 ¥o ^feet — from road or street is .............^.C?...t!rfeet. 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.). and7S •Z- "cJ 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. *7 Signature of Owner 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. / I 7Dated Shoreland Managemerit Official■S-OcPState Surcharge $.Permit Fee $. Comments: Form No. MKL-0771-002 ,158899 VICTOK « eo.. VII»«U> FAliI. 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 White - Office Yeliow — Owner Pink — Assessor Goldenrod — Inspector Permit No,.LEGAL Date.DESCRIPTION AND LOCATION TWP NameTWPRangeLake Classif.Sec.Lake NameLake No. IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street, City and StateInitialLast Name First Owner NameContractor Architect Name, NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:( ) One Family Dwelling ( ) Multiple Dwelling ( ) New Building ( ) Alteration Units ( ) Other( ) Other Size ESTIMATED COST OF IMPROVEMENTS (omit cents) DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central i.- Y (if Baths HEATING: i ) Electric ( ) Coal Other: ( ) Oil( ) Gas ( ) None ( ) NoType of Roof: ( ) No ( ) Unit CHARACTERISTICS: feet.Water frontage is . feet. (Building Line) ...............................feet Lot Area is square 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.). feet.and 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 alt 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 State Surcharge $.Permit Fee $. LFn not called 8 29 7SComments: Form No. MKL-0771-002 158899 vicTo* uiMPttM 4 e«.. pai«m INSPECTOR'S CHECK LIST Make all measurements and computations ACTUALIS X MINIMUMShall Be i Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. Building Set Back from High Water Mark Building Set Back from State Highway Ft.Ft. 50 Ft.Ft. 40 Ft.Building Set Back from Street or Road Ft. Side Yard &&Ft.Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank 10 Ft.Ft. Occupied Building to Absorption System Ft. 20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency , i —@ viAga ujaotti) t M.. Mtan