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Home My WebLink AboutHaven Hill Resort_16000020010006_Shoreland Permits_Department of LAND & RESOURCE MANAGEMENT COUNTY OF OTTER TAIL Phone: (218) 739-22 71 Court House FERGUS FALLS, MINNESOTA 56537 January 30, 1996 »v.Melvin Rosentreter R#2 Box 284 Vergas, MN 56587 Site Permit #13486 for lot on Loon Lake (56-523).RE: Dear Melvin Rosentreter:■ -f' To date our office has not been notified that your project was ready for inspection. I,f your project is ready for inspection the Shoreland Management Ordinance requires you to notify our office immediately. If your project has not yet been started and you still plan to proceed, you should contact our office as soon as possible. Please contact our office if you have any questions regarding this matter. Sincerely, Marsha Bowman Office Manager ■ :■ V; Department of LAND & RESOURCE MANAGEMENT COUNTY OF OTTER TAIL Phone; (2^8) 739-227) Court House FERGUS FALLS, MINNESOTA 56537 January 5, 1996 Melvin Rosentreter RR#2 Box 284 Vergas, MN 56587 Sewage System, Haven Hills Resort, Loon Lake (56-523).RE: Dear Mr, Rosentreter, I received the information regarding the sewage system for your resort from John Moltzan on December 27, 1995. After reviewing this information, it appears that you will need to add at least 1040 sg. ft. of absorption area to your current drainfield, would update your system to meet the rec[uired size for 19 manufactured homes and 15 recreational camping units. This Please have your contractor get the necessary permits to install the sewage system before June 1, 1996, matter, please contact our office! If you have any questions regarding this Sincerely, Tim Griep Asst. Administrator mis SBWAOB SYSTEM CERTIFICATION To be coMoleted by a Currently Licensed and Bonded Sewage Svstw Installer This form must be accompanied by a scaled drawing of the property indicating the location of said sewage system, all existing/proposed buildings, property lines, the ordinary high water level of the lake, river or stream and all water wells within 150' of the sewage system. Property Owners Name y? /f / A A /- A/I/'A'a/ A'6 b' ^ ________________ S' 7Property Owners Address City/State/Zip Lake NameLake No. 56- Parcel No. Twp. J 3 7 Range ^ J? Township NameSection Legal Description OrainfieldSeptic Tank Jd eyeCapacity ■■tooDistance from Nearest Well -f-Distance from Ordinary High Water Level i (7 -hDistance from Dwelling Distance from Nearest Nondwellina 7EZHIrp oec p ^ / <^ -hDistance from Lotline /.^ -h iDistance from Bottom to Water Table i9S5 flesoyncp ^ Date Sewage System Installed I hereby attest that I am familiar with the minimum standards required by tne^ Sanitation Code of Otter Tail County and that this system is in accordance with those standards. Sa<AJu^/J - s~- ^ Lie. No.Date sewage.system.sign-off4/95 LS’- 23k-15- -h1414-111 12 >e _S O r Ih Pop f- -P vj 4 U V>"Z v\y\> d(A C ^ sP-«^Q / rv^ 0>^ Scv-Jt-Cv oPP V \P-k; S 5 ui <u» -|•■■\s^ VjvVN o y" St I ^ Vv ^ '> ^ (\ «kP-^ ^ ^ Q_>0 c^sp- >V>yvv va. S-p>^ U qv ,\>A_o r 1 >^1 XT P^\^ Po vj 6^^v^ irv\cj\ P^ ^ Y S Hi. V\ V'^ sViaW p-V^ v\< Nj0\ vPn Vi 1^ Wv^l Vlcvj 4-Ia ^ ^ i iJi^ \P O vc\- .Ca v> pcS R. >r«i Y r % VjJVvS. VN Vvfl^ SrO 0 C. V^YNN r .u,, k3P)^vn Pk \ Tir ra’rvC\«A -f Vo V ^ 5 o .» PU_.>J <ak w NO’\V\ Vy Vo 0 'ay IY fk s-kp-l- IVVa ir kf yv\c-l 0 >^\YV\ 'll;. 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 ^ //ffccyeyU} //r//s Q-L. ^ Fa.y\y<^ &)C p/«^ Permit No.LEGAL DESCRIPTION BLUFF ZONEAND □ YESLOCATION a NO TWP NO.LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION RANGE TWP NAME 734 v;^C-SJ3 CaL^oo pj PARCEL NUMBER (S)FIRE NUMBERli - dco ' 02,- 0 0 /o - e^C^S)- ■ - <S?<9 a_ IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and Zip CodeFirst (Daytime)Last Name Initial /HjJL/j'n <i- R-h Z _____ cl3> ^/V 5'^ S' S"7 Property Owner *tOo NameContractor State Lie. # ONSIT^ WATER SUPPLY (V>ftndividual ONSITE SEWAGE trea™ent system (vHMyidual Permit #*>f AT(B tn/\/ I ( ) Collector Permit # PRO^SED PROJECT (\/New Structure(s) ( ) Addition(s) ( ) MH/RV____________ PROPOSED USE ( ) Dwelling (y'^n-Dwelling ( ) Water Oriented Accessory Structure (WOAS) ( ) Public ( ) None YEAR ( )OTLSD CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ( ) Garage ( ) Utility Structure CHARACTERISTICS OF DWELLING ( ) Screen Porch( j'Soathouse( ) Dwelling ( ) AdditiorNo Dwelling ( ) Basement \ ( ) Walkout Basbment Outside \ Dimension_________) ( ) Utility Structure( ) GazebIOtherSLtOutside Dimension 3d_L_Ft.Ft. X ( ) Other Outside Dimension (fS~oFt.Ft. X Ft. &Lotline Setbacks .Ft.Ft. X Ft. Lotline Setbacks .Ft.Ft. &OHWL Setback .Ft.FD Ft.Lotline Setba(!ks .Ft.OHWLSetbj Bathroom: ( ) Yes ) No (If Yes / a complying Sewage System Required)Ft.OHWL SetbackTotal grooms________________\, Mtlximum Height / 30 Ft. (2 story)Maximum Height /10 ft. (1 story)Maximum Height /18 Ft. (1 story) Ft.Ft. Maximum depth of lotLot Area is (Sq. Ft.)Water frontage 3'6l<Ft. Slope of lot .%Elevation of lowesf floor above OHWL (3 Ft. Min.) Ft.Structure setback to right-of-way.f/ 0 Ft. (10'minimum) (Sewage System Permit required before installation). Ft. (20’minimum) (Sewage System Permit required before installation). .Ft, (10’minimum) (Sewage System Permit required before installation). Structure setback to septic tank. Dwelling setback to Soil Absorption System Non dwelling setback to Soil Absorption System 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 responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. <OlX-h uy 0Dated:.ruyvSignaht^ of Owner /u -Yr V/W-----Dated: Land & Resource Management Office RECEIPT NO.PERMIT FEE $ V\ oVa.1^(^ r u\)v4 7 V- V'VA.Comments: V ^ Y ^ S-V' d -Ky'O YV\ No T <LisOOi. 1 K '('vv “7^ Form No. BK — 0295-002 275.386 • Victor Lundeen Co., Pririiers • Fergus Fails, MN • 1-800-3A6-4870 ■*'■• ’ * ^^• !■' Dfy\'i (*■APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITE ■ Office GOLDENROD - Inspector YELLOW - Owner PINK ■ Assessor jcjpcy ;/$ //e>tL/e^ /^s:cyof~ OrL ^ ^ FcLyxy^ p/ siM ^Permit No.LEGAL DESCRIPTION BLUFF ZONEAND □ YES ^ NO LOCATION TWP NAMESECTIONTWP NO.LAKE/RIVER CLASSLAKE/RIVER NAMELAKE NUMBERi X)oir<x.i v;'5^A3 L^oo rU Co FIRE NUMBERPARCEL NUMBER (S)M - d6Q '02.- 0 0/0 - - €>O0i~ TELEPHONE NO.IDENTIFICATION: Please Print All Information( (Daytime)Mailing Address — No. Street, City, State, and Zip CodeFirst InitialLast NameI Ut t't ^ec/^ as Property Owner /y/A/ 5'^ S'S'? r NameContractor State Uc. # ONSIT^ WATER SUPPLY ^/flndividual ONSITE SEWAGE TREATMENT SYSTEM^^^^ (vWndividual Permit #_, ST~fi'ci i ( ) Collector Permit It ( )OTLSD PROPOSED USE ( ) Dwelling (yffjon-Dwelling ( ) Water Oriented Accessory Structure (WOAS) PRO^SED PROJECT (vf New Structure(s) ( )Addition(s) ( )MH/RV____________ ( ) Public ( ) None r iYEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ( ) Garage ( ) Utility Structure CHARACTERISTICS OF DWELLING ( ) Dwelling ( ) AdditiorHp Dwelling ( ) Basement ( ) Walkout Basement Outside \ Dimension________> Lotline Setbacks X OHWLSet^_______ Total grooms______ Mifximum Height / 30 Ft. (2 story)/■ \ ( ) Screen Porch( ) Boathouse £V)Other SA « 0*1 Stside Dimension j_____Ft. x -3 O______Ft. Ft. & ^ Ft. ( ) Utility Structure,( ) Gazero \rI ( ) Other Outside DimensionFt. X .Ft.Lotline Setbacks .Ft.Ft. X !.Ft. &.Ft..Ft.OHWL Setback..Ft.Lotline Setbacks .Ft.Bathroom: ( ) Yes ) No (if Yes / a complying Sewage System Required).Ft.i Setback / MMaximum Height /10 ft. (1 story)Maximum Height /18 Ft. (1 story) Ft.Ft. Maximum depth of lot. Water frontageLot Area is (Sq. Ft.)3'6f<Ft. Slope of lot.Elevation of lowest floor above OHWL (3 Ft. Min.) Ft.Structure setback to right-of-way. /o'Ft. (10’minimum) (Sewage System Permit required before installation). Ft. (20'minimum) (Sewage System Permit required before installation). Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to septic tank. Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System./o' 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 responsibiiity to inform the Land & Resource Management office’p(jice the buiiding footings have been constructed. al^e of Owner (CtX-Wyv^OJ\)^ Dated: Signa £--IL-^S'ZIDated: Land & Resource Management Office RECEIPT NO.PERMIT FEE $ 7+-\r\ t/\ C0\J ^4S,~ 'A/W-y S~V~ A- ^YOommente.-y S 0 ' 1~l-K-H-' b -iXz, % Form No. BK 0295*002 275.386 • Victor Luodeen Co . Prirtter* • Fergus Falls. MN • 1-8O0-3A6-487O INSPECTION RESULTS I Make all measurements and computations\ 1 If f( Ft.Ft.Structure Set Back from Ordinary High Water Levelr I Ft.Ft.Structure set Back from Top of BluffI Ft.Ft.Structure Set Back from Road Right of Way►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. Elevation Of Lowest Floor Above Ordinary High Water Level____________________Ft.Ft. %%Land Slope at Building Line Inspector’s Comments / Sketch:. i- Inspector's Signature Date of Inspection Time of Inspection OTTER TAIL COUNTY Grade & Fill Permits S «.»-» V*Y V***OWNER’S NAME; 1 vee.<oAs. sXbSTS^IAddressf Location: LakeNo.^sen. ^ Twp. Rangfi ^ >Twp. Name a ^ a.% o */4^v<-yy \\’v\^S Issued^--<^^19 , Expires Work Authorized^ 192L1 faxsc, g,VLyV* O ^ClV<^s^ ^ nvKw- V\U d gr a X’lywAi^V-y^VW# V'Q K i M* wid-A^ y /oo^ /o»vUiiiL ?r V. UL_ t O -<Xv\A oVWutr puvW o-C- -4-Vi. NOTE; This card shall be placed in a conspicous place not more than 4 feet above grade on the premises on which work is to be done, and shall be maintained there until completion of such work. NOTIFY DEPARTMENT OF LAND AND RESOURCE MANAGEMENT, TELEPHONE (218) 739-2271 WHEN AUTHORIZED WORK HAS BEEN COMPLETED. OTTER TAIL COUNTY, MINNESOTA Board of County Commissioners Land and Resource Man^ement Official ’IS~&1. Earthmoving shall be done between 2. Entire area shall be stabilized within 10 days of the completion of any earthmoving. 3. Owner is legally responsible for all surface water drainage that may occur. 4. No fill shall enter or be taken from the beds of a public water without a valid permit from the State of Minnesota Department of Natural Resources. e tnrrmf nt ♦!»!«• normSt aro wi«lataH tha antira narmit maw ha rawnkaH anH tha nwnar maw ha aiihiant GRID PLOT PLAN SKETCHING FORM — (Must Be To Scale) feet/inchesScale: Each grid equals Signature IL 19 {) Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each building currently on lot and any proposed structures. :Dated: 'i I / ][i2o'□ □ D :: Rc?ftD Bb oS^^^^aSL. ffuJleL Sf i 30 S-T*!>3p r-a*f-VJUB«Ak; AilsL to- TUhvS^ . fit rSfoT/Vt I S:hef1t» 4—^^oo'^ -4. ' 1/'“x cur>d ^0Jt9J^ II\»5 I ^;n {' (nt\ %.0Off LAkf \ I i 1 i1i1 1I•,iso'± ■ i ?. 13‘ISC, (5-^ F: P. Cp s 1.J ' IS'- /&- ^?s i1'f i II 1 ' 'j^vW V t PERCOLATION TEST DATA LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, MN 56537 OWNER; LAST nMe FIRST P.i«- 3HP.- ,3 ft 7VSzU-U.AQ- TELEPHONE NUMBERMIDDLE ADDRESS: STR./RT.iia - c/rr ZIP CODE 2. TWP. NAME JlAK ^JoEfViVYN- SEC.TWP.LAKE NAMELAKE/RIVER NO. LEGAL DESCRIPTION: PARCEL NUMBER NUMBER/BEDROOMSFIRE NUMBER — TWO TESTS ARE REQUIRED — TEST HOLE NO. 2TEST HOLE NO. 1 inchesinches; Diameter of Holeinches Depth To Bottom of Holeinches; Diameter of Hole.Depth To Bottom of Hole 19 19Date Date Soil Texture Soil TextureDepth. Inches Depth. Inches Percolation Test By _ Firm Name _____ Percolation Test By____ Firm Name ____ Address Address Otter Tail County License No. Otter Tail County License No. PERC TEST # 2PERC TEST # 1 PERC RATH TIME pfTBRVALrwwnrrHo WATER DEPTHWATER DEPTH WATER DROP PBRCRiOEPTTBRVAL/MIWmEnTIME STARTSTART r r TTMir DROP PEkC *nMU DRO^TIME>ERCRATH INTERVAL Qi€DiUTES>OBE.WATER SBRCRATETTMEINTERVAL rVgMlTTES> RBPILLREFILL •f ? *nVIB ‘ DROP P8RC 'iTMfi • DROP PBRC WATER DROP PERC RATE TIME INTERVAL amnnEsi WAIHR DEPTH WiaHRDROPWATER DEPTH PERC RATEINTERVAL IMUiinESi T1l>g REFILLREFILL filter^ pAe~ , j » lltiM 4 DROP PBRCDROPFERCRATE TIME INTERVAL rtsCNtnES^WATER DEPTHiwTgtviU-<wyTlf>WiOHR DEPTH wwJBft REFILLREFILL 4 nMU DROP FHRd TIME INTERVAL IMIMUTBSI WATER DEPTH WiflERDROPFERCRATE PBRC RATEINTERVAL OmitnEST WiflER DEPTH WATER DROPTTiiC REFILLREFILL 4 4m71MU DROP PERc!;'HMM»-^|DR0P PBRCWMERDROPFERCRATETIMEINTERVAL fl>HNinEt1 WATER DEPTHINTERVAL IMINUTEST WATER DROPWATER DEPTHTIME REFILLREFILL 4 'IIMU dr6pFERCRAIE TIME INTERVAL IMPnfTBP EfiMTER DEPTH WATER DROPINTERVAL fMTNOTEP WATER DROPWiaHR DEPTH Tllig RBPILLREFILL 'llMU DKOF' PBRC 'flMU DROP PERCTNy^CRATg^TIME INTERVAL <MINlfTH«WATER DEPTH WATERWiOERDROPFERCRATE INTERVAL IMINllTBtt WATER DEPTHTILg REFILLREFILL *♦TIMri” DROP PBRC TIME DROP FRfCC COMMENTS/CALCULA TIONS: MKL — 0390 - 005 250,815 — Victor LunOaen Co.. Printers, Fergus Falls. Minnesota Department of LAND & RESOURCE MANAGEMENT COUNTY OF OTTER TAIL Phone 218-739-2271 Court House Fergus Falls, Minnesota 56537 April 5, 1993 Melvin Rosentreter Haven Hills Resort R#2 Box 284 Vergas, MN 56587 RE: Site Permit, Loon Lake (56-532). Dear Mr. Rosentreter; On April 2, 1993 our office received an Application for a Site Permit, a drawing and a $50.00 Permit Fee. I would like to process this today, but due to the lack of information on your sketch I can not issue a Site Permit for this addition. I am returning your sketch. Site Permit Application and $50.00 check. Please send a completed sketch along with the Application and Fee. complete the sketch you must show: To 1.Loon Lake, including the setback. 2.Lotlines (sideyard and road right-of-way). 3.Sewage System Location. The existing cabin and proposed addition.4. 5.The location of the cabin in respect to the resort structures. The sketch is required by the Shoreland Management Ordinance, handle on exactly what you are requesting. It gives us a Upon receiving and reviewing the sketch. Application and Fee, providing it meets the requirements, I will process your Site Permit as quickly as possible. If you have any questions regarding this matter, please contact our office. Sincerely, Wayne Roisum InspectorSHORELAND MANAGEMENT ORDINANCE - SUBDIVISION CONTROL ORDINANCE RIGHT-OF-WAY SETBACK ORDINANCE — SEWAGE SYSTEM CLEANERS ORDINANCE RECORDER, OTTER TAIL COUNTY PLANNING COMMISSIONmgb APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218) 739-2271 • FERGUS FALLS, MN 56537 WHtTE —Office QOLDENROD — Inspector YELLOW — Owner PINK — Assessor LEGAL Permit No. OESCRimON Ooru<\ ^ ' /! AND LOCATION LAKE NUMBER LAKE/RfVER NAME LAKE/RIVER SECTION TWP NO.RANGE !3G L6 r\ Z,n.K<* /C,-O0O-QJi. -00/0- Ptf-T-tk y/A PARCEL NUMBER (S)<300 OO / oo a. go j FIRE OR LAKE ASSOCIAT IDENTIFICATION; Please Print All Information Last Name Fi^Initial Mailiofl Address — No. Straat, City and Stata Zip Coda Telephone No. D R ^-Bo-A.pnS-g. N' A /Property Owner '^4^‘Till NameContractor State Lie. # PROPOSED PROJECT PROPOSED USE ( |/5^esidential ) Non-Residential RESIDENTIAL USE NON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure ( ) Water^^^ntated Accessory Structure CHARACTERISTICS OF PROPOSED ( ) New Structure ( l/fAddition ( ) MH/RV ( LOne Family Dwelling ( V) Multiple Dwelling »ol Units ( ) Basement ( ) Walkout Basement ( Outside Dimension of Structure_______ () Ft.YEAR ONSITE WATER SUPPLYTYPE OF FRAME ( ) Masonry( \zTwood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM Other(Height o( Structure. # Of Stories______ n. ( ) Public✓fhtdividual ( ) None OFFICE USE ONLY ) Bluff ImracF'Zone( ) Public ( .^gflndividual Permit ( ) OTLSD ((* Of Bedrooms 0/IC (Impact Zone ) Sensitive Area < Of Bathrooms LOT SIZE AND SETBACKS: Lot Area is.square feet. Water frontage Is.faet. Maximum depth of lot fael. Building set back from ordinary high water level Is feet. (String Teat) 3Land height above ordinary high water level at building line Is feet. Slope of lot % Building set back from road right-of-way..feet. I r/OzdLot line setback is and leal.''■‘■'-."I 0 2 ID93 Structure will be located .feet from septic tank (Sewage System Permit must be obtained before installation). p, r- V'’’."-?.feet from soil absorption system (Sewage System Permit must be obtained before instafldtion).^'^ ^Structure vrilt 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 ar>d 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. 7H/S IS A SITE PERMIT ONLY AND DOES NOT CONS7/7U7E A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. V/// 9^ Signatws of Ownv Dated: Permit: Permission Is hereby granted to the above named applicant to perfiirm the work described in the above statement. This permit is granted upcm 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 Tall County, Minnesota This permit may be revoked at any time upon violation of said ordlnar>ces. Dated: Land A Raaourca Manegement Otnee Permit Fee $.Receipt No. %Comments: I¥i % r4—i £.* mf i iL'‘>nn No. BK r-^02«2ri)a2 - VhMr Lumaitn Co.. PdnHn, Fwgui F«m. Mli«iinlx.I :■ a 4 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 M Permit No..LEGAL Date,DESCRIPTION AND LOCATION rOnrQHO 'X ny y/ TWP NameTWPRangeSec.Lake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateFirstInitialLast Name nOwner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:,( ) One Family Dwelling ( ) Multiple Dwelling (i^l^^ther { ) New Building (M''Afteration Units Z. D jwyi>"-4 Jtf 3)"/ ^Size( ) Other ESTIMATED COST OF IMPROVEMENT $ / ~^C/C) 0 (omit cents) /DIMENSIONS:TYPE OF SEWAGE DISPOSAL:hi-PRINCIPAL TYPE OF FRAME: -<f5oBasement: ( ) Yes ( Stories above basement: Sq. feet (outside dimensian) Bedrooms ............................. ( ) Public ( ) Individual Septic Tank, etc. ( ) Masonry {'Jt’N^ood Frame ( ) Structural Steel ( ) Other — Specify WATER SUPPLY: ( ) P^ibtic (i-T^dividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Baths HEATING: i ) Electric ( ) Gas ( ) Oil ( ) None (‘-''f^O Type of Roof: Mo ( ) Coal Other:( ) Unit CHARACTERISTICS: HA-LMi.feet.Water frontage is feet. (Building Line) ..........................feet square feet. 3.0Q... 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 1ST..r-H....0..feet.feet — from road or street is ThT...hA±feet.feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation). and 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 (BLmonths. L mDated, ^ Signature of Owner Permission is hereby granted to the above named applicant to perform the work des in the above statement. This permit is granted upon the linances of Otter Tail Permit: express condition that the person to whom it is granted, and his agent, employees and workrr^en she'll conform in all respects to the County, Minnesota. This perrpit may be revoked at any time upon violation of said ordinances.\ Dated oj.Shoreland Management OfficialLState Surcharge $.Permit Fee $ . MP.C-fl.'Vi/'—r,/Comments: Form No. MKL-0771-002 .,.... 158899VICTOR kUHOCIR 4 CO.. RRIHTtI 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 Pjnk — Assessor Goldenrod — Inspector w Permit No„uLEGAL Date.DESCRIPTION AND LOCATION r. TWP NemeLake Classif.TWPLake No,Lake Name Sec.Range IDENTIFICATION: Please Print All Information Last Name First Mailing Address— No. Street. City and State Tel. No.Initial Zip 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 ( ) 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 ( ) Oil ( ) None Type of Roof:( ) No ( ) No ( ) Coal Other:( ) 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. Dated Shoreland Management Official Permit Fee $.State Surciiarge $. Comments: ^iLED NOT CALLED 8 29 7c,1 Form No. MKL-0771-002 vieTOD uiNcecH t eo.. PRiiiniti. rc*out falls. «,n«158899 r-' - % INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUM Shall Be 4-Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft. Ft. Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. Building Set Back from Street or Road 40 Ft.Ft. Side Yard &Ft.&Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 __Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency ®VICTO* CUMBCCH 4 CO .. rCB«U4 r«.L4. WIIIM.' .'t SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY White — Office Yellow — Owner Pink — Assessor Goldenrod — Inspector Al k Permit No..LEGAL ^ y> ?y Date.DESCRIPTION AND LOCATION Lake Classif.Sec.TWP TWP NameLake No.Lake Name Range IDENTIFiCATION: Please Print All information Tel. No.FirstLa$t) Name __________ /"/a Initial Mailing Address— No. Street, City and State Zip No. I h 'X-Owner NameContractor Architect Name, NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: ( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Muitiple Dwelling Specify:. bto Q rtx-* ."v- Units J_) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( ) Wood Frame (i-pStructural Steel ( ) Other — Specify Basement: ( ) Yes ( ^-Fd'Io' Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Public ( ) Individual Septic Tank, e;bl WATER SUPPLY: ( ) Public jr ( ) Individual^^ir MECHANICAL^QUIPMENT : Elevaton/( ) Yes Air Conditioning: ( ) Yes ( ) Central Baths HEATING: ( .) Electric ( ) Gas ( ) Coal Other: Type of Roof:( ) No ( ) Oil ( ) No5U/( ) Unit ■ CHARACTERISTICS:/ mLot 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 ’5f 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. ao.and .feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation). feet. 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. Dated, ^Si^nature 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 APermit Fee $.State Surcharge $. Comments; Form No. MKL-0771-002 VICTOR LUNDCCH i CO., RRIHTCRI. F[ROUS FALLS. 1158899 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 ’ ^V ^o-Y3}Permit No,.A/LEGAL % ?y Date.DESCRIPTION AND LOCATION / '4 /.. •• •} XV--, TWP TWP NameLake Classif.Sec.RangeLake NameLake No. IDENTIFICATION; Please Print AM Information Mailing Address— No. Street, City and State Zip No.Tel. No.Last Name First Initial T ; 7HIOwnerV NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE;TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling ( ) Multiple Dwelling Specify:.( ) New Building ( ) Alteration Units ■r ( ) Other( ) Other Size ESTIMATED COST OF IMPROVEMENTS (omit cents) PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS; f Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify Baths HEATING: ( ) Electric I ) Gas ( ) Coal Other: 1 ) Oil( ) NoType of Roof: ( ) No ( ) None ( ) Unit CHARACTERISTICS;/ 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 V y-'. i 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. V J.y.<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 e.,/!,/Permit Fee $.State Surcharge $.<<^’4 .A/ I 'r> Comments: NOT CAf I Fp FJLhP^.^ i i -■i iForm No. MKL-0771-002 ^ V»eT»H burnt* A M.. PIH«TtM, FCMUt FiUJ.*... 158899 • « INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS X MINIMUM Shall Be 4.Sq. Ft. Lot Area (Square feet)Sq. Ft Sq. Ft. Ft.Ft.Water Frontage Building Set Back from High Water Mark Ft.Ft. 50 Ft.Building Set Back from State Highway Ft. 40 Ft.Building Set Back from Street or Road Ft. Side Yard &&Ft.Ft. Rear Yard Ft. Ft. 10 Ft.Occupied Building to Septic Tank Ft. Occupied Building to Absorption System 20 Ft.Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency Viete* L.UMBCCM 4 CO . BRIHTIIt. FCMU4 FALLS. MIHH. I