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Home My WebLink AboutHeart Beach Resort_14000080063000_Shoreland Permits_▼ White - Office Yellow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Tt*. ^'f c/i ^7 roo-V ex f ^6/' f /I'crfA J??Y /!)/ 1 Permit No.LEGAL r.Date,DESCRIPTION F h or y / h UPAND LOCATION insert' a - yp j)-^NB. li^f/7 lls- ^0 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. t.fY\ \Ar9-Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) New Building (--■i^iteration ( ) One Famiiy Dweiiing ( ) Muitipie Dweiiing (L.l’^her Spesify:_ Units ( )Other Size 100ESTIMATED COST OF IMPROVEMENTS (omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Yes i-r^o Stories above basement: Sq. feet (outside dimension) Bedrooms fi ) Masonry (t-^iWood Frame ( ) Structurai Steel ( ) Other — Specify 0 ^( ) Public (U-Mndividual Septic Tank, exc.^^l' h OT' WATER SUPPLY: ( ) Public ( ) Individual Well Basement: 'XJ u 11 EABaths MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central HEATING: ( ) Electric I ) Gas C-)^one ( Ll-^ofType of Roof:(3y ( ) Oil ( M-d^o ( ) Coal Other:( ) Unit CHARACTERISTICS: Lot Area is...................................................... ^^uilding 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 1U.I.square feet.Water frontage is . feet. (Building Line) ................................feet feet. Lo i-U.Q.feet — from road or street is feet. SAX USI>.and feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Orainfield, etc.). feet. •I/.g 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 specificatibns submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) mont^ / I 6Dated.X Signature of Owner Permission is hereby granted to the above named applicant to perform the w(Permit: express condition that the person to whom it is granted, and his agent, employees anoT workr^en shall conform in all ^speci County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I icribed in the above statei This permit is granted upon the to th^rdinances of Otter Tail Ell^Shoreland Management Official Dated (— 41 pmPermit Fee $.State Surchiarge $. L-JCrs 'ni rM Comments: Lu //<i ■€-j-n Form No. MKL-0771-002 158899 vieTea uiHeciN « eo.. PuniTtiu. rcneu* fall*, mihn White - Office Yellow — Owner Pink — Assessor 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 Permit No„LEGAL Date.DESCRIPTION AND LOCATION Lake No,TWP NameLake Name Lake Classif.Sec.TWP Range 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 ( ) Other Specify:. Units ( ) 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 ( ) 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. 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 Surchiarge $. Ck)mments: ^f'^TorCLED POR INSPCn-r Form No. MKL-0771-002 ,158899 VICTOfl LUHOeCN A CO.. PaiNTIM, fCaOUO FM.I.A. -3 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. 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 VICToa LUHDCtM 4 Cft . MIHTCa*. rCttUI FM.ll. HIMN.