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HomeMy WebLinkAboutHoliday Haven Resort_29000990339000_Shoreland Permits_OTTER TAIL COUNTY Grade & Fill Permits J/3 7 e.e:s.orTOWNER’S NAME:¥ LiOCd^tlOIK Lake Nn^$(^Sec. O Twp7^^ Range Twp. Name l^r jTiv* rz^r/^Address Z-oTj; .'l77 f t ^S' , 2.*) . ,I f Issued , Expires Work Authorized. 3 2^~ / 19yv *^P^roX’inn>*>t~»L.^ 2- , W\\I clorsi. ■ ^Or>STr«Ac7“ v»jkV^a A2p in M t r(I okjL « X)d^o p/V oe_ 7 ^'\ll ■l~i>‘om /q ^^**^^ociL’|n< ^»\-Vo NOTE: This card shall be placed in a conspicous place not more than A 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. oVaO •r\, OTTER TAIL COUNTY, MINNESOTA Board of County CommissionersLand and ResoiiKe ManagemSt^Officlal 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. iiI1 !iI i i i /J u w<^Lt \^rfl t ^cmc<s^ Yartai^^^HS. <r /^ s f^u / 'fec.(as^ Hd y^^ltst-( r«e =5-~twc>ipoe r -3 (^i S) z d&S (^ K ll * (/Ct r ua^o <^, ^<2. ►tCiS'i& r-I r "“t'LoiA . 3^1'Ci ^ i\i~ 3 ^-S ^;artA ; f tj I !1IfI !I r 4. i !!t 1i !I;4--f-t +■ ♦ I 1 I1 4-i< +t I I 1 i 4- I 4t t -*■ !;4-TI i iIi I I tri!I 4-r I ii11;-4- I1 I___L-^- !t TE !!!f 1 !!J.T'i III White - Office Yeilow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT i '73(0 IPermit No„LEGAL l-fo LToa -fDESCRIPTION AND kr\w-\\:)Lo JLOCATION ^ / O rv e kt^I 33 3^G> i ef\>2jog o TWP NameSac.TWP RangeLake Classif.Lake No. Lake Name IDENTIFICATION: Please Print All Information Tel. No.Mailing Address— No. Street, City and State Zip No.First InitialLast Name 3 Ak rJ<Tv7>^Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: 4jj)«4ew Building ^ t^lteration C RESIDENTIAL PROPOSED USE: <3 r (A( ) One Family Dwelling ( ) Multiple Dwelling ( ^]./Other Specify:_^ o -rX(Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT^ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: ( ) Yes ( Stories above basement: Sq. feet (outside dimension) Bedrooms .................................. ( I Masonry (\rfWood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( JI'^Tn^vidual Septic Tank WATER SUPPLY: ( ) Public ( j^rrfndividual Well I, etc. Baths Type of Roof: (CHARACTERISTICS: 3 £>C>0 "Water frontage is feet.Maximum depth of lotsquare feet.feet.Lot Area is I o oBuilding set back from high water mark is. Land height above high water mark at building line is feet. (Building Line) 3 feet ^<3Building set back from State highway right of wgy Side yard is feet — from road right of way is feet-fI) o L(^..feet.and .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). Structure will be located Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewitf 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 STA TE STA TUTES. %s ^ Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the alPermit: 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. ve statement. This permit is granted upon the JO-Dated Shoreland Management Official Permit Fee $. & O Oct YO n .p/_noV Ci.vn; C'lOComments:\( gy ■ >LL/* >1/r(^r<jkv>^ f ^vjsjWiClW (p^Y t'v\ vh ° o ipproytyo 19S676® VICTOR LUNDEEN CO.. PRINTERS, FEROUS FALLS. MINN.Form No. MKL-0771 002 OfficeWhite Yellow — dvvner Pink — Auessor Goldenred — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Permit No„LEGAL yVo Lz?ui^ Y L U ' 1//5 ^ > ■> ri lDESCRIPTION AND \—^LOCATION j /t- TWP NameSec.TWP RangeLake Classif.Lake No. Lake Name IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateLast Name First Initial Owner NameContractor Architect Name. T TYPE OF IMPROVEMENT: 7^ ( )/New Buildin NON-RESIOENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE: I ) One Family Dwelling I ) Multiple Dwelling Specify:. ( ) Alteration Vp ( I Other Units ■3 ( ) Other ESTIMATED COST OF IMPROVEMENT $ SizeI PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ;) Individual Septic Tank, etc. WATER SUPPLY: ( I Public ( Individual Well ( )Yes ( » NoBasement: iStories above basement: Sq. feet (outside dimension) Bedrooms ..............................Baths Type of Roof:■ fj CHARACTERISTICS: square feet.Water frontage is feet.Maximum depth of lotLot Area is 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 right of way..... Side yard is ..................... Structure will be located feet. (Building Line) feet feet — from road right of way is feet. and feet. .feet from septic tank (Sewage System Permit must be obtained before Installation), feet from soil absorption system (Cesspool, Drainfield, etc.).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. 1 further agree that any plans and specifications submitted herewitf 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 STA TE STA TUTES.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 $.i Comments: I 1956 76@ VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS, MINN.Form No. MKL-0771-002 % INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL MINIMUM Shall Be 4IS X Sq. Ft Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft.Ft. Ha 0Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway 50 Ft.Ft. Building Set Back from Street or Road 40 Ft.Ft. lo' & Ft.Side Yard & 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: ^-j} y <( g S cyQ/3 Inspector's Signature Title Inspection Dated ia-'z. g-19 Agency vicToa UMMIN a cft.. MiMita*. rtaaua r«Lk». mihn. White — Office Yellow — Pink — Assessor Goldenrod — SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT ner Inspector ^ iz) ■<. 0[i- ! ^cTT" Z^o'T -:ts^ ^ K) W "2^0 k h-^Permit No.o c/LEGAL 5DESCRIPTION AND LOCATION ^C} ^3 !a ‘E'i^1XAi2n6-P !2JL/> TWP NameTWP RangeLake Classif.Sec.Lake No.Lake Name IDENTIFICATION: Please Print All Information Tel. No-Zip No.Address— No. Street. City and StateMailinqFirstInitialLast NameIj o y B /3Si~eve.Owner SqWjl LK pn T\JT NameContractor Architect Name. I NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE: ( |>^ne Family Dwelling ( ) Multiple Dwelling TYPE OF IMPROVEMENT: f\OD^ -fe* Id^ X 3<i Specify:,I ) New Building ( ) Alteration ( ’\iJ0ther_______ UniY ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( V<Yes ( ) No Stories above basement: ...... Sq. feet (outsidejlimension) .... Bedrooms ( ) Masonry (t/TWood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( vl^ndividual Septic Tank WATER SUPPLY: ( ) Public ( vl' Individual Well Basement:1,, etc. 3 Baths CHARACTERISTICS: I Maximum depth of lot feet.Water frontage is feet.square feet.Lot Area is ■7 feet. (Building Line)Building set back from high water mark is Land height above high water mark at building line is feet ^ O O .feet.feet — from road right of way isBuilding set back from State highway right of way_.. .. ^ cjf la Side yard is /Iand ............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). lol Structure will be located "Z (f ! 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 ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STA TE STA TUTES. 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. ;?c/, S8"\- Dated. (‘Signature^^o^rt>wner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit /s 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. 33. _Shoreland Management Official K/Y-Y-\Dated Permit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971@ VICTOR LUNOEEN CO.. PRiNTKRS. FERGUS FALLS. MINN. White -Yellow Pink — Assessor Goldenpod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739 -2271 - Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT ner Q<l<- '79.r i i ' ■ ■'^ >■Permit No,.J ' fh h - ' h * I -71 11 /LEGAL Qtf ic.r' 'r ^ 2L EDESCRIPTION AND LOCATION (n6- P ) ,\i.r /. TWP NomeTWPRangeSec.Lake Classif.Lake NameLake No, IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialFirstLast Name rr y \J I >I -7Owner /:S LJ:/f'> 11} NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:fRESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:t / Unitt/r/ / W Specify:,( } One Family Dwelling ( ) Multiple Dwelling ( ) New Building ( ) Alteration I ) Other Size( ■) Other ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( yfVes ( ) NoBasement:( ) Public ( gPidividual Septic Tank WATER SUPPLY: ( ) Public ( y Individual Well ( ) Masonry ( v) Wood Frame ( ) Structural Steel ( ) Other — Specify .1Stories above basement: Sq. feet (outside dimension) Bedrooms , etc. Baths CHARACTERISTICS: feet.feet.Maximum depth of lotsquare 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 way.... Side yard is .................... Structure will be located Lot Area is I feet. (Building Line) feet .feet.feet — from road right of way is .............feet. .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Sewage System Permit must be obtained before installation). and T Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. TH/S IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. / V ■Dated. Signature of Owner yPermission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. / Dated Shoreland Management Official \ Permit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971®VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS. MINN. v; ••-* ' .-4 > INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS i MINIMUM Shall Be 4 Sq. Ft Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft.Ft. Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. /OOBuilding Set Back from Street or Road Ft.40 Ft. fSide Yard A I'A ^/3 &Ft.&Ft. o kRear Yard Ft.Ft. rt-IQoOccupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft. 20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. I[ r 0 o-kiInspector's Comments: lUQ po vs y %. - (d ^ ^ Inspectcy^s Signature Title Inspection Dated 9-/g-19 Agency VICTOt UIHDCtN ft M . IIHTtI r ' f- White - Yellow — Pink — Aye^eor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT i Permit No„LEGAL SO/" DESCRIPTION AND LOCATION 3U- -ja Cyirar- TWP TWP NameRangeSec.Lake No. Lake Classif.Lake Name IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateLast Name First 57^ Initial R+ BaBel\oySOwner •/ t>e/F-NameContractor Architect Name. TYPE OF IMPROVEMENT:/ f » t </( ) New Building ^ S^^lteration 4^ ^ . ( ) Other /H» S g RESIDENTIAL PROPOSED USE:NON-RE^ENTIAL PROPOSED USE: Specify: ^/< ^ jb—:A^------------. leloccd’t CO-A( ) One Family Dwelling ( I Multiple Dwelling ( ) Other Units Size ESTIMATED COST OF IMPROVEMENt[$IPRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL: ( ) Public ^ r ^ ^ <«^)Ctndividual Septic Tank, WATER SUPPLY: ( ) Public ^^^ndivkjual Well DIMENSIONS: ■J><No( ) Masonry r>4I,Wood Frame ( ) Structural Steel ( ) Other - Specify Basement: ( ) Yes Stories above basement: Sq. feet (outside dimension) Bedrooms 1.etc. Baths alio rclocA^ Lob {a Ut "Xl Type of Roof: CHARACTERISTICS: 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 way.... Side yard is Structure will be located feet.Maximum depth of lotLot Area is feet. lOO feet. (Building Line) 3.feet ,5!C2.feet — from road right of way is feet. I.Q.and feet. .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).:loStructure 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 herewitf 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. X SlgTiaf] Permit: Permission is hereby granted to the above named applicant to perform the work described in above statement. This permit is granted upon the 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/Dated Shoreland/Managen^nt C^cial(U<. SOrPermit Fee $. To<r^Comments: Lo^A7 VF 'i' t K^XTcrvO p /■ m 1956 76(0 VICTOR LUNDECN CO.. PRINTERS. FERGUS FALLS. MINN.Form No. MKL-0771-002 iM - OttIC* low — Owner Identod — Inepector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739-2271 - Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT AiMtaor Permit No„LEGAL ASCRIPTION AND -OCATION ' TWP Nameu. JI5- -ja.TWPSec.RangeLake Claeilf.Lake NameLake No. IDENTIFICATION: PI—w Print All Information Mailing Address— No. Street. City and State Zip No.Tel. No.InitialLast Name i-irst II ^ L4t^,AiA/ Owner ■/ ^3\Nameontractor > -Vo P -t_£iName.Architect b\W <PE OF IMPROVEMENT;/ # . . </ESipENTIAL PROPOSED USE:^ENTIAL PROPOSED US^Specify: /Zi ^CkJj’ ri ^ . NON-RE ENTIAL PROPOSED USE; Cin^1 ) One Family Dwelling ( ) Multiple Dwelling^H^ltergtion ( ) Other Units (S> ( ) Other Size I5TIMATED COST OF IMPROVEMENT $ TYPE OF SEWAGE DISPO^L; ( ) Public ^ 4<^lClndividual Septic Tank WATER SUPPLY; ( ) Public ^i^ndividual Well DIMENSIONS:tINCiPAL TYPE OF FRAME: ■^<NoBasement: ( ) Yet Stories above basement: Sq. feet (outside dimension! Bedrooms ( ) Masonry (^^Wood Frame f ) Structural Steel I ) Other — Specify 1., etc. Baths alio re.locA^ Uh fi Uh 21 Type of Roof: HARACTERISTICS: 3..2.C feet.Maximum depth of lotWater frontage is ...feet.square feet.Lot Area is Building set back from high water mark is Land height above high water rnark at building line is Building set back from State highway right of way.... Side yard is Structure will be located Structure will be located lOO.feet. (Building Line) 3 feet .SlQ.feet — from road right of way is .feet. IQ.feet.and /<?.feet from septic tank (Sewage System Permit must be obtained before installation), 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 orth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewitf hall 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. X Signatar© o1 Permission is hereby granted to the above named applicant to perform the work described in t above statement. This permit is granted upon theermit; xpress 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 ,'ounty, Minnesota. This permit may be revoked at any time upon violation of said ordinances. 3/)ated________ ’ermit Fee Shoreland/Managemnt Cl^cial omments; 7 L<r(% a-r-it-k •>i<i xl i h '~t' i Kp /■ rri 1956 vicroH lusoesn co.. p-untcrs. rcRoua falls, minn.= orm No. MKL-0771-002 CALLED '■i 1 <v... f . ■ -m- ■ Whii - Office Yellow — Owner Pink'— /^Miuor Golc^nrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739 -2271 - Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Permit No„/ .V,,LEGAL 7 r DESCRIPTION iAND LOCATION TWP NameRangeLake Classif.Sec.TWPLake No. Lake Name IDENTIFICATION: Please Print All Information Tel. No.Mailing Address— No. Street. City and State Zip No.Last Name First Initial 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 IMPROVEMENTS PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL;DIMENSIONS: ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public I ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms / Baths Type of Roof:■ ' 7 i. CHARACTERISTICS: square feet.Water frontage is feet.Maximum depth of lotLot Area is feet..1.1Building set back from high water mark is.................... Land height above high water mark at building line is Building set back from State highway right of way..... Side yard is ..................... Structure will be located feet. (Building Line) feet feet — from road right of way is feet. and feet. .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).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 herewitf 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 STA TE STA TUTES. X- -■ Signature of Owner / Permit: 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. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the Dated Shoreland Management Permit Fee $. Comments: 195676®Form No. MKL-0771-002 VICTOR LUNOEEN CO.. PRINTERS. FERGUS FALLS. MINN. r >j t-- i INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS f MINIMUM Shall Be j.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 ®vicTsa Luaacea « ea . ;•. •■1 -t' \Uca.i<r<r^ 'csi:c5^ xl 'i-> /"■ ; -.- • > I. GENERAL PROVISIONS 1. Title This Ordinance from the date of its passage shall be known as Shoreland Management Ordinance, Otter Tail County, Minnesota. 2.Purpose The purpose of this Ordinance is to regulate the use and orderly development of shorelands in Otter Tail County, to prevent and eliminate pollution of public waters in the unincorporated areas of Otter Tail County, and to preserve and enhance our-natural resources as provided-in the Environmental Rights Act, Minn. Stats. 116B. Legal Authority3. This Ordinance is enacted pursuant to Chapter 777 Laws of Minnesota 1969, and amendments thereto. 4.Compliance No structure including vision obstructing fences located'in Otter Tail County and lying outside the incorporated limits of any municipality and lying within the-Shoreland Management Districts herein defined shall be erected or altered which does not comply with the regulations of this Ordinance, nor shall any structure or premises be used for any purpose other than a use permitted by this Ordinance. 5. Owner Liable The owner of record of any property falling under the jurisdiction of this Ordinance shall be responsible both criminally and civilly for any construction. alteration, excavation, or any other activity occurring upon his property which is contrary to the provisions of this Ordinance. Savings Clause6. All permits issued under this ordinance are permissive only and shall not release the permittee from any liability or obligation imposed by Minnesota White - Office Yeliow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT \^QLSfC>(\^ f4<\ve^/Y Uol ^ V - Permit No„■SO kJY'LEGAL DESCRIPTION AND LOCATION (p /33 TWP NameRangeTWPLake Classif.Sec.Lake No.Lake Name IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateFirstInitialLast Name 3 L<i-ia r fOwrter NameContractor Architect Name, TYPE OF IMPROVEMENT; . , < , St XX'='(_?ArQ‘=i 'o NON-RESIDENTIAL PROPOSED USE: .Stotlw^fC CsAAk 'i~'v> _____ RESIDENTIAL PROPOSED USE: Specify:.( ) One Family Dwelling ( I ^^tiple Dwelling ('^ther ( ) New Building ( ) Alteration Other Units (1 Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL;DIMENSIONS: 'A.Y\ \ V/)^o ( ) ^sonry (vfwood Frame ( I Structural Steel ( ) Other — Specify ( ) Public ('^'Tndividual Septic Tank, WATER SUPPLY: Basement: ( ) Yes ( Stories above basement: Sq. feet (outside dimension) Bedrooms tV 1etc. lie Baths ( Type of Roof: CHARACTERISTICS:V.S-0-feet.square feet. Building set back from high water mark is. Land height above high water mark at building line is Water frontage is Maximum depth of lotLot Area is feet. .I.QO,feet. (Building Line) 3-^feet ^ aBuilding set back from State highway right of way Side yard is Structure will be located feet — from road right of way is .feet. LO.and feet. I .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).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 STATUES. 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. Z20-^=k Dated Shoreland Management Official Permit Fee $ ll- I~V~o iComments: 195676®Form No. MKL-0771-002 VICTOR LUNDCEN CO.. PRINTERS. FERGUS FALLS, MINN 1White — pffice Yellow — Owner Pir^k — Assessor Gold^nrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT f i 0 'I . ‘V /i< -i _o /c'7h 't V -44n u ,2- "S <5 Permit No„('-1LEGAL - // DESCRIPTION I ;3 q -K •{ 1 )■] '<-1AND V LOCATION I TWP NameTWPRangeLake Classif.Sec,Lake No.Lake Name IDENTIFICATION: Please Print All Information Zip No,Tel, No,Mailing Address— No. Street. City and StateLast Name First Initial Owner NameContractor Architect Name. TYPE OF IMPROVEMENT;RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: S'( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Specify:. r.Units y( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ■t-/•xj ^ 1^ 'A rx ^ ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( I Individual Well Basement: ( I Yes ( f No Stories above basement: Sq. feet (outside dimension) Bedrooms .V Baths Type of Roof: . .mY • CHARACTERISTICS: .2Water frontage is ....r.'.square feet.feet.Maximum depth of lotLot Area is 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 right of way..... Side yard is ..................... Structure will be located feet. (Building Line) r feet -I Ofeet — from road right of way is feet. and feet. .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).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 STATUES.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 $. c sU ^Comments:C> NO cert issued \2-«8I 195676^ VICTOR LIJNDEEN CO.. PRINTERS. PEROUS PALLS. MINN.Form No. MKL-0771-002 r •\ . r:. ;. 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. Ft.!Building Set Back from High Water Mark Ft./ Building Set Back from State Highway Ft.50 Ft. Building Set Back from Street or Road Ft.40 Ft. to /<^ & Ft.Side Yard & -ioLRear Yard Ft.Ft. 1\v\Occupied Building to Septic Tank Ft.10 Ft.■y ; / HOccupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________4*4^Ft.3 Ft. Inspector's Comments: r5K^Inspector's Signature Title Inspection Dated jO- 7^ 19 Agency VlCTOtt LVHOCCH t CO . MIHTfM. MKOUt rALLC, MINK. f 1 ■I i 1\ ff‘t A ! X1 I I—J4^/^i-■ik-\i 1 >7 - "N>\ 30 7\4( 4- / fftta-rcr i4 i<30 V/ ! Z r ! \ X—---------- / — 1 t I! 1 II 1I r feet/inchesScale: Each grid equals GRID PLOT PLAN SKETCHING FORM Dated:Signature Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each building currently on lot and any proposed structures. 19 --'V T — c>\' 71 O'X ;V 4 -I6v>, -Lut: isj ' r-]7- L a ‘ \- 21S98 7®VICTOR LUNOEEH CO.. PRINTERS, FERGUS FAUUS, MINN.MKL-0871-029 Sh l(esi>rt: JL t^/J V dl^C US S e\j^ h H-S7 ^130 A