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HomeMy WebLinkAboutJacob's Cove_37000290155001_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, Minnesota 56537 APPLICATION FOR SITE PERMIT Permit No,.LEGAL 3DESCRIPTION AND LOCATION (Lake No. Lake Name TWP ' Rdnge TWP Name 6-^0^ Lake Classif,Sec. IDENTIFICATION: Please Print All Information Tel. No.Mailing Address— No. Street. City and State Zip No.First Initial /cortO-iQ Last Name 14^^ . I P-eliicaii H-n•or--onOwnerI sa£NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: Specify:,( ) One Family Dwelling ( ) Multiple Dwelling ew Building ( ) Alteration l4 Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $I l/^No DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME:ot- Mkl-jor I( ) Masonry ^Wffood Frame ) Structural Steel ( ) Other - Specify Basement: ( ) Yes J^KIndividual Septic Tank, etc. WATER SUPPLY: ( ) Public ^^<^ividual Well Public Stories above basement: Sq. feet (outside dimension) Bedrooms .......... H..S5.1- Baths CHARACTERISTICS: 111 Maximum depth of lot........feet. feet.square feet. Water frontage ig .... 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 Lot Area is feet. (Building Line)1 feet 3D...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). 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 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. Dated. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the ir Tail 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 County, Minnesota. This permit may be revoked at any time upon violation of said ordinances / qAAka^M^H.Dated ^^^^/Shoreland Management Official Permit Fee $Receipt No. @ C)Kcjuj-e(i UjComments: Form No. MKL-0286-019 229971@ VICTOR LUNOEEN CO.. PRINTERS. FERGUS FALLS. MINN. White - Office Yeilow — Owner Pink — Ateessor Goidenrod — Inipeetor SHORELANO MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT 9\ Permit No..LEGAL DESCRIPTION f I AND /\J' K .J '4LOCATIONi i i 7 ! TWP NameTWPLake Claetif.RangeSec.Lake NameLake No. IDENTIFICATION: Please Print All Information Zip No-Tel. No.Mailing Address— No. Street. City and StateInitialFirstLast Name Owner *. ■NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE: ( ) One Family Dwellirrg ( ) Multiple Dwelling TYPE OF IMPROVEMENT: \ M' *Specify:.( ) New Building ( ) Alteration k s Units . L .;. i i ;7V;( ) Other Size( ) Other IESTIMATED COST OF IMPROVEMENTS - TYPE OF SEWAGE DISPOSAL:DIMENSIONS:PRINCIPAL TYPE OF FRAME: Basement; ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms I ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Publiei ( ) Individual Weil ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify Li Baths ■f CHARACTERISTICS;/feet.Maximum depth of lot feet.square feet. Water frontage is Building set back from high water mark is..................... Land height above high water mark at building line is, Building set back from State highway right of way Side yard is ..................... Structure will be located Lot Area is 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 .1 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 e site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. Dated. Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail Ojunty, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated Shoreland Management Official Permit Fee $.Receipt No. Comments: y Form No. MKL-0286-019 229971@ VICTOR LliNOEEN CO.. PRINTERS. FERGUS FALLS. MINN. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS Jr MINIMUMShall Be i . Sq. Ft Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft. Ft. fBuilding Set Back from High Water Mark Ft. Ft. f2H.Building Set Back from State Highway 50 Ft.Ft. /I/t>!>^Building Set Back from Street or Road 40 Ft.Ft. Ft.Side Yard &Ft. Rear Yard Ft.Ft. d/lOccupied 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. iiK^1Inspector's Comments: 7 Tnipectof’sSjaDWufe’ Title Inspection Dated 7^19 Agency vicTOi w«a(ea t so . iTtM. Minnesota Department of Transportation W/ 1000 W. TH. 10, Box 666 Detroit Lakes, Minnesota 56501 (218) 847-1500 October 28, 1986 Mrs. Beverly Barton % Viking Hills Resort R.R. 3, Lake Lida Pelican Rapids, Minnesota 56572 C.S. 5623 (T.H. 108)Re: Dear Mrs. Barton: This letter is in reply to your request for information regarding the Minnesota Department of Transportation policy on building setback require­ ments along trunk highway rights-of-way. Basically, the Department has no building setback requirements, except to say that all associated features such as parking, fences, septic tanks, etc. shall also be located off highway rights-of-way. The basic right-of-width of T.H. 108 in this area is 33 feet on either side of the highway centerline. If your proposed construction will be within five (5) feet of the highway right-of-way line, please give me a call (218) 847-1553 and I will have someone from our surveys unit meet you on site to show you where the highway right-of-way is located. I trust this informatin is sufficient for your needs. Sincerely, J. K. Elletson, P.E. Area Maintenance Engineer Division of Field Operations An Equal Opportunity Employer r White — Office Yellow — 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 P! 0 F Permit No..^ 3LEGAL DESCRIPTION U'llls Q^sc€T]/ I K I rAND LOCATION C<S-7V7 GO 3.1 UP- IJT.nfl Lake No.Sec.TWP Range TWP NameLake Name Lake Classif. IDENTIFICATION: Please Print AM Information Last Name Eifst Initial Mailing Address— No. Street. City and State Zip No.Tel. No. ig-fS’ gy<Owner i C NameContractor Architect Name, TYPE OMMPROVEMENT; "1^ ( l^lew Building ( ) Alteration RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:(^ ^ Co ( ) One Family Dwelling , I t ( I Multiple Dwelling ■‘lather Specify:, Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: v/no ( ) Masonry (yO Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) ^blic ( M Individual Septic Tank, etc. WATER SUPPLY: ( ) ^blic ( \)^ndividual Well Basement: ( ) Yes (,1Stories above basement: Sq. feet (outside dimension) Bedrooms Baths Type of Roof: CFO Fy\ ^ CHARACTERISTICS: Water frontage issquare feet. Building set back from high water mark is. feet.Maximum depth of lotLot Area is feet. feet. (Building Line) Land height above high water mark at building line is Building set back froro State highway right of^ay.... and................................ feet / S:.9..feet — from road right of way is feet. Side yard is feet.rL.9..Structure will be located ,feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc ). /2P'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 se forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewitl shall become a part of this prermit application. I also understand that this permit is valid for a period of^x (6) months. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA ST A TE ST A TUES. Permission is hereby granted to the above named applicant to perform the work descried iKtheatxJve statemgrft. This permit is granted upon the shall conform in all respects to the ordinances of Otter Tail Permit: express condition that the person to whom it is granted, and his agent, employees and workr County, Minnesota. This permit may be revoked at any time upon violation of said ordinances^ f/~~ lO - S’ V Shoreland Management Official 1 Dated a(Da ^7 3 i2^.Permit Fee $. SrvTciU yvof vvrgkC-1VT, ^ r\ S Commen 7} Sj-t'<3 r n Oi'h i r Awn-ll' I (A p St v\ 195676® VICTOR LUNDEEN CO., PRtN’TKRS. FERGUS FALLS. MINN.Form No. MKL-0771-002 --r. White — Office Yellow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT ;r/3Permit No.,P'f Q f'LEGAL DESCRIPTION f-/ < // > ^So <cT~k' < i'> \VAND rLOCATION 'M '}i/j./■ -..i ! TWP Name ; Lake Classif.Sec.TWP RangeLake No.Lake Name IDENTIFICATION: Please Print All Information Last Name Mailing Address— No. Street, City and State Zip No,Tel. No.First Initial k iOwner {I :\ f NameContractor Architect Name. TYPE OF.1MPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:/(/ y( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling ( V Other Specify: Units ( ) Other Size ESTIMATED COST OF IMPROVEMENt|$ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) ^sonry ( /■1 Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( I Individual Septic Tank, etc. WATER SUPPLY: ( ) ^blic ( Individual Well Basement: ( ) Yes ( Stories above basement: Sq. feet (outside dimension) Bedrooms No ) Baths > ry\Type of Roof: CHARACTERISTICS: square feet.Water frontage is feet.Maximum depth of lotLot Area is feet. .VBuilding set back from high water mark is. Land height above high water mark at building line is feet. (Building Line) 3 feet ✓^ 0Building set back from State highway right of^way and^ feet — from road right of way is feet. /r !Side yard is feet. Structure will be located ,feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). ■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 se forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewit shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. 3y'.THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STATE STATUES. 'I V //Signa<ure,j3t_Qwme^ /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 ^7 3 (I,Permit Fee $. ■ >' 1 ,2 I (JCComments:^4 t *V... U . r*< < I . iZ I 3 ,I n fX-- Ai A f ,\ \^ c u r:^ T< -7r>'’7-s..-. ^i1 J)k c cf \ I (Li U ' (h\ \ 195676® VICTOR LUNDCEN CO.. PRiNTf-Pe. FA. tS. VTN'fForm No. MKL-0771-002 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 4r 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: I>- Inspector's Signature Title Inspection Dated r19 Agency VICTQK lUHOCCN « CO . PlINTiat. rilOUO FALL*. 1 i SHORELAIMD 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 H'.u'i Permit No^LEGAL Date.DESCRIPTION AND LOCATION (hP .JX? 4Z- Sec. TWP Range TW?" ^■747 NameLake No. Lake Classif.Lake Name IDENTIFICATION: Please Print All Information Last Name Initial Mailing Address— No. Street, City and State Tel. No.First Zip No. Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE;NON-RESIDENTIAL PROPOSED USE: ( ) New Building (i«^r^teration ( ) One Family Dwelling ( ) Multiple Dwelling ( ) Other Specify:. Units\3.0 I Ip'( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: ( ) Yes No Stories above basement: ....... Sq. feet (outside dimension) .... Bedrooms ly) Masonry (‘ ) Wood Frame ( ) Public (^ Individual Septic Tank, etc. WATER SUPPLY: ( ) Public Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central I ( ) Structural Steel ( ) Other — Specify Baths HEATING: ( ) Electric I ) Coal Other: Type of Roof;( ) No ( ) Gas ( ) None ( ) Oil ( ) No ( ) Unit CHARACTERISTICS: ......)»t./3ILot Area is Water frontage is feet. (Building Line) feet feet. /Z..S.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 3c!>feet — from road or street is feet. cP cD ^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. /O .2....Q. 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 (i months. zt <y^Dated. Sfanature 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 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. Permit: Dated Shoreland Managernent Offtcial Permit Fee $.State Surcharge $. y-'noComments: yr 7 /rtYC4^< Form No. MKL-0771-0^ f ‘'I ^ p ■s 1S8899 , rULL*. M)MN 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 I I >5 - A- 3c 1 Permit No„LEGAL Date.DESCRIPTION AND LOCATION TWP NameSec.TWP RangeLake Classif.Lake No. Lake Name IDENTIFICATION: Please Print All Information Tel. No.Zip No.Initial Mailing Address— No. Street, City and StateLast Name First Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: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: ( ) 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 ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify Baths HEATING: ( ) Electric I ) Coal Other: ( ) No ( ) Gas ( ) None ( ) OilType of Roof: ( ) No ( ) Unit 1 CHARACTERISTICS; Lot Area is square feet.Water frontage is , feet. (Building Line) ...............................feet feet. Building set back from high water mark is................... Land height above high water mark at building line is Building set back from State highway is........................ Side yard is.................... Building will be located Building will be located feet — from road or street is feet. .......................................feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). and feet. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Dated Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated Shoreland Management Official Permit Fee $.State Surcharge $. Comments: inspectmot called for Form No. MKL-0771-002 158899 VICTOR kUOOttM 4 CO.. RRIMTCRI. RCROUO MINN F 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. 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 VICTOH LUHBICil * CO . •■■■Tftt. fALL*. MINN. -^1 Hj V, .. 'X \I'X Vv. V \- ‘X V.