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Lake Five Resort_32000050044000_Shoreland Permits_
'V WHITE- Office \APPLICATION FOR SITE PERMIT GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us Z^llPLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.TWP NAMERANGE 4 6La-ime^'pnv/ PARCEL NUMBER (S)37-000 6>S' 6>0 OO o 37l OOO c& OOP PROPERTY (E-911) ADDRESS ^ 4 u Oa-uh’ C!& LEGAL DESCRIPTION Lh.Qla- 7>f SlH' f First Initial Mailing Address * 'Y -tU-h 1 2 ■><) Last Name Daytime Phone No. P-0. %L/Vt^ ^IVE^ /-In Ar^PArfH—' ----------------- Property Owner u 2-(fe - 1 ) YL-~r A-Xr-y. T I t\ AJ ^ Q Z- Contractor Name Lie.# ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. PROPOSED PROJECT (please circle the appropriate n^Jjer) ( 2 ) Add’n to Dweiiing ( 5 ) RCU/Year______ ( 8 ) Storage Structure _ ‘Existing Dweiiing to be removed before. ONSimWATER SUPPLY (W«i4ndividuai ( ) Public ( ) None NOTE: MN Ruies Chpt. 4725 (MN Weli Code) requires a 3’ (minimum) structure setback to a weii. ONSITE SEWAGE TREATD^T SYSTE (j>''PermitNo. (3(t(1 ) New Dweiiing ( 4 ) MHA'R (7 ) Add’n To Non-Dweiling (10) Other ^^^epiacement Dweiiing ( 6 ) Detached Garage (9) W.O.A.S:-I , Contact Roliie Mann at 218-864-5533 CHARACTERISTICS OF PROPOSEjm.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED DWELLINGOutside Dimension CHARACTERISTICS OF PROPOSED NON-DV^ELLING Outside dimensionIt)Ft.x HD Ft." INL.Ft. X R./Ft. X Ft." Sq. Ft. Setback to Lotline ,^0O*F* pt. & ^Oi) 4- Ft." Sq. Sq. FtX Setback t^otiine ___ Setback to Ri^ of Way Setback to Ordin^ High Water Level __ R \ / Elevation Above Ordin^ High Water Levei Setback to Septic Tai Setback to Drainfiera Setback to Biu ________ Maximum PrMosed Height ( ) Boathiuse ( ) Gazej/o **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Appiication / Inspection Setbacklo Lotline ___ Setback to Right of Way Setback to Ordimj(v High W^r Levei __ Eievation Above Ordlhai^igh Water Levei Setback to Septic Taotf \ Setback to Draintjdfd____ Setback to Bl^________ Maximum^oposed Height Roof Cpnge ( ) Yes { ) No Bathroom Proposed ( ) Yes ( ) No Ft.Ft."[.&Ft."Setback to Right of Way Ft." .Setback to Ordinary High Water Levei 1?0 Ft. Eievation Above Ordinary Water Level kO Ft. Setback to Septic Tank Setback to Draintieid(^^Q^7 0Ft. Setback to Bluff 6>0 Ft. Total Bedrooms S __ Ft."Ft." Ft.Ft. /Ofl Ft. Ft.Ft. FtFt. Ft. // Ft Ft. Maximum Proposed Height Roof Change ( ) Yes (X,) No Basement ( Xj Yes ( ) No Walkout Basement (X) Yes (s/deprof/ferequ/red) ( ) NoC>P|v)Su^i>' - i!- ( ) Screen Porch ( ) Storage Structure Topographical Alteration / Eammi^vina □ None )li 20 Cubic Yards or Less*V,^ CHARACTERISTICS OF LOT: Lot Area l2»0O kL Gq.ff* Water Frontage * Must include on scale drawing, additional Permit may be required.□ 21 Cubic Yards - 299 Cubic Yards* □ 300 Cj^bic Yards or More* *^000 Bluff ( ) Yes ( ) NoFt. I’LCO A Toiaimpervious Surface Onsite(FT=)Impervious Surface Ratio:X100 =.%Total Lot Area (FT^)Impervious Surface Ratio TH/S /S 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 con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibiiity to inform the Land & R^ource Management office once the buiiding footings have been constructed. fo/ri/oL.Date: Signature of Property Owner/Agent for Owner Hd/^esource Man^ement Offipgr\ Date; Lan/P'‘/0 PERMIT FEE $RECEIPT NO.PROJECT(S) TOTAL SQ. FT.. 6wefli m wl A^-Y^ruro-^ f,u Cj/r^Q^oi Comments: 326.151 . Victor Lundeen Co., Printers • Fergus Falls, MinnesotaForm No. BK — 1003-0506 0 JjA\ APPLICATION FOR SITE PERMITWHITE - OffiOti GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN $6537 218-998-8095 \ www.co.otter-tail.mn.us 11 PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER SECTION TWP NO.RANGE TWP NAMECLASS^ O /<(t.L T'i v/ e-1^0I 6ap-—r PARCEL NUMBER (S)c>o h4 oo o Z'Z- OQg> oS 60(g>H OOP PROPERTY (E-911) ADDRESSs &^ ^ lo lo^ CIa w- P C f+IEM Tf4 LEGAL DESCRIPTION ^ ^ 4^ L~ t \ cj M^=——=P (L'■ J ■Last Name First Initial Mailing Address Daytime Phone No.I ? o. &LatV-^ ^ivC «- lU\U 1Z>rSttit-T' L \C Property Owner u -O > MA) ^L'Coz.TOg ; l Contractor Name Lie.# I ^ e- L- ^ /PROPOSED PROJECT (please circle the appropriate nymt?er) ( 2 ) Add’n to Dwelling ^^^^eplacement Dwelling ( 5 ) RCU/Year______ ( 8 ) Storage Structure _ "Existing Dwelling to be removed before. ONSITE WATER SUPPLY,y’" (u) Individual ( ) Public ( (None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE , TREATMENT SYSTEM f r (1 ) New Dwelling (4 ) MHA'R ( 7 ) Add'n To Non-Dwelling (10) Other (L^ 'Fermit No.-----( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rollie Mann at 218-864-5533 ( 6) Detached Garage (9) W.O.A.S. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside 'Bimensiony-Outside DimensionFt.x ^\0 Ft.'* I A-«. ■Ft. X Ft." Ft. X Ft.” Sq. Ft. Setback to Lotline Ft. & ‘aC’^ ~F Ft." Setback to Right of Way ^oD-^r Ft." Setback to Ordinary High Water Level ! >0 Ft. Elevation Above Ordinary High Water Level Ft. Setback to Septic Tank (^) /O Ft. Setback to Drainfield ( Setback to Bluff Ft. Total Bedrooms 3 Maximum Proposed Height Roof Change ( ) Yes (X) No Basement ( X) Yes ( ) No Sq. ________ Setback fs^Lotline ____ Setback to Right of Way Setback to Ordinary High Water Level Elevation Above Ordina^ry High Water Level Setback to Septic Tank J\ Setback to Drainfield____ Setback to Blyff________ Maximum proposed Height Roof Change ( ) Yes { ) No Bathroom Proposed ( ) Yes ( ) No Sq. Ft.\ Setback td'Lotline Setback to Right of Way Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfi^d____ Setback to Bluft'________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.^.Ft."Ft."I.& Ft.”Ft.” Ft.Ft. Ft.Ft. Ft.Ft. Ft. // Ft.Ft. Ft. ( ) Screen Porch ( ) Storage StructureWalkout Basement (^) Yes (side proliie required) { ) No '''] r -t '.L /(.u 1 » Topographical Alteration / Earthmovinq □ 20 Cubic Yards or Less . * Must include on scale drawing, additional Permit may be required.______________________________ □ 300 Cubic Yards or More*^Ac*-v/A Hoo *100Q______ ^ /zo-- □ 21 Cubic Yards - 299 Cubic Yards'□ None CHARACTERISTICS OF LOT: Lot Area O' '‘ Z-SqrfT .Ft.Bluff ( )Yes ( )NoWater Frontage -Z-5" Totll Impervious Surface Onsite (R:)Impervious Surface Ratio:X100 =.% Impervious Surfaoe RatioTotal Lot Area (FT^) 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. 1 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 con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. Z.-7-/Ohj OGDate:/f Signature of Property Owner / Agent for OwnerlO/j : HIDate: Land & Resource Mana^ment Offic^ \ PERMIT FEE $ JT—^I Hcm ^: IftH)RECEIPT NO.PROJECT(S) TOTAL SQ.FT, wComments: A '(/P7/\A~YoWv ! I Form No. BK — 1003-0506 326,151 • Victor Lundeen Co.. Printers • Fergus Fails. Minnesota I -9 SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations mi FI.Structure Set Back from Ordinary High Water Level Ft. Ft.Structure Set Back from Top of Bluff Ft. Ft.Ft.Structure Set Back from Road Right of Way hft/h Ft.Ft.Ft. &Ft.Structure Set Back from Lot Lines Ft.Ft.Structure Height Ft.Ft.Structure Set Back from Septic Tank Ft.Ft.Structure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. 7-^0Land Slope at Building Site %% Inspector’s Comments / Sketch: Inspectors Signature \ Date of Inspection Time of Inspection □ Project Approved Date / Initial A SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT WHITE - Oftce GOLDENROD — Inspector YELLOet — Owner - PINK -# Assessor 7, ^ri a C C- 3 V u [j Permit No„LEGAL SEP 10 1991DESCRIPTION AND 3:i-odiP'OS-LOCATION rf"/37 TWP NameTWPRangeLake Clasaif.Sec.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialFirstLast Name fO. LF Fh!^ ///ZZ S rrrUL,Owner mnDROlO Sg/fNameContractor IFArchitectName. NON-RESIOENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: * f(^New Building ~7^reL^-^ C?h\ JfUSpecify:.( ) One Family Dwellirtg ( ) Multiple Dwelling (Mother ■4or ^Units( ) Alteration Size( ) Other ESTIMATED COST OF IMPROVEMENtIs DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes (y) No( ) Public ( i Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well ( ) Masonry Wood Frame ( ) Structural Steel ( ) Other — Specify 6.ZStories above basement: Baths ...CD.....Sq. feet (outside dimension) ... Bedrooms CHARACTERISTICS: Maximum depth of \o‘t....l..l^iD..~..l..LiM.a.feet.feet.Water frontage issquare feet:Lot Area is ISO.feet. (Building Line)Building set back from high water mark is.................... Land height above high water mark at building line is feet .feet.feet — from road right of way isBuilding set back from State highway right of way ..l.QOa.. ./f2Ad^^..AlU^AJtS^K^eet from septic tank (Sewage System Permit must be obtained before installation). feet.Side yard is Structure will be located feet from soil absorption system (Sewage System Permit must be obtained before installation).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 vaiid for a period of six (6) months. THIS IS^JUSJERMIT-Om.^ AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER t6, MINNESOTA STATE STATUTES. f understand that I have been granted a sits permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand (l must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. , Signatura of Owner c. ■ ’ “ ' Dated. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, aryj 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. 5W- !8 m/Dated Shoreland Managernent Official lONF^Permit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971@ VICTOR LUNOCEN CO-. PRINTERS. FERGUS FALLS. MINN. j SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT WHITE ^Office GoAENROD — Inspector YELLOW - Owner PINK — Assessor */ ^ jj(}} J0 92UPermit No„LEGAL DESCRIPTION AND 3:1-000'OS - 00<^</~0(?oLOCATION f'fT rf'^\ve /'^7 Range TWP NameSec.TWPLake Classif.Lake No. Lake Name IDENTIFICATION: Please Print All Information Tel. No.Mailing Address— No. Street, City and State Zip No.InitialFirstLast Name Pro. 64^ L ________ JH hi i-h// R c 10___________ T rn^Owner : NameContractor Architect Name. 4 V ■r r*I NON-RESIDENTIAL PROPOSED USE: r)^ roi ^(P -pir RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: I rO^New Building tf A Specify:.( ) One Family Dwelling ( ) Multiple Dwelling ( ^ Other UnitsI ) Alteration Size X( )Other ESTIMATED COST OF IMPROVEMENTIS DIMENSIONS:TYPE OF SEWAGE DISPOSAL;PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes No /Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY; — ( ) Public ( ) Individual Well ( ) Masonry fy) Wood Frame ( ) Structural Steel ( ) Other — Specify i .aBaths !CHARACTERISTICS: Maximum depth of \qX...J..I)C).0....1.... feet.I .1/7/7 (^ 4 1-^ ..... square feefe .1feet.Water frontage isLot Area is .. 4-a.-. .............^/h£j2...± feet. (Building Line)Building set back from high water mark is.................... Land height above high water mark at building line is feet .feet.feet — from road right of way isBuilding set back from State highway right of way£l^!('^....^and.......UlOO....±feet. ^/......i.vii.ui.l.Vi.'i^eet from septic tank (Sewage System Permit must be obtained before installation). Side yard is Structure will be located ./...C..O....±feet from soil absorption system (Sewage System Permit must be obtained before installation).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 /S A PFnMJJj-OHl Y AND DOES NOT CONSTITUTE A BU/LD/NG PER/^/T AS SET FORTH IN CHAPTEJUSJOmNESOrA STATE-STATUTES^.------ ^understand that I have bean granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand j < must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. X,;S{ hm i- —/W/I Signature of Owner Dated, : Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit; express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. JB. /7//Dated Shoreland Management Official 5(^7 -inNQ VPermit Fee $.Receipt No. /'44/^J'7'7Comments: Form No. MKL-0286-019 229971@ VICTOR LlfNOEEN CO.. PRINTERS. FERGUS FALLS. MINN. ■•. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS Jr MINIMUM Shall Be J.Sq. Ft, Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. -hUO /(f>n Ft.Building Set Back from High Water Mark Ft. Ft.Building Set Back from State Highway 50 Ft. oLBuilding Set Back from Street or Road p. 2? -4e Ft.Ft. Side Yard &Ft.& <Pki Ft.Rear Yard 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_____________OK Ft.3___Ft. Inspector's Comments: /^/> ^ (T^ gr>\ r / Inspector t Signature Title Inspection Dated /A/5 19 9/ Agency V<CTM UIKMCII A M.. AtlHttM. PIRAM PlUt. HIRH. ~ " *r r ^ 'To■f ‘^■S. S 7 »1(/i»3IjiKes lUkuJ<rs \C>> l.j £3> cy> ^*' -r- ^ -* C3 S ^ ^ c3 *'^ P". c/:» ^ >t/7 I‘I .-^1 4;.s:K ^f•,^ \\i-^fir €• *S \\^srr^ ^ . ^! { \'l m/'‘i •«M-----^■ '<^ •^■Ic'* - t>i^ Ccuw^y \|r I 5-r* •ar) 's X.r*^:p:^> In ""(IV Scuta='C >\c kT.'•\ Ar-\%// \V iTf ^\ > \a¥4./j \ VV-' m ^c’f S..,/viw, \/!/•Vt <'/<f»5 „/Vii i ! Sfe-p o~ I -0»*^ M > ;'Ir*A U(f rI i I.-lake\ *f ‘y>■: ( ll '^1\I I i I ^ \f^ Lf\\AJ*C^*5- L :IV /^>l//?r LM’£ • rLAK^ fouR ! L.roMBSl'o^ff-nji E*<£l4 ! //yvJUs. I fay^ \\r.t/ty -* /OO/fr"//Scale: Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM f 2/SlDated:19 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. 1'r W(F \\\ I ^ \ ^ I I\ -s \ V 1 I lOjutricf J r ■ I ^/O 21S98 7@MKL-0871-029 VICTOH LUNDCCM CO . PRIMtCRS. fERCUS FALLS. UINN. 5, r7jj\i u A ] s//* loftic S/'U it tO^Z.C 11-15-^1 Pt s.'U it- I0H2.L [1White - Office Yeiiow — Owner Pink — Attessor Goldenrod — Intpectok SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 - Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT \ Permit No„LEGAL DESCRIPTION AND ■5K-3^7 Pipe- Rr^rv2^tc^ ^/37LOCATION TWP NameRangeLake Ciassif.Sec.TWPLake No.Lake Name IDENTIFICATION: Please Print All Information Tel. No-Zip No.Mailing Address— No. Street. City and StateInitialLast Name First pffii? H-iM^ Krlqf^Hl ^ Druid H- StS- I -“r P O Boy t^ci~Ko>T~mm.JT^O!Owner <SY7 7^ NameContractor -sg /-TArchitectName, TYPE OF IMPROVEMENT: New Building ( ) Alteration NON-RESIDENTIAL PROPOSED USE: ^cify: r / rt" r^ RESIDENTIAL PROPOSED USE: One Family Dwelling ( ) Multiple Dwelling ( ) Other rd*so tt~Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL: ( ) Public Individual Septic Tank, tkd WATER SUPPLY: ( ) Public JXl Individual Well DIMENSIONS: Basement: ( ) Yes No Stories above basement; Sq. feet (outside dimension) Bedrooms ......—3............... rose;L^.( ) Masonry ( ) Wood Frame ( ) Structural Steel Other — Specify Cr & a.Baths (96CF^ntj ^015S3u^r .^ U [CS’ O.C oqyare itaat. Type of Roof:fJsf IALIQ. CHARACTERISTICS; jra.!gd>r Water frontage is feet.Maximum depth of lot feet.Lot Area is i.Q.0..-t-Building set back from high water mark is. Land height above high water mark at building line is feet, (Building Line) .3...ri3.feet f Building set back from State highway right of way r~ I feet — from road right of way is .feet. K3.....g-5.I Side yard is 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 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.H111 ^ Signature oj Own^^-^ f'/tt RTHIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STATE STATUTES. Permission is hereby granted to the above named applicant to perform the work described in thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall confdrm in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon yiolation of said ordinances. / ve statement. This permit is granted upon the _________%srr^<C^O‘^ ?Dated lent OfficialShor^ani lam Permit Fee $. Pi ^ rr f oS (5.j>k t... C U . J-/' • »-< /f ^liacuitl (;i^ J |i)y Comments: aliowj Co4-to3 \ 195676®^ Form NO..MKL-0771-002 VICTOR LUNOEEN CO.. PRINTERS. FERGUS FALLS. MINN White - Office Yeliow — Owner Pink — Assessor Goldenrod — inspector. }II-]- ^SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT -Z «r- Permit No..LEGAL DESCRIPTION AND LOCATION " "7 Renge TWP NameSec.TWPLake No.Lake Ciassif.Lake Name IDENTIFICATION: Please Print All Information Tel. No.Zip No.Last Name Initial Mailing Address— No. Street. City and StateFirst Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE: ( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Specify:. Units ( ) Other ( )Other Size ESTIMATED COST OF IMPROVEMENT $ JPRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONSl____^^ ( Basement: VJj Ye^ (- ) No / Stonesabove'Basfiment: Sq. feet (outside dimension) (1 Bedrooms r ( ) Individual Septic Tank, etc.'^"^ WATER SUPPLY: I ) Public ( L Individual Well 7( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public '‘i Baths ■)CC i:Ii V ( M , •' Type of Roof:/ iI CHARACTERISTICS: Water frontage is feet.Maximum depth of lotsquare feet.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 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 herewith shall become a p>art 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.\ i■'i /:Dated i 1Shoreland Management Official I Permit Fee $. Comments: \ tS*B\-ii ■ /I( M. >I 7li \AL ‘ . ft V ' f,-w INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS i MINIMUM Shall Be X Sq. Ft. HooaoLot Area (Square feet)Sq. Ft Sq. Ft. \^oWater Frontage Ft.Ft. IrilOBuilding Set Back from High Water Mark Ft.Ft. Ok'Ct*-Building Set Back from State Highway 50 Ft.Ft. ^0 ^ Ft. iO & ^ Ft. P-6^Building Set Back from Street or Road Ft. rr& Ft.\0Side Yard Rear Yard Ft.Ft. ^ Ft Occupied Building to Septic Tank 10 Ft. c~S -Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________3"^Ft.3____Ft Inspector's Comments: I3^ ^ V<5 I \ I :: b- i I i- •i Inspector't Signature Title Inspection Dated \\~3 ,937 Agency vicTva UHMCCM % M.. ataaM r«xa. waa. ^0 iSga **®ot/*a /J5/ Fairy Lake ! I I ■t ;.,'2A '1ry^TX », V "*. f’'- r // . V ^J-.\ , I / ■C i /'I V• « Department of LAND & RESOURCE MANAGEMENT COUNTY OF OTTER TAIL Phone 218-739-2271 Court House Fergus Falls, Minnesota 56537 MALCOLM K. LEE, Administrator July 29, 1988 Fair Hills Resort David Kaldahl (Pres.) P.O. Box 6 Detroit Lakes, MN 56501 RE: Earthmoving on Lake Five (56-357) Dear Mr. Kaldahl, In response to your letter which we received on July 27, 1988, an onsite Inspection of your property was made on July 28, 1988. As your letter indicated, we found that a minor excavation had been made between your proposed footings and the lake. Technically, a Conditional Use Permit is required for any earth- moving outside of a structure's footings. In fact, upon reviewing our records, I found that Site Permit //8603 issued for the construction of this structure specifically indicated that no excavation would be made between the structure and the lake. As was previously mentioned, the excavation which had been made is very minor. With this and the distance between the cut and the lake in mind, we will not require a Conditional Use Permit be applied for and received in order for the cut to remain as is. We will require, however, that this cut is properly stabilized on or before Sept. 1, 1988. In the future, do not start any earthmoving projects without first contacting our office. If you have any questions regarding this matter, please contact our office. Sincerely, Bill Kalar Asst. Administrator Ijb SHORELAND MANAGEMENT ORDINANCE - DIVISION OF EMERGENCY SERVICE - SUBDIVISION CONTROL ORDINANCE SOLID WASTE ORDINANCE SEWAGE SYSTEM CLEANERS ORDINANCE - RECORDER, OTTER TAIL COUNTY PLANNING ADVISORY COMMISSION RIGHT-OF-WAY SETBACK ORDINANCE FUEL AND ENERGY COORDINATION l^iLLS &5^?er F,6.Box(p , Dermji>^r (77^, P^ji ^ C&A>uiA^-6yut ^ ^ iU UhL. jc-^ (UM^ -/upK/)W^ ^'t(T c !6'(n 2^^ (jiyfu^cTK Ad MTtnk.J--i:7^.crv^ rO 'IbE. /!ZO \<0S^o Lmj^'/f\-t TA bui OJ\' I v\ iS 31^ 51\Jc^\aJ t i V^')e*jfvi Toi_ ■ ’.i* ItO^ (Ulsl r Office ' Owner White •Yellow Pink — AssessorGoldenrod *— Inspector" SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT. t «i. • i:Permit No„LEGAL DESCRIPTION AND ; t ut ^LOCATION 137 PaSAf^irgp. 35~7 ('ixlr “5 TWP NameSec.TWP RangeLake Classif.Lake No,Lake Name IDENTIFICATION: Please Print AH information Zip No.Tel. No.Mailing Address— No. Street. City and StateFirstInitialLast Name S‘Y7763^ 7//LI- S TnOwner df^YAA)h &hO\NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE;RESIDENTIAL PROPOSED USE: One Family Dwelling ( ) Multiple Dwelling TYPE OF IMPROVEMENT;•tilor-( c.^v<s Units ^ New Building Specify:. ( ) Alteration ( ) Other( ) Other Size ESTIMATED COST OF IMPROVEMENT $ 2-^, OOP DIMENSIONS:TYPE OF SEWAGE DISPOSAL: ( ) Public Individual Septic Tank, etc. WATER SUPPLY: PRINCIPAL TYPE OF FRAME: 75- ir^^TFiLLEO (>^Yes ( I No Stories above basement: Sq. feet (outside dimension) Bedrooms ............................. Basement;( ) Masonry ( ) Wood Frame ( ) Structural Steel ^ Other — z 3.Specify SOL^b ■J2P Baths...( ) Public Individual WellLea CHARACTERISTICS; ) ..... feet. ..........feet. (Building Line) square feet.Maximum depth of lot feet.Water frontage isLot Area is Building set back from high water mark is. Land height above high water mark at building line is .Z'feet feet — from road right of way is 2o.o..Building set back from State highway right of way....... feet. •feet. S£.Y-g'I andSide yard is ------------------------------------ /Lirdfeet from septic tankl^ewage System Permit mus^e obtained before installation)^; ^ ^ y feet from soil absorption svstenCTsewaqf gy-^a-r'plr.nit nm.ct hp nhninrri hrfnrn inftnll^Ula^^t la.:.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 deu forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications su shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. TH/S /S A S/TE PERMIT ONL Y 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. ription above set bmitted herewith Permission is hereby granted to the above named applicant to perform the work described ^n the above statement; This permit is granted uponAhe Dated. Permit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in ail respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. !3.S’- / Dated Shoreland Management Official Permit Fee $.Receipt No. j- 73^ JU£L_.___________________ Comments: Form No. MKL-0286-019 229971@ VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS, MINN. SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL ^ . A/Jl \ ^0 COUNTY COURT HOUSE WL ll »^| » \ V ll Phone: (218) 739-2271 - Fergus Falls, Minnesota 56537 ifkl \ APPLICATION FOR SITE PERMIT U\ ' White — Office Yeliow — Owner ^ Pink — AssessorGoldenrocf — Inspector Permit No„LEGAL DESCRIPTION 5 LOCATION AND . ! ,v.:; ^i hi\Jf'■i.. F I—■""r •• /■ ii TWP NameTWPRangeSec.Lake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialFirstLast Name Owner /)/--r ■ \ l'' IName ■ iContractor M. ■' I rr Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE: (X) One Family Dwelling ( ) Multiple Dwelling TYPE OF IMPROVEMENT: (X.) New Building ( ) Alteration (Specify:. Units ( ) Other Size( ) Other ESTIMATED COST OF IMPROVEMENT $ 4-DIMENSIONS: Basement: (>,) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms ............................. TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: IL a F( ) Public ' Individual Septic Tank, etc. WATER SUPPLY: ( ) Public Individual Well I ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ''A4^. Baths J-'.,./_7,)Li. ifO :♦ CHARACTERISTICS:> I V.1 feet.feet.Maximum depth of lotWater frontage issquare feet.Lot Area is feet. (Building Line)Building set back from high water mark is.................... Land height above high water mark at building line is Building set back from State highway right of way..... Side yard is ..................... Structure will be located 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 SysteraPermit must be obtained before-inslaLlafi^. and Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONL Y 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. 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 $.Receipt No.-a- \ :Comments: i Form No. MKL-0286-019 229971@ VICTOR LUNOEEN CO.. PRINTERS. FERGUS FALLS. MINN. p% ■ • It t V ^ A I ? s i^ o i ij> a H3 ^i> 31 INSPECTOR'S CHECK LIST Make all measurements and computations\ 'T ACTUAL IS Jr MINIMUM Shall Be Sq. Ft, ^^00 QILot Area (Square feet)€qr-R.Sq. Ft. /Water Frontage Ft.Ft. /<50Building Set Back from High Water Mark Ft.Ft. Ih/arVE irj pQfA Ft.Building Set Back from State Highway 50 Ft. r ^^ Ft.Building Set Back from Street or Road Ft. & Ft.Side Yard &Ft. Rear Yard Ft.Ft. Ft.Occupied Building to Septic Tank 10 Ft. r^6N£ 1CT Ft.Occupied Building to Absorption System 20 Ft. Elevation at Building Line above High Water Mark_______________t3 Ft.3 Ft. Inspector's Comments: <A. /3/ ' X —C-/ ^2^ J -hi ^6 3Ltsrr..xt-^'‘^£^^oc. UIKC T I'll Ii4.■» cyX •~'scA. > / I*f~ i I nspector'a .StoMtOraQ(g|v£^'^y Title iInspection Dated f- 9 Agency VICTO* UIHftlCa « C9 . iiitni * .t ; ; 'ill-: W ^4 Scale: Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM A/\f'n'ir 13 J 57/ 6 / ^ rDated:19/ignature Please sketch your Idt indicating setbacks from road right-of-way, lake and sideyard for each building currently on lot and any proposed structures. [17III —1 - • -t-I 11 i. .1t -1 t I II1 71II I tr~ T rI (!'T-II-1 i I7r 1II!i- r—r TI1i ;I 1 11 fL!iHIt' I ;I t-I;L :i-1 i 5l 1 j .fT T1 I 1 1 4^ 1 I 1---------1-j 1 Ti-f t I 7-IJ I 4r t t 1 1-- r ! 21598 7®MKL-0871-029 VICTOR LUMOCEH CO.. PRINTERS. rCRCUS FALLS. H’NN. White - Office Yellow — Owner Pink — Assessor Goldenrod — Inspector 4 *- V ^ t r SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT«t Vi-Permit No..LEGAL DESCRIPTION AND LOCATION LfiKe pwe. /enSI,- 3S-!^ /37 ^ Lake No.Lake Classif.Sec.TWP Range TWP NameLake Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street, City and State Zip No.Tel. No. /tu.^15 ^^£1Z£JSQ&T^ox.\ ici___tilLL^___^tOwnerJ3X. AJL^NameContractor NameArchitect TYPE OF IMPROVEMENT;RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:r <9 n~f^ I CM.S IH^ New Building/ ^ o ( ) Alteratioir/^^^”"' • "N( ^cr^/i(y JC J ( ) One Family Dwelling ( ) Multiple Dwelling Specify: Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL; ( ) Public Individual Septic Tank, etc. WATER SUPPLY: ( ) Public Individual Well DIMENSIONS: ( ) Masonry Wood Frame ( ) Structural Steel ( ) Other — Specify Basement: ( ) Yes No Stories above basement: Sq. feet (outside dimension) Bedrooms .......Baths Type of Roof; <, fro- I i~ CHARACTERISTICS:s:{C r<?5 /^d22..+7»..‘iCfiOlAOPWater frontage isLot Area is feet.Maximum depth of lot.. icD.a..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.................................../.7........ Side yard is feet. (Building Line) 1.2,.feet feet — from road right of way is feet. t&y../a^.a...±..7.. and 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.). I Structure will be located Agreement; I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above 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 p>eriod of six (6) months. se 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 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 pjermit 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 ^- / v-g-y IC F- nFLDated Shoreland Management OfficialPermit Fee %__^P /Ct=rci. Comments: z /fc ,i:'4 195676® VICTOR LDNDEEN CO., PRINTERS. FERGUS FALLS. MINN.Form No. MKL-0771-002 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 ■K-' f. ■ //■ Permit No..]LEGAL .<r. 4^.DESCRIPTION 4lAND •V... LOCATION -7 */ TWP NameLake No.Sec.TWP RangeLake Name Lake Classif. IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street, City and State Zip No.Tel. No. •J ‘ > 11. i ..Owner I t NameContractor Architect Name. TYPE OF IMPROVEMENT;RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: J J New Building ( ) Alteration )( ) One Family Dwelling ( ) Multiple Dwelling Specify: Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL;DIMENSIONS; ( ) Masonry L' ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY; ( ) Public Individual Well Basement; ( ) Yes ( ■-) No Stories above basement: Sq. feet (outside dimension) Bedrooms /Baths Type of Roof: CHARACTERISTICS: ILZZ -trWater frontage issquare 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 feet.Maximum depth of lotLot Area is feet. ;feet. (Building Line) feet..XT. ' -V-feet — from road right of way is feet.I • U. and 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.).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 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. se THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STA TE STA TUES.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. j j /iDated Shoreland Management Official 2'tJ j.K £7Permit Fee $. Comments: k19S676@LVICTOR LUNOEEN CO.. PH.NTKF'.?, FtRCUS FA..LS.Form No. MKL-0771-002 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS Ir MINIMUM Shall Be 4.Sq. Ft, Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. Building Set Back from Street or Road Ft.40 Ft. Side Yard &Ft.&Ft. Rear Yard Ft.Ft. 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 VICTOD UmPCCH t CO . ORIMTCOO. rCKOUO PALLO. I i feet/inches GRID PLOT PLAN SKETCHING FORMScale: Each grid equals 19Dated:6 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. o C / oX o I ;; !"n"M | j .11. 1 I Ujt RECEIVED MAY 2 «1984 I ' MD & RESOURCE 21S98 7^ viCTo* LimDftn eo.. •►*«?£••. «'»*«.MKL-0871-029 t A 194 feet/inches GRID PLOT PLAN SKETCHING FORMScale: Each grid equals Dated:19 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. 1 I 1 t 1.1 I i II I tI 1 I ! I'!'I I u i 'D & RESOURCE t■WKL-0871-029 >15967©vcTBw*rowmir yrneua f*LLS. yiww. 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 Pink — 7\ssessor Goldenrod — Inspector Ownei* Permit No. 'I ^GL i-nLEGAL Date.DESCRIPTION AND LOCATION - 3^7 i^k<s ftps S' Hc>l)0rT ^ UJ Hd)^ irt"R O 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. S'§SLI£B3‘Owner D/}(JIO KSlDMl £252>/yO s<s? / SNameContractor J-t A da! C,<pcja r ^ ^^Architect Name. TYPE OF IMPROVEMENT: ^^^New Building ( ) Alteration RESIDENTIAL PROPOSED USE: jj^One Family Dwelling I ) Multiple Dwelling ( ) Other NON-RESIDE^IAL PRiVOSED USE: ^ Specify:. Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME:DIMENSIONS: Basement: ( ) Yes No Stories above basement: ...... ^ Sq. feet (outside dimension) Baths .......... ( ) Masonry ^X) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public Individual Septic Tank, etc. WATER SUPPLY: ( ) Public Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Bedrooms HEATING: Cyi Electric ( ) Coal Other: s/i NoType of Roof:( ) Gas ( ) None ( ) Oil No ( ) Unit CHARACTERISTICS: Z.23.:A1 ........•feet. ......7..0O........t.f;?:<^squarefeet. /.^.o Lot Area is.......Water frontage is feet. (Building Line) feet Building set back from high water mark is Land height above high water mark at building line is Building set back from State highway is Side yard is Building will be located Building will be located.......... 3^........ .... .....feet. feet.feet — from road or street is 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.). 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>ut.(6) months. , Dated.r 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. 2'Q.S - ?TO G ISxSU.Dated Shoreland Management Official'2,00 to. OO c ^ S3State Surcharge $.Permit Fee $. Comments: Form No. MKL-0771-002 @ ViCTSR kUNPCEM « CO.. PDIHTtlia. FCMWl fALLl. MINN 158899 1SHORELAND 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 Yeiiow — Owner' Pink — Assessor Goidenrod — inspector \ i Permit No.,I~llLEGAL Date.DESCRIPTION AND LOCATION “V r-// Leke No.Lake Ciassif.Lake Name TWPSec. Range TWP Name IDENTIFICATION: Please Print All Information Last Name InitialFirst Mailing Address— No. Street. City and State Tel. No.Zip No. Owner NameContractor (Architect Name TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: '/"///( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling I ) Other Specify:. Units ( ) Other Size ESTIMATED COST OF IMPROVEMENTS (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 (.>1 No Stories above basement: ....................... Sq. feet (outside dimension).................. Baths......Bedrooms ‘ HEATING: ( ) Electric ( ) Gas ( ) Coal Other: P' ) NoType of Roof:( ) Oil P ) No ( ) None ( ) Unit CHARACTERISTICS: Lot Area is square feet.Water frontage is. feet. (Building Line) ...............................feet 4eet. 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 sat 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 Surcfiarge $. Comments: .M JTuA LLEU f^OK INSPECl :2l A3\ Form No. MKL-0771-002 ®,158899 vieraii luh»iim « eo.. amitTeiu. Fiiiaui fall*, f INSPECTOR'S CHECK LIST Make all measurements and computations ACTUALIS X MINIMUM Shall Be Sq. Ft. Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft.Ft. Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. Building Set Back from Street or Road Ft.40 Ft. Side Yard &Ft.&Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency VieTOR liJHtUR A M.. HIIITIM. PC**U* MtNtt. SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY White — Office Yellow — Owner Pink — Assessor Goldenrod ~ Inspector « Permit No.,<SL l-llLEGAL Date.DESCRIPTION AND LOCATION ^(^357 L(\Kd. KP ^ K-q^yT ^0 Hohrt Lake No.Lake Classif.Sec.TWPLake Name Range TWP Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No. /fiU-S DFIuiP ptrgs LaY__^Owner MiA (<rr5gNameContractor Architect Name. TYPE OF IMPROVEMENT: New Building ( ) Alteration RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: .A^\A.ra( Cahill{ ) One Family Dwelling ( ) Multiple Dwelling Specify:. Units ( ) Other I ) Other Size (omit cents) TYPET3F SEWAGE DISPOSAL: ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:DIMENSIONS: Basement: ( ) Yes "p^ No Stories above basement: ..............................■( Sq. feet (outside dimension)j3........ Baths..../......... ( ) 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 Bedrooms HEATING: Electric ( ) Coal Other: pLid I ^NoType of Roof:( ) Gas ( ) None ( ) Oil X No ( ) Unit CHARACTERISTICS: .... 7P.O....^.....^.i,.Ci.(7.!^..^quare foot.Lot Area is Water frontage is feet. (Building Line) feet ZZ..^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 ... .... ..........i.m. feet.feet — from road or street is ... 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.)..r^...3. 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 months. 'll to/i^oDated. 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 Official3 ,oo jo, DOState Surc(iarge $.Permit Fee $. Comments: Form No. MKL-0771-002 >..... 1S8S99vierga Lukoicn t Piiriini SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY White - Office Yellow — Owner Pink — Assessor Goldenrod — Inspector Permit No.,<SL i - //LEGAL DateDESCRIPTION AND LOCATION ■f .. .■r 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. Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) New Building ( i 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 I ) Structural Steel ( ) Other — Specify ( I 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 ■r u. Baths /t HEATING: ( ) Electric ( ) Gas ( ) None ftType of Roof:{-'i No ( ) Oil, i t I 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 Surcharge $. 2-V 3 \4C (k4 \ Y\Comments: motcalledfor inspect Form No. MKL-0771-002 1S8899 vierea luhocch 4 eo.. pantTcui. fcmui r«kvf. minn 1 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS jr MINIMUM Shall Be X 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 ®vieret lumccm t ea.. mihtcm. Pinaga kihm.