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Home My WebLink AboutLake Side Camp_20000310190002_Shoreland Permits_LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHJTE - Office GOLDENROD - Inspector YELLOW - Owner (affer issue) PINK - Assessor IPermit No.PLEASE PRINT OR TYPE ALL INFORMATION RANGE TWP NAMETWPNO,SECTIONLAKE/RIVER CLASSLAKE/RIVER NAMELAKE / RIVER NO. VO £10a/A31PlNt PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) Pwrli6,ui^-2.0-' ooo- 0\^0-oo\ LEGAL DESCRIPTIONPf Lo-t (a-* 7 Daytime Phone No.Mailing AddressInitialFirstLast Name ^OZlS PiKrh&u KcL 08hiT,Hi\/\a)i£l£ii Richard h, UxKe^id-e^ " Property Owner LBContractor Name Lie. a ONSITE SEWAGE TREATMENT SYSTEM / _ ONSITE WATER SUPPLY (y) Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add'n to Dwelling ( 5 ) RCU/Year______ ( 8 ) Storage Structure _ 'Existing Dwelling to be removed before. ( 3 ) 'Replacement Dwelling ^^)Detached Garage (9) W.O.A.S. ( 1 ) New Dwelling ( 4) MH/YR ( 7) Add'n To Non-DweJIiQO ( ) Permit No. ( ) OTLSD * TTirs permit is only valid after verification from the O.T.LS.D. that a conforming sewage system will be installed to service this lot contact Rollie Mann at 864-5533.ther CHARACTERISTICS OF Outside . /|yj it Outside Dimension Ft. x "7 Ft." Dimension Setback to Lotline Ft. S ^0 FL" Setback to Right of Way Q Ft." Setback to Ordinary High Water Level '2.^C> jt. Elevation Above Ordinary High Water Level Ft. Setback to Septic Tank Ft. Setback to Drainfield___Ft. Setback to Bluff Maximum Proposed Height Basement HARACTERISTICS OF PROPOSED NON-DWELLING CHARACTERISTICS OF PROPOSED W.O.A.St (WATE^RIENTED ACCESSORY STRUCTWE)2Vl Ft. X Setback to Lotline 2.^ Ft. & ^^ Ft." Setback to Right of Way 2Ft." Setback to Ordinary High Water Level Ft. Elevation Above Ordinary High Water Level Ft. Setback to Septic Tank *7^ Ft. Setback to Drainfield 7 ^ Ft. Setback to Bluff Maximum Proposed Height Ft. Bathroom Proposed ( ) Yes No Ft."Outside \ Dimension_____\ Setback to Lotline __N Setback to Right of Way Sefback fo Ordinary High Wat§U.ev^__ Elevation Above Ordinary Highjf^r Level Setback to Septic Tank Setback to Drainfield Setback to Bluff Ft."Ft. X Ft."Ft.& Ft./ Ft. Ft. Ft. Ft.Ft.Ft. Yes__)L No Ft. Yes X NoWalkout Basement iulal Dediuoiiis_________ ^ FI.Maximum PixJposed Height ( ) Bafflhouse X ) Gazebo ( ) Screen Porch ( ) Storage Structure **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection OlZ f7^rr\i>c4ir t \^fiO 21 Cubic Yards - 299 Cubic Yards' ‘ Must include on scale drawing Permit may be required Topographical Alteration / Earthmoving □ None X □ 300 Cubic Yards or More'Hf a»Cuiw»¥nr(1t nr Less ' d>LO Oi*Yt>YC- H'iLL - fyi.-Pi Ait THIS n^^TliiA.t'YL. 7Z> tUL. Yes ^ No CHARACTERISTICS OF LOT: mbl7. Ft.BluffWater Frontage Ft.Lot Area. Impervious Surface Ratio:.%X 100 =Impervious Surface RatioTotal Lot Area (FT')Total Impervious Surface Onsite (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. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the 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 & Res^rce Management office once the buiiding footings have been constructed. -0 3 ~ aDate: OwnerSignature of Pre 10-3-02^Date: ^LST-tfAP K(jx:kMA /liriAtFM |V(f ^ / SixT^-e kccciiar^ / CoM. I'T’J PERMIT FEE $ Comments: ■'SAM4' ^g,|T.e 3(jLk-f 0 No. BK — 0500-0501 306,636 • Victor Lundeen Co . Printers • Fergus Falls. Minnesota r EX5iBSK»™;f(:;™„ LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone; (218) 739-2271 • FERGUS FALLS, MN 56fe37 3WHITE - Office , GOLDENRVb - Inspector YELLOW - Owner (after issue) PINK - Assessor i ■IA/0 I n?^irmit No.FYPIRCTPLEASE PRINT OR TYPE ALL INFORMATION TWP NAMERANGESECTIONTWP NO,LAKE/RIVER CLASS 70 t LAKE/RIVER NAMELAKE / RIVER NO. ‘■'J HP 6-OajA .-.a■' 3u^j- / iVc I PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) L-iOLZ^ Pt^rlie.uro-OOO-^\-0\^0-00\ LEGAL DESCRIPTION i f IH 0 74 ■'•iDaytime Phone No.Mailing AddressFirstInitialLast Name V0ZI6' Purhe^u D6NT,HiVRiOV^PDH,7./^ 73^2777Property Owner w /£l£R -iInL-/‘v 0 LfContractor Name Lie.#I ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY ( ) Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add'n to Dwelling ( 5 ) RCUA'ear_____ 4 /lo9( 3 ) 'Replacement Dwelling ^’( 6 ) Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4 ) MHA'R____ (7 ) Add’n To Non-Dwelljofl^ (8 ) Storage Structure {10) Other. ( ) Permit No. ( ) OTLSD * This permit is only valid alter verification from the O.T.LS.D. that a conforming sewage system witi be installed to sen/ice this lot contact Rollie Mann at 864-5533.'Existing Dwelling to be removed betorei. CHARACTERISTICS OF PROPOSED NON-DWELLINGCHARACTERISTICS OF PROPOSED DWELLINGK I i' ( ‘ _ Ft. X 7 Ft." Setback to Lotline Ft. & ff/O Ft." Setback to Right of Way Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level i-''- R. Setback to Septic Tank_____ Setback to Drainfieid ■ - -' Setback to Bluff Ft. Maximum Proposed Height___ Basement CHARACTERISTICS OF PROPOSED W.O.A.S; (WATER ORIENTED ACCESSORY STRUCTURE) vt Outside Dimension Outside Dimension M a2^Ft."Ft. X 'Zv Setback to Lotiine ^ ^ Ft. & 7 ^ Ft." Setback to Right of Way 2jT\ Ft." Setback to Ordinary High Water Level ~^)0 Ft. Elevation Above Ordinary High Water Level 7. Pt Setback to Septic Tank 7^ Ft. Setback to Drainfieid 7 ^ Ft. Setback to Bluff Maximum Proposed Height Ft. Bathroom Proposed ( ) Yes (-\) No I :u.■1Outside Dimension____ Setback to Lotline Setback to Right of Way \ ?V/ Setback to Ordinary High WatCTj-evel \Elevation Above Ordinary High W^r Level Setback to Septic Tank _ Setback to Drainfieid^ Setback to Bluff - -s- V*Ft ** ' /Ft. X \Ft."Ft."Ft.& Ft. ■ /Ft.■iFt.5 jFt.Ft. •!iS* Ft.Ft.Ft.!NoYes Ft. iWalkout Basement Total Bedrooms_ Ft.Maximum Proposed Height ( ) Boathouse ( ) Screen Porch ( ) Storage Structure 1 ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection 1 P t h J /> , ,' Must include on scale drawing Permit may be required Topographical Alteration / Earthmovina □ None □ 20 Cubic Yards or Less ' 9 21 Cubic Yards - 299 Cubic Yards' liTt □ 300 Cubic Yards or More* ' ■ '/. HHLL. — r'ir-l'i ~ lir^C/ fY'-CU V ry / ri c L <7 ' • ' ■CHARACTERISTICS OF LOT: /Yfl/)Bluff____Yes X No-R-Sq. Ft.Water FrontageLot Area. ~ 43Impervious Surface Ratio:.%X100 =T Impervious Surface RatioTotal Lot Area (FT»)Total Impervious Surface Onsite (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, i aiso understand that this permit is vaiid for a period of six (6) months. Permit: Permission Is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the 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. Date; Signature of Property Owner ■yj-0 2-^4I Date: Land & Resource Management Office ■■■I; ^07 r; •/*RECEIPT NO.PERMIT FEE $!- c (* (' )\J f( t-"!JTZJJ ■ K. 'JComments: nT77I : ( V (K J <IiiLr( ^ n-I ■ T-' (' '(f /Pi ( ( h ■iifTZtvTTI ''y'J i t ’ i - , Form No. BK — 0500-0501 306,638 ■ Victor Lundeon Co., Printers • Fergus Falls. Minnesota SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations hJU/lCkiM^ 2^0 o/<^ Ft.Structure Set Back from Ordinary High Water Level Ft.2-Ci o A Ft.Ft.Structure Set Back from Top of Bluff you -A Ft.Ft.Structure Set Back from Road Right of Way 6o^ro ^Ft.&Ft.Structure Set Back from Lot Lines Ft.&Ft. Ft.Ft.Structure Height Ft.Ft.Structure Set Back from Septic Tank /o +~ /o r~Ft.Ft.Structure Set Back from Drainfield 7-0 Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. Land Slope at Building Site %% Inspector’s Comments / Sketch: f '^CcVt./A Uuittz'l Spr\, ^ r\Q-^ 'RftoJy I- p C toO > itfQ -----I---------iu ^ I C-32. si Inspector's Signature Date of Inspection //s'X Time of Inspection u ^p/pf^ect Approved Date/Initial 'EXISTING FENCE LINE a OCCUPATION line POINT B ! PAO EASEMENT / HONER LAKE POINT C 3 W^Te"- Office GOLDENROD - Inspector YELLOW - Owner APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537PINK - Assessor UooT^Permit No.LEGAL DESCRIPTION BLUFF ZONEAND □ YES ^ NOLOCATION SECTIONLAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS TWP NO.RANGE TWP NAME ilL MOaJ fc PARCEL NUMBER (S)GRADING / FILLING □ YES ^S(7no FIRE NUMBER # OF CUBIC YARDSd-0-000~ "SI ■ 01*10-001 IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and Zip Code (Daytime)Last Name First Initial Afg-Q- Hex 93Property Owner 7S<f-3-77 7 b^T. /^a/ S6S^(g NameContractor State Lie. # ONSITE WATER SUPPLY ^^fndividual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM ^ Individual Permit # '7 ( ) Collector Permit #_________ ( )OTLSD* PROPOSED PROJECT •'^^^New Structure(s) ( ) Addition(s) ( )MH/RV______________ PROPOSED USE (^^^elling ^^)on-Dwelling ( ) Water Oriented Accessory Structure (WOAS)YEAR CHARACTERISTICS OF WOASHARACTERISTICS OF NON-DWELLING ( ) Utility Structur^^ CHARACTERISTICS OF DWELLINGKDwelling|>^^^ ( ) Replacement Dwelling ( ) Addition to Dwelling ( ) Existing Dwelling shall be removed on or before Outside Dimension. ( ) Screen Porch( ) Boattjouseletached Garage(( ) Basement ( ) Walkout ( ) Attached Garage ( ) Utility Structure( ) Gazebo( ) Other Outside Dimension ( ) Other. Outside Dimension .Ft. .Ft..Ft. X Lotline Setbacks Ft.&.Ft,.Ft. 5q 5 O Ft.Lotline Setbacks .Ft.&Ft.OHWL Setback .Ft.&.Ft.Lotline Setbacks5.00OHWL Setback Ft,Bathroopr ( )Yes ( / (If Yes / a complying Sewage Sybtem Required) lo Ft.OHWL SetbackTotal Bedrooms__________________ Maximum Height / 35 Ft. (2 story) \ laximum Height / 10 ft. (1 story)Ft.Maximum Height story /7,99 .%.Sq. Ft. Impervious Surface Ratio.Sq. Ft. Impervious SurfaceLot Area 'lb/‘-loo Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage 5^0 .%Ft. Slope of lotStructure setback to right-of-way 10 Ft. (10’minimum) (Sewage System Permit required before installation). Ft. (20’minimum) (Sewage System Permit required before installation). Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to septic tank_____________ Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System 5-0 ms IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. * This permit is only valid after verification from the O.T.L.SD. that a conform!age system wiitbe instalied to service this lot... Contact Rollie Mann at 864-5533. Dated: Signature of ter /Dated: Land & Res^rce Management'Otlice / \/c4Sti) RECEIPT NO.PERMIT FEE $ aJc ~ AJ 0 ^ cFoorj-t~L~Comments: 290.621 • Victor Lundoen Co., Printers • Fergus Falls, MN • 1-800-346-A870Form No. BK — 0597-002 fWHtT'E-Office GOLDENROD - Inspector YELLOW-Owner PINK - Assessor LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS. MN 56537 APPLICATION FOR SITE PERMIT Permit No.ILEGAL DESCRIPTION BLUFF ZONEAND □ YES E NO LOCATION LAKE NUMBER LAKDRIVER NAME LAKE/RIVER CLASS SE TWP NO.RANGE TWP NAME .J ' >I c , C:r•< . PARCEL NUMBER (S)GRADING / FILLING □ YES # OF CUBIC YARDS '□no FIRE NUMBER »-I •';. ' I IDENTIFICATION: Please Print All Information TELEPHONE NO. Last Name First Mailing Address — No. Street, City, State, and Zip CodeInitial (Daytime) Property Owner c.i ^ t■ 1'. j ■»- NameContractor State Lie. # PROPOSED PROJECT (' ) New Structure(s) ( ) Addltion(s) ( )MH/RV______________ PROPOSED USE ONSITE WATER SUPPLY -(<) 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"' ) Individual Permit # ( ) Collector Permit #_ ( )OTLSD* (fl'jJDwelling ^) Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS)YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ( ) Utility Structure •' CHARACTERISTICS OF DWELLING ( ) Dwelling ( ) Replacement Dwelling ( ) Addition to Dwelling ( ) Existing Dwelling shall be removed on or before. Outside Dimension. ( ) Detached Garage ( ) Boathouse ( ) Screen Porch( ) Basement ( ) Walkout ( ) Attached Garage ( ) Gazebo ' ( ) Utility Structure( ) Other Outside Dimension .Ft.,x .Ft.( )Ot|)er. Outside Dimension.Ft. X .Ft.Lotline Setbacks .FI.&.Ft..Ft.•Ft. XV1 >Lotline Setbacks .Ft. &.Ft.OHWL Setback....Ft.V Lotline Setbacks _.Ft.&.Ft. OHWL Setback .Ft.Bathroom: { ) Yes ( ) No (If Yes / a complying Sewage System Required) S OHWL Setback .Ft.Total Bedrooms__________________ Maximum Height / 35 Ft. (2 stoi^)\ Maximum Height Maximum Height /10 ft. (1 story)Ft...story I Lot Area .Sq. Ft. Impervious Surface .Sq. Ft.Impervious Surface Ratio .% A ■ t Water Frontage Structure setback to right-of-way____________ Structure setback to septic tank_____________ Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System .Ft. Elevation of lowest floor above OHWL .Ft. (3' minimum) .Ft. Slope of lot .% .Ft. (10’minimum) (Sewage System Permit required before installation). -4 Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10’minimum) (Sewage System Permit required before installation). THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the building footings have been constructed. * This permit is oniy valid after verification from the O.T.L.SD. that a conforming sewage system will be installed to service this lot... Contact Rollie Mann at 864-5533. •: t' i Dated: Signature of Owner.'' /'v'X' / ../Dated: Land & Resource Managementpftice j / ■'PERMIT FEES RECEIPT NO. / )T 1At :■Comments: /■ / r ' c. Form No. BK — 0597-002 290.B21 * Victor LunOeen Co. Printers • Fergus Felts. MN • V600-346-4870 -1 ♦y: white - Office GOLDENROD - Inspector YELLOW-Owner PINK - Assessor APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 Permit No.LEGAL DESCRIPTION BLUFF ZONEAND □ YES ^ NOLOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWPNO.RANGE TWP NAMETnflkjcc /k) t ■^i MO t h^)A PARCEL NUMBER (S)GRADING / FILLING □ YES .igl^NO FIRE NUMBER # OF CUBIC YARDSS-0-OOO-'?il-01'l0-C'OI IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City. State, and Zip CodeFirst Initial (Daytime)Last Name d,/^Property Owner 56 S ^<9 NameContractor State Lie. # ■ ;■?1ONSITE WATER SUPPLY ^l(;(:;^ndividual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM ■^i.) Individual Permit * ( ) Collector Permit # ( )OTLSD* PROPOSED USE V '■4^()^Dwelling Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT •( ’) New Structure(s) ( ) Addition(s) ( )MH/RV______________ :-1 ■it ■i 1 YEAR CHARACTERISTICS OF WOAS^CHARACTERISTICS OF NON-DWELLING ( ) Utility Structure-"^ CHARACTERISTICS OF DWELLING ( ) Dwelling ’ ' ( ) Replacement Dwelling ( ) Addition to Dwelling ( ) Existing Dwelling shall be removed on or before. Outside Dimension. M) Detached Garage ( ) Boathouse ( ) Screen Porch( ) Basement ( ) Walkout ( ) Attached Garage \ \( ) Gazebo ( ) Utility Structure( )Others Outside Dimension ( )Other. Outside Dimension .Ft. .Ft..Ft. X Lotline Setbacks Ft.&.Ft. Ft.& Ft.Lotline Setbacks Ft.OHWL Setback, / Bathrojjnf' ( ) Yes ( (If Yes / a complying Sewage S^em Required) .Ft.Lotline SetbacksaooOHWL Setback .Ft.lo Ft.OHWLSbtback Total Bedrooms__________________ Maximum Height / 35 Ft. (2 story) \ Maximum Height /10 ft. (1 story)Ft./ Maximum Height .story /7,99 .b .%.Sq. Ft. Impervious Surface Ratio.Sq. Ft. Impervious SurfaceLot Area IHCjO Ft. (3’ minimum)Ft. Elevation of lowest floor above OHWLWater Frontage S' (j .%__________Ft. Slope of lot .Ft. (10’minimum) (Sewage System Permit required before installation). .Ft. (20'minimum) (Sewage System Permit required before installation). .Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to right-of-way 10Structure setback to septic tank_____________ Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System d'O THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. * This permit is only valid after verification from the O.T.L.SD. that a conforming sewage system will be installed to service this lot... Confacf Roliie Mann at 864-5533. ( I ‘Dated:/ Signature of Owner .'o//>/ .91 ■ 'i ,/Dated: Land & Resource Management’Office / - b-‘.by /c/iswRECEIPT NO.PERMIT FEE $ ^ cF :- AUG frJ/vJC VComments: AJr L 290,821 ♦ Vidor Lundoon Co. Printor* • Fergus fells. MN • 1-800-346-4870Form No. BK — 0S97-O02 TT* ♦ INSPECTION RESULTS Make all measurements and computations ^ 7-0 drr/:Structure Set Back from Ordinary High Water Level Ft.Ft. Ft.Structure set Back from Top of Bluff Ft. ^0^Ft.Ft.Structure Set Back from Road Right of Way Bo''Ft.&^0' Ft.Ft.&.Ft.Structure set Back from Lot Lines Structure Height < ^0 Ft. Ft. 10^Structure Set Back from Septic Tank Ft.Ft. Structure Set Back from Absorption System Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level____________________10-^Ft.Ft. %%Land Slope at Building Line Inspector’s Comments / Sketch:, iHl ✓Ir V eJtt \ Ic* A ilc-i L X- / X Inspector's'Signatim Date of Inspection Tune o/lnspection / t INSPECTION RESULTS Make all measurements and computations IHIStructure Set Back from Ordinary High Water Levei Ft.Ft.~<j Structure set Back from Top of Bluff Ft.Ft. Structure Set Back from Road Right of Way Ft.Ft. Ft.&So^ Ft.So''structure set Back from Lot Lines ,Ft.&.Ft. Structure Height Ft. Ft.<<50 structure Set Back from Septic Tank Ft. Ft. Structure Set Back from Absorption System Ft. Ft.do Elevation Of Lowest Floor Above Ordinary High Water Level____________________•f Ft. Ft.!0 Land Slope at Building Line %% Inspector’s Comments / Sketch:, tifc:- iHI M/ rr^Ofcl^ fo■\ Lo^ji \ I V Inspector's "Signature Date of Inspection /// / Time of ln^)ection / i 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 HiceWhite Yellow Owner Pink — Assessor Gdfdenrod — Inspector j. 3 Ac ^ Oci^/CcA lo^// Lake No.3??^ 1 /ru-Permit No.,/LEGAL ( DateDESCRIPTION AND LOCATION ^(9Fig!3(pAZ-Em-e.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. 5 ^Owner NameContractor Architect Name. TYPE O^MPROVEMENT: C'") New Building ( ) Alteration RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: nc.^''rrfww^. units AICiXIl' 'Tk ( ) One Family Dwelling ( ) Multiple Dwelling (L^Tother fi i, ^( ) Other Size YAnr)ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: (W”Yes { ) No Stories above basement: ....... (W^M^nry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify '> Public (L.>nndividual Septic Tank, etc.^ /I n IJ o WATER SUPPLY: ( ) Public (W'Tndividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Sq. feet (outside dimension) Bedrooms ..........Baths HEATING: ( ) Electric ( ) Gas (uK^ne Type of Roof: C^0l\-^p (( ) Oil (U^o ( ) Coal Other:( ) Unit Plt>. !L ICHARACTERISTICS:i^oc^....5’....A.c..nj.iWater frontage isLot Area is ,.. square 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. (Building Line) .feet sz>l feet — from road or street is feet. 7...S::25±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. rz^t. 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 si^(6) months. iftture of Owner Dated. Permission is hereby granted to the above named applicant to perform the work d<Permit: express condition that the person to whom it is granted, and his agent, employeesland workml County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. :ribed in the above statemetrL This n shall conform in all resEKcts to tl M i^ granted upon the 'diriences of Otter Tail Dated j ShB(^rnd Management OfficialAPermit Fee $.State Surcharge $. Comments: Form No. MKL-0771-002 ^ VICTAR kWHBCCa « M.. PBiaTtM. Pca«u«,158899 ffice Owner 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 Yellow Pink — Assessor Gdtdenrod — Inspector / Permit No^LEGAL Date.DESCRIPTION AND LOCATION i //: A'4'TWP NameLake No.Lake Name Lake Classif.Sec.TWP Range IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street, City and State Zip No.Tel. No. ) --/ \ . Ij!i y /rt A.Owner i- NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling ( ) Other Specify:. Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: .9( ) Masonry ( ) Wood Frame ( ) Structural Steel ( hjOther — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: ( ) Yes { ) No Stories above basement: Sq. feet (outside dimension) Bedrooms . / / ? Baths HEATING: ( ) Electric ( ) Coal Other: Type of Roof:( ) No ( ) Gas ( V None ( ) Oil ( ) No ( ) 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 M *■ i feet — from road or street is feet. and .......................................feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). feet. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. //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:;± NUT CALLt-D FOR INSPECT Form No. MKL-0771-002 VICTOR UIMOCCM * CO.. OOlHTtOO. FCKOul FM.LI. MINN 158899 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. Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. Building Set Back from Street or Road 40 Ft.Ft. Side Yard &&Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System 20 Ft.Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency VICTOR LUNOICN A CO.. * s understand I have been granted a1/ (PrintI/or type name) permit for site purposes only according to the Shoreland Management Ordinance. • I have been informed that Otter Tail County has neither adopted nor agreed to enforce the Minnesota State Building Code as set forth in Chapter 16, Minnesota Statutes. I understand that under Minnesota Statutes 116.851 I am required to . comply with the State Building Code, and that administration of the Code will be handled by the State of Minnesota/ Departznent of Administration/ Building Code Division/ 408 Metro' Square/ 7th and Bobert Streets/ St. Paul/ Minnesota 55101. I k f ffJ-Gl 1 f■ Date r T I;V rf.■‘i 'i I i I i' • .\ , ■ t , !;1 ; H« - »• • I : . f 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 Yeiiow Pink — As^ssor Goljlenfod — Inspector Owner y4 /j/ v/ 7 Permit No„LEGAL Date.DESCRIPTION AND LOCATION 3/;y ^ Lake No.TWP NameSec.TWP RangeLake Classif.Lake Name IDENTIFICATION; Please Print All Information Tel. No.Mailing Address— No. Street, City and State Zip No.First InitialLast Name ZOwner i SiNameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE;TYPE OF IMPROVEMENT: New Building -3 *'* X RESIDENTIAL PROPOSED USE: One Family Dwelling ( ) Multiple Dwelling Specify: ( ) Alteration Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ 0~t‘(omit cents)rPRINCIPAL TYPE OF FRAME:DIMENSIONS;TYPE OF SEWAGE DISPOSAL; Basement: Yes ( ') No Stories above basement: Sq. feet (outside dimension) Bedrooms ......3.. ( ) Masonry (,Awood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public 0^) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes _______ ( ) Central Baths. HEATING: Electric ( ) Coal Other: (jO NoType of Roof:( ) Gas ( ) None ( ) Oil *<) No ( ) Unit CHARACTERISTICS: 5^ O <f *0..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.........?T^. 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. 1 also understand that this permit is valid for a period^ six (6) months. w^''V6ig'nature of Owner ^ /r y fJlDated. r 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: XvZ / 911Dated 4/r S)K$relahd Management Official ^ A State Surcliarge S ^Permit Fee $. Comments: Form No. MKL-0771-002 0 1S8899vtcraa u>«BC(a t co.. aaiNtcn. Fciuut r«.ki. 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 — OfficeYellow — Owi^er Pink — Assessor GQidenrod — Inspector Permit No^/LEGAL *1. . Vi ■) Date.DESCRIPTION ■ ^AND LOCATION J i TWP NameLake Classif.Sec.TWP RangeLake No.Lake Name IDENTIFICATION: Please Print All Information Zip No.Tel. No.Last Name First Initial Mailing Address— No. Street. City and State 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 I ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS; ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Yes ( ) No( ) Public (. ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EOUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: Stories above basement: Sq. feet (outside dimension) Bedrooms ..............................Baths HEATING: ( ) Electric ( ) Coal Other: Type of Roof:( ) No ( ) Gas ( ) None ( ) Oil ( ) No ( ) 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 Ay'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 $./ Comments; iLED NOT 1 -70 8 29 78 Form No. MKL‘0771-002 158899 VICTO* LUMBCfM 4 CO.. PHINTtM. FCNOUI FALL!. > 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. Building 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. Side Yard &Ft.&Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency VICTOa LUNBItN 4 M . *RI4TC4«. FCR4U4 FALL*. HIHR. I- I ■t - ‘■ir ■Si ; ':^e/ V'T'^ . PI j*t ... r r ■' * ;.•)• iiijV ■i■.; , V C'-V ! .■^i ;•; i X ill;.; 1 i1 X Lil lii! !:;ti:li i'l That part of Go\-'^r: i;:er,t Lot 7, Secticr. o’. Tciv^. fn i136 f.^irge 4C, Ctter Tail Co'ar.ty, •lirj.’:scta dcocriroo. ao fcllcv.-s: Cc:,ir.'.G;.ci;.j at tl:C l;crthv;eot co'rr.er cf the 3cuthwest cf sail v-ctior. j'; tr.once cr. ar. assTa::.od hodrir.g of South Ct'' 11' Last cr. the 'Westerly line tnerecf for a iinto'ace c;’ " , 5C feet tc t'.e Louti.erly line of a r-ecicateu road as locioatod in ti.-^ .hubuivioior. i'lat -t "rVlLIlTo L'M'iCH"; t..onc<_ South o"'’ 5L' 15" East line of ja: ' St^niciioo loai for a ciistince cf ”1 b iO feet; thence 71'" 16' 45" LiSt 173.55 feet thence Morth 71;' 16' 45" East 50. Ou ■ 3° 7.7' C5" East -19. TA !!il 'ill ■- other 1:cn tr. continuing Scutn c, tc ;.oint of be^inr.ing r tract feet; theriCG l.'crt.' '5 7.'’ 48' 45" .. .0 ..0-. " ;-ant 71.50 feet; tner.ee hertf. 11 be described; 50. 1 .'c .'d' feet; feet; th-'-nce Scutn _ t;.:nce Scut;. 11' 58" West 95.50 " .Vast .n'.id feet ta rcint oocaiu.ir.g, except triat part lying within the .'iK'licated roan as dedicated in said ..Jubuivisior Plat of "rUnLirU 3L4CH" and subject to an ex: sting road eaaer.erit over the approximate Nort.hwesterly 3o feet thereof, saia tract ccntair.ing 8G, ICO .'ricuare feet cr le.ss East >: ( r n lilV‘j'Stocut:'.■ •’'.C'-'-.;r '' /Lill X X II! X X Slii?'. liil V-•r. ■d X liil Xmi wSHORELAND 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 — ^wnerAssessor Goldenrod — Inspector ^ n ^/2 Permit No. Date C ^ ‘f C /^/yy>6r~ LEGAL DESCRIPTION AND XLOCATION ^ZzMy 3i TWP NameSec.TWP RangeLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Mailing Address— No. Street. City and State Zip No.InitialFirstLast Name a /FA /V<r^Owner NameContractor Architect Name, NON-RESIDENTIAL PROPO^D USE;RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: New Building ^ ^ JY ^ ^Specify;.( ) One Family Dwelling Multiple Dwelling ( ) Other Units( ) Alteration ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ <30 PRINCIPAL TYPE OF FRAME: ' TYPE OF SEWAGE DISPOSAL: (omit cents) DIMENSIONS: Basement; ( ) Yes i>C) No Stories above basement: Sq. feet (outside dimension) Bedtootro ......... 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 CV^ HEATING: ( ) Electric < ) Coal Other; (X No ( ) Oil( ) Gas l^) None Type of Root No ( ) Unit CHARACTERISTICS: ...4 y.«!..cs.square foot.feet.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...........7^.. feet — from road or street is feet. ,2:cr.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 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. ^ "Signature 4f 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. Dated Shoreland Management Official yt ,CState Surcharge $.Permit Fee $. Comments;: f fc'Form No. MKL-0771-002 158899 yrC7«* u;«ac(« 8 C9.. Minnrui. 8C*«u» fall*. 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 Piok — ^Assessor*eVldenrod — Inspector Permit No,.LEGAL Date.DESCRIPTION AND LOCATION iU Sdc.TWP NameLake No.Lake Classif.TWP RangeLake Name IDENTIFICATION: Please Print AM Information Last Name First Initial Mailing Address— No. Street, City and State Tel. No.Zip No.jP/ /7<1 ^(X/TKiJL Owner NameContractor Architect Name. TYPE OF IMPROVEMENT;RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) New Building ( ) Alteration ( ) One Family Dwelling I ) Multiple Dwelling Specify:. Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: ( ) Yes ( ) No Stories above basement; Sq. feet (outside dimension) Bedrooms Baths HEATING: ( ) Electric ( ) Coal Other: Type of Roof:( ) No ( ) Gas ( ) None ( ) Oil ( ) No ( ) 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 (Cessp>ool, 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 33^State Surcharge $.Permit Fee $. Comments: Form No. MKL-0771-002 ,..,.,158899 VICTOM LUNOCEN i CO.. PRIHTCM. FCF9UI • ^ ■n •. - N 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. Ft.Ft.Water Frontage Ft.Building Set Back from High Water Mark Ft. 50 Ft.Building Set Back from State Highway Ft. 40 Ft.Ft.Building Set Back from Street or Road Side Yard &Ft.& Rear Yard Ft.Ft. Occupied Building to Septic Tank 10 Ft.Ft. Occupied Building to Absorption System 20 Ft.Ft. Elevation at Building Line above High Water Mark_____________3 Ft.Ft. Inspector's Comments: Tn^;tor's Signature Title Inspection Dated }19 Agency vima LUMCCCa « cc . 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 ''ellow — Ownerfink — Assessor Goldenrod — inspector 7V rd AS- A) '' ^ ^ S iO Cj66 ♦6^.Permit No..LEGAL Date.DESCRIPTION AND LOCATION VQS/ Sec.TWP Range TWP NameLake Name Lake Classif.Lake No. IDENTIFICATION: Please Print All Information First Initial Mailing Address— No. Street, City and State Zip No.Tel. No.Last Name______ ^rSr..«^’>.yO . /?7.Owner :zhc. •ij <NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: /9ddSpecify: "SA A 'jT'd? ^( ) New Builctng ( *+^lteration ( ) One Family Dwelling ( ) Multiple Dwelling Units L(wpOther( )Other Size uAf rr»rs F6,.Gfr>n /dimensions: 3yL ne!:>r~>ESTIMATED CCST OF IMPROVEMENT $(omit cents) TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other - Specify ( ) Public ( LMhdividual Septic Tank, etc. WATER SUPPLY: I ) Public (jJ.Jadividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yea- Air Conditioning: ( ) Yes ( ) Central Basement: ( ) Yes (t-M'lo Stories above basement: Sq. feet (outside dimension) Bedrooms L Baths HEATING: ( ) Electric ( ) Coal Other: Type of Roof:( U-No ( ) Gas ( ) None ( ) Oil (-+-NO ( ) Unit CHARACTERISTICS: Lot Area is square feet. Building set back from high water mark is..........S^(I?.0.... Water frontage is. feet. (Building Line) ...............................feet feet. 30Land height above high water mark at building line is Building set back from State highway is....................7 Side yard is Buildir\g will be located Building will be located .VOfeet — from road or street is feet. yo±.T^O±.and feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation). feet. .^o±.A0.±.feet from soil absorption system (Cesspool, Drainfield, etc.). Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. 3 XDated, Signature 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. _. /3 Dated Shoreland Management Official Permit Fee $ ^ ^State Surcliarge $. V / )t3£j f l^ rSm K 94.'om merits: n No. MKL-0771-002 VtCTO* LUHBIIH 4 00.. fHIHTfll*. rCflOUi rM.Lt. UINM 158899 r 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 YelioW Owaer ♦•ink — Assessor Goldenrod — Inspector ■7'f rIA Z' Tr"I ■Permit No„LEGAL ^ . ~ y >-/G.l.’' Tn Date.') -S'DESCRIPTION /V'-y' AND LOCATION T V // rr • ^ r't Lake No.Lake Classif.Sec.Lake Name 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 A yj- ' /■ ■■ /r 1 ! </ /Ay . / 7)^■ V fctJ, <NameContractor Architect Name, TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIOENTIAL PROPOSED USE:N yl'l( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Specify: I / .Units -■> /( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents)• / PRINCIPAL TYPE OF FRAME:DIMENSIONS:TYPE OF SEWAGE DISPOSAL: ( ) Masonry ( ) Wood Frame -z ( ) Structural Steel ( ) Other — Specify ( ) Public ( ■-) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator; ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement; ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms /i Baths HEATING; ( ) Electric ( ) Gas ( ) Coal Other: Type of Roof:< ) No ( ) Oil ( ) No ( ) None ( ) Unit CHARACTERISTICS: 7Lot Area is square feet.Water frontage is , feet. (Building Line) .....................................feet feet. f-' 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 /<2.feet — from road or street is f 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. . On j 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. '.V nDated Shoreland Management Official ^/9f/Permit Fee $.State Surcharge $.XT - f A 'r ^ -L'-f I F .>Comments: \ /1 . not called FiLED4-20-7V Form No. MKL-0771-002 158899 viere* cuHeciM « co.. rt»«u« rack*. ♦ % INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS i MINIMUM Shall Be 4- Sq. Ft, Sq. Ft.Sq. FtLot Area (Square feet) Ft.Ft.Water Frontage Ft.Ft.Building Set Back from High Water Mark ■5 50 Ft.Ft.Building Set Back from State Highway 40 Ft.Ft.Building Set Back from Street or Road Ft.&Ft.&Side Yard Ft.Ft.Rear Yard 10 Ft.Ft.Occupied Building to Septic Tank 20 Ft.Occupied Building to Absorption System Ft. Elevation at Building Line above High Water Mark_____________3 Ft.Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency VICTOR LUmXCN ft CO.. RRlMTIIIft. fCHOUft r«.(.ft. HIIIN. >. f7 / , 18. .'?ODG ; '\ o .SLPTIC *TA1^K A' o \ ^ / House:1/> V t93 .ROOS^ Ui r f garage '■■Q __- addition tor D1 NN I MGlJu 1 WELL PARKING LOT \ ^.BASKETBALL COURT BASKETBALL COURT iO cn ^oOcr. * 00CM ! !Se:pt\c TAMKS 7SHOWER HOUSE c^iII UJSOFTBALL D1 AKAOND 37SEPTIC TANKS ortTJoSLEEPING, Q'TS,:rCO \CM '■4A/I□----: WELLcnoI -JO CT CO •■'i o MUD LAKESLEEPIMCvQTRS,^o-i' orL- o'A !oSTAFF CABINS ALLREAOY HERE i O y^Uh/n ff\ yfjJl \ 7 ( A 7(7 ii\9'J9-;>x^0 ^ Ky-'-Ct.ZVf c=^4^jSI /0o')(, ^ - OJU^ OOn^JU^ SUJL^ 'Ter A 7, 5■;r / - cTuA u/ CipXf~ / 00 ^ A>vv>c>-T/t77 — ^ f p- /- K■7 I c A rvi pBALKLTBAl.L A M D E R 3 0 M iiOTTER Rod (land !virAEULF:.’;M ’ only)1 tSCALE- 3uNPEAPTn'.MESKE.R »