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HomeMy WebLinkAboutLog Haven Resort_37000990244900_Shoreland Permits_■ APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WHITE — Office GOLDENflOD — Inspector YELLOW — Owner PINK — Assessor CCyffir-/ H [^jZ^LcJLjls B I Permit No.LEGAL DESCRIPTION AND LOCATION LAKE NUMBER LAKE/RIVER NAME SECTION TWP NO.LAKE/RIVER CLASS RANGE TWP NAME Lcxke.L\ dioL "Tfocan ^ I 31-600-^9-o’XH^.-aso 37-000-99-00.92-mo /_ 6-0 u PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER IDENTIFICATION: Please Print All Information Last Name First Mailing Address — No. Street, City and StateInitial Zip Code Telephone No. ^^3 "^x82.TTe i ^ Ip.'’V^LiX R-Shsyz-XiS-^y3-f/Z3Property Owner Tg-V\axto■Sobgjirct 56572-NameContractor State Lie. # PROPOSED PROJECT PROPOSED USE RESIDENTIAL USE NON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure ( ) Water Orientated Accessory Structure CHARACTERISTICS OF PROPOSED ( Vs ) One Family Dwelling ( ) Multiple Dwelling # of Units { ) ( ) New Structure ( ) Addition ( ) MH/RV ( X,) Residential ( ) Non-Residential Basement ( ) Walkout Basement ( Outside Dimension of Structure_____ ) Ft 3^ Ft. YEAR TYPE OF FRAME ( ) Masonry ( y^) Wood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ONSITE WATER SUPPLY ( ) Other Height of Structure_ # Of Stories ^{ ) Public ( yi.) Individual ( ) None OFFICE USE ONLY ( Bluff Impact Zone /) Shore Impact Zone ( / ) Sensitive Area ( ) Public ( y(. ) Individual Permit #_ ( ) OTLSD # Of Bedrooms # Of Bathrooms LOT SIZE AND SETBACKS://^IM.Lot Area is square feet. Water frontage is feet. Maximum depth of lot feet. firing Test£_^^"^70Building set back from ordinary high water level is feet. Land height above ordinary high water level at building line is feet. Slope of lot % Building set back from road right-of-way.feet. _5'rf7Lot line setback is feet.and Structure will be located feet from septic tank (Sewage System Permit must be obtained before installation). Structure will be located feet from soil absorption system (Sewage System Permit must be obtained before installation). THIS ISA SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STATE STATUTES. Agreement: l 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 accord­ ing to the provisions of the Ordinances of Otter Tail County. Minnesota. I furthep-Sgrete 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) mmyfhs 1 (I understand that it is my responsibility to inform the Land fs/Resou^e Manage (M/ F. /9?^ it office ice the building footings have been constructed.) JLDated: Signature of Owner Permit: Permission is hereby granted to the above named applicant to perform the work deferibeef 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 confori This permit may be revoked at any time upon violation of said ordinances. / all respects to the Ordinance of Otter Tail County, Minnesota. Dated; Land & Resource Management Office //Permit Fee $.Receipt No., Comments:fT Form No. BK — 0292-002 270.500 • Victor Lundeen Co Printers • Fergus Falls, MN • I-800-346-4870 '1 .i APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56^ \ ^WHITE — Office GOLuENROD — Inspector YELLOVJ — Owner PINK — Assessor i dJfrysAt/ L>c^(*- H ^ € ^o' ^5^ei^3 ^ i ir 2-LEGAL Permit No. ;DESCRIPTION AND LOCATION TWP i-H^NGELAKE NUMBER LAKBRIVER NAME LAKBRIVER CLASS SECTION TWP NAME LaVe L'\c\ck ^2w(r^ 1\13^^ A/L\dcL "Toeon^v PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER 37-COD-if^c>2N3‘0DO '//yZ31-coO' IDENTIFICATION; Please Print All Information Last Name First Initial Mailing Address — No. Street, City and State Zip Code Telephone No. I ^ I b.(5.RRS TtiV vi-S^i-inzProperty Owner , GO-."' be rCi Co rT 5"^.C6572-\ VA r-)Name i ^Contractor State Lie. # PROPOSED PROJECT PROPOSED USE RESIDENTIAL USE ( ) One Family Dwelling ( ) Multiple Dwelling # of Units ( ) NOR-RESIDENTIAL USE ( ) Garage ( K ) Utility Structure ( ) Water Orientated Accessory Structure ( ) Other CHARACTERISTICS OF PROPOSED ( Residential ( ) Non-Residential ( ) New Structure () Addition ( ) MH/RV Basement ( ) Walkout Basement ( ) Outside Dimension iri^'K/ of Structure /UKYEAR 30TYPE OF FRAME ( ) Masonry ( >C) Wood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ONSITE WATER SUPPLY Height of Structure # Of Stories____L Ft. 2( ) Public ( ) Individual ( ) None OFFICE USE ONLY ^ Bluff Impact Zone ) Shore Impact Zone ) Sensitive Area ( ) Public ( y ) Individual Permit #_ ( ) OTLSD (# Of Bedrooms0,St# Of Bathrooms ( LOT SIZE AND SETBACKS://^ Lot Area is square feet. Water frontage is feet. Maximum depth of lot feet. 70Building set back from ordinary high water level is feet. Land height above ordinary high water level at building line is Building set back from road right-of-way. feet. Slope of lot % ‘XO feet. Lot line setback is and feet. /oStructure will be located .feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation).Structure will be located. 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 accord­ ing to the provisions of the Ordinances of Otter Tail County. Minnesota. I further agre? 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 (I undarstapd that it is my responsibility to inform the Land B Resource Managemept office once the building footings have been constructed.) Signature of Owner I Permit: 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 Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. 7- // - ‘77Dated: Land & Resource Management Officecr3 S<^-nPermit Fee $.Receipt NOv 0____-3^7rif YComments: - 'i Form No. BK — 0292-002 2 70.500 • Victor Lundecn Co Prtnitrs • Fergus Falls. MN • 1*8OO'346'4870 ■ L-0- LTw . INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. Building Set Back from High Water Level Ft. Ft. Building Set Back from Top of Bluff Ft.30 Ft. Building Set Back from Road Right of Way Ft.20 Ft. Ft. &Ft.Ft.Building Set Back from Lot Lines 11 Ft. Ft.Building Height Building Set Back from Septic Tank Ft.10 Ft Building Set Back from Absorption System 20 FtFt. Elevation Above High Water Level at Building Line Ft.3 Ft. %Land Slope at Building Line Inspector's Comments/Sketch:, •9 ^ 30> D VV)v 1 ; ; (; Inspector's Signature Date of InspectionN .7^ ’k) Time ot Inspection •i ! Sca/e; Each grid equals feet/inches ID RiOT PLAN SKETCHING FORM Dated: Q 19 X Signature Please sketch your lot indicating setbacks from road right-of-way, lake and sideyarci for each building currently on lot and any proposed structures. 'I I%■ •7 95"% ■ CJI K Sd'r.t•:p 0^ 0■f -s.0K &4-i?-4 K5' EX\iT^r\j I _ _____ oCP %G! X 21598 7®KL-0871-029 VICTOR LUNDEEN CO.. PRINTERS, FERGUS FALLS. Scale: Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM Dated: (^/L 19 X 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. A O', <? \ ;\\ O ^ Xr0 Lo p G> 0U' 0 ■fc_ % G~ 215987®MKL-0871-029 VICTOft LUN6CCN CO.. ^fHMTCnt. rE*«U8 fALLS. HINN. APPLICATION FOR SITE PERMIT SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor CaJ 30 ' o f Lof 4 drys/^l~ CPo~r^ o -F A Cry^/^l -IfJo. f0 Lak/Name * Lake Classif. 6/K 3 J/0Permit No.LEGAL DESCRIPTION AND OL[/eyU\LOCATION A,5/.-// y x, V z.Lake No.Sec.TWP Range TWP Name Parcel If Fire if or Lake ID If IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No. Street. City and State Zip Code Telephone No.. Pcc.1 Rf? 3 g.fxOwner■t SJFNameContractor TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NONRESIDENTIAL PROPOSED USE: Specify: ( ) Residential One Family Dwelling ( ) Multiple Dwelling Units (# Size Non Residential ) Size ESTIMATED COST OF IMPROVEMENT:$ PRINCIPAL TYPE OF FRAME: ( ) Masonry ( ) Wood Frame ( ) Structural Steel TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Public 5P:?^5/33 ) Yes (><NoBasement: ( Stories above basement:yf^C.'Tidividual Septic Tank WATER SUPPLY: ( ) Public ( Individual Well , etc. Sq, Feet (outside dimension) Bedrooms y Baths .. ..............(^^ Other — Specify :: CHARACTERISTICS:t-S3-Lot Area is square feet. Water frontage is feet. Maximum depth of lot feet. iff-C,SBuilding set back from high water mark is Land height above high water mark at building line is feet. (Building Line) 3 feet. 0Building set back from road right of way feet. K-/nSide yard is __________ Structure will be located and feet. M _feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation).Structure will be located 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 p.ovisions 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 ISJ^ SITE PFBMIT ONLY AND DOFS NOT GONOTITUTC A BUILDINO PERMIT AffstHEORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Tanderstand that I have been granted a site permit in accordance with the requirements N-unust coi^ct my township in order to determine whether or not any add)t(onat permitk are require 1^ bwthe iship for my proposed project.e^ Dated: Permit: 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 ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. oB n‘1!-£0Dated:-/Shoreland Management Official<5^—C? Permit Fee Receipt No.. cdjComments: ULtX.\l}± Form No. MKL — 0891>001 258,372 — Victor Lundeen Co.. Printers. Fergus Falls. Minnesota ' \ APPLICATION FOR SITE PERMIT SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739-2271 • FERGUS FALLS. MN 56537 WHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor (L.l\ €5 //O^SPermitLEGAL DESCRIPTION O- AND CRxr'^ 0 ^Cl 1/ 6-4^LOCATION if{.f) // _ /% yz L,‘ZC-r\f^Kh Lake No. Lake Name Lake Classif.Sec.TWP Range TWP Name Parcel It Fire k or Lake ID It IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No. Street, City and State Zip Code Telephone No./Z.J. IT.RP 3 Sfy _ f^Q- iJ < Owner / f ttcNameContractor TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NONRESIDENTIAL PROPOSED USE: Specify: ( ) Residential Non Residential One Family Dwelling ( ) Multiple Dwelling Units (# Size T1 Size jESTIMATED COST OF IMPROVEMENT:$ . 5 !PRINCIPAL TYPE OF FRAME: ( ) Masonry ( ) Wood Frame ( ) Structural Steel TYPE OF SEWAGE DISPOSAL: ( ) Public 5/V5/33 Individual Septic Tank, etc. WATER SUPPLY: ( ) Public Individual Well DIMENSIONS: Basement: ( ) Yes (]>4no Stories above basement:............. .3 i 1Sq. Feet (outside dimension) Bedrooms •JBaths . . 7.,.........7.(yT Other — Specify iIX1 CHARACTERISTICS:/■ JR <D )7 ^square feet.-TPLot Area is Water frontage is feet. Maximum depth of lot feet. Building set back from high water mark is ------ Land height above high water mark at building line is Building set back from road right of way____________ Side yard is __________ Structure will be located feet. (Building Line) 3.feet. feet. ua and feet. .feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation).Structure will be located 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 p.ovisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONLY AND DOE^S NOT~CONSJIIUTE A~BillLDINGLS£fiMlT.AS SELFO^TH IN CHAPTER 16, MINNESOTA STATE STATUTES. iLinderstand that I have been granted a site permit In accordance with the requirements of the ShorefafjcfMahagement Ordif>aneeof'Otter T'aitCounly^rijndeistand^''>^ '< I must contact my township in order to determine whether or not any additionai permits are required by the township tor my proposed project. - ——^^ J Dated:Sigmure^fwwn Permit: 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 ordinance of Otter Tail County. Minnesota. This permit may be revoked at any time upon violation of said ordinances. m/Dated: Shoreland Management Official JuJXJ-Permit Fee $Receipt No.. /ippraiJrri—J1Jl //-?-?/Comments: ii }(JkJ uirfir RtfX. Form No. MKL — 0891-001 258,372 — Victor Lundeen Co.. Printers, Fergus Falls. Minnesota INSPECTOR’S CHECK LIST Make all measurements and computations ACTUAL MINIMUM , Shall Be ^1IS Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. L'i-loBuilding Set Back from High Water Mark Ft.Ft. SdBuilding Set Back from Road Right of Way Ft.20 Ft. ^3 & jo iSide Yard Ft.& Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark______________3+Ft.3 Ft. Ft.Ft. Inspector’s Comments: I 4^ I ! \ ^4 2^/ \r\^fiQcXor'$ Signatu S£iPr/r *7>^/Inspection 19 /f -.Dated Agency OfficeWhite Yellow Owner Pink —j Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Permit No..r\JLEGAL DESCRIPTION AND LOCATION // /36 VA Liqf)LlO^O'JO TWP NameTWP RangeLake Classif.Sec.Lake No.Lake Name IDENTIFICATION: Please Print Ail Information Tel. No.Mailing Address— No. Street. City and State Zip No.Last Name First Initial ^ 3 B<?xPrS(FL£MOwner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: (^'TOne Family Dwelling ( ) Multiple Dwelling / ^ }Specify:.( ) New Building (Ll^teration Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ TYPE OF SEWAGE DISPOSAL: ( ) Public 5"/23 (M^ndividual Septic Tank, etc. WATER SUPPLY: ( ) Public (W^Tndividual Well DIMENSIONS:PRINCIPAL TYPE OF FRAME: ( iriCo( ) Masonry ([A'^ood Frame I ) Structural Steel ( ) Other — Specify Basement: ( ) Yes Stories above basement: Sq. feet (outside dimension) Bedrooms ............................. / 7 IBaths ±CHARACTERISTICS:ISO Water frontage is feet.Maximum depth of lot...............................feet.square feet.Lot Area is 23 ^feet. (Building Line)Building set back from high water mark is Land height above high water mark at building line is............TT. Building set back from State highway right of way...........P..^. Side yard is Structure will be located feet feet.feet — from road right of way is ID .............feet. .feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation). and to .Q^PStructure 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 UTATF UTAT! ITES:------ 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 theXownship fori my proposedifrojdct. _____________J 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. B-Dated Shoreland Management Official3d.ooPermit Fee $.Receipt No. )0 ^Comments;__ ^ ^ JliPT CS'T-X. Form No. MKL-0286-019 229971@ VICTOR LUNDCEN CO.. PRiNTKRS. FERGUS PALLS. MINN. - oA,.- —^CTvwner White Yellow 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 6 /HSO /^'!z j - '*• i Permit No„Lo' 11 rl i/ E t'JLEGAL DESCRIPTION AND LOCATION I II /U i- ; C-/7I I TWP NameSec.TWP RangeLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialFirstLast Name Mf- -E:/ H ‘I !LOwner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:■T Specify:.( f One Family Dwelling ( ) Multiple Dwelling ( ) New Building ( Alteration Units ( ) Other( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL: ( ) Public (i'f” Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ;rTndividual Well PRINCIPAL TYPE OF FRAME: ( ) Yes ( <rfioBasement:( ) Masonry ( p>Wood Frame { ) Structural Steel ( ) Other — Specify / Stories above basement: .......... Sq. feet (outside dimension)__ Bedrooms /Baths CHARACTERISTICS:r J feet.Maximum depth of lot feet.Water 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 System Permit must be obtained before installation). and .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 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 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. /V-/ _7 /Dated Shoreland Management Official ;Permit Fee $.Receipt No.ji. Comments:__^:>/ I i _r m No. MKL-0286-019 229971@ VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS. MINN. i INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 4 MINIMUM Shall Be 4.Sq, Ft, Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft.Ft. fifji Ft.75Building Set Back from High Water Mark Ft. '577/' FtBuilding Set Back from State Highway 50 Ft. mBuilding Set Back from Street or Road Ft.40 Ft. /O & /[) Ft./f) & /O Ft.Side Yard Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: * M lJ7,IU Lh. S •v- I nspecto^jj^S Ig nature^ Inspection Dated 19 » Agency VICTO* LVNBCEN 4 M . »KIKTf«t. FCR8U* FM.t.4. HIHM. feet/inches GRID PLOT PLAN SKETCHING FORMScale: Each grid equals t 19Dated: 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. \ (-■- 4- 7t-f — / WcxxV A \^ Ano : dpVace. 4^^ 6(x} h j Ac * ^ Of') k?e coux\c. ii Wsin: nw ftV•<v 'V 1i 1>.) • <>.43^I ot \t W: i %tr I 1t c_ 3 1 -{C- §N I1 : On:!t I :!\. I tr'-A \A\\’ft-1 T\ - -tt -A- -\^ • • ’-%d----------------------- I ii7aa*rif‘CvI S iP'A\A.(.. j ^ ..., .n. . .■ V- A;P, ft I\ i 7 -f h- ii- - - ^ •Tl :i MX .1.U 1 1 jTI(3■ t Ei :u - i.1 c\,gA.r> ^ I f ■ft ^tsl 21598 7@MKL-0871-029 VICTOR LUNOCEN CO . PRINTERS. FERGUS FALLS. WINN. Whjte - Office Yellow Owner P*"k — 'Assessor ^oldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone; <218) 739-2271 - Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT9 7/7/Permit No„LEGAL DESCRIPTION AND LOCATION Lake Classif, /JZ.T7-LX TWP NameSec.TWP RangeLake NameLake No. IDENTIFICATION; Please Print All Information Tel. No.First Zip No.Mailing Address— No. Street. City and StateInitiaiLast Name /QOwner V 5^^ NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE: .RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: ( ) One Family Dwelling ( ) Multiple Dwelling Sp>ecifv:,( ) New Building (^ Alteration ( ) Other Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL: ( ) Masonry (^4.Wood Frame ( ) Structural Steel ( ) Other — Specify Basement: ( ) Yes ( ) No Stories above basement: ....... Sq. feet (outside dimension).... Bedrooms ( ) Public Cx) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public {/) Individual Well ZX4>. <r Baths ...<3. CHARACTERISTICS: 7 (/ 0 feet.Maximum depth of lot feet.square feet. Water frontage is Building set back from high water mark is........................................ Land height above high water mark at building line is................... Building set back from State highway right of way......................... Side yard is ..................... Structure will be located Lot Area is feet. (Building Line) 7feet feet.feet — from road right df^ay is ..............feet. .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Sewage System Permit must be obtained before installation). and 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 propose^iject. ^ ^ /3~ ^ 7Dated. APermit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This perrmt 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 jirdinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. d -/ j- F7Dated ShVel^d lement Official c:' ^//Permit Fee Receipt No. Comments;S-O i-y / cXLyty^sSlSLt.,^-Q.J LX.x-t.-vvcy*.<ruo-. acAf- Cl Li) Form No. MKL-0286-019 229971@ VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS. MINN. T-3.1White — Office Yellow — Owner Pink — Aifeesor GoWenfjd — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT t j Permit No„LEGAL /UT^ ■ 9^C■/ DESCRIPTION jr~AND LOCATION TWP NameTWPRangeSec.Lake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateInitialFirstLast Name Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT;RESIDENTIAL PROPOSED USE: V-Specify:( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling- ^y /Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ TYPE OF SEWAGE DISPOSAL:DIMENSIONS:PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well ■i Baths ! CHARACTERISTICS: /feet.Maximum depth of lot.feet.square feet. Water frontage is Building set back from high water mark is........................................ Land height above high water mark at building line is................... Building set back from State highway right of way......................... Side yard is ..................... Structure will be located Lot Area is feet. (Building Line)/ >>ffeet .feet.feet — from road right of way is and .............feet. .feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation).Structure will be located 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 IB, MINNESOTA STA TE STA TUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. Dated. 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. /1 1Comments:f Form No. MKL-0286-019 229971 vicroR lundeen co.. printers, perous palls, minn. %. ^ */ ' ; 'i. INSPECTOR'S CHECK LIST Make all measurements and computations1 r f ACTUAL IS 4r MINIMUM Shall Be 4-Sq. Ft Lot Area (Square feet)Sq. Ft,Sq. Ft. Water Frontage Ft.Ft. _ Ft.Building Set Back from High Water Mark Ft. Building Set Back from State Highway Ft.50 Ft. Ft.Building Set Back from Street or Road 40 Ft. K, Ft.Side Yard &Ft. Rear Yard Ft.Ft. I 0Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System ZD Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. V> Vf. ^\ \ S.Ov Vv~<_ \ <3 CC^'■V^ CV>Inspector's Comments:\v^( . ,C ! i ! Inspector's Signature - T-‘ : Title .-■■■•■A' :Inspection Dated 19 Agency vicTea tuaetea • m . Miaitai. rcMwa aiaa. V . A.____ / ' ,V-3-^7 ^ (^^43- > y /C ^ ‘^X.aLjr^ ^ <=-'^ ■3“=1^‘=Vo- <>v-> f- 5l S>^jg *%]'ii -- - r- OjL T^■Tir I * X4«i*%A^ ***I ^LuhMm^ -^Ct—t- ^<S-Uk ® Department of LAND & RESOURCE MANAGEMENT COUNTY OF OTTER TAtL Phone 218-739-2271 Court House Fergus Falls, Minnesota 56537 MALCOLM K. LEE. Administrator WcULck 31, /9«7 Log haven Re^onX. Pout ?{^eiite Petiean Rap^dd, MM 56572 Rf*3 Adding a ZA.vi.ng quanXeA to a 2nd (^tooK. an existing htofie on Lake Lida {56-747). RE: VeoA Mfi. P^ei^Ze: Regarding ouA. conveuation on MaAch 27, 19S7, it appeoAi that you iviZZ need to appZy ^oa a conditionaZ u^e peAmit (appZication encZo^ed). The ShoAeZand Management OAdinance AequiAe^ that when the i>ize oi a AetoAt it incAeased a conditionaZ. u6e peAmit mu6t be obtained. EncZoied you MiZZ ^ind the necet^oAy ^oAm^ to appZy ioA a conditionaZ ute peAmit. The next meeting oi the PZanning CommitAion it May 6, 1987 and the Zatt date appZicationt u)iZZ be accepted ioA that meeting it ApAiZ 16, 1987. li you have any quettiont, pZeote contact ouA oHice. SinccAeZy, Tim GAiep InApectoA enc/mgb 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 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 ■77^Permit No>.LEGAL I/)// Ui Y )DESCRIPTION AND LOCATION /-irlou Leke Clawlf. ''^Sec. TWP TWP NameRengeLake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialFirstLast Name oir\^CLp\d<sHVr A/’. lbOwner Lr)o/)A^ifAj NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:/?rlAvVict^ ^Yi STDI?^ " ( ) One Family Dwelling ( ) Multiple Dwelling Vy) Other Specify:( ) New Building ( p) Alteration (nPifO^Units ( ) Other Size IESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes (M No Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Public (p*) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public (-P) Individual Well ( ) Masonry (>pf Wood Frame ( ) Structural Steel ( ) Other — Specify Baths/^^?.<S*.^. CHARACTERISTICS: Water frontage isLot Area is /.i2.^..<?!iClO.... square feet.... feet.Maximum depth of lot feet. 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 .3...1 feet S.O tz o .feet.feet — from road right of way is 1.0 1.2..............feet. .feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation). and /o Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE 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. 7T_q./\r-K. .a.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. ^ At,t (9 Dated SC/c>Permit Fee $.Receipt No. :9Comments: (T —r,' I] o-t. 3 M. Form No. MKL-0286-019 229971® VICTOR LONOEEN CO.. PRINTERS. FERn**' -i White - Office Yeilow — Owner Pink — Assessor Goidenrod — inspector JSHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT !i ■1 Permit No„fLEGAL 1DESCRIPTION AND LOCATION / TWP NameSec.RangeTWPLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialFirstLast Name Owner / NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE;TYPE OF IMPROVEMENT: rSpecify:,I ) One Family Dwelling I ) Multiple Dwelling ( ) New Building (y) Alteration Units ( ) Other( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes {t-) No Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Public (• ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ' (-) individual Well ( ) Masonry ( I Wood Frama ( ) Structural Steel ( ) Other - Specify Baths I1CHARACTERISTICS:•1 Jfeet.Maximum depth of lot feet.square feet. Water frontage is Building set back from high water mark is........................................ Land height above high water mark at building line is................... Building set back from State highway right of way......................... Side yard is ..................... Structure will be located Lot Area is feet. (Building Line) 1feet'1 .feet.feet — from road right of way is .............feet. .feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation). and H 1 ■ -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 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. IDated. 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. Comments: - -1 r a vvv Form No. MKL-0286-019 229971@ VICTOR LUNDEEN CO.. PRINTERS. FERGUS PALLS. MINN. ■Sr rv.tr-,.' ■; INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUM Shall Be ^Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. Building Set Back from Street or Road Ft.40 Ft. Side Yard &Ft. &Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: /-I lo cA i --f / c> •' M C ~ - *^1x3 f''/uu f/ O.S f j- ,u. _______ f . > y Jr p O ^y. r c^cJ Si Sic cC-rtjM. ^ BC//y A t-A CLj^Sq t Cy °v I ijix// -- - las f f f A J"ff u A /(C3lrV 'P ' ‘ : [A \ Title Inspection Dated A-19 P7 Agency ®vicTOM utMOcea & M.. MianM. rcR«u« mihm. A ~Coo/jry i n: Si c^I o •oooou>K:LU c iii CO ^ ^ z i I LU ^ - Q- ^ ^ i cyC N-N. V?'k+0 I<■ S “ c I u I IJ' 1 \0 0)Q- o *n 1T>'S 7] V >6 1.N N t^/9A2Z^\ |2j<K.^V5u 1I! i •. tt i i V, iI i )3^ ■\11 1 \ \ /I I» 1' 4 ^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 /\A AvJt lO 2Z1■9Permit No,.LEGAL DESCRIPTION AND LOCATION l~\^Cx40i H ^ Lake No.Sec.Lake Name Lake Classif.TWP Range TWP Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street, City and State Zip No.Tel. No. Vcc fvvs ^ VK»:>6Owner NameContractor Architect Name. TYPE OF IMPROVEMENT; ( ) New Building r^^),.AIteration 3 ~ -V- RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE; ( ) One Family Dwelling ( ) Multiple Dwelling Specify:. Units ( I Other ( ) Other Size IESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME;TYPE OF SEWAGE DISPOSAL: ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public T]^f--4fldividual Well DIMENSIONS: Basement: ( ) Yes 'p^ No Stories above basement: ....... 11..5^( ) Masonry Wood Frame -^j^^^^feet (outside dimension) Bedrooms ..............0........... Baths ..O.......... ( ) Structural Steel ( ) Other — Specify Type of Roof:\ /CHARACTERISTICS: , !.d£:^M2.lM.square feet. Water frontage is Building set back from high water mark is.................... Land height above high water mark at building line is Building set back from State highway right of way..... Side yard is Structure will be located Lot Area is feet.Maximum depth of lot feet. !J.S.feet. (Building Line) 3.feet ,5q.feet — from road right of way is feet. .L^,LQ.and feet. .LQ,.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 se forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that airy 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) moolths. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUES.cc y Signature of Owner Permit; express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the Dated Shoreland Management Official Permit Fee $. O K) RjComments: 't i195676@ VICTOR UJNOCEN CO., PRINTERS, FERGUS FALLS. MINNForm No. MKL-0771-002 V•I:' 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 t IK1^A O St !■ '' (ii.«; I sn '-1 - I-' 1 ‘ ^ Permit No..LEGAL DESCRIPTION 6*:■ AND LOCATION /■ -~vn c 11i. TWP NameSec.TWP RangeLake Classif,Lake No.Lake Name IDENTIFICATION: Please Print AM Information Tel. No.Zip No.Mailing Address— No. Street. City and StateLast Name First Initial i H ,Owner f NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: <,( ) New Building Alteration ( ) Other ( ) One Family Dwelling ( ) Multiple Dwelling Spjecify: ■s fi Units'V1\( ) Other Size ESTIMATED COST OF IMPROVEMENTS PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL: 'Fyl-Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public (^:)Mndividual Well DIMENSIONS: LV.AV.tr i t-o’i'L ( ) Yes No( ) Masonry TTT^Wood Frame ( ) Structural Steel I ) Other — Specify Basement:>( Stories above basement: ......... . feet (outside dimension) .. J. Bedrooms Baths ..O A-S Si: , Type of Roof:\ V CHARACTERISTICS: ^ f Water frontage is feet.square feet.Maximum depth of lotLot Area is O.S.Building set back from high water mark is....................... Land height above high water mark at building line is Building set back from State highway right of way..... feet. (Building Line) .3.feet .fZ..Q.feet — from road right of way is feet. !,lO.'^1Side yard is feet.and1 .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). Structure will be located A Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above se forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewit shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. ./THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUES.cSignature 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 ail respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. V/.].// ^ r\Dated Shoreland Management Official Permit Fee $. U SY -A 6v'-- ^'■'c r /w-.V) t 1d.' N .. LV /Comments:.^ * ^IV r-«-1 195676© VICTOR UJNDCEN CO.. PRiNTS-r.c,, p-^CUS FA.IS. MIN'I.Form No. MKL-0771-002 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS MINIMUM Shall Bej Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. Building Set Back from High Water Mark Ft.Ft. r 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 10 Ft.Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. OK S'Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency VICTeR LUHtlCH 4 CO.. #RINTCII4. rCASUI PM.LI. 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 White — Office Yellow — Owner Pink — Assessor Goldenrod — Inspector Permit No,.LEGAL Date.DESCRIPTION AND LOCATION a p u( TWP TWP NameSec.RangeLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Zip No.Tei. No.Mailing Address— No. Street, City and StateLast Name First Initial Owner NameContractor Architect Name. TYPE OF IMPROVEMENT: !A ' ^NON-RESIDENTIAL PROPOSED USE;RESIDENTIAL PROPOSED USE: ( ) New Building ( ) One Family Dwelling ( ) Multiple Dwelling Specify:./ <>?UnitsAlteration ( ) Other ( ) Other Size cbOd(ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: ( ) Yes (j|^ No Stories above basement; Sq. feet (outside dimension) Bedrooms ( ) Masonry (^) Wood Frame ( ) Structural Steel I ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc./ / WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT ; Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central . Baths HEATING: ( ) Electric ( ) Coal Other: (kr NoType of Roof:( ) Gas ( „) None ( ) Oil ( y No ( ) Unit CHARACTERISTICS; Lot Area is square feet.Water frontage is. feet. (Building Line) ...............................feet feet. (IlBuilding 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...Q.feet — from road or street is feet. *2 6f-feet. Rear yard is ............?Z.. feet from septic tank (Sewage System Permit must be obtained before installation). and feet. feet from soil absorption system (Cesspool, Drainfield, etc.).V. 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 Sj shall become a part of this permit application. I also understand that this permit is valid for a period of sL ifications submitted herewith months. "7YfT?..Dated. 1gnati*re of\3wner Permit: 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. Shoreland Managentent Offiaal Dated Permit Fee $.State Surcharge $. Comments: Form No. MKL-0771-002 158899 vicret 4 CO.. mi 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 — Owner Pink — Assessor Goidenrod — Inspector . /Permit No,./hLEGAL Date.DESCRIPTION AND LOCATION ; TWP NameTWPRangeSec.Lake Classif.Lake No. Lake Name IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialFirstLast Name Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:.( ) One Family Dwelling ( ) Multiple Dwelling ( ) New Building ( ) Alteration V Units ( ) Other Size( ) Other ESTIMATED COST OF IMPROVEMENT $(omit cents) 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 MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify /I,..-,' Baths HEATING: i ) Electric ( ) Coal Other: ( ) Oil( ) Gas ( ) None ( ) NoType of Roof:y.'( ) No ( ) Unit CHARACTERISTICS: feet.square feet.Water frontage is . feet. (Building Line) ...............................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 is........................ Side yard is.................... Building will be located Building will be located feet.feet — from road or street is feet........................................feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). ____ and 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 State Surcharge $.Permit Fee $. ^ILFD NOT CAM FD 8 29 78Comments: Form No, MKL-0771-002 1158899 vicTot LuMOCCD ft cft.. piHimii*. Fciiaus FM.<.a. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 4r 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 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 VICTOR LUHOCCH t 00 .