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HomeMy WebLinkAboutMaple Shores Assoc_16000991114000_Shoreland Permits_White - Office Yellow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT ?397Permit No„ 193. r' LEGAL TWP Range DESCRIPTION AND LOCATION RD 3_1-9x3 Lr>0>n TWP Nam4Lake Classif.Sec.Lake No.Lake Name IDENTIFICATION: Please Print All Information Mailing Address— No. Street. City and State Zip No.Tel. No.Last Nai First Initial L;!h LR’laae.Owner /i/£) NameContractor Architect Name. TYPE OF IMPROVEMENT:NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE: 4- au-to^^^^New Building ( ) Alteration I ) One Family Dwelling ( ) Multiple Dwelling Jk') Other Specify:. Units d'o X LO'( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL: ( ) Public JP<) Individual Septic Tank, etc. WATER SUPPLY: ) ) Public Individual Well DIMENSIONS: ) Yes No( ) Masonry Wood Frame Structural Steel ( ) Other — Specify Basement: ( Stories above basement: Sq. feet (outside dimension) Bedrooms Lmm.Baths CHARACTERISTICS. ^ ,.Srrf..<Liifc...... squai'e feetr L20.3.D.O..Water frontage is .... feet.Maximum depth of lot .... feet.Lot Area is ^r1.0.0Building set back from high water mark is eet. (Building Line)-f-Land height above high water mark at building line is............xj............. feet .feet.Building set back from State highway right of way Side yard is ..........and ......Z.Q..^. ..L0.t._2oi- feet — from road right of way is feet. .......feet from septic tank (Sewage System Permit must be obtained before installation). .....feet from soil absorption system (Sewage System Permit must be obtained before installation). Structure will be located Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT 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. (P «Dated. 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 an|l 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. ^ /P~l9-!r7 IDated Shoreland iment Official Permit Fee $.Receipt No. c necy •-hx>If 'ljTB«<LJrF>irComments: Form No. MKL-0286-019 229971@ VICTOR LUNDEEN CO.. PRINTERS, PERQU8 FALLS. MINN. 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 h Permit No,,r r 'eLEGAL '/i/iv/■ it r / >DESCRIPTION vJ L : /(,Cj tC' ^tv!/ 'r 4 'lAND //'yLOCATIONt TWP NameTWPRangeSec.Lake Classif.Lake NameLake No, IDENTIFICATION: Please Print All Information Zip No,Tel, No,Mailing Address— No. Street. City and StateFirstInitialLast Name Owner I NanrreContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling ( ) Multiple Dwelling ( ) Other Specify:.(. ) New Building ( ) Alteration Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( ) Yes « ) No( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well Basement:( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify Stories above basement; Sq. feet (outside dimension) Bedrooms ..............................Baths CHARACTERISTICS: I feet.feet.Maximum depth of lotWater frontage issquare feet.Lot Area is feet. (Building Line)Building set back from high water mark is..................... Land height above high water mark at building line is Building set back from State highway right of way..... Side yard is ..................... Structure will be located feet ((•feet.feet — from road right of way is ..............feet. .feet from septic tank (Sewage System Permit must be obtain^ 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 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. 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 i jPermit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971(g)VICTOR UJNDCEN CO.. PRINTERS. FERGUS PALLS. MINN. i. »•■■■ ■ INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUM Shall Bej Sq. Ft, Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft.Ft. , / tooBuilding Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft. 50 Ft. 5COBuilding Set Back from Street or Road Ft.40 Ft. -f-/ 6Side Yard &Ft.&Ft. 6KRear 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_____________ f^0 Ft.3 Ft. (X <0^0Inspector's Comments: Is S V. I-Hap 0 G- r V, /(oY\ Inspector^ Signature I rvt 1 Title Inspection Dated lo - -ZJZ-t . <' ’ •19 Agency ■s VICT»* UUaOIEM • M . MIMTCtt, M««U« rM.LI. MINN..i / GRID PLOT PLAN SKETCHING FORMfeet/inehesScale: Each grid equals i^/19 ^ 7 ■Dated: r "^ignature Please sketch your lot indicating setbacks from road right-of-way, lake and fu'dpyarfi fnr each hiiildi(\^ currently on lot and any proposed structures. '’^ss ^,'S) !I i I '< !!ff I iniff 4- \} t 1 21598 7®MKL-0871-029 VICTOft LUHOetN CO . PniNTEftS. FERGUS FALLS. UINN. 10' i - 90 0 k' ir I _ 4 -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 ^ S<5. M3' £ AjTKs HU) QLX Permit No..LEGAL DESCRIPTION IV cy t N GLy yir/15i,tAND LOCATION Looih 3 134 JIL 3>o»"A Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information Last Name InitialFirst Mailing Address— No. Street. City and State Zip No.Tel. No. <flO Ave ^£-4r^...HvDaOwner 67/7 NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Ck) Other Specify:. Units (X) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms .............................. ( ) Masonry (X) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public (X) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public (X) Individual Well I Baths Type of Roof: CHARACTERISTI Lot Area is r:../T..V..6.79 300/... square feet. Water frontage is ... Building set back from high water mark is Land height above high water mark at building line is............5 Building set back from State highway right of way............ Side yard is ........!.^ feet.Maximum depth of lot feet. feet. (Building Line) feet i9.feet — from road right of way is •feet. 1..^and feet. Structure will be located .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewit shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. „ se Q THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUES.Owoe^Signature of 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. Shoreland M^agement Official S-ll- '83-Dated e(3.'XO As^ -^ isnPermit Fee $. </a f i7>riyre-~-eA, <;f,Comments: 195676®Form No. MKL-0771-002 VICTOR LUNOEEN CO.. PRINTERS. FEHOUS FALLS. MINN y,-------- White - Office Yellow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSEPhone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT 5'l 'i 5 ‘ £ iEly n3.S', ll>6' iy.i' Nty c Net'/ A luty Stf,57Permit No.,LEGAL DESCRIPTION iAND(\LOCATION 3 I?4 _MLooh Dor^ Lake No.TWP NameLake Name Lake Classif.Sec.TWP Range IDENTIFICATION; Please Print AH Information Last Name Mailing Address— No. Street. City and StateFirstInitial Zip No.Tel. No. d ir r uh .Ldl 3pTir-'iL N.h.'-f lit.tl 3 7X -I r riOwner I i I (in NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: : A( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling (K) Other Specify:. Units X A Size 54 X V i( ) Other ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL: ( ) Public (X) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public (X) Individual Well DIMENSIONS: Basement: Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms .............................. ( ) Masonry (/) Wood Frame ( ) Structural Steel { ) Other — Specify I P '/ 4 Baths COhj^.Type of Roof: CHARACTERISTICS: ..^f.. J. . . 300..L2S.square feet. Water frontage is feet.Maximum depth of lotLot Area is feet. Building set back from high water mark is. Land height above high water mark at building line is Building set back from State highway right of way..... Side yard is Structure will be located feet. (Building Line) 3 feet .y..e50feet — from road right of way is ■feet. I..0.and feet. .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above 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. TH/S IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUES. /.A Signature of Owh^r 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. / - 11~Dated Shoreland Management OfficialOU. Permit Fee $ O isn 4ie.- -g f I s. /1 NComments:t 0 t tr O 195576® VICTOR LUNDCES CO.. PRiNTKr.c. r -.:?CUS FA. LS. MINMForm No. MKL-0771-002 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 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. 50 Ft.Building Set Back from State Highway Ft. Ft. 40 Ft.Building Set Back from Street or Road 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. Inspector's Comments: inspector's Signa^re Title Inspection Dated 19 Agency VICTOH LUNDCCH 1 M . MIHTCII*. FEASUS FALL!. HIHH.