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Home My WebLink AboutOak Lawn Resort_35000990355000_Shoreland Permits_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 53^211rOc^ La 6rL- S a-IN lvi--eaf ^ Lake No. Lake Name Permit No.onU/LEGAL Date.DESCRIPTION AND LOCATION Lake Classlf.TWP NameTWPRangeSec. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— Street City and StateFirst Initial aLast Name 7 A/iu'l'KnP- zhf~''■•JU/) p\ / nOwner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: tSpecify:.( ) One Family Dwelling ( ) Mul'^le Dwelling (LX^er ( ) New Building (tXdteration Units ^ y > /Size( ) Other ESTIMATED COST OF IMPROVEMENTS (omit cents) DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( lYes (iXNoBasement:( ) Public (L<pTndividual Septic Tank WATER SUPPLY: ( ) Public ( ^Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central ( ) Masonry (LT^ood Frame ( ) Structural Steel ( ) Other - Specify / Stories above basement:, etc. Sq. feet (outside dir^nsionl Bedrooms ........... Baths M./f: HEATING: ( ) Electric ( ) Coal Other: ( ) Oil( ) GasType of Roof:{JpiC (tjh^fione ( ) Unit CHARACTERISTICS: feet.Water frontage is .............feet. (Building Line)s~-k...........i..t square fLot Area is /...UBuilding 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 rSz............z:x4t.feet — from road or street Is X).I 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.and Agreement: I fiereby 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. /fa.JZ^f 71 y— ^Sl'gnature of Owner Dated. Permission is hereby granted to the above named applicant to perform the work (cribed in the above statement. This permit is granted upon the n shall conform in all resp^ts to the ordinances of Otter Tail Permit: express condition that the person to whom it is granted, and his agent, employees and woAm1 County, Minnesota. This permit may be revoked at any time upon violation of said ordinanaes. Dated Shpretand Management Offi^ -L PmState Surcharge $.Permit Fee $. Comments: jf .^3 . J- a— J ^MI. Form No. MKL-0771-002 ,158899 VICTOH LUM»ECH 4 CO.. PIKHTtMt. PCM4U4 FM.L4. SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY White - Office Yellow — Owner Pink — A$sessor Goldenrod — Inspector Permit No.,LEGAL Date.DESCRIPTION AND LOCATION Lake Classif.TWP TWP NameSec.RangeLake No. Lake Name IDENTIFICATION: Please Print All Information Mailing Address— No. Street. City and StateLast Name First Initial Zip No.Tel. No. Owner 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: ( ) 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 Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms !i Baths HEATING: ( ) Electric I ) Gas ( ) Coal Other: Type of Roof:( ) No ( ) Oil ( ) No ( ) None ( ) UnitE 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.......................i Side yard is.................... Building will be located Building will be located feet — from road or street is feet. and .......................................feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). feet. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Dated. Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated Shoreland Management Official Permit Fee $.State Surcliarge $. Comments: FlLEB-NOT CALLED 8 29 7S Form No. MKL-0771-002 VICTOH « CO....kMkk 158899FM.k -* 1 INSPECTOR'S CHECK LIST Make all measurements and computations•r*; ACTUAL IS i 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: "a Inspector's Signature Title Inspection Dated 19 Agency VICTOR LUMOfCH i M . MIMTCItl. fCHOU* fACC*. HIHM. H;':