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Home My WebLink AboutRegnbue Haven Resort_12000310216000_Shoreland Permits_White — Office Yellow — Owner Pink — Assessor Goldeni'od — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Permit No..LEGAL DESCRIPTION ■tW..AND LOCATION 56-/3>£> R Pin-e r. D 3/ _i2Z C,./Js TWP NameRangeLake Classif.Sec.TWPLake No.Lake Name IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateLast Name First Initial tr\(L, v H‘to A,C ^-r-1I nOwner fju-U A7 ^ • NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE;TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: ( Family Dwelling ( I Multiple Dwelling Specify:( ) New Building (\/y^lteration ( ) Other Units y.3 0{ ) Other Size IESTIMATED COST OF IMPROVEMENT $ TYPE OF SEWAGE DISPOSAL; (U) Individual Septic Tank, etc. WATER SUPPLY; ( ) Public (v.>^ndividual Well PRINCIPAL TYPE OF FRAME:DIMENSIONS; ( ) Yes {M^o( ) Masonry ( LP^Vood Frame ( ) Structural Steel ( ) Other - Specify Basement: Stories above basement; Sq. feet (outside dimension) Bedrooms .............................. / Baths Type of Roof: CHARACTERISTICS:^10 yxT>Water frontage is feet.Maximum depth of lotsquare 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 .................. and.................(..P...... feet.Lot Area is feet. (Building Line) feet •Atio..-51.0.feet — from road right of way is feet. feet. /..Q,Structure will be located ..........feet from septic tank (Sewage System Permit must be obtained before installation). .TrrTTr:rfeet-fFom-soil-absorp.tiQn_syjtern (Cesspool, Drainfield, etc.).Stfuctute-wU)::bertocated .....7.'..., 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 STATUES.Signature of Owner'' This permi^(^Permission is hereby granted to the above named applicant to perform the work described in the above statement.Permit; express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordmances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordina granted upon the t, - a i ~nDated Shbreland Management Official / /Permit Fee w[4Comments; 195676(vp VICTOR LUNDEEN CO., PRiNTKRS, FERGUS FALLS. MINN.Form No. MKL-0771-002 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 OfficeWhite Yellow — OwnerAssessor Goldenfod Inspector 1Pink k a ^ b 030 w Permit No.,LEGAL Date.DESCRIPTION AND LOCATION B Vi /^7 c h'ssO TWP NameLake Classif.Sec.TWP RangeLake No. Lake Name IDENTIFICATION; Please Print All Information Tel. No-First Mailing Address— No. Street, City and State Zip No.Last Nyne Initial ^ 1 a ft)Owner NameContractor Architect Name, TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) New Building (UT'^heration ( ) One Family Dwelling ( ) Multiple Dwelling (l J«-dther Specj#7rzi_ qUnits g XX Jo( )Other Size /OOPESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE^SPO;DIMENSIONS: Basement: ( ) Yes ( L-NtS^ Stories above basement: Sq. feet (outsi^ dimension) Bedrooms jQ..Or?. /( ) Masonry ^Tw^d Frame ( ) Structural Steel ( ) Other — Specify ( ) Public . , iMndividtial Septi^T(( WATER SUPPLY: ( ) Public (LpTtidividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes I Air Conditioning: ( ) Yes ( ) Central Baths HEATING: ( ) Electric ( ) Coal Other: Type of Roof:d. Q P ( ) Gas ( H-'R^e ( ) Oil ( ( ) Units. i^Oy..Q.o.d CHARACTERISTICS: ■h Lot Area is square feet. Water frontage is , .... feet. (Building Line) ...................« feet. 2x:Building set back from high water mark is Land height above high water mark at building line is Building set back from State highway is Side yard is.............. Building will be located .... Building will be located^ i-Sdl..feet — from road or street is feet. ShtSCt..feet. Rear yard is ......-y.... feet from septic tank (Sewage System Permit must be obtained before installation). .................ihrrrr.. feet from soil absorption system (Cesspool, Drainfield, etc.). and feet. /O'^ 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 herewith shall become a partjof this permit application. I also understand that this permit is valid for a period of six (6) months. set nDated. 'of Owne^ *Sign: Permit: Permission is hereby granted to the above named applicant to perform the work express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all rebpeck to the ordinances of Otter Tail County, Minnesota. Thit permit may be revoked at any time upon violation of said ordinai/ces. I \ \ /H cribep in the above stateiTlebt. This permit is upon the Dated lan3~Management Offici^^^^^/Shon..Ok. aPermit Fee $.State Surcharge $. Comments: \ Form No. MKL-0771-002 JVICTO* LUNBIEN 4 CO.. »IIHT[M. FCROUS FALL!. ,158899 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 OfficeWhite Yellow — Owner Pink Goldenrod Inspector Assessor N ■' ■0 'Ay'Permit No..LEGAL f ' 7Date.DESCRIPTION AND LOCATION /\ Lake No.Lake Name Lake Classif.Sec.TWP TWP NameRange IDENTIFICATION: Please Print All Information Last Name Initial Mailing Address— No. Street. City and StateFirst Zip No.Tel. No. Owner NameContractor Architect Name_ TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: I ) 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 ( i 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 ( ) Gas (') None Type of Roof:( ) No ( ) Oil ( ) No ( ) Coal Other:( ) Unit CHARACTERISTICS: } uLot 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 •5«c / 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. V :Dated.yf- 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 $.State Surcharge $. Comments: inspectCALLED TO K Form No. MKL-0771-002 VICTOR kUHOICN 4 CO.. PRIHTCIia. rCROUt FM.LI. 158899 V ' INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS Jr 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 && 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 VICTO* UINOCCH t CO . OaiMTtM. »CtSU« rM.1.0. MINN. 'V 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 UDate.DESCRIPTION AND LOCATION m ^S)% TWP NameTWPLake Classif.Sec.Rangeke NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Mailing Address— No. Street. City and State Zip No.First InitialLast Name OjOwner NameContractor Architect Name, NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: ^yJUl^ ,-huiA ( ) One Family Dwelling Oo/k>( ) Multiple Dwelling ( tfOther Specify:.( ) New Building (•'T^teration Units (n'Kio ~ t s( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( )Yes ( ) No( ) 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 Basement: Stories above basement: Sq. feet (outside dimension) Bedrooms ..............................Baths HEATING: ( ) No ( ) Electric ( ) Gas ( ) None ( ) OilType of Roof: ( ) No ( ) Coal Other:( ) Unit CHARACTERISTICS: Lot Area is squui't (ucr Water frontage is . feet. (Building Line) .feet feet. 70-lS.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..... }lo±.feet — from road or street is feet. liCrt.........................................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 /oBuilding will be located Building 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. tc> 'cZSDated. 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. Shoreland Management Official ^ ~ysDated Permit Fee $.State Surcharge $. Comments: Form No. MKL-0771-002 .... 158899VICT»N kUMBCIH 4 C«., PIIIIIT(I rM.kS. 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 — Owner Pink Goidenrod — Inspector Permit No„LEGAL ;Date.DESCRIPTION AND LOCATION TWP NameTWP RangeLake Classif.Sec.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: Specify:.( ) One Family Dwelling ( ) Multiple Dwelling ( ) New Building ( ) Alteration Units ( ) Other( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( ) Yes ( ) No( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement:( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify Stories above basement: Sq. feet (outside dimension) Bedrooms ..............................Baths HEATING: ( ) Electric ( ) Coal Other: ( ) Oil( ) No ( ) Gas ( ) None Type of Roof: ( ) No ( ) Unit CHARACTERISTICS: Water frontage is . feet. (Building Line) ...............................feet feet.Lot Area is square 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.feet — from road or street is .......................................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 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 $. Comments: 4-■20-7^not called L Form No. MKL-0771-002 158899 VIC1»I uwMCm « «■.. MiNttii*. rc««us r*LLS 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. Building Set Back from High Water Mark Ft. Ft. Building Set Back from State Highway 50 Ft.Ft. 40 Ft.Building Set Back from Street or Road Ft. Side Yard &Ft.&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_____________Ft.3 Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency VICTftll iUNOCIM 4 CO.. MtHTtHt. rtR4U4 r«U.t. MIIIH. !