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Senter Seven Inc._14000160133000_Shoreland Permits_
RECEIVED JUN 18Z007WHITE-Office APPLICATION FOR SITE PERMIT ■ GOLDENROD - Inspector YELLOW-Owner (after issue) LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL pconi IRPP PINK - Assessor GOVERNMENT SERVICES CENTER, 540 WEST FIR. FERGUS FALLS, MN 56537'^^ ^ REbUUKGt: 218-998-8095 www.co.otter-tail.mn.us 3387'?PLEASE PRINT OR TYPE ALL INFORMATION Permit No. ^-^7(ke/river name SECTIOI^^,^ TWP NO. RANGE NAMELAKE / RIVER NO LAKE/RIVER, CLASS y^<xX lxA)ce \ KB \ I\ I P€cu:l PROPERTY (E-911) ADDRESS H-ooQ-(g,-niZ7- 060 y^7~rr^fi7t: I'.-i-, ij^-j Yi p&T^s? M 5 777 GL3 EX TR rv ^ crz. (Zec S7 PARCEL NUMBER (S) LEGAL DESCRIPTION ;Daytime Phone No.First Initial Mailing AddressLast Name Propertu^ ^^(0^ X6i»^ /4ve- ^07-^7^62^7Ow fcW fLe^K)Q^{L . I'WN %C9^ t ^€yz^a/ 9^ ..5 1 d (So*^0 V-Vl ^ O Y WjfX ^ t/^yg.i,g.k- _________ Contracto Name Lie.#7 PROPOSED PROJECT (please circle the appropriate number)^>^^ ( 2 ) Add'n to Dwelling ( 5 ) RCUA'ear_____ ONSITE SEWAGE TREATMENT SYSTEM ‘ /s^6 ONSITE WATER SUPPLY#-^ tAt Individual { ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ( 3 ) ‘Replacement Dwelling ( 6 ) Detached Garage (9) W.O.A.S. ( 1 ) New Dwelling ( 4 ) MHA'R____(A) Permit No. ( ) OTWMD 'Must have Sewage System Approval Irom OTWMD prior to issuing Site Permit. Contact Roliie Mann at 218^^^-5533( 7 ) Add’n To Non-Dwelling AS ) Storage StriJv I - c£r^rtrv\jCi\^ ^^/fr^ptherpp jila Pa tw aA T ‘Existing Dw ucture elling to be removed before CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF P^PP Outside . rDimension *i' Ft. x ^ ZO Ft.& OSED DWELLING To ' Ft.“r Ft. X Ft.“ Ft. X Sq. Ft. Setback to Lotline Sq. Ft.\ .Setback to Lotline \ FL , Setback to Right of of Ft.*^ ^ Sefback to Ordinary Fligt^ater L^l __ Elevation Above Ordinary wgh Water Level Sq. Ft.______\ Setback to LotlineV___ Setback to Right of way Sefback to Ordinary High Water L^vel __ Elevation Above OrdinarVFlighwater Level Setback to Septic Tank Setback to Drainfield Setback to Bluff / Ft."Ft.&Ft."Ft."Ft.&Setback to Right of Way ■t." Ft."Setback to Ordinary High Water Level Ft. Elevation Above Ordinary High Water Level II3 XtO'Ff Ft. Ft.Setback to Septic Tank _ Setback to Drainfield__ Setback to Bluff *^/A Total Bedrooms X Ft. Setback to Septic Tank__ Setback to Drainfield__/ Setback to Bluff / Maximum Proposed /eight Roof Change ( / Yes ( ) No ^ 'Bathroom Propped ( ) Yes ( ) No Ft.Ft. Ft.Ft. Ft.Ft' Maximum Proposed Height Roof Change ( ) Yes (^) No Basement ( ) Yes (^) No Walkout Basement ( ) Yes (side profile required) (^ ) No Ft.Ft.Maximum Proposed Height ( ) Boathousy ( ) Gazebo **Project/Lotlin^Right-of-wa|s Must be Staked Onsite Prior to Application / Inspection ( ) Screen Porch\ ( ) Storage Structure oqraphical Alteration / Earthmovino □ 20 Cubic Yards or L^ ‘ CHARACTERISTICS OF LOT; ‘ Must include on scale drawing, additional Permit may be required. Top □ 300 Cubic Yards or More‘□ 21 Cubic Yards - 299 Cubic Yards‘None 7 •ior'AO -Sq. Ft. TZOr ( )Yes (^)NoBluffWater Frontage Ft.Lot Area. ~7,ryz<*> . Total Impervious Surface Onsite (FT^) Impervious Surface Ratio:X100 =.% Impervious Surface RatioTotal Lot Area (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 con dition 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; Date; Management Czso NILiZZ.PROJECT(S) TOTAL SQ. FT.PERMIT FEE $RECEIPT NO. CKJ\Comments: Form No. BK — 1003-0506 326,151 • Victor Lundeen Co.. Printers • Fergus Falls, Minnesota lOlMln LIGATION roR SITE PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us S WHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor 3^8 74PLEASE PRINT OR TYPE ALL INFORMATION Permit No. ;LAKE/RIV^ SECTION^ TWP NO. RANGE CLASS ■*>i» TWPNAMELAKE / RIVER NO KE/RIVER NAME ^6!?<xX l.CA Of i /7 / ^ /HE \PROPERTY (E-911) ADDRESSPARCEL NUMBER (^) OOO - ((d-^ r p& 1^7 'TK xhJ <kJ ca. (zec LEGAL DESCRIPTIONr U$. 5 77Y ^ b Daytime Phone No.Last Name_First Initial MaiUngAddress Se^tA^fe <2^ ^fc.ve,v4 XvaC.~PO\ 9^' ^}/e,______ te^oeu/t , iMN Propertx...^Ttr )^Q-7-^7-62‘^7i,Ow ^^10^ Ay/C.(y i\' 9 u 17.3^c/y ^^ \ We< ^Contractor^ f Irr- j-'OV/Vl ^OU 1^40^\Name Lie.#^Ai2-k-i T>L a r)330L/g; PROPOSED PROJECT (please circle the appropriate number)r ( 2 ) Add'n to Dwelling ( 5 ) RCUA'ear_____ 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 '( 3 ) "Replacement Dwelling ( 6 ) Detached Garage (9) W.O.A.S. (1 ).New Dwelling iJA.) Permit No, ( ) OTWMD "Must have Sewage System Approval from OTWMD prior to issumg Site Permit. Contact Rome Mann at 218-864-5533 ( 4) MH/YR. ( 7) Add’n To Non-Dwelling 8) Storage Structure \ jl :.J - ; ' , , L C' > ■ I : 'I(10) Other, , . l , v i~ "Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF^OPOSED DWELLING Outside < Dimension ^' Pt. x Ft.” Sq. Ft. *?Zn IT'' . ^ Setbaok to Lotline Ft. & Setbaok to Right of Way 7 ^ Or Ft.*'^ ^ Setbaok to Ordinary High Water Level Elevation Above Ordinary High Water Level _ V xfu Setback to Septio Tank \~i 3 Setbaok to Drainfield T 10 Ft. ^ Setbaok to Bluff '^/A Ft. Total Bedroorhs___ Maximum Proposed Height CHARACTERISTICS OF PROPOSED NON-DWELUNG Outside Dimension Outside DimensionFt."Ft. x Ft. X Sq. Ft.i Setback to Lotline \_ Setbaok to Right ot Way^ Setback to Ordinary Higft^ater L^l __ Elevation Above Ordinary P(igh y*ater Level Setback to Septic Tank__ Setback to Drainfield__> Setback to Bluff / Maximum Proposed^Height Root Change ( 7)Yes ( ) No jJ^athroom Propjfced ( ) Yes ( ) No I Sq. Ft.______\ __—Setback to Lotline y___ Setback to Right of Way Setback to Ordinary High Water Wvel __ Elevation Above Ordina\ HigtyWater Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff / H(^0 Ft.”Ft."*Ft.&Ft.**Ft.&r■t.** Ft.”' Ft.Ft. Ft. Ft.Ft. Ft,Ft. }irK, Ft. » Ft.Ft: Ft.(>()No Maximum Proposed Height ( ) Boathouse"' ( ) Gazebo **Pro]ectA.otlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.Roof Change ( ) Yes Basement ( ) Yes ( ^) No ( ) Screen PorchV ( ) Storage StructureWalkout Basement ( ) Yes (side profile required) (y ) No / * Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovlnq □ 20 Cubic Yards or Less *None □ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT; y/' / 7 ■ n 7 Sq, Ft. 7 2(?, V50 Bluff ( )Yes (^)No \Water Frontage .Ft.Lot Area. 7.000 . Total Impervious Surface Onsite (FT') Impervious Surface Ratio:Xtoo =Impervious Surface RatioTotal Lot Area (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 containerd 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 con dition 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, fvlinnesota. 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. iJ /' -MjDate; Property Owri^/Ag forOwner lo-Si. roDate: LandS Resource Manage^ie^^Of^j^^NIL-12.PROJECT(S) TOTAL SQ. FT. D RECEIPT NO.PERMIT FEE $ jr (SgS - C(')r<\or 7c flA f ,i ,t i ) -e T^ {Comments:T Form No. BK — 1003-0506 326,151 • Victor Lundeen Co., Printers • Fergus Falls. Minneso 4 ' SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations Ft.Ft.structure Set Back from Ordinary High Water Level Ft.Ft.Structure Set Back from Top of Bluff f\ O r /Ft.Ft.Structure Set Back from Road Right of Way 2.S~' Ft. & Ft.Ft.Ft.&Structure Set Back from Lot Lines f/‘ c Ft.Ft.Structure Height Ft.Ft.Structure Set Back from Septic Tank re Ft.Ft.Structure Set Back from Drainfield f 00 Elevation Of Lowest Floor Above Ordinary High Water Level____________________/Ft.Ft.3 -‘V Land Slope at Building Site %% Inspector’s Comments / Sketch: A9 Inspector's Signature Date of Inspection Time of Inspection “7^ ^fproject Approved Date/Initial RECEIVED JUN 1 8 2007 ND & RESOURCE Scale Signature Date i T/ V r cv c 4 > 'c> e vTs!■ ,1, ii 0 i" ‘S'-,j:O £I!‘ -tJ*'I + i 5 0- \ fC'^/» V ao.\J^ N/'O''^—'y <r-v vr V-v > .5^ OQ +I : \ i ' V. 'f 313,987 • Victor Lundaeri Co., Printers • Fergus Fails, MN • 1-800-34 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITE -Office OOLDENROD - Inspector YELLOW - Owner PINK - Assessor miHPermit No.LEGAL Pr ciFGl'S DESCRIPTION BLUFF ZONEAND □ YES J^NO LOCATION LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAMELAKE NUMBER LAKE/RIVER NAME /3S-/J t TOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS NO____________________ FIRE NUMBERPARCEL NUMBER (S) ( (d " o GC IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and Zip Code (Daytime)First InitialLast Name Property Owner pogeK /s-c rco^-y J'o>- ■2.2.7SNameContractor State Lie. # ONSITE SEWAGE TREATMENT SYSTEM .^^Individual Permit # ( ) Collector Permit #. ( )OTLSD ONSITE WATER SUPPLY ^ Individual ( ) Public ( ) None PROPOSED USE ( ) Dwelling ^^P^Non-Dwelllng ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT 0^'New Structure(s) ( )Addltlon(s) ( )MH/RV____________ YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ( ) Garage ^Utility Structure ( ) Other _______________ Outside Dimension / 2~ Ft. x Lotline Setbacks 6 O Ft. & O Ft. CHARACTERISTICS OF DWELLING ( ) Screen Porch( ) Boathouse( ) Dwelling ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside // Dimension______X ^ Utility Structure( ) Gazebo ( ) Other. Outside Dimension .Ft. .Ft.Ft.x .FI. .Ft.Lotline Setbacks Ft.&.Ft.OHWL Setback ,Ft.&.Ft.Lotline Setbacks .Ft.OHWI^etback Bathroom: ( ) Yes (^ No (If Yes / a complying Sewage System Required).Ft.OHWL Setback, Mai Bedrooms__________________ Maximum Height / 30 Ft. (2 story)laximum Height /10 ft. (1 story)Maximum Height /18 Ft. (1 story) OOP Sn Ft..%.Sq. Ft. Impervious Surface RatioImpervious SurfaceLot Area .Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage __________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. Structure setback to septic tank Dwelling setback to Soil Absorption System______________________ Non dwelling setback to Soil Absorption System ^S~^ ~^0 G 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. 4 7Dated; Signature of Owneg^_ Dated: Land & Re^rcs 0^agement Office n 3 CC RECEIPT NO.PERMIT FEE $ Comments: 281.017 • Victor Lundeen Co.. Printers • Fergus Falls. MN ♦ 1-600*346-4870Form No. BK — 0496-002 WHITE -Office T30LDENR0D - Inspector YELLOW - Owner PINK - Assessor APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 Permit No.LEGAL DESCRIPTION T'rAC.US b Pt (jT Gl')^ BLUFF ZONEAND □ YES ^NO LOCATION SECTION TWPNO.RANGE TWP NAMELAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS^2:> LA^frf“/yo/js-h- PARCEL NUMBER (S)TOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YaHdS X NO FIRE NUMBER ,'iM-!-Gcc-i(o-oi13-o co 9 IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and Zip Code (Daytime)InitialLast Name First Property Owner pg /3 /4TC J"o>-CU'9rsT,^ 2 2yg<7f-LrNameContractor State Lie. # ONSITE WATER SUPPLY ^Individual ( ) Public ( )None ONSITE SEWAGE TREATMENT SYSTEM PROPOSED USE ( ) Dwelling ^^^Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT (;^'New Structure(s) ( )Addltion(s) ( )MH/RV____________ Individual Permit # ( ) Collector Permit #. ( )OTLSD ■ iYEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ( ) Garage (^Utility Structure CHARACTERISTICS OF DWELLING ( ) Screen Porch( ) Boathouse( ) Dwelling ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside y Dimension______/ ^ Utility Structure( ) Gazebo( ) Other Outside Dimension s.12..Ft.( ) Other, Outside Dimension .Ft.x Ft. & ly o Ft..Ft.x .Ft.Lotline Setbacks Ft.■t.x Lotline Setba5kd'_.Ft..Ft.&.Ft.OHWL Setback .Ft.,Ft.&Lotline Setbacks OHWLSfetback .Ft.Bathroom: ( ) Yes (^ No (If Yes / a complying Setrage System Required)OHWL Setback .Ft. Totai Bedrooms Maximum Height /10 ft. (1 story)Maximum Height /18 Ft. (1 story)Maximum Height / 30 Ft. (2 story) ^ y coo c'<. Sq. Ft. Impervious Surface .Sq. Ft. Impervious Surface Ratio .%Lot Area .Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage jno '__________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. structure setback to septic tank Dwelling setback to Soil Absorption System Non dwelling setback to Soil Absorption System 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 buiiding footings have been constructed. Dated: Signature of Ownar^ r;-7-9/0Dated: Land & Restnjrce Khkiiagement Office RECEIPT NO.PERMIT FEE $J iComments:,1 2B1.017 ♦ Victor Lundeen Co.. Printers • Fergus Fells. MN • 1-80D-346-4870Form No. BK — 0496-002 r INSPECTION RESULTS Make alt measurements and computations M.Ft.Structure Set Back from Ordinary High Water Level Ft. Ft.Structure set Back from Top of Bluff Ft. /oo Ft.Ft.Structure Set Back from Road Right of Way JOpi Ft. &Ft.&Ft.Structure set Back from Lot Lines Ft.j-Ft.Structure Height /OS Ft.Structure Set Back from Septic Tank Ft. Ft.Structure Set Back from Absorption System Ft. Elevation Of Lowest Floor Above Ordinary High Water Level____________________+Ft.Ft. %%Land Slope at Building Line 1 Inspector’s Comments / Sketch: /i i . ?' CP r5W 7^ \. I k1 AC Inspector 's Signature Date of Inspection i TIttk of Inspection Ja‘-\ GRID PLOT PLAN feet SKETCHING FORMinch(es) equals.grid(s) equals feet, orScale: . 3°li ■ 19Dated:7 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. N t /T <9\k I5c•^r/k % V , ,V ri •f) '~~c O 'ftHrr«. V > 7”^kV.er n Ujk~Ll ce?6 9 ^1>0 (/) »r/tj AKf Xfnj A - S 1}^ortx ■6 i ^ 0/^7 I.A- ^ 'T'O /?c»i4 ^ 'is 1X; S l-re- p ^iL/dw^I 3 00 " /fo ' yy ^ .or <4 I 278.428 • Victor Lundeen Co . Printers • Fergus Palls. MN • 1-800-348-4870MKL —0$71 —029 APPLICATION FOR SITE PERMIT SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 White — office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor J( OS'SPermit No.LEGAL I S\rJ Ce-DESCRIPTION (a C . x:e I AND LOCATION 5X,-3Sr>UP£y3T Lake No.Lake Name Lake Classif.Sec. TWP Range TWP Name Parcel n Fire k or Lake ID #ktc'tiirc/ pin-h/ IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No. Street, City and State Zip Code Telephone No. p o • Sox &D-S'e^V'e*-J 2-0 2-Owner /o C-A o S-ZTOOg^i ^ R ^XXk7(,:L£ Cet^Teie^ n^Jcc.r 7NameContractor TYPE OF IMPROVEMENT: (esidential ( ) Non Residential RESIDENTIAL PROPOSED USE: ( W^fOne Family Dwelling NONRESIDENTIAL PROPOSED USE: Specify: ( ) Multiple Dwelling Units (# Size ) Size ESTIMATED COST OF IMPROVEMENT:$ PRINCIPAL TYPE OF FRAME: ( ) Masonry ( Frame ( ) Structural Steel ( ) Other — Specify TYPE OF SEWAGE DISPOSAL: il^c^ihc ✓ DIMENSIONS: (✓fNo( ) Public rf (|/f1ndividual Septic Tank, etc. Basement: ( ) Yes Stories above basement:.... Sq. Feet (outside dimension) Bedrooms.. I WATER SUPPLY: ( ) Public (yT^Individual Well IBaths CHARACTERISTICS: Lot Area is square feet. 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___________ fa^. (Building Line) 3 feet. S0-2.C feet. /O'fo'Side yard is Structure will be located and feet. // a .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 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 additlonai permits are required by the township for my proposed project. <» , A./2'-jlDated: Signlure oTXjwner Permit: Permission is hereby granted to the above named applicant to perform the work This permit Is granted upon the express condition that the ne^n 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-tevoked at any time upon vioiatiorr-of said ordinances. Shoreland Management Official \ Dated: 30'^ Permit Fee $.Receipt No. 3^ A;Comments: Form No. MKL — 0891-001 258,372 — Victor Lundeen Co.. Printers. Fergus Fails. Minnesota -i. T A APPLICATION FOR SITE PERMIT SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor . * IIPermit No.LEGAL V IDESCRIPTION S W G£. .$^■3 2: GC-3 e. (c fic T'e. AND LOCATION J^^cj c/ LX-; ^A/^re -3 2:^I 3S~HO/ O’ j . Sec.Lake No.Lake Name Lake Classif.TWP Range TWP Name Parcel H Fire # or Lake ID # kijJ n-')lIDENTIFICATION: Please Print All Information Zip C6^Last Name First Mailing Address — No. Street, City and StateInitial Teiephone No. P o • Ba?< 2-0 2^se\rc^Owner /■ O S JT ho CT vn 5 'L ^rcx»7(,.L6 CehoT£g-cor.7 NameContractor TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: ( Family Dwelling ( ) Multiple Dwelling Units (# Size V(0 ^ NONRESIDENTIAL PROPOSED USE: Specify: ( y ) Residential ( ) Non Residential ) Size ■ ESTIMATED COST OF IMPROVEMENT:$ PRINCIPAL TYPE OF FRAME: ( ) Masonry ( ^^>Wood ( ) Structural Steel ( ) Other — Specify TYPE OF SEWAGE DISPOSAL: ( ) Public c. a U-^C- )- a ^ (iXflndividual Septic Tank, etc. 81 WATER SUPPLY: { ) Public Individual Well DIMENSIONS: Basement: ( ) Yes Stories above basement:.... Sq. Feet (outside dimension) Bedrooms . . ............ Baths ::'3IFrame I CHARACTERISTICS: PP Pc «sILot Area is square feet. Water frontage is feet. Maximum depth of lot feet. LC f^eL^uilding Un^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 3 ^O-'T.q feet. LoLand 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).i2. iOStructure 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 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. / • c... /Z- 3^-Dated: Permit: Permission is hereby granted to the above named applicant to perform the work described in th^Tabove""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 revoked at any time upon violation pf said ordinances. -------CM- i Dated; horeland Management Officii 30-^Receipt No._Lu5,ZlM_lPermit Fee $. T Comments: ✓ ^7 V ! Form No. MKL — 0891 >001 258,372 — Victor Lundeen Co.. Printers, Fergus Fails. Minnesota ; INSPECTOR’S CHECK LIST Make all measurements and computations ACTUAL MINIMUM . Shall Be ^k3‘j xv/>IS Sq. Ft. Lot Area (Square feel)Sq. Ft.Sq. Ft. Water Frontage Ft. Ft. Building Set Back from High Water Mark Ft. Building Set Back from Road Right of Way Ft.20 Ft. -f'JO & ^/O Ft.Side Yard Ft. ^/OOccupied Building to Septic Tank Ft.10 Ft. -krtf Occupied Building to Absorption System V- 2^0 Ft.20 Ft. Elevation at Building Line above High Water Mark______________^3 Ft.3 Ft. Ft.Ft. Inspector’s Comments: yUye>>0 Q>itnXyU> y^utr^tye /~ei ty* CUrrJ-iyu. /Jd y^yf^jLy. Inspector's Signature Title Inspection Dated 19 ^7^ Agency \ m r RECEiVEb JUL2 0 1389 White - Office Yeliow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSEPhone: (218) 739-2271 - Fergus Falls, Minnesota 56537\5J^ APPLICATION FOR SITE PERMIT LAND S RESOU'JCE ^3~l\Permit No„"T" 3 v\4-ktj^ LEGAL V ' KSEE ATTACHEDDESCRIPTION -4AND »~-A t LOCATION Lake Classif. - 3?? Deal 16 135 40 Dead Lake TWP NameTWPSec.RangeLake No.Lake Name IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateFirstInitialLast Name Senter Seven 70 N, Maple Ave.Owner Harry Christian 56057 612-357-2278Le Center, MN NanrteContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: tx) One Famiiviawettiag recreational ( ) Multiple Dwelling Specify:.( ) New Building Units( ) Alteration install new foundationIxl Other nrift «ptnfinf-( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:29 X 29 Basement: X ) Yes ( ) No(X) Masonry basement (X) Wood Frame above ground level ( ) Structural Steel ( ) Other — Specify ( ) Public (X) Individual Septic Tank, etc. for. 6 WATER SUPPLY: cabins 1Stories above basement: Sq. feet (outside dimension) Bedrooms ,841....... Baths ..L..a,( ) Public Individual Well CHARACTERISTICS: .244^.400 .35.5.,5ZQ.square feet. Water frontage is Building set back from high water mark is....?^P.P.T.9.??..*....3.5.9... feet.Maximum depth of lot feet.Lot Area is feet. (Building Line) Land height above high water mark at building line is..3P.P.1^.P.Xft...3.5. 125 feet side feet — from road right of way is 100 .feet.Building set back from State highway right of way Side yard is Structure will be located..........Z.5. 100 350 ...............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 85Structure 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. July 18. 1989Dated. S,)^ature of Oviiyfr 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. /~\ 7-^4-y\LDated Shor^andJManagement Official C|Permit Fee $.Receipt No. Comments; Form No. MKL-0286-019 229971® VICTOR LUNDEEN CO.. PRiNTKRS. FERGUS 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 t ^ Permit No,__1 I V 1LEGALV SEE ATTACHEDDESCRIPTION ^ .t ic/I !AND -•-f • '•rLOCATION A ^ -- Deal 16 135 AO Dead Lalct; Lake Classif.TWP NameTWPRangeSec.Lake No.Lake Name IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateInitialFirstLast Name Sencer Seven 70 N. Maple Ave.Owner liarrv Chr±.stla.a 56057Le Center, MN NameContractor ■r' Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE: (■ ) One Family Dweitirtg recreational ( ) Multiple Dwelling TYPE OF IMPROVEMENT: Specify:,( ) New Building Units( ) Alterationi.Lstall new foundation ( ) Other ^.nd basanent ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS: 29 X 29TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: basenent Basement: 1 ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms (-') Masonry (’:) Wood Frame «6ove Rround level ( ) Public (1^1 Individual Septic Tank, etc. ^cabins WATER SUPPLY: ( ) Public Individual Well 1 OAl ( ) Structural Steel ( ) Other — Specify 3.Baths ..X. M CHARACTERISTICS: Lot Area is Building set back from high water mark is. Land height above high water mark at building line is..?.PP.F.9?..*.....?;5. 125 2AA,A00 355 520 feet.feet. Maximum depth of lot feet. (Building Line) ...........................feet side feet — from road right of way is square feet. Water frontage is approx. 350 100 ,feet.Building set back from State highway right of way100350.............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). Side yard is and 75 structure will be located 85structure 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. •Tulv 18, 1989Dated. Signature of Ov/tyit 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: Form No. MKL-0286-019 229971© VICTOR LUNOEEN CO.. PRINTERS. FERGUS FALLS. MINN. V INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 4^MINIMUMShall 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 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. ywijdl Inspector's Comments: / /0 G I I nspecti IZjpture ■h jLh-Title Inspection Dated 19 Agencyt VICTM UMOIfH t M.. MIHTEM. riR*U* r«UJ. MHia. ■-4 \ i| ! ; i 7 i.. .\) 1 j ;■) //■/— / c>o^ GRID PLOT PLAN SKETCHING FORMfeet/inchesScale: Each grid equals 19 ^9 .J ch y / 8Dated:7 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. N f —a } »• • T ». It / ,4 'r4 ;1 2^ iii'l 1434 <l 'kJ i£%LIL\\l 0/'sc»I rij). 1--. i X"/.«n /Q iiiiiT s'. -i-t'-r rjr i :L |4II,.r 4 fSoi'i / ao 'nVCy<j f-C n~nJ/; I rP^-rTT 4. oP^ t^tyhS'^ ^ /-P, O /H /a (Ct:I ~tO I \2 ^s. a'TAffr'C. C/\ &/y^S/ -r/fiiti ^ - ^ yj fi. t s~^f ‘TV Af(»215987®lOEEM CO . PRIMTERS. FERCUS FALLS.jwiNN.VICTORMKL-0871-029 That part of Government Lot 3, Section 16, Township 135, Range 40 lying Southerly of a line drawn from a point on the East line of said Government Lot 3 and distant 474 feet North of the Southeast corner thereof; thence extending said line to the shore of Dead Lake and parallel to the South line of said Government Lot 3; excepting therefrom the following described pro- Commencing at a point on the South line of said Government Lot 3perty: distant 272.9 feet West of the Southeast Corner thereof as measured along the South line of said Government Lot; thence reflecting right from the South line of said lot at an angle of 89°52'30" a distance of 92.75 feet; thenceNorth 81°8' W 209 feet more or less to the shore of Dead Lake; thence Southerly along the shore of Dead Lake 130 feet more or less to its inter section with the South line of Government Lot 3 extended West; thence Easterly 250 feet more or less, along the South line of said Government Lot 3, to the point of beginning; and the South 20 feet of the East 272.9 feet of said Government Lot 3 for an access roadway. ^■ ■ RECEIVED •=rJUL201S89Qikldlii i LiJtVt. &i]Jil^ IlAND & RESOURCE O 2:U' 4 8 5 !| I , I- -t e*Aa ci^XA,<taT - Too T ••_L J» S »•• TVl 4 •• I CS>: T•f rjl J 4 IS: f j I I I hi 01 I /t- C.. (llkl (S> ; :s I cc <1 Cx CO. \ nU'' I f -j ip!Eabc^ 4 AidJCok I »111 ; I *- j 'h • a>' >•;^E. 1/4 'k :j-1 eSr'ie -J . ' SEC. 16 U wt.ll t I ! I iff • IIUUtMT B, OiU NLi * aS ■■■» I r I) lip ’)"ii'I -y ■ I D cn ^ US PLlOl+9a7 Iron Pin A 00“23’ Lt PQT. 104+538 Iron Pin>lUDLO US OJ ca &o zZD5US 01 Sta.lOM-06 FEnt. Lt. No Culv. Req'd. Sta. 98+ 74 EE.Lt. No Culv. Req d. Sto. 108 + 17 EEnt.Lt. ^ lnpl.l5'X26’SC ^ 2 SC Aprons ^' tc (S 4-’ N&DFe.PostPastureWoods Cult.^ s a 54.50)Sta. 106+00 R/W Marker Lt. r P2/ 5Stumps -fit P i05 ' C ’ P « St o" O '' Tf?vK-; ,iV lu uj;/ ^gj A L- /■■' Cho. \ C: Witiow Swamp ^Woods '3.,7:,Lowlond."i•-i Woods»o N&D 6 Elm N8DPPNBDIO Elm.<t>! 4>:•Sio:tn 838 60.57l3'Nj+-S. <5 •t o253k:?+-+-a: S»a.l07-+97 FEnt. Rt.Sto. 104+ 82 Ent. Rt.9 Ent.Rt. sS SC Sto. 99+76 Ent. Rt.Sto. 101 +06 Ent. RtSta.95+24 Ent.Rt. No Culv. Reed.W». /'..I.. > ♦ received JUL20 1SB9 LAND & RESOURCE July 18, 1989 Land & Resource Management County of Otter Tail Court House Fergus Falls, MN 56537 Attention: Mr. McGregor Re: Dead Lake Senter Seven Permit Dear Mr. McGregor: As I related to you in our recent telephone conversations, I am one of the members of Senter Seven, a group of individuals that own property on the Northeast corner of Dead Lake. 16 of Dead Lake Township. Specifically, the property is located in Section I plan on installing a new cement block foundation under the cabin and a cement floor in the basement. By way of background, our group purchased this old resort in 1975 and since that time have never operated it as a resort, but rather individual families have utilitized each of the 6 There are 5 cabins down along the lakeshore andcabins. mine is situated approximately 350 feet East of the waterline and up a hill, and approximately 1^5 feet West of the road right-of-way of CSAR #4^. property from Burns in 1975 who in turn had purchased it from Whitmans in 1973. We purchased the According to Bob Whitman, son of the prior owners, who still lives adjacent to the property, Whitman purchased it sometime in tfie late AO’s or early 50’s and at that time all of the existing buildings were on the proper ty. concrete foundation which is deteriorating causing the floors to buckle. block basement with cement floor using the same dimensions of the cabin, which are 29 x 29 feet, porch that will not be effected. In any event, my cabin has a dirt basement and a I plan on installing a 12 inch concrete There is an attached After we purchased this property, we installed a complete new sewage system which consists of a lift station to pump the sewage away from the 5 cabins near the lake up to a septic tank and drainfield North of my cabin. All 6 cabins utilize this system. Enclosed is a copy of our Certificate of Compliance obtained when we installed the new sewage system. X 4 I am enclosing the Application form that you sent me, having completed it as best I can, along with certain additional documents that portray the general location of the property and the buildings.I am also enclosing my check for $30.00. As I related to you on the phone, I would like to start this project on July S^th so should there be any additional questions, please call me collect (61E-357-2278) as soon as you have an opportunity to review this material, plan on coming to your Perham office on Monday, July 2<^th, to pick up the permit. I will Thanking you for your anticipated cooperation. Very truly yours, HARRY/CHRISTIAN HC: Is Enc . mm f^M%& ..,.i Uiyj S § > S B SCERTIFICATE OF COMPLIANCE SEWAGE SYSTEM 6 Cabins 12oLJO'CM ml^“ A» O0OQ TMlaj 3 z 79J^Apri 1?^rd da>' of_IThis certificate has been issued this to certify compliance with regulations of Shoreland Management Ordinance, Otter Tail County, Minnesota. V — >j: imiThe premises covered by this certificate are legally described as: Twp. _JL35- Senter Seven Resort 5 ac. tract in G.L. #3 WM&Lake No. ^6-383__Sec. l6 I[fl Twp. Name.Dftnd T.nl?ARange 11 f/I'i s';'. Lf-.Fr'XU mM Senter Seven Corp.Owner: Name. i't 7 \\Richville. MinnesotaAddress.m\ 'W>Zip No. 'm> Permit No. SP_ Signed by:.f>K.Malcolm K. Lee, ihoreland Administrator Otter Tail County, MinnesotaV;it IMKL-087 1-009 ■"'m w:t r mm. VW’ 1S903S 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 .C SZ S'Permit No..LEGAL DESCRIPTION AND LOCATION SI-3 S3 4^0 TWP NameRangeLake Classif.Sec.TWPLake No.Lake Name IDENTIFICATION: Please Print AM Information Tel. No.Zip No.Mailing Address— No. Street. City and StateLast Name __________________First Initial Owner yd- c; rrNameContractor 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 $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL: ( ) Public {/^ Individual Septic Tank, etc. WATER SUPPLY: ( ) Public {/^ Individual Well DIMENSIONS: ( I Masonry ( ^Wood Frame ( ) Structural Steel ( ) Other — Specify Basement: ( ) Yes No Stories above basement: Sq. feet (outside dimension) Bedrooms r /Baths Type of Roof: CHARACTERISTICS: Water frontage is feet.square feet.Maximum depth of lotLot Area is Building set back from high Land height above high water mark at building line is /rfeet. (Building Line)water mark is. feet Building set back from State highway right of way Side yard is feet — from road right of way is / ^,/.o feet.and . / 0 .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). 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 STATUES.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. £// /rr'^Dated / 'Shoreland Management Official Permit Fee $_^_£ Comments: y /■/ /i/ ^ 195676® VICTOR UJNDCEN CO.. PRiNTKRS. FERGUS FALLS. MINN,Form No. MKL-0771-002 White - Office Yellow — Owner Pink — A&eessor Gojdenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT ///<'/ .'•/if-'Permit No..LEGAL DESCRIPTION f '/AND LOCATION 7V' - f Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information Last ^me ______________Fkrt Initial Mailing Address— No, Street. City and State Tel. No.Zip 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 $ 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 Basement: ( ) Yes {. ■) No Stories above basement: Sq. feet (outside dimension) Bedrooms /Baths Type of Roof: CHARACTERISTICS: 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. feet. (Building Line) feet feet — from road right of way is .feet. 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 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 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. Dated Shoreland Management Official Permit Fee $. Comments: NO I C.ALLED Fr 195676®Form No. MKL-0771-002 VICTOR LUNDEEN CO,. PRINTERS, FERGUS FAL.LS. MINN. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS Jr 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 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: Inspector's Signature Title Inspection Dated 19 Agency VICTO* UIMOCCH t 00.. TM.!.*. MINN. Form FHA 422-3 M (Rev. 4-17-70)MAP OF PROPERTY AmiCANT'S NAMIi?:;n-IfCAi OCSCaiTTON 7^j-Nt ^ 7niry - f » ■g^ CiU^ < C A & e 0e.pA ^ J -M'—/h lECCKD SOtt TYPt UOK EBOSION 0 Me appreciable 1 lets llm 33% 3 33 lo 73% 3 Orer 73% e,r % s TOI2.3 %TOAIj3CAU \% D4.3.TOC TO %6. U. $. OePABTMf NT OP ACOICUlTUSa F*s«iat Homi AOMMinoAnoM FHA 422-3 (Rev. 4-17-70) ■^^u. S. GOVERNMENT PRINTING OFFICE! 1973-761-490 4 Position 8 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 /V& i. 7 7>"Permit No„LEGAL Date.DESCRIPTION AND LOCATION ChJ/to nr I/O/(/g TWP NameTWPRangeLake Classif.Sec.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street, City and StateFirstInitialLast Name j f. A/^ //j//^y ^T''Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: Family Dwelling ( ) Multiple Dwelling Specify:.(I ) New Building ((/('iteration ( ) Other_______ Units /o'X n'( ) Other Size ^OOO, ESTIMATED COST OF IMPROVEMENT $(omit cents) DIMENSIONS:TYPE OF SEWAGE DISPOSAL^..., * ()Public ( ) Individual Septic Tank, etc.'' J ^ 7 A WATER SUPPLY: ^ ( ) Public (HfTndividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes ( Air Conditioning: ( ) Yes ( ) Central PRINCIPAL TYPE OF FRAME: ( ) Yes (Ir^o( ) Masonry (^''Twood Frame ( ) Structural Steel I ) Other — Specify Basement:/ Stories above basement: Sq. feet (outside dimension) Bedrooms ...................7^ 7-.1.Baths HEATING: ( ) Electric ( ) Coal Other: ( ) None ( ) OilType of Roof: ( ) Unit CHARACTERISTICS:V7V ' feet. (Building Line) ^ ^ ^ «/' Y' oi feet.Lot Area is Wat.^^quare n Building set back from high water mark i Land height above high water mark at building line is 2 feet ^0 ..... .... 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 (Cesspool, Drainfield, etc.). feet. Lo.l 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 sijl (6) months. V—'XDated. Permission is hereby granted to the above named applicant to perform the work dra CPIbed in the above statement. This permit is granted upon the len Yhall conform in all respecttTb the orc^ances of Otter Tail Permit: express condition that the person to whom it is granted, and his agent, employees and workf' County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated Sho^lagn Management Official0^^0^zPermit Fee $.State Surcharge $. Comments: Form No. MKL-0771-002 viereii lui , M.NN 158899ee., PRiHTti SHORELAND MANAGEMENT - COUNTY OF OTTER TAILf 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»essor Galdenrod — Inspector Permit No,,LEGAL Date.DESCRIPTION AND /3IC <e~)LOCATION TWP NameSec.TWP RangeLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address^ No. Street. City and StateFirstInitialLast Name Owner Name OContractor o Architect Name, NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling ( ) Multiple Dwelling Specify:( ) New Building ( ) Alteration Units ( ) Other( ) Other Size ESTIMATED COST OF IMPROVEMENTS (omit cents) DIMENSIONS:PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL: 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 Baths HEATING: ( ) Electric ( ) Coal Other: ( ) Oil( ) No ( ) Gas ( ) None Type of Roof: ( ) No ( ) Unit CHARACTERISTICS: feet.Lot Area is Building set back from high water mark i^<^..... Land height above high water mark at building line is .... Building set back from State highway is............................. square feet.Water frontage is . feet. (Building Line) ...............................feet feet.feet — from road or street is Side yard is.................... Building will be located Building will be located .......................................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 Surcliarge $.Permit Fee $. Comments: ISSUEDRllFlCA'^E MO Form No. MKL-0771-002 ®1S8899 VtCTOa LUNACCH 4 CO.. PKIHTtHt. FCHflU* FM.Lt. IIINN INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS X 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 y' Building Set Back from State Highway Ft. Ft. 50 Ft.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: Wa .Atl 7-21 u A 1/ / >7 J_ oJ^ ciaJ\\ I AtAAvt *r C-,r. L—^ inspector's Signature Title Inspection Dated 19 V" Agency VICTOR I.UN0CCN I CO . PIIINTECO. PfROU* FM.L.0. HIIIH. f i