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Solinger's Resort_37000990364000_Shoreland Permits_
WilTE - Cftfice GOLDENROD - Inspector APPLICATION FOR 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 YELLOW - Owner (after issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NO.RANGE TWP NAMELAKE/RIVER CLASS SECTIONLAKE/RIVER NAMELAKE / RIVER NO. 21747CLGO PROPERTY (E-911) ADDRESS , iPARCEL NUMBER (S) Ck000^^ 00 V Uvyv^ LEGAL DESCRIPTION St/v)' SU UVsj- A. Daytime Phone No.First Mailing AddressInitialLast Name MKGgjfAProperty Owner ■ vttjCv-<*» f Contractor Name Lie.#AAa/ PROPOSED PROJECT (please circle the appropriate number) (2 ) Add'n to Dwelling (5J RCUA'ear_____ Gs j^orage Structure 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 ( ) Permit No. 5 ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rottie Mann at 218-864-5533 (3) ’Replacement Dwelling (6 ) Attached / Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4 ) MH/YR (7 ) Add'n To Non-Dwelling (10) Non-Conf. Replacement (identify) _ (11) Other (identify)____________ ’Existing Dwelling to be removed prior to CHARACTERISTiCS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED NON-DV^LLING Outside I ^ /Dimension 10 Ft. x Ft." y CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension___ Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level___ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff_______ Total Bedrooms Maximum Proposed Height Roof Change ( ) Yes ( ) No Basement ( ) Yes ( ) No Walkout Basement ( ) Yes (s/de profiie required) ( ) No Outside DimensionFt."Ft, X Ft. X Ft." ..ySq. Ft. Setback to Lotline Setback to Right of Way ^>6? Ft. Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff_______ Maximum Proposed Height ( ) Boathouse ( ) Gazebo a(■TOFt.&Ft."Ft.&Ft."Ft.&Ft."y Ft,"Ft.FtSetback to Ordinary High Water Level Elevation Above Ordinary High Water Level I C Setback to Septic Tank Ft. Setback to Drainfield l(^ Ft. Setback to Bluff A/ A Ft. Maximum Proposed Height___ Roof Change ( ) Yes ( )() No Bathroom Proposed ( ) Yes (^) No JFt.Ft. Ft.Ft.Ft.v/Ft.Ft.yFt.Ft. H f/Ft.Ft. Ft.V J ( ) Screen Porch ( ) Storage Structure **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection T\£<-4La^\ "HD „ ’ Must include on scale drawing, □ 300 Cubic Yards or additional Permit may be required. Topographical Alteration / Earthmovina □ 20 Cubic Yards or Less *'A □ 21 Cubic Yards - 299 Cubic Yards*None CHARACTERISTICS OF LOT: 59(9 Bluff ( )Yes ()Qno . Ijrr Ft.Sq. Ft.Water FrontageLot Area. IfS44/er:Wf icc,yf)Impervious Surface Ratio:X100 =.% Impenrious Surface RatioTotal Impervious Surface Onsite (FTr)Total 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 responsibiiity to inform the Land & Resource Managpent office once the building footings have been constructed. ' SI:Date: mer/Agent for OwnerSigna turdo^opei^ U 'b\b1 ■2>LcC> 010Date: Land & Resource Management Office vn92- —RECEIPT NO.PERMIT FEEPROJECT(S) TOTAL SQ. Ft.. Comments: 329,582 • Victor Lundsen Co.. Printers • Fergus Fails, MinnesotaForm No. BK — 1003-0407 WI:IITE - cmise GOLDENROD - Inspector APPLICATION FOR 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 YELLOW - Owner (after issue) PINK - Assessor EXPiRFn Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NAMETWP NO.RANGESECTIONLAKE/RIVER CLASSLAKE/RIVER NAMELAKE / RIVER NO, /in GO PROPERTY (E-911) ADDRESS , IPARCEL NUMBER (S) AAA/Cl ' ^ Cv-i\ooo"^^ oo\T?'■ '1/i LEGAL DESCRIPTION/^‘j^LST2 ^ LAst ^1 Daytime Phone No.Mailing AddressFirstInitialLast Name 3 A •.< j-.-aiSfProperty Owner AAV ■j XI ^Contractor Name Lie.#AAaJ PROPOSED PROJECT (please circle the appropriate number) (2) Add’n to Dwelling (5) RCUA'ear_____ (7) Add’n To Non-Dwelling f(6) Storage Structure (10) Non-Conf. Replacement (identify)___________ (11) Other (identify)________________________ •Existing Dwelling to be removed prior to__________ ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY (-.:) Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. (3) ’Replacement Dwelling (6 ) Attached / Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4) MHA'R____( ) Permit No. ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit Contact Roltie Mann at 218-864-5533 CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension___ Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level ___ Elevation Above Ordinary High Water Level Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff________ Total Bedrooms Maximum Proposed Height Roof Change ( ) Yes ( ) No Basemenf ( ) Yes ( ) No Walkout Basement ( ) Yes (side profile required) ( ) No / Ft.**i V’■ Outside DimensionFt. XFt.**Ft. X Ft. X Ft." Sq. Ft. Setback to Lotline Setback to Right of Way .. n/Sq. Ft. Setback to Lotline____ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo Ft. & S Ft.Ft."Ft.& Ft."Ft.& Ft."V \H0 Ft. Ft.**/Ft."Ft. Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level { C, Setback to Septic Tank ^ Ft. V Ft. Ft.VFt.Ft,Ft. Ft.Ft.JSetback to Drainfield lO^ Ft. Setback to Bluff /iJ A Ft. Ft.Ft. Ft.Ft.IH Ft.Maximum Proposed Height Roof Change! )Yes ()(^)No Bathroom Proposed ( ) Yes (-/) No Ft. ( ) Screen Porch ( ) Storage Structure y **Project/Lotlines/Rlght-of-ways Must be Staked Onsite Prior to Application / Inspection ' / r * include on scale drawing, , additional Permit may be required. Topographical Alteration / Earthmovlna . c ■ v ^ None □ 300 Cubic Yards or More*□ 21 Cubic Yards - 299 Cubic Yards*□ 20 Cubic Yards or Less * CHARACTERISTICS OF LOT: Bluff ( ) Yes ( ^) No .i^r .Ft.Sq. Ft.Water FrontageLot Area Total Lot Area (FT^) Impervious Surface Ratio:X100 =.% Impervious Surface RatioTotal Impervious Surface Onsite (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 responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. IDate: Signature of proper^ Owner / Agent for Owner r i.A- A.Date: Land & Resource Management Office \ PROJECT(S) total SQ. A RECEIPT NO.PERMIT FEE $i Comments: X 329,582 • Victor Lundeen Co., Printers • Fergus Falls. MinrfesotaForm No. BK — 1003-0407 % SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations U/3^. Structure Set Back from Ordinary High Water Level Ft.Ft./ OC^ Structure Set Back from Top of Bluff Ft.Ft. SoStructure Set Back from Road Right of Way Ft.Ft. JTO»- Ft.&^^Ft.&Ft.Structure Set Back from Lot Lines Ft. (? H Ft.Ft.Structure Height Structure Set Back from Septic Tank Ft.Ft. ‘Zo/‘~Structure Set Back from Drainfield Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. Land Slope at Building Site % %6^ */ Inspector’s Comments / Sketch: J. \ Inspectors Signatu £i Date of Inspection Time of Inspection ^•Project ApprovedDate/Initiai IMPERVIOUS SURFACE CALCULATION WORKSHEET: List of Onsite (Existing and Proposed) Impervious Surfaces (must be shown on scale drawing): Ft2Structure(s): Ft2Deck(s): Ft2Driveway(s): Ft2Patio(s): Ft2Sidewalk(s): Ft2Stairway(s): Ft2Retaining Wall(s): Ft2Landscaping: (Plastic Barrier) Other:Ft2 Ft2TOTAL IMPERVIOUS SURFACE: Ft2LOT AREA: =%X100 = IMPERVIOUS SURFACE RATIOLOT AREATOTAL IMPERVIOUS SURFACE Impervious Surface; Solinger's Resort Buildings and Trailers Proposed Utility Building Owner's Residence Oriole Garage Office/House/Store Bobolink Shoreview Goldfinch Cardinal House Laundry/Garage Chickadee Redbird/Bluebird Bluejay Swan Canary Robin Wren Snipe Shop Showers Restroom/Storage Utility Shed Fish Cleaning Bait Shop Subtotal 360 1152 336 216 1296 448 775 576 702 1320 500 680 840 528 504 704 704 490 444 576 144 324 70 100 120 13909 Olson Trailer Jesser Trailer Bass Trailer Guler Trailer Subtotal 224 423 340 432 1419 Decks House: Upper House: Basement Olson Hagen Bass Guler Office/House/Store, Stairways and Deck Subtotal 160 100 216 180 72 220 358 1306 Driveways/Parking Sidewalks Cabin Steps Subtotal 13090 574 550 14214 Total Impervious Surface 30848 Lot Area 166399 Impervious Surface/Lot Area 0.185386 Impervious Surface Ratio 18.53857 zcor^\I-*3 Cj S 74 23'00"£150,52’i on WHITE - Office GOLDENROD - Inspector APPLICATION FOR 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 YELLOW - Owner (after issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NAMELAKE/RIVER CLASS SECTION TWP NO.RANGELAKE/RIVER NAMELAKE / RIVER NO. 6^0 PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) {\cl03-7.000 -o/5'7-oo| LEGAL DESCRIPTION ^ CL 2- Daytime Phone No.First Initial Mailing AddressLast Name MA ^C*T7^ Property Owner K/v-l IlH^p To fiJ \cji) UJ g<-c(g>yv1<^ AAA/CcS^Contractor Name Lie.# 'XooCSli^X\8'C^O'OHbl PROPOSED PROJECT (please circle the appropriate number) (2 ) Add'n to Dwelling A 31/Replacement Dwelling (5 ) RCUA'ear________ Attached / Detached Garage (8) Storage Structure (9 ) W.O.A.S. 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 TREATNIENT SYS^M,(y^mlt No. l/fO^(1 ) New Dwelling (4) MH/YR (7) Add’n To Non-Dwelling (10 ) Non-Conf. Replacement (identify) (11) Other (identify)_____________ 'K ( ( ) OTWMD ‘Must have Sewage System Approval Uom OTWMD prior to issuing Site Permit, oltie Mann at 218-864-5533-to U ffSY __p/y ii-g-o9 CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) to/irloy,•Existing Dwelling to be removed prior to. CHARACTERISTICS OF PROPOSED NON-DWELLING Outside DImmsion CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension Ft. x Sq. Ft. 10^^ Setback to Lotline_______________ Setback to Right of Way 10^ Ft.** Setback to Ordinary High Water Level ___ Elevation Above Ordinary High Water Level ) Ft. 15- Ft. Outside Dimension3dFt. X Ft.**Ft.**Ft.**Ft. X Sq. Ft. \ Setback to 0>(kne ___ Setback to RigluSjf Way Setback to Ordinary Nigh Watp/Level __ Elevation Above Ordina^i^h Water Level Setback to Septic Tapir Setback to Drainji&d____ Setback to B)dn________ MaximumProposed Height Roof Change ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No \3f air Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Wate^vel __ Elevation Above Ordinary Hjgn WaV Level Setback to Septic Tank / Setback to Drainfieldr Setback to Bluff /_____ Maximum Proposed Height ( ) BoatMuse ( ) GazAo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.&Ft.**Ft.**Ft.&Ft.&Ft.** Ft.**ML Ft.Ft.** Ft.Ft. Setback to Septic Tank Setback to Drainfield |~1 ^ Ft. Setback to Bluff A/A. Ft. Total Bedrooms Maximum Proposed Height Ft. Roof Change ( ) Yes (^) No Basement ( ) Yes (^) No Walkout Basement ( ) Yes (side profile required) ( ^) No Ft. Ft. Ft.Ft. Ft.Ft. Ft. ( ) Screen Porch ( ) Storage Structure * Must Include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovinq ^ None CHARACTERISTICS OF LOT: □ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More*□ 20 Cubic Yards or Less * ___Ft.Sq. Ft.Bluff ( ) Yes ) NoWater FrontageLot Area Impervious Surface Ratio:xioo =.%T Impervious Surface RatioTotal Impervious Surface Onsite (FT*)Total 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. —- hf^of^operty Owner/Agent for Owner Date: Signal Date: d & Figsource Manage/ngnl OfficenPERMIT FEE $RECEIPT NO.PROJECT(S) TOTAL SQ. FT. Comments:OU'l'* (nS'n Form No. BK — 1003-0407 329,562 • Victor Lundeen Co., Printers • Fergus Falls. Minnesota MiCLcLc^ APIM.IICATION FOR SITE PERMIT\NH\JE - Office GOLDFNROO -Jnspector YELLOW - Owner (after issue) PINK - Assessor 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 1-11%PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME L:cl‘-ix\3-<-I PARCEL NUMBER (S)PROPERTY (E-911) ADDRESS A4MlTGI 0■yi. ooo i CA. k/' >1 LEGAL DESCRIPTION ?T Gi- A.i Last Name First Initial Mailing Address Daytime Phone No.5^Jovi A A<lProperty Owner tvA 1- 5q (t ly ge• (\ C Y To Rr \(J0 Uj I A/J[\\u CContractor Name Lie.# ^TVv^X^t-x, cr> » XooQSlIf C^O'Or,} PROPOSED PROJECT (please circle the appropriate number) (2 ) Add'n to Dwelling (5) RCU/Year_____ (8) Storage Structure 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 ( Ik Permit No. / ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issumg Site Permit. ^Cjt^niac^Rollie Mann at 218-864-5533 M ij-X' (1 ) New Dwelling (4) MH/YR (7) Add’n To Non-Dwelling (10) Non-Conf. Replacement (Identify) _ (11 ) Other (identify)______________ 'Existing Dwelling to be removed prior to. Replacement Dwelling (6 ) Attached / Detached Garage (9) W.O.A.S. ; ( Ii( ■TC \oh>^foy<r CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Ft. X CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension Ft. X Ft."Outside Dimension Sq. Ft. Setback to Lotline Ft."Ft. X Ft.**A Sq. Ft. Setback to Lbtjine ___ Setback to Right'ofWay Setback to Ordinary Hj^h Level Elevation Above Ordina^ lligh Water Level Setback to Septic Tanff__ Setback to DrainKeld____ Setback to ^tdff________ Maximurpyroposed Height Roof Change ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No Ft. & -^^5"Sq.Ft. Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Water-Level Ft. / \Elevation Above Ordinary Hi^h Ware Setback to Septic Tank Setback to DrainfieljK Setback to Bluffy. Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.**Ft.**Ft.&too Ft.**/Ft.**Setback to Right of Way Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level I 7^ Ft. 15^ Ft. Ft." Ft Ft.**/Ft.Ft. Setback to Septic Tank Setback to Drainfield S" Ft. Setback to Bluff 47. Ft. Total Bedrooms ^ Maximum Proposed Height Ft. Roof Change ( )Yes (^)No Basement ( ) Yes (yL) No Walkout Basement ( ) Yes (side profile required) ( ;^) No Ft.r Level KFt. Ft.Ft. Ft.Ft. FI. ( ) Screen Porch \ ( ) Storage Structure Topographical Alteration / Earthmovina None * Must include on scale drawing, additional Permit may be required.□ 20 Cubic Yards or Less *□ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: f-ilb__Ft.Bluff ( )Yes ()i<)NoSq. Ft.Water FrontageLot Area 1 3x0 j y i/n\-irImpervious Surface Ratio:X100 =.%Impervious Surface RatioTotal Impenrious Surface Onsite (FTr) Total Lot Area (FTr) 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. Signatur»j3Lf4operty Owner/Ag^nt for pwner Date: I Date: Land 4 Flesource Managemd'nt OfficeO m C 2\0W J3PERMIT FEE $PR0JECT(S)T0TAL SQ.FT.,RECEIPT NO. -•■r Comments:i7-tTTTM—r f ■ r' ! Form No. BK — 1003-0407 329,582 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota L •u- SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations structure Set Back from Ordinary High Water Level Ft.Ft. Ft.Structure Set Back from Top of Bluff Ft. lod^Ft.Ft.Structure Set Back from Road Right of Way Ft. & /00»Ft.Structure Set Back from Lot Lines Ft.Ft.& Ft.Ft.Structure Height / iJ(\Ft.Structure Set Back from Septic Tank 5 oo*~ /Ft.Structure Set Back from Drainfield Ft. Elevation Of Lowest Floor Above Ordinary High Water Level __________________3^Ft.Ft. Land Slope at Building Site %%O- O Inspector’s Comments /Sketch: Sepfi>. -fa^lCs i-h-F'heuj^v\ 1 )0^ 3^H. 5o^-io A; 5 /O0+ O’ j ha Daaaoz cu>’Vi /a/ ^ O lo^Z<l-o2 Date of Inspection t oo Time of Inspection ^Project Approved S>t^^ Date / Initial A See Carl J. Nedbergo Cart - of Survey T397 Nov, 195 SNIPE CABIN 2 IS.5 /// ^-NB9<>I9‘I6‘‘E 222.52'* — ORIOLE CABIN BOBOLINK CABINFLOOR<^ 1323.7'FLOORu 1322.6' . LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor /J 395P/ . oF (5/. 1LEGAL Permit No. DESCRIPTION AND LOCATION LAKE NUMBER LAKE/RIVER NAME SECTIONLAKE/RIVER CLASS TWP NO.RANGE TWP NAME 5 5'7V7 /36G PARCEL NUMBER (S)’hi'7 'OOO-QF/ 'O/^/'OoS ^ 7~doo- 39 - o/s 7-ooa FIRE OR LAKE ASSOCIATION NUMBER Fn-aoo~^i-o)S7'Coi - IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No. Street, City and State Zip Code Telephone No. tr '3 Bxk iHSProperty Owner 5657^ NameContractor State Lie. It PROPOSED PROJECT ( ) New Structure ( ) Addition PROPOSED USE ( ) Residential (^) Non-Residential RESIDENTIAL USE NON-RESIDENTIAL USE ) Garage ( ) Utility Structure ( ) Water Orientated Accessory Structure CHARACTERISTICS OF PROPOSED ( ) One Family Dwelling ( ) Mujjiple^welling Units ( ) Basement (NO) Walkout Basement (Wo) Outside Dimension of Structure______ Height of Structure If Of Stories # Of Bedrooms Q # Of Bathrooms O Ft.( ) MH/RV YEAR TYPE OF FRAME ( ) Masonry (^) Wood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ( ) Public ) Individual j co. j Permit nJ_±dL ( ) OTLSD ONSITE WATER SUPPLY ( ) Other Ft. /( ) Public (^^ Individual ( ) None OFFICE USE ONLY (hXj) Bluff Impact Zone (NO) Shore Impact Zone (NO) Sensitive Area ( LOT SIZE AND SETBACKS: 7) ~~^ So ' Lot Area is square feet. Water frontage is feet. Maximum depth of lot feet. 7SBuilding set back from ordinary high water level is feet. (String Test) 3>Land height above ordinary high water level at building line is feet. Slope of lot o/o aoBuilding set back from road right-of-way.feet. 50 50Lot line setback is and feet. )CStructure will be located feet from septic tank (Sewage System Permit must be obtained before installation). lOStructure will be located.feet from soil absorption system (Sewage System Permit must be obtained before installation). 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 PERMt AS SET FORT!16, MINNESOTA STATE STATUTES. Dated:7—Signature of O' 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. / / ____ C 7pDated: Land & Hcsource Management Offict 30-Permit Fee $.Receipt No. Comments: / 7 S Form No. BK — 0292-002 262,316 — Victor Lundeen Co., Printers, Fergus Palis, Minnesota w / APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739-2271 • FERGUS FALLS, MN 56537 WHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor /J 395■ gF (5/. J A^Rcx 5 Permit No.LEGAL 7DESCRIPTION AND LOCATION SECTION TWP NO.RANGELAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS TWP NAME 5 5-7V7 /xCiA G b PARCEL NUMBER (S)'b'7 ' GOO- '0>S7'OOZ Z7-000-^9 o/sr-ocQ. FIRE OR LAKE ASSOCIATION NUMBER C- 00-7^-OJS7-CO/ - IDENTIFICATION: Please Print All Information Mailing Address — No. Street. City and State Zip Code Telephone No.Last Name First Initial Eck 2.V3' '>rjl ShiC-ytS^ Snj\)Property Owner Sb'E>'7oi-mo NameContractor State Lie. # PROPOSED PROJECT (X. ( ) Addition PROPOSED USE ( ) Residential (^) Non-Residential RESIDENTIAL USE NON-RESIDENTIAL USE ) Garage ( ) Utility Structure ( ) Water Orientated Accessory Structure CHARACTERISTICS OF PROPOSED ( ) One Family Qwelling ( ) Multjple'^elling ^/#of Units ( ) Basement (/v'&) Walkout Basement ( ) Outside Dimension of Structure______ New Structure ( ) MH/RV YEAR /SONSITE WATER SUPPLYTYPE OF FRAME ( ) Masonry ) Wood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ( ) Other Height of Structure # Of Stories______ # Of Bedrooms Q # Of Bathrooms O Ft. /( ) Public OFFICE USE ONLY ( KJO) Bluff Impact Zone (/J6 ) Shore Impact Zone (*jO) Sensitive Area { ) Public ( ) Individual Permit #_ ( ) OTLSD Individual /59!) None LOT SIZE AND SETBACKS: G Acr-s * 4 ^ 5o~Lot Area is square feet. Water frontage is feet. Maximum depth of lot feet. 75 feet. (String Test)Building set back from ordinary high water level is 2)feet. Slope of lotLand height above ordinary high water level at building line is % Building set back from road right-of-way.feet. 50 50Lot line setback is and feet. IQStructure will be located feet from septic tank (Sewage System Permit must be obtained before installation). lOStructure will be located.feet from soil absorption system (Sewage System Permit must be obtained before installation). 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 IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. JDated:w\..- signature of CFmer 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./• Dated: zee Management Offic^Land A50^Permit Fee $.Receipt No. OTE -/Tyc/C / ? Comments: Form No. BK — 0292-002 262,316 Victor Lurxleen Co.. Printers, Fergus Falls, Minnesota INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. !^oBuilding Set Back from High Water Level Ft.Ft. Building Set Back from Top of Bluff Ft.30 Ft. 3^)Building Set Back from Road Right of Way 20 Ft.Ft. /mhBuilding Set Back from Lot Line Set Back ^ Building Height Ft. &Ft.Ft. Ft.Ft. n<: rBuilding Set Back from Septic Tank Ft.10 Ft j(roBuilding Set Back from Absorption System Ft.20 Ft Elevation AboveHigh Water Level at Building Line i.r Ft.3 Ft. nLand Slope at Building Line % CL<0Inspector's Comments: Sketch: ) / Inspector $ Signature 9- ? Date of Inspection\ 'V >o Time of Inspection r;-; opficelj" Horte SoLIWGER’s RESoRT Gov't. Lot 3., SEC. 3R-/3(,-y otter T/]IL Co. fAi li h WELL ' Q n7Vi Of »«vf 31' , 1___ntsT __i rUISKoP ! Lft«>i4ry STotC HowC 10V . .m'W ■si :ri ■S» . ..pfc .9>tvsl99 6li>c 6rr P ae'f i*vcK KA (^ribli^D 1 I6«boL 2H.?’Hi.T' ClYOrtt I uID T7X ir31' I I .I u Virn nI_L n BLotJiy ■3^1.*y-»in I ^•9fc'------ki---->C^7^ ayy 1*^ e b /»?af 7-V7^431 SS«YvipV so'im«7or H«ofC /ofl’ L^Ar-Xr^ ,'■ ■>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 ^ (y'^Aj>r\ Date.DESCRIPTION AND LOCATION ^9 7S(o ^- 741 TWP NameSec.TWP RangeLake No.Lake Name Lake Classif. IDENTIFICATION: Please Print All information Tel, No-FirstLast Name Initial Mailing Address— No. Street. City and State Zip No. AOwner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:/7)do^ { ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling (^-fXither Specify:. Units {'A'Other Size ESTIMATED COST OF IMfeoVEMENT $Q '(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement; ( ) Yes (—T^o Stories above basement: Sq. feet (outside dimension) Bedroorhs ( ) Masonry (i—FWbod Frame ( ) Structural Steel ( ) 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: Type of Roof:( ) No ( ) Gas ( ) None ( ) Oil ( ) No { ) Unit CHARACTERISTICS: A) '/ 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 O feet — fromiroad or street is feet. Side yard is.................... Building will be located Building will be located and ,. feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation). feet. o7o feet from soil absorption system (Cesspool, Drainfield, etc.). 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. r) /T /z? - /6> — -7 sDated. Signa-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. /ADated Shoreland Management Official <AP- OPermit Fee $.State Surcharge S - Comments; V T QyLL^—A. A Crrvu^ Form No. MKL-0771-002 VICTOR kUBOeCa 4 CO.. RRIHTCRI. rCRQUS FALL*. MINN 158899 r . - •, - ^:Si 1White - Office Yellow — Owner Pink ~ Assessor Goldenrod — Inspector 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 Permit No,.LEGAL Date.DESCRIPTION AND LOCATION Lake No.Lake Classlf.Sec.TWP NameLake Name TWP Range IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No. Owner NameContractor Architect Name. NON-RESIOENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: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 ( ) 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: I ) Electric ( ) Gas ( ) None Type of Roof:( ) No ( ) Oil ( ) No ( ) Coal Other:( ) Unit 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........................ 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 Surcharge $. ISSUEDComments: pT ificateMO ^ Form No. MKL-0771-002 VICTO* UIMBCCM ft CO., PBIHTCM. 158899 r INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 4r 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. 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. Inspector's Comments: 7 /P..A-iryfZj. / ispector's Signature Title Inspection Dated L~19 Agency VlCro* LWH»[EH « M . fEltAU* rM.L>. MUH. r 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 3 S'S'fPermit No„LEGAL r-v-71Date.DESCRIPTION AND LOCATION .<Z'7v7 3J?IM V2- TWP NameTWPRangeLake Classif.Sec.Lake No. Lake Name tOENTIFICATtON; Please Print All Information Tel. No.Mailing Address— No. Street, City and State___________ /Pt: ^ ^ Zip No.First InitialLast Name T2TT Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: t Specify:,( ) New Building tAlteration ^ ^ ^ ! ( ) Other ^ ( ) One Family Dwelling ( ) Multiple Dwelling Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ /^ t (omit cents) DIMENSIONS:PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL: Basement: ( ) Yes ( ) No( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central ( ) Masonry 0() Wood Frame ( ) Structural Steel ( ) Other — Specify LStories above basement: Sq. feet (outside dimension) Bedrooms /Baths/> HEATING: ( ) Electric { ) Coal Other: r( ) No ( ) Gas ( J None OilType of Roof: ( ) No ( ) Unit CHARACTERISTICS: r../SCr^r;1rdfr:r... square feet.Water frontage is. feet. (Building Line) ................................feet feet.Lot Area is Building set back from high water mark is Land height above high water mark at building line is Jl.r. sy..Building set back from State highway is Side yard is feet — from road or street is feet. .IhrrjC.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 3Building 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. 5~- y-7 7Dated. Signature of Ovyner 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_ V- 71Dated iorelana Management Official Permit Fee $__2i_£21 State Surchiarge $. itComments: -2. » ' ■. Form No. MKL-0771-002 ^ VIOTIMI UMMf« • MMITCM. PfMHM P«U. imMl4S8899 1 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 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 NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: Specify:,( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling UnitsS _ f ( ) Other( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) TYPE OF SEWAGE DISPOSAL:DIMENSIONS: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 — Sfjecify Baths HEATING: ( ) Electric ( ) Gas ( ) Coal Other: ( ) Oil( ) NoType of Roof:t■L ( ) No ( ) None ( ) Unit CHARACTERISTICS: feet.square feet.Lot Area is Water frontage is . feet. (Building Line) ...............................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 — 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.). feet.and / I -t-1 ■' 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 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 State Surchiarge $.Permit Fee $. Comments: fIlfd Nr:T D a 2g 78 Form No. MKL-0771-002 , ..... 158899VICTO* LU.DEIM « M.. PRIHTEI r INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS X MINIMUM Shall Be Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft. Ft. Ft.Building Set Back from High Water Mark Ft. 50 Ft.Building Set Back from State Highway Ft. 40 Ft.Building Set Back from Street or Road Ft. Side Yard &&Ft.Ft. Rear Yard Ft. Ft. Occupied Building to Septic Tank 10 Ft.Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________3 Ft.Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency VICTOII UlMEEM ft M.. mKIEI FALL * . 'I //#A/ 3ok MMM^aa /*^o 3^ I 3a PV(g‘ OTtVftJ^ 3 3^.J;A )/V Sol I MGER S Gov’r. Lot <a, 5SC.^?- /36-V<9. OTTER TAIL ReSoRT‘ i~ “Sf*PIIop/^»c€r Hor^$ f J— I " : /J WE LI. nji .4sI 'Gayane Scat? l"-^C>’CO. /VI//If A/OTioLe UfoMtst^y 9i“7\I ^7‘T6^|/fQ sef^ic- T'a.'^r/f 3»Lf □ O 5ecfa9« - - —- Scw9^r PfSh ho^st Ir i£S3!7f© ‘Ti ^ C V fjfe (s€ti^y ifn A^Xj»«>I L 4 f 1 gL€v HTH*' Affw CoLLtvf/#!^ P\fL Piff V l4 5r/Vl 5HoP ^ T. /g)»V /(>ChK 9^ddC1; •' Lat»^4/y PDStore Hoi^e f«i^f /Mew pT-f,l"vrtiitffS /J Ct» >Tt /w <; wr /eo - iOl^ll.f iht 1.1p r <txtifi/i £fo Shwff o'1 • om %-N 3^'Iu J 5^^**1 ^ •* ii/*7 [Sn I fe.; >3 £U_,pPr " T jgmA^1 5 □i.l21-i-96/-^*\IfXi5 osi-----.^6 Xi.?v—^t.J-r/c'\8 toe 0I7P(jo'ti P »wch 1 (^edbifp ^ i a;ii» ?'i":riiv>jr'ca^'Pi'na t.1 s < a/rtv/ /*•• •r •« « nil tv/y/#£aj/hiuI I P J__*:i.*in >v rt^ Wetuejay f\oh I yiCU7I BLry3y-S“'«an ■ ^f= gw y <• ■> V sA SKoYvieV , 1ITPTW Hoo^C ! /Od’1 !I ,-V •;- ,rV '■ lake Li t> a • )/ :Czr... ,. ». r,:A- 1 -.-.i . J t. ^,1— White — Office Yellow — Owner Pink — Assessor Goldenrod — Inspector 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 Permit No„LEGAL Date.DESCRIPTION AND LOCATION r«^- 7v7 A f y vx. Lake No.Lake Classif.Sec.TWP TWP NameLake Name Range IDENTIFICATION: Please Print All Information Last Name First Initial Mailinj^ Address— No. Street City and State Zip No-Tel. No. ^r~>iOwner9-^ NameContractor Architect Name, TYPE OF IMPROVEMENT; New Building /^ / Jf' { ) Alteration RESIDENTIAL PROPOSED USE;NON-RESIDEI^IAL PROPOSED USE; ycLA( ) One Family Dwelling ( ) Multiple Dwelling Specify: Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ / d ^ i (omit cents) 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 MECHANICAL EQUIPMENT : Elevator; ( ) Yes Air Conditioning: ( ) Yes ________( ) Central Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms Baths HEATING: ( ) Electric ( ) Gas ( ) Coal Other: Type of Roof:( ) No ( ) Oil ( ) No ( ) None ( ) Unit CHARACTERISTICS; 9-^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........................ Side yard is J. .tO:.Ayefeet — 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. Building 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. Dated. ’^^gnature of Owi 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 7 Shoreland Management Official Permit Fee $ ^. A>v State Surchiarge $. Comments: Form No. MKL-0771-002 1S8899 VlflTftR LWDMCa * M.. PKlIlTCR*. FCOflUa r«.k«. MINN White - Office Yeliow — Owner Pink — Assessor Goldenrod — inspector 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 Permit No,.LEGAL Date.DESCRIPTION AND LOCATION Lake No.TWP NameLake Name Lake Classif.Sec.TWP Range IDENTIFICATION: Please Print All Information Last Name InitialFirst Mailing Address— No. Street. City and State 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 Specify:, Units ( ) Other ( )Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) 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 MECHANICAL EQUIPMENT ; Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms Baths HEATING: ( ) Electric ( ) Gas ( ) Coal Other: Type of Roof:( ) No ( ) Oil ( ) No ( ) None ( ) Unit 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........................ 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 Surcharge $. Comments; not c/'ti rr Form No. MKL-0771-002 .158899 VieTftR LURPECH « AO.. PRIKTCIia. FCRflVl PM.Lt, INSPECTOR'S CHECK LIST Make all measurements and computations ACTUALIS X 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 VICtei UINDECH > CO.. MIMTEMt. rCKau* rM.).*. MIHM.