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HomeMy WebLinkAboutStar Point Trust_56000100068000_Shoreland Permits_SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY OffiWhite Yellow — Owner Pink — Assesso^ Goldenrod -^'Inspector ce * Permit No.LEGAL Date.DESCRIPTION AND LOCATION ^ TWP Namen Lake No.Lake Classif.Sec.TWP RangeLake Name tPENTIFICATION: Please Print All Information Tel. No.FirstLast Name Mailing Address— No. Street. City and StateInitial Zip No. Owner NameContractor Architect Name. TYPE OF IMPROVEMENT: New Building ( ) Alteration RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling ( ) Multiple Dwelling Specify:ri 3cj y Units ( ) Other ( ) Other Size ^0,0 iT'OESTIMATED 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) Bedroorhs Baths HEATING: ( ) Electric ( ) Coal Other: Type of Roof:( ) No ( ) Gas ( ) None ( ) Oil ( ) No ( ) Unit CHARACTERISTICS: Lot Area is square feet.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 ^ c ^feet — from road or street is feet. 4^ oandfeet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation). feet. 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 sfk (6) months. VDated.f Sigr^tureofOwner 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. r y 9 ?/Dated /StfOTemnd Management Official d ^State Surcharge S y ^Permit Fee $. Comments: Form No. MKL-0771-002 VICIOR LUNDCIa 4 CO.. PHIHTCOI. FEMOua FAILS. ,158899 White - Office Yellow — Owner Pink — Assess^ Golderijoc* — 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 i /t'Permit No.,LEGAL f S’ -Z-Date.DESCRIPTION L-306 V' AND LOCATION Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information Last Name InitialFirst Mailing Address— No. Street. City and State Tel. No.Zip No. Owner NameContractor & - Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: J( ) 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 ( ) Coal Other: Type of Roof:( ) No ( ) Gas ( ) None ( ) Oil ( ) No ( ) 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:MOT CALLED FOR r^•gFFCT Aajul 1 yh nr^ Form No. MKL-0771-002 158899 VICTOK UIMBCCN t CO.. PftIHTtM. FtRSUI J 1 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. )£>aWater Frontage Ft.Ft. 7C 4' ^ Ft.Building Set Back from High Water Mark Ft. Building Set Back from State Highway 50 Ft.Ft. HOBuilding Set Back from Street or Road 40 Ft.Ft. Ft FtSide Yard Ho HbRear 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: >|r ^ r s)'!' X jvQ •? ( tn< Inspector's Signature Title Inspection Dated lO.wTJ Agency VICTOM UtNBICH « CO . OOIHTI*l, riMOUO fALLI. MINN. * White — Office Yellow — OwnerPink — Asse^or 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 - n.Date.DESCRIPTION AND LOCATION TS TWP Name n ^S"/Sdr Lake No.Lake Name Lake Classif.Sec.TWP Range tPENTIFiCATtON; Please Print AM information Tel, No.Last Name First Initial Mailing Address— No. Street. City and State Zip No. Ar>t f Z^sn<a_Z_aiOwner NameContractor Architect Name. TYPE OF IMPROVEMENT;RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: (yffiew Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling (/—I^Other Specify:. 5^ i/rr^ ^Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME: ( ) Masonry ( -rWood Frame I ) Structural Steel ( ) Other — Specify {omit cents) TYPE OF SEWAGE DISPOSAL;DIMENSIONS: ( ) 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 / ncmj^Baths I f HEATING: ( ) Electric ( ) Gas ( ) Coal Other: Type of Roof:( ) No ( ) Oil "SAp /( ) No ( ) None ( ) Unit CHARACTERISTICS: .4.:..^.a.y.:s..£.a.Lot Area is square feet.Water frontage is. feet. (Building Line) ...............................feet feet. I .... Building set back from high water mark is Land height above high water mark at building line is .4 .......... .......-^..©...t..... Building set back from State highway is Side yard is...............................TT.. Building will be located Building will be located feet — from road or street is feet. ..MO... and ... feet. Rear yard is ..."./.£)r...........feet from septic tank (Sewage System Permit must be obtained before installation). feet. 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 si« (6) months. X/oDated. 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. '^o /> 4 *v Dated ^ oOPermit Fee $ r—J ■ Shoreland Management Officia 3.State Surciiarge $. Comments: Form No. MKL-0771-002 1158899 VICTOtl LUNOCEN 4 CO.. FRINTEM. FCROUt FM.Lt. OfficeWhite Yeliow — OwnerPink Goidenrod — 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 \ Asseafior Permit No..LEGAL Date.DESCRIPTION AND LOCATION Lake No.Lake Name Lake Classif.Sec.TWP NameTWPRange IDENTIFICATION: Please Print All Information Last Name First Initial 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 I ) 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: ( ) 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 fpfth 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: 1% Form No. MKL-0771-002 viCTea uiHBCiM 4 ee.. patHTiiti. rineus hihn.158899 A 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. 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 vicToa uiNPCCM • e« . piiihtibp. rm«u> falls. ■■■«. f r