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Sunset Beach Resort Inc_52000990389000_Shoreland Permits_
•> ^APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITE - Office GOLDENPtOD - Inspector YELLOW - Owner (after issue) PINK - Assessor 0-00 35PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME l-n6 38iil>7 h.ql PARCEL NUMBER (S)E-911 ADDRESS YV7// A/ikUt Uk<L RD LEGAL DESCRIPTION s Daytime Phone No. /j/kke L-fh W Lc-Vo Z QajJ ^; Last Name First Initial Mailing Address lGW5/c^‘ OJJW r^y /MProperty Owner VV7// /?C ^VC^S(~.7 D7M/\ Brq \j&y/ __ lie * CA -coj-99 Hl Contract^(X// ^ / ^2J^9 -U 7^pac -k2l. '■ Ch ^/I ^ONSITE TOTT^OPPPI Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling (4 ) MHA'R (7) Add’n To Non-Dwelling (10) Other__________ ONSITE SEWAGE TREATMENT SYSTEM^2) Add’n to DweHinb ( 3) 'Replacement Dwelling ( 6 ) Detached Garage (9) W.O.A.S. ^ Permit No. l-> ^ /~~7 (5 ) RCUA'ear_____ ( 8) Storage Structure _ 'Existing Dwelling to be removed before. ( ) OTLSD * This permit is only valid alter verification from the O.T.L.S.D. that a conforming sewage system will be installed to service this lot contact Roflie Mann at 864-5533./ ■Characteristics of proposed dwelling Outside Dimension Setback to Lotline Setback to Right of Way Ft." Setback to Ordinary High Water Level Ft. f ^ Elevation Above OrdinaryllMPHMRIli Setback to Septic Tank '7^* Ft. ^ ’ Setback to Drainfield 7 pt. /jT9 Setback to Bluff (*T Ft. Maximum Proposed Height Basement_____ Walkout Basement Total Bedrooms CHARACTERISTICS OF PROPOSED NON-DW^LING CHARACTERISTICS OF PROPOSED V^A.S. WATER ORIENTED ACCESSORY STROCTURE)^ Fr* ^ l£_R.«_eE#73 Outside \ Dimension \ Setback to Lotting Setback to Right of Setback to Ordinary High'V(ater^el __ Elevation Above Ordinary HiohWater Level Setback to Septic Tank / Setback to Drainfield / Setback to Bluff / Maximum Prooidsed Height Bathroom Proposed ( ) Yes ( ) No Ft. X Outside \ Dimension \_____ Setback to Lotlirle ___ Setback to Right of Way Setback to Ordinary HigVWater Level __ Elevation Above Ordinary Hi^Water Level Setback to Septic Tank Setback to Drainfield _ Setback to BWn____ Ft.&Ft.”Ft."Ft. X 1.”r&Ft." Ft.Ft."Ft. FI.Ft. Ft.Ft. Ft:Ft./ L Ft. ^ No Ft. Yes Ft.Ft. Yes X__No Maximum proposed Height ( ) Bo^ouse ( ) Gazebo ( ) Screen Porch v ( ) Storage Structure ___________________________"Project/Lotlines/Right-of-ways Must be Staked Onsite Prior tfl App|iqgtion / Topographical Alteration / Earthmoving ^ Inspection ' Must include on scale drawing Permit may be required20 Cqbjfi Yards or Less '□ 21 Cubic Yards - 299 Cubic Yards'□ None □ 300 Cubic Yards or More'f€HARACTERISTK»0P4^, Lot Area 7%^7n>.YesWater Frontage .Ft.Bluff 3.^J/'y 9 Total Impervious Surface Onsite (FT=) . CJyf.T2c.i>irvious-X100 =.% Total Lot Area (FT^)Impenrious Surface Ratio ms 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. 1 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 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 buiiding footings have been constructed. Date: Signature of Property Ownerjt S-3-0 3Date: Land & Resource Management Office PERMIT FEE $RECEIPT NO. Ce,t; A <4 Jo.y P C ^/rXL Comments: Zc Form No. BK 0500-0501 305,576 • Victor Lundeen Co., Printers • Fergus Falls. MN • 1-800-346-4870 '---• ' r.- - J APPLICATION FOR SITE PERMI LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) PIN^. - Assessor t I PLEASE PRINT OR TYPE ALL INFORMATION :■] LAKE / RIVER NO.LAKE/RIVER NAME SECTIONLAKeRIVER CLASS TWP NO.RANGE 'P NAMEtSls-ISO p'h’i &L ?-/36-3S/37 i>n: PARCEL NUMBER (S)E-911 ADDRESS:i i-VVT// t^Do - 0^ qH\ ' C>c>^I ■JLEGAL DESCRIPTION L 1 Mailing Address 6aytime Phone No. j l-oVs Z ^F ! Last Name First Initial Wyk AjjkUe L-fh /pZ7r,yyCzs^i J Property Owner toyL^a M t- I W?// />. >y4e Lfj/rO /?/0t ^ AittJ 09//A c.qJ/ ^ /-z/<y-QV/-2/7^ /o/^ 3^Vj?fP27 Jc Slicri't'-c. B>ol^ k^HL'.Aj(A 9*^^'€^5^0 A>C.. * CA -00^99 I ______________ i Contractor Lie.#fi pH 'iS(p-^^cCS!'t PROPOSED PROJECT (pjease circle the appropriate number) (1 ) New Dweiling (4 ) MHA'R (7) Add’n To Non-Dweiling (10) Other__________ ONSITE WATER SUPPLY Individuai ( ) 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. I'lAdd'n to Dwelling- ( 5 ) RCU/Year_____ ( 8 ) Storage Structure (3 ) 'Replacement Dwelling ( 6 ) Detached Garage (9) W.O.A.S. i;; ( ) OTLSD * This permit is only valid after verification from the O.T.LS.D. that a conforming sewage system will be installed to service this tot contact Rollie Mann at 864-5533. ! r ■'Existing Dwelling to be removed before. y CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension Setback to Lotline Setback to Right of Way ^ ^ y Setback to Ordinary High Water Level ~h So pt. J, Elevation Above Ordinary High_Water Level Ft. Setback to Septic Tank Ft. Setback to Drainfield Ft, Setback to Bluff Maximum Proposed Height Basement_____ Walkout Basement Total Bedrooms ^tr ^ CHARACTERISTICS OF PROPOSED NON-DWELLING CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)/Outside Dimension -. Setback to Lotlind^ Setback to Right of Way_ Setback to Ordinary HignVVater L^el __ Elevation Above Ordinary HigKWater Level Setback to Septic Tank Setback to Drainfield /_ Setback to Bluff Maximum Proposed Height Bathroom Proposed ( ) Yes ( ) No /c / Ft. X FL"Ft. X__L Outside Dimension _______ Setback to Lotlifle ___ Setback to Right of Way Setback to Ordinary High.Water Level __ Elevation Above OrdirWry High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff____ FL&Ft,&Ft."Ft. X Ft." Ft."T."Ft." Ft.Ft." Ft.Ft. Ft.Ft.H9O_Ft.Ft'Ft./ L Ft.\F)rFt. Yes ^ No _Ft.Ft. Yes No Maximum Proposed HeightFt ( ) Boathouse ( ) Screen Porch \ ( ) Storage Structure 1 ( ) Gdzebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Appliqation / Inspection - 5^// /Topographical Alteration / Earthmovinq "YI 20 Cubic Yards or Less ' TH/fY./' /j □ 21 Cubic Yards - 299 Cu6ic Yards' ' Must include on scale drawing Permit may be required□ None □ 300 Cubic Yards or More' CHARACTERISTICS OF LOT: - :i Kc:u\ _.k Lot Area.Water Frontage .Ft.Bluff .Yes 7 2^tJ/I i ^ Total Impervious Surface Onsite (fr)Total Lot Area (FT*) '1Impervious Surface Ratio:X100 =.% Impereious Surface Ratio 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 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 & Resopree Management office once the building footings have been constructed. 'L^2'2VDate: SlgnaXure of Property Owner^ '~£3-3-oSDate: Land & Resource Management Office PERMIT FEE $RECEIPT NO.i /ChmComments:2.I'C'/V. '■-»:r -y- V Form No. BK — 0500-0501 305,576 • Victor Lundeen Co.. Printers • Fergus Falls. MN • 1 *800-346-4870 SITE PERMIT INSPECTION RESULTS 9 Inspector must make all measurements and computations Structure Set Back from Ordinary High Water Level Ft. Ft. Structure Set Back from Top of Bluff Ft.Ft. /(jn f-Structure Set Back from Road Right of Way Ft.Ft. ^0^Structure Set Back from Lot Lines Ft.&Ft.Ft.Ft.& Structure Height Ft.Ft. 7l£Structure Set Back from Septic Tank Ft.Ft. 70 /Structure Set Back from Drainfield Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level 3;Ft.Ft. Land Slope at Building Site %% Inspector's Comments / Sketch: "So J-/rm- Y .i*t Inspector's Signature Date of Inspection Nil Time of Inspection U Project Approved Date/Initial /Scale:.grid(s) equals feet, or jnch(es) equals feet Please use this sheet for the required scale drawing of your proposal. Be sure to include lot dimension, water frontage, and setbacks from RW, lake, lot lines, sewage system, top of bluff, existing structures and all imper vious surface. Required impervious surface coverage calculation (See definition in Shoreland Management Ordinance) = s.yJiiH,03S-X 100 % Total Impervious Surface Onsite Total Lot Area (FT2) (FT2) ft- 5^^ jlP ■h■V Vi Lo AV ^ —r ___ -2JL ^'0 ’■ T Isink ry^t\jn-i £)rfh'' ^«>tL SGfir^jNnED Signature Dated BK — 0500 — 029 304.678 • Victor Lundeen Co.. Printers • Fergus Falls, MN • 1-800-346-4870 SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY OfficeWhite Yellow -* Owner ^Pink Goldenrod — lns|>ector Assessor 4 A/e Lake Classif. Sc! TWP Range TWP Name /.3o (iPt nJL S-/Z//-7C, Permit No,.LEGAL Date.DESCRIPTION AND LOCATION Lake No. Lake Name IDENTIFICATION: Please Print All Information First Initial Mailing Address— No. Street, City and StateLast Name Zip No,Tel, No. KA/illi Vauxj L/l ./e cOwner f-Z.r-4 NameContractor Architect Name. TYPE O^MPROVEMENT: ('■“'fNew Building ( ) Alteration RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling I ) Mult^e Dwelling (L-F'tfther specify:. 2)Units ( ) Other Size TTST-ESTIMATED COST OF IMPROVEMENTS (omit cents) PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: ( ) Yes Stories above basement: Sq. feet (outsicte dimension) Bedrooms .../..v<L..X.|!r. /( ) Masonry ( 'TlWood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public (CF'fn^idual Septic Tank WATER SUPPLY: (^J^^PetSfic ( ) Individual Well , etc. ... Baths. MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central HEATING: ( ) Electric ( ) Coal Other: Type of Roof:( ) Gas ( ) None ( ) Oil ) No ( ) Unit IptCHARACTERISTICS:^.10 0 Lot Area is square feet.Water frontage is. ...........feet. (Building Line).v^...........................................feet feet. snoBuilding 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 Y feet — from road or street is feet. 4!P.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. l/ 7 GDated. Signature of Owner Permit: Permission is hereby granted to the above named applicant to perform the workyflesfcdbed in the above statement./Tftis permit is granted upon the express condition that the person to whom it is granted, and his agent, employees and warkmemshall conform in all respects tothe ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinan^s. \ I | /O Dated 09 Shot]|blah6 Management Official Permit Fee $State Surcharge $. Comments: Form No. MKL-0771-002 .158899 VierOK LUMBEfH A M.. PlimTlt 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 — Jn^ector a* • ///Permit No„LEGAL f . ■«( .•»Date.♦ / ,•» 'DESCRIPTION ti.AND ■ I ;• i2_' ■?LOCATION I •1 7^//Sec.TWP Range TWP NameLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Mailing Address— No. Street. City and State Tel. No.First Initial Zip No.Last Name Owner ; NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling I ) Multiple Dwelling ( ) New Building ( ) Alteration Specify:. Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENTS (omit cents) PRINCIPAL TYPE OF FRAME: 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 ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify y Baths HEATING: ( ) Electric ( ) Gas ( ) Coal Other: ( ) NoType of Roof:( ) Oil ( ) No ( ) None ( ) Unit 7CHARACTERISTICS; Lot Area is square feet.Water frontage is. .Jeet. (Building Line) r.<..............................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 1/70feet — 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.). and 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. rDated. 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: rlLED NOT called 8 2g 78 Form No. MKL-0771-002 ©,. .,..158899VICTOa UINBCIM A M.. PBIBTtM. • ^ INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUM Shall Be 4. Sq. Ft, Lot Area (Square feet)Sq. Ft.Sq. Ft. Ft.Ft.Water Frontage Ft.Building Set Back from High Water Mark Building Set Back from State Highway Ft. Ft. 50 Ft. 40 Ft.Ft.Building Set Back from Street or Road Side Yard &Ft.&Ft. Rear Yard Ft. Ft. Occupied Building to Septic Tank 10 Ft.Ft. Occupied Building to Absorption System 20 Ft.Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency ■evt u HJ ^ ^ ^ VICTOR LUH0,tCH * CO . ROlHTtOI./(HtVS /aLLI Q LU Grade & Fill Permit%CJ0^PROPERTY OWNER ~~ LAKE NO. 5X*--I 3ct SEC. ^ ^ I v^o U)¥- -r^TWP. NAME LEGAL DESCRIPTION: 4q m . MW 731 -^M7S3)i t 12I* o4- PlMWORK 4UTHORIZED "P/k Vpo rvo lfv>OV:V^ VN £ I »N ^ \ jg*V*V^v^-«- ^l*=kU ^v\> -C.t)v^vo.JL ^-Vrvv/ . VvN^V^V...V' v».vj *\ w §W>N — CJSv'A'V'w^A'o-^ »P.\rv\ v>\sNc< V T #rvN NOTE: This card-shall be I^laced in a conspicuous place hot work is to be done, & shall be maintained there until completion of such work. NOTIFY LAND & RESOURCE MAN AGEMENT, 218-739-2271 WHEN AUTHORIZED WORK HAS BEEN COMPLETED. than 4 feet above grade dn the premises on which Imore 1. EARTHMOVING SHALL BE DONE BETWEEN U-tY"Ol 2. Entire area shall be stabilized within 10 days of completion of any earthmoving. 3. Owner is legally responsible for all surface water drainage that may occur. 4. No fill shall enter or be ta^en from the beds of public wate^ without MN Department of Natural Resources. 5. If the terms of this permit are violated, the entire permit may be revoked and the owner may be subject to legal prosecution. a valid permit from the i • GRADE & FILL APPLICATION COUNTY OF OTTER TAIL - LAND & RESOURCE MANAGEMENT 121 W JUNIUS SUITE 130, FERGUS FALLS, MN 56537 218-739-2271 PERMIT NO. ^2,^^Application Fee S50.00 Receipt Number PROPERTY OWNER yy?// AiifcL,. Lk ROMAILING ADDRESS CITY, STATE, ZIP 2/rfDAYTIME PHONE NUMBER LAKE NAME piVg Uc R ^'Zoc>nc>c>1oo'P/OoQ -/ioLAKE NO.CLASS PARCEL NUMBER(S) SECTION ^ O 7 TWP I 3^ RANGE ' o}>8 TWP NAME plAi C Llik. LEGAL DESCRIPTION pf G>L 7 fh (-) NE CJl Lof / _______ M p/^j /?// Sg/u 2< /33 ^jciy /\)Jy 'itSMC ’D ie.. CS 31.^. n>u 5c/j/ To G E-911 PROPERTY ADDRESS/FIRE NUMBER O-^ f! Cf. C-/0 -o '!----RECEIVED JUN 1 1 2001 SIGNATURE OR PROPERTY OWNER/AGENT FOR OWNER DATE L&R Official DATE LAND & RESOURCE DESCRIPTION PROJECT REQUEST BELOW (Provide Scale ^rawing On Back) cIiajT \ HKKt uj-f/jT otf)j) i Luj'fU G/''fOC k O'jf'V m Pf-oeu/iy^ m PIaj€ /-^Vz/73 1 fj]^d..cLM&> ■ 4 vyy/'i' A'ifd,cLki^ tt “V V7/7 fj)f<L^e.LkRO Troy ~ YyiC 75 Yt /lo St^Dic ■1 : SCA:'ci 1 !^ t/i4-(/^f -Vii-li' 'i / ///.LJf-f/,/ /// ^K05/00 12001 iucsulO Td> P~fH PijfcUcs Pilo^cj s/Og oF uj2fk F/il ^iArJ filoick So T't Leoc.\ Tl\^t rt 0?A7qT& 73 ^r^s$ f^(Z Th^trj o F 7 % > folJou^j/\/j pe^pplt Luo01lO Ljh'c 4 VV7// Lk ^ 'D TroyDols^i 7, VV675 hjfcULk I^D 5k0:z ^://x 3« V"y73/ IlD /^r/?/vJ ^Y7f3 /A/;/ac Ch^f njiU^ U ^0 iL^A>k'For y^(jr tl 4^yvLo r-C,C-Vv_ .4 -C> IV > I?-SGAWMED RECEIVED JUN 1 1 2001 Coit ^0^ , LAND & RESOURCE _ _pcrhi^ 'To fj\] OiTcIa I^o^O TTt^y Dokh £/^ jD UM-^ f)Or<i^5 L VV7// ^itcUz. Lif\U f^D ■ a 0., hh ^^i V V l 1Ui3j-£iU(U / I iI '7k \ f- SCtWNED 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 I G.S3>qPermit No.LEGAL DESCRIPTION BLUFF ZONEAND □ YES NO LOCATION SECTION TWP NO.RANGE TWP NAMELAKE/RIVER CLASSLAKE/RIVER NAMELAKE NUMBER S6'Htfc fSLi^ Si hi.GRADING / FILLING □ YES # OF CUBIC YARDS ________________ FIRE NUMBERPARCEL NUMBER j^) £'2, OO O O 3 ^ ^ OO O O O H H ^SP /?6 >= OO IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and Zip Code (Daytime)First InitialLast Name C/?. - 7_________(^ec-v^e. R ^^X}r 4ir<. ■ >01^) I . scs// Property Owner 56'Vcg?A€if£lNameContractor H‘fistate Lie. # 7 ONSITE WATER SUPPLY (T^lndividual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM ^t>^4fldividual Permit # 5 3cf S ( ) Collector Permit #________ ( )0TLSD* J PROPOSED USE ( ) Dwelling (^Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT ^ New Structure(s) ( ) Addition(s) { )MH/RV______________ YEAR CHARACTERISTICS OF NON-DWELLING 00 utility Structure canv<^j 30.C/3 k.--------------------------- Ft. X c3 X Ft. /c?c? CHARACTERISTICS OF WOASCHARACTERISTICS OF DWELLING ( ) Screen Porch( ) Boatt)ouse( ) Detached Garage( ) Basement ( jWaltouf ( ) Attached Garage jrfon or before (\) Dwelling ( ) Raolacement Dwelling ( ) Addi{l8(i to Dwelling ( ) Existing DW^Iing shall be re Outside 'v y Dimension______\ / ( ) other Outside Dimension 5 ( ) Gazebo ( ) Utility Structure /6 ( )Other. Outside DimensionFt..Ft. X .Ft.Lotline Setbacks .Ft. .Ft.,Ft.&Lotline Setbacks .Ft.OHWL Setback .Ft.Ft.&Lotline Setbacks .Ft.OHWL Setbi (X)Yes ( )No (If Yes7 a complying Sewage System Required) Maximum Height / D Ft. / story Bathroom: .Ft.OHWL Se>5ck.Total Bedrooms iximum Height / 35 Ft. (2 story):imum Height /10 ft. (1 story) /-S A ere !Ft.4,^Impervious Surface /j4iYln Ft. Elevation of lowest floor above OHWL Sq. Ft. Impervious Surface Ratio .%Lot Area ^ 7A .Ft. (3’ minimum)Water 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. JOStructure 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 tor 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. * This permit is only valid after verification from the O.T.L.SD. that a conforming sewage system will be installed to sen/ice this lot... Contact Rollie Mann at 864-5533. Dated: fare of d Dated: Land & Resomce Management Office5c22RECEIPT NO.PERMIT FEE $ Comments: 290.821 • Victor Lwrvdeen Co. Printer* • Fergus Fell*. MN • 1-800-346-4870Form No. BK — 0S97-002 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITS ■ Office GOLDENROD - Inspectof YELLOW - Owner PINK - Assessor IA \ - (o ^ lei (.Hii icC Permit No.LEGAL DESCRIPTION \ V VA « BLUFF ZONEAND □ YES ^ NO LOCATION RANGE TWP NAMESECTIONTWP NO.LAKE/RIVER NAME LAKE/RIVER CLASSLAKE NUMBER °1 I £'5g t£o \ i/Jt XaJc-o fSl/^ Si "hi. ^ GRADING / FILLING ----------- J‘ I FIRE NUMBERPARCEL NUMBER^) €>3^^000 I, vJrC.3 SP nc.BSX . 1 □ YES ^ NO # OF CUBIC YARDS 'Oyfi QOO o IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and Zip Code (Daytime)First InitialLast Name 8cii ?C ! ^ ~ (s> 7Property Owner HC: X ^ I . z/r/li Ph X'J o I, ^£f/v^r ;J P) r).; iPU //, £V/f £,r..h >6/./^ /Name I r I /Xs.kU6 dContractor 5-^ S/1State Uc. # 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. PROPOSED USE ( ) Dwelling C>^ Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT New Structure(s) ( )Addition(s) ( )MH/RV______________ Individual Permit It ( ) Collector Permit #_ ( )OTLSD*YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLINGCHARACTERISTICS OF DWELLING ( ) Screen PorchUtility Structure ( ) Boathouse( ) Detached Garage( ) Dwelling ( ) Replacement Dwelling ( ) Addition to Dwelling ( ) Existing Dwelling shall be remoyqd on or before. Outside Dimension. ( ) Basement ( ) Walkout ( ) Attached Garage . ‘-'■c'riL'L-Uj£r-U.-----( ) Utility Structure( ) Gazebo( ) Other Outside Dimension Lotline Setbacks P^fi.sS ^ /cyo_____ / ^Ft. X ^ A .Ft.( )Other. Outside Dimension__Ft. X .Ft..Ft. .FL&Ft.Lotline Setbacks .Ft.OHWL Setback Ft.&X Ft.Lotline Setbacks ^ .Ft.OHWL Setback Bathroom: (^ ) Yes ( ) No (If Yes / a complying Sewage System Required) Xti ^ . /t ,1 / Maximum Height / ", Ft. / story Ft.OHWL SetbackTotal Bedrooms Maximum Height / 35 Ft. (2 story) \ \\ Maximum Height / 10 ft. (1 story) /• S 4 Cr <L £/. t So. Ft. . Impervious Surface .%.Sq. Ft. Impervious Surface RatioLot Area ' /'^ 7 A t.Ft. (3' minimum)Jt. Elevation of lowest floor above OHWLWater Frontage Structure setback to right-of-way Structure setback to septic tank. Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System ' /cW. I ( -. .%.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). \ rID.\T7 AlJytuZt: 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. * This permit is only valid after verification from the O.T.L.SD. that a conforming sewage system will be installed to service this lot... Contact Roilie Mann at 864-5533. 1 d ^gn^fe of Ownei/ //!Dated:tS=- ‘P- n-99 y:Dated: Land & Resourte Management Office RECEIPT NO.PERMIT FEES Comments:1 ■1 'i ■ J13 290.821 * Victor Lundeert Co. Printers • Fergus Fells. MN ■ 1-80O-346-4870Form No. BK — 0597-002L *-T INSPECTION RESULTS Make all measurements and computations JOVStructure Set Back from Ordinary High Water Level Ft.Ft. Structure set Back from Top of Bluff Ft.Ft. Structure Set Back from Road Right of Way Ft.Ft. ¥Structure set Back from Lot Lines ,Ft.&Ft.Ft.&Ft. I%7Structure Height Ft.Ft. Structure Set Back from Septic Tank Ft.Ft. Structure Set Back from Absorption System Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level____________________3 Ft. Ft. Land Slope at Building Line % % Inspector’s Comments / Sketch:, ^ 5cy 'f IS >s / I 4 tt)0M ' Ji----■5 I \j ( II.' u'3^.S ? L \c,vL.>« . 10// Cl Cl{56. r> ^3 V ifovf Inspector's Signeturm /ui°n Dale d Inspection IJ'.oS HUi Time of Inspection |4t/VSt A i ii II!iI tI;\I ^0:I / i!/.feet._■ ^^'d(s) ^uals i_1 I i - I ! n r. ; ! , ; . ^ i . i ! _inch(es) equals.^feet.iqr^iII ;! f i ,!I 1[1I IJ;::3 15 j o oI!I I iSignatuj : i ‘I:' :■ 'DaferfiiiI)Ij Please street 'for^he required scale drawing of j/our proposal. Be sure, to, include lot dimension, water -i~frohfage,]anpi-s^etb:ack^^^^ lake, sideyard, sewage system, top ofdluff and existing structures. \ I Required^ in\pier\}.ioUs surface coverage calculation (See definition in Shbreland Management Ordinance) i I [ i j I- 1 I ) ( , 1 i ; ! , , ; 1 . i i , , : I j ' ■ ; . ■ , - ' . ^ * I I . . ; , . I , ; i • I it! -'ii iiiMMi.nh:-':;;! t ■ ,r'^^-x:,ob- ■' . 1 I .%I ■ I IcMa!! I^pep^itjusi.., 14,;. i_;i Siffafce ^ng^4t 1 I ; J 1 1 ■ i (PH'S); ! f I ; ' ' ! 1 h +-L;.TotaLL6tlArea:. Li i; I i ;(ft2) -l—r'I r ! , . (n'■i I . .:-i ’ ' M ; I f ’ f ■ ;I (;!I ••I !ri;(J^ f t-, ’ i’Ir11II : j Jt i iU-Ll-fci-. :i ni! I [... L '§1 §!■% "Hlrt-t’!;:: ;)1 -C:!!1i {j^)}1i 11 o><I ;1 '! 1 II1{IO! n'ti r ' i i ' i• i-.j,...! ' ! ! i t M t j1 '11 J ■ ■ i : €N ' = i' - (1:}i ri5^If f f I II* wi..O^-1 •HI ... -J. ^ ! t :!i I -^~r t ;■ ?;03)(1T 11iT I'' ; L ! i.;IfI •* r ; • r - i 5d'®t i i : I I ;~oi;x'?i■ ■_> i.J.-.c-i !3! [ I r .(- f ; i 1 !I■4 f ;I I - ■ I , -I T t— ^ ' r*!'(if!4=^i i -(t t ' ‘ •ii!I ' }4•-4 Tt'4-4-;i! :K;'ir t M1 i: O; i :;;i . ! ^ i ' ■: I f f 'I 1Ii /! CO;, n: , j ;1'^' .Win f 1,: ■ ^ -B; - ---^- (00 ^ ■ '^O kf Id L rt 11! I i ' .'ll?4 f i -b b o c ^ r. , i y , J ; : 1 I (i !I I t <■ ;.i , . .rri !!:. i\;W i it-1 t ';. 1 I 1 iQ. J -- -; ; : i H 1-;!t ,i rr".!. .m- IiIi •t !I IT ‘4Tr44LJ4£2 1: ‘/'I I LT !i;;::) 1 ; I “~Tl”r**l!a»t4»r. ^ ^MW ^ I iI1 -I !■V- 4-J.. .» — —I ;I Ii •!f i .! I1;• ! • !I I ! ; ■!.1 G‘ i ! 1-\ : ' ' :0^. :: i ^. !-► -] !•i ;tf\iA II !]L f1 :III1 P;II II ' ! ! m‘ P-^' ! ' ■bw 1. 'f i i1]• '"d±l !1 I I I 1 n 4:: M M ' i Pt<(i'2D5,179 lots • foryus Ffills, MN • 1-800-340-^870s/• ViclOf LuncJo(!n Co.,i'll ii!( Department of LAND & RESOURCE MANAGEMENT COUNTY OF OTTER TAIL Phone: (218) 739-2271 Court House FERGUS FALLS. MINNESOTA 56537 March 29, ,1999 George Biltz 4928 Ave. South Minneapolis, MN 55409 Request to move and construct sheds. Sunset Beach Resort, Big Pine Lake (56-130). RE; Dear Mr. .Biltz, I have reviewed the plan you submitted for the relocation and construction of sheds on your resort. Everything appears to be in order. However, a Site Permit Application needs to be completed and submitted along with the $50.00 fee. I have enclosed an application and we can use the drawing that you have already submitted. If you have any questions, please contact our office. //'Inspector Enel. KW/mls BEACHPINE BEACHSAND B: (sc-no'y Q see dd^ Uzfi I /Louis E. <SD Rmi l/ma-liJ 1) Lir Jir.TauJilsflip KA-'.ii. P^.lol "A"SUBLO BEACH r,v<'L l w , /n \;yiLTuwz POINT BEACH S^cldL Silhr Rc3c>rj-~ I bui<^H<n b m 1,5. i'lM I 1a m -.it: .'■ -i ' I r-Vf^"'^-. '' ■ r^: - ' H >!saMap^sr- ■ ^., -'.,!^'!r—"'’,.'*w»B«I\ jf'iX'.;:^; T' M ■r-^. f ;r 195Address North side Big Pine Lake [List# A603Fire # Owner Tober Wk.Hm. sameOccupant Hm.Wk. Size 26x46 x 20x28 |Sq. Ft. 1stll96&560Age J-971Style 2 ramblers 2nd 91 s 564Lot Size 1.65 acres 39 frontac^goning lake H.S. X Sch. Dist. # Perham Taxes Yr.N.H.S. How Shown Call for apptBdrms2 in each i30.00RoomsMainUpperSp. Assessments S Bsmt 4 ft crawl %£mm 12x16 @ %! 13x20Living Ref yes Dining 12x12 Fpic Range yes 8x1010x12Kitchen A/C DW 8x10 5x8Bath Softener yes Disp IBathTyesFuel Tank Micro Wave ( 10x10Bed 1 12x13 Fuel Included? neq Carpets yes 10x12 10x10Bed 2 Drapes yes iBed 3 24 X 36Garage Att. (xH Pet. ( ) Sewer 1,000 gal-drain Approved? 1987Bed 4 i iDen/office 6x12 Water drilled 96 ft Water Htr. elecFamily |____________ Utility ! 5x8 with 6 Porch 5x6 Elec. Box yes xtra 1/2 baths Yr.50 I 776Heat/Fuel FOFA Cost S (783 gallons!good i' Insulation!approx 60 daysDeck! Possession Mu-j. Bal. S none Pymt $_________ Other Fine. Info: EI.ECTRTC =$50/month plus cabiln uses. Lender PITI Int. 52 000 09 0041 006Parcel #Trade?Legal: Take hwy 8 approx 4.5 miles, just past hwy 13 and over creek turn rt, follov; gravel about 3 miles, home on right. CABIN in used year around if desired, (can be rented for extra income or overflow all year.)Water hooked thru main home softener. Sewer tied together. See back of sheet for lot size. Very good sand beach for swim-| ming and boating. Good year around fishing lake, office could beDir&ctions/Remarks: made into 3rd bedroom. All furniture in 2nd home included. Electric meter hooked to both houses. Large lot with plenty of room to run. Level lot. INFORMATION HEREIN DEEMED RELIABLE BUT NOT GUARANTEED Listing Agent Mark Letirnan_____ Listing Agency Autumn Agency !0ff. Ph. 346 6466 Hm. Ph. 346 5439 IlD #Sign: yes S. A.isam LRPrice Begin Date Fnd Dnte Book Section____ Agency Code____ Agent Cod'? ....... _ H 'je f a.^i' ^y'^toS 5A i99B J> Vs- / / N *S* / f/^* ' \ / l/\ = /00-f-^ & Qoyi(p c!r\ 4t'/c. P'ro'Y^i’ ^ ^ ^)^r<irii'. CihjL'^/ OO-ft h^^ic -fpp:: ^ c\-c /.'I rxjt^ 3 Or PtW Ulc.-^^-S^.____ vT !^XCUf»-Cyv+' ' /SuaJc^V!-^. ^6V4* 0^' r '' '5; ^ p //4 \ -? S ic </c CA\ 0-^Uf^ / / ...✓------fl. ^ECCN® *«» ■y Jun (1^7"” Q)tAck Pn ^Ir. FI Ji mAJLc lj ‘7^>f^<iy\S^ <5^ dL -P^i V I A rkt'^'/WilV^ (T^d/ o^i hi^il mw ^ ^ 6 (^n£.. "r^P ou t^o^Jl 6IX-/foc /, o ^Cidrd^ /Z- (^,'lfl ' 'pj ^ j /T7^ 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 Tr in 1^0' N.e. ^C,UJ N,6',S0' ‘^1^50^ NUj IM Permit No„^1,LEGAL /DESCRIPTION AND LOCATION Pi Ti Pi K/e 3_ 06 P/'rte /.y6-i?o TWP NameLake No. Lake Name Lake Classif.Sec.TWP Range iPENTIFICATION: Please Print All information Last Name First Initial Mailing Address— No. Street, City and State Zip No.Tel. No.By Ptr/^R A-lFoLJ c iOwner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE;NON-RESIDENTIAL PROPOSED USE: ( ) New Building ( ) Alteration (V) Other ( ) One Family Dwelling ( ) Multiple Dwelling &0 Other Specify;. Units \^t\oSize ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME;TYPE OF SEWAGE DISPOSAL; ( I Public (Xl Individual Septic Tank, etc. WATER SUPPLY; ( I Public Individual Well DIMENSIONS: ( ) Masonry (^) Wood Frame ( ) Structural Steel ( ) Other — Specify Basement: ( ) Yes f—>~No Stories above basement: Sq. feet (outside dimension) Bedrooms IMIl Baths Type of Roof: CHARACTERISTICS: square feet.Water frontage is feet.Maximum depth of lotLot Area is feet. f..l.£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 ......l.Q......... Structure will be located feet. (Building Line) 3 feet SQ.feet — from road right of way is feet. (Oand 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 se forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewit. shall become a part of this permit application. I also understand that this permit is valid for a period of, six (6) months. a THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUES. c. JAignatur^of Owner Permit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all r^pects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinancesr^ I i Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the Dated Permit Fee $. Comments; 19S676® VICTOR LUNOEEN CO.. PRINTERS. FEROU* FALLS. MINN,Form No. MKL-0771-002 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 (o|Tr l^o' N.e, N.^.SO' S-C IJ'l' %tu5o' Nielli Permit No„LEGALI /DESCRIPTION AND LOCATION JTb >I3C.7.-130 / w <“ TWP NameSec.TWP RangeLake No.Lake Classif.Lake Name IDENTIFICATION: Please Print AM information Mailing Address— No. Street, City and State Zip No. TeL No.Last Name First Initial R A I p(-.9-1 t hrLnhogg IOwner I~/n NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIOENTIAL PROPOSED USE: ( ) New Building ( ) Alteration (V) Other I ) One Family Dwelling ( ) Multiple Dwelling NO Other Specify:. Units 1^1 noSize J ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL: ( ) Public (k) Individual Septic Tank, etc. WATER SUPPLY; ( ) Public (X) Individual Well DIMENSIONS: ( ) Masonry (X) Wood Frame ( ) Structural Steel ( ) Other — Specify Basement: ( ) Yes f- ) No Stories above basement: Sq. feet (outside dimension) Bedrooms Baths Type of Roof: CHARACTERISTICS:90 ISOWater frontage issquare feet.feet.Maximum depth of lotLot Area is feet. Building set back from high water mark is. Land height above high water mark at building line is Building set back from State highway right of way..... Side yard is ......!.Q......... Structure will be located feet. (Building Line) 3 feet ^/O.S.Q.feet — from road right of way is .feet. luand feet. .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). ‘So 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 forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewit shall become a part of this permit application. I also understand that this permit is valid for a period o(, six (6) months. a se 7 .//TH/S /S A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA ST A TE ST A TUES. ) 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 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 ordinance^ Permit: Dated Shoreland Mahq^ment Official Permit Fee $. Comments: r. LLH.~C 195676®Form No. MKL-0771-002 VICTOR LUNDCEN C“0.. PRiNTFir.?. rtRCUS FA. 1.8. MIN'f. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUM Shall Be ^Sq. Ft, Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft. Ft. Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway 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 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: l’'- .• Inspector's Signature Title Inspection Dated 19 Agency 1^ VICTOi LUM0Ce« k CO . fCOOUl FAI.LI. UIHN 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 rrfPermitJ^o,.LEGAL Date.DESCRIPTION / AND V LOCATION Lake Name L,Kp.iMr.<7.- /?o Lake Classif.Sec.TWP TWP NameLake No.Range IDENTIFICATION: Please Print All Information Last Name Initial Mailing Address— No. Street,g-f- I Pij:^ First '-A4V' and State Zip No.Tel. No. Ulii^Fa IOwner % (/vdj-----NameContractor Architect Name. n 0TYPE OF IMPROVEMENT: <^H”"Nwv Building ( ) Alteration RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: (*"T6ne 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 5^ X» ^5~CHARACTERISTICS; Lot Area is...................................................... Building set back from high water mark is 5r..Qsquare feet.Water frontage is . feet. (Building Line) !.feet feet.V-J'.S. .3..Land height above high water mark at building line is y >1 Building set back from State highway is...................... Buijning will be located ^Building will be located Y...0±.feet — from road or street is feet. 4.J.1 FUandfeet. 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. 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. OIgnature^f 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! 00 ^luj Management Official^ Hi Dated Shol Permit Fee $ r? ^ Q State Surchiarge $. Comments: Form No. MKL-0771-002 @ viorea u/Mtsii • ea.. aatanaa. rctaua phlu..158899 '■ i'::iiViar}A?^ei^ o^AjafiOH^ii/‘.T 1C ClyiUU <-\ ■\•'WiS'Vi'*' - ■ -ZiV .. , v„:> fcX/'C "I'W -.>-1-*' ■" «'■ ■ ■• '>■■ .“'•■ :?/i ■*' . ••» ■■ ■»i.j ..-^'v-.;-c-.u :•..*•?•■• • »• ' ■'•, ■. ^,^v:- .. - ••. r^-'-v •■f V ■;:y^ - ■.? * .•■■ •• •••j ■ ■c r-/ -*- --Hr.. —.^:V- '-A. ^'r%ir- . ^n’. iA i''-"-LCr ;1..-•.T -. *T i. ■ ■'r/■ i I =• t•-? t -!5. ; r r-- *■< ■ I -vrl;.^r.-' • • • -■, -1“— p>r -*:'.i ■■,:^- ■ ' i|: .“'.v ’,’';i*^iir.iC-^ *.V ' -r^ ■»:•y \'riir .'ix.i ': . ’t . "^ . 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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 Goidenrod — inspector Permit No„LEGAL Date.IDESCRIPTION/>7AND LOCATION TWP NameLake Classif.Sec.TWP RangeLake No.Lake Name IDENTIFICATION: Please Print All Information Mailing Address— No. Street. City and StateLast Name First Initial Zip No.Tel. No. Owner NameContractor Architect Name. TYPE OF IMPROVEMENT;RESIDENTIAL PROPOSED USE;NON-RESIDENTIAL PROPOSED USE; ( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling 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; c Form No. MKL-0771-002 ©.1S8899 victeii utMftecN « CO.. Mionoo, rtiiouo paclo. INSPECTOR'S CHECK LIST Make all measurements and computations MINIMUMShall Be^ Sq. Ft,ACTUAL IS I Sq. Ft.Sq. Ft.Lot Area (Square feet) Ft.Ft.Water Frontage Ft.Ft.Building Set Back from High Water Mark 50 Ft.Ft.Building Set Back from State Highway 40 Ft.Ft.Building Set Back from Street or Road &Ft.&Ft.Side Yard Ft.Ft.Rear Yard 10 Ft.Ft.Occupied Building to Septic Tank 20 Ft.Ft.Occupied Building to Absorption System Elevation at Building Line above High Water Mark_____________3 Ft.Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency victe* ufMOfCH ft CO . MiMTCftft. rcftftuft mimm. VERIFICATION OF RECORD DATA Owner Name: ui Ur n ■(£ /t.lJu TYIXvm---- Mailing Address: City and State: m 'QLake Name: / Lake Number; IK -g Lu ir /} ^__ No;Township Name: 9Section:Range: Tax Statement Description; (Obtain from Treasurer's office - 2nd Floor) n?A r,' JJ e S //;■7^ J' A/n) The above described property was a lot of record on the^ 7 day of 19 ^ . (Obtain from Register of Deed's Office - 2nd Floor) Register of Deeds Official Otter Tail County, Minnesota Dated: