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HomeMy WebLinkAboutSunset Beach Resort_29000990817000_Shoreland Permits_r i 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 /y-SLB &-f &L! 13. H 5mis£rh 01k / /^4-j Permit No.LEGAL DESCRIPTION BLUFF ZONEAND □ YES [>^NO LOCATION TWP NAMELAKE/RIVER SECTION CLASS_______ c^r> \ ~<3Y>o ^^-6>oo~:2.S> ' 01^0 TWP NO.RANGELAKE/RIVER NAMELAKE NUMBER SC C^IJS3S9 TOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS ^.aCNO FIRE NUMBERPARCEL NUMBER (S) TELEPHONE NO.IDENTIFICATION; Please Print All Information (Daytime)Mailing Address — No. Street, City, State, and Zip CodeInitialFirstLast Name ^ '5 Berc /S/Olso*^Property Owner .-2~7^0Ji/S Sc^44' i- NameContractor State Lie. # ONSITE SEWAGE TREATMENT SYSTEM , ( ) Individual Permit # ^9^/7??^ ( ) Collector Permit #_____ ( )OTLSD ONSITE WATER SUPPLY ^^j^dndividual ( ) Public ( ) None PROPOSED USEPROPOSED PROJECT ^ Dwelling ( ) Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) ( ) New Structure(s)r*«e-Lv*M. (y^ Addition(s) MH/RV YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ( ) Garage ( ) Utility Structure CHARACTERISTICS OF DWELLING p^weiling ^Addition to Dwelling refff- ^ ( ) other Outside Dimension { ) Screen Porch( ) Boathouse ( ) Utility Structure( ) Gazebo ( ) Basement ( ) Walkout Basement Outside Dimension .Ft.( )Other. Outside Dimension Ft. X /Y p,, I'd .Ft.Lotline Setbacks .Ft.&.Ft..Ft..Ft.x So Ft. & S'O Ft.Lotline Setbacks .Ft.OHWL Setback .Ft.Lotline Setbacks .Ft.& ys .Ft.OHWL Setback Bathroom: ( ) Yes ( ) No (If Yes / a complying Sewage System Required).Ft.OHWL SetbackiLTotal Bedrooms Maximum Height / 30 Ft. (2 story)Maximum Height / 10 ft. (1 story)Maximum Height / 18 Ft. (1 story) ^ /8/!cr^.sr < /P .%Sq. Ft. Impervious Surface Ratio.Sq. Ft. Impervious SurfaceLot Area 3^4 7 .Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage 2^.%__________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 20. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein Is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. Dated: Signature of Owner Dated; Land & Resound Mana^menX OtUce PERMIT FEE $/ 23 Jl%^RECEIPT NO. <y. /*7 //-S - cj',//Comments: // ^rv\. C / 281.017 • Victor Lurtdeen Co, Printer* • Fergus FaUs. MN • 1-800-348-4870Form No. BK — 0496-002 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLSyK7lN56537 WHITE - Office^ ' GOLDENROD ■ Inspector YELLOW - Owner PINK - Assessor SL^ o-f &L! J3. /V ^//c// /.p4j ^PP9/Permit No. /LEGAL DESCRIPTION BLUFF ZONEAND□ YES P NO LOCATION VTWP>^Q:^ L^AffGE J33 T9 TWP NAMELAKE/RIVER SECTION CLASS _________ , (T jT I g - 0190 LAKE/RIVER NAMELAKE NUMBER •rc. -(jj. FIRE NUMBERTOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS .■aTNO PARCEL NUMBER (S) TELEPHONE NO.IDENTIFICATION: Please Print All Information (Daytime)Mailing Address — No. Street, City. State, and Zip CodeInitialFirstLast Name 5 /r^/Property Owner I Sr ('1 , iS^-YU /l43 c c^n H ///y\Z sr,s/s^ c « NameContractor State Lie. # ONSITE SEWAGE TREATMENT SYSTEM ^ ( ) Individual Permit» . '^'/~rir ( ) Collector Permit #___________ ( )OTLSD ONSITE WATER SUPPLY Individual ( jPubiic ( ) None PROPOSED USEPROPOSED PROJECT ( ) New Structure(s) t,. ) Addition(s) p>) MH/RV p<) Dweliing ( ) Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) r^"' i II ii'fet YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ( ) Garage ( ) Utility Structure CHARACTERISTICS OF DWELLING p<][Dwelling ^0 f*lff K<) Addition to Dwelling /v p Ucc iff C ( ) Screen Porch( ) Boathouse ( ) Utility Structure( ) Gazebo' ( ) Other Outside Dimension ( ) Basement ( ) Walkout Basement Outside Dimension 1 ( )Other, Outside Dimension .Ft..Ft.x .Ft.&Ft.Ft.Lotline Setbacks .Ft..Ft.x ^C> Ft. & Ft.Lotline Setbacks .Ft.OHWL Setback .Ft..Ft.&Lotline Setbacks X21 .Ft.OHWL Setback______ Total Bedrooms Maximum Height / 30 Ft. (2 story) Bathroom: ( )Yes ( )No {If Yes / a complying Sewage System Required).Ft.OHWL Setback Maximum Height /10 ft. (1 story)Maximum Height / 18 Ft. (1 story) < J/J".Siss'.%.Sq. Ft. impervious Surface Ratio_Sq. Ft. Impervious SurfaceLot Area .Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage .%____________Ft. Slope of lot .Ft. (10’minimum) (Sewage System Permit required before installation). .Ft. (20'minimum) (Sewage System Permit required before installation). .Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to right-of-way 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 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. Dated: Signature of Owner 3 1 Dated: Lane/ & Resource Management Office J 03. /:2 3 ji^sRECEIPT NO.PERMIT FEE $ Jy.7^99, S :0) h>^/Qn-t ! i ~ /, J , // cf Hay / y?, '//A ^ 71 “9^ rComments: \■'/ '-S'/■/? Ar A. 281.017 • Victor Lundeen Co.. Printer* • Fergus Pells. MN • 1-800-346-4870Form No. BK — 0496-002 INSPECTION RESULTS Make all measurements and computations Ft.Ft.Structure Set Back from Ordinary High Water Level Structure set Back from Top of Bluff Ft. Ft. Ft.Ft.Structure Set Back from Road Right of Way Soy Ft. & Ft.,Ft.&Ft.Structure set Back from Lot Lines lo-Jg, Ft.Structure Height Structure Set Back from Septic Tank Ft.;t. Mi:structure Set Back from Absorption System Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level____________________Ft. Ft. %%Land Slope at Building Line Inspector’s Comments / Sketch: f inspector's Signature Date of Inspection Timl of Inspection IIH I I!L‘ Ii i.1 i l|N.L I i 1 i ! 1 j ;! it■III i ! i' i !1 iI: 11 i i1 :*l4\n I ij-tI1i 'I t</» w !*!I1 I I;i o!I ! ' I!I!;;I I tf;;!! ‘J4: pri ii icrtar/wsl ! I : j I ' t ll iCT:L_ I it Im.rt I r ;fT>rtNHPAt-h*/t4 jH i 1 I ! 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I ■ I iMI 11 II1L i II1 I I I! --- 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 /oPermit No,.sLEGAL Date.DESCRIPTION <V- AND (LLOCATION C^D C~j~i ro.'TdoZSL >3?^ _sa TWP NameLake Classif.Sec.TWP RangeLake No. Lake Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street, City and State Zip No.Tel. No. A /f?.Owner NameContractor Architect Name. TYPE OF IMPROVEMENT: ( Building ( ) Alteration RESIDENTIAL PROPOSED USE:NON-RESIDENTI^ PROPOSED USE:A fL 3f=>r~ ( ) One Family Dwelling ( ) Multiple Dwelling Specify:. Units /S'(f>Other ( z+Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( t^^sonry ( >) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public (L-I^lndividual Septic Tank, etc. WATER SUPPLY: ( ) Public (iJ''Tndividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: ( ) Yes ( Stories above basement: Sq. feet (outside dimension) Bedrooms ............................. I.SRjL Baths HEATING: ( ) Electric ( ) Gas ( ) Oil ( p-NOne Type of Roof: ( ) Coal Other:( ) Unit CHARACTERISTICS: /8..M.sdd.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 /sz......^.O.r±r..S.o.feet — from road or street is feet. ......................................feet. Rear yard is ............ feet from septic tank (Sewage System Permit must be obtained before installation). .s20.±:.and feet. JlO.±7.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 oT-sf5r<6) months. .^'7' Dated. Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above state:Permit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. n. This permit is granted upon the lets to the ordinances of Otter Tail ^ /<r /y ?QJzfDated oreland Management Official,S7D Permit Fee $.State Surcliarge $. Comments: Form No. MKL-0771-002 @ MMmM. PtMM IIMIlJi5SS99 f>. 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 rr> y^r7Permit No^ILEGAL Date.DESCRIPTION AND r:/o ^ .■ J ev-i. LOCATION n - yu / Lake Classif.Sec.TWP Range TWP NameLake NameLake No. IDENTIFICATION: Please Print All Information Mailing Address— No. Street. City and StateLast Name First Initial Zip No.Tel. No. fOwner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( k1*Nlew Building ( ) Alteration () Other_______ ( ) One Family Dwelling ( ) Multiple Dwelling Specify:.-7' Units I( rOther 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 ( ^None,---p ( ) Unit CHARACTERISTICS: J2Q.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. - t ■ f"' -4- 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. /!/'ysDated Shoreland Management Official, 5'0 ■A- y /\Permit Fee $.State Surcharge $. Comments: ] L I- : Form No. MKL-0771-002 VICTOIt tUMOfCN « CO.. OaiHTtRI. FIKBUI FM.L1. 158899 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS I MINIMUM Shall Be ^Sq. Ft, Lot Area (Square feet)Sq. Ft.Sq. Ft. Ft.Ft.Water Frontage Building Set Back from High Water Mark Ft.Ft. 50 Ft.Ft.Building Set Back from State Highway 40 Ft.Ft.Building Set Back from Street or Road Side Yard &&Ft.Ft. Rear Yard Ft. Ft. 10 Ft.Occupied Building to Septic Tank 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 ViCTOt UlMECIi t e».. tTEI OTTE TAIL C UNTY Grade & Fill Permit #Sill^ PROPERTY OWNER Sca^T f CiVTH-i OLi<^i<r LAKE SEC. TWP. /33 TWP. NAME__SZ^A^. <utJ^CT /3g.<^4ri AdSooLT ^ ^i^tnPcao^»^oLEGAL DESCRIPTION: ^ tCatJsniucT H /^£Tyj)hH>/(S u^u.^ n£i€>*T 3 J^S SH/>uj»/ 0Airo yy fiLC - M€(^ ItJ UuesT figTf^t^eo /hA'i fS^ ^lueo UlT» ^ LJAiHCO - Th€ a^Vnoi A-taet /^tujr 6£ Ph£amAt*€r*-rL-i w~^c7^T€o ©WORK AUTHORIZED (S>mSTTnn, R iQiieUtiP\P£, f^tr\ pf 0Ai^ic 'J2> LfjtfQ utr<iao !^6<st G\PAA(^ ~ r*ii4sT l/JiimiL, A NOTE: This card shall be placed in a conspicuous place not more than 4 feet above grade on the premises on which 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. 1. EARTHMOVING SHALL BE DONE BETWEEN‘it 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 taken from the beds of public water withput a valid permit from the MN Department of Natural Resources. 5. if the terms of this permit are violated, the entire permit may be revoked and the owner may 'Tt> Or^A ^P^<S, AUa/6 SH^>A€li^j£ GRID PLOT PLAN ' feet SKETCHING FORMScale:.grid(s) equals feet, or inch(es) equals a__ir^.Dated: Signature Please sketch your lot indicating setbacks from road right-of-way, lake, sideyard and septic tank and drain- field for each building currently on lot and any proposed structures. /So/iiA .\ji i'3-X q (j /' c-'’" AH SvoK ns fh4so f-^' i^nu, tc Pif(0 T2> i/noe I P Mr T'rnbj^iCS /Kr:r/K q " P Ah 'f\frh^fS d>r^Si[ /K ^ -- V ------------------------------■ 7" ^ ^ qR Sard ^ —........... jpfOOOOo'^ /oPf V ZfocSoooOOCSc:> A nV ^ 6C PCrifrtf^ucjiT VCCeTPiV^irJ MKL — 0871 — 029 281.949 • Victor LundMn Co. Primers • Fergus Falls. MN • 1-800-346-4870 ; AaNcf Ppor ^