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HomeMy WebLinkAboutThe Boardwalk at Balmoral_46000310116027_Shoreland Permits_r■ ite — Office ■ How — Owner ■ ;nk — Assessor ■ ioldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Permit No.,LEGAL / ^ m Pi uu b.L 3 DESCRIPTION AND LOCATION Oire^'T^lu 3f 3^ (TTr^em^XL^TWP NameRangeTWPLake Classif.Sec.Lake No. Lake Name IDENTIFICATION; Please Print All Information Tel. No.First Zip No.Mailing Address— No. Street. City and StateInitialLast Name P^O- &OKI ^ SO k)Owner wn~P]Fcs^'T r'n f\J+NameContractor Architect Name. RESIDENTIAL PROPOSED U^- Specif^g^^ X NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: (\/^ew Building ( ) Alteration ( y)*t)ther_______ ( ) One Family Dwelling ( u-KMultiple Dwelling 1 , UnitsS P?P^To O'! n tX ^ "]( ) Other Size ESTIMATED COST OF IMPROVEMENTS DIMENSIONS:TYPE OF SEWAGE DISPOSAL: S^'i. 1tr~> 4. / PRINCIPAL TYPE OF FRAME:4 ( ) Yes No Stories above basement: ....... Sq. feet (outside dimension).... Bedrooms ( ) Masonry (uHfdood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public (v)' Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ^r^ndividual Well Basement;/ Baths......... CHARACTERISTICS: Maximum depth of lot feet.square feet. Water frontage is Building set back from high water mark is. Land height above high water mark at building line is Building set back frtyn State highway right of way...../ n ' / 0 Side yard is ....'..Li................... and....... Structure will be located feet.Lot Area is 75"feet. (Building Line)3 feet S'O feet.feet — from road right of way is feet. feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation).Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans'^and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. 3Dated. 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. 3-3-S''^l/VTODated Shoreland Management Official3o. ^Permit Fee $.Receipt No. Comments; i-orm No. MKL-0286-019 I229971 VICTOR LUNDCEN CO., PRiNTKRS. FERGUS FALLS, MINN. ■idsWhite — Office Yellow — Owner Pink — Assessor Goldenrod — SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT V4viOr \ / •4iF\Permit No,.LEGAL DESCRIPTION AND b-L-</LOCATION j_L31'777 TWP NameRangeLake Classif.Sec.TWPLake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Mailing Address— No. Street, City and State Zip No.Last Name First Initial TAI / / / _Owner ' V / /; ■' i NameContractor Architect Name. TYPE OF IMPROVEMENT:NON-RESIDENTIAL PROPOSED USE;//RESIDENTIAL PROPOSED USE: ( ) New Building ( ) Alteration ( ) One Family Dwelling ( ^Multiple Dwelling Specify:, Unitsi y ( ) Other ( ) Other Size . 1 /) /7ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: *i '( ) Yes No( ) MasonryV-’ ( ) Wood Frame ( ) Structural Steel i ) Other — Specify ( ) Public ( > Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( .rTndividual Well Basement: /Stories above basement: Sq. feet (outside dimension) Bedrooms ..............................Baths..... CHARACTERISTICS: square feet. Water frontage is Building set back from high water mark is............... Land height above high water mark at building line is Building set back from State highway right of \^ay..... Side yard is ..................... Structure will be located feet.Maximum depth of lotLot Area is feet. feet. (Building Line) feeti-.) feet — from road right of way is .feet. and feet. .feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation).Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit Is valid for a period of six (6) months. THIS IS A SITE PERMIT ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tall County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. 7^Dated. Signature of Owner Permit: 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. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the •■'1 IDatedrShoreland Management Official Permit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971® VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS. MINN. V j INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 4r MINIMUM Shall Be Sq. Ft. Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft.Ft. 7uocyBuilding Set Back from High Water Mark Ft.Ft. t 2J?Building Set Back from State Highway Ft. 50 Ft. Building Set Back from Street or Road Ft.40 Ft. /fV'Ft.Side Yard &&Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. tInspector's Comments:-2- ^*4 XSG byr Inspector s Signature Title Inspection Dated 19 ^10- ^Agency vieTeR LUHeccK t eo.. rrimtiiu. rcnAui rM.i.t. hihn. k*--; V ;.jr'$ IV <t.'jT; r« >!f.: 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 Si-2'jD OTTEfi, -mic gp 3/ 37 /^TTF/g- T7f/c Lake No. Lake Classif.Sec.TWP Range TWP NameLake Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No. yOl r^FiGus Fi9llS /yUA/A/ Owner NameContractor Architect Name. TYPE OF IMPROVEMENT: (|,>N6w^uilding ( ) Alteration RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling I ) Multiple Dwelling I ) Other Specify:. CZ-Or^ C.I yqL,Units I I Other Size ESTIMATED COST OF IMPROVEMENT $ ^ OOO (omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: ( ) Yes Stories above basement: Sq. feet (outside dimension) Bedrooms T??( ) Masonry (i^^'^S/ood Frame ( ) Structural Steel ( ) Other - Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: / .........Baths ..tjJL..5.^!.TSTtYSllftLlE^O ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Central HEATING: (M-^ectric ( ) Gas ( ) None (iH^oType of Roof:( ) Oil(^''T’^^Ym ( ) No ( ) Coal Other:(t'T^Uni CHARACTERISTICS:Si^<C IC ucTT' ..................... feet.oLot Area is stjuaiu rsst. 7S 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. 'Xoand feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation). feet. /O 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. I-10- - 7f «■ 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. /O - XC-MDated Shoreland Management Official//,-zttxPermit Fee $.State Surcharge $. Comments: Form No. MKL-0771-002 Vietail kUHBKtM 4 Cft.. PRIMTIM. FC44U* rM.k«. MINN 158899 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 7/Ay Permit No..LEGAL ■} : '/Date.DESCRIPTION X:.-Ar 4-> AND LOCATION 7-taLake No. /i i—t Lake Name Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No. /u'Owner i / NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: (^J-NeW Building ( ) Alteration ( ) Other ( ) One Family Dwelling ( ) Multiple Dwelling ( ) Other Specify:. Units Size / 7 A OOPESTIMATED COST OF IMPROVEMENTS (omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: TZ'( ) Masonry (. ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: Basement: ( ) Yes ( Y TJo Stories above basement: Sq. feet (outside dimension) BedroomsL * -0( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Baths HEATING: (. -) 'Electric ( ) Gas ( ) Oil ( ) None Type of Roof:ii. ) No ( ) No ( ) Coal Other:(MfTjnit CHARACTERISTICS:I • IL..1.o..'.L-r--■ Lot Area is ■B-feet.Water frontage is . feet. (Building Line) ................................feet feet.9C|uar 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.......................r- -d feet — from road or street is feet. ■> Side yard is 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. /ZBuilding will be located Building will be located 2.7, 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. I ADated.\ Signature of Owner Permit: 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. 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 Shoreland Management Official85", soPermit Fee $.State Surcharge $. Comments: • c 1 ] O tpiC ■'ihXI k Form No. MKL-0771-002 ii)'158899 VICT*n UfMKta * 00.. HHOftM, rCMOM PM.4.0. r INSPECTOR'S CHECK LIST Make all measurements and computations ACTUALIS X MINIMUM Shall Be 4 Sq. Ft ^Lot Area (Square feet)Sq. Ft. Water Frontage Ft.Ft. 7^Building Set Back from High Water Mark Ft.Ft. £oBuilding Set Back from State Highway Ft.50 Ft. Building Set Back from Street or Road Ft.40 Ft. & Ft.-r f^Ft.Side Yard 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_____________1 Ft.3 Ft. Inspector's Comments: ui-U jZ,J^ Inspector's Signature Title Inspection Dated 19 9f Agency vicfOt kWMica 4 «•.. MmTCM. rcMua r«.L4. him*. \ I i