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.
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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*.
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