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Home My WebLink AboutWhispering Pines Resort_12000990374000_Shoreland Permits_RECEIVEDAPPLICATION 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 GOLDENROD - Inspector YELLOW- Owner (after isstte) PINK - Assessor DEC 0 2 2002 LA.ND& RESOURCE |» PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAMELAKE / RIVER NO.LAKE/RIVER NAME5le-'i5o ‘Sl^rPirOe.13131G'D PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) IIjOOO‘^05 Tiooo 'Dd%ooo LEGAL DESCRIPTION UTS S'-'/'i rnnriTr'^S &/rc,U Daytime Phone No.Initial Mailing AddressLast Name First -%a/ Property Owner Co^Sriuar^ IIAi Contractor Name Lie.# ONSITE SEWAGE TREATMENT SYSTEM jt,, ONSITE WATER SUPPLY (►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) ^) New Dwelling Add’n to Dwelling ( 5) RCUA'ear______ ( 8 ) Storage Structure _ 'Existing Dwelling to be removed before. ^^'Replacement Dwelling (6) Detached Garage (9) W.O.A.S. ( ) Permit No.(4) MHA'R (7) Add’n To Non-Dwelling (10 ) Other____________ ( ) OTLSD * This permit is oniy vaiid after verification fgfrom the O.T.LS.D. that a conforming sewage system wiii be instailed to service^hlO o\ r contact Rollie Mann gt 864-5533./^hS c^o)CHARACTCRI3TIC0 or PlTOPOSCD W.C^. (WATcn ontetiTCD ACGgsGonY STnucTune) —\ CA61-V o V Ft. X Ft." Ft. & 193 Ft." 1^ CHARACTERISTIC^OF PROPOSED ijafrOWELLING CAd/^ <t> Outside .Dimension Ft. x ^ 1 Setback to Lotline ^0 Ft. & 2-Z-(^ Ft." Setback to Right of Way 50^ Ft." Setback to Ordinary High Water Level 1^ ^ Ft. Elevation Above Ordinary High Water Level V. ^ Ft. Setback to Septic Tank 2-^0 Ft. Setback to Drainfield 3^0^ Ft. Setback to Bluff fjffir Ft. Maximum Proposed Height 1'^ Ft. ■Bothfoom Praposed^—)-¥e9—f—)-Ne 'TbTfiri-' ^ CHA^-gR^TI^^^OP^ED^D^l^ Outside _ Dimension < Setback to Lotiine 153 Ft. & Ft." Setback to Right of Way Ft." Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level ^ Setback to Septic Tank Ft. Setback to Drainfield 3**/'0 Ft. Setback to Bluff ^ Maximum Proposed Height 2.V Ft. Basement Walkout Basement__ Total Bedrooms ^ /Ft. X 52- Ft."Ft."Outside Dimension Setback to Lotline 11 ^ Setback to Right of Way Setback to Ordinary High Water Level ^ Ft. Elevation Above Ordinary High Water Level ^ Ft. Setback to Septic Tank 3oP Ft. Setback to Drainfield Ft.AJA Ft. l7-% Ft.59/Ft." Ft. Ft. Yes No Setback to Bluff Maximum Proposed Height ^ V Ft. ( ) Boathouiw ( ) Ouuuii ruiLli ( ) Storage Oti'uctnre ^ NoYes -rcfTArt- 'B£-OI2oc3»^»S’ ( ) Oaictro **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Topographical Alteration / Earthmovinq y None ' Must include on scale drawing Permit may be required□ 20 Cubic Yards or Less '□ 21 Cubic Yards - 299 Cubic Yards'□ 300 Cubic Yards or More' CHARACTERISTICS OF LOT: 326Lot Area..Sq. Ft.Water Frontage .Ft.Bluff .Yes No Total Impervious Surface Onsite (FT^) . 0(^Impervious Surface Ratio:X 100 =.% Total Lot Area (FT^)Impervious 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. 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 Laijd'^rRpburce Management office once the buiiding footings have been constructed. Signature of Sfoperty Owner //kjJL^ /^ 5^02^ 4-Date: 'E 0.Date: ^nd & Resource Managfimeoi Office —^LaPERMIT FEE $RECEIPT NO. TThg TOtAtL' KfUiMgCyg. OR Of^ SlTt /5 ffen-g KE, mS “fU-t AS 'fUi- 'TontH.. fA./OA--ro 'TUl. Cjt6t*d ^ UjIUC rfr NS-UJ /2-//Z- (2-00 . TUC- p6^ 'T(4-iS QJFfS A-T' ’TAH. nfl*4fQ‘Z- Form No. BK — 0500-0501 Comments: 308,638 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota 4 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 ..ispector . ,1/ner (alter issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION i■^PTilAMETWP NO.SECTIONLAKE/RIVER CLASSLAKE/RIVER NAMELAKE / RIVER NO, /3o r'/'^£/-/551G-D V-' ( PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) 311000 403^ i '■ I ' I \■> aor1-j0 .?t LEGAL DESCRIPTION Daytime Phone No.Mailing AddressFirstInitialLast Name 7^KcAfr-L-l U 10 59 /^(/^ A/.Property Owner i In K. 6 1'^ Q)r7^J.UCTiiJry 'p!(>Contractor Name Lie.#'65^9 ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY (i/f Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a weli. PROPOSED PROJECT (please circle the appropriate number) L?)) Add’n to Dwelling fT>'Replacement Dwelling (6) Detached Garage (9) W.O.A.S. ‘Existing Dwelling to be removed before (1 ) New Dwelling (4) MH/YR_____ (7) Add’n To Non-Dwelling ( 8) Storage Structure ( ) Permit No. ' : _______! ( ) OTLSD * This permit is only valid after verification .^from the O.T.LS.D. that a conforming 'N . (-I'ii' sewage system will be installed to sen/ice (5) RCU/Year. 11- ‘ this lot contact Rotlie Mann at 864-5533. ^ ' CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) . Outside Dimension Setback to Lotline 1 I Ft. & / ‘H>3 Ft.** Setback to Right of Way ' 7 / Ft." Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level __(T Setback to Septic Tank Ft. Setback to Drainfield ~7 cn Ft. Setback to Bluff tO/a Ft. Maximum Proposed Height (—) .Boathouse (10) Other. CHARACTERISTICS OF PROPOSED HQH-DWELLINGCHARACTERISTICS OF PROPOSED DWELLING . - ft' ’•Outside Dimension i- ^ Outside Dimension Ft.x lA Ft." Setback to Lotline 'kO Ft. & 2-2^0 Ft." '2___Ft.x^ Setback to Lotline * - 3 Ft. & Ft." Setback to Right of Way 7 7 Ft." Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level ^ Ft. Setback to Septic Tank T-lO Ft. Setback to Drainfield 3^0 Ft. Setback to Bluff f"‘/A Ft. Maximum Proposed Height 2.*^ Ft. Basement Walkout Basement__ Total Bedrooms <>4 '7 Ft." Ft.x H Ft." Setback to Right of Way S oO Ft." Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level ^ Ft. Setback to Septic Tank .c tD Ft. Setback to Drainfield Ft. Setback to Bluff I-t /a Ft. Maximum Proposed Height BalhroQmJ2rQpQsed4-—)-Yee—(—)Alo 'Total /2-2- Ft.IHf 5 Ft. Ft. Ft. /3 Ft.Yes No Yes 1^ No 2^ Ft. J2,T <tt A 4- ^(-4-Sereen- Porch (_.).Storage Structure(—LGazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Appiication / Inspection * Must include on scale drawing Permit may be required Topographical Alteration / Earthmovinq El None □ 300 Cubic Yards or More*□ 21 Cubic Yards ■ 299 Cubic Yards*□ 20 Cubic Yards or Less * CHARACTERISTICS OF LOT: Lot Area l- ‘T u. j aO ■ >3-2-G .Yes b-GioBluff-Ft.Water Frontage.Sq. Ft. L>[tLJtPL i) c?• _}.%X100 =Impervious Surface Ratio:Impervious Surface RatioTotal Lot Area (FT*)Total Impervious Surface Onsite (FT*) 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 responsibility to inform the Land & Resource Management office once the building footings have been constructed. L. .r■' J IDate:A /SignaXure of Property Owner 13 1)2^ ^\ Alt_o\- ii-14-^0A Date: Land & Resource Management Office II RECEIPT NO.PERMIT FEE $ Comments: AA. L- KJ A-T ~n-it Toi>^}L jf /<L Of 3'r V A Or^ 2-fTf. :<L ~r C' '7V/< , / I i- > ■:■ n C I i /1 ‘7 }3>i-r' w j-i//■^tc ' , 1 308.638 • Victor Lundean Co., Printers • Fergus Falls, MinnesotaForm No. BK — 0500-0501 SITE PERMIT INSPECTION RESULTS 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. Structure Set Back from Road Right of Way Ft. Ft. Structure Set Back from Lot Lines Ft.&Ft.Ft.Ft.& Structure Height Ft. Ft. Structure Set Back from Septic Tank Ft.Ft.tU7T Structure Set Back from Drainfield Ft. Elevation Of Lowest Floor Above Ordinary High Water Level /Ft. 25T Land Slope at Building Site % Inspector’s Comments / Sketch: / Inspector's Signature Date of Inspection Time of Inspection IProject Approved Date/Initial UJDoCDcx:UJ CD ' OCNJoCOccLUa:Whispering Pines Resort Big Pine Lake <=?o o3 QUJoUJq:3o 642’<■ \\□1&2\\\Lodge \Bait\\\Women Men \\w House \\\\•Tear down and rebuild 24’x32’ cabin with 12/12 > pitch roof 3\\\\\\(\\....\..\\\\•Tear down cabin 12 which is inside of 50' zone •Move cabin 6 to the back row to new location outside of 50' zone •Rebuild 24'x40' cabin with 12/12 pitch roof 4\\\\D D D D DO RV D D DD \\\\i \\□Fish Cleaning\\448’5\122’1 ...\i ]1 \6 \\\RV ...\...\\153’326’ \•Change roof from 3/12 pitch to 12/12 pitch •y\□ well )7\/\6114’i ■*' RV ■\ \\\8 \kJ\..\90’.....\\n~i ..>____ \M \\\118’\\\\1032’\4 864.5’ Total Area = 246,240 Sq Ft 1”=72’ 916159 OFFICE OF COUNtY RECORDER OTTER TAIL MINNESOTA 1 hereby certify that this Instrument #__ was filed/recorded In this office 916159 ■i'for record on the ^3 day of at Weridy L. Metcalf. County Rooorder ^VincAj^^coXqfe^ ^ ' well certificate BZ • THE ABOVE SPACE IS RESERVED'FOR THE COUNTY RECORDER APPLICATION FOR VARIANCE COUNTY OF OTTER TAIL COURTHOUSE, FERGUS FALLS, MN 56537 (218) 739 -2271 *** COMPLETE THIS APPLICATION IN BLACK INK***i5oApplication Fee /Receipt Number _ Accepted By / Date.|0 //i/oZ^ PROPERTY OWNER DAYTIME PHONE 5h ~ ( 3o ADDRESS LAKE CLASSLAKE NUMBER SECTION 31 LAKE NAME m RANGE 3G_ TOWNSHIP [2.000 loco - O^lhOCO TOWNSHIP NAME 2- (Oo . QPARCEL NUMBER E<911 Address LEGAL DESCRIPTION L^ujiS Lu ftc-D Lor 0" Lo'T /3 i TYPE OF VARIANCE REQUESTED (Please Check) ' structure Setback Structure Size____Sewage System____ Subdivision Misc.Cluster SPECIFY VARIANCE REQUESTED 5££ A-rrnoH-^ iO I UNDERSTAND THAT I HAVE APPLIED FOR A VARIANCE FROM THE REQUIREMENTS OF THE SHORELAND MANAGEMENT ORDINANCE/SUBDIVISION CONTROLS ORDINANCE OF OTTER TAIL COUNTY. I ALSO UNDERSTAND THAT OTHER PERMITS MAY BE REQUIRED, IT IS MY RESPONSIBILITY TO CONTACT LAND & RESOURCE MANAGEMENT REGARDING THIS MATTER. lDin/02^ I DATESIGNATURE OF PROPERTY OWNER APPLICANT MUST BE PRESENT AT THE HEARING(Applicant Wiii Receive Notification As To The Date/Time Of Hearing) IYi' i-. V 9-S 1^ 1,^ -----r77 ■ ■ r“» ' 'V / /■/ c> .:- I , AjifCi^‘‘ I ii<\' ■ . -/ - - I-'" •' V ^.- /c3/Jooe tf\ / V'Date Of Hearing Time Motion Whispering Pines Resort - Approved as requested. (8:10 p.m.) Motion was made by Steve Schierer, second by Cecil Femling and unanimously carried, to approve the variance as requested and as described in the variance application. /1 Chairman/Otter Tail County Board of Adjustment Perrmt(s) required from Land & Resource Management Yes (Contact Land & Resource Management) No H&sJoA L R Official/Date Copy of Application Mailed to Applicant And the MN DNR bk 0501-001 305,391 • Vieioi Lundeen Cc , Ptinlets, Fergus Falls, MN ■ 1-800-3S6-4870 ■f do-V^d io^n-o2- -V •• i-■i '! !'4 iCJf4iC-H 3-2' ^OT U^<L, On September 5th, 2002, a request for variance to Cabin 9,^of Whispering Pines Resort on Big Pine Lake was presented and approved. The Planning Commission and the County Commissioners also subsequently approved this original request. The approved change was to add a 20’ by 16’ addition to the back of the existing cabin. After working with a local contractor on the cabin design, we would also like to change the roof of the structure. The existing cabin has a 3/12 pitch roof We would like to change the roof to a 12/12 pitch. The existing cabin is a 2-bedroom structure. After the cabin changes are complete, the cabin would be a 2-bedroom with a sleeping loft at the back of the cabin, with the front of the cabin being an open design, floor to roof The revised design will allow us to improve the living room, kitchen, and bathroom size and the overall aesthetics of the cabin.■J_q' (=fio,w tN-C i-oT i-/Aj£,ppr CA.cF£j^‘-f'S We would also like to tear down cabin 12, which is located wthin the-50’ foot setback from tho >Jorth edge, of the property. This change is associated with moving cabin 6 to the second row of cabins, and constructing another cabin in that original location. Cabin 6 would be placed on the south side of cabin 11, in conformance with the 50’setback. fk.suL.-r- aJc /i^ c - ■i ■TH€ ,c /VU-’ I T C 'it ■■■ ! /■ k )I 1.' ;• ^ V' ,r " yV^fo.cWM'6n+ Con<( l^Se (0-n-oZ- ■;■ On September 11th, 2002, a request for a Conditional Use Permit change allowing us to increase the size of cabins 5,7, and 9 of Whispering Pines Resort on Big Pine Lake was presented and approved. The County Commissioners also subsequently followed the recommendation of the Planning Commission and approved this original request. The approved change was to add a 20’ by 16’ addition to cabin 9, a 20’ by 12’ addition to cabin 7, and a 24’ by 6’ addition to cabin 5. We have.worked with a local contractor to plan the construction. In his opinion, the cabin 5 foundation should be rebuilt before the addition to that cabin is constructed. In order to rectify the issue, I am seeking permission to tear the cabin down, rebuild the foundation, and rebuild the cabin to the 24’x32’ size approved in the recent conditional use permit process. Tearing the cabin down, in my opinion, is a more economical and practical alternative than trying to lift the structure and redo the foundation. / !• We also did some work with the contractor on the cabin design. We would like to change the roof of cabins 5 and 9. The existing cabins have a 3/12 pitch roof We would like to change the roofs to a 12/12 pitch. The existing cabins are both 2-bedroom structures. After the cabin changes are complete, cabins 5 and 9 would be a 1-bedroom and 2-bedroom, respectively, each with a sleeping loft at the back of the cabin, with the front of the cabin being an open design, floor to roof The revised design will allow us to improve the living room, kitchen, and bathroom size and the overall aesthetics of the cabin. We are temporarily dropping our plans to alter cabin 7 and have developed an alternative plan after working with the contractor. We would like to tear down cabin 12, which is located Nvkhin the 5fr-’-foot setback from the North edge of the property. This change is associated \vith moving cabin 6 to the second row of cabins, and constructing another 24’xife’ cabin in that original location. This cabin would also have a 12/12 roof pitch. Cabin 6 would be placed on the south side of cabin 11, in conformance with the 50’ setback. ' .k The roof changes to cabin 9 and the demolition of cabin 12 are also being presented to the Board of . Adjustment, since they are within the 50’ setback on the North side of the property. /i ^ cu rrs- 77/r .1 ^CSuCT fKj C> / /'S/ •i V- 0f\ ^ XV ^3 IhijirOZ- i^K O'f 3 - tti5 \a/^cei^ l^MLv'ecL^^ [fr\ 'X-eed io fla cMirfc, Vci'itw r((Vnd ^(T-Qrh v/^nAco>kc^ ^ 0L> 'to ) S' Qlid nc^c^)nfv(iia.-fe>'K'e(( j2dbc.rf 64ii^ “/^/o^') f +0 <n!k <?■ [^mii ki^KU5rl S+oU-f S» * , ^ I^CcWoOH^ ^ ^|-Xx_ -j^roM^d ii" ^TY\0 uMseo.se /oK CIS vs ) 0 -f ■6f Whispering Pines Resort 11/26/2002 Building Existing BR Proposed BR Comments Two bedrooms were converted to a den and craft roomMain House Cabin 1 Cabin 2 Cabin 3 Cabin 4 Cabin 5 Cabin 6 Cabin 7 Cabin 8 Cabin 9 Cabin 10 Cabin 11 Cabin 12 RV Sites 6 4 2 2 4 4 1 1 3 3 One bedroom with sleeping loft Two bedroom with sleeping loft 2 2 2 3 3 3 33 Two bedroom with sleeping loft2 3 3 3 1 1 22 16 16 Totals 50 50 OTTER TAIL COUNTY DEPARTMENT OF PUBLIC HEALTH SUB OFFICE 222 2nd AVENUE S.E. PERHAM, MINNESOTA 56573 218-346-3175 MAIN OFFICE OTTER TAIL COUNTY COURTHOUSE FERGUS FALLS, MINNESOTA 56537 218-739-2271 February 1991 Licensed Recreational Campgrounds and ResortsTO: Doug Johnson, R.S.FROM: New Construction Plan ReviewRE: Consultation with the Shoreland Management Office has resulted in the following policy concerning remodeling or new construction at a resort or recreational campground. Effective February 1, 1991, prior to the Shoreland Management Office issuing the required permit, you will need to provide them with a complete plan review form from the Health Department. (Copy Enclosed). The addition of permanent rooms and screened porches to recreational vehicles is not consistent with the Otter Tail County Recreational Campground Ordinance, however this construction has been permitted by the Shoreland Management Office. This policy interpretation error has resulted in recreational camping vehicles being altered to the extent that they no longer meet the definition of a recreational camping vehicle. (Copies Enclosed). The existing construction will be allowed to remain as is and will be evaluated by the County Health Department on an Individual basis during routine inspections. This Department will work with the campground owners in an effort to bring these structures into compliance with current regulations. Such structures may need to be reclassified as a cabin instead of a recreational vehicle. The construction of permanent accessory structures on recreational camping sites will no longer be permitted. Any temporary accessory structure such as attached awnings, carports or individual storage facilities and accessory structures on manufactured home sites must meet all set back requirements of the County Manufactured Home Park and Recreational Camping Area Ordinance. If you should have any questions regarding this matter please feel free to contact me at 218-739-2271, Ext. 290. cc: Wally Senyk cc: Shoreland Management Office 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 Pq. K ^ ^ Permit No.,Usi (yj yLEGAL DESCRIPTION AND LOCATION p^uP> ^^ake r ap Pcnf'SS3/ J37 TWP NameTWPLake Classif.Sec.RangeNameLake No. IDENTIFICATION: Please Print All Information Tel. No.First Zip No.Mailing Address— No. Street. City and StateInitialLast Name &a "y 0 oOwner t NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: yf'New Building ^^i/TAIteration ( ) Other______ _____ ^ ■'vP "P/Specify:,Family Dwelling I^ •{ P'* ,r^IUnits( ) Multiple Dwelling r^l U/^ i( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( ) Masonry yS Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Yes JT) No( ) Public J/) Individual Septic Tank, etc. WATER SUPPLY: ( L Public y) Individual Well Basement: Stories above basement: Sq. feet (outsit^ dimension) Bedrooms 7 Baths CHARACTERISTICS: ZI...feet.Maximum depth of lot feet.square feet.Water frontage isLot Area is .Z.€.feet. (Building Line)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 .... Structure will be located z.feet 2.0so.feet.feet — from road right of way is jn and feet. .1.0 .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).2...0.Structure will be located f 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. ^ignaryre tfr Owner / Dated. Permit: Permission is hereby granted to the above named applicant to perform the work described ip 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 ordinances. Dated Management Off^ialIreland Permit Fee $.Receipt No. IS eZ(T) H 3-S'Comments:oulc IS ^ KO ^'On o i -tSb- Form No. MKL-0286-019 229971(g) VICTOR LUNDCEN CO.. PRiNTKRS. FERGUS FALLS. MINN. 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 Permit No^/ - )Z Li i'LLEGAL L‘ DESCRIPTION 4IL4 -t- AND LOCATION 7^r.// TWP NameTWPRangeSec.Lake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address- No. Street. City and StateInitialFirstLast Name Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE;RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT; Specify:.(. ) One Family Dwelling ( ) Multiple Dwelling ( ) New Building ,t-1 Alteration ( )Other_______ Units ( ) Other XSize ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes ( ) No Stories above basement; ....... Sq. feet (outside dimension)..... Bedrooms ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public I ) Individual Well ( ) Masonry ( ) Wood Frame I ) Structural Steel ( I Other — Specify Baths‘f CHARACTERISTICS; Maximum depth of lot feet.feet.Water frontage issquare feet.Lot Area is —-7 feet. (Building Line)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.... and T' feet V u .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). Side yard is ;Structure will be located 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 ISA 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. Dated.L 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 $.Receipt No. /-,/:IComments: Form No. MKL-0286-019 229971®VICTOR UJNOEEN CO.. PRINTERS. FERGUS FALLS. MINN. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS X MINIMUM Shall Be 4 Sq. Ft Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft.Ft. 4^0Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. i-Building Set Back from Street or Road Side Yard Ft.40 Ft. TV3 Ft.&Ft. Rear Yard Ft.Ft. 7Occupied Building to Septic Tank Ft.10 Ft. .f-'2ZOccupied Building to Absorption System Ft. 20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. ' M.-7 q ' L-4/ Cl )- Inspector's Comments: 2 -ar _‘I— Inspector's Signature TRie Inspection Dated ^ ' 'Ll)-19 Agency ViCTOn LUH»(CH • CO . OtIMTta*. rc««u« HIMM. / 7-y,I0 'Jl .i]?-^0 n^< ^D w <5 707^ <Q s\ o V uii 3 >S 7 2s. ■Q ( /6 ■/' A, ^ /ft t 13’1,^) z^/!/ 61?Pb O't' ^ ‘^-Z9 / :■C/\I A)/L7 7'- J3'"^.rj, 33yj. 7y 0 J hJ ^ White - Office Yellow — Owner Pink — Aseestor Goldenrod — Inepector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT 9'^ /o Permit No„LEGAL DESCRIPTION AND LOCATION Lake No. ' Lake Name Lake Classif. ?4r 131 !>< Oni-\,c.<, TWP NemeRengeTWPSec. IDENTIFICATION: Please Print All Information Tel. No.Mailing Address— No. Street. City and State Zip No.Last Name InitialFirst PJ-. / Aj/, /3L ^3v^-3!sr2 K4n rOwner 4. NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: I ) New Building ( ) Alteration^ (i/4 Other ( ) One Family Dwelling ( ) Multiple Dwelling (✓father (?/! Specify:. Units 4,3 'A3 D'4 xSize j > / / 7: ESTIMATED COSt OF IMPROVEMENT S PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Yes ( No Stories above basement: ....... Sq. feet (outside dimension) .... Bedrooms ( l^asonry (r) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public Individual Septic Tank, etc. WATER SUPPLY: ( ) Public (»0 Individual Well Basement: iX Baths...../. Type of Roof; CHARACTERISTICS; 7<^<Dsquare feet.Water frontage is Building set back from high water mark ....... feet.Maximum depth of lotLot Area is feet. feet. (Building Line) Land height above high water mark at building line is..feet j:ka.SZLQ.Building set back from State highway right ofj^ay .......... and..........4 ^......... feet — from road right of way is feet. Side yard is feet. Structure will be located .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 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 pert of this permit application. I also understand that this permit is valid for a period of six (6) months. TH/S IS A SITE PER/VHT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STATE STATUTES.Signature or 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 respectsito the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances.^,... / /l S- >4-S¥-0/^ Mana«rne Dated nt Official/LC(^ 0 ‘Shoreland 20Permit Fee $. Comments: 19S676® VICTOR LUNOECN CO.. PRINTERS. FERGUS PALLS. MINN.Form No. MKL-0771-002 r White - Office Yellow — Owner Pink — Atiessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739 -2271 - Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT ■! /Permit No_i‘i 'j. /( fY\ ay ft- -X.^yLEGAL /O ‘ /.DESCRIPTION XTAND 1 LOCATION i ’/■ \-l ■ kF-I ;3- ^r I i j ^ Lake Name TWP NameRangeTWPSec.Lake Clatsif.Lake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street, City and StateinitialFirstLast Name i/rr/ /Owner NameContractor ,yArchitectName. !NON-RESIDENTIAL PROPOSED USE;RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT; Specify:.( ) One Family Dwelling ( ) Multiple Dwelling I ) New Building ( ) Alteration ( I Other Units i ( > Other Size j IESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL;PRINCIPAL TYPE OF FRAME: Basement: { ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public (r ) Individual Well ( ) Masonry ( ') Wood Frame ( ) Structural Steel ( ) Other — Specify Baths..... Type of Roof:j CHARACTERISTICS: Lot Area is feet.Maximum depth of lot feet.Water frontage issquare feet. feet. (Building Line)f ...........................feet .....feet — from road right of way 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 way..... Side yard is ..................... Structure will be located .feet. .............feet. .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). and 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 shiall 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. —C »'x Signature of Owner Permission is hereby granted to the above named applicant to perform the work descrihied 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 t>e revoked at any time upon violation of said ordinances. -x yDated ^ f-5^6 /0 Shoreland Management Official Permit Fee $__i Comments: TTtff Ai. 195676^^ VICTOR LUNDCEN CO.. PRINTERS. FERGUS PALLS. MINN.L Form No. MKL-0771-002 A INSPECTOR'S CHECK LIST Make all measurements and computations ACTUALIS jr 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 Ft.40 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: c. Inspector's Signature ■ n \ ’■ Title Inspection Dated 19 Agency vierea umotta • c«.. MianM. rciiiui r«.Lt. hihn. A 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 P-tr-C. l) /jb'Lu I 5 Permit No.,LEGAL 0 -;T- 7i~IK.Date.cDESCRIPTION AND LOCATION Wd 3! 137 3 k li Jj?.q P/Vi V Lake Name M-P 0 TWP NameLake Classif.Sec.TWP RangeLake No. IDENTIFICATION; Please Print AH Information Tel. No.Mailing Address— No. Street^ City and State________________Zip No-Last Name First Initial /r ^ c I <—Owner NameContractor Architect Name. TYPE OF IMPROVEMENT;RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: (^''T'^e Family Dwelling ( ) Multiple Dwelling ( ) New Building ( ) Alteration Specify:, Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: (1/No( ) Masonry ( ) Wsiod Frame (Mstructural Steel ( ) Other — Specify ( ) Public (LKfndividual Septic Tank WATER SUPPLY: ( ) Public (L<mdividual Well Basement: ( I Yes Stories above basement: Sq. feet (outside dimension) Bedrooms ............................. / , etc. ZBaths MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning; ( ) Yes ( ) Central HEATING: ( ) Electric ( ) Gas ( ) Coal Other: i'lyfto {i^rbwType of Roof: (i-r^o ( ) None ( ) Unit CHARACTERISTICS; .2..A ? TVLot 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 .3..^1.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 witli the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that atiy plans an4,'Specifi(ations submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of sbrto) months. Dated. ^Bigrtatureof Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This inYiall conform in all respects tQ*^ Permit: express condition that the person to whom it is granted, and his agent, employees and workt County, Minnesota. This permit may be revoked at any time upon violation of said ordinances, 3lir hr is granted upon the :heA>rdinances of Otter Tail Dated State Surcharge $. /ShormantJtManagement Official /3- oOPermit Fee $.V"7^ ( ,s /h iilo 'i Ljp F / ^ A/ u /Zinhcf uK 7 7 2^__:z.e/A____or aComments: O- C U O Sc I(/ (I ( n r\ Form No. MKL-0771-002 , .... 158899 iUWMC« 4 M.. ratNTtM. tAkt 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*— OwnerPink Goldenrod Assessor — Inspector f " / O Permit No..■-.-1w-./'LEGAL L .Date.4!-✓ .•DESCRIPTION AND LOCATION ■A t/t I : TWP NameLake Classif.Sec.TWP RangeLake No.Lake Name IDENTIFICATION: Please Print All Information Initial Mailing Address— No. Street, City and State Zip No,Tel. No.Last Name First Owner NameContractor Architect Name, TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: ) One Family Dwelling ( ) Multiple Dwelling ( ) Other NON-RESIDENTIAL PROPOSED USE: i( ) New Building ( ) Alteration 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 ( ) Yes ( ) NoI ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( I Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: Stories above basement: Sq. feet (outside dimension) Bedrooms ..............................Baths HEATING: i ) Electric ( ) Gas t ) Oil ( ) None IType of Roof:( ) Nof /i ( ) No ( ) Coal Other:( ) Unit CHARACTERISTICS:4 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 ■v . / 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; 1 <-2G-77TWT-™T i Form No. MKL-0771-002 ,158899 viCToa LUMoecM 4 ec.. PuriiTtitt. rtiteuB rM.LB. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS I MINIMUMShall Be i 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.&Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 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 VICTOK UIHOEeii t CO . MIMTEM. FC»«Ut FM.1.1. MIHM. i lite — Office allow — Owner ink — Assessor 3oldenrod — 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 /r^9 7Permit No„LEGAL Date.DESCRIPTION AND LOCATION a? ssa TWP NameLake Classif.Sec.TWP RangeLake No. Lake Name IDENTIFICATION; Please Print All Information Initial Mailing Addre^— No. Street, City and State Zip No.Tel. No.Last Name First Cl V Ch<.£^Owner xTOO ✓ NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: New Building X ( ) One Family Dwelling ( ) Multiple Dwelling Other Specify: ESTIMATED COST OF IMPROVEMENT $ ( ) Alteration Units X vl6( ) Other Size lomit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: ( ) Yes'''^ ) No Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Masonry ( ) Wood Frame f ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Baths HEATING: ( ) Electric ( ) Gas ( ) None Type of Roof:No ( ) Oil TM No ( ) Coal Other:( ) Unit CHARACTERISTICS: /.c..aLot Area is square feet.Water frontage is feet, (Building Line) .....................feet feet. m.±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 x5L(Q...1r.feet — from road or street is .. feet. /O-F /Oand 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. 0.oc Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with ^he description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree thaT^ny plans and specifi shall become a part of this permit application. I also understand that this permit is valid for a period o^^ix (^>'^onths.:ions submitted herewith \ Signature of /oDated. 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. Shoreland Management Official .1Dated Permit Fee $ >00 /. 7.6State Surctiarge $, /r ip aComments: Form No. MKL-0771-002 ^ VieT«« bUNOCCN 4 M.. MiHnM. FC44U4 PM.L4. MIHH.1S8899 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 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,i 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 ( ) None Type of Roof:( ) No ( ) Oil ( ) No ( ) Coal Other:( ) 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: ml Form No. MKL-0771-002 viprea uihkih 4 (».. miktim. fchsu* rM.Lt. minn 158899 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUMShall Be i Sq. Ft Sq. Ft.Lot Area (Square feet)Sq. Ft 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.Occupied Building to Septic Tank Ft. 20 Ft.Occupied Building to Absorption System Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: Tnspictof’T’Slgnature’ Title Inspection Dated 19 Agency VICTOR uuNOCCH 0 o« . oaiaTCit. rcKtua falli. hiimi. Oc W «. S t c/aiCSto _2/0__yp sf \g-x '\ s-ytrVaO r\\j ^ vj<^f-\ v->c o- UK-<.f 0 L ^ ' *lit