Loading...
HomeMy WebLinkAboutWhispering Waters Resort_57000010001001_Shoreland Permits_SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CER'T'FICATE OF OCCUPANCY White — Office Yellow — Owner Pink — Assessor Goldenrod — Inspector t U-)9~9'0tyLJPermit No„LEGAL Date.DESCRIPTION AND LOCATION 3 TWP N^fneZ_ J31 _i7i£H Lake Classif.Sec.TWP RangeLake No. Lake Name IDENTIFICATION: Please Print All Information Mailing Address— No. Street. City and State Zip No.Tel. No.First InitialLast Name (bl.ad:Th^rAld LOn. djjyu-On nd) ^ /X) A )ncrwjOwner 7T NameContractor Architect Name. TYPE OF IMPROVEMENT: New Building I ) Alteration RESIDENTIAL PROPOSED USE: (^One Family Dwelling ( ) Multiple Dwelling ( ) Other NON-RESIDENTIAL PROPOSED USE: A y .Specify:. Units ( ) Other Size 7ESTIMATED COST OF IMPROVEMENTS (omit cents)7PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: ( ) Yes jXi No Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Masonry Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public Individual Septic Tank, etc. WATER SUPPLY: ( ) Public Individual Well / (><)JqKS..3 ■/■.................. Baths MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central HEATING: i ) Electric ( ) Coal Other: No (^Gas ( ) None Type of Roof:( ) Oil p(l Nor ( ) Unit CHARACTERISTICS: .......LH.O..aLot Area is square feet.Water frontage is. feet. (Building Line) ...............................feet ... feet. Building set back from high water mark is (.^nd height above high water mark at building line is .3.U.4^±-Building set back from State highway is Side yard is feet — from road or street is ..feet. .^..0...£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.). ...10..will be located .S^2.Building 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. f/3 &Dated. ^•^gnatbra 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. Shoreland Management Official it fV/0 y-j f-rp(0Dated :3.onPermit Fee $.State Surcharge $. Comments:/m Id. f'2^^ lo 7 f . ^ __!aJ J dd, t £ Q:M. cf.(j<Ui J > /CCiIh^A o 7\Form No. MKL-0771-002 vi«Tft* u;ii*ciii 4 ee.. piihtcm. reatua p«.l«.158899 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 y- Permit No..LEGAL Date.DESCRIPTION AND LOCATION TWP NameLake No.Lake Name Lake Classif.Sec.TWP Range IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No. Owner NameContractor Architect Name, TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE; ( ) New Building ( ) Alteration ( ) One Family Dwelling I ) Multiple Dwelling ( ) Other Specify:. Units ( ) Other Size ESTIMATED COST OF IMPROVEMENTS (omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE OISPOSAL: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 ( )Yes ( ) NoBasement: Stories above basement: Sq. feet (outside dimension) Bedrooms ..............................Baths HEATING: ( ) Electric ( ,>) Gas ( ) Coal Other: Type of Roof:( ) No ( ) Oil/( , ) No ( ) None ( ) Unit CHARACTERISTICS:r 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: MOT called for INSPECT iForm No. MKL-0771-002 158899 VICTOR CUMOCIN « CO.. RRIHTIRI. rtROUO rM.1.0. HIMM INSPECTOR'S CHECK LIST Make all measurements and computations ACTUALIS X MINIMUM Shall Be Sq. Ft, Sq. Ft.Lot Area (Square feet)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 40 Ft.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. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency VICTOK UfMOCCN « CO . FM-Lt. HIHN. r 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 Yeilow — Owner Pink — Assessor Goidenrod — Inspector Permit No.LEGAL fjts- DateDESCRIPTION AND LOCATION 3i<-SK 7- YZ P L_ /33 TWP Nan)d' Leke Name Sec.TWP RangeLake Classif.Lake No. IDENTIFICATION: Please Print All Information Mailing Address— No. Street. City and State Zip No.Tel. No.Last Name First Initial r>nOwner NameContractor Architect Name_ NON-RESIDENTIAL PROPOSED USE;TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE; New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Specify;. zUnits ( )Other ( ) Other Size ESTIMATED COST OF IMPROVEMENTS (omit cents) PRINCIPAL TYPE OF FRAME:DIMENSIONS:TYPE OF SEWAGE DISPOSAL: ( )Yes (><-No( I Masonry Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public Basement;IIndividual Septic Tank, et Stories above basement: Sq. feet (outside dimension) Bedrooms ...WATER SUPPLY: ( ) Public Individual Well Baths yMECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central HEATING: ( ) Electric ( ) Coal Other; NoType of Roof;( ) Gas ^,<^None < ) Oil (jidlNo ( ) Unit CHARACTERISTICS: ,3T-f /)MiaLot 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..*. 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. 7 7Dated.---w*/Signa'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 ordinances. Permit: Dated Shoreland Management O^cial G'O y Zo<y> Permit Fee $_4^State Surcharge $. Comments: Form No. MKL-0771-002 VICTetl UINftCCn 4 C«., PIKNniia. Fta«U4'FM.I.I. .158899 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.DESCRtPTION AND LOCATION TWP NameSec.TWP RangeLake 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 ( ) Alteration //Unitsc''C ( ) Other Size( ) Other ESTIMATED COST OF IMPROVEMENTS .(omit cents) 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 ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify Baths HEATING: t ) Electric ( ) Coal Other: ( ) Oil( ) Gas ( t) None ( ) NoType of Roof: ( •) No ( ) Unit CHARACTERISTICS; . k.' .'feet.Water frontage is. feet. (Building Line) ...............................feet '■*; L-........................feet — from road or street is feet. feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). square feet.Lot Area 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 is.................... Side yard is.................... Building will be located Building will be located 'V ... feet. feet. Rear yard isand 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*J$i**. State Surcharge $.Permit Fee $. Comments; •^iLFD NCT T -p 8 29 7T Form No. MKL-0771-002 158899 VICTOH LUMBCED 4 M.. PDtHTEII*. rCMBU* r«.L>. HIMN INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS X 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 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 VlCTOn UIHttCH » M.. MiaTfM. rCMU* rH.U. HillH. •.. K . White - Office Yellow — Owner Pink — Assessor Goldenrod — 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 L>&,L Permit No.,LEGAL /Date.DESCRIPTION AND LOCATION r cirujO TWP Name^Lake No. V/L Lake Name Lake Classif,Sec.TWP Range IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No, Street. City and State Zip No.Tel. No. A A /o e S. AJ (p> V 7 — Owner r, UP, CXiCfs I 'y<P'-z^ ■.Name 7Contractor7^ Hl atArchitectName. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: (^,>New Building ( ) Alteration ( ) One Family Dwelling ( ^MTIultiple Dwelling Specify:. c2.- Units Size X 6,0( ) Other ( ) Other ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: (/'f^es ( ) No Stories above basement: ......... ( ) Masonry ( i>Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( >4^ndividual Septic Tank, etc. WATER SUPPLY: ( ) Public ( uWndividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central / Sq. feet (outside dimension)....................................... Bedrooms >. ■ llm 2^ ......Baths HEATING: (Electric ( ) Gas ( ) Coal Other: Type of Roof:( ) No ( ) Oil ( ) No ( ) None---f '( ) Unit CHARACTERISTICS: alJ......Z?.Lot Area is square feet.Water frontage is feet. .........Building set back from high water mark is Land height above high water mark at building line is .....feet. (Building Line) ■feet ...Building set back from State highway is Side yard is Building will be located........... Building will be located.......jck?I-}.^.. ......................................feet — from road or street is feet. Rear yard is ........................................feet. feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). feet. .v^Z3....Y;,and 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. // s"/~7/ Signature of iDwner Dated. 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. ZJiDated Shoreland Management Official /2a,/ oo State Surc)iarge SPermit Fee $. O OtrynrijO )p i~Xc=>a>3r> C /<•)-; t/ TF> ra\ Comments: AV)t, 1 )r}'> /~i r rr\ I £L5cMe c KiaLli::A>/f /X (XLjX I f I 7^<Tj -P________p/ov' ~~ J ri I 7_________/r2kr~yp Y- Form No. MKL-0771-002 ,158899 SHORELAIMD 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 r L r-, /J Permit No,.LEGAL Date.DESCRIPTION AND LOCATION } "N); 7 V /V / Lake Classif.Sec.TWP Range TWP NameLake No.Lake Name IDENTIFICATION; Please Print AH Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No. Owner t j NameContractor Architect Name, TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Specify:. ■-•L— 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: I ) Electric ( ) Gas ( ) Oil ( ) None Type of Roof:( ) No ( ) No ( ) Coal Other:( ) Unit CHARACTERISTICS:■\ /rLot 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 ; '■ y/:vfeet — 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 s forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herev shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. j)Dated. Signature of Owner Permission is hereby granted to the above named applicant lO 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 $. i Comments; )i' NOT Ca'llED flLLIj4-^c-r(t ... /.V Form No. MKL-0771-002 vicrot LuHavex < m 1S8899 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS jr MINIMUMShall Be ^ Sq. Ft, Lot Area (Square feet)Sq. Ft.Sq. Ft. Ft.Water Frontage Ft. Building Set Back from High Water Mark Ft.Ft. Ft. 50 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. 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 VICT«R UJHOCCN t CO.. fEIttUO FALLI. HINH. 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 Office Owner Pink — Assessor Goldenrod — Inspector .•lOW "5" Grl,L Permit No..t 0^LEGAL Date.DESCRIPTION AND LOCATION r Sn«°r TLLfO TWP Name /733 Lake Classif.Sec.TWPLake No. Lake Name Range IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No. /Or'j I ifi ____,y>^./rrti y < /l)ci '^Scjryn <L<olOwner ■A A /o if J NameContractor cry^ f 4 ^ GArchitectName. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( tl^ew Building ( ) Alteration ( ) One Family Dwelling (i,-F1Vlultiple Dwelling Specify:. Qu ptp >Units Size A( ) Other ( ) Other ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: Stories above basement: Sq. feet (outside dimension) ......... Baths (J'I'Ym ( ) No( ) Masonry ( uTVIood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( >-)^ndividual Septic Tank, etc. WATER SUPPLY: ( ) Public ( l)^ Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central z Bedrooms ....3.Z..7 HEATir^ (/r Electric ( ) Coal Other: Type of Roof:( -) No ( ) Gas ( ) None ( ) Oil ( ) No ( ) Unit CHARACTERISTICS: ^1,...d......A.lb!.a.O..square feet. Building set back from high water mark is.............................. Lot Area is Water frontage is feet. ,. feet. (Building Line) 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 ^O.t..... feet — from road or street is feet. ^o.±feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation). and feet. 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. />/ /dY73 KDated. fgnature of <fwn6r 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. .Ocl/7Dated Shoreland Management Official /Z.Permit Fee $kU Ao 79State Surcharge $. Comments: Form No. MKL-0771-002 ^ VlfTM UWMC» 4 MMWIM. Ptt«U4 PAU.4. MINK 158399 .’t.’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 Goidenrod — Inspector 'I; •i y• ;Permit No„LfGAL Date.DESCRIPTION AND LOCATION /7 Lake Classif.TWP Range TWP NameSec.Lake No.Lake Name IDENTIFICATION: Please Print All Information Mailing Address— No. Street. City and StateLast Name First Initial Zip No.Tel. No. ;A J/ '/■ rOwner y . NameContractor Architect Name.r*. s 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: Basement: (* ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central ( I Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify Baths HEATING: (7) Electric ( ) Gas ( ) Oil ( ) None Type of Roof:( ) No ( ) No ( ) Coal Other:( ) Unit CHARACTERISTICS: 7 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 - An -feet — 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 undet’Stand 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. - ■n('/Dated Shoreiand.Management Official.'I iPermit Fee $.State Surcharge $.■ O Comments; NOT CALLED FJ LED 4^0--'-7 Form No. MKL-0771-002 1S8899VI«T«II UIHBCtN * CO.. OaiHTtM. rCKOua rM.L«. MINN INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS X MINIMUMShall Be^ Sq. Ft Lot Area (Square feet)Sq. Ft.Sq. Ft. Ft.Ft.Water Frontage Ft.Building Set Back from High Water Mark Ft. 50 Ft.Ft.Building Set Back from State Highway 40 Ft.Ft.Building Set Back from Street or Road &&Ft.Side Yard 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 VICTOR LUHDEEH « CO . RRINTER*. FERSUR FALL*. HIHH. 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 Yeiiow — Owner Pink — Assessor Goldenrod — Inspector L CrL Permit No„\LEGAL /Date.DESCRIPTION AND LOCATION jO TWP Name V// Lake Ciassif.Sec.Lake No.Lake Name TWP Range IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No. R ¥0/ /IJOwner f 2/-I A f o ii ^ /7^d <-t-' e S NameContractor Architect Name.■y TYPE OF IMPROVEMENT;RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: (LA^e\N Building ( ) Alteration ( ) One Family Dwelling ( i>Multiple Dwelling ( ) Other Specify:. •2. Units Size -2^^ CsOI ) Other 3 ? Q->^~zyESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: (*<Yes { ) No Stories above basement: ....... Sq. feet (outside dimension) .......... Bedrooms ...... Baths ( ) Masonry (UPViocKi Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( M^ndividual Septic Tank, etc. WATER SUPPLY: ( ) Public ( cl'-HTidividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement; / HEATIN^f^ (aJ^lectric ( ) Coal Other: Type of Roof:( •) No ( ) Gas ( ) None < ) Oil ( ) No ( ) Unit CHARACTERISTICS: ...B....Lot Area is..square feet.Water frontage is . ........feet. (Building Line) feet feet. 3.0.0...LBuilding 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 ... AP..Lfeet — from road or street is feet. and feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation). feet. 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. X/>/3Dated. 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. /73 n/yY AJ <c Shoreland Management Official ^ AJ<i Dated cC. Permit Fee $.State Surcharge $. (Comments: Form No. MKL-0771-002 , .... 158899VICTC* kUH»ttH 4 M.. ■TCI 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 1 Permit No,.LEGAL Date.DESCRIPTION i AND LOCATION •V-r .TWP TWP NameLake Classif.Sec.RangeLake NameLake No. IDENTIFICATION: Please Print All Information Initial Mailing Address— No. Street, City and State Zip No.Tei. No,Last Name First Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling ( ) Multiple Dwelling ( ) New Building ( ) Alteration Specify: Units ( ) Other ( )Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME:DIMENSIONS: ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central ( ) Yes ( ) No( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify Basement: Stories above basement: Sq. feet (outside dimension) Bedrooms ..............................Baths HEATING: ( ) Electric ( ) Gas ( ) Coal Other: ( ) No ( ) OilType of Roof: ( ) No ( ) None ( ) Unit CHARACTERISTICS: V V-'square feet.Water frontage is . feet. (Building Line) ...V..........................feet Lot 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 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 State Surcharge $,Permit Fee $. Comments: NOT CALLE:&Jailed 4-^20-"' / Form No. MKL-0771-002 ,158899 viCToa LunoccM 4 eo.. amiiTfiit. rtitsuB racLi.J INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS I MINIMUM Shall Be 4-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.Building Set Back from State Highway Ft. 40 Ft.Building Set Back from Street or Road Ft. 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: 4 Inspector's Signature Title Inspection Dated 19 Agency vicrga lumocch 4 ee.. MiMTCtt. rcntwa r*u.t. ■ikn.