Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Woodland Resort_14000160138000_Shoreland Permits_
wHiTE.-'office APPLICATION FOR SITE PERMIT GOLDENROD - Inspector YELLOW-Owner (after issue) LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL PINK - Assessor GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us r' PLEASE PRINT OR TYPE ALL INFORMATION Permit No.■; LAKE/RIVER NAME TWP NO.RANGE TWP NAMELAKE/RIVER CLASS SECTIONLAKE / RIVER NO. \3>S-SG-iSJ l(^WoME PARCEL NUMBER (S)PROPERTY (E-911) ADDRESS i^-ooo- [io- 0(18-3B\UL> Mluv vv LEGAL DESCRIPTION ocp- 6(5J / 0 T' Daytime Phone No.First Initial Mailing AddressLast Name Property Owner cHucic 7,Oe.c c.ai->^-r. 6f0/y/i,//9_____ Contractor Name Lie. # PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add’n to Dwelling ( 5 ) RCUA'ear_____ (8) Storage Structure _ 'Existing Dwelling to be removed before^ ONSITE WATER SUPPLY (^Individual ( ) Public ( ) None hpTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure M, , lAsetback to a well. CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension ONSITE SEWAGE TREATMENT SYSTEM ^J^rmit No. j / I fp I \ ( ) OTLSD * This permit is only vaiid. after verification from the O.T.LS.D. that a conforming sewage system wiii be installed to service this lot contact Rollie Mann at 864-5533. jf13) 'Replacement Dwelling ' (T) Detached Garage (9) W.O.A.S. (1.) New Dwelling (4) MH/YR (7) Add'n To Non-Dwelling . (.10) Other CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension Sq. Ft. Setback to Lotline Setback to Right of Way ^CtP-y Ft." Setback to Ordinary High Water Level _ Elevation Above Ordinary High Water Level Setback to Septic Tank 3 0 Ft. Setback to Drainfield / Ft. Setback to Bluff Maximum Proposed Height Ft. Basement____ Walkout Baseme Total Bedrooms 2 (s' Ft.Ft."Ft. XFt."Ft."Ft. X Sq. Ft. Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank ___ Setback to Drainfield____ Setback to Bluff_______ Maximum Proposed Height Bathroom Proposed ( ) Yes ( ) No Sq. Ft. Setback to Lotline ______ Setback to Righi of Way__ Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank ___ Setback to Drainfield___ Setback to Bluff_______ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Appiication / Inspection Ft. & / 7Q Ft." P Ft^ ^T7 a Ft.&Ft."Ft.&Ft." Ft."Ft." Ft.Ft. Ft. Ft.Ft. Ft.=_Ft.Ft. Ft.Ft.isYes No Ft. ©Ft.Yes No ( ) Screen Porch ( ) Storage Structure ' Must include on scale drawing Permit may be required Topographical Alteration / Earthmovinq None □ 20 Cubic Yards or Less ' □ 21 Cubic Yards - 299 Cubic Yards'/^ARACTERISTICS OF LOT: '2.0-2-A^. □ 300 Cubic Yards or More' 2^el ____Total Lfil Area (FT^) Yes V NoFt.BluffWater FrontageLot Area. /7. Total Impervious Surface Onsite (FT2)-ji___Impervious Surface Ratio■ njImpervious Surface Ratio:X100 =.% THISIS 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. 1 further agree that any plans and specifications submitted herewith shall become a part of this permit application. 1 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, epjployees 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 Mid Ordinances. /I understand that it is my responsibility to inform the Land & Resource Management^ffic^building footings have been constructed. 9Date: 'Sign^ure of Property Owner Q (/^ Date: Land & Resource Management Office i32£MyjLm?.IT5.0OJM.PERMIT FEE $PROJECT(S)TOTAL SQ.FT. RECEIPT NO. ^ Mmat 7/iJo On .Huh At Comments: Form No. BK — 1003-0501 315,901 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota L,e-C' ) , -t' « i »| A.yAPPLICATION FOR SITE PERMITWHITE - Office GOLDENROD - Inspector LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us YELLOW - Owner (after issue) PiNK - Assessor -J Permit No.^PLEASE PRINT OR TYPE ALL INFORMATION RANGE TWP NAMESECTIONTWP NO.LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS D^ADC4^^r£LI35'ME so PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) lUI-ooc^ICp-. o(Z8^svIooo LEGAL DESCRIPTION 9 (OCQOT- GbO Lot Daytime Phone No.Initial Mailing AddressLast Name First 'Vy/ di fi 7( f( n i ST Property Owner / ‘t / C ' u CIC Cof^'T. P Z-7/r. //O_________ Contractor Name Lie.#/, PROPOSED PROJECT (please circle the appropriate (2 ) Add’n to Dwelling 3 Replacement Dwelling fe) Detached Garage (9) W.O.A.S. 'Existing Dwelling to be removed before • '' ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY (9) Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. (1 ) New Dwelling (4) MH/YR (7) Add’n To Non-Dwelling (10) Other ( J Permit No. _ ( ) OTLSD * This permit is ortly valid alter verification from the O.T.LS.D. that a conforming sewage system will be installed to service this lot contact Rotlie Mann at 864-5533. (5) RCU/Year_____ (8) Storage Structure CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELUNG Outside Dimension CHARACTERISTICS OF PROPOSED DWELLINGOutside Dimension _t Ft. X Ft."Ft. X ' 5-^■' Ft."Ft."Ft. X Sq. Ft. . Setback to Lotline _i Setback to Right of Way •.• - ~r Ft." Setback to Ordinary High Water Level P Elevation Above Ordinary High Water Level__ Setback to Septic Tank : ■ 0 Ft. Setback to Drainfield > ^ i Ft. Setback to Bluff_______ Maximum Proposed Height Basement_____ Walkout Basement Total Bedrooms Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff_______ Maximum Proposed Height Bathroom Proposed ( ) Yes ( ) No Sq.Ft. Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Water Level __ ' Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield___ Setback to Bluff_______ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **ProjectA-otlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.A no Ft.&Ft."Ft.&Ft."'’-■3 Ft."Ft." Ft. Ft. Ft.Ft. Ft.Ft.Ft.Ft.Ft.Ft.NoYes Ft. Yes A No Ft. j.( ) Screen Porch ( ) Storage Structure ' Must include on scale drawing Permit may be required Topographical Alteration / Earthmovina □ None □ 20 Cubic Yards or Less ' □ 21 Cubic Yards ■ 299 Cubic Yards*□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: 2^7 Yes >___NoBluffFt.Sq.R.Water FrontageLot Area. / 7. '/<v.1 Z-.TImpen/ious Surface Ratio:X100 =.% Impervious Surface RatioTotai Lot Area (FT!)Total Impervious Surface Onsite (FT!) TH/S /S 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. Date: Signature of Property Owner i ✓ Date: Land & Resource Management Office PERMIT FEE $RECEIPT NO.PROJECT(S) TOTAL SQ. FT. Comments: UflfLltltTrL,jQjUU Form No. BK — 1003-0501 315,901 • Victor Lundeen Co., Printer$ • Fergus Falls, Minnesota SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations -cr Jut- Ft.Ft.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 4- Vo Ft. & crry Ft.Ft.Ft. &Structure Set Back from Lot Lines Ft.Ft.Structure Height Ft.X IS 'Ft.Structure Set Back from Septic Tank Ft.Ft.Structure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level Ft. %Land Slope at Building Site %^5 Inspector’s Comments / Sketch: C" 5^4 ■k. ■ Pr Inspector's Signature Date of Inspection Jifl Time of InspectionAl‘* ^^roject Approved Date/Initial APPLICATION FOR SITE PERMITWHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us Permit No.PLEASE PRINT OR TYPE ALL INFORMATION RANGELAKE/RIVER SECTION TWP NO.LAKE / RIVER NO.LAKE/RIVER NAME /56' PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) dSH(>(e do- _______ ^ Daytime Phone No. NOOO onlood LEGAL DESCRIPTION PctU&LCJ- First Initial Mailing AddressLasfName 7Property Owner <lh/jAL SaaContractor Name Lie.#6%S:t3 ONSITE SEWAGE TREATMENT SYSTEM 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) ( 2 ) Add’n to Dwelling ( 5 ) RCUA'ear_____ •Replacement Dwelling (6 ) Detached Garage (9) W.O.A.S. •Existing Dwelling to be removed before CHARACTE Outside Dimension (1 ) New Dwelling (4 ) MHA'R____ (7) Add'n To Non-Dwelling ( 8 ) Storage Structure ^S0>le>/ ) IS II( »fTermit No. ( ) OTLSD * This permit is onty vatid alter verilicalion from the O.T.LS.D. that a conforming sewage system will be installed to service this lot contact Rollie Mann at 864-5533.2-6 <5 Y(10) Other. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension f5 ICS OF PROPOSED NON-DWELLINGCHARACTERISTICS OF PROPOSED DWELLING 3q Ft. XOutside Dimension Ft."Ft. XFt.^^ Ft. X Ft.^* Sq. Ft. Setback to Lotline Setback to Right of Way Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level S Setback to Septic Tank IbO Ft. Setback to Drainfield / S~^ Ft. Setback to Bluff Ft. Sq. Ft. Setback to Lotline___ Setback to Right of Way Sefback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield____ Sefback to Bluff_______ Maximum Proposed Height Bathroom Proposed ( ) Yes ( ) No Sq. Ft. Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield___ Setback to Bluff_______ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Loilines/Right-of-ways Must be Staked Onsite Prior to Appiication / Inspection Ft.&Ft."Ft."Ft.&Ft.&Ft.^^Ft.^*Ft." Ft.Ft.^^ Ft.Ft.Ft. Ft. Ft.Ft. Ft.Ft.BO Ft.Maximum Proposed Height Basement A Yes Walkout Basemptit Total Bedroom!_ Ft.Ft.No Ft.Ft.Yes No ( ) Screen Porch ( ) Storage Structure • Must include on scale drawing Permit may be required Topographical Alteration / Earthmovin None □ 20 Cubic Yards or Less • |21 Cubic Yards - 299 Cubic Yards^□ 300 Cubic Yards or More^ CHARACTERISTICS OF LOT: ^ ^'7 77^ 7^Bluff.Ft. Yes NojSi^-FL Water FrontageLot Area. /.r 2-7^/1-y__ Impervious Surface RationxImpervious Surface Ratio:X100 =.% Total Lot Area-(fT2)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 confornyln all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violatjgoof said Ordinances. /VI understand that it is my responsibility to inform the Land^essurce Management^i^onc^e building footings have been constructed. 3Date: tignatu/B^Property Owner Date: Land S Resource Manage RECEIPT NO.PERMIT FEE $PROJECT(S) TOTAL SQ.FT. ________________________^ ^ OppJiAIJA/b (uj M U OX3 7///d‘/Comments: '(tMilUi. LUnXjtA/ (tlcPJt rLfP^-frlUxL 315,901 • Victor Lundeen Co., Printers • Fergus Falls, MinnesotaForm No. BK — 1003-0501 Ua (ft (S^c^> • ■>► ■» /o/2^2/^ Y r WHITE-Office. GOLDENROD - Inspector »APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us YELLOW - Owner (affer issue) PINK - Assessor Permit No.^5/2PLEASE PRINT OR TYPE ALL INFORMATION RANGE TWPNAMELAKE/RIVER SECTION TWP NO.LAKE / RIVER NO.LAKE/RIVER NAME ■ ' ¥(( k-u'V/?V., :7 C /;A k {' {L.J PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) //0 tl(nj.UY f /'(hih/ ik j I ^ilr/r C/s/ LEGAL DESCRIPTION o € V T-j t Gm k'h:'k L: ///r i ■ Daytime Phone No.Last Name First Initial Mailing AddressUatkUkti^ ..mJk ■^S(ln(p __________Property Owner / -c'Ck////-A ^fy/Contractor Name Lie.# rf6^// 7k //7'// ONSITE SEWAGE TREATMENT SYSTEM 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 numberj (2) Add'n to Dwelling (5) RCUA'ear_____ (7) Add'n To Non-Dwelling (8 ) Storage Structure (10) Other /^f^*R6|5IBbSfflent Dwelling '' fe ) Detached Garage (9) W.O.A.S. ‘Existing Dwelling to be removed before ^ (1) New Dwelling (4) MH/YR____( ) Permit No. __ ( ) OTLSD * TTj/s pe/mtf is only valid after verification from the O.T.L.S.D. that a conforming sewage system will be installed to service this lot contact ftollie Mann at 864-5533. , /CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING Ft. X >2- Ft." Outside Dimension Sq. Ft. ^fpO Setback to Lotline Setback to Right of Way Ft." Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level 6 Setback to Septic Tank !() O Ft. Setback to Drainfield / Ft. Setback to Bluff Ft.Maximum Proposed Height ^ ^ Ft. Basement Ft. X Ft."Ft."Ft. X Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff_______ Maximum Proposed Height Bathroom Proposed ( ) Yes ( ) No FLA Sq.Ft. Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff____ Ft **Q Ft."Ft.&Ft.&Ft." Ft."2-gO Ft.” Ft.Ft.Ft. Ft.Ft. Ft.Ft. Ft.Ft. Ft.Ft.V NoYes Ft.Ft.Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Rlght-of-ways Must be Staked Onsite Prior to Application / Inspection Yes NoWalkout Basement Total Bedrooms_ V ( ) Screen Porch ( ) Storage Structure ) <■ * Must Include on scale drawing Permit may be required Topographical Alteration / Earthmovinq j, None f ■-m □ 300 Cubic Yards or More*21 Cubic Yards - 299 Cubic Yards*□ 20 Cubic Yards or Less CHARACTERISTICS OF LOT: 7-11 y NoBluffYes.Ft.SqfPt.Water FrontageLot Area. n- V.ni X100 =.%Impervious Surface Ratio:Impervioas 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. 1 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 Land & Resource Management office once the building footings have been constructed. ;Date: Signature of Property Owner ' QDate: RECEIPT NO. / . kI'Land & Resource Management Office/kO A -A ;PERMIT FEE $PROJECT(S) TOTAL SQ. FT.,\ Comments:-i- 315,901 • Victor Lundeen Co., Printers ■ Fergus Falls, MinnesotaForm No. BK — 1003-0501 . , T ■Jt SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations :x 30}(li Ft.Ft.Structure Set Back from Ordinary High Water Level Ft.Ft.Structure Set Back from Top of Bluff /t/iTVv-v. Ft.Ft.Structure Set Back from Road Right of Way ^3 0 Ft. & 33 Ft.Ft.&Ft.Structure Set Back from Lot Lines -Ca Cv«-^Ft.Ft.Structure Height Ft.Ft.Structure Set Back from Septic Tank Ft.Ft.Structure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. %Land Slope at Building Site <% Inspector’s Comments / Sketch: I D vP \ > V I I 1 I ( I < Inspector's Signature Date of Inspection Time of Inspection □ Project Approved Date/Initial . OFFICE OF COUNTY RECORDER OTTER TAIL MINNESOTA I hereby certify this instrument ft was fiied/recorded in this office .for reco^ on the_£_day of 2004 ati0^rn>pm ' c MetraiCCourtty RectiM^r ! a57900 ■? ■c Wendyby: (a^ recording .weii certificate• / THE ABOVE SPACE IS RESERVED FOR THE COUNTY RECORDER - APPLICATJON FOR VARIANCE ■; COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER 540 WEST FIR, FERGUS FALLS, MN 56537 (218) 998-8095 Otter Tail County’s Website: www.co.ottertail.mn.us . ^ V.Jl!i ! S 2004 ;*• t i . r.6 Receipt Number ^ _____ Accepted By / Date/*^^ iiXSL: Application Fee V COMPLETE THIS APPLICATION IN BLACK INK PROPERTY OWNER JA 4^ lAd i gif^ r»\ Har^le vl ^ 3.8' (^(o Hv-tj \3''cva’^/iu_R MN 5~fes^ (c -Ji .■ U\<5 DAYTIME PHONE■A MAILING ADDRESS LAKE NUMBER LAKE NAME ■■ ■ ---------------------------SECTION \ (p TOWNSHIP \ ^ S' RANGE i ■Ne-. i LAKE CLASS Dead_TOWNSHIP NAME.3 !(<,(»^ NUMBER iH-OOO-ZD OISQ OOP) i PT GL 4 BG El/4 COR SEC 16 ------------------ S 100', W 368', S 161',TO LK, NELY ALG LK TO N . f- ^ ^ i / /.GL 4, E 512' TO BG_ fii-U-0x0-^)^^ Le+ H lC,j /J 9-0.^ ir-f- • t” / .-y. oif / (> fit c/.>41—(cjO- OC-f't- ■ -HvD-tjL. . 1‘tSi^l. LcJ. t. da-P-, ^ ’^d-J-'vie.S c?".2S■?7S-t-fi-i(^^a.5'hsi.A4.,oT(t#i': TYPE OF VARIANCE REQUESTED (Please Check) E-911 ADDRESS W 265 LN=^ ‘.'r; •a XStructure Setback Structure Size____Sewage System____ Subdivision Misc.Cluster IVI SPECIFY HOW YOUR PROJECT VARIES FROM ORDINANCE REQUIREMENTS. PLEASE BE BREIF AS THIS WILL BE USED FOR PUBLIC NOTIFICATION. ' _\-T>V/OOoDLA^Ji^ HAS 3 oi Ks D Ctkkr^i, ]'^H1. TUEVARt GO'J£g.fJiMEMT' SU(J,PCU3 (S(?AOO£RV5. PRovt.\U/LUXt::L, »s)E£C> TD 9^ t2.g:pLAcEb, OiO£ u-nt-c 6£. l^ftAcEJ^ J 1 'a VOH'CK Av -n4£: ^ I rs pj:^'T-H£ tStZ-r &i MAL . oTVlEfT.TuJo UJ i l C. B£ tuov/EX) p_ LvAt^E- C^O'=>Xs(Li3 ^ S TQj_vCT'‘J...<2-E to ‘ L Q-O h-''£>/^JE o-tO I -gr-HEo-ofo. L'jlI a L-V"^ Ovo”tr, GZt4_i.^g\/ E C-J Ttj-e_ LAid l^, 0 ov^f^— ) I BAc-E 2. Lt N) .-TS > g e^PtAC-i N)~Ei’t£^ Eoo~r pp-.M-e <gM ^ I' I UNDERSTAND THAT I HAVE APPLIED FOR A VARIANCE FROM THE REQUIREMENTS OF THE SHORELAND MANAGEMENT ORDINANCE/SUBDIVISION CONTROLS ORDINANCE OF OTTER TAIL COUNTY. D^STAND THAT OTHER PERMITS MAY BE REQUIRED, IT IS MY RESPONSIBILITY TO CONTACT LAND & EMENT REGARDING THIS MATTER. Jl . Ui I ALSO RESOUftCEV'Jl 11 ^ ,g- y74cx.aj°ySIGNATUR PROPERTY OWN DATE APPLICANT MUST BE PRESENT AT THE HEARING4(Applicant Will Receive Notification As To Ttie Date/Time Of Hearing) •i L e T' l-l; fl_e^^ AJ. - AJor4l-^ / —€y -f-e^ j lAvo^ oj-1-y^ Q.^, Xjf- ^ c_ciJ?-Q_ c^l.^4x, VZ-^AJ’ -''■^ 0/ < s»=^C~( ?_ 'S’ (p-IO-04 l+a+i^v^‘ (f) Q L9-IC.-® 5e-f-U-C^ dP 2Cj' ) R-eyoL/ialAC-^ •• : ■.: -^'' (^ (fl+l\.i^ t»--PbLc4<^ 0^ ■^1'j^r<^ ^2S r^> ~ -^ } Bl tf/g?<3 />y).\ ■ 3o)q4-uate Ut Hearing Time Motion Woodland Resort - Approved the variance as requested. (8:30 p.m.) After consideration and discussion, Steve Schierer made a motion, seconded by Cecil Femling and unanimously carried, to approve the variance as requested in the application and as depicted on the applicant’s drawing. The Board noted that the proposed project is an improvement and the variance as approved will not establish precedence and is consistent with other Board actions as they relate to resorts. ; Chairman/Otter Tail County BoaTtTof Adjustment Permit(s) required from Land & Resource Management X Yes (Contact Land & Resource Management) No Copy of Application Mailed to Applicant, Co. Assessor and the MN DNR L R Official/Date ; bk 0204-001 317,3<i0 • Vcloi Lifideen Co, Phniers • Tergus Falls, Unr«sota VI I///I//I ;//////!CONCRETE BOAT RAMP-j! SCALE: 1 BEARINGS • DEN( O DEN( 100 200.■■■.■.■0.4' ' ± ..I I SC-SO' SCALE IN FEET MAR to V cj kJ PROPOSED LEGAL DESCRIPTIONtoQ u.(!All that part of Government Lot 4. Section 16, Townshi of the 5th Principal Meridian, Otter Tail County, Minnesc follows: O kj r-§ ki Beginning at the East Quarter corner of said Section bearing of South 0 degrees 28 minutes 37 seconds i said Section 16, a distance of 100.00 feet; thence S 19 seconds West a distance of 568.00 feet; thence . 57 seconds East a distance of 161.00 feet; thence I 19 seconds West a distance of 50.00 feet; thence N 57 seconds West a distance of 215 feet more or les Lake; thence northeasterly along said shoreline to tht Government Lot 4; thence North 89 degrees 54 minu said north line, a distance of 512 feet more or less beginning. e)El/4 CORNER OF 16, T. 155, R. SEC.NORTH LINE OF GOV T. LOT 4 $40 ’ p. 19” E 512±89‘54 Lli s50.00 fv o -gs:Containing 2.02 acres more or less. Subject to County over the East 50.00 feet thereof O .RES v *c313.00 50.00 0 VS 89’54'19"368.00 SURVEYOR’S CERTIFICATE / hereby certify that this is a true and correct represen the bounaaries of the above described land, and that tt me or unaer my direct supervision and that / am a dul^ under the laws of the State of Minnesota. Dated this 6i Q i' Q - David A. hnder. Land Surveyor Minn. Reg. No. .Lu Ch an C)o' Co to«N CoI 275±50.0024’57ff ^ S 89’ 54’ 19” W N 00 CER<N b2X'S3oo SVINGEl HAGS o so-so- APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739-2271 • FERGUS FALLS, MN 56537 WHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor T\'k)i1 LEGAL M )Oo' Ud I o'^ 9~G( 6)C ^ 56^' o-f S 5-S Permit No. DESCRIPTION )VAND LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME )C>aJ t PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER IH - Coo- I ^ • oi "SP- OOP IDENTIFICATION: Please Print All Information First Initial Mailing Address — No. Street, City and State Zip CodeLast Name Telephone No.Ha tl s\j xi^£t/Property Owner /PxC/'/l'X^C^'. S(r,S7(jy NameContractor State Lie. If PROPOSED PROJECT (^5^New Structure ( ) Addition PROPOSED USE RESIDENTIAL USE NON-RESIDENTIAL USE ( ) Garage ( 4^Utility Structure ( ) Water Orientated Accessory Structure ( ) Other CHARACTERISTICS OF PROPOSED ( ) One Family Dytefling ( ) MultipJer^welling Units ( ) ( ) Residential Non-Residential Basement (■"—y Walkout Basement (-—) Outside Dimension^ / of Structurecr^ ^ "O Ft.( ) MH/RV YEAR Ml. Ft.TYPE OF FRAME ( ) Masonry i^) Wood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ( ) Public ( ) OTLSD ONSITE WATER SUPPLY Height of Structure. ft Of Stories_____i( ) Public OFFICE USE ONLY (-----.) Bluff Impact Zone (------) Shore Impact Zone (------) Sensitive Area Individual # Of Bedrooms ) None ft Of Bathrooms LOT SIZE AND SETBACKS:3 67Lot Area is square feet. Water frontage is feet. Maximum depth of lot feet. Building set back from ordinary high water level is feet. (String Test) Land height above ordinary high water level at building line is feet. Slope of lot % Building set back from road right-of-way feet. ZOKlLot line setback is and feet. /oStructure will be located feet from septic tank (Sewage System Permit must be obtained before installation). /oStructure will be located feet from soil absorption system (Sewage System Permit must be obtained before installation). THIS IS A SITE PERMIT ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STA TE STA TUTES. 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 accord ing 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^ (I understand that it is my responsibility to inform the Land months Resource Manageinent office once the building footings have been constructed.) “1 the ^ Dated: igrpture of Owner Permit: Permission is hereby granted to the above named apofican/to perform the work described in condition that the person to whom it is granted, and his agent, employees and workmen sh This permit may be revoked at any time upon violation of said ordinances. ___\ ^ ove statement. This permit is granted upon the express onform in all respects to the Ordinance of Otter Tail County, Minnesota. Dated; Land & Resoi^^ Management OfficeQO5 c //Gpsa.Permit Fee $.Receipt No.. Comments: Form No. BK — 0292-002 270.500 • Victor Lundeen Co Printers • Fergus Falls. MN • 1-800-346-4870 ... » , SEXP'"^® o):„c CA-<= APPLICATION FOR SITE PER LAND & RESOURCE MANAGEME OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WH/7£ — Office GOLDENROD —^Inspector YELLOW — Owner PINK — Assessor TK'^0-1M )00* ^ ^ Lct ^ V6X S ^sV>^ 1-vl^t Permit No.LEGAL DESCRIPTION AND LOCATION TWP NAMESECTIONTWP NO.RANGELAKE/RIVER CLASSLAKE NUMBER LAKBRIVER NAME (?)S wo)L/Ot t FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER (S) /y - OCQ- I 6- Ol'hJ?- OOP IDENTIFICATION: Please Print All Information Mailing Address — No. Street, City and State Zip Code Telephone No.First InitialLast Name £r / !^r.XHATL6\Jt-G.75£-?YS<f-Property Owner (?XC/ifyiCLt . SGSyjo NameContractor State Lie. It CHARACTERISTICS OF PROPOSEDNON-RESIDENTIAL USE ( ) Garage ( Utility Structure ( ) Water Orientated Accessory Structure ( ) Other RESIDENTIAL USEPROPOSED PROJECT New Structure ( ) Addition ( ) MH/RV PROPOSED USE ( ) Residential Non-Residential Basement (—-) Walkout Basement { Outside Dimension of Structure______ ( ) One Family D»ie11ihg ( ) MultipJer'd^iling Units ( ) ) Ft.YEAR /<fONSITE WATER SUPPLYONSITE SEWAGE DISPOSAL SYSTEM ( ) Public ( ) OTLSD TYPE OF FRAME ( ) Masonry Wood ( ) Structural Steel ( ) Other Height of Structure. # Of Stories______ Ft. 1( ) Public fs^t Individual ( ) None OFFICE USE ONLY (—•) Bluff Impact Zone {•—^) Shore Impact Zone (—) Sensitive Area # Of Bedrooms # Of Bathrooms LOT SIZE AND SETBACKS:Z>&7 feet.feet. Maximum depth of lotsquare feet. Water frontage isLot Area is ^OO feet. (String Test)Building set back from ordinary high water level is feet. Slope of lot %Land height above ordinary high water level at building line is feet.Building set back from road right-of-way. ICl zo feet.Lot line setback is and /o feet from septic tank (Sewage System Permit must be obtained before installation).Structure will be located /o feet from soil absorption system (Sewage System Permit must be obtained before installation).Structure will be located THIS IS A SITE PERMIT ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STA TE STA TUTES. 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 accord ing 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 months (I understand that it is my responsibility to inform the Lahd B Resource Manage/^ent office once the building footings have been constructed.) / (, - 2 Q - 9 Permit: Permission is hereby granted to the above named appficant condition that the person to whom it is granted, and his agent, employees and workmen shallrconform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. / tIDated: Signature of Owner Iove statement. This permit is granted upon the expressto perform the work described in the )o - 9-0 -VDated; Land & Resoufce Management OfficeQOlU'SX5oPermit Fee $.Receipt No.. Comments: Form No. BK — 0292-002 270,500 • Victor Lundeen Co Printers • Fergus Falls, MN • 1-800-346-4870 INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. 252-Building Set Back from High Water Level Ft. Ft. Building Set Back from Top of Bluff Ft.30 Ft. V3> Ft.20 Ft.Building Set Back from Road Right of Way Ft./O'^Ft.Ft. &Building Set Back from Lot Lines Ft.Ft.Building Height 10 FtBuilding Set Back from Septic Tank Ft. /O^20 FtFt.Building Set Back from Absorption System Elevation AboveHigh Water Level at Building Line 10-3 Ft.Ft. o/oLand Slope at Building Line /Jo \c(o5a/ )0 Inspector's Comments/Sketch:. 'I S r 0 Po c, k 0 ;/R) \ 1 » 1-p } »*lOo ii VI/ ! Inspector's Signature «■ Date ot Inspection Time ot Inspection I Xc..#A I '.r'i2;.j ;Le.i/4 ft - 3 ?A T No <?6X‘/6 , ^ .. az-.S’f/Pte* id'*«; 5>Sn)fic O ly v:>9tl££.(? CttAtat. cs> r o4 r / -i-lO ' // ■3 Ii- I!\<3XT^«uL«*lt^ Ltllic 'jj r 4 ____________Ui /V :I1; I I I; '»T’ • i.tiiEcW (JjlIinkL L. iIq^iI (3> ' - C I i) “ I y ^i , •f’!Ual I o 5i» 1I 4^^1 alie HH / l-i \ /'*4 d \ V"a:) \ V \ \*A1 f 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 3Permit No.,LEGAL DESCRIPTION \N OOD O AND LOCATION 7 / 3r U o OcfiQ Ly~.I C? TWP NameSec.TWP RangeLake Classif.Lake NameLake No. IDENTIFICATiON: Please Print AH Information Tel. No.First Zip No.Mailing Address— No. Street. City and StateInitialLast NamellaTut^ VXLr BorI ry\ •Owner ^ i c.livj Do.rr\rJ'I NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE;RESIDENTIAL PROPOSED USE;TYPE OF IMPROVEMENT; (\,)^ew Building ( ) Alteration Specify;.( ) One Family Dwelling ( vTiVlultiple Dwelling Units ISize .2o tC ZVjj( ) Other( ) Other ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS;TYPE OF SEWAGE DISPOSAL;PRINCIPAL TYPE OF FRAME; ( ) Yes (v/'No • I( ) Masonry ( \T^ood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( vl^ndividual Septic Tank WATER SUPPLY; Basement; Stories above basement; Sq. feet (outside dimension) Bedrooms , etc. ./..Zrr.Baths( ) Public («.-)^lndividual Well rhCHARACTERISTICS;^ oo Maximum depth of lot feet.feet.Water frontage is ^OOsquare feet.Lot Area is feet. (Building Line)Building set back from high water mark is. Land height above high water mark at building line is.....feet .2-0-To feet.feet — from road right of way isBuilding set back from State highway right of way Side yard is Structure will be located // 0 I f a .............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). and f -7 crt 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. r«/S 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 myiproposed project. ✓''S/^ature of Owner * —^ j c /described in the above statement. This permit is granted upon the orkmen shall conform in all respects to the ordinances of Otter Tail't/ Dated. Permission is hereby granted to the above named applicant to perform the workPermit; express condition that the person to whom it is granted, and his agent, employees and w County, Minnesota. This permit may be revoked at any time upon violation of said ordinan 9 ~ 2-3 - Dated i Shoreland Management Official3o-Permit Fee $.Receipt No. d i' pBo -B LA I a 4—o o j; T q r~\Comments: C, q i? ' V ^ Form No. MKL-0286-019 229971@ VICTOR LUNDEEN CO,. PRINTERS. FERGUS FALLS. MINN. White — Office Yellow — Owner Pink — Assessor Goldenrod — Ir^pector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT * ■ 1■V ? W ^ Permit No,__^LEGAL expiredDESCRIPTIONtI^ L I■> >J IJ\TJ -j K" L I! } AND LOCATION r , I /i ':I TWP NameSec.TWP RangeLake Clasalf.Lake NameLake No, IDENTIFICATION: Please Print All Information Tel. No.Mailing Address— No. Street. City and State Zip No-InitialFirstLast Name ;Owner II NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE;TYPE OF IMPROVEMENT: ( ,> New Building ( ) Alteration RESIDENTIAL PROPOSED USE: Specify:.( ) One Family Dwelling ( .TMultiple Dwelling Units t() Other Mother Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS: Basement: ( ) Yes (v ^No ■ I 2,—Stories above basement; .............. Sq. feet (outside dimension)............ Bedrooms PRINCIPAL TYPE OF FRAME; TYPE OF SEWAGE DISPOSAL; ( ) Masonry ( \) IWood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( -t^lndividual Well IBaths -hCHARACTERISTICS: feet.Maximum depth of lot feet.Water frontage issquare feet.Lot Area is 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 -5'feet *7 c;.feet.feet — from road right of way is .............feet. .feet from septic tank (Sewage System Permit must be obtain^ before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation). 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 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 STA TE 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. v’ I . IDated. jSignature 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 ’ermit Fee $.Receipt No. I-Ilomments: t No. MKL-0286-019 229971 @ vtcron lundeen co.. printers, ferous falls. MINN. ?. r INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS Jr MINIMUM Shall Be X Sq. Ft, Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. 33^ 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. h 3£L_Ft.Side Yard &&Ft. Rear Yard o'<Ft.Ft. d i<Occupied Building to Septic Tank Ft.10 Ft. IOccupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________/Ft.3 Ft. I Inspector's Comments:4 V-iA V ( ~7~T^ Inspector's Signature Title Inspection Dated ^9H-xC/ ■19 Agency ^ VICTOM UIMBIEM « CO . BMIIITIIK. PfllBU* Fftf-LB. MIHH. White — Office Yellow — Owner Pink — Assessor Goldenfod — 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 ?Permit No,.LEGAL Date.DESCRIPTION AND LOCATION /jjr Lake No.Lake Classif.Sec.TWP TWP NameLake Name Range IDENTiFiCATION; Please Print AM Information Last Name^_________________First Initial Mailing Address— No, Street. City and State Tel, No-Zip No. Owner NameContractor Architect Name. TYPE OF IMPROVEMENT: / ( Building SIO RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: Cc^L/y'-iy^ <ncu ( ) One Family Dwelling ( ) Multiple Dwelling Specify:, n( ) Alteration Units Size( ) Other I <-FOther ESTIMATED COST OF IMPROVEMENTS /. CXDO ■(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( JJI4asonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public (vFThdividual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: i ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms 1 Baths HEATING: ( ) Electric ( ) Coal Other: Type of Roof:( ) No ( ) Gas ( ) None ( ) Oil ( ) No ( ) Unit CHARACTERISTICS: lQ.P.^.Q9..GLot Area is square feet. Building set back from high water mark is ...C^>P.;.....L&..Q. Water frontage is feet. (Building Line) .............................feet feet. 4Land 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.BA.feet — from road or street is .Q?..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.). ...........feet. J 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. fr-y .7^ [ryturtf^ST^Dwner / - led in the above statement. This oermit is Granted uoo - /d.Dated Sign Permission is hereby granted to the above named applicant to perform the work describedPermit: 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. tement. This permit is granted upon the /lanagement Official - 7Dated Shoreland Management Official Ad. /d 0 7(DC BOPermit Fee $.State Surcharge $. Comments:, Jb-f-jjt ^ d Form No. MKL-0771-002 158899 VtCTOII LUHDCEH 4 M.. MINTtM. rt*«UI rM.Lt. SHORELAND MAIMAGEMEIMT - 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 Classif.Sec.TWP Range TWP NameLake No.Lake Name IDENTIFICATION: Please Print All Information Initial Mailing Address— No. Street. City and StateLast Name First Zip No.Tel. No. 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 ( ) Coal Other: Type of Roof:( ) No ( ) Oil ( ) No ( ) None ( ) 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: NOT called FILED4-20-77 Form No. MKL-0771-002 VICTOD UIHOCCH 4 CO.. MIonM. rE4CUS FALLS. 158899 INSPECTOR'S CHECK LIST Make all measurements and computations MINIMUMShall Be 4, Sq. Ft,ACTUAL IS 1 Sq. Ft.Sq. Ft.Lot Area (Square feet) 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.Ft.Occupied Building to Septic Tank 20 Ft.Occupied Building to Absorption System Ft. Elevation at Building Line above High Water Mark_____________3 Ft.Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency VICTOR LUMOICH I CO . MIHTfRI. fCKOUt roLLI. HIHN.