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Home My WebLink AboutZorbaz's_77000020032001_Shoreland Permits_OfficeWhite 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 O,r 75"Permit No..LEGAL DESCRIPTION AND LOCATION TWP Name \TWP Range G f) ^ L^e No. _______Lake Name______ e Lake Classif.Sec. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address-First Initial __ Citp. Street. City and State£.-^1 EcH. S 37^ . ~~ P-g v[ ^ /M,W 7 ^ > Last Name Owner /i ( NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:.( ) New Building ( ) One Family Dwelling ( ) Multiple Dwelling ^^>“C^eration Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ TYPE OF SEWAGE DISPOSAL:DIMENSIONS:PRINCIPAL TYPE OF FRAME:-r : (fcf^es ( ) No [( ) Masonry ("vUrtood Frame { I Structural Steel ( ) Other — Specify ( ) Public (^^^..^fidKhdual Septic Tank WATER SUPPLY: ( ) Public ( ^MpdWiSual Well Basement Stories above basement: Sq. feet (outside dimension) Bedrooms ............................. , etc. Baths CHARACTERISTI£too feet.Maximum depth of lot feet.square feet.Water frontage isLot Area is :^S.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 qf^y.... Side yard is ..............j..Q Structure will be located .... 3,feet 2.0 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). ..... and .IQ ,52.0Structure 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 STA TUTES. runty. I understandI understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail^ I must contact my township in order to determine whether or not any additional permits are required bYThe/township for my proposed prj^ect. Dated. 7*^lignai Ow^erf Permission is hereby granted to the above named applicant to perform the worl ^scribed in the above statement. This permit is granted upon the Ttmen shall conform in all respects to the ordinances of Otter Tail Permit: express condition that the person to whom it is granted, and his agent, employees and County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated Sho^and^anagement Officialay Permit Fee $.Receipt No. Bg 2HZ\lk.F: A /r -X- ~T0Comments: Form No. MKL-0286-019 229971@ VICTOR LUNOCE.N CO.. F-RiNTERS, FERGUS FALLS. MINN. White -* Office Yellow — Owper 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 /- / o Permit No„LEGAL 1 ^DESCRIPTION AND LOCATION \I ITTTJI\ \ i L 1//)I ■ /tTWP NameLake No.RangeTWPSec.Lake Classif.Lake Name IDENTIFICATION: Please Print All Information Tei; No-Zip No-Mailing Address— No. Street. City and StateInitialFirstLast Name ■i !I ■ > 'u '0Owner I. \ -f;>iNameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:> “ i Specify:.( ) One Family Dwelling ( ) Multiple Dwelling ( ) New Building (^F^teration ^ f Units ( ) Other Size( ) Other MLESTIMATED COST OF IMPROVEMENT $7/DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: (~Yyes ( ) No /7Basement: Stories above basement: Sq. feet (outside (^limension) „7. Bedrooms ( ) Public ( ) fndividual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Masonry ( J Wbod Frame ( ) Structural Steel { ) Other — Specify .1...Baths■7' (idual Well CHARACTERISTICS: ;feet.Maximum depth of lot feet.Water frontage issquare feet.Lot Area is tz.r- 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 wlay.... Side yard is Structure will be located feet ,2.0,It!.feet.feet — from road right of way is//.AJ feet.and ! 1iLj....feet from septic tank (Sewage System Permit must be obtained before installation). ...feet from soil absorption system (Sewage System Permit must be obtained before installation)....Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. —;s.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. / .'-Sjr-rDated ShorelancffVlanagement Official■/,/ VPermit Fee $.Receipt No./ I :■; I : i I j(. OUA--' Comments:L--f 4/ Iff PLJT — J -4. r W 4 > II Form No. MKL-0286-019 229971@ VICTOR CUNOEEN CO.. PRINTERS. FERGUS FALLS. MINN. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS jr MINIMUM Shall Be 4.Sq. Ft, Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft.Ft. T /iZo-i 5oBuilding Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. /S JBuilding Set Back from Street or Road Ft.40 Ft. ^Wo^Ft.Side Yard & Ft. ok.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_____________(a- T Ft.3 Ft. i Inspector's Comments: Inspector's Signature /m I >'^ Title -IInspection Da^y/- /r-19 S’*? v iV' /'■■■Agency ‘ir--. --T. •T 1VICT0II umecc* « e« . ria«ua rM.Li. itiaii.I i ■ -X T, - r:: D □D Q 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 fink — Assessor od — ,Inspector•V-; 13 Permit/Wo..LEGAL Date.DESCRIPTION . AND LOCATION pQ r ki^io-/ *•/ 3s L'^i'TTPi v\A yy\ TWP NameLake No.Lake Name Lake Classif.Sec.TWP Range IPENTIFiCATION; Please Print AH Information Tel. No.Last Name First Initial IVIailing Address— No. Street. City and State_______pit I F , /j/ly) ■Zip No. Fre JJ^Uf^f\j5iss LOwner NameContractor Architect Name. £ TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) New Building ( l^-^fTteration ( .) One Family Dwelling . ( ) Multiple Dwelling i .BoaT I Mother Specify:. Units ■ ( ) Other Size A) (omit cents)ESTIMATED COST OF IMPROVEMENT $ TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME:DIMENSIONS: f\y (1 y\ -Q.Basement: ( ) Yes ( lM^To Stories above basement: Sq. feet (outside dimension) Bedroorhs ( ) Masonry (L^'1/Vood Frame ( ) Structural Steel ( ) Other — Specify ( I Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public I Bathsjo ^ ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central HEATING: ( ) Electric ( ) Coal Other: Type of Roof: (_ q ^((■ ) Gas ( i-)''^ne ( ) Oil iKNo( { ) Unit100^CHARACTERISTICS: 6 O DLMA..Q.Lot Area is square feet.Water frontage is . feet. (Building Line) .feet feet.■/ .^.0.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. >T 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. Y11 Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. I 3 , /f 7 ^Dated. Tgnature of Owoct 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: iji_h_2A iflDated7/Shoreland Mdir^ment Official No TO 9TOPermit Fee S 1) - 0 0 State Surcharge $. Comments! Form No. MKL-0771-002 victoa lumoecn « CO.. aaiHTERi. reflcuj rm.L8, ,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 — OwnerAssesso ' ^Inspector (yj 0 CcufA Permit No..LEGAL Date,DESCRIPTION I AND LOCATION TWP NameLake Classif.Sec.TWP RangeLake No.Lake Name IDENTIFICATION: Please Print All Information Mailing Address— No. Street. City and State Tel. No.Initial Zip No.FirstLast Name Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling ( ) Multiple Dwelling ( ) Other ( ) New Building ( ) Alteration Specify:. Units ( ) Other Size / nESTIMATED 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 ( ) NoType of Roof:( ) 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; gateChRTlF' Form No. MKL-0771-002 VICTO* LUHftCCN A CO.. PlIHUKt. rtH«US rM.LS. HIMN 158899 INSPECTOR'S CHECK LIST Make all measurements and computations \ ACTUAL IS I MINIMUM Shall Be I Sq. Ft Lot Area (Square feet)Sq. Ft.Sq. Ft. Ft.Ft.Water Frontage 'TTi 0 Ft.Building Set Back from High Water Mark Ft. 50 Ft.Ft.Building Set Back from State Highway 40 Ft.Building Set Back from Street or Road Ft. &Ft.jSt Ft.Side Yard Rear Yard Ft.Ft. 10 Ft.Occupied Building to Septic Tank Ft. Occupied Building to Absorption System Ft. 20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: -W 7 r h c j \ \ K \Inspei^or s Sigr|Bti|re\ Title Inspection Dated 19 Agency VICTOK UIHOItN * CO . r