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Home My WebLink About46000080053900_Variances_10-09-1997Variances 2 Barcode 128 to '9 ■ 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 * «- * Application Fee Receipt Number ^Cf 4 PROPERTY OWNER DAYTIME PHONE yZr- I 3^0 <OTT£>i 77) iL ^rrtr^TAiLADDRESS <soLAKE NUMBER gL ~ 3 W LAKE CLASS OtVEl^ Th)L LAKE NAME liH RANGE 3^SECTION TOWNSHIP TOWNSHIP NAME (jl^NUMBE^R LAKE I.D. NUMBER ^3 LEGAL DESCRIPTIONUJ ' of f, 3>o^ <7 •-<-3 77 'of ^ SSS ^V/Vcr of /icno (His DOt>6^<^S^ £>(=■ /3£)i^0 ( ^Cs S oo 53^1io f L^ T =7 TYPE OF VARIANCE REQUESTED (Please Check) Structure Setback Structure Size___Sewage System Subdivision Cluster Misc. SPECIFY VARIANCE REQUESTED 6ull<:^ ct 3(d Y. jioic Aui/c/fH^, loT /me ip pe/tMif HLc use o( pytsent Inouge (hcv.i~ co/i-(^ cleov'ayice . -f huifji^a loouIA he J ill loco -(uhiir& t'Cvytooal O'f M{nt\yte\! 7ree r€i/uicPa Ij siil/ c^Kcco 9,7' Ci/,'ne^ c 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. ff SIGNATURE OF PROPERTY oW\i^ V/^? /?7 DATE scak;::.APPLICANT MUST BE PRESENT AT THE HEARI (Applicant Will Receive Notification As To The Date/Time Of Hearing) Stc 8 SO-ooo 5l~<^oo 6^000 Sji'O:)/ S3-9^ - d?0/ doLh SS -^oo S<£> '000 S'?-coo -ooo -ooo 9CHC) ^ANCH- Rii? sth- A O?^^ /6 ' a- J3 9/^ s^/1 'lOAfECH-O KAi^CH' /?/ uietdiA S</~ ^// N eem e AJAf^&s <fno V7/ V7A V73d4^ ^ISdUi^ / •7/y 7/s- \gzdhb 7/^ ^ ^hbh?Accepted By Land & Resource L & R Official/Date Date Of Hearing Time Motion Chairman/Otter Tail County Board of Adjustment Permit(s) required from Land & Resource Management _____Yes (Contact Land & Resource Management) No Copy of Application Mailed to Applicant And the MN DNR L R Official/Date bk 0797-001 267,383 • Viclof Lundeen^to,, Pdmars^ Ferous Fells, Midnasola GRID PLOT PUN .feet SKETCHING FORML__grid(s) equals ^ feet, or.Scale:.inch(es) equals•-i ’ 1!':■ ! t • f' i ^. l<1 ■ 1 ., 19 ■Dated:tSi|0rMrur« -i;-Please sketch your lot mdicating setbacks from road right-of-way, lake, sideyard and septic tank and drain- field for each building currently on lof and any proposed structures. . ______________IS‘f' . i U. . ;! r&i■'I i 1• t ► t .l1 ' t 1 ! t: ii:1;i ft'i:';;;i ( r ; • i i ;:1: -ii8 t r:I j1ii i ;I i1 1i 1 I i■I I f -I t 4.4. t '.1J!/p11iI f lli; Iit!»; House.;;i 4 ;i •"fi I IVT'*- I\ t 3 :\}.h [•■! IQQ ii r ^ i 111 : 3»oiItt“t •ifi ,1 1 ! El k.i—, . .\ If -------~"I- ';.. Refill.-+1T<ikk4 u -4. -i : , - . 1i t 1 /fl Tr»*»* pr^p^riy llr%t I - !• +-1 !t.r.• i4- • t t tI; i :114 a.. tf fi :;; ' r ♦ -+!1-:I' j! ylli ; I; N^rwhce £«^«e5+ -♦ -!1 i ■i-! 4 -1 - i- ■ I tft/yia.^■4 Jp»lt j4-"4^ , <3 ... I 1; I ( .1 ^ ; . . ^,. : f . ‘ t !! -fi 1.1 fSIuEl'*..1 .1;ff1■4s!•II•:•I- ^ 4i4 t'••r ■T' ' pr*p«r+f !<)>••►-4.-* i. i.4—f . 4ri'-■h- f !j 4 1.I--■i •i-* *'f" * *. T 'f f ! T'1‘J J. ^. -i--4 ♦- ^ . J 1 ,-i : j 1-4.4---------------u-I—ULl 4u:,n it4 . ;i -.;t ' •* f 1 . n;: i: I r::tit< • «1.'.n !• ' •!♦U- i k fi-i i.i ‘ *t- i i 1 I nijt M I r filH'ii !i-t:: ;f.i:t:f-+Ift :It1 : i i 1 ) . i;J|!f; : 1 i. ! ;i- L.*f t;i i.■*■?N ' • ! i 11 J: :i!! -T:' ’ (■;<i : . 1 -fl-fiM i i 44 *>. 4 ■I ) t(li;i±if‘. i i f 1 ii - 4_ -♦i I tt 1:: 1 . ;-1 it;: -M411 t-' ^' fU ; . . . ♦ ■ -4- ; . 1r ftt'1;jAi , . f.. . iU-UE±t- ■i.J.'.4 J r t it .• 4 t : » H 1 ■ I 4 i;4 i (■4-4nt 4 IH•1 *V f • 1rf-ini-;J !I• ;•t4--V ftiii I, 1 , i.l u.;.J f rt;4. - f 1:::t \\mi '' U ' i Hi4 ; f mHf • VIMr IwiMmC*. Mmm '• NifM MlMKL —0671—029 .14 4 i -f; 1 i i.i i i! • ' • H * I't ■f» i ; , AAPPLBCATBON POR SITE'PERBUIIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE ■ Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WHITE ■ Office GOLDENROD - Inspector YELLOW - Owner PINK ■ Assessor Ly ^2 of Permit No. ^hJ77' irf C Z- J L Jf5''LEGAL DESCRIPTION r tj 7 7 « I$BLUFF ZONE XAND □ YESLOCATION RANGELAKE/RIVER CLASS SECTION TWP NO.TWP NAMELAKE NUMBER LAKE/RIVER NAME ^ /5f'O^^rT^: !a-b GRADING / FILLINGJTyes FIRE NUMBERPARCEL NUMBER (S) » OF CUBIC YARDS 5-3□ NO U^di/i <- IDENTIFICATION: Please Print All Information Mailing Address — No. Street, City, State, and^p Code TELEPHONE NO. Initial (Daytime)FirstLast Name f?R I 0^ J5 <7Propecty^* Contractor T •-Name ‘0 \ Slate Lie. # ;-’v: ONSITE WATER SUPPLY ^ Individual ( ) Public (,) None NOTE: MN Rules Chpt. 4725 (MN Welt Code) requires a^3' (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM PROPOSED USE (^Dwelling ^^on-Dwetling ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT New Structure(s) . (-) Addition(s) ''■‘''(•A) MH/RV ______________ • \( ) individual Permit 9, { ■) Collector Permit #_ ^OTLSD *weYEAR f-. CHARACTERISTICS OF NON-D\ivELLING (^^tility Structure » rCHARACTERISTICS OF DWELLING ^^rffbwelling ** ( ■) Addition to Dwelling (■) Basement ( ) Walkout Basement Outside Dimension CHARACTERiSTICS OF.WOAS1/ ( ) Screen Porch(.) Garage ( ) Boathouse ( ) Gazebo ( ) Utility Structure( ) Other Outside Dimension 3 Fl « ^ ^ ( ) Other_____ Outside Dimension____ Lotline Setbai^s OHWL Setback. Maximum Height /10 ft. (1 story) .Ft. ^5-x4q., „Loliine Setbacks .iFt. .:_FI- X,,Ft. >5Ft. 4 ./^,^Fi: Lotline Setbacks Ft.QHWLSetback'. (IIYes'/.a.comptying-SewagaSystem Required). Maximum Helom Ft. story. ^ Ft. 4 Ft. OHWL Setback V ’ * V ..r- Ft.■j FI. . Total Bedrooms * r^r-ItiJaxfmurTri^lght / 35 Ft. (2 story) ' I Ac f-c S rFLLot Area Sq. Ft. Impervious Surface Impervious Surface Ratio 3Ft. Elevation of lowest floor above OHWLWater Frontage..Ft. (3’ minimum)■; o - Sl.__________Ft. Slope of lot .Ft. (10’minirnum) (Sewage System Permit required before installation)! Structure setback to right-of-way.%I oStructure setback to septic tank .Ft. (20'minimum) (Sewage System Permit required before installation). .Ft. (tO’minimum) (Sewage System Permit required before installation). Dwelling setback to Soil Absorption System /Z>Non dwelling setback to Soil Absorption System 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 fortt* and according to (he 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'Ordinance 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. ♦ This permit is only valid after verification from the O. T.L.SD. that a confofffmg sewage system will be totalled to service this lot... Contact Rollie Mann at 864-5533. ' r. ■ [ ■: /Dated: Signature o! Owner Dated:\ Land i Resource Management Office5-^3-PERMIT FEE $RECEIPT NO. Comments: \I?.« ,"1■;'4 Form No. BK — 05S7-002 2B7.G65 • ViClDt lunottn Co . P'.nKit • (arBut Filli, MN • l-SOO-346'4e70 APPLICATION FOR GRADE & FILL 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 Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NAMERANGESECTIONTWP. NO.LAKE/RIVER CLASSlAKE/RIVER NAMELAKE/RIVER # Of^rTl/J15^ 3967D^ r-:h^ I / PROPERTY (E-911) ADDRESSPARCEL NUMBER(S) Co - iHVLf iDon OR g 900 LEGAL DESCRIPTION \AJ ibH ' />/■ g I I I DAYTIME Phone No.First InitialLast Name ~ToA/)SoA/cocJ 2 NOTES: 1. Tp^^tlin\inhd project area(s)ymi3f^^iaked. t 2. If prefect disturbs more JJafi ^ land yo<4y#* A\\w^J are required to obtain a^^neral Storm H/^erCp^ *" ” Permit from the MPCA. ( VjJ\ ^ Property Owner Contractor Name 7?/- /‘f^0 ,Ui ESOU^'H L&R Aitial PROJECT REQUEST (You DESCRIBE YOUR PROJE T T7 I 7 7/f 5 7^ ■ DETAILED INFORMATION: AREA TO BE CUT/EXCAVATED:Yds^Ft. X Ft. X Ft. - 27 = Length Width Ave. Depth Yds^WALK-OUT BASEMENT PROJECTS; (Outside of the building foundation) Ft. X Ft. X Ft. - 27 = Length Width Ave. Depth /6~0 Ft. X Ft. X ■» Ft. - 27 = Ave. Depth ^ Yds^AREA TO BE FILLED/LEVELED: ,2.1 !r K /oo K VPiP ' TOTAL EARTHMOVING REQUESTED =Yds^ Length Width /' BACKFILL AT FOUNDATION;Ft.Ft. Max. Depth Distance From Foundation CULVERT;If Yes, must indicate size and location on drawing. Yes No IMPERVIOUS SURFACE;% /Vr 3 IM^^h'*L.' SIGNATURE OF P^PERTVVOWNER/AGENT FOR OWNER RECEIPT NUMBER BK062011 The scale drawing must be a signed drawing which includes and identifies a graphic scale (feet), all existing and/or proposed structures, septic tanks, , drainfields, lotlines, road right-of-ways, easements, OHWLs, wells, wetlands, topographic features (i.e. bluffs), and onsite impervious surface calculations. // Scale r,ihJ i' Jh -X) > V\ I 1 ■i ^^0( A If'* tv*» /^r‘/i?o X ------------( tx/T 345 195 • Victof Lundeen Co Ptmters • Fergus Foils, MN • 1800-346-4870BK — 0209 APPLICATION FOR SITE PERMITWHITE - Office QOLDENROD - 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 i Permit No. V/<y iPLEASE PRINT OR TYPE ALL INFORMATION 1 TWP NAMERANGETWP NO.SECTIONLAKE/RIVER CLASSLAKE/RIVER NAMELAKE / RIVER NO. zlZ^/0 7rs/^r/1iLorr^j^r/UL i \PROPERTY (E-911) ADDRESSPARCEL NUMBER (S)1 ‘~ih 7!ou a OS'3 9 oc> LEGAL DESCRIPTION / ' <-:/C S B-y ' c-/ CQf 2, Daytime Phone No.Mailing AddressFirst InitialLast Name 7 7^-0 7Property Owner v/L^j o/'-' , y /c<J,-7/■—/ i Contractor Name Lie.# PROPOSED PROJECT (please circle the appropriate number) (2) Add'n to Dwelling ( 5) RCU/Year______ (7) Add’n To Non-Dwelling ( 8) Storage Structure (10 ) Non-Conf. Replacement (identify)___________ (11) Other (identify)_________________________ •Existing Dwelling to be removed prior to__________ ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY (x) Individual ( ) Public ( ) Noner- NOTE: MN Rules Chpt, 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. (3) ‘Replacement Dwelling (6) Attached / Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4) MHA'R_____( ) Permit No. (y4 OTWMD 'Musi have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rollie Mann at 218-864-5533 CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension / Ft. x. / CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension 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 ________ Total Bedrooms________ Maximum Proposed Height Roof Change ( ) Yes ( ) No Basement ( ) Yes ( ) No Walkout Basement ( ) Yes (side profile required) ( ) No Ft."Ft."Ft. X Ft. X Ft." Sq. Ft. Setback to Lotline Ft. & 7o f' Ft.” Setback to Right of Way ■ Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level 7 Setback to Septic Tank / *-1 f Ft. Setback to Drainfield ■'-7 A Ft. Setback to Bluff Maximum Proposed Height 7 Ft. Roof Change ( ) Yes ( '‘) No 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/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft."Ft.& Ft.&Ft.**Ft.Ft.**^Ft."Ft.7 O Ft. Ft.Ft. Ft.Ft. Ft.Ft. Ft.jFt. Ft.Ft.\ Ft.\ft. ( ) Screen Porch • ( ) Storage Structure, * Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovina □ None □ 300 Cubic Yards or More*□ 21 Cubic Yards - 299 Cubic Yards*□ 20 Cubic Yards or Less * CHARACTERISTICS OF LOT: 7Sq. Ft.Bluff ( ) Yes ( . ) No.Ft.Water Frontage / xLot Area. Impervious Surface Ratio:X100 =.%Impenrious Surface RatioTotal Impervious Surface Onsite (FT4 Total Lot Area (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 con dition 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 buiiding footings have been constructed. Date: Signature of Property Owner / Agent for Owner ./7 f7.x/(0 PROJECT(S) TOTAL SQ. FT. Date; Land & Resource Management OfficePERMIT FEE $ /CY .7Z7ai RECEIPT NO. Comments: ^SCANNED Form No. BK — 1003-0407 329.582 • Victor Lundeen Co.. Printers • Fergus Falls, Minnesota SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations T Structure Set Back from Ordinary High Water Level Ft.Ft. Structure Set Back from Top of Bluff Ft.Ft. _ -V I f Ft. & Structure Set Back from Road Right of Way Ft.Ft. Structure Set Back from Lot Lines Ft.Ft.&Ft. Structure Height Ft. Ft.(2^ ' (s.0Structure Set Back from Septic Tank Ft.Ft. Structure Set Back from Drainfield Ft.Ft.looElevation Of Lowest Floor Above Ordinary High Water Level 3'Ft.Ft. Land Slope at Building Site % % I ^ ta\rtInspector’s Comments / Sketch: / fr T h Inspector's Signature J'2r-I0 Date of Inspection yv Time of Inspection >0 -f~LyProject Approved Date / Initial 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 WHITE - Office QOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NAMERANGETWP NO.SECTIONLAKE/RIVER CLASSLAKE/RIVER NAMELAKE / RIVER NO. orr^^rA/L o rrs^r/fiLPROPERTY (E-911) ADDRESSPARCEL NUMBER (S) Cjo /H(o OOOOrf* Oco^J 9 OQ LEGAL DESCRIPTION Sirs' / ' Last Name Daytime Ph<^ Nj>.Mailing AddressInitialFirst /^us. ^_________________7 - Property Owner Contractor Name Lic.« PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add'n to Dwelling (5) RCU/Year______ (7) Add’n To Non-Dwelling Storage Structure (10) Non-Cont. Replacement (identity)___________ (11) Other (identity)_________________________ 'Existing Dwelling to be removed prior to__________ ONSITE WATER SUPPLY ^^4jpdividual ( ) Public ( ) None NOTE; MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM ( ) Permit No. (>^0TWMD ‘Must have Sewage System Approval ' from OTWMD prior to issuing Site Permit Contact Roilie Mann at 218-864-5533 (3) 'Replacement Dwelling ( 6) Attached / Detached Garage (9)W.0.A.S. (1 ) New Dwelling (4 ) MH/YR_____ OWARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension Sq. Ft. Setback to Lotline Ft. & Ft." Setback to Right of Way /C?0/- Ft." Setback to Ordinary High Water Level Ft. Elevation Above Ordinary High Water Level _____ Setback to Septic Tank /Of' Ft. Setback to Drainfield /Of" Ft. Setback to Bluff Maximum Proposed Height Roof Change ( )Yes CT^o Bathroom Proposed ( ) Yes No CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside &mension___Sq. Ft. \ Setback to LoHine ___ Setback to Rigtmof Way Setback to Ordinar^igh Water Lp^l ___ Elevation Above OrdiiW HiopWater Level Setback to Septic Tank Setback to Drainfield/ \ Setback to Bluff /______K Total Bedroojps_________ N Maximum/froposed Height_____ Roof^ange ( ) Yes ( ) No Bp^ement ( ) Yes ( ) No -Walkout Basement ( ) Yes (side profile requir}d) { ) No ZS^Ft./al Outside \ DimensionFt."Ft. X Ft."Ft. X Sq. Ft. \ Setback to LotlinX Setback to Right of Way Setback to Ordinary Hi^Watm/Cevel __ Elevation Above Ordinary ^h Water Level Setback to Septic Tan Setback to Drainfjpra____ Setback to BIpff_______ Maximum Proposed Height ( ) Boatnouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / inspection Ft."Ft.& Ft."Ft.& Ft."Ft. Ft.Ft. Ft.Ft. Ft.Ft. ■t. Ft.Ft. Ft.Ft. ( ) Screen Porch \ ( ) Storage Structur ' Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovinq >^None □ 20 Cubic Yards or Less ' CHARACTERISTICS OF LOT: □ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More* /S~V2-^S’S AottM.Bluff ( ) Yes (_;><NoWater Frontage .Ft.Lot Area. 1.Impervious Surface Ratio:X100 =.%Impenrious Surface RatioTotal Lot Area (FTf)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 con dition 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 L'bnd & Resource Managemer^office once the building footings have been constructed. /a- ?/r.o -StorCiDate: ler \Date: Land & Resource Management Office J4/39S-0.O RECEIPT NO.PERMIT FEE $PROJECT(S) TOTAL SQ. FT.. Comments: z Form No. BK — 1003-0407 329,582 ■ Victor Lundeen Co.. Printers • Fergus Falls. Minnesota diD 5KETCHlNt5FDRM: \j-GtL 1 I j. ,. i ; .L J : : j,.; I'!ieeee :L o!'! .-fr:i!I .1L.i r :i-MI •-:i19Dated: - t ) jpiBisdMl<StcfiiiiMJi^iriatpStl&^^tbidkkfii>hiroatlright-df:^v^ay}lkk^Md6\^iktd^^ field fot each building curreptl]^ pn |o/ dhd ^hy propi^sed structures. j J i J i I I - N : I i .j E- j ' ' - i i : ' ! ‘ r : H -L- 4i . “ I ■■ ...............i 1: : ; M-,i J I-i 1 :H-ii -i rrii J !.!--1 4 J-Ii!7^74 1 fi-j-t .J J..1 I 11J.J ■ lli41-'^-i I•4-cfprr-r. j. J 1--i■t 1 1'+'”'rI ■Iii i...' T I ! : ! -L 1 .1 ; i- t .J :!i I :fii--4!:t !i-: .] 4 L.J I-i-[e —Iii i 4 1.i-..t J.i■t i-1r :r•H lltri IIit-•4 i.I B ^ !J t-4..!-1-J-i:.t.4- ^;•iJ.V;.;V4.4--I- PR-j-^J-4. “T4 r-^4;J i r--i!I '■»-.-1 - MpP.4It i i j._.J.4 1-4. 1i 4!i flt1-i'!I . - L.if ;t(•‘ J-u^. iiJ '1 ,-L -i.1..-4!-r htri.1 tI ;: 11 k iP\-h:1 L 4 4*;!■-I- 1-—" -Po-1 1 Tt-•f !-'f-T “ r'-T1 :i. 4 —]-tI I fi!4-;it f-4 :n4- ■i ■ ' -!- !*• liili a..i 4r■j ^4-1 ;j ..J... 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Nu■■I •f-4 .J._4-115t '* 44.:!II Hi.• 1 ■ 1i!1 -i 1-i !4-;i - i i:!I■I,i iI4-44-!t r I 1-4 11-i i 1i f>4i IJ 441i -H1 J.i —L_i..i-;. } I I J iI+i.■ p44 1 I L4-4..4 414■;i \i:{■-I ytm '?::'!'44";":" '4|; .4.4 JL J..4 i.. : __i- i Pi ,_11 i4jP:. 3il!4 1 r i I.,- i mmI:; 1!p;tI-i4 •S*-!!4-4-iI-I1 rr:!!I iupa^icarpjrmin ]•Fljli. as -i l-BDpS^OpBTI)V.:i \ls\i: MiO.- Od7l-D2i9 !!st.p vW»,;i!L\ " • APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTHOUSE Phone: (218) 739;2a?r^ FERGUS FAU^^MN 56537 WHITE - Office GOLDENROD - Inspector YELLOW - Owner PINK -^Assessor OTTER TAIL COUNTY I 53 \ - J I Jf/ Permit No.LEGAL LJ7 7DESCRIPTION BLUFF ZONEAND□ YES ~^NOLOCATION TOP NO.•seeneNLAKE/RIVER CLASS 1LAKE/RIVEH NAMELAKE NUMBER /SY 0-H-trT^' I 1‘D iMFIRE NUMBERGRADING / FILLING )a^YES □ NO TA^{JL(/i 5"^ PARCEL NUMBER (S)I # OF CUBIC YARDS \J O o *- i3 K TELEPHONE NO.IDENTIFICATION: Please Print All Information Mailing Address — No. Street, City, State, and Zip Code (Daytime)First InitialLast Name ^2(0 liy t<!f< I 13^1^ J5 0Property Owner ^CLyHCy ■h Sj'l 2 ■ -■yNameContractor State Lie. # 1ONSITE SEWAGE TREATMENT SYSTEM ( ) Individual Permit #_ ( ) Collector Permit #_____ ^OTLSD * ONSITE WATER SUPPLY ^ Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. PROPOSED USE ^Dwelling ^^on-Dwelling ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT (j>) New Structure(s) ( )Addltlon(s) ( )MH/RV____________ -3) YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING (^^tlllty Structure CHARACTERISTICS OF DWELLING ( ) Screen Porch( ) Boathouse( ) Garage_i«;fbwelling /( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside Dimension •A ( ) Gazebo ( ) Utility Structure( ) Other Outside Dimension \y,3 ^ Ft. X ^ ^ 7^ Ft. & / ^ ( )Other, Outside Dimension .Ft. JO Ft.k_7_0- .Ft.Lotline Setbacks Ft. X .Ft. .Ft.Lotline Setbacks .Ft.OHWL Setback Ft,&.Ft.Lotline Setbacks { )Yes (^No (If Yes / a comolvtncrSewage Syslei^eauired) Maximum Height .Ft.OHWL Setback Bathroom; 2..Ft.OHWL Setback Total Bedrooms ^ story78Maximum Height / 35 Ft. (2 y Maximum Height /10 ft. (1 story)Ft., Sq. Ft. Impervious Surfa^^^^s* Ft. Impervious Surface RatioLoLArea 3 .Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage .Ft. Slope of lot .%Structure se'.back to right-of-way. ) o .Ft. (10'minimum) (Sewage System Permit required before installation).Structure setback to septic tank Ft. (20'minimum) (Sewage System Permit required before installation). Ft. (10’minimum) (Sewage System Permit required before installation). Dwelling setback to Soil Absorption System 7(0Non dwelling setback to Soil Absorption System THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: 1 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, 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, employees and workmen shall conform in all respects to the Ordinance 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. * This permit is only valid after verification from the O.T.L.SD. that a conforming sewage system will be irjstalled to service this lot... Contact Rollie Mann at 864-5533. Dated: Signature of Owner Dated: Land S Resource Management Office ■ u lAlRECEIPT NO.PERMIT FEE $ Comments: •f t I I r- Form No. BK — 0597-002 287.685 • Victor Lundeert Co . Printers • Fergus Fells. MN • 1-800-346-4870 * •• « INSPECTION RESULTS 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. rn Cfjyfx Structure Set Back from Absorption System Ft.Ft. /Elevation Of Lowest Floor Above Ordinary High Water Level___________________3 Ft.Ft. fhi-Land Slope at Building Line %% i (3.L XInspector’s Comments / Sketch: ■ Uk - '^i c y { \0 o \l \ j. I Inspector’s Signature c,o eo 1 Date of Inspection Time of Inspection 1APPLICATION 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 T7T7^hJ?7'<r/’ C a-f Y~e-t Z Ly ^ ^1^1? J I JfS-' • . / I S3Permit No.LEGAL « IDESCRIPTION BLUFF ZONEAND□ YESLOCATION RANGESECTIONTWP NO.TWP NAMELAKE/RIVER CLASSLAKE/RIVER NAMELAKE NUMBER sr' /sy ^ r Te<.. !<?/) GRADING / FILLINGIsTyes □ NO FIRE NUMBERPARCEL NUMBER (S) # OF CUBIC YARDS 53 L4A 0> U TELEPHONE NO.IDENTIFICATION: Please Print All Information 0Mailing Address — No. Street, City, State, andzip Code (Daytime)First InitialLast Name I 13 S c)Property Owner 5^ST7/ NameContractor State Lie. It ONSITE WATER SUPPLY p4 Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM PROPOSED USE (^Dwelling ^^on-Dwelling ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT New Structure(s) ( ) Addition(s) ( )MH/RV____________ ( ) Individual Permit # ( ) Collector Permit #. ^OTLSD *YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING (^^^tility Structure CHARACTERISTICS OF DWELLING J^fbwelling ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside Dimension ( ) Boathouse ( ) Screen Porch( ) Garage ( ) Gazebo ( ) Utility Structure( ) Other Outside Dimension 3 h Ft X ^ ^ .Ft.( )Other, Outside Dimension /O Ft. & /^ / ^ Ft.Lotline Setbacks .Ft.&.Ft. X .Ft. .Ft.Lotline Setbacks .Ft.OHWL Setback Lotline Setbacks ,Ft.&.Ft. 23 ()^No.Ft.OHWL Setback Bathroom: ( ) Yes (If Yes / a comptyTi OHWL Setback .Ft.System Required)Total Bedrooms :imum Height / 35 Ft. (2 story^y Maximum Height /10 ft. (1 story)Ft.,Maximum Hei story Sq. Ft. Impervious Surface -<*^ t-c s Ft. Impervious Surface RatioLot Area .Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage .Ft. Slope of lot .%Structure setback to right-of-way I O Ft. (10'minimum) (Sewage System Permit required before instaliation).Structure setback to septic tank Ft. (20’minimum) (Sewage System Permit required before installation).Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System /D Ft. (10’minimum) (Sewage System Permit required before installation). 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 Ordinance 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 buiiding footings have been constructed. * This permit is only valid after verification from the O. T.L.SD. that a confopnmg sewage system will be installed to service this lot... Contact Rollie Mann at 864-5533. Dated: Signature of Owner Dated: Sd-Land & Resource Management Office /2 CPERMIT FEE $RECEIPT NO. Comments: ^SCAHm Form No. BK — 0597-002 287.665 * Victor Lundeen Co . Primers • Fergus Fells. MN ■ 1-800-346-4B7C GRID PLOT PLAN feet SKETCHING FORMScale: ' / ' aridfst equals ^ feet, or inch(es) equals , 19 °i 'l .uy.Dated: Signature Please sketch your lot indicating setbacks from road right-of-way, lake, sideyard and septic tank and drain- field for each building currently on lot and any proposed structures. , /s-v-' § t -^1 ; H0US£. -Vo'-IV |Q^■frcnn^ luve e.'f \U(4ir(cince Pule II tI IZ.* -fruKvv prtperiy line O7 IV C* Co, iMKL — 0871 — 029 281.949 ♦ Victor Lundeen Co., Printers ♦ Fergus Falls. MN • 1-800-346-4870 Original Owner Yellow - County Atty. Pink - LRO VIOLATION 3063 Name cr ' it 3 / // / ^ sE/a:cH. r/^A^^6i/ J f?/^-1 Address. City/State/Zip. Lake No. 56-.Z'^ / / L.Lake Name_ U Ocir' uParcel No.(S- ' 6> ^ Oa 2.•y / y<^ Cs^Legal Description_U./_______________________________f J L ^ i You are hereby notified that you have violated the Shoreland Management Ordinance of Otter Tail County, Minnesota pur suant to MINN. STATUTES CHAPT. 394 AND SEC. 103F.201 THROUGH 103F.221. The nature of the violation is as follows: .7, sy' /? ij /- A ''l p) C c. A^ i J j^cY I 37/^‘t^ <-7 L fi { S//i.oj /t--' 6 f A C Lf ) (j yy /- u 4^ y C y./ ic / v ^ 6-/ C jr"- ' -y // L, ! ) Jr-i IL i You MUST CONTACT the Land & Resource Management Office, Government Services Center, West Fir Ave., Fergus Falls, ^ ^-^7- /: y This violation may be referred to the Otter Tail CountyMinnesota on or before Attorney’s Office for legal action.r/ 5Cr^ o'/S«DOffice Hours: 9:00 A.M. to 5:00 PM. Monday through Friday Phone: 218-998-8095 DATED: ------- . Land & Resource Managemejjl/dfficialBK 0706-001 326,779 • Victor Lundeen Co., Printers, Fergus Falls. MN STATE OF MINNESOTA ) )ss. AFFIDAVIT OF SERVICE BY MAIL COUNTY OF OTTER TAIL) Val Walvatne, of the City of Fergus Falls, County of Otter Tail, in the State of Minnesota, being duly sworn, says that on the iT** day of September, 2009, she served the annexed: VIOLATION NO. 3063 On the following person, by mailing a copy thereof, enclosed in an envelope, postage prepaid, and by depositing same in the post office at Fergus Falls, Minnesota, directed to said person at the following address: NANCY JOHNSON 23203 BIRCHWOOD ESTATES RD FERGUS FALLS MN 56537 Val Walvatne Land & Resource Management Official Subscribed and sworn to before me this 11™ day of September, 2008 Notary P My Commission Expires January 31, 2010 AMY JO MARK|Notary Public-State of Minnesota My Commission Expires January 31,2010 SCANNEDFomiLtrs-CertriieaMalHBSWy & FILE MEMO & noO OB nnPARCEL # LAKE OR RIVER NAME & NO.7 ♦ ♦ ♦ ♦ ♦♦ ♦♦♦♦♦♦ ♦♦♦♦♦♦ ♦♦♦♦♦♦♦♦♦♦♦ Date L&R Official f Ir'knSo^ Cb/i /A/-jfznMrrAction/Comments IJUa^ b) /14P^/ /u^ o/;-7 S/br -br^ UJ^^ ^ ___________^ C'VU' o b>/r/ A/A5>A hj blt.E^ b/f. /b/lU' f^j/^ '^<bb Z'- .jL//p M/2-S- bofu'rSxS/^f fldtS ^ iJ/ofkbi'or? __ bfb A /y>-/ r /^c<J'^ / //j^K kfb A /^dAj^^^u al/sa /ucd SU’ UJ^CULb ^iufi ^ i^'bc h±LYl ’?C’V 7 4.Alt/ / btr-A Aw<-<AiA A 3Ujj-fubA /A AAction/Comments /? j/yi/yLr^jb^A. c_^__________ A /!/)/'//( kl_ ^C^Jb <^'//^-<j 4P/li^7/ )h-7y /7)~J\jp^J' ^ ^___ b') hjp pf/Z. /b/ZY/ ^ li^nScr^T^ 4bi--b/b ^bt/ J /Z Jyym^y -7/^ ^ Pthn J y-AL/L^.1 AA/ (b>/y:>/l lb -/bfc^ bD .A/cJr 3/A /uAOL(^u1 Ay-Zv. /7 r.'(,( ) ,rjjy/.c/A Zkijy4/L(£L - A a^ Cs^ /vt£7 rbo/LT '/zy uJ-i cy>r-(A^/ b/O /’yy]/ x/ .^bcb bfx 114<^i, /(■' (ui'^y 71 bfb mz M H Pin bZaJ A I'LJyjb TC'iKuu \/:nM 7^: ^zAlaaj//-<-L-'U> ^7'-}(3 LbiAol HA.L&R OfficialDate V )n ///Action/Comments.<X^Izy(7 7 AX7T' sew L/^ /A.L&R OfficialDate Action/Comments__ iSc"'. ytfiD. 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