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Home My WebLink AboutBells Resort_56000040016000_Shoreland Permits_OTTER TAIL COUNTY Grade & Fill Permit #ns jsaaa PROPERTY OWNER LAKE NO. SEC. M TWP. NAME_sW_U?C^w________ LEGAL DESCRIPTION: Tr v A-/ g“ o4- U S (^.Oo • WORK authorized "^«.^CxVV av-ov,.v^4 <^Vpvyvj> 4r<> f ^o<rV\r^ s V<A\. SpJ‘v-V^ Ot»wVow»^S«A-Ts Vvk<^«^^ 4tq ifvvs^ OiUw^ CnWt*^Vj^’wv . f awTvxv 'v*^ .Vv/'^ AtQ C «V v*«4*^ NOTE; This card shall be placed in a conspicuous place not more than 4 feet ^bove grade on the premises on which w4)rk is to be done, & shall be maintained there until completion of such work. NOTIFY LAND & RESOURCE MANAGEMENT, 218-998-8095 WHEN AUTHORIZED WORK HAS BEEN COMPLETED. & /2--K0 \1. EARTHMOVING SHALL BE DONE BETWEEN 2. Entire area shall be stabilized within 10 days of completion of any eafthmovihg. 3. Owner is legally responsible for all surface water drainage that may occur ij . .4. No fill shall enter or be taken from the be^s of public water without a valid perrnit from the MN Department of Natural Resources. 5. If the terms of this permit are violated, the entire permit may be revoked and the owner may be subject to legal prosecution. 6. Erosion control measures must be implemented prior to any topographical alterations. 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 i 5-4 YTLPermit No.PLEASE PRINT OR TYPE ALL INFORMATION LAKE/RIVER #LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP. NO.RANGE TWP NAME S'4-395'<50 I3S V/smi 0))!£ PARCEL NUMBER(S) PROPERTY (E-911) ADDRESS Ct>boU ODIU OOt^ LEGAL DESCRIPTION Rb<>dAX’ Last Name First Mailing Address DAYTIME Phone No.Initial ih/fiProperty /)£nOrOwner ■t Contractor Name Lie.# NOTES: 1. The lotlines and project area(s) must be staked. 2. If project disturbs more than 1 acre of land you are required to obtain a General Storm Water Permit from the MPCA. • DATE Received L&R Official PROJECT REQUEST (You may use the grid on back for required scale drawing): / Rd-g- // um rl (Iff? ^ 7^ g?. / / DESCRIBE YOUR PROJECT(S): \r> N ^ nl <S. / ^ Indi/en {I kls f DETAILED INFORMATION: AREA TO BE CUT/EXCAVATED:Yds^Ft. X Ft. X Ft. - 27 = Width Ave. DepthLength Yds^WALK-OUT BASEMENT PROJECTS: (Outside of the building foundation) Ft. 27 =Ft. X Ft. X Ave. DepthLengthWdth Il^D Yds^AREA TO BE FILLED/LEVELED: . Can -27 =Ft. X Ft. X Length Wdth Ave. Depth TOTAL EARTHMOVING REQUESTED = Yds^ 10BACKFILL AT FOUNDATION:Ft. Max. Depth Distance From Foundation CULVERT:If Yes, must indicate size and location on drawing. Yes No IMPERVIOUS SURFACE:% /r?-P.9-g9MMA.1SIGNATURE OF^pROPERTY OWNEFl/AGENT FOR OWNER RECEIPT NUMBERDATE BK02/09 PHI ,01 ^r*m:/:> (rr^^}fy ~^(?\^lol <? pc-5- /O <nsviu.^Q fnj ^ . j.^/0 cpp (p-f _2/!P ^r/(c7i7^ 'n<2 fim x‘^d' ^ zlSh£^ ^ AjiP/9^ / N \ - Op / \ [ S^ pXiio .$QZ ItmI S!>t L if-Il-l«M-T' er si-i^1^1 l-^A/,i£9i »sx scly__i Jx__V T Ih ^ '<!ty WHITE - Office GOLDENROD'- Inspector APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT, COJJNTY 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 PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME &d PARCEL NUMBER (S)PROPERTY (E-911) ADDRESSV .5'G<DO<b^®b-<£>Ollc> shoKie. b,oo LEGAL DESCRIPTION■JP) TP ^ ccLr- 5^ Bd7~ 3e-cL 3 Last Name First Initial Mailing Address Daytime Phone No. mi/ ¥/I I Property Owner ■bo Ah/) tzB /Kird I Contractor Name Lie.# PROPOSED PROJECT (please circle the appropriate number) (2 ) Add’n to Dwelling ( 5 ) RCU/Year_____ (8 ) Storage Structure ONSITE WATER SUPPLY Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a weli. ONSITE SEWAGE TREATMENT SYSTEM ( ) Permit No. pp 3 ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rollie Mann at 218-864-5533 (3) ‘Replacement Dwelling (6 ) Attached / Detached Garage (9) W.O.A.S. (1 ) New Dwelling ( 4 ) MH/YR ( 7 ) Add'n To Non-Dwelling }Xl (10 ) Non-Conf. Replacement (identitvl ^ ^'7 5> I^ ^ /jj^ther (identitvl 1\(lfi/a.CP£^ ‘ ' ^Tx^ting Dwelling to be removed prior to CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attaetjed^rage) Outside Dimensio ^_____ Sq. Ft. fZtryitiYl Th Setback to Lotline Ft. & _/^2Ar." Setback to Right of Way '^£0 Ft." Setback to Ordinary High Water Levei e3 O Ft. Elevation Above Ordinary High Water Level -3 Ft. Setback to Septic Tank Ft. Setback to Drainfield T^Ft. Setback to Bluff Total Bedrooms Maximum Proposed Height ■-— Roof Change ( ) Yes ( )tj No Basement ( ) Yes (/(Q No Walkout Basement ( ) Yes (s/de profile required) (^A) No Ft. X Ft."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 Drainfieid____ Setback to Bluff Maximum Proposed Height 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 Drainfieid Setback to Biuff_______ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotllnes/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.&Ft."Ft.&Ft." Ft."Ft." Ft.Ft. Ft. Ft.Ft. m Ft.Ft.Ft./Ft.Ft.Ft.Ft.Ft. ( ) Screen Porch ( ) Storage Structure Topographical Alteration / Earthmovlnq j2|' None CHARACTERISTICS OF LOT: ' Must include on scale drawing, additional Permit may be required.□ 20 Cubic Yards or Less ‘□ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More* ^6o Biuff ( )Yes (XI NoSq. Ft.Water Frontage .Ft.Lot Area //.r, .Total Impervious Surface Onsite (FT4 lT)t^ Lot Area (FTr)Impervious Surface Ratio:X 100 =%Impereious Surface Ratio 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 appiicant 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 responsibility to inform the lesource Management offi(;e once the building footings have been constructed. 9l£f,i/o9 Date: tignBture of Property Ov^r / Agent for Owner Date: dulytmAj 9,- io \(o ____________ Com Form No. BK — 1003-0407 329.582 • Victor Lundeen Co,. Printers • Fergus Falls, Minnesota Wj^TE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor 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 ••i EXPtREt ^6m)iPermit No.PLEASE PRINT OR TYPE ALL INFORMATION 5 RANGE TWP NAMETWP NO.LAKE/RIVER NAME LAKE/RIVER CLASS tir U SECTIONLAKE / RIVER NO. lo Lf/SO 2 '7 PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) : ooCf y vy ^ ^ Lake, shef'e 6,co LEGAL DESCRIPJJON7i-' / / f'B. Sf^cs oaf' ^ Daytime Phone No.Initial Mailing AddressFirstLast Name 6K/ f/M/ V/ CT,/ // r f ' ,6r> 7-'^ H/^o/<L J N_ ^ ^ 71/7 hiiA/}y/ V fZ9VJ--Property Owner lAContractor Name Lie.# (AZ-p<P PROPOSED PROJECT (please circle the appropriate number) (2) Add’n to Dwelling ( 5) RCU/Year______ ( 8) Storage Structure ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY (X) Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Weli 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 ) MH/YR (7) Add’n To Non-Dwelling (10 ) Non-Conf. Replacement (identify) ( ) Permit No. ( ) OTWMD ‘Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rollie Mann at 218-864-5533 1/ A/ (11 )JDther (identity). ‘Existing Dwelling to be removed prior to. <i:£_ CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension Sq. Ft. Setback to Lotline Ft. X Ft."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 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 _ Ft.& < . /‘"Ft."Ft.&Ft."Ft."Ft.&Ft."Setback to Right of Way Setback to Ordinary High Water Level ^ C> Ft. Elevation Above Ordinary High Water Level Setback to Septic Tank r- Ft. Ft."Ft." Ft.2__Ft.Ft. Ft.Ft. Ft,Setback to Drainfield . Ft. Setback to Bluff ■ .-'T Ft. Total Bedrooms _____ Maximum Proposed Height ' Roof Change ( ) Yes ( ) No Basement ( ) Yes ( ■ ) No Walkout Basement ( ) Yes (s/de profile required) (/<) No Ft. Ft.Ft. Ft.Ft.Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo “Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection 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: f''Water Frontage -JC-W Bluff ( )Yes (XI No.Ft.Sq. Ft.Lot Area. ^ . /.abc^is (}{? /D .%Impervious Surface Ratio: _X100 =Impenrious Surface RatioTotal Impervious Surface Onsite (FT')Tbtal 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 responsibility to inform the Land & Resource Management office once the building footings have been constructed. Date; Signature of Property Owner / Agent for Owner '' 9Mo9 : .<£3Date: V77j -Land & Resource Managem RECEIPT NO. •PERMIT FEE $PROJECT(S) TOTAL SQ.FT., : iXlyoyiLr ^ \ ^ td.^i/ihQj 3_, 4aS - S^.paAiij (iCL-b O') lyu ^ V 9 - U lBK ________ Comments: c V 329,582 • Victor Lundeen Co., Printers • Fergus Falls, MinnesotaForm No. BK — 1003-0407 4 SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations l»K>^ •*■ Ft.Structure Set Back from Ordinary High Water Level Ft.7^‘ 1 Ft. Ft.Structure Set Back from Top of Bluff Ft.Structure Set Back from Road Right of Way Ft.30 Ft. & Ft.30 Ft.&Ft.Structure Set Back from Lot Lines Ft.Ft.Structure Height -fo 13 ^ Structure Set Back from Septic Tank Ft.Ft. r'Ft.Structure Set Back from Drainfield 30 Ft. Elevation Of Lowest Floor Above Ordinary High Water Level____________________3^Ft.Ft. Land Slope at Building Site %% ^LL cfL,fo ler^uA>»\ 1 ' tA. —Inspector’s Comments / Sketch:•id G3 [3 \ >• .o) Inspector's Signatu r-JY-0 Ic>^ <*~A y^Z—- ‘iiPwctc. o(c- Date of Inspection 4-VN Time of Inspection r j‘10 %S^Project Approved - Date / Initial 3 WHITE - Office APPLICATION FOR SITE PERMIT GOLDENRO& - Inspector YELLOW - Owner (after issue) PINK - As.Kssor ~ 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 PLEASE PRINT OR TYPE ALL INFORMATION Permit No. TWP NO.RANGE TWP NAMELAKE/RIVER NAME LAKE/RIVER CLASS SECTIONLAKE / RIVER NO. 51b ■5?5"OH HI PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) 3=16~7? Wyf).Siocxtio^oaiiocco LEGAL DESCRIPTION ay, E S^e, H\Ct yi Daytime Phone No.First Initial Mailing AddressLast Name hi^Lf HI YiJ^/ ^iVQMrmVF, WA '^L^Vt Al. Property Owner Contractor Name Lie.# PROPOSED PROJECT (please circle the appropriate number) (2 ) Add'n to Dwelling ( 5 ) RCUATear_____ (7) Add’n To Non-Dwelling ( 8 ) Storage Structure (to) Non-Conf. Replacement (identify). ^^^ther (identify) ^ (nc ^ ‘Existing Dwelling to fte removed prior to ONSITE SEWAGE TREATMENT SYSTEM (^) Permit No. ^ ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rollie Mann at 2t8-864-5533 ONSITE WATER SUPPLY Individual ( ) Public ( ) None 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_____ &fVfelM5f 5. -to 7^ g [ 9 ^ CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension _________ ________Sq. Ft. fJe.U3 -fp LUWCUXXCOvLti Setback to Lotline Ft. & Setback to Right of Way Ft." Setback to Ordinary High Water Level Ft. S6.G. Ft.b "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 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. Elevation Above Ordinary High Water Level Setback to Septic Tank So 'F- Ft. Setback to Drainfield 3c> Ft. Ft.Ft. Ft. Ft.Ft. Setback to Bluff Total Bedrooms ^_____ Maximum Proposed Height Roof Change ( )Yes (JlQNo ( )Yes (y^^ Walkout Basement ( ) Yes (side profile required) (^^)^ Ft.Ft. Ft.Ft.Ft.Ft.Ft. Basement ( ) Screen Porch ( ) Storage StructureNo * Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovina ji^None CHARACTERISTICS OF LOT: □ 21 Cubic Yards - 299 Cubic Yards‘□ 300 Cubic Yards or More‘□ 20 Cubic Yards or Less ‘ Bluff ( )Yes (><^NoSq. Ft.Water Frontage .Ft.Lot Area. V '3C^.qc>cd Total Lot Area (FT^) ifjn3^ Total Impervious Sirface Onsite (FT") = ^ , /Impervious Surface Ratio:X too .%Impervious Surface Ratio 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 con dition that the person to whom it is granted, and his agent, empioyees and workmen shail 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 Lai lesource Management office qnce the building footings have been constructed. A.Date: oi Props Date: Land shesoerge'ASO^43aO RECEIPT NO.PERMIltFEEPROJECT(S) TOTAL SQ. FT. Paklnc I'va. ItUii l.*n S90 5P Gxbil\5 2'^') (piaSF . _________^__________ Comments: -umaA> tJ^,mtj ) MAJ ^etrr QFHe-fH-TH \AFor^n No. BK ^ 100^0407 329,582 • Victor Lundeen Co., Printers • Fergus Falls, j/nnesota i WHITE - Office GOLDEt'RpD - Inspector YELLOV^ - Owner (after issue) Pir^K - Assessor APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, M 218-998-8095 ^ --^vw.co.ot!gr»tail.mi7ru /Vert- J____PLEASE PRINT OR TYPE ALL INFORMATIOI LAKE/Rl CLASS TWPNO.RANG!LAKE / RIVER NO.LAKE/RIVER NAME IN 51a < Ky V Zjd-: PARCEL NUMBER (S)PROPERTY (E-911) ADDRESS IXui'P ITill- 36VJ&-^hUJjO‘IOO\bCCO LEGAL DESCRIPTION L, K?«s- fic.c{i Sfe-.S »c/ e ^ 3 ^ V L A A"e r^iv;vc>' T/^cry\//i i Daytime Phone No.Last Name First Initiai Mailing Address hi^niH T C A/ Do/;^aProperty Owner Oif I P,E. V1A Contractor Name Lie.* PROPOSED PROJECT (please circle the appropriate number) (2) Add'n to Dwelling (5) RCU/Year_____ (8) Storage Structure (9) W.O.A.S. ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY ( ifl Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. (3) ‘Replacement Dwelling (6) Attached / Detached Garage (1 ) New Dwelling (4) MHA'R (7) Add'n To Non-Dwelling (10) Non-Conf. Replacement (identify) (11) Other (identify)_i •Existing Dwelling to be removed prior to. (/)Permit No. ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rollie Mann at 218-864-5533- , 3i .' IaT((?-77 C'j 7I 8 1 7t CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension Ft. X Ft."1Ft.x Ft."Outside Dimension Sq. Ft. Setback to Lotline Ft.x Ft."■ TX-OVa'; Ft.& /VT .L-f Ft." 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 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.”Setback to Right of Way Setback to Ordinary High Water Lev§T** Ft. Elevation Above Ordinary High Water Level Ft.”Ft." Ft.Ft. __Ft.Setback to Septic Tank Setback to Drainfield Ft. Setback to Bluff ' '..X pt. Total Bedrooms ' - ' Maximum Proposed Height Roof Change! )Yes (J(')No Basement ( ) Yes ( x1 No Walkout Basement ( ) Yes (side profile required) ( v) No •■H ■Ft. Ft.Ft. Ft.Ft. Ft.Ft.Ft.Ft.Ft. ( ) Screen Porch ( ) Storage Structure • Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovinq q None □ 20 Cubic Yards or Less * □ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: Water Frontage__-21 iX Bluff ( )Yes (»NoSq. Ft..Ft.Lot Area, A.A - /-F V--'Impervious Surface Ratio: ___'u.X100 =.%Impervious Surface RatioTotal Impenrious Surface Onsite (FT*)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. XDate: //-"./ ■ ':£i. Signature of Proper^ Owtier/ Agent for Owner A ? zrIT /')/Date: /mnnM ^ go PERMIT FEE $RECEIPT NO.PROJECT(S) TOTAL SQ. FT. t 6^10i L-1 'L'~ : ■ - bil'i ‘F 3 , i i AComments: : I i i ' •"A -ir-i ' ip 11- :.;l- , * 1,11 y 329.582 • Victor Lundeen Co., Printers • Fergus FallpForm No. BK — 1003-0407 I \> SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations dk. Ft.Structure Set Back from Ordinary High Water Levei Ft. -O Ft. Ft.Structure Set Back from Top of Bluff structure Set Back from Road Right of Way Ft. Ft. Ft.Ft.Structure Set Back from Lot Lines Ft.Structure Height Ft.vTV cJ.Ft.Ft.Structure Set Back from Septic Tank 1°O Ft.Ft.Structure Set Back from Drainfieid 04O' Elevation Of Lowest Fioor Above Ordinary High Water Levei s Ft.Ft. Land Siope at Building Site %% Inspector’s Comments / Sketch: *7 5 /Uf/ /Inspector’s Signature Date of Inspection Time of Inspection Project ApprovedDate/Initial I M I M M I S 0 T A I MDH{DtPAHTWrHTOfHEAlTHI Protecting, maintaming and improving the health of all Minnesotans November 19,2007 Mark Ronning Otter Tail County Land & Resource Department 540 WFir Ave Fergus Falls, MN 56537 RE: Galaxy Resort Dear Mr. Ronning; On November 19,20071 contacted the plan re\dew section at MDII in regard to Galaxy Resort's request to lift up four of their cabins and replace the foundation under them. Plan review staled that as long as they are not changing anything else, it is not necessary for Galaxy Resort to submit plans for this. If you have further questions please feel fix;e to contact the plan review section at (651) 201-4500 or me at (218) 332-5142. Sincerely, Rebecca Tonneson Public Health Sanitarian Section of Environmental Health Services cc: Ronald Bina, Galaxy Resort Geticriil latuntutioii: (€!>1) 20t-5000 ■ TDD/TTY; (651) 201-5797 • Miniiesoia Relay Service: (800) 627-3529 ■ wwwJiealth.sute.mn.us Fordirections to any of the MDH locations, call (651) 201-5000 ■ An equal nppnrluntty employer #• ■T fMT-L *■ !! ^ GRID PLOT PLAN SKETCHING FORM1 I Oi ifeet/ifiehes, T'-rrj- ■ - -U-j ^ ach Lgrjid j igualsEi 4II App l.i cat ic fi IfLyB^ Tild mgIPerm it -ti)! ted ^>p liciiticSevy^gp py^terjn Pstnjiijt D^ted. ^^irig permit Number i ' ' i i ' ^ IIf.33! 1><r 1.I ^^19 I i , ! i !T Sevyage System Permit Number^ i^s a ppjt ojf a^|licptici>tj ^s) |n|dicpted jabpye. : iTIL.Itapree^ that this plot pilap ii/^pp lieant il!i■j-----!I;i ■ 74ibcitijd^^- Sign^ureI19.];-L ni-:! 1 i :|jl!!r .. 4.•f;.1,[- i-1 i ;-ji. ti i . ^ -!i I •3 , 1 I ....1 !i ! ! i I .M i i ; i iI:;I1 ! i I -iI Jr'!■ J.T [ 1 ‘I 1Ii-3 ,113 X i ‘i1...1 I JI i,-j- M1.]-r i ! :!::[1 I ! i ^ IM4If !i □ M I S:■T,j-I'rTi '.Hi ■ ! . .11 i:i/jI t-!-!'(■ I\ . fI. i_.!h.i rH—U- i $Tb k^£ ! ;Si^£iD ■I-r'3;r r i-M1 : •1 7!i i -I !;7![ 1 .! 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L :dd-- : : i - ■ • 1 ’L-0871-029 i i 159104 ® Building Valuation Page 1 of 3 P Otter Tail County, MN |2008 Building ValuationjJ Parcel: Record 1 - RES DUPLEX/TRIPLEX Full Homestead: Record 2 - MA & PA RESORTS PRF Non-Homestead: Record 3 - COMM LAND & BLDGS Non-Homestead: Total Building Value: 56000040016000 110079 148047 55276 313402 Record Details: Record Number: Classification: 1 RES DUPLEX/TRIPLEX Full Homestead Building Type 1: Basement: Heating System: Air Conditioning: HVAC (Combined heating, ventilating, and air-conditioning): Sprinkler System: Height: Story: Building Features: SINGLE FAMILY N/A N/A YES N/A N/A N/A N/A INCOMPLETEBUILDING PORTION AGE SIZE UNITS QUANTITY SF 11 STORY 1947 1560 194? -t560- /SF 1DECK1983 528 Additional Structures of Features on Property: INCOMPLETEQUANTITYDESCRIPTION AGE SIZE UNITS /SFSTORAGE BUILDING 1768 11975 SF 1CONCRETE DRIVE 1975 972V- STORAGE BUILDING 2002 256 SF 1 LINED & INSULATED GARAGE 2002 42 SF 1 SF 1200664DECK 2Record Number: Classification:MA & PA RESORTS PRF Non-Homestead SINGLE FAMILYBuilding Type 2: Basement: Heating System: N/A N/A 11/16/2007http://www.ottertailcounty.net/ottertail/bvreport.php?theReport=bldgvaluation&Cmd-INI. Building Valuation Page 2 of 3 Air Conditioning: HVAC (Combined heating, ventilating, and air-conditioning): Sprinkler System: Height: Story: Building Features: N/A N/A N/A N/A N/A BUILDING PORTION UNITS QUANTITY INCOMPLETEAGESIZE 1 STORY SF 11947364 BASE_^BEA-—---------.4947 364- 9F 1-" Additional Structures of Features on Property: DESCRIPTION AGE SIZE UNITS QUANTITY INCOMPLETE SF 11940616CABIN X SF 1CABIN1940 616 1940 392 SF 1CABIN1SF11940 392CABINjfy 7s1940 392 SF 1CABIN (p SF 11940540CABIN 7 SF 1194054PCABIN %612 SF 1CABIN1940 1SFCABIN1940 612 I /10 SF1940532CABI^ SF 1N/A 276SHED SF 1N/A 540SHED MTMf A 1 SF 1N/A 480SHED m 1■CAMWHTP ELCOTW SF 11997208DECK 208 SF 11997DECK SF 11997104DECK 104 SF 11997DECK SF 11997104DECK/ SF 11997176DECK 1997 176 SF 1DECK SF 1DECK1997112 11997176SFDECK \1176SF1997DECK 3Record Number: Classification:COMM LAND & BLDGS Non-Homestead Additional Structures of Features on Property: 11/16/2007http;//www.ottertailcounty .net/ottertail/bvreport.php?theReport=bldgvaluation&Cmd=INI... Building Valuation Page 3 of 3 DESCRIPTION AGE SIZE UNITS QUANTITY INCOMPLETE \^JL) fciiS? t.BASEMENT 1232 SF 11970 4232-1 T9T6'lIlSO-4 bvlsbmEnt 4224 SF J------iJiQ7(\ PORCH 1999 180 SF 1 DECK 1997 687 SF 1 The year shown for VALUATION DATA, TAX ROLL DATA, LAND VALUATION, and BUILDING VALUATION refers to the taxes payable year. The 2007 VALUATION and TAX ROLL DATA is in regard to taxes payable in 2007. The information is based on the valuation and classification done as of January 2, 2006. The 2008 LAND VALUATION and 2008 BUILDING VALUATION reflects the property status as of January 2, 2007. Buildings built prior to January 2, 2007 are included here. Any buildings built after January 2, 2007 will be included in the valuation for 2009 taxes and would be 2009 LAND VALUATION and 2009 BUILDING VALUATION. Any questions regarding the information on the Property Tax Information section should be directed to the County Assessor, County Auditor, or County Treasurer. Search Results |Print Data GlossaryNew Search Go To Map http;//www.ottertailcounty.net/ottertail/bvreport.php?theReport=bldgvaluation&Cmd-INI... 11/16/2007 1 RECEIVED AUG 3 0 2006WHITE - OWce ' 'GOLDENROD -^spector YELLOW; Owner (after issue) PINK - Assessor APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL LAND & RESOURCE GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE / RIVER NO.LAKE/fWLR NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME a>-Sl^lT Go ill STA/t PARCEL NUMBER (S)PROPERTY (E-911) ADDRESS ^^gCHiz-Uuiy Hi,£^4^ooc>Hoo Iho^o LEGAL DESCRIPTION pr C.LS Last Name FifST Initial Mailing Address Daytime Phone No. CSyDun/ VI, DotfrMP • \ ilf Jv / •«' '' " BtyvO-.Property Owner r • I Contractor Name Lie.# ONSITE SEWAGE TREATMENT SYSTEM PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add'n to Dwelling ( 5 ) RCU/Year_____ ( 8 ) Storage Structure _ "Existing Dwelling to be removed before. ONSITE WATER SUPPLY Public ( ) None t^E: MN Rules (Ihpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ( 3 ) "Replacement Dwelling ( 6 ) Detached Garage ( 9 ) W.O.A.S. idividual(1 ) New Dwelling (4 ) MHA'R____ Permit No. ^0 7^ ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rotlie Mann at 218-864-5533 ^^^^gd'n To Non-Dwelling (10) Other CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTMIS^CS OF PROI^SE^ON-DWELU^G Dimension Ft. x /O. ^ Ft."' CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension Outside DimensionFt. X Ft." Ft. X Ft."IhZSq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level / Elevation Above Ordinary High WaterJ2evel Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff_______ Total Bedrooms / Maximum Proposed H&ght Roof Change ( Xtss ( ) No Basement [/) Yes ( ) No Walkout Basement ( ) Yes (side profile required) { ) No Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level __Ft. Elevation Above Ordinary High Water Level Setback to Septic Tank Ft. Setback to Drainfield // 0__Ft. Setback to Bluff Maximum Proposed Height Roof Change ( )Yes ( ) No Bathroom Proposed ( ) Yes ( Sq. Ft. Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Wate^vel __ Elevation Above Ordinary H)^ Water Level Setback to Septic Tanl^ Setback to Drainfipkf___ Setback to BMf^______ 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."T"Ft. Ft.Ft. Ft.Tt.Ft. Ft.Ft. 1.Ft. Ft.Ft.Ft.Ft.Ft. ( ) Screen Porch ( ) Storage Structuredi!” " Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovino None □ 20 Cubic Yards or Less ' □ 21 Cubic Yards - 299 Cubic Yards'□ 300 Cubic Yards or More' CHARACTERISTICS OF LOT: Sq. Ft..Ft.Bluff ( )Yes ^4^0Water FrontageLot Area Impervious Surface Ratio:X100 =.% Total Impen/ious Surface Onsite (FT') Impervious Surface RatioTotal 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 Oi^Inayces. I understand that it is my responsibility to inform the l^nd Resource Management offig£( once the building footings have been constructed. V sjs-lloYDate: CTO Resouke Manageme^ Qffice PERMIT FEE $ — Date: Lani£2 RECEIPT NO.PROJECT(S) TOTAL SQ. FT.. Comments: Form No. BK — 1003-0506 326,151 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota . 1-WHITC^Si(,e - 'G^LDENROD^ - Inspector YELLOW - Oviner (after issue) PINK - Assessor 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 PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWPNO,RANGE TWP NAME I d V/6 o ZJi\PARCEL NUMBER (S)PROPERTY (E-911) ADDRESS C6 ao' o c> Ui o<^ I ho^ O LEGAL DESCRIPTION )pf Cl 5 r/,/i First Daytime Phone No.Last Name initlai Maiiing Address ^(pD2,/Tm./U fProperty Owner //f ' (’ ( 11. \f Contractor Name Lie.# ONSITE WATER SUPPLY “^^tndividual (^Public ( ) None NC^: MN Rules Chpt. 4725 {MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM Permit No. ‘' ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Route Mann at 218-864-5533 PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add’n to Dwelling ( 5 ) RCU/Year______ { 8 ) Storage Structure _ ‘Existing Dwelling to be removed before. : : (3 ) 'Replacement Dwelling ( 6 ) 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)CHARACTERISTICS OF PROPOSED DWELLINGOutside Dimension CHARACTE Outside Dimension IBIS^CS OF PROP^S^p NON-DWEUJNG Ft. X Ft."Outside DimensionFt. X Ft."Ft.x Ft."ft?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 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 /1P' Ft. Setback to Drainfield Y / O Ft. Setback to Bluff Maximum Proposed Height Roof Change ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( /Sq. Ft.________ Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Water Ley^ Elevation Above Ordinary High Water Level Setback to Septic TanL 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.", /R."Ft.” ^Ft. Ft. Ft. Ft.Ft. /Ft.Ft. Zfl Ft.' Ft./Ft. Ft.Ft./iJ Ft.Ft. Ft.4J { ) Screen Porch ( ) Storage Structure ' Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovinq □ None □ 20 Cubic Yards or Less ‘ □ 21 Cubic Yards - 299 Cubic Yards*a 300 Cubic Yards or More* CHARACTERISTICS OF LOT: ^ don Bluff ( )Yes ()y41NoSq. Ft.Water Frontage .Ft.Lot Area CZ-L4 Impervious Surface Ratio:X100 =.%T Impervious Surface RatioTotal Impervious Surface Onsite (FT^)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 responsibility to inform the Land & Resource Management office once the building footings have been constructed. 17 ilo^14___-Sigmture ot Owner / Agent ^Owner Date: ■: > Date; Land & Resource MadagemegtOf^ PERMIT FEE $ PROJECT(S) TOTAL SQ. FT. 7 RECEIPT NO. ^—Comments: tr ;XForm No. BK — 1003-0506 326,151 * Victor Lundeen Co., Printers • Fergus Falls. Minnes f SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations Ft.Ft.Structure Set Back from Ordinary High Water Level Ft.Ft.Structure Set Back from Top of Bluff /CHi ^Ft.Ft.Structure Set Back from Road Right of Way Ft.&/0^Ft.Ft. &Ft.Structure Set Back from Lot Lines e 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 Jr-Ft.Ft. Land Slope at Building Site %% Inspector’s Comments / Sketch: j^fC^^ /o j Si Inspector's SignatureinsDectors i I Date of Inspection 2 Time of Inspection C^^^iject Approved Date / S-fe fX)0O i4oci /4 <5>P<g Tax parcel Number(s) ' Drawing must be to scale. Drawing shall identify project and include the setbacks to all of the existing and proposed lotlines, road right-of-way4), ordinary high water level(s), structure(s), septice tank(s), drainfield(s), bluff(s) & wetland(s). Must also include all proposed topographic^ alterations. •A %Scale Impervious Surface received AU6 3 0 2006 LAND & RESOURCE 10' 0-■>« kX Signature of Property Owner Date BK — 0505 322.180 • Victcf Lundeen Co. Prrntets • Fergus Fa'is. MN • 1-800-3464870 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITE- Off led GOLOEhJROD -''Inspector YELLOKT - Owner (after issue) PINK - Assessor PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE / RIVER NO. LAKE/BIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE &D PARCEL NUMBER (S)E-911 ADDRESS 6(:> O0OO‘/dO/i,/OaO 'Dpi ^ V- LEGAL DESCRIPTION Daytime Phone No,Last Name Mailing Address 8^6n jy>. WProperty Owner Contractor Lie.# PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add’n to Dwelling ( 5 ) RCUYear_____ (8 ) Storage Structure ‘Existing Dwelling to be removed before. ONSITE WATER SUPPLY (Ijdtiflividual ( ) Public ( ) None . NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM/ /(i<1*ermit No. jrd/^^7s3 ( ) OTLSD * This permit if only valid after verification from the 0. T.L.S.D. that a conforming sewage system will be installed to service ' this lot contact Rome Mann at 864-5533. . (1 ) New Dwelling (4)MHA'R , ( 7 ) Add’n T^on-Dwellini ( 3 ) ‘Replacement Dwelling (6) Detached Garage (9) W.O.A.S.; lARACTERini^ OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED NON-DWELLING CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)Outside Dimension Setback to Lotline ___ Setback to Right of Way Setback io Ordinary High Water Levei ___ Elevation Above Ordinary High Water Levei Setback to Septic Tank__ Setback to Drainfieid____ Setback to Biuff_______ Maximum Proposed Height Basement_____ Waikout Basement Totai Bedrooms_ Outside It . /Dimension flp Ft. x ! Ft." y. Setback to Lotline / '^t. & ^ ^?^~Ft.‘‘ Setback to Right of Way Setback to Ordinary High Water Level Ft. Elevation Above Ordinary High Water Levei \3 Setback to Septic Tank /^ Ft. Setback to Drainfieid Setback to Bluff__^ Maximum Proposed Height Bathroom Proposed ( ) "i Ft. X Ft."Outside Dimension Setback to Lotiine ___ Setback to Right of Way Ft. Setback to Ordinary High Water Level : Elevation Above Ordinary High Water Levei Setback to Septic Tank__ Setback to Drainfieid___ 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. X Ft."Ft.&Ft." Ft.Ft." Ft. .Ft.Ft. Ft.Ft. Ft.Ft. Ft.Ft. NoYes Ft. Yes No Ft. (. ) Screen Porch ( ) Storage Structure Topographical Alteration / Earthmovinq X. None * Must include on scale drawing Permit may be required□ 21 Cubic Yards - 299 Cubic Yards*□ 20 Cubic Yards or Less ‘□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: Sq. FI.Lot Area.Water Frontage Ft.Bluff Yes Impervious Surface Ratio:X 100 =.%Total Impervious Surtace Onsite (FT^)Total Lot Area (FT^)Impervious Surface Ratio THIS ISA 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 sju«l-9(dinances. I understand that it is my responsibility to inform the Land,iurce Management office orm^e builomg roofings have been constructed. ll-Dlo-Ol cDate: Si^atuf§& Property 0\ Date; Land & Resource Management Office^S-ODPERMIT FEE $RECEIPT NO. Comments: Form No. BK — 0500-0501 305,576 • Victor Lundeen Ck)., Printers • Fergus Falls, MN • 1-800-346-4870 WHITE - Sflice (jOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 ill' i^n ‘-if) IPLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE / RIVER NO.LAKE/RIVER NAME SECTION TWP NO.LAKE/RIVER CLASS RANGE TWPNAME /y /tco u 0,'■■1 (:zri)L-■3 2PARCEL NUMBER (S)E-911 ADDRESS 2! 1LEGAL DESCRIPTION! I '7 /u 1 ■i •iLast Nanoe First Initial Mailing Address Daytime Phone No. ciJ , /l d h u ( JOaJ/j /aj- 37^7,7 7^ _____ /?hi 77^- Property Owner ■3 \ 1 Contractor Lie.# / PROPOSED PROJECT (please circle the appropriate number) (2 ) Add’n to Dwelling (5 ) RCUAear_____ (8) Storage Structure _ ’Existing Dwelling to be removed before ONSITE WATER SUPPLY ( ^Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM/ y (W-) Permit No._______■' ^ ( ) OTLSD * This permit is only valid after verification from the O.T.L.S.D. that a conforming sewage system wilt be installed to service this lot contact Rollie Mann at 864-5533. ■ ■ -(1 ) New Dwelling (4 ) MH/YR (7) Add’n To Non-Dwelling (10) Other (3) ’Replacement Dwelling ( 6 ) Detached Garage (9) W.O.A.S. 77^?■ CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED NON-DWELLING CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension 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____ Outside Dimension 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 Basement_____ Walkout Basement Total Bedrooms__ Outside Dimension____ 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 ( Ft. X Ft."Ft. X Ft." // ^ 7=f.& 7 i/-Ft."Ft.&Ft."Ft. X Ft." MzTr-Ft."Ft.&Ft." / 77 Ft.Ft.Ft.”Ft.Ft.Ft.V-Ft. Ft.Ft.Ft. 0 Ft.Ft.Ft. Ft.Ft.Ft.7-"Yes No Ft. NoYes Maximum Proposed Height ( ) Boathouse ( ) Screen Porch ( ) Storage Structure Ft.:i1 ( ) Gazebo "Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Topographical Alteration / Earthmovlnq □ None ’ Must Include on scale drawing Permit may be required□ 20 Cubic Yards or Less ’□ 21 Cubic Yards - 299 Cubic Yards’□ 300 Cubic Yards or More’ CHARACTERISTICS OF LOT: Yes ^ No^ A'CZ.Sq. Ft.Lot Area.Water Frontage Ft.Bluff 7 A -AhImpervious Surface Ratio:X100 =.%Total Impervious Surface Onsite (FT!)Total Lot Area (FT!)Impenrious Surface Ratio THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the buiiding footings have been constructed. ./ I Date: Signature of Property OwneT ■'^1 il-Dlo-OI 7.6- 00 , / hj~Date: Land & Resource Management Office IMAPERMIT FEE $RECEIPT NO. Comments: Form No. BK — 0500-0501 305,576 • Victor LuRdeen Co.. Printers • Fergus Falls. MN • 1-800-346-4870 -c SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations \L i IU Structure Set Back from Ordinary High Water Levei Ft.Ft.-rio O /O'O ny ^Structure Set Back from Top of Bluff Ft.Ft. 4*2.0Structure Set Back from Road Right of Way Ft.Ft. Structure Set Back from Lot Lines Ft.& Ft.&Ft.Ft. Structure Height Ft.Ft.IQ ■' Structure Set Back from Septic Tank Ft.Ft.-P /e pJA. QUiliM. Structure Set Back from Drainfieid Ft.JhrO Ft. Eievation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. Land Slope at Building Site %< iSr % Inspector’s Comments / Sketch: I T' !j V € 1 Inspector’s Signature lz)iol Ol Date of Inspection 753 Time of Inspection iM, sU\'h^ Project Approved Date/Initial A t/\5'i 4o 1Wiixivi iir ; 'v^ 9 ,/La ^/ L: m V. / ' • !•* M3 FCW/I^SKETGH <3,<- I ■TOJ. d;l-Jl-: ; i S; -\: 5$iS'.I \ 17:SJ ^3 -\ 1 \ n -i. 1KL-0871-P29 M Tt<i.r^ni «Lii.ICT I lOltl .{:■. •'! SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT WHITE - Oftice GOLDENRCO — Inspector YELUOW — Owner PINK — Assessor //036Permit No.,LEGAL DESCRIPTION 'O /3S AND LOCATION TWP NameSec.TWP RangeLake Classif.Lake No.Lake Name PoihiajfbnIDENTIFICATION; Please Print All Tel. No.Zip No.Mailing Address— No. Street. City and Statg______ _____ /9/> Last Name________ First Initial Owner xikNameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:,( ) One Family Dwelling ( ) Multiple Dwelling Other ( ) New Building Alteration ( )Other Units U /O'X /r^"Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( )Yes ^ No Stories above basement: ...... ( ) Masonry Wood Frame ( ) Structural Steel ( ) Other — Specify Basement:( ) Public 3^ Individual Septic Tank, WATER SUPPLY: / etc../AiK. I!.!./?"Sq. feet (outside dimension) Bedrooms .........Lr3..............Baths( ) Public Individual Well CHARACTER,ST,^ Lot Area is square feet.so^o..Maximum depth of lot feet.feet.Water frontage is feet. (Building Line)Building set back from high Land height above high water mark at building line is Building set back from State highway right of way.... Side yard is ........3.0...... Structure will be located , feet .Aa feet.feet — from road right of way is /a feet.and 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 ONE 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 Shofeland M^agement 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. Signature*'of Ovyrl^ Dated. Permission is hereby granted to the above named applicant to perform the work iscribed in the ab\/»statement. This permit is granted upon the espects to the ordinances of Otter Tail Permit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform i County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. . Dated Shoreland Management OfffcialS/O-OOPermit Fee $.Receipt No.Xj ^ /3A^) 'JMt__________—I V % ri Comments; Form No. MKL-0286-019 229971@ VICTOR LIJNOEEN CO.. PRINTERS. FERGUS FALLS. MINN. SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT WHITE - Of(ice GOLDEN RGD — Inspector YELi-OW - Owner PINK — Assessor //036Permit No^LEGAL DESCRIPTION ^3-3?6 //£- (3r/J y /-a? -^/ , AND LOCATION f TWP NameTWPRangeSec.Lake Clatalf.Lake NameLake No. IDENTIFICATION: Please Print All Ir^oianrtlon . /> i ^; First P' Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialLast ^ame______ Owner Name V.Contractor 7 Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:.I ) One Family Dwelling I ) Multiple Dwelling Other ( ) New Building Alteration ( )Other_______ Units Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: NoBasement: I ) Yes Stories above basement: Sq. feet (outside dimension) Bedrooms ....7TJtr.A...7....... I ) Public Individual Septic Tank, etc. WATER SUPPLY: ( ) Public Individual Well ( ) Masonry Wood Frame ( ) Structural Steel ( ) Other — Specify / X' Baths CHARACTERISTIC^: , , i, n a y^ Iff /(u VI ^ s«C..l.V.:.......L.. rauare feet. Water frontage is 6M..feet.Maximum depth of lot feet.Lot Area is . feet. (Building Line)Building set back from high Land height above high water mark at building line is Building set back from State highway right of way.... Side yard is ......../..Q... Structure will be located i,.2.feet .feet.feet — from road right of way is feet.and ■feetfrom 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. r (7_.\I 'V ffTl,,'! .1 uDated.//jSignature of OV/Permit: 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 imalL respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. ( 7/' I//- f/Dated Shoreland Management Official 30-no I OAAOi>Permit Fee $.Receipt No. a/ Pit /y 7/^ ^S4- K /o'3^^ Comments: .- CK >jM{S -// / r IIForm No. MKL-0286-019 229971® VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS. MINN. » K - INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUM Shall Be 4^Sq, Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. Building Set Back from High Water Mark Ft.Ft. Ft.Building Set Back from State Highway 50 Ft. / Ft.Building Set Back from Street or Road 2. <5 -40-~Ft. Z^&_Z^_Ft.Side Yard / 'ZJ> FtRear Yard Ft. Ft.Occupied Building to Septic Tank 10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark ____________Ft.3 Ft. nk.- pjc^Bk: Inspector's Comments: cyy^-r2/tA£. ---<3't/LLl(CfZo\JL^Q^£yX^ Inspector's Signature Title Inspection Dated // 19 Agency VICTM UiMftK < «a.. MlVTEM. M>*U* r«LC«. alKII ,,ior''!n!rn|TT\.,^ .^ Each grlt^ equalsj^ ! . i i : GRID PLOT PLAN SKETCHING FORM; ! Dated; ;Signature Please sketch your lot indicating setbacks frorh road right-of-way, lake and sideyard for each building currently on lot and any proposed structures. i i i 1 !; • <{-■<■*• .i — i-:„ru««r-i-- • ;H.L \I I.I : ■ : ;! I 1 ; I 1 i 1!,I I i ! ! i : . :i(II,:II Ml!-!ii-: ; III1II.!t -. ....I I^ 1 j.t ■! ILI ;I-I]-_i I1 / i !7 :i - I ...I -1- ; I1...- i t i i.ir I'-■f- Li:t I-r ;; , ,ii il | J -1 I -I‘ilM-Li'in !iT’i- .| . J .. i t I i !t !. ;iiI ;t;I-;f u hyp;!(t S: : Io1 :;! Ii\ I : Ii ! ; :V ;■ ! \ \ I :: i\J>I ; 1 i ,;1 1 r ■!i-.-i--^■4 ! i ; ; .i. . ; -I ! , , ■ !-■ ! t ; ^ • I...1 . ^ r. u . . i 77 U-:i t; .i i ! i-. I I-I [-I-1i]u-’-!...ii•t\--;;;—i-.i _i—j. -i 1 ;!:i-T i \i r \-I i-iI r.L 1t i ill! >:J-!-t-t i tl f: r J. : I.. ■ ' MKL-0871-029 21S987® VICTON lUHDCCM C« . 8*lMTCI»t. fCIIOUl fALlS. UillW. 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 (Sl S G )^LE)xi0 pr Permit No..LEGAL DESCRIPTION AND LOCATION -3>8S i 3^CO TWP NameTWPRangeSec.Lake Classif.Lake No.Lake Name iPENTIFICATtON: Please Print AM Information Tei. No.Zip No.Mailing Address— No. Street. City and StateInitialLast Name First RR ^ /0irvRt Ro rvRUQOwner NameContractor Architect Name, NON-RESIDENTIAL PROPOSED USE: f='U ^ A/' A C. t TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: I ) New Building (j..K^Iteration ( ) Other ( ) One Family Dwelling ( ) Multiple Dwelling Specify:./->i S.C OFFICEUnits ( ) Other Size IESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: l^-KTes ( ) No Stories above basement: ...... Sq. feet (outside dimension) .... Bedrooms (i^.l'l^sonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public( ‘^''^Cvidual Septic Tank, etc. WATER SUPPLY: ( ) Public (iH^Individual Well / rvai^F.Baths Type of Roof: CHARACTERISTICS: Water frontage issquuiL fUL'C?feet.Maximum depth of lot...feet.Lot Area is ■7^ 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 ........}.0. feet. (Building Line) 3 feet 5"^feet — from road right of way is feet. and feet. Structure will be located feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).20..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 furtbdf^ree that any pjans anci shall become a part of this permit application. I also understand that this permit is valid for a pejnod Reifications submitted herewithf-six (6) mont \]THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA ST A TE ST A TUES.Irv)i Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the abovePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform injall respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. statement. This permit is granted upon the 9 - 9 - S7 -dDated Shoreland Management OfficialA’gc:” 5’gyPermit Fee $. Comments: 195676© VICTOR LUNDCE.N CO.. PR.NTKRS. FERGUS FALLS. MINN.Form No. MKL-0771-002 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 PERMITi Permit No.LEGAL DESCRIPTION /t AND LOCATION 1 Lake No.Lake Name Lake Ciassif.Sec.TWP Range TWP Name 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 ( ) Multiple Dwelling Specify: Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENTS PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL;DIMENSIONS: ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( I Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( I Individual Well Basement: (,-) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms / Baths Type of Roof; CHARACTERISTICS: square feet. Water frontage is Building set back from high water mark is........................................ Land height above high water mark at building line is.................. Building set back from State highway right of way......................... Side yard is ..................... Structure will be located Lot Area is feet.Maximum depth of lot feet. feet. (Building Line) feet feet — from road right of way is feet. and feet. .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a 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 STATUES.Signature of Owner Permit: 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. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the Dated Shoreland Management Official Permit Fee $. l2-^lNO CERT ISSUComments: 195676(g) VICTOR UJNOCEN CO.. PRtNTERS. FERGUS FALLS. MINNForm No. MKL-0771-002 r-•, { : j'*v'-:gr ■ 4- ■• INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUM Shall Be 4-Sq. Ft. Lot Area (Square feet)Sq. Ft.O-c^jixu Water Frontage Ft.Ft. 7£?s-Buildinq Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway 50 Ft.Ft HOBuilding Set Back from Street or Road 40 Ft. / O & (/) Ft.Ft.Side Yard & FtRear Yard 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_____________3^Ft 3 Ft IN 2LInspector's Comments:a /' 2^ <\bov(u b><AS^<.TI m « s K oot2-I K c3V SlO Inspector's Signature -I Cv Title Inspection Dated 9-Z) 19 S/ Agency VICTOa UIKKIR • M.. MiNYint. rtflaui FM.L*. J 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 r Permit No„LEGAL t. Date.DESCRIPTION AND LOCATION Y /J) Lake No.Lake Classif.Sec.TWP TWP NameLake Name Range IDENTIFICATION; Please Print All Information Last Name Initial Mailing Address— No. Street, City and StateFirst Zip No.Tel. No. /Owner Name/I ______________Contractor I Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE; ()0 One Family Dwelling ( ) Multiple Dwelling ( ) Other NON-RESIDENTIAL PROPOSED USE; ( ) New Building (y> Alteration /:LJLt, () Other _______ Specify:. Units Size ■'i'ooo,ESTIMATED COST OF IMPROVEMENTS (omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Public ( ) Individual Septic Tank, etc^ ^ WATER SUPPLY: ^ ( ) Public V ( ) Individual Well -7*^ MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: ( ) Yes No Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Masonry (^) Wood Frame I ) Structural Steel ( ) Other — Specify Baths HEATING: ( ) Electric ( ) Coal Other: (X3 NoType of Roof:N I ) OilGas (/) No None ( ) Unit CHARACTERISTICS: Lot Area is...................................xXttC/.lMfTtr.. Building set back from high water mark is Land height above high water mark at building line is square feet.Water frontage is. feet. (Building Line) .feet feet. .s?..feet — from road or street is .....7l......Building set back from State highway is feet. ..................'^?rrK.................feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation). Side yard is Building will be located....... Building will be located.......... 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 perio(lof six (6) months. _ iCuOrfZtitC of Dated. Signat 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 ^ Dated <=^■00Permit Fee $.State Surcfiarge $. Comments; sI ^/O4.^ g-.< CL & Z. Form No. MKL-0771-002 VICTOR LUMOCCH 4 CO.. MIHTfRO. fCOOUO FM.I.O. 158899 , ■■'V* • V r•f--' • - Vt'White - Office Yellow — Owner Pink — As&essor 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 oPermit No„■»-r.LEGAL /0-/2-7C,Date.DESCRIPTION AND LOCATION \ Lake No.Lake Name Lake Classif.Sec.TWP NameTWPRange IDENTIFICATION: Please Print All Information ILast 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-RESIOENTIAL PROPOSED USE: I ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling ( )Other Specify:. Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) 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 Typ>e of Roof:( ) No ( ) Oil ( ) No ( ) Coal Other:( ) Unit CHARACTERISTICS: Lot Area is square feet.Water frontage is . feet. (Building Line) ...............................feet feet. Building set back from high water mark is................... Land height above high water mark at building line is Building set back from State highway is........................ Side yard is.................... Building will be located Building will be located feet — from road or street is feet. and .......................................feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). feet. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Dated. Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated Shoreland Management Official Permit Fee $.State Surcltarge $. Comments: Form No. MKL-0771-002 VICTO* LUHBfCa A CO.. PRINTCOO. FCROUS FALL!. 1158899 [ INSPECTOR'S CHECK LIST Make all measurements and computations 1 ACTUAL IS 1 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 Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: Inspector's Signature iTitle Inspection Dated 19 Agency vicreii LUHttCEH A eo.. tTCI rf 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 — Jnspector ^ J^S (Sa I a M Permit NoLEGAL n-i4~Date.VDESCRIPTIONlyl/y LrANDC^L^SLOCATION ■/ 13 r u! S''rQy(T77 ^ Lake No. Lake Name TWP NameTWPRangeSec.Lake Classif. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street, City and StateInitialFirstLast Name rt/em ‘Ji-rry pg.nl:Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Building ( ) Alteration Specify:( ) One Family Dwelling ( ) Multiple Dwelling I ./lather :£f Units3 (o k VY 'Size( ) Other 7 (X^o.ESTIMATED COST OF IMPROVEMENTS (omit cents) DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( ) Yes (i-^fjo /Basement:( labile (c-P'fndividual Septic Tank, WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central ( ) Masonry ( ) Wood Frame ( U-Structural Steel ( ) Other — Specify Stories above basement: Sq. feet (outside dimension) .. Bedrooms .../.Uc./i......... etc. Baths HEATING: ( ) Electric ( ) Gas ( ) None ( ) Oil(Type of Roof: ( ) Coal Other: ( ( ) Unit CHARACTERISTICS:^ () OC>.A:.feet.square feet, nj .7...sE; Water frontage is . feet. (Building Line) ...............................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^tate highway is Side yard is....... Building will be located Building will be located 2 V^0STt.feet.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 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. lure of«ler Permission is hereby granted to the above named applicant to perform the work described in the a ive 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 Mana^ment Official iLiDated / <TD cs? 0^(£>State Surcharge $.Permit Fee $. "tew_•mComments: Form No. MKL-0771-002 158899 VI0T8R LUttHCIN « CO.. PRINTIRt. FtRSUt fM.Lt. MINN 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 Permit No,.LEGAL Date.DESCRIPTION AND LOCATION Lake No.Lake Classif.Lake Name Sec.TWP Range TWP Name 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 Specify: Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( ) Wood Frame I ) 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 ( ) Coal Other: Type of Roof:( ) No ( ) Gas ( ) None ( ) Oil ( ) No ( ) 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 I 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: aTe: \ Form No. MKL-0771-002 158899 VICTSR LUNMCN k CO.. MlNTtM. tCliauS FM.L8. MINN INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 4r MINIMUM Shall Be j,Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft. Ft. ^■5Building Set Back from High Water Mark Ft.Ft. TSIBuilding Set Back from State Highway 50 Ft.Ft. THUBuilding Set Back from Street or Road 40 Ft.Ft. Ft.Side Yard &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: ipecto^ Signature itle Inspection Dated 19 Agency VICTOR UlHokcH t CO . HiMTtI I GRID PLOT PLAN SKETCHING FORMfeet/inches. Application for Building Permit Dated. Application for Sewage System Permit Dated Building Permit Number_________________ Applicant agrees that this plot plan is a part of application (s) indicated above. Scale: Each grid equals 4-.19. .19 r Sewage System Permit Number.L ' 1 19.Dated.Signature u tV L 4 -1I]::•i—h4QI n ------i-r1I)- -i~-r i-i{-H -4: i., JRi 4 j. -- r i hiI-4 “T .'i. 0 • t ■ ...i -I-1i .±1f’■4J-l 1 i1...1 l-LCH C3 I i 4 -- t-i.t I \-!!'I-i-i-.-fty /VI ^ A .*1 4-—- ‘I T '1,r•!r’11V!<4 \ i I y!-A [1 I\:\\i\/h ■i !O-Tii\ i- •- -7/ 0^ *•o i t rrex4-I-4 4- -r-—t 1 4 ■t-4-T~ V -i K I I *..„.4-.-.4------- \J r! ._i. iv-i :_ _.u-1- 4... f,..;f <------T-r~^ 4 i 4 1 -*«1CM ®MlHTCat. FKIiaUI FH.k«. M>«M-VICTOt UMOCCHMKL-0871-029 f 1 T-t: Whi - Office Yel 1 ow —Goldenro^^^^nspector 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 (jT^ l<V>( I’e Permit No,.LEGAL Date,DESCRIPTION Crl./ /V.AND LOCATION T~^ >.r,-o A-?5~tLL Lake No.Lake Classif.Lake Name Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No. )()(g i::).-jerry t-iiooc/ >'ns> ipr- ,Owner - A9.4 /NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIj^PROPOSED USE:/\<o.A>/4r e.( O-New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Specify:. Units M-rr/ L yAt( ) Other j^-TOther Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: (t-TMasonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public (t-FTndividual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: ( ) Yes {tJpITo Stories above basement: Sq. feet (outside dimension) Bedrooms / Baths HEATING: ( ) Electric ( ) Gas ( ) Coal Other: Type of Roof:( 4-No ( ) Oil {J^No (OJftJne ( ) Unit CHARACTERISTICS: 9.0.0/Lot Area is Building set back from high Land height above high water mark at building line is Building set back from State highway is....................... Side yard is Building will be located Building will be located square feet.Let Water frontage is . feet. (Building Line) ...............................feet feet. water mark is ...3. .“^^..^^eet. feet — from road or street is-4-.£$.C..rh..^.Q.and feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation). feet. /O L ,c=2(C..t:.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. r. 3/Dated. /^igneture o1 twner Permit: 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. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the Dated Shoreland Management OfficialSXCi Permit Fee $ .State Surcharge $. h)/j / /f/I'lAcJci c,(0 z:^Comments:K.)r\AC o rVt ./ Form No. MKL-0771-002 vict»a Lw«atcii 4 eo.. .158899•TC) 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 lOVv Yeh Pink Goldenru ner \ot Inspector /4m //3//7/i Permit No.LEGAL Date.DESCRIPTION AND LOCATION TWP NameSec.TWP RangeLake Classif.Lake No.Lake Name IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateFirstInitialLast Name Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: ( ) One Family Dwelling ( ) Multiple Dwelling Specify:.I ) New Building ( ) Alteration Units ( ) Other( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) TYPE OF SEWAGE DISPOSAL:DIMENSIONS: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: ( ) Electric ( ) Coal Other; ( ) No ( ) Gas ( ) None ( ) OilType of Roof: ( ) No ( ) Unit CHARACTERISTICS: Lot Area is square feet.Water frontage is . feet. (Building Line) ...............................feet feet. ^^'''’BuHding 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.feet — from road or street is .......................................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.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. 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: tpicAT-ECEHTno Form No. MKL-0771-002 ,158899 VICTO* LUHOCIH 4 CO.. PniHttM. ftROUB rN.Lt. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUM Shall Be 4, Sq. Ft, Lot Area (Square feet)Sq. Ft.Sq. Ft. Ft.Water Frontage Ft. 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. Occupied Building to Septic Tank 10 Ft.Ft. Occupied Building to Absorption System 20 Ft.Ft. Elevation at Building Line above High Water Mark_____________Ft.3 __^ Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency VICTOR LUMOEEM 4 CO . RRIHTtR*. EEROUO rM.L.0. HINH.