HomeMy WebLinkAboutCamp Joy_56000140104000_Shoreland Permits_https://onegov.co.ottertail.mn.us/admst/viewcard.php?card=5&ap...Firefox
OTTER TAIL COUNTY
Land & Resource Management
Phone (218) 998-8095
PERMIT TYPE SITE AND LOT ALTERATION
PERMIT (COMBINED)
PERMIT NUMBER 31734
PROPERTY OWNER Star Lake Bible Camp Assoc Inc
StarLAKE INFORMATION
DNR ID(S)385
LOCATION
Parcel(s): 56000140104000
Township Name: Star Lake Township
Section/Township/Range: Sect-14 Twp-135 Range-041
Legal: 15.00 AC PT LOT 1 WOF BEG AT PT ON NLINE SEC 14 BEING 907’ E OF
WORK AUTHORIZED
Construct a 18' x 30' Lean to on existing garage.
Amy Busko 04/30/2021 02:21 PM
98945688fd4a22e95ad9d8be52d093e7
e9a78f2a7acaeadd86f7e854c594a8ee 04/30/2021 04/30/2022
ISSUE DATE DATE EXPIRESLand and Resource Management Official/Date
NOTE:
• This permit must be placed in a conspicuous place not more than 6 feet above grade on the premises on
which work is to be done, and must be maintained there until completion of such work.
• If the terms of this permit are violated, the entire permit may be revoked and the owner/contractor may be
subject to legal prosecution.
• Property Owner is legally responsible for all surface water drainage which may occur.
• Topographical Alteration projects shall be stabilized within 10 days of the completion unless othera/ise
stated.
• Notify Land & Resource Management when building footings/foundation have been completed and/or when
work authorized is complete and ready for inspection (218) 998-8095.
4/30/2021,2:23 PM1 of 1
https://onegov.co.ottertail.mn.us/view.php?id=17473#option-resultsLand & Resource Permit Applications
m
Land & Resource Management
Government Services Center
540 Fir Avenue West
Fei^us Falls MN 56537
Phone: 218-998-8095OTTER TfllloovuTT-Biitiiora
Site Permit Appiications SITE AND LOT ALTERATION PERMIT (COMBINED) Permit # 31734, App. # 2354, UID # 17473
Valid: 04/30/2021 -04/30/2022
Applicant Information
Applicant Information Name:
Joshua Eiler
Phone
(701 )793 - 1024
Email Address.
joshua.eiler@mdu.com
Mailing Address
8021 Willow Rd N
mandan ND 58554
I am the:Agent/Designer
Property Owner's Contact Information
Property Owner Contact
Information:
Name
Joshua Eiler
Phone
(701 ) 793 - 1024
Email Address
joshua.eiler@mdu.com
Mailing Address
8021 Willow Rd N
mandan ND 58554
Work Performed By (Site Permit)
Work to be performed by
(Site Permit):
Property Owner
Work Performed By (Lot Alteration Permit)
Work to be Performed by
(Lot Alteration);
Properly Owner
4 30 2021. 2:22 PM1 of .5
https://onegov.co.ottertail.mn.us/view.php?id=17473#option-resultsLand & Resource Permit Applications
ProDertv Information
Project Location;
Property Attributes Property Address Legal Description Primary Name/Address
CityCityPrimary Address Line 1Parcel # Property Address Legal Description Name
HORACESTAR LAKE BIBLE CAMP
ASSOC INC
5361 COUNTY ROAD 8156000140104000
S
211386 Square FeetLot Area;
Is the property Developed or
Undeveloped?
Developed
On Site Sewage Treatment
System;
Compliance Inspection Report within 3 yrs.
Onsite Water Supply
NOTE: MN Rules Chpt. 4725
(MN Well Code) requires a
3' (minimum) stmcture setback
to a well.
Individual
Shoreland Information
Associated Lakes;
DNR ID Lake Class LRCDLake Name
Star 385 GD 56-385
Water Frontage: 800 Feet
Bluff; No
Proposed Project (Site)
Proposed Dwelling:None
Is there an Attached Garage?No
Addition to Non-DwellingProposed Non-Dwelling:
Proposed Water Oriented
Accessory Structure;
None
Please list outside dimensions (in 18' x 30' lean-to feet)
of above items you are applying
for:
Characteristics of Addition to Non-Dwelling
Square Feet:540 Square Feet
M Feet
200 Feet
Maximum Proposed Height;
Setback to Lot Lines
(indicate (2) closest lot lines);
200 Feet
Setback to Right of Way:200 Feet
Setback to Ordinary High Water
Level;
200 Feet
Elevation above Ordinary High
Water Level;
200 Feel
Setback to Septic Tank:200 Feel
Setback to Drainfield;200 Feet
Setback to Bluff:1000 Feet
Roof Change:No
Bathroom Proposed;No
Proposed Project (Lot Alteration!
Project Description:Build lean-to for outdoor storageProject Type;Site Prep
Foundation Type:Post Construction
4/30/2021,2:22 PM2 of 5
Land & Resource Permit Applications https://onegov.co.ottertail.mn.us/view.php?id=17473#option-results
Area to be Cut/Excavated
Length:0 Feet Width:0 Feet Average Depth:0 Feet Total Cubic Yards:0 Length:0 Feet
Width:0 Feet Average Depth: 0 Feet Total Cubic Yards:0 Length:0 Feet 0 FeetWidth:
I Calcoiats I
Average Depth: 0 Feet Total Cubic Yards:0
I Calculate I
Walk-Out Basement Project
Length:0 Feet Width:0 Feet Average Depth;0 Feet Total Cubic Yards:0
[ CillClil^te I
Area to be filled/Leveled
Length;0 Feet Width:0 Feet Average Depth:0 Feet Total Cubic Yards:0 Length:0 Feet
Width:Total Cubic Yards:0 Feet Average Depth: 0 Feet P 0 FeetLength:Width:0 Feet[ Catcirtite I
0 Feet Total Cubic Yards: 0A\«rage Depth;
[ Calcuiat^
Backfill at Foundation
Linear Length:0 Feet Average Width;0 Feet Average Depth:0 Feet Backfill Total;0
| CMci|late I
Culvert and Road Authority
Culvert?
Road Authority Appro\al:
iImpervious Surface - Buildinqs
Dwelling Existing:0 Square Feet Dwelling Proposed:0 Square Feet
Attached Garage Existing:0 Square Feet
0 Square Feet
0 Square Feet
Attached Garage Proposed:
Detached Garage Proposed:
0 Square Feet
Detached Garage Existing;0 Square Feet
0 Square Feet
0 Square Feet
Storage Shed Existing:
Water Oriented Accessory
Stnjcture Existing:
Storage Shed Proposed:
0 Square Feet Water Oriented Accessory
Structure Proposed:
Recreational Camping Unit
Existing;
0 Square Feet Recreational Camping Unit
Proposed;
0 Square Feet
3618 Square Feet
Total Building Existing tmpervous; 3618 Square Feet [
Miscellaneous Existing:Miscellaneous Proposed: 540 Square Feet
540 Square Feet
1
Total Building Proposed
Impervious:
Impervious Surface Calculation - Buildinqs
Total Building Existing Impervious: 3618 Square Feet
Total Building Proposed
Impervious:
Total Building Imperious Surface; 4158 Square Feet right
211386 Square Feet
540 Square Feet
Lot Area;
Impervious Surface Ratio:
Buildings Imperious Surface
Percentage:
0.0197
1.97 %
Impervious Surface - Other
Deck(s) Existing:0 Square Feet Deck(s) Proposed:0 Square Feet
0 Square FeetPatio(s) Existing:0 Square Feet
0 Square Feet
Patio(s) Proposed:
Sidewalk(s) Existing:Sidewalk(s) Proposed;0 Square Feet
0 Square Feet
0 Square Feet
0 Square Feet
0 Square Feet
0 Square Feet
0 Square Feet
0 Square Feel
0 Square Feet
0 Square Feet
Landing(s) Existing:Landing(s) Proposed;
Dri\eway(s) Existing: Dri\«way{s) Proposed:
Parking Area(s) Existing:
Retaining Watl(s) Existing:
Parking Area(s) Proposed;0 Square Feet
0 Square FeetRetaining Wall(s) Proposed:
Landscaping Existing: Landscaping Proposed:0 Square Feet
Miscellaneous Existing:]Miscellaneous Proposed;0 Square Feet
0 Square FeetOther Existing Total:Other Proposed Total:
4/30/2021,2:22 PM3 of 5
Land & Resource Permit Applications https://onegov.co.ottertail.mn.us/view.php?id=17473#option-results
Impervious Surface Calculation - Buildings & Other
Total Building + Other Existing
Impervious;
3618 Square Feet
Total Building + Other Proposed 540 Square Feet
Impervious;
Total Building + Other Impervious 4158 Square Feet
Sur^ce:
Lot Area:211386 Square Feet
Building + Other Impervious
Surface Ratio:
0.0197
Building * Other Impervious
Surface Percentage;
1.97%
Shore Impact Zone Impervious
Building(s) Existing 0 Square Feet Building(s) Proposed:0 Square Feet
Deck(s) Existing:0 Square Feet 0 Square Feet
0 Square Feet
Deck(s) Proposed:
Patio(s) Existing;0 Square Feet Patio(s) Proposed;
Sidewalk(s) Exisiting:0 Square Feet Sidewalks(s) Proposed:0 Square Feet
Landing(s) Existing:0 Square Feet 0 Square FeetLanding(s) Proposed:
Driveway{s) Existing 0 Square Feet Driveway(s) Proposed;0 Square Feet
Parking Area{s) Existing:0 Square Feet Parking Area(s) Proposed;0 Square Feet
Retaining Wall(s) Existing:0 Square Feet Retaining Wall(s) Proposed:0 Square Feet
0 Square FeetLandscaping Existing:Landscaping Proposed;0 Square Feet
0 Square FeetMiscellaneous Existing; Miscellaneous Proposed:0 Square Feet
Total Existing Impervious in the
Shore Impact Zone:
0 Square Feet Total Proposed Impervious in the 0 Square Feet
Shore Impact Zone;
0 Square FeetTotal Impervious in the Shore
Impact Zone:
Documentation
PLEASE NOTE PROPOSED
PROJECT AREA MUST BE STAKED
Lean-TO-Camp-Joy-Doc docxFile 1:
Attach Supporting
Documentation;
Total Proposed Area to Determine 540 Square Feet
Fee:
Total Earthmoving Request to
Determine Fee:
0 Cubic Yards
Applicant Approval
Applicant Signature;Joshua Eiler
Date Signed 04/20/2021
Please check to approve:I understand that checking this box constitutes a legal signature
AmyAttention:
Terms
MINNESOTA STATUTE 15.99, SUBDIVISION 2
I UNDERSTAND THAT IN ACCORDANCE WITH MINNESOTA STATUTE 15.99. SUBDIVISION 2, OTTER TAIL COUNTY HAS UP TO SIXTY (60) DAYS TO REVIEW AND
APPROVE OR DENY THE PERMIT APPLICATION DURING THE COVID-19 PUBLIC HEALTH EMERGENCY DECLARATION, OR UNTIL DECEMBER 31,2020,
WHICHEVER COMES FIRST, IN ACCORDANCE WITH MINNESOTA STATUTE 15.99, SUBDIVISION 3 (F), OTTER TAIL COUNTY HAS EXTENDED THE REVIEW TIME
BY AN ADDITIONAL SIXTY (60) DAYS. AND HAS UP TO ONE-HUNDRED AND TWENTY (120) DAYS TO REVIEW AND APPROVE OR DENY THE PERMIT APPLICATION
Notes
The lot lines and project area(s) must be identified & staked onsite.
If project disturbs more than 1 acre of land, you must obtain a General Storm Water Permit from the MPCA.
4/30/2021,2:22 PM4 of 5
Land & Resource Permit Applications https;//onegov.co.ottertail.mn.us/view.php?id=17473#option-results
Site Permit Terms
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 con-ect and agree to do the proposed work in accordance with the description above set forth and according to the
proMsions of the Ordinances of Otter Tai) County, Minnesota
I further agree that any plans and specifications submitted herewith shall become a part of this permit application.
Once Permit is approved, I also understand that this permit is valid for twelve (12) months from the date of approval unless otherwise indicated on permit.
Footings
I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constnjcted.
Invoice #10884 (04/20/2021)
Charge Cost Quantity Total
Site & Lot Permit Fee #2A (261-1,000 Sq Ft and 0 Cubic yds)added 04/21/2021 11 39 AM
$210 Fee
$210.00 $210.00X 1
Grand Total
Total $210.00
$210.00Payment 04/21/2021
$0.00Due
Approvals
Approval Signature
#1 Received and Assigned Emma Barry - 04/20/2021 1:29 PM9fe224dcaaaaefaf5500fdf78bblb250
930d4 0<3cc8c609ed994d6c73071b967 6
#2 Permit Revew Kyle Westergard - 04/20/2021 7:13 PM
8c9367b39e9703da0936a274fad65059
Clbd79a013f4233c48f83563349380e6
#3 Permit Reuew Amy Busko - 04/30/2021 2:21 PMC47c79a8220d962cea4a70cc934fdl54
9a332e46ab7aabe3351daee8543793e6
#4 Permit Issuance Amy Busko - 04/30/2021 2:21 PM
98945688fd4a22e95ad9d8be52d093e7
e9a78f2a7acaeadd86f7e854c594a8ee
Public Notes
Text:
1;■
File(s):
Internal Notes
Text:
rFile(s):
I Print View|
4/302021, 2:22 PM5 of 5
1
WHITE - ‘;>ffice
GOLDENROD - Inspector YELLOW - hwner (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
Permit No.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED.
LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER SECTION TWP NO.RANGE TWP NAME
<//N01 o^cco/^ay\ P
^ oi y
PROPERTY (E-911) ADDRESSPARCEL NUMBER (S)
ck^ j44^ S~6jTz«g
ej € I'c N
p~r Lot- ( io £>f '0T £>yt Liiij^ Sec. /V
^ ^ ^ So de
LEGAL DESCRIPTION
Daytime Phone No.Last Name First Initiai Maiiing Address/ dii^e 7</gw/g»-t ^ d/Acof-c'^
^ S<o^K 3 7i-''
StAA Z/Property
Owner
CC ,
/h\ QpSlZ,
Contractor
Name
Lie.#
£>U/AeA-^ 6>Uf/d
PROPOSED PROJECT (please circle the appropriate number)ONSITE WATER SUPPLY
(Pffndividuai ( ) Public ( ) None
NOTE: MN Rules Chpt. 4725 (MN Well
Code) requires a 3’ (minimum) structure
setback to a well.
ONSITE SEWAGE
TREATMENT SYSTEM
(t/f Permit No.
( ) OTWMD ‘Must have Sewage System Approval
horn OTWMD prior to issuing Site Permit.
Contact Roilie Mann at 218-864-5533
( 2) Add'n to Dwelling
( 5 ) RCU/Year_____
( 3) Replacement Dwelling*
(6) Attached / Detached Garage
(9) W.O.A.S.
(1 ) New Dwelling
(4) MHA-R____
(7 ) Add'n To Non-Dwelling <*^Storaae Structure
(10) Non-Conf. Replacement (identity)’'_________
(11) Other (identify),
(12) Deck_______
'•Existing Non-Conf. Structure Verified by L&R•Removal of Existing Dwelling Verified by L&R
Inspector's Initial/DateInspector's Initial/Date
CHARACTERISTICS OF PROPOSED W.QJCS.
(WATER^ ORIENTED ACCESSORY STR^ICTURE)
Outside
Dimension
CHARACTERISTICS OF PROPOSED NON-DWELLING
Outside
Dimension
CHARACTERISTICS OF PROPOSED DWELLING (Must IncludViAttached Garage)
Outside Dimensi
Sq. Ft.
Setback to Lotline __N
Setback to Right of Way
Setback to Ordinary High Wdter Level ___
Elevation Above Ordinary High^ter 1$>K\
Setback to Septic Tank__
Setback to Drainfield____
Setback to Bluff______ >
Total Bedrooms /
Maximum ProposedrHeight
Roof Change ^) Yes ( ) No \
Basement ( ') Yes ( ) No
Walkout Basement ( ) Yes (side proliie required) ( ) No
/'Z- Ft.xFt. X ^7^ Ft."Ft.*'Ft.x FT*
Sp. Ft.
Setback to Lotline pt. & Ft."
Setback to Right of Way pf."
Sq. Ft.________\
Setback to Lotline \
Setback to Right of Way
Setback to Ordinary Higt)4)9Wer Level __
Elevation Above Orfknary HigmWater Level
Setback to Septic Tank
Setback to/Orainfield _
Setback » Bluff_____
Ft.&
Ft."Ft."
Ft."Ft.</7i~ FtPj Setback to Ordinary High Water Level
Elevation Above Ordinary High Water Level
Setback to Septic Tank Ft.
Setback to Drainfield ^ Ft.
A Ft.
Maximum Proposed Height
Roof Change ( ) Yes (
Bathroom Proposed ( ) Yes (•yj^No
"Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Appiication / Inspection
Ft.
Ft.Ft.
Ft.Ft.
Ft.
Setback to Bluff Ft.Ft.ii__Ft.
.Ft.Maximum Proposed Height
( ) Boathouse
( ) Gazebo
( ) Screen PorchX
( ) Storage Structui
* Must include on scale drawing,
additional Permit may be required.
Topographical Alteration / Earthmovina
□ None y 20 Cubic Yards or Less *
CHARACTERISTICS OF LOT:
□ 300 Cubic Yards or More'□ 21 Cubic Yards - 299 Cubic Yards*
Bluff ( ) Yes cyj NoSq. Ft. Water Frontage
t/coo_________
.Ft.
c/oolus Surface Ratio:.%X100 =T
Impenrious 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 responsibiiity to inform the Land & Resource Management of^once the buiiding footings have been constructed.
Signature of Property Owner/Agent for Owner ^
and & Reso^KsIuanagement Official^<^fisv^
\
Date:
.E-U-ZjQt^Date:
|M08^7RECEIPT NO.PERMIT FEE $PROJECT(S) TOTAL SQ.FT.
Date Stamp Kcl.V L’.iComments:
7m•.L • ‘^^CAilED ,:E
L&R InitialI^B*3
Form No. BK — 04-2013-05 351.158 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota
/
WHITE - 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.iis
APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED.
Ol^
'
Permit No.
1LAKE / RIVER NO.
9 >
LAKE/RIVER NAME LAKE/RIVER
C[,ASg
SECTION TWPNO.RANGE TWPNAME//A?r
;PARCEL NUMBER (S)propertSF (e-511) address\\i
\/;/ .•
^ € I'o /V fYfr<
t
//,Ve s«»c: /^/■prr Lot I to i>-f detj 'f>/LEGAL DESCRIPTION
Daytime Phone No.Mailing AddressInitialLast Name FirstI
dA(e ^2*/Property
Ownert
A STd.J
f‘(-{uAr\ /'k,0'/cai AI'A '91^'^IZ.
\Contractor
Name
Lie.#
~/o \\
i
PROPOSED PROJECT (please circle the appropriate number)ONSITE SEWAGE
TREATMENT SYSTEM
y,-o di ‘t
ONSITE WATER SUPPLY
(.) Individual ( ) Public ( ) None
NOTE: MN Rules Chpt. 4725 (MN Well
Code) requires a 3’ (minimum) structure
setback to a well.
(2) Add’n to Dwelling (3) Replacement Dwelling'
(6) Attached / Detached Garage
(9) W.O.A.S.
(1 ) New Dwelling
(4) MHA’R____
(7) Add'n To Non-Dwelling ^^Storage Structure
(10) Non-Conf. Replacement (idenlify)”_________
(5) RCU/Year {{/) Permit No.
( ) OTWMD ‘Must have Sewage System Approval
from OTWMD prior to issumg Site Permit.
Contact Rollie Mann at 218-864-5533/•(11) Other (identify),
{12) Deck_______
"Existing Non-Conf. Structure Verified by L&R•Removal of Existing Dwelling Verified by L&R
Inspector's Initial/DateInspector's Initial/Date
CHARACTERISTICS OF PROPOSED W.O.A.S.
(WATER ORIENTED ACCESSORY STI^CTURE)
Outside V /
Dimension \Ft. xFjr*
CHARACTERISTICS OF PROPOSED NON-DWELLING
Outside
Dimension
CHARACTERISTICS OF PROPOSED DWELLING
(Must Include Attached Garage)
Outside Dimension^___
So. Ft. \
Setback to Lotline __j
Setback to Right of Way
Setback to Ordinary High W^r Level
- ." i -Ft."Ft. X Ft."Ft. X
So. Ft. it ^ -
Setback to Lotline Ft. & ? Ft."
S7S"
Sq. Ft.
Setback to Lotllne
Setback to Right of Way'^
Setback to Ordinary HigtvWaJer Level __
Elevation Above Ot^ary High'^^ater Level
Setback to Septfc Tank
Setback tO/drainfield _
/
Setback t& Bluff
Ft.&ET*
Ft."Ft."\Setback to Right of Way
Setback to Ordinary High Water Level
Elevation Above Ordinary High Water Level d Ft.
Ft."Ft."Ft.
Ft.Elevation Above Ordinary High^N^er Le»6l
Setback to Septic Tankj
Ft.Ft.
Ft.
/Ft.Setback to Septic Tank >'00 pt.
Setback to Drainfield 7 ^ Ft.
A Ft.
Setback to Drainfield
Setback to Bluff___
Total Bedrooms___
Maximum Proposed Height_____
Roof Change (/ ) Yes ( ) No
Basement ( ') Yes ( ) No
Walkout Basement ( ) Yes (s/de profile required) ( ) No
Ft.
Setback to Bluff
Maximum Proposed Height
Roof Change ( ) Yes (
Bathroom Proposed ( )Yes ('^ No
**Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection
Ft.Ft.li__Ft.,Ff.Maximum Proposed Height ■'i
i( ) Screen Porch\
( ) Storage Structure
( ) Boathouse
( ) Gazebo .7
* Must include on scale drawing,
additional Permit may be required.
Topographical Alteration / Earthmovinq
□ None y 20 Cubic Yards or Less * □ 21 Cubic Yards - 299 Cubic Yards'
CHARACTERISTICS OF LOT:
(pC3
□ 300 Cubic Yards or More*
'txX[Bluff ( ) Yes (y) No
, Odi, / ~L.
Sq. Ft.Water Frontage .Ft.ta 7-^
E /YQC>
Total Lot Area (FT^)
Cf CcOieSus Surface Ratio:xioo =.%
Impenrious Surface RatioTotal 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 responsibility to inform the Land & Resource Management office once the building footings have been constructed.
//QO/Q z.' yo.A jDate:
Si^ature of Property Owner/Agent for Owner
I jc- Z- (- ZOI yDate;
Land <5 Resodhet^agement Official
iML.qz-7 1RECEIPT NO.PERMIT FEE $PROJECT(S) TOTAL SQ. FT.
Comments:
SCMNES
Form No. BK — 04-2013-05 351,158 • Victor Lundeon Co.. Printers • Fergus Falls. Minnesota
*>
i
SITE PERMIT
INSPECTION RESULTS
f-
Inspector must make all measurements and computations
ic
Structure Set Back from Ordinary High Water Level Ft.Ft.
Ft.Structure Set Back from Top of Bluff Ft.
^dur-Ft.Structure Set Back from Road Right of Way Ft.
/qo^ Ft. &Ft.Ft.&Structure Set Back from Lot Lines Ft.
9 9 Ft.Ft.Structure Height
Ft.Structure Set Back from Septic Tank Ft.
Ft.Ft.Structure Set Back from Drainfield
Elevation Of Lowest Floor Above Ordinary
High Water Level____________________FtFt.
Land Slope at Building Site %%
Inspector’s Comments / Sketch:
r/;
)/
Inspector’s Signatui
Date of Inspection
/JYo
Time of inspection
^fhoject Approved
J S7~Date/Initial
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56000990283000. *-5 )i 1.29 AC
56435 SQ FT
56000990282000-S'*-. 1.1.95 ACs
85,090 SQ FT
M'BOTH PARCELS APPROX 160' FROM WATER•t . T-.
i
Department of
LAND & RESOURCE MANAGEMENT I
COUNTY OF OTTER TAIL
Phone 218-739-2271
Court House
Fergus Falls, Minnesota 56537 !i
MALCOLM K. LEE, Administrator
November 4, 1987
I
iStar Lake Bible Camp Assn.
Dent, MN 56528
Site Permit #8006 for lot on Star Lake (56-385).RE:
Dear Star Lake Bible Camp Assn.:
Please be advised that Site Permit #8006 has expired.
To date our office has not been notified that your project was ready for
inspection as is required. If your project is ready for inspection you
should notify our office immediately. If your project has not yet been
started and you still plan to proceed, you should seek a renewal of your
permit from this office immediately.
Please contact our office if you have any questions regarding this matter.
Sincerely,
Sjip
Bill Kalar
Asst. Administrator I
mgb
SHORELAND MANAGEMENT ORDINANCE - DIVISION OF EMERGENCY SERVICE - SUBDIVISION CONTROL ORDINANCE
SOLID WASTE ORDINANCE
SEWAGE SYSTEM CLEANERS ORDINANCE - RECORDER, OTTER TAIL COUNTY PLANNING ADVISORY COMMISSION
RIGHT-OF-WAY SETBACK ORDINANCE FUEL AND ENERGY COORDINATION
/I
C "
^ 0 J
/^-r
I
tsi 2.^JiSO 3.^; t)£?6-
Is~o
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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
^ooLPermit No„LEGAL
DESCRIPTION F ^ dyAND
LOCATION
g I L-k.
TWP NameTWPLake Classif.Sec.RangeLake No.Lake Name
IDENTIFICATION; Please Print All Information
Tel. No.First Zip No.Mailing Address— No. Street. City and State i0 m tJInitialLast Name Q>l£ cuiM/} /?:!rsVv/r-OcOwner
NameContractor
Architect Name.
NON-RESIDENTIAL PROPOSED USE;TYPE IMPROVEMENT:
New Building
( ) Alteration
RESIDENTIAL PROPOSED USE:
( ) One Family Dwelling
( ) Multiple Dwelling
Specify:.
Units
( ) Other ( ) Other Size
ESTIMATED COST OF IMPROVEMENT $
TYPE OF SEWAGE DISPOSAL:DIMENSIONS:PRINCIPAL TYPE OF FRAME;
( ) ^sonry
(Vyl Wood Frame
( ) Structural Steel
( ) Other — Specify
Basement: ( ) Yes (
Stories above basement:
Sq. feet (outside dimension)
Bedrooms
( ) Bdblic
(V) Individual Septic Tank, etc.
WATER SUPPLY:
( ) ^blic
( jnndividual Well
I
Baths .-.........
CHARACTERISTICS;
square feet. Water frontage is
\i •—^^Building set back from high water mark is................
Land height above high water mark at building line is
feet.Maximum depth of lot feet.Lot Area is
feet. (Building Line)
feet
.feet.feet — from road right of way ising set back from S^ate highway right o^way
Side yard is ............................. and ..........id..
Build
feet.
.feet from septic tank (Sewage System Permit must be obtained before installation),
feet from soil absorption system (Sewage System Permit must be obtained before installation).
Structure will be located >0Structure will be located
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans'and specifications submitted herewith
shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
THIS IS A SITE PERMIT ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA 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.
1^1/SignalDated.
re 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.
t-/ - 2- f 9
Dated
Shoreland Management Official3(3- ^Permit Fee $.Receipt No.
V bv.cAS',ivCJrKp.t’' 'ho l—UL ) r,l'-hk 0 4 f 11^ C fStVNo> r>¥d
Form No. MKL-0286-019 229971(g)
VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS. MtNN.
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
■J
Permit No„LEGAL
DESCRIPTION ' P'1 jV J /
AND
LOCATION
TWP NameSec.TWP RangeLake Classif.Lake No. Lake Name
IDENTIFICATION: Pleaie Print All Information
Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialFirstLast Name
Owner
NameContractor
Architect Name.
NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:/
-by'j Specify:.( ) One Family Dwelling
( ) Multiple Dwelling
( ) New Building
( ) Alteration Units/t . ■'
( ) Other( )Other Size 1iESTIMATED COST OF IMPROVEMENT $
DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME:
Basement: ( ) Yes ( I No
Stories above basement;
Sq. feet (outside dimension)
Bedrooms
( ) Public
( ) Individual Septic Tank, etc.
WATER SUPPLY:
( ) Public
( ) Individual Well
( ) Masonry
( ) Wood Frame
( ) Structural Steel
( ) Other — Specify
i
Baths
CHARACTERISTICS:
feet.Maximum depth of lot feet.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. (Building Line)
feet
feet — from road right of way is ■feet.
.............feet.
■feet from septic tank (Sewage System Permit must be obtain^ before installation).
feet from soil absorption system (Sewage System Permit must be obtained before installation).
and
Structure will be located
Agreement; I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set
forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith
shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
THIS IS A SITE PERMIT ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STA TE STA TUTES.
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.
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 $.Receipt No.ii
Comments:
;
Form No. MKL-0286-019 229971@
VICTOR LliNDECN CO.. PRINTERS. FERGUS FALLS. MINN.
^ -
INSPECTOR'S CHECK LIST
Make all measurements and computations
ACTUAL
IS 1
MINIMUMShall Be i Sq. Ft
Lot Area (Square feet)Sq. Ft.Sq. Ft.
Water Frontage Ft. Ft.
1--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 •2^0 8i 16(70 Ft.&Ft.
0^Rear Yard Ft. Ft.
II o'Occupied Building to Septic Tank 10 Ft.Ft.
(Occupied Building to Absorption System 20 Ft.Ft.Zo
Elevation at Building Line above
High Water Mark_____________
rn' . 'n 10 Ft.3 Ft
(I
inInspector's Comments:¥
1 yr>A
Inspectors Signature
Title
Inspection
Dated 19
AgencyI
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In Account With
Star Lake Township
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Department of
LAND & RESOURCE MANAGEMENT
COUNTY OF OTTER TAIL
Phone 218-739-2271
Court House
Fergus Falls, Minnesota 56537
MALCOLM K. LEE, Administrator
December 23, 1986
Camp Joy
RR
Dent, MN 56528
Site Permit #7500 for lakelot on Star Lake (56-385).RE:
Dear Sirs:
»On December 22, 1986, our office inspected the 16 foot by 30 foot storage
building which was constructed on your property. This inspection revealed
that your structure was 23 feet from the edge of the township road which
serves your area.
\Upon reviewing our records, I found that the location of your structure had
apparently been previously approved (during an onsite inspection by Jody
Kubitz), provided we received a letter of approval from the Star Lake
Townboard. As of today's date, we have no record of approval from the
townboard which means that our office can not approve the location of your
structure.
Please supply our office with the required township approval (in writing)
for this structure on or before January 6, 1987 so that this matter can be
resolved.
Sincerely,
Bill Kalar
Asst. Administrator
mgb
I
f
SHORELAND MANAGEMENT ORDINANCE - DIVISION OF EMERGENCY SERVICE - SUBDIVISION CONTROL ORDINANCE
SOLID WASTE ORDINANCESEWAGE SYSTEM CLEANERS ORDINANCE - RECORDER, OTTER TAIL COUNTY PLANNING ADVISORY COMMISSION
FUEL AND ENERGY COORDINATIONRIGHT-OF-WAY SETBACK ORDINANCE
»
Department of
LAND & RESOURCE MANAGEMENT
COUNTY OF OTTER TAIL
Phone 218-739-2271
Court House
Fergus Falls, Minnesota 56537
;
MALCOLM K. LEE, Administrator
November 24, 1986
Camp Joy
RR
Dent, MN 56528
Site Permit #7500 for lakelot on Star Lake (56-385.R£:
Dear Camp Joy:
Please be advised that Site Permit #7500 has expired.
To date our office has not been notified that your project was ready for
inspection as is required. If your project is ready for inspection you
should notify our office immediately. If your project has not yet been
started and you still plan to proceed, you should seek a renewal of your
permit from this office immediately.
Please contact our office if you have any questions regarding this matter.
Sincerely,
Bill Kalar
Asst. Administrator
mgb
SHORELAND MANAGEMENT ORDINANCE - DIVISION OF EMERGENCY SERVICE - SUBDIVISION CONTROL ORDINANCE
SOLID WASTE ORDINANCE
SEWAGE SYSTEM CLEANERS ORDINANCE - RECORDER, OTTER TAIL COUNTY PLANNING ADVISORY COMMISSION
FUEL AND ENERGY COORDINATIONRIGHT-OF-WAY SETBACK ORDINANCE
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
Permit No,.UrI- 15 E I PK
I'l
LEGAL
DESCRIPTION
^ I(^f3AND
LOCATION i-U 1^ Ad6'n jo pk _____
Shr'iiS’ ' '.^/ctr We frh 11-/^ l3f M l&SFxrJAkk.
’ - -- .p^^p R&nge TWP Name
kU3-
Lake Classif.Lake NameLake No.
iPENTIFICATiON: Please Print All Information
Tel. No-First Zip No.InitialLast Name lailing Address— No. Street. City and State
I yu/\iOwner
(CTntr.NameContractor
cm
Architect Name.
sfcvue NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OIMM
^^^ew Building
( ) Alteration
PROVEMENT:
Specify:,( ) One Family Dwelling
( ) Multiple Dwelling uy X'5o
bid^
Units
( ) Other( ) Other Size
ESTIMATED COST OF IMPROVEMENT $
DIMENSIONS:PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAmAf( ) Masonry
Frame
( ) Structural Steel
( ) Other — Specify
Basement: ( ) Yes
Stories above basement: .......
Sq. feet (outside dimension) ....
Bedrooms
( ) Public
^^^^j^<rTndividual Septic Tank, etc.
WATER SUPPLY:
( ) Public
^^^^i^^ndividual Well
Baths
CHARACTERISTI
Lot Area is
rT2Q0.aCAiL")
.......... squoro foot.feet.Maximum depth of lot feet.
feet. (Building Line)Building set back from high water mark is....................
Land height above high water mark at building line is
Building set back from State highway right of way....
Side yard is ........
Structure will be located
,3.feet
So..feet.feet — from road right of way is
....and .............feet.
.feet from septic tank (Sewage System Permit must be obtained before installation),
feet from soil absorption system (Sewage System Permit must be obtained before installation).Structure will be located
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set
forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith
shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
THIS IS A SITE PERMIT ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA 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.
ignafure of Owner
Dated.
Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit:
express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail
County, Minnesota. This permit may be revoked at any time upon violation of said ordinances.
Sholfeldnd Maiiagergent Official
Dated
miPermit Fee Receipt No.
10 :m(ymComments:
V
Form No. MKL-0286-019 229971@
VICTOR LIJNOEEN CO.. PRINTERS. FERGUS FALLS. MINN.
rWhite - Office
Yellow — Owner Pink
Gol«Nii)>od — Inspector
SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537
APPLICATION FOR SITE PERMIT
Attestor
T;; M 1 i ,Permit No„1-^LEGAL i15 E I 'j I IJDESCRIPTION■JI I/i,(r/AND I;I II ;■ 1 iJLOCATION/ " /t
/'.f /
TWP NameRangeSec.TWPLake Clattif.Lake NameLake No.
IDENTIFICATION: Please Print All Information
Tel. No.Zip No.Mailing Address— No. Street. City and StateFirstInitialLast Name
Owner
tNameContractor
Architect Name.
NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:■:
J ./I Specify:.( ) New Building
( ) Alteration
( ) One Family Dwelling
( ) Multiple Dwelling
1Oil Units
((Other( ) Other Size
:ESTIMATED (X)ST OF IMPROVEMENT $
DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME::T !Basement: ( ) Yes ( ( No
Stories above basement:
Sq. feet (outside dimension)
Bedrooms
( ) Masonry
( ) Wood Frame
( ) Structural Steel
( ) Other — Specify
( ) Public
( ) Individual Septic Tank, etc.
WATER SUPPLY:
( ) Public
( 'f Individual Well
i
Baths
CHARACTERISTICS:r feet.Maximum depth of lotfeet.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. (Building Line)
feet
.feet.feet — from road right of way is
.............feet.
.feet from septic tank (Sewage System Permit must be obtained before installation),
feet from soil absorption system (Sewage System Permit must be obtained before installation).
and
Structure will be located
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set
forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith
shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
THIS IS A SITE PERMIT ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STA TE STA TUTES.
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.
Dated.
Signature of Owner
Permission is hereby granted to the above named applicant to perform the work described in the above statement. This prermit is granted upon thePermit:
express condition that the person to whom it is granted, and his agent, employees and workmen sliall 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 Managenpent Official
Permit Fee $.Receipt No.
Comments:
I
JForm No. MKL-0286-019 229971@ VICTOR LUNDECN CO.. PRINTERS. FERGUS PALLS. MINN.
1
% .
INSPECTOR'S CHECK LIST
Make all measurements and computations
ACTUAL
IS jr
MINIMUM
Shall Be i Sq. Ft.
Lot Area (Square feet)Sq. Ft Sq. Ft.
Water Frontage Ft. Ft.
Building Set Back from High Water Mark Ft. Ft.
Building Set Back from State Highway Ft.50 Ft.
Building Set Back from Street or Road Ft. 40 Ft.
Side Yard &Ft. & Ft.
Rear Yard Ft. Ft.
Occupied Building to Septic Tank 10 Ft.Ft.
Occupied Building to Absorption System Ft. 20 Ft.
Elevation at Building Line above
High Water Mark_____________Ft.3 Ft.
Inspector's Comments:
^ OlCm.
^ i2-23-s-L
2 3 *ju.
:72C.a
Sic. <h T'<r
P
Inspector's Signature
Title
Inspection
Dated -T4IX- 3l2 19
Agency
VICtOft LUNVCtM « CO.. »aiHTta«. F(R«Ua MIHa.
I
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^^iiii'i03'.iU 'o Qf^vi
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White — Office
Yellow — Owner
Pink — Assessor
Goldenrod — Inspector
SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537
APPLICATION FOR SITE PERMIT
C-Or,^ ^aM.0. Couvvp
/S'" /9 /cuJc^
Aotd /- ^
S'G -^^5'
Permit No.,LEGAL
DESCRIPTION
^^uJC-AND
LOCATION
/cUk-/y^ /Sa" dt'^riXA
TWP NameTWPRangeSec.Lake Classif.Lake No. Lake Name
IDENTIFICATION: Please Print AM Information
Tel. No.Zip No.Malting Address— No. Street. City and StateLast Name First Initial
. YHv,S /vojg-*5 Cg> s ^Owner
0/xjw^ •
NameContractor
Architect Name.
NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:!/
/ ^ y o Specify:.I ) New Building ( ) One Family Dwelling
( ) Multiple Dwelling
'^^^l^Jteration Units
( ) Other ( ) Other Size
ESTIMATED COST OF IMPROVEMENt[$
PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS:
( ) Yes ( ) No( ) Public
( ) Individual Septic Tank, etc.
WATER SUPPLY:
( ) Public
( ) Individual Well
Basement:asonry
^t><5vood Frame Stories above basement:
Sq. feet (outside dimension)
Bedrooms ..............................
( ) Structural Steel
( ) Other — Specify Baths
Type of Roof:
/7^CHARACTERISTICS:
square 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 right of way.....
Side yard is
Structure will be located
Water frontage is Maximum depth of lotfeet.Lot Area is feet.
feet. (Building Line)
.<r±:.feet
ddfeet — from road right of way is feet.
.Z..<2.feet.and
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^^apree that any plans and specifications submitted herewith
shall become a part of this prermit application. I also understand that this permit is valid for a peril of six (6) months.
THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A
BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA
STA TE STA TUES.TSignature 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.
/lYIdJiud.Dated
Shoreland Management Official
t/zr/
Permit Fee $ oc
Comments:
2M
195676(0
VICTOR LU,NDEE:n C.O., PRINTERS, 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 PERMIT
Permit No
Ar;'LEGAL (. ^ t ' VV |_)■: 'w.V I
!DESCRIPTION
/O ' /9AND
LOCATION
X
Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name
IDENTIFICATION: Please Print All Information
Last Name First Initial Mailing Address— No. Street. City and State Tel. No.Zip No.
Owner
NameContractor
Architect Name,
TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:
( ) New Bijilding
( ) Alteration
( ) One Family Dwelling
( ) Multiple Dwelling
Specify:
Units
( ) Other ( ) Other Size
ESTIMATED COST OF IMPROVEMENT $
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
Basement: ( ) Yes ( ) No
Stories above basement:
Sq. feet (outside dimension)
Bedrooms Baths
I
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 $.
Comments:
NO CERTIFICATf ■SsU'JDf
19S676(g)
VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS. MINNForm No. MKL-0771-002
'
. :• ^
. -...-gti
•, ■
INSPECTOR'S CHECK LIST
Make all measurements and computations
{
ACTUAL
IS Jr MINIMUM Shall Be ^Sq. Ft
Lot Area (Square feet)Sq. Ft.Sq. Ft.
Water Frontage Ft. Ft.
^0 4/1 C /oc<T=t.Building Set Back from High Water Mark Ft.
Building Set Back from State Highway Ft.50 Ft.
A/^ <r/aSU<JFt.Building Set Back from Street or Road 40 Ft.
Side Yard &Ft.
Rear Yard Ft.Ft.
Occupied Building to Septic Tank Ft.10 Ft.
?Occupied Building to Absorption System Ft.20 Ft.
Elevation at Building Line above
High Water Mark_____________Ft.3 Ft.
Inspector's Comments:
Inspector's Signature
Title
Inspection
Dated
Agency
^ VICTO* U/HPKM « CO .IIMTII
R E C E r V E D
JUN 1 8]0]2
Owned by:
Star Lake Bible Camp Assn.LAND a RESOURCEPeter C, Sorenson, Founder
Dent, Minnesota 56528
Phone; (218) 758-^924Operated by:
American
Box 368, 672 Conestoga
Villanova,
Missionary Fellowship
Road
Pa. 19085
Regional Office
1810 Delwood Ave. S. W.
Grand Rapids, Mich. 49509
Camp Director
Pev. Roland Bergstrom
1204 South Mill streetFalls, Minnesota 56537Fergus
Camp Board
Howard Peterson
Peter C. Sorenson
Lillian Sorenson
Ruth E. Ottoson
Harold Erickson
Lloyd Swan
Stanley Sha
Chester ingebretson
Norman Lundhagen
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
7ZJ<cl/S'-J / M rv-v Permit No.LEGAL
A/- 6, //!Date.(■DESCRIPTION r
AND
LOCATION
J Cl h\ '9scSI ^U I
Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name
tPENTIFICATiON: Please Print AM Information
Last Name First Initial Mailing Address— No. Street, City and State Zip No.Tel. No.
An ft_____^ j ^ ^Owner , A. -r*-^
NameContractor
Architect Name.
TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:
I ) New Building
(«->-Klteration
( ) One Family Dwelling
( ) Multiple Dwelling
( ) Other
Specify:.
Units
M.ATt Ic IkF-Size SlO A( ) Other
ESTIMATED COST OF IMPROVEMENT $ -^000 (omit cents)
PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS:
( -<N( ) Masonry
(''TWood Frame
( ) Structural Steel
( ) Other — Specify
( ) Public
(•I Individual Septic Tank, etc.
WATER SUPPLY:
( ) Public
( /f Individual Well
MECHANICAL EQUIPMENT :
Elevator: ( ) Yes
Air Conditioning: ( ) Yes
( ) Central
Basement: ( ) Yes
Stories above basement:
Sq. feet (outside dimension)
Bedrooms ..............................Baths
HEATING:
( •) Electric
( ) Coal
Other:
Type of Roof:( KNo ( ) Gas
( ) None
( ) Oil
(. )'NoC ------( ) Unit
CHARACTERISTICS: C/cc K / SO
3/2..GLot Area is.......................................................
Building set back from high water mark is
Land height above high water mark at building line is
Building set back from State highway is
Side yard is
Building will be located.........../Q.
Building will be located
square feet.Water frontage is.
feet. (Building Line)
...............................feet
feet.
Z
feet — from road or street is feet.
:^.Q.and feet. Rear yard is
feet from septic tank (Sewage System Permit must be obtained before installation).
feet.
....7^.0...,,. 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.
/a R /-\Dated.
Signature of Owrt^
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
3SOO>?.State Surcliarge $ •Permit Fee $.
/Vij L // /VvCIComments: -V 4./TO r* ./r,/O t ^,tin
Form No. MKL-0771-002
VICTOH UIHBCCa 4 C«-. PHIMTta*. *C4«U4 FM.L*.
1S8899
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.Sec.TWPLake Name Range TWP Name
IDENTIFICATION: Please Print All Information
Last Name InitialFirst Mailing Address— No. Street. City and State Tel. No.Zip 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 (omit cents)
PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS:
( ) Masonry
( ) Wood Frame
( ) Structural Steel
( ) Other — Specify
( ) Public
( ) Individual Septic Tank, etc.
WATER SUPPLY:
( ) Public
( ) Individual Well
MECHANICAL EQUIPMENT :
Elevator: ( ) Yes
Air Conditioning: ( ) Yes
( ) Central
Basement: ( ) Yes ( ) No
Stories above basement:
Sq. feet (outside dimension)
Bedrooms ..............................Baths
HEATING:
I ) Electric ( ) Gas
( ) Coal
Other:
Type of Roof:( ) No < ) Oil
( ) No ( ) None
( ) Unit
CHARACTERISTICS:
Lot Area is square feet.Water frontage is.
feet. (Building Line)
...............................feet
feet.
Building set back from high water mark is....................
l^nd 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.
.......................................feet. Rear yard is
feet from septic tank (Sewage System Permit must be obtained before installation),
feet from soil absorption system (Cesspool, Drainfield, etc.).
and feet.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set
forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith
shall become a part of this permit application. I also 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:
8^
Form No. MKL-0771-002 158899
VieTeR UlNDCCH k C«.. RRlHTIRI. FCROUR fAU-S. HlHH
INSPECTOR'S CHECK LIST
Make all measurements and computations
ACTUAL IS 4.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
Title
Inspection
Dated 19
Agency
VICtON UJHOICM ft M . ftftlftTCM, rtftftUft FALL*. N>HH.
CAi'^tp J~oj-
STAK lake
CAMP AX///
o\-LAK£/TAK
I
A ■ ~~JMF/nMAf]
ri'Z^‘
fo' 1^TAK LAKft
Y<i\A/M^hi P
1>£C, 11 ?o IJc^ ^
\
OAP
Do No r
Dear Customer;
Sears has revised the form of the warranty covering yc Ventilator in accordance with the recently enacted M^nuson-Moss
V/arranty Act. The revised warranty covering the Vehtilator you
purchased is stated below. It replaces the warrartuy which may be stated on the label affixed to the product or^in your owner's
manual.
nevi
FULL ONE YEAR V/ARRANTY
For one year from date of purchase, will repair this vent fan, free of charge, if defective in mat^ial or workmanship.
This warranty service is availablenearest Sears Store or Service Cent^ throughout the United States.
\ /
simply contacting your
Roebuck and Co.Sear.
If you have any questions about this revision, please call the Customer Service Department in your local Sears S'b<^re.
Sears, Roebuck and Co.
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
72.3Permit No,.LEGAL
Date.DESCRIPTION
p / C> , /~7 , / ^ F'iLl y (AND > ott /// •LOCATION
ST:S- D>rl-?sr'7 TTh £>Ld^ I'i’r _jii a r
Lake No.Lake Name Lake Classif.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.
r Ln k ^ V ^ C Q p
_____________4
/yjn ■Owner r
/« A
NameContractor
Architect Name.
TYPE OF IMPROVEMENT:
("^-RevirBuilding f J>
( ) Alteration
RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:
( ) One Family Dwelling
(^"Tl^ltiple Dwelling
( )Other
Specify:,
Units
Jo ^ yt.'{ ) Other Size
ESTIMATED COST OF IMPROVEMENT $ / ^(omit cents)
PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS:
Basement: ( ) Yes (*-M^o
Stories above basement:
Sq. feet (outside dimension)
Bedrooms
( ) Masonry
(L..Hl9ood Frame
( ) Structural Steel
( ) Other — Specify
( ) Public
(cJ—ffraTvidual Septic Tank, etc.
WATER SUPPLY:
( ) Public
(L-MTiaividual Well
MECHANICAL EQUIPMENT :
Elevator: ( ) Yes
Air Conditioning: ( ) Yes
( ) Central
i 7 ^ c* V
............
Baths2
HEATING:
( ) Electric
( ) Coal
Other:
-t"^oType of Roof: C.P'(( ) Gas
( ) None
( ) OilO
(M^o
( ) Unit
CHARACTERISTICS:
’2^1 LlrJ.Lot Area is square fe^'520^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 wili be iocated
ypI.E5..r.feet — from road or street is feet.
..7...0 and feet. Rear yard is
feet from septic tank (Sewage System Permit must be obtained before installation),
feet from soil absorption system (Cesspool, Drainfield, etc.).
feet.
LQl..
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 hr hi>4'SS/^
Signature of Owner '
Dated.
Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit:
express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail
County, Minnesota. This permit may be revoked at any time upon violation of said ordinances.
r// r/') 3~ JTdjT
Dated
ind Management OfficiiQ-6 0 7U\ hi>- /T 2- $Permit Fee $.State Surcharge $.
77h ^ Ay pa *' i / (j( ^ A /) I 4 c e aCj y\V. ^Comments:
/ (( h cfo -f / A’<2.
YD p-lA’
Form No. MKL-0771-002 158899vima luaacCM a oa.. aaiaTcai, Piaaut r*.*.*.
SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Fergus Falls, Mn. 56537
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
White — Office
Yellow — Owner
Pink — Assessor
Goldenrod — Inspector Phone 218-739-2271
Permit No,,LEGAL J L Date,■J-DESCRIPTION
AND
LOCATION
TWP NameSec.TWP RangeLake Classif.Lake NameLake No.
IDENTIFICATION: Please Print All Information
Mailing Address— No. Street. City and State Zip No.Tel. No.First InitialLast Name
Owner
NameContractor
Architect Name,
NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE;TYPE OF IMPROVEMENT:
I ) One Family Dwelling
( ) Multiple Dwelling
Specify:,( ) New Building
( ) Alteration Units
J) 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.....'.'.f..
HEATING:
( ) Electric ( ) Gas
( ) None
( ) No ( ) OilType of Roof:
( ) 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.1
.......................................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:
.6
!
• Epfrnjjo. MKL-0771-002 .158899
yier** u/mmch « e«.. MiaTtM. rtutu* pm.l8. mmin
INSPECTOR'S CHECK LIST
Make all measurements and computations
ACTUAL
IS Ir 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.Ft.Building Set Back from Street or Road
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 Ft.
Inspector's Comments:
MInspecw's Signature
Title
Inspection
Dated 12u- 1}19
Agency
VlCTQM LUMBteH * M.. MINTCAt. FCIBU* FM-L*. MIHM.