Loading...
HomeMy WebLinkAboutCrystal-Lida Resort_37000990294000_Shoreland Permits_WHITE - Office APPLICATION FOR SITE PERMIT GOLDENROD - Inspector LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR. FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us YELLOW - Owner (after issue) • ' PINK - Assessor ‘2310Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NAMETWPNO.RANGELAKE/RIVER CLASS SECTIONLAKE / RIVER NO.LAKE/RIVER NAME OA / C-r-fS^ ^ ^ o 370609 /6oo 37000^903 8^9,37^^^39/000 n Li O A PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) q(^3?9 CO LEGAL DESCRIPTION 6V/si-A-L L? Q/x /V Z0A5 7—3 Id^S /3Ut~7/</ /3LK i Last Name Daytime Phone No.Mailing AddressFirst Initial S/ L «• c gi- t^Y&KjcJab ywwS (rc-eProperty Owner Tga,p? S /«»■? Contractor Name Lie.#■g.. ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY ( ) Individual ubiic ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add'n to Dwelling ( 3 ) 'Replacement Dwelling ( 6 ) Detached Garage (9) W.O.A.S. 'Existing Dwelling to be removed before (1 ) New Dweiiing (4 ) MHA'R_____ ( 7 ) Add’n To Non-Dweiiing ( 8 ) Storage Structure Permit No. i {5) RCU/Year.( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rome Mann at 218-884-5533©Other CHARACTERISTICS OF PROPOSED (WATER OntCNTCD AOOEQSOnV STRUCTURE) Outside <3 _ Dimension ______Ft. x / / CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension Ft."Ft. xFt. X Ft."Ft." Sq.Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level/_ Elevation Above Ordinary High Level Setback to Septic Tank___ Setback to Drainfieid ■ > Setback to Bluff X Total Bedrooms / Maximum Propped Height SqFt \^0 Setback to Lotline Ft. & Setback to Right of Way Ft." Setback to Ordinary High Water Level Ft. Elevation Above Ordinary High Water Level Ft. Setback to Septic Tank pt. Setback to Drainfieid Ft. Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water LeysT__ Elevation Above Ordinary HigJyWater Level Setback to Septic Tank y Setback to Draintieldr Setback to Blufp^^______ Maximum ^posed Height Roof Change ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No Ft.&Ft."SO^Pt"Ft.&Ft." Ft.*> Ft.Ft.Ft. .Ft.Ft. Ft.Ft. Ft.Ft. Ft. Setback to Bluff Ft. ^ Maximum Proposed Height ^ ( ) Boathouse ( ) Screen Porch ( ) Storage Structure Ft.Ft.Ft.. RoofChan^( )Yes ( ) No Basement ( ) Yes ( ) No Walkout Basement ( ) Yes (side profile required) ( ) No ^ Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Appiication / inspection ' Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovino j^None □ 20 Cubic Yards or Less ' CHARACTERISTICS OF LOT: Ac<<6a Ft. □ 21 Cubic Yards - 299 Cubic Yards'□ 300 Cubic Yards or More' Bluff ( )Yes (^)No.Ft.Water FrontageLot Area. Impervious Surface Ratio:X 100 =.%Impervious Surface Ratio 'Total Impervious Surface Onsite (Ff!)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 buiiding footings have been constructed. . signature of£pperty Owner L Agent for Owner <^'7 7 Date: Date:r Land & Resource Management Office^^^^PERMIT FEES / O O RECEIPT NO. / ^ JT r*PROJECT(S) TOTAL SQ. FT., Comments: X/ Form No. BK — 1003>0506 326,151 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota WHITE - Office APPLICATION FOR SITE PERMIT GOLDENROD-" Inspector LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 565: 218-998-8095 / www.co.otter-tail.mn.us ' YELLC^W - Owner (after issue) PINK - Assessor PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE/RIVER CLASS '• ' /UA /' C v V toO/K L/ 37000*^ *7033 /£>oo 2^*^ OOP SECTION TWP NO.RANGE TWP NAMELAKE / RIVER NO. SU-l^-ll LAKE/RIVER NAME I L~ I O ^i3(o/ / PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) <:o V LEGAL DESCRIPTION Cr jS^^/XL LtpA i3e/^ck^jS PT' Ld-fS /—3 iZLh^ iMs /"■!> )<t>r'704- /V l5lK J!. Daytime Phone No.Initial Mailing AddressLast Name First c:o s/Property Owner r^jab s G>s 7r C A., /so Contractor Name Lie. # PROPOSED PROJECT (please circle the appropriate number) (2 ) Add’n to Dwelling ( 3 ) 'Replacement Dwelling ( 6 ) Detached Garage ( 7 ) Add'n To Non-Dwelling ( 8 ) Storage Structure ( 9 ) W.O.A.S. (10) Other. ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY ( ) Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Weil Code) requires a 3’ (minimum) structure setback to a well. (1 ) New Dwelling ( 4 ) MHA'R____(■" ) Permit No. ( ) OTWMD ’Musi have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Roilie Mann at 218-864-5533 (5) RCUA'ear. 'Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension Outside DimensionFt. X Ft."Ft."Ft. X Ft."Ft. X Sq. Ft. Setback to Lotline 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 Heighf Roof Change ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No Sq. Ft. ; Setback to Lotline ■ Ft. &, Setback to Right of Way ______ Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield Sefback fo Bluff____ Ft."Ft.&Ft."Ft.&Ft."Ft."-'Setback to Right of Way Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level a-"'Ft."Ft.Ft.Ft.Ft.Setback to Septic Tank Setback to Drainfield Setback to Bluff Ft.Ft. Ft.Ft.Ft. Ft.Ft.Ft. Total Bedrooms Maximum Proposed Height____ Roof Change ( ) Yes ( ) No Basemenf ( ) Yes ( ) No Walkout Basement ( ) Yes (side profiie required) ( ) No Ft.Ft.Ft.Ft.Ft.Maximum Proposed Height ( ) Boathouse ( ) Gazebo "Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection ( ) Screen Porch ( ) Storage Structure * Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovina P None □ 300 Cubic Yards or More*□ 21 Cubic Yards - 299 Cubic Yards*□ 20 Cubic Yards or Less * CHARACTERISTICS OF LOT: Bluff ( ) Yes (No.Ft.Sq. Ft.Water FrontageLot Area. .%X100 =Impervious Surface Ratio: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. '4Date: Signature of Property Owner/Agent for Owner Date: Land & Resource Management Office,/ PERMIT FEE $RECEIPT NO.PROJECT(S) TOTAL SQ. FT.. Comments: 326,151 ■ Victor Lundeen Co., Printers * Fergus Palis, Minnesd^^^^Form No. BK — 1003-0506 fSITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations IOd^Ft.Ft.Structure Set Back from Ordinary High Water Level Ft.Ft.Structure Set Back from Top of Bluff 75'^Ft.Ft.Structure Set Back from Road Right of Way /gy /Qy(-Ft.Ft. &Ft.Ft. &Structure Set Back from Lot Lines Ft.Ft.Structure Height 75't Ft.Ft.Structure Set Back from Septic Tank ^5^Ft.Ft.Structure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level____________________Ft.Ft. %Land Slope at Building Site % Inspector’s Comments / Sketch: PI / 14iro i.I - ^o' ■; Signaty' f-^-o7 Date of Inspection /I^O V) Time of Inspection Project Approved Date / Initial OT T El O £ s c A ^ LJ.._.-. f ^hf p. Department of LAND A^ D RESOURCE MANAGEMENT OTTER TAIL COUNTY ijovERNMENT Services Center • 540 West Fir Fergus Falls, MN 56537 Ph: 218-998-8095 C ITER Tail County’s Website; www.co.ottertail.mn.us 12 April 06 Mr. Michael P. McNal b 26389 County Highw y #4 Pelican Rapids, MN 56572-7514 RE; Additions to manufactured homes and appurtenant structures at Crystal-Lida Resort Dear Mr, McNabb, I was on your property on 9 March 06 to check an expired site permit for a . replacement Manufactured Home (MH). That situation was as expected. While I was walking up to the subject replacement MH, I noticed that quite a few of the MH’s in the Manufactured Home Park (MHP) had attached additions to their units, and someone had erected a screened gazebo. I am enclosing an annotated map of the MHP for your reference. I can find no record of Conditional Use Permits or Site Permits for the noted additions or structures. This is not in accordance with the Shordand Management Ordinance (copy of applicable page of reference enclosed). Please contact me at your earliest convenience to discuss this matter. Sincerely, Mark Ronnmg, Inspector 7 7oog Tax parcel Number(s) Drawing must be to scale. Drawing shail identify project and include the setbacks to all of the existing and proposed iotiines, road right-of-way(s), ordinary high water level(s), structure(s), septice tank(s), drainfield(s), biuff(s) & wetland(s). Must also include all proposed topographical alterations. C. %Scale Impervious Surface ,...K Os W f ni 6^ ~o XV>j C/I ° 94V u, z >1' P 9-> ?X— f?^ O LOCl €p' Cl 9 rr<3JO i i o fh o ft•7 e-o>0 -tL Cn i i ^ Signature of Property Owner ^ V.7-^-^7Date ' BK — 0505 322,180 • Victor Lundeen Co. Pi.nteis • Fergus Fa"s. MN • 1-800-346-4870 WHITE - Office APPLICATION FOR SITE PERMIT GOLDENROD - Inspector YELLOW - Owner (after Issue) PINK - Assessor LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us Permit No.PLEASE PRINT OR TYPE ALL INFORMATION LAKE / RIV£R NO. LAKE/RIVER NAME LAKE/RIVER SG-7^7\ \$0//eo // PARCEL J70OO ) property (E-911 ) address 3 7^00 9f 0^7/000 TWP NO.RANGE TWP NAMESECTION Co y y LEGAL DESCRIPTION /^7~ ^rj/-I G Lfjps h7 17Lf<L9>LoT / H / Daytime Phone No.Mailing AddressLast Name First Initial p^ic//i^eLProperty Owner P^A-i c/j Pi r > /hAJ S^L>^7^-7S1V S^/S'S' Contractor Name Lie.# ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY ( ) Individual Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. PROPOSED PROJECT (please circle the aMro^te number) (1 ) New Dwelling {fT)Add'^o ^elling^ (4 ) MHA-R ( 7 ) Add'n To Non-Dwelling iCsl^inrane Structure (to) Other ( 3 ) 'Replacement Dwelling ( 6 ) Detached Garage (9) W.O.A.S. { ) Permit No. ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rottie Mann at 218-864-5533 (5 ) RCU/Year. ‘Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED W:®**-CHARACTERISTICS OF PROPOSE Outside .Dimension DftON-DWELUNG Ar>pf^ 7uCHARACTERISTICS OF PROPOSED DWELLINGOutside Dimension (HSetback to Lotline ^ Setback to Right of Way _ ^ Setback to Ordinary High Water Level /O Elevation Above Ordinary High Water Level 7(7^ Ft. ^ Setback to Septic Tank f Q-t" Ft. k 1 Setback to Drainfield 2-0y~ Ft. ^ Setback to Bluff ' Ff. Tofal Bedrooms Maximum Proposed Height Roof Change ( ) Yes (.^ No Basement ( ) Yes (^>4 No Walkout Basement ( ) Yes (side profile required) No /^cJ/^C/4 **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection EDDWAot>/o JOJA3.c.Ft. X /Z-i 2- rFt."/Z ^ Ft."Outside Dimension Sq. Ft. /OP Setback to Lotline Setback to Right of Way Ft." Setback to Ordinary High Water Level /0O '/• Ft. Elevation Above Ordinary High Water Level -7^ Setback to Septic Tank Ft. Setback to Drainfield '?)~7S' Ft. Setback to Bluff Maximum Proposed Height ( ) Boathouse ^ Gazebo Ft. X /O Ftx Ft." Sq. Ft.. Setback to Lotline Ft. & ^ Ft." Setback to Right of Way Ft." Jo Ft. & Ft." Ft." /oftA Ft.^ Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank ( Ft. Setback to Drainfield ^ pt. Setback to Bluff Maximum Proposed Height Roof Change ( ) Yes ( ^) No Bafhroom Proposed ( ) Yes (^ No 7^ Ft. Ft.Ft.AZJTti 2.Ft. ( ) Screen Porch ( ) Storage Structure * Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovina □ 20 Cubic Yards or Less *■Sjia Characteristics of lot □ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More*one Bluff ( )Yes (?<INo.Ft.Water FrontageLot Area. Impervious Surface Ratio:X 100 =,%impervious Surface RatioTotai 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. / Date: Signature of Property Owner / Agent k )wner Date: Land & Resource Management Offic^ ^/o (Pro receipt no.PERMIT FEE $PROJECT(S) TOTAL SQ. FT. Comments: Form No. BK — 1003-0506 326,151 • Victor Lundeen Co., Printers • Fergus Falls. Minnesota WHITE - Office APPLICATION FOR SITE PERMIT GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537/ 218-998-8095 0 www.co.otter-tail.mn.us . PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME2." /Vy ^'7 . y . ' 2 7/oc V jv ~ PARCEL NUMBER (S)PROPERTY (E-911) ADDRESS >■ ■ / /Vy-O’L- LEGAL DESCRIPTIONi / /z K- /!'■ Daytime Phone No.First Mailing AddressLast Name initial ;Property Owner -T Contractor Name Lie.#T / 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 PROPOSED PROJECT (please circle the appropriate number) (1) New Dwelling ( 2 ) Add’n to Dwelling py (4)MH/YH_______ (5)RCUAfear (7 ) Add’n To Non-Dwelling (.8) Storage Structure (10) Other. ( 3) 'Replacement Dwelling ( 6) Detached Garage (9) W.O.A.S. ( ) Permit No. ( ) OTWMD 'Must have Sewage System Approval Irort) OTWMD prior to issumg Site F^rmit. Contact Rotlie Mann at 218-864-5533 •Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension Outside DimensionFt. X Ft.**Ft.**Ft. X 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_______ 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__ 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.**Ff.&Ft.**Ft.**Ft.**Ft.Ft.Ft.Ft. Ft.Ft. Ft._Ft.Ft. Ft.Ft.Ft. Ft.Ft.Ft.rFt.: /Ft. !L( ) Screen Porch ( ) Storage Structure ■I j i * Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovina □ None □ 20 Cubic Yards or Less * □ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More*: CHARACTERISTICS OF LOT: Bluff ( )Yes ( )NoFt.Sq. Ft.Water FrontageLot Area. -fImpervious Surface Ratio:X100 =.% Impervious Surface RatioTotal Impervious Surface Onsite (FT*)Total Lot Area (FTr) 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 building footings have been constructed. Date: Signature of Property Owner / Agent for Owner Date: Land & Resource Management Office PERMIT FEE $RECEIPT NO.PROJECT(S) TOTAL SQ. FT.. Comments: ! 326.151 • Victor Lundeen Co.. Printers • Fergus Falls. MinnesotaForm No. BK — 1003-0506 -7^ SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations Cjrr^ A/JL Ft.Ft.Structure Set Back from Ordinary High Water Level Ft.Ft.Structure Set Back from Top of Bluff Ft.Ft.Structure Set Back from Road Right of Way Ft. & Ft.Ft. & Ft.Structure Set Back from Lot Lines c? 9 ^ /i Ft.Ft.Structure Height Ft./ OFt.Structure Set Back from Septic Tank Ft./Q Ft.Structure Set Back from Drainfield S-fElevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. %Land Slope at Building Site % Inspectors Comments / Sketch: “ .'j1 ■i l^pector's Signature Date of Inspection //a/ Time of Inspection ^drroject Approved Date / Initial ''-ev/»oR,0 K E LIDA 0^3-1 OOP Tax parcel Number(s) Drawing must be to scale. Drawing shall identify project and Include the setbacks to all ofj the existing and prcjposed Iptlines, road|right-of-way(s), ordinary high water level(s), structure(s), septice tank(s), draintield(s), bluff(s) & wetland(s). Must also include all proposed topographical alterations. ![ i I■; % j Impervious SurfaceScale f; i i I NORTHi ; ! 1 : III !!oX !-oi; r ;: ;38’ SHED ^ :!i O'SHED !,1 !» ;\ i y ±£T HI Ir!■1 iLU s iJ (O DECK \(75SF) 1 f \;I i i;HI !i1O19*51'SHEDIX;DECK mQOHII2zo iUJ Ja:)UJ Oa:£0.o _1CO : UJI G?! a o; yj X : ! (O oX =i mO 2; 0!10!;ii o 70:I QIII i /0-; fer>i Signature pf Property Owner !Date:iBK^OSOS 322.160 • Victc^ Lundeen Co. Printers • .Fergus Falls. MN » 1-800-346-4870I J ;3ndAWQo 3i\Qfrf\^09S\ ooo Tax parcel Number(s) Drawing must be to scale. Drawing shall identify project and Include the setbacks to all of the existing and prdposed lotllnes, road'right-of-way(P), ordinary high water level(s), structure(s), septice tank(s), drainfield(s), blutf(s) & wetland(s). Wust'also include all proposed topographical alterations. ! % Impervious SurfaceScaleI ;! )1 fI ;i a/c^SLII ; ;!; J<§ I IIi 51 1 i a ' ;! kl * VJ ■: flj o <u !(A V n 5!QI ; 1 iCvJ rl— :>• !:;! !oi ii i;; !;i 1!iVJ i<D Iz iz!fijZ i zz r§.d ioJ!I!On /i. !!;!] i !i i —8'8— i , g oio K i ki i 5JI i !t :I !1 1!■ i:;; I i ;!i I i1 . , ,L;Ii L! ii! :1 1;iJ ;J 1 :i ! Signature of Property Owner Date . • 322,1B0 > Victor Lundeen Co, Primers * Fergus Falls, MN • 1-800.346,4670 iBK — 0505 WHITE - Office • GOLDENROD - Inspector YELLOW - Owner (after issue) APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537I 218-998-8095 |l www.co.otter-tail.mn.us PINK - Assessor PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.TWP NAME S(er 7'^ ^/<lcL / Q3O // PARCEL NU^ER^-^-J^/ d PROPERTY (E-911) ADDRESS (2o ^ ^//c^ /-y . Cfyi>lhb\ /LjrLct. ^ -S^e- ^ ^ Q.yys>i¥ Z/ ticK, J tLc^ LEGAL DESCRIPTION 3/A( (/f Last Name First Initial Mailing Address Daytime Phone No. C^> y^/Y A______________ Pe.)jCMn Property Owner 3c>>( S>Contractor Name Lie.# Moot> ONSITE SEWAGE 3n TREATMENT SYSTEM , (/) Permit No. ( ) OTLSD * V)is permit is only valid aSer verilicadon OQi I - /•,« j -^rn the 0. T.LS.D. that a conforming ^ V vO^fle system virill be installed to service this yeljhcontacl Rollie Mann at 864-5533.CHARAcTERI^ICS of proposed W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension PROPOSED PROJECT (please circle the appropriate number) ( 2) Add’n to Dwelling 0 MHA'R /J?^ (5 ) RCU/Year {7) Add’n To Non-Dwelling ( 8 ) Storage Structure (10) Other. ONSITE WATER SUPPLY (i-T Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. (1) New Dwelling (3) 'Replacement Dwelling (6 ) Detached Garage (9) W.O.A.S.sew- 'Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED DWELLING Outside ■ Dimension JFt. x -5^ Ft." . Sq. Ft. Setback to Lotline /^O Ft. & *?S Ft." Setback to Right of Way /"7'Q Ft." , Setback to Ordinary High Water Level ¥^7!^ Ft. Elevation Above Ordinary High Water Level aLO Ft. - Setback to Septic Tank 30 Ft. Setback to Drainfield S o Ft. Setback to Bluff Total Bedrooms A. Maximum Proposed Height Roof Change ! )Yes (JI( )No Basement ( ) Yes () No Walkout Basement ( ) Yes (A ) No OHARACTERISUCS OF PROPOSED NON-DWELLINGOu^de Dimension Ft. X Ft." Ft. X Ft." Sq. Ft. \ Setback to LoHine ___ Setback to RighuK,Way Setback to Ordinary fWi Water Level __ Elevation Above Ordinari^gh Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff_______ Maximum Proposed Height Roof Change ( ) Yes ( ) No Sq. FtV_______ Setback wiLotline___ Setback to Right of Way Setback to OrdinW High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff____ Ft.&Ft."Ft.&Ft." Ft."Ft." Ft.Ft. Ft.Ft. Ft._Ft. Ft.■t. Ft. Ft. Ft.i!-Maximum Proposed Height ( ) Boathouse ( ) Gazebo Ft. (. ) Screen PorciS. ( ) Storage Structura^Bathroom Proposed ( ) Yes ( ) No **Proiect/Lotfines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection ' Must include on scale drawing Permit may be required Topographical Alteration / Earthmovinq □ 20 Cubic Yards or Less 'None □ 21 Cubic Yards - 299 Cubic Yards'□ 300 Cubic Yards or More' CHARACTERISTICS OF LOT:on /?e.50/‘A Jit-fr ^ y 1 Ft filo/iy Bluff ( )Yes (;(')NoSq. Ft. Water Frontage7 Impervious Surface Ratio:xioo =.%''Total Lot Area (FT^)Total Impervious Surface Onsite (FT®)Impervious 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 shali 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. rThU-TTv—A-A-K0/^ U PROJECT(S) TOTAL SQ. FT., Date: Signature of Property Owner Date: JW(^& Resource Management Office1^PERMIT FEE $RECEIPT NO. Comments: Form No. BK — 1003-0505 322,179 • Victor Lundeen Co., Printers • Fergus Fails, Minnesota dWHITE - Office APPLICATION FOR SITE PERMIT GOLDENROO - Inspector YELLOW - Owner (after issue) PINK - Assessor LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us EXPIRED 5nS0 j PLEASE PRINT OR TYPE ALL INFORMATION Permit No.i RANGELAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWPNO. /.--V TWP NAME ■i 's, r; I i //^ < / d q,i PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) ^^i*j-iTLrO! (2o ^)Ja/\4m LEGAL DESCRIPTION V^aillng Address•i-------------------------r-------------First ^ , Initial f-— ■ Daytime Phone No.Last Name i.T/K'C^ A/'j kk ' ////■'J2o f \Property Owner x (1^ P/u>y 2 > /Cjrh-,/ \>'oJ J i H ‘r-yj- i r ^>SContractor Name Lie.#Br. ■ kf S -LkS^ ''DOC^i V -2 : X :PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling (4) MH/YR /?? y ( 5 ) RCUYear. (7) Add’n To Non-Dwelling ( 8 ) Storage Structure ( 9) W.O.A.S. (10) Other. 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( 2 ) Add'n to Dwelling ( 3) 'Replacement Dwelling ( 6) Detached Garage (*) Permit No. ( ) OTLSD * This permit is miy valid after verification from the 0. T.LS.D. that a conforming sew­ age system will be installed to service this lot contact Rollie Mann at 864-5533.'Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension J(*' Ft. x 5 ^ F*'” Sq. Ft. Setback to Lotline .7 / (.. ‘ Ft. & "?S Ft.** Setback to Right of Way r'.-'O Ft.** Setback to Ordinary High Water Level Ft. Elevation Above Ordinary High Water Level .iO Ft. Setback to Septic Tank j -3 Ft. Setback to Drainfield o Ft. Setback to Bluff Total Bedrooms Maximum Proposed Height /‘P Ft. Roof Change ( ) Yes (A') No Basement! )Yes (A')No Walkout Basement ( ) Yes (yt ) No Outside DimensionFt. x Ft.** Ft. X Ft.'* Sq. Ft. ____ Setback to Lbtfine___ Setback to Right b< 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 Drainfieid___ Setback to Bluff_______ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Rlght-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.&. Ft.**Ft.&Ft.** Ft.**■*• Ft.** Ft.Ft. Ft. Ft.Ft. Ft.=t.Ft.\Ft.■3Ft> 5it-Ft.!i( ) Screen Porch ( ) Storage Structure i Topographical Alteration / Earthmovina is None □ 20 Cubic Yards or Less ' □ 21 Cubic Yards - 299 Cubic Yards' CHARACTERISTICS OF LOT: ' Must include on scale drawing Permit may be required□ 300 Cubic Yards or More' Ofi X.OT- Water Frontage «S^ ^ Arfm'A ■,___^pj ..-7 Total Lot Area (FTs) Lot Area Sq. Ft.Bluff ( )Yes (A') No Impervious Surface Ratio: 1-X100 =.% Total Impervious Surface Onsite (FT^)Impervious 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 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. £. S/gnafure oi Property Owner : Date: Land & Resource Management Office ,/..1PR0JECT(S) TOTAL s{). FT.(rPERMIT FEE $RECEIPT NO.■> 1 Comments: X Form No. BK — 1003-0505 322,179 • Victor Lundeen Co., Printers • Fergus Falls. Minnesota SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations /w // Ft.Structure Set Back from Ordinary High Water Level Ft.Zc/0 ^ Ft.Structure Set Back from Top of Bluff Ft. Ft.Structure Set Back from Road Right of Way Ft./OO -r Ft. & Ft.Ft.Structure Set Back from Lot Lines Ft.& Q /V Ft.Structure Height Ft. Ft.Ft.Structure Set Back from Septic Tank /o t- Ft.Ft.Structure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level____________________Ft.Ft. Land Slope at Building Site %% Inspector’s Comments / Sketch: _> <3^ -'O S'.i.1 • ■ V- cf Inspector’s Signature '■‘‘'•-Va 4^ / Z/tO Date of Inspection Time of Inspection Approved Date / Initial \ \?.^Suc Tioo'- e v^osiD i_/\ kb LI DA used Xi>c Ah/hJi. A <5?? - /5. ^9i8 '/ SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT WHITE - Office GOLDENROD — Inspector YELLOW - Owner PINK — Assessor Permit No.,LEGAL DESCRIPTION AND LOCATION i-ilA It /V yj _LjU TWP NameRangeSec.Lake Ciassif.Lake NameLake No. IDENTIFICATION: Please Print AM Information Tel. No.InitialFirst Zip No.Mailing Address— No. Street. City and Stat)SlLast Name I CAh SOwner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: *tSi^New Building ( ) Alteration Specify:( ) One Family Dwelling ( ) Multiple Dwelling Other Units /^' MM k-ei'M( ) Other Size r ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: A< ) piJbiic ( ) Individual S^tic Tank, etc WATER SUPPLY: ( ) Public Individual Well Basement: ( ) Yes Stories above basement: Sq. feet (outside dirnfifision) Bedrooms ............................. No( I Masonry {^)^ood Frame M I Structural Steel ( ) Other — Specify /. Baths K CHARACTERISTICS:D '}pgMaximum depth of lot feet.square feet. Water frontage is Buiiding 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 ....... .............. feet. feet. (Building Line) ............................feet .....feet — from road right of way is Lot Area is 3 XO5.0 feet. LQ ..............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 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. 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 the express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Yy » Permit: 1.‘II .A .^Shoreland Management Official Dated /o/oy^^Permit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971@ VICTOR LUNDCEN 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 - OffiCfe GOLDENRO0 — Inspector YELLOW - Owner PINK - Assessor -[< Ja Resor-t-Remit No.LEGAL DESCRIPTION AND LOCATION IV. VT LiWasL'Wr.in lJa U TWP TWP NameRangeSec.Lake Clasalf.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and State..InitialFirstLast Name RRjJklX^51522fir 14a\)L tA-j-LU^Ll CA Li AJA i.(Owner NameContractor Architect Name. NON-RESIOENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:r- (Zaka4^ -eyrSpecify:.( ) One Family Dwelling ( ) Multiple Dwelling Qk) Other New Building Units( ) Alteration K' HA<^ljLX2tSize( ) Other ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: No( ) Public p ^ -j- ( ) Individual %ptic Tank, etc WATER SUPPLY: ( ) Public Individual Well Basement: ( ) Yes Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Masonry (^irWood Frame T ) Structural Steel ( ) Other — Specify /. ......... Baths CHARACTERISTICS: D..300Maximum depth of lot feet.feet.Water frontage issquare feet.Lot Area is W.Q..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 ao50 .feet.feet — from road right of way is IQ j.............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 i 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. (171 zzT.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. 5 am Dated .^Horeland M gement Official/o/og4.3o 0 o Permit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971® VICTOR LUNOCEN CO.. PRINTERS. FERGUS FALLS. MINN. (iwr-. -V¥lySi f*" wr^ f^'Cgp,'^- INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 4r MINIMUM Shall Be X’J?y x^v Sq. Ft, Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft.Ft. /i?oayfz-Jca FtBuilding Set Back from High Water Mark Ft. (TlrCt, 5" O Ft.Building Set Back from State Highway 50 Ft. jnJ^XD' Ft.ZO -40- Ft.Building Set Back from Street or Road Ft./g » /a Ft.Side Yard Rear Yard Ft.Ft. iP^Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________5 Ft.3 Ft. cL l'\(H'WlJt ,. Inspector's Comments: 4T,<jdv^ou Inspector'* Signature Title Inspection Dated 4'./P-\\ '0^1 Agency vicret uiMCia * a*.. MiaitM. rt«M« r«.u. m<m. /* /cmr , /a f /¥»rfjif orf c ^iin€’:^ f so^ ^c'^/ort ^ot/r -^r »ff /'^^)' ru tf)9^c» /^mrfh •l^/'S saiy o/tm tj tfvarftr 9 a id S »t-f-, on • /1 r m } T» / i n » iMhin’i9 n fffe h urfdr^d ffiree Sooff, i/ne. of sa/’d JS e e//ofT_e/e «rrtf« rforth^uw^rlj (AfS7r) /M (37.7'}^ee7 1 //4^ /’df sa/'d 5«< ^ f i/mrf^r /tn^ cns n/rrf7 ^<rf'9/^^ce /‘A/rTjf ^ mJnett SJd'y«* ^/S0id ^orfh u.a^/or7 € fc¥^n (ff ) ¥¥^\7^.8/e^-/^AforfhJ^/77f^ sSot/f^/ine. *^ / oS 3 m c ^/c){^O eastfteJ rt/rrnJrry /^crt^ 3o%*7^ /b Off^ ///7fi ✓/7 ^a/*/ 3c9 /'/cfr ^/er ^ /A^ffCe eaj/<3^/p Cy^'^ a d//s/^dt¥€ ^y/dvr -r 'o/ ^^4 es/ ."j y'j ^ ^/d auarfcr^'i. c . V ^ c ^/i-.'ff C'^J d^d4fA*b, ydAt •’/ s^ c/fd71 ^/c* ^4? {/4jj 7//^¥s 4/re yV//e ^ fj^ra 7i &/ /# •j-ffd ^uar/c^/idyc- ^ ¥mn (■^/Jfl^i r " J '^'fftic ^ c r.^ 0d^j."mryidl¥7y) ^c7/^y,f7r«4 yV<. .KAf/rA^ v^-'- * ^ o f f/'T' ~rt V.?ey,^^#^ J'/ oy /-¥A 0 ^rjrayt/0^ /oi 0OJ \ • p^ddr^/o •j S^^/torf ^/<c¥en(^J^^*/f¥A/cA y^y^7C. ,»^rr r^nn / wt 00r. Va,rA ^ 3*9*d •»<»« ^i44t^/04 .-77 4 j Tfcrth cy 7^< /int '•/ ^ *■'•!* ^ t^/crc^fi^O ^r/eodju^c</ ^ 7 7^ ’“V4 0*r d9 •*■ d>-0//^/ /j 0r t 440 >4^7^Vn 40 / 4t My» •■ 0 /o-r /jr < ^f'fcd fv'e s/cr"/y i' /% 0 /.0A0 Cd'y^ya/ad /i74^ i¥^y^4 Cje»7C7/ 4 >' ■ *4/p ^,0, .. //y« .♦ ----------- - - - -tr* - • 0p4* ^4^ 4V Ac 4 0 /'■^c d.yt* ■^ 0/ 0 >d rf ^00^ i / dw^Cf-C W • /Ac ^ •->f% 0^04C //>« t^LoMo, <-*4J Jf^/^ 4^4/*‘C4 4r/04A‘r¥4$4t44fy S^K///f 77 .'477 y /A0 ft7! Z 4y-^07d -S 00/44/7 */ Ac^^44 ///} //f piAr00 * A0y7474T7'7'.‘yj 4C40^ Xr^c^- TA^ /A/0 p/0-//S0 ccf'gdt rcpr e3044/^A‘o7f 4y/A0 S4/r ycyy/Ac/^ <//0 y<047 000 .’y'y' / /T9 .'70 *4 4440/4^0 y*4 y>34440^/J 4/747*04 m .■ / ay/m/t7rc 9 04 y0p0 he 049*C /7 </C r 4 C 0 //p p/000d /0 /Ac ^40040^09 W 7’A0//A0 O0/9id0 6e00d«*'y ^40 044400/y 0ip0mA0d 00 */j ^ap00y0^A^ oy^C Ap^' CdT'r 0j//y sA0404t 00 /// /49a/t4^00 430 /Ac p/0jt 'c /* 40/0^ 0t//0/00 AAm 7/44 C04-pf 040yit^ fk0//^ 7440/40^ /Ac p/0/ 04/ p 4-0 0440 /4 /004 r0/m/4m^ /0 A0l^¥ 00044 C0 44fp/,'0y 0%7 4YA Ap ^cjf ^0^0 /A^ ■^044'0y ^yt»C /A/ 0^ /Ac y^^^V00y00y4^/A0 ^44*4 '/h''0/^f^eg,w,^y ^/yy^rx/f^Aa 40 /^0 >4^4904-0y/A^^0040 /Ac^mAy 040 y 00 cApefA /Acr’c /cr.w•OM / fnjr Aond 74/a l^dmy <{/'0O.Td reSr/MOTUr 0d£tv41 //ora mo7440 \-?>v 44Ul^f004p'md7oPlj4. »y/ ^ 0m 40d TimToom '/dmnm0/ !i i ! ) ;i i ■ : ! I !f t i ? i1 i♦!: i1f i i f' 'I;i i :-; Rvhite — Office ■ Yellow — Owner j Pink — Assessor Goidenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT 9^0 •£Permit No,.LEGAL Chy -fDESCRIPTION AND LOCATION Lake No._____ ' Lake Name 4d ^ aiII ;.?£ Range TWP NameLake Classif.TWPSec. IDENTtFICATtON; Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateFirstInitialLast Name 4 f Z-C.A^cxUh F-tOwner E A ^ ci 1\' C, <-i NameContractor JA^ jA/j a hsk O U''K>4- Architect Name. NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:R^IOENTIAL PROPOSED USE: (^%One Family Dwelling ( ) Multiple Dwelling ('''L^ew Building Specify:. Units( ) Alteration /V y 70( ) Other( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Yes (No( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well Basement: Stories above basement: Sq. feet (outside dimension I Bedrooms ...O^...................C Baths CHARACTERISTICS: , Maximum depth of lotfeet. feet.Water frontage issquare feet.Lot Area is Y5 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 feet feet.feet — from road right of way is /.o.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). Z.O. unStructure 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. TH/S IS AS/TE PER/VHT 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. Dated. 'rvv'Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statenigitt. This permit is granted upon the o the ordinances of Otter Tail Permit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respefi County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. /\ C'i-fDated/Shoi^la^d Management Official 7CO30Permit Fee $.Receipt No.\. Comments: -orm No. MKL-0286-019 229971(g) VICTOR LUNDCEN TO.. PRiNTKRS. FERGUS FALLS. MINN, 7-/1 - T1 7'I3- rf — Jia0^l-^ 9TT<_ TXa^.’^T- — <AyxMt^ X^ ju^ ysuc ^ cJ2tfx. X-O- /^ uy ,/>)H c-v,^ otWhite — 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 ^30/nPermit No„LEGAL Chy ^ "t-.A,.DESCRIPTION AND LOCATION I:z TWP NameSec.TWP RangeLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateInitialLast Name First Owner NameContractor Architect Name. NON-RESIOENTIAL PROPOSED USE;RESIDENTIAL PROPOSED USE; V. ( ) One Family Dwelling ( ) Multiple Dwelling ( ) Other TYPE OF IMPROVEMENT: Specify:.I ) New Building ( ) Alteration Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME:\.!Basement: ( ) Yes ( 'l 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 t -. T ( r Baths CHARACTERISTICS: feet.feet.Maximum depth of lotWater frontage issquare feet.Lot Area is feet. (Building LinelBuilding 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 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 (61 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. 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. Comments: Form No. MKL-0286-019 229971@ VICTOR LliNOCEN CO.. PRiNTf-RS, FERGUS FALLS. MINN. ••*• » INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 4 MINIMUM Shall Be 4-Sq. Ft, Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft.Ft. Ft.Building Set Back from High Water Mark Ft. Building Set Back from State Highway Ft.50 Ft. Building Set Back from Street or Road Ft.40 Ft. lO & /Q Ft.!0 & 10 Ft.Side Yard Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. 9<^s^lc/ry\Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: 7T \ Title Inspection Dated (^6 3 19 Agency VICTOR LUMDCtH 4 ««.. MIMTC44. r(a«U4 f4U.I. . -' \ ■■ t ! \ •■■ : ■ 1 X”/ X a'V;/\// i/I, / /■ y1 OTTER TAIL COUNTY Special Use Permit SUP HhJi.'J-k A^t LI3__________. . _______________ Lake No.7yj? Srh // TwpRange 4^3 Twp. Name Lx ______Lkx^A______ OWNER’S NAME: ^ Location: Address f A Iy , Expires^-/ssuedj2=i3j Work Authorized-j^ fo(j )ri6 A A A. S-^njl ^ Ci^t4aJ &t ku 4«!ni) i\A<-g 7: (k.in fyj Ut¥i ^ *A.CA & r_^ itik. U^J onJf NOTE; This card shall be placed in a conspicuous place not more than 4 feet above grade on the praises on which w to be done, and shall be maintained there until completion of such work. Notify Department of Land and Resc Management, Telephone (218) 739-2271 when authorized work has been completed. BY:A OTTER TAIL COUNTY, MINNES' Board of County Commissioners/nfa/r. ADMINISTRATOR, Land and Resource Man^ge^ /<4m\ 1. Entire area shall be stabilized within 10 days of the completion of the moving project.. 2. Owner is legally responsible for all surface water drainage that may occur. 3. No fill shall enter or be taken from the beds of a public water without a valid permit from the State of Minnesota D ment of Natural Resources. 4. If the terms of this permit are violated the entire permit may be revoked and the owner may be subject to legal pr tion.MKL-0574-046 184426®vtCTO* LuaoflM CO., aatarcae. reaous W-5T •r . 1 ' *-r -'-A-..I c-,*v .‘.V V-; < ■" ;>> V',- ‘ ,r' •'-'1 •f.. , V.