HomeMy WebLinkAboutEthel Beach Resort_29000040027001_Shoreland Permits_APPLICATION FOR SITE PERMIT
LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE
Phone:(218)739-2271 • FERGUS FALLS. MN 56537
WHITE-Office
GOLDENROD - Inspector
YELLOW-Owner
PINK - Assessor
/(p(olS^Pt Permit No.LEGAL
DESCRIPTION
BLUFF ZONEAND
□ YESLOCATION
LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER
CLASS
SECTION TWP NO.RANGE TWP NAME
/33/°)3 Y
PARCEL NUMBER (S)GRADING / FILLING
□ YES # OF CUBIC YARDS
■g^o
FIRE NUMBER3-*^ 'Oac '^OC'I
~OCC 00(7
IDENTIFICATION: Please Print All Information TELEPHONE NO.
Last Name First Initial Mailing Address — No. Street, City, State, and Zip Code (Daytime)
Its L-^^iAAt^ 56S/SProperty
Owner ^LceKj1
serNameContractor
State Lie. #
PROPOSED PROJECT
( ) New Structure(s)
J^<jAddition(s)
( )MH/RV______________
PROPOSED USE
( ) Dwelling «^5l5on-Dwelling
( ) Water Oriented Accessory Structure
(WOAS)
ONSITE WATER SUPPLY
2t><tridividual ( ) Public ( ) None
NOTE: MN Rules Chpt. 4725 (MN Well
Code) requires a 3' (minimum) structure
setback to a well.
ONSITE SEWAGE
TREATMENT SYSTEM
Jt^i^ftdividual Permit#
( ) Collector Permit #___________
( )OTLSD*YEAR
CHARACTERISTICS OF NON-DWELLING
( ) Detached Garage
^g5Ther Tc £rSrAieVT
Ft. X
Lotline Setbacks C Ft. & 3 0 Ft.
CHARACTERISTICS OF WOASCHARACTERISTICS OF DWELLING
( ) Screen Porch( ) Utility Structure (ioathouseM Dwelling
( ) Hqplacement Dwelling
( )AdffljqtoDwelling
( ) Existing Dw&HiQg shall be remo^
Outside
Dimension.
( ) Basement
( ) Walkout
( ) Attpetled Garage
}tM5n or before
( ) Gazebo ( ) Utility Structure
Outside
Dimension ( ) Other.
Outside
Dimension
.Ft.
Ft. X Ft..Ft.
Lotline Setback!OHWL Setback .Ft.
Lotline Setbacks .Ft.
OHWL S^ack (^NoBathroom: ( ) Yes
(If Yes / a complying Sewage System Required).Ft.OHWLSSback,
il Bedrooms LXMaximum Height / 35 Ft. (2 story)laximum Height /10 ft. (1 story)Maximum Height Ft.story
-I-
.Sq. Ft. Impervious Surface Ratio .%.Sq. Ft. Impervious SurfaceLot Area
3 .Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage
Ft. Slope of lot %Structure setback to right-of-way.
/o .Ft. (10’minimum) (Sewage System Permit required before installation).
.Ft. (20’minimum) (Sewage System Permit required before installation).
Ft. (10’minimum) (Sewage System Permit required before installation).
Structure setback to septic tank_____________
Dwelling setback to Soil Absorption System___
Non dwelling setback to Soil Absorption System /O
THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth
and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become
a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express
condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County,
Minnesota. This permit may be revoked at any time upon violation of said ordinances.
I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed.
* This permit is only valid after verification from the O.T.L.SD. that a conforming sewage system will bejpstalled to service this lot... Contact Rollie Mann at 864-5533.
Dated:
Signature of Owner
5 - |°iDated:
Land & Res^rco^^nagement Office
/,^9WRECEIPT NO.PERMIT FEE $
^ &Y "^-A.Comments:
"K — 0597-002 290.821
- r^... .
f
WHITE "gffice
GQLDENROD ■ Inspector
YELLOW - Owner
PINK - Assessor
APPLICATION FOR SITE PERMIT
LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE
Phone: (218) 739-2273 • FERGUS FALLS, MN 56537
P r (f I k '(pip /J<^Permit No.LEGAL
DESCRIPTION
EXPIRED BLUFF ZONEAND
□ YES
&NO
LOCATION
1
LAKE NUMBER LAKE/RIVER NAME SECTION TWPNO.LAKE/RIVER
CLASS
RANGE TWP NAME ,C J;33Y5<o- tTrTt^
PARCEL NUMBER (S)GRADING / FILLING
□ YES # OF CUBIC YARDS
a NO
FIRE NUMBER^‘^ ■Ooo -O^-CO '0&!
^*7 LjOC - (y<y -
IDENTIFICATION: Please Print All Information TELEPHONE NO.
First Mailing Address — No. Street, City, State, and Zip CodeLast Name Initial (Daytime)
it? 7 S L - j yO 36 S / SProperty
Owner CHnst All6aj 3(77
IcJLNameContractor
State Lie. #
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
j(^jhdividual Permit # 3X0
( ) Collector Permit #___________
( )0TLSD*
PROPOSED PROJECT
( ) New Structure(s)
.,-if<J'Addition(s)
( )MH/RV______________
PROPOSED USE
( ) Dwelling
.^^^Tlon-Dwelling
( ) Water Oriented Accessory Structure
(WOAS)YEAR
CHARACTERISTICS OF NON-DWELLING
( ) Detached Garage
CHARACTERISTICS OF WOASCHARACTERISTICS OF DWELLING
( ) Dwelling
( ) Replacement Dwelling
( ) Addition to Dwelling
( ) Existing DweUirtg shall be remi
Outside
Dimension.
( ) Screen Porch( ) Utility Structure ( ) Boathouse( ) Basement
( ) Walkout ..
( ) Attached Garage
m or before
"J^Other Tc :j(
R.X
) Gazebo ( ) Utility Structure
Outside
(pother.
Outside
Dimension
.R.
X.Lotline Setbacks -f) C Ft. & 3 Q Ft..R..Ft.x .Ft.
.Ft.Lotline Setbacks OHWL Setback .Ft..Ft.Lotline Setbacks ^
OHWL Setback .Ft.Bathroom: ( ) Yes (P^) No
(If Yes / a complying Sewage System Required)
''<r'
OHWL Setback .Ft.
Total Bedrooms__________________
Maximum Height / 35 Ft. (2 story)
/
Ft. / story Maximum Height /10 ft. (1 story)Maximum Height
/ "I
.Sq. Ft. Impervious Surface Ratio.Sq. Ft. Impervious SurfaceLot Area
■f 7.,Y; ■Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage
.%Ft. Slope of lotc/Structure setback to right-of-way.
/G .Ft. (10’minimum) (Sewage System Permit required before installation).
.Ft. (20’minimum) (Sewage System Permit required before installation).
.Ft. (10’minimum) (Sewage System Permit required before installation).
Structure setback to septic tank_____________
Dwelling setback to Soil Absorption System___
Non dwelling setback to Soil Absorption System '■O
THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth
and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become
a part of this permit application. I also understand that this permit Is valid for a period of six (6) months.
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit Is granted upon express
condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County,
Minnesota. This permit may be revoked at any time upon violation of said ordinances.
I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed.
* This permit is only valid after verification from the O. T.L.SD. that a conforming sewage system will bejastalled to service this lot..
OulfP- CbJ__Dated:______________________________________________________________________________________
, Contact Rollie Mann at 864-5533.
Signature of Owner
5 - l°iDated:
Land & Resource Management Office
RECEIPT NO.PERMIT FEES
.a ..■K fey ^.AkComments:
Form No. BK — 0597-002 290.B21 • Victor Lundetn Co. Printers • Fergus Fells. MN • 1-800-346-4t70
’-rw:
•INSPECTION RESULTS
Make all measurements and computations
Structure Set Back from Ordinary High Water Level Ft.Ft.
Structure setback from Top of Bluff Ft.Ft.
Structure Set Back from Road Right of Way Ft. Ft.
Structure set Back from Lot Lines R.&.Ft.,Ft.&Ft.
Structure Height Ft. Ft.
Structure Set Back from Septic Tank Ft.Ft.
Structure Set Back from Absorption System Ft.Ft.
Elevation Of Lowest Floor Above Ordinary
High Water Level____________________Ft.Ft.
Land Slope at Building Line %%
S..
:
Inspector’s Comments / Sketch:,
I-
;
/n^MCfor's Signature
^6/(5o
w 4
Dale of Inspection
m //ao
Time inspectionfij.* •
APPLICATBON FOR SBTE PERMIT
LAND & RESOURCE MANAGEMENT
OTTER TAIL COUNTY COURT HOUSE
Phone:(218)739-2271 • FERGUS FALLS, MN 56537
WHITE - Office
GOLDENROD - Inspector
YELLOW - Owner
PINK - Assessor
Permit No.LEGAL
DESCRIPTION
LAKE/RIVm SECTION
BLUFF ZONEAND
□ YESLOCATION
NO
prosLAKE NUMBER LAKE/RIVER NAME TWPNO.RANGE TWP NAMESL. \UmJL iCLA (53
PARCEL NUMBER (S)
- 0^- 0? >7-C01 4
IDENTIFICATION: Please Print All Information --------^
GRADING / FILLING FIRE NUMBER
If OF CUBIC YARDS
TELEPHONE NO.
]4st J[iame First Initial Mailing Address — No. SXeet, City, State, and Zip Code 5fSnlkjAL2Property
Owner
5^J ^IL
^c>3NameContractor
State Lie. #
PROPOSED
( ) New Structurels)^
i»^dition(s)..JLjfvt3?
( )MH/RVn^_4fi2—
PROPOSED USE ONSITE WATER SUPPLY
Individual ( ) Public ( ) None
pTE: MN Rules Chpt. 4725 (MN Well
bode) requires a 3' (minimum) structure
setback to a well.
ONSITE SEWAGE
TREATMENT SYSTEM
( ) Individual Permit #
( ) Collector Permit #_
( )0TLSD*
(J(/) Dwelling
N^on-Dwelling
/ ) Water OrientprT Accessory Structure
(WOAS) /
it —f
fHS
CHARACTERISTICS OF NON-DWELLING
( ) Utility Structure
CHARACTERISTICS OFWOAlCHARACTERISTICS OF DWELLIN U
( ) Boatnquse ( ) Screen Poj( ) Dwelling n.
( ) Replacement Dweltk
( ) Addition to Dwelling
( ) Existing Dwelling shall be r^oydd on or before.
Outside
Dimension.
( ) Basement
( )V^ut
(Attached Garage
s rcookrs( ) Utilityr^ructure ^ ^<701
/ fo( ) Gazebo
Outside
Dimension ( ) Other,
Outside
Dimension.Ft. X .Ft.Lotline Setbacks .Ft.
mLotline Setbacks .Ft.&Ft.OHWL S^ck .Ft.
Lotline Setbacks
OHWL Setback .Ft.^rreathrUbiiTr/ ( ) Yes (yS) No
^ Yes / a complying Sejwage System Required)
Maximum Height
Ft.OHV^ SetbackTotal Bedroams__________________
Maxinlum Height / 35 Ft. (2 story)
\
Maximum Height /10 ft. (1 story)story
2.. q -Z-S".Sq. Ft. Impervious SurfaceLot Area ,Sq. Ft. Impervious Surface Ratio .%
aWater Frontage Ft. Elevation of lowest floor above OHWLin Ft. (3’ minimum)
Structure setback to right-of-way Ft. Slope of lot .%
/QStructure setback to septic tank_____________
Dwelling setback to Soil Absorption System___
Non dwelling setback to Soil Absorption System
Ft. (10'minimum) (Sewage System Permit required before installation).
Ft. (20’minimum) (Sewage System Permit required before installation).
Ft. (10’minimum) (Sewage System Permit required before installation).
THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth
and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become
a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express
condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County,
Minnesota. This permit may be revoked at any time upon violation of said ordinances.
I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed.
* This permit is only valid after verification from the O.T.L.SD. that a conforming sewage system wiii be installed to service this lot... Contact Rollie Mann at 864-5533.
Dated:
33_ JSi
taeera Resource Management Office ^ /
L
Dated:
PERMIT FEE $RECEIPT NO.
Comments:
(1) ireMf)dpT7
____ jL AM__^
-H), cnplers . ,,,
m•-lA
Form No. BK — 0597-002 290,821 • Victor Lundeen Co, Primers • Fergus Falls, MN • 1-800 346-A870
, '’■ Vr./•
^^P^f^LlCATlOkWHITE-Office
dOLDENROD - Inspector
YELLOW-Owner
PINK - Assessor
ifE PERMIT
LAND & RESOL . rilANAGEMENT
OTTER TAIL COUNTY COURT HOUSE
Phone: (218) 739-2271 • FERGUS FALLS, MN 56537
!
' ' <<-VI
a c h Permit No.'yfEl^kU
lij4> (,2-
LEGAL
DESCRIPTION
BLUFF ZONE+ ‘4 <d H (rL 5 (L i A^)7ANDJI □ YESLOCATION
A
I t NO
TwpiiAMi(^Vt7Tlf7TLAKE/RIVER
CLASS .to
LAKE NUMBER LAKE/RIVER NAME SECTION TWP NO.RANGE
Ir:^ II 7 177H-I
PARCEL NUMBER (S)GRADING / FILLING FIRE NUMBER
4 Aypoo # OF CUBIC YARDS/ ic ’ A) bI
I
IDENTIFICATION: Please Print All Information TELEPHONE NO.
Last Name First Irtitial Mailing Address — No. Street, City, State, and Zip Code (Daytime)
J7T!hLProperty
Owner
"7V 11 i_^r- V-+/' / /./"5(~7. I )f
NameContractor
■X' AState Lie. #
y 7/ 1PROPOSED PROJECt
( ) New Structure(s)' '
(>)Addition(s) ,, V
( IMH/RV I ^
PROPOSED USE
(‘) Dwelling
^j^<^Non-Dwelling
/ ) Water Oriented Accessory Structure
/ (WOAS) ,
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
( ) Individual Permit # ^
( ) Collector Permit #
( )OTLSD*
u
H-^O
/
CHARACTERISTICS OF NON-DWELLING
( ) Detached Garage
CHARACTERISTICS OF DWELLING
( ) Dwelling
( ) Replacement Dwelling
( ) Addition to Dwelling '
( ) Existing Dwelling shall be removed on or before
Outside
Dimension
CHARACTERISTICS OF WOAS
( ) Basement
( ) Walkout
( ) Attached Garage
( ) Screen Porch r( ) Utility Structure
, „ .y.ii; ( ;Qivr3^^
( ) Boathouse
) utility Structure l| t/- ;io' ><7i^Other A^'\i it ( ) Gazebo (
zbutside
Dimension tv c-e( )Other.
Outside
Dimension
X' \
/ Ft. X \<f^() Ft.&.Ft.Lotline Setbacks .Ft..Ft.x Ft./
Ion /
Lotllne Setbacks .Ft. &.Ft./OHWL Setback .Ft.
Lotline Setbacks ».&.R.(■ij \ >OHWL Setback^.Ft.^^.,-^athrootrtrA ( )Yes ( ,X)No
7. j IM X Yes / a complying Sewage System Required)OHWL Setback Ft.
Total Bedrooms_____________________
Maximum Height / 35 Ft. (2 story)
/\
Maximum Height Ft.Maximum Height / 10 ft. (1 story)storyA
Ii
Lot Area ,Sq. Ft. Impervious Surface .Sq. Ft.Impervious Surface Ratio .%
Water Frontage_______________
Structure setback to right-of-way
Structure setback to septic tank _
.Ft. Elevation of lowest floor above OHWL .Ft. (3’ minimum)
Zi Ft. Slope of lot .%
/n Ft. (10’minimum) (Sewage System Permit required before installation).
Dwelling setback to Soil Absorption System .Ft. (20’minimum) (Sewage System Permit required before Installation).
.Ft. (10’minimum) (Sewage System Permit required before installation).Non dwelling setback to Soil Absorption System
THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth
and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become
a part of this permit application. I also understand that this permit Is valid for a period of six (6) months.
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express
condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County,
Minnesota. This permit may be revoked at any time upon violation of said ordinances.
I understand that it is my responsibiiity to inform the Land & Resource Management office once the building footings have been constructed.
* This permit is only valid after verification from the 0. T.L.SD. that a conforming sewage system will be installed to service this lot... Contact Rollie Mann at 864-5533.
X i i
Dated:
Signature of Owner{
Dated:
Land S Resource Management Office . ii n ■PERMIT FEE $___A RECEIPT NO.
Comments:
Ti\{1
i 1 -■ L. '
N, ..
Form No. BK — 0597-002 290.821 * Victor LuoOoon Co . Priruors • Fergus Falls. MN • 1-600-348-4870
INSPb .£SULTS
Make all measurt and computations
A 0 0^
ic Ft.Structure Set Back from Ordinary High Water Level Ft.
Structure set Back from Top of Bluff Ft. Ft.
Structure Set Back from Road Right of Way Ft.Ft.o A
Ft. & /O Ft./u Ft.& Ft.Structure set Back from Lot Lines
<SStructure Height Ft.2 2/o/^fCS Ft.
Structure Set Back from Septic Tank /o r Ft.Ft./’o T~
Structure Set Back from Absorption System 2.0Ft. Ft.t-
Elevation Of Lowest Floor Above Ordinary
High Water Level____________________Ft.Ft.3 r-
Land Slope at Building Line %%
tj*X
B_AInspector’s Comments / Sketch:.
*' *p.y '»
OL.—S
(O
Inspector's Signature
1/2. (,/
Date ot Inspection
/
Time of Insper^ion
OTTER TAIL COUNTY
Grade & Fill Permit #1797
ro-soPROPERTY OWNER
LAKE NO.-^^/t?SEC. TWP./33-?^TWP. NAME
N) ZjOO' ioV S' ^Iq~1~
tsjoy b M suy o4~ ^«-cl ^ L-cT-^ t 2^3 g~4-WvV Va
LEGAL DESCRIPTION:
a.bl\ 0-y^<>.\\ Q/O \^.^1r^\^WORK AUTHORIZED 'pi
^ r <Nvo\w
X Vo owOk. Ot—
q4- Ss-w^Z-O y oO v\
NOTE: This card shall be placed in a conspicuous place not more than 4 feet above grade on the premises on which
work is to be done, & shall be maintained there until completion of such work. NOTIFY LAND & RESOURCE MAN
AGEMENT, 218-739-2271 WHEN AUTHORIZED WORK HAS BEEN COMPLETED.
1. EARTHMOVING SHALL BE DONE BETWEEN .T-ao-ay &
2. Entire area shall be stabilized within 10 days of completion of any earthmoving.
3. Owner is legally responsible for all surface water drainage that may occur.
4. No fill shall enter or be taken from the beds of public water without a valid permit from the
MN Department of Natural Resources.
5. If the terms of this permit are violated, the entire permit may be revoked and the owner may
be subject to legal prosecution.
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fi r
WHITE . Cffice
GOLDENROD - Inspector
YELLOW - Owner
PINK - Assessor
APPLICATION FOR SITE PERMIT
LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE
Phone: (218) 739-2271 • FERGUS FALLS, MN 56537
Permit No.LEGAL
DESCRIPTION t THtL W a cesoyer
BLUFF ZONEAND
□ YES
>^fNO
LOCATION
LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER
CLASS
SECTION TWP NO.RANGE TWP NAME
5b-
PARCEL NUMBER (S)GRADING / FILLING
^ □ YES # OF CUBIC YARDS
)^fNO________________________
-Ooo-'^'n ooO FIRE NUMBER
'-QOO'QC/ -OD^l ' OO!
IDENTIFICATION: Please Print All Information TELEPHONE NO.
First Mailing Address — No. Street, City, State, and Zip Code/2t5 i^x:9^Last Name initial (Daytime)
AccsaJProperty
Owner
/&/i6 , /iIaJ S 6 -^>^3
i
NameContractor
State Lie. #
ONSITE WATER SUPPLY
(^^ndividual ( ) Public ( ) None
NOTE: MN Rules Chpt. 4725 (MN Well
Code) requires a 3' (minimum) structure
setback to a weil.
PROPOSED PROJECT
,>r\New Structure(s)
( ) Addition(s)
( )MH/RV________________
PROPOSED USE
^^Dweiling
Non-Dweiling
( ) Water Oriented Accessory Structure
(WOAS)
ONSITE SEWAGE
TREATMENT SYSTEM
.i^lndividuai Permit #_____
( ) Coilector Permit #______
( )OTLSD*YEAR
CHARACTERISTICS OF NON-DWELLING
( ) Utiiity Structure
CHARACTERISTICS OF WOASCHARACTERISTICS OF DWELLING
( ) Replacement Dwelling , ( ) Walkout
Jt^l^ttached Garage
J><J^etached Garage ( ) Screen Porch( )ithouseBasement
( ) Utility Structure( ) Gazebo( ) Other
Outside
Dimension
( ) Addition to Dwelling
( ) Existing Dwelling shall be removed on or before
Outside
Dimension
P,. <^L
5q Ft. & Ft.
/Go
Ft.( ) Other,
Outside
Dimension.Ft.Ft. X Lotline Setbacks .Ft.
Ft.& SoLotline Setbacks Ft.OHWL Setback .Ft.
Lotline SetbapKs Ft.&Ft.
/Oo (X)NoOHWL Setback .Ft.Bathroom: ( ) Yes
(If Yes / a complying Sewage System Required)3___U Ft.OHWif SetbackTotal Bedrooms
Maximum Height / 35 Ft. (2 story)n /
Maximum Height /10 ft. (1 story)Maximum Height story
<9-SSq. Ft. Impervious Surface Ratio,Sq. FI. Impervious SurfaceLot Area
Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage
9^Ft. Slope of lot .%Structure setback to right-of-way______________
Structure setback to septic tank______________
Dwelling setback to Soil Absorption System___
Non dwelling setback to Soil Absorption System
10 Ft. (10’minimum) (Sewage System Permit required before installation).
Ft. (20’minimum) (Sewage System Permit required before installation).
Ft. (10’minimum) (Sewage System Permit required before installation).
9-0
lO
THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth
and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become
a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express
condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County,
Minnesota. This permit may be revoked at any time upon violation of said ordinances.
I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed.
* This permit is only valid after verification from the O.T.L.SD. that a conforming sewage system will be installed to service this lot... Contact Rollie Mann at 864-5533.
QU-, CL-rDated:
Signature of Owner
Dated:
Land & Resource Management Office
5o-/M370RECEIPT NO.PERMIT FEE $J- 1 —
Comments:
/-T-aJoJ ^ UtLh tjJ6Ma5T ^
Form No. BK — 0597-002 290.821 • Victor Lundaon Co. Pfintars • Fargus Falls. MN • 1-800-3A6-4B70
«
W^ITE - Office
GOLDENROD - Inspector
YELLOW-Owner
PINK - Assessor
0^APPLICATION FOR SITE PERMIT
LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE
Phone: (218) 739-2271 • FERGUS FALLS, MN 56537
qk t
-11
Permit No. )LEGAL
E TH6L n rDESCRIPTION
BLUFF ZONE
□ YES
;:^0
AND
LOCATION
SECTION TWPNO.RANGE TWPNAMELAKE/RIVER
CLASS,LAKE NUMBER LAKE/HIVER NAME
l%T>Sfe-
ooo GRADING / FILLING
□ YES # OF CUBIC YARDS
FIRE NUMBERPARCEL NUMBER (S)
c - oq - 7 • Co!
IDENTIFICATION: Please Print All Information TELEPHONE NO.
Mailing Address — No. Street. City, Stale, and Zip Code (Daytime)First InitialLast Name
/2ri.Qjf^t\ Accr^/JProperty
Owner B>Ayn6' /^A/ib , /V)aI 5 6
i^El FNameContractor
State Lie. #
ONSITE SEWAGE
TREATMENT SYSTEM
Individual Permit #_____
( ) Collector Permit #_____
( )0TLSD*
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
^),New Structure(s)
( )Addition(s)
( ) MH/RV _________
PROPOSED USE
f^^welling
"j^Non-Dwelling
( ) Water Oriented Accessory Structure (WOAS)YEAR IiCHARACTERISTICS OF WOAS
( ) Boajhouse ( ) Screen Porch
CHARACTERISTICS OF NON-DWELLING
( ) Utility Structure
CHARACTERISTICS OF DWELLING
^^D'^elling
( ) Replacement Dwelling 6( ) Walkout
( ) Addition to Dwelling
( ) Existing Dwelling shall be removed on or before.
Outside
Dimension.
..^iOetached GarageJf^Basement
1
•i( ) Utility Structure( ) Gazebo( ) Other
Outside
Dimension
_i^)TVttached Garage '
Ft. X /o Ft.
^ O Ft. & 5Q Ft.
( ) Other.
Outside
Dimension.Ft..Ft. X Lotline Setbacks .R.
fo /oo.Ft.& So .Ft.Lotline Setbacks .Ft.OHWL Setback Ft.Lotline SetbapKs/OQ X)No ./.Ft.OHWL Setback Bathroom: ( ) Yes
(If Yes / a complying Sewage System Required)3__^Om^SeVbacK .Ft.
Total Bedrooms
Maximum Height / 35 Ft. (2 story)p, /^Maximum Height / 10 ft. (1 story)Maximum Height .story
<Pb .%.Sq. Ft. Impervious Surface Ratio.Sq. Ft. Impervious SurfaceLot Area
Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage
.%__________Ft. Slope of lot
.Ft. (10’minlmum) (Sewage System Permit required before installation).
.Ft. (20’minimum) (Sewage System Permit required before installation).
.Ft. (10’minimum) (Sewage System Permit required before installation).
Structure setback to right-of-way
10Structure setback to septic tank
aoDwelling setback to Soil Absorption System___
Non dwelling setback to Soil Absorption System }Q
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 tor a period of six (6) months.
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express
condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County,
Minnesota, This permit may be revoked at any time upon violation of said ordinances.
I understand that it is my responsibiiity to inform the Land & Resource Management office once the building footings have been constructed.
* This permit is only valid after verification from the O.T.L.SD. that a conforming sewage system will be installed to service this lot... Contact Rollie Mann at 864-5533.
'^ihi ^Dated:
Signature of Owner
1-91''iDated:
Land S Resource mnagement Office5o^Ai I
3 - ^€Plac4
■*
RECEIPT NO.PERMIT FEES
AJ Q Scl'T I ^ /qS Xa/G
1
/
.AA u s 'T' K /
r
Form No. BK — 0597*002 LundMn Co . Primvrs • Forgus fatls. MN • 1-0OO-346-487O290.021
♦ '■INSPECTION RESULTS
Make all measurements and computations
/^OStructure Set Back from Ordinary High Water Level Ft.Ft.
Structure set Back from Top of Bluff Ft.Ft.
Ft.Structure Set Back from Road Right of Way Ft.
So^Ft.&5o^ Ft.Ft.Structure set Back from Lot Lines ,Ft.&
52>'Ft.Structure Height Ft.
P'1Structure Set Back from Septic Tank Ft. Ft.
;^o<-Ft.Structure Set Back from Absorption System Ft.
Elevation Of Lowest Floor Above Ordinary
High Water Level____________________3+Ft.Ft.
% %Land Slope at Building Line
Inspector’s Comments / Sketch:,
UU \
IJ
I-
o ft'lf ♦
T
5Y '
ff
C
Inspector’s Signature
r- ■
Date of Inspection
Time of lf)spection
>A /
APPLICATION FOR SITE PERMIT
LAND & RESOURCE MANAGEMENT
OTTER TAIL COUNTY COURT HOUSE
Phone: (218) 739-2271 • FERGUS FALLS, MN 56537
WHITE-Office
GOLDENROD - Inspector
YELLOW-Owner
PINK - Assessor
0Permit No.LEGAL
DESCRIPTION
BLUFF ZONEAND
□ YESLOCATION
LAKE NUMBER LAKE/RIVER NAME SECTIONLAKE/RIVER
CLASS TWP NO.RANGE TWP NAME
(oXlihUbSnitj-/2>3 2)^Sij-n'b Hkh
PARCEL NUMBER (S)GRADING / FILLING
□ YES # OF CUBIC YARDS *^NO
FIRE NUMBER'OOO ^ - ooo
^"I'OOO-OH 00^1 - OO I
IDENTIFICATION: Please Print All Information TELEPHONE NO.
First Mailing Address — No. Street, City, State, and Zip CodeLast Name Initial (Daytime)
3ox 9 3,r.MSt AlUa)Property
Owner
T
NameContractor
State Lie. #
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
J^^ndividual Permit # ^OSO
( ) Collector Permit #_____________
( )OTLSD*
PROPOSED PROJECT
,,^‘^^ew Structure(s)
( )Addition(s)
PROPOSED USE
J^^Dwelling
( ) Non-Dwelling
( ) Water Oriented Accessory Structure
(WOAS)YEAR
CHARACTERISTICS OF WOAS
( ) Boattwuse ( ) Screen Porch
{ ) Gazebo { ) Utility Structure
CHARACTERISTICS OF NON-DWELLING
( ) Utility Structurp/
CHARACTERISTICS OF DWELLING
) Detached Garage( ) Dwelling
it^Replacement Dwelling
( ) Addition to Dwelling
( ) Existing Dwelling shall be removed on or before.
Outside
Dimension.
( ) Basement
( ) Walkout
( ) Attached Garage
( )Otl
Outside
Dimension { ) Other.
Outside
Dimension
Ft. X .Ft.
/4 .Ft. X .Ft.Lotline Setbacks .Ft..Ft.
Ft. &SO .Ft.Lotline Setbacks OHWL Setback Ft.
Ft.Lotline SetbacI .Ft.&
OHWL Setback Bathroom;/ ( )Yes ( )flBL
(IfYes/a complying Sewage Syst&mRequired)Ft.OHWLygetback.
Total Bedrooms
Maximum Height / 35 Ft. (2 story)J/laximum Height /10 ft. (1 story)laximum Height Ft...story
<^S/^VTS .Sq. Ft. Impervious Surface Ratio .%.Sq. Ft. Impervious SurfaceLot Area
S 'bO 3 .Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage
30 .%.Ft. Slope of lotStructure setback to right-of-way
/c .Ft. (10’minimum) (Sewage System Permit required before installation).Structure setback to septic tank ^0 .Ft. (20’minimum) (Sewage System Permit required before installation).
Ft. (10’minimum) (Sewage System Permit required before installation).
Dwelling setback to Soil Absorption System___
Non dwelling setback to Soil Absorption System
THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth
and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become
a part of this permit application. I also understand that this permit Is valid for a period of six (6) months.
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express
condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County,
Minnesota. This permit may be revoked at any time upon violation of said ordinances.
I understand that it is my responsibiiity to inform the Land & Resource Management office once the building footings have been constructed.
* This permit is oniy vaiid after verification from the O.T.LSD. that a conforming sewage system wili be instalied to service this lot... Contact Rollie Mann at 864-5533.
Dated:
Signature of Own
50^
Dated:
Land & Re^j^^anagement Ottica
\uxnPERMIT FEE $RECEIPT NO.
Comments:
Form No. BK — 0597-002 290.621 * ViciO' Lwndeen Co. Printeri • Fergus Falls. MN • 1-800-346-4870
I
-----
APPLICATION FOR SITE PERMIT
LAND & RESOURCE MANAGEMENT
OTTER TAIL COUNTY COURT HOUSE
Phone; (218) 739-2271 • FERGUS FALLS, MN 56537
WHITE - Office
GOLDENROD - In^jpector
YELLOW-Owner
PINK ■ Assessor
It^OSOPermit No.LEGAL
t£ACHDESCRIPTION
BLUFF ZONEAND
□ YESLOCATION
SECTION TWPNO.RANGE TWP NAMELAKE/RIVER
CLASSLAKE/RIVER NAMELAKE NUMBER
StH6U /2>2>5^,-n'b H
GRADING / FILLING
□ YES
~>afNo
FIRE NUMBERPARCEL NUMBER (S)' 000 S ' olifi * ooo * OF CUBIC YARDSci' ) ' 00(J - oH 0 0' oo I
TELEPHONE NO.IDENTIFICATION: Please Print All Information
Mailing Address — No. Street, City, State, and Zip Code (Daytime)First InitialLast Name 'I/^r j, HcK 9 3,rjMit. A UtiAlProperty
Owner
Z>y^T7C6
nNameContractor%
7State Lie. #
ONSITE SEWAGE
TREATMENT SYSTEM
J^^[[fndividual Permit # SO
{ ) Collector Permit #_____________
( )OTLSD*
ONSITE WATER SUPPLY
^>«^dividual ( ) Public ( ) None
NOTE: MN Rules Chpt. 4725 (MN Well
Code) requires a 3' (minimum) structure
setback to a well.
PRpPOSED PROJECT
,^'),JJew Structure(s)
( )Addition(s)
PROPOSED USE
J^r^Dwelling
( ) Non:Dwelling
( ) Water Oriented Accessory Structure (WOAS)YEAR
' 5
CHARACTERISTICS OF NON-DWELLING
( ) Utility Structure/
CHARACTERISTICS OF WOASCHARACTERISTICS OF DWELLING
( )^elling
<I^^Replacement Dwelling
( ) Addition to Dwelling
( ) Existing Dwelling shall be removed on or before.
Outside
Dimension
.r
( ) Screen Porch( ) BoathouseDetached Garage
\
( ) Other
Outside
Dimension____
Lotline Setbacks
( ) Basement
( ) Walkout
( ) Attached Garage
I( ) Gazebo ( ) Utility Structure
.Ft.( )Other.
Outside
Dimension
.Ft. X
/4 .Ft. X .Ft..Ft..Ft. &.Ft.
So .Ft.Lotline Setbacks .Ft. &.Ft.OHWL Setback .Ft..Ft.&Lotline SetbacIypo Ft.
^(i\o ( Im|( JOHWL Setback Bathroom;/ ( ) Yes ( )
(If Yes / a complying Sewage System Required).Ft.OHWL^tback
Total Bedrooms
JM'axImum Height /10 ft. (1 story)Maximum Height / 35 Ft. (2 story)laximum Height Ft.story
s.iq <JSAc .%.Sq. Ft. Impervious Surface Ratio.Sq. Ft. Impervious SurfaceLot Area
'bO 2 .Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage 20 .%Ft. Slope of lotStructure setback to right-of-way.
/6 .Ft. (10'minimum) (Sewage System Permit required before installation).
.Ft. (20’minimum) (Sewage System Permit required before installation).
.Ft. (10’minimum) (Sewage System Permit required before installation).
Structure setback to septic tank_______________
Dwelling setback to Soil Absorption System___
Non dwelling setback to Soil Absorption System
THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth
and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become
a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express
condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County,
Minnesota. This permit may be revoked at any time upon violation of said ordinances.
I understand that it is my responsibiiity to inform the Land & Resource Management office once the building footings have been constructed.
* This permit is oniy vaiid after verification from the O.T.LSD. that a conforming sewage system wiii be in^taited to service this lot... Contact Rollie Mann at 864-5533.
7/77/Dated:
Signature of Omtfi/L
Dated:Land&^esou^ManagementO^^50^I '^'2-RECEIPT NO.PERMIT FEE $/
Comments:
290.621 ■ Victor Lundeon Co . Fnrtlors • Forgus Falls. MN • 1-600-346-4670Form No. BK — 0597-002
< ~~’V. g?y.i I—■-
INSPECTION RESULTS
Make all measurements and computations
Ft.Structure Set Back from Ordinary High Water Level Ft.
Ft.Structure set Back from Top of Bluff Ft.
Ft.Ft.Structure Set Back from Road Right of Way
FIELD INVESTIGATIOIM REPORT
Nature of Violation:
A. Grade/Fiil Project ____Photographs: #Taken
Jf -THE VIOLATION IS: ^^B. Building Project
C. Sewage Disposal
D. Other (Describe)
E. None
Sketch:
To
Observation/Recommehciation:
M hi
5°. i 'i-L'f''S Slit CI9 H ,
5'V* V Time /Investigated By V _____Date.
^'1 51/^Ct / s -< /i-'VTf'J Y /14 //.i"^ ;ci y In/S / SL-q o/; ci /if rO-1 fitP k\
1/97
otter Tail County Board of Commissioners
May 12, 1998
Page 54
Mr. West reported on four issues discussed at the recent committee meeting; 1) insurance - not
resdlved, 2) enforcement - if trespass violations are called into the Sheriffs office, the Sheriffs
office will respond, 3) trail maintenance - MnDOT is obligated to take care of major maintenance
and noxious weeds. General year around maintenance is the responsibility of OCTA, and 4) title
opinions - Otter Tail County can only try to facilitate that the property owners receive an answer
from the State of Minnesota.
Steve Emerson, City of Fergus Falls Representative, reviewed the recent meeting. He reported
that the City of Fergus Falls cannot purchase insurance for the portion of the Central Lakes Trails
in Otter Tail County because they do not have an insurable interest in the property.
Lengthy discussion continued regarding other ISTEA funded trails. The Highway Engineer stated
Otter Tail County has not financially supported any trail in the county. The county has acted as a
conduit for pass-through funding. Discussion continued regarding insurance and liability. The
matter will be discussed further at the next regular board meeting.
Liquor License Renewal
Motion by Nelson, second by Lindquist, and unanimously carried to approve the following
applications for license:
Cozy Cove Resort
Gary or Patricia Benson
Dent, MN
On/Off-Sale 3.2 Malt Liquor License
Appointment - Board of Adjustment
Motion by Nelson, second by Portmann, and unanimously carried to accepted the resignation of
Craig Anderson from the Otter Tail County Board of Adjustment and to appoint David H. Holmgren
of Henning, MN, to fill this position for the remainder of the 1998 year.
Contract Approval - ICWC House Construction Project
Jail Administrator, John Halvorson, presented a contract for the housing of inmates involved in the
Institution Community Work Crew house construction project.
Motion by Portmann, second by Lindquist, and unanimously carried to authorize the Chair’s
signature to execute a contract between the State of Minnesota DOC and Otter Tail County for the
ICWC program. The state will provide $213,000 for FY 1998/99.
After-the-Fact Permit Waiver Request
Land & Resource Director, Bill Kalar, provided copies of a letter he received from Allen Chase of
Ethel Beach Resort. Mr. Chase requested waiver of an after-the-fact permit fee of $250. He
explained that he replaced a mobile home with the same specifications, size, etc. Therefore, he
did not realize he needed a permit because resorts pay an annual permit fee for mobile home
spots. Discussion took place.
Motion by Nelson, second by Lindquist to waive the after-the-fact fee of $200 and issue the normal
permit fee of $50 because it does not cause additional density for the lake or additional sewage
and the location complies with all other requirements of the SMO. Commissioner Portmann
expressed concern about setting a precedence and questioned whether others have paid an after-
the-fact fee for the same reason. Commissioner Lee called for a roll call vote:
otter Tail County Board of Commissioners
M£./12, 1998
Page 6%Fifth District
Third District
First District
Second District
Portmann
Lindquist
Nelson
Nay
Yea
Yea
YeaLee
NMotion carried.
Bid Awards - Forklift, Trailer, & Roll-Off Boxes
Mike Hanan, Solid Waste Director, after previously advertising, opened the following bids on
Wednesday, May 6, 1998 at 1:00 p.m:
Bidder Forklift Pup Trailer Roll-Off Boxes (2)
Clarklift of Minnesota
Mpis., MN
$21,886.00
Did not meet bid specs
$24,029.38RDO Equipment
Fargo, ND
$28,859.00
Did not meet bid specs
YMH Minnesota
Bennett Materials Handling $32,662.00
Hopkins, MN
WasteCo. Manufacturing
Dickenson, ND
$13,000
Did not meet bid specs
$2,650 each
RayFo Inc.
Rosemount, MN
$3,167 each
Did not meet
bid specs
Sanitation Products
Fargo, ND
$4,934 each
Did not meet
bid specs
Motion by Nelson, second by Lindquist, and unanimously carried to accept the lowest acceptable
bid from RDO Equipment, in the amount of $24,029.38 with a trade-in allowance for a forklift as
recommended by the Solid Waste Director.
Motion by Nelson, second by Portmann, and unanimously carried to authorize the Solid Waste
Director to readvertise for quotations for a pup trailer which is used behind recycling trucks.
Motion by Portmann, second by Lindquist, and unanimously carried to accept the lowest
acceptable bid from WasteCo-. Manufacturing, in the amount of $2650 each, for 2 roll-off boxes.
Discussion - Recycling Drop-off Containers
Mr. Hanan suggested that the drop-off containers placed in four different locations throughout
Fergus Falls be eliminated and containers placed instead, at the Recycling Center on North Tower
Road. The containers at the recycling center would be accessible 24-hours per day. This would
be an attempt to streamline services by saving time and money, as well as provide the option to i
Oan-07-98 04:31A Spar"ky Chase 218-367-2S09 P .01
May 6. 1998
Land & Resource
ATTN: BilIKaler
Ottcrtail County Coun House
Fergus Falls, Mn
Ethel Beach Resort
Rt.1Box93
Battle Lake, Mn
To Whom It May Concern;
I am writing in regards to the mobile home that was moved onto my property this spring No permit
was purchased because the thought was that we are licensed for 4 mobil home spots and these are not
permanent. The mobile home spot is rented from us on a S month contract just like the R.V. spots. No
permits arc needed tor R. V.s
'fhere was no ill intentions intended J went on the basis that there is nothing on my license concerning
anything except the fact that we are licensed for 4 mobile home spots The question arises why does a
resort that is licensed for a mobile home site and pays a licensing fee every year on the spot even need a
permit to change mobile homes with the same specs and at the same location.
Rcfering back to my latest drawing of the resort you will note that the mobile home .spots are no less
than 200’ from the water and .S3' from the property line. The mobile home that was moved in this spring
was moved onto the spot that is 200’ from the water and 53’ from the property line
The permit question is still there. Was a permit actually required at all at a licensed seasonal resort If a
permit was required will wc be able to issue the normal permit with a fee of $50 00. or issue an after the
fact permit of $250.00 when no ill intention was intended and the license for the mobil homes has been
renewed every year. We are licensed for 4, we have 4 A resort actually pays every year on the that mobile
home spot in licensing fees Why pay twice for the same thing ?
Sincerely,
/
cAllen Chase
Cha.se’s Ethel Beach Resort
218-367-2603
13£C£1VED
MAY 71998
OTTER TAIL COUNTY LAND & RESOURCE MANAGEMENT
(218) 739-2271121 W. JUNIUS, FERGUS FALLS, MN 56537
June 21, 1998
Allan Chase
RR 3 Box 93
Battle Lake, MN56515
Mobile Home on Resort; Ethel Lake (56-193)RE:
Dear Mr. Chase,
Not long ago I was on you lot in regards to the replacement of a
mobile home that was placed on your lot. It is my understanding
that a Site Permit is required for this structure, however, an After
the Fact will not work as I had originally talked about. To date,
we have not issued a permit for this structure.
Please contact me by June 29, 1998, regarding this matter.
Sincerely,
Kyle Westergard
Inspector
^ '-y\^
mcm
:•' r
Department of
LAND & RESOURCE. MANAGEMENT
COUNTY OF OTTER TAIL
Phone:(218) 739-2271
Court House
FERGUS FALLS. MINNESOTA 56537
October 5, 1994
Allen Chase
R#3 Box 93
Battle Lake, MN 56515•.V
RE: Site Pennits 13140 and 12567, Ethel Lake (56-193)
Dear Mr. Chase:
It has come to our attention that the work being done on your cabins may be
exceeding the provisions of your Site Permits. Any further work involving
these permits must stop until this matter is resolved.
I have unsuccessfully tried to contact you by phone, therefore, please
contact Tim Griep or myself at this office before October 14, 1994.
i'--
Sincerely,
<' Pat Eckert
Inspector
c
mgb
r
;
I'
h
^ SENDER:
*« •
Q • Complete items 3, and 4a & b.
• Print your name and address on the reverse of this form so that we can
O return this card to you.
• Attach this form to the front of the mailpiece, or on the back if space
^ does not permit.
^ • Write “Return Receipt Requested" on the maitpiece below the article number.
• The Return Receipt will show to whom the article was delivered and the date^ delivered.____________________
-D 3. Article Addressed to:
I also wish to receive the
following services (for an extra g
fee):
Complete items 1 and/or 2 for additional services.
>
1. n Addressee's Address ^
2. n Restricted Delivery '£uConsult postmaster for fee.oGC4a. Article Number, , , / , /r 101 wi/s c
24b. Service Type
□ Registered □ Insured
pa^Certified □ COD
n Express Mail □ Return Receipt for 3
__ Merchandise
«CHRSE, RLLEN F
R#3 BOX 93
QC
I O)
((L BRTTLE LRKE, MN 56515I
oH-l 7. Date of Deliveryc 3«».O
)6ignature4A^dressea)
Uc? LMM
6. SignaAjre (Agent)
>.Z 5.8. Addressee's Address (Only if requested ^
and fee is paid)cc c3aH£UJ Hoc
o PS Form 3o11, December 1991 DOMESTIC RETURN RECEIPT«U.S. GPO: 1993—3S2-7I4
P 101 44M ,
, ReceHit for
Certified Mail
'■ No Insurance Coverage Provided
Do not use for International Mail
(See Reverse)
UMTtO STATES POSTAL S£«VICt
Sent 10
Street and No
CHASE, RLLEN F
R#3 BOX 93
BRTTLE LRKE, MN 56515
i( !--■ 1 0-,' ''V I tiC
Return Receipt Snowing
to Whom & Dale Delivered
<55
05
Return Receipt Showing to Whom.
Dale, and Addressee’s Address
TOTAL Postage
& Fees $do Postmark or Date00
CO
g
toc.
UNITED STATES POSTAL SERVICE
I
Official Business PENALTY FOR PRIVATE
USE TO AVOID PAYMENT
OF POSTAGE, $300
n 1 E i E U W I Q! " TllLjfill\U !I OCT I I 1994I Pf?ot your name, address and ZIP Code here
J
LAND & REL- Ji; ,C l»»0 & RESOURCE MANAGEMENT
County of Otter Tail
Court House
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CHRONOLOGY REGARDING THE
36.9 -Z6. 03
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44n Sl^56-<rLake No.Lake Name:
(oH~ ^0^7-- 0d>O' 99 - - o<^QParcel No.:
Owner's Initial Response (date): _______
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violation.chronology7-94
APPLICATION FOR SITE PERMIT
LAND & RESOURCE MANAGEMENT
OTTER TAIL COUNTY COURT HOUSE
Phone: (218) 739-2271 • FERGUS FALLS, MN 56537
WHITE — Office
^OLDENROD — Inspector
YELLOW — Owner
PINK — Assessor
131^0LEGALPermit No.
DESCRIPTION
5
fLl
AND
LOCATI^
LME NUMBER LAKBRIVER NAME SECTIONLAKE/RIVER
CLASS ^ Rb ^
TWP NO.RANGE TWP NAME
50. SbKjr / >3
PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER
- 99 -U?- - oeo
IDENTIFICATION; Please Print All Information
Last Name First Mailing Address - No. Street, City and StateInitial Zip Code Telephone No.
W..3Property
Owner AfV 5^5/jS'
S./-TNameContractor
¥ =
State Lie. #
PROPOSED PROJECT PROPOSED USE RESIDENTIAL USE NON-RESIDENTIAL USE
( ) Garage .
( ) UtinW Strucplre
( ) Water ^fi^ntated
Accessory
( ) Other
CHARACTERISTICS OF PROPOSED
'.Xi Basement
Walkout Basement
Outside Dimension
of Structure_____
( ) New Structure
( ^<i'Addition
( ) MH/RV
Residential ) One Family Dwelling
) Multiple Dwelling
# of Units ( )
() Non-Residential
Ft.
30 Ft.
YEAR ire
TYPE OF FRAME
( ) Masonry
( YJ Wood
( ) Structural Steel
( ) Other
ONSITE SEWAGE
DISPOSAL SYSTEM
ONSITE WATER SUPPLY Height of Structure.
# Of Stories{ ) Public
{ >C) Individual
( ) None
OFFICE USE ONLY
( ) Bluff Impact Zone
( Shore Impact Zone
( ) Sensitive Area
( ) Public
( ) Individual
Permit #_
( ) OTLSD
# Of Bedrooms
# Of Bathrooms
LOT SIZE AND SETBACKS:
0.5aLot Area is square feet. Water frontage is feet. Maximum depth of lot feet.
Building set back from ordinary high water level is feet. (String Test)
3Land height above ordinary high water level at building line is feet. Slope of lot %
Building set back from road right-of-way.feet.
sro fLot line setback is and feet.
Structure will be located _ 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
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 accord
ing to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit
application. I also understand that this permit is valid for a period of six (6) months
(I understand jthat it js my responsibility to inform the Land & Resource Management o^mh ~ C Jyyy -ice once the building footings have been constructed.)O,LDated:
Signature of Owner
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the express
condition that the person to whom it is granted, and his agent, employees and workmen shall conform in alLwspects to the Ordinance of Otter Tail County, Minnesota.
This permit may be revoked at any time upon violation of said ordinances. / )
P
srg’^
Dated:
Land & Resource Management Office4
1)0?^ ^SPermit Fee $.Receipt No.
A.
^ /X7 . JZ?
Comments:
tF
c5(> 1.^g3+
Form No. BK — 0292-002 270.500 • Victor Lundeen Co Printers • Fergus Falls. MN • 1-800-346-4870
r - •
\APPLICATION FOR SITE PERMIT
LAND & RESOURCE MANAGEMENT
OTTER TAIL COUNTY COURT HOUSE
Phone: (218) 739-2271 • FERGUS FALLS, MN 56537
WHITE Office (jOlSenrOD — Inspector
YELLOW — Owner
PINK — Assessor
'X
-n131YO::--sLEGALPermit No.■a
■ -^1DESCRIPTION
.y.
■ ■ ; iiAND
-^5SfLJ./LOCATION
I
r vT /
LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER
CLASS
Hb
SECTION TWP NO.RANGE TWP NAS^E
S3 ' S3 / 533
I PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER
(S3e>' 99 -091- i,q - ooo
IDENTIFICATION; Please Print All Information
First Mailing Address — No. Street, City and StateLast Name Initial Zip Code Telephone No.
Property
Owner i V S'
S7TNameContractorI
State Lie. #n‘‘
PROPOSED PROJECT PROPOSED USE
(Residential
( ) Non-Residential
RESIDENTIAL USE NON-RESIDENTIAL USE
( ) Garage
( ) Utility StrugWre
( ) Water 0rientated
Accessory Structure
CHARACTERISTICS OF PROPOSED
( ) New Structure
( Addition
( ) MH/RV
) One Family Dwelling
) Multiple Dwelling
# of Units ( )
Basement ( )
Walkout Basement
Outside Dimension_^ju-
of Structure_________________Ft.
Height of Structure
# Of Stories
# Of Bedrooms \
# Of Bathrooms
!
r
i YEAR
Ft.
^
, TYPE OF FRAME
' ( ) Masonry
( X) Wood
( ) Structural Steel
( ) Other
ONSITE SEWAGE
DISPOSAL SYSTEM
( ) Public
( )OTLSD
ONSITE WATER SUPPLY ( ) Other
E ( ) Public
( ) Individual
( ) None
OFFICE USE ONLY
( ) Bluff Impact Zone
{')^) Shore Impact Zone
( ) Sensitive Area
f
r (i *ii
I :1■T
m.
;LOT SIZE AND SETBACKS:
<^5aLot Area is square feet. Water frontage is feet. Maximum depth of lot feet.
Building set back from ordinary high water level is feet. (String Test)
Land height above ordinary high water level at building line is feet. Slope of Igt %
Building set back from road right-of-way.feet.
Lot line setback is and feet.
Structure will be located .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
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 accord
ing to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shat! become a part of this permit
application. I also understand that this permit is valid for a period of six (6) months
.1
(I understand that it my responsibility to inform the Land & Resource Management office once the building footings have been constructed.)at It ¥s my
II ^Dated:/Signature of Owner
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the express
condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota.
This permit may be revoked at any time upon violation of said ordinances.
cra^S-
Dated:1Land S Resource Management Office
Permit Fee $.Receipt No_
A!f>proi/tj Dy /I.
(3b^ p, /ijjb , hy'? ,
Comments:
/a-ffJ-
^3<>
L-K
IForm No. BK ~ 0292-002 270.500 • Victor Lund«en Co Printers • Fergus Falls. MN • 1*800-346-4870
1INSPECTION RESULTS
Make all measurements and computations
ACTUAL MINIMUM
Ft.
Building Set Back from High Water Level Ft.Ft.
Building Set Back from Top of Bluff Ft.30 Ft.
Building Set Back from Road Right of Way Ft.20 Ft.
Ft. &Ft.Ft.Building Set Back from Lot Lines
Ft.Building Height Ft.
Building Set Back from Septic Tank 10 FtFt.
Building Set Back from Absorption System Ft.20 Ft
Elevation Above
High Water Level at Building Line Ft.3 Ft.
%Land Slope at Building Line
C
*1
IS
, mliInspector's Comments/Sketch:.
*!
■ .j.i'ta
mI.-
Kc*}
Inspector's Signature
%
Date of Inspection^ m i-
Time of Inspection
/
//Scale: Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM
Dated:19/Signature
Please sketch your lot Indicating setbacks from road right-of-way, lake and sideyard for each building currently
on lot and any proposed structures.
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21598 vicTOK kuNOCCN ee . rmiiTeiii. reneus falls, hinn^.MKL-0871-029
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\!^ I ■ If j I : GRID PLOT PLAN SKETCHING FORM i! ^: ' Scats: Eac^l grid equal$__feet/inchas !i
i
a If t£.\\i Dated:19 iI Signature
! Phase sketch your tot indicating setbacks from road right-of-way, take and sideyard for each building currently
on lot and any proposed structures.
I
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MKL->0871>029 2IS98 7@ ...
Ai»PLICATION FOR SITE PERMIT
LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE
Phone: (218) 739-2271 • FERGUS FALLS, MN 56537
WHITE — Office
GOLDENROD — Inspector
YELLOW — Owner
PINK — Assessor
X !,X,^
IL4LJ AjisOr-i^
/ ^.56 7Permit No.LEGAL
DESCRIPTION
AND
LOCATION
r
SECTION RANGELAKE NUMBER LAKE/RIVER NAME LAKE/RIVER
CLASS TWP NO.TWP NAME
cL! i/'rx<t39(33>5^ - J93 i9D
FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER (S)
99 &0O
IDENTIFICATION: Please Print All Information
First Mailing Address — No. Street, City and State Zip Code Telephone No.Last Name Initial
R-t 3 93Property
Owner j-a-lai MM £(7^/S
3.JfNameContractor
State Lie. #,AA)L^AAp
PROPOSED PROJECT PROPOSED USE RESIDENTIAL USE NON-RESIDENTIAL USE
( ) Garage
( ) Utility StrbeUfre
CHARACTERISTICS OF PROPOSED
Residential
( ) Non-Residential
Basement !A)0)
Walkout Basement
Outside Dimension. ./ ly of Structure V—X'trr' Ft.
( ) New Structure
(Addition
( ) MH/RV
( ) One Family Dwelling
( Multiple Dwelling
# of Units ( )( ) Water OrientatedAcce^ry StnjctureYEAR
3GTYPE OF FRAME
( ) Masonry
( X ) Wood
( ) Structural Steel
( ) Other
ONSITE SEWAGE
DISPOSAL SYSTEM
ONSITE WATER SUPPLY ( ) Otb^r Height of Structure
# Of Stories
# Of Bedrooms
If Of Bathrooms
Ft.
( ) Public
(X)
OFFICE USE ONLY
Bluff Impact Zone( ) Public
( ) Individual
Permit #_
( ) OTLSD
Individual
Zo3o Shore Impact Zone-X) None
) Sensitive Area
LOT SIZE AND SETBACKS:
750square feet. Water frontage is
Building set back from ordinary high water level is 9^ SO
Land height above ordinary high water level at building line is ^ ^
Building set back from road right-of-way.
Lot line setback is_____
Structure will be located
Structure will be located.
Lot Area is feet. Maximum depth of lot feet.
feet. (String Test)
feet. Slope of lot %
feet.
feet.and
feet from septic tank (Sewage System Permit must be obtained before installation).
.feet from soil absorption system (Sewage System Permit must be obtained before installation).
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 CHAP 16, MINNESOTA STATE STATUTES.
Dated:
Signature of Owner
Permit; Permission Is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the express
condition that the person to whom it is granted, and his agent, employees and workmen shall conform^n all respects to the Ordinance of Otter Tail County, Minnesota.
This permit may be revoked at any time upon violation of said ordinances. / )
Dated:
Lend S Resource Management Office
a-O
Permit Fee $Receipt No.
hJill i>-6 t-e-
fk' Mricirli-wm <iJi^ zj! Iby
no'i~ rS\
roo s ,
Comments’:
•JLAC.! lAL^c.f i
S !o44- . CcJ9u^ H ~ ^ Io9i-
)3 ^ 5 C'u’ J o •f'9 ^L
i 4^
Form No. BK — 0292-002 262,316 — Victor Lundeen Co., Printers, Fergus Falls, Minnesota
Y'4;r
*V i:. ,
APPLICATION FOR SITE PERMIT
LAND & RESOURCE MANAGEMENT
OTTER TAIL COUNTY COURT HOUSE
Phone: (218) 739-2271 • FERGUS FALLS, MN 56537
VV/V/TE — Office
GOLDENROD — Inspector
YELLOW — Owner
PINK — Assessor
^4^ / 3>ea<.^
4 A ^,3
ihLiOr'ij
UGAL Permit No.
DESCRIPTION
AND
LOCATION
LAKE NUMBER SECTIONLAKE/RIVER NAME LAKE/RIVER
CLASS TWP NO.RANGE TWP NAME-ti / Lc>- !cx^Ji .<(^ ! aV
~y399S)' [M- y^'3
PARCEL NUMBER (S)FIRE OR LAKE ASSOCMTION NUMBER
^<Y-0tSd- ?'? - og.L‘1- 600
IDENTinCATION: Pleate Print All Intormallon
Mailing Address — No. Street, City and State Zip CodeFirst Initial Telephone No.Last Name
Bot< 933Property
Owner X.
5^3/SCL
5x/4•N- ■'Name'Contractor 7ST'State Lie. #
PROPOSED USE RESIDENTIAL USE NON-RESIDENTIAL USE
( ) Garage
( ) Utility Struejore
( ) Water Orfentated
Accesebry Structure
( ) Otbdr
CHARACTERISTICS OF PROPOSEDPROPOSED PROJECT
( ''X'') Residential
( ) Non-Residential
( ) New Structure
( Addition
( ) MH/RV
( ) One Family Dwelling
( Multiple Dwelling
# of Units ( )
Basement ( )
Walkout Basement {jUOi
Outside Dimension
of Structure____.Ft.YEAR
TYPE OF FRAME
( ) Masonry
( p )Wood
( ) Structural Steel
» ( ) Other
ONSITE SEWAGE
DISPOSAL SYSTEM
ONSITE WATER SUPPLY Height of Structure
# Of Stories^
Ft.
( ) Public
( ^ ) Individual
( ) None
OFFICE USE ONLY
(^0^ Bluff Impact Zone
Shore Impact Zone-^
f^Q) Sensitive Area
( ) Public
) Individual
Permit If ^’50
( ) OTLSD
# Of Bedrooms
((If Of Bathrooms
LOT SIZE AND SETBACKS:
7J3Qsquare feet. Water frontage is
Building set back from ordinary high water level is ^^^0-30 feet. (String Test)
Land height above ordinary high water level at building line is
Lot Area is feet. Maximum depth of lot feet.
feet. Slope of lot %
Building set back from road right-of-way.feet.
522Lot line setback is and feet.
.feet from septic tank (Sewage System Permit must be obtained before installation). 7
feet from soil absorption system (Sewage System Permit must be obtained before installation).
' 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 ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.
Dated:
Signature of Owner
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the express
condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota.
This permit may be revoked at any time upon violation of said ordinances.
Dated:
Land & Resource Management Office
.^ O'’Permit Fee $ —Receipt No_
ci<!y J>^ r.j.\
//o otH,A
. zt/;//
Comments: tXr k/ putn ax
4-u\s~i iyo\c-411 if 4^ H AI,i \ L>tJBJr'/^nrr) S .
3- /Ty In 9 9^________
^ V'f
MLL
Form No. BK — 0292-002 262,316 — Victor Lundeen Co., Printers, Fergus Fails, Minriesota
INSPECTION RESULTS
Make all measurements and computations
ACTUAL MINIMUM
Sq. Ft.
Lot Area (Square feet)Sq. Ft.Sq. Ft.
Water Frontage Ft.Ft.
Building Set Back from Water Level
Building Set Back from Top of Bluff
2.^Ft.Ft.
30 Ft.Ft.
^4.'Building Set Back from Road Right of Way Ft.20 Ft.
Building Set Back from Lot Line Set Back Ft. &Ft. Ft.
< 2>oBuilding Height Ft.Ft.
IIBuilding Set Back from Septic Tank Ft.10 Ft
Building Set Back from Absorption System Ft.20 Ft
Elevation Above
High Water Level at Building Line Ft.3 Ft.
5-»0Land Slope at Building Line o/o
Inspector's Comments: Lf\jt Aii(= To /k.rc^At.
^ _______________________________________
:etch:
r f f36
I ^ ^ II I ''-fp
io 4-s' n;
rrJo' h'
T.A*-#3 \f>fh 3»"
go1%'
i
LOUhj(a^
/nspector 's Signature
Date of Inspection».-i*
Time of Inspection
/
May 30, 199^
OTTER TAIL COUNTY COMMISSIONERS
OTTER TAIL COUNTY COURTHOUSE
FERGUS FALLS, MN
RE: ADDITIONS TO CABINS 1 & 2
DEAR SIRS:
Due to funding availability and the limited time frame, this letter is in regards to the remodeling, and addition
of a second floor loft to both cabins 1 & 2. On cabin 1 a total of 104 sq ft would be added on the lake side part
of the cabin and a second story loft. Cabin 2 a total of 136 sq ft would also be added on the lake side part of
the cabin and a second story loft. (See attached drawing)
All additions to both cabins 1 & 2 would not be any closer to the high water mark and would not exceed the
30 ft height limit upon completion. These additions would add living area only and v^ould not increase
capacity.
The object of this letter it to obtain a letter from the County Commissioners stating that the additions and
remodeling projects on cabins 1 & 2 should not have a problem at this time of receiving a variance for work
described. All the proper paper work will be filled out and submitted by the deadline for the September
variance meeting, at that time I will be able to attend the meeting personally.
Please feel free to call me any time if you have any questions. A speedy response would be greatly
appreciated. Thank you for your time and consideration on this matter.
Sincerely,
Allen" Sparky" Chase
Enclosure
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 ,v-
jn(j74Permit NoLEGALloh I "4DESCRIPTION
AND
LOCATION
1^} 3^1L
TWP NameTWPRangeSec.Lake Classif.Lake NameLake No.
IDENTIFICATION: Please Print All information
Tel. No.I^M Name______________ FirstLU^ft-sg-, fi-liev]
Zip No.Mailing Address- No. Street. City and StateInitial
l^-hJ Sip 77,
Owner
NameContractor
Architect Name.
NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IPE OF 11^
( LT^w Building
( ) Alteration
ROVEMENT:
Specify:.( ) One Family Dwelling
( ) Multiple Dwelling UnitsI(Size( )Other fther
ESTIMATED COST OF IMPROVEMENtIs
DIMENSIONS:
Basement: ( ) Yes ^_L-No
Stories above basement:
Sq. feet (outside dirnen^on)
Bedrooms ......
TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME:
II I Masonry
( ^Twood Frame
( ) Structural Steel
( ) Other — Specify
( ) Public
( tL_lndmdual Septic Tank, etc.
WATER SUPPLY:
( ) Public
(s^L-iBdtvidnal Well
Baths
CHARACTERISTICS:
6.(2)Maximum depth of lot feet.. feet.Water frontage is ..square feet.Lot Area is
10..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 pf-way.....
Side yard is ............and.............................I.LjJ....
Structure will be located
5^;feet
,Z(2,SO..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).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.
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 Mari6gement Official
Permit Fee $.Receipt No.
Comments:
Form No. MKL-0286-019 229971(g)
VICTOR UUNOCEN 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 - Office
GOLDENROD — Inspector
YELLOW — Owner
PINK - Assessor
i
. » •/
joLEGAL/loh 1^4
&acA
DESCRIPTION
AND
LOCATION 77fIi3. 9/- < 9 ^
TWP NameTWPRangeSec,Lake Classif.Lake NameLake No,
IDENTIFICATION; Piease Print All Information
TeL No.Zip No,Mailing Address— No. Street. City and StateFirstInitialLast Name
'K^\\q\a ■:>
Owner +.
/ gl 1rV'f=iName2lContractor /
Architect Name.
NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:
( Building
( ) Alteration
Specify:.I ) One Family Dwelling
( ) Multiple Dwelling
( ijGffi&r
Units
Size( ) Other
ESTIMATED COST OF IMPROVEMENtIs I DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME:
i^icOSl ( ) Yes LlMcr I( ) Public
( LL-lndividual Septic Tank, etc.
WATER SUPPLY:
( ) Public
(. I Individual Well
Basement:
Stories above basement:
Sq. feet (outside dime^on)
Bedrooms .............................
( ) Masonry
( Frame
( ) Structural Steel
( ) Other — Specify Baths
CHARACTERISTICS:L?.QD.feet.feet.Maximum depth of lotWater frontage is ..square feet.Lot Area is
Jsia 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....
.. and
J::;,.(feet
S.Q.J£>.•feet.,. feet — from road right of way is
lU »;.............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).
Side yard is
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 sits 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.
fDated
Shoreland Management Official
Permit Fee $.Receipt No.
Comments:
Form No. MKL-0286-019 229971®VICTOR LUNOEEN CO.. PRINTERS. FERGUS PALLS. MINN.
•*^i»llll|lJiiH)1. il HHWiiiiiMiii * '
^f
i
' ' 'n
INSPECTOR'S CHECK LIST
/Wa/re all measurements and computations
ACTUALIS X MINIMUM Shall Be .4.Sq. Ft.
Lot Area (Square feet)Sq. Ft Sq. Ft.
Water Frontage Ft.Ft.
\00±Building Set Back from High Water Mark Ft.Ft.
WBuilding Set Back from State Highway Ft.50 Ft.
6inDBuilding Set Back from Street or Road Ft.40 Ft.
ia>' F,Side Yard &&
soo'Rear Yard Ft.Ft.
Occupied Building to Septic Tank Ft.10 Ft.
Occupied Building to Absorption System Ft.20 Ft.
Elevation at Building Line above
High Water Mark_____________3^Ft.3 Ft.
is iInspector's Comments:
1 A
V \
. 4. !
w
f
O
o>-
ipactor'$ Signature
a TitleT
Insp^ion
tedDat 19
Aoency
«>CT«« UWMIH 4 W.. Mtiniat. PI44M r«xt. Min.
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fI
h.s\Xi
ti
i^AV>/!•n~tUTol.^F'€lj?
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1
OTTER TAIL COUNTY
Site Permit
LoCSltlOIll lake See. Twp//-5 Range 3 ?Tw[i Name
N°
Owner’s Name Lake
^ To__£rJv^r_Z^Qs^oed
Work Authorized / o ><•
NO’J'l:^: Tliis card must be placed in a conspicuous place not more tlvan 6 feet above grade on the prePiises on wbicb
work is to be done, and must be maintained there until completion of such work. Notify Shoreland Management
■Administration office when building footings have been completed.
OTTER TAIL COUNTY, MINNESOTA
Board of County CommissionersShoreTand Management Official
FORM MKL-030279-04.;Ci.M95.6e7
S CO , 0 7 r ::e . rr.r.OUS<cto- .’.''.c •: I
ms.
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'A'
,<•5 V fPermit No..LEGAL
DESCRIPTION
AND
LOCATION
TWP NameTWP RangeSec.Lake Classif.Lake No.Lake Name
IDENTIFICATION: Please Print AM Information
Tel. No.Zip No.Mailing Address— No. Street. City and State
/fZ k:~
InitialFirstLast Nghne
"2^ crOwner
NameContractor
Architect Name.
NON-RESIDENTIAL PROPOSED USE:/LzTYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:
) New Building y ^Specify:(( ) One Family Dwelling
( ) Multiple Dwelling( ) Alteration Units
() Other ( ) Other Size
ESTIMATED COST OF IMPROVEMENt|$
PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:
Individual Septic TanR, etc.
WATER SUPPLY:
( ) Public
(X> Individual Well
DIMENSIONS:
( ) Masonry
(^4. Wood Frame
( ) Structural Steel
( ) Other — Specify
Basement: ( ) Yes (A) No
Stories above basement:
Sq. feet (outside dimension)
Bedrooms
/
Baths
Type of Roof:
CHARACTERISTICS:
^ a—^^~T~ square feet.
Water frontage is feet.Maximum depth of lotLot Area is
/Building set back from high water mark is....................
Land height above high water mark at building line is
feet. (Building Line)
feet
Building set back from State highway right of way feet — from road right of way is feet.
Side yard is and feet.
Structure will be located feet from septic tank (Sewage System Permit must be obtained before installation),
feet from soil absorption system (Cesspool, Drainfield, etc.).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 agrep'^at 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 6) months.!i
THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A
BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA
STA TE STA TUES.
(/
^Si^att^e 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 the
express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail
County, Minnesota. This permit may be revoked at any time upon violation of said ordinances.
Permit:
s c /frDated7 Shoreland Management Official
Permit Fee ^ •
Comments:
19S676®Form No. MKL-0771-002 VICTOR LUNDCEN CO.. PRiNTKRS. FERGUS FALLS. MINN.
White - Office
Yeilow — 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 PERMIT0
-r<7 /Z .r' ■Permit No,.- JLEGAL■t
DESCRIPTION
AND
LOCATION -»
/
TWP NameRangeTWPLake Classif.Sec.Lake No. Lake Name
IDENTIFICATION: Please Print Atl information
Tel. No.Zip No.Mailing Address— No. Street, City and StateInitialLast Name First
. -Owner
NameContractor
Architect Name.
NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:
A
( ) One Family Dwelling
( ) Multiple Dwelling
Specify:,( ) New Building
( ) Alteration Units
r
( ) Other( ) Other Size
ESTIMATED COST OF IMPROVEMENT $
PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS:■:
I ) Yes ( ) No( ) Masonry
( ) Wood Frame
( ) Structural Steel
( ) Other — Specify
I ) Public
( I Individual Septic Tank, etc.
WATER SUPPLY:
( ) Public
( ) Individual Well
Basement:/-
Stories above basement:
Sq. feet (outside dimension)
Bedrooms ..............................Baths
1 >' IType of Roof:
CHARACTERISTICS:
feet.Maximum depth of lotWater frontage issquare feet.feet.Lot Area is
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
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
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
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 $.
Comments:
//
U ■
S Z 7
7/
19S676®
VICTOR LUNOCEN CO.. PRINTERS. FERGUS FALLS. MINNForm No. MKL-0771-002
1
I
i.S •I
INSPECTOR'S CHECK LIST
Make all measurements and computations
ACTUALIS X MINIMUM
Shall Be 4-Sq. Ft,
Lot Area (Square feet)Sq. Ft.Sq. Ft.
Water Frontage Ft.Ft.
Building Set Back from High Water Mark Ft.Ft.
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
VICT«a LUMBCCM t M.. MlNTEK*. FCaBU* PM.L*. MIM.
SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone 218-739-2271 - Fergus Falls, Mn. 56537
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
White — Olftce
Yellow — Owner
Pink — Assessor
Goldenrod — Inspector 9 ■.a'
Permit No.,LEGAL
/(<; •" <ifSDate.DESCRIPTION
AND
LOCATION
Qh.■iS jUCLLt^19s _CauA 4 /a>5 3^
Lake Classif.TWP TWP NameLake No. Lake Name Sec.Range
IDENTIFICATION: Please Print All Information
Last Name First Mailing Address— No, Street. City and StateInitial Zip No.Tel. No.
FIOwner
&aTtls. Lah . /Xlh •n (,•=(/.<
NameContractor
Architect Name.
TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:
/(lJ-MSw Building
( ) Alteration
(f-4-Ottier___
( ) One Family Dwelling
( ) Multiple Dwelling
Specify:,
1 Units
ESTIMATED COST OF IMPROVEMENT $ •
( ) Other Size
(omit cents)
PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS:
( I Masonry
( ) Wood Frame
( ) Structural Steel
( i-l-OTHer — Specify
( ) Public
( ) Individual Septic Tank, etc.
WATER SUPPLY:
( ) Public
( ) Individual Well
MECHANICAL EQUIPMENT :
Elevator: ( ) Yes
Air Conditioning; ( ) Yes
( ) Central
Basement: ( ) Yes ( ) No
Stories above basement:
Sq. feet (outside dimension)
Bedrooms Baths
HEATING:
( ) Electric ( ) Gas
( ) Coal
Other:
Type of Roof:( ) No ( ) Oil
( ) No ( ) None
( ) Unit
CHARACTERISTICS:
.6.0.0Lot Area is square feet.Water frontage is feet.
/ooBuilding 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......../!.Cy.
Building will be located
feet. (Building Line)
feet
Mfeet — from road or street is feet.
ePOand feet. Rear yard is
feet from septic tank (Sewage System Permit must be obtained before installation),
feet from soil absorption system (Cesspool, Drainfield, etc.).
feet.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set
forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith
shall become a part of this permit application. I also understand that this permit is valid for a period of sKHS) months.
duSignatur^ofXDated,
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.
9 -Dated
Shoreland Management Official
State Surcharge S /•' oPermit Fee $.
Comments:
Form No. MKL-0771-002
VICTOR (.UNBICM t CO..
158899 A
^ taj ySHORELAND MANAGEMENT - COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone 218-739-2271 - Fergus Falls, Mn. 56537
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Office
- Owner Assessor
White
Yellow
Pink -
Goldenrod — Inspector ^,v
A/V}/Permit No^LEGAL
•7 r- \A;DateDESCRIPTION
i:' i ( r : -v
AND
LOCATION
k. V /r,rL
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.
A -'t. ^ ^Owner
. '-.f
NameContractor
Architect Name.
TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:
/( .) New Building
( ) Alteration
( ) One Family Dwelling
( ) Multiple Dwelling
( )Other
Specify:.
'V 7 Units
-j a,\ ■ ^ f' c f( I 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;
( ) Electric ( ) Gas
I ) Coal
Other:
Type of Roof:( ) No ( ) Oil
( ) No ( ) None
( ) Unit
CHARACTERISTICS:
/■(
Lot Area is square feet.Water frontage is feet.
, tBuilding 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. (Building Line)
/.feet
dllfeet — from road or street is feet.
■ / ■and .....................'.................feet. Rear yard is
feet from septic tank (Sewage System Permit must be obtained before installation),
feet from soil absorption system (Cesspool, Drainfield, etc.).
feet.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set
forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith
shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
Dated.
Signature of Owner
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
ADated
Shoreland Management Official
Permit Fee $.State Surcharge $.
Comments:
N9TCALLEDF0R INSPECT
Form No. MKL-0771-002 1S8S99
VICTOR LUMOCCH 4 CO.. MiHTtRt. FCROUO rm.L0.
r
»
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.
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.
t
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'! Signature
Title
Inspection
Dated 19
Agency
vicTon u*«»ctn 4 M.. emitTiM. rtaeua rM.k.4. mi**.
r SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone 218-739-2271 - Fergus Falls, Mn. 56537
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
White — Office
Yeiiow — Owner
Pink — Assessor
Goldenrod — Inspector
Permit No„LEGAL
Date.DESCRIPTION
AND
LOCATION
±/J3 3? Q //g./9-/?.o
Lake No. Lake Classlf.TWP TWP NameLake Name Sec.Range
IDENTIFICATION: Please Print All Information
Last Name First Initial Mailing Address— No. Street, City and State Zip No.Tel. No.
R T 3>Owner
/T7>a/
NameContractor
Architect Name.
TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:
([^>New Building
( ) Alteration
( ) One Family Dwelling
( ) Multiple Dwelling
( ) Other
Specify:I I /RaiTID >Units
() Other Size
ESTIMATED COST OF IMPROVEMENT $ ! OO ^(omit cents)
PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS:
Sp^( ) Masonry
( i-+1/Vood Frame
( ) Structural Steel
( ) Other — Specify
( ) Public Basement; ( ) Yes (LF^o
Stories above basement: ........
Sq. feet (outside dimension).....
Bedrooms
/.
( U-'Todividual Septic Tank, etc.
WATER SUPPLY:
( ) Public
( yi.4ndividual Well
MECHANICAL EQUIPMENT :
Elevator: ( ) Yes
Air Conditioning: ( ) Yes
( ) Central
Baths
HEATING:
( ) Electric ( ) Gas ( ) Oil
( ) Coal ( ii-Nofie'
Other:
Type of Roof:
( t-+t6
( ) Unit
CHARACTERISTICS:
k.aa.VDLot Area is JmWIIL fUBt.
..laa..
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 .3,
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.
.2,(2,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.
,/v.a
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^ix (6) months.
^ - 3 -iature
Dated.
of OwnerSignet
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.
^-3 —B/CDated
Shoreland Management Official
S -GO State Surcharge $ ^ .C'/OPermit Fee $.
Comments:
Form No. MKL-0771-002 .158899
vicTON kUNettii t ee.. prihtcm*. fcii«ui FM.t.a.
SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone 218-739-2271 - Fergus Falls, Mn. 56537
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
White — Office
Yeilow — Owner
Pink — Assessor
Goldenrod — Inspector
Permit No^/ /LEGAL /<Date.DESCRIPTION
AND
LOCATION
TWP NameLake Classif.Sec.TWP RangeLake No. Lake Name
IDENTIFICATION: Please Print All Information
Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No.
Owner
NameContractor
Architect Name.
TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:
( ) New Building
( ) Alteration
( ) One Famiiy Dweliing
( ) Muitipie Dweiirng
Specify:
Units
I ) Other ( )Other Size
ESTIMATED COST OF IMPROVEMENT $(omit cents)
PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS:
( ) Masonry
( ) Wood Frame
( ) Structural Steel
( ) Other — Specify
( ) Pubiic
( ) Individuai Septic Tank, etc.
Basement: ( ) Yes ( ) No
Stories above basement:
Sq. feet (outside dimension)
Bedrooms
WATER SUPPLY:
( ) Public
( ) Individuai Weii
Baths
MECHANICAL EQUIPMENT :
Elevator: ( ) Yes
HEATING:
( ) Electric ( ) Gas
( ) Coal
Other:
Type of Roof:( ■) No
Air Conditioning: ( ) Yes ' ' ( ) No
( ) Unit
( ) Oil
( .) None
( ) Central
CHARACTERISTICS:
Lot Area is square'feetr Water frontage is .
feet. (Building Line)
...............................feet
feet.
Building set back from high water mark is...................
Land height above high water mark at building line is
Building set back from State highway is........................
Side yard is....................
Building will be located
Building will be located
feet — from road or street is feet.
and .......................................feet. Rear yard is
feet from septic tank (Sewage System Permit must be obtained before installation),
feet from soil absorption system (Cesspool, Drainfield, etc.).
feet.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set
forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith
shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
Dated.
Signature of Owner
Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit:
express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail
County, Minnesota. This permit may be revoked at any time upon violation of said ordinances.
Dated
Shoreland Management Official
Permit Fee $.State Surcfiarge $,
Comments:
•5^
n
Form No. MKL-0771-002 JS8899
VMTM UMCCa MMWftM. PtMUS riK.Lt.
>>
‘ ' %
INSPECTOR'S CHECK LIST
Make all measurements and computations
ACTUAL
IS Jr MINIMUM
Shall Be Sq. Ft,
StlgfcU-Lot Area (Square feet)Sq. Ft.
77
Water Frontage Ft.
}^>dBuilding 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.
Ft.& Ft.Side Yard
Rear Yard Ft.Ft.
/Yf9-Occupied Building to Septic Tank Ft.10 Ft.
Occupied Building to Absorption System Ft.20 Ft.
Elevation at Building Line above
High Water Mark_____________3 Ft.3____
Inspector's Comments:
Inspector's Signature
Title
Inspection
Dated
' /)/19 ^
Agency
Victoil LUMOIfH 4 M.. ^RIMTCtl. FCI4U4 FM.t.4. MtliN.
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