HomeMy WebLinkAboutFisherman's Village Resort_25000990589000_Shoreland Permits_WHITE - Office APPLICATION FOR SITE PERMIT
• GOLDHHROD - 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
Permit No.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED.
TWP NO.RANGE TWP NAMESECTIONLAKE/RIVER NAME LAKE/RIVER
CLASSLAKE / RIVER NO.
Rd 0 (o
PROPERTY (E-911) ADDRESSPARCEL NUMBER (S)
’R z<;'ooo99o raapoo dtj^y ^3 B
LEGAL DESCRIPTION 0O(D ^ ^ ^ ' ' '
li=>r3cB^A-cf4-
Daytime Phone No.Initial Mailing AddressLast Name First
f 2W/f> ^ ((.
3^Zi.
Property
Owner ^7SZf ^oua/hj Ss
Contractor
Name
Lie.#
S£l£_
PROPOSED PROJECT (please circle the appropriate number)
(2 ) Add'n to Dwelling
( 5) RCU/Year_____
ONSITE SEWAGE
TREATMENT SYSTEM
( ) L&R Cert, of Compliance within 5 yrs.
( ) Compliance Inspection Report within 3 yrs. (Attached)
OTWMD 'Must have Sewage System Approval
from OTWMD prior to issuing Site Permit.
Contact Rollie Mann at 2t8-864-5533
ONSITE WATER SUPPLY
(X Individual ( ) Public ( ) None
NOTE: MN Rules Chpt. 4725 (MN Well
Code) requires a 3’ (minimum) structure
setback to a well.
mReplacement Dwelling"
Attached / Detached Garage
(9) W.O.A.S.
(1 ) New Dwelling
( 4 ) MH/YR____
(71 Add'n To Non-Dwelling ( 8) Storage Structure
^Tp^on-Conf. Replacement (identify)" ^
(11) Other (identify)
(12) Deck_______
(13) Fence______
""Existing Non-Conl. Structure Verified by L&R"Removal of Existing Dwelling Verified by L&R
Inspector's Iniiiat/DaleInspector's Initial/Dale
CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRICTURE)CHARACTERISTICS OF PROPOSED NOfcFDWELUNGCHARACTERISTICS OF PROPOSED DWELLING
(Must Include Attached Garage)
Outside Dimension 3 I Ft. x
Sq. Ft. /Z40
Setback to Lotline 4?,^ "H Ft. & SQ4" Ft.*"
Setback to Right of Way ^pO Ft.*"
Setback to Ordinary High Water Level 4~7
[side
4o Outride
Dimei\onDinwcsionFt. X t.**Ft.**T.**Ft. X
Sq. Ft. \
Setback to Lomie ___
Setback to Right ofV(ay
Setback to Ordinary HigKWataf Level
Sq. Ft. \
Setback to LoWne ____
Setback to Righm Way
Setback to Ordinar^igh Water Level __
Elevation Above Ordin^ High Water Level
Setback to Septic Jm
Setback to Drainfj/d
Ft."*Ft..Ft.’*UFt.**Ft.**II
Elevation Above Ordinary High Water Level ^ 1 IfFt.
Setback to Septic Tank
Ft.Ft.
Ft.Pf Elevation Above Ordinary H)g\Water Level Ft.
ttiSHBir 'Setback to Septic Tank Ft.Setback to Drainfield Ft.
Setback to Bluff —" Ft.
Total Bedrooms
w Maximum Proposed Height ^.5 ^ Ft.
Roof Change) )Yes ('* ) NoJ^^^
Basement (X) Yes ( ) No
Ft.
Setback to Drainfield /
Setback to Bluff /
Maximum Propos^ Height
Roof Change / ) Yes ( ) No
Bathroom Reposed ( ) Yes ( ) No
Ft.Ft.
Ft.Ft.Setback to Blujr________
Maximum Pceposed Height
( ) Boartrouse
( ) Gazebo
**Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection
Ft.Ft.
( ) Screen PorchN.
( ) Storage StructurWalkout Basement ( ) Yes (side profile required) (^) No
* Must include on scale drawing,
additional Permit may be required.
Topographical Alteration / Earthmovinq
/IQ None □ 20 Cubic Yards or Less * □ 21 Cubic Yards ■ 999 Cubic Yards*□ 1,000 Cubic Yards or More*
Bluff ( ) Yes ( kfTloCHARACTERISTICS OF LOT:Sq. Ft.Ft.Water FrontageLot Area.
a/4 .%.%
Impervious Surface RatioBuilding 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 Ordinani--------------I understand that it is my responsibiiity to inform the Land 8^lent office once the buiiding footings have been constructed.(esouri
2Date:
Signature of Property O^er^^ent for Owner
Date;
Land S Resource management Official
iriqpui ct^miPROJECT(S) TOTAL SQ. FT. | t)RECEIPT NO.PERMIT FEE $
/S7~/a./4^ Laj j-fT~^
(OA/f iu/ffJ /JAtUT',/ CA-r ^// /
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Form No. BK — 08-015-2013
Date StampComments:V'
L&R Initial
352,196 • Victor Lundeen Co.. Printers • Fergus Fells, Minnesota
iWHITE - Office
GOLDENPOD - Inspector
APPLICATION FOR SITE PERMITI.
LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL
GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537
218-998-8095
www.co.otter-tail.mn.us
YELLOW - Owner (after issue)
PINK - Assessor
i%
4<V
47Permit No.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED.>
RANGE TWP NAMESECTIONTWP NO.LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER
CLASS
M)ii
PROPERTY (E-911) ADDRESSPARCEL NUMBER (S)t i:
d B 3 . f^/j.-rrtjfIrooq^o <rsaooo^o5rrA'Z7&2( Pr.u^rrrI ¥--f-\LEGAL DESCRIPTION
j
t.Ug a./v c U iiu :y-^
Last NameI Daytime Phone No.Initial Mailing AddressFirst
f Ftryl7'/) <, lJiti(>iy(.
Property
Owner
fy /njiy
Z/Pm:4^ //Yaz SZ-
Contractor
Name
Lie.#
'£l{-3
PROPOSED PROJECT (please circle the appropriate number)
(2 ) Add'n to Dwelling
( 5 ) RCU/Year_____
ONSITE SEWAGE
TREATMENT SYSTEM
( ) L&R Cert, of Compliance within 5 yrs.
( ) Compliance Inspection Report within 3 yrs. (Attached)
OTWMD 'Must have Sewage System Approval
Irom OTWMD prior to issuing Site Permit.
Contact Rome Mann at 218-864-5533
ONSITE WATER SUPPLY
Individual ( ) Public ( ) None
NOTE: MN Rules Chpt. 4725 (MN Well
Code) requires a 3’ (minimum) structure
setback to a well.
Replacement Dwelling*
Attached / Detached Garage
(9) W.O.A.S.
(1 ) New Dwelling
(4) MHA'R_____
( 7) Add’n To Non-Dwelling ( 8 ) Storage Structure
^1oj)Non-Conf. Replacement (iderftity)" 4^I
(11) Other (identify)
(12) Deck_______
(13) Fence______
f
"Existing Non-Conf. Structure Verified by L&R•Removal of Existing Dwelling Verified by L&R
Inspector's Initial/DateInspector's Initial/Date
CHARACTERISTICS OF PROPOSED W.O.A.S.
(WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED NO^DWELLING
Oti|side '
Dimbosion
CHARACTERISTICS OF PROPOSED DWELLING
(Must Include Attached Garage)
Outside Dimension -T-’ t
Sq. Ft. r 2 4 O
Setback to Lotline 4- Ft. & T-O "F* Ft."
Setback to Right of Way (<-'0
Setback to Ordinary High Water Level ... j,
Elevation Above Ordinary High Water Level 3S**9jTt.
Setback to Septic Tank (gO
Setback to Dralnfield —
Setback to Bluff
Total Bedrooms S
.Maximum Proposed Height
Roof Change ( ) Yes
Basement (X) Yes ( ) No
Outside
DimensionFt.x 4 Ft."Ft. X T**q^i
Ft. X 1."
Sq. Ft. ^
Setback to Lotting___
Setback to Right ofWay __
Setback to Ordinary HigN{/atf^ Level
Sq.R. \ ■
Setback to LoHjne____
Setback to Righf'ot Way .
Setback to Ordinar)'Fligh
Elevation Above Ordin^ High Water Level
Setback to Septic Tai
Setback to Draintipid
Setback to Blutr
\Ft.Ft.**C&Ft.**$Ft.**Ft."Ft.**Ft.
Ft.Ft.rater Level 4P( 2,* /jLlrVL Elevation Above Ordinary H)g\Water Level Ft.Ft.
^Setback to Septic Tank Ft.Ft.Ft.
Ft.Setback to Drainfield /
Setback to Bluff /
Maximum Propos^ Height
Roof Change j/ ) Yes
Bathroom P;4)osed ( ) Yes ( ) No
Ft.Ft.
Ft.g^^Ft.Ft.
Ft.Ft.Maximum Paiposed Height/( ) Boatb6use
( ) Gazebo
( )No ( ) Screen PorchV
( ) Storage StruclunWalkout Basement ( ) Yes (side profile required) {^) No ■i1
•L•*Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection I
* Must Include on scale drawing,
additional Permit may be required.
Topographical Alteration / Earthmovinq
El None □ 21 Cubic Yards - 999 Cubic Yards*□ 1,000 Cubic Yards or More*□ 20 Cubic Yards or Less *
F24.'=f4^Bluff ( )Yes ( pfl^CHARACTERISTICS OF LOT:Sq. Ft.Ft.Lot Area.Water Frontage
.%:%
Building Surface Ratio Impervious Surface Ratio
ITHIS 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 i
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. JI understand that it is my responsibility to inform the Land & Resource Management office once the buiiding footings have been constructed. I
; /-fDate:f 4T
Signature of Property Owner ^^nt for Owner
:IDate:
Land & Resource Management Official 1'^)0OOPR0JECT(S) TOTAL SQ. FT. | Ij 0 PERMIT FEE $RECEIPT NO.
T)VComments: A'6 /5 /yA/2 : O / flV /C'
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Form No. BK — 08-015-2013 352,196 • Victor Lundsen Co.. Printera • Forgua Falls. Minnesota
.1 K.
SITE PERMIT
INSPECTION RESULTS
Inspector must make all measurements and computations
HiStructure Set Back from Ordinary High Water Level Ft. Ft.
Structure Set Back from Top of Bluff Ft.Ft.
SS’"Structure Set Back from Road Right of Way Ft. Ft.
16^Ft.& 1A~^Structure Set Back from Lot Lines Ft.Ft.&Ft.
Structure Height Ft.Ft.io<v
SC^Structure Set Back from Septic Tank Ft. Ft.
Structure Set Back from Drainfield Ft.Ft.
Elevation Of Lowest Floor Above Ordinary
High Water Level V3 Ft. Ft.
Land Slope at Building Site % %
Inspector’s Comments / Sketch:
u
CP ‘i'b
Inspector's Signature
/V
Date of inspection
t '
Time of inspection
Date / Iriitial '
□ Project Approved,
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Sto.93+ 29 Ent. Lt.
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OTTER TAIL WATER
MANAGEMENT DISTRICT
27234 368TH AVE.
Battle Lake, MN 56515
Phone (218) 864-5533
Mr. Dave Thompson
27621 CoHwy83
Battle Lake, Mn 56515
■:
April 4, 2014
This letter is in reference to the septic system at the Fishermans ViUage Resort, (27621 Co Hwy 83 Battle
Lake, MN 56515 P/N25000990588000) at the main house. At present the structure is considered a three
bedroom home. That system is connected to a central community drain field system.! At the present time it
is fimctioning properly. All wells are the owners responsibility.
If you have any questions please feel fi«e to contact me. Thank You
Sincerely,
V-Roland R. Mann
Administrator
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RE: Resort house permit application
Subject: RE: Resort house permit application
From: "Toms, Rick (MDH)" <rick.toms@state.mn.us>
Date: 3/13/2014 1:43 PM
To: Dave Thompson-Fisherman's Village Resort <fisrvilg@prtel.com>
CC: Bill Kalar <bkalar@co.ottertail.mn.us>
It is my understanding that the construction project is for the home of the owner
of Fisherman’s village. Since no portion of the home will be used for lodging or
the preparation of food for guests or the public, plan approval is not necessary.
If the use of the home changes to include lodging or food service, plans and
appropriate licenses will be required prior to use.
Please feel free to contact me if you have questions.
Rick
Rick Toms, R.S., Sanitarian Supervisor
Minnesota Department of Health
1505 Pebble Lake Rd., Suite 300
Fergus Falls, MN 56537
rick.toms@state.mn.us
218-332-5154
Fax: 218-332-5196
-------Original Message-------
From: Dave Thompson-Fisherman’s Village Resort \mailto:fisrvilg^prtel.com]
Sent: Thursday, March 13, 2014 9:38 AM
To: Toms, Rick (MDH)
Cc: Bill Kalar
Subject: Resort house permit application
Hi Rick
I met with you yesterday about our plans to build a new home on our resort.
Fisherman's Village.
I let Otter Tail County Land and Resource know that you didn't need me to submit
plans for approval. Bill Kalar emailed me back and said because they are applying a
state law that allows a resort to expand a foot print of a structure inside the
impact zone to comply with government standards, in this case we need the floor
space for handicap access inside our home, Mr. Kalar needs a written confirmation
from you that MDH does not require plan approval because this is our residence and
not lodging space.
I can stop in and pick it up when you have it completed or you can email me.
Thank you very much for your assistance.
Dave
Dave Thompson
Fisherman's Village Resort
27621 County Hwy 83
Battle Lake, MN 56515
218-495-3326
800-231-3326
lof2 3/13/20141:57 PM
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Grade & Fill Permit #ns
PROPERTY OWNER pi^ Vi li
LAKE SEC. 6 TWP. NAME
LEGAL DESCRIPTION: ^oTS ") %4.«yvA-^ Va^^dUv.
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S i (a /*c4'»\r>\v^v VW'VVj ot(oi\
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WORK AUTHORIZED
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NOTE: This card shall be placed in a conspicuous place not more than 4 feet above grade on the premises
work is to be done, & shall be maintained there until completion of such work. NOTIFY LAND & RL^URCE MAN
AGEMENT, 218-739-2271 WHEN AUTHORIZED WORK HAS BEEN COMPLETED.
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on which
1. EARTHMOVING SHALL BE DONE BETWEEN ^-07-oV & //-/-W
2. Entire area shall be stabilized within 10 days of completion of any earthmoving.
3. Qwme Id Idgaily responsible for all surface water drainage that may eeeuf.
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
Ha siihipAt tn lanal nrrtcaai itirkn
GRADE & FILL APPLICATION
LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL
GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN S6S37
218-998-8095
r
www.co.otter-tail.mn.us
PERMIT NO.• r-v-Application Fee
Receipt Number
PROPERTY OWNER
3>iurrt.<^ /O'IaJ Vte^ ^
z y(^i IMAILING ADDRESS
CITY, STATE, ZIP
DAYTIME PHONE NUMBER
LAKE NO. CLASSLAKE NAME
PARCEL NUMBER (S) ^ ^ OS^ OOP
TWP / 3 ^ RANGE 4d
LEGAL DESCRIPTION 6o 4 C. ioj 7
(j TWP NAME g5u<H.^-KSECTION
3 €a-<.i4Actf
^ p_5 /mL? i/Z7aj ^tfE-911 PROPERTY ADDRESS
NOTES: 1. The lotlines and project area(s) must be staked.
2. If project disturbs more than 1 acre of land you are required to obtain a General
Storm Water Permit from the MPCA.f-
Received
L&R Offlcial DATE
PROJECT REQUEST (provide the scale drawing on back):
OMAXIMUM DEPTH OF CUT:FT. MAXIMUM DEPTH OF FILL:FT.h . ■
/svTOTAL CUBIC YARDS OF EARTHMOVING REQUESTED:
DESCRIBE Your project below:
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SIGNATURE OF P^ERTY OWNER/AGENT FOR OWNER DATE
BK0404
318,312'• Victor Lundeen Co., Printers • Fergus Falls. Minnesota .
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-313,987
:800-346£870_L!Fergus.FallslMN....^....
_Victor..Lundeen Co...Printers ...?4 i I I I ! I ( ! i 1
t""I i I1r—j..i !I i
OTTER TAIL COUNTY
Grade & Fill Permit’!;^
t'
0\
1 UJt)
(\\f£ AO «vJ______________________________
z- Aov Bqtf/c Lk MhJ <rccts'
Location: Lake No.^Sec.
aA OWNER’S NAME;
Address
(jL-Twp.-L^,Range.j/P.Twp. Name <>
l~o / S Ci^ ^ *7 Kjl<s.oV\
FJr^^e*z.marv'i V/ilUvi
Issued_19 , Expires °>~i~ 19'?^
Work Authorized -h f-ui Uvt.i oc^
VdO kK-V*II <> 13* ^ L Vo
iZkZAi
^\-Hva5jvC~;
qMVL .
ovcjc^S
2^-3^ ^\li »' A<LL wovk *t s
NOTE: This card shall be placed in a conspicous place not more than 4 feet above grade on the premises on which work is
to be done, and shall be maintained there until completion of such work. NOTIFY DEPARTMENT OF LAND AND RESOURCE
MANAGEMENT, TELEPHONE (218) 739-2271 WHEN AUTHORIZED WORK HAS BEER;COMPLETED.
PXjue,!T*J
OTTER TAIL ^OUNTY, MINNESOTA
Board of County CommissionersLand and Resource Manag^ent OfficialI
t1. Earthmoving shall be done between
2. Entire area shaii be stabiiized within 10 days of the 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 a public water without a valid permit from the State of
Minnesota Deoartment of Natural Rp.«nnrrp<»
White - Office
Yellow — Owner
Pink — Assessor
Goldenrod — Inspector
SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone 218-739-2271 — Fergus Falls, Mn. 56537
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
/o/s 5“ cji. '7 .^7 9^Permit No.LEGAL
S<5>«1 & OO S Date.DESCRIPTION
^SCrx-.}-AND
i)LOCATION m C
r» V'7334s
Lake No.Lake Classif.Sec.TWP TWP NameLake Name Range
IDENTIFICATION: Please Print Ail information
Last Name Initial Mailing Address— No. Street, City and StateFirst Zip No.Tel. No.
S k rrt ^ 7<o/y\Owner
r > o)^ g.
INameContractor
t//p hx/(<L
Architect Name.
TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:
C.a.bi rv dI ) New Building
( ) Alteration
( <>Other_______
( ) One Family Dwelling
( ) Multiple Dwelling
( -yTither
Specify:__
Gttjuigf, ■I'ppleuPt^ S
J^tunci f'a nrs g.'l~
Units
X VoSize cy}iiiJf>r
ESTIMATED COST OF IMPROVEMENT $ 3SOC>Oibiiy(omit cents)
PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL;DIMENSIONS:
( ) Masonry
(j^JrWood Frame
( ) Structural Steel
( ) Other — Specify
Basement: ( ) Yes (
Stories above basement:
Sq. feet (outside dimension)
Bedrooms
( ) Public
( ) Individual Septic Tank, etc.
WATER SUPPLY:
( ) Public
( ) Individual Well
MECHANICAL EQUIPMENT :
Elevator: ( ) Yes
Air Conditioning: ( ) Yes
( ) Central
im Baths
HEATING:
( ) Electric ( ) Gas
( ) Coal
Other:
Type of Roof:( uMflb ( ) Oil
f-r'No ( ) None
( ) Unit773:CHARACTERISTICS: \
:3oO ■+■Lot Area is square feet.Water frontage is.
feet. (Building Line)
.feet
feet.
/.P..CXBuilding set back from high water mark is
Land height above high water mark at building line is
Building set back from State highway is........................
~^f-Side yard is.................?5!.
Building will be located ..
Building will be located ..
/O i~
m feet — from road or street is feet.
s^.O.±:..r..o.and feet. Rear yard is
feet from septic tank (Sewage System Permit must be obtained before installation).
feet.
feet from soil absorption system (Cesspool, Drainfield, etc.).
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set
forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith
shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
Signature of Owner ^ ^
^// 3 /y/^
Dated.
Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit:
express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail
County, Minnesota. This permit may be revoked at any time upon violation of said ordinances.
SqJIASj
Shoreland Management Official <J
/yUDated
^5"
:±LPermit Fee $.State Surciiarge $.
Ati I* )A\re> rrt D Ofic/.Comments:hs.5 Mg r /o^e.T-
Jor f / )d■V1 r\f O<0> I /
&-A.— ' fda XAbe J -A.
/9>4Form No. MKL-0771-002
VICTO* UiaeCCN 4 CO.. PAlHTta*. rCMOU* rM.L4. MINN
158899
White -;r Office
Yellow — Owner
Pink — Assessor
' Goldenrod
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
Inspector
Permit No„LEGAL
Date,DESCRIPTION
AND i
/LOCATION
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.
Owner
NameContractor
Architect Name.
TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:
( ) New Building
( ) Alteration
( ) One Family Dwelling
( ) Multiple Dwelling
Specify:,
Units
() Other ( ) Other Size
ESTIMATED COST OF IMPROVEMENTS (omit cents)
PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS:
( ) Masonry
( ) Wood Frame
( ) Structural Steel
( ) Other — Specify
( ) Public
( ) Individual Septic Tank, etc.
WATER SUPPLY:
( ) Public
( ) Individual Well
MECHANICAL EQUIPMENT :
Elevator: ( ) Yes
Air Conditioning: ( ) Yes
( ) Central
Basement: ( ) Yes ( ) No
Stories above basement:
Sq. feet (outside dimension)
Bedrooms Baths
HEATING:
( ) Electric ( ) Gas
( ) Coal
Other:
Type of Roof:( ) No ( ) Oil
( ) No ( ) None
( ) Unit
CHARACTERISTICS:
Lot Area is square feet.Water frontage is ,
feet. (Building Line)
...............................feet
feet.
Building set back from high water mark is...................
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
t
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
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 ^ Otter
County, Minnesota. This permit n>ay be revoked at any time upon violation of said ordinanc^j^ OT ^ T"T^ T 4
Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the
Dated
Shoreland Management Official
Permit Fee $.State Surcharge $.
Comments:
•r'''
-,\
■ j.i ;.4«>
I
Form No. MKL-0771-002 @ vicToa LuaoecN « ee.. mihtim. fekous fm.li.,158899
INSPECTOR'S CHECK LIST
Make all measurements and computations
ACTUAL IS I MINIMUM
Shall Be Sg. 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
VICTOK UMiSECII 4 CO
* 1^Scale: Each grid equals_£xVlC___feet/inches.
Application for Building Permit Dated__________
Application for Sewage System Permit Dated____
Building Permit Number
Applicant agrees that this plot plan is a part of application (s) indicated above.
GRID PLOT PLAN SKETCHING FORM
.19.
19 t
Sewage System Permit Number.i
4-
-!-L-19Dated.Signature I+
—1
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159104 ® VICTO# LUH»IIM « CO., Ff««V« r»ltC. I»H*MMKL-0871-029
j
Tom^S Woodworking Shop K
Phone 643-3923
BRECKENRIDGE,MINNESOTA56520
O
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ICustom Cabinet Building • Gun Cabinets
I .1
OTTER TAIL COUNTY
DEPARTMENT OF PUBLIC HEALTH
SUB OFFICE
222 2nd AVENUE S.E.
PERHAM, MINNESOTA 56573
218-346-3175
MAIN OFFICE
OTTER TAIL COUNTY COURTHOUSE
FERGUS FALLS, MINNESOTA 56537
218-739-2271
February 1991
Licensed Kecreatlonal Campgrounds and ResortsTO:
Uoug Johnson, K.S.FROM:
New Construction Plan ReviewRE:
Consultation with the Shoreland Management Office has resulted In
the following policy concerning remodeling or hew construction, at a tasort,
or recreational campground. Effective February 1, 1991, prior to the
Shoreland Management Office Issuing the required permit, you will need to
provide them with a complete plan review-form from the Health Department.
(Copy Enclosed).
The addition of permanent rooms and screened porches to recreational
vehicles is not consistent with the Otter Tail County Recreational
Campground Ordinance, however this construction has been permitted by the
Shoreland Management Office. This policy interpretation error has
resulted In recreational camping vehicles being altered to the extent that
they no longer meet the definition of a recreational camping vehicle.
(Copies Enclosed).
The existing construction will be allowed to remain as is and will
be evaluated by the County Health Department on an Individual basis
during routine Inspections. This Department will work with the campground
owners in an effort to bring these structures Into compliance with
current regulations. Such structures may need to be reclassified as
cabin instead of a recreational vehicle.a
The construction of permanent accessory structures on recreational ~
camping sites will no longer be permitted. Any temporary accessory
structure such as attached awnings, carports or individual storage facilities
and accessory structures on manufactured home sites must meet all set
back requirements of the County Manufactured Home Park and Recreational
Camping Area Ordinance. ^ ]
If you should have any questions regarding this matter please feel
free to contact me at 218—739—2271, Ext. 290.
cc: Wally Senyk
cc: Shoreland Management Office
?:H0P,EI AND MANAGEMENT
OTTER TAIL COUNTY
Phone 218-739-2271 Fergus Falls, Minn.56537
OPERATING PERMIT APPLICATION
Address Tele.NO./'rrLja^~^ 'S ^■lA.'/a
Name of Business
n&A\Name of Owner
‘=^CX/rr\^Name of Operator
Lake No.^54' Lake Name ^ ^ Sec. G ' Twp. *~gjL^{fe^g. i/o) Twp.
5? 3s__________________
Class Name
mA ii,Location C»v>
VMinn. Dept. Of Health License ■eperation: Year-around Seasonal O •
(give months)
No. of Sites:Cabins with water and sewage system
Cabins without water and sewage systetn__________
Recreational travel campsites with water and sewage system
Recreational travel campsites without water and sewage system
Mobile home sites with water and sewage system
Mobile home sites without water and sewage system
Yes
AJo'-) e.
No
XDo you have:Boat rental service ?
Iive bait sales?
Retail store? (groceries etc.)
Ice fishing access?
No. of units
X
>20.Do you provide sewage disposal service for inboard marine toilets?
What other services do you provide?
Lake frontage feet
Number of acres in resort area
Signature of OwnerMKL-Ou73-038
Climatirol
heating and cooling Soltis Sheet Metal
516 Third Ave., So.
Wahpeton, No. Dakota 58075
701-642-4400
April 15, 1976
Malcolm K. Lee
Office of Shoreland Management
County of Otter Tail
Fergus Falls, Minnesota 56537
Dear Mr. Lee:
As oivner of Lot 4 Beauty Beach, on Deer Lake, Everts Township, referring to
myself hereafter as '’objector”, I would like to present for your consider
ation my objections to the planning commission granting approval of a
building permit to Mr, Tcm Schmitt, hereafter referred to as "builder”, for
the proposed construction of a 26 x 40 structure on Lot 5 Beauty Beach, as
per plot plan submitted herewith.
Layout and location of existing structures was measured by Mr. Schmitt and
myself on April 14, and has been drawn by me to a scale of one inch per ten
feet, with hopefully a reasonable degree of accuracy. I cannot vouch for
any other layout that has been or may be presented.
Objections are presented as follows:
a. Proposed building will be a new structure, and as such, objector feels
that compliance should be mnde to regulations of the Shoreland Manage
ment Ordinance as suggested or required under 1, General Provisions,
Section D. Compliance.
b. Objector feels that of prime im.portance is the following of set back
requirements as presented in the ordinance.
c. Allowance of building on existing property line location will be a
discrimination against the objector in regard to any future building
he may have as all structures along his North lot line will of necessity
alone require setbacks, and strict adherence to same.
d. Objector feels that builder may be misrepresenting eventual use of the
proposed structure, which may require further consideration of permit
under 1. General Provisions, Section A.K. Special Use.
e. Objector feels that builder is not being placed in any undue hardship
by request to consider another location for the new structure, which may
present an easier access to same. Objector suggests moving or re-arrang-
,i ing existing 14 x 26 structure and locating new structure in that area.
Existing driveway Horth of the area would conveniently serve access.
Builder has two other lots, 6 and 7 with cottages on non-permanent
tjsiuiiuiimrt foundations, which could be rearranged for much better over
all land use.
Climatrdl
heating and cooling Soltis Sheet Metal
516 Third Ave., So.
Wahpeton, No. Dakota 58075
701-642-4400
Page 2 -
f. General visibility of the surrounding area and landscape is already
somewhat resticted by the existing structure and will certainly be
more curtailed by the larger structure.
The foregoing objections have been presented for consideration on a
somewhat " legal level ", but recent developments now prompt me to pre
sent some points on a more personal basis, that may also clear up some
statements that may have been made to you or your staff members.
1. Objector resents the implication that has been made by the builder and
present owners that his "stubborness" may "queer the purchase possibility"
of the property. Arrangements for purchase of same were made without
awareness to the objector of any expansion plans, quite some time ago.
2. Builder was fully aware of all existing conditions of the property as
they are. Would the expression " Caveat emptor " apply?
3. Builder, whose occupation is a contractor, must have realized that ord-
- inances exist in practically all areas that govern building.
4. Builder states that the new structure will "look better" than the ex
isting unit. That may be, but making it almost three times the area
of the existing unit larger will do nothing to enhance the view.
5. Builder states that time is of the essence, in regard to his plans.
Objector feels that had proper procedure been followed, much of the
problems could have been resolved in some manner.
6. Inference is being made that since objector is a week-end resident, he
should not resent the construction of the proposed structure too much.
Objector wishes to remind the concerned parties that his lake residence
is a home, not just a "fishing Shack", and has full intentions in the
near future to possibly make it his perm.anent residence, and thus be
very much concerned about the activities in that area.
In conclusion, I wish to state that these objections have been presented
with no thought of malice toward any of the parties involved, but with
sincere concern for a proper and orderly development of land use in the lake
area,information presented herewith, will merit duo consideration by your
office.
I am also hopeful that the efforts I have extended in compiling the
Sincerely yours.
j. A, SoltisCopy toj Mr, Schmitt
4
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White — Office
Yellow — Owner
Pink — Assessor
Goldenrod — Inspector
SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone 218-739-2271 - Fergus Falls, Mn. 56537
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
^7 1.Permit No,,LEGAL
./>■/>Date.DESCRIPTION
AND
LOCATION
Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name
IDENTIFICATION: Please Print All Information
I ast t^mp_____________
yo K fi
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 -( ) One Family Dwelling
( ) Multiple Dwelling
Specify:.
( ) Alteration Units
Size JP y( ) Other Of) Other
ESTIMATED COST OF IMPROVEMENTS /d j « . (j Q (omit cents)
PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS:
( ) Masonry
Wood Frame
( ) Structural Steel
( ) Other — Specify
( ) Public Basement: ( ) Yes No
Stories above basement; .......
Sq. feet (outside dimension) ...
Bedrooms
/( ) Individual Septic Tank, etc.
WATER SUPPLY:
( ) Public
Individual Well
MECHANICAL EQUIPMENT :
Elevator: { ) Yes
Air Conditioning: ( ) Yes
( ) Central
Baths
HEATING:
( ) Electric
( ) Coal
Other:
(Xi NoType of Roof:( ) Gas
>0 None
( ) Oil
UO No
( ) Unit
CHARACTERISTICS:
Lot Area is square feet.Water frontage is.
feet. (Building Line)
.feet
feet.
Building set back from high water mark is
Land height above high water mark at building line is y..:hr:.
.2-r:rT.... feet.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. Rear yard is ...........i?.
feet from septic tank (Sewage System Permit must be obtained before installation),
feet from soil absorption system (Cesspool, Drainfield, etc.).
y-and feet.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set
forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith
shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
Dated
Signature of Owner
Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit:
express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail
County, Minnesota. This permit may be revoked at any time upon violation of said ordinances.
Dated
Shoreland Management Official
(UState Surcharge SPermit Fee S / Hi0 •
Comments:/
Form No. MKL-0771-002 1158899
yieren uihmim 4 eo.. phihtcm, PCRtu*
SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone 218-739-2271 — Fergus Falls, Mn. 56537
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
White — Office
Yellow — Owner
Pink — Assessor
Goldenro^ — Inspector
/Permit No.,C'&LEGAL /;• ^7 Date./ ,DESCRIPTION
AND
LOCATION
Lake Classif.Sec.TWP Range TWP NameLake NameLake No.
IDENTIFICATION: Please Print All Information
Initial Mailing Address— No. Street. City and StateLast Name First Zip No.Tel. No.
Owner
NameContractor
Architect Name,
TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:
( ) New Building
( ) Alteration
( ) One Family Dwelling
( ) Multiple Dwelling
Specify:
Units
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
( ) 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:
Lot Area is square feet.Water frontage is ,
feet. (Building Line)
...............................feet
feet.
Building set back from high water mark is...................
Land height above high water mark at building line is
Building set back from State highway is.......................
Side yard is....................
Building will be located
Building will be located
->feet — from road or street is feet.
and .......................................feet. Rear yard is
feet from septic tank (Sewage System Permit must be obtained before installation),
feet from soil absorption system (Cesspool, Drainfield, etc.).
feet.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set
forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith
shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
Dated.
Signature of Owner
Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit:
express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail
County, Minnesota. This permit may be revoked at any time upon violation of said ordinances.
Dated
Shoreland Management Official
Permit Fee $.State Surcharge $.
Comments:
nFRTlFlC-ATEmForm No. MKL-0771-002 ^ VICTOI UIHOeCN 4 CO.. PRIHTtOt. FC««U» FALLS.158899
INSPECTOR'S CHECK LIST
Make all measurements and computations
ACTUAL
IS jr
MINIMUM
Shall Be 4. Sq. Ft.
Sq. Ft.Sq. Ft.Lot Area (Square feet)
Ft.Ft.Water Frontage
Ft.Building Set Back from High Water Mark Ft.
50 Ft.Ft.Building Set Back from State Highway
40 Ft.Ft.Building Set Back from Street or Road
&Ft.&Ft.Side Yard
Ft.Ft.Rear Yard
10 Ft.Ft.Occupied Building to Septic Tank
20 Ft.Occupied Building to Absorption System Ft.
Elevation at Building Line above
High Water Mark_____________3 Ft.Ft.
I nspector's Comments:________________
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Inspector's Signature r-r—r
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y
Title
Inspection
Dated
/
19
AgencyV
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