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Home My WebLink AboutHolly's Resort_02000990510000_Shoreland Permits_Firefox https://onegov.co.ottertail.mn.us/admst/viewcard.php?card=5&app=19769 >%' 'OTTER TAIL COUNTY Land & Resource Management Phone (218) 998-8095 PERMIT TYPE STRUCTURE AND SHORELAND PERMIT NUMBER ALTERATION PERMIT (COMBINED)_________________ 32216 PROPERTY OWNER Thunder Shores Inc LAKE INFORMATION Otter Tail DNR ID(S)242 LOCATION Parcel(s): 02000280226004 Township Name: Amor Township Property Address(es): 36309 AUGUSTANA DR Section/Township/Range: Sect-28 Twp-134 Range-040 Legal: 3.94 AC PT GL 4 COM W1/4 COR SEC 28, E922.75', S 1 DEG W 280.45' TO WORK AUTHORIZED Construct a 42x52 addition to dwelling onsite. Site prep-Excavate for footing foundation (crawl space). Back fill around foundation and taper out to existing grade. Top dress, seed and stabilize disturbed areas. Must control and store water run off. Cut area- Length: 52 Feet Width: 24 Feet Depth: 5 Feet 231 5ft deep crawl space Contractor- Property owner Eric Babolian 10/25/2021 09:54 AM 4ed0ca0cb4c3bb3d1aab4e32041cbf8f baa055dd9894f23921a8622f2c720ddc 10/25/202210/25/2021 Land and Resource Management Official/Date DATE EXPIRESISSUE DATE NOTE: • This permit must be placed in a conspicuous place not more than 6 feet above grade on the premises on which work is to be done, and must be maintained there until completion of such work. • If the terms of this permit are violated, the entire permit may be revoked and the owner/contractor may be subject to legal prosecution. • Property Owner is legally responsible for all surface water drainage which may occur. • Topographical Alteration projects shall be stabilized within 10 days of the completion unless otherwise stated. • Notify Land & Resource Management when building footings/foundation have been completed and/or when work authorized is complete and ready for inspection (218) 998-8095. 1 of 1 10/25/2021, 10:04 AM https://onegov.co.ottertail.mn.us/view.php?id=19769#option-resultsLand & Resource Permit Applications :V Land & Resource Management Government Services Center 540 Fir Avenue West Feiigus Falls MN 56537 OTTiIt Tflll Phone; 218-998-8095 o o II A T y • m I d fi t» o T A Shoreland Permit Applications STRUCTURE AND SHORELAND ALTERATION PERMIT (COMBINED) Permit # 32216, App. # 2651, UID # 19769 Valid: 10/25/2021 -10/25/2022 Applicant Information Applicant Information:Name: Steven Jensen Phone; (218 )205 -6067 Email: sbj@arvig.net Address 36309 Augustana Drive Battle Lake MN 56515 I am the:Property Ownerj Work Performed By (Structure Permit) Work to be performed by (Structure Permit): Self Work Performed By (Shorland Alteration Permit) Work to be performed by (Shoreland Alteration): Self Property Information Project Location: Property Attributes Property Address Primary Name/AddressLegai Description CityParcel #Property Address City Legal Description Name Primary Address Line 1 36294 AUGUSTANA DR0200028022600436309 AUGUSTANA BATTLE LAKE THUNDER SHORES INC BATTLE LAKEDR Lot Area: 169884 Square Feet Is the property Developed or Undeveloped? Developed On Site Sewage Treatment System: Onsite Water Supply NOTE: MN Rules Chpt.-4725 (MN Well Code) requires a 3‘ (minimum) structure setback to a well. L&R Cert, of Compliance within 5yrs. Individual Shoreland Information Associated Lakes: Lake Name DNRID Lake Class LRCD Otter Tail 242 GD 56-242 River/Stream Name and Classification (i.e. Otter Tail / AG): none Water. Frontage: 0 Feet Bluff: Proposed Project (Structure) Proposed Dwelling:Single Family Is there an Attached Garage?Yes Proposed Non-Dwelling:None Proposed Water Oriented Accessory Structure: None Please list outside dimensions (in 24)62 feet) of above items you are applying for: -• 1 of4 10/25/2021, 10:04 AM. https://onegov.co.ottertail.mn.us/view.php?id= 19769#option-resuItsLand & Resource Permit Applications V Characteristics of Proposed Dwelling New or Replacement:New Square Feet;1296 Square Feet Maximum Proposed Height; Setback to Lot Lines (indicate (2) closest lot lines); 20.00 Feet 150 Feet '■ /• 225 Feet Setback to Right of Way; Setback to Ordinary High Water Level; 400 Feet 600 Feet Setback to Septic Tank;23 Feet 33 Feet 18 Feet ^ Feet Setback to Drainfield: Setback to Bluff; Elevation abo\e Ordinary High Water Level; Total Bedrooms;1 Roof Change: Proposed Project (Shoreland Alteration! Addiction to present houseProject Type:Approach/Driveway/Access Trail/Road Impervious Surface Project Description: Foundation Type:Crawls pace Area to be Cut/Excavated 231Length:WFeet Width:^ Feet A\erage Depth:5 Feet Total Cubic Yards:Please Describe Cut/Exca\ated Area: 5ft deep crawl space Length:52 Feet Width:^ Feet A\erage Depth:5 Feet Total Cubic Yards:Please Describe [ Cut/Excavated Area: 5ft231 deep crawl space Length:52 Feet Width:24 Feet Average Depth; 5 Feet Total Cubic Yards:5ftPlease Describe Cut/Excavate Area: 231 deep crawl space Walk-Out Basement Project Length:0 Feet Width:p Feet Average Depth:0 Feet Total Cubic Yards:Q Area to be filled/Leveled Length:2 Feet Width:24 Feet Average Depth;2 Feet Total Cubic Yards:Please Describe I Fiiied/Leveled Area: West end4 of addition and feathered back Length:52 Feet Width:10 Feet Average Depth: 2 Feet Total Cubic Yards:39 Please Describe Filled/Leveled Area: North side of addition and fearthered back to woods Length;2 Feet Width:East end or front of addition ^ Feet Average Depth:2 Feel Total Cubic Yards:Please Describe kCalctllqtll Filled/Leveled Area ; 4 Backfill at Foundation Linear Length:100 Feet Average Width:4 Feet Backfill Total:2 Feet Average Depth:30 Culvert and Road Authority Culvert?1^ Road Authority Approval; Impervious Surface - Buildings Dwelling Existing:1600 Square Feet 576 Square Feet 0 Square Feet 1248 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet Dwelling Proposed; Attached Garage Existing; Detached Garage Existing: Storage Shed Existing: Water Oriented Accessory Structure Existing; Recreatiorval Camping Unit Existing; Miscellaneous Existing; Attached Garage Proposed: Detached Garage Proposed; 160 Square Feet 0 Square Feet Storage Shed Proposed; Water Oriented Accessory Structure Proposed: 0 Square Feet Recreational Camping Unit Proposed:0 Square Feet 4000 Square Feet Total Building Existing Impervious: 6336 Square Feet f 0 Square Feet 1248 Square Feet Miscellaneous Proposed; Total Building Proposed Impervious: 2 of 4 10/25/2021, 10:04 AM https://onegov.co.ottertail.mn.us/view.php?id=19769#option-resultsLand & Resource Permit Applications ImpRiVious Surface Calculation - Buildings Total Building Existing Impervious: 6336 Square Feet Total Building Proposed Impervious: Total Building Impervious Sur^ce: 7584 Square Feet right 169884 Square Feet 1248 Square Feet Lot Area: Impervious Surface Ratio:0.0446 Buildings Impervious Surface Percentage: 4.46 % Impervious Surface - Other 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet Deck(s) Existing:414 Square Feet Deck(s) Proposed: Patio(s) Existing: Sidewalk(s) Existing: Landing(s) Existing: 3450 Square Feet 1525 Square Feet 0 Square Feet 2000 Square Feet 0 Square Feet 0 Square Feet 50 Square Feet 0 Square Feet 7439 Square Feet Patlo(s) Proposed; Sidewalk(s) Proposed: Landing(s) Proposed: Driveway(s) Existing: Driveway(s) Proposed: Parking Area(s) Existing: Retaining Wall(s) Existing: Landscaping Existing: Miscellaneous Existing: Other Existing Total: Parking Area(s) Proposed: Retaining Wall(s) Proposed: Landscaping Proposed: Miscellaneous Proposed: Other Proposed Total: Impervious Surface Calculation - Buildings & Other Total Building + Other Existing Impervious:13775 Square Feet Total Building + Other Proposed 1248 Square Feet Impervious; Total Building + Other Impervious 15023 Square Feet Surface: Lot Area: Building + Other Impervious Surface Ratio; 169884 Square Feet 0.0884 Building + Other Impervious Surface Percentage: 8.84 % Shore impact Zone Impervious Building(s) Proposed:0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet Retaining Wall(s) Proposed: 0 Square Feet 0 Square Feet 0 Square Feet Total Proposed Impervious in the 0 Square Feet Shore Impact Zone: Building(s) Existing:0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet Deck(s) Existing:Deck(s) Proposed: Patio(s) Existing: Sidewalk(s) Exisiting: Landing(s) Existing; Dri\«way(s) Existing: Patio{s) Proposed: Sidewalks(s) Proposed: Landing(s) Proposed: Driweway(s) Proposed: Parking Area(s) Existing:Parking Area(s) Proposed: Retaining Wall(s) Existing; Landscaping Existing: Miscellaneous Existing: Total Existing Impervious in the Shore Impact Zone; Landscaping Proposed: Miscellaneous Proposed: 0 Square FeetTotal Impervious in the Shore Impact Zone: Documentation PLEASE NOTE PROPOSED PROJECT AREA MUST BE STAKED Attach Supporting Documentation: File 1: Addition Total Proposed Area to Determine 1296 Square Feet Fee: Total Earthmoving Request to Determine Fee: 770 Cubic Yards Applicant Approval Applicant Signature:Jensen. Steve L Date Signed:08/02/2021 Please check to approve:I understand that checking this box constitutes a legal signature Terms 10/25/2021, 10:04 AM3 of 4 https://onegov.co.ottertail.mn.us/view.php?id=19769#option-resultsLand & Resource Permit Applications MINNESOTA STATUTE 15.99, SUBDIVISION 2 I UNDERSTAND THAT IN ACCORDANCE WITH MINNESOTA STATUTE 15.99, SUBDIVISION 2, OTTER TAIL COUNTY HAS UP TO SIXTY (60) DAYS TO REVIEW AND APPROVE OR DENY THE PERMIT APPLICATION. DURING THE COVID-19 PUBLIC HEALTH EMERGENCY DECLARAUON, OR UNTIL DECEMBER 31. 2021, WHICHEVER COMES FIRST, IN ACCORDANCE WITH MINNESOTA STATUTE 15.99, SUBDIVISION 3 (F), OTTER TAIL COUNTY HAS EXTENDED THE REVIEW TIME BY AN ADDITIONAL SIXTY (60) DAYS, AND HAS UP TO ONE-HUNDRED AND TWENTY (120) DAYS TO REVIEW AND APPROVE OR DENY THE PERMIT APPLICATION. Notes Ihe lot lines and project area(s) must be identified & staked onsite. If project disturbs more than 1 acre of land, you must obtain a General Storm Water Permit from the MPCA. Site Permit Terms THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES Agreement I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description abo>e 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. Once Permit is approved, I also understand that this permit is \@lid for twelve (12) months fmm the date of approval unless othenvise indicated on pemiit. Footings I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. Invoice #12058 (08/02/2021) Quantity TotalChargeCost $435.00Site & Lot Permit Fee #3D (1,001 or larger Sq Ft and 101-500 Cubic yds) added 10/21/2021 10:51 AM $435 fee $435.00 X 1 Grand Total $435.00Total $435.00Payment 10/23/2021 $0.00Due Approvals Approval Signature I Sheila Dahl - 08/02/2021 3:02 PM I067l9fdc401le8cb0eda9bfl3b4a7bb5 17b05fd8dfe9513ca5898478eee0d22ce #1 Recelwd and Assigned #2 Permit Review Kyle Westergard - 08/03/2021 11:32 AM !503414b719580a9774ac6486023fd70d ia7632f2eaaba005f94d8c5eaeldcdc5d #3 Permit Review Eric Babolian - 10/25/2021 9:54 AM90782902b39ed83b5ee224208001eld2 f47b77a09790cfl586146afl480900aa #4 Permit Issuance Eric Babolian - 10/25/2021 9:54 AM 4ed0ca0cb4c3bb3dlaab4e3204lcbf8f baa055dd9894f23921a8622f2c720ddc Public Notes Text: LFile(s): Internal Notes Text: L ;File(s): PrintView 10/25/2021, 10:04 AM4 of 4 Parcel F 8.78 Acres Otter Tail Water Management District PO Box 612 Battle Lake, MN 56515 218-548-7400 October 20, 2021 Thunder Shores Inc 36294 Augustana Dr Battle Lake,Mn 56515-9345 Parcel Number: 02000280226004 Lake Address: 36309 AUGUSTANA DR Lake: 56-242 Otter TailTo: Land & Resource Management OTC To whom it may concern, This letter is in regard to the septic system located at 36309 Augustana Drive, parcel 02000280226004. On 10/20/2021 the OTWMD issued septic permit #2021-57 for a 4-bedroom dwelling. The OTWMD has no issue with a building permit being issued for this property as long as the total number of bedrooms on this system does not exceed a total of four. All welsl are the owner’s responsibility. If you have any questions about this permit please call the district office at 218-548-7400 or send an e-mail to ottertailwatermanagement@outlook.com. Sincerely, Alex Kvidt Administrator Otter tail Water Management District https://onegov.co.ottertail.mn.us/admst/viewcard.php?card=3&app=1849 OTTER TAIL COUNTY Land & Resource Management Phone (218) 998-8095 PERMIT TYPE Lot Alteration Permit PERMIT NUMBER 8387 PROPERTY OWNER Thunder Shores Inc, Thunder Shores Inc, Thunder Shores Inc, Thunder Shores Inc, Thunder Shores Inc, Thunder Shores Inc LAKE INFORMATION Otter Tail DNR ID(S)242 LOCATION Parcel(s): 02000280226002,02000280226004, 02000990329000, 02000990330000, 02000990509000, 02000990510000 Township Name: Amor Township Property Address(es): 36294 AUGUSTANA DR, 36309 AUGUSTANA DR Section/Township/Range: Sect-28 Twp-134 Range-040, Sect-28 Twp-134 Range-040, Sect-28 Twp-134 Range-040, Sect-28 Twp-134 Range-040, Sect-28 Twp-134 Range-040, Sect-28 Twp-134 Range-040 Legal: 3.36 AC PT GLS 3 & 4 COM NE COR GL 4S 534.98', S 48 W 420.38' TO, 3.94 AC PT GL 4 COM W1/4 COR SEC 28, E922.75', S 1 DEG W 280.45' TO, AUGUSTANA BEACH 1ST ADDN LOT 27, AUGUSTANA BEACH 1ST ADDN LOT 28, RECREATION BEACH LOT 32, RECREATION BEACH LOT 33 WORK AUTHORIZED Strip out rocks on SW side of rip rap and move out 6' ft towards lake, (all fill work above OHWL) Install clean granular fill and top dress with black dirt, seed and stabilize with soil erosion blanket adding an average of 6' ft of ground behind rip rap going 100' ft long on the SW side to match the NE side. Rework all rip rap resetting big base rocks out front and adding in voids new rocks where needed. All rip rap work to meet DNR specifications. Eric Babolian 05/10/2018 09:24 AM 143f7b 18462afcd70901 e8802c1 a 1722 0860997bd65f4b4c5263ffb5e37f575d 05/10/2018 10/01/2018 Land and Resource Management OfTicial/Date ISSUE DATE DATE EXPIRES NOTE: • This permit must be placed in a conspicuous place not more than 6 feet above grade on the premises on which work is to be done, and must be maintained there until completion of such work. • If the terms of this permit are violated, the entire permit maybe revoked and the owner/contractor maybe subject to legal prosecution. • Property Owner is legally responsible for all surface water drainage which may occur. • Topographical Alteration projects shall be stabilized within 10 days of the completion unless othenvise stated. • No part of the Septic System shall be covered until it has been inspected or approved. • Notify Land & Resource Management when job is ready for inspection (218) 998-8095. 1 of 1 5/10/2018,9:24 AM https://onegov.co.ottertail.mn.us/view.php?id= 1849#outer_wrapperLand & Resource Permit Applications Land & Resource Management Government Services Center 540 Fir Avenue West Feigus FaUs MN 56537 Phone: 218-998-8095 Lot Alteration Permit Permit # 8387 Valid: 05/10/2018 -10/01/2018 Applicant Information Applicant Information;Name: Randolph Scott Halx)rsont-Phone: (877 )841 -2458 Email Address lakeshoreservtcesff@grnail.com Mailing Address 204 East Hillside Ave Fergus Falls MN 56537 I am the:Contractor Is this Lot Alteration Permit Application for Multiple Properties? No Contactor's License Number and Business Name Contractor's Business Name:Lake Shore Services Inc. Contractor's License Number 61-2297197 Property Owner's Contact Information Property Owner Contact Information: Name: THUNDER SHORES INC ATTN HOLLYS RESORT Phone; (218 )495 -3456 Email AddressJ hollys@arvig.net Mailing Address 36294 AUGUSTANA DR Battle Uke MN 56515 Property Information Property Please search by one of the following: Parcel #. name, or Physical Address. Click the blue "Select" to select Selected: Primary Name/AddressProperty Attributes Property Address Legal Description Primary Address Line 1 CityParcel #City Legal Description NameProperty Address Legal Description Legal Description 36294 AUGUSTANA DR BATTLE LAKE 02000280226002 3.36 AC PT GLS 3 & 4 COM NE COR GL S 534.98', S 48* W 420.38'TO THUNDER SHORES INC4 BATTLE LAKE 922.75'. S 1 DEG W 280.45' TO THUNDER SHORES 36294 AUGUSTANA DR BATTLE LAKE 02000280226004 36309 AUGUSTANA DR 3.94 AC PT GL 4 COM W1/4 COR SEC. 28. E INC 02000990329000 36294 AUGUSTANA DR BATTLE LAKE 36294 AUGUSTANA DR BATTLE LAKE AUGUSTANA BEACH 1ST ADDN LOT 27 THUNDER SHORES INC 02000990330000 36294 AUGUSTANA OR BATTLE LAKE AUGUSTANA BEACH 1ST ADDN LOT 28 THUNDER SHORES INC 36294 AUGUSTANA DR BATTLE LAKE 02000990509000 RECREATION BEACH LOT 32 THUNDER SHORES INC 02000990510000 LOT 33 THUNDER SHORES 36294 AUGUSTANA DR BATTLE LAKE RECREATION BEACH INC Lot Area:79597 Square Feet Is this lot alteration permit part of a site permit application? NO Shoreland Information Associated Lakes:Selected: Lake Name DNR ID Lake Class LR CD Otter Tail 242 GD 56-242 Water Frontage:161 Feet Bluff:No , lof4 5/10/2018, 9:25 AM Land & Resource Permit Applications https://onegov.co.ottertail.mn.us/view.php?id=1849#outer_wrapper Proposed Project Project Type: Fill Project Description:Strip out rocks on right side of rip rap and move out 6' ft towards lake. Install clean granular fill and top dress with black dirt, grass seed and erosion blanket adding an average of 6' ft of ground behind rip rap going 100' ft long on that side to match the left side. Rework ALL rip rap resetting big base rocks out front and adding in voids new rocks where needed. All work to meet DNR spes. Rip Area to be Cut/Excavated Length:0 Feet Width:0 Feet 0 FeetAverage Depth:0 Feet Total Cubic Yards:0 Length: Width:0 Feet Average Depth:0 Feet0 Feet Total Cubic Yards:Q 0 Feet Width:Length: Average Depth:0 Feet Total Cubic Yards:O'i Walk-Out Basement Project 0 FeetLength:0 Feet Width:0 Feet Average Depth: Area to be filled/Leveled Length:100 Feet Width:6 Feet Average Depth:^Feet Total Cubic Yards:Please Describe I Filled/Leveled Area: 78 Move rip rap out 6' ft toward shoreline. Fill behind will clean granular fill and top dress with black dirt. 0 Feet Width:0 FeetLength;0 Feet Average Depth:0 Feet Total Cubic Yards:0 Length: RSMalTj Width:0 Feet Average Depth:0 Feet Total Cubic Yards:0 Backfill at Foundation Linear Length:0 Feet Average Width:0 Feet Backfill Total:00 Feet Average Depth: Total Earth Moving Request Total Earthmoving Request;76 Cubic Yards Culvert and Road Authority Culvert?No Road Authority Approvel: Impervious Surface - Buildings 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet Water Oriented Accessory Structure 0 Square Feet Existing: Dwelling Existing:0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet Water Oriented Accessory Structure 0 Square Feet Proposed: Recreational Camping Unit Proposed: Miscellaneous Proposed: Dwelling Proposed: Attached Garage Existing:Attached Garage Proposed: Detached Garage Existing:Detached Garage Proposed: Storage Shed Existing;Storage Shed Proposed: Recreational Camping Unit Existing: 0 Square Feet 0 Square Feet 0 Square Feet Total Building Existing Impervious: 0 Square Feet [ Total Building Existing Impervious: 0 Square Feet Total Building Impervious Surface: 0 Square Feet Miscellaneous Existing:0 Square Feet Total Building Proposed Impervious; 0 Square Feet Total Building Proposed Impervious: 0 Square Feet•• Impervious Surface Calculation - Buildings Total Building Existing Impervious: 0 Square Feet Total Building Proposed Impervious: 0 Square Feet Total Building Impervious Surface: 0 Square Feet Lot Area:79597 Square Feet Impervious Surface Ratio: Buildings Impervious Sur^ce Percentage: 0.0000 0.00 % Impervious Surface - Other Deck(s) Existing:0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet Deck(s) Proposed: Patio(s) Existing: Sidewalk(s) Existing: Landing(s) Existing: Patio(s) Proposed: Sidewalk(s) Proposed: Landing(s) Proposed: Driveway(s) Existing:Driveway(s) Proposed; Parking Area(s) Existing:Parking Area(s) Proposed: Retaining Wall(s) Existing:Retaining Wall(s) Proposed: Landscaping Existing: Miscellaneous Existing: Landscaping Proposed: Miscellaneous Proposed: Total Other Proposed Impervious:Total Other Existing Imperv/ious: Total Other Impervious Surfece:2 2 of 4 5/10/2018, 9:25 AM https://onegov.co.ottertail.mn.us/view.php?id= 1849#outer_wrapperLand & Resource Permit Applications Impervious Surface Calculation - Buildings & Other Total Building + other Existing Impervious:0 Square Feet Total Building + Other Proposed Impervious:0 Square Feet Total Building + Other Impervious 0 Square Feet Sur^ce: 79597 Square FeetLot Area: Building + Other Impervious Sur^ce 0.0000 Ratio: Building + Other lmper\ious Sur^ce 0.00 % Percentage: Shore Impact Zone Impervious 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet p Square Feet Total Existing Impervious in the 0 Square Feet Shore Impact Zone: Total Impervious in the Shore Impact 0 Square Feet Zone: Building(s) Existing: Building(s) Proposed: 0 Square Feet p Square Feet 0 Square Feet p Square Feet P Square Feet 0 Square Feet p Square Feet p Square Feet 0 Square Feet p Square Feet p Square Feet Deck(s) Existing;Deck(s) Proposed; Patio(s) Existing: Patio(s) Proposed; Sidewalk(s) Existing:Sidewalks(s) Proposed: Landing(s) Existing:Landing(s) Proposed: Driveway(s) Existing:Drivevvay(s) Proposed: Parking Area(s) Existing: Retaining Wall(s) Existing: Parking Area(s) Proposed: Retaining Wall(s) Proposed: Landscaping Existing:Landscaping Proposed: Miscellaneous Existing; Miscellaneous Proposed: Total Proposed Impervious in the Shore Impact Zone: Documentation PLEASE NOTE PROPOSED PROJECT AREA MUST BE STAKED File 1:img20180427_09143384.pdf Documentation: Total Impervious Surface to Determine Fee: 0 Square Feet 78 Cubic YardsTotal Earthmoving Request to Determine Fee: Applicant Approval Applicant Signature:Halvorson Randolph S Date Signed:04/27/2018 Please check to approve:I understand that checking this box constitutes a legal signature Attention:Eric Comments:Please call with questions. Thanks Randy 218>205’7846 Terms Notes The lot lines and project area(s) must be identified & staked onsite. If project disturbs more than 1 acre of land, you must obtain a General Storm Water Permit from the MPCA. Agreement I hereby certify that the inibnnation 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. Once Permit is approved. I also understand that this permit is valid for twel\« (12) months from the date of approval unless otherwise indicated on permit. Invoice 04/26/2018 Quantity TotalCostCharge $100.00Topographical Alteration Fee #2 (21-100 cubic yds) added 05/09/2018 8:54 PM $100.00 X 1 Grand Total $100.00Total (Paid) Approvals SignatureApproval #1 Received and Assigned Andrea Perales - 05/03/2018 1:56 PM 0f75e6fb74c3c61a85479df8a9316d4f 8a63a4e26fbc2848d20cbl48c8713af4 #2 Permit Review Michelle Jevne ■ 05/07/2018 11:07 AM 4e250b0aca6b2840d4f17d7c25fe9e31 46fc01abf61ddl3d56f51fda788871e6 #3 Permit Review Eric Babolian - 05/10/2018 9:22 AM 2043af776c2079ef016058f4cca654e6 47bfl5f4aad957cf0aa95616c3Ede85e #4 Permit Issuance Eric Babolian - 05/10/2018 9:24 AM 143f7bl8462afcd70901e8802clal722 0860997bd65f4b4c5263ffb5e37f575d 5/10/2018,9:25 AM3 of 4 Land & Resource Permit Applications https://onegov.co.ottertail.mn.us/view.php?id= 1849#outer_wrapper Print View : 4 of 4 5/10/2018, 9:25 AM J , AA 0> \ Xocs: IAI ! ! s./ «!»■ #c)^ " @ /TM I T--------1 \, Uj.'y [* \rkin [c^ 1j f i 0-a4\AS zn.--------yr»^5rd I^tp ^^«L|P >1 j^6a>^i s.\ m mW-AA-t^-H' OW- *7 WHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.usANNEDOTTER TimCOMATY-aiiACIOTa Permit No.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED. LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME SO PROPERTY (E-911) ADDRESS LEGAL DESCRIPTION DEVELOPED. UNDEVELOPED Last Name First Initial Mailing Address Daytime Phone No. Arftil LiV /7)fi) sls/'o ViProperty Owner Contractor Name Lie.# t\ 6>m V /q XL'L<-L PROPOSED PROJECT (please circle the appropriate number) Dwelling ( 4 ) MH/YR____ ( 7 ) Add'n To Non-Dwelling ( 8 ) Storage Structure (10) Non-Cont. Repl^egi^nt (identify)"_______ ^TfCbther (idei 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 ( ) L&R Cert, of Compliance within 5 yrs. ( ) Compliance Inspection Report within 3 yrs. (Attached) (y^^f^TWUD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Roltie Mann at 218-864-5533 { ) New Septic Permit Issued Permit # ( 2 ) Add'n to Dwelling/Attached Garage ( 3) Replacement Dwelling* (5) RCUATear.( 6) Detached Garage (9) W.O.A.S. teS dS-7^-(12) Deck (13) Fen« ^l\ *Removal.«L£xistina Dwellino Verified bv/L&R .2./-. ^r\'sl if • Eristics of proposed dwelljfig^ ^ characteristics of proposed i^Pdwelling Outside —Ft Dimension .SKJy Sq. Ft. j Setback to Lotline Setback to Right of Way Ft.** Setback to Ordinary High Water Level Ft. Elevation Above Ordinary High Water Level Ft. Setback to Septic Tank__ Setback to Drainfield^, Setback to Bluff ^ j Maximum Proposed Height _ _. / , .-tfaximum^fQposedrfleight Roof Change Yes ( Wall^ B^ement (^ Yes (side profile required) ( ) No Bathroom Proposed ( )-¥es ( TWtT""— ^ )Qag^o *’*Project/Lotlines/Right-of-ways Must be St^ed Oi^ito-j^pgr to Application / Inspection / Topographical Alteration / Earthmoving ^ L/ \ ^ ^ O \*D None □ 20 Cubic Yards or Less * □ 21 Cubic Yards - 999 Cubic Yards* **Existing Non-Conf. Structure Inspector's Initial/Date CHARACTERISTICS OF PROPOSED (WATER ORIENTED ACCESSORY STRUCTURE) CHARA (Must Include Attached Garage) Outside Sq.Ft. Setback to Lotline Outside DimensioneDjmensign ^ £Ot. Setback to Right of Way 22 Ft.** Setback to Ordinary High Water Level A Ft. Elevation Above Ordinary High Water Level ^ ^ Ft. Setback to Septic TankFt. Setback to Drainfield . i a Ft. , v Setback to Bluff ^ /* /9t Total Bedrooms Ft. X Ft. XtJOO ■h■t-Sq. Ft. Setback to Lotline Setback to Right of Way Ft ** ^ Setback to Ordinary High Water Level -J Ft. Elevation Above Ordinary High Water Level ^ ~ Ft. Setback to Septic Tank Setback to Drainfield Setback to Bluff Ft,**Ft.& Ft. d Ft.? „Maximum Proposed Height___^ Roof Change ( ) Yes ( Vf No Basement { ) No 3ecL Ft. Ft. ( ) Screen Porch ( rfttorage Structure * Must include on scale drawing, additional Permit may be required.□ 1,000 Cubic Yards or More* Water FrontageCHARACTERISTICS OF LOT:Lot Are Sq. Ft.Ft.Bluff ( ) Yes .%.% Building Surface Ratio Impervious Surface Ratio THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances.I understand that it is my responsibility to inform the Land & Resolve Management office once the building footings have been constructed. ^ A/ Signature of Propei^ Owner / Agett for Owner I f\ f hoL2.Date: lh~!L^oinDate: Land SrPfesounje Management Official 3o'T-l<f^ PROJECT(S) TOTAL SQ. FT.,PERMIT FEE $RECEIPT NO. Date StampComments: RECEIVED dcrti 2017 WND&RKOURCF L&R InitialteaForm No. BK — 04-2016 360,647 • Victor Lundeen Co., Printers ■ Fergus Falls, Minnesota APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 I 218-998-8095 I I www.co.otter-tail.mn.usM 2X11^OTTER TflllCOUATT-BIfini OTA Permit No.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED. LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWPNO.TWP NAMERANGE ^ a'. AS6-i A i T'* Oc<(JOO^^0 L^AL DESCR^IPTON // Qo\)enm}d /oh i‘*' f tZ p J/if('.k PROPERTY (E-911) ADDRESS / -/3‘/-9c DEVELOPED UNDEVELOPED Last Name First Initial Mailing Address Daytime Phone No. ThtjAdCr:shor^'^^ Jj^ /Ho iL ' <■• y*7*'______ H^/ia Or/i'V Aorfil £??t7 Property Owner z2m1^15/V ^ L>0^Contractor Name Lie.#i.'Dh rPit’ g.~~i /> c rO A Hr ^V79 PROPOSED PROJECT (please circle the appropriate number) il,| New Dwelling ( 4 ) MH/YR____ ( 7) Add’n To Non-Dwelling ( 8) Storage Structure t (identify)"_______ 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 ( ) L&R Cert, of Compliance within 5 yrs. ( ) Compliance Inspection Report within 3 yrs. (Attached) (^^.i^TWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Roilie Mann at 218-864-5533 ( ) New Septic Permit Issued Permit # ( 2) Add'n to Dwelling/Attached Garage (3 ) Replacement Dwelling* (5) RCU/Year.(6) Detached Garage (9) W.O.A.S. (lOiNon-Conf. ReplaS^Vi tflifether (iderflvL^/ 112 > Deck lD- [' loyLic^ CHARACTERISTICS OF PROPOSED DWELUNG ^ (Must Include Attached Garage) -j y j- Ft. X Ft.& Ui;CHErB(13) Fen */| CHARACTERISTICS OF PROPOSED W.aAS. _ (WATER ORIENTED ACCESSORY STRUCTURE) •'Existing Non-Conf. Structure Verifia^bsr Ij&p j/\ i^ CHARACTERISTICS OF PROPOSED IQIIOWELLING Outside IJ Dimension Ft. x f Ft.** Sq.Ft. I ^ Setback to Lotline O - Ft. &____ Setback to Right of Way Ft." Setback to Ordinary High Water Level ( ) Ft. Elevation Above Ordinary High Water Level ^ Setback to Septic Tank Setback to Drainfield Setback to Bluff _ Maximum Proposed Height / O Ft. Roof Change Inspector's Inltial/Date i Outside Dimension V'i. Ft.**~HC‘‘ p,^ XFt.**Outsider ijnensfin Sq. Ft. ) Setback to Lotline Setback to Right of Way FtT*_^ ^ Setback to Ordinary High Water Level /rO Ft. Ft. f ' O P(^..,r 700-^7)pt.**3-tSq. Ft. Setback to Lotline Setback to Right of Way .O Ft.** Setback to Ordinary High Water Level _ I HD C7^ Ft.**Ft.& ATn„ ■* gt- FI. Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Draintiejj^ ia Ft. Setback to Bluff % P ? Ft.T^^B3S[ia^I^ Total Bedrooms .3______ Maximum Proposid Height ~l? <*rt. Roof Change ( ) Yes ( Vf No Basement [)>^r^s ( ) No 3"^ Ft.Ft.Elevation Above Ordinary High Water Level I Setback to Septic Tank Setback to Drainfield Setback to Bluff__, -(^imum'PtQ^e^pHeight ( ) Boathou9c''v^ ) ( ) Ga«6bo Ft. I d___,Ft. A//^7/A'Ft. Ft. ) Screen Porch (Storage Structurefalkgut Basement (\A Yes (side profile required) ( ) No **Project/Lotlines/Right-of-ways Must be Staked pr^sit)B.-^rlor to Application / Inspection Topographical Alteration / Earthmoving <3 r ( ^ □ None □ 20 Cubic Yards or Less * □ 21 Cubic Yards - 999 Cubic Yards* Must include on scale drawing, additional Permit may be required.□ 1,000 Cubic Yards or More* Lot Are^tj 7^4^ , ^0>Water Frontage ^Bluff ( )Yes (CHARACTERISTICS OF LOT:Sq. Ft.Ft. /V: 5___ Impervious Surface Ratio .%.% Building Surface Ratio THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances.I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. '/' -------------------------Date:r / Signature of Property Owner / Agejt for Owner I • D ^ * Land & f^esourae Management Offidal ^' 2GC^ (7 Date: OnsiorRECEIPT NO.PERMIT FEE $PR0JECT(S) TOTAL SQ. FT. \Comments: \ \ VV\ Form No. BK —04-2016 i5iL 360,647 • Victor Lundeon Co., Printers ■ Fergus Fails, Minnesota . w ff , SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations 3ot^Structure Set Back from Ordinary High Water Levei Ft.Ft. Structure Set Back from Top of Biuff Ft.Ft. structure Set Back from Road Right of Way Ft.Ft. Ft rTo'r.8, irz-Structure Set Back from Lot Lines Ft.& Ft. <structure Height Ft.Ft. Structure Set Back from Septic Tank Ft.Ft. rStructure Set Back from Drainfieid Ft. Ft. Elevation Of Lowest Floor Above Ordinary High Water Level f3Ft.Ft. Land Slope at Building Site %% N& W ]t7v<A (jUi6Inspector’s Comments / Sketch: f06l iHTtJ-/Inspector's Signature Date of Inspection \T>y^ Time of Inspection OTTER TAIL WATER MANAGEMENT DISTRICT 27234 368TH AVE. Battle Lake, MN 56515 Phone (218) 864-5533 f=fersuEDMr. Steven Jensen 36309 Augustana Dr. Battle Lake, MN 56515 Jo 2017 '-m&REsoum October 10, 2017 To: Land & Resource Management Otter Tail County This letter is in reference to the property at PN02000280226004 36309 Augustana Dr. Battle Lake, MN owned by Steven & Barabara Jensen on Otter Tail Lake . This letter is issued to allow the Otter Tail County Land & Resource office to issue a building permit for the property described. A sewer permit has been issued to install a system for their 2 new units . All wells are the owners responsibility. If you have any questions please feel free to contact me. Thank you Sincerely, Roland R. Mann Administrator OTTER TAIL COUNTY Grade & Fill Permit #ns cs<»8S PROPERTY OWNER Z LAKE NO.TWP. NAME ^rvA.o^r- >^So SEC. ISc LEGAL DESCRIPTION: X^Arkxv(>i-WORK AUTHORIZED ot- \ro y ^o\l . Cxy-t,^ v^VV^v^ V-a<^ fa ^ t V»A's.\V-^ ^ci'vV O/■ S»* • ^te»-v'\ 4(3 CL.<-^ Vi U«^ V^PlV vr rr<»wVorv — C_PV>-'^^ v<AtX) NOTE: This card shall be placed in a conspicuous place not more than 4 feet above grade .on the premises oo which work is to be done, & shall be maintained there until completion of such work. NOTIFY LAND & RESOURCE MANAGEMENT, 218-998-8095 WHEN AUTHORIZED WORK HAS BEEN COMPLETED. 1. EARTHMOVING SHALL BE DONE BETWEEN f<^^24r-o^& Lr^ lo 2. Entire area shall be stabilized within iO days of completion of any earthmoving. 3. Owher is legally respohsible for all Surface water drainage that may occur. ■ V ' . ’' \ 4. No fill shall enter or be taken from the beds of public water without a valid perrnit from the MN Department of Natural Resources. 5. If the teritis of this permit are violated, the entire permit rhay be revoked and the owner may be subject to legal prosecution. 6. Erosion control measures must be implemented prior to any topographical alterations. APPLICATION FOR GRADE & FILL PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us s Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP. NO.RANGE TWP NAMESECTIONLAKE/RIVER NAME LAKE/RIVER CLASSLAKE/RIVER # z^/ko/fA PROPERTY (E-911) ADDRESS , A ^ I if ^ A s ^ 31 PARCEL NUMBER(S) LEGAL DESCRIPTION DAYTIME Phone No.Mailing Address____,________________^Last Name First Initial n AH y\ d J>k OL'C i Hz'rs; / X'Property Owner f\ cT AiU- I- Cl A yyj nY LI <;>-■i0 Ay \J ,7 H\ VCci~icic^ fy\\xle tc\Contractor Name Lie.# NOTES: 1. The lotlines and project area(s) must be staked. 2. If project disturbs more than 1 acre of land you are required to obtain a General Storm Water Permit from the MPCA. Received L&R Official DATE PROJECT REQUEST (You may use the grid on back for required scale drawing): 7 A e irJll cX R fla/)r: iDESCRIBE YOUR PROJECT(S): OL L/v cA T 5i c3^ O '> ^<rCj u <1 (\€> f -/ K ^-job-i V -€ :/l A JoJJJ'i -j ff; HPU'SA r\e.CTj L<3 t C- I(9:0 J.lr 41^- -Tyo rLo ■ <1 i> ^ X: ; j J o 'y ^ :i 3/- uf I4 t (ju \ K tep ( l-i < DETAILED INFORMATION: AREA TO BE CUT/EXCAVATED:Yds"Ft. X Ft. X Ft. - 27 = Length Width Ave. Depth Yds"WALK-OUT BASEMENT PROJECTS; (Outside of the building foundation) Ft. X Ft. X Ft. - 27 = Length Width Ave. Depth 2__Ft. xj]^_ Ft. - 27 = ' Yds" Ave. Depth eXyo Ft. XAREA TO BE FILLED/LEVELED: Length Wdth Yds"TOTAL EARTHMOVING REQUESTED = BACKFILL AT FOUNDATION:Ft.Ft. Max. Depth Distance From Foundation CULVERT:If Yes, must indicate size and location on drawing. Yes No IMPERVIOUS SURFACE:% )b Jo l/d9 \ 7 DATESIGNATURE OF PROPERTY OWNER/AGENT FOR OWNER RECEIPT NUMBER BK02/09 LJ_1 ^__L-11—1. i_L_. .Ui ,;_j-- . ! : I I I . . I ! ! : i1 1t The-icile-drawing-mustbe-ja-signed drawWg-wtlich-_includes a'nd-identifies a' grapSc scale](feet)j-all-existing-arid/or-pro^sid structures,-septicjtani[sj—l ' —drainfields^lotlil^1es^^bad^l;ight70f4ays^4a?ements^6^{^W[:sjwells|\A|etlahds^toppgrapllic f9aturep~(i:eri3luffs)i~and'onsitejmperyibus~suWace~9alcula^ H- l-i- I i------f--|- T~T— •~t I 'J:4-H—f-[—4--ttTlti r 't"T-i-i-jI I i -!“t”'—r-t-|r 4 I1 H1-TA j-'rrr — + 4--fcbn4'i4t-ttl 1 I -f--H-hJ-r hf-}4i. y-i-r T JX 1 ■-X-ii-t n—i - 4 -■.1.41-I i-1I--1- 'i-□N■I-r-1T -1r (4—I -+ -]■ -|" t"" f—r ■!-4 uTtTTt*XI ---: 4 -i- ^ j- j-p- --l—j : : 4': ' ^ r" X44t4ii;;rt r-i -4-r -1—:!:::xTt:X X44 11-r-d:i 4'r-'i*t 14 4-—|IS44^-44 4^-4 " X:441.1 t , ,T !;t:■I1 ■T- X -T -'1---[-- -1_,---u-L ' . 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I J 1 1----------1 , j - I -•!- . -j —j_l.—336.629-»-Victo Lund^njcoi Prin:ers-»-Fergus^alls. MN-»-V'80O346-i' X 1 H'“ ^; 1—XrH' i'i Ll'l Itt iXl~;x :*0209-; ■; ;^-n DATE VanWatermulen ExcavatingGa^ VanVtfat^ulen 42802 State Hwy. 108^' Perham, MN 56573 : 218-346-6447 Pager 800-930-0471■>wl TO ^ LLq 4/^fari3^ D<-i~ug. 6 Lake , ■ 5 i 5 WE ARE PLEASED TO QUOTE AS FOLLOWS TERMS.ESTIMATED SHIPPING DATEF.O.B. AMOUNTDESCRIPTIONPRICEQUANTITY • ; S Rvp RjPtp l^fl^OuLf^ j^ucV* gA<L Cock^ Jj^^ 'r^^ T~tll hfJji. K/^ cig-aiV SHjrd. a 5;^50^oiC rocl^^ 4ti + I •-rijftpt^cJy±1 c r OO <is-o.- a fyu:^ Ct/^JL LexhtiY^ (A CAcJi^ci>(/ 4>k)! AE<y^ ABOVE PRICES GOOD FOR DAYS r.AJa 1 ) ziu yl Ai iTunorTcn ci/^mati ioc SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT WHITE - Office GOLDENROO — Inspector YELLOW - Owner PINK — Assessor Permit No. / D^'lI LEGAL DESCRIPTION AND LOCATION nffpri-A>)A..T> M AHor- TWP NameRangeTWPLake ClessH.Sec.Lake NemeLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialFirstLast Name uu Hu.Br/rf/<r/vOwner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:,( ) One Family Dwelling ( ) Multiple Dwelling (X Other ( ) New Building Alteration ( ) Other_______ Units OXlf,Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS: Basement: ( ) Yes No Stories above basement: Sq. feet (outside dimension) Bedrooms .............wr. TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( ) Masonry t^^Wood Frame I ) Structural Steel ( ) Other — Specify ( ) Public Individual Septic Tank, etc. WATER SUPPLY: ( ) Public Individual Well I oBaths ;xi CHARACTERISTICS: 300 feet.feet.Maximum depth of lotWater frontage issquare 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.... and 7 feet so ■feet.feet — from road right of way is 1.0 LQ..............feet. .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Sewage System Permit must be obtained before installation). 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 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. ner Permission is hereby granted to the above named applicant to perform the cribed in the above statement. This permit is granted upon the fkmen shall conform in all respects to the ordinances of Otter Tail Permit: express condition that the person to whom it is granted, and his agent, employees and County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. 9,-Shoreland Man^ment Official Dated QSAl'^Permit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971@ VICTOR LUNDEEN CO.. PRINTERS. FERGUS PALLS. MINN. V 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 iconPermit No„LEGAL DESCRIPTION AND LOCATION g-OSIA- fOT^rfA.I n-.b /y/ 'Id Ahtor- TWP NameRangeTWPSec.Lake Ctassif.Lake NameLake No. IDENTIFICATION: Pleaae Print AH Information Tel. No.Zip No.Mailing Address— No. Street. City and StateFirstInitialLast NamehrAV<rN Uke Hi<l' Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:.( ) One Family Dwelling( ) New Building ( '1.,Alteration Units( ) Multiple Dwelling ( ^ Other PprrLSize( ) Other ESTIMATED COST OF IMPROVEMENTS DIMENSIONS:TYPE OF SEWAGE DISPOSAL: ( ) Public Individual Septic Tank, etc. WATER SUPPLY: ( ) Public (» Individual Well PRINCIPAL TYPE OF FRAME: ( )Yes ><j No Stories above basement: Sq. feet (outside diratnsion) Bedrooms ............................. Basement:( ) Masonry ('vd Wood Frame ( ) Structural Steel ( ) Other — Specify Baths....O.. ■KCHARACTERISTICS:300 feet.... feet.Maximum depth of lotWater frontage issquare feet.Lot Area is 71 feet. (Building Line)Building set back from high water mark is Land height above high water mark at building line is Building set back from State highway right of way.... Side yard is .................... Structure will be located y feet .a.^.SO .feet.feet — from road right of way is 1.0 .............feet. .feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation). and IP.. 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 p>art of this permit application. I also understand that this permit is valid for a period of six (61 months. THIS IS A SITE PERMIT ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STA TE STA TUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. /aiiinMDated. rature ov wwne Permit: Permission is hereby granted to the above named applicant to perform the wo« cW^ribed 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. Q Dated Shoreland Management Official30^<JS613_Permit Fee $.Receipt No. Comments; T Form No. MKL-0286-019 229971®VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS. MINN. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUM Shall Be 4.Sq. Ft, Sq. Ft.Lot Area (Square feet)Sq. Ft Water Frontage Ft.Ft. IBuilding Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft. 50 Ft. ^k>Building Set Back from Street or Road 40 Ft.Ft. / o & ^ ^ Ft.~ &Side Yard Ft. Rear Yard Ft.Ft. / 0Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated Agency 19 ’L ®vietea ujMSttH t m.. mmiiicm, rcnaut r«LiJ. mihh. ( ro / /I )z - ')} S f Scale: Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM nu.f4- (Dated:19 r 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. I I 1 I'2 I 1/1)S I -I 1 ■ 'V ioI-1 I is. I ■! i > ! 1 I.!I T I O » IIi.I J!T Q I- o1I X O4 LuI'T 1 I t -t _l ccj-t] § 1 O - i ^ -i a S i ; • - fNi € MKL-0871-029 21598 7®VtCTOn lUNDCCM CO.. PHINTCHS, rCHCUS FALLS. 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 93 9^Permit No.. o/P U, /)Lk 333 ___ LEGAL CDESCRIPTION iV/f AND LOCATION f----Lake Name JJIL TWP< ^angeLake hfo.TWP NameLake Classif.Sec. IDENTIFICATION; Please Print All Information Tel. No.First Zip No.Mailing Address— No. Street. City and StateInitialLast Name in Kcr/f c J S’h t'A£l25-Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: 'Vs)^New Building Specify:,( ) One Family Dwelling ( ) Multiple Dwelling( ) Alteration Units ;gy x-?<rOther( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL: ( ) Yes (\^No Stories above basement: ....... ( ) Masonry X^Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tanl^e^. WATER SUPPLY: /I/ ( ) Public ( ) Individual Well Basement: I Sq. feet (outside dimension) Bedrooms ..............................Baths CHARACTERISTICS: .Q.£.QOMaximum depth of lot..feet.:.. feet... square feet. Water frontage isLot Area is ... :7.s 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 7J.feet ^ o feet.feet — from road right of way isJOfeet.and CD .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 Cl.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 16) 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. 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 ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. o ^ Offici^ ■■ rr-'vDated reland Managem 9r)pA)APermit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971@ VICTOR LUNDCEN CO., PRINTERS. FERGUS FALLS. MINN. White - Office Yellow — Owner Plr^pi —* Ass&sor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT //Permit No„Y /c.LEGAL c • /IDESCRIPTION.1/./ . .i ;t •r-fiAND !LOCATION . A'■/ :■■ ■/ TWP NameTWP RangeSec.Lake Classif.Lake No.Lake Name IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateInitialLast Name First n /K,Owner NameContractor Architect Name, NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: Specify:.( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Ny ) Other Units ( )Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL: (\ NoBasement: ( ) Yes Stories above basement: Sq. feet (outside dimension) Bedrooms .............................. ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public /Individual Septic Tanl^etc./I ) WATER SUPPLY: ( ) Public ( ) Individual Well Baths CHARACTERISTICS:-4 Maximum depth of lot..._i.feet.Water frontage is feet.square 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 Structure will be located feet 5 i 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 (Sewage System Permit must be obtained before installation).Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. .'t - Zl/LcDated.'.»l ... A. - 4 ,Signature of Owner6/ Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated /Shoreland Management Official Permit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971@ VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS. MINN. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS X MINIMUM Shall Be 4 Sq. Ft, Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. 7 Soo - i/oa Ft.Building Set Back from High Water Mark Ft. Building Set Back from State Highway Ft. 50 Ft. /S'8Building Set Back from Street or Road Ft. 40 Ft. Ft.Side Yard &Ft. 0^Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________-h3 Ft.3 Ft. IIInspector's Comments: c'' ■ Inspectors SignatureI no Title Inspection Dated Z- (p-19^0 Agency VICTOB LUNOCtN i CO.. PHIKTCI - - - - White - Office Yeliow — Owner Pink — AufMor Goidenrocl — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT KECEiVED --9 Permit No^LEGAL i ??FS0LI'?Cr. DESCRIPTION AND LOCATION ^Yho_f-54: f 0-9. li^y VO TWP NameRangeLake Classif.Sec.TWPLake No. Lake Name IDENTIFICATION: Please Print All Information Tel. No.Mailing Address— No. Street, City and State Zip No.Last Name First Initial Owner iRaffir Uikv ..5feys. NameContractor Architect Name, TYPE OF IMPROVEMENT:NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:qcJc/n ( ) New Building (^^Alteration ( ) Other_______ ( ) One Family Dwelling ( ) Multiple Dwelling ()^) Other Specify:. SV2V Units Size ESTIMATED COST OF IMPROVEMENt|$ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL: ( ) Public Individual Septic Tank WATER SUPPLY: ( I Public Individual Well DIMENSIONS: , etc. ( ) Masonry (J^ Wood Frame ( ) Structural Steel ( ) Other - Specify Bas^nent: ( ) Yes ( ) No Storie^bove basement: Sq. feet hk^tside dimension) Bedrooms Baths Type of Roof: CHARACTERISTICS: .....rrr:..............feet.2&.c..as....mo...Water frontage issquare feet.... feet.Maximum depth of lotLot Area is 7..SBuilding set back from high water mark is Land height above high water mark at building line is Building set back from State highway right of way.... Side yard is Structure will be located feet. (Building Line) J..feet 2. oS..D..feet — from road right of way is •feet. fO10 feet.and IQ..feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.)..^..OStructure 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 jifx (6) months. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.Signatura^f Owner Permission is hereby granted to the above named applicant to perform 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. rk described in the above statement. This permit is granted upon the [UdJblament Official Dated SNbrelahd Man Permit Fee $. Comments:/)- 7/\..... Q C -1 e^<r I9S676® VICTOR LUNOEEN CO.. PRINTERS. PEROUS PALLS. MINN.Form No. MKL-0771-002 White — Office Yellow *- Owner PinK — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT f/c(/^'j lOSot ■f Permit No„LEGAL DESCRIPTION AND LOCATION t ■ c, / I . -r ; /r-■; V *Lake Clanif.TWP NameSec.TWP RangeLake No. Lake Name IDENTIFICATION: Please Print All Information i Last Name Mailing Address— No. Street. City and State Zip No.Tel. No.First Initial ■Owner r NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIOENTIAL PROPOSED USE: ( ) New Building I ) One Family Dwelling I ) Multiple Dwelling Specify:. ■II' ^ ?M j\ c ( Units ' I: S Alteration r ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENt|$I PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ') Individual Well Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms Baths \ Type of Roof: CHARACTERISTICS: :o c'-, V/square feet. Water frontage is Building set back from high water mark is Land height above high water mark at building line is Building set back from State highway right of way.... Side yard is ....................... Structure will be located feet.Lot Area is Maximum depth of lot feet. feet. (Building Line)r feet.tftrCi,', feet — from road right of way is .....feet.—and feet. •feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. /THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STA TE STA TUTES. / 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 ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. C Dated Ji,3—h- Shoreland Management Official IPermit Fee $. Comments: ri rt'-^ -h ■V-fT ;1'3 :(195676®Form No. MKL-0771-002 VICTOR ^NOEEN CO.. PRINTERS. FERGUS FALLS. MINN.; INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUMShall 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 vicToi UMMCM ft e*.. raiiniftt. vcftftuft racLft. wn. GRID PLOT PLAN SKETCHING FORMfeet/inchesScale: Each grid equals 19 ■Dated ^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. -5 f) 1 /Sih. c .7? 21598 7®VICTOR LUNOCCN CO . PRINTERS. EERGUS EAllS.MKL-0871-029 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 Yellow — Owner Pink — Assessor Goldenrod — Inspector Permit No..LEGAL / O - /E>~ 73Date.DESCRIPTION AND LOCATION 7<iQZB TWP NameTWP RangeLake Classif.Sec.Lake NameLake No. IDENTIFICATION; Please Print All Information Tel. No-First Zip No.Mailing Address— No. Street. City and StateInitialLast Name iVot 0 Owner , /yjy\■S^6 /'S NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: Specify:.I ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Units I ('-FOTher Size cjESTIMATED COST OF IMPROVEMENTS ^ 70 <TC> ^(omit cents) DIMENSIONS:PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL: ( ) Masonry ( ) Wood Frame (i,>-Sfructural Steel ( ) Other — Specify Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedroorhs ( ) Public (t--1-TlT3]vidual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central 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 c3’ feet — from road or street is feet. O 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 sy^6) months. Dated. ignature 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. / i ~ /Dated 0Shoreland Management Official '5^oPermit Fee $.State Surcharge $. Comments: Form No. MKL-0771-002 VICTOR LJNOCCN I CO.. RRIHTIRI. FCH4U0 FALLS. KINO.158899 SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 \ APPLICATtON FOR BUILDING PERMIT AND CERTIFICATE OF 0CCUP)ANCY ' White — Office Yeilow — Owner Pink — Assessor Goldenrod — Inspector s->Permit No, Date , /k: • ’ h J-f /^1*LEGAL . i DESCRIPTION 4 yAND* ■ >'jLOCATION/ •> / y TWP NameTWPRangeLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Zip No.TeL No-Mailing Address— No. Strggf. City and StateLast Name First Initial Owner NameContractor V- Architect Name. TYPE OF IMPROVEMENT:NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE: I ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Specify:, Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( ) Wood Frame I ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( I Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes _________( ) Central Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms Baths HEATING: ( ) Electric ( ) Coal Other: Type of Roof:( ) No ( ) Gas ( ) None ( ) Oil ( ) No ( ) Unit CHARACTERISTICS: Lot Area is square feet.Water frontage is . feet. (Building Line) ...............................feet feet.■i 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: FornfvNo. MKL-0771-002 158899 VICTOR UVOOtCO 4 eo.. MINTtl -I WT -V . Ti * iJ-A ' ^ '1 r? 1 - .?-*»% INSPECTOR'S CHECK LIST■ A4k^^'a>f measurements and computations " «i y » •• ^i'. ¥\«i ACTUALIS X MINIMUM Shall Be 4’• Tt>'Sq. Ft, Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft. Ft. SBuilding Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway 50 Ft.Ft. Building Set Back from Street or Road 40 Ft.Ft. Side Yard &&Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank 10 Ft.Ft. Occupied Building to Absorption System 20 Ft.Ft.JElevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: ; 4 Inspector's Signature Title Inspection Dated 19 Agency VICT«t WHOCCN • M . MIINTEI N % SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY White — Office Yellow — Owner Pink — Assessor Goldenrod — Inspector 3n 3Permit No„LEGAL H^//S o t-f'^ -/7- 7^»Date.DESCRIPTION AND LOCATION Ak V6 A Lake Classif.TWP TWP NameSec.RangeLake No.Lake Name IDENTIFICATION: Please Print All Information Mailing Address— No. Street. City and State Zip No.Tel. No.Last Name InitialFirst /f^ LjJLc A>^7^ r- m aOwnerw NameContractor 'ihArchitectName. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: \j/) One Family Dwelling ( ) Multiple Dwelling ( ) Other NON-RESIDENTIAL PROPOSED USE: ■71O C-g( ) New Building Specify:. r^Alteration Units /SXao( ) Other Size ESTIMATED COST OF IMPROVEMENTS 7, 0 C7 C>(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public {\f Individual Septic Tank, etc. WATER SUPPLY: ( ) Public Individual Well Basement: ( ) Yes ( \^No Stories above basement: Sq. feet (outside dimension) Bedrooms /'V ..^.9.2 Baths ¥ MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central HEATING: I ) Electric ( ) Gas ( ) Coal Other: (%^^JoType of Roof:( ) Oil No ( ) None ( ) Unit CHARACTERISTICS: J..S...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 3.Cci .4/..QBuilding set back from State highway is ::s feet — from road or street is feet. ^0Side yard is Building will be located Building will be located 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. 10 .m. 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. 7|6fjQ\NX\i Dated. / /Signature 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. ~ 7-6 O Dated /Shorejanq Jdanagement Official■9 DO Permit Fee $_£L__//C S T'State Surcharge $. Comments: Form No. MKL-0771-002 VICTO* MHOIIH i CO.. rM.k*. MlilM.158899 SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY White — Office Yellow — Owner Pink — Assessor Goldenrod — Inspector Permit No„LEGAL Date.DESCRIPTION AND LOCATION Lake No.Lake Name Lake Classif.Sec.TWP TWP NameRange 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 ( ) Other Specify:. Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL;DIMENSIONS; ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms Baths HEATING: ( ) Electric ( ) Coal Other: Type of Roof;( ) No ( ) Gas ( ) None ( ) Oil ( ) No ( ) Unit CHARACTERISTICS: Lot Area is square feet.Water frontage is. feet. (Building Line) ...............................feet feet. Building set back from high water mark is................... Land height above high water mark at building line is Building set back from State highway is....................... Side yard is.................... Building will be located Building will be located 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 Ckiunty, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated Shoreland Management Official Permit Fee $.State Surcharge $. Comments:% Form No. MKL-0771-002 ,158899 viCT»ii luiimcm t eo.. paiHTtM. rta«u« INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUM Shall Bel 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: 1 Inspector's Signature Title Inspection Dated 19 Agency VICTOM LUHVitH 4 M . VRIHTCM. rCD4U4 FM.L4. 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 Yeliow — Owner Pink — Assessor Goldenrod — Inspector r ^Permit No„LEGAL /7 a-Date.DESCRIPTION AND LOCATION an -----TWP NameLake No. Lake Name / Lake Classif.Sec.Range IDENTIFICATION: Please Print All Information Tel. No.Mailing Address— No. Street. City and State Zip No.Firjt InitialLast Name ^9S-- ^ Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling ( ) Multiple Dwelling c. I tFtiew Building ( ) Alteration JottnCn jQitK, / |Q (>-4-0ther Lo(^o__ Specify:. ra '■y Units ( ) Other Size f ESTIMATED COST OF IMPROVEMENTS (omit cents) TYPE OF SEWAGE DISPOSAL:DIMENSIONS:PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes Stories above basement: Sq. feet (outside dimension) Bedrooms ................................. ( ) Public ( -Klndividual Septic Tank, etc. WATER SUPPLY: ( ) Public (^i/tndividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central ( *t Masonry (i>lA/ood Frame 7 (-1 Structural Steel ( ) Other — Specify 1. Baths HEATING: ( ) Electric ( ) None ( LMflb ( ) OilType of Roof:7 (ti-W*( ) Coal Other:( ) Unit CHARACTERISTICS: ..^.0.0.feet.Lot Area is square feet.Water frontage is. feet. (Building Line) .....................................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 ,2 ............AO..±...... feet — from road or street is feet. ....... ../o±. .4^..Cb.... feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). feet.......and Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. // Dated. Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above stat^ent. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated Shoreland Management Official State Surcharge $.Permit Fee $. c V />? r>t r<=^r2 ^lilrJl.--- f ‘ tj_____ r77/<v° y <.e=' Comments: /' /?^ it-__ ■fJa-^Qj&r7r*>£L Il\jJ ;/Ik>Uf )cit n £c,a33Form No. MKL-0771-002 ,158899 vicraa kuNOCCH 4 eo.. MntTcat, pmaui rM.k*, .s' . /- SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY White - Office Yellow — Owner Pink — Assessor Goldenrod — Inspector .A -r Permit No.,LEGAL fr >''7 ■Date.DESCRIPTION AND LOCATION TWP NameTWPRangeLake Classif.Sec.Lake No.Lake Name IDENTIFICATION: Please Print All Information Tel. No.Initial Mailing Address— No. Street. City and State Zip No.FirstLast Name Owner NameContractor Architect Name. RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: ( ) New Building ( ) ( ) Other ^ ( ) One Family Dwelling ( ) Multiple Dwelling , : ( ) Other Specify:.//-Units Size ESTIMATED COST OF IMPROVEMENT $(omit cents) TYPE OF SEWAGE DISPOSAL:DIMENSIONS:PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes (, ) No Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) 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 Baths HEATING; ( ) Electric ( ) Coal Other: ( ) NoType of Roof:( ) Gas ( ) None ( ) Oil ( ) No ( ) Unit CHARACTERISTICS: Lot Area is square feet.Water frontage is. feet. (Building Line) ...............................feet feet. ’ Building set back from high water mark is................... Land height above high water mark at building line is Building set back from State highway is....................... Side yard is.................... Building will be located Building will be located rh feet — from road or street is feet. .......................................feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). and feet. Agreement; I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Dated. Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated Shoreland Management Official Permit Fee $.State Surcharge $. Comments: ; RO CERTIFICATE ISSUED Form No. MKL-0771-002 viereo luhdccn t co.. pmittcaf. fe*«us ,158899 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS X MINIMUM Shall Be ^ Sq. Ft Lot Area (Square feet)Sq. Ft Sq. Ft. 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_____________Ft.3 Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency VICTOB kvaOCCH 4 CO . HIOTfOI. rCOflUa rALLO. HtNH. IZ' X 7o'^ o o Oc 3^' 75’ijis- > A rT'ijyo. _jp 3^' V, V, M// J:—r--r---. %•:: / 1’, . '■—, -.71 L