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Hovey's on Star_56000030010003_Shoreland Permits_
WHITE - Office APPLICATION FOR SITE PERMIT GOLDENROD - Inspector LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us YELLOW - Owner (after issue)_ PINK - Assessor 0 Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NAMERANGELAKE/RIVER CLASS SECTION^TWP NO.LAKE/RIVER NAMELAKE / RIVER NO.ta -HI EGAL DESCRjPTION pT-----gT. J t ly- T (g Pp*.< t ^ 3 . </'5 ~ / - 77 ' g~ ^ i ^ i j —Pt8.-c,i5‘—‘ H * rJ IN -*S J « i>£ Tp ' Aj /'-tthrcf ‘ rJ A WTo P> yV u ^ g L 5 ^c.b (C To 3 GOSTac LIkl± PROPERTY (E-911) ADDRESSPARCEL NUMBERiS) _ I ,3V - £>/ S'?-<503 t Daytime Phone No.Mailing AddressFirst InitialLast Name 3i23>l s'rAF^, /ogM oO Po Of! AS 75g-;?(.vrProperty Owner O r?-e ~t~ ^ i/y> iV <y^Aa) PrVc 3i»£ Sljo\ Contractor Name Lie.# u <.-c.i?OVwJ)_______________ QLA:>/^^r ?8‘? +PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add’n to Dwelling ( 5 ) RCU/Year_____ torage Structure ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY ^^ylndividual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. (3) ’Replacement Dwelling (6) Attached / Detached Garage (9) W.O.A.S. (1 ) New Dwelling ( 4 ) MHA-R (7) Add’n To Non-Dwelling (10 ) Non-Conf. Replacement (iMntify) (11 ) other (IdentlN)•Existing reti^^iPr ( ) Permit No.________ / 7 ( ) OTWMD ‘Must have Sewage SystSir Approval Irom OTWMD prior to issuirtg Site Permit. Contact Rollie Mann at 21B-864-5S33 TAAfLe/K/ O - I-rior to CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside ' Dimension CHARACTERISTICS OF PROPOSED NON-DWELUNG Outside Dimension CHARACTERISTICS OF PROPOSED DWELUNG (Must Include Attached Garage) Outside Dii^sion Sq. Ft. \ Setback to Lotline^ Setback to Right of Setback to Ordinary HigtfWater Level _/ Elevation Above Ordinary Hi^Water ^el Setback to Septic Tank_____\ Setback to Drainfield_______/ Setback to Bluff.n. Total Bedrooms_______/ Maximum Proposed Hej^t_____ Roof Change ( )J^ ( ) No Basement ( ) Yes ( ) No Walkout Basertfent ( ) Yes (side profile required) ( ) ^0 ___Ft. X /O Ft.’* Ft. X Ft.*>Ft. X Fl.’> w Sq. Ft.________X Setback to Lotline Setback to Right of Way Setback to Ordinary High WaV l^el __ Elevation Above Ordinary Higtwater Level Setback to Septic Tank Setback to Drainfield / Setback to Bluff / Maximum Propo^ Height ( ) Boathouse ( ) Gazebo **ProJect/Lotlines/Rlght-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.&1.”Setback to Lotline Ft."Ft."Ft.&Ft."Ff’^y/CrxSetback to Right of Way Setback to Ordinary High Water Level A ■t."Ft. Ft.Ft.Ft. Elevation Above Ordinary High Water L^vel pt. Setback to Septic Tank 4iS^L^?t.•t.Ft. ■t. Setback to Drainfield Setback to Bluff Ft. Maximum Proposed Height F Roof Change ( ) Yes (j/) No Bathroom Proposed ( ) Yes Ft. L'Ca'Ft.Ft.Ft.Ft. (A^No ( ) Screen Porch ( ) Storage Structure ’ Must include on scale drawing, additional PajrTut^ay be rMuired. & uImpervii/s Surface Ratio Topographical Alteration / Earthmovlnq None □ 20 Cubic Yards or Less ’ □ 21 Cubic Yards - 299 Cubic Yards’%□ 300 Cubic Yards or More’ CHARACTERISTICS OF LOT: Sq.Ft.(/)N0nWater Frontage .Ft.Bluff ( )YesLot Area ? 7, S-90 To(al Lot Area (FTr)Impervious Surface Ratio:xtoo =Total Impervious Surface Onsite (FTr) THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the building footings have been constructed. / Date: Signature of Property ner / Agent for Owner Ro L IKil- 4 Land & Resource M^agement Office Date: PERMIT FEE $PROJECT(S) TOTAL SQ. FT.RECEIPT NO. e?'. 6(3Comments: Cl * I Form No. BK — 1003-0407 329,582 • Victor Lundoen Co., Printors • Fergus Falls, Minnesota APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us WHITE - Office GOLDENROD - Inspector YELLOV^ ■ Owner'iafter Issue), PINK - Assessor \ Permit No.PLEASE PRINT OR TYPE ALL INFORMATION I TWP NAMERANGESECTIONTWP NO.LAKE/RIVER CLASSLAKE/RIVER NAMELAKE / RIVER NO. \ Af y or A PROPERTY (E-911) ADDRESS ^ iizig' ) PARCEL NUMBER (S).: ,oO- 3--/ - &/ 003 £ - 7 ■ Pc(,r frj't f?" T '3 " -.V 4EGALDESCRIPTION r -r —fJ ^Kj-rrfrr—r-i- ■ t ^ ‘ .r p c?t» j-tfo t r. s.r 71; -/o 'Tn W -fe-c .T. uf"9 r\ iIt=« V ^ Daytime Phone No.Mailing AddressFirstInitialLast Name 3/^37 Hoy /og■ (jsj Po o^lfis. M 'T QVYl V cL o X) ^ C 7 5'^ - L V.T"Property Owner O r7-e vv/ ~t~ ' lA^ lO LAt in 7?r.'3 V CnjiOaX. 3ifrc ~TAContractor Name Lie.* •?7^i 5■ V V PROPOSED PROJECT (please circle the appropriate number) (2 ) Add'n to Dwelling (5) RCU/Year______ (7) Add'n To Non-Dwelling (8) Storage Structure (10) Non-Conf. Replacement (identify) _ (11) Other (identify)______________ 'Existing Dwelling to be removed prior to. ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY (; ) Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. (3) 'Replacement Dwelling (6) Attached / Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4) MH/YR____ ; 'If/'} ( ) Permit No. ( ) OTWMD 'Must have Semge System Approval from OTWMD prior to issuirtg Site Permit. Cortlact Rotlie Manrt at 218-864-5533 rAfi/i-c./ a - f 0 S CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension___ Sq. Ft. Setback to Lotline ____ Setback to Right of Way Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff________ Total Bedroomsc Maximum Proposed Height Roof Change ( ) Yes ( ) No Basement ( ) Yes ( ) No Walkout Basement ( ) Yes (side profile required) ( ) No / Outside DimensionFt. X Ft.”Ft.”/Ft. X Ft.';Ft. X /3^50Sq. Ft. Setback to Lotline Setback to Right of Way ' Ft.” Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff____ Maximum Proposed Height Roof Change ( ) Yes ( ") No Bathroom Proposed ( ) Yes ( ) No \vV Sq. Ft. Setback to Lotline Setback to Right of Way ________ Setback to Ordinary High Wa)er Level Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ \ ■ \__. R.&R.&Ft.”Ft.”Ft.”Ft.”/Ft.”Ft.A Ft, Ft,Ft. Ft.Ft. Ft.Ft. R.:;7y'Ft./fFt.Ft.Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Appiication / inspection Ft.Ft. ( ) Screen Porch ( ) Storage Structure ' Must Include on scale drawing, additional Permit may be required. ■ ----------- * T * — Topographical Alteration / Earthmovina □ None □ 21 Cubic Yards - 299 Cubic Yards'□ 300 Cubic Yards or More'□ 20 Cubic Yards or Less ' fCHARACTERISTICS OF LOT:rK'- -h f1u Bluff ( )Yes (/JNo.Ft.Sq. Ft.Water FrontageLot Area, £'90'1 / ,TImpervious Surface Ratio:X100 =.% Impervious Surface RatioTotal Lot Area (R'jTotal Impervious Surface Onsite (FTO THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the buiiding footings have been constructed. I-A 'Date:TSignature of Property Owner/Agent for Owner Date: I,Land & Resource Management Officen RECEIPT NO. ' !PERMIT FEE $PRO JECT(S) TOTAL SQ.FT.,t '—XJComments:T T I 571 Form No. BK — 1003*0407 329,582 • Victor Lundeen Co., Printers • Fergus Falls. Mi SITE PERMIT INSPECTION RESULTS r Inspector must make all measurements and computations sU Ft.Ft.Structure Set Back from Ordinary High Water Levei Ft.Ft.Structure Set Back from Top of Bluff Ft.Ft.Structure Set Back from Road Right of Way Ft.Ft.&Ft.&Ft.Structure Set Back from Lot Lines 7 Ft.Ft.Structure Height Ft.Ft.Structure Set Back from Septic Tank Ft.Ft.Structure Set Back from Drainfieid Elevation Of Lowest Floor Above Ordinary High Water Level____________________Ft.Ft. Land Slope at Building Site %% Inspector’s Comments / Sketch: Ui'i t: (^olSC Inspector's Signature /^y/c^9 Date of Inspection Time of Inspection iciir ^^ojecl Approved Date / Initial ?Si..S);, t ‘S)e4I t Nit «0 t,S>»,1fc ■fVJ^'J ■Stoytcfo!^ 5^-/* mO□V, i-I i D I! □ ’ i \ifr—' —>I!-)k ^2'II J /'-<>O Qn|2iJ 'ij <-3S' ^2t./2^ i ^.-iTr?" r^\■:M- !iS /i\ ; /^0>j '-/ ‘■*'^ <2^V :!:! is 1I o f. (V i |.5}; ;•?i.1 yi \V .V "\k! «(?6U>\'TW «G 1 72005WHITE -'office APPLICATION FOR SITE PERMIT GOLDENROD - Inspector YELLOW - Owner (after Issue) PINK - Assessor LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us !^''0 ^ KtoOu,xut PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE / RIVER NO.LAKE/RIVER NAME SECTIONLAKE/RIVER CLASS TWPNO.RANGE TWP NAME 0^38^ STa /-3y !3C y/ PARCEL NUMBER (S)PROPERTY (E-911) ADDRESS 5%> -c>c>/o -3/^37 L<S7^/y /c7^ fE- j. 73'7-0 ^ c?£f^ /s- <^<r ■/"'' t^^tz LEGAL DESCRIPTION :S~T^r- Last Name Mailing AddressFirstInitial Daytime Phone No. Owner ST/ '/>1t aJ >i-v‘5 Nhi. S(-Z7t 'i ll Y21-I0/)qc^ ^?\( A L> d 3>/2,t7 545?^^ Contractor Name Lie.* r\J <g 9e9iPROPOSED PROJECT (please circle the appropriate number) (2 ) Add'n to Dwelling ( 5 ) RCU/Year_____ ONSITE WATER SUPPLY ( ) Individual ONSITE SEWAGE TREATMENT SYSTEM Jf/C) Permit ( ) OTLSD * This permit is only valid alter veriUcation from the O.T.LS.D. that a conforming sew age system wilt be installed to service this iot contact Rollie Mann at 864-5533. p^iUone NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. (1) New Dwelling (4 ) MHA'R____(6 ) Detached Garage (9) W.O.A.S. ‘Existing Dwelling to be removed before(? O t . ( 7 ) Add’n To Non-Dwelling f^^torage Structure (10) Other. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside ^ Dimension I CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension / ^ Ft. x Ft." -*— Sq. Ft. Setback to Lotline Setback to Right of Way vL''^ rJ' Ft." — Setback to Ordinary High Water Level Ft. Elevation Above Ordinary High Water Level Ft. Setback to Septic Tank Ft.'^j^T^ Setback to Drainfield Setback to Bluff Ft. Total Bedrooms Maximum Proposed Height i»'Ft. Roof Change ( ) Yes CM3No Basement ( ) Yes ( ) No Walkout Basement ( ) Yes ( ) No CHARACTERISTICS OF PROPOSED NON-DWELUNG Outside Dimension / O Sq-Ft.£0___ , . Setback to Lotlina/7<0 A/ Ft. & 7Ci V^Ft." Setback to Right of Way / Ft." Setback to Ordinary High Water Level Ft. Elevation Above Ordinary High Water Level /^ Setback to Septic Tank USD Ft. /v^5''© Setback to Drainfield /.5~(0 Ft. Setback to Bluff A //I Ft. Maximum Proposed Height A Ft. Roof Change ( )Yes ( yfUo Bathroom Proposed ( ) Yes ( ^.yilo £Ft. X Ft." Ft. X Ft." Sq.Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield___ Setback to Bluff_______ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / inspection Ft.&Ft." Ft.&Ft." Ft.” Ft. Ft. Ft.Ft. Ft. Ft. Ft. ( ) Screen Porch ( ) Storage Structure Topographical Alteration / Earthmovinq Qf-tlohe □ 20 Cubic Yards or Less * □ 21 Cubic Yards - 299 Cubic Yards* ‘ Must include on scale drawing Permit may be required□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: ^ IJ i' Bluff ( ) Yes (Sq. Ft.Water FrontageLot Are^Ft. V ' o yo Impervious Surface Ratio:/dT-ri,97. Total Lot Area (FT') ,_J __ Total Impervious Surface Onsite (FT^)X100 =Impenrious 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 responsibiiity to inform the Land & Resource Management office once the building footings have been constructed. 2 O SDate: Signatur^f Pi:^perty Ownet Date: Land S Resource Management Office PERMIT FEE $RECEIPT NO.PROJECT(S) TOTAL SQ.FT., Cornments: legal DESCnPTKW p-f~ Q.! ^ OO m C-d/Z i-^of s fS3 -•5^'Co Bg sfio oe^ £ Gs.f/^N‘7*f oef /oc.«>f' S 7 4*^^ ^ ^ /"<■ ysi' /U 70 ty &L. 9-u) 7-0 py~ f/ ^s* s/L pfey tx 7-0 B(7- ht^Form No. BK — 1003-0505 r '■*WHITE - Office GOLDENROD - Inspector APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us YELLOW - Owner (after issue) PINK - Assessor « « EXPIREiS-mitNo. -^^5'7 7PLEASE PRINT OR TYPE ALL INFORMATION RANGE TWPNAMESECTIOITWP NO.LAKE/RIVER CLASSLAKBRIVER NAMELAKE / RIVER NO. 0^ A V/o&D PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) -c^o '77I37A31 LEG^DESCRIPTK^ ^ ^ ^ .0> . Qo/<. LcT J i: A P <Z^/ ^ 7 73' A ,/3~3 -S3-' ^ ^ ^ •// ' AT AA lp/r~ E ^ l: ~Trfi / / f p' y^A e ^ ^ 1 ZS] Daytime Phone No.First Initial Mailing AddressLast Name -77 />/Property Owner t<^-'I,'/ n\-b X3(T' K/1 7''/t\\ ^ AS E H -/ A) 3L ':V" 7\i A L- ^ ^ J V~\ D v' I I J t ^ I"O •-' <i ^(2T7 tic..., /,?S- rteA-7 MM. SiS?^ ' 7^/ 7 - W.SContractor Name Lie.# yj/ r ‘ 'iJ r" /-4. ONSITE WATER SUPPLY - ( ) Individual ^>44iublic p\) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM Tf/A — »steaBp|SSf'- PROPOSED PROJECT (please circle the appropriate number) (2) Add’n to Dwelling (5) RCU/Year______ (7) Add’n To Non-Dwelling (^,^torage Structure (10) Other. -,{i(J^BBptecoment*Dwelling- (6) Detached Garage (9) W.O.A.S. ‘Existing Dwelling to be removed before’'' C’t (1) New Dwelling (4) MH/YR_____ ( v) Permit No. ( ) OTLSD * This permit is only valid after verihcalion from the O.T.LS.D. that a conforming sew age system wilt be installed to service this lot contact Rollie Mann at 864-5533. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside . Dimension / O Ft. x Sq. Ft. R O ^ Setback to Lotline/70 A/ Ft. & ~7Q Setback to Right of Way Setback to Ordinary High Water Level ‘-jOC' Ft. Elevation Above Ordinary High Water Level /^ Ft. Setback to Septic Tank ' Ft. /T"© Setback to Drainfield /7~O Ft. Setback to Bluff A Ft. Maximum Proposed Height C C~ Ft. Roof Change ( )Yes ( W^No Bathroom Proposed ( ) Yes ( p^l^o CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension Sq. Ft. Setback to Lotline Setback to Right of Way Ft.” — Setback to Ordinary High Water Level Ft. Elevation Above Ordinary High Water Level Setback to Septic Tank O Ft. Setback to Drainfield Ft. ____ Setback to Bluff Ft. Total Bedrooms_________ _____ Maximum Proposed Height ~iF—Ft. Roof Change ( )Yes p.=TNo _____ Basement ( ) Yes ( ) No Walkout Basement ( ) Yes ( ) No /3f3_Ft.x N{Ft.**/-fFt.**Ft.”Ft. X Sq. Ft.________ Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Rlght-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.**Ft.& Ft.&Ft.**I Ft.**Ft.” Ft.Ft. Ft. Ft. Ft. Ft. Ft. ( ) Screen Porch ( ) Storage Structure * Must include on scale drawing Permit may be required Topographical Alteration / Earthmoving □ None □ 300 Cubic Yards or More*□ 21 Cubic Yards - 299 Cubic Yards*□ 20 Cubic Yards or Less * CHARACTERISTICS OF LOT: --------------Bluff ( )Yes ( ‘- (No.Ft.Sq. Ft.Water FrontageLot Are^7 7, A /-A- A97. ^'^90f 'y A I E .J c. ■'Impervious Surface Ratio:xioo =.%Impervious Surface RatioTotal Impervious Surface Onsite (FT’)Total Lot Area (FT’) THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. Date: S/ynafure oi Property Owner Date:etcLand S Resource Management Office mnOA :uqiPERMIT FEE $RECEIPT NO.PROJECT(S) TOTAL SQ.FT., k7-‘ Q3 ^ 3iJ ^■ Comments:1I ).Ajil. 7( \I Form No. BK — 1003-0505 322,179 • Victor Lundsen Co., Printers • Fergus Falls, Minnesota .. SITE PERMIT INSPECTION RESULTS >s» ’Inspector must make all measurements and computations saJ Structure Set Back from Ordinary High Water Level Ft.Ft. Structure Set Back from Top of Bluff Ft.Ft. Structure Set Back from Road Right of Way Ft.Ft. Ft. & JSTOy^ Ft.Structure Set Back from Lot Lines Ft.&Ft. 7 G> rStructure Height Ft.Ft. Structure Set Back from Septic Tank Ft.Ft. Structure Set Back from Drainfield Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. Land Slope at Building Site %% V Inspector’s Comments / Sketch: 1 I f Inspector’s Signature Date of Inspection Time of Inspection Armmvftd Date / Initial aC - OOP Tax parcel Number(s) Drawing must be to scale. Drawing shall identify project and include the setbacks to all of the existing and proposed lotlines, road right-of-way(s), ordinary high water level(s), structure(s), septice tank(s), drainfield(s), bluff(s) & wetland(s). Must also include all proposed topographical alterations. / " -- '%Scale Impervious Surface N /s RECEn/ED 1 72005T\ f ui \ 70 __C.> (NQi c-o/. '^00^ (-SO ' M~00 ^ EkjST'\)<y Trf^v’ujT- -ti^7 ;Ijl3 l%0' L_<rrt_'. U /7 Af^oy, fOO^ ! J i _JL a ^ ' Signature of Piidperty Owner OjH Date BK — 0505 322,627 • Victor Lundeen Co, Printers • Fergus Falls, MN • 1-800-346-4870 F^op[^at:j ^ Bo' Cl CK K. N. K) 'fe. »• :^ll# a ^Vi & FILE MEMO PROPERTY OWNER (^K^IVER/WETLAND NAME 3^^^ ^L06t>^$ ^>0 Ji> 0£>3 !t>6oo IH PARCEL # iLOQti o /y^<363 Date L&R Official ^-SihA. ^C' R&i=u*u '^>■1 > \/iCUiC ^‘*e/u<jTL'i — ? £ize *A pAi>A^sio srt>A/KTt Stte^ Zir^StTC^ £n>AA<S'* Sutg ii.r-A-f<.X. 7a ^eATiC T^/v/4 ^TrtA Action/Comments. —-■;>i.i5 ^/■jj 1 Joyce ThompsonAugust 17, 2005 I An Application for Site Permit for a replacement storage structure on Site #29 was received today. I asked Marsha if a CUP was required before a storage structure could be put on the site since this was a Cluster Development. She said that a CUP was not needed unless there was to be a change or replacement of a dwelling unit or an increase in the number of dwelling units. Storage structures could be replaced under a Site Permit. I told her that on Monday, 8/15/05, I had incorrectly told the couple who own a mobile home on _ Site #24 that they needed a CUP before they could replace their storage structure. I told her I would contact Hovey’s and let them know about my mistake and ask them to relay the information. She confirmed that it - was ok for me to proceed with processing the Site Permit for Site #29. August 18, 2005 Joyce Thompson I attempted to contact Hovey’s (Doug 86 Nancy) by telephone several times to explain about my ■ misunderstanding regarding a CUP. I also wanted to let them know that the application submitted by Jim Collins (Site #29) was incomplete and I would be returning the application materials. ^ August 19, 2005 1 attempted again to contact Hovey’s by telephone but the line was busy. I prepared a letter and returned the application materials for Jim Collins (Site #29). See letter in file dated 8/19/05. Joyce Thompson i Date.L&R Official. Action/Comments. L&R OfficialDate Action/Comments. Date. L&R Official Action/Comments. Date L&R Official Action/Comments. . WHITE-.Office APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER. 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn^us V GOLDEK_iUf) - Inspector YELIjOW - Owner (after issue) PINK - Assessor PLEASE PRINT OR TYPE ALL INFORMATION Permit No. ' LAKE / RIVER NO. ^ ^^ ykPKEIRWIE^ ^SECTION ^ /TWP NO. ^f<ANGE ^ \G^h I OorSA ^ PROPERTY (E-911) ADDRESS KE/RIVER NAME TWP NAME ^-395 PARCEL NUMBER ' Last Name First Initial Mailing Address ^ ~ . ^aytimfeS^floi^^S^ 'SZ' OOP oo/C)- do3LEGALDESCR O/F./U-r />7V ^ O- /9 Contractor Name Lie.# v/ txtoNSITE SEWAGE TREATMENT SYSTEM (y<^ Permit No. -A- 7^'7^ ( ) OTLSD * 77i/s permit is only valid alter verification from the O.T.L.S.D. that a conforming sew age system will be instiled to service this lot contact Rollie Mann at 864-5533. PROPOSED PROJECT (please circle the appropriate number) (/' (2 ) Add’n to Dwelling (3 ) 'Replacement Dwelling ( 5 ) RCUAfear________ (6) Detached Garage ( 7) Add’n To Non-Dwelling ( 8 ) Storage Structure (9) W.O.A.S. ^^lO^therJ^^^ jOr g y^r^'Existino Dwelling to be removed before ONSITE WATER SUPPLY Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. (1) New Dwelling ( 4) MH/TR_____ CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING Outside Dirhension /Ft. x__ Sq.Ft. ^ Setback to Lotline : Setback to Right of Way^ocn-, FL't^ ^Setback to Right of Way Setback to Ordinarv Hioh Water Level GoC /- Ft.<^^ . Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level *?0 Ft.*Ft."Ft. X Ft. X Ft." ^'Sq.Ft. Sq. Ft.________ Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotllnes/Righ^f-ways Must be Staked Onsite Prior to Application / Inspection Ft. & JSZ) ^ Ft.Setback to Lotline Ft.&Ft."Ft.&Ft." Ft."Ft." Ft. . Elevation Above Ordinary High Water Level .-3a> Setback to Septic Tank /a -j- Ft. Setback to Drainfield fro .y- Ft. Setback to Bluff yt//^ Total Bedrooms Maximum Proposed Height Roof Change (>4) Yes ( ) No Basement ( )Yes (><') No ly ^^l^^s^nt ( ) Yes (^ j No Topographical Alteration / Earthmovinq None □ 20 Cubic Yards or Less * ^0 21 Cubic Yards - 299 Cubic Yards* CHARACTERISTICS OF LOT: Ft. Ft. Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height Roof Change ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No Ft.Ft. Ft.Ft.Ft.'^^Ft.Ft. Ft.Ft. ( ) Screen Porch ( ) Storage Structure * Must include on scale drawing Permit may be required□ 300 Cubic Yards or More* Lot Area Sq. Ft. Impervious Surface Ratio: r>Water Frontage .Ft.Bluff ( ) Yes (Vf) No .= Q/<. ATbiaU^^IouTSu^^nsite (FT^) ■fby Lot Area (FT^)X100 =.% 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: Thereby 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 OtterTail 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 OtterTail 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 buil^g footings have been constructed. Signature of Prohertvy^i Date: ner ^ rDate: Land & ResourcipMarm PROJECT(S) TOTAL SQ.PERMIT FEE $RECEIPT NO. 6Comments: oens 322,179 • Victor Lundeen Co.. Printers • Fergus Falls. Minnesota APPLICATION FOR SITE PERMITWHITE - Office GOLOENROD - Inspector LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 5653' 218-998-8095 www.co.otter-tail.mn.us YELLOW - Owner (after issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWPNAMERANGESECTION- TWP NO.,LAKBRIVERy CLASS 1/LAKE/RIVER NAMELAKE / RIVER NO.1/1/Oo<ef)-.'?5 >Sv 3- 3 3-/Qn /36 PROPERTY (E-911) ADDRESSPARCEL NUMBER '35Z- OOO O 0/0 LEGALDESCRI^N Py Q^ <iO/r7 AJ(J C O/i I oT ^ ^ ^ S /£>3 3^0 //'/!/ OB a B /A f,/- 5 ^7 < / / /) / urun /. /K y<S/ ' A/ 77 <91 70 P7'/)/ S,S Ofi’O <=: Pay, - B o3 e 77j /''TI L Daytime Phone Nor^Mailing AddressinitiaiFirstLast Namer-7/0 A't V Doo 'u O Y /iZ/Q 3Property Owner //r <t .< VV ■y Contractor Name Lie.# >/- ONSITE WATER SUPPLY IF (XJ Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM (?^ Permit No. _i______ ( ) OTLSD * This pemiil is only valid after veriUcatm from the 0.T.LS.D. that a conforming sew age system will be installed to service this lot contact Rollie Mann at 864-5533. PROPOSED PROJECT (please circle the appropriate number) (2) Add’n to Dwelling (5) RCU/Year_____ (^ Add’n To Non-Dwelling 8) Storage Structure ‘‘(.10 )r Other <■ <' ^ ^‘Existing Dwelling to be removed before. (3) ‘Replacement Dwelling (6) Detached Garage (9) W.O.A.S. (1) New Dwelling (4) MH/YR____ CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELUNGOutside Dimension Ft. X 7o Ft."'Ft. X Ft."Ft.x Ft.” L'"Sq. Ft, / '^O - ySetback to Lotline /^Ft.& SO 7 Ft." Setback to Right of Way Ft.*^^ Setback to Ordinary High Water Level A Ft.*^ . Elevation Above Ordinary High Water Level c^Q Setback to Septic Tank r Ft. Setback to Drainfield —Ft. ■ z' Setback to Bluff F/^ PtF fotal Bedrooms Maximum Proposed Height Ft. Roof Change (>-'■) Yes ( ) No Basement ( )Yes fX')No Sq. Ft. Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff____ Maximum Proposed Height ____ Roof Change ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No Sq. Ft. Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Ft.&Ft."Ft."Ft.& Ft.”Ft.” Ft.Ft. Ft.Ft. _Ft.Ft. Ft.Ft.- .-A''*Ft.Ft.Setback to Bluff_______ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotllnes/Right-of-ways Must be Staked Onsite Prior to Application / Inspection i Ft.Ft. ( ) Screen Porch ( ) Storage StructureYes (X)Novypikogt Base^nt * Must include on scale drawing Permit may be required Topographical Alteration / Earthmovlna M, None □ 20 Cubic Yards or Less * □ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: Lot Area / Z 3'./O Sq. Ft.Q_Bluff ( )Yes (Vr)No = n/3. L .Ft.Water Frontage * - Q'/y 9oImpervious Surface Ratio:.%xioo =Impennous Surface RatioTotal Impervious Surface Onsite (FT’)Total Lot Area (FTr) THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. 0JI■ J>Date:7' V- S/gnatufB of Property Owner n ■1iF% Date: y By) 7//^/Ms , QiO RECEIPT NO.PROJECT(S)TOTAL SQ.FT, yuM }itt M y.71-' CommentstS.y 7 7 Tf )■ • ? Form No. BK — 1003-0505 322,179 • Victor Lundoen Co.. Prtrttors • Fergus Falls, Minnesota SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations Structure Set Back from Ordinary High Water Level Ft.Ft. Structure Set Back from Top of Bluff Ft.Ft. Structure Set Back from Road Right of Way Ft.Ft. szi +Structure Set Back from Lot Lines Ft.&Ft.Ft.&Ft. vt /rStructure Height Ft. Ft. /c>o ^Structure Set Back from Septic Tank Ft.Ft. Structure Set Back from Drainfield Ft. Ft. Elevation Of Lowest Floor Above Ordinary High Water Level Ft. Ft. Land Slope at Building Site %% Inspector’s Comments / Sketch: A/ t V I n Inspector's Signature Date of Inspection Time of Inspection /Yi^ pyo<VQ Project Approved Date / Initial t L, I 5 \i/yid>L'(II 1 A:Aof U^ccA ‘ f^_po. ( Al 'S I \SL ^ f “I'C c( /2^0o7^ (V ' /( • -O -C. t? oc'^/-/ • Q,^ -Z.K. \J''02- <x ,' 1^- 1^.,,/ -S» . /•'Ivi i i ! I t I i dA.-7d>-<PS' H- / 1 ^ r . . ■ ■ . - -Tt-^ i‘ %;■?' £9‘ ■'^ . P ■ .: ‘ .¥^ c ,t ttt^ ^5 j5^i M/»ij •0 1iI □n □‘i ,/i.......rSi,i‘:-:.'i;„?” -■ - i^' '...K/fti-.:..^..,L,...,l, *e—«■—i /■^2* -*’SH w^til > ,-■" ,'i '28 y-Si. ■'-i _ \ V) A ■QoI Vi \i NJ) 4 ■|°<J' Y Xi /oSfti-icfk uji^y 0 • \ y36' V /S '5K*elAKtSL Sk<fl z^- 0IS oVcs?•>c V\\> ivl 1 OeU:t «)>*oc rAf^/o £>*ck^l^*t-k a3o '<•X. ) 27 2^33'Z^' I >r . r Y■\ lot tjo !■ «, NOTES REGARDING PROPOSED PITCHED ROOF ON EXISTING MOBILE HOME (UNIT #27) HOVEY’S ON STAR MAY 17, 05 - Mr. & Mrs. Miller in office inquiring if they needed a Site Permit to add a pitched roof on their mobile home as it is leaking badly. I told them they would need a Condition Use Permit (being in a Cluster and any change in size requires this) and a Variance as they are closer than 50’ with their mobile home to the lotline. Took their phone number and told them I would call them back after discussing this project with Bill. Per my conversation with Bill this morning, May 18, 2005, he would like to see a drawing of their proposed roof It appears from viewing the file that we have allowed pitched roofs on mobile homes without a Conditional Use Permit in the past so no Conditional Use Permit would be required. A variance would still be required for the side lotline setback. I called and spoke with Ms. Miller after speaking with Bill and informed her of the above information. They will be filing for the Variance. They can use the drawings in the file which I made copies of along with their drawing showing the proposed pitched roof Ms. Miller called me back and they want to be heard at the July 14* hearing as they have ' a commitment on July 7*. I told her to put a note on the application to this effect. IT I ! ; ■ ' % APR 0 C 200j 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 APPLICATION FOR SITE PERMITWHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NAMESECTIONTWP NO. 'RANGELAKE/RIVER CLASSLAKE/RIVER NAMELAKE / RIVER NO. 3Q /36S~^- 3SS 4/S4~CL\r Iflkp PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) 5C-0C0-65-0010.I JlOS LEGAL DESCRIPTION (.f fiL Z COM COR L^TT^ fst. AO^>/ PSACH'S ScW £ I 23. S /. 73 ' S’ S i53.3:s' to B4 s jlo Dc6 e (e<r,fr V 7</ Oir<& £ /oo.of s 7 J^e<s> e S3' TO i.K ALOM& -CK ttsl' At To V Ai CL 3. w To ^T fl oF *3€ S 2. 1>£6 £ To BC Daytime Phone No.Mailing AddressFirst InitialLast Name |4mJ 'PoTL^la. ^Ll-n^LY___A /?/? Brt/ e3o3 Tk>i\-\-^h\^{ SlfSH’ 75"y-2fcV.s~Property Owner S____Q_ fttf p«0. |3m 2-3 fa tftdV lo 4/<te?l4rfc A/i/4T^adtr - f(oiHfs ~ ouJftgr- ^o<v (/oS6 2/g-3SS--3/tlContractor Name Lie.#93l SA-ert ^c/. Ick'f'^rloOi XA ■ S'OTdI 3/y-J33-«jyy/ 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( permit No._____^ Or ( ) OTLSD * This permit is only valid after verification from the O.T.L.S.D. that a conforming sewage system will be installed to service this bt contact Rollie Mann at 864-5533. PROPOSED PROJECT (please circle the appropriate number) (2) Add’n to Dwelling (5) RCU/Year_____ 'Replacement Dwelling ( 6 ) Detached Garage (9) W.O.A.S. e removed before OS' (1 ) New Dwelling (4) MHA'R (7) Add’n To Non-Dwelling (10) Other (j^S^torage Structure , __ 'Existing-cS^w^W^ CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NO^ Outside Dimension _ ) O__Ft. x 'He-It IGCHARACTERISTICS OF PROPOSED DWE Outside Dimension IT Ft. x lO Ft." Sq. Ft. ^ go Setback to Lotline Setback to Right of Way 2.0 B Ft." Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank WA Ft. Setback to Drainfield N ft Ft. Setback to Bluff )J A Ft. Maximum Proposed Height lA Ft. Basement_____ Walkout Basement Total Bedrooms 2- Ft. X Ft." /SO' sS Ft. & Ft."i£e> Ft.& Sq. Ft. ^ Setback to Lotline .Ft. Ft.&Ft."Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff____ <#■ Setback to Right of Way Ft." "Setback to Ordinary High Water Level T Ft. Elevation Above Ordinary High Water Level ~2.P Ft. I Ft." 20 Ft. /£? 'Ft. Setback to Septic Tank UA Ft. ' Setback to Drainfield fV ft Ft. Setback to Bluff N A Ft. Maximum Proposed Height Bathroom Proposed ( ) Yes ( No Ft.Aoe< ^Ft. Ft.\0' FtYesNo Maximum Proposed Height ( ) Boathouse ( ) Gazebo "Project/Lotlines/RIght-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.Yes No ( ) Screen Porch ( ) Storage Structure Topographical Alteration / Earthmoving a’^None □ 20 Cubic Yards or Less * □ 21 Cubic Yards - 299 Cubic Yards' ' Must include on scale drawing Permit may be required□ 300 Cubic Yards or More' CHARACTERISTICS OF LOT: 0 Bluff____Yes X NoSq. Ft.Lot Area.Water Frontage .Ft. Qn.SRD /5'C.iSHnU Total Im^wious ^rface Onsite (FT2) ^__= 0 f 5‘ (jD X100= . mu /rvuvJ^ mirti ^Impervious Surface Ratio:.%Total Lot Area (FT^)Ratio 0 THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNES Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. STATE STATUTES. ___^/l$l06 IDate: S'lgnatuTe of Properlfowner fj Date: Land & Resource Management Office^/7S-/3/)nn/)PERMIT FEE $PROJECT(S) TOTAL SQ.FT. RECEIPT NO. (f't 5 / Stdr_____^\ytP / -Y 2o ^ Co I ~f~4 Srho p Comments: Form No. BK — 1003-0501 • *315,901 ■ Victor Lundeen Co., Printers • Fergus Fails, Minnesota APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us WHin; - Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor o mitNo.EXPIBEDPLEASE PRINT OR TYPE ALL INFORMATION SECTION ^ TWP NO.TWP NAMERANGELAKE/RIVER NAME LAKE/RIVER CLASS Gi) LAKE / RIVER NO.S /l n Wf-'.LA/,' f I PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) " !'if iL/ / V-. '6.-•' ' L W "03- .''1^ I ^ o ^_____ Ft g1! 2 Cem u u) coR S I 5 3, 5^5 ' TO 6 s ^.o A L CN t, i-OT 14 Is-t. ADAM REACH's Sc /. 73' tr Dc6 E (cS-.fl' V 7</ e lOO.Of S 7 £)E6 £ To Lf< H OP '3g s'a LEGAL DESCRIPTION i iq .97' Mi£ LW G / 2 z . f y ' S' ilt-E ETo B<sLK Cl 2 uj T o r Daytime Phone No.Mailing AddressLast Name I First Initial Property Owner ^xil4_U_S 7)a-i\~L ^ ivt ^I:!/0 / M •j M f I : ^ V AA C y I Hi,]/ lO I'J^u '/r,k !//k/I ill 4/ n llfContractor Name Lie.# ^■.0. 0r-y 23 c j/<- 3sT-3m! VYitUr I 431 -4^rl fi .irl t y-lco, T rt 3 3^-.Jr/// ^<; / -// Ii-r-i I A I A ONSITE WATER SUPPLY v' ( . ') Individual ( ) Public ( )None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM PROPOSED PROJECT (please circle the appropriate number) (2 ) Add'n to Dwelling (5) RCU/Year______ ‘Replacement Dwelling (6) Detached Garage (7) Add’n To Non-Dwelling i'18) Storage Structure (9 ) W.O.A.S. (10) Other ‘Existing Dwelling to be removed before / ' (1) New Dwelling (4) MH/YR_____( J Permit No.i ( ) OTLSD * This permit is only valid alter verification from the O.T.LS.D. that a conforming sewage system will be installed to service this tot contact Rollie Mann at 864-5533. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELUNG Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension : ( Ft. x >r / ■Ft." /rFt. XFt."'. Ft. X Ft." Sq. Ft. ! 'ai Setback to Lotline Sq. Ft. Setback to Lotline Ft. & / ^ ~ ' Ft." V.Sq. Ft. Setback to Lotline____ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank___ Setback to Draintield____ Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo Ft.&Ft.’ Ft.& "Ft.” Setback to Right of Way Setback to Ordinary High Water Level / ?'0 Ft. Ft." Setback to Right of Way . Ft." Setback to Ordinary High Water Level <^4'o A Ft. Elevation Above Ordinary High Water Level__2. -Ft. /o ' ''*■ A'o' Ft.” Elevation Above Ordinary High Water Level ~p c ' FL- Setback to Septic Tank Setback to Drainfield /V h Ft. Ft.VFt.f'''• /O ' t/ f.Ft.L-' Setback to Septic Tank i i r. Setback to Drainfieid : i ' •. Ft. Setback to Biuff Maximum Proposed Height Basement______ Walkout Basement Total Bedrooms _Ft.Ft.Ft.Setback to Bluff ■ Maximum Proposed Height Bathroom Proposed ( ) Yes ( ^ ) No Ft.FI.No iC‘ Ft.Yes FLYesNo ( ) Screen Porch ( ) Storage Structure **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Topographical Alteration / Earthmovinq None □ 20 Cubic Yards or Less * □ 21 Cubic Yards - 299 Cubic Yards‘ ‘ Must include on scale drawing Permit may be required□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: a Yes Y NoLot Area..Sq. Ft.Water Frontage .Ft.Bluff Impervious Surface Ratio:—X100 =V .%.Irnpen/ious Surface RatioTotal Impervious Surface Onsite (FT^)Total Lot Area (FT^) THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, empioyees 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. Z.Date: /i-t-/Signature of Property Owner Date:/Land & Resource Management Office PROJECT(S) TOTAL SQ. FT. / /' /J /) ,/PERMIT FEE $RECEIPT NO. I/ 4 /.cL,r iT! O____T/fii e, f/LComments: r.,f_S./.7 '[,,// / /I / ,,A .' /f ’ /tl-.f ■' ! .# * y -.VForm No. BK — 1003-0501 315,901 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations Ft.Ft.Structure Set Back from Ordinary High Water Level Ft.Ft.Structure Set Back from Top of Bluff Ft.Ft.Structure Set Back from Road Right of Way A Ft. & Ft.Ft. & Ft.Structure Set Back from Lot Lines Ft.Ft.e (pStructure Height Ft.Ft.Structure Set Back from Septic Tank Ft.Ft.Structure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level Ft./v<Ft. %Land Slope at Building Site % LS.0 Inspector’s Comments / Sketch: f J Inspector’s SignaturgP^ Date of Inspection Time of Inspection ^p^roject Approved ^ LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) 121 W. JUNIUS AVE. SUITE 130, FERGUS FALLS, MN 56537 www.co.otter-tail.mn.us APPLICATION FOR SITE PERMITWHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor Permit No. TPLEASE PRINT OR TYPE ALL INFORMATION SECTION TWP NO. PROPERTY (E-911) AOfidESS RANGE TWPLAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS HisrA/z <s oPARCEL NUMBER (S) lipOoo3<^ ol&9ooj Last Name First Initial Mailing Address " 3 /p^J3 lOi^ LEGAL DESCRIPTION Daytime Phone No. 3/a 77 ^rArt iojr^Property Owner vy/iMiy Contractor Name Lie.# ONSITE WATER SUPPLY ( ) Individual (^J^ublic ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM ( ) Permit No. 6^Ct5/f/^6- PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add’n to Dwelling ( 5 ) RCUA'ear_____ ( 3 ) 'Replacement Dwelling ( 6 ) Detached Garage (1 ) New Dwelling ( 4 ) MHA'R____( ) OTLSD * This permit is only valid after verification from the O.T.LS.D. that a conforming sewage system wiii be installed to service this lot contact Rollie Mann at 864-5533. ( 7 ) Add’n To Non-Dwelling (*8^Storage Structured ( 9 ) W.O.A.S. 'Existing Dwelling to be removed before_(10) Other. CHARACTERIS'nCS OF PROPOSED NON-DWELLINdC Outside ^ '2 Dimension ^ Ft. x ! O i<r. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED DWELLINGOutside Dimension Ft."Ft. X Ft." Ft. X Ft." Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level _> Elevation Above Ordinary High Water L^l Setback to Septic Tank _ Setback to Drainfield__ Setback to Bluff______ Maximum Proposed HeigI Basement_____ Walkout BasemenL Total Bedrooms/ Sq. Ft. Setback to Lotline 3 ^Ft. & Ft."Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Leve/ Elevation Above Ordinary High W^Jer Level Setback to Septic Tank Setback to Drainfield__ Setback to Bluff / Maximum ProposedfHeight ( ) Boathouse / { ) Gazebo / **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.&Ft." Ft.&Ft."Ft."Setback to Right of Way <0 T- Ft." Setback to Ordinary High Water Level /S~^ ^ Ft. Elevation Above Ordinary High Water Level Ft. /O^ Ft Ft.'VFt. Ft.Ft. Ft. Setback to Septic Tank Setback to Drainfield /O^ Ft. ■I Ft. Ft.Ft.Setback to Bluff ' Ft. Maximum Proposed Height ^ ^ Ft. Bathroom Proposed ( ) Yes (_p^o Ft.Nores Ft.Yes No ( ) Screen Porch ( ) Storage Structure Topographical Alteration / Earthmovinq None □ 20 Cubic Yards or Less ' □ 21 Cubic Yards - 299 Cubic Yards' ' Must include on scale drawing Permit may be required Characteristics of lot: □ 300 Cubic Yards or More' .Yes _^NoBluffWater Frontage Ft.Lot Area. Impervious Surface Ratio:X 100 =.% Total Impervious Surface Onsite (FT^)Total Lot Area (FT!)Impervious Surface Ratio TH/S /S A SHE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. 7/p-7A Date: Signature of Prqperty^wner Date: Land & Resource Management Office /PERMIT FEE $PROJECT(S) TOTAL SQ.FT. RECEIPT NO. Comments: Form No. BK — 0203-0501 313,012 ♦ Victor Lundeen Co.. Printers • Fergus Falls, Minnesota J0 LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) 121 W. JUNIUS AVE. SUITE 130, FERGUS FALLS, MN 56537 www.co.otter-tail.mn.us APPLICATION FOR SITE PERMITWHITE - Offic GOLDEHfiOD - Inspector YELLOW - Owner (after issue) PINK - Assessor 0, Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWPNAMESECTIONTWP NO.RANGELAKE/RIVER CLASSLAKE / RIVER NO.LAKE/RIVER NAME (p o PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) l^ocol^ Ol&^OOJ’ : / ■" M H.-p2 /l-c^ S .srV /j/f ^ / 2.3 3 i Ta^ joj' LEGAL DESCRIPTION Mailing Address Daytime Phone No.First InitiaiLast Name 7 ^rAlL /Ojr^//o <76 ^3/2Property Owner --------y ■C fO- i Contractor Name Lie.# 1 yif5» ONSITE WATER SUPPLY ( ) Individual (''.J'Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM PROPOSED PROJECT (please circle the appropriate number) (2 ) Add’n to Dwelling ( 5 ) RCU/Year_____ ( 3) 'Replacement Dwelling ( 6) Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4) MH/YR____ (7) Add'n To Non-Dwelling Storage StructureJ* , . .yb /H^fl( ) Permit No. ( ) OTLSD * This permit is only valid after verification from the O.T.L.S.D. that a conforming sewage system will be installed to service this lot contact Rollie Mann at 864-5533.'Existing Dwelling to be removed before.(10) Other. CHARACTERISTICS OF PROPOSED NON-DWELLINd' > ) CHARACTERISTICS OF PROPOSED W.O.A.S. CHARACTERISTICS OF PROPOSED NON DWELLING ^ J ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension 2Outside Dimension Ft. X / O Ft."Ft. X Ft." Ft. X Ft."i3i± 3.-Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level __1 Elevation Above Ordinary High Water L^el Setback to Septic Tank _ Setback to Drainfield__ Setback to Bluff______ Maximum Proposed HeigJ Basement_____ Walkout Basemeri] Total Bedrooms/. Sq. Ft. Setback to Lotline 3 'f Setback to Right of Way “VO t pt." Setback to Ordinary High Water Level / Ft. Elevation Above Ordinary High Water Level Ft. Setback to Septic Tank / pt. Setback to Drainfield / 3 pj Setback to Bluff Maximum Proposed Height ? Ft. Bathroom Proposed ( ) Yes ( No r FI.& Ft." Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level/__ Elevation Above Ordinary High Wat^r Level Setback to Septic Tank Setback to Drainfield Setback to Bluff Ft.&Ft." Ft.&Ft.”Ft."rFt.*?Ft. Ft.Ft. 1.Ft. /Ft./ Ft. Ft.X Ft. / Ft. Ft. Nores /Maximum Proposed4feight Ft.Yes No ( ) Boathouse/ ( ) Gazebo / **Project/Lotlines/Rlght-of-ways Must be Staked Onsite Prior to Application / Inspection ( ) Screen Porch ( ) Storage Structure Topographical Alteration / Earthmovinq O 'None □ 20 Cubic Yards or Less * □ 21 Cubic Yards - 299 Cubic Yards* * Must include on scale drawing Permit may be required□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: 7 7fc / k ■.Yes / No:Sq. Ft.Ft.BluffLot Area.Water Frontage Impervious Surface Ratio:T X100 =.%Total Impervious Surface Onsite (FT')Impenrious Surface RatioTotal Lot Area (FTr) ms IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the 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. 1 1t1Date:■7^Signature of Property Owner 1 Land & Resource Management Office PERMUFEE, 7 /a y/oDate:!1 ,1/PROJECT(S) TOTAL SQ. FT.RECEIPT NO.J Comments: Form No. BK — 0203-0501 313,012 • Vidor Lundeen Co., Printers ■ Fergus Falls. Minnesota K SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations Structure Set Back from Ordinary High Water Level Ft.Ft. Structure Set Back from Top of Bluff Ft.Ft. Structure Set Back from Road Right of Way Ft.Ft. Structure Set Back from Lot Lines Ft.&Ft.Ft.&Ft. Structure Height Ft.Ft. Structure Set Back from Septic Tank Ft.Ft. Structure Set Back from Drainfield Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. Land Slope at Building Site %% Inspector’s Comments / Sketch: Inspector's Signature Date of Inspection Time of Inspection Q Project Approved Date/Initial ■Tfr d*I IoIM2!i I Midi cVjX; /Ok, *0 So'i ll-^[_M J» I;//MJ!/ y 11 C./T -j/ /5^?/£yy-' js. tP 5VJ E-'llI ASW£i5 5(Z33^ ^Mtx RKjue^rs j I • OTTER TAIL COUNTY Grade & Fill Permit # 7296 e >PROPERTY OWNER 'b'^b ^7AK lAACt'SEC.__3 TWP. NAMELAKE NO. ?T CU^...LEGAL DESCRIPTION: ^ f (5 c<^IkaA As lAwv-| YvU<-^. Q P c^V aW cwTN o>-A ^ \ A yfX.-'^b-WMuk \/^t^<fe,~V»^-V\c4A V WORK AUTHORIZED ^ \ V./ A.^-N^ >1 jp/^Wv NOTE; This card shall be placed in a conspicuous place not more than 4 feet above grade on the premises on which work is to be done, & shall be maintained there until completion of such work. NOTIFY LAND & RESOURCE MANAGEMENT, 218-998-8095 WHEN AUTHORIZED WORK HAS BEEN COMPLETED. & ^-'-^51. EARTHMOVING SHALL BE DONE BETWEEN M-P^3-'3 2. Entire area shall be stabilized within 10 days of completion of any earthmoving. 3. Owner is legally responsible for all surface water drainage that may occur. 4. No fill shall enter or be taken from the beds of public water without a valid permit from the MN Department of Natural Resources. 5. If the terms of this permit are violated, the entire permit may be revoked and the owner may ^ be subject to^g^ prosecution.6. Erosjorr^hfrqj^ea^res must^implemented prior to any topographical alterations. f APPLICATION FOR GRADE & FILL PERMIT TOPOGRAPHICAL ALTERATION / IMPERVIOUS SURFACE Land & Resource Management Government Services Center, 540 West Fir, Fergus Falls, MN 56537 218-998-8095 WWW.CO.otter-tail. mn. usOTTCR TflilcovaTT-aiiiiiOTi Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NAMESECTIONTWP. NO RANGE l-3S~ y/ LAKE/RIVER CLASS JD LAKE/RIVER NAMELAKE/RIVER# 32^5 PROPERTY (E-911) ADDRESS . i tVlc PARCEL NUMBER(S) ^00 0 3 oc?Ja oo -2 LEGAL DESCRIPTION , . , , ^S/3 37 /Vw/y /68 DAYTIME Phone No.Mailing AddressFirst InitialLast Name fir^TF 109 ___^ i^aJ tr, S s ^1^________ HS-^SBz2£YS~Property Owner Contractor Name Lie. # NOTES: 1. A Scale Drawing & Impervious Surface Worksheet must be included with this Application. 2. The lotlines and project area(s) must be identified & staked onsite. 3. If project disturbs more than 1 acre of land, you must obtain a General Storm Water Permit from the MPCA. Date Stamp L&R Initial DESCRIBE YOUR PROJECT(S): I/J CTT/\ L U/AT£i^ /f A~Z/^A^S/(F TO STA^^ L^\KF^ TOPOGRAPHICAL ALTERATION: Yds^Ft. X Ft. - 27 =AREA TO BE CUT/EXCAVATED:Ft. X Width Ave. DepthLength Yds"WALK-OUT BASEMENT PROJECTS: (Outside of the building foundation) Ft. X Ft. X Ft. - 27 = Width Ave DepthLength Yds"Ft. XAREA TO BE FILLED/LEVELED;Ft. X Ft. - 27 = WidthLength Ave. Depth Yds"TOTAL EARTHMOVING REQUESTED = Ft.BACKFILL AT FOUNDATION:Ft. Distance From FoundationMax Depth CULVERT:If Yes, must indicate size and location on drawing. NoYes ■'JC * fIMPERVIOUS SURFACE BUILDING: Existing IMPERVIOUS SURFACE TOTAL: Existing %Proposed Proposed W UVL ■ % Of Property Owner/Ag^df For Owner CL>^ !3, ^/S' Signature Date Receipt Number BK04-2014 354 253 • Victor Lundeen Co Prnters • Fergus Falls. MN • 1-800-346-4870 System design must be to scale and must include the proposed location of the sewage system, all existing/proposed buildings, property lines, the ordinary high water level of the water body, wetlands, bluff and all water wells within 150' of the sewage system. If there are any questions, see the University of Minnesota Site Evaluation worksheets. inch(es) equals ^ feet.grid(s) equals feet, orScale: MPCA LICENSE #:r'DESIGNED BY: ADDRESS: I f\ i'> Ij LICENSE CATEGORY:. FIRM / Z .DATE:/ /•SIGNATURE:r•7 <>5/■- 5T. A^ p.-p^V.■f /^T’ro^ CoAc/»cai r'j: O UT~ ^ (> u' c n. T S ' 2, < z 2~ I TOP c>% 6 OAAC^f^r \ ;rI' p o ■ -e:1 i ^ ■l!l\/c>Q.rP C^rxj£^ t .’•5 7 •' 9 >• Ti yf'UtfUrtg; 5,5- !1-4 o/d fop tA/ / 4^ d uL U F<QT Cc/Zvc/i.-r'/J t / 8£ 9'^DfpP f-r-'r* f^'3 6 W-^O 7'<>'P Cvdu^Mi' ^ (V 9d 'fo y.X^o5 1<P u / D> rl i -ff I& ! i !C7 I ^ \ 0 \ ! r c ^ j\} Ot'Tp 315,904 • Victor Lundeen Co.. Printers! FergIBK — 1003 — 029 s Falls, MN • 1-800-346-4870 I 4 .....1.hl-J : i Ti_j:;i..I.—H I t n ¥i_;. L Ti:i r I.1..Mini :S:imE-LbAl^:w;Q]R:kSI-IEEl LANDI& RESotrRCEM^NWSEN^^^^ I I.-I—U-|.^_(-.4-..l-.4.4-U4—U4-L-4 L4_4-i-l-.-4.-!—I—l~l—I—(~l—I—iLJ_.,4 1_4_ i TgOVERNMENT SERVCESrGENTERL540-WEST-R ^FERGUS FAL 4: I ^^11^2.1.8-,998=8095 i I M I i r[ I i_:i , 1 www.cb.btter-tail.mn>us t ! r! ! : . ! I , , i TT->"' i I , t ijI1.1.[4-4 I-L rr TAILIiaIL_.'"T4^]t-i 1 f MN 56537J---t"1 TI:4 141 -h,Treatment System Permit #■ow D 4 [■ [11"[Li I Zrl4sf-/v>4/Wf-!I U-JJ L^S744 IJ i I M !■middleA TELEPHONE-NUMBER it!I I rnr[4-M....r ADDRESS: :a,-: I I I L If■; Ii I]1.1 I I h I-f—I I.1.I-I !■ tJ...1 A4-ri„4...I \I -i ^ai rIi4a-I4 ^•f TiIStATEt 1IICITXZfPi. CODEI••■T'I I t—" ‘ ; ‘ ~TL I1TnT i i I! i I i \i}AKE/RIVER NO.\ \ LAKE,NAME } [ I..i.4.1. •uJ.-j.. -j..-4......i.'J-4... ■ J.■ 1 , i , [ 441 4 I 1 4 LEGAL DESCRIPTION: , 4 11: ■ +-4-4-M--....t-n...H—........t..f....I.......H-4...h I r44j-ra'nge ' 1 4| L twp.InameL1" i ifH [-LsblLlBQRINisFLOG ! f 4:4 !l )DEPTHI (inghes)-I color [£f Iiyil!)NStLL4NQ.I i i I I ITEXTOREt:Mill ISTRUCTURE~M~T4~rrT"T ‘4„1 ■ IJ.■II I!I iii. !. r. I'i I j ! ! ! I BLOGKY. plIaty LI1i1.i t tJ,TI ii-t-I T1 4lII I1.1..rr.i..11 };I i I prismatic ---NOrljE "t ii " I4^PARCEL NUI\}lBER '-i I-I-..1II11f 4.,b'lOgky!:;:pd4tt prismatic tt.aarLt ^— „L I L _ J 4...fE-911 Address or Directions From Nearest PupHc Road \ j arTTMTi^M"^ Mr airaa NUMBER OF-BEDROQMSl i I I . - ! : ! - - ..1..r- r- - Ik--' i ~ . t 1 ■ ' • -I ! M M 1a 4.t"[..1 I.I j IanoneCITiii^~naT j_ 6 .L..BL0CKY[' I . II --.rLaty4-.rrIsmatic iTNONE . I ; 1 I i - , I I ; ' ‘tlGARBAGEI DISPOSAL:! [yes hi'„j—j,.-f- NO ;i.1I-i-i ft I 71 *4tt4 1i I1\aWELLICASING DEPTH I I ! ft.' 'SEWER LINE SEPARATilON: I4M4 1-444^ i.i.rl-Ma'I I 4 M 4 [44-14.1..a "-^FLOODPbKIN|tyEs4-j-NO-nn-BLUFF: " YES ; rNOTXT: r — i-' ] ^ I I 4 ! -I VEGETATION: [ AQUATIC HHEERRESTRIAL 1 ' j i t ! j 1 I.ft.I 1 r i t 4:iBtOckY raRisWApc: a-NorjjEtp Ii.,_i__itta I i Li 4I 1.,4, I Ir I rrM;4^"i-'irT::: ^ppcKsa rPLATY-j- prIsmatic j-NOrljE-j- ------- I I I t- " t . I ^- slope ATI installation [SITE: 4t4 ^ ! i a .fjYRE-dE!-PBSERVAt|ON:aRrobe_____LRita-Bonhg 4_|, --------[ [ ' I ’ 1 -j- r'"*F " ■■ 1' I i 4 1.... f 4 ' 1' 1 ItPAR^T MATERIAL:; Till Outwash , Loess ORIGINAL SOIL: Yfes 1 :n:o| [ r '['4 ] I hi _ 1414-11. a T '4f1 iI[.Mrl.)rM 1 i L 4.4.I .4.4.,.j...j... • , a 1..i„ J.„i.Bedrock ; Alluvium ...! r—p-p-f—• ^rI ' I t ' j” ' 1 J..j.-I 4.i.I L.Li-.._rI _j_, I 4 4'4i Date of t'^Bpring .41'.i.]..-rn.t.i... i [■r; 444.n i.•i __•T"'"T I r -t["1 I i1“1 11 I i:'-l4-4-[i'..j..I I 1 - COMPACTED. SOIL: i Yes No f-'f ’-4-J.t n at1'7FEP!|aOP|B^ING7no^^ 4 [.4.44]-.4 f I .4.-a.|j 4 - t -I i i-i-rt 4 ; 1 4 I PERfi.T^s'^*^i ! 1 i ' "1..r t ) ■'T ..I..f..[.■[..;-"Mr-r..4-1-' _ [Tr^O jrESrS >^/?£|/?£Qiy//?£p ^j -| 1 Mift.!4-4I -t I I j PERC-TEST-.|#.;2' IL I t TI WATER DROP II TIME I INTERVAL* (MINUTES)i WATER DEPTH I PERC RATEi ! I I TIME I INTERVAL (MINUTES)WATER DEPTH!I WATER DROP I t I i IPERC RATE I ' ITI :.at.TTTl ......7[rri:7i.^jatiitii 1. a. DROP. I aij.aa=.I-T1MEMl_DROPJ__I' ' L .I-.L ■! 1. I 4L...i.h.-; -.1 - L .J .1 _iTIME ■PERC ■i_i—L..L_L .1. ,L i ■PERC_ ! TIME INTERVAL* (MINUTES) I i WATER! DEPTH I WATER DROP! I I I I PERC RATE 1 TIME INTERVAL (MINUTES)I WATER DEPTHI I i WATER DROP I I i I IPERC RATE I I -1—4..1" |...■ 4-REFILL j4:t,i,44r....1I NrI r ..4. -»T1M6 i i- DROP - J—I- PERC -!-J —i-PERC44- 4-4.TIMEM—DROP-4 TIME I INTERVAL'(MINUTES) 1 WATER DEPTH-I WATER DROP L (! PERC RATE! J i I INTERVAL (MINUTES)l-WATER DEPTHI [_TIMEt WATER DROP. - I l_!__L.,IPERC RATE.-1--L I 1...! REFILL I I - ’ REFILL M t M..........I-,"4 ■1.......i..1 [ 1T"i"-j-j—j- (- [ - T TIMEI—t- DROP (■ -4- PERC 4... L I-t .4:4__ t -i DROP -4- 1- PERC - ,.....4t..l7.r..^‘ \ r t--*— - ^ ; ‘ i I -■ I1- t- -I- -LOME^—(• f - ■■ »- I- - t r-r I LINTERVAU(MINUTES) -’r WATER DEPTH t -i— WATER DROPI • PERC ~ RATE 1....[....•!....I~- TIME TIME INTERVAL-(MINUTES) 4-WATER DEPTHt 4-WATER DROP- 4 ■I-...r JPERC RATE- I- .._v. ; [REfiu.' 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IPERC RATE I_REFIlL_.|i:1XL.L II I .1 REFiu.rm;i 1 * [_DROP__. _ 4-4.a 4-a...-U-i.4-4.-4..'1 -J- PERC_7 „ !„. I L...I ...I -■!_ L._l .. ,t...._iTIME i .L... L7ir'[...-17JaL .1.. t A PERC ....l-.i 1. ..I ...LJ, I.TIME‘DROP_ WATER DROPI f I t PERC RATEI TIME i INTERVAL»(MINUTES)I 1 WATER; DEPTH i I i TIME I INTERVAL (MINUTES)I WATER DEPTHI I WATER DROP IPERC RATE I ! I I__I I.,1.JREFILL 4.i ;-1-1 t'H'Itf ty.................... f |.._LrefiL._L.J I f-—1—I ta’"'4i'i: _4_} ■i..[ 14 -1-..[-■ I- ■i" ■! i -rI f ; i i i -(TIME 4-‘a DROP ! 4^4^-4T4'1 i 1 iax-L'"4 '•!— = 4TIME' —t-...DROP-4—L-___r i ~r ■-:rPERC -PERC-L -L—i-....I- !..J_I'f___L...j......i_a fpROPOSED DESIGNi I [TRENCH; [SEWER LINE ..i.!-l '.'! rt i-.(i..I !.H ' !-t !..j..I 4.I (ir . I i ; ; ; iHOLDING-TANK it 1 i i .GRAVITY DIST.l i ...[.IATGRADE! j 1 ; ; ... PRESSURE DISThMOUND L.BED^I i1iOUTHOUSEM____t .OTHER ! ' ■ '_________ SPECIFY:H. tfrt ' ' ' *.[..if ' : dj- I'M'-t r a ; . . I ■ . a , t ' i"T I ".at"" i" ['"].I.t II If-i-I ■1 'r tt I,t14ti..T...r...i 4-T I!I . 17 January 2002 Mr. Douglas Hovey 31237 Hwy 108 Dent, MN 56528-9213 RE: Site Permit # 18571 issued to Parcel #56000030010003, Hovey’s on Star Lake MHP (Folkestad’s new roof) Sir: I was out to your property on 7 July 02 in order to inspect the above Site Permit and noticed some discrepancies involving roofed decks and decks that exceed 200 square feet in area. I would like to come out and visit with you about this matter when it would be convenient for both of us. Please contact me by 15 Feb 02 to schedule our meeting. Sincerely, Mark Ronning, Inspector I '77 0^ Y 1^ *jV.MM’.'.vNv!*NViV, / --■1^ K-% r ■i V Nt" t‘ , nIr1 I pwrtw ■ APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218) 739-2271 • FERGUS FALLS, MN 56537 WHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor i i; muEXPIREDPLEASE PRINT OR TYPE ALL INFORMATION Permit No. UKE/RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWPNAME S-hK E-911 ADDRESS Gris y/ 3 |p?3 foil K L oof G- S.4-Q. V- PARCEL NUMBER (S) t /M- CM n sZ, S ^ LEGAL DESCRIPTION Jco 'X/ siTr Pf QL-^ FirstLast Name Initial Mailing Address u /ru/.Ti:i s4. r)ak^< S.fcx.r-Property Owner /.5___OQ A X j /gf. H o u tt-.y______ g 7 J Fol W^^ Lv_i~ C">/c:Contractor Lie.#-O e. . PROPOSED PROJECT (please circle the appropriate number) (2 ) Add’n to Dweliing (3) 'Replacement Dwelling (6) Detached Garage (7) Add'n To Non-Dwelling (8) Storage Structure (9) WOAS fm^ther l^iPO 'Existing Dwelling to be removed before ONSITE WATER SUPPLY (^individuai ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a weil. ONSITE SEWAGE TREATMENT SYSTEM (H) Permit No. ( ) OTLSD * This permit is only valid alter verification from the O.T.L.S.D. that a conforming setvage system vrill be installed to service this tot contact Rollie Mann at 864-5533. (1 ) New Dweliing ( 4 ) MHA'R____IM-(5) RCU/Year. CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension________ ________ Setback to Lotline n Ft. & -£'o Ft." Setback to Right of Way JtO Ft." Setback to OHWL 75^ Ft. Elevation Above OHWL 3 Ft. Setback to Septic Tank / O Ft. Setback to Drainfield JiO Ft. Setback to Bluff —Ft. Maximum Proposed Height .S.S Ft. Basement_____ Walkout Basement Total Bedrooms CHARACTERISTICS OF PROPOSED NON-DWELLING Cl^ARACTERISTlCS OF PROPOSED WOAS Outslf^e Dimensiqn Setback to\qdine ___ Setback to Right.of Way Setback to OHWl\ Elevation Above OHWby Setback to Septic Tank \ Setback to Drainfield___Ft. Setback to Bluff_______ Maximum Proposed Height ( ) Boathouse ( ) Gazebo Outside Dimension N Ft. x \Setback to Lotline \ Setback to Right of Wa^ Setback to OHWL____ Eievation Above OHWL _ Setback to Septic Tank Setback to Drainfield _ ^ A Ft. X ^0 Ft."Ft."Ft. X Ft." Ft.&Ft."Ft.&Ft." Ft."Ft." Ft.Ft. \ Ft.Ft. :t.Ft. Ft. FLSetback to Bluff_______ Maximum Proposed Height Bathroom Proposed ( ) Yes ( Ft.\ Yes \ Ft. Yes No ) Screen Porfct)( ( ) Storage Structur **Pro]ect/Lotlines/Right-of-ways Must be Staked Onsite Spoil Disposal □ Onsite (scale drawing required) □ Offsite □ Within Shoreland Area □ Outside Shoreland Area Grade/Fill/Excavatlon □ Yes (scale drawing required) □ No **ProJect/Lot I i n es/R ig ht-of-way 1 Must be Staked Onsite 'N ■i CHARACTERISTICS OF LOT: .Sq. Ft.Lot Area.Water Frontage Bluff Onsite____Yes.Ft.No - PS""TImpervious Surface Ratio:xioo =Total Impen/lous Surface Onsite (FT*)Total Lot Area (FT*)Impenrious Surface Ratio ms 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 shail become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the building footings have been constructed. I f Signature of Property Owner * 1: > 6' }^/-o / Date: f Date: Land & Resource Management Office7T.PERMIT FEE $RECEIPT NO. Project/Lotlines/Right-of-Way MUST be Staked Onsite Prior to Submission of Application.Comments: 5 1A T Form No. BK — 0500-0201 304^ • Victor LundMn Ca, Printon • Fergus Falls, MN • 1-600-346-4870 •*r (SITE PERMIT INSPECTION RESULTS « Inspector must make all measurements and computations /lu Structure Set Back from Ordinary High Water Level Ft.Ft. Structure Set Back from Top of Bluff Ft.Ft. Structure Set Back from Road Right of Way Ft.Ft. Ft.r'Structure Set Back from Lot Lines Ft.Ft.&Ft. Structure Height g H Ft.Ft. Structure Set Back from Septic Tank Ft.Ft.hi- Structure Set Back from Drainfield Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. Land Slope at Building Site %% j h/Z/Z- ispector’s Comments / Sketch: t- 1 -r £>•» (7 aN)* i f I s' I\ Inspector's Signatdfe It(i i f Date of Inspection ♦ / Time of Inspection l^roject Approved r APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor ^ /-fr 7/PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE/RIVER CLASS SECTION TWP NO.RANGE TWPNAMELAKE / RIVER NO.LAKE/RIVER NAME E-911 ADDRESS 3\pn3lR^.L^ Loof S4-3?-5 I Sf PARCEL NUMBER (S) SC^-lbOd-Ci^-CS OJ n LEGAL DESCRIPTION Jco Yh "PG- L ^4- Pf QL Last Name First Initial Mailing Address Daytime Phone No. o ^ s4. Dak Property Owner ; S t>or1^0 tiL Qj /O-g. H a V ^ Y ______ -e t~ f. j ^ Firi j4^ j/* c. _SeiJ;X2, SiContractor Lie.# PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add’n to Dwelling ( 5 ) RCU/Year_____ ( 8 ) Storage Structure _ 'Existing Dweliing to be removed before. 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 X) Permit No. ^(1 ) New Dwelling ( 4 ) MHA'R ( 7 ) Add’n To Non-Dwelling ( 3 ) 'Replacement Dwelling (6) Detached Garage (9) WOAS ( ) OTLSD * this permit is ortly vaiid after verification from the O.T.L.S.D. that a conforming sewage system will be inslalled lo service this iot contact Roitie Mann at 864-5S33.^(j’^jDther CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED NON-DWELLING lARACTERISTICS OF PROPOSED WOAS Outside Dimension Setback to Lotline Setback to Right of Way Ft." Setback to OHWL 7 5 Ft. Elevation Above OHWL Setback to Septic Tank / Ft. Setback to Drainfield Ft. Setback to Bluff — Ft. Maximum Proposed Height Basement_____ Walkout Basement Total Bedrooms Outside \ Dimension \ Setback to Lotline Setback to Right of Waj Setback to OHWL __ Out^e DimensKjn Setback toWline ___ Setback to Rigm^pf Way Setback to OHWiX__ Ft. X Ft."Ft. X Ft."Ft. X Ft." Ft. & Ft."Ft.&Ft."Ft.&Ft." Ft."Ft." Ft.Ft.Ft. Elevation Above OHWL Ft.Elevation Above OHm Setback to Septic Tank Setback to Drainfield _ Ft. Setback to Septic Tank Setback to Drainfield _ Setback to Bluff____ ■t.Ft. Ft.Ft. Ft.Ft.Setback to Bluff Ft> Yes Maximum Proposed Height Bathroom Proposed ( ) Yes ( ) No Ft.Maximum Proposed Height \ ( ) Boathouse ( ) Screen Port ( ) Gazebo Ft. Yes No ( ) Storage Structi **Project/Lotlines/Right-of-ways Must be Staked Onsite Spoil Disposal □ Onsite (scale drawing required) □ Offsite □ Within Shoreland Area □ Outside Shoreland Area Grade/Fill/Excavation **Project/Lotlines/Right-of-wa^ Must be Staked Onsite□ Yes (scale drawing required) □ No CHARACTERISTICS OF LOT: .Sq. Ft.Lot Area.Water Frontage .Ft.Stuff Onsife Impervious Surface Ratio:X100 =.%Total Impervious Surface Onsite (FTr)Totai Lot Area (FTr)Impenrious Surface Ratio ms IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota, i further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the building footings have been constructed. Signature of Propert)^wner ' I O f G ^ H-O / Date: Date: Land & Resource Management Officef33<~i 3PERMIT FEE $RECEIPT NO. Project/Lotlines/Right-of-Way MUST be Staked Onsite Prior to Submission of Application.Comments: Form No. BK — 0500-0201 304,202 ♦ Victor Lundeen Co.. Printers • Fergus Falls. MN • 1-800-346-4870 ', •—r7--- r v.V : ? ■ WHITE-Offij^ . « GOLDENROD - Inspector YELLOW - Owr-^r (a^^^sue) PINK - Assessor APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 EXPIREDf PLEASE PRINT OR TYPE ALL INFORMATION Permit No. L SECTION TWP NO.RANGE TWPNAMELAKE/RIVER CLASSLAKE / RIVER NO.LAKE/RIVER NAME hfLcy fo^ K loof S4-Ol E-911 ADDRESSPARCEL NUMBER (S)f. Slr>~ooo "03 ~Q Cii n --003 LEGAL DESCRIPTION i JUJ V., StTr -i-G LS<f Pi QL^ First Mailing Address Daytime Phone No.Last Name Initial ^ ^__B.C ^r)V, _________s4. r)akl<. A7.^ sj- O.YProperty Owner rOL--y/a c. H o Vrin.1 t~Rx-r, I-I Frj//c' AC~r (-> it Sr,aa.JfcTContractor Lie.#--O fc.Lf.. f-- PROPOSED PROJECT (please circle the appropriate number) (2 ) Add'n to Dwelling (3) 'Replacement Dwelling ( 5 ) RCUA'ear_____ (8) Storage Structure _ 'Existing Dwelling to be removed before. 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 ^) Permit No. ^ ''f : (1 ) New Dwelling ( 4 ) MH/YR ( 7 ) Add’n To Non-Dwelling Iflo^ther f" (6 ) Detached Garage (9) WOAS ( ) OTLSD * This permit is mfy valid after veriheatim from the O.T.LS.D. that a conforming sewage system will be installed to service this lot contact Rollie Mann at 864-5533. ■: i CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED NON-DWELUNG Outside Dimension \ Ft. x\Setback to Lotline \ Setback to Right of Way', Setback to OHWL ____J Elevation Above OHWL___ Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff Maximum Proposed Height _ Bathroom Proposed ( ) Yes ( ) No CHARACTERISTICS OF PROPOSED WOAS Outside Dimension____ Setback to Lptline ___\ Setback to Right.^ Way Setback to OHWLX Elevation Above OHWbs^ Setback to Septic Tank _ Setback to Drainfield__ Setback to Bluff_____ \Outside Dimension________ ________ Setback to Lotline n Ft. & -^Q Ft." Setback to Right of Way JcQ Ft.” Setback to OHWL 'J 5, Ft. Elevation Above OHWL 3 Ft. Setback to Septic Tank Y C> Ft. Setback to Drainfield Ac> Ft. Setback to Bluff • Ft. Maximum Proposed Height AS Ft. Basement_____ Walkout Basement Total Bedrooms_ \I ^ A Ft. X (^0 Ft."Ft.”Ft. X Ft." Ft.&Ft."Ft.”Ft.& Ft."Ft.” Ft.Ft. Ft.Ft. 3.Ft. Ft.Ft. Ft\Ft. Yes Ft.\ Ft.Maximum Proposed Height ( ) Boathouse ( ) Screen Por ( ) Gazebo \Yes L No ( ) Storage Structui **Project/Lotlines/Right-of-ways Must be Staked Onsite Spoil Disposal □ Onsite (scale drawing required) □ Offsite □ Within Shoreland Area □ Outside Shoreland Area Grade/Fill/Excavation **Project/Lotlines/Right-of-wayl Must be Staked Onsite□ Yes (scale drawing required) □ No 1 CHARACTERISTICS OF LOT: Lot Area.Sq. Ft.Water Frontage Bluff Onsite. :Impervious Surface Ratio:xioo =Total Impervious Surface Onsite (FTr)Total Lot Area (FTr)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 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 understand that it is my responsibility to inform the Land & Resource Management office once the buiiding footings have been constructed. G - H'O / Date: Signature oi Property Owner Date: Land & Resource Managernent Office ^f^3‘r'> 37T.PERMIT FEE $RECEIPT NO. Project/Lotlines/Right-of-Way MUST be Staked Onsite Prior to Submission of Application.Comments: i Form No. BK — 0500-0201 304,202 • Victor Lundeen Co., Printers ■ Fergus Palls, MN ■ 1-800*346-4870 r SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations _________ Structure Set Back from Ordinary High Water Level Ft.Ft. Structure Set Back from Top of Bluff Ft.Ft. Structure Set Back from Road Right of Way Ft.Ft.2o/ Ft.Structure Set Back from Lot Lines r'Ft.Ft.&Ft. Structure Height & H Ft.Ft. Structure Set Back from Septic Tank Ft.Ft./<! t' Structure Set Back from Drainfield Ft. Ft. Elevation Of Lowest Floor Above Ordinary High Water Level Ft. Ft. Land Slope at Building Site %% I > ^ -y Inspector’s Comments / Sketch: -r -iLL?">> Inspector's Signattj^ f Date of Inspection Time of Inspection t^ro\ect Approved_^ iDate/Initial - - ii ■sos 7\ Li._ C V ^ 7"I ^ £“/f* I <5«i VN o \ oy^\M ov ^ Q-(S.r , -75'^- 2/7iX 0/V<Jr7 ^ V i C6'\V y- ViV 4<3^XX "tv r>: _« -■ - •-74-. - ■ f ? r- < . .s M-rr*-■ >5:;::: .-■''».. V I . . ■: i ;*f >*^.. 4 J ■l •, :■ V/,, X." .W. . ■■ ■' ■' "Jh'v. ^-- ^ Vr-V: .. ,;.Ji^toteit.T[:r(3BiB:pM;fwygtjMpgfc-!i=Ag’'M: - \ - V . ,iuVi^*SB?.r 1f 1■^. *•v . X- i*fu-“V— • '*SeS9.WTOrttA\LE«7^ ■ •.^x-CAcf WfsPOCtK^ifl^i BiMPV,»x-' -4s|sgfs3^ J ■ I- m\ e-TBeocO _ \' *r.aj - CTTEH'.:.- .^^■*^-. • J V ■t n titeJCttWa* ; ^iimmi ^:r «»WAYt IC^ i 1■,'i- •X ■■4 if i -'-»)7 i. ' y- ,* ;DncUi,.V ;4-,-ve. ■rI '^-:-v:.--•?■T-^\rJ^XJfPUAKi •:' M3^* ' r2:.^.S^=^-=:2?5p’iXC’.f-r^cAo*-^ .': ».:. 9 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone: (218) 739-2271 • FERGUS FALLS. MN 56537 WHITE-Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor Z77/5PLEASE PRINT OR TYPE ALL INFORMATION Permit No. E-911 ADDRESS LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS TWPNO.RANGE TWP NAME /3S"&£r M/6M3 OI?9-m3 PARCEL NUMBER (S) LE^ DESCRIPTION ^k)V<~/^GL5 f Last Name First Daytime Phone No.Initiai Mailing Address7^ J:2LProperty Owner mo Contractor Lie.* PROPOSED PROJECT (please circle the ap (1) New Dwelling (4)MH/YR (7) Add'n To Non-Dwelling (8) Utility/Stg Structure (9) WOAS (10) Other ONSITE WATER SUPPLY (^^^ndividual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM ;(ate number) / (3) 'Replacement Dwelling (6) Detached Garage MZuVdd’ntoDwelli Tst^RCU/Year___^^ermit No. ( )OTLSD* 'Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED NON-DWELLING CHARACTERISTICS OF PROPOSED WOAS Outside Dimension Setback to Lotline Outside Dimension Setback to Lotline___ Setback to Right of Way Setback to OHWL___ Elevation Above OHWL. Setback to Septic Tank _ Setback to Drainfield__ Setback to Bluff_____ Ft." Outside Dimension Setback to Lotline___ Setback to Right of Way Setback to OHWL___ Elevation Above OHWL. Setback to Septic Tank _ Setback to Drainfield__ Setback to Bluff_____ Maximum Proposed Height ( ) Boathouse ( ) Gazebo Ft. X Ft. X Ft."Ft. X Ft." 5(0 Ft.& so Ft."Ft. 4 Ft."Ft. 4 Ft." Setback to Right of Way Setback to OHWL Ft. Elevation Above OHWL .5 Ft. Ft."Ft."Ft." Ft.Ft. Ft.Ft. /D Ft.Setback to Septic Tank Setback to Drainfield Ft. Setback to Bluff Ft.Ft. Ft.Ft. Ft.Ft.Ft. 3^Maximum Proposed Height Walkout Basement Total Bedrooms Ft. . No Maximum Proposed Height Bathroom Proposed ( )Yes ( )No Ft.Ft. Yes ( ) Screen Porch ( ) Utility Structure "Project/Lotlines/RIght-of-ways Must be Staked Onsite Spoil Disposal □ Onsite (scale drawing required) a Offsite **Project/Lotlines/Right-of-ways Must be Staked Onsite Grade/Fill/Excavation □ Yes (scale drawing required) CHARACTERISTICS OF LOT: Yes V NoLot Area..Sq. Ft..Ft.Bluff Onsite.Water Frontage Impervious Surface Onsite .Sq. Ft.Impervious Surface Ratio .% THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express 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 understand that it is my responsibiiity to inform the Land & Resource Management office once the building footings have been constructed. * This permit is only valid after verification from the O. T.L.S.D. that a conforming sewaga,system will be installed to service this lot contact Rollie Mann at 864-5533. Date: 0 7-3> -Date: Land & fw^urce Management /^7£3>PERMIT FEE $RECEIPT NO. yrWjYJ AjyU ^Comments: Form No. BK — 0500-002 300.7C7 • Victor Lundoen Co. Pnntori • Fergus Fall*. MN • 1-800-346-A870 Jc^Wn LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor EXPlR^i'No. /77/3PLEASE PRINT OR TYPE ALL INFORMATION LAKE/RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS Cs’/V' .SECTION ■Q /' TWPNO.RANGE TWPNAME f3^' n/)/om^ OJ9?-r^)03 £-911 ADDRESSPARCEL NUMBER (S) LEGAL DESCRIPTION U3Aj^■i OJ L-- Last Name Daytime Phone No.First Initial Mailing Address ■^/7 vj/ri/yProperty Owner /,' :!( /(,. / // b'-A. vjc4/t /~t'> V/. //y• V 'f . Contractor Lie.# PROPOSED PROJECT (please circle the appropriate number) (2) Add’n to Dwelling (5) RCU/Year______1 (7)Add'nTo Non-Dwelling (8) Utility/Stg Structure (9)W0AS (10) Other. ONSITE WATER SUPPLY ( )Individual ( (Public ( )None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM(1) New Dwelling (4)MH/YR_____ (3) ‘Replacement Dwelling (6) Detached Garage -h( ) Permit No. ( )OTLSD* 5 :: •Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED NON-DWELLING CHARACTERISTICS OF PROPOSED WOAS *Outside Dimension Outside Dimension Setback to Lotline ___ Setback to Right of Way Setback to OHWL___ Elevation Above OHWL Setback to Septic Tank. Setback to Drainfield__ Setback to Bluff_____ Maximum Proposed Height Bathroom Proposed ( ) Yes ( ) No Outside Dimension Setback to Lotline____ Setback to Right of Way Setback fo OHWL___ Elevation Above OHWL. Setback to Septic Tank _ Setback to Drainfield__ Setback to Bluff______ Maximum Proposed Height ( ) Boathouse ( (Gazebo R.X ■ ) Ft.“ R.& 60 Ft.“Ft. X Ft. X Ft.” Setback to LoHine Setback to Right of Way / ' FL" Ft.”Ft.&Ft."Ft."Ft.& Ft.”Ft.” Ft.Setback to OHWL Elevation Above OHWL Setback to Septic Tank. Setback to Drainfield _ Setback to Bluff -------- Ft. Maximum Proposed Height Walkout Basement Total Bedrooms Ft.Ft. Ft. Ft.Ft. //O Ft.Ft.Ft. iS_Ft.Ft.Ft. Ft.Ft. Ft.Ft.Ft. ^ NoYes ( ) Screen Porch ( ) Utility Structure **Pro]ect/Lotllnes/Rlght-of-ways Must be Staked Onsite Spoil Disposal □ Onsite (scale drawing required) a Offsite **Pro|ect/Lotlines/Right-of-ways Must be Staked Onsite Grade/Fill/Excavation □ Yes (scale drawing required) :□ No CHARACTERISTICS OF LOT: Bluff Onsite____Yes NoLot Area..Sq. Ft.Water Frontage .Ft. "J4:, Impervious Surface Ratio ~Impervious Surface Onsite Sq. Ft..% TH/S IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit; Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the building footings have been constructed. * This permit is only valid after verification from the O.T.L.S.D. that a conforming sewage system will be installed to service this lot contact Rollie Mann at 864-5533. y t / 7' S - "^ooo Date:7^4 Signature of Property Oyner y:Date: Land S Resource Management OW/dy' HiPERMIT FEE $RECEIPT NO. €4/4317^''^ ////37lCaJ A /} 6 -{ </■/ Project/Lotlines/Right-of-Way MUST be Staked Onsite Prior to Submission of Application.A /LComments: I Form No. BK — 0500-002 300,767 • Victor Lundoert Co.. Printers ■ Fergus Fells. MN • 1-800-3d6-4870 -r- ■ -/ ■•f n. \SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations 1 ^ ^ (o Ft.Structure Set Back from Ordinary High Water Level Ft. Structure Set Back from Top of Bluff Ft.Ft. Ft.Structure Set Back from Road Right of Way -I' "ZD Ft. ^5D Ft.Ft.&Structure Set Back from Lot Lines Ft.&Ft. Ft.Ft.Structure Height Ft.Structure Set Back from Septic Tank Ft. Ft.Structure Set Back from Drainfield Ft. Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. Land Slope at Building Site %% Inspector’s Comments / Sketch: ... ■* D Inspector's Signature•-S ■k Date of Inspection I • •• Time of Inspeciton m □ Project Approved IDate/Initial ua.. . . . - i 'l'Ili-M IfeetTlor Hh(?h(^s)-eqMalsi ■jl! ......... icalSr ir d(s )-eguals .feet Ti;j .!- f ■| !iI -n/ SIgnatur i .Dated,iU 1 1fhJ^_^Jor tpe fequiredjcale drawing of your prpposaL Be sure to include lot dimension, water d sefMc«; frjj/r?pH|V; la «»,jsic eyai;d^ feyafte syjsfem, top p) bluff apd structures. ic >LS £ urfa ;e >i ert ic ei i :e Iciilation (See Please use I frontape^ ■■ ■ ..:!r ■ Bequiretdrirrpd iefinitiond'n ^Shoreland, Mar^ag ement Ordinance) "4-“.%flbta -b|)t Area- ■iiiTO+i jlbtefjrnp ?jv|ic[ti Dnsitet T !>j:-! i I I i-!(pro tr It-!!r_T-J II- r tt= 5>!?(id0 ■T IJ I.'t1-JII riT iuIs I. y is?;^■rr ■•[> T " VrrmR:I M.J w 1 ^Cf: h ■rI• L 1‘■I- (i i : ! ; ! J . .I f ':y f ■ i ri- I ■ ! \J, ' ~ : ; V' Ia'~:■;ta--t-i-r-i J;■ :i;;T+H l 71I E 7 I 74;T }-:4,ff4fW'if5vh-; ..... -4-i-j ■ 1 r l-j- H • • 1/; ; ”[[ -i-L :.7 ftti 4 ■I-. aTiacD..d:j 4:i:-!/:r d-L[■; -h+T4 1; i:j:/I i -I-"r "~i"T 4“n:!_-|-.7:t ri:±:iv T 1—ri:::::T'r U Tpn^rqrr T aIprdit.1_1.I I 1n L I-i- TdpS--I M ■l_ 4-1i- r :l:_!-H r-!,L ■-U BK — 0599 —.029 296.179 ■ Vicior Lundeon Co, PfiniB't * Fergus falll. MN * 1-800-34C-4B70i}: : :; i 1 T ; • V) u L/'hia:Fi r «—n'-■ V I /o' ; I 3 O /c' s /s' 11 ■.; J^aA P -r lAK^ ’-•\.' V ■; : ■1 IOTH6M ] q‘ 1 ^ u - ,^fflgU&$_(50W0LiS % ‘ ■'s.''-. vSS'ia , r^.'- ■•■ 1i eooo 1! 4teLg| : ■' V 1r■ ;iIf' Dno^t SWUme , ^ v®aa^as;f-^ i i : HlWAY iO& . - ■--'^ I 11I WBnfar rV-A.mifrV^arTB i.'w» t5 •-.—- dtk:H —' --r i‘v ■^S»vV:vI iL^i^:X3f f^AKl ■ ar*-^'HI,.;; *•jSl:« ' 'L Department of LAND & RESOURCE MANAGEMENT COUNTY OF OTTER TAIL Phone: (218) 739-2271 Court House FERGUS FALLS, MINNESOTA 56537 January 10, 2000 Dan L. Workman 8702 S Glenview Dr. LaVista NE 68128 RE: New roof for mobile home located at Hovey’s On Star, Star Lake (56-385) Dear Mr. Workman, In reply to your letter dated January 2, 2000, the project you propose would require a Conditional Use Permit and a Site Permit. I have enclosed the necessary application for both. You may wish to delay application as the Planning Commission will not meet until March of 2000 due to snow cover on properties which they need to view (see enclosed schedule). There currently is on going discussion that could possibly result in a decision that would discontinue the need for a Conditional Use Permit for a project like yours. In that case, you would only need a Site Permit. When you decide to proceed with the application(s), Mr. Hovey, owne^bf the r must be the applicant (on the application(s)) as he is the proper If you have any questions, please contact me at our office. Sincerely,/ Wayne Rosium Inspector Enel. cc: Doug & Nancy Hovey, Hovey’s On Star, RR#2 Box 203 Dent, MN 56528 WR/mls fWHITE-Office ' GOLDENROD • Inspector YELLOW - Owner PINK - Assessor LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone:(218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMIT 3 /SS" ^ / -2 3//(9 MUfS r/c Permit No.LEGAL DESCRIPTION ^O0T~// AIyO BLUFF ZONE 0/=: //^/ y/ OAJAND □ YES jX NO yOLOCATION TWP NO.TWP NAMESECTION RANGELAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS_ i S'TA/^GO -7 y FIRE NUMBER ^SLPARCEL NUMBER (S) - O oa - 03 - oo to - oo 3“ IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and Zip Code (Daytime)First InitialLast Name Property Owner HQ <o ilIaNameContractor State Uc. It ONSITE WATER SUPPLY (jXidividual ( ) Public ( ) None ONSITE SEWAGE TREATMENT SYSTEM (i-)1ndividual Permit # 7^ ^ { ) Collector Permit # ( )OTLSD PROPOSED USE ( ) Dwelling (Hrfjon-Dwelling ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT tfflew Structure(s) ( ) Addition(s) ( ) MH/RV____________ ( YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING (jXltility Structure CHARACTERISTICS OF DWELLING ( ) Screen ^ch( ) Boath^e( ) Garage( ) Dwelling ( ) Addition to Dwelling ( ) Basem^ ( ) WalkouTBasement Outside \ . Dimension______\/ ( ) Utiljty Structure( ) Gazebo( ) Other Outside Dimension .Ft.( ) Other Outside Dimension Ft. X Ft.JSO.Ft.Ft. &Ft. X Lotline Setbacks .Ft.1. X .Ft..Ft.&Lotline Setbacks .Ft.OHWL Setback Ft.&Lotline Setba^sjX^No.Ft.OHWL Setback,Bathroom; ( ) Yes (If Yes / a complying Sewage System Required).Ft.OHWL setback VTotal Bqnrooms______________\ Maximum Height / 30 Ft. (2 stoi Maximum Height /10 ft. (1 story)Maximum Height /18 Ft. (i story) Ft..Ft. Maximum depth of lot,. Water frontageLot Area is (Sq. Ft.) 3 .Ft. Slope of lot.Elevation of lowest floor above OHWL (3 Ft. Min.) Ft.Structure setback to right-of-way. to .Ft. (10’minimum) (Sewage System Permit required before installation). .Ft. (20'minimum) (Sewage System Permit required before installation). Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to septic tank. Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission Is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. Land & Resource Management Office V Z 2* ^ Dated: Dated: 50^RECEIPT NO.PERMIT FEE $ '' C-^V'Q^ Icl ^ _____ " Trat 1^ per Comments: f/O - or^ 275.386 • Victor Lundeen Co., Printers • Fergus Fails. MN • 1-800-3A6-4870Form No. BK — 0295-002 k'^,. • ■ APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 •• •WHITE ■ Office GOLDENROD - Inspector YELLOW - Owner PINK - Assessor '■ /'5(Permit No. £^OOT^ 6 Z~Z7<£^ 0/=^ BLUFF ZONE □ YES pQ NO ^ ^LEGAL DESCRIPTION 3 /3 3 ho MlL£ OAJ <2-r/^5-o >S<3<y7?VAND LOCATION TWP NAME —trA t<£. TWP NO.RANGESECTIONLAKE/RIVER CLASS^ bO LAKE/RIVER NAMELAKE NUMBER i ^ I3/ FIRE NUMBER L 7,J- PARCEL NUMBER (S) ~6 OOO - 03 - 00/0 - 00 3* TELEPHONE NO.IDENTIFICATION: Please Print All Information (Daytime)Mailing Address — No. Street, City, Stale, and Zip CodeFirstInitialLast Name Property Owner /<X 0/=AJ-rTiSpiinoai/Q ^ n NameContractor State Uc. # ONSITE SEWAGE TREATMENT SYSTEM (j,f'Individual Permit # /H ^ ( ) Collector Permit #________ ( )OTLSD ONSITE WATER SUPPLY (^/flndividual ( ) Public ( )None PROPOSED USE ( ) Dwelling (VrfNon-Dwelling ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT (New Structure(s) ( ) Addition(s) ( )MH/RV______YEAR CHARACTERISTICS OF WOAS \( ) Boattiot^se ( ) Screer^fch CHARACTERISTICS OF NON-DWELLING (.•Utility Struct CHARACTERISTICS OF DWELLING ( ) Garage( ) Dwelling ( ) Addition to Dwelling ( ) Basement ( ) Walkoul^asement Outside Dimension ure ( ) Utility Structure( ) Gazebo( ) Other Outside Dimension I2i ( ) Other Outside Dimension Ft. X .Ft.\So Ft.^0.Ft..Ft. &Ft. X Lotline Setbacks \Ft.x .Ft.X u.Ft.Lotline Setback^ OHWL Setback .Ft. &Ft.OHWL Setback Setba^s .K&.Ft.Lotline /Bathroom: ( ) Yes J^»<5 (If Yes / a complying Sewage System Required) .Ft. .Ft.OHWL Setback XTotal Bedrooms Maximum Height /10 ft. (1 story)Maximum Height / 30 Ft. (2 stor^Maximum Height /18 Ft. m storyW .Ft.Ft. Maximum depth of lotLot Area is (Sq. Ft.),. Water frontage 3 .%Ft. Slope of lotElevation of lowest floor above OHWL (3 Ft. Min.) Ft.Structure setback to right-of-way. lO .Ft. (10’minimum) (Sewage System Permit required before instaliation). Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to septic tank. Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement; I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the building footings have been constructed. 7Dated: Signatun of Owner Katl^d Dated; miff I, (; < ci t; - i-F n j Land S Resource Management Office I RECEIPT NO.PERMIT FEE $ y If n't Ct*Comments: *’fnlKgs4gd T»^ct 1r11 (0/fc^ / 0 ___ ^ ~ r ^ J 7 Form No. BK — 0295-002 275.3S6 * Victor Lundeen Co.. Printers • Fergus Fails. MN ■ 1 600-346-4870 INSPECTION RESULTS Make all measurements and computations -h/75'Ft.Ft.Structure Set Back from Ordinary High Water Level Ft.Ft.Structure set Back from Top of Bluff 50'Ft.Ft.Structure Set Back from Road Right of Way i50 Ft.& 50 Ft. &.Ft.Ft.Structure set Back from Lot Lines Ft.Ft.Structure Height 10^Ft.Ft.Structure Set Back from Septic Tank 10^'Ft.Ft.Structure Set Back from Absorption System Elevation Of Lowest Floor Above Ordinary High Water Level____________________3-^Ft.Ft. %%Land Slope at Building Line Inspector’s Comments / Sketch:. u I la/e of Inspe Tme oflnsp> ction fJuMi {0^ __L. Jw \: - 4 i— 4 *•" ys G\RCCl£'<R {&S f^s=TURaf^T ©PiR > I1iTl^ lAc^" p3 MlHHCVlS eowen) , ----------1 /MAVISI KLEPFERI \^BOB i'HEtSEL IcrMP£M t <:&■ \h ^<rSC)B )^AKiDA LuC-lLL£ j nq>Q^a 1 c?Av\som &ev,#FR^^KKLlZ^HARQLr^ AlBcrTc^ scbttX) V 6u<^sev MflNjcV \U^iSTMFF TOHt.S CFFMr^ f- (7ICK ImettleTE^ ^ cHcRrc-f f-'iF’Lc 5555ZZZZa ■ [S'aNE 1 WAACV^DOUfe, i CRisrr.^c^unk TEfLMC'NEvlo ;h -<(V QOi as y % I ^EOR(5&5Ni£ I ^ RLL/^N |fyfELFit^P6^ : Y Jc:ALB»U.S j ) VTKieSCHAFER reuDA t3F\ic:\Ki ELi- ;:2;3>)z.!.n ^ -Ary LiHD/^M^VToN jfp^i^KER 1 I^\MAgiLvM \ j6eeYX]_F0L<E^-tej^—^ bH\CL.g^ \ l->«gvV^A^g.‘SC'm V i f ;Q'.c< Vcsc; o■C )ir \;■'■r- \s.\§7^ / ;P-FCHN 1t! Scale: Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM Dated:19 Signature Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each budding currently on lot and any proposed structures. \ } SO I w V v\e,''0\V ! k.\z'■>-o3; :7N- 7< I c/21598 7®MKL-0871-029 VICTOII lUNOECH CO . PHIHTER*. FERGUS FALI-S. HIMN. 4A kMr ICMemcfJwm . .t ^ S-?BILL KALAR i-K> 5/=^ 7V^ -- ^8'“' 3 ?9 * 5 lAAM^S. V/- »/i < S3V s -■3T :rTi W 6 w'-'(f ‘54 diuofc. Wf Mcwi:— (/^ 6c) j 6lW_ uc t^aSi aUnuJ^7</^- ^/557(f'DiY^ ^-foM (u>j '^W't V'^ J^-k l^vkY" p €KW 4o r 54 ( Y — ,5"^^ (an I UiAdmti^S^ kl c ('(iiUd -\ lY^ (/r\ /)dcl'A. p llvMH^bS- ckU kjj^ (^udi h^ ^*3^ OTTER TAIL COUNTY Grade & Fill Permits W L,^ S___lA l^g.2. ^ AiiJ ^crx/r LoCSitlOnj Lake No.l^Sec. Ji. Twp. J33rRange- ^ /. Twp. Name. u< "y~fi / ic.^&ar> -t315r1~qoz^ iL-ooo ________ ^O-^oO —^______________ OWNER'S NAME:Q Ve: Address i 19a£l_, Expires ^-/~Issued Work Authorized* oc ^ ♦ tv\u.s4- 195T c\ ■ha cvi.Vv^r'fv-«.Kjg-Wgy»g^c^fVK»VS.p^ V\‘\xy>^ •Vv><»v\ o ro Kv\ I q4* • 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 BEEN COMPLETED. OTTER TAIL COUNTY, MINNESOTA Board of County Commissioners Land and Re^urce Mana^ment Official 3-1-ir&1. Earthmoving shall be done between 2. Entire area shali be stabilized 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 Ooooiirr^AiQ. . /-/oi/eyPoOCs f{R ^ B ox SIC>3 Oe-nj-r, MAJ 6'<^S'P8 p» ^ <- U J^ s. ~ 3w- & ~ £> -3 —o of o 3 T Cj ^ A _ ( V> - ^00 2/(^ - ^I^J a S'L~ i^oe i.re^ « PA^Cpe^yy STATE HY. 108 RRST , addn'P Oa<^ TOPEACHS^peach's BEA C Hbeach Aip C^lLstPStOmOtT^M ro P^o PIP0Z— lUPQtt £ST0P 0SPO Crt^y t»xrH Pi^T' AABA* ^Pppp^rjf • P€P(f0srg0 «y &PA ^ OMPPAA HPPL/0 MP^tfxtrgo PPki Otrc^M ro PPAfp Pipf Ptpopsrsp^pS ^ Aaapmaa s pipm tP PA^ey Ppfpy’&KF fPtTH Pe0MiSSJI0^ So0 f' Baassap irms ¥aaa P/p£ gaasspa rPt/A FmspwATrS Department of LAND & RESOURCE MANAGEMENT COUNTY OF OTTER TAIL Phone: (218) 739-2271 Court House FERGUS FALLS, MINNESOTA 56537 February 9, 1994 Hovey's on Star/Walter Davison 205 Corill St. Green Valley, IL 61534 Site Permit #12030 for lot on Star Lake (56-385).RE: Dear Hovey's on Star/Walter Davison: Please be advised that Site Permit #12030 has expired. To date our office has not been notified that your project was ready for inspection as is required. If your project is ready for inspection you should notify our office immediately. If your project has not yet been started and you still plan to proceed, you should contact our office as soon as possible. Please contact our office if you have any questions regarding this matter. Sincerely, Mavis Samuelson Office Manager SHORELAND MANAGEMENT ORDINANCE - SUBDIVISION CONTROL ORDINANCE RIGHT-OF-WAY SETBACK ORDINANCE - SEWAGE SYSTEM CLEANERS ORDINANCE RECORDER, OTTER TAIL COUNTY PLANNING COMMISSION APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor Permit No.LEGAL DESCRIPTION ^'TVAND LOCATION RANGE TWP NAMESECTIONTWP NO.LAKE/RIVER CLASS _ LAKE/RIVER NAMELAKE NUMBER - 3^5 Aa-V 3 /3S V/ FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER (S) - ittri) -03-iPO/O- IDENTIFICATION: Please Print All Information Zip Code Telephone No. Mailing Address — No. Street, City andJState^^/j3 -piAf )/i/y]First InitialLast Name Property Owner Aa. NameContractor State Lie. # CHARACTERISTICS OF PROPOSEDNON-RESIDENTIAL U ( ) Garage ( ) Utilijy^ructure RESIDENTIAL USE ( One Family Dwelling ( ) Multiple Dwelling # of Units ( ) PROPOSED USEPROPOSED PROJECT / Basement( ) Residential ( ) Non-Residential ( ) New StruejM^ ( y.) Additio^ ( ) MH/RV Walkout Basement ( Outside Dimension of Structure______,fFIyWaHer Orientated Accessory Structure ) Other ( YEAR 3oONSITE WATER SUPPLYONSITE SEWAGE DISPOSAL SYSTEM TYPE OF FRAME ( ) Masonry ( |/>f^ood ( ) Structural Steel ( ) Other Height of Structure. # Of Stories_____ Ft. lE /( Public ^OFFICE USE ONLY (f\/) Bluff Impact Zone ( fV) Shore Impact Zone ( jYi Sensitive Area ( y) Public ( ) Individual Permit #_ ( ) OTLSD # Of Bedrooms) Individual ) None ( # Of Bathrooms LOT SIZE AND SETBACKS: -feet.feet. Maximum depth of lotsquare feet. Water frontage isLot Area is 1£l feet. (String Test)Building set back from ordinary high water level is Land height above ordinary high water level at building line is 3 feet. Slope of lot % feet.Building set back from road right-of-way. 1(1 U1 feet.andLot line setback is lA .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 Structure will be located. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STATE STATUTES. Dated: Signature of Owner Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota This permit may be revoked at any time upon violation of said ordinances. .‘o- SOf)f) Dated: Land & Resource Management Offio^ _________ Receipt No. ^ 1 ________ />!! azuu-jqj- /JLMD/nMJ J-lj IUj/ . k^AlthPermit Fee $. Comments: 262,316 Victor Lundotn Co., Printers. Fergus Falls. MinnesotaForm No. BK - 0292-002 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 '^jrfice ,rfOD — Inspector pW — Owner — Assessor Permit No. tUGAL ^ C<^DESCRIPTION -<ynJAND LOCATION RANGE TWP NAMESECTIONTWP NO.LAKE/RIVER CLAS.SLAKE/RIVER NAMEAKE NUMBER kj/4^0D\jtau /3S'CTr FIRE OR LAKE ASSOCIATION NUMBER>ARCEL NUMBER (S) IDENTIFICATION: Please Print All Information Zip Code Telephone No.Mailing Address — No. Street, City and StateFirst InitiaiLast Name ,'>/o y-3 ij/ U.CH-Ct i/.-Property Owner /•j/tyI /klUa^ .//, /NameContractor State Lie. # CHARACTERISTICS OF PROPOSED Basement (/V ) Walkout Basement ( Outside Dimension J iC) of .StmeturB NON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure ( ) Water Orientated Accessory Structure RESIDENTIAL USEPROPOSED USEPROPOSED PROJECT ( ) New Structure ,7' ' ( >.) Addition ' ' ( ) MH/RV ( X^) One Family Dwelling ( ) Multiple Dwelling # of Units ( ) ( X, ) Residential ( ) Non-Residential .Ft.YEAR 3oONSITE WATER SUPPLYONSITE SEWAGE DISPOSAL SYSTEM TYPE OF FRAME ( ) Masonry ( p)i/Vood ( ) Structural Steel ( ) Other Ft.Height of Structure. # Of Stories______ ( ) Other ^J-( V ) Public ( ) Individual ( ) None , OFFICE USE ONLY (/|/ ) Bluff Impact Zone ( (\^) Shore Impact Zone ( A') Sensitive Area /( ) Public ' ( ) Individual Permit #_ ( ) OTLSD # Of Bedrooms # Of Bathrooms LOT SIZE AND SETBACKS: Lot Area is '((■ebdj feet.feet. Maximum depth of lotsquare feet. Water frontage is / 1 feet. (String Test)Building set back from ordinary high water level is %feet. Slope of lotLand height above ordinary high water level at building line is .feet.Building set back from road right-of-way. t feet.andLot line setback is .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 sV7.-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. TH/S /S A SUE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STATE STATUTES. Dated: Signature ol 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 expres; condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota This permit may be revoked at any time upon violation of said ordinances.4 'mDated: Land S Resource Management Oflied ■'y c/Receipt Ho_LL—LPermit Fee $./ ^ 3j.f (ZUacXLiL ^Comments: 1 262,316 — Victor Lundeen Co., Printors, Fergus Falls. MinnesotaForm No. BK — 0292-002 INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft.■; Water Frontage Ft. Ft.k 175Building Set Back from High Water Level Ft.Ft.I aJ/zI-i Building Set Back from Top of Bluff Ft.30 Ft. Building Set Back from Road Right of Way 20 Ft.Ft. Building Set Back from Lot Line Set Back Ft.Ft. ^(6 Ft.Ft.Building Height Building Set Back from Septic Tank Ft. 10 Ft Building Set Back from Absorption System Ft.20 Ft Elevation Above High Water Level at Building Line Ft.3 Ft. Land Slope at Building Line % Inspector’s Comments: \ -> -J. Sketch: J 75- l rn Inspector's Signature Date of Inspection ^4 IlofH \(, ff y Time of Inspection f OTTER TAIL COUNTY DEPT. OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH COURT HOUSE FERGUS FALLS, MN 56537 218-739-2271 PLAN REVIEW RECORD Date Mt yBusiness NameOwner AddressAddress ik lit . y^O'i Type of Business N/A;Date: Permits applied for (township, city, county) Shoreland Management approval Department of Natural Resources approval Pollution Control Agency approval Plans & specifications in writing MDH approval for plumbing MDH approval for swimming pools State Fire Marshal approval 1^ V The plan has been reviewed for the standards of the: Food, Beverage Ordinance Lodging Ordinance Recreational Camping Area, Mobile Home Park Ordinance The plan is approved as submitted: YesJ The following items must be corrected to meet the Standarddi Owner^ j;S -Date Public Health. Sanitarian Date Scale: Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM f /t19 ^3 .Dated:■f 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 1<3=J V i 1 \j I 1K5^ ii:ftI ^i! Kr> 5^\Qi ii:;;i \i vi . 1 3^0 ^ ^ I ■ 1 \I ( i □/ I T i 21598 7®MKL-0871-029 VICTOe LUNOetM CO.. ^HINTEKS. fCIIOUS fALLS. WIMN. nr-*•T—Jilte — Office allow — Owner ink — Assessor ol^lenrod —* Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Permit No^LEGAL Date.DESCRIPTION AND LOCATION S'i^4/ Lake Classif.Lake No.Lake Name Sec.TWP TWP NameRange IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street, City and State Zip No.Tel. No. / OO S^orr-eyTOwner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIOENTIAL PROPOSED USE: (y^One Family Dwelling ( ) Multiple Dwelling ( ) New Building (^Alteration ( ) Other Specify:,f/S*' y/Cp Units J ) Other Size ESTIMATED COST OF IMPROVEMENTS (omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: (^ Public ( ) Individual Septic Tank, etc. WATER SUPPLY: (^ Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central ( ) Yes ( ^No( ) Masonry Wood Frame ( ) Structural Steel ( ) Other — Specify Basement: Stories above basement: Sq. feet (outside dimension) Bedrooms jzm. Baths HEATING: ( ) Electric ( ) Coal Other: . (S^ NoType of Roof:( ) Gas ( ) None ( ) Oil (A No ( ) Unit CHARACTERISTICS: 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...........C.....^..’^r.^^^^^^and Building will be located Building will be located Lot Area is square feet.Water frontage is. feet. (Building Line) ...............................feet feet. feet — from road or street is feet. c2(D-i~1..0.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. Dated./LI 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. 77Dated Shoreland Mana^n^nt Officii Permit Fee $.State Surcharge $. -UComments: Form No. MKL-0771-002 VtCTOM kUMOCCa 4 CO.., y,N. 158899 White - Office Yellow — Owner Pink — Assessor Goldenrod —' Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY /;Permit No„LEGAL /'■' Date,DESCRIPTION AND LOCATION Lake No.Lake 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 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 ( )Yes ( ) NoBasement: Stories above basement: Sq. feet (outside dimension) Bedrooms ..............................Baths HEATING: ( ) Electric I ) Gas I ) None Type of Roof:( ) No ( ) Oil ( ) No ( ) Coal Other:( ) Unit CHARACTERISTICS: Lot Area is square feet.Water frontage is . feet. (Building Line) ...............................feet feet. Building set back from high water mark is................... Land height above high water mark at building line is Building set back from State highway is........................ Side yard is.................... Building will be located Building will be located feet — from road or street is feet. 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 Surcliarge $. Comments: MOT CAI. LFD FOR TNSPFCT Form No. MKL-0771-002 VICTOR LUNBtIN A CO.. RRIHnRO. FCRRUt rM.Lt. ,158899 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. 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 tUMBCCa • CO .FM.I •h”:-- I'X ; !-^4H ! i 5 1 1 i ;1I! ; ; i1 I 1 ;;! ; I! i iI i i 1 i i v'! 11)''i-z' ! ;irI. t ■ a White — Office \ — OwnerAssessor 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 PIGo^^Bod Inspector d?9cf^Permit No„LEGAL Date.DESCRIPTION 3C ^ - AyAND UUHlyLOCATION Lake No7 y 11. ^ ^G OLake Classif. ki Lake Name 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. jQ/? I oS) 9~ Ayikj__ic-^~Fo u cf IOwner NameContractor Architect Name. TYPE OF IMPROVEMENT;RESIDENTIAL PROPOSED USE: (^fTone Family Dwelling ( ) Multiple Dwelling ( ) Other NON-RESIDENTIAL PROPOSED USE; Specify:. AA p L.^ ( t~( f-ry\£) I ) New Building Alteration Units Size JO )C/<Z.( ) Other / c?00ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: 's-( ) Masonry (V) Wood Frame I ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: Public ( ) Individual Well MECHANICAL EQUIPMENT ; Elevatoc: ( ) Yes Air ConditiorTlrv9;^( ) Yes ( ) Central Basement: ( ) Yes I ) No Stories above basement: Sq. feet (outride dimension) Bedrooms ..............................Baths HEATING: i ) El^tric ( ) Coal\ Other: Type of Roof:( ) No ( ) Gas ( ) None ( ) Oil CO*^yO ( ) No ( ) Unit CHARACTERISTICS: Lot Area is .......i^uare feet^ Building set back from high water mark is................................... Land height above high water mark at building line is.........."S Building set back from State highway is Side yard is Building will be located Building will be located Water frontage is . feet. (Building Line) ...............................feet feet. ^...Ofeet — 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, Orainfield, 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. Signature of Owner 7- ~7 ^Dated Permit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the A - 7' -ycDated Sh ooJ2Permit Fee $.State Surcharge $, IComments:Cj>Y>A ^A f Cc Ar, , f.I Form No. MKL-0771-002 vieraa u/hdccm t e«.. pmanM. rcaeut pm-li. hinn 158899 r White — Office Yellow — Owner Pink — Assessor Goidenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Permit No,.LEGAL Date.DESCRIPTION AND LOCATION Lake No.Lake Name Lake Classif.Sac.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................... l^nd height above high water mark at building line is Building set back from State highway is....................... Side yard is.................... Building will be located Building will be located feet — from road or street is feet. 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: not GALLED FILEC-^-20-77 Form No. MKL-0771-002 ,158899 V«CT«« UINOCCN 4 M.. PRIMTIM. rEII«U4 FM.i.1. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS jr MINIMUM Shall Be j 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 VICTO* UJHOCtH « CO . OHIHTIM. FfMUt FALL*. 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 / /mi 1(0r Permit No.LEGAL DateDESCRIPTION AND LOCATION ao ?Sec.Lake Classif.TWP Range TWP NameLake No.Lake Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No.<4yfao/ri cAi Hecrr\jOwner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: ( ^>”tfne Family Dwelling ( ) Multiple Dwelling NON-RESIDENTIAL PROPOSED USE:/^r/i A. ^r\ ( ) New Building Iteration ( ) Other Specify:, Units ( )Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry (i>^ood Frame I ) Structural Steel ( ) Other — Specify (tM»tiblic ( ) Individual Septic Tank, etc. WATER SUPPLY: ( S^blic ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: ( ) Yes ( Stories above basement: Sq. feet (outside dimension) Bedrooms Baths HEATING: ( ) Electric ( ) Coal Other: Type of Roof;( ) Gas ( ) None ( ) Oil (iJ^ ( ) Unit CHARACTERISTICS:i .4^0.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 .3. .070..t feet — from road or street is feet. d.t.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. .../o±...,../sK?.C?../:... Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid Tor a period of six (6) months. ^nature of Owner Dated. Si Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Shoreland Management Official Dated <S0 S-C. Fee $__oo____State Surcharge $.Permit orio^rxj CL ^ dr), <3%Comments: Cctrtn. K. /gZ220 / *:> mci h < !b Form No. MKL-0771-002 ,158899 VICTOI LUMDtCM 4 Whi^^H^ffice Yellow^^ Owner Pink — H^essor Gold^rod^^ 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 LOCATION ‘ Y 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:. /'-'/<•'' r ->\• ■ rUnits ( ) Other ( ) Other Size f — ESTIMATED COST OF IMPROVEMENTS (omit cents) PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well ' ‘ MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms .4 Baths f I /./HEATING: ( ) Electric ( ) Gas ( ) Coal Other: Type of Roof:( I No ( ) Oil ^0 (i ) 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. ......................................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 f Shoreland Management Official Permit Fee $.State Surchiarge $./ Comments; 7 / . ■ r/r/. ^I /i u' rt ^/■ r >-W. I..\<r< ^ r f r-o <r /Ar-. Form No. MKL-0771-002 158899 viersR LuHBEiH i CO.. piinnfM. Ptnwi pullb, him* r fti INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUM Shall Be 4.Sq. Ft, Sq. Ft.Sq. Ft.Lot Area (Square feet) Ft.Ft.Water Frontage IA IFt.Building Set Back from High Water Mark Ft. 50 Ft.Ft.Building Set Back from State Highway s 40 Ft.Ft.Building Set Back from Street or Road &Ft.&Ft.Side Yard Ft.Rear Yard Ft. 10 Ft.Occupied Building to Septic Tank Ft. 20 Ft.Occupied Building to Absorption System Ft. Elevation at Building Line above High Water Mark_____________3 Ft.Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency VICTOtl UIHDECH k ee . mihtii r*Li 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 69 VPermit No„LEGAL Date.DESCRIPTION <3croS S / mt- AND LOCATION ^ JJM- -Jll TWPar>ct r' Lake No.Lake Name Lake Classif.Sec.Range TWP Name IDENTIFICATION; Please Print AM Information Last Name First Initial Mailing Address— No. Street, City and State Zip No.Tel. No. S3 /Vr^Owner NameContractor Architect Name, TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE; (uFt)ne Family Dwelling ( ) Multiple Dwelling ( )Other NON-RESIDENTIAL PROPOSED USE: ( ) New Building ( ) Alteration Specify:. Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( ) Wood Frame ( ) Structural Steel (l>Other — Specify ( ) Public ( L-Kindividual Septic Tank, etc. WATER SUPPLY: ( ) Public (|_J^ndividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( I ) Central Basement: ( ) Yes {Ci^o Stories above basement: ....... Sq. feet (outside dimension)..... Bedrooms I /Baths HEATING: ( ) Electric ( ) Gas ( ) Coal Other: (v-4-^o (^XJilType of Roof; (i-HMo ( ) None ( ) Unit CHARACTERISTICS: Lot Area is square feet.Water frontage is feet. (Building Line) feet feeL 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.feet — from road or street is Zia.±...^.o.±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. ./D.±. 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 OwnerQ.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. /ari 2lDated Shoreland Management Official Permit Fee $.State Surcharge $./9/S Comments: Form No. MKL-0771-002 158899 VlCtO* UINBtCN t CO.. PIHHTCM. rCII«U* HIMH 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 t Permit No..LEGAL t‘ij ' //’flMA Date.DESCRIPTION !AND LOCATION Sec.Lake No.Lake Name Lake Classif.TWP TWP NameRange IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No, Street. City and State Zip No.Tel. No. Owner U3 (Vi Hpn.’Vi^b NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIOENTIAL 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 ( ) 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: V a CL r.jFRTI fiqate issued Form No. MKL-0771-002 VICTOK LUMOCfH « CO.. FRiaTCM. rCUCUO rN.Lt. 158899 -■ ■ r INSPECTOR'S CHECK LIST Make all measurements and computations MINIMUMShall Be i Sg. Ft.ACTUAL IS Ir Sq. Ft.Sq. FtLot Area (Square feet) Ft.Ft.Water Frontage Ft.Ft.Building Set Back from High Water Mark 50 Ft./___^Building Set Back from State Highway r]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.Ft.Occupied Building to Absorption System Elevation at Building Line above High Water Mark_____________3 Ft.Ft. Inspector's Comments: ; lns|:or's Signature Title I - y KInspection Dated Agency VICTO* tUHOeCN i CO . PHINTIIII. rlMVlII fACL*. HtMa