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APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 WHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) ViV www.co.otter-tail.mn.us'^^OVAlin^Aoo APPLICATION MUST BE COMPLETED IfJ^RDERTO BE PROCESSED. ' OTTER TflllCOVITT-BIHflf O T ■ Permit No. LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER SECTION TWP NO.RANGE TWP NAME O^V CX>D, Zliooa^ Z7^, ZlafiOnUj 7L')food , HA»0d0 ^T^iXtCoimi,cr7 •i- pr J C<rrf\^^TTerCftvrkr' C0^ (^ij6^ t^ TZ> I Ryiy; Ltn4 ^.6r\6^ ? lO C.i7 i > ' ' I Last Name ^ ^ ^First Initial ^ v > ' t \ '/hz/v/ I t()0^ f\vir _____ W fj b lO XLEGAL DESCRIPTION DEVELOPED UNDEVELOPED Mailing Address Daytime Phone No. 7ol S~llProperty Owner 1 ilia <sz.f^ ^ c r.Contractor Name Lie.* PROPOSED PROJECT (please circle Ihe^ppropriat^numberi C(T|New Dwellin?!^ ( 2 ) Add'n to Dwelling^ttached Ga^ (5) RCU/Year ONSITE WATER SUPPLY (^Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Weli Code) requires a 3’ (minimum) structure setback to a weli. ONSITE SEWAGE TREATMENT SYSTEM ( I LAP Qprt nt r.nmplianro within .5 yrs Compliance Inspection Report within3yrs>) lAttacheri) n^|-UL__^ ( ) OTWMD 'Must have Sewage Systim Approval from OTWMD prior to issuing Site Permit Contact Rollie Mann at 218-864-5533 ( ) New Septic Permit Issued Permit It ( 3) Replacement Dwelling* ( 6) Detached Garage (9) W.O.A.S. (4) MH/YR. ( 7) Add'n To Non-Dwelling (8 ) Storage Structure (10) Non-Conf. Replacement (identify)"_______ (11) Other (identify)_______________________ (12) Deck______________________________ (13) Fence_____________________________ 'Removal of Existing Dwelling Verified by L&R “Existing Non-Conf. Structure Verified by L&R Inspector's Initial/Date Inspector's Initial/Date CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTE«SnCS OF PROPOSED (Must Include Attactiad Gangs) Outside Dimension /(JU _________ Sq.Ft. Setback to Lotline^i^Ft. & / ^7 Fl *\r Setback to Right of Way Ft.** Setback to Ordinary High Water Level Ft. \J CHARACTERISTICS OF PROPOSED NON-DWELLING ^Outside DimensionFt. X Ft." Z Ft. X Ft." Ft. X Ft.** Sq. Ft. Setback to Lotiine____ Setback to Right of Way Setback to Ordinary High Water Levei __ 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 Levei 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. Elevation Above Ordinary High Water Levei/..-Jf Setback to Septic Tank Ft. S' Setback to Drainfield ZO'^P\.\f ^ Setback to Bluff Total Bedrooms ft.Ft. \u Ft. Ft.Ft. Ft.Ft. Ft.Ft.Maximum Proposed Height Roof Change ( ) Yes {^ No Basement ( ) Yes Waikout Basement ( ) Ves (side profile required) (^^ No Ft.Ft. ( ) Screen Porch ( ) Storage Structure Topographical Alteration / Earthmoving □ None * Must include on scale drawing, additionai Permit may be required.A□ 20 Cubic Yards or Less *21 Cubic Yards - 999 Cubic Yards*□ 1,000 Cubic Yards or More* ( )Yes ()^NoCHARACTERISTICS OF LOT:Sq. Ft.Water Frontage Ft.Bluff Liri%.% Building'Surface Ratio Impervious Surface Ratio THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances.I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. /<-!> Date:T.Sign^ripf mopertf Owner. 3I (i- n -f:LlDate: source Management Offiaaf\nd EE$PROJECT(S) TOTAL SQ. FT. ^ 3"PERMIT RECEIPT NO. Date StampComments: IL n L&R InitialV .. . u V 1 . «Form No. BK — 04-2016 360.647 • Victor LurtdGGn Co., Prlntors • Fergus Palls, Minnesota WHITE-Office Q\l^ GOLDENROD - Inspector YELLOW - Owner (after issue) APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 .co.otter-tail.mn.usOTTER Tflll JcounTT-ainnifOTii Permit No.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED. LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS. SECTION TWPNO.RANGE TWP NAME a/ :■ c. o^O rOjL (j/i/A L I ZUboou,7Ll(?od,2i^(^(^)0^^2.(monoui)iU\ -^V'fVf^.Trl . i^^YJ + pt- CL. Z C 'rn u'7tCn'>i rnasrr RvfrvA UTvf* Loi^ ^,g,15. ‘f iQ C'A- / . ^ IISL. c7B XN'-^CrU TO/DLEGAL DESCRIPTION Cod L- o DEVELOPED.IftUNDEVELOPED.i'vTr Last Name First Initial Mailing Address Daytime Phone No. ~Ar 70 ((JO < ihy a fT c t J b 76/ ./Property Owner - E7f-*■ ‘3 «7 rt 4-'1113 i Contractor Name Lie.# PROPOSED PROJECT (please circle the aj)propriate number) TI U.New.Dwelljng7 ( 4) MH/YR (7) Add'n To Non-Dwelling ( 8) Storage Structure (10) Non-Conf. Replacement (identify)"_______ (11) Other (identify)_________________ ' (12) Deck______________________________ (13) Fence_____________________________ ONSITE WATER SUPPLY (~)^ Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM J__) L&R CerL of Compliance within 5 yrs. (T>Cl Compliance Inspection Report within 3 yrs. - ( ) OTWMD 'Must have Sewage System Approvat ' from OTWMD prior to issuing Site f^rmit Contact Rollie Mann at 218-864-5533 ( ) New Septic Permit Issued Permit # ( 2 ) Add'n to Dwelling^ttached Gafag^ (3 ) Replacement Dwelling* ( 5 ) RCU/Year; (6 ) Detached Garage (9) W.O.A.S. "Existing Non-Conf. Structure Verified by L&R‘Removal of Existing Dwelling Verified by L&R Inspector's Initial/Date Inspector's Initial/Date CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING V ■ ■ Ft. X ^ Ft.** 7 CHARACTERISTICS OF PROPOSED NON-DWELLING . Outside Dimension (Must Include Attached Garage)' c. Ft, X Ft."Outside Dimension _Ft.**Ft. X Sq.Ft._ft_. ^ ; Setback to Lotline ^ . ./Sq. Ft. Setback to Lotline ■ - Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height Roof Change ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No */Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection 21 Cubic Yards - 999 Cubic Yards* Ft. & / 9 7 Ft.** Setback to Right of Way Ft.** ft 0 Ft.&Ft.**Ft.&Ft." Ft.**.73Ft."Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank ft'. ‘ ?' Ft. V Setback to Drainfield 3 l ' T Ft. y Setback to Bluff f 0/ A Ft. I Total Bedrooms Maximum Proposed Height Roof Change! )Yes (7UN0 Basement! )Yes Walkout Basement ( ) Ves (side profile required) (Xj No Ft. v/ J-4-* -Ft.Ft.Ft.7*Ft. \u Ft.i0Ft.3Ft. Ft.-A V Ft. Ft.Bc2_Ftr -JFt.1Ft.Ft. 1( ) Screen Porch ( ) Storage Structure Topographical Alteration / Earthmoving □ None * Must include on scale drawing, additional Permit may be required.□ 20 Cubic Yards or Less *□ 1,000 Cubic Yards or More* ol- 5. 4' ?7' 77 Bluff ( )Yes ()<^)NoCHARACTERISTICS OF LOT:Sq. FI.Water Frontage Ft. zftftz.%.% Building Surface Ratio Impervious Surface Ratio THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances.I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. Date: < i j /' ~ j __________ '-v' , ' ■ --------------------" ^ ^ , S\gnal&iT6jOi ^rc^riy Owner / A,.ger\\ lor OMmer ^ u- n \\^_______ V. i' 3:,,, ■' 9 Lenc/« Resource Management OffidaJ PERMITTEES 7^/77--- iJLDate:LI 4 IPROJECT(S) TOTAL SQ. FT.RECEIPT NO.■'J '4/tppT/i.r /.-/JDComments: ‘-'A Y-.t,rn \i:lU.Uft (A4 I i1^1551Form No. BK —04-2016 4360,647 • Victor LundMn Co., Printers ■ Fergus Falls. Minnesota L.vlui. SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations W IIP 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. Hd AStructure 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 % % ''H/Inspector’s Comment > / Sketch: ) "pi, I \ pv^\V'«^ 1, <1$ Inspecfor’s Signature r-1 I'll Daft Time of inspection Date / initial ' Project Approved IMPERVIOUS AREA !P LAKE HONE (FOOTPRINT; ■ 5^34 5.F. iO COVEREO ENTRT AREAS - 32T S.F. a? COVERED PATIO 3? PATIO !D WALKS ■ 164 S.F. « 730 S.F. - 464 S.F. EXIST, PROPOSED 4 FUTURE; • 20^ S.F. BUILDIN65 BOAT LAJ^INS ■ 6,4^^S.P. » 366 S.P.1PERVI0US « 34270 S.P. . LOT SIZE (APPROXIH 1PERVIOUS COVERA^, ■ 232663 S.F.__« 14.7 % IMPERVIOUS « 53 96 -------I3d4 \ — i3e>; ..i38»-:)--------- -------1373 I ■' -'376 ^--------'376 CABIN/ '' / //; ( /\ \ CABIN/\i storase'' SfED/ / )I 3e' I i APPROX. CURRENT WATER LINE LOCATION OF 75' OHW SETBACK STAKED BY OTTER TAIL COUNTY ON 07/15/16 APPROXIMATE LOCATION OF FELL /LITTLE MCDONALD LAKEEXISTINS CABINS i LAKE NO ■ 56-326STORA6E✓LAKE CLASSIFICATION » 6E>ERAL DEVELOPNENTSHEDORDINARY HISH WATER ELEVATION « 1^.6 FffiT PER MNDNR (NSVD 142«i; HI6HEST RECORDED WATER ELEVATION ■ 1360.17 FKT PER MNDNR (NSVD W: WATER ELEVATION RECORDED ON 07/17/16 ■ 1356.42 FST PER MNDNR (HSVD I CABIN *5NOTE. TOPOGRAPHIC AND SITE INFORMATION WAS OBTAINED FROM "CERTIFICATE OF SURVEY" BY ROY SMITH SURVEYING, OCT. R«13. /BELOW ✓ %;v CONCRETE 1 BOAT LANDING- FISH CLEANING HOUSE w/ cmcK APPROXIMATE ORDINARY HIGH WATER LINE PLAN NORTH NORTH PROPOSED SITE PLAN 160'120'O' 30' 60' j=nSCALE - 1' = 60'-0" i IMPERVIOUS AREA Iiii§5 i §3PROPOSEV LAKE HOME (T=OOTFRINT) ■ 5334 PROPOSED COVERED ENTRY AREAS = 321 PROPOSED COVERED PATIO PROPOSED PATiO PROPOSED WALKS S.F. n(0SP. Is 164 S.F. S.F.a 130 !DS| Bpa 454 5.F. DRIVES fEXIST, PROPOSED < FUTURE; a 20344 5.F. EXISTING BUILDINSS EXISTING BOAT LANPIN6 TOTAL IMPERVIOUS CO .. CO Q ^ Z Z ili ^ O (/) iZ ^ Q Q U £K a 6,4^^^S.F.lU iiia 355 S.F.Z<0a 343TO S.F.SO OVERALL LOT SIZE CAPPROXIMATE; TOTAL IMPERVIOUS COVERA6E a 2323^>3 S.F.%a I4.T o%BUILP1N6 IMPERVIOUS a 53 —1362 .A5-o^1360-------- 3■I3iq I37e Q<^ - -1376X0'’® CT(/)no Mr /o oo §DU 3 o QLLLs>«lA I-2 roKEY< s^ O/rvcrEXISTINS RESORT LOT £ / ///b//%/C/5/<PROPOSED RESIDENTIAL //MAIN LU//oAPPROX. /^ ^ / LOT CHOUSE UJ/<LOCATION </OF EXIST.O////■/'SEPTIC FOR CABIN 1o.§(ill I •&X zDX CO OO LU6al <LJJ ^ £ <s‘A' CL APPROX. CURRENT INATER LINE <C/)LOCATION OP T5' OHW SETBACK STAKED Q BY otter TAIL COUNTY ON OT/I5/I6 LU <HAPPROXIMATE LOCATION OF >^LL ZouQLITTLE MCDONALD LAKE o< O -£LA<E NO = 56-326 LAKE CLASSIFICATION = 6ENERAL DEVELOPMENT H ORDINARY HI(SH (NATER ELEVATION = 1355.6 FEET PER MNDNR fNSVD M21J HI&HEST RECORDED WATER ELEVATION = I360.IT FET PER MNDNR (NSVD W2^; WATER ELEVATION RECORDED ON 07/11/16 = 1356.42 FEET PER MNDNR (N&VD V\2<^) iO-CABIN #5 BELOW—□NOTE; T0P06RAPHIC AND SITE INFORMATION WAS OBTAINED FROM "CERTIFICATE OF SURVEY" BY ROY SMITH SURVEYING, OCT.\\CONCRETE BOAT LANDIN6- FISH CLEANING HOUSE W/ DECK APPROXIMATE ORDINARY HISH WATER LINE SHEET NUMBER: A-1 PLAN NORTH OPT. PROP. OPTIONALPROPOSED SITE PLAN NORTH O' 30' 60'I20'I50* ISCALE - I" = 60'-0" WHITE-'OfficB APPLICATION FOR SITE PE. JTGOLDENROD - Inspector YElLOW - Owner (after issue) PINK - Assessor LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us Permit No. IPLEASE PRINT OR TYPE ALL INFORMATION LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWPNO.RANGE TWP NAME PARCEL NUMBER (S)PROPERTY (E-911) ADDRESS . LEGAL DESCRIPTION y y Z' \^ T / Last Name First Initial Mailing Address Daytime Phone No. Property Owner Z^TTZy^/T-Su/UD/aZ^^ /a/cZ.SVTz^/Contractor Name Lie.# PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add'n to Dwelling ( 5) RCU/Year ( 7 ) Add’n To Non-Dwelling 8) Storage Structui^ ( 9 ) W.O.A.S. (10) Other. ONSITE WATER SUPPLY ^><Cjndividual ( ) 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. ( ) OTLSD * This permit is miy valid alter verification from the 0. T.L.S.D. that a oonlbrming sew- age'system will be instatled to service this lot^ta^c(^^np^864-S533. ciiAnAOTOmTioo or nnoPoocD w.o.Ats: (1 ) New Dwelling ( 4 ) MHA'R____ ( 3 ) 'Replacement Dwelling ( 6 ) Detached Garage •Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED DWEL|4NG Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside ^ Dimension Ft. x Ft.'* 4:Outside DimensionFt. X Ft,>Ft.x Ft." Sq. Ft. \ Setback to LotlineX, Setback to Right of Wi Setback to Ordinary High'WateTl.evel ___ Elevation Above Ordinary Higti Water Level Setback to Septic TanJyC_ Setback to DrainfieW____ Setback to Bluff/_______ Total Bedroom? Maximum Proposed Height Roof Change ( ) Yes { ) No Basement ( ) Yes ( ) No Walkout Basement ( ) Yes ( ) No }OL|Sq. Ft. Setback to Lotline Setback to Right of Way Sq. Ft. Setback to Lotline Setback to Right of Way Setback to Ordinary High Water Level Elevation Above Ordinary High \J(ater Level Setback to Septic Tank i C? Ft. Setback to Drainfield Ft. Setback to Bluff Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotllnes/Right-of-ways Must be Staked Onsite Prior to Application / Inspection R. /SO tFt.Ft."Ft."Ft.& S'O Ft." Ft.”/¥oFt."Ft." Ft.Ft.Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Ft. Setback to Septic Tank Ft.^^Ft. 73'Ft.Ft. Ft.Ft. 3- Setback to Drainfield Setback to Bluff Ft. Ft. Ft>Maximum Proposed Height Roof Change ( ) Yes ^^No Bathroom Proposed ( ) Yes ^^No Ft. ^^jreen Porch ( ) Storage Structure */ 77Topographical 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: Sq. Ft. Water Frontage Bluff ( )Yes ^No ■ L’Tl Lot Area..Ft. Impervious Surface Ratio:Xtoo =,%Impetvious Surface RatioTotal Impervious Surface Onsite (FT=)Total Lot Area (FT=) TH/S /S 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 buiiding footings have been constructed. Date: Signature of Pi Q^er 'NDate: Land & Resoui^Tlfyng§^ent Offh I ^ \^lrl'233.PROJECTfS) TOTAL SQ. FT. Z3 »f 4 PERMIT FEE $RECEIPT NO. k ^ e-vK VA\.W , ^ ____2L. :li lo-fZ -> /Comments: VYV\Vi.a Form No. BK — 1003-0505 322,179 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota r & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 5^37 ^'"1 218-998-8095 www.co.otter-tail.mn.us ^^2^M^)lFf»LICATION FOR SITE PeIBiITWHITE - Office QOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor d) <r/s^kAI^E/RIVER SECTION TWP NO. F^/NCy TWP NAlufe IPLEASE PRINT OR TYPE ALL INFORMATION LAKE/RIVER NAMELAKE / RIVER NO.CLASS PARCEL NUMBER (S) — Y:?jz.y^c:'c^c PROPERTY (E-911) ADDRESS . LEGAL DESCRIPTION , y y ^ y / X ^ \ V:2. r ■r-l First Initial Mailing Address Daytime Phone No.Last Name 5y^-(^?/7Property Owner Ut,-^ Az-Ze M'PScv-t"x/7y. Z^jryr’/r ^¥7~ 777/xt;,Contractor Name Lie.# ONSITE WATER SUPPLY ( ) Individual ( ) Public ( ) None NOTE: MN Rules Chpl. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling ( 4 ) MH/YR_____ ( 7 ) Add’n To Non-Dwelling (j 8) Storage Structu^' ( 9 ) W.O.A.S. (10) Other. ( 3 ) 'Replacement Dwelling ( 6 ) Detached Garage (2) Add'n to Dwelling (5) RCU/Year______( ) Permit No. ( ) OTLSD * This permit is only valid alter verihcalion from the O.TL.S.D. that a conforming sew age system will be installed to service this lot contact Rollie Mann at 864-5533.'Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension rC Ft. x ' CHARACTERISTICS OF PROPOSED NON-DWELUNG Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING Outside ‘ Dimension _Ft.x t.Ft. X Ft."I Ft." Sq. Ft. Setback to Lotline Setback to Right of Setback to Ordinary High Watpr'level___ Elevation Above Ordinar^High Water Level Setback to Septic TanX \ Ft. Setback to Drainfield Setback to Bluff,.: Total Bedrooms Maximum Proposed Height_____ Roof Change ( ) Yes ( ) No Basement ( ) Yes ( ) No Walkout Basement ( ) Yes ( ) No jogSq. Ft. _ Setback to Lotline Sq. Ft. Setback to Lotline Setback to Right of Way Setback to Ordinary High Water Level Ft. & fFt.**Ft. & S^OFt."Ft.” Ft."Setback to Right of Way Setback to Ordinary High Water Level Ft.”Ft.Ft.17 Ft.Ft./;2-Elevation Above Ordinary High Water Level 77^ Ft. Ft.3Elevation Above Ordinary High Water Level Ft. Setback to Septic Tank Setback to Drainfield _1 Setback to Bluff Maximum Proposed Height Roof Change ( )Yes X^^o Bathroom Proposed ( ) Yes p*<4^No Setback to Septic Tank / ’Q Ft. Setback to Drainfield Ft. Ft.Ft. \XX_Ft. Setback to Bluff Maximum Proposed Height ( ) Boathouse ( ) Gazebo Ft. Ft.Ft> ' Ft. JX^i’sen Porch ( ) Storage Structure **Pro]ect/Lotllnes/Rlght-of-ways Must be Staked Onsite Prior to Application / Inspection ^ 77 <7“"'-^' Must include on scale drawing Permit may be required Topographical Alteration / EarthmovIna □ None □ 20 Cubic Yards or Less ' □ 21 Cubic Yards • 299 Cubic Yards'□ 300 Cubic Yards or More' CHARACTERISTICS OF LOT: Sq. Ft. Water Frontage Bluff ( )Yes J[X)N0.Ft.Lot Area. -IMU-O ooImpervious Surface Ratio:Xioo =.%T Impervious Surface RatioTotal Impervious Surface Onsite (FTr)Total Lot Area (FTr) THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. iDate: Sifyrature of Pmp€^V Land & Resource Management Office ' PERMIT FEE $_______________ ''1qDate: RECEIPT NO.PROJECT(S) TOTAL SQ.FT. X77-7 ' S-L !Comments: ^I /" t Form No. BK — 1003-0505 • Fergus Falls, Mlnnesot^^^^322,179 • Victor Lundeen Co.. Printers 1 SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations 55 PooA-Structure Set Back from Ordinary High Water Level Ft. Ft. Structure Set Back from Top of Bluff Ft. Ft. Ft. Ft.Structure Set Back from Road Right of Way jr/-Structure Set Back from Lot Lines Ft.Ft.&Ft.Ft.& 2A li>Structure Height Ft. Ft. (Ft.Structure Set Back from Septic Tank Ft. CCrtrr Ft.Ft.Structure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level ___to ^/(SrtFt.Ft. Land Slope at Building Site % % Inspector’s Comments / Sketch: L . He..' Pyt,— sot- f) i.'1^\ i Inspector's Signature /Date of Inspection l^irO Time of Inspection □ Project Approved. Date/Initial / / / 1\\\\/\\ // / \ \\ \ ////////////y/////\////N//\///O/\////I \\I \/\■ //\X\I I\/\PROPOSED STORj'^KOE // y y y y yy /1y// NORTH RECEIVED SEP 2 4 2007 LAND & RESOURCE PROPOSED SITE PLAN SCALE - i" = 50'-0" 1 1111 f 15I, iiT' r. :i!i -6 1994 iii-LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMIT I 11WHITE — Office GOLOENROD — Inspector YELLOW — Owner PINK — Assessor I i-AHO & RESQUPC!: ^ /xidX~of kc\ 4 and oil <?r kofsLEGAL Permit No. DESCRIPTION S.i-il/ 7, ‘T v/rd to ^ 3,8^ /^ort f^y AND LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER SECTION TWP NO.RANGE TWP NAME do, CLASSAittle Mehrmid CD t PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER 2o-ooo-o7-Ooo-^-ool IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No. Street, City and State Zip Code Telephone No. f'O. if^GK HI . fva1/lK)565A4-Property Owner NameContractor State Lie. # PROPOSED PROJECT PROPOSED USE (^) Residential (Non-Residential RESIDENTIAL USE ( One Family Dwelling ( ) Multiple Dwelling # of Units ( ) NON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure ( ) Water Orientated CHARACTERISTICS OF PROPOSED ( ) New Structure ( \/) Addition ( ) MH/RV Basement ( ) Walkout Basement ( Outside Dimension of Structure_____ ) y^iX^Ft.Accessory Sjfucti^re^ ^YEAR Height of Structure O Ft.TYPE OF FRAME ( ) Masonry ( ) Wood ( ) Structurai Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ONSITE WATER SUPPLY ( ) Public ( V^) Individual ( ) None # Of StoriesOFFICE USE ONLY Bluff Impact Zone ( p7) Shore Impact Zone ) Sensitive Area ( ) Public ( y/) Individual Permit #_ ( ) OTLSD <V # Of Bedrooms # Of Bathrooms ,soseen ^ A / dee Q^aehif^ nnaf feet. ( LOT SIZE AND SETBACKS: 3/7 5Lot Area is square feet. Water frontage is feet. Maximum depth of lot Building set back from ordinary high water level is feet. (String Test) (o vdeicQ /Land height above ordinary high water level at building line is Building set back from road right-of-way / I ^________ Lot line setback is____ Structure will be located Structure will be located feet. Slope of lot % feet. I s-o'rIOC f-and feet. ^0 r .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).sof- THIS fS A SITE PERMIT ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STA TE STA TUTES. Agreement: l hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and accord ing to the provisions of the Ordinances of Otter Tail County. Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months (I understand that it is my responsibility to inform the Land & Resource Management office the building footings have been constructed.) S-S-- HifDated: Signature of Owner Permit: Permission is hereby granted to the above named applicant to perform the work described in the abov^tatement. 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 resp^cw to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. / Z- ■ JX-Dated: Land & Resource Management Office d^OrOn nil 23Permit Fee $.Receipt No_ Comments: Form No. BK — 0292-002 270.500 • Victor Lundeen Co Printers • Fergus Falls. MN • 1-600-346-4870 y-wr 5'-/7-9V 1,-f/ fii'ryi i~Q daM, &-VTJ IA-4JI-f ha.S 'lo iu^A'^c, ttcia/1^% \ va;v„ii- 7^0 i- ,N '"V\“T'->l>;• • T ■> V' .^ \I»1 > '\N v\ \s\ -\ ^> r;.- V V V r*. -\ t- 1 >r 1ri 1 ! V \ k/'A V ; ■- \t\•> I, >1 *M-! i.' y :\ ..• 'ANs •!I \- > > \it i1 >I I•■ A'\1{ I S, -V\' , V, - V ' \-T •f •f ■; N S ‘^- \ '■ I tS'-1 A'A i6 l?v= V X APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739-2271 • FERGUS FALLS, MN 56537 ^ White GOLDENROD — Inspector YELLOW — Owner PINK — Assessor «— Office ^ ^nd l0-fiic9ns JXIDXLEGALPermit No. DESCRIPTION AND Cc*^ sLOCATION LAKE/RIVER NAMELAKE NUMBER LAKE/RIVER SECTION TWP NO. RANGE TWP NAME 126 ^0 ^onA. . / CLASSKlffl« W\?ti«ilqlJ CD PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER 20 - OOO -C2 ~COOTS~OOl IDENTIFICATION: Please Print All Information Last Name Mailing Address — No. Street, City and StateFirst Initial Zip Code Telephone No. i'Or HoK .mt)kaiy Af'!¥S rmvsftiv'aProperty Owner NameContractor ''0State Lie. # PROPOSED PROJECT PROPOSED USE Residential (Non-Residential RESIDENTIAL USE ( One Family Dwelling ( ) Multiple Dwelling # of Units ( ) NON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure ( ) Water Orientated CHARACTERISTICS OF PROPOSED ( ) New Structure ( \^) Addition ( ) MH/RV Basement ( ) Walkout Basement ( ) Outside Dimension v O /oof Structure /CAYEAR 5^?TYPE OF FRAME ( ) Masonry( y) Wood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ONSITE WATER SUPPLY Height of Structure. # Of Stories______ Ft. { ) Public ( yI Individual ( ) None OFFICE USE ONLY J Bluff Impact Zone ) Shore Impact Zone ) Sensitive Area ( ) Public (^) Individual Permit #_ ( ) OTLSD (It Of Bedrooms It Of Bathrooms - 'feet. ( ( LOT SIZE AND SETBACKS:^eeLfeet. Maximum dtejm of lot t square feet. Water frontage is 3X 6Lot Area is feet. (Sts^-Test)Building set back from ordinary high water level is Land height above ordinary high water level at building line is feet. Slope of lot %I?l\3 J.Building set back from road right-of-way feet. Lot line setback is feet. tStructure will be located .feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation).Structure will be located THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and accord ing to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any pians and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months (I understand that it is my responsibility to inform the Land (t Resource Management office ojne the building footings have been constructed.) t4U^ f) ^ Signature of Owner ^ Q ' 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 thp Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. / J-—' • ' s-s-Dated: 5~- /X-Dated: Land & Resource Management Office£'0,00 ■? //V7^.Permit Fee $.Receipt No.i Comments: ir ! Form No. BK — 0292-002 270.500 * Victor Lundeen Co Printers • Fergus Fails. MN • 1-800-346-4870 INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. Ft.Building Set Back from High Water Level Ft. 30 Ft.Ft.Building Set Back from Top of Bluff M 20 Ft.Building Set Back from Road Right of Way Ft. Ft.Ft.Building Set Back from Lot Lines Ft.Ft.Building Height 5-7 10 FtBuilding Set Back from Septic Tank Ft. 20 FtBuilding Set Back from Absorption System Ft. Elevation AboveHigh Water Level at Building Line /S'3 Ft.Ft. %Land Slope at Building Line cm/t rInspector's Comments/Sketch:,S5 (^a)C Tc/cicf*^ ib 0W - ^ -I I- ^ %,! fib \AN r f-'f I ----------^I !0 lo iM ■ t- ^ iPf / J-i -fe ^ iO • 4L i• \ sCKj \ Inspector's Signature S-/7- 9y Date of Inspection lime OT inspectionL, M 4c L - ^ li-, .• - CERTIFICATE OF SURVEY LAZY ACRES RESCRT PROPERTY IN SECTION 2-136-40 OTTER TAIL COUNTY, MiNNESOTA 80 78 — 76 76 78 i i i I i ' t ■ ■' ■> E ® g I w n Scale : I inch = 50 ^eel1%D • ■; APR 2 8 i99d scale 1000 graphic 50 LAND & RESOURCE rvv&i //> / i -t / //! iS®i@ TE/^L L^IMl REVISIONS: ■ LEGAL DESCRIPTION 0150-A\.DH& 40150 oi/n/oi ALO CHECKED BY: AJ5 LAZY ACRES RESORT PROPERTY JOB NO: DATE: DRAWN BY: IN SECTION 2-136-40 OTTERTAIL COUNTY. MINNESOTA THIS DRAWINS IS COPTRISHTED AND SHALL NOT BE RH=RODOCED WITHOUT AROHITEOT5 WRITTBI PB?MISSION \_-^l3&6\ \I HEREBY CERTIFY THAT THIS PLAN. SPECIFICATIONS. OR REPORT WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I AM A DULY UCENSED PROFESSIONAL ARCHITECT UNDER THE LAWS OF THE STATE OF MINNESOTA. \ \ \ --_-l3£,4 -'I3&2 ANTHONY J. STOLL--I332 DATE<30-00-OTREG1STRAT10N NO.22236. ^13&(9-...13&0 "-------/37a "-------/313 ~ I3le - /376 r—-------------/3T6 s . I \ r mom ! CD'=d- ro OO CM to inCD in < oCOLlJ APPROX. LOCATION XOF EXI5TINO 5EPTIO uFOR CAB\H5 < Xo 0^<13 LlJ • Q_ oAPPROX. LOC3ATION < O OF EXI5TINO OAMreR CONITS W/ PEOK^ Ld('TOTAL OF & UNItS LUAq_oHED; CO ;zi Ld\(nto <3 Ld hJ =3O\CO\ o62 \ LUD-.60 Ld--------5&> oc<..=^56 NOTE:Q oTOPOORAPHIO AND SITE crmINFORMATION WAS OBTAINEDA^^ROXJKATE^"^ / XOOATX2N OF" WELL ^/FOR/AMPte <oFROM “OERTIFIOATE OF Of iz) S^ CO SURVEY" BY ROY SMITH SURVEYING, OOT. m3. S- S ^ sN| <S Uw mW So H - MH X o OQ 05 o I- □<3 Q_ (C) 2007 SHEET NUMBER: HOUSE N/ DECK NORTH NORTH EXISTING SITE PLAN PROPOSED SITE PLAN SCALE - I" = 50'-0"SCALE - I" = 50'-0"OF: White — Office Yellow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739-2271 — Fergus Falls, Minnesota 56537 /APPLICATION FOR SITE PERMIT ct^L. /uxunJif t '4-4\jl CyLUi-^-c (pLO ^OOO- (DO!) p- StOVi/.e^U ^Kof^4-4.t.A^cn~i Permit No.LEGAL S<CA^eDESCRIPTION AND LOCATION VD TWP* Range -?7X i2d 7 P NameSec.Lake Classif.Lake No.Lake Name IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street, City and StateInitialFirstLast Name !?h «? ISon Htj 5'CSh4Owner RSc ~^rsName 'Contractor laaa ^^0 i itscmccArchitectName. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE: One Family Dwelling ( ) Multiple Dwelling TYPE OF IMPROVEMENT: ^ To cltui /3<\Fliir~oi * A/o* HSpecify:,( ) New Building Alteration ( ) Other_______ Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL: ( ) Public ij(t Individual Septic Tank, etc. WATER SUPPLY: ( ) Public Individual Well PRINCIPAL TYPE OF FRAME: (A Yes I ) NoBasement:( ) Masonry Wood Frame ( ) Structural Steel ( ) Other — Specify 3^0 ..... Baths Stories above basement: Sq. feet (outside dimension) Bedrooms CHARACTERISTICS: r.^.Q.M.Q.feet.feet.Maximum depth of lotWater frontage issquare feet.Lot Area is i:5j2.feet. (Building Line)Building set back from high water mark is Land height above high water mark at building line is....X^.O. Building set back from State highway right of way................... Side yard is Structure will be located feet SO.is:o ,feet.feet — from road right of way is ..(2fO.and feet. 7..^....feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation).Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. Signature of Owner Dated. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon 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 ‘T‘^37^ItOfficialShoreland Manage:7(TPermit Fee $.Receipt No. rr\ (V C-l-to.,7 LQfl.l i/^v ii-k icr\Comments; Form No. MKL-0286-019 229971®VICTOR LUNOCEN CO., PRINTERS. FERGUS FALLS. MINN. White — Office Yellow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT . (R. .dI n. - 0. ^ lAj^. /«» L \£ Permit No. >J-C^ l-CT-' O'O’tHUOKX^ T ci' i (p^ ^ooO-*^X-^ocoS - ooi') \‘ r-^■ L-. LEGAL L^ir- 3 'T-FCjl dA:r\y(J^yDESCRIPTION C.1 ‘Y1. -UrfrrTT^^-^^ ^AND LOCATION y' ■ u r> TWP NameSec.TWP RangeLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateInitialFirstLast Name Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:.I>;) One Family Dwelling ( ),Multiple Dwelling ( ) Other ( ) New Building ( 0 Alteration Units Size( ) Other ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: Basement: ( •'} Yes ( ) No Stories above basement: ........ Sq. feet (outside dimension)..... Bedrooms ( ) Public ( a[) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( jt) Individual Well ( ) Masonry ( - ) Wood Frame ( ) Structural Steel ( ) Other — Specify .l^. Baths ...<.. CHARACTERISTICS: feet.feet.Maximum depth of lotWater frontage is ......'A:.square feet.Lot Area is feet. (Building Line)Building set back from high water mark is.................... Land height above high water mark at building line is Building set back from State highway right of way.... Side yard is Structure will be located feet •j.'.•feet.feet — from road right of way is feet.and■t .feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation).Structure will be located ...<. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. Dated. Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. r Dated Shoreland Management Official'hi o /1Permit Fee $.Receipt No.7 ;. M ■Comments: f ).L L Form No. MKL-0286-019 229971@ VICTOR LUNDEEN CO.. PRINTERS, FERGUS FALLS. MINN.i INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUM Shall Be 4-Sq. Ft, Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. ~hBuilding Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway 50 Ft.Ft FtBuilding Set Back from Street or Road 40 Ft. &Side Yard Ft.&Ftin okRear Yard Ft Ft OkOccupied Building to Septic Tank Ft 10 Ft OkOccupied Building to Absorption System Ft 20 Ft Elevation at Building Line above High Water Mark_____________ 9iI ^-2.0 Ft 3 Ft IK l^DoJI Inspector's Comments: h 8 ^ >/ 6 Inspector's Sign^ature Title Inspection Dated /2 - 1-19 <f Agency vicrei ujNOfCH 4 n . mimtci JI Scale: Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM r19 9g>Dated: Signature Please sketch your lot indicating setbacks from road right-of^U(ay, lake and sideyard for each building currently on lot and any proposed structures. X RECEIVCP APR 2 6 1990 UNO & KESOURCE J ?t ;yJ^jT : !oqit 1 j i j . :Ii 6 y I-I*-Itt1I!i &-t I X!-// Z-f I 1 'r £i 4s>1 i1 I/yo'y/Co C * t v>'}!-ht O'r rs.'ll'3-•?!,j_ : .5 %v±-T V S-4-4 14l1 1 k:i0:eSt74JI0tr rr P!0!l-I -t-(*La 0]_L A«t -*■ t N1t ■h1 J9C IT- t-1 ifI -i tLt1 IS —\ii-t 1T 1- o:0 ;rMI1 : V 1—-t-l i tf t I' I )-f'T -!!TI; -I 1i-irI [ t po^(51 <^o I ^ 21598 7®MKL-0871-029 VICTOR LUNOEEN CO.. PRINTERS. FERGUS FALLS. UINN. % ScSie: Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM t Dated:19 Signature Please sketch your lot indicating setbacks from road right-of-way, lake and sidevard for each building currently on lot and any proposed structures. ^ 1 RECCiVED APR 2 6 Bso IMOtlESOUKX Jt-T ■ T1 I -i I-T l 4-t f 1 r ;-t't -4- :r -t✓:II: l!!-H;!1- !J. 4 -4 ---L 1» 1sA (L_I A//«? I ttiI'!%I'<r\ 9 “<!<9 <k -4-0 i - - ^ 4- Sm o4-4 \fT t!-I I ■t- i - 4 /T ■ ~f -t-:.4../ill-h4 i I -- :-1 1 !liI 4f .-4-1—I ; 4r ;y -4 4 /4 i-riI1If I )■/ ;—J T +' 21598 7@MKL-0871-029 VICTOR LUNDCCN CO.. RRIHTeRS. RCRGUO PRLI.S. https://onegov.co.ottertail.mn.us/admst/viewcard.php?card=3&ap... OTTER TAIL COUNTY Land & Resource Management Phone (218) 998-8095 PERMIT TYPE Lot Alteration Permit PERMIT NUMBER 8614 PROPERTY OWNER Jeffrey T & Ann R Jones LAKE INFORMATION Little Mcdonald DNR ID(S)328 LOCATION Parcel(s): 20000020008001 Township Name: Edna Township Property Address(es); 38395 TEAL LN Section/Township/Range: Sect-02 Twp-136 Range-040 Legal: 3.84 AC PT GL 3 COM WESTERNMOST CORLOT 10 RYANS BCH, NW 66' TO WORK AUTHORIZED /W-. Construct an approach following Edna Township specification . -, ir.,o’ als. In addition, construct a driveway-excavate out for driveway to road(Length: 150 Feet Width: 20 Feet Av , ,;'ge Depth: 1.5 Feet Total Cubic Yards: 167). Top dress with class 5 and taper out any slopes.to match up with existing grade. Top dress, seed and stabilize disturbed areas. Must control and store water run off. Construct a berm with plantings/trees (Length: 50 Feet Width: 50 Feet Average Depth: 2 Feet Total Cubic Yards: 185) Move the large pile of dirt that is on site to the location of the berm. Length: 200 Feet Width: 40 Feet Average Depth: .3 Feet Total Cubic Yards: 89 Bring in black dirt need to for lawn area. Contractor Ben Hovde Lawn & Limb Eric Babolian 06/13/2019 07:28 AM 0fd9f29ed5ccc7cb894729e04cf78423 2a2c4a2869f23a8ad7205689ba410408 06/13/2019 12/31/2019 Land and Resource Management Official/Date DATE EXPIRESISSUE DATE NOTE: • This permit must be placed in a conspicuous place not more than 6 feet above grade on the premises on which work is to be done, and must be maintained there until completion of such work. • If the terms of this permit are violated, the entire permit may be revoked and the owner/contractor may be subject to legal prosecution. • Property Owner is legally responsible for all surface water drainage which may occur. • Topographical Alteration projects shall be stabilized within 10 days of the completion unless otherwise stated. • Timelines as set forth in Section IV.3.D of the Shoreland Management Ordinance shall be adhered to. • Notify Land & Resource Management when job is ready for inspection (218) 998-8095. 6/13/2019, 7:30 AM i1 of 1 Land & Resource Permit Applications https://onegov.co.ottertail.mn.us/view.php?id=6337#outer_wrapper Land & Resource Management Government Services Center 540 Fir Avenue West Feigus Falls MN 56537 ©fffill Tfflll Phone: 218-998-8095 oe ariTT-oiasiioTa Site Permit Appiications Lot Aiteration Permit Permit # 8614, App. # 382, UID # 6337 Valid: 06/13/2019 -12/31/2019 Applicant Information Applicant Information:Name: Ben L Hovde Phone: (218 )371 -0181 j Email Addrese' lawnlimb@yahoo,com Mailing Address 33742 365th ave Richville MN 56576 I am the:Contractor Is this Lot Alteration Permit Application for Multiple Properties? No Contactor's License Number and Business Name Contractor's Business Name:Lawn and Limb Landscaping LLC Property Owner's Contact Information Property Owner Contact Information; Name: Jeff Jones Phone: (W )37J1 ■ 1193 Mailing Address 38395 Teal Lane Frazee MN 56544 Property Information Project Location: Property Attributes Property Address Legal Description Primary Name/Address Parcel #CityProperty Address Legal Description CityLegal Description Legal Description Name Primary Address Line 1 38395 TEAL LN20000020008001 3.84 ACFRAZEE PT GL 3 COM WESTERNMOST LOT 10 RYANS BCH, NW 66' TO JEFFREY T& ANN RJONES 2034 100TH AVE S HORACE COR Lot Area:207000 Square Feet Is this lot alteration No. permit part of a site permit application? w Shoreland Information Associated Lakes: Lake Name DNR ID Lake Class LR CD Little Mcdonaid 328 GO 56-328 Water Frontage:329 Feet Bluff:No Proposed Project Project Type:Approach/Driveway/Access Project Description: Trail/Road Install new driveway as per our design and oiir conversation. Install berm as per the design and our conversation.RH Impervious Surface Landscaping I would like to see how the driveway takes shape. I will call you after i get a little bit done so i can see how the elevetions are going to work out. Everything will be seeded and hydro mulched. Area to be Cut/Excavated 0 Feet Average Depth: 0 Feet Total Cubic Yards: Width:0 Feet Average Depth:0 Feet Length: OFeet Width: OFeet Width: 0 Feet Average Depth: 0 Feet Total Cubic Yards;0 Length:2 I Colcuiaa’ I Walk-Out Basement Project Length;0 Feet Width;0 Feet Average Depth:0 Feet 1 of 3 6/13/2019, 7:30 AM 1 Land & Resource Permit Applications https://onegov.co.ottertail.mn.us/view.php?id=6337#outer_wrapper Area to be filled/Leveled Length:150 Feet Width:^ Feet Average Depth:Please Describe I Caljfciila^ Filled/Leveled Area: 167 Excavate out for driveway to road as per design. 1.5 Feet Total Cubic Yards: Please Describe [.Catejlatg~| Filled/Leveled Area: Move the large pile of dirt that is on site to Length:50 Feet Width:50 Feet Average Depth:2 Feet Total Cubic Yards:185 the location of the berm. Length:200 Feet Width: 40 Feet Average Depth:^ Feet Total Cubic Yards:89 Please Describe I Filled/Leveled Area: Bring in black dirt if we need to for lawn area. Backfill at Foundation QLinear Length:0 Feet Average Width:0 Feet Average Depth:0 Feet Backfill Total:tcaltiilate I Culvert and Road Authority Culvert?Yes Impervious Surface - Buildings 2720 Square Feet 0 Square Feet 0 Square Feet 2500 Square Feet Water Oriented Accessory Structure 0 Square Feet Existing; Recreational Camping Unit Existing: 0 Square Feet Dwelling Existing:0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet Water Oriented Accessory Structure 0 Square Feet Proposed: Recreational Camping Unit Proposed: Dwelling Proposed: Attached Garage Existing:Attached Garage Proposed: Detached Garage Proposed:Detached Garage Existing: Storage Shed Existing:Storage Shed Proposed: 0 Square Feet Impervious Surface Calculation - Buildings 207000 Square FeetLot Area: Impervious Surface - Other 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 3500 Square Feet 0 Square Feet 0 Square Feet 200 Square Feet 150 Square Feet 3850 Square Feet Deck(s) Existing:150 Square Feet Deck(s) Proposed: Patio(s) Existing:0 Square Feet 0 Square Feet 0 Square Feet 3500 Square Feet 0 Square Feet 0 Square Feet 200 Square Feet 0 Square Feet 3850 Square Feet | Calculate^ Patio(s) Proposed: Sidewalk(s) Existing; Sidewalk(s) Proposed; Landing(s) Proposed:Landing(s) Existing: Driveway(s) Existing:Driveway(s) Proposed: Parking Area(s) Proposed:Parking Area(s) Existing; Retaining Wall(s) Proposed:Retaining Wall(s) Existing: Landscaping Existing: Landscaping Proposed: Miscellaneous Proposed: Total Other Proposed Impervious: Miscellaneous Existing; Total Other Existing impervious: Total Other Impervious Surfece:7500 Impervious Surface Calculation ■ Buildings & Other Lot Area:207000 Square Feet Shore Impact Zone Impervious Building(s) Proposed: 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet • 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet Retaining Wall(s) Existing: 0 Square Feet 0 Square Feet 0 Square Feet Total Existing Impervious in the 0 Square Feet Shore Impact Zone; Total Impenious in the Shore Impact 0 Square Feet [^C6lcuie^ Zone: Building(s) Existing; Deck(s) Existing: Deck(s) Proposed: Patio(s) Proposed:Patio(s) Existing: Sidewalk(s) Existing:Sidewalks(s) Proposed: Landing(s) Proposed:Landing(s) Existing: Driv,eway(s) Proposed:Driv«way(s) Existing: Parking Area(s) Proposed:Parking Area(s) Existing: Retaining Wall(s) Proposed: Landscaping Proposed:Landscaping Existing; Miscelianeous Proposed:Miscellaneous Existing: Total Proposed Impervious in the Shore Impact Zone: Documentation PLEASE NOTE PROPOSED PROJECT AREA MUST BE STAKED 20190604140457321.pdfFile 1: Documentation: Total Impen/ious Surfoce to Determine Fee: 3850 Square Feet Applicant Approval Applicant Signature: Date Signed; Hovde L Ben 06/04/2019 I understand that checking this box constitutes a legal signaturePlease check to approve: Attention:Eric I am expecting that we will not move more than 600 yards of dirt around.Comments: Terms 6/13/2019,7:30 AM2 of 3 Land & Resource Permit Applications https://onegov.co.ottertail.mn.us/view.php?id=6337#outer_wrapper * Notes ITie lot lines and project area(s) must be identified & staked onsite. If project disturbs more than 1 acre of land, you must obtain a General Storm Water Permit from the MPCA. Agreement I hereby certify that the 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 I further agree that any plans and specifications submitted herewith shall become a part of this permit application. Once Permit is approved, I also understand that this permit is valid for twelve (12) months from the date of approval unless otherwise indicated on permit. Invoice #4878 (06/11/2019) Charge Cost Quantity Total $175.00 $175.00Topographical Alteration Fee 113 (101*500 cubic yds) added 06/11/2019 10:16 PM X 1 Grand Total $175.00Total $175.00Payment 06/12/2019 $0.00Due Approvals Approval Signature #1 Received and Assigned Sheila Dahl • 06/05/2019 8:13 AM84bc0cd7blc353fc426c422a622ac86d 92054a5240eebfl6al8d247dc5e3210f #2 Permit Review Kyle'Westergard - 06/05/2019 9:40 PMa5efcl79c8911e8eS0a44f7G5925c4d5 27dfab891Sb7d70661f0bfec0b344dlb #3 Permit Rewew Eric Babolian - 06/11/2019 10:15 PM I789f9eac56b00713cf965d633a4f7bb9 !beflc785f8cb3848e34cf5b63ac40e0d I Eric Babolian - 06/13/2019 7:28 AM !0fd9f29edSccc7cb894729e04c£78423 i2a2c4a2869f23a8ad7205689ba410408 #4 Permit Issuance Public Notes Text: ;File(s):i Internal Notes Text: 1r.File(s): Print View * 6/13/2019, 7;30 AM3 of 3 OTTER TAIL COUNTY Lot Alteration Permit # 8259 PROPERTY OWNER_3:3ti£ LAKE NO. SEC. Z- TWP. NAME eA (rt \ ^ r\a-s5 irv.g^ LEGAL DESCRIPTION: WORK AUTHORIZED Q\V\vvv "?(\r\v-v^ V>J«-%A- VfOtV-C SVr.fc>M» \»S.V'0 TC3uv>r\, ^ ______________ 1% • <3lv'WVW*0q-^ V\otv<. \ foCcKv^yv ■) V C«»fc\V(rO*C^ ^xVio ______\r«a(v*^-» ^yoo, V^tA<^ Ip VrNovvV*— 4~<a ^ ^vxv*w Voo^^v,v- «K/*oO\v^l^ NOTE; This card shall be placed in a conspicuous place not more than 4 feet aboVe 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. <al^op»^>*C‘ 'iL’-'li V-o V>v.V SVo p-^ Vq vy O lT\ grade on the premises on which work c) -I- (If TO 1. EARTHMOVING SHALL BE DONE BETWEEN ’5-2-3-^''l & 2. Entire area shall be stabilized within 10 days of completion of any earthmoving. 3. Owner is legally responsible for all surface water drainage that may occur. 4. No fill shall enter or be taken from the beds of public water without a valid permit from the MN Department of Natural Resources. 5. If the terms of this permit are violated, the entire permit may be revoked and the owner may be subject to legal prosecution. 6. Erosion control measures must be implemented prior to any topographical alterations. ■^\KV' V^OrC-*- .C\ K CO APPLICATION FOR LOT ALTERATION PERMIT TOPOGRAPHICAL ALTERATION / IMPERVIOUS SURFACE Land & Resource Management Government Services Center, 540 West Fir, Fergus Fails, MN 56537 218-998-8095^ ~ i^www.co.otter-taii.mn.usOTTER TRIl couflTT-ainnifOTii Permit No.PLEASE PRINT OR TYPE ALL INFORMATION LAKE/RIVER#LAKE/RIVER NAME LAKE/RiVER SECTION TWP. NO.RANGE TWP NAME o7- LEGAL DESCRIPTION f ^ S CjfA d^fYlcrf' U>7 ^ OStX^J\ Ffayjs^ AlA' gx»ffj^meh.4Jit DAYTIME Phorfe No. - Last Name First Initial Mailing Address ip-AAProperty Owner <2 /FT’A'f /! 7r>' ^■ V4/“ *m ^ La v\ d ^A-Contractor Name LtK,wf\A37AJ. R:c hiJ:'t /AN .61 7^ tU-y'■ t-T T7 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 ^ECaV£D / 4 2Q]^ . L&R Initial______________ tf'h ^ ^y'uTrlAl] AavlCTtdC M a4- i/TA^ 4d 0 CtA-^ rM j?f>yg<xy A . C id Vr-p(^ 0 11 [: '‘m i:>r Pkf] > 7h:'6 '' if c'}n\-*c^- i w rfA>'3F l )Je)T' wa1(^/ a.6 fbt im'ij i^iXiicrcB wmI Sfiira^ 6artvl. ^ ----- . DESCRIBE YOUR PROJECT(S): Dfy ^l6 pc^ ^ Bityk -f;)f A 'A ol Rsiidc ijf \pA 7;: ftf- 0 \ /“'4K 3\\ /• # &U' li ')Ax-fj AT}:7rv^ ^ L^\^y) 4vvd .rJrc-ci /mf # TOPOGRAPHICAL ALTERATION: AREA TO BE CUT/EXCAVATED: TA) A Yds^Ft. X Ft. X Ft. - 27 = Length Width Ave. Depth Yds^WALK-OUT BASEMENT PROJECTS: (Outside of the building foundation) Ft. X Ft. X Ft. - 27 = Length Width Ave. Depth Yds^AREA TO BE FILLED/LEVELED:Ft. X Ft. X Ft. - 27 = Length Width Ave. Depth Yds=‘TOTAL EARTHMOVING REQUESTED = '?BACKFILL AT FOUNDATION:Ft. Max. Depth Distance From Foundation CULVERT:If Yes, must indicate size and location on drawing. Yes No IMPERVIOUS SURFACE BUILDING: Existing IMPERVIOUS SURFACE TOTAL: Existing % %Proposed Proposed% % 7^ ^____________ Signature Of Property Owner/Agent For Owner ■-*• A bate Receipt Number BK04-2016 360,648 • Victor Lundeen Co., Printers • Fergus Falls, MN • 1-800-346-4870 e- .i ^o/ 'v s ^ 'X 4::'j~\N/"■ rV*i :l ; /•'N ? yvtm^ 'i / •\ / ; ■ IMPERVIOUS SURFACE CALCULATION List & identify all existing & proposed onsite impervious surfaces on scale drawing. Lot Area (ft^):} Buildings Other Impervious Surface Existing Proposed Existing Proposed Ft^Ft^Ft Ft ZMMDwelling Deck(s) M7- M.H-730Attached Garage Patio(s) . Detached Garage / jj '‘^Storage Shed f f -4^^——————— ■ Sidewalk(s)‘mLanding(s) WOAS Driveway(s) Parkihg Area(s)RCU Miscellaneous Retaining Wall(s) Landscaping (Plastic Barrier)1200)Miscellaneous ^3. ^17^5II a? 3TOTAL BUILDINGS TOTAL OTHER / Buildings Impervious Surface Percentage Maximum Allowable 20% Existing Proposed Total Lot Area Impervious Surface Ratio Ft^Ft^ Ft^Ft^Total Buildings iiMa 100+•T-X Buildings + Other Impervious Surface Percentage Maximum Allowable 25% Total Buildings + Other Impervious Surface Existing Proposed Total Lot Area Impervious Surface Ratio Ft^Ft^Ft^Ft I5.<f ^37. \l3,3iS 'ious Surface Calculation Worksheet 04-/1-2016 ,15^100X;Impervious Suriace Calculation Worksheet 04 Signature: