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Kimp's Kamp_14000080067004_Shoreland Permits_
LAND & RESOURCE MANAGEMENT GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 WWW. CO. otte r-ta i I. m n. APPLICATION FOR SITE PERMIT WHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) OTTER TfllleovtTT-aiiiiiiioTi Permit No.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED. LAKE / RIVER NO.LAKE/RIVER NAME ,1)/^LAKE/RIVER CLAS SECTION TWP NO. RANGE TWP NAME PARCEL NUMBER (S)^c>C(f ?0>f> ^ ^^0Z^l-OCa PROPERTY (E-911) ADDRESS LEGAL DES IIPTION Ict^DEVELOPED UNDEVELOPED Last Name / rxfd/? I 3/ 1, aia' l<|Hp First Initial Mailing Address Daytime Phone No. 7fJ z7ri Property Owner Contractor Name Lie.# "?C/^ PROPOSED PROJECT (please circle the appropriate number) \Q^ (2 ) Add’r to Dwelling/Attached Garage Replacement Dwelling* ( 5 ) RCUYear_____ ( 7) Add’n To Non-Dwelling (8 ) Storage Structure ONSITE WATER SUPPLY ( ) Individual (Xl Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM ( ) L&R Cert, of Compliance within 5 yrs.(1 ) New Dwelling (4) MHA'R____^^^^ompliance Inspection^e^i^ \^i^n^3 yrs.( 6 ) Detached Garage (9) W.O.A.S. ( ) OTWMD ‘Musi have Sewage System Approval from OTWMD prior to issuirrg Site Permit. Contact Route Mann at 218-864-5533 { ) New Septic Permit Issued Permit # CUU Non-Conf. Replacement (identify)" ^ , Other (IdentiM Y 02) Deck__________________ (13) Fence, Inspector's Initial/Dale o ■Removal of Existing Dwelling Verified by L&R •'Existing Non-Conf. Structure Verified by L&R Inspector's Initial/Date CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED DWEU.ING ■^Must Include Attache^^arage) ^ 7 Outside Dimnsim g Ft. x 2.QSq. Ft. aYf Setback to Lotline / ^ Ft. & Ft.** Setback to Right of Way Ft.** Setback to Ordinary High Water Level __1 Elevation Above Ordinary High Water Level // Ft. Setback to Septic Tank /OO Ft. Setback to Drainfield / / O Ft. Setback to Bluff ------ Ft. CHARACTERISTICS OF PROPOSED NON-DWELUNG Outside Dimension Outside DimensionFt. 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 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____ Ft.&Ft.**Ft.&Ft.** Ft. Ft.**Ft.** Ft.Ft. Ft.Ft. Ft.Ft. Ft.Ft. Total Bedrooms Maximum Proposed Height 2-^ Roof Change ( ) Yes ( \f No Basement (J/fYes ( ) No Walkout Basement ( ) Yes (side profile required) (No **Pro)ect/Lotlines/Rigj)|?yf‘ways Must be Staked Onsite Prior to Application / Inspection See ut /rA- 1 OtfbfrTards - 999 Cubic Yards* □ 1,000 Cubic Yards or More* Ft.Ft. Ft. Maximum Proposed Height ( ) Boathouse ( ) Gazebo Ft. ( ) Screen Porch ( ) Storage Structure Topographical Alteration / Earthmoving □ None * Must include on scale drawing, additional Permit may be required.□ 20 Cubic Yards or Less *« 21 Bluff ( )Yes (^)NoCHARACTERISTICS OF LOT:Lot Area. Sq. Ft.Water Frontage Ft. 2 7 .%.% 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 condition that the person to whom it is granted, and his agent, employees apravArkmen 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 iSymy responsibility to inform the Land ^esimree lent oftKfe once the building footings have been constructed.lai ZT/I/LDate: SigriBture^f Prof^ty Owner / Agenffor Owner ! h ----t <S RMOiuoe'i^r^em^ Official C(xj Date; gf?r '2£)lU—<SiDjPERMIT FEE $PROJECT(S) TOTAL SQ. FT.RECEIPT NO. u Date StampComments:received OCT 2 2 2016 lands RESOURCE L&R Initial Form No. BK — 04-2016 360.647 • Victor Lundeen Co.. Printers > Fergus Falls, Minnesota Caac^Y JbvvAPPLICATION FOR SITE PERMIT f LAND & RESOURCE MANAGEMENT GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.usm WHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) OTTER Tflll i)l5COHHTT-aiAAIIOT 71Permit No.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED. LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS,, 47 SECTION TWP NO.RANGE TWP NAME//'Ae,/ PARCEL NUMBER (S) !<^l ~f ?c'c lOOC ‘f^Op<r^oo PROPERTY (E-911) ADDRESS ;X' 7 k A A A /i A/a / /c /s / p 2- /. t r M i A /(As AS yyA i^^c:rr ^ A,A /ir./^Ay VLEGAL DESCRIPTION ■ . i !DEVELOPED - /X UNDEVELOPED Last Name First Initial Mailing Address Daytime Phone No. A,y^AAf \/khy}3i 7if ] k^A, Ap /Aa CA a/ /''f/(y‘/ / ■ i/ A 'Hr'Property Owner /7 7 7/A Contractor Name Lie.# PROPOSED PROJECT (please circle the appropriate number) l3 A 2.'Z_V’^ (1 ) New Dwelling (4 ) MH/YR_____ (7 ) Add'n To Non-Dwelling ( 8 ) Storage Structure (AO.) Non-Conf. Replacement (identify)"_____ XJ;I.| 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 ( ) L&R Cert, of Compliance within 5 yrs. y^’Compliance Inspection Report within 3 yrs. (Attached) ■ i ' .... ( ) OTWMD ‘Must have Sewage System Approval from OTVi/MD prior to issuing Site Permit. Contact Rollie Mann at 218-864-5533 ( ) New Septic Permit Issued Permit # ( 2 ) Add'n to Dwelling/Attached Garage i( 3) Replacement Dwelling* (6) Detached Garage (9) W.O.A.S. (5) RCU/Year t Loux\ao n mpector‘s Initial/Date o ■Removal of Existing Dweliing Verified by L&R ••Existing Non-Conf. Structure Verified by L&R Inspector's Initial/Date CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage)f Outside Dimensipn Sq. FI. Setback to Lotline Setback to Right of Way Setback to Ordinary High Water Level CHARACTERISTICS OF PROPOSED NON-DWELLING Outside DimensionFt x ^6 Ft.& 7^^^- Ft. X Ft.** Ft. X Ft.**'A'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 Ohange ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No ']/'nC 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-oPways Must be Staked Onsite Prior to Application / Inspection Ft.** :■ Ft.**Ft.&Ft.&Ft.**Ft.** ,Ft.** Ft. Elevation Above Ordinary High Water Level /7 Ft. Setback to Septic Tank / ^' Setback to Drainfield Ft.** Ft.Ft. Ft. / 7 CJ Ft.Ft.Ft. Setback to Bluff Total Bedrooms Ft.Ft. Ft.Ft.Maximum Proposed Height Ft. Roof Change ( ) Yes ( ^") No Basement (t ) Yes ( ) No Ft. J ( ) Screen Porch ( ) Storage Structure) Yes (side profile required) ('A) NoWalkout Basement ( 1y\ll Ai'Cu l7c'7 jTopographical Alteration / Earthmoving □ None * Must include on scale drawing, additional Permit may be required.(\>A. a 21 CubicYards - 999 Cubic Yards* i i □ 20 Cubic Yards or Less *□ 1,000 Cubic Yards or More* Bluff ( ) Yes (*/ ) NoCHARACTERISTICS OF LOT:Lot Area. Sq. Ft.Water Frontage Ft.(7 '.%.% 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: Sigf)Bture,of Prop^ty Owner / Agent for Owner■ /i ' hII- yAij^Date: Land & Reswjfee HAai COHOffidat Al^—Aol7/acq>,1IPROJECT(S) TOTAL SQ.FT.,PERMIT FEE $RECEIPT NO. ■ S 7^ Ld~).1Comments: ■ ,-iI II i- 5 Form No. BK — 04-2016 360.647 • Victor Lundeen Co.. Printers * Fergus Falls. Minnesota SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations ‘2j£> 1>3structure Set Back from Ordinary High Water Level Ft.Ft. Structure Set Back from Top of Bluff Ft.Ft. fStructure Set Back from Road Right of Way Ft.Ft. Ft. & gS ^Ft. &Structure Set Back from Lot Lines Ft. Ft. to*Structure Height Ft.Ft. ioo^Structure Set Back from Septic Tank Ft. Ft.I 0 O f-|66Structure Set Back from Drainfield Ft.Ft. TElevation Of Lowest Floor Above Ordinary High Water Level 4k Ft.Ft.3 Land Slope at Building Site %% VcInspector’s Comments / Sketch:yv>«jsjv J 7 'I I Inspector's Signature (Z^ Date of Inspection 2-Ws //'Jd Time of Inspection "jl^^oject Approved. Date / Initial ______ (ColFLOORPLAN Borrower: Bruce CSIta*File No.: 060420Property Address: 37341 South Liait McOonaid rvii»Case No.: 0064006163OtV: Perham Stale: mn Tip: 36573Lender: Wdk Fan«» Bank. N A. - 036161 A 16- ir8' Living Room M ^3 Seasor Porch OOrv BedroomDiningCM CM Kitchen Bath 8' irBedroom 16' Skflich b)T Apn IV Windows"" AREA CALCULATIONS SUMMARY LiVING AREA BREAKDOWNPrsshdtiMNinCodeaimTotals oua oua rint floor eaooftd floor 3 taoooft fordi sn €72 first floorI ■: 90S 308 1« X 43 873f/f 174 178 11 X 38 3oayi Ij j y ■- J 5 fTOTAL LIVABLE (rounded)980 2 Areas Total (noundeO)980 -• j:/ -.. i 2214 Geneva Road NE. Alexandria, MN 56308 320-763-2440 / 320-763-2442 ;: NDERSON LAND SURVEYING. INC. P«0(aSI0MM. lAMO $U«VEVOU 4 UNO DCVOOVMOfT CONUJLTAMTt 913 fOim4MllJ.friur.fCltCU>rAU5.MN5«597 Qll) 73»>SMI n9-3Hi(800) i i z' / I3 That M Vm W tC» pmt at I at Urn tkm^, Cmrarmaam 4 M* Jm Otartar mw mW *a «*■*■ aa ma^ tmt mm «w*g tta am* at Mia partan 4 «•r trrr.u tarn laua am* at taM'^ m *tmIiirmm IfmtM *--- Tt I*n—1 Tf -I^tr » laat a Ottawa at JW.M taat/ Itmma SaaOi W ^ nitaam 4f aaamm taat a ammwa M mtM 32 MM* Mamt at7 aaa ill jr tm^tm 7»anm I ••I*0 I to 1» - Mur«b aCAL£ WfBT tNnto *»<K >r *■«■ •< mf-« Mat.-77 tPM* taal a Matmaa at »T.S$ **.^a^aaa m mtaUm O* mm* faa* a malmaa at Mfl*to m 3m* a* 0*rm *MA M flat a Matamm at f»».Tf ** ymwaaa M to • *M !»*■*■ tatarrm*r»* Mto atorf ^ 9>rt*a *WJS Yue itohl £gm*toi0 %.}1 araa, famk ti mata Matwt ma amaaa mmI ■*^ t* toW JCALfr f MM . 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XU.oor>?-j Hirnai HammVi thitaailw LkmaM Ha. 17939i?t- CERTIFICATE OF SURVEY FOR,0c;JOHN KIMPLE CatTKACT HD 149-15 tttLO BOOK AL5-2<«4?3 tOUXR tMJMH mrsot n&D 043Hate FKe cMEcxcp arr I49-/5 im/aeuONC n£ I4B-IS MK OHMdHB HreehACVrSKMsec-Tm-K6-t3S-JtO 8011 APPLICATION FOR LOT ALTERATION PERMI 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.us OTTER TflIICOIHTT-aiRIIIOTI Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWPTiweLAKE/RIVER #LAKE/RIVER NAM^SECTIONLAKE/RIVER CLASS TWP. NO. RANGE /?r c>fo 2?ig?L^#/4rAe PARCEL NUMBER(S) /CT9‘rO :iis PROPERTY (E-^ 11ADDRESS ^ . Last Name First Mailing Address ^_________Initial DAYTIME Phone No. Property Owner ydc^i7/< j Contractor Name 7A- >7 f- ri-frLie. # 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 RECEIVED OCT 2 1 2016 LAND & RESOURCE & L&R Initial DESCRIBE YOUR PROJECT(S): <2/ > p Wl(^ CqlJL^ I c«-^iV/dXi U !> kc^ . npvL^ i:o/ic TOPOGRAPHICAL ALTERATION: AREA TO BE CUT/EXCAVATED:2<7 = 2^f Yds^Ft. X Ft. X Ft. -t- 27 Length Width Ave. Depth Yds^WALK-OUT BASEMENT PROJECTS; (Outside of the building foundation) Ft. X Ft. - 27 =Ft. X WidthLength Ave. Depth Yds=*AREA TO BE FILLED/LEVELED:Ft. X Ft. -t- 27 =Ft. X WidthLength Ave. Depth Yds^TOTAL EARTHMOVING REQUESTED = f__Ft.BACKFILL AT FOUNDATION;Ft. Max. Depth Distance From Foundation CULVERT;If Yes, must indicate size and location on drawing. Yes IMPERVIOUS SURFACE BUILDING: Existing 7 6 IMPERVIOUS SURFACE TOTAL: Existing r?/%Proposed Proposed 7 7 % %% Signature Of Property Owner/Agent For Owner j p&te Receipt Number BK04-2016 360.648 • Vidor Lundeen Co.. Printers • Fergus Falls. MN • 1 •800'346*4870 LAND & RESOURCE MANAGEMENT GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us APPLICATION FOR SITE PERMIT WHITE - Office GOLDENROD - Inspector YELLOW - Owner (after Issue) OTTER TRIl amieoviTT-aiaiiiOTi Permit No.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED. TWPNO.RANGE TWP NAMELAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION oy\/'^r\cfo\jue' PROPERTY (E-911) ADDRESS KfA.Mp Last Name Firsts Initial Mailing Address y DEVELOPED, UNDEVELOPED. Daytime Phone No. 7A'-%ey , 27/fe Property Owner Contractor Name Lie.# PROPOSED PROJECT (please circle the appropriate number)ONSITE SEWAGE TREATMENT SYST ( ) L&R Cert, of Compliajice within ^ ( ) Compliance Inspectit* Report wimi (Attached) ( ) OTWMD 'Must have Sewaee^^^from OTWMD prior to ismng^lte Permit. Contact Rollie Mann ( ) Undeveloped Lot ONSITE WATER SUPPLY (WtlftSi^al ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. (2 ) Add'n to Dwelling/Attached Garage (3_) Replacement Dwelling*^^etached Garage (T) W.O.A.S. (1) New Dwelling (4) MH/YR____( 5 ) RCU/Year_____ (7) Add’n To Non-Dwelling ( 8 ) Storage Structure (to) Non-Conf. Replacement (identify)"______ (11) Other (identify)____________________ (12 ) Deck__________________________ (13) Fence_________________________ <864-X33 **Existing Non-Conf. Structure Verified by L&R^Removal of Existing Dwelling Verified by L&R Inspector's Initial/DateInspector's Initial/Date CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED NON-DWELUNG Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Mtached Garage) Outside Dimensioi Sq. Ft. /iS*^ Setback to Lotline Setback to Right of Way \_____ Setback to Ordinary High WaW Level Elevation Above Ordinary High W^er Level Setback to Septic Tank__ Setback to Drainfield___ Setback to Bluff_______ Total Bedrooms_______ Maximum Proposed Height Roof Change ( ) Yes ( ) No Basement ( ) Yes ( ) No Walkout Basement ( ) Yes (side proliie required) ( ) No ^^Ft.” Ft. X Outside DimensionFt. X Ft."Ft. X Sq. Ft, Setback to Lotline Setback to Right of Way Ft." PI Setback to Ordinary High Water Level ^-^^Ft. Elevation Above Ordinary High Water Level *1- Ft. Setback to Septic Tank Setback to Drainfield ^t C>0 Ft. Setback to Blufp^ 2^ O Ft. Maximum Proposed Height Root Change ( ) Yes No Bathroom Proposed ( ) Yes t^) No **Project/Lotlines/Right-of-ways A(ust be Staked Onsit^ Prior to Application / Inspection 21 Cubic '^rds ■ 999 Cubic Yards* □ 1 !000 Cubic Yards or More* Sq.Ft.______\ Setback to Lotline \ Setback to Right of Waj Setback to Ordinary High W^er Level __ Elevation Above Ordinary Higlvt^ater Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff_______ Maximum Proposed Height Ft.&Ft.”Ft. &Ft.**Ft.&Ft.**Ft.** Ft.** Ft. Lt.Ft. Ft.Ft.Ft. Ft.Ft. Ft. RFt. Ft. ( ) Screen Porch ( ) Storage Structure ( ) Boathouse ( ) Gazebo * Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmoving □ None □ 20 Cubic Yards or Less *IP ^•1%------ Bluff (K^Yes ( )NoCHARACTERISTICS OF LOT:Ft.Water Frontageq. Ft.Lot Area. 7. 19n .%.% Impervious Surface RatioBuilding Surface Ratio THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. ^ *I understand that it is/ny resMnsibility to inform the Land & Rest rce Managemept office oiy>e the buiiding footings have been constructed. i/UDate: Signature/bf Ppperty Owner/Agent for Owner Date; Land & Resource Management Official PERMIT FEE $RECEIPT NO.PROJECT(S) TOTAL SQ. FT.. received SEP 2 6 20H RESOURCE Date StampComments: L&R Initiali^iiwaForm No. BK — 04-2014 354.252 • Victor Lundeon Co.. Printers • Fergus Falls. Minnesota LAND & RESOURCE MANAGEMENT . GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, Mhl|5 218-998-8095 www.co.otter-tail.mn.us APPLICATION FOR SITE PERMIT WHITE - Office GOLDENROD - Inspector YELLOW'^wner (after issue) 1 I i OTTER Toil STiOlCOIflTT-HlinilOTII Permit No.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED. LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAMELAKE / RIVER NO. />’r\oyi PROPERTY (E-911) ADDRESSPARCEU NUMBER (S) ^ ■: I'rco ( i- 7 - oo A . aJ-f 2^ ~c^ 1 i ' ' yy - <- Y p -ccY yJ(paa~cr^.yu \ /ycL L- t. 29■ 99 -Vt'Cf LEGAL DESCRIPTION ^ ' t f rue 3rr^6 Af\ Hp Last Name FIrsI ' Initial DEVELOPED.E[ UNDEVELOPED. Mailing Address y 10C7 A Daytime Phone No. 7^7/TProperty Owner 7-7/i i j L Se/fContractor Name Lie. # JPROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling (4) MHA'R_____ (7) Add'n To Non-Dwelling { 8) Storage Structure (10) Non-Conf, Replacement (identify)"_______ (11) Other (identify)_______________________ (12) Deck______________________________ (13) Fence_____________________________ ONSITE WATER SUPPLY (vyifiSividual ( ) Public ( ) None NOTE; MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYST ( ) L&R Cert, of Compliance within j ( ) Compliance Inspectipn Report ;(Attached) ) ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. • Contact Rollie Mann at 2I8-8B4-5533 • ( 2 ) Add'n to Dwelling/Attached Garage (SJJteplacement Dwelling* /&) Detached Garage ^)W.0.A.S,(5) RCU/Year i i it ( ) Undeveloped Lot [!**Existing Non-Conf. Structure Verified by L&R^Removal of Existing Dwelling Verified by L&R i Inspector's Initial/DateInspector's Initial/Date J CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED DWELUNG (Must Include Attached Garage) Outside Dimension ^ • L. Ft. x Sq. Ft, CHARACTERISTICS OF PROPOSED NON-DWELUNG Outside Dimension Sq. Ft. _y Setback to Lotline Setback to Right of Way Ft.** Setback to Ordinary High Water Level 7-777^ Ft. Elevation Above Ordinary High Water Level ^ Ft. Setback to Septic Tank/7rr^ Ft. Setback to Drainfield v’A Ft. Setback to Bluff. Maximum Proposed Height / ^ Ft. Roof Change ( ) Yes (X) No Bathroom Proposed ( ) Yes No I Ft. X Ft.** Ft. X Ft.** \\Sq. Ft. Setback to Lotline \ \Setback to Right of Way^ Setback to Ordinary High Wqter 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 /7g miSetback to Lotline \ Ft. & Setback to Right of Way \_______ Setback to Ordinary High W^r Level Elevation Ft.**Ft.**Ft.&Ft.&Ft.**Ft.** Ft.”Ft. V Above Ordinary High W^er Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff________ Total Bedrooms________ Maximum Proposed Height Roof Change ( ) Yes { ) No Basement ( ) Yes ( ) No Walkout Basement ( ) Yes (side profile required) ( ) No Ft.Ft. N?-Ft.1Ft.Ft, Ft. Ft. ■ R.Ft.Ft. Ft.i '■i ,) ( ) Screen Porch ( ) Storage Structure 'P 21 {^ifig^fttf^^alcu^'VSm^ii^i^N^^^ubic Yards or More* I ' T ___ * Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmoving □ None •, V □ 20 Cubic Yards or Less * Bluff (KlYes ( )NoCHARACTERISTICS OF LOT:Sq. Ft.Ft.Lot Area.Water Frontage 7.72b .%.% Impervious Surface RatioBuilding Surface Ratio THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances.I understand that it is my responsibiiity to inform the Land & Resource Management office onoO the building footings have been constructed. 7 ^ I /■ c7fDate: Signature Ppperty Owner/ AgenThr dwner // mLand S Resource Management Official 9 iv ZOI +Date;i lAlBi'7 ja RECEIPT NO.PERMIT FEE $PR0JECT(S) TOTAL SQ. FT,. Comments: nD! V.-1 Form No. BK — 04-2014 354,252 • Victor Lundeen Co.. Printors • Fergus Falls, MinnesotaisoYikl SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations Ft.Structure Set Back from Ordinary High Water Level Ft. Ft.Ft.Structure Set Back from Top of Bluff 4 Ft.Ft.Structure Set Back from Road Right of Way Ft. & >S"o'f Ft.Ft.Ft.&Structure Set Back from Lot Lines ir- <Ft.Ft.Structure Height Ft.Ft.Structure Set Back from Septic Tank ( Cl Ft.Ft.Structure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level 4 Ft.Ft. Land Slope at Building Site %% I S.Vmw wo jl.3,2. IC ct.%Inspector’s Comments / Sketch: 1 —•) <SCj C' Utr'- 7 Inspector’s Signature -V 2_- n^/59^ Date of Inspection ~-Jlme of Inspection ^Project Approved Date/Initial SCALE DRAWING FORM M dx^<f(grac'dk/<f€>offc;z9f/j^c/ (XnfurjocP^4PO(0'ioOiJ^ The scale drawing must be a signed drawing which includes and identifies a graphic scale (feet), all existing and/or proposed structures, septic tanks, drainfields, lotlines, road right-of-ways, easements, OHWLs, wells, wetlands and topographic features (i.e. bluffs). Must also complete the Impervious Surface Calculation (see back). Tax Parcel Number(s) y / Scale \ VJ l\il / V rv \ IVs(V4 ^ iK S:; St 3 -P il g| Rd !V ^ V V / -s. X M/ ■! 1- y^ y-C ^ ^ 'A 1 ^ o> o ^ ■::> o (i ^ 0° H V) ^sr 'VDale(Blghaltire of Property Owner BK —032014 354,1^0 • Vintoi l iiiitleen Co, Piiiiteis • Tw^us Falls. MN • 1-800-346-4870 OTTER TAIL COUNTY Conditional Use Permit # (^145 Owner’s Name lAHp'S ____________ Property Address^ ^^2(^7 W k>.4^ *j^cl g j a Location: Lake Sec ^ Twp. 13^ Range MO TwpNamej^tf<i ifc»g-^-oz^Zixz>, W-OQCLc;feooi3L-C}fl6| Work Authorized:^ B^^ui a rcppyyiLro>to »» km(d <gpAMer4 ^v/eWii^ /oCftt.e7 r^eviiot >f*Ci(tKi ($) raise s ^£t?\ jr(p g) 7<^ro(/te drwg -»^iWfc>^»iA *fW>M mffmtof bgUiAul 6ciJLtn5: e?T rfSidWC^ foy^/^ < •tjivWvtj \k€ (D *fo * CQ>t>(V^ of yxzi^ H- tf co.Lm(V Qiiog -ejMs4ti^ Llmd and Resource Managem^ Official / Date <t u P* iyc’^ dv^U(iAA \s eoAVerK^ 1. Entire area shall be stabilized within 10 days of the completion of any^e|rthmoving unles^^e^^^^ed^ | Valid:Expires: jVo 2. Owner is legally responsible for all surface water drainage that may occur. 3. If the terms of this permit are violated the entire permit may be revoked and the owner may be subject to legal prosecution. 4. This card shall be placed in a conspicuous place not more than 4 fe^ above grade on the premises yi jvhich wctfk is to be doneand shall be maintained there until completion of such work. 3 l^C. 1^ I EfTT,TELEPHONE (218) 998-8095. WHEN AOTHORIZI5. NOTIFY DEPARTMENT OF LAND AND RESOURCE MANAGEME WORK HAS BEEN COMPLETED. .TELEPHONE (218) 998-8095, WHEN AUTHORIZED BK-1004-046 • Victof Lufl<l»en Co.. Pflnters • Fergu* FoW. MN • 1-800-346-4070 \\3- WHITE-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 PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAMELAKE / RIVER NO.LAKE/RIVER NAME OYO/75£ PROPERTY (E-911) ADDRESSPARCEL NUMBER (S).fifOfi OfftQ con LEGAL DJSC^T^N ^ ~ iof^ /^/3 / C(f^ /J’A/cA ^ Last Name i a . , Firpt / /hoi /tf000oSCt>'7'PO60 s0<>i> 2 Daytime Phone No.Itlal Mailing Address Property Owner s Contractor Name Lie.# PROPOSED PROJECT^lease circle the appropriate number) (1 ) New Dwelling (4)MHYR (7) Add’n To Non-Dwelling (10 ) Non-Conf. Replacement tidentifvl ______{11 ) Other Menm cJui otTC4!.//£;r ‘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. dd’n to Dwelling ( 5 ) RCU/Year_____ (8 ) Storage Structure ( ) Permit No. ( ) OTWMD 'Must have Sewage System Approval Irom OTWMD prior to issuing Site Permit. Contact Rome Mann at 218-864-5533 CHARACTERISTICS OF PROPOSED W.O.A.S. (WAT^R ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLINGOUtSijby Dimensiol CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Djpjension Ft. x Sq. Ft ^ Setback to Lotline ^ ^ Ft. & /^(_/ Setback to Right of Way Ft." Setback to Ordinary High Water Level 'T- Elevation Above Ordinary High Water Level _ Setback to Septic Tank Setback to Drainfield / '7^ Ft. Setback to Bluff A/7 Ft\ ^ \ ^ ' Total Bedrooms ^ y(j Maximum Proposed Height Ft. Roof Change ( ) Yes ( V)^ No Basemenf ("'flYes ( ) No Walkout Basement ( ) Yes (side prolite required) (^) No Ft. X Ft."Ft."Ft. X Ft." Sq. Ft. \ Setback to Lotlln^ Setback to Right of Setback to Ordinary HigfiSWater Level __ Elevation Above Ordinary Hi^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 Wa Setback to Ordinary High ?\ater Level __ Elevation Above Ordinary Hig\Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways lyiust be Staked Onsite Prior to Appiication / inspection cuf" □ 21 Cubic Yards - 299 Ciftic Yards* Ft."Ft.&Ft."Ft."Ft.& Ft."Ft." Ft.Ft. Ft.Ft. Ft.Ft. FN Ft.Ft. FN ( ) Screen Porch ( ) Storage Structure ‘ Must Include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovinq □ None □ 300 Cubic Yards or More*□ 20 Cubic Yards or Less * CHARACTERISTICS OF LOT: 32D\ly JkUr- Sq Bluff ( )Yes (Water Frontage .Ft..Ft.Lot Area. Impervious Surface Ratio:X100 =.% Impen/ious Surface RatioTotal Lot Area (FT')Total Impenrious Surface Onsite (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 responsibiiity to inform the Land & Resource Management^ice once the buiiding footings have been constructed. Date: SignatUTB£tProperty Owner / Agent for Owner \ojy^ lo7 rS^e Manaaement C Date: tanaaement Office3^Land & Res^UT)PERMIT FEE $RECEIPT NO.PR0JECT(S) TOTAL SQ. FT.. Comments:(y) Vif-KiaHOL AfPym/'Ptf LoC<fahon ' qs ~|4 (0-L/-D7 Form No. BK — 1003-0407 329,582 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota WHITE - Office *APPLICATION FOR SITE PERMITk- GOLDENROD - Ir.epector 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 iPLEASE PRINT OR TYPE ALL INFORMATION Permit No.-2 TWP NO.RANGE TWP NAMELAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION :iOHO'J'' PROPERTY (E-911) ADDRESSPARCEL NUMBER (S)‘Ho'o'iho z a V c- i-O'ToJO H'/o 1 O'^o xorsO uA/B ^ LEGAL DESCRIPTION ~^AAT~J U/ / 2.i-^Ay' (oi^ i'f3 /(("> ^'3 ^ /A ^ 'o> Bo"/ ^ I1 yV, Ki\o:': First , : i Initia Ln^nl n- AMailing Address Daytime Phone No.Last Name ■1!Property Owner f i^ y BAfrAio //Ala’a? f A/// ^ j/j ' >o r Ini/npk-k/A\p/C Cifpj A 1kr-yV ■ \ZaoLContractor Name Lie.# IAe>>1 5£://= PROPOSED PROJECT tplsase di'cle the appropriate number) (2) Add'n to Dwelling (5 ) RCU/Year______ (8) Storage Structure ONSITE WATER SUPPLY (1)4 Ihdlvidual ( ) Public ( ) None A 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) MHA'R (7) Add’n To Non-Dwelling (10) Non-Conf. Replacement (identify) (11) Other fidentifyl (3 ) 'Replacement Dwelling (6) Attached / Detached Garage (9) W.O.A.S. 'O ( ) Permit No.____________ ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site f^rmit. Contact Rollie Mann at 218-864-5533' /V -I'c7‘Existing Dwelling to be removed prior to. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension 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 7-‘‘' Ft.” Setback to Ordinary High Water Level__2. Ft."Ft. X Ft."Ft. X Ft. X Ft." 2i_2_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 Draintield____ 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 Ft.”. y Ft."F1.&Ft."Ff.& Ft.”Ft." Ft..y Ft.Elevation Above Ordinary High Water Level r~ r,/ Ft. Ft. Ft.Setback to Septic Tank Setback to Drainfield / >-'0 Ft. ;“T Elevation Above Ordinary High Water Level \ Ft. Ft. J^Ft. Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo Setback to Bluff Total Bedrooms Maximum Proposed Height Roof Change ( ) Yes ( S''j No Basement ( ''■) Yes ( ) No Walkout Basement ( ) Yes (side profile required) (^) No >1 Ft.Ft. ( ) Screen Porch ' ( ) Storage Structure i I**Pro|ect/Lotllnes/Rlght-of-ways Must be Staked Onsite Prior to Application / Inspection ,;7.* Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovina □ None □ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More*□ 20 Cubic Yards or Less * CHARACTERISTICS OF LOT:%o BluH ( ) Yes (Sq. Ft.Water Frontage .Ft.Lot Area. -fImpervious 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 responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. Date:H-\Signature of Property Owner/Agent for Owner ■ ipyH io7Date: Land S Resource Management Office iRECEIPT NO.PERMITTEESPROJECT(S) TOTAL SQ. FT.11<Comments: -L/-rV7 LA.Ar,;i7 Z Vy / I ( \,-r , Uiifajion i I 'U ’ ^ b -f*. /f :) Vt Form No. BK — 1003-0407 329,582 • Victor Lundeen Co., Printers • Fergus Fails, Minnesota . ■ '' • ■!-■4 SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations l%tto /^/5/ 'RAi^g bwgtt»v^ ^ 3/’- 571 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 Ft. & ^-S'^ Ft.Ft.&Ft.Structure Set Back from Lot Lines ZO-2Z -Ft.Ft.Structure Height Ft.Structure Set Back from Septic Tank Ft. Ft.Ft.Structure Set Back from Drainfieid o/tis,'7e coAtve<SAr/ori A/g|^ H,At Th£^ SA^tr~ L«C~ Elevation Of Lowest Floor Above Ordinary High Water Level____________________Ft. ^t^yATIOr^ OtZ> AAl“/OrJLand Slope at Building Site %% f/t-sro [Zf"ti^ry* )Inspector’s Comments/Sketch: P^ope/iry Lee. H ^ S^pTU I • ST^irti3i~yi ' \r I , 2S(too* j i t>tfr I 1A Iw* i1'^ - - ^ t mi£ J I Inspector's Signature Date of Inspection Time of Inspection yjl\Project Approved. Date / Initiai liwiisliswpis . ‘ V..r . ; ‘ - . i *^-•* ^ “y'*""' .......* ••»•' ■'!! ,'i '/• ’ ' ' >• . -V tf>'■'v. o o 'Vi, ■ , "Vli"-' 00•’.T. ■''-'V. ■fcv y. '.' :-i'I-^V.. .'/ » UJ %■ ■ V >’i, •T.; IMaSrfr fcSf*- 3«-,' K)'Aw.. . to,'.; iit ^.•;.. :. "•»' ■' .'' '■? . ‘: - -' ■ ■ ■■ -'^ : !■ .' ■<■■, "■ Vvriri;...'5 .’ • ■' V rt"-'■-■.•• ^ -■ ...... :A V'--:‘-®...... ...... 'iiliiiiiii -■ ‘..“4,''.. ^'’ ■ ;'•' y. ,r oaoV wtm 2 V <■.•1 .'.' ;•■ : ■'■ JT' fef'-ill.:. .V ..■■. -,- •■!t. IvV :-"r nv I,: i '•V.'1 I I® •■ I. -■5 . *. '■ •■ 5^ :, >*' . .V '*.-T» ?. ..If.;''.«.•••'- •,•'V ■•'JVrr **': »f.r^4v, * ';•o : ;. 1''"^ ' .-v: IT, k-*• K (» :r ;-..*-:5. - r..".!..'- /....I ., -" -. » '.■• ; J'l •' ;.V •. ■" • • "> ■ ;v .!,'v .’^J" .<■•*. %S: . ':-v-- ‘‘'T^^conc'ptfl,- -->f ■ \ ..■ » L'!?’.V-'/ .•«■/'’ - i ...:n ;?j- S?@- mm- mMiV. • *- <>*V» •\ '*»■ :C..-"'''' . .. .0 . .• ^,-r -EI.;! . SH ..«»■ W-. .V ';■'r \': A-..: c ;.#-*;sum - - ■• .^••-^ -••'A.'-.;-v ■ '.. "-A\\/,CABIN.-J' .V-- -• -■ iy' ■ ^ . '^7- •■ ’- •tJU-*' \1 .' - . ^ >V < .• - ..; ■%•.-/- V- . ■ ■ ••■'.JHOUSE Vv V-A ' ■ ■'• 1 A *1 ■r a.V .DECK '*•.. y. n. ... I '•" ■ V, '^v. 70^: ■ T.c^:cK *-•-• i*l» ift-ll^|liS. llltii^WlBS:' .. . - v\ - ........n ndersqn land surveying STE^ FALL^; MN7 56538pD12^.,<21 B) 1 :. tEKi cctrM . /on Q\ :.a^- ., '.Svi I'Jv'' V... .?H-o.'. •;•> -S's': 7’* '.rf 'Jl/ I-.' •; j.t'. 7''f: ;.V- «v. ,V,* K'§':' ssi-,is| .i.'-i'A;?' is»-000 '4" ‘Lv ,0 V.' ‘ r ''.It!^' rs' r% 'v* 'T ri'4>. w . wm. 9 ** 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 Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NAMESECTIONTWP NO.RANGELAKE/RIVER CLASSLAKE / RIVER NO.LAKE/RIVER NAME 7 ^0 PROPERTY (E-911) ADDRESS < .PARCEL NUMB^ (S) ...ii-£)oo ody2. ano OZj'^CxjQ_______________________ LEGAL DESCRIPTION / / L ^ I Daytime Phone No.Mailing AddressFirst InitialLast Name 7FProperty Owner Contractor Name Lie. I ONSITE SEWAGE TREATMENT SYSTEM (^Permit No. ___________ ( ) OTLSD * This permit is only valid after verification from the O.T.LS.D. that a conforming sewage system will be installed to service this lot contact Rotlie Mann at 864-5533. ONSITE WATER SUPPLY Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling ( 4) MH/YR ( 7) Add’n To Non-Dwelling (10) Other ( 3) 'Replacement Dwelling (6) Detached Garage (9) W.O.A.S. ( 2 ) Add’n to Dwelling ( 5 ) RCU/Year______ ^^^torage Structure __ 'Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED NON-DWELLING /6 CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER.^ORIENTED ACCESSORY STRUCTURE)Outside Dimension ^ ____ Setback to Lotline SO Ft. & ^ Ft." Outside Dimension Setback® Lotline ____ Setback t^Right of Way Setback to ^binary High Wate^evel ___ Elevation Abovs Ordinary Hijn Water Level Setback to Septic^nk , Setback to Drainfielmv/ Setback to Bluff Maximum Propose^eighi Basement / Walkout Base^nt Total Bedrooms__ Ft."Ft."Ft. XFt. X Outside \ Dimension \ Setback to Lotline \ Setback to Right of W Setback to Ordinary High'Water L^l __ Elevation Above Ordinary HiobJWater Level Setback to Septic Tank Setback to Drainfield / Setback to Bluff / Maximum Propo^d Height ( ) Boathou^ ( ) Gaz^ **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.Ft."Ft. X Ft.y Setback to Right of Way Ft."Ft."Ft.&Ft." Ft,Ft. Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Ft. Setback to Septic Tank Ft. Setback to Drainfield Ft. Setback to Bluff Ft. Maximum Proposed Height / O Ft. Bathroom Proposed ( )Yes (y)No Ft. Ft.Ft. Ft.Ft. Ft.Ft. Ft. NoYes Ft. NoIS ( ) Screen Porch > ( ) Storage Structure ' Must include on scale drawing Permit may be required Topographical Alteration / Earthmovinq i^None CHARACTERISTICS OF LOT: □ 21 Cubic Yards - 299 Cubic Yards'□ 300 Cubic Yards or More'□ 20 Cubic Yards or Less ' .Yes V No BluffFt.,Sq. Ft.Water FrontageLot Area. <zs-%Impervious Surface Ratio:X100 =.% Impervious Surface RatioTotal Impervious Surface Onsite (FTh 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, 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 offipe once the buiiding footings have been constructed. ////o it/ Date: Signatu^^Property Owner Date: Land & Resource Management Office ilHECEIPT NQ.y / ^3PERMIT FEE $ Comments: 308,638 • Victor Lundeen Co.. Printers • Fergus Falls, MinnesotaForm No. BK — 0500-0501 f * 1. \ 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 PERMIT\NH\TE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor ’ Permit Ho. 199PLEASE PRINT OR TYPE ALL INFORMATION: TWPNAMERANGELAKE/RIVER CLASS SECTION TWP NO.LAKE / RIVER NO.LAKE/RIVER NAME 7 nr ^0 :k1 PROPERTY (E-911) ADDRESS > , .uZyTcPARCEL NUMBER (S) ^ _j /f i)oG oy Od7z. cdo ' I'faPd O7f^ooo ______.J 41\ \ \\ 3 Daytime Phone No.Mailing AddressFirst InitialLast Name I zjv/^/g \97ffs 7^7m1'iProperty Owner i ^/^/U£TContractor Name Lie.#[ ONSITE SEWAGE TREATMENT SYSTEM (^ Permit No. '■■/' / C ^ ( ) OTLSD * TNs permit is on/y vaiid alter verHication from the O.T.LS.D. that a conforming sewage system will be installed to service d]is lot contact Rollie Mann at 864-5533. ONSITE WATER SUPPLY Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a weli. PROPOSED PROJECT (please circie 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____ 5 ' ^ 7) Add’n To Non-Dweliing "j^f^^torage Structure 'Existing Dwelling to be removed before(10) Other CHARACTERISTICS OF PROPOSED NON-DWELLING Ft. X Ft." CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) //6Outside Dimension Setback to Lotline TO ^ Ft. & - Ft." Outside Dimension Setback to Lotline ___ Setback to. Right of Way\Setback to Ordinary High WatepLevel __ Elevation Above Ordinary Hign Water Level Setback to SepticTank j Setback to Drainfiel^ / Setback to Bluff /\ Maximum Proposed'Height Basement___/ Walkout Base^nt Total Bedropftis _ Ft."Ft. x Outside Dimension____ Setback to Lotline __ Setback to Right of W^^ Setback to Ordinary High Water LeVel __ V /Elevation Above Ordinary Hi^Water Level Setback to Septic Tank_ Setback to Drainfield / Setback to Bluff / Maximum Proposid Height ( ) Boathous/ ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft."Ft.Ft./Ft. X Setback to Right of Way 7Ft."Ft."\Ft."Ft.& J'VdR. '5- FI, Ft.Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank ^ Ft. Setback to Drainfield '^'O -h pt. Setback to Bluff Ft. Maximum Proposed Height Bathroom Proposed ( ) Yes (y) No Ft.Ft.Ft. Ft.Ft. VFt. Ft.1/O Ft.NoYes 1Ft. NoIS ( ) Screen Porch n ( ) Storage Structure /J ( j J ' Must include on scale drawing Permit may be required Topographical Alteration / Earthmovina □ None □ 300 Cubic Yards or More*□ 21 Cubic Yards - 299 Cubic Yards'□ 20 Cubic Yards or Less ' CHARACTERISTICS OF LOT: ±£3:1 Bluff Yes No.Ft.,Sq. Ft.Water FrontageLot Area. 1.Impervious Surface Ratio:.%X100 =Impervious Surface RatioTotal Impervious Surface Onsite (FT=)Total Lot Area (FT») 7«/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 responsibility to inform the Land & Resource Management office once the building footings have been constructed. /< / X!p f ( rDate: S\gnaXur9 Of Property Owner / Date: Land & Resource Management Office PERMIT FEE $ 7 3_________RECEIPT NO. Comments: 308.638 • Victor Lundeen Co.. Printers • Fergus Falls. MinnesotaForm No. BK — 0500-0501 % 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 3o'^Ft.Ft.Structure Set Back from Road Right of Way 5/5/Ft.Ft.&Ft.&Ft.Structure Set Back from Lot Lines Ft.Ft.Structure 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 Sr.Ft.Ft. Land Slope at Building Site %%0-r Inspector’s Comments / Sketch:X. : i* 5/ij ?c? \ir }2-^ rvr (tHa) ! I II i I 1i !i Inspector’s Signature JZ - ^-’V* Date of Inspection Time of Inspection ^ Project Approved 17.- T-oTL Date/Initial .grid(s) equals /ffOScale'Jl feet, or Jnch(es) equals feet Please use this sheet for the required scaie drawing of your proposal. Be sure to include lot dimension, water frontage, and setbacks from RW, lake, lot lines, sewage system, top of bluff, existing structures and all imper vious surface. Required impervious surface coverage calculation (See definition in Shoreland Management Ordinance) X 100 =% Total Impervious Surface Onsite (FT2) Total Lot Area (FT2) K § 3 li i| I) h! li NN '^i 3 I s. h -Till f/ i|f0‘ ! tO /r DatedSignature 304.678 • Victor Lundeen Co., Printers • Fergus Falls, MN • 1-800-346-4870BK — 0500 —i629 LAND & RESOURCE MANAGEMENT =-©5atK’IAIt>qOUNTY COURT HOUSE 121 W. JUNtUSAVE. • SUITE 130 /Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE-Office GOLDENROD Inspector YELLO W - Owner (after issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION RANGE TWPNAMELAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWPNO. ^(7/3rS- 5/^ 7 Z/f/i e- PARCEL NUMBER (S)/4^ 0(70 9 f o ^7- ao O /^ooo Of /^OOO 9‘f O2^^r~0«0 E-911 ADDRESS LEGAL DESCRIPTION l<lKp‘.S Daytime Phone No.Last Name Mailing AddressFirst Initial 77 3 3^k 7)e/i-/;, MA^S>sirAProperty Owner S/fy7f<L-VA/ptes /9 A/zh/^/e-^Contractor Lie.# PROPOSED PROJECTjplease circle the appropriate number) (1) New Dwelling (4 ) MH/YR____ 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. ( )0TLSD* dd'n to Dwelling (5) RCU/Year______ (7) Add’n To Non-Dwelling (0) Utility/Stg Structure (9) WOAS (10) Other (3) 'Replacement Dwelling (6) Detached Garage 'Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension Setback to Lotline r. & Ft." Setback to Right of Way XO Ft." Setback to OHWL 2-^^ Ft. Elevation Above OHWL Ft. Setback to Septic Tank /S Ft. Setback to Drainfield . Setback to Bluff CHARACTERISTICS OF PROPOSED NON-DWELLING CHffiACTERISTICS OF PROPOSED WOAS Outsid^ DimensionV_______ Setback to LoHjne___ Setback to Right o(Way Setback to OHWL \ Elevation Above OHWL. Setback to Septic Tank _ Setback to Drainfield__ Setback to Bluff_____ Maximum Proposed HeightI Bathroom Proposed ( ) Yes ( ) No OutsideX DimensioV________ Setback to Dqtline___ Setback to RignUif Way Setback to OHWLX Ft. X .3 0 Ft."Ft. X Ft."Ft. X Ft." Ft.&Ft."Ft.&Ft." Ft."Ft." Ft.Ft. Ft.Elevation Above OH'Ft. Ft.Ft.Setback to Septic Tank Setback to Drainfield _ Setback to Bluff____ Ft. Ft. r/f.Ft.Ft. Maximum Proposed Height Walkout Basement Total Bedrooms Ft.Maximum Proposed Height ( ) Boathouse ( ) Gazebo ^ NoYes ( ) Screen PorcK { ) Utility Structure^ "“AO **ProJect/L<ulines/Rlght-of-ways Must be Staked Onsite Grade/Fill/Excavation (yT((diSL-4- - (scale drawing required) ^ SmII Disposal ^^nsite (scale drawing required) □ Offsite **ProjectA.otllnes/Rlght-of-wayi Must be Staked Onsite CHARACTERISTICS OF LOT: i'i i jfi’JLn.Water Frontage Ft. _____Sq. Ft. Lot Area..Sq. Ft.Bluff Onsite____Yes IDImpenrious Surface Onsite Impervious Surface Ratio % THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER IS, 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. * This permit is oniy valid alter verification from the O.T.L.S.D. that a conforming sewage system will be iastalled to service this lot contact Rollie Mann at 864-5533. Date: SiQnBXUTB of Property Owner /O 7-Date: Land & Resource Management OfficeKn?IZ—05^PERMIT FEE $RECEIPT NO. Project/LotlinesfRight-of-Way MUST be Staked Onsite Prior to Submission of Application.Comments: 0 (if 300.767 * Victor Lurtdeon Co., Pnniors * Fergus Fells, MN • 1-600-346-4870 x: ' 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 WHIT^- Office I GOLbENROD - Inspector I YELLOW - Owner (after issue) PINK - Assessor 'j ,0^-|3 11^j Permit No.PLEASE PRINT OR TYPE ALL INFORMATION SECTION TWPNO.RANGE TWPN^ELAKEffllVER CLASSLAKE / RIVER NO.LAKBRIVER NAME /35-‘ 7/Ai e- E-911 ADDRESSPARCEL NUMBER (S)/Yf Cc'^-yaoo /^rc o ''■ / j. ‘t) LEGAL DESCRIPTION ^/fcA K>r o/yTV'> iDaytime Phone No.FirstLast Name mil A.Property Owner /1 \./pfAi> /O ,Py/-h/y/^Contractor Lie.#7 1 ONSITE SEWAGE TREATMENT SYSTEM ( ) Permit No. ( )0TLSD* ONSITE WATER SUPPLY 7I liidividual ( ) Public ( )None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. PROPOSED PROJEC^please circle the appropriate number) (1) New Dwelling (4) MH/YR____ (7) Add'n To Non-Dwelling (8) Utility/Stg Structure (9) WOAS (10) Other (JJJ^dd'n to Dwelling (3) ’Replacement Dwelling (6) Detached Garage \(5) RCU/Year. 1 ’Existing Dwelling to be removed before.•I ■ iiCHARACTERISTICS OF PROPOSED NON-DWELLING CHARACTERISTICS OF PROPOSED WOASCHARACTERISTICS OF PROPOSED DWELLING iiOutside Dimension Outside Dimension Setback to Lotline___ Setback to Right of Way Setback to OHWL _x Elevation Above OHWL ^ Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff_______ Outside Dimension Setback to Lotline___ Setback to Right of Way Setback to OHWL Elevation Above 0HWt\ Setback to Septic Tank Setback to Drainfield____ Setback to Bluff Maximum Proposed Height. ( ) Boathouse ( ) Gazebo Ft. X 0 Ft.” Setback to Lotline 7^ r. & Ft.” Setback to Right of Way ^ ^ Ft.” Setback to OHWL Ft. Elevation Above OHWL Ft. Ft.”Ft. X Ft.”Ft. X Ft.”Ft.&Ft.&Ft.” Ft.”Ft.” Ft.Ft. Ft.Ft.X_Ft.\/»5 R.Setback to Septic Tank Setback to Drainfield Setback to Bluff__ Ft. \ Ft.Xt. Ft./^Ft. Maximum Proposed HeightI Bathroom Proposed ( )Yes ( )No Ft.Maximum Proposed Height Walkout Basement Total Bedrooms A No **Pro|ect/L6^ines/Rlght-of-ways Must be Staked Onsite Yes ( ) Screen PorefK. ( ) Utility Structure 1 (yyrdcU (A **Project/Lotlines/Right-of-wayiy Must be Staked Onsite Spoil Disposal ^^nsite (scale drawing required) □ Offsite Grade/Fill/ExcavationH-------------------------------- ^Yes (scale drawing required) □ No CHARACTERISTICS OF LOT: -3 I 5.//.Yes V NoWater Frontage Ft. _____Sq. Ft. Bluff Onsite.Lot Area..Sq. Ft. iDImpervious Surface Ratio .%Impervious Surface Onsite 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 building footings have been constructed. * This permit is only valid after verification from the O.T.L.S.D. that a conforming sewage system wiil be installed to service this iot contact Roliie Mann at 864-5533. P 7, 3 -00Date: ------------------------ rSignature of property Owner/ 7-Date: Land & Resource Management Office IISRECEIPT NO.PERMIT FEE $ Project/LotlinesfRight-of-Way MUST be Staked Onsite Prior to Submission of Application.Comments:T7\(r-t/) I 300.707 • Victor Lundeen Co.. Primers • Fergus Fells. MN • 1-800-346-4870Form No. BK — 0500-002 *0 SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations h' r-UijStructure Set Back from Ordinary High Water Level Ft.Ft. Structure Set Back from Top of Bluff Ft.Ft. loo"Structure Set Back from Road Right of Way Ft.Ft. Structure Set Back from Lot Lines Ft.&Ft.Ft.&Ft. Structure Height < "^0 Ft.Ft. Structure Set Back from Septic Tank Ft.Ft./O h^0Structure 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: 1 1 i CD 1 I r wInspector's Signature >5'OO |ovl4 Date of Inspection Time of Inspeciton U Project Approved Date/Initial Department of LAND & RESOURCE MANAGEMENT COUNTY OF OTTER TAIL Phone; (218) 739-2271 Court House FERGUS FALLS. MINNESOTA 56537 August 31, 2000 ; James Kimple Kimps Kamp Resort Rt 3 Box 30 Dent MN 56528/ RE: Proposed Addition (Residence), Dead Lake (56-383) Dear Mr. Kimple, I have reviewed your revised request (received August 30, 2000) for your 14’ X 30’ addition to your residence as well as your Site Permit (#17861). Since it appears that all required setbacks will be complied with, you may proceed with construction of your proposed addition on the west side rather than the east side of your residence. - Please be sure to notify this office once your addition footings have been constructed so that the required onsite inspection can be made.-j If you have any further questions regarding this matter, please contact our office. Sincerely, Bill Kalar Administrator BK/jlt •I ■!; i ^ . I \'S V -< -Q m.L HOUSE[CABIN >« X S^'' /✓ /■■ •(5>\OV ^IofVWe. LUbJ CABIN (/!/ // I ///* y y y \ \ I i\7 i i II|- I- RECEIVED AUG 3 0 2000 LAND & RESOURCE V ■< I ' 1 Department of r LAND & RESOURCE MANAGEMENT COUNTY OF OTTER TAIL Phone: (218) 739-2271 Court House FERGUS FALLS, MINNESOTA 56537 August 28, 2000 James Kimple Kimp’s Kamp Resort Rt 3 Box 30 Dent MN 56528 RE: Proposed Addition (Residence), Dead Lake (56-383) Dear Mr. Kimple, Before final approval for the new location of your proposed addition can be given, we need a revised scale drawing of your proposal. I have included a copy of your original proposal upon which you should scale in your revised plan. If you have any questions regarding this matter, please contact our office. Sincerely, S^<-ep Bill Kalar Administrator BK/jlt Enc ; RECEIVED AUG 2 3 ?000 LAND & RESOURCE Mr. William Kalar Land and Resource Mgt. Ottertail County re: building permit Kimps Kamp Dear Mr. Kalar After considering the appearance of the addition, the proximity to the driveway and the control of water runoff we have decided to request approval to change the location of the addition to the west side of the house. The size of the addition remains the same @ 14 x 30. Thanks for your assistance. iincerely James Kimple Kimp’s Kamp Rt. 3 Box 30 Dent, MN 56528 August 14, 2000 Mr. William Kalar Otter Tail Count Land and Resource Management Otter Tail County Courthouse Fergua Falls, MN 56537 Dear Mr. Kalar: Thank you for your assistance this morning. As I indicated on the phone we need to modify our building plan to be 10 feet from the septic system (a second holding tank was obscured and we frankly had forgotten it existed). To locate the addition 10 feet from the septic system, we would like to relocate move the addition 9 feet south, retaining the 30 x 14 dimensions of the original plan. If this is not acceptable, we would then like approval to relocate the addition to the west side of the residence. Thank you for your assistance with this matter. Sincerely, IJohn Kimple tHfU» ^ jcp^ r -C.4W/ ““ t * if -AjU JGr i ^j: ; I El/4 CORNER SEC.8, T.135, R.40 N 00* 05’ 42” W ' 1319.99il .!IS. LINE OF NE1/4 OF SE1/4 1/ > y 'V.I t SE COR. OF NE1/4 OF SEl/4N. LINE OF GOV* T. LOT 4 33 •T I I t I I I I I I I IIII;I II I I r I I I I I IX'I I I I ^o I I I\I I III ICNI/I O IItnIIyAIUJIIIs\CM I <7 t\o IoIo 50 25 Oi 1 50501 OOItto\\■: ;7 ./ ’1 1 I I Io I I SCALE: 1 INCH BEARINGS ARE BASED ON AN ASSUMED DATUM. • DENOTES ;RON MONUMENT FOUND. © DENOTES IRON MONUMENT SET MARKED ” RLS 13620” 50 FEETI A \ i SURVEYOR' S CERTIFICATE / HEREBY CERTIFY THAT THIS SURVEY, PLAN OR REPORT WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT ! AM A DULY REGISTERED LAND SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA. DATED THIS 3RD DAY OF JUNE. 2000. \ 4*■.'4- DAVID A. ANDERSON LAND SURVEYOR MINN. REG. NO. 13620 - REVISED THIS 16TH DAY OF JUNE, 2000. CABIN HOUSE DECK A’ i NORTHEAST CORNER LOT 1 BLOCK1 YAQUINA BAY CERTIFICATE OF SURVEY FOR.•r. JAMES KIMPLE RE ED FIELD BOOKCONTRACT NUMBER■-"J ALS-130/3178-00JUN 1 6 2000NDERSON LAND SURVEYING INC9 DRAWING NUMBERCOMPUTER FILE313 SOUTH MILL STREET. FERGUS FALLS, MN 56538-0125 (218) 739-5268 916 WASHINGTON AVENUE. DETROIT LAKES, MN 56501 (218) 847-0500 LAND & RESOURCE 194-88 IDWGCRD89267 ' tj 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 ismPermit No.LEGAL DESCRIPTION BLUFF ZONEAND □ YES n NO LOCATION TWP NO.RANGE TWP NAMELAKE/RIVER CLASS SECTIONLAKE NUMBER LAKE/RIVER NAME 51/ -3 ^-3 2)^2> TOPOGRAPHICAL ALTERATION # OF CUBIC YARDS FIRE NUMBERPARCEL NUMBER (S) /fdCO i^ooo at7 7^ 0(^0 q^^es □ NO VL /5/ IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and Zip Code (Daytime)Last Name First initial \/c7Pa AProperty Owner NameContractor State Lie. # ONSITE SEWAGE TREATMENT SYSTEM'^ (*4^fi3i^dual Permit # *2^^ ^ f ONSITE WATER SUPPLYPROPOSED PROJECT (v^ew Structure(s) ( ) Addition(s) ( ) MH/RV____________ PROPOSED USE ('^welling g^fffdividual (Vl^ublic ^5<?rT ( ) Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) ( ) Collector Permit # ( )OTLSD ( ) None YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ( ) Garage ( ) Utility Structure CHARACTERISTICS OF DWELLING (i»j(^welling ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside Dimension ( ) Screen Porch( ) Boathouse ( ) Gazebo ( ) Utility Structure( ) Other Outside Dimension ( ) Other. Outside Dimension Ft. X .Ft. Ft. X Ft..Ft.Lotline Setbacks Ft. &Ft. Ft.Lotline Setbacks Ft. &s:OHWL Setback .Ft..Ft.t Lotline Setbacks .Ft.& OHWL Setback Bathroom:( ) Yes / Yes / a complying Sewage System Required) ) No .Ft.OHWL Se>Bhck Total Bedrooms Maximum Height /10 ft. (1 story)Maximum Height / 35 Ft.,(2 story) - ^^0 laximum Height Ft. ^ a/Impervious Surface 3 ~Z-, Ft.Impervious Surface Ratio .%Lot Area 7 5-'Ft. (S' minimum)Ft. Elevation of lowest floor above OHWLWater Frontage 10Ft. Slope of lot .%Structure setback to right-of-way Ft. (10'minimum) (Sewage System Permit required before installation).Structure setback to septic tank yr^Ft. (20’minimum) (Sewage System Permit required before installation).Dwelling setback to Soil Absorption System Ft. (10'minimum) (Sewage System Permit required before installation).Non dwelling setback to Soil Absorption System THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibiiity to inform the Land & Resour^ Management office once the buiiding footings have been constructed. f/4 /g /ffy 7^Dated:/SignayurM of Owner ^ X1 11/Dated: Land & Rd^urce Management Office IXG'iSlPERMIT FEE $ TO, 06 RECEIPT NO. Sitd fet' -f?i< incrc/i-^(fComments: • •aOO-3-o-:87(Form No. BK — 0597-002 28b.iiO • V.ciP' L-nJeen Co. Panic's • Fergus fa-'S l-fN • 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 cPermit No.LEGAL 1 ; 'a DESCRIPTION BLUFF ZONEAND □ YES n NO LOCATION ■i LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME -1 56 TOPOGRAPHICAL ALTERATION # OF CUBIC YARDS FIRE NUMBERPARCEL NUMBER (S)Vi-/¥Odio 0^ 17 7^ OOO a NO ■i dL /3/ -. ■» ^— — IDENTIFICATION; Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City. State, and Zip CodeInitial (Daytime)Last Name First // 3 30. /^/t/ <ZProperty Owner V./^/ J /3>y 3cl[ /P^yf r /fNameContractor f <state Lie. # ONSITE SEWAGE TREATMENT SYSTEM PROPOSED USE (Dwelling ( ) Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) ONSITE WATER SUPPLY ^Mtivldual (Vf^ublic ^30!“^ PROPOSED PROJECT ( I New Structure(s) ( ) Addition(s) ( )MH/RV__________ ___ j .l-Off( -) Individual Permit It ( ) Collector Permit #_ ( )OTLSD ( )None YEAR CHARACTERISTICS OF NON-DWELLING ( ) Garage ( ) Utility Structure CHARACTERISTICS OF WOASCHARACTERISTICS OF DWELLING ( ifOwelling ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside Dimension ( ) Screen Porch( ) Boathouse ( ) Utiiity Structure( ) Gazebo ■61( ) Other Outside Dimension 1 ( )Other. Outside Dimension .Ft..Ft. X 7 Ft..Ft. X .Ft.&.Ft.Lotline Setbacks Ft. FLA Ft.-Lotline Setbacks OHWL Setback .Ft..Ft.Lotline Setbacks Ft.& OHWL Setback .Ft.Bathroom: / ( ) Yes / (If Yes / a complying Sewage System Required) ( )No .1 OHWL Setback .Ft. Total Bedrooms -1/I Maximum Height / 35 Ft. (2 story) ’ 7'^o Maximum Height /10 ft. (1 story)Maximum Height Ft.■■ If/ ' ' Sq. Ft. Impervious Surface __^7, C>o So. Ft.77 Impervious Surface Ratio .%Lot Area Water Frontage 7 .Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWL !1Tv0Ft. Slope of lot .%Structure setback to right-of-way. Ft. (10’minimum) (Sewage System Permit required before installation). Ft. (20’minimum) (Sewage System Permit required before instailation). Structure setback to septic tank Dwelling setback to Soil Absorption System 7 1 Ft. (10’minimum) (Sewage System Permit required before installation).Non dwelling setback to Soil Absorption System I i 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 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.i ___'/y Z-—- . Signatiir^of Owner ^ ^ y' /y ^__0^ L /o, //f 7/1Dated; -.17//V f)Dated:yLand S Retource Management Office i PERMIT FEE $RECEIPT NO. 1r / rs1 (5 KComments: } -1 Form No. BK — 0597-002 286 110 • V.cto* L-noeen Co P».nte»s • Fergus Fd S WN • '-800-3"*6-J87t ■> INSPECTION RESULTS Make all measurements and computations j b (Ft.Structure Set Back from Ordinary High Water Level Ft. Structure set Back from Top of Bluff Ft.Ft. t+J60 Ft.Ft.Structure Set Back from Road Right of Way 5o+Ft.Ft.&Ft.Ft.&Structure set Back from Lot Lines <3S Ft. Ft.Structure Height Ft.Ft.Structure Set Back from Septic Tank /O^ 3c ^Ft.Ft.Structure Set Back from Absorption System Elevation Of Lowest Floor Above Ordinary High Water Level____________________Ft.Ft. %Land Slope at Building Line % Inspector’s Comments / Sketch: -[ Iau y jL 1 A 51 V t ^ opi"-' 'r Inspector 's Signature Date of Inspection Time of Inspection ..of GRID PLOT PLAN feet SKETCHING FORM/___grid(4) equals ^ feet, or Jnch(es) equals . 19 ■Dated: Shgnabin Please sketch your lot indicating setbacks from road right-of-wiy, lake and sideyard for each building currently on lot and any proposed structures. m % s ^ -A. i> ^ j ^ % 7r 1 ^S'Vj %> % ^ 3^ : >j Co ^\) \ \ ' 27B.428 • Victor LurtdMn Co . Priniart • Fwgus F*Ut. MN • 1-800'346-4870MKL —0871—029 <2^ 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 Permit No.. /)^ LEGAL DESCRIPTION AND LOCATION Mf y IRS W /l.J ^ TWP NameLake No.TWPLake Classif.Sec.RangeLake Name IDENTIFICATION: Please Print All Information First Tel. No.IVlailinq Address— No. Street. City and State ________Zip No.Last Name Initial Owner 15S-^3S^ NP)CUi/i~^NameContractor ' Architect Name. NON-RESIDENTIAL PROPOSED USE:t^K)c3Q-TYPE OF IMPROVEMENT: ^^New Building ( ) Alteration R^IDENTIAL PI^OSED USE: Specify:.( )Imily Dwelling I [ling Unitslultiple ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ TYPE OF SEWAGE DISPOSAL:DIMENSIONS:PRINCIPAL TYPE OF FRAME: Xno j( ) Masonry Wood Frame N^Structural Steel ( ) Other — Specify ( ) Yes( ) Public l^^ndividual Septic Tank WATER SUPPLY: Basement: Stories above basement: Sq. feet (outside dimension) Bedrooms .............................. , etc. Baths( ) Public Individual Well CHARACTERISTICS: IJM.feet.Maximum depth of lot feet.square feet. Water frontage is Building set back from high water mark is Land height above high water mark at building line is Building set back from State highway right of way.... Side yard is ........... Structure will be located Lot Area is 9^0 feet. (Building Line)5 feet c3i9.SL>..................feet.feet — from road right of way is and ............feet. feet from septic tank (Sewage System Permit must be obtained before instailation). feet from soil absorption system (Sewage System Permit must be obtained before installation). 23 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. a^nature of Owner V s&ibed in the above statement. This permit is granted upon the Dated Permission is hereby granted to the above named applicant to perform the work dePermit: 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. r3/ 6d cL.4 3m Dated ShorelarfQ Management Officii UonPermit Fee $.Receipt No. Comments: Form No. MKL-0286-019 22997l@ VICI'OB LUNOEEN CO,. PRINTERS, FERGUS FALLS. MINN. Office OwnerWhite •Yellow Pink — AsWlkse^ % Goldenrod Tnepector SHORELAND MANAGEMENT - COUNTY OF OT IL COUNTY COURT HOUSE Phone: (218) 739-2271 - Fergus Falls, APPLICATION FOR SITE/PERMIT nnesota 5653 I un'erTiit No,.1rLEGAL DESCRIPTION AND LOCATION M77 / ‘117,- fn?,/iJ'-.t /(' > yv.> TWP NameSec.TWP RangeLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateFirstInitialLast Name ole7 ,;-.r/jJl AOwner i/NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE: ( ) bn^amily Dwelling (Multiple DweIJing ( ) Other TYPE OF IMPROVEMENT: (>) New Building ( ) Alteration Specify: Units ( ) Other Size ESTIMATED COST OF IMPROVEMENTS DIMENSIONS:TYPE OF SEWAGE DISPOSAL: ( ) Public , y Individual Septic Tank, etc. WATER SUPPLY: ( ) Public Individual Well PRINCIPAL TYPE OF FRAME: No jBasement: ( ) Yes Stories above basement: Sq. feet (outside dimension) Bedrooms .7.......................... ( ) Masonry Wood Frame k (Structural Steel / ■( ) Other — Specify Baths CHARACTERISTICS:tTKl...im.feet.feet.Maximum depth of lotWater frontage issquare feet. Building set back from high water mark is Land height above high water mark at building line is Building setback from State highway right of way.... Side yard is Lot Area is feet. (Building Line) vy feet cS:0...feet.,. feet — from road right of way is l.u.la feet. .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Sewage System Permit must be obtained before installation). and ZU.Structure will be located Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA 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. it r W / z'. nte*' Signature of Owner Dated.L 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. ( t ' // IDated Shorelarfd Management Official /, 00 cL*i oPermit Fee $.Receipt No. Comments: -I Form No. MKL-0286-019 229971®VtcrOR LUNDCEN CO.. PRINTERS. FERGUS FALl.S. MINN. INSPECTOR'S CHECK LIST Make all measurements and computations j ACTUAL IS 1 MINIMUM Shall Be X^aie 0)a./LcL/^!■ .3;2.Sq. Ft, Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft.Ft. 22^O Ft. ^ Ft. Building Set Back from High Water Mark Ft. /MBuilding Set Back from State Highway Ft. Building Set Back from Street or Road 2:0 4a- Ft.Ft. -//O Ft.Ft./^&Side Yard Rear Yard Ft.Ft. Occupied Building to Septic Tank Occupied Building to Absorption System Ft.Ft. Elevation at Building Line above High Water Mark_____________£A Ft.3 Ft. Inspector's Comments: f Inspector's Signature Title Inspection Dated 19 Agency vicT«« LUHOCCN 4 CQ . MiNttMi. rco«ua r«Ll.t. I Scale: Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM /Dated:19 // Please sketch your lot indicating setbacks from road right-of-way, h Signature lake and si deyard for each building currently on lot and any proposed structures. 0- .1- i; I /- ;31i rSz-1 z:K i ----- .-N.,.------\ 044^ //^ 21598 7®MKL-0871-029 VICTOM LUNbCCH CO . PKINTENS. FERGUS FALLS. UINN. 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 Permit No,,LEGAL DESCRIPTION AND LOCATION 17£_ctm /V)£_ n? mSl_c Lake No,Lake Clattif,Sec,TWP Range TWP NameLake Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No, Street, City and State Zip No,Tel, No, W n n ^(g ^ ^ /1^4. oOwner NameContractor Architect Name. TYPE OF IMPROVEMENT: T'^W'lew Building ( ) Alteration RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: Specify: h ^_________ rsDirih^h —I ) One Family Dwelling ( ) Multiple Dwelling Units >N Jl A ? 0( ) Other Other Size IESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: ( ) Yes Stories above basement: Sq, feet (outside dimension) Bedrooms .............................. 'KlPublic ( ) Individual Septic Tank, e WATER SUPPLY:Kj^Public ( ) Individual Well ( ) Masonry '^Sl Wood Frame ( ) Structural Steel ( ) Other — Specify f Baths Type of Roof: fCHARACTERISTIC^: /^,;^,„^4^.^,^^<1uare feet. Water frontage is feet.Lot Area is Maximum depth of lot .2.0Q.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 ............................. and ' Structure will be located feet. (Building Line) feet fofeet — from road right of way is ■feet. feet. IQ .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).;2.C/.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 herewitf shall become a p»rt of this permit application. I also understand that this permit is valid for a period of six 16)lonths. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.Sig/ia'of Owner Permit: Permission is hereby granted to the above named applicant to perform the work descril^d in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any tinrte upon violation of said ordinances. 7^-/g ,30“" Dated SMor^nd Management Official c ^ j'z:hiPermit Fee $. Comments: 195676® VICTOR LIJNDCCN CO.. PRINTERS. FERGUS FALLS. MINN.Form No. MKL-0771-002 White - Office Yeiiow — Owner Pink* —■ AneSeor Goldenrod — i nspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT t A.. /<■PermiT^o.. LEGAL I DESCRIPTION AND LOCATION 7 TWP NameSec.TWP RangeLake Classif.Lake No. Lake Name IDENTIFICATION: Please Print All Information Mailing Address— No. Street. City and State Zip No.Tel. No.Last Name InitialFirst 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 $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS:; Basement: ( ) Yes ( TSklp Stories above basement: ....... Sq. feet (outside dimension) .... Bedrooms I ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well )if■J /' rI /i Baths 1 Type of Roof: CHARACTERISTICS: 4 Ac'':square feet. Water frontage is Building set back from high water mark is........;.................................... Land height above high water mark at building line is...................... Building set back from State highway right of way............................ Side yard is ......................... Structure will be located feet.Maximum depth of lot feet.Lot Area is feet. (Building Line) feet feet — from road right of way is ■feet. and feet. .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).Structure will be located 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 herewitf shall become a pwrt of this permit application. I also understand that this permit is valid for a period of six (6) months. TH/S /S A S/TE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. i i Signature of Owner Permit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the Dated Shoreland Management Official Permit Fee $. il.:Jn(Comments; [1Aw L A.TjQ. 195676® VICTOR LUNOCEN CO.. PRINTERS. FERGUS FALLS. MINN.Form No. MKL‘0771-002 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUM Shall Be Sq. Ft. Sq. Ft.Lot Area (Square feet)Sq. Ft Water Frontage Ft. Ft. Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway 50 Ft.Ft. Building Set Back from Street or Road 40 Ft.Ft. Side Yard &Ft.&Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank 10 Ft.Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: 1 1 •i ^pvi^or's Signature Title ftInspection Dated 19 Agency victea LuaaitN « e*.. ntiNtin. rcaau* rau*. wn. i 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 p iyj~ Vo I'hJJ At / ^ j PT V IX, Xl Permit No.LEGAL Date.DESCRIPTION AND LOCATION TWP TWP NameLake No.Lake Classif.Sec.RangeLake Name IDENTIFICATION: Please Print All Information Tel. No.FirstLast Name Malting Address— No. Street, City and StateHl H tXoh /V/\ • Initial Zip No.K I 'pi •€e-J~Owner NameContractor Architect Name. TYPE OF IMPROVEMENT; ( ) New Building (\^1^lteration ( ) Other RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling ( ) Multiple Dwelling Specify:. Units (L/T^ther Size 3MIESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL: r. n ( ) Public 'Ur (^..Mndividual Septic Tank, etl.^ 7 ~7 DIMENSIONS: Basement: ( ) Yes Stories above basement: Sq. feet (outside dimension) Bedroorhs Or"( ) Masonry (Yl^Wood Frame ( ) Structural Steel ( ) Other — Specify / WATER SUPPLY: ( ) Public :i:zBaths (y^,)'1ndividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central HEATING: ( ) Electric ( ) Gas ( ) Coal Other: Type of Roof:( uK)il r (ru..(H<No ( ) None ( ) Unit CHARACTERISTICS: /o tD..GLot Area is square feet.—. Water frontage is .... ^eeL^ISmiaing ..............................feet teet. A '*7 S^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 wiil be located Building will be located L0..0.1.a.Q. 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. Z&l~5-tlT 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. XDated, Signarare of Owner Permit: Permission is hereby granted to the above named applicant to perform the work de express condition that the person to whom it is granted, and his agent, employees and worsen shall conform in all res County, Minnesota. This ppmit may be revoked at any time upon violation of said ordinances. I eU^in the above statempQt. This permit is granted upon the to the ordinances of Otter Tail I 2?Dated lagement Official/CPjiaPermit Fee $.State Surcharge $. A^pr-c/X 7^. Cgdot CLrmyn V C 0 C /ir ^tv. LAComments: n I (TV hn> r ^ syA o cT-~la.4- J-k^ Form No. MKL-0771-002 VICTOI LUMOCeii 1 CO.. 158899 us FAl.La. HIMN SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSEPhone 218-739-2271 - Fergus Falls, Mn. ^ OfficeWhite Yellow — <^ner Pjnfc — Assessor Goldenrod — Inspector a 1>- -4 Permit No.,KLEGAL /‘ /Date.DESCRIPTION ' L VAND LOCATION TWP NameLake No. Lake Name Lake Classif.Sec.TWP Range IDENTIFICATION; Please Print All Information Last Name First Initial Mailing Address— No. Street, City and State Tel. No.Zip 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 Basement; ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms Baths MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central HEATING: ( ) Electric ( ) Gas ( ) None I Type of Roof:( ) No ( ) Oil ( r No ( ) Coal Other:( ) Unit ■; CHARACTERISTICS: Lot Area is .U.^.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 ..:r./ .i 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. .■ - •uDated. 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: / m y 1 'xL ^ Form No. MKL-0771-002 158899 VICTOH LUMBItN 4 Cft.. PRIHTCM. riRtUI rALLI. V.- % INSPECTOR'S CHECK LIST Make all measurements and computations ACTUALIS X MINIMUMShall Be i Sq. Ft Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. \Building Set Back from High Water Mark Ft.Ft.1 Building Set Back from State Highway 50 Ft.Ft.Id•.I Building Set Back from Street or Road 40 Ft.Ft. Side Yard &Ft.&Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank 10 Ft.Ft. Occupied Building to Absorption System 20 Ft.Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: Inspector's Signature •! Title 1Inspection Dated 19 Agencv ^ VICT«II LUMDCea » M .t*Li https://onegov.co.ottertail.mn.us/admst/viewcard.php?card=3&ap... OTTER TAIL COUNTY Land & Resource Management Phone (218) 998-8095 PERMIT NUMBERPERMIT TYPE Lot Alteration Permit 8693 PROPERTY OWNER John Kimple LAKE INFORMATION Dead 2SSDNR ID(S) LOCATION Parcel(s): 14000990282000 Township Name; Dead Lake Township Section/Township/Range: Sect-08 Twp-135 Range-040 Legal: YAQUINA BAY LOTS 1 THRU 13 BLK 1 WORK AUTHORIZED Excavate on the north end of cabin 6, install drain system, and construct a 3' tall boulder retaining wall to prevent run off from entering basement of cabin. Top dress, seed and stabilize disturbed area. Must control and store water run off. Fill area Length: 30 Feet Width: 16 Feet Average Depth: 3 Feet Total Cubic Yards: 53 area on north end of cabin 6 Contractor Lawn and Limb Landscaping Eric Babolian 10/02/2019 09:42 AM d9b33470843e12f87a90037febf0c486 73acbb9cf238f0294850a10e4baaf9dd 06/01/202010/02/2019 DATE EXPIRESLand and Resource Management Official/Date ISSUE 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. 10/2/2019,9:43 AM1 of 1 Land & Resource Permit Applications https://onegov.co.ottertail.mn.us/view.php?id=7875#outer_wrapper Land & Resource Management Government Services Center 540 Fir Avenue West Fergus Falls MN 56537 Phone: 218-998-8095omRTimOOBATT-nKiailOTR Site Permit Appiications Lot Alteration Permit Permit # 8693, App. # 491, UID # 7875 Valid: 10/02/2019 - 06/01/2020 Applicant Information Applicant Information:Name: john E Kimple Phone: (218 )298 -2716 Email Addres kimpskamp@aol.com Mailing Addresa' 38267 White Haven Rd Dent MN 56528 I am the:Property Owner Is this Lot Alteration Permit Application for Multiple Properties? No Work Performed By Work to be performed by:Contractor Contractor's Contact Information Contractor Information:Name: Ben Hovtie Company or BusnessName: Lavwi and Limb Landscaping Phone: Additional Phone: (218 )495 -2129 (218 )371 -0181 Email: lawnlimb(gyahoo.com Address 33742 365th St. Richville MN 56576 Property Information Project Location: Primary Name/AddressProperty Attributes Property Address Legal Description Primary Address Line 1 CityCityNameParcel #Property Address Legal Description Legal Description Legal Description 14000990282000 YAQUINA BAY LOTS 1 THRU 13 BLK 1 JOHN KIMPLE 38267 WHITE HAVEN DENT RD 97500 Square FeetLot Area: Is this tot alteration permit part of a site permit application? No Shoreland Information Associated Lakes: Lake Class LR CDLake Name DNR ID 160 03-160Dead NE River/Stream Name and Classification (i.e. Otter Tail / AG); NE Water Frontage:1000 mol Feet Bluff:^2 Proposed Project excavate on the north end of cabin 6, install drain system, install retaining wall to prevent run off from entering basement of cabin Project Type:Project Description:Landscaping Foundation Type:Walkout Basement Area to be Cut/Excavated Please Describe Cut/Excavated Area: 3 Feet Total Cubic Yards:Len0h:30 Feet Width:16 Feet Average Depth:area on north end of cabin 6 OFeet0 Feet Width:0 Feet Average Depth:0 Feet Total Cubic Yards:0Length: Length: 0 Feet Average Depth:0 Feet Total Cubic Yards:0Width: lealaite^l 10/2/2019, 9:43 AM1 of3 https://onegov.co.ottertail.mn.us/view.php?id=7875#outer_wrapperLand & Resource Permit Applications Walk-Out Basement Project 0 FeetLength:0 Feet Width:0 Feet Average Depth: Area to be filled/Leveled 13 OFeet^ Feet Width:12 Feet Average Depth:1 Feet Total Cubic Yards:Length:Length: 0 Feet Width:0 FeetWidth:0 Feet Average Depth:0 Feet Total Cubic Yards:Q Length: FOaltUteBj I 0 Feet Total Cubic Yards:0Average Depth;tCalclilatej Backfill at Foundation 0 Feet Backfill Total:0Linear Length;0 Feet Average Width:0 Feet Average Depth: Totai Earth Moving Request Total Earthmoving Request: 66 Cubic Yards Culvert and Road Authority Culvert? Road Authority Approval:No Impervious Surface - Buildings 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet Water Oriented Accessory Structure 0 Square Feet Proposed: Recreational Camping Unit Proposed: 672 Square Feet 0 Square Feet Detached Garage Existing: 0 Square Feet 0 Square Feet Water Oriented Accessory Structure 0 Square Feet Existing: Dwelling Existing:Dwelling Proposed; Attached Garage Existing:Attached Garage Proposed: Detached Garage Proposed: Storage Shed Existing:Storage Shed Proposed: 0 Square FeetRecreational Camping Unit Existing: 0 Square Feet Miscellaneous Existing:0 Square Feet Total Building Proposed Impervous: 0 Square Feet 0 Square Feet Total Building Existing Impervious; 672 Square Feet 1 Miscellaneous Proposed: Total Building Proposed Impervious; 0 Square FeetTotal Building Existing Impervious: 6^ Square Feet Total Building Impervious Surface: ^72 Square Feet Impervious Surface Calculation - Buildings Total Building Existing Impervious: 672 Square Feet Total Building Proposed Impen^ous: 0 Square Feet Total Building Impervious Surface: 672 Square Feet Lot Area:97500 Square Feet Impervious Sur^ce Ratio:0.0069 Buildings Impervious Sur^ce Percentage:0.69 % Impervious Surface - Other 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 72 Square Feet 0 Square Feet 0 Square Feet 72 Square Feet Deck(s) Existing:192 Square Feet 0 Square Feet ^ Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 288 Square Feet [ Deck(s) Proposed: Patiofs) Existing: Patio(s) Proposed: Sidewalk(s) Existing: Sidewalk(s) Proposed; Landing(s) Existing:Landing(s) Proposed: Driveway(s) Existing:Driveway(s) Proposed: Parking Area(s) Existing: Parking Area(s) Proposed: Retaining Wall(s) Existing:Retaining Wall(s) Proposed: Landscaping Existing:Landscaping Proposed: Miscellaneous Existing:Miscellaneous Proposed: Total Other Existing Impervious:Total Other Proposed Impervious: Total Other Impervious Sur^ce:360 Impervious Surface Calculation - Buildings & Other Total Building + Other Existing Impervious:960 Square Feet Total Building + Other Proposed Impervious:72 Square Feet Total Building + Other Impervious 1032 Square Feet Sur^ce: 97500 Square FeetLot Area; Building + Other Impervious Surface 0.0106 Ratio: Building + Other Impervious Surface 1.06 % Percentage: 10/2/2019,9:43 AM2 of 3 Land & Resource Permit Applications https://onegov.co.ottertail.mn.us/view.php?id=7875#outer_wrapper . Shore Impact Zone Impervious Building(s) Existing:672 Square Feet 192 Square Feet 0 Square Feet % Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 960 Square Feet Building(s) Proposed:0 Square Feet- 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 72 Square Feet 0 Square Feet 0 Square Feet ^ Square Feet Deck(s) Existing:Deck(s) Proposed: Patio(s) Existing: Patio(s) Proposed: Sidewalk(s) Existing:Sidewalks(s) Proposed: Landing(s) Existing:Landing(s) Proposed: Oriveway(s) Existing: Parking Area(s) Existing: Retaining Wall(s) Existing: Dri\^ay(s) Proposed: Parking Area(s) Proposed: Retaining Wall(s) Proposed: Landscaping Existing: Landscaping Proposed: Miscellaneous Existing: Total Existing Impervious in the Shore Impact Zone: Miscellaneous Proposed: Total Proposed Impervious in the Shore Impact Zone: -v. Total Impervious in the Shore Impact 1032 Square Feet Zone: Documentation Total Impervious Sur^ce to Determine Fee: 72 Square Feet Total Earthmoving Request to Determine Fee: 66 Cubic Yards Applicant Approval Applicant Signature:john E Kimple 09/15/2019Date Signed: Please check to approve:I understand that checking this box constitutes a legal signature this project is to prevent vvater damage to existing Cabin 6. it vvill be on the north end of the cabin and will not increase runoff into Dead Lake, please contact Ben Ho\x1e for clarification, additionally, he will pay for the permit, thank you Comments: Terms Notes The lot lines and project area(s) must be identified & staked onsite. If project disturbs more than 1 acre of land, you must obtain a General Storm Water Permit from the MPCA. Agreement I hereby certify that the 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. Once Permit is approved, I also understand that this permit is valid for twelve (12) months from the date of appro\el unless otherwise indicated oii permit. Invoice #6025 (09/15/20191 Quantity TotalCostCharge $100.00$100.00 X 1Topographical Alteration Fee #2 (21-100 cubic yds)added 10/02/2019 9:41 AM Grand Total $100.00Total $100.00Payment 10/02/2019 Due $0.00 Approvals Approval Signature #1 Received and Assigned Emma Barry ■ 09/16/2019 8:13 AM Ie78be38142blda767719a57b33c5bc48 I6ac2de9929e0c590537el2f6f04c057f j Kyle Westergard - 09/16/2019 10:59 AM 5bef265bdl32e699c8b5e54f92da975c 2e0acb67ac0c0d618blal3blb4eb84d5 #2 Permit Review ; Eric Babolian • 10/02/2019 9:42 AM8578bb9203c2426c84cdfa063cblal559c9b7d754606b98b212bec43d28fb7e7 #3 Permit Review #4 Permit Issuance Eric Babolian - 10/02/2019 9:42 AMd9b33470843el2f87a90037febf0c486 73acbb9cf238f0294850al0e4baaf9dd Public Notes * Text: .•File(s): Internal Notes Text: File(s): Print View' 10/2/2019,9:43 AM3 of 3 dltltrI I ! ; ■ 1 i i • ------------- ■ 'I I i' ■I-;iH ! “!, ...• !i I:M -j-rI I f It-r-r Ui::1:I*" j•'rt'r ”pT-r-rr?~i^r !■ .j. d i _j„v -r-rtT'I {1 tTTf:I--I ■ 111 III•I i:-r:': + [:—--j—1— —---.-•r-t -fl’-■-r|+-I T.. 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'■1~Hzr TEE ’ ' !T mx:... |-j---M-H-ZLUZ-—J.••“1-4:1-r r~rrnn~i1 I I—j-tIT IIJ.> If -!•|-|IInii__i_&Y! i I \ ■-----Td -|- riZ TP ’1-i -L.P.! !"1"i 'Ii r 4 -i-Z'~!i-rrRThTT.;.-ti-t ipr~r.h... I-I n Ti’ZlI . i ii i j nzx:! ■ i } ^T ■ II i I rrrT-n“V-I!t. I TT1I;Xt+-■i-T-rT- XElIZzzn ■■ ■ZP#F_l zi:|Rz:irlTxt-Zbrrl’I'-i T'T[-R-r'-1- Ti-rn"-ti-t-;4!;^-T r PTiiX Grade & Fill Permit #2639 PROPERTY OWNER ^<»v^s ' k- LAKE N0^^3ii-~)SEC.__£ LEGAL DESCRIPTION: IH o ’a-O -^o ^ 1 o<ro O 2> T 'Z^croTQ «KVw TWP. NAME Iff 2-*<3' 030 4-0 c~^ yr>3 Q<a_:\'WX,v->r>. rO WORK AUTHOkiZED V( ^ %\W Vo C3v>p -C-Cjv. ^ 4^ c («»-^Cx. -v%-c)L. JL y'*vv^'*j‘*^C-1 w s *>-S -t Vv\ V'OOo YVv'x Y«-S » ? \(«,V-cl'V\v^NNN V«- D— CjOV'-\"V' -Q\i*i-r\SL^y-Q-Cy ^ NOTE: This card shall Be placed in a conspicuous place hot more than 4 feet above grade oh the premises on which work is to be done, & shall be maintained there until completion of such work. NOTIFY LAND & RESOURCE MAN AGEMENT, 218-739-2271 WHEN AUTHORIZED WORK HAS BEEN COMPLETED. !& ^-:5o-<aD1. EARTHMOVING SHALL BE DONE BETWEEN 2. Entire area shall be stabilized within 10 days of completion of any earthmoving. 3. Owner is legally fpsponsible for all surface water drainage that mey occur. 4. N<i 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. ! / ^ -i- I I- -t-I I 1 *• 4- GRADE & FILL APPLICATION 4— -1----4- COUNTY OF OTTER TAIL - LAND & RESOURCE MANAGEMENT 121 W JUNIUS SUITE 130, FERGUS FALLS, MN 56537 PERMIT NO. ^ ^ -4 - I X218-739-2271 ■—1 r$50.00Application Fee Receip^umber (4 i- I MAILING ADDRESS Af :> _______________ CITY, STATE, ZIP PROPERTY OWNER DAYTIME PHONE NUMBER LAKE NO. ^i’/^CLASSLAKE NAME 4-PARCEL NUMBER (S)4 rSECTION TWP TWP NAME_____________ /f- ZOoQ /^c) 3 2-^rgoO RANGE LEGAL DESCRIPTION“T '1 -/Y^od 0(T7 too dJ- 1 7E-911 PROPERTY ADDRESS/FIRE NUMBER 7/M/y2sIE OF PRO'PERiVbwNER/AGENT FOR OWNER DAT^SIGN Received L&R Official DATE -4 ..-.U DESCRIBE PROJECT REQUEST BELOW (Provide Scale Drawing On Back) - i.+4. 7^ ^t -/7^ , I-.1 -/Udi7/cM.\ -r-t :!■ 1|_4 ITi- l-'t ;i1 :X-4x:-4h-_L-i- ■ ■ X It-t- -i- >I1I ! 1 • t i |— 4. - I-1 i ;riI BK05/00 I E T i 1 feetScale; inch(es) equalsfeet, or.grid(s) equals -f T •t-1 .1- DatedSignature 1/Pteaswuse this sheet for the required scale drawing of your proposal. Be sure to include lot dimension,MS(tpL frontage, and setbacks from RW, lake, sideyard, sewage system, top of bluff and existing structures. • • * :-rl; :^t- t 'E‘i“r4 —>J 4-i- TtT3 i-+■f+-r T “T "3-+-^-:1 4- -41--LI -4-4--4-T-4-1-ir r r:|+X :4 -r-t :-iTT -44-;4.-4~3t X -! -X - -trTT4M4.4 iX----t-44~r-tiii t-X 1 X t•r T:4_4-t-t '■ T 1tT X r t“'1—i-i—I-T ,_i_^4 Tt*Ti.4_l.4 t-TfI-4-.. p4^-4 f-t-i.■1 4-4f ~ ri tt4f•t -i.T 1 I-X + i-T X -X.1.14ixx4 *—f--1 I-r -4- rt .....X -t -i—44LX X ■ ^ 1 ! .-i --r -4-tXX 1 rr tX x- ’• X ■r ,-4X l-X t1t(EX-4+’-tX—1 -X■-1r T-J1 i- Ii4G ' - r ■4--4-.|- 4- X--i4--J—;! I : I j r- )i -1 t-T!-rGr ‘ ■-4-*--f-t -f-^ J—4- i-GG.r T ■-4 1-fTI-rn.~r ■; I! -l-4- ‘ 'XXX i XXifrt4i-T- fI.11 "Xt■fT -44I-XT X t-t I-r -r •-i. - i^ 1-M .4-—t -i I4—I-t-4:X ttTvrr-tI G-X-Gp.X X r IXX 4-X - -fGtXX•(T X.4—-■r'T— t X.+X X 1 -4X ..rT‘-X' • G -t-i- X X1 tX —i--4r I -I-1-4-4-t ut—T !41...1 ;j--r-r 4 4-:r|;X i i X-X . 4 1.--fXt Ti•X - f T' !i 1rr■I :4-T T TI“r -G 4- ^-4- ‘• —i—4 -4-—f T i------1 --+4 X-r 4 t"1 • ■14Gi -I i .. -rn:.I ■ —i X 4XI"1 XGt r X 4 3-I X rX • -tX T T'TIG4T r rT !-i X 4-X X' X r-l'tX:t j t ----------i. 1 X♦ 1X Ti - -4-X 299.948 ■ Victor Lundaen Co. printers * Fergi« Falls. MN • t-800-3464870 I ^ •n*i1 /✓/y y -f y\I I O a eI /C»'*‘I V .s. I ------(CN ,/VKESHORE ; V V O^rXER TAIL COUNTY \ t? r\ / Special Use Permit SUP No.3iM Owners Address SL_Twp|i3TRange^i^Twp. Name Ls4/iiLocation:Sec.Lake A.C. V Issued-f!Ai_19tl_, Expires / 19^/ Work Authorized FVll Ar<A hfLiinJ ^%^X*i9fnrt >syAiLJ.ti ArMtpV-»is/> inryiUi^, iat h^jnH m4 Ci'iidt<^ kU<M '^hcywpy nAtL Tlks card shall be placed j^a ^nspi^o^ ylaqjji^than 4 feet above grade on the premises on which work is ^ to |^(|kSS'^|y^iA(^^aintaii™|^|^ work. Notify Department of Land and Resource M'fliagement, T^e^one (218) 7}§^22T\^\vWen authorized work has been completed. % PH ADMINISTRATOR, Land and Resource Management OTTER TAIL COUNTY, MINNESOTA Board of County Commissioners 1. Entire area shall be stabilized within 10 days of the completion of the moving project. 2. Owner is legally responsible for all surface water drainage that may occur. 3. No fi!! shall enter or be taken from the beds of a public water without a valid permit from the State of Minnesota Depart- Scale:. Each grid equals feet/inches GRID PLOT PLAN SKETCHING FORM .•p ■ 7 2^ Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each building currently on lot and any proposed structures^^^ b £-Ad> \ tiN< Dated;19 Signature /V \ Iif \ I II----- , 1'“'V ^-f» // No fi/) Ct'N(ie\r ^jtfcAx MAr-hi^ COL^N'^f^Otr Uj/H t\^lt tr I\l Net tif I I ^ :j>5" 'I Lout Af€A \ I I I ^--3)- S3 ff 215987@MKL-0871-029 VICTOR LUNDEEN CO . PRIMTERS. PERCU9 FAllS.