HomeMy WebLinkAboutKohler-Strom_17000020021002_Shoreland Permits_i
OTTER TAIL COUNTY
Grade & Fill Permit # tom
UA^c>j. V<dV<W !
'___ TWP. NAME ____________________
PROPERTY OWNER _
LAKE SEC. I f
^ \ ^?:cc} e. e>{ ll B^\cn'
. • • •7-.U>(,AC^ ________
LEGAL DESCRIPTION:
^yy\j>cf fJtoi^
WORK AUTHORIZED
NOTE; This card shall be placed in a conspicuous place not more than 4 feet above grade on the premises on which work
is to be done, & shall be maintained there until completion of such work. NOTIFY LAND & RESOURCE MANAGEMENT,
218-99&5095 WHEN AUTHORIZED WORK HAS BEEN COMPLETED.
42. Entire area shall be stabilized within 10 days of completion of any earthmoving.
3. Owner is legally responsible for all surface water drainage that may occur.
4. No fill shall enter or be taken from the beds of public water without a valid permit from the
MN Department of Natural Resources.
5. If the terms of this permit are violated, the entire permit may be revoked and the owner may
be subject to legal prosecution.
t Erosion control measures must be implemented prior to any topographical alterations.
' Land & Resource Management Official
1. EARTHMOVING SHALL BE DONE BETWEEN T-LV'& IIV'-'*-
BK0806003
327. >42 • Victor Lund«in Co Pr • Fargus Falls. Mmnasota
APPLICATION FOR GRADE & FILL PERMIT
W 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.usOTTER TfllleoiMTT-aiiiaifOTi
Permit No.PLEASE PRINT OR TYPE ALL INFORMATION
SECTION TWP. NO.RANGELAKE/RIVER NAME LAKE/RIVER TWP NAMELAKE/RIVER#
w
PROPERTY (E-911) ADDRESSPARCEL NUMBER(S)
\~\ ooQ \ \ o \ *4^ ooo
LEGAL DESCRIPTION
ftt t \ ^ * 5 oT MOJ \ \ f
Last Name ' First Initial I w
Z.^U. A.C_/I cC^
ailinq Address --------/__________ DAYTIME Phone Nof/r)kip r 9/.?L 4hhuProperty
Owner
Contractor
Name
Lie. #
NOTES: 1. A Scale Drawing & Impervious Surface Worksheet
must be included with this Application.
2. The lotlines and project area(s) must be identified
& staked onsite.
3. If project disturbs more than 1 acre of land, you
must obtain a General Storm Water Permit from
the MPCA.
Date Stamp
L&R Initial
DESCRIBE YOUR PROJECT(S): ^f
TOPOGRAPHICAL ALTERATION:
AREA TO BE CUT/EXCAVATED:Yds"Ft. X Ft. - 27 =Ft. X
Ave DepthLengthWidth
Yds"Ft. X Ft. X Ft. - 27 =WALK-OUT BASEMENT PROJECTS:
(Outside of the building foundation)Ave DepthWidthLength
Yds"Ft. X Ft. - 27 =Ft. XAREA TO BE FILLED/LEVELED:
Width Ave. DepthLength
Yds"TOTAL EARTHMOVING REQUESTED =
Ft.Ft.BACKFILL AT FOUNDATION:
Distance From FoundationMax. Depth
If Yes, must indicate size and location on drawing.CULVERT:
Yes No
%%Proposed______
Proposed %
IMPERVIOUS SURFACE BUILDING: Existing____
IMPERVIOUS SURFACE TOTAL: Existing %
/ Date Receipt NumberSignature Of Prog^y Owner/Agent For Owner
BK04-2014
VN . 1-0OO-346-407O364.203 * Vi. I. I
IMPERVIOUS SURFACE CALCULATION
List & identify all existing & proposed onsite impervious surfaces on scale drawing.
Lot Area (ft^): //3. ^■VSignature:Date:
7 7
Buildings Other Impervious Surface
Existing Proposed Existing ProposedFt^Ft^Ft Ft
Dwelling / 3ooDeck(s)
nAttached Garage Patio(s)
Detached Garage Sidewalk(s)COstorage Shed Landing(s)
WOAS Driveway(s)
RCU TiVParking Area(s)
JoMiscellaneous Retaining Wall(s)
Landscaping
(Plastic Barrier)
Miscellaneous
^ X
4TOTAL BUILDINGS TOTAL OTHER
Buildings
Impervious Surface
Percentage
Maximum Allowable 20%
Existing Proposed Total Lot Area Impervious
Surface
Ratio
Ft^Ft^Ft^Ft^Total Buildings
A 7^+100-s-X
Buildings + Other
Impervious Surface
Percentage
Maximum Allowable 25%
Total
Buildings + Other
Impervious Surface
Existing Proposed Total Lot Area Impervious
Surface
Ratio
Ft^Ft^ Ft^Ft^
/^0 .o63 100+-r X
Impervious Surface Calculation Worksheet 03-25-2014
SEP 16 299S
bv: >r
r
\i‘-
'i
\n iiI , Vi- v\f t
f ,\:/>-gJ.V '.i
S:
\'-g-ik.r-
^ 4
'/
HcfiI
I
iv^'M ro
■%
/''
/
V <
>>
■¥oec#/
2o'
X «'\Xf^eot4 8n /yOlC'z^ttt^e i
I4(.\.i'i^
y
'«,• v*'
2-,«J
-i'
f‘>. '
Ih'
^6U WI^V
>" V .'■•l
f<b'2i>*
<Nuwf^Jv
Ui^i'
beo>/ Sytofft^^'
I tI*
AP
V '
V
V -W
\ •VN?
/
WHITE - Office '
GOLDENROD - Inspector
APPLICATION FOR SITE PERIRIT
LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL
GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537
218-998-8095
www.co.otter-tail.mn.us
YELLOW - Owner (after issue)
PINK - Assessor
PLEASE PRINT OR TYPE ALL INFORMATION Permit No.
LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER SECTION TWP NO.RANGE TWP NAMEC
nPARCEL NUMBER (S)PROPERTY (E-911) ADDRESS
nmo i/6/¥^o0_______....................:,jLEGAL DESCRIPTION t
.0
Last Name First Initial Mailing Address Daytime Phone No.H c hie CWTy ^ ^
"Tocl^l
Property
Owner
Contractor
Name
Lie.#
PROPOSED PROJECT (please circle the appropriate number)
(1 ) New Dwelling (2) Add’n to Dwelling ('Oj^rtfie^
(4 ) MHA'R________ ( 5) RCU/Year________ ( 6 ) Attache^jTDetached Garage
(7 ) Add’n To Non-Dwelling ( 8) Storage Structure . ( 9 ) W.0.A.S^"~------
(10 ) Non-Conf. Replacement (idenlifvl |Z^.^ USfT Q.Jr\
(11) Olher iidentHvi ITVfi IaJ | C\_/
’Existing Dwelling to be removed prior to ^
ONSITE WATER SUPPLY
(k) Individual ( ) Public ( ) None
NOTE; MN Rules Chpt. 4725 (MN Well
Code) requires a 3’ (minimum) structure
setback to a well.
ONSITE SEWAGE
TREATMENT SYSTEMceiiiyiit D
( ) Permit No.
( ) OTWMD ‘Must have Sewage System Approval
from OTWMD prior to issuing Site Permit.
Contact Rollie Mann at 218-864-5533
IHARACTERISTICS OF PROPOSED W.O.A.S.
IVTER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED DWELLING
(Muk Include Attached Garage) >
Outsid^imension___
Sq. Ft.
Setback to LotlW ____
Setback to Right of'Sfttay
Setback to Ordinary Higtj^ater Lm
Elevation Above Ordinary H
Setback to Septic Tank
Setback to Drainfield /
Setback to Bluff /
Total Bedrooms /______
Maximum Prpfwsed Height
RoofCh^( )Yes ( )No \
Basera^t ( ) Yes ( ) No
Wafrout Basement ( ) Yes (side profile required) ( ) No
CHARACTERISTICS OF PROPOSED NON-DWELLING
Outside ^
Dimension ^ o Ft. x
Sq. Ft.
Setback to Lotline
Setback to Right of Way ’Z / Ft."
Setback to Ordinary High Water Level
Elevation Above Ordinary High Water Level /O
Setback to Septic Tank *7^Ft.
Setback to Drainfield ^S' Ft.
Setback to Bluff
Maximum Proposed Height
Roof Change ( ) Yes ( X) No
Bathroom Proposed ( ) Yes ( No
'2. ^Outside \
DimensionFt."Ft. X Ft. X Ft."
■7/_Sq. Ft. \
Setback to LotlineX
Setback to Right of W
Setback to Ordinary High Wate^vel __
Elevation Above Ordinary J;J(glTSyater Level
Setback to Septic Tai
Setback to Drainfi^d____
Setback to Bfuff________
Maxirmrm Proposed Height
( yf Boathouse
(^^azebo
**Project/Lotllnes/Right-of-ways Must be Staked Onsite Prior to Application / Inspection
Ft.&Ft."Ft.&Ft.”
Ft. &Ft."BT'
+Ft.
Ft.
rater Level Ft.'-h Ft.
Ft.Ft.Ft.
ft.Ft.
Ft.T0I
/
Ft.Ft.// FtFt.
Ft.
( ) Screen Porch
( ) Storage Structure
Topographical Alteration / Earthmovina
^^20 Cubic Yards or Less ’
CHARACT^ISTICS OF LOT:
‘ Must include on scale drawing,
additional Permit may be required.□ 21 Cubic Yards - 299 Cubic Yards’□ None □ 300 Cubic Yards or More*
2^0 V
Bluff ( ) Yes ( ■x’I'noLot Area ■Water Frontage .Ft.
Vi?‘7/
Impervious Surface Ratio:X 100 =.%Total Lot Area (FT?)Total Impervious Surface Onsite (FT!)Impervious Surface Ratio
THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth
and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become
a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express 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 Man^ement office once the building footings have been constructed.
/
Signature of f^operty Ownef^/^gent for Owner
Date:
Date:
Land & Resourc^management Office -
PROJECT(S) TOTAL SQ.FT.,PERMIT FEE $RECEIPT NO.
:> .t-f
Uk IL(MComments:
s
Form No. BK — 1003-0407 329,582 • Victor Lundeen Co., Printers • Fergus Falls. Minnesota
WHITE-'Office *
GOLDENROD - Inspector
APPLICATION FOR SITE PERMIT EXPIREDLAND & RESOURCE MANAGEMENT, COUNTY OFOTTER Ti
GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGU^m^^N
218-998-8095
WWW.CO.Ottpr-tail mn i
YELLOW -*Owner (after issue)
PfkIK - Assessor
<11 J
PLEASE PRINT OR TYPE ALL INFORMATI lit No.
hNi'
LAi^RIVEfTTSECrteHLAKE / RIVER NO.LAKE/RIVER NAME TWPNOr TWPNAME
C 0^H
pcPARCEL NUMBER (S)PROPERTY (E-911) ADDRESS
pCy C6 S- ^1^. noi(yOJ/oj¥^Cfi>0
:: ■_____:m
PI GlI 9.S2AC,
(-
nLEGAL DESCRIPTION v-fvo M 'iV 'Io\D /'•
Last Name First Initial Mailing Address Daytime Phone No.
^^chle^~
'7'ocM
/J/jJU ^ /
'Txj, "4t i~ /I'iAi /
Property
Owner
Contractor
Name
Lic.«
PROPOSED PROJECT (please circle the appropriate nurrfber)
(2) Add'n to Dwelling
(5) RCUA'ear_____
(8) Storage Structure
ONSITE WATER SUPPLY
if) Individual ( ) Public ( ) None
NOTE: MN Rules Chpt. 4725 (MN Well
Code) requires a 3' (minimum) structure
setback to a well.
ONSITE SEWAGE
TREATMENT SYSTEM ^(1) New Dwelling
(4) MH/YR
(7) Add’n To Non-Dwelling
('3'f’Replacemenrgglgl,^
(6) Attacbei^etached Garage
(9) W.O.A.S.^'
(to) Non-Conf. Replacement iidentifvt jS !(< ( V TV( ^ (X
M11 kv(\ '/-M
J Z( ^
( ) Permit No.
( ) OTWMD 'Must have Sewage System Approval
from OTWMD prior to issuing Site Permit.
Contact Roliie Mann at 218-864-5533(11) Other (identify)
"Existing Dwelling to be removed prior to 4
/CHARACTERISTICS OF PROPOSED W.O.A.S.
(WATER ORIENTED ACCESSORY STRUCTURE)
Outside <
Dimension 1
CHARACTERISTICS OF PROPOSED DWELLING
(Must Include Attached Garage)
Outside Dimension___
Sq. Ft.
Setback to Lotline___
Setback to Right of Way
T Setback to Ordinary High Water Level
Elevation Above Ordinary High Water Level
Setback to Septic Tank _ / V Ft.
Setback to Drainfield /
Setback to Bluff / Ft.
Total Bedrooms _______
Maximum Proposed Height____
Roof Change ( ) Yes ( ) No
Basement ( ) Yes ( ) No
Walkout Basement ( ) Yes (side profile required) ( ) No
CHARACTERISTICS OF PROPOSED NON-DWELLING
Outside
Dimension <)Ft. X '''vL Ft.**Sbu-LFt. X Ft. X Ft.**
Sq. Ft.
Setback to Lotline Ft. &Sq. Ft.
Setback to Lotline \
Ft.&Ft."Ft.&Ft.**Setback to Right of Way ? / Ft.**
Setback to Ordinary High Water Level ^
Elevation Above Ordinary High Water Level /
Setback to Septic Tank lY pt.
Setback to Drainfield Ft.
Setback to Right of Setback to Ordinary High WateLL^I
**
Ft.Ft.Ft.
Ft.Elevation Above Ordinary Higli'Water Level
Setback to Septic TapIri
Setback to Draipfi^ld _
Setback to Blijff____
Maximum Proposed Height
( /) Boathouse
( ) Gazebo
**Project/Lotlines/Rlght-of-ways Must be Staked Onsite Prior to Application / Inspection
Ft./y'ft.
Ft.
Setback to Bluff
Maximum Proposed Height
Roof Change ( ) Yes ( /) No
Bathroom Proposed ( ) Yes (Y ) No
Ft.ri Ft,// Ft.Ft.
a
( ) Screen Porch
( ) Storage Structure
1-.1,1Topographical Alteration / Earthmoving
□ None
* Must include on scale drawing,
additional Permit may be required.□^20 Cubic Yards or Less *a 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More*1
.1CHARACTERISTICS OF LOT:
Lot Area^
Impervious Surface Ratio: P (P*
Water Frontage .Ft.Bluff ( ) Yes ( -') No
X100 =.%TiStal Lot Area (FTpTotal Impervious Surface Onsite (a^)Impervious Surface Ratio
ms IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth
and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become
a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express 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:..... ^ ^
Signature of Property Owners Agent for Owner
]
7
U-/Date::<Land & Resoumt^/mnagement Office^PERMIT FEE $ ^ QS
^ 2n
PROJECT(S) TOTAL SQ.FT,RECEIPT NO.■!
(rj.O’Tf'w -gy-fs+iiu.
UK
Comments:
c^ 1. —s*-
■l
'4-
Form No. BK — 1003-0407 r 329,S82 • Vidor Lundeen Co., Printers • Fergus Falls. Ifinnesota
*,„v
SITE PERMIT
INSPECTION RESULTS
Inspector must make all measurements and computations
-hStructure Set Back from Ordinary High Water Level Ft.Ft.
Structure Set Back from Top of Bluff Ft.Ft.
Structure Set Back from Road Right of Way Ft.Ft.
/a*-Structure Set Back from Lot Lines Ft.&Ft.Ft.&Ft.
Structure Height Ft. Ft.3lab
)d^Structure Set Back from Septic Tank Ft. Ft.
Structure Set Back from Drainfield Ft. Ft.
Elevation Of Lowest Floor Above Ordinary
High Water Level Ft.Ft.
Land Slope at Building Site %%
Inspector’s Comments / Sketch:
7^
f
f-
t
Jnspector’s Signature
Date of Inspection
Time of Inspection
Project Approved
Date / Initial
T
I ■\....r
L
Tax Parcel Number(s)
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, topographic features (i.e. bluffs), and onsite impervious surface
calculations.
7 %Scale Impervious Surface Ratio
(Must Complete Worksheet On Other Side)
...L■f"V
h 'L-
■
/V
I 0^
I
V
\\1
u
1
I 1A
\\
i ij'4
mm-i-.H4
■>
i
"4;C W-u ft-
a B./^3-nb...
Uu
IrI.1 v_/>1
h1
m4.SI ■>3
I2^I A\1
4-?S'o4fes<4 i
n 'h7^-1
XT
z ....\/.ifV'
4 A
5
T...Pry 7'i ■......./I
::::::I
...4
i 17jSms T
r[1
f"I III
•«
-r, !
■4
\II 41A
mDate/(natui^OTPrbpertyjOi
-1
: Undeen Col PrirdersFergiBKi-js.FalliMN..*..1--800-346-48700909.338,596. -Victo I1 I I I I "1 '1 T 7..r
IMPERVIOUS SURFACE CALCULATION WORKSHEET:
List of Onsite (Existing and Proposed) Impervious Surfaces (must be shown on scale drawing):
Ft2Structure(s):
Ft2Deck(s):
Ft2Driveway(s):
Ft2Patio(s):
Ft2Sidewalk(s):
Ft2Stairway(s):
Ft2Retaining Wall(s):
Ft2Landscaping:
(Plastic Barrier)
Other:Ft2
Ft2TOTAL IMPERVIOUS SURFACE:
Ft2LOT AREA:
%X 100 =■r_
IMPERVIOUS SURFACE RATIOTOTAL IMPERVIOUS SURFACE LOT AREA
5 .
I
I ■
11:I
APPLICATION FOR GRADE & FILL PERMIT
LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL
GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537
218-998-8095
www.co.otter-tail.mn.us
Permit No.PLEASE PRINT OR TYPE ALL INFORMATION
TWP NAMETWP. NO.RANGELAKE/RIVER
CLASS
SECTIONLAKE/RIVeR NAMELAKE/RIVER #
/ 3'y//
PROPERTY (E-911) ADDRESSPARCEL NUMBER(S)
fls / /fP ^ ^
LEGAL DESCRIPTION
. jDAYTIME Phone No.Mailing AddressFirst InitialLast Name
Property
Owner f^Qih le)r d .
Contractor
Name
Lie.#
NOTES: 1. The lotlines and project area(s) must be staked.
2. If project disturbs more than 1 acre of land you are required to obtain a General
Storm Water Permit from the MPCA.
Received
DATEL&R Official
PROJECT REQUEST (You may use the grid on back for required scale drawing):
CUcpl ^ _____________
DESCRIBE YOUR PROJECT(S):
DETAILED INFORMATION:
AREA TO BE CUT/EXCAVATED;Yds^Ft. - 27 =Ft. XFt. X
Ave. DepthWidthLength
Yds^Ft. - 27 =Ft. XWALK-OUT BASEMENT PROJECTS:
(Outside of the building foundation)
Ft. X
Ave. DepthLengthWidth
/ Ft. ^27= Z^i^Yds^Ft. XFt. XAREA TO BE ^M^ILSifELEGr
Ave. DepthWidthLength
Yds^TOTAL EARTHMOVING REQUESTED =
£Z Ft.Ft.BACKFILL AT FOUNDATION:
Distance From FoundationMax. Depth
If Yes, must indicate size and location on drawing.CULVERT:
Yes No
%IMPERVIOUS SURFACE:
SIGNATURE OF PROPtRTif OWNER/AGENT FOR OWNER RECEIPT NUMBERDATE
BK02/09
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, btlines, ."bad right-of-ways, easements, OHWLs, wells, wetlands, topographic features (i.e. bluffs), and onsite impervious surface calculations.
Scale
^ ZG'
^"V\/— 2,1 '■;
\
I
■:
:
i4
rcirip,'
r ::1 1
I
iI
!
;
4
t
T T—/
;
'<o
T
''cv'
I
•-f
^ %
BK — 0209 336,629 * Victor Lundeen Co.. Printers • Fergus Falls. MN • 1-000-346-4870
OTTER TAIL COUNTY
Grade & Fill Permit#;?;?
OWNER’S NAMF; L/\a.(LS ldoHL€A
(It ^ f3e>x
Location: Lake No*I^iSec.J/
_________Pt of gl !_____
OCTfion LAILCS l^0jAddress
Twp /i7 Rangfi vj Twp. Name
( smorn's
Issued-^^__19t2_, Elxpires_^__19_ii
Work Authorized^pL/K£ fiaai. /?n» ALoftfG SnotUut>f£- /v f^CLotuonucL
LJiTH O/^/l ^fiCClFlCt^TiMS (rtS OtSd^tSSCO Om/SiTE. OjJ (3) m/IV fh/^mu. ^ SU/rnmtr/G AOMS
Cf^‘utO€^ Thfio^QH THt RocH ~ /»7/^V 'RifOTUT THCeC (*iim INTE^ijOOi**^^ BlfiOj ^ ^»'1 POtce CL£*ix/
G^v£L Fill BeTuje^ th£ (^col n»^o T))C OAt\fCtjm AS s^£g>«^igp w ^€^AtT/J^MufnoG f^ec^Mco
NOTE; This card shall be placed in a conspicous place not more than 4 feet above grade on the premises on which work is
to be done, and shall be maintained there until completion of such work. NOTIFY DEPARTMENT OF LAND AND RESOURCE
MANAGEMENT, TELEPHONE (218) 739-2271 WHEN AUTHORIZED WORK HAS BEEN COMPLETED.
U/jiS/^7 ® /»iMrr nJSinu. Fivrrti F^ea>c £tnu)£^,sf acck. /i>»a
CMCttht aMvCL. Fill
® AfTCd ^ Board of County Commissioners
<FF TTtif /9«£^ M
T^FSc/c li SfiA€iV> a*<fSiT£ .
1. Earthmoving shall be done between
2. Entire area shall be stabilized within 10 days of the completion of any earthmoving.
3. Owner is legally responsible for all surface water drainage that may occur.
4. No fill shall enter or be taken from the beds of a public water without a valid permit from the State of
Minnesota 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.
OTTER TAIL COUNTY, MINNESOTA<£^uzp
4,/j /fy7&
BK-050092-003 266,614 — Victor Lundeen Co.. Printers, Fergus Falls, Minnesota
m mc-^iM.mm:Wy 1^'iEZPm1II>•'>i>-k*'
I7^.
\
V
'i;
V)
5X
It
•s
N
\i
mm U'KXniBIT "D"
nthiL
I iUJ
TT
1<
o
OO«c.
<L
ZL
\r
KOHLER STROM'S RESORT LLC
Attached are design proposal for the restoration and improvement to shoreline
that has been erroded five or six feet during high water flooding and wave
action. We are not attempting to regain lost shoreling, but stop any further
errosion in the future by raising a burm and rip rap placement as drawn.
The picutures indicated what was previous shore line where grass existed on the
lake side of the.tree's, where at the present time this has been erroded to the
tree line. Pictures are from 1991.
The cross section view show's the proposed reconstruction of rip rap and fill
using granulated fill, rock, dirt and completed with a sod cover. There would
be a mesh bearer between the rock and base fill for retention. The rock would
have a 3 to 1 slope which would make approximately a two foot raise, which
would support a burm approximately,six inches above the high water mark of 1993.
The burm would be five to six feet of fill gradually slopping back away from
the shoreling with three to five inches of dirt cover topped with sod over the
retaining mesh to be used.
There is also two area's of approximately fifteen feet each of open beach for
easy access to the swimming area that would be easily maintained during any
high water with sand bags or other sources of protection from errosion. It
could be interlocking block in this area set back from the waters edge.
The amount of material needed to complete this project could be calculated to
approximate rock with the suggested slope for two hundred feet and fill using
the same formula for a distance of two hundred and fifty feet which would be
neccessary to meet the naturual raise in elevation on the north end of this
project.
Do to the weather and seasonal conditions to cope with, your support and
experience of assistance to complete this project in a reasonalbe amount of
time would be appreciated.
(2^ "H**’
APPLBCATION 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
it No.LEGAL
DESCRIPTION SjrO hi ^-50 BLUFF ZONEAND
□ YES
U C'L ILOCATION
;^1no
LAKE/FM^R NAME LAKE/RIVER SECTION TWP N TWP NAMELAKE NUMBER
Si^'%>\ /citcgKi
ll-CUO '
TOPOGRAPHICAL ALTERATION
□ YES # OF CUBIC YARDS
^;^N0
PARCEL NUMBER (S)FIRE NUMBE
-Q QQ
IDENTIFICATION: Please Print All Information TELEPHONE N(
^ First Initial Mallln Street, City, State, and Zip Codem T I2ry
i\ f
(Daytime)Last Name
. z-i y
M I^SK-Y 5 V,
-------------Z-^'73
Property
Owner / YT7La.tSK>,
/
NameContractor
State Lie. #
ONSITE WATER SUPPLY ONSITE SEWAGE
TREATMENT SYSTEM
t^^dividual Permit It____:
( ) Collector Permit #_____
( )OTLSD
PROPOSED PROJECT PROPOSED USE^^^^welling
( ) Non-Dwelling
foi'/X
CHARACTERISTICS OF DWELLING
J^Dwelling
( ) Addition to Dwelling
asement
Walkout Basement
Ft.x
dividual
( ) Public
( )None( ) Water Oriented Accessory Structure
(WOAS)
( )MH/RV
CHARACTERISTICS OF WOASCHARi^CTERISTICS OF NON-DWELLING
( ) Utility Structure Screen Porch( )Garagi ( ) Boathouse
( ) Gazebo ( ) Utility Structure( ) Other
Outside
Dimension
(/
(-.Ft.( ) Other.
Outside
Dimension
.Ft.x
Outside
Dimension .Ft. .Ft.Lotline Setbacks T&.Ft.x .Ft.
rOaFt.&Lotline Setbacks .Ft.OHWL Setback .Ft..Ft.&Lotline Setbacks. err-*- y,.OHWL Setback Bathroom: ( ) Yes ( ) No N.
(If Yes / a complying Sewage System l^uired).Ft.OHWL Setback
Total Bedrooms
Maximum Heigh^ 30 story)I Maximum Height /10 ft. (1 story)Maximum Height /18 Ft. (1 story)
Sq. Ft. Impervious Surface Ratio .%.Sq. Ft. Impervious SurfaceLot Area
Ft. (3’ minimum)Ft. Elevation of lowest floor above OHWLWater Frontage
.%.Ft. Slope of lotStructure setback to right-of-way
iO Ft. (10’minimum) (Sewage System Permit required before installation).
.Ft. (20’minimum) (Sewage System Permit required before installation).
Ft. (10’minimum) (Sewage System Permit required before installation).
Structure setback to septic tank
Dwelling setback to Soil Absorption System___
Non dwelling setback to Soil Absorption System
THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth
and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become
a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express
condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County,
Minnesota. This permit may be revoked at any time upon violation of said ordinances.
I understand that it is my responsibility to inform the Land & Resource Mi lent office once the building footings have been constructed.
Dated:Oi^er
Dated;
Land & Resource Management Office
1^51(9RECEIPT NO.PERMIT FEE $
Comments:
'1
-800-346-4870
281,017 • Victor Lundeen Co., Printers • Fergus Falls, MN •Form No. BK — 0496-002
M
WHITE ■ Office
GOLDENROD - Inspector
YELLOW - Owner
PINK - Assessor
APPLICATION FOR SITE PERMIT
LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE
Phone:(218)739-2271 • FERGUS FALLS, MN 56537
iS
I
HiqL A- ilit No.LEGAL
DESCRIPTION (5a BLUFF ZONEAND
□ YESLOCATIONQL I
^ TOPOGRAPHICAL ALTERATION
□ YES # OF CUBIC YARDS
;BCno
LAKE NUMBER LAKE/RiyER NAME LAKE/RIVER SECTION TWPN TWPN ;
% I c(ica^
PARCEL NUMBER (S)
_______ll-cuo 'I I -0 OQ
\
j
FIRE NUMBER G 1i
IDENTIFICATION: Please Print All Information TELEPHONE N(
Last Name ) First Initial Malllnr rddress — No. Street, City, State, and Zip Code (Daytime)
■
_liZ-
. , PryY ‘iS7tf CTProperty
Owner
;
NameContractor
State Lie. It
PROPOSED PROJECT
K>«ew Structure(s) , ^
I a mD
PROPOSED USE
^P>)^)welling
( ) Non-Dwelling
ONSITE WATER SUPPLY ONSITE SEWAGE
TREATMENT SYSTEM
t^;^4ndividual Permit #____
( ) Collector Permit #_____
( )OTLSD
dividual /o^iK i( ) Public
( ) None ;( ) Water Oriented Accessory Structure
(WOAS)( )MH/RV
^ YEAR _
CHARACTERISTICS OF DWELLING
6<Dwelling
( ) ^ition to Dwelling
(A|^as^ent
(/1/talkout Basement
Outside
Dimension
A
CHARACTER^ICS OF WOAS
( ) Boathouse
CHARACTERISTICS OF NON-DWELLING
( )Garag
\
( ) Utility Structure Screen Porch :xi
( ) Gazebo ( ) Utility Structure( ) Other
Outside
Dimension ( )Other,
Outside
Dimension
.Fix .Ft.
i3-^ Ft.x .Ft.Lotline Setbacks ft.&.Ft..Ft.x .R-I3ZZ-CO.Lotline Setbacks .Ft.&OHWL Setback .Ft.
Lotline Setbacks .Ft.&.Ft
OHWL Setback Bathroom: ( )Yes ( )No
(If Yes / a complying Sewage System Rbmjired)OHWL Setback..Ft.
Total Bedrooms
Maximum Height/^
■1
[2 story)Maximum Height /10 ft. (1 story)Maximum Height / 18 Ft. (1 story)
±..Sq. Ft. Impervious Surtece Ratio.Sq. Ft. Impervious Surface .%Lot Area 3
.Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage
Ft. Slope of lot
.Ft. (10’minimum) (Sewage System Permit required before installation).
.Ft. (20'minimum) (Sewage System Permit required before installation).
.Ft. (10’minimum) (Sewage System Permit required before installation).
.%Structure setback to right-of-way.
structure setback to septic )ank
Dwelling setback to Soil Absorption System___
Non dwelling setback to Soil Absorption System
3
THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth
and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become
a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express
condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County,
Minnesota. This permit may be revoked at any time upon violation of said ordinances.
I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed.
Dated:
; '%
A7 Je,)-Dated:
Lan6 & Resource MansgemenI OfftceSIT f
RECEIPT NO.PERMIT FEE $14-
.3/
$Comments:7 ■i
r
4
i
iForm No. BK — 0496-002 261.017 • Vtclor Lwfideefl Co . Ptimers • Fergus Fells. MN • 1-800-346-4870
i'
la .
INSPECTION RESULTS
Make all measurements and computations
Ft.Ft.Structure Set Back from Ordinary High Water Level
Ft.Ft.Structure set Back from Top of Bluff
Ft.Ft.Structure Set Back from Road Right of Way
Ft.& So'* Ft.Ft.&Ft.Structure set Back from Lot Lines
Ft.< 3-0 Ft.Structure Height
ft Ft.Structure Set Back from Septic Tank Tv
Ft.locr^Ft.Structure Set Back from Absorption System
Elevation Of Lowest Floor Above Ordinary
High Water Level____________________3 Ft.Ft.
%%Land Slope at Building Line
Inspector’s Comments / Sketch:
Q) \oJ>el«i ovS, Rc«J ^‘1* k-,% l>een
'Vti.d H-U. uf^s '!»' o$tJ O' <i R/o «■/){•_
iLoklpf 4Li$ /of,■A,>.^ Asllp^* Ti^p ^ B./J
5
V
5'
/1 \
(
G1&f\«UwoewA6oJ
1
ToH"*
o» ^I
Toi.^ f , , '
,9.-^>1
Inspector ’s Signature
Dale of Inspedion
/
Tinwot Inspection
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 IV7(/^/3
Permit No.LEGAL
DESCRIPTION at BLUFF ZONE(CASin/ LAND
□ YES
[B^o
LOCATION
LAKE/RIVER
CLASS
SECTION TWP NO.RANGE TWP NAMELAKE NUMBER LAKE/RIVER NAME
121-7a II€0 l)Uh//\/
TOPOGRAPHICAL ALTERATION
□ YES # OF CUBIC YARDS
a^o
PARCEL NUMBER (S)FIRE NUMBER
/ 7 - ^i>d ~U - ooo
IDENTIFICATION: Please Print All Information TELEPHONE NO.
Mailing Address — No. Street, City, State, and Zip Code (Daytime)First InitialLast Name
fix Boy.Property
Owner m-^37-
NameContractor
State Lie. #
ONSITE SEWAGE
TREATMENT SYSTEM(i^^ividual Permit # 1^3^^
( ) Collector Permit #__________
( )OTLSD
PROPOSED USE
(Duelling
( ) Non-Dwelling
( ) Water Oriented Accessory Structure
(WOAS)
ONSITE WATER SUPPLY
(>-)r1ndMdual
( ) Public
( ) None
PROPOSED PROJECT
(PfTlTw Struclure(s)
( ) Addition(s)
( )MH/RV______________
I
YEAR
CHARACTERISTICS OF WOAS
( ) Boalho^e ( ) Screen Pot^'
CHARACTERISTICS OF NOjtl-DWELLING
( ) Garage
CHARACTERISTICS OF DWELLING
((,)^elling
( ) Addition to Dwelling
( ) Basement
( ) Walkout Basement
Outside
Dimension
( ) Utility Structure
( ) Utility S/ucture( ) Gazebo( ) Other
Outside
Dimension ( ) Other ,
Outside
Dimension
.Ft.Ft. X
.Ft..Ft.Lotline Setbacks .Ft.&Ft. X Ft.Ft. X£^Ft
Lotline Setbacks .Ft.&OHWL Setback .Ft.Ft.Lotline Setbacks
.Ft.OHWL Setback ) Yes (Bathroom:lo
A .Ft.OHWL Setback(If / a complying Sewage S^em Required)
Total Bedrooms
Maximum Height /10 ft. (1 story)Maximum Height / 30 Ft. (2 story)Maximurrf Height /18 Ft. (1 story)
,Sq. Ft. Impervious Surface Ratio .%,Sq. Ft. Impervious SurfaceLot Area
3 Ft. (3’ minimum)Ft. Elevation of lowest floor above OHWLWater Frontage
.%Ft. Slope of lotStructure setback to right-of-way.
IP Ft. (10’minimum) (Sewage System Permit required before installation).
Ft. (20’minimum) (Sewage System Permit required before installation).
.Ft. (10’minimum) (Sewage System Permit required before installation).
Structure setback to septic tank
SODwelling setback to Soil Absorption System___
Non dwelling setback to Soil Absorption System
THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth
and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become
a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express
condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County,
Minnesota. This permit may be revoked at any time upon violation of said ordinances.
I understand that it is my responsibility to inform the Land & Resour^Mai It nffine pnne the building footings have been constructed.
-3^ -Dated:
ignatuf^^ Owner
r9.Dated:
Land & Resource Management Office
RECEIPT NO.PERMIT FEE $
Comments:
281,017 • Victor Lundeen Co.. Prirtters • Fergus Falls. MN • 1-800-346-4870Form No. BK — 0496-002
1
LAND & RESOURCE MANAGEMENT
OTTER TAIL COUNTY COURT HOUSE
Phone: (218) 739-2271 • FERGUS FALLS, MN 56537
APPLICATION FOR SITE PERMITHi/HITE - Office
GOLDENROD- Inspector
YELLOW - Owner
PINK - Assessor \<iyU'2^3 :
r-
l^*Cj3-Permit No.LEGAL
DESCRIPTION at BLUFF ZONE
□ YES
CB-WD
LfAND
LOCATION
LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER
CLASS
SECTION TWP NO.RANGE TWP NAME
in)|<£0 QutrrJH3-iPARCEL NUMBER (S)TOPOGRAPHICAL ALTERATION
□ YES # OF CUBIC YARDS
IB^O
FIRE NUMBER
H - £06 -li -aHj -r^oo
Telephone no.IDENTIFICATION: Please Print All Information
Last Name First Initial Mailing Address — No. Street, City, State, and Zip Code (Daytime)
firProperty
Owner <morr\ f^f^aiCr 211z^l2r
au3/?ia3
NameContractor
State Lie. #
PROPOSED PROJECT
(Struclure(s)
( )Addition(s)
( )MH/RV____________
PROPOSED USE
(L)<fl^elling
( ) Non-Dwelling
( ) Water Oriented Accessory Structure (WOAS)
ONSITE WATER SUPPLY
(»^fi3ivldual
' ( ) Public
( )None
ONSITE SEWAGE
TREATMENT SYSTEM
(ji^^fiSlvidual Permit # 1^3^^
( ) Collector Permit #__________
( ) OTLSD
. ■A
6YEAR
■-ICHARACTERISTICS OF NON-DWELLING
( ) Utility Stri^ure ^
characteristics of WOASCHARACTERISTICS OF DWELLING
(j>f5welling
( ) Addition to Dwelling
( ) Basement
( ) Walkout Basement
Outside r\\tDimension ______Ft.x ^ 7
Ft. & Ft.
..'3
( ) Garage ( ) Boathoase ( ) Screen Pori
( ) Gazebo ( ) Utility Smicture\ C ( ) Other
Outside
Dimension 1( )Other,
Outside
Dimension
.Ft.x .Ft.
.Ft.Lotllne Setbacks ,Ft.&.Ft.1.Ft.x .Ft.
Lotline Setbacks OHWL Setback .Ft,
Lotline Setbacks .Ft.i.t.&j,3Ft.OHWL Setback Bathroom: (/ )Yes (
(If Yas / a complying Sewage ^em Required)
lo
OHWL Setback,_Ft.ATotal Bedrooms
Maximum Height / 30 Ft. (2 story)Maximum Heignt /10 ft. (1 story)Maximunr Height /18 Ft. (1 story)
.Sq. FI. Impervious Surface Ratio _1.Sq. Ft. Impervious Surface .%Lot Area
2.Ft. Elevation of lowest floor above OHWL _Ft. (3' minimum)Water Frontage
2^.Ft. Slope of lot .%Structure setback to right-of-way.
JP .Ft. (10’minimum) (Sewage System Permit required before installation).
.Ft. (20’minimum) (Sewage System Permit required before installation).
.Ft. (10’minimum) (Sewage System Permit required before Installation).
Structure setback to septic tank i
.1Dwelling setback to Soil Absorption System___
Non dwelling setback to Soil Absorption System
THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.
Agreement: I hereby certify that the information contained herein Is correct and agree to do the proposed work in accordance with the description above set forth
and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shail become
a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express
condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County,
Minnesota. This permit may be revoked at any time upon violation of said ordinances.
I understand that it is my responsibiiity to inform the Land & Resource Manaoeoiant office once the building footings have been constructed.
(
■Dated:
K3
Land & Resource M&iagement Offee
<0.00
■A.aDated:
•5/I3$II1RECEIPT NO.PERMIT FEES 1
T
' Comments:1
1
r
281.017 • Victor Lurtdoen Co. Prirweri • Fergus Falls. MN • 1-800-346-4870Form No. BK — 0496-002
j .i -1... ___, 1
"Vt' ■»-?W!f
INSPECTION RESULTS
/Wate all measurements and computations
Ft.Ft.Structure Set Back from Ordinary High Water Level
Ft.Ft.Structure set Back from Top of Bluff
Ft.Ft.Structure Set Back from Road Right of Way
Ft.R.&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 Absorption System
Elevation Of Lowest Floor Above Ordinary
High Water Level____________________Ft.Ft.
%%Land Slope at Building Line
Inspector’s Comments / Sketch:,
Inspector's Signature
Date of Inspection
Time of Inspection
Ik.'.-
APPLICATION FOR SITi PiRMIT
LAND & RESOURCE MANAGEMENT
OTTER TAIL COUNTY COURT HOUSE
Phone:(218) 739-2271 • FERGUS FALLS, MN 56537
WHITE - Office
* GOLDENROD - Inspector
YELLOW-Owner
PINK - Assessor
Permit No.LEGAL
Caii nDESCRIPTION
7 BLUFF ZONEAND
□ YESLOCATION
[0^0
LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER
CLASS
SECTION TWP NO.RANGE TWP NAME
131II<oO
PARCEL NUMBER (S)TOPOGRAPHICAL ALTERATION
□ YES # OF CUBIC YARDS
0^0
FIRE NUMBER
/7 - 0<r>o- II - OjHi 'OOO
IDENTIFICATION: Please Print All Information TELEPHONE NO.
First Initial Mailing Address — No. Street, City, State, and Zip CodeLast Name (Daytime)
Property
Owner
3iL15jOETni’ iT Laiccs mP
NameContractor
State Lie. #
PROPOSED PROJECT
(UffJew Structure(s)
( ) Addition(s)
( )MH/RV____________
PROPOSED USE
(/^welling
( ) Non-Dwelling
( ) Water Oriented Accessory Structure
(WOAS)
ONSITE WATER SUPPLY
( Pjrindividual
{ ) Public
( ) None
ONSITE SEWAGE
TREATMENT SYSTEM /d>
( ) Individual Permit It
( ) Collector Permit #_
( )OTLSDYEAR
CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING
( ) Garag^ ( ) Utility Stnicture
CHARACTERISTICS OF DWELLING
(W)rl5TOlling
( ) Addition to Dwelling
( ) Basement
( ) Walkout Basement
Outside
Dimension
( ) BoatHpuse ( ) Screen Pot
( ) Gazebo ( ) Utility^ructure( ) Other
Outside
Dimension ( ) Other
Outside
Dimension
.Ft.Ft. X
Ft. X .Ft.Lotline Setbacks Ft.&.Ft.Ft, X .Ft.
RLotline Setbacks Ft.&OHWL Setback .Ft.Tt,&Lotline Setbacks Ft.
OHWL Setback .Ft.) YesBathroom:
OHWL SetbacI .Ft.(IWes / a complying Sewage SystVn Required)
Total Bedrooms
Maximum Height /10 ft. (1 story)Maximum Height / 30 Ft. (2 story)Maximum Height /18 Ft. (1 story)
.Sq. Ft.Impervious Surface Ratio %Sq. Ft. Impervious SurfaceLot Area
3 .Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage
Ft. Slope of lot .%Structure setback to right-of-way
/O .Ft. (10’minimum) (Sewage System Permit required before installation).
Ft. (20’minimum) (Sewage System Permit required before installation).
Ft. (10’minimum) (Sewage System Permit required before installation).
Structure setback to septic tank
Dwelling setback to Soil Absorption System___
Non dwelling setback to Soil Absorption System
THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth
and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become
a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express
condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County,
Minnesota. This permit may be revoked at any time upon violation of said ordinances.
I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed.
10 /3^ / 41
Dated:
nature oyOwiwr
Dated:
Land & Resource Management Office
19.^1 )iRECEIPT NO.PERMIT FEE $
Comments:
281,017 • Victor Lundeen Co., Primers • Fergus Falls. MN • l-800-346'4870Form No. BK — 0496-002
• ’ ••
A'.>\
WHITE-Office -
GOLDENROD^ Inspector k-
YELLOW-Owner
PINK - Assessor
APPLICATION FOR SITE PERMIT
LAND & RESOURCE MANAGEMENT
OTTER TAIL COUNTY COURT HOUSE
Phone: (218) 739-2271 • FERGUS FALLS, MN 56537
'1'1IS4-
.1
IHIUT^Q^ .Permit No.LEGAL
DESCRIPTION (n ^7 BLUFF ZONEAND
□ YES
ca^o
LOCATION
i1LAKE/RIVER
CLASS
SECTION TWPNO.RANGELAKE NUMBER LAKeRIVER NAME TWP NAME
iyj7ij<oV uPARCEL NUMBER (S)TOPOGRAPHICAL ALTERATION
□ YES # OF CUBIC YARDS
Q^O
FIRE NUMBER
Hs'-gi/7- ooo- II - omi 'OOO
telephone no. jIDENTIFICATION: Please Print All Information
Mailing Address — No. Street, City, State, and Zip Code (Daytime)First InitialLast Name
iOrw£>rr Lailcs
Property
Owner
3iLl3
NameContractor
State Lie. #
PROPOSED USE ONSITE SEWAGE TREATMENT SYSTEM \L HLPROPOSED PROJECT
(i.-)TJew Structure(s)
( ) Additlon(s)
( )MH/RV_____________
ONSITE WATER SUPPLY
(v)1fidlvidual
( ) Public
( )None
■S'- •(/-)^welling
( ) Non-Dwelling
( ) Water Oriented Accessory Structure
(WOAS)
( ) Individual Permit #,
( ) Collector Permit #_
( )OTLSD
■t
JYEAH
CHARACTERISTICS OF WOAS
( ) Boafbouse ( ) Screen Pordh
CHARACTERISTICS OF NON-DWELLING
( jGaragi
CHARACTERISTICS OF DWELLING
(LtlS^elling
( ) Addition to Dwelling
( ) Basement
( ) Walkout Basement
Outside
Dimension
( ) Utility 5t1ucture
( ) Utility^ructure .( ) Gazebo( ) Other
Outside
Dimension .Ft.( )Other.
Outside
Dimension
.Ft.x I
.Ft..Ft.&-Ft..Ft.x Lotline Setbacks j.Ft.x .Ft.
5"^Ft..Ft.&Lotline Setbacks .Ft.OHWL Setback .Ft.&Ft.Lotline Setbacks !
.Ft.OHWL Setback Bathroom; /( ) Yes
(ItWes / a complying Sewage SysWi Required)
( )
.Ft.OHWL SetbacIaTotal Bedrooms
Maximum Height / 30 Ft. (2 story)Maximum Height /10 ft. (1 story)Maximivn Height /18 Ft. (1 story)
.Sq. Ft. Impervious Surface Ratio .%.Sq. Ft. Impervious SurfaceLot Area
3 .Ft. (3' minimum)Water Frontage_____________
Structure setback to right-of-way
Ft. Eievation of iowest fioor above OHWL
__________Ft. Siope of lot
.Ft. (10'minimum) (Sewage System Permit required before installation).
.Ft. (20’minimum) (Sewage System Permit required before installation).
.Ft. (10'minimum) (Sewage System Permit required before instailation).
.%!
Structure setback to septic tank_____________
Dweiiing setback to Soii Absorption System___
Non dwelling setback to Soil Absorption System
THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.
Agreement; I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth
and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become
a part of this permit application, i also understand that this permit is valid for a period of six (6) months.
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express
condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County,
Minnesota. This permit may be revoked at any time upon violation of said ordinances.
I understand that it is my responsibiiity to inform the Land & Resource Management office once the building footings have been constructed.
J
Dated:
ture r^Kitmar
/£>! 3^>l -I
Dated:
Land S Resource Management Office ■»
RECEIPT NO.PERMIT FEE $.1
Comments:d■'Ii
■1
.a
.L
I1
281.017 • Victor Lundeen Co . Printers • Fergus Fatls. MN • 1-800-346-4870Form No. BK — 0496-002
INSPECTION RESULTS
Make all measurements and computations
Ft.Ft.Structure Set Back from Ordinary High Water Level
Ft.Ft.Structure set Back from Top of Bluff
Ft. Ft.Structure Set Back from Road Right of Way
Ft.Ft.&Ft.Ft.&Structure set Back from Lot Lines
Ft.Ft.Structure Height
Ft.Ft.Structure Set Back from Septic Tank
Ft.Structure Set Back from Absorption System Ft.
Elevation Of Lowest Floor Above Ordinary
High Water Level____________________Ft. Ft.
%%Land Slope at Building Line
Inspector’s Comments / Sketch:
\
Inspector’s Signature
Date of Inspection
Time of Inspection
I i ^\-■1 ??■ :% f'.$•• :'• h -*j¥C*-
..• •»•fM-‘l /I : !! Ii. ' : I j JI I :II
I ^rfOo-j]I I !• ! !!i i. 1i i t !i I !!I I I!I;I Ii!I !t{i tj 1 I■;i !I♦!:II! i i !(i;i1 . o Ii M ■ 1I:I i• ■ i ;II1IIj;Ii !I\Iti I tI iI■. . , j .
. : I :
I :}5 I ?t 5 !II»I!!I i ti\iI! : !I 1 : ::I ; i :I :I• I !II J:i h i III!I;i!It;!J:i i I ■ =I I!i;Ji: i i t i!! !1 II1! If;;Mm
i I I !it !I{;i I 5I I ! :iI :I .. -'-'I*I!I I ;\
m
‘:\' : »
• ! i
t: !;!t ;::i IXII'i :;i l!:::II I i: !I;III.>✓ I!:i;tI1 ii »I!:I IIIJI I ■
I;!}I X ! :I i ! ! I?1 ; ! ' : i i;I II:II?J !:I IIi i iI i II 1iI!!\:tI\i1i : 1 ■iI ;I j 1-’ y'
i :I IIJI■ ki I IiI !J/!1 iIII»1 XI *;I i ! :I
i A :
!!i !I I^ !X ;»;i ItIIiI
^ ■)I ;I !;!:I I!I :IKiIJ»!i : : ,
I ! ■ :
i !;I
; I II t I I
ri I:iJJJ;I!i1 1:^I i I:;i !t• !V ii .IiiI I!!II!I I- -i :II1;i ; i! i I!!I !)i:!I !!t iI II!
' i Mi : I I . ^
I:i;■ III NIJ?I !t I
I iI !r:;\i I I
V i:, , I i: X: I
*Si. I i! I*
Ii
;
iI!I I\I 1i
['■rM'? [1
I71'3P1I INvI:!A/»ItK I III;iII Ii !iI :s :1 !I I III I
*i!i I I ;I I InI!I I;r II :I
I !
I I Iii ;i !IiI!iI\\:I !Iit !i M •; ■^ I!IrI1I1JI1IiI
iw;InLU: ; !I I 1II1!1:.'A:fII!I !}.i t
i •IIII f ~JAIiI1i I i :I II! ! ■!SI I I I ■!I ‘ .!• I!;iII!!I i:I!I ;I :!Ii t
if!m' '
1 i I:f»II Ir.-i■
^(SpI ! :
■ / r;Ii’I! k-I!!!' i; 'i -r7ii ! i i1tIIIk:!I : i Pii i!! !I !I !II/dK.\;Jt I II ;I ; ii!II'III
;■ I '
!I !I .4I1I;;I/!I :I
IK ;I II !I I II
^ iIi !IIr*;/i .I X.;I {;i
' i J
J!I iI!;».1 III:I ! .!I I;I • - i I; ! I i i I ;!I »i I!III i I:(!!II IJIi !i‘'I1I! :;i 1 I !!:i ;I\;!!I!I! i I IIi’1!iI
> I
I !: M I 1.I 1r! i III:Ii\
:
■ 1 1J ' i; i !I I !{1I IiII i Iill!!/ 'I1V,I I'i II ;I!IfII III;i II:::i iIV iIIiJi
i I , : .
!I II\/ ; :I !i I 1 1 ; !I I!i
; ■ I
!IJ\I 1;{i *!i I i i ! !I •7^;/! =I !I;. IIi.i IiI I !!I .!1 ■!I ;!I I ^ '•'Kj II ;1i iIi. I*I ;i♦1 I1I JI:ILf.•. !!II !t I !i j I\:I rIihji^'T
■ pm
!:I r I . N LL!iJ;I!I I1IiI!!■ 1 !III
' ■ iT
t t }I :iIIII• I i i5♦I : ::'TV+i ^;»! !■
1 ! I!I I !i:I tI I\Ii iIII}:i !ii:»Tf' ^\I:I ‘i■ ! ' I
M i k ;
i I!:i!I ;i •;i I;• i
I
! !IIII !i It IiIIIIII;i i !1 !H I■ IN i'iIMI:;I !(Ii !r-I ;iIiI1IJii.i I ! *I I
I ■:Ii 1 \!II II 1 !I*! •!I
iliaiHxa
II! I I !:iI i Ui:f;!}i !I I!I IIri^fid iatifh 3 II ■ i i..a,I!! i 1 ;‘
: !i1 ft :!!• I I • I ;i
I I • .IItiI
Otter Tail County Planning Commission
County Court House
Fergus Falls, Minnesota 56537
December 6,1991
Strom's Resort/Larry J. Kohler
RR#5 Box 457
Detroit Lakes, MN SS501
RE: Planning Commission Meeting.
Dear Strom's Resort/Larry J. Kohler:
This Is to Inform you of the action taken by the Otter Tall County Planning
Commission at their December 4, 1991 meeting. Enclosed please find a copy
of the minutes Indicating their action on your Conditional Use Application.
The County Commissioners will consider this recommendation at their December
11, 1991 meeting.
Sincerely,
Mavis Samuelson
Acting Secretary
OTCPC
Otter Tail County Planning Commission
County Court House
Fergus Falls, Minnesota 56537
December 4. 1991
Meeting of the Otter Tail County Planning Commission was held on December 4,
i991 at 7:00 P.M. in the Commissioner's Room, Court House, Fergus Fails,
Minnesota 56537.
Members Present; Mike Ackley, Carl Johnson, Frank Lachowitzer, Reba Lee, Bert
Olson, Victor Petterson, Jr., Diane Prischmann, Robert
Schwartz, David Trites.
Members Absent: Les Estes.
Kalar,Barb Hanson, represented the County Attorney, s
represented the Land & Resource Management Office.
Office.Bill
A motion by Schwartz, second by Lachowitzer to approve the
minutes of November 6, 1991 as mailed.
Approved;
Approved;A motion by Lachowitzer, second by Lee to approve the Conditional
Use Application of Steven Kingsley. Dead
Larsen's Minasha-Da Subdivision, Lot 3A, Section 34,
Township as presented with the following conditions: 1.
Applicant allowed to haul in additional fill for approach as
needed <up to maximum depth of 5'). 2. Culvert to be installed
if required by Township. No work to be done until April 15,
1992. Kevin Torgerson, adjacent property owner, approves of this
project.
Lake (56-383), NE,
Dead Lake
Voting; All members in favor.
A motion by Johnson, second by Ackley to approve the Conditional
Use Application of Strom's Resort/Larrv Kohler. Pelican Lake (56-
786), RD, Pt of GL 1 (2.66 Acres), Section 11, Dunn Township as
presented with no more fill than currently present. This project
is to he completed in 5 years.
Approved;
Voting; All members in favor.
SHORELAND MANAGEMENT
OTTER TAIL COUNTY
Fergus Falls, Minnesota 56537
NOTICE OF HEARING FOR CONDITIONAL USE PERMIT
APPLICANT MUST BE PRESENT AT HEARING
TO WHOM IT MAY CONCERN:
LaJiAy J. KohleA
RR 5 Box 457
V^VioZt Lake^, MW 56501
has made application to the Otter Tail County Planning Commission for a Conditional Use Permit as
per requirements of the Otter Tail County Shoreland Management Ordinance. The Otter Tail County
VtcmbeA 4,-1911Planning Commission will assemble for this hearing on
Time 7:00 P M. Place CnmmJ kkJ k Pnnm^ Cnnht Fersus Falls. Minnesota.
This notice is to advise you that you may attend the above hearing and express your views on the
Conditional Use requested.
The property concerned in the application is legally described as:
Lake No. Sb-Ub Sec._Il 137N Range AIM.
Class GP
Twp. Name VunnTwp.
PeZfcan 45S9Lake Name:.Fire No.
?t oi Gi /, Sec. n
l.bb acAU
THE CONDITIONAL USE REQUESTED IS:
Sec AeucA^e 4xde.
'A-"AtWoucffibeA. J 5. 799/Dated.X.
Otter Tail County Planning Commission Chm.
MKL -0871-011
AmBy.:
221910i®
VICTOR LUNOCEN 4 CO.. RRINTER4, FEROUS FALLS. UINN.
FIl/E /EAR FROJECnON
I . Move Cab^n ^5 with new (foundation and amodeZ.
1. E6tabZi6h dnain (iztd to nztizvz pumping at Zocation ea^t o( County ^3/
on. 4outh on nz.6idznt pnopznty.
3. Move Cabin with nzw foundation and nzmodeZ.
4. Nzw panking anea in anza vazatzd by Cabin ^5 S 6.
5. Vnivzway aZong County ^3/ to accz^^ Cabin ^1, 2 5 3 fnom thz nza^t of cabins
and vacatz fnont acce44 on Zakz 6idz.
b. Sidewalks on fnont of cabins and ZancUcapz Zawn to ihonzlinz.
7. BuiZd nzw cabin on hiZZ -iitz, build new 6tonz and nzmodzl pnz6znt 6tonz into
two cabin unZt6.
AZZ of thz abouz anz pnionity changz6 acconding to impontancz and do not
nzflzct gznznaZ cabin impnovzmznti>. Each unit will include TU S micnowavz^,
6howzni (o6 cabin ij> nzmodzlzd], zlzctnicaZ upgnading of fixtunz-i> ayid nzczpticlzA,
laundny uniti in itonz anza, docking and boat namp upgnading.
At thz pnz&znt time thznz anz iix cabin 6iXQj> and foun campzn i,itzi> in uaz and
thz above changes would not inenzatz uniti cw inenzaiz in cabin iitz would nzplacz
campzn iitz. Example: If nine cabin iitzi wznz zitabliihzd, thii would allow
one campzn iitz.
Pnojzct plani anz available fon viewing at thz Land and Rziounez Office at thz
Ottzn Jail County Count Houiz, Fengui FaZZi, Minnziota.
OTTER TAIL COUNTY
Fergus Falls, Minnesota
STATE OF MINNESOTA)
SS
COUNTY OF OTTER TAIL)
I Wayne Stein, secretary for the Board of Adjustment for Otter Tail County,
Minnesota do hereby certify that on the 18th day of Novembej:
attached Notice of Hearing was duly served upon the follow!ng:
Larry J. Kohler , Rt. 5 Box 457, Detroit Lakes, Mn. 56501
Herbert Johnson, Twp. Clerk of Dunn, Rt. 3 Box 213, Pelican Rapdis, MN 56572
Marge Overby, Lake Assoc, of Dunn, Rt. 4 Box 159, Pelican Rapids, Mn 56572
Loretel Systems South, PO Box 72, Ada,,. MN 56510
Anna A. Zaranka, Rt.
Robert J. & Cassie L. Brostrom,
Henry A & Marjorie V. Anderson, Rt.
Roy Lubenow et al, Rt.
Kenneth W & Susan Connor, 1623 topping Road, St. Louis, Mo 63131
Luther Crest Bible Camp Assoc. Rt.
David Majkrzak, Box 849, West Fargo, N. Dak. 58078
James R. Rothl isberger, 1 125 9th St. N.;.Fargo, N. Dak. 58102
Joel E Jacobs, 2608 116th Lane NW, Coon Rapids, Mn. 55433
Clayton & Larry Grimley, 1215 2nd Ave S. Moorhead, Mn. 56560
1991 the
5 Box 387, Detoit Lakes, MN 56501
819 5th Ave E, West Fargo, N. Dak. 58078
5 Box 461, Detroit Lakes, Mn. 56501
5 Box 388, Detroit Lakes, MN. 56501
5 Alexandria, Mn. 56308
Richard West,
Mr. Terry hejcher, DMR, 1221b E. Fir Ave, Fergus Falls, Mn. 56537
l>3partment of Natural Resources, Regional Administrator, 2115 BirchiTOnt Beacli Rd N’E
Bi-.'iiiidji, Mn. 56601
'I’own Board Chairman of CLerk
Doug Jolinson, Health Def^artinent. Court House, Fergus Falls, Mn. 56537
County Engineer, Court House, Fergus Falls, Mn. 56537
LOARD OF ADJUSTMl’NT:
Craig Anderson, RR, Ottertail, Mn. 56571
John Everts, Roule 2, Battle lake, Mn. 56515
iJeorge Waller, Route 1 Box 314, Rerham, Mn. 56573
Victor l.’etterson Jr, Route 2, Fergus Falls, Mn. 56537
Cecil B. I'emling, 13 6th St. Ne, Pelican Rapids, MN. 56572
Dan Oehler, 516 W. Cherry, Fergus Falls, Mn. 56537
by placing a true and correct copy therof in a sealed envelo]:>e, [xrstage prepaid, and
dej)ositing the same in the U. S. Mail at Fergus Falls, Mn., proi^erly addressed to each
ol: I lie above naim-xi at the addresses shown above.
November 18, 1991 ■Da I ctI 4
Ibcretary
OTTER TAIL COUNTY HIGHWAY DEPARTMENT
County Courthouse
FERGUS FALLS, MN 56537
(218) 739-2271, Ext. 268
JOS NO.
DATE
11/21/91
ATTENTION
RE:
TO Mr. Victor Petterson, Chairman
Conditional Use Permit ApplicationsOtter Tail County Planning Commission Public Hearing - December 4, 1991
Fergus Falls, MN 56537
GENTLEMEN:
S Attached □ Under separate cover viaWE ARE SENDING YOU the following items:
□ Shop drawings
□ Copy of letter
□ Prints
□ Change order
□ Plans
5^ See Below
□ Samples □ Specifications
NO.COPIES DATE DESCRIPTION
1 Conditional Use Permit
THESE ARE TRANSMITTED as checked below:
□ For approval
□ For your use
□ As requested
□ For review and comment
□ Resubmit
□ Submit_
□ Return__
5c1 Review completed/No comment
□ Approved as submitted
□ Approved as noted
□ Returned for corrections
copies for approval
.copies for distribution
corrected prints
□ FOR BIDS DUE.□ PRINTS RETURNED AFTER LOAN TO US19.
REMARKS
NOV 2 ■ 'isgi
\
COPY TO r%.
SIGNED:^
If enclosures are not as noted, kindly notify us at once.LT-584-2
DDIMTCn IKJ I I C A
EXHIBIT "B"
FIVE YEAR PROJECTION r. '"r 2 a 1991►- I
Move Cabin #5 with new foundation and remodle1.
Establish drain field to releive pumping at location
east of county #31 or south on resident property.
move Cabin #6 with new foundation and remodle
2.
3.
new parking area in area vacated by Cabin #5 & 6
driveway along county #31 to access Cabin #1, 2 & 3
from rear of cabins and vacate front access on lake
side .
4.
5.
sidewalks on front of cabins and landscape lawn to
shoreline.
5.
build new store andbuild new cabin on hill site ,
remodle present store into two cabin units.
7.
All of the above are priorty changes according to importance
and do not reflect general cabin improvements, will include TV & microwaves, showers (as cabin is remedied),
electrical upgrading of fixtures & recepticles, laundry units
in store area, docking and boat ramp upgrading.
Each unit
At the present time there are six cabin sites and four
camper sites in use and the above changes would not increase
units as increase in cabin site would replace camper site.
Example: If nine cabin sites were established, this would
allow one camper site.
White - Office
Yellow — -Owner
Pink — Assessor
GoldeHrod — Inspector
SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537
APPLICATION FOR SITE PERMIT
TOPermit No..LEGAL
^eso<'+DESCRIPTION
AND
LOCATION
II 131 II y\ ^
Lake No.Lake Classif.Sec.TWP TWP NameLake Name Range
IDENTIFICATION; Please Print All Information
Tel. No.Last Name ________First/ Initialn^nald^Zip No.Q Address— No. btreet, City and State . .| )p Ulia,)Owner
NameContractor
Architect Name.
^^){jS€ !^^ne Family DwellingTYPE OF IMPROVEMENT;TIAL PROPOSED USE:NON-RESIDENTIALPROPOSED USE:
M New Building
( ) Alteration
Specify:,
I ) Muitiple Dweiiing Units/
( )Other ( ) Other Size
ESTIMATED COST OF IMPROVEMENT $
PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS:
I( ) Masonry
Wood Frame
( ) Structural Steel
( ) Other — Specify
( ) Public
( ) Individuai Septic Tank, etc.
WATER SUPPLY:
( ) Public J
( ) Individual Well
Basement: ( ) Yes
Stories above basement:
Sq. feet (outside dimension)
Bedrooms ....I/y..................Baths..
CHARACTERISTI
eqaerefeet.feet.Maximum depth of lotLot Area is ..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 right of wav.....
Side yard is ............................. ........
feet. (Building Line)
feet
33 feet — from road right of way is feet.
feet.
Structure will be located .feet from septic tank (Sewage System Permit must be obtained before installation),
feet from soil absorption system (Sewage System Permit must be obtained before installation).Structure will be located
Agreement; I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set
forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith
shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES.
I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand
I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project.
\
Dated.
Signature of Owner
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the
express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail
County, Minnesota. This permit may be revi at any time upon violation of said ordinances.
Dated
Shj^reland lOTanagement Official
Permit Fee $.Receipt No.
Comments:_
Form No. MKL-0286-019 229971(g)
VICTOR LUNDEE.S CO., PRiNTKRS. FERGUS FALLS. MINN.
K^ce
‘ ^9wnerWhite -
Yellow -
Pink —.Assessor
Goldei^od — Inspector
SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537
APPLICATION FOR SITE PERMIT
' !IPermit No..■ ■%' »-LEGAL
DESCRIPTION
AND
LOCATION
K \\{ i \I li ly JLI V L
TWP NameSec.TWP RangeLake Claitif.Lake NameLake No.
IDENTIFICATION: Please Print All Information
Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialFirstLast Name . ;j/.(V;IOwner
I I/^ ! I >T
NameContractor
Architect Name.
k'- r" i ‘ 'L ■' i';NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:
(,-TOne Family Dwelling
I ) Multiple Dwelling
TYPE OF IMPROVEMENT:
rSpecify:.(- ) New Building
( ) Alteration ^' '"y'■ X-Units/■>'
( )Other Size) ) Other
ESTIMATED COST OF IMPROVEMENT^V
DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME:
( ) Yes (No j
Stories above basement:
Sq. feet (outside dimension)
Bedrooms
( ) Masonry
Wood Frame
( ) Structural Steel
( ) Other — Specify
( ) Public
( ) Individual Septic Tank, etc.
WATER SUPPLY:
( ) Public
( ) Individual Well
Basement:
LJ ''i
V<aaWaa«
BSthS •>,p<«aaaaa*aaaaa
CHARACTERISTICS:i../Lot Area is square-feet., !Maximum depth of lot feet.feet.Water fronts is
.....................feet. (Building Line)Building set back from high water mark is.■A?'
feetLand height above high water mark at building line is
Building set back from State highway right of way....
and....^....
±.
r
.feet.... feet — from road right of way is
.............feet.
.feet from septic tank (Sewage System Permit must be obtained before installation).
feet from soil absorption system (Sewage System Permit must be obtained before installation).
Side yard is
Structure will be located
Structure will be located
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set
forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith
shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
TH/S /S A S/TE PERMIT ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STA TE STA TUTES.
I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand
I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project.
AiDated.
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<1
r'\
V ^f------
J Receipt No.__‘X.Permit Fee $.
Comments:
i
Form No. MKL-0286-019 229971®VICTOR LUNOeCN CO.. PRINTERS, FERGUS FALLS. MINN.
■!
INSPECTOR'S CHECK LIST
Make all measurements and computations
ACTUAL IS jr MINIMUM Shall Be 4-Sq. Ft.
Lot Area (Square feet)Sq. Ft.Sq. Ft.
Water Frontage Ft.Ft.
Building Set Back from High Water Mark Ft.Ft.
Building Set Back from State Highway Ft.50 Ft.
Building Set Back from Street or Road Ft.40 Ft.
& To' Ft.Side Yard & Ft.
Rear Yard Ft.Ft.
/Occupied Building to Septic Tank Ft.10 Ft.
t-'2 0Occupied Building to Absorption System Ft.20 Ft.
Elevation at Building Line above
High Water Mark_____________i3 Ft.3 Ft.
(3r7iAcrtiA^'Inspector's Comments:
3K \VnV—'
C—■) f
Inspectors Slgnatura
( WA
Title
Inspection
Dated n19
Agency
vicren um»uh 4 ea.. aRiHttaa. rc*«ua rM.Lt. nihh.
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
omS So/il Permit No..LEGAL
DateDESCRIPTION
AND
LOCATION
7^4 PbLICLiAaJ 137 lOi^r\/A/ULake No.Lake Name Lake Classif.Sec.TWP Range TWP Name
IDENTIFICATION: Please Print All Information
Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No.
Owner
^ 7-, a ----^734- Du n^Tfiair L/i/c£S
NameContractor
Architect Name.
TYPE OF IMPROVEMENT;
(Mf^ew Building ^ !
/ V ^ X 1^*
RESIDENTIAL PROPOSED USE;NON-RESIDENTIAL PROPOSED USE:
( ) One Family Dwelling
( ) Multiple Dwelling
Specify;.
l3^i t-njn/ g( ) Alteration Units
( )Other ( ) Other Size
ESTIMATED COST OF IMPROVEMENT $ f/
(omit cents)
PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS;
(i'flw^nry
(r ) Wood Frame
( ) Structural Steel
( ) Other — Specify
(^blic
(‘■'Tmdividual Septic Tank
WATER SUPPLY;
( ) Public
(4>+Tidividual Well
MECHANICAL EQUIPMENT :
Elevator: (. ) Yes
Air Conditioning: ( ) Yes
( ) Central
( I Yes (><1^Basement:
Stories above basement:
Sq. feet (outside dimension)
Bedrooms
/
, etc.
Baths ...i3.rs......
HEATING:
(W'^ectric ( ) Gas
( ) None
(/>d^Type of Roof:( ) Oil
( ) Coal
Other;( ) Unit
CHARACTERISTICS:
V7<2>^ .6^ exLot Area is rpinrn fnal Water frontage is .
feet. (Building Line)
...............................feet
feet.
l.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 will be located.........J..^.
Building will be located
.3.
tip..feet — from road or street is feet.
^9..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 perjod of six (6) months.
^ - Q9-9rlDated.
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.
/3-V-aT - r/Dated
Shoreland Management Official
Q.o^State Surcharge $.Permit Fee $.
Comments;
Form No. MKL-0771-002 ,158899
viCTO* LUNDltH 4 CO.. Paiateat. rcKeus Falls,
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
I Yellow — Owner^ Pink Assessor
GolSenrod — Inspector
f
Kl 7/ ^/Permit No„LEGAL
IDateDESCRIPTION
AND
LOCATION
Ll>Ll I '!/Lake NameLake No.Lake Classif.Sec.TWP Range TWP Name
IDENTIFICATION: Please Print All Information
Last Name First Initiai IVIailing Address— No. Street. City and State Zip No.Tel. No.
LlOwner
NameContractor
Name.Architect
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:
—1~
( -) Masonry
( ) Wood Frame
( ) Structural Steel
( ) Other — Specify
t-i-illL( ) Public Basement: ( ) Yes ( ') No
Stories above basement:
Sq. feet (outside dimension)
Bedrooms
/(Individual Septic Tank, etc.
WATER SUPPLY:
( ) Public
(,J.-ftldividual Well
MECHANICAL EQUIPMENT :
Elevator: ( ) Yes
Air Conditioning: ( | Yes
( ) Central
Baths
HEATING:
(i )" Electric ( ) Gas
I ) Coal
Other:
Type of Roof:( ) No ( ) Oil
(( ) None
( ) Unit
CHARACTERISTICS:
S/7Lot Area is sqttafa4eet^Water frontage is.
feet. (Building Line)
...............................feet
feet.
Building set back from high water mark is
Land height above high water mark at building line is
Building set back from State highway is........................
Side yard is....................
Building will be located
Building will be located
t
feet — from road or street is feet.
Y 3-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.
' yrDated.
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.
I
!1Dated
Shoreland Management Official
State Surcharge $.Permit Fee $.
NS o:ert jssur r t2-''rComments:
Form No. MKL-0771-002 ,158899
viCTOM 4 c«.. p»iim«4. rtatut rM.i.«.
i
INSPECTOR'S CHECK LIST
Make all measurements and computations
ACTUALIS X MINIMUM Shall Be ^Sq. Ft
! gap ^ Ft.Lot Area (Square feet)
Water Frontage Ft.Ft.
7 S'"'Building Set Back from High Water Mark Ft.Ft.
Building Set Back from State Highway Ft.50 Ft.
3i4 ^ Ft,
Building Set Back from Street or Road 40 Ft.
Ft.Ft.&Side Yard
3^IDRear Yard Ft.Ft.
Occupied Building to Septic Tank Ft.10 Ft.
Occupied Building to Absorption System Ft.20 Ft.
Elevation at Building Line above
High Water Mark_____________3 Ft.3 Ft.
Inspector's Comments:
^ —
4
/g/<
Inspector's Signature
Title
Inspection
Dated ?-/y n19
Agency
vicrea kunpcta » ee.. mihtii
f.