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Home My WebLink AboutLoon Echo Resort_32000080066004_Shoreland Permits_APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITE - Office GOLDENROD - Inspector YELLOW - Qwner (after issue) P!Nj< - Assessor REC^ir-^0 AUG 2 2 2001 PLEASE PRINT OR TYPE ALL INFORMATION Permit No. SECTION TWP NO.RANGE TWP NAMELAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS JJ7\ /ioStS-(P- PARCEL NUMBER (S)E-911 ADDRESS CO V LEGAL DESCRIPTION Daytime Phone No.Mailing AddressLast Name First Initial s Y7ZJ Cr- ~yProperty Owner Contractor Lie.# ONSITE WATER SUPPLY (^^dividual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM PROPOSED PROJECT (please circle the appropriate number) TJ^^d'n to Dwelling ( 3) 'Replacement Dwelling ( 5 ) RCU/Year________ ( 6) Detached Garage (9) W.O.A.S. ‘Existing Dwelling to be removed before (1 ) New Dwelling (4) MH/YR_ (7) Add’n To Non-Dwelling ( 8 ) Storage Structure ^^^^rmit No, ( ) OTLSD * This permit is ortly valid after verilicatiott from the O.TL.S.D. that a cmldrmirtg sewage system witi be installed to service this tot contact Roitie Mann at 864-5533.(10) Other. CHARACTERISTICS OF PROPOSED NON-DWELLIICHARACTERISTICS OF PROPOSED DWELLINGAOoa/CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTUREOutside Dimension Setback to Lotline____ Setback to Right of Way Setback to Ordinary High Water Level / Elevation Above Ordinary High WatefrCevel Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff / Maximum Proposedfleight Bathroom ProM^ed ( ) Yes ( ) No Outside Dimension / *7- Ft. X Ft. X Ft."Ft."Outside Dimension_____ Setback to Lotline Setback to Lotline f O /"Ft. & /O T' Ft." Setback to Right of Way Z-OFt." "33.^^ J^Setback to Ordinary High Water Level ^ (a Ft. Elevation Above Ordinary High Water Level J Ft. Setback to Septic Tank Ft. Setback to Drainfield ^07^ Ft. Setback to Bluff ' Ft. Ft.&Ft."Ft. X Ft." Ft."Ft.&Ft." Ft.Setback to Right of Way Ft. Setback to Ordinary High Water Level Elevation Above Ordinary High WaJ#r Level Setback to Septic Tank__ Setback to Drainfield___> Setback to Bluff / Maximum Propospfl Height ( ) Boathoupe ( )Ga^ eff'A^O' ^ **Project/Lotlines/Rignt-of-ways Must be Staked Onsite Prior to AppiicatiM / inspection Ft." Ft. Ft.Ft. Ft.Ft. C?/V FtMaximum Proposed Height Basement______ Walkout Basement Total Bedrooms__ Ft.Ft. tC NoYes Ft.Ft.^NoYes Ft. ( ) Screen Porch ( ) Storage Structure * Must include on scale drawing Permit may be required Topographical Alteration / Earthmovinq □ 20 Cubic Yards or Less *□ 300 Cubic Yards or More*□ 21 Cubic Yards - 299 Cubic Yards* CHARACTERISTICS OF LOT: VzYT' R.Yes NoBluffq. Ft.Water FrontageLot Area.L 1/7Y3-<fo/fe ,cro 2^Impervious Surface Ratio:X100 =.% Impervious Surface RatioTotal Impenfious Surface Onsite (FTO Total Lot Area (FTO THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform In all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the building footings have been constructed. ’?’/-2/ /o /7?7Date: Signatureji^roperty Owner Date: Land & Resource Management Officeoo/7JPOCzRECEIPT NO.PERMIT FEE $ Comments: S'c T/17~c 305,576 • Victor LufxJeen Co., Printers • Fergus Falls, MN • 1-800-346-4870Form No. BK — 0500-0501 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITE - Office GOLDENf^Sb - Inspector YELCOW - Owner (after issue) PINK - Assessor expsredPLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME /77 VcpcP-/'-'O PARCEL NUMBER (S)E-911 ADDRESS —7 0(^00^^ Oo V C O ^ V LEGAL DESCRIPTION Daytime Phone No.first initiai Maiiing AddressLast Name 5 FTP Property Owner / Contractor Lie.# ONSITE WATER SUPPLY ^■•(ndividual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM j7) Permit No. ( ) OTLSD * This permit is ortly vaiid after verification from the O.T.L.S.D. that a conforming sewage system witi be instalied to service this iot contact Roliie Mann at 864-5533. PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling (4) MH/YR (7) Add’n To Non-Dwelling (10) Other ^J2<i^Add’n to Dwelling ( 3 ) 'Replacement Dwelling ( 6) Detached Garage (9) W.O.A.S. (5) RCU/Year_____ (8) Storage Structure _ 'Existing Dwelling to be removed before CHARACTERISTICS OF PROPOSED NON-DWELLINGCHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)Outside Dimension____ Setback to Lotline Outside Dimension Setback to Lotline Setback to Right of Wav Zof^ Ft." - Setback to Ordinary High Water Level ^ Elevation Above Ordinary High Water Level ^ Setback to Septic Tank ^ -3> Setback to Drainfield Ft. / 7- Ft. X ‘ I Ft."Ft. X Ft."Outside Dimension____ Setback to Lotline /Ft."/o m& /u r Ft."Ft.&Ft. X Ft."/ Setback to Right of Way Setback to Ordinary High Water Level Elevation Above Ordinary High Waterllevel Setback to Septic Tank Setback to Drainfield _ Setback to Bluff____ Maximum Proposed-Fteight Bathroom Propped ( ) Yes ( ) No Ft.&/ Ft."*,Ft.Ft Ft."/Setback to Right of WayFt.Ft.Setback to Ordir^fy High Water Level ^ Elevation Above Ordinary High Watet LevelFt.^ Ft.Ft. Ft. Ft. Ft.Setback to Septic Tank Setback to Drainfield _ Setback to Bluff — Ft. Maximum Proposed Height Ft. Basement_____ Walkout Basement Total Bedrooms__ y X NoYes Ft.Setback to Bluff Maximum Proposed Height____\ ( ) Boathousd ( ) Screen ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to AppiicaUon / inspection Ft.%__NoYes ( ) storage Structure ^ 0 7 ' Must include on scale drawing Permit may be required Topographical Aiteration / Earthmovinq □ None □ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More'□ 20 Cubic Yards or Less ' CHARACTERISTICS OF LOT: >7-a '/. ’VZ.1 ’ R Yes X NoBluffLSq. Ft.Water FrontageLot Area i / ip S .%Impervious Surface Ratio:xioo =Impervious Surface RatioTotal Lot Area (FT>)Total Impervious Surface Onsite (FT4 THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. 7^-^ /-2//O!7 V. /cDate: Signature Owne Date: Land & Resource Management Officeo7S~RECEIPT NO.PERMIT FEE $ Co/^7' OA' (^(7 ' 5 /^/ero/e ro pcy^^*,/r - Til so Comments: Y//C7L< J r Q ^ T/1 T t <J ^ -T 7 jy S /<L/ 3(^.576 • Victor Lundem Co., Printers • Fergus Rile. MN • 1-800*346-4870Form 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 Ft.Ft.Structure Set Back from Road Right of Way Ft.A>r~Ft.&Ft.Ft. & ^Structure Set Back from Lot Lines Ft.Ft.Structure Height Ft.Ft.Structure Set Back from Septic Tank Ft.Ft.7r^Structure Set Back from Drainfieid Elevation Of Lowest Floor Above Ordinary High Water Levei Ft.Ft. %Land Slope at Building Site % Inspector’s Comments / Sketch: Co V ) ! ra Inspector's Signature Date of Inspection Time of Inspection ^p4^ect Approved Date/Initial i nAPPLICATION 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 (after issue) PINK - Assessor ! M6\f, Tim J -4__ 'i:,/ O J t-7 ^ • rj X /frso/e. ^t3 By S'y? /i'ZM S'YY i Permit No.LEGAL DESCRIPTION AND LOCATION ‘ BLUFF ZONE ' □ YES 0.NO LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME /37^ D ’53'GdPARCEL NUMBER (S)• iSURFACE WATER DRAINAGE □ CHANGEYRDS®, DRAINAGE PLAN REQUIRED NO CHANGE FIRE NUMBER P(^/ZC^L //J fjO 36<-[ IDENTIFICATION: Please Print All Information TELEPHONE NO. . Last Name First Initial Mailing Address — No. Street, City, State, and Zip Code (Daytime) T./\ /A^ G S AC_______ • Property Owner UjfLC/A Ad (o S^AyUOi^A- K. NameContractor ^70/state Lie. # PROPOSED PROJECT ( ) New Structure(s) Addition(s) ( )MH/RV_____________ ONSITE SEWAGE TREATMENT SYSTEM ^^Tndividual Permit #____ ( ) Collector Permit #____^ ( ) OTLSD * PROPOSED USE ONSITE WATER SUPPLY ^ Individual ( ) Public ( ) None NOTE; MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimurn) structure setback to a well. IVI /% . y / /( ) Dwelling Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS)YEAR CHARACTERISTICS OF PROPOSEDW^ ( ) Boathouse ( ) Screen Porch CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED NON-DWELLING ( ) Detached Garage (futility Structure( ) Dwelling ( ) Replacement Dwelling ^(Addition to Dwelling ( ) Existing Dwelling shall be removed on or before. Outside , Dimension. ( ) Basement ( ) Walkout ( ) Attached Garage s^/ Kf( ) Gazebo *Utility Structure( ) Other Outside Dimension Lotline Setbacks V AY GAKAGtFt. X VO 01.Ft. Ft. & Ft. Outsp Dimension.Ft. X Ft. Ft. X __lFt. Lotline Setbacks .Ft.&.Ft.OHWL Setback .Ft./ Ft.Lotline Selbacks .Ft,& OHWL Setback .Ft.Bathroom: ( )Yes (^^No (If Yes / a complying Sewage System Required).i_;Ft.OHWL Setback,Total Bedrooms__________________ Maximum Height / 35 Ft. (2 story)Up L Maximum Height / 10 ft. (1 story)Maximum Height Ft.story Impervious Surface Ratio 7'^ X\i7d ,60 6 .Sq, Ft. Impervious Surface _Ft. Elevation of lowest floor above OHWL Lot Area _Sq. Ft. 7 Ft.-(3’ minimum)Water Frontage 1Z22Structure setback to right-of-way.__________Ft. Slope of lot Ft. (10’minimum) (Sewage System Permit required before iristallation).' Ft. (20’minimum) (Sewage System Permit required before installation).i .Ft. (10’minimum) (Sewage System Permit required before installation), ' .% ■•1Structure setback to septic tank -______ Dwelling setback to Soil Absorption System Non dwelling setback to Soil Absorption System IMLJZS. I I THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT ASSET 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 aboie 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. I 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 Gounty, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I ■ I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have beenxonstructed. * This permit is only vaiid after verification from the O.T.L.SD. that a conforming sewage system wilTbe installed to service this lot... Contact Rollie Manfi at 864-5533. Dated: S^ffature^U^w^r ^ y Dated: 7Land &^source Management^pitBRECEIPT NO. /^oyyyqoSoPERMIT FEE $: Comrrtents: / 1— //-<ro Form No. BK — 0597-002 296.178 * Victor Lundeen Co.. Printers • Fergus Falls. MN < 1-800-346-4670 ' r WHITE - Office * GOLDEf'lROD - Inspector YELLOW - Owner (after issue) PINK - Assessor APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE ERGUS FALLS, MN 56537lone: 7W^ (Oo/J ^^C./¥0 %0/L TZl. /f 1 ^ S"¥</ expired Permit No.LEGAL DESCRIPTION T BLUFF ZONEAND □ YES 0 NO LOCATION UKE NUMBER LAKeRIVER NAME LAKBRIVER CLASS SECTION TWP NO.RANGE TWP NAME /37 VO /-/o6li^TK D PARCEL NUMBER (S)33 op of- - oaX- ooY //o (j?-v y. , r SURFACE WATER DRAINAGE □ CHANGEYRDS^, DRAINAGE PLAN REQUIRED 0 NO CHANGE FIRE NUMBER fioso^f IDENTIFICATION: Please Print All Information TELEPHONE NO. Last Name First Initial Mailing Address — No. Street, City, State, and Zip Code (Daytime) A ./s //O (3Property Owner c UlLC K.Sa NameContractor -■t ^/yo /State Lie. #■i PROPOSED PROJECT ( ) New Structure(s) (yj Addition(s) ( )MH/RV________________ PROPOSED USE 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( ) Dwelling (>^ Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) i! Individual Permit # ( ) Collector Permit #_ .i/ YEAR ( )OTLSD* CHARACTERISTICS OF PROPOSEDW0H& !T p -UIPXAC/M, \CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED NON-DWELLING Utility Structure( ) Detached Garage( ) Dwelling ( ) Replacement Dwelling ^^ddltlon to Dwelling ( ) Existing Dwelling shall be removed on or before. Outside Dimension. ( ) Basement ( ) Walkout ( ) Attached Garage ( ) Boathouse ( ) Screen Porch ) Gazebo ,C ) Utility Structure N( )other Outside Dimension i£.^otha^W*aew»r>o.^>-^ Ax fi'Ct i Ft. X ft. t Ft. & /5^ .Ft. X .Ft. Outside DimensionFt. & Ft.Ft. X .Ft.Lotline Setbacks Lotline Setbacks .Ft.&.Ft.OHWL Setback Ft. Lotline Setbacks .:_Ft. OHWL Setback .Ft.(X)NoBathroom: ( ) Yes (If Yes / a complying Sewage System Required)OHWL Setback .Ft. Total Bedrooms_____________________ Maximum Height / 35 Ft. (2 story)Maximum Height / Lp IFt...story Maximum Height / 10 ft. (1 story) /7Y> . CO 6 .Sq. Ft. Impervious Surface Ratio .Ft. Elevation of lowest floor above OHWL Lot Area .Sq. Ft. Impervious Surface .%7* -7Water Frontage Ft. (3’ minimum) /27structure setback to right-of-way Structure setbaqk to septic tank _ .Ft. Slope of lot .% •73 .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). 2^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. * This permit is only valid after verification from the O.T.L.SD. that a conforming sewage system will be installed to service this lot... Contact Rollie Mann at 864-5533. Dated: /stature o /hZ-’Y)/ Dated:L Land & Resource Management / //50V77PERMIT FEE $RECEIPT NO. //Comments:I VC-. Form No. BK — 0597-002 296.178 * Victor Lundeen Co. Prmlofs * Fergus Falls. MN • 1-800-346-4670 ’3 INSPECTION RESULTS Make all measurements and computations Structure Set Back from Ordinary High Water Level Ft.Ft. Structure set Back from Top of Bluff Ft.Ft. 57^Structure Set Back from Road Right of Way Ft.Ft. Ft.&rg'fStructure set Back from Lot Lines Ft.Ft. 'S'Usi^>7/S'Structure Height Ft.Ft. 5'of 5^i4-Structure Set Back from Septic Tank Ft.Ft. cP^O^Structure Set Back from Absorption System Pg>f Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level____________________5'^Ft.Ft. u>Land Slope at Building Line % f Inspector’s Comments / Sketch:, 11/ do 5M Date of ImpecHon /^A Tune of Inspection /e>e 3 B C3 X S'7 7 s'Uy^Y 3 3 -y- S' 9 3 y LEGEND • = Denotes iron monuments found. O = Denotes tron monuments set marked with Minnesota Registration No. 12004. Orientation of this bearing system assumed. Scale / inch CJN = Carl J. Nedberge, Registered Land Surveyor 50 feet SURVEYOR: Roy A. Smith and Associates Lincoln Professional Center Detroit Lakes, Minnesota = /DDO GAa ui fT OLD /oiHAtV ^TAT/Afd ~7SO GAL \>1E-LLgl- <9 ” Grade & Fill Permit #2057 J^cpO /Zo(^ /2^^oPROPERTY OWNER i/J. /4 LAKE sec. S' TWP. LEGAL DESCRIPTION: / 3 7/TWP Lr\d M b- C.U o o UdbctAtNAME f y C6 oo^ u-b^ '' cLn^s - {JLt'i djL.Aj Q. p’ixi Cjytou'iy S Clt^ 4- P^LL \JJ ‘ jL- A/y{f JS'O . ~ p I LL P& KL.afte^CjWORK AUTHORIZED p€JU^^ C/M 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 MAN AGEMENT, 218-739-2271 WHEN AUTHORIZED WORK HAS BEEN COMPLETED. 1. EARTHMOVING SHALL BE DONE BETWEEN & y-/-?? 2. Entire area shall be stabilized within 10 days of completion of any earthmoving. 3. Owner is legally responsible for all surface water drainage that may occur. 4. No fill shall enter or be taken from the beds of public water without a valid permit from the MN Department of Natural Resources. 5. If the terms of this permit are violated, the entire permit may be revoked and the owner may be subject to legal prosecution. Land & Resource Management Official BK-020098-003 290.414 • Victo* Lundecn Co., Printers • Fergus Falls. Mmrxesota vV 9965Permit No. OTTER TAIL COUNTY HIGHV7AY DEPARTMENT APPROACH REQUEST UJi/fiA-tK A, M//JO V-G-99NAMEDATE ygr3 A-.r??ADDRESS :2/S-33Y'S^9S</OFFICE 12. / S - 3 ^ ^TELEPHONE NUMBER: HOME y-K - g’yAPPLICANTS SIGNATURE DATE/ r-RURAL XAPPROACH LOCATION: COUNTY ROAD NUMBER MUNICIPAL fTOWNSHIP NAME SECTION WHAT SIDE OF THE ROADWILL THE APPROACH BE ON NORTH X SOUTH /aj jS>zJ A/Z6>Z. 1~jCU a/d. D^L/uz/t/a^ £>A/J Gi/ec u.s r/7~6/Ar/c/J T/^UC/CS PAA^K c i4-i-(A4/____________________ EAST WEST REASON FOR APPROACH: HOW FAR FROM ANY EXISTING APPROACHES ON SAME SIDE OF THE ROAD: /9f9HOW SOON IS THE APPROACH NEEDED: OFFICE USE 4-1-^DEPOSIT RECEIVED APPROVED DENIED fj=- J-Off. e. aJ O f' u (^REMARKS '4^ t nviyi. Lujilllt[\e ^ f •^k st.jQ c €I r f 4 6 t // eM Cf ~i' e oOJ I <0 A <3C «r/i #• -tL ^/ ty'L h-C & H, J! /,'» A i*l 'i hl^ /^ T/~t», 7-fj. / A. yf j9 ^ r r A'*.n ^/Z e s o J ^^ o .It iT H - 9-99 Maintenance Supervisor Date cc: A^a. t- Jl A AC.J m/ ^ t ^/t ycy/y\v^ 9965Permit No. OTTER TAIL COUNTY HIGHWAY DEPARTMENT APPROACH REQUEST 7 ■•cVA, M/AJQ ^T3 ^Jfcf77 V-G- 9 9 eNAMEDATE ADDRESS :2/S-33V'S^9S</OFFICE '2./ ^ - S -'■2.0 i ^TELEPHONE NUMBER: HOME a>y~6 - 99APPLICANTS SIGNATURE DATE (3-RURAL XAPPROACH LOCATION: COUNTY ROAD NUMBER MUNICIPAL TOWNSHIP NAME SECTION WHAT SIDE OF THE ROADWILL THE APPROACH BE ON NORTH )( SOUTH REASON FOR APPROACH: /aJ / t ^ A-^AO^i. j i-l^/euc,/^ Dtl/ut/^/c^ hA/JQ^fecu.1 ^/7~UAr/o/^ EAST WEST 'T/t/c/cs Pa^K c aJ /^t"tAAy HOW FAR FROM ANY EXISTING APPROACHES ON SAME SIDE OF THE ROAD; 5>/€/xJ6 A9?9HOW SOON IS THE APPROACH NEEDED: OFFICE USE ^-7-99DEPOSIT RECEIVED APPROVED DENIED __(.S'- fi7~REMARKS aJ o<*’-) «L / -ttAn.f fa7 uMjIl ix^ k 7^^ ttjQ /D /-^y0^.rofirex 'tvL '■C eI f 7- f4 6t/t Q^i* JC / •i'i- f' ____Ai t'a / ■X-J\ . / efiei (xx^O ~s e A.- 7^/ei. c. g----yj i <0 ^ tL ^k t ______A < »f i3 C C -Ptx jt i , m.J *i ^ tr : h(^ 7-ex./Re s o\i £.__OyiX. fOr,Pfx^ e>6^. H - 9 -y9 Maintenance Supervisor DateCC: ^9. r i\ / ^ t ^ A y'^/ €. A t J ^ APPLICATION FOR SITE PERMITWHITE ■ Office GOLDENROD ■ Inspector YELLOW - Owner PINK - Assessor LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 u-oo>' £-th> (xX tw (o L. Permit No.LEGAL DESCRIPTION BLUFF ZONEAND □ YESLOCATION lO LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER SECTION TWP NO. RANGE TWP NAME, TP ^Se-%0 PARCEL NUMBER (S)GRADING / FILLING □ YES # OF CUBIC YARDS FIRE NUMBER ^K)80'/ IDENTIFICATION: Please Print All Information TELEPHONE NO. Last Name First Initial Mailing Address — No. Street, City, State, and Zip Code (Daytime) |ZT3 rr JOT *3.Wt( ICLProperty Owner HUJ,^^ISLSL tNameContractor State Lie. # PROPOSED PROJECT ( ) New Structure(s) ^((^ddition(s) ( )MH/RV________________ PROPOSED USE ONSITE WATER SUPPLY ONSITE SEWAGE TREATMENT SYSTEM j^^ndividual Permit # '( ) Collector Permit #_ ( )OTLSD* ( ) Dwelling J^'^on-Dwelling ' ( ) Water Oriented Accessory Structure (WOAS) ndividual ( ) Public ( ) None MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ?I0 YEAR CHARACTERISTICS OF NON-DWELLING ( ) Utility Structure HARACTERISTICS OF WOASCHARACTERISTICS OF DWELLING ( ) Detached Garage (( ) Screen Porchlathouse( ) Dwelliha ( ) ReplacemehLOwelling ( ) Addition to Dwelhqq ( ) Existing Dwelling shalKlje removed on or b^re. Outside Dimension. ( ) Basement ( ) Walkout yK I ) Attached^rage 'pother ✓TV ^utside (J ^Dimension ‘ ( ) Gazebo { ) Utility Structi iW(V Ft Ft. & Ft Ft.( ) Other Outside Dimension.Ft.Lotline SetbacksX .Ft. imLotline Setbacks .Ft;.Ft.OHWL Setback .Ft. Lotline Setback!.Ft.(XnoOHWL Setback Ft.Bathroom: ( ) Yes (If Yes / a complying Sewage System Required)OHWL Sdiback ■t. Total Bedrooms MaximupY^leight / 35 Ft. (2 story)taximum Height /10 ft. (1 story)Maximum Height story ✓ 4 Ac^-2r~~.Lot Area ,Sq. Ft. Impervious Surface .Sq. Ft.Impervious Surface Ratio Water Frontage Ft. Elevation of lowest floor above OHWL Ft. (3’ minimum) Structure setback to right-of-way .Ft. Slope of lot .% TQStructure setback to septic tank______________ Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System 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). THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. * This permit is only valid after verification from the O.T.L.SD. that a conforming sewage system will be installed to service this lot... Contact Rollie Mann at 864-5533. Dated:V. Signature of Owner Land & Resource Managernent Office . Dated: PERMIT FEE $RECEIPT NO. Comments: Form No. BK — 0597-002 290,821 • Victor Co.. Ptirtters • Fergus Falls. MN • 1-BOO-OAS-ASTO APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN.56S37 WHITE - Office GOLDENROD ■ Inspector YELLOW - Owner PINK - Assessor ,;.a' '1 Uoo h' ^ civo U c ^ Permit No.LEGAL DESCRIPTION ^'2 BLUFF ZONEANDA<^□ yesLOCATION !LAKE NUMBER LAKE/RiyER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME, /COj0,■ -/tjd'ln/iUo'Mj "6 PARCEL NUMBER (S)GRADING / FILLING □ YES # OF CUBIC YARDS FIRE NUMBER0'^- O0(^ (,■ _ 00 ^HO 80 y’ IDENTIFICATION: Please Print All Information TELEPHONE NO. Last Name First Initial Mailing Address — No. Street, City, State, and Zip Code (Daytime) Property Owner '7 ~7f'-iI ' \L TU|t IJI-■~77 >cx-:>o tName •-'.-j . -4=^Contractor ■; State Lie. #■; JPROPOSED PROJECT ( ) New Structure(s) 'I^THdditionts) \ )MHyPV______________ PROPOSED USE ( ) Dwelling ^J^Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) 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 ') Individual Permit # ( ) Collector Permit #. { )OTLSD* ■' -i■i no \ i ■ iYEAR 1/. CHARACTERISTICS OF NON-DWELLING ( ) Detached Garage > H CHARACTERISTICS OF DWELLING ( ) Dwelling ( ) Replacement Dwelling ( ) Addition to Dwelling ( ) Existing Dwelling shall be removed on or before Outside Dimension CHARACTERISTICS OF WOAS/ 4( ) utility Structure ( ) Boathouse ( ) Screen Porch( ) Basement ( ) Walkout ■t Vj Other yOutside Dimension ( ) Gazebo ( ) Utility Struct( ) Attached Garage / ao/0_Ft.X_ Hy^_Ft.4 Ft.( ) Other. Outside Dimension ptx y'.Ft.Lotline Setbacks .Ft..Ft..Ft. ionLotline Setbacks .Ft.OHWL Setback Ft. Lotline Setbacks'!.Ft.&.Ft.(XnoOHWL Setback .Ft.Bathroom: ( ) Yes (II Yes / a complying Sewage System Required)\OHWL Setback.1-fi-Total Bedrooms.,!________________ Maximum Height / 35 Ft. (2 story) \.1Maximum Height Maximum Height /10 ft. (1 story)story 1 Lot Area .Sq. Ft. Impervious Surface .Sq. Ft.Impervious Surface Ratio .% Water Frontage_____________ Structure setback to right-of-way Structure setback to septic tank. Dwelling setback to Soil Absorption System .Ft. Elevation of lowest floor above OHWL .Ft. (3’ minimum) .Ft. Slope of lot .Ft. (10’minimum) (Sewage System Permit required before installation). .% K1 .Ft. (20’minimum) (Sewage System Permit required before installation). Non dwelling setback to Soil Absorption System Ft. (10’minimum) (Sewage System Permit required before installation). 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. * This permit is only valid after verification from the O.T.L.SD. that a conforming sewage system wiil be instailed to service this lot... Contact Rollie Mann at 864-5533.I 1Dated: Signature of Owner n I V5-Dated: Land & Resource Management Office . PERMIT FEES RECEIPT NO. Comments:> Form No. BK — 0597-002 290.821 • Victor Lundaen Co. Pnnrers • Fergus Falls. MN • 1-800-346-4870 INSPECTION RESULTS Make all measurements and computations /o^4-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. & ^ Structure set Back from Lot Lines Ft.Ft.&Ft. /rStructure Height Ft. Ft. Structure Set Back from Septic Tank ^Ft. Ft. Structure Set Back from Absorption System Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level____________________Ft.Ft. Land Slope at Building Line % % Inspector’s Comments / Sketch:, c»-vr <z pO-<jS^ c I 1 \ 7m/— Inspector's Signature Data 0/ Inspection Tune of inspection .•> I SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMIT WHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor LEGAL Permit No. /-OOn DESCRIPTION AND LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP RANGE TWP NAME ^K) I M fbia/-b13-7 PARCEL NUMBER (S)^Z~oao- q^~cvQ(^o^FIRE OR LAKE ASSOCIATION NUMBER il IDENTIFICATION: Please Print All Information First Mailing Address — No. Street, City and StateLast Name Initial Zip Code Telephone No. '^lUvo^no!Property Owner I ^lDOO l£X0NameContractor IT)4to| TYPE OF PROJECT [OSED USEPI RESIDENTIAL USE NONrRESIDENTIAL USE { )\3arage ( ) Ut)(rty Structure CHARACTERISTICS hi)) New Structure Alteration . ( ) One Family Dwelling ( Dwelling # of Units ( ) (( )lidential Basement ( WalkniiLJiasement !() Non-R«(sidential ( ) Watw Orientated Acce^ory Structure ( ) Other \ ( ) Other Height of Structure TYPE OF FRAME ( ) Masonry ( ) Wood ( ) Structural Steel ( ) Other TYPE OF SEWAGE DISPOSAL WATER SUPPLY Outside Dimension of Structure ft, "noOFFICE USE ONLY ) Bluff Impact Zone ) Shore Impact Zone ) Sensitive Area ( ) Public ( ) Individual ( ) Public ( ) Individual Permit #_ # Of Bedrooms It Of Bathrooms ~W.O ( ( ( LOT SIZE AND SETBACK^. , Ht y uguuiL lutJt. IfVater frontage isLot Area is feet. Maximum depth of lot feet. JOVBuilding set back from ordinary high water level Is feet, raring Test) aLand height above ordinary high water level at building line is feet. Slope of lot % Building set back from road right-of-way feet. /a/a \Lot line setback is and feet. mStructure will be located J__feet from septic tank (Sewage System Permit must be obtained before installation). Structure will be located feet from soil absorption system (Sewage System Permit must be obtained before installation). 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. V Dated: Signature of Owner ^ jK Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. rDated: Land & Resource Management Office jo4mPermit Fee $Receipt No.. Comments:^ on (.a-txAS cuaKb/iel lk>vP Form No. BK — 0292-002 260.770 — Victor Lundeen Co.. Printers. Fergus Falls. Minnesota i!m»SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL ^ COUNTY COURT HOUSE Phone; (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMIT WHITE — Office GOLDEN ROD — Inspector YELLOW — Owner PINK — Assessor LEGAL Permit No. ff iU)Oh 1DESCRIPTION AND LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP RANGE TWP NAME HO I » feW-fe/3>1 PARCEL NUMBER (S) ^%-oaO- Q'i~oo(r’(rOCf FIRE OR LAKE ASSOCIATION NUMBER ( IDENTIFICATION: Please Print All Information Last Name First Mailing Address — No. Street, City and StateInitial Telephone No.Zip Code^ ViUvc^m Y- \ (1oKX Xm^) . drt €2- ^Property Owner NameContractor Li4-)o| PROPOSED USE ( ) Residential ) Non-^he^idential TYPE OF PROJECT RESIDENTIAL USE NOR-RESIDENTIAL USE ( )'Garage ( ) Urlhty Structure CHARACTERISTICS ! ) New Structure Alteration (( ) One Family Dwelling ( Lp-t^ultiple Dwelling # of Units ( ) Basement (/ t ) Walkout Basement-t— Height of Structure ■ t?o (1 -ipOn. Outside Dimension ->,/ of Structure ft. ft Of Bedrooms ft Of Bathrooms O C { ) Wat« Orientated Accereory Structure( ) Other TYPE OF FRAME ( ) Masonry ( ) Wood ( ) Structural Steel ( ) Other TYPE OF SEWAGE DISPOSAL WATER SUPPLY ( ) Other ( )Publ^' ( / ) Individtial OFFICE USE ONLY ( ) Bluff Impact Zone ( ) Shore Impact Zone ( ) Sensitive Area ~y\o chii^( ) Public ( ) Individual Permit #_r// ^ LOT SIZE AND SETBACKS: . uquaie lunT Water frontage i^Lot Area is feet. Maximum depth of lot feet. jmBuilding set back from ordinary high water level is Land height above ordinary high water level at building line is__ feet.^tring Test) 1 feet. Slope of lot % Building set back from road right-of-way.feet. /Q/QLot line setback is and feet. mStructure will be located J__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. 1 ■; V Dated: Signature of Owner Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated:i Land S Resource Management Office Permit Fee $.Receipt No.. > Comments:^ on (aLTas *1-4 0 Form No. BK — 0292*002 260.770 — Victor Lundeen Co., Printers. Fergiis Falls. Minnesota tk 'INSPECTION RESULTS Make all measurements and computations '« ACTUAL MINIMUM Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. Building Set Back from High Water Level Ft.Ft. Building Set Back from Top of Bluff Ft.30 Ft. 54Building Set Back from Road Right of Way Ft.20 Ft. %)oo^Building Set Back from Lot Line Set Back Ft. &Ft.Ft. * VBuilding Height Ft.Ft. Building Set Back from Septic Tank Ft.10 Ft Building Set Back from Absorption System Ft.20 Ft Elevation Above High Water Level at Building Line 3v Ft.3 Ft. Land Slope at Building Line o/o " Inspector’s Comments: Sketch: r iL£AJ 7 R I -Ath'lj □I rc,. Inspector's Signature a - V- 9^2. Date of Inspection\ Time of InspectionI K>«o'<t; ... (fcUoUoOt^ XT 3KfXA'z.^/l, T(i>r9y' 2’/*'- Jjy- S"? 1/ V ! Cfif -^c ''■' P/6 RC<T-Z-=/x 2o —XX50C^-!5s^ \ I i^tLVKc. rt) fiAr*<^Ai- f^L»afA61 (q7~ I >X &0 5 a -TV-f-r - / V^ ' n C-TF>£LV i >-\F/‘tH CLCfii»U&Ho<J<L C :?G>r'®fcO'yVZlc- >"IlN>VI<3V\X1^ 4-t CTN ^Df V \ Whit* - Office Yeiiow — Owner Pink — Anessor Goidenrod — inspector SHORELANO MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT ^0 Q CBL CL ^Permit No^LEGAL DESCRIPTION AND LOCATION < 137 TWP NameSec.RangeTWPLake Claesif.Lake NameLake No. IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateFirstInitialLast Name /er 3__Cl') ThY\/ BillOwner Sis-H 33f-5B^ NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE: (W'fSnTFamilv Dwelling ( ) Multiple Dwelling TYPE OF IMPROVEMENT: ( ) New Building (J,>^?lteration ( ) Other______________ Specify:. Units ( )Other Size IESTIMATED COST OF IMPROVEMENT $ DIMENSIONS: Basement: ( ) Yes (^KWo Stories above basement: ....... Sq. feet (outside dimension) Baths................. TYPE OF SEWAGE DISPOS^:, ,P*«. 51^ (|r«)'^dividual Septic Tank, etc. WATER SUPPLY: ( ) Public ( |>dt!dividual Well PRINCIPAL TYPE OF FRAME: ( ) Masonry (|,J>Wood Frame I ) Structural Steel ( ) Other — Specify / Bedrooms CHARACTERISTICS: 3i.L Maximum depth of lot.feet.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 feet. (Building Line) feet ,feet.feet — from road right of way is w..............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 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. / 6 ' ncrft is granted upon the g-)^ -Dated. Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This perPermit: 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. 0.7^iC-Dated Shoreland Managennent Official£kli3^, ooPermit Fee $.Receipt No. ^ ^ ICeJl^ n Comments: I Form No. MKL-0286-019 229971®VICTOR LUNDCCN CO.. PRINTERS. FEROUS PALLS. MIMN.