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Home My WebLink AboutLutheran Island Camp_29000260175001_Shoreland Permits_WHITE'^-^bffice GQLDENROD - Inspector YELLOW - Owner (after issue) PINK ■ Assessor APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218) 739-2271 • FERGUS FALLS, MN 56537 Permit-No.PLEASE PRINT OR TYPE ALL INFORMATION LAKE / RIVER NO.LAKE/RIVER CLASS SECTION 25 & 2i 133 TWP NO.RANGE TWP NAME Girard LAKE/RIVER NAME 39East Battle. 56-138 RD E-911 ADDRESS 45011 230th St, Henning MN 56551 PARCEL NUMBER (S)29-000-25-174-000 29-000-26-175-001 LEGAL DESCRIPTION Lots 3 and 4, Section twenty-five (25), Lot five (5), in Section (26) all in Township one hundred thirty three (133) according to map or plat thereof on file and of record in office of regis-terLast Name Lutheran Island Camp First Initial Mailing Address Daytime Phone No. Property Owner 218-^MN North District of the 83-290545011 230 St Lu-l-heran Ghnrrth Mi.gt.ctnnri .Ry FAX 218-.'=nnr^TTrann-inij MN RRRR1 Contractor Lie.# PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add’n to Dwelling ( 5) RCU/Year______ . (7) Add’n To Non-Dwelling ^f^Storage Structure (10) Other, ONSITE WATER SUPPLY (Vffndividual ( ) Public NOTE; MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM ( t Permit No ^ ( ) OTLSD * This permit is onty valid aftelCi3r^^ (C^*^ne (1 ) New Dwelling (4)MHA'R_____ ( 3) ’Replacement Dwelling ( 6 ) Detached Garage (9) W.O.A.S.from the O.T.LS.D. that a conforming sewage system will be installed to service this lot contact Rollie Mann at 864-5533.’Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED NON-DJ [G CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)'. Outside . Dimension _ Setback to Lotline ____ Setback to Right of Way Setback to Ordinary High Water Level :___ Elevation Above Ordinary High Water Level Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff ' Maximum Proposed Height Basement______ Walkout Basement Total Bedrooms__ Outside Dimension Setback to Lotline FI. & ^^ Ft.” Setback to Right of Way ^ K) Ft.” Setback to Ordinary High Water Level I A O FI. Elevation Above Ordinary High Water Level .7 Ft. Setback to Septic Tank ) {f Ft. Setback to Drainfield ^ Ft. Setback to Bluff Ft. Maximum Proposed Height S' Ft. Bathroom Proposed ( ) Yes ( S ^ Ft. X 7^ Ft.(Ft. X Ft.”Outside Dimension Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield ____ Setback to Bluff________ Maximum Proposed Height \ { ) Boathouse-J { ) Gazebo **Project/Lotlines/Right-of-ways Must tnrStMed Onsite Prior to Application / inspection Ft.&Ft.”Ft. X FI.” Ft:”Ft.&Ft.” Ft.Ft.” Ft. Ft.Ft. Ft.Ft. FI.Ft. Ft.Ft. NoYes .Ft- Yes No Ft. ( ) Screen Porch ( ) Storage Structure Topoaraphicai Alteration / Earthmovinq □ None itr 20 Cubic Yards or Less ’ ’ Must include on scale drawing Permit may be required□ 21 Cubic Yards - 299 Cubic Yards’□ 300 Cubic Yards or More’ CHARACTERISTICS OF LOT: ^7 dLC ^1 ft-Sq. Ft.Lot Area.Water Frontage .Ft.BluH .Yes Impervious Surface Ratio;X 100 =.%Total Impervious Surface Onsite (FT^)Total Lot Area (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; Thereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth •' and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifiratlohs.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. l understand that it is my responsibility to inform the Land & Resource Management office once the buildingi footings have been constructed. Ml. Signature of Property Owner ^ / 7~ J a ^Date: y/sjA (r,Date: Land & Resource Management Office PERMIT FEE S RECEIPT NO. Comments: Form No. BK — 0500-0501 305.576 •Victor Lundeen Co.. Print^r^ Fergus Falls. MN •1-800-346-4070 J■1 J :r APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITE - Office (jOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor ■a 4 i i PLEASE PRINT OR TYPE ALL INFORMATION i;SECTION 25 & 2V, LAKE I RIVER NO.LAKE/RIVER NAME LAKBRIVER CLASS TWP NO. 133 RANGE TWP NAME Girard t 'i 39Gast Battlef 56-138 RD I PARCEL NUMBER (S)E-911 ADDRESS 45011 230th St, Henning MN 5655129-000-25^174-00029-000-26^175-001 j LEGAL DESCRIPTION 1Lots 3 and 4, Section twenty-five (25), Lot five (5), in Section (26) tall in 'rwwnship one hundred thirty three (133) according to map or plat thereof on i ^ fila and of record in office of rarrister .iT.iithftT-an Tctland Camp aaLast Name First Initial Mailing Address Daytime Phone No.IProperty Owner J218-5MN North District of the 45011 230 St 83-2905 1tLuthprar; Ghnrr-h T.'i .s.s,~inr i ,'Ty FAX 21R-"Hpnn-infT MN 5F551nri(5 3 3-7Q0Aft J .! 1Contractor Lie.#. / /- -3 I PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling j (4) MHA'R_____ I (7) Add’n To Non-Dwelling ^^Storage Structure [ (10) Other. ONSITE WATER SUPPLY ,( ) Individual ( ) Public ( j'None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM( 2 ) Add'n to Dwelling ( 5) RCU/Year______ ( 3 ) 'Repiacement Dwelling ( 6 ) Detached Garage ( 9 ) W.O.A.S. ( ) Permit No.______________________ ' ( ) OTLSD * This permit is oniy valid after verification from the O.T.LS.D. that a conforming sewage system wiii be instaiied to service this lot contact Rollie Mann at 864-5533.'Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED NON^ELLING Outside '' ^ Dimension Setback to Lotline O Ft. & ^ Ft.” Setback to Right of Way ^ ■' Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank ) (i Ft. Setback to Drainfield ^ Ft. Setback to Bluff ^ Ft. Maximum Proposed Height ^ tO Ft. Bathroom Proposed ( ) Yes ( ^4Ho CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension Setback to Lotline ____ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff_____ Outside Dimension Setback to Lotline____ Setback to Right of Way Setback to Ordinary High Water Level ___ Elevation Above Ordinary High Water Level Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height Basement______ Walkout Basement Total Bedrooms__ dr- 5?Ft. X 7^ FtkFt. X Ft." Ft.&Ft."Ft. X Ft." Ft.”Ft.”Ft.&Ft." Ft./ r) a Ft. 7 Ft. Ft."Ft.-■1 Ft.Ft. Ft.Ft. Ft.Ft. Ft.Ft. Yes No Ft. Yes No Maximum Proposed Height ( ) Boathouse ( ) Screen Porch ( ) Storage Structure Ft. ; ? • **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection ( ) Gazebo Topographical Alteration / Earthmoving □ None * Must include on scale drawing Permit may be required jT □ 20 Cubic Yards or Less '□ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More' CHARACTERISTICS OF LOT: ^ / ttrLot Area.,Sq. Ft,Water Frontage .Ft.Bluff .Yes 1-JJTJ.Impervious Surface Ratio:% , «X100 =Total Impervious Surface Onsite (FT^)Total Lot Area (FT^)Impervious Surface Ratio T THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. .7"7 _y ' o ^Date: Signature of Property Owner ' ’^ Tlx, /'Oy/w //i (^/Date: Land & Resource Management Office ^/. ^In /^ / )/T PERMIT FEE $RECEIPT NO. /Comments:!i /y - -G.i \ Form No. BK — 0500-0501 305,576 • Victor Lundeen Co., Printers • Fergus Falls, MN • 1-800-346-4870 SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations Structure Set Back from Ordinary High Water Level Ft.Ft. Structure Set Back from Top of Bluff Ft.Ft. Structure Set Back from Road Right of Way Ft. Ft. Structure Set Back from Lot Lines Ft. Ft.Ft.Ft.& Structure Height Ft.Ft. jb-tStructure Set Back from Septic Tank Ft.Ft. U/t> ^Structure Set Back from Drainfield Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft./o Land Slope at Building Site % % Inspector’s Comments / Sketch: Inspector's Signature Date of Inspection Time of Inspection ot.□ Project Approved Date/Initial / - / Catin 1 /I I n' 'I I I I I :// / 'it-/\ ^ 1I II ' V;ZTLA;.‘D/I '•A'//I I I f /I /I//Grttt!Hooi'///f 'J' /, & FILE MEMO PARCEL#PROPERTY OWNER pAd£LAKE/RIVER/WETLAND NAME UiM>^L&R Official 1; ) rjAMjjJp /M/i^)Jlu/^ jijijjjp m/yj^ 77j . (mdJ}rnjh:fj J/Jo i^lJpjJ ms^/yjjad/AL4 J^y Date___^ISlOb L&R Official 3l3o//o{r^ —} 7 Qx^ii 'ih Date wAction/Comments. s 6Uy^ mjAdJMVjJj nhif~f j IjmJJj a^ slXthaj^\/iMjj/fJajliJi:>. ^Ml/JAJruJ)j^ij', 6-f^ ATmxJ/L/Afldj ri:t a zsAod^atfj. Action/Comments L&R OfficialDate Action/Comments. ‘ i L&R OfficialDate Action/Comments. L&R OfficialDate Action/Comments.! ] :•() ! iL&R OfficialDate Action/Comments.> i>I f L&R OfficialDate. 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I'¥;It-»•Si!mm»m.mis;i K X " I p, * *es 4 P. t s?is; j-ilHi®- ‘ » pySf ^«, V ,I .iii?1 wWi^k^ \:<M %MP 'r IPSip-: .mmmsimi' ,. 1 ;Si-r ..s-*■" f . /4 ' V Sv- p -"J - ' / I ‘ • p’-vp:•'«u;ytSf®'®f,«1 ■X-..SPSS' ' if■ , S- ■ fi'S'mif,-y ;Ps “P<-/•X1 ■'Mi ?iii 44 . ’1.50 75 O MsP3004501 50 i-P'-t:;S''' v^‘ ■-i:W*4-i,mMm m.VN?V Xt ^ '■^t1.ppSCALE IN FEET -sV\i W '■y «■:;■.P«;.' «-- - f »f1 ■¥1 \ SCALE; 1 INCH BEARINGS ARE BASED ON AN ASSUMED DATUM. , #1 DENOTES IRON MONUMENT FOUND.O DENOTES IRON MONUMENT SET MARKED ” RLS 13620". ^ DENOTES COUNTY CAST IRON MONUMENT. 150 FEETf j l>i fi^ t> { 3 \p.. t SiSURVEYOR' S CERTIFICATE ■m-if#/ ?i. ’ ■§r s4 IW • 'P.V./ HEREBY CERTIFY THAT THIS SURVEY, PLAN OR REPORT WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I AM A DULY REGISTERED LAND SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA. DATED THIS 17TH DAY OF APRIL, 2001. I i "V 1 |S > 1 ,»,m::ir ■is S'5SC mmmS p‘-»: -r S .f *4iilM4.!i/m-l DAVID A. ANDERSON LAND SURVEYOR MINN. REG. NO. 13620 ^ -1 £:h Fy'I i'4 - h'i ill ■s ^ ..REVISED THIS 15TH DAY OF MAY, 2001.If, WMT. -5 . Y i i /#1-: 1.1^ r L pp L<' -f I ’^1 - f.-4'•9 ' i S /Ic'If#l’It;C'f /j :>c?h_ p ‘V ■<-y”. ^s'S. t'' r iH:-*9''ii*. 5?"'-P•fe5rf-«■'ktSL IPR>54 ■BV* *" -Jy1•i /'A V' X -<r r-t /jVh■\ •« J 4' ?‘iJ VI-I!'. W1/} Y 73 IIMi#-i■9 HI MTsl'^'l I*■1t>%m^ hr \/'/■' ^ V ItwIt S t .-*•\t yPMi'iV.-xM1'r 11.x44V 'a $i ' t & .'^'■i%\i X t > I•>9 f - s#I ' 4 ?Si4&P ^I J i ■frI i y*f A%}Ek PI'\X'!»■ \i a \V-4. \> **tt \f ‘■pIt ' M,±n,j 'v^.r J £"asf Line of Section 26-133-39 r\,i IkX K^4 i J T_fl;.T Jr; ;\4 )V t'’fSf£1 i4}*4 4.n <ji' <J- i V j 1 {'t-«i; r /t■< X '■J I p'-yk ii \Vi 4 .. 1IJ *5.4 -rtlT"2S Yt :i 1 ^ t4i.‘.->-T l"-! '* MVt 'ia L- '■'9 f"■j fI !P /^\ />/I,F' 4./.i J 'L > V--/ i4 ’■L i % ■4,F »k ht■I pfx /; Ir rVy"■f 5- y* '■ ■«J*4 “■K \Y 1f: X;i -fl 11 Ir:/f I -t 1i XiSouthwest Comer' of Section 26-133-59 "\(K i >#/liaii i; <x5-piy-F:p CERTIFICATE OF SURVEY FOR:)4•K South Line of Section 26-133-39 ^ .'»f ,s . ; y> V ‘Stx'^11.4 ....5 89‘04‘46‘‘E 5280.00if.....j.1^ '?.4 4 -»' iF .-vS P y, 'AISLAND CAMPLUTHERANT*i9F ■yf: .....1259.22.......tX4 4 I X V fI ’.5 402£) 75>FIELD BOOK ALS-120/61-68 DRAWN BY CDH CONTRACT NUMBER 162-01 4- ' ‘'ii - ir f NDERSON LAND SURVEYING, INC 313 SOUTH MILL STREET, FERGUS FALLS, MN 56538-0125 (218) 739-5268 916 WASHINGTON AVENUE, DETROIT LAKES. MN 56501 (218) 847-0500 t.J .FIELD CREW SL , RB, & KL A’1-CHECKED BY DAA CRD FILE 162-01 CRD DISKtemmI 99si DRAWING NUMBER!p DWG DISKDWG FILE 162-01 2 4V 4635 ytJ F-H'wm M.345ttt. ;■»■ %** .. i1 P i ‘I•^'I’At: 7 V ■1—" APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE / RIVER NO.LAKE/RIVER NAME SECTIONLAKE/RIVER TWP NO.RANGE TWP NAMEC a-\^l Girard1333925E. Battle Lake E-911 ADDRESSPARCEL NUMBER (S) 230th St, Henning, MN 565514501129-000-26-175-00129-000-25-174-000 LEGAL DESCRIPTION Lots 3 and 4, Section twenty-five (25), Lot five (5), in Section (26) all in Township one hundred thirty three (133)-flip and of reco-rd ixL-office-of register. T.ut according to map or plat thereof .onhf^T-an T.qlpinH Camp______I___________________ Mailing AddressLast Name3___________^ ■ First________Initial Daytime Phone No. i/SO// ^Property Owner - n (/ Cia. /77 y?T)/} Contractor Lie.# PROPOSED PROJECT (please circle the appropriate number) (4 ) MHA^_______ 5 ) RCUA'ear (7) Add’n To Non-Dwelling ( 8 ) Storage Structure (10) Other. ONSITE SEWAGE TR^MEN^YgT^M^, J.,. | \ (ermit No. y_^/ ^^X)TLSD * This permit is only valid alter verificatian from the O.T.LS.D. that a conforming sewage system will be installed to service this lot contact Rollie Mann at 864-5533. ONSITE WATER SUPPLY ^^(Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. (3) 'Replacement Dwelling ( 6 ) Detached Garage (9) W.O.A.S. 'Existing Dwelling to be removed before IISTICS OF PROPOSED DWELl^INCr^CHAR ;0utSi4j^ Dimension p Setback to Lotline Ft. & Ft." Setback to Right of Way Ft." Setback to Ordinary High Water, Level I I 4> Ft. Elevation Above Ordinary High Water Level Setback to Septic Tank ^ O ' Setback to Drainfield R- Setback to Bluff t^/ fR Ft. i Maximum Proposed Height ^ Basement Walkout Basement Total Bedrooms :teristics of proposedj;pn-dwelijngW*“V'V'0 ^, oCHARACTERlSTICS OF PROPOSED W.O.A.S. ^ nWATER ORIENTED ACCESSORY STRUCTURE)( a, SO(> o Ft."Ft."Ft.Dimension Setback to Lotline Ft. & Setback to Right of Way Ft." Setback to Ordinary High Water Level __ Outside Dimension Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary.High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff____ Ft."Ft. X Ft." Ft.&Ft."/^Ft.Ft."Ft.3Elevation Above Ordinary High Water Level Setback to Septic Tank ^ ^ Ft. Setback to Drainfield pt. Setback to Bluff A Ft. Maximum Proposed Height _ Bathroom Proposed ( ^^'^es ( ) No Ft.Ft.Ft. Ft. /Ft.3.£T^t.Ft.I Ft.Yes No Ft. Yes No Maximum Proposed Height ( ) Boathouse ( ) Screen Porch ( ) Storage Structure Ft. ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection '2J3 C? 5 ef' V'4v v/vvA,Must include on scale drawing Cubic Yards - 299 Cubic Yards' □ 300 Cubic Yards or More* permit may be requiredTopographical Alteration / Earthmovinq □ None □ 20 Cubic Yards or Less ' CHARACTERISTICS OF LOT: ^ ’y -SgrR. \/^<3 Lot Area,Water Frontage .Ft.Bluff .Yes Impervious Surface Ratio:X100 =.%Total Impervious Surface Onsite (FT2)Total Lot Area (FT')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 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. Date: Signature of Property Owner NJ/A/r)»- Land & Resource Management Office 'I3m9. IJ!* fUMv. 9-Mo D:Date: PERMIT FEE $RECEIPT NO. A ln<?u11:4 pp ra\r I K «L <1 wComme3 Tm No. BK — 0500-0501 305,576 • Victor Lundeen Co., Printere • Fergus Falls, MN • 1-000-346-4870 yz/tft. Ok / Q(c_ 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 Wl^ - Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor S ttd u/'Cr Permit No.PLEASE PRINT OR TYPE ALL INFORMATION RANGE TWP NAMESECTIONTWP NO.LAKeRIVER NAME LAKE/RIVER CLASSLAKE / RIVER NO. ‘'vIp' f Girard39133E. Battle Lake o r0l \ :j E-911 ADDRESSPARCEL NUMBER (S) 45011 - 230th St, Henning, MN 5655129-000-26-175-00119-u00-25-174-O00 LEGAL DESCRIPTION Lots 3 and 4, Section twenty-five (25), Lot five (5), in Section (26) ; in Township one hundred thirty three (133) according to map or plat thereof onRTid of record in oF T~om , T.iir THi-flnn Campallfila Daytime Phone No.Mailing AddressLast Name ___________ First_________Initial /T)A/. t/otTk ^ 3<^ ^ 'ijJ-Property Owner af) Contractor Lie.# PRI^OSEJ) PROJECT (please circle the appropriate number) ( 2 ) Add’n to Dwelling ( 5 ) RCU/Year_____ ( 7) Add’n To Non-Dwelling (8 ) Storage Structure CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED NON-DWELLING 4Outside Dimension Y Ft. x Setback to Lotline O Ft. & Setback to Right of Way Ft.** Setback to Ordinary High Water Level I I O Ft. Elevation Above Ordinary High Water Level _ Ft. Setback to Septic Tank ^ O Ft. Setback to Drainfield Ft. Setback to Bluff A^/iR Ft. Maximum Proposed Height . (L Ft. Basement Yes Walkout Basement_____ Total Bedrooms V ONSITE WATER SUPPLY (^vi^lndividual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM |U M i(3) *Replacement Dwelling (6 ) Detached Garage (9) W.O.A.S. (/)' Permit No. _ . . /1 ^o-1 / (£3^TLSD * This permit is only valid after veriftcatkln from the O.T.L.S.D. that a conforming sewage system will be installed to service this lot contact Rollie Mann at 864-5533. )5^A s.4-*ExistinQ Dwelling to be removed beforether . CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)Outside Dimension Setback to Lotline Ft. & Setback to Right of Way Ft.** Ft.x ^Ft.**3 O Ft.**Outside Dimension Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff____ .roFt.**Ft.**Ft. X Ft.** Ft.&Ft.** Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level 3 ^ ^ Ft. Ft.** Ft.Ft. Setback to Septic Tank Setback to Drainfield ^-O Ft. Setback to Bluff A Ft. Maximum Proposed Height Bathroom Proposed ( y)wls ( ) No Ft. /Ft. Ft.f Ft.No Ft. Yes No Maximum Proposed Height ( ) Boathouse ( ) Screen Porch ( ) Storage Structure Ft. { ) Gazebo *'*Protect/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection 2^ ”7 V C? S ^ d y- p, w''i'w*vMust include on scale drawing Permit may be requiredTopographical Alteratiort / Earthmovinq □ None □ 20 Cubic Yards or Less *lir^Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: Lot Area.0^. -SqrFt.Water Frontage Ft.Bluff .Yes No9 —P $J.Impervious Surface Ratio:X100 =.%Total Impervious Surface Onsite (FT*)Total Lot Area (FT*)Impervious Surface Ratio THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. Date:■! Signature of Property Owner I Land & Resource Management Office ^ ')') ni) .1Date:’-4■■3 - 3/P.* :uli>‘rU 9 MoPERMIT FEE $RECEIPT NO. ' AComme I >v ^r t-3 Form No. BK — 0500-0501 305,576 • Victor Lundeen Co.. Printore • Fergus Falls, MN « 1-8(X)-346-4S70 SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations gy/lfJC Structure Set Back from Ordinary High Water Level Ft.^ioo4-/JoO Structure Set Back from Top of Bluff Ft.Ft. Structure Set Back from Road Right of Way [or Ft. Ft.4-SO '-i^O Ft.&.Ml Ft.■irSOStructure Set Back from Lot Lines Ft.Ft.& ----------^1/------------------ a IK'Ft.Structure Height Ft. Structure Set Back from Septic Tank Ft.loT Ft.Jr to 2«I Structure Set Back from Drainfield Ft.-n<iirzv Elevation Of Lowest Floor Above Ordinary High Water Level )tFt.Ft.-1-5 Land Slope at Building Site %- %</b< l(P i 5e*. ne4<^\ cr?t i.4LcL*J J Inspector’s Comments / Sketch: - / o - o 3 ew^\y [ y~\~h ar Q. ci ci ^I r\ L-O V-o V't-v's.p p % Ov~^ lO— 2-^ -O 3 ; oc vJ V tCa-y^<5 W W Vvo ^ Vft- t p55 V-c-v V ( Ho i...ii-:- ^ S’,: ' : <k.-: • , , • !* U- i-’J-. -B --7 M (t ^ Inspector’s Signature Date of Inspection 'I'l t^o Time of Inspection a Project Approved Date/Initial GRADE & FILL APPLICATION COUNTY OF OTTER TAIL - LAND & RESOURCE MANAGEMENT 121 W JUNIUS SUITE 130, FERGUS FALLS, MN 56537 218-739-2271 PERMIT Application Fee $50.00 Receipt NumberJervis Q-f PROPERTY OWNER G. rn/OMAILING ADDRESS 'an CITY, STATE, ZIP DAYTIME PHONE NUMBER LAKE NAMEgS.v/ __________ PARCEL NUMBER(S) ^<^-^00--/n-/^o<p CLASS_ ^^6/9- /VS'~ g><9/ TWP RANGE TWP NAME /j/rcur^J LAKE NO. SECTION o?5~ LEGAL DESCRIPTIONv6/^^.^> a-nr^(9\ 4 e //, 'T^cjO/i-^ h ■ p Qf)'e f^af^cr yo/?/ Y^ert^c-f ^ E-911 PROPERTY ADDRESS/FIRE NUMBER //} /'^^C anc/ /n y?-7^/»/<(/ C k nyO I,ClA?' SIGNATURE OR PROPERTY OWNER/Z^ENT FOR OWNCT 7 - / V - DATE L&R Official DATE DESCRIPTION PROJECT REQUEST BELOW (Provide Scale Drawing On Back) i f ' BK05/00 t4 0LLScale:.grid(s) equals feet, or .inch(es) equals feet Please use this sheet for the required scale drawing of your proposal. Be sure to include lot dimension, water frontage, and setbacks from RW, lake, lot lines, sewage system, top of bluff, existing structures and all imper vious surface. Required impervious surface coverage calculation (See definition in Shoreland Management Ordinance) X 100 =% Total Lot Area (FT2) Total Impervious Surface Onsite (FT2) r VAsV i/ ^ !- /• 'I 'iS.- (' y 4 r.9 : / .\ 3.S- 0 Hi} •i ! ;• ff/ \'p^' \r a Rl-M'r'T 4'^'<?■'’ ' (Y ' 99■e>o'•e-' ■ (p^' [ r *'Ci£f3 i' JCf^...9-'i ,/'A-• ^9/ 9-'' ^'TJ i&i^ 2 f“la V J /«3-‘' 9^J/vt 'V .>A ! oa.2x'fc»jt 1/^2'““^ t V l-r tvei iOIO ■ 6^ ee. JZ> i^i v ^;e (rfA Z / 5 // r." f;i I - Ho. 5 ^0^f I ^9^ W >' 71) .be. hr 11 4PF. 50 K>*' y o o f- Jp^ \/d y(J u :^ I /V ?''i2_3 7 “0>^- ^<€ . !. DatedSignature BK —0500 — 029 304.679 • Victor Lundeen Co., Printers • Fergus Falls, MN • 1-800-346-4670 i APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218) 739-2271 • FERGUS FALLS, MN 56537 WHITE - Office GOLDENROD - Inspector YELLOW-Owner PINK - Assessor Permit No.LEGAL bo+S H in Sct-h on 25 and Lof 5 fn Scd-iion 2-6^ a\\ in l?)U)n5h‘P 133, tcangc 3^. 04tr-Tafi Coun'N. _____ DESCRIPTION BLUFF ZONE □ YES NO AND LOCATION SECTIONLAKE/RIVER NAME LAKE/RIVER TWP NO.RANGE TWP NAMELAKE NUMBER east dMi\cLaLe-'^^o 26 & I randI33 3°i GRADING / FILLING □ YES ^ NO PARCEL NUMBER (S)FIRE NUMBER 27-000- oni # OF CUBIC YARDS IDENTIFICATION: Please Print All Information TELEPHONE NO. First Initial Mailing Address — No. Street, City, State, and Zip CodeLast Name (Daytime) l.ii-tn/inn h\nr^^ Onmp Ptii. Uenn^nn fhn •aMfProperty Owner ,5()>5g7 fi-j/U Pnrnrrur-rirJnNameContractor State Lie. # ONSITE WATER SUPPLY ( ) Individual ('^ Public jj^None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. PROPOSED PROJECT New Structure(s) ( ) Addition(s) ( )MH/RV____________ PROPOSED USE ( ) Dwelling Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) ONSITE SEWAGE TREATMENT SYSTEM ^ Individual Permit It *^03 ( ) Collector Permit # ( jOTLSD*YEAR CHARACTERISTICS OF NON-DWELLING ( ) Utility Structure SToIr ^ CHARACTERISTICS OF WOASCHARACTERISTICS OF DWELLING ^ Garage ( ) Boathouse ( ) Screen Porch( ) Dwelling ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside y Dimension______/ ( ) Gazebo ( ) Utility StrupKire^ P._________ ^ ^ Ft. X ^ V Ft. KO Ft. & jrO Ft. ( ) Other Outside Dimension ( )Other, Outside Dimension.Ft. X .Ft.Lotline Setbacks .Fix .Ft. UrOLotline Setbai .Ft.&.Ft.OHWL Setback .Ft.Lotline Set^ks .Ft.&.Ft. OHWL S^ack .Ft.Bathroom: ( ) Yes No (If Yes / a complying Sewage System Required) L_story OHWk Setback .Ft.Tot^edrooms__________________ Maximum Height / 35 Ft. (2 story)/ar Ft.Maximum Height ^Maximum Height / 10 ft. (1 story) Lot Area .Sq. Ft. Impervious Surface .Sq. Ft. Impervious Surface Ratio .% Water Frontage .Ft. Elevation of iowest floor above OHWL .Ft. (3’ minimum) Structure setback to right-of-way Structure setback to septic tank _ Ft. Slope of lot .% /o Ft. (10'mlnimum) (Sewage System Permit required before installation). .Ft. (2D'minimum) (Sewage System Permit required before instaliation). .Ft. (10'minimum) (Sewage System Permit required before installation). Dwelling setback to Soil Absorption System inNon 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 fortl" and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shali become a part of this permit application. I aiso understand that this permit is vaiid 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 Managem^nt^office once the building footings have been constructed. * This permit is only valid after verification from the O.T.L.SD. thajKstsconforming sewage systaf^illbe installed to service this lot... Contact Rollie Mann at 864-5533. 2Dated; i S »Simnamre of Owner mrc.Dated;&eLand & Resource Management OfficeSo. ^o»/S^7PERMIT FEE $RECEIPT NO.30 -Pi* CO VrtOComments:<o€<£>30 CO<r>TTT Form No. BK — 0597-002 2S7.6B5 < Victor Lundeen Co. Printers • Fergus Falls. MN • 1-B00*346-4S70 r . ’3 i-■A .APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WH/TE - Office GOLDENROD - Inspector YELLOV.’ - Own^ PINK - Assessor Permit No.LEGAL _____Lo-^ 5 in ScQVton c\\\ >n 7Z)iA)n5H'P B3,jca-nyt T^i I Coun^r _____ DESCRIPTION BLUFF ZONEAND□ YES □ NO LOCATION UVKBRIVER NAME -LAKE/RIVER CLASS . ^ ^KC 26 TWP NO.RANGE TWP NAMESECTIONLAKE NUMBER — *■t /'•; ro rrlI3331 GRADING / FILLING □ YES # OF CUBIC YARDS ^ NO FIRE NUMBERPARCEL NUMBER (S) oni V-J 'i-000 TELEPHONE NO.IDENTIFICATION: Please Print All Information Mailing Address — No. Street. City. State, and Zip Code (Daytime)InitialFirstLast Name i ^ ■‘i 3 '2^103 :^ j/ j r rl Ca m pProperty Owner i-: M ) )f r('< r ) .1 I S'C’O ' 6> 3C.' -8 w /-/ rii(‘ riCnNameContractor State Lie. # ONSITE SEWAGE TREATMENT SYSTEM { 4) Individual Permit # .* ■ 1 3 7~7 ( ) Collector Permit # ( )OTLSD* ONSITE WATER SUPPLY ( ) Individual ( ) Public ^^None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a vnell. PROPOSED USEPROPOSED PROJECT ( j New Structure(s) ( ) Addition(s) ( ) MH/RV____________ ( ) Dwelling Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS)1YEAR I CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ( ) Utility Structure STa A CHARACTERISTICS OF DWELLING Garage ( ) Boathouse ( ) Screen Porch( ) Dwelling { ) Addition to Dwelling I ( ) Basement t ( ) Utility Structure( ) Gazebo( ) Other Outside Dimension ? Ft. X ^ V Ft. S ( ) Ft. & ^ O Ft. I ( ) Walkout Basement Outside Dimension ( ) Other. Outside Dimension z.Ft. X .Ft.Lotline Setbacks .Ft.x __Ft./ Un)//.Ft.Lotline Setbacks'Ft. &Ft.OHWL Setback Lotline Setbacks .Ft.&Ft. Ft.OHWL Setback Bathroom: ( ) Yes (^) No (If Yes / a complying Sewage System Required) Maximum Height / '7- Ft. / story .Ft.OHWL SetbackTotal Bedrooms Maximum Height / 35 Ft. (2 story)Maximum Height / 10 ft. (1 story) .Sq. Ft. Impervious Surface Ratio.Sq. Ft. Impervious Surface .%Lot Area ;.Ft. (3' minimum)Ft. Elevation of lowest floor above OHWL zz----Ft. Slope of lot Water Frontage —/ r /structure setback to right-of-way .% /n .Ft. (10’minimum) (Sewage System Permit required before installation).Structure setback to septic tank Ft. (20’minimum) (Sewage System Permit required before installation).Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System m Ft. (10’minimum) (Sewage System Permit required before installation). ms IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the 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. thpt-^ conforming sewage systpm will be installed to service this lot... Contact Rollie Mann at 864-5533. .^gnature of Owner V '' '-j ./\\[,Dated; 1'4 ’1Dated: Land & Resource Managerrwit Office 1So.RECEIPT NO.PERMIT FEE $ JComments:T i Form No. BK — 0597-002 267.68S • Victor Lundesn Co. Printers ■ Fergus Falls. MN * 1-600-346-467C 1 INSPECTION RESULTS Make all measurements and computations Ft. Ft.Structure Set Back from Ordinary High Water Level Ft.Structure set Back from Top of Bluff Ft. Structure Set Back from Road Right of Way Ft.Ft. Ft.&Ft.Ft.&Ft.Structure set Back from Lot Lines Ft. Ft.Structure Height Ft.Structure Set Back from Septic Tank Ft. Ft.Structure Set Back from Absorption System Ft. Eievation Of Lowest Floor Above Ordinary High Water Levei___________________Ft.Ft. %%Land Slope at Building Line Inspector’s Comments / Sketch: 1 Inspector's Signature Date of Inspection \K Time of Inspection GRID PLOT PLAN feet SKETCHING FORM : inch(es) equalsfeet, or__grid(s) equals____ z fi . r‘ zz 2' Scale: 19Dated: Please sketch your lot indicating setbacks from road right-of-way, lake, sideyard and septic tank and drain- field for each building currently on lot and any proposed structures. iMtheran Island Camp and Conference Center Henning, Mlnnesota56551 218-583-2905 Signature W E \r.• <miKEY Building Road—------Trail "1“ Campfire/Worship __ Ak-cMarsh/Swamp L'Mij fParking Area /**' Band r-"VArea/V \//V/Th. / \ \. ✓I✓V ✓I ✓N \ / / / ^ -itdltaclon Trail yEAST BATTLE LAKE Sunlat VlUaja —^y ////f\I f1XX\I\\ / t . ik: / \/c 3*55m \/J \I /I\/o O /X !\\in I \\30 VI . \\rn i fiCO•X.I Imo^ Baskacball ^ Cdurc ‘ «Pc=«o o SunriiaA mUft U:o 7 1. >v/00 Io/m I\Y. ^ M Housinj Outdoor J I ^ Chapely ] Staff . _Jy, ^ Boualng \ChapU/ lac. Hall \ \I J - -j£- . - -i- __^ . , Cducscion & Itcraac C«nctr I \ "roVolUybaU . A P jFCQurg« ,i| * i'Cross*«T«r Bridf*Uc. Field ^ _ jr The Foioer r •c-■ EAST BATTLE LAKE¥ Ceeks Cebla *>5ak f(o «. p . iS Tha Hock 2fi1.d49 ■ Victor UjndMn Co. Ptintto - forgus Fails. MN • 1-BOO-34&4SK)MKL — 0871 — 029 I T IrT'T ( ■t;The li 't'he S-mi0C 0 ;,a5- ^ i. J J-+ '5 T'; ].4-i ■*- ■1 -»f-f--j i <iii- ± lai^I I ■‘ -4d/5 lAJ^ I' ^rfory\ ji) \-.;j ;—1 \-”T” •75 1 I -i-1 no f ■u 441»-TIr4 :4-Ii :J (iI rl 4: tI;I 1 t-f L.„i i 4- I r;•*r ■; 1--I t-n-I-T !;:]•i 1..1 —4'1“H ! T i7 I 4-L-|~r r-•i ■L'i -t':i: -i '-i ..f..:I -+! 4 f 'rr-t- L-t-4-o:2nII h C3omr:L or1§i I i--;H :4 MO -4t 4 1 1 4 L-!-r I-i-■I-4t: ji7 i!:;:;I 1 i ;I--4 I fr--f' i!'I_4 I I r t■V I!1 ii. 4 •T r--f i j1rI;>I!!■-4^ I ;I 4.. .1 •+2.4-r-T !iIi1 i ;T 1:J t-T-4 4-f l- 1 T 4-! i !■t>I4r ’■iI .-4 ! 1-4 ]i1.•!1 r - !■!r I !-1 I :; i.-i--4-_i!■f - f -f--L >I-i - h ■-L.r i1 1-1!i -It] !i-t 11IIt APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218) 739-2271 • FERGUS FALLS, MN 56537 WHITE - Office GOLDENROD - Inspector YELLOW - Owner PINK - Assessor ISM7Permit No.LEGAL DESCRIPTION BLUFF ZONEAND □ YESLOCATION TWP NO.RANGE TWP NAMELAKE/RIVER CLASS SECTIONLAKE NUMBER LAKE/RIVER NAME S' CiftTTi £RK TOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS □ NO FIRE NUMBERPARCEL NUMBER (S) 3.°/' OCO ' 3-5 - O/TV- ooo IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and Zip Code (Daytime)Last Name First Initial Property Owner NameContractor State Lie. # ONSITE WATER SUPPLY p^lndividual ( ) Public ( ) None ONSITE SEWAGE TREATMENT SYSTEM PROPOSED PROJECT ( ) New Structure(s) ^^Addition(s) ( )MH/RV____________ PROPOSED USE ,^^T)welling ( ) Non-Dwelling ( ) Waler Oriented Accessory Structure (WOAS) .J^^ndividual Permit # / ^ ( ) Collector Permit #. ( )OTLSDYEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELL|NG ( ) Garage ( ) Utility Structure CHARACTERISTICS OF DWELLING ) Boathouse ( ) Screen Porch( ) Dwelling ^^^Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside Dimension ( ) Utility Structure( )G^o( )ler Outside Dimension ( ) Other. Outside Dimension .Ft. aqIL .Ft. .Ft.Ft. X Lotline Setbacks Ft.& ^ o Ft. &Lotline Setbacks .Ft.OHWL Setback .Ft.Lotline Setbai & lr.GOHWL Setback Bathroom;) Yes (lo Ft.OHWI^^etback(II Yes / a complying Sewage SyS(«m Required)Total Bedrooms Maximum Height / 35 Ft. (2 story)Maximum Height /10 ft. (1 story)Ft.laximum Height ,Sq. Ft. Impervious Surface Ratio .%,Sq. Ft. Impervious SurfaceLot Area 'I.Ft. (S' minimum).Ft. Elevation of lowest floor above OHWLWater Frontage '^G %Ft. Slope of lotStructure setback to right-of-way 10 Ft. (10'minimum) (Sewage System Permit required before installation).Structure setback to septic tank Ft. (20'minimum) (Sewage System Permit required before installation).Dwelling setback to Soil Absorption System Ft. (10'minimum) (Sewage System Permit required before installation).Non dwelling setback to Soil Absorption System THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the buiiding footings have been constructed. Dated: Si^ature of Ov^ '97Dated: Land &OC'So RECEIPT NO.PERMIT FEE $ Comments: iForm No. BK — 0597-002 2B6.ilO • V.ctp- L-uee.n Co Ptmiets • Fergus Fa -s MN • 7 Otter Tail County Board of Commissioners June 10, IW Page 5 Conditional Use Permits Motion by Lindquist, second by Lee, and unanimously carried to approve the Conditional Use Permit of Pebble Lake Auto Repair, lnc,/Ron Carey & Dale Formo (Sec. 14, Twp. 132, Range 43, Buse Township, Unnamed Lake 56-830) as recommended by the Planning Commission. Motion by Stone, second by Nelson, and unanimously carried to approve the Conditional Use Permit of Lutheran Island Camp (Sec. 25, Twp. 133, Range 39, Girard Township, East Battle Lake 56-138) as recommended by the Planning Commission. Motion by Lee, second by Nelson, and unanimously carried to approve the Conditional Use Permit of Clyde E. Ellefson (Sec. 32, Twp. 136, Range 40, Lida Township, Lida Lake 56-747) as recommended by the Planning Commission. Motion by Stone, second by Nelson, and unanimously carried to deny the Conditional Use Permit of Corinne J. Guddal (Sec. 16, Twp. 134, Range 38, Leaf Lake Township, West Leaf Lake 56-114) as recommended by the Planning Commission. Motion by Lee, second by Nelson, and unanimously carried to deny the Conditional Use Permit of Eugene Roger Ernst (Sec. 23, Twp. 136, Range 42, Lida Township, Lida Lake 56-747) as recommended by the Planning Commission. Preliminan/ Plats: Motion by Lee, second by Nelson, and unanimously carried to approve the Preliminary Plat of Kurt Maethner ET AL - “Maet-Boh Development” (Sec. 4, Clitherall Township) as recommended by the Planning Commission. Motion by Lee, second by Stone, and unanimously carried to deny the Preliminary Plat of James & Mary Stolle, do Taylor Investment Corporation - “Pleasant Lake Estates” (Sec. 5, Twp. 133, Range 41, Sverdrup Township, Pleasant, Unnamed, and Lt. Anna Lake 56-0449, 56-1127, 0450) as recommended by the Planning Commission. Conditional Use Permit: Discussion took place on the Conditional Use Permit of Walter Seifert, Big Pine Lake 56-130. The Board acknowledged that, because this property was in a Bluff Impact Zone it should be referred to the Board of Adjustment for a Variance in accordance with State law which dictates “...you shall not fill or excavate material in a Bluff Impact Zone...”. Grant-In-Aid Snowmobile Trail Resolution Otter Tail County Resolution No. 97-31 Upon a motion by Lee, second by Nelson, and unanimously carried the Otter Tail County Board of Commissioners adopts the following resolution: BE IT RESOLVED that Otter Tail County shall continue to sponsor Grant-In-Aid Trail Systems as they exist for Otter Trail Riders and Lake Runners Trail Association and proposed extensions of Grant-In-Aid Trails. OTTER TAIL COUNTY PLANNING COMMISSION Otter Tail County Courthouse Fergus Falls, MN 56537 218-739-2271 Ext. 225 June 6, 1997 To Whom It May Concern: Enclosed you will find a copy of the minutes from the Planning Commission meeting indicating the action that was taken in regards to your request. The County Board of Commissioners will consider this recommendation at 1:30 P.M. at their June 10, 1997 meeting. However, if the Planning Commission tabled your request, the minutes do indicate this action. You will receive notification as to the date and time your Application will be reconsidered. If you have any question, please contact the Land & Resource Management Office at 218-739-2271 ext. 225. Marsha Bowman Acting Secretary Planning Commission June 4, 1997 Page 4f Motion: A motion by Olson, second by Lachowitzer to table to the July 9, 1997 meeting allowing time for the wetlands to be delineated and the easement issue to be addressed. It is noted that the Applicants were agreeable to the tabling. Voting: All members in favor. Lutheran Island Camp - Approved As Revised: A Conditional Use Permit Application to expand the existing director’s home (staffing house) with a 16' x 24' addition. We are adding 1 bedroom and enlarging an existing bedroom (total of 2 bedrooms). The property is described as Government Lot 3 & 4 in Section 25 of Girard Township; East Battle Lake (56-138), RD. George Walters represented the Application. Motion: A motion by Zimmerman, second by Bergerud to approve as presented in the revised drawing received at the June 4, 1997 meeting. Voting: All members in favor. Clyde E. Ellefson -Approved: A Conditional Use Permit Application stated: Please consider fill so as to grade from zero to maximum of 3.5' next to house, would like a gradual grade for lawn and mowing reasons (800 - 1000 yards per contractor). The property is described as Lots 13 & 14 of Stony Bar Estates, Section 32 Lida Township; Lake Lida (56-747), GD. Alan Stadum (contractor) represented the Application. Motion: A motion by Zimmerman, second by Marker to approve with the understanding that: 1. The fill area is all away from the lake. 2. The fill material will be granular (with a top dressing of dirt). 3. The area will immediately be stabilized with seed or sod. 4. The depth of the fill will not exceed 2.5 feet, 5. The area between the house and the lake may be bladed provided it is sodded. Voting: All members in favor. Corinne J. Guddal - Denied As Presented: Conditional Use Permit Application to: 1. Raise single story house approximately 3' to 4'. 2. Excavate about 2-3' in crawl space to create a basement. Excess soil to raise level of rear yard. 3. Excavate approximately 55 cubic yds of a hill on the lakeside of the house to allow for a walkout basement. Sides of hill to be terraced and drained correctly to prevent erosion. 4. Add 3 car garage. 5. Add deck est. 10' x 20'. The property is described as Lot 3 of 2nd Addition to Pebble Bay; Section 16 Leaf Lake Township; West Leaf Lake (56-114), RD. Corrine and Jim Guddal represented the Application. I " Outdoor Chaptl Eddcacion & tscruc CcBCer Volleyb«ll \ Planning Commission May 7, 1997 Page 7 Distribution of Shoreland Management and Subdivision Controls Ordinances: Bill Kalar distributed to the Commission Members copies of the current Ordinances that were passed effective May 1, 1 997. Letter of Appreciation: Bill Kalar read a letter indicating appreciation of the Planning Commission and the entire Land & Resource Management Team from Wilma J. Morris. Surveyor's Drawing Requirement for Cluster Developments: Bill Kalar indicated that he has received 2 requests from Cluster Developments, Haven Hills Resort (56-523) and Lutheran Island Bible Camp (56-138), that would like to make a change in size of an existing unit without the necessity of providing a surveyor's drawing. A motion by Trites, second by Lachowitzer that in situations where aMotion: change in size of a dwelling unit within a cluster development is requested and the density or type of dwelling unit is not changed, a surveyor's drawing will not be required. Voting: All members in favor. Adjourn: A motion by Estes, second by Olson to adjourn at 11:35, the next meeting is scheduled for May 21,1997. Voting: All members in favor. Respectfully submitted. Marsha Bowman Recording Secretary 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 Yeliow — Owner Pink — Assessor Goldenrod — Inspector Permit No„LEGAL 8-22-80Date.DESCRIPTION Lutheran Island CampAND LOCATION Girard133 39RD25E, Battle56-138 Lake Classif.Sec.TWPLake No. Lake Name Range TWP Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No. 56551 583-2777Henning MNLutheran Island CampOwner P.O. Box 172Steering Designers & BldrsNameContractor >6573Perham MNDon Steering Madsen AssociatesMadsen, EmilArchitectName. 86A-5A0056515Battle Lake, MN TYPE OF IMPROVEMENT: (X) New BuildingEducation and ( ) Alteration ___( ) Other RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE; Specify Education and Retreat npnl-.ftr ( ) One Family Dwelling ( ) Multiple Dwelling ( ) Other UnitsRetreat Center 108' X 84 ISize ESTIMATED COST OF IMPROVEMENT $-^Rc;. 000 (omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL;DIMENSIONS: ( ) Masonry (X) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public (jj) Individual Septic Tank, etc. new WATER SUPPLY; will be installed ( ) Public (x> Individual Well will install new well Basement: ^ ) Yes ( ) No Stories above basement: ....... Sq. feet (outside dimension) IP.ji.QP.Q. Bedrooms .............................. capacity 80 people HEATING; (X) Electric ( ) Gas ( ) Oil ( ) Coal Other: % .2.stem Baths MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Type of Roof:(X) No IX) No ( ) NoneTruss Rafters ( ) Unit CHARACTERISTICS: 30 4000-t-62 ALot Area is Building set back from high water mark is Pkp.p«...4Q0 Land height above high water mark at building line is .... Building set back from State highway is..........................7 Side yard is Building will be located...... Building will be located...... square feet.Water frontage is feet. (Building Line) feet. 10-f-.feet HOfeet — from road or street is feet. ............feet from septic tank (Sewage System Permit must be obtained before installation). neW system tO be ............feet from soil absorption system (Cesspool, Drainfield, etc.). feet. 20-hand.....20-t-feet. Rear yard is installed 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 sj shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. :ifications ^bmitted herewith 7D >Dated.tSighature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above^tatement. 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.<k- -ggDated Shoreland Managerrtent Official<x>^ c>u 7State Surcharge $ /Permit Fee $. Comments: ir ^ . Form No. MKL-0771-002 VICTOa kUftOCI* 4 CO..I 1S8899 }cvSHORELAND 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 OU 4/ ^ I Permit No„LEGAL G-22-80Date.DESCRIPTION Lutheran Inland CaispAND LOCATION vircroKD2530133E, Battle Lake No. Lake Name Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street, City and State Zip No.Tel. No. Owner P.O. Box 172oqi{~ngrF. & BlcirsNameContractor Perhain. HK.'o:. 3t Madsen AssociatesOMisen, F”ilArchitectName. Hattie Lake, ML TYPE OF IMPROVEMENT: ( ) New Building .3 UCatiOn and ( ) Alteration .-treat Center ( ) Other RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: L. I ) One Family Dwelling ( ) Multiple Dwelling ( )Other Specify:. Units 103’ X WSize ESTIMATED COST OF IMPROVEMENT $r Ty' ,(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry (^ ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public r ( ) Individual Septic Tank, etc. new l^steci WATER SUPPLY: will be installed ( ) Public ( v) Individual Well : install DOW vfell Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms Baths ■ I y' 80 people MECHANICAL EOUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central HEATING: L ) Electric ( ) Coal Other: Type of Roof:(X) No ( ) Gas ( ) None ( ) Oil (••:) No' ''iay Harters ( ) Unit CHARACTERISTICS: .jj A 4C0O.I-Lot Area is square feet.Water frontage is. feet. (Building Line) ...............................feet feet. Building set back from high water mark is Land height above high water mark at building line is Building set back from State highway is Side yard is................ Building will be located Building will be located 10-t- *-1 feet — from road or street is feet. feet from septic tank (Sewage System Permit must be obtained before installation). neW system tO be feet from soil absorption system (Cesspool, Drainfield, etc.). feet. and.....feet. Rear yard is A O ^ 1 T C. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Dated. Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall confornr) in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated Shoreland Management Official Permit Fee $.State Surcharge $. Comments; t M 0 T C A L L F D FOR inspect Form No. MKL-0771-002 1158899 VICTOR UWMf« t CO.. OftOttM, RCOOOO r«LkO. r INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL MINIMUM Shall BeIS I 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 50 Ft.Ft. Building Set Back from Street or Road 40 Ft.Ft. Side Yard &Ft.&Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System 20 Ft.Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: 4 Inspector's Signature Title Inspection Dated 19 Agency vicrea uiaatia 4 m.. aaiiiTCH. rtaawt miu. i LUTHERAN ISLAND CAMP Henning, Minnesota Sf»SSl 218-583-2777 R EC R F r r - rtwOUhuw August 22, 1980Director: WM. SCHULTZ ' D Shoreland Management County of Ottertail County Court House Fergus Falls, MN 56537 Gentlemen, Enclosed is the application for a building permit for our Education If there are any questions, please contact me orand Retreat Center. Mr. Madsen. We are hopeful of beginning construction by 9-1-80. If you need a copy of the plans and specifications, just let me know. Sincerel; William E. 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'- ’ '-'iS^'2 .* . \ ,-t- V H i NJ0RTL4 r \ r- f ;i ______________/i//■ ^ i *> !■ / //' SjSAWP.'.'i’gt'jg/.U SHORELANID 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 — Auessor Goldenrod — Intpector Permit No„LEGAL J>3DateDESCRIPTION AND LOCATION .^9 Or;c... d Lake Classif.Lake No.Lake Name Sec.TWP Range TWP Name IDENTIFICATION: Please Print AU Information Last Name First Mailing Address— No. Street. City - and StateInitial Zip No.Tel. No. I4M ^83 ~Owner i NameContractor Architect Name TYPE OF IMPROVEMENT: (AH^ew Building ( ) Alteration RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: /^e<p // ( ) One Family Dwelling ( ) Multiple Dwelling (t>^ther Specify:,5Units>¥*rv () Other Size ESTIMATED COST OF IMPROVEMENTS (omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: Stories above basement: Sq. feet (outside dimension) ....^.^.0..^^.... Baths ....T........ (H^ ( ) No( ) Masonry (^HVood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public (tJ^Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( C-Kindividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes ' Air Conditioning: ( ) Yes _________■( ) Central Bedrooms HEATING: ( ) Electric ( ) Coal Other: Type of Roof:( uKNo ( ) Oil (h9jo ( ) None ( ) Unit CHARACTERISTICS: square feet. Building set back from high water mark is............... Lot Area is Water frontage is feet. (Building Line) feet. Land height above high water mark at building line is Building set back from State highway is Side yard is Building will be located Building will be located feet .......<^2d±..feet — from road or street is feet. ...and feet. Rear yard is feet from septic tank (Sewage System Permit'must be obtained before installation). feet. ..yo±... : feet from soil absorption system (Cesspool, Drainfield, etc.). Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that a^y plans and S| shall become a part of this permit application. I alsd understand that this permit is valid for a period of six (6)/fmnths. // (fkalicm submitted herewith /9/ ?/^Dated.;/ Permission is hereby granted to the above named applicant to perform the work described in the above statement.' This permit is Ranted upon the SignsMire of Owner Permit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. ..... Dated Shoreland gement Officialj Maiu State Surcharge $.Permit Fee $.nn /Cl C / /. ‘J />tp i~Comments: C,/I \ / rForm No. MKL-0771-002 1SSS99 fi««M UMMta « MWIf M. MMM