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HomeMy WebLinkAboutMallard Bay Resort_41000030019002_Shoreland Permits_Page 1 of 1 OTTER TAIL COUNTY Land & Resource Management Phone (218) 998-8095 SITE AND LOT ALTERATION PERMIT NUMBER 30457 PERMIT (COMBINED) PERMIT TYPE Robert & Anita MeisenheimerPROPERTY OWNER StuartLAKE INFORMATION 91 ADNR ID(S) LOCATION Parcel(s): 41000030019007 Township Name: Nidaros Township Property Address{es): 21244 GREENHEAD DR Section/Township/Range: Sect-03 Twp-132 Range-039 Legal: PART GL 8 COM SW COR SEC 3 S 87 DEG E 1246’ N 38 DEG E957.8' N 16 DEG E 819.65' S73 WORK AUTHORIZED Construct a 30x56 replacement dwelling and 30x40 storage building onsite. Excavate basement for 1680sqft dwelling (30x56x7) Back fill around foundation 6 inches and taper out 10 feet to existing grade. Level/fill area for a 1200sqft storage building and back fill around building and taper out to existing grade. Top dress, seed and stabilize disturbed areas. Must control and store water run off. Any excess fill material to be hauled off site. Eric Babolian 05/21/2019 10:26 AM 73140b64721867520d224c92bc7a75a3 873a02b8bea38979057b178751adef4d 05/21/202105/21/2019 ISSUE DATE DATE EXPIRESLand and Resource Management Official/Date NOTE: • This permit must be placed in a conspicuous place not more than 6 feet above grade on the premises on which work is to be done, and must be maintained there until completion of such work. • If the terms of this permit are violated, the entire permit may be revoked and the owner/contractor may be subject to legal prosecution. • Property Owner is legally responsible for all surface water drainage which may occur. • Topographical Alteration projects shall be stabilized within 10 days of the completion unless otherwise stated. • Notify Land & Resource Management when building footings/foundation have been completed and/or when work authorized is complete and ready for inspection (218) 998-8095. 5/4/2020https://onegov.co.ottertail.mn.us/admst/viewcard.php?card=5&app=5650 https://onegov.co.ottertail.mn.us/admst/viewcard.php?card=5&ap... OTTER TAIL COUNTY Land & Resource Management Phone (218) 998-8095 i PERMIT NUMBERPERMIT TYPE Site and Lot Alteration Permit (combined)_____________ 30457 PROPERTY OWNER Robert & Anita Meisenheimer LAKE INFORMATION Stuart DNR ID(S)191 LOCATION Parcel(s): 41000030019007 Township Name: Nidaros Township Property Address(es): 21244 GREENHEAD DR Section/Township/Range: Sect-03 Twp-132 Range-039 Legal: PART GL 8 COM SW COR SEC 3 S 87 DEG E 1246' N 38 DEG E957.8' N 16 DEG E 819.65' S 73 WORK AUTHORIZED Construct a 30x56 replacement dwelling and 30x40 storage building onsite. Excavate basement for 1680sqft dwelling (30x56x7) Back fill around foundation 6 inches and taper out 10 feet to existing grade. Level/fill area for a 1200sqft storage building and back fill around building and taper out to existing grade. Top dress, seed and stabilize disturbed areas. Must control and store water run off. Any excess fill material to be hauled off site. Eric Babolian 05/21/2pi9 10:26 AM 73140b64721867520.d224c92bc7a75a3 873a02b8bea38979057b178751adef4d 05/21/2019 05/21/2020r Land and Resource Management Official/Date DATE EXPIRESISSUE DATE NOTE: • This permit must be placed In a conspicuous place not more than 6 feet above grade on the premises on which work is to be done, and must be maintained there until completion of such work. • If the terms of this permit are violated, the entire permit may be revoked and the owner/contractor may be subject to legal prosecution. • Property Owner is legally responsible for all surface water drainage which may occur. • Topographical Alteration projects shall be stabilized within 10 days of the completion unless otherwise stated. • Notify Land & Resource Management when building footings/foundation have been completed and/or when work authorized is complete and ready for inspection (218) 998-8095. : 1 1 I'ofl 5/21/2019, 10:27 AM https://onegov.co.ottertail.mn.us/view.php?id=5650#outer_wrapper, Land & Resource Perfnit Applications ,■I Land & Resource Management Government Services Center 1 540 Fir Avenue West Fergus FaUs MN 56537 OTT£ll TAli 218-998-8095 o e a DTT-fflI a a•IOT a I Site Permit Appiications Sjte and Lot Aiteration Permit (combined) Permit # 30457, App. # 797, UiD # 5650 Valid; 05/21/2019 - 05/21/2020I Applicant Information Applicant Information:Name: Brian Richard Brogard Phone: (218 )583 -2041 Email Address brogardplbg@riotmail.com Mailing Address 306 Industrial Dr PO Box 336! Henning MN 56551 i I am trie:Agent/Designer Property Owner's Contact Information Property Owner Contact Information:Name: Robert and Anita Meisenheimeri Phono: (218 ) 864 - 5803 Email Address mallardbavresort1@yahoo.com Mailing Address' 21244 Greenhead dr.t githerall ^ 56524 Work Performed By (Site Permit) Work to be performed by (Site Permit): Property Owner Work Performed Bv (liot Alteration Permit) Work to be Performed by (Lot Alteration): Contractor Contractor's Contact information (Lot Alteration) Contractor Information:Name: Brian Richard Brogard Company or Busnese Name: Brogard Plumbing & Heating Contractor License Number 060456PM Phone: Additional Phone: ;(218 ) 583 - 2041 (Z^ )579 -0469 Email: brogardplbg@hotmail.com Address ( 306 Industrial Dr PO Box 336 Henning MN 56551 Property Informationi Project Location:Property Attiibutea Property Address Legal Description Primary Name/Address Parcel;#Primary Address Line 1 CityProperty Address City Legal Description Legal Description Legal Description Name 41000030019007 21244 GREENHEAD DR CLITHERALL 957.8' N 16 DEG E 819.65’S 73 ROBERTS ANITA MEISENHEIMER 21244 GREENHEAD DR CLITHERALLPART GL 8 COM SW COR SEC 3S 87 DEG E 1246' N 38 DEG E Lot Area:154748 Square Feet Is the property Developed or Undeveloped? Developed ; L&R Cert, of Compliance within 5yrs.On Site Sewage Treatment System: i i Onsite Water Individual Supply: 1 of 4 5/21/2019, 10:27 AM https;//onegov.co.ottertail.mn.us/view.php?id=5650#outer_wrapperLand & Resource Perinit Applications I Shoreland Information i Associated Lakes: Lake Name DNR ID Lake Class LR CD!I Stuart 191 RD 56-191 Stuart.191/rdRiver/Stream Name and Classification (I.e. Otter Tail / AG): Water Frontage:581 Feet Bluff:NO Proposed Project (Site! Proposed Dwelling:Single Family Is there an Attached Garage?^2: Proposed Non-Dwelling:Storage ShedNone Proposed Water Oriented Accessory Structure: None Please list outside dimensions (iri feet) i of above items you are applying fipr: 30x56 home 30x40 storage shed Ctiaracterlstics of Proposed Dwelling New or Replacement:Replacement 1 Square Feet:1680 Square Feet 20 Feet 200 Feet i Maximum Proposed Height: Setback to Lot Lines (indicate (2) closest lot lines)::200 Feet Setback to Right of Way:150 Feet Setback to Ordinary High Water Level:110 Feet ! Setback to Septic Tank:12 Feet ^ Feet 0 Feet Elevation abo\e Ordinary High Water ^ Feet Level: ‘ ' Total Bedrooms: Roof Change: t Setback to Drainfield: Setback to Bluff (3 Characteristics of Proposed Storage Shed Square Feet: 1200 Square Feet 20 Feet 50 Feet i 1 ;Maximum Proposed Height: Setback to Lot Lines (indicate (2) closest lot lines): 400-*- Feet Setback to Right of Way: i Setback to Ordinary High Waterj 110 Feet Lewi: ^ Elevation above Ordinary High Water 10 Feet Level: Setback to Septic Tank: Setback to Oainfield: 125 Feet ; 100-*- to nearest tank Feet 175+ to nearest drainfield Feet Setback to Bluff:0 FeetI Roof Change:NoI Bathroom Proposed: Proposed Project (Lot Alteration! Project Type:0!!Project Description:Demo old house and replace with new one. Dig basement and haul fill to location on lot for fill for shed. Foundation Type:Basement Area to be Cut/Excav'ated 56 Feet Width:Length:^ Feet Average Depth:436 Please Describe Cut/Excavated Area: this is new basement 7 Feet Total Cubic Yards:! 0 Feet Width:Length:0 Feet Average Depth:0 Feet Total Cubic Yards:0 0 FeetLength: |Ca1t!suai>| 0 Feet Average Depth:Width:0 Feet Total Cubic Yards:0 Walk-Out Basement Project iLength:g Feet Width:0 Feet Average Depth:g Feet Total Cubic Yards:0 Area to be filled/Leveled 80 Feet Width:Length:60 Feet Average Depth:2 Feet Total Cubic Yards:356 Please Describe Filled/Leveled Area: low area to befilled for shed g Feet Width:Length:g Feet Average Depth:g Feet Total Cubic Yards:0 Length:0 Feet Width:g Feet Average Depth:0 Feet Total Cubic Yards:0 tCalcufctte.j Backfill at Foundation Linear Length:172 Feet Average Width:^ Feet Average Depth:^ Feet Backfill Total:32 |Cat«W»rtaj 2 of 4 5/21/2019, 10:27 AM 7 I https://onegov.co.ottertail.mn.us/view.php?id=5650#outer_wrapperLand & Resource Permit Applications I Culvert and Road Authority Culvert?m Road Authority Approve!;N/A Impervious Surface ■ Buildings 1680 Square Feet0 Square Feet 0 Square Feet Detached Garage Existing: \ 0 Square Feet 400 Square Feet Water Oriented Accessory Staicture 0 Square Feet Existing: ^ Recreational Camping Unit Existlrig: 0 Square Feet Dwelling Proposed;Dwelling Existing: Attached Garage Existing; Attached Garage Proposed: 0 Square Feet 0 Square Feet 1200 Square Feet Water Oriented Accessory Stnjcture 0 Square Feet Proposed: Recreational Camping Unit Proposed: Miscellaneous Proposed: Detached Garage Proposed; Storage Shed Existing:Storage Shed Proposed: 0 Square Feeti ; 0 Square Feet Total Building Proposed impervious: 2880 Square Feet Miscellaneous Existing:0 Square Feet Total Building Existing Imperv/ious: 4^ Square Feet [ Impervious Surface Calculation ■ Buildings Total Building Existing ImpenAous: ^ Square Feeti Total Building Proposed Impervious: 2880 Square Feet Total Building Impervious Surface:- 3280 Square Feet right 154748 Square FeetLot Area: Impervious Sur^ce Ratio; Buildings Impervious Surfece 2.12 %Percentage: 0.0212 Impervious Surface - Other!Deck(s) Existing:0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 3000 Square Feet 600 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 3800 Square Feet Deck(s) Proposed:0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 1 Patio(s) Existing:Patio(s) Proposed: Sidewalk(s) Existing: Landing(s) Existing: Driveway(s) Existing: Parking Area(s) Existing; SidevAetk(s) Proposed; Landing(s) Proposed: Driveway(s) Proposed; Parking Area(s) Proposed:I Retaining Wall(s) Existing;Retaining Wall(s) Proposed: iLandscaping Existing: Miscellaneous Existing: Other Existing Total: Landscaping Proposed:I Miscellaneous Proposed: Other Proposed Total: Impervious Surface Calculation - Buildings & Other Total Building + Other Existing ; Impervious; ' 4200 Square Feet Total Building + Other Proposed ! 2880 Square FeetImpervious: Total Building + Other Impervious 7080 Square Feet Surface: Lot Area:154748 Square FeetI Building + Other Impervious Sur^ce 0.0458 Ratio: Building + Other Impervious Sur^ce 4.58 % Percentage: Shore Impact Zone Impervious 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet Building(s) Existing:0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 5200 Square Feet 5200 Square Feet Building(s) Proposed: Deck(s) Existing:Deck(s) Proposed:I Patio(s) Existing:Patio(s) Proposed: Sidewalk(s) Exisiting: Landing(s) Existing; Sidewalks(s) Proposed: :Landing(s) Proposed; Driveway(s) Existing:Driveway(s) Proposed: Parking Area(s) Proposed:Parking Area(s) Existing: Retaining Wail(s) Existing:Retaining Wall(s) Proposed: Landscaping Existing: Landscaping Proposed:1 Miscellaneous Existing: Total Existing Impervious in the Shore Impact Zone: Total Impervious in the Shore Impact 5200 Square Feet j ^ne: Miscellaneous Proposed: Total Proposed Impervious in the Shore Impact Zone: i Documentation File 1: ^PLEASE NOTE PROPOSED PROJECT AREA MUST BE STAKED Mallard_Bay_Drawing.pdf Attach Supporting Documentation; Total Proposed Area to Determine 2880 Square FeetFee: Total Earthmoving Request to Determine Fee: 824 Cubic Yards Applicant Approval Applicant Signature:■ Robert Meisenheimer Date Signed:04/27/2019 Please check to approve:I understand that checking this box constitutes a legal signature Comments:Have reviewed with Marsha Terms ;: 5/21/2019, 10:27 AM3 of 4 Land & Resource Permit Applications https://onegov.co.ottertail.mn.us/view.php?id=5650#outer_wrapper Notes The lot lines and project area(s) must be identified & staked onsite. If project disturbs more than 1 acre of land, you must obtain a General Storm Water Permit from the MPCA. Site Permit Terms THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES Agreement L I hereby certify that the information contained herein is correct and agree to do the proposed work In accordance with the description abo\« set forth and according to the provisions of the Ordinances of Otter Tail County. Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. Once Permit is approved, I also understand that this permit is valid for twelve (12) months from the date of'approval unless otherwise indicated on permit. Footings I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. Invoice #4349 (05/21/20191 Charge Cost Quantity Total Site & Lot Permit Fee #3E (1,000 or larger Sq Ft and 501-1,000 Cubic yds)added 05/21/2019 9:30 AM $500 fee $500.00 $500.00X 1 Grand Total $500.00Total $500.00Payment 05/21/2019 $0.00Due Approvals Approval Signature #1 Received and Assigned Sheila Dahl - 04/29/2019 8:58 AM038a323d991c32fdl3e4ef0f675764fb fcf8530b90bd51e72b82f7fbe0b681e2 #2 Permit Review Kyle Westergard - 04/30/2019 8:17 AM0f2d840bac5992e83d376677b8c683ae 399f306bd99f9b2246b07aad96d7b70c #3 Permit Review Eric Babolian - 05/21/2019 9:12 AM5dd60ac3c798671del2115f3b63006c6 Cb736865fef09f0467a2989d9cf26f24 #4 Permit Issuance Eric Babolian -05/21/2019 10:26 AM73140b64721867520d224c92bc7a75a3 873a02b8bea38979057bl78751adef4d Public Notes Text: ■; File(s): Internal Notes Text: File(s):i^- Print View 1- 4 of 4 5/21/2019, 10:27 AM A if A 'A ' '■■: r?rr..'.U*i '•!' '<■r•,Ai *k- * f*-j:«*gi' m' / -• :%B’i : Jtt \M:C\' rS ^ •■ ■«'■ j;'. 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'■■- VriW ‘X K1 4t' -si'-' ■■ \ . fev'r\>-'■■m'iisSSM&^ 9/%i'A-',*!7,7=^g ills . •-V-, -f '.-I yI(X,n;MHO~ N<?t? ^}:qi T - ■ C/b/'^sym ]/'‘.HQho^^ ,00l t (V uv(l^6 ^ X sKx se X ^ X ^-x -.m X ^ X ^ X ^ X X sm :<s® fj «s x^ xx ^ .v: assx ^x s xi^x^xaExateR -!^-p 4 )r Qi ^A'« J iSjiXSi .......,|i, - '4^^:-,|T;;-.ga|T|^.-.»p^-.-Sf3gC.-,afeX=«:^7- p:<fSQ} y o ®35*K.J6«-X 38S X^ X ^ X X ^'X ^ X SB X X XissXsX SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations D u—e U r/'f ll3It I Ft.Ft.Structure Set Back from Ordinary High Water Level Structure Set Back from Top of Bluff Ft.Ft. “f"Structure Set Back from Road Right of Way Ft.Ft. iOo-*- Ft.&30 r20 0Structure Set Back from Lot Lines Ft.Ft.&Ft. Pa si5Structure Height Foot Ft.Ft. Structure Set Back from Septic Tank Ft.Ft. 5’0 TStructure Set Back from Drainfield Ft. Ft. Elevation Of Lowest Floor Above Ordinary High Water Level___________3-^Ft.Ft. Land Slope at Building Site %% Loi- lfo<Q/\dInspector’s Comments / Sketch: fcv ow/v<r-f jirofi-err^/ Lcf Doa DV 0 tm. h - - ' - 6 f f f’’ap \^fh'c Jo ~ '1-^ZAP'" 5^'' /\In'■K>»->\\fo/ilc h>lL V 'V ” ft'A It/ f&z'\)o6t K \Inspector’s Signature\ \\/l^/:zoe«ywi Oal0 oZ IrtspectlonCx'iV'^y Time of Inspection u/iv^ cc^Protect Approved________ / Date/Initial