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Home My WebLink AboutMaple Leaf Resort_38000290222001_Shoreland Permits_WHITE - Office APPLICATION FOR SITE PERMIT GOLDENRO,'^ (pspeator YELLOyV - Owner (after issue) PINK - Assessor LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE / RIVER NO.LAKE/RIVER NAME SECTIONLAKE/RIVER CLASS TWP NO.RANGE TWP NAME PlAu^Cl[jp PROPERTY (E-911) ADDRESS SB -OOP- oo / LEGAL DESCRIPTION 7m (CIS First Initial Mailing Address Daytime Phone No.Last Name f77A>/A/(^ iecK' sWc’/wC’ ^ U'is Property Owner Contractor Name Lie.# PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling (2 ) Add’n to Dwelling (3 ) 'Replacement Dwelling (4 ) MH/YR________ ( 5 ) RCUA'ear________ (6 ) Attached / Detached Garage ( 7) Add’n To Non-Dwelling (8 ) Storage Structure (9) W.O.A.S, Non-Conf. Replacement (identitvl pK t'v ^ lAtf (11) Other (identity)______________ 'Existing Dwelling to be removed prior to. 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 ^ ( w<^ermit No. /J ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rollie Mann at 218-B64-5533 CHARACTERISTICS OF PROPOSED W.O.A.S. 9MTER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED DWELLING (Must Incluob^ttached Garage) Outside Dimension___ Sq. Ft.________\ Setback to Lotline \ Setback to Right of Way Setback to Ordinary High wSter Level ___ Elevation Above Ordinary High Water Level Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff________ Total Bedrooms Maximum Proposed Height Roof Change ( ) Yes ( ) No ' Basement ( ) Yes ( ) No Walkout Basement ( ) Yes (side profile required) ( ) No CHARACTERI^ICS OF PROPOSED NON-DWELLING Outside s Dimension ^ Ft. x ^ /O .. floo-f'Outside \ (D TSimension Ft.Ft. X Ft."Ft. X Ft." Sq. Ft. Setback to Lotline Setback to Right of Way Ft." Setback to Ordinary High Water Level Ft. Elevation Above Ordinary High Water Level . 3 Setback to Septic Tank 5,0 Ft. Setback to Drainfield Ft. Ft. & Sq. Ft. \ Setback to Lotline \ Setback to Right of Wa Setback to Ordinary High WSter Level __ Elevation Above Ordinary High Wqter Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.&Ft." Ft.&Ft."Ft." Ft."Ft. Ft.Ft. Ft.Ft. Ft; Ft.Ft.a//Ft.Setback to Bluff Maximum Proposed Height Roof Change ( ) Yes ( Bathroom Proposed ( ) Yes ( Ft./^Ft.Ft. Ft. ( ) Screen Porch ( ) Storage Structure ' Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovinq □ None 20 Cubic Yards or Less ' CHARACTERISTICS OF LOT: □ 21 Cubic Yards - 299 Cubic Yards'□ 300 Cubic Yards or More' /^OSq. Ft.Bluff ( ) YesLot Area.Water Frontage .Ft. -A<T~Toi C^red'l^)^^ Impervious Surface Ratio:X 100 =.%te (FT^)Impervious Surface RatioTotal ImpervidusYui THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibility to inform the Land & Resource Management office onee the buiiding footings have been constructed. lature of property Owner^Agent for Owner c Date: V/^Z./<^cPDate: Land & Resource M^agement Office PERMIT FEE $RECEIPT NO.PROJECT(S) TOTAL SQ. FT.. Comments: Form No. BK — 1003-0407 329,582 • Victor Lundeen Co., Printers • Fergus Falls. Minnesota WHITE - Office APPLICATION FOR SITE PERMIT GOLDENRCD -'Inspector YELLOW - Owner (after issue) PINK - Assessor r LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 // www.co.otter-tail.mn.us PLEASE PRINT OR TYPE ALL INFORMATION Permit No. RANGE TWP NAMELAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO. "it , At0 4+^^ ■jS■1 PARCEL NUMBER (S)PROPERTY (E-911) ADDRESS s 1//I>■ f HILEGAL DESCRIPTION :ear pi '1 ra %) I 1Daytime Phone No.First Initial Mailing AddressLast Name Property Owner T.-’-i. ’-A-riSsi'YPk '■) lists' tl/hJAt I‘ Contractor Name Lie.# j ‘g ; --'■i i■;i 1■ 1PROPOSED PROJECT (please circle the appropriate number)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 1(3) ‘Replacement Dwelling (6) Attached / Detached Garage (9) W.O.A.S. (2 ) Add'n to Dwelling (5 ) RCU/Year______ (8) Storage Structure (1) New Dwelling (4) MHA-R (7) Add’n To Non-Dwelling ^10 ) Non-Conf. Replacement (identify) 'ni:i. 7 ( ) Permit No. ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuiog Site f^rmit. Contact Rotlie Mann at 218-864-5533I(11) Other (identify)______________ ‘Existing Dwelling to be removed prior to. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension___ Sq. Ft. Setback to Lotline ____ Setback to Right of Way Setback to Ordinary High Water Level ___ Elevation Above Ordinary High Water Level Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff________ Total Bedrooms Maximum Proposed Height Roof Change ( ) Yes ( ) No Basement ( ) Yes ( ) No Walkout Basement ( ) Yes (side proHie required) ( ) No iFL”___Ft. XFt. X Ft.”Ft. X Ft."/-(Y * 1., I: Sq.Ft._______ Setback to Lotline Setback to Right of Way ''7 Ft.” Setback to Ordinary High Water Level Ft. Sq.Ft._______ Setback to Lotline __ Setback to Right of Way^ Setback to Ordinary High vJater Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection ■J 7t.”Ft.”Ft.&Ft.&Ft.”Ft.&Ft.” Ft.”Ft. Ft.Ft. Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield Setback to Bluff Maximum Proposed Height Roof Change ( ) Yes ( ^ j No Bathroom Proposed ( ) Yes ( ) No Ft.Ft.■ Ft.Ft.'FL 4Ft.Ft.Ft. 1Ft.Ft./^Ft.Ft. Ft. ( ) Screen Porch ( ) Storage Structure 1 ‘ Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovino □ None □ 21 Cubic Yards - 299 Cubic Yards‘□ 300 Cubic Yards or More‘□ 20 Cubic Yards or Less ‘ CHARACTERISTICS OF LOT: Bluff ( )Yes (^7 NoSq. Ft.Water Frontage .Ft.Lot Area. „1 ]IjLU I__J A--L Impervious Surface Ratio:X100 =.%Impervious Surface RatioTotal Impervious Surface Onsite (FT')Total Lot Area (FT') THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the buiiding footings have been constructed. i Date; Signature of Properly Owner/Agent tor Owner Date: Land & Resource Management Office PERMIT FEE $ _________72-RECEIPT NO.PROJECT(S)TOTAL SQ.FT., Comments: > Form No. BK — 1003-0407 329,582 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota ►> - , •> SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations Ft.Structure Set Back from Ordinary High Water Level Ft. Ft.Structure Set Back from Top of Bluff Ft. -h-Ft.Structure Set Back from Road Right of Way Ft. 5^0 Z'SX)Ft.&Ft.Ft.&Ft.Structure Set Back from Lot Lines V2 Ft.Structure Height Ft. Ft.Structure Set Back from Septic Tank Ft. Ft.Structure Set Back from Drainfield Ft./a ^ Elevation Of Lowest Floor Above Ordinary High Water Level____________________1 Ft.Ft. Land Slope at Building Site % % <5^ (Srr^O^ce Inspectors Comments / Sketch: Inspectors Signature Date of Inspection Time of Inspection £xJs7//?<^ TV //^ - //SC^ !e ■ ^ •s 1^(ti Ar w I .1 r>1 1 ;T '<-? ■-■!-■8/i I i I I T-4 ( ■ ' ‘ .....*1^ ^ o .3^-!T a<rg:57 \ o § 4 ^ 5. ^ i ^ - j \^' -; i 1 I1 ' 1I 1 I :V l**:l 4 i 4. ♦ f I _fwQ -i- i4^i;1 T gi k Pe'f nnf+ ^ ZH529 •^/22/08 ;i I •f “1 iX I ;r-! I:T Ii I +I T' (o''£/{P(lX ^r/'/n^€r ^6^X:s M?<sA^ uffi^rnAh ^ j^/iT’r/^nae V !^/i>/)f Q>(Xi'ee.r^<lci <(} 3' Pi>o(?i S' S-L<JA(( e^c^e. 'Sy/S 7is£d^a/?//?f •/V^ cy/7 roc7x s^nion M I N h ■739 —j ------- -t ^/ \■ ^.41 f^ezrgu^s^SOUTH P'AL.LS, C21 S)X / / /■/f id tiSf ! j^dL-zn^/ /)c>.i.ij//J[ ^., ^iJ L Ll y /S..., ■ y i l"-- XO<? / / y*rr,0„ e, P,d,^y„„ /^ftr < 0«>9. /V'j..1- ---<i\"•v:J. ¥ < iu.hy J Me A//;tfer / ^>o,f OnJi^yioty • »-lis* ✓r Spaf%\rn •9 -f ~----------in’ V 'a 7/. ^7 <^l*n Z. lar-d i)aa Nm. iio^7i, D^Hc^ P/o^m/'*90. n >y p yrn X of I • N.41 n LjAND SSOUTH UNION FAL-L.S, MINN <21 8> 7^39—5 FETRgu^^ > (\s/ /'f■/':3 ^4j j I'lO -A.r C. <9^ C^i \0^^’ ‘^2538^ / /E’ x • ^ 7.' rJn /^U u.^' //7> ' / .■^----------------'N, 'v. ^■ #|"= xoo / Vrr,c„ e. P,d,rron J /V « <.• -- .——£*'• I 4‘y*'y‘ f iu/<x Me A//,rrcr' m0»k\f/e .f Dnd,K ) ff V Lorc7 iMc Nm. ^ yrn^ 3»mk X D Pre-Application Site Inspection Request Lake / River No. Lake / River Name Lake/River Class Section Twp Name <^*5.4 losi fj h Parcel(s) No.Property (E-911) Address Co H-w^ ^ U)c> 3if Property Owner Information: (^cij>l£ /^Soy'-f U k/ c)6>(J cj 5^ 5" Name(s): Address; Daytime Phone: Type of Request: Bluff:Determination Stake Setback Verify Setback OHWL:Determination Stake Setback Verify Setback Stringtest:Determination Non-Conforming Repair or Replacement Structure: Miscellaneous:______ Describe Request: Confirm Consistency With Existing Structure i^^IccC'C ^cuMvil IdCaA^n [ , \ Cko\yi^i(J \ A scale drawing must accompany Pre-Application Site Inspection Request *' & request must be staked onsite V (d.i. Property Owner Date aM\Received By: 7 esource Management Staff Date INSPECTION COMPLETED (Inspection must be done within 10 days of receipt): ./ Date Property Owner NotifiedDate Onsite Inspector (Inspector must provide site drawing or field notes on other side.) mbovmian Application & Forms Pre-Application Site Insp Request Form10/1/07 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 DESCRIPTION ^45 BLUFF ZONEAND □ YESLOCATION 1^0 LAKE NUMBERS.KE/RIVER^NA^LAKE/RIVER SECTION TWP NO.RANGE TWP NAME cP NO— PARCEL NUMBERyS)TOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS FIRE NUMBER IDENTIFICATION: Please Print All Information TELEPHONE NO. Last Name______________ First ^ Initial Maijyig Address — No. Street, City, State, and Zip Code__________ I /tnA JjPy i'UVOa A4A/, (Daytime) Property Owner T NameContractor State Lie. # PROPOSED PROJECT ^OPOSED USE ^towelling (p44Jon-Dwelling ( ) Water Oriented Accessory Structure (WOAS) ONSITE WATER SUPPLY ONSITE SEWAGE TREATMENT SYSTEMStructure(s) )MH/RV r ) Public ( )None dividual Xu ^ ( ) Collector Permit It i )OTLSD ndividual Permit It C YEAR CHARACTERISTIC^ OF NON-DWELLING ( ) Garage Utility Structure CHARACTERISTICS OF WOASCHARACTERISTICS OF DWELLING ( ) BoS^house ( ) Screen Porch( ) Dwelling ^ l^^ddition to Dweiling i ( ) utility Structm( ) Gazebo( ) Other Outside Dimension ( ) Basement ( ) Walkout Basement / ^ FI ,Ft. X ( ) Other, Outside Dimension Ft. /(£Outside Dimension erJ)Ft.Lotline Setbacks .Ft.&Ft. X .Ft.CL-Ft.Lotline Setbacks OHWL Setback Lotline Se^deks Ft. Bathroom: ( )Yes OO' (If Yes / a complying Sewage System Required) OHWL Setback o OHWL Setback .Ft. Total Bedrooms Maximum H^ht / 3J9^t. (2 story)Maximum Height / 10 ft. (1 story)Maximum HeigIn /18 Ft. (1 story) %Impervious Surface RatioSq. Ft. Impervious Surface Sq. Ft.Lot Area 3 Ft. (3’ minimum)Ft. Eievation of lowest floor above OHWLWater Frontage Ft. Slope of lot .%Structure setback to right-of-way Ft. (10’minimum) (Sewage System Permit required before installation).Structure setback to septic tank Ft. (20’minimum) (Sewage System Permit required before installation). Ft. (10’minimum) (Sewage System Permit required before installation). Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System 7 THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. Dated: Signature of Owne^4 /Y4yDated: Land & Resource Managerpant Offio»*******^ RECEIPT NO.PERMIT FEE $ "4 Comments: \Ah Ipyj- C(yp 281.017 • Victor Lundeen Co., Printers • Fergus Falls, MN • 1 •800-346-4870Form No. BK — 0496-002 7 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.J,LEGAL DESCRIPTION BLUFF ZONEAND□ YES ^ NOLOCATION TWP NAMESECTIONTWP NO.JXke/riverna^ I r\ Ql-ii'kJ lc\^ lake/river rangeLAKE NUMBER V ( f --- PARCEL NUMBERXS)TOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS FIRE NUMBER ":j'a-oo!)-zsi-oz-^Z-ooI IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and Zip Code (Daytime)Last Name______________ First Initial blL\/aProperty Owner sz y NameContractor state Lie. # ONSITE SEWAGE TREATMENT SYSTEM^^ Q. ^ PROPOSED PROJECT (^OPOSED USE Structure(s) i;;/p^welling >j^dition(s)^ip. ^ (^on-Dwelling ( ) MH/RV ^'A ,rT7G \ ( ) Water Oriented Accessory Structure Z yeafT^'-G' tv \ (WOAS) ONSITE WATER SUPPLY { ) Public ( ) None dividual XL ^ { ) Collector Permit It ( jOTLSD Individual Permit # 2^ CHARACTERISTICS OF WOAS ( ) Boitlhouse ( ) Screen Porch CHARACTERISTICS OF NON-DWELLING { ) Garage Utility Structure CHARACTERISTICS OF DWELLING ( ) Dwelling ^ pxLAddition to Dwelling . ( ) Basement ( ) Walkout Basement ' / ^ Ft.x /Ft. ( ) Utility Structui( ) Gazebo( ) Other Outside Dimension i/Q—Ft.x Ft. C7) Ft. & S> O^t. Ft. ( ) Other, Outside Dimension Outside Dimension Lotline Setbacks .Ft. Lotline Setbacks OHWL Setback .Ft.Lotline Setbacks1Bathroom: ( )Yes (If Yes / a complying Sewag^System Required) OHWL Setback )No .Ft.OfML Setback, Total Bedrooms Maximum Height / 10 ft. (1 story)Maximum Heigtn / 18 Ft. (1 story)Maximum Hi -.Sq. Ft. Impervious Surface Ratio .%.Sq. Ft. Impervious SurfaceLot Area 3 .Ft. (3’ minimum)Ft. Elevation of lowest floor above OHWLWater Frontage %Ft. Slope of lot .Ft. (10’minimum) (Sewage System Permit required before installation). .Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to right-of-way. Structure setback to septic tank Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System UZ2 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. 7 . ‘7' SignaXufB oX Owner Dated: %\t-S^Dated: Land & Resource Managei kRECEIPT NO.PERMIT FEE $€ Comments:7/ - ^ /.rLit-e j kii'\ Pi C„A 281.017 • Victor Lundeen Co . Printers • Fergus Faffs. MN • 1-800-346-4870Form No. BK — 0496-002 X,\ INSPECTION RESULTS Make all measurements and computations g^4-'h Ft.Structure Set Back from Ordinary High Water Level Ft. Ft.Ft.Structure set Back from Top of Bluff Ft.Ft.Structure Set Back from Road Right of Way /gt>-^ Ft. & Ft.//C/or Ft. & Jtnnf- 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 Elevation Of Lowest Floor Above Ordinary High Water Level____________________3 to Ft.Ft. %%Land Slope at Building Line Inspector’s Comments / Sketch:, 4-i < 3 X n Inspecto's Signatui t2%Date of Inspection j6=^- Time of Inspection ---------- .............—.1 ; .V /{. !\\/!i!I!!:o !!\iII!!?III i!I/ :Ihiu\ /// //n (ii I IIII/ // / /■ /// III . / M);‘/ III I 05k7i■/! / ^i ;!• i ■ i IiU.\'r~G 9ALOYS/US 6 LULA " MCALLISTER 0TS2p. SEC. 29.~rj34N.-R.4JW. 0.22 A. NFC, el CLENN L8 V KA.YE ,\A TRACT iN GOV'T. LC1S233.■a A TRACT IN GOV'T.NEC. 10VERNON E. PEDERSONT. LOTS 283, SEC. 29-T.l34N.-R.4IV/. 0.36 A. S.E. 0.02 A. NEC. 6ROY M. a BETTY i. SKRAMSTAD GOV'T. LOTS 2 8 3, SEC. 29-T.I34N.-R.4IW. 0.10 A.S.E. 0.0! A. NEC. 5GOV'T. L0^7!~S^.J^8:^TI^^^ GOV'T. LOT 1. SEC. 29-T.I34N.-R.4IW. 0.40 A. S.E. 0.08 A. GUTTER-TQ7END CURL i.\\Sr. 0.07A.A TRACT IN COV -t-OTREG. CURB SLtHJLTTER (DESIGN B6I8/> ^0 \ \\\ \ \/? / I White — Office Yeliow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Permit No..LEGAL DESCRIPTION C^L- ^ c:S? Sb-ow /'Dm,.'ikiP (uM 1^ Lake No._______Lake Name Lake Classif. AND LOCATION ( TWP NameS3_ JM. _HLSec.TWP Range IDENTIFICATION: Please Print All Information First Tel. No.Zip No.t Initial Mailing Address— No. Street. City and State_________ ■Aiy. /?/Last Name rJ)F^hA /r>voOwner tNameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE;TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: CtdAitL^Specify:.( ) New Building ( ) One Family Dwelling ( ) Multiple Dwelling Other UnitsAlteration/ ( ) Other Size ESTIMATED COST OF IMPROVEMENtIs DIMENSIONS:TYPE OF SEWAGE DISPOSAL: ( ) Public Individual Septic Tank WATER SUPPLY: ( ) Public (Individual Well PRINCIPAL TYPE OF FRAME; ( ) Yes No Stories above basement: ...... ( ) Masonry Wood Frame ( ) Structural Steel ( ) Other — Specify Basement:s>.Sq. feet (outside dimension) n .4Bedrooms ............L-^..........Baths CHARACTERISTICS: Water frontage is Maximum depth of lotfeet. feet.square feet.Lot Area is .......7J5..feet. (Building Line)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 3 feet ■3.Q..■feet.feet — from road right of way is ID.LO..feet.and /o .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 AD..Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STA TE 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. lo - y— 8^/Dated. •wnerSignature of O Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. 3000 Dated Shoreland Mana^emei/t Official 99.^01Permit Fee $.Receipt No.a Comments: Form No. MKL-0286-019 229971® VICTOR Hf.VOGEN CO.. PRINTERS. FERGUS FALl.S. MINN. Whtte - Office Yellow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Permit No„LEGAL DESCRIPTION V. AND .' 7. ■ LOCATION Sec.TWP NameRangeTWPLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateInitialFirstLast Name Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:.( ) One Family Dwelling I ) Multiple Dwelling ( ) New Building ( ') Alteration Units /1'( ) Other Size( ) Other ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms .............................. ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ...a./>; Baths CHARACTERISTICS: I feet.feet.Maximum depth of lotWater frontage issquare feet.Lot Area is feet. (Building Line)Building set back from high water mark is..................... Land height above high water mark at building line is Building set back from State highway right of way..... Side yard is ..................... Structure will be located feet.'.Ti.... .feet.feet — from road right of way is ..............feet. .feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation). 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 ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. 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 conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated Shoreland Management Official Permit Fee $.Receipt No. Comments: rm No. MKL-0286-019 229971@ VICTOR LUNOEEN CO.. PRINTERS. FERGUS FALLS. MINN. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS Jr MINIMUM Shall Be 4-Sq. Ft, Lot Area (Square feet)Sq. Ft.Sq. Ft Water Frontage Ft.Ft. 1'^0'3 e><3Building Set Back from High Water Mark Ft. Building Set Back from State Highway Ft.50 Ft. rBuilding Set Back from Street or Road 40 Ft.Ft. ^ Ft.Side Yard &&Ft. Rear Yard Ft.Ft. V-Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________/O Ft.3 Ft. \tInspector's Comments: V %!v ■ .fr-.. : /rv\ Inspector s Signature Title Inspection Dated it- ■^>4 19 Agency VICTQI UJHOCCH » M ratHTCM, ftlttUt rM.kl. NIIIK. m feet)inchesScale: Each grid equals GRID PLOT PLAN SKETCHING FORM / Dated:19 Signature Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each building currently on lot and any proposed structures. , I „ OH n>\itJKsiloifiyikir Tim.ir\ 131 p I J /) ^ / i J ii.0 yth fjdN /ll.:g 1 h 21598 7®MKL-0871-029 VICTON LUNOetN CO.. PKINTEftS. rEH6US FALLS. WINN. White — Office Yellow — Owner Pink — Assessor Goldenrod — inspector 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 Permit NoLEGAL DateDESCRIPTION AND LOCATION ^9 <J! TWP NameLake No. Lake Classif.Lake Name Sec.TWP Range IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No. /d/h Ji Qyl^ i rrvrid?, /^/-lr~iOwner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: iX) One Family Dwelling ( ) Multiple Dwelling ( ) Other ( ) New Building (M^lteration Specify:. ~tlOuJbiAUnits IM X( )Other Size 3000ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) PytJlic (■^ Individual Septic Tank, etc. WATER SUPPLY: ( ) ^blic (j.>nndividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: ( ) Yes ( Stories above basement: Sq. feet (outside dimension) Bedrooms I I Baths HEATING: ( ) Electric ( ( ) Coal Other: Type of Roof:(( ) Oil (*<No { ) None ( ) Unit CHARACTERISTICS: ....ALot Area is .............squaie 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 .601.feet — from road or street is feet. .:2Q..^.o.3..0.t.and feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation). ..........feet from soil absorption system (Cesspool, Drainfield, etc.). feet. lQ.t 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.,__-iS 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 the express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit Permit: revoked at any time upon violation of said ordinances. 6 -S^-~ILDated Shoreland Management Official211LllPermit Fee $.State Surcharge $. Comments: Form No. MKL-0771-002 I .,..158899VICTftt U>N»ltN 4 C«..■ Tt« SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY White - Office Yellow — Owner Pink — Assessor Goldenrod — Inspector Permit No„/-LEGAL Date.DESCRiPTION . 'iAND LOCATION Lake No.Lake Name Lake Ciassif.TWPSec.TWP NameRange IDENTIFICATION: Please Print All Information Last Name First Initiai Mailing Address— No. Street. City and State Tei. No.Zip No. Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) New Building ( ) Alteration ( ) One Family Dwelling I ) Multiple Dwelling Specify:. Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRiNCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms Baths HEATING: ( ) Electric ( ) Gas ( ) Coal Other: Type of Roof:( ) No ( ) Oil ( ) No ( ) None ( ) Unit CHARACTERISTICS: 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 feet — from road or street is feet. .......................................feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). and feet. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. 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 conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated Shoreland Management Official Permit Fee $.State Surdiarge $. Comments: 2i. 0^ Form No. MKL-0771-002 viCTfti lummkh « CO.. ooiHTCiio. rcoouo ruLLO. 158899 1 S5 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS MINIMUM Shall Be X Sq. Ft Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. Building Set Back from Street or Road Ft.40 Ft. Side Yard &Ft. &Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: 1 Inspector's Signature Title Inspection Dated 19 Agency vicToit kuHeiCH t M . Miarti