HomeMy WebLinkAboutNorthshore Resort_37000990225000_Shoreland Permits_OTTER TAIL COUNTY
Land & Resource Management
Phone (218) 998-8095
PERMIT TYPE SITE AND LOT ALTERATION
PERMIT (COMBINED)
PERMIT NUMBER 31664
PROPERTY OWNER Scott W & Stephanine K Boucher
LAKE INFORMATION Lida
DNR ID(S)747
LOCATION
Parcel(s): 37000990225000
Township Name: Lida Township
Property Address(es): 26438 CO HWY 4
Section/Township/Range: Sect-14 Twp-136 Range-042
Legal: CRYSTAL-LIDA BEACHES LOTS 8 & 9 BLK 1
WORK AUTHORIZED
NON-CONFORMING REPAIR/REPLACE:
Replace a 24'x30' section of the existing roof on the main dwelling. Structure to be no taller than 24' at
completion. Pitch will change slightly due to use of engineered trusses. See attached drawing and picture in work
authorized tab for location.
There is no earthwork to be done with this permit.
Brittany A. Tollefson 04/09/2021 08:25 AM
1943c0bd8e947c0fd255bba84ce22de3
baa0f30b0aa0a3f00b6d 149741 c74d87 04/09/2021 04/09/2022
Land and Resource Management Official/Date ISSUE DATE DATE EXPIRES
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.
Otter Tail County
o^^AiL Land & Resource Management Shoreland Inspection Form
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Permit No.Contractor
Date of Inspection Inspector Type of Permit Structure Permit □ Shoreland Alteration Permit
a
Structure Inspection Shoreland Alteration Inspection
KlonCorvfwR'tfto
fa ipkxtjType of Structure -YES-Project completed per permit *lf no, explain in comments
Type of ExcavationIfstructure Height ft ft
Rprrfoving Material Off Site□ Grading □ Filling □
Type o^^rial UsedI
Structure Length ft ft
□ Class V □ AsphaJ □ Concrete □ Gravel
□ Crushed Concrete □ Washed Sand □ Black Dirt24’structure Width ft ft ft
□ Pit Run Material □ Natural □ Other
SETBACKS yd^Estimate of total material moved
OHWL ft ft
Erosion Control
Erosion Control Provided □ YES □ NO □ N/A
Top of Bluff ft ft ft
If Yes, type of erosioh»<jontrol provided
□ Sod □ Turfs;□ Hydroseed □ Silt Fence/OQ*'Road R.O.W.ft ft ft
□ Erosion Control Blanket □ Other.Straw Mat
Property Line Impervious Surf^(ft ft
N S W^
Impervious Surface Change □ YES NO
Property Line ft ft ft0E Type ofjpif5^ious SurfaceN S
□ Class V □ Asptt^□ Concrete □ Gravel □ Wood10^Septic Tank ft ft ft
□ Crushed Concrete □ Pavers □ Rock
□ Pit Run Materi;□ Other
Soil Treatment Area ft ft ft
Non-permeabfe liner under product?□ YES □ NO
5^Property's Total Impervimis Surface Coverage
After Project CompletionLowest Floor to OHWL ft ft ft %
Oo l\vjv| 4Map of Project
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□ Photos Taken
Comments:
:
Final Inspector Signs
895704 • Victor Lundeen Co.,IRrinters • Fergus Falls, MN • 1-800-346-4870.
■:
1
Land & Resource Management
Government Services Center
540 Fir Avenue West
Feiigus Falls MN 56537
Phone: 218-998-8095OTTCR miloovtiTT'ininniioTR
Site Permit Appiications SiTE AND LOT ALTERATION PERMIT (COMBiNED) Permit # 31664, App. # 2245, UID # 16731
Valid: 04/09/2021 - 04/09/2022
Applicant Information
Applicant Information Name
kelly leo funk
Phone:
{218 )731 -2442
Email Address:
kellyjamiefunk@yahoo.com
Mailing Address
20306 432nd St
Pelican Rapids MN 56572
am the:Contractor
Property Owner's Contact Information
Property Owner Contact Information
Name
Scott and Stephanie Boucher
Phone
(480 )652 -8091
Email Address:
ssboucher@msn.com
Mailing Address
2392 West Enfield Way
Chandler AZ 85286
Work Performed By (Site Permit)
Work to be performed by
(Site Permit):
Contractor
Contractor's Contact Information (Site Permit)
Contractor Information N^me
Kelly Funk
Company or Business Name
Kelly Funk Construction Inc
Contractor License Number:
BC 626679
Phone
Additional Phone
(218 ) 863 - 4982 (218 ) 731 - 9782
Email:
kellyjamiefunk@yahoo.com
Address
20306 432 nd St
Pelican Rapids MN 56572
Work Performed By (Lot Alteration Permit)
Work to be Performed by
(Lot Alteration):
Contractor
Contractor's Contact Information (Lot Alteration)
Contractor Information:Name
kelly funk
Company or Business Name
Kelly Funk Construction Inc
Phone Additional Phone
(218 )863 -4982 (218 )731 -9782
Email
kellyjamiefunk@yahoo.com
Address
20306 432 nd St
Pelican Rapids mn 56572
i ‘Property Information
Project Location:
Property Attributes Property Address Legal Description Primary Name/Address
Parcel #Property Address City Legal Description Primary Address Line 1 CityName
PELICAN
RAPIDS
37000990225000 26438 CO HWY 4 SCOTT W &
STEPHANINE K BOUCHER
CHANDLER2392 ENFIELD WAY W
Lot Area:24382 Square Feet
DevelopedIs the property Developed or Undeveloped?
On Site Sewage Treatment System: New Proposed System
Onsite Water Supply
NOTE: MN Rules Chpt. 4725
(MN Well Code) requires a
3' (minimum) structure setback
to a well.
Individual
Shoreland Information
Associated Lakes:
Lake Name DNR ID Lake Class LR CD
Lida 747 GD 56-747
Water Frontage:117 Feet
Bluff:No
Proposed Project (Site)
Proposed Dwelling:
Is there an Attached Garage?
Proposed Non-Dwelling:
Proposed Water Oriented
Accessory Structure:
Please list outside dimensions (in 24 x 30 roof truss replacement feet)
of above items you are applying for:
Other
No
None
None
Characteristics of Proposed Dwelling
Please identify the parameters of
the Dwelling:
New or Replacement:
Square Feel:
Maximum Proposed Height:
Setback to Lot Lines
(indicate (2) closest lot lines):
22 X 36, 24 X 40 house, removing damaged rafters on 24 x 32 section, replace with engineered trusses
Replacement
720 Square Feet
24 Feet
16 Feet
42 Feet
Setback to Right of Way:
Setback to Ordinary High Water Level:
106 Feet
67 Feet
Setback to Septic Tank:23 Feet
Setback to Drainfeld:27 Feet
Setback to Bluff:0 Feet
Elevation above Ordinary High
Water Level:
4 Feet
Total Bedrooms:3
Roof Change:Yes
Proposed Project (Lot Alteration)
Project Type:Other Project Description:roof replacement
Foundation Type:Crawlspace
Area to be Cut/Excavated
Length:0 Feet Width;0 Feet 0 FeetAverage Depth:0 Feet Total Cubic Yards:0 Length:
rCaleulato I
Width:0 Feet Average Depth:0 Feet Total Cubic Yards:0 0 Feet Width:0 FeetLength:
I Cflleulate |
Average Depth:0 Feet Total Cubic Yards:0
I Cflleulate]
Walk-Out Basement Project
Length:0 Feet Width:OFeet Average Depth:0 Feet Total Cubic Yards:0
I Caiculato]
Area to be filled/Leveled
Length:0 Feet Width:0 Feet Average Depth:Total Cubic Yards: 0 Feet0 Feet 0
I Caiculato"!
Length:
Width:0 Feet Average Depth:0 Feel Total Cubic Yards: 0 Feel0Length:0 Feet Width:
I Caleulaie |
Average Depth:0 Feet Total Cubic Yards:0
[Calculate]
Backfill at Foundation
Linear Length:0 Feel Average Width:0 Feet Average Depth:OFeet Backfill Total:0
I Caleutatel
Culvert and Road Authority
Culvert?No
Road Authority Approval:No
Impervious Surface - Buildings
Dwelling Existing.
Attached Garage Existing:
Detached Garage Existing:
Storage Shed Existing:
Water Oriented Accessory
Structure Existing:
Recreational Camping Unit Existing:
Miscellaneous Existing:
1586 Square Feet Dwelling Proposed:
Attached Garage Proposed:
Detached Garage Proposed:
Storage Shed Proposed:
0 Square Feet
0 Square Feel 0 Square Feet
0 Square Feet732 Square Feet
77 Square Feet
1394 Square Feet
0 Square Feet
Water Oriented Accessory
Structure Proposed:
0 Square Feet
0 Square Feet Recreational Camping Unit Proposed:0 Square Feet
807 Square Feet
Total Building Existing Impervious: 4596 Square Feet I Cn'rttiptp I
Miscellaneous Proposed:0 Square Feet
0 Square FeetTotal Building Proposed Impervious:
Impervious Surface Calculation - Buildings
Total Building Existing Impervious: 4596 Square Feet
Total Building Proposed
Impervious:
Total Building Impervious Surface: 4596 Square Feet right
24382 Square Feet
0 Square Feet
Lot Area:
Impervious Surface Ratio:0.1885
Buildings Impervious Surface Percentage:18.85 %
Impervious Surface - Other
Deck(s) Existing
Patio(s) Existing;
Sidewalk(s) Existing:
Landing(s) Existing:
Driveway(s) Existing:
Parking Area(s) Existing:
Retaining Wall(s) Existing:
Landscaping Existing:
Miscellaneous Existing:
Other Existing Total:
50 Square Feet Deck(s) Proposed:0 Square Feet
226 Square Feet Patio{s) Proposed;
Sidewatk(s) Proposed;
Landing(s) Proposed:
Driveway(s) Proposed:
Parking Area(s) Proposed:
Retaining Wall(s) Proposed:
0 Square Feet
745 Square Feet
279 Square Feet
0 Square Feet
0 Square Feet
3120 Square Feet 0 Square Feet
0 Square Feet1496 Square Feet
232 Square Feet 0 Square Feet
0 Square Feet Landscaping Proposed;
Miscellaneous Proposed:
Other Proposed Total:
0 Square Feet
428 Square Feet 0 Square Feet
6576 Square Feet 0 Square Feet
Impervious Surface Calculation - Buildings & Other
Total Building + Other Existing
Impervious:11172 Square Feel
Total Building + Other Proposed 0 Square Feet Impervious:
Total Building + Other Impervious 11172 Square Feet
Surface:
Lot Area:24382 Square Feet
Building + Other Impervious
Surface Ratio:
0,4582
Building + Other Impervious
Surface Percentage:
45.82 %
Shore Impact Zone Impervious
Building(s) Existing:
Deck(s) Existing:
Patio(s) Existing:
Sidewalk(s) Exisiling:
Landing(s) Existing;
Driveway{s) Existing:
Parking Area(s) Existing:
Retaining Watl{s) Existing:
Landscaping Existing:
Miscellaneous Existing;
Total Existing Impervious in the
Shore Impact Zone;
Total Impervious in the Shore
Impact Zone:
879 Square Feet Building(s) Proposed:
Deck(s) Proposed:
0 Square Feet
0 Square Feet 0 Square Feet
0 Square Feet
516 Square Feet
Patio(s) Proposed:0 Square Feet
Sidewalks(s) Proposed:0 Square Feet
279 Square Feet Landing(s) Proposed;
Driveway^s) Proposed;
Parking Area(s) Proposed;
0 Square Feet
0 Square Feet
0 Square Feet
0 Square Feet
0 Square Feet
272 Square Feet Retaining Wall(s) Proposed:0 Square Feet
0 Square Feet Landscaping Proposed:
Miscellaneous Proposed:
0 Square Feet
0 Square Feel 0 Square Feel
0 Square Feel1946 Square Feet Total Proposed Impervious in the
Shore Impact Zone;
1946 Square Feel I r . r
Documentation
r IPLEASE NOTE PROPOSED
PROJECT AREA MUST BE
STAKED
IFilel: ■ CAMP BOUCHERpdf
Attach Supporting Documentation;
Total Proposed Area to Determine 720 Square Feet
Fee:
Total Earthmoving Request to
Determine Fee:
0 Cubic Yards
Applicant Approval
Applicant Signature:funk, kelly I
Date Signed;03/21/2021
Please check to approve:I understand that checking this box constitutes a legal signature
brilneyAttention:
Comments;don’t know what time frame of accepting permit, but would like to know if i could order trusses, they can be quite a ways out. they're working on
doing more work done out there, will be removing buildings and impervious surfaces to get down to allowable amount, not sure they can get it done
next few weeks.
Terms
MINNESOTA STATUTE 15.99, SUBDIVISION 2
I UNDERSTAND THAT IN ACCORDANCE WITH MINNESOTA STATUTE 15.99, SUBDIVISION 2, OTTER TAIL COUNTY HAS UP TO SIXTY (60) DAYS TO REVIEW AND
APPROVE OR DENY THE PERMIT APPLICATION. DURING THE COVID-19 PUBLIC HEALTH EMERGENCY DECLARATION, OR UNTIL DECEMBER 31,2020, WHICHEVER
COMES FIRST, IN ACCORDANCE WITH MINNESOTA STATUTE 15.99, SUBDIVISION 3 (F), OTTER TAIL COUNTY HAS EXTENDED THE REVIEW TIME BY AN ADDITIONAL
SIXTY (60) DAYS, AND HAS UP TO ONE-HUNDRED AND TWENTY (120) DAYS TO REVIEW AND APPROVE OR DENY THE PERMIT APPLICATION.=;
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
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 accordingito 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 #10362 (04/07/2021)
Charge Quantity TotalCost
Site & Lot Permit Fee#2A (261-1,000 Sq Ft and 0 Cubic yds) added 04/07/2021 11:36 AM
$210 Fee
$210.00$210.00 X 1
Grand Total
$210.00Total
$210.00Payment 04/07/2021
$0.00Due
Approvals
Approval Signature
#1 Received and Assigned I Brittany A. Tollefson - 04/07/2021 8:47 AM Icedcle2dd5345055b7f27c69f7315bdl
,Cdc94b7ab3be64cbe5d331f387538f88
: Brittany A. Tollefson.- 04/09/2021 8:25 AM !b675166aa92dde9cl440fba8b2ec4646
i4de4aab715f701539819bb6053feee43
#2 Permit Review
#3 Permit Review i Brittany A. Tollefson - 04/09/2021 8:25 AM 4fa65c7c2f5a7a6dbde5a50f420a2364
:45301b7clb24b68e98db8c9656b05blb
i Brittany A. Tollefson - 04/09/2021 8:25 AM I1943c0bd8e947c0fd255bba84ce22de3
baa0f30b0aa0a3f00b6dl49741c74d87
#4 Permit Issuance
Public Notes
Text:
File(s):L ]
Internal Notes
Text:
File(s):L J
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Camp Boucher Lot Coverage Calculations
Lot Size
Using map, average of lot width * .ivpragn of lot dopth
Calculation
Width ([58 40+58 60+60 00+65 001/2] >- Opp»h -’[205 00+158 %i/2t
121 00 X 201 50 = 24,381.50 sq ft
Building Coverage [see second page for non-square area calcu[atLor_s)
Wain House = 1585 S'".
Cabin 1 =498.81
Cabin 2 = 387 60
Cabin 3 = 507 52
Cabin 4 ^ 371 38
Bait = 165 00
Shower = 201.35
Garage = 732 44
Fish = 69 90
Shed = 76 70
Total = 4,596.54 soft
Percent Building Coverage = 18.85%
“otal Bjildmg Coverage 14.596 54) / Lot Site (24,381.50)
Covered Surfaces (see second page for non-square area calculations):
SI = 36 20 CPI = 66 64
CP2 = 239 23
CP3 = 108.38
CP4 = 14 00
Patio = 225 68
Deck = 50 03
Road = 3120 00
Parking = 1496.00
Launch = 279 15
52 = 60 00
53 = 103.50
54 = 5151
55 = 33 24
56 = 7S 50
57 = 8001
SS = 210 99
59 = 61 74
510 = 85.50
S:i = 21 00
Total = 6,422.30 sq ft
Percent Covered Surfaces = 26.35%
’’otal Covered Surfaces ::6,422 30) / Lot Size (24,351.50)
Percent of Total Building and Covered Surfaces Coverage= 45.2%
Camp Boucher Lot Coverage Calculations
Calculation of Non-Sauare Areas
Main House
Part A r 7'6" x 23 = 172 50
Part B = 24'6" X 32'2'^ 788.09
Part C = 20'6" x 30V = 625.25
Total = 1585.84 sq ft
i/12--0 08
2/12 = 0 17
3/12 = 0 25
4/12 = 0 33
5/12 = C 42
6 /12 = 0 56:
7/12 = 0 58
8/12 = C 67
9/12 = 0 75
10/12 = 0 83
11/12 =0 92
Cabin 1
Part A = 16'3 "x28'8' =465 89
Part8 = 6'4"x5'15" = 32.92
Total = 498.81 sqft
Cabin 2
Pan A = 201' X 16'3" = 326 30
Part B = 10' x6'1.5" =61 30
'otal = 387 60 sq ft
Cabin 3
Part A = 26' x 14'6.5" = 378.04
Par; 3 = 6' x 2i'7" = 129.48
Total = 507 52 sq ft
Cabin 4
=ar A = 10 4" X lO'l" = 104 13
=an 3 = lA'?" X 18'4" = 267.25
Total = 371.38 sqft
Patio
Par A = 9'll' xl2' = 119.04
Part B = 13'4" xS' = 106 64
Total = 225.68 so ft
otter Tail County Web Map
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APPLICATION FOR GRADE & FILL PERMIT
LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL
GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537
218-998-8095
www.co.otter-tail.mn.us
Permit No.PLEASE PRINT OR TYPE ALL INFORMATION
TWP NAMELAKE/RIVER NAME LAKE/RIVER SECTION TWP. NO. RANGE ........
/V I'i/fi duhCo)
PROPERTY (E-911) ADDRESS
LAKE/RIVER #
PARCEL NUMBER(S)
L^L DKCRlWlON \ ^ /.
O'S
/M/C
yPAYTIME~Phone No.3 Mattme*AddressFirstLast Name Initial
u.a.C?38 4Property
Owner
Contractor
Name
NOTES: 1. The lotlines and project area(s) must be staked.
2. If project disturbs more than 1 acre of land you are required to obtain a General
Storm WafeTsPermit from the MPCA.
4(^/D-7AReceived
DATEL^ Official
PROJECT REQUEST (You may use the grid on back for required scale drawing):
DESCRIBE YOUR PROJECT(S): f ks
Vl \A(l.-^'TO 3 LjU) c^<.
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DETAILED INFORMATION:
Ft.Ft.AREA TO BE CUT/EXCAVATED:Ft.
Maximum DepthLengthWidth
Ft. Ft.AREA TO BE FILLED/LEVELED:Ft.
Maximum DepthWidthLength
Ft.SLOPE OF BACKFILL AT FOUNDATION:Ft.
Distance Extended From FoundationMaximum Depth
CULVERT:If Yes, must indicate size and location on drawing.
Yes No
TYPE OF SOILS AND/OR FILL MATERIAL:
TOTAL CUBIC YARDS OF EARTHMOVING REQUESTED:
1
4-’^-0 7^v-a.
mi RECEIPT NUMBERSIGNATE OF PROPERTY OWNER/AGENT FOR OWNER DATE
BK0606
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