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Home My WebLink AboutOtter Tail Lake Campground_25000030014001_Shoreland Permits_LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE -jOffice GQLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor receivei^eceived JUN 2 ♦ 209(jl . 2 2001 LAND & n Permit NO./PLEASE PRINT OR TYPE ALL INFORMATION LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER SECTION RANGETWP NO.TWP NAMECLASS011-erta.U IS3AI \ */ou) \ Evcrf--;3 PARCEL NUMBER (S)E-911 ADDRESS XSoODO ‘^OOf 4-001 7^03LEGAL DESCRIPTION Ij n I /P-f, S^liL Pi~GrL5i P-hQ-L4 Com Car B- 1352? | Last Name First Initial Mailing Address Daytime Phone No. uleu'n^y^Thi.tl_______ )/\\N 3'jyS~(S~ fY\a\ “str^Q ry-, T/ortf‘»i4~ A 04figr~nL. 1 La-V6^ Property Owner I Contractor Lic.« PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling (4 ) MHACR ( 7 ) Add’n To Non-Dwelling (10) Other____________ 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 ( ) Permit No. OTLSD * This permit is only valid after verificalion ' from the O.T.L.S.D. that a conforming (2 ) Add’n to Dwelling ( 5 ) RCU/Year______ ^(~?j)Storage Structure ___ 'Existing Dwelling to be removed before. ( 3 ) 'Replacement Dwelling ( 6 ) Detached Garage (9) WOAS sewage system will be installed to service this lot contact Rollie Mann at 8S4-5533. CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED NON-DWELLING CHARACTERISTICS OF PROPOSED WOAS Outside DimenShm Setback to Mjline ___ Setback to Rigl^^a(Way Setback to OHWL Elevation Above OHWL Setback to Septic Tank__ Setback to Drainfield__ Setback to Bluff / Ft. Maximum ProposecHHeight___ Basement / Yes Walkout Ba^ent Total Bedritoms Outside Dimension Outside Dimension Setback m^tline___ Setback to RighLrf Way Setback to OHWL \ Elevation Above 0HWL\ Setback to Septic Tank__ Setback to Drainfield / Setback to Bluff / ___Ft. X lO Setback to Lotline Ft. & Ft. X Ft."Ft.”Ft.x / Ft."Ft.&Ft."Ft.& Ft."/Setback to Right of Way Ft." Setback to OHWL Ft. Elevation Above OHWL Ft. Setback to Septic Tank_______ Setback to Drainfield________ Setback to Bluff aJ/j^ Ft. Maximum Proposed Height___ Bathroom Proposed ( ) Yes (^ No Ft. t. X Ft.Ft. y F, \Ft. Ft. Ft. Ft.Ft. ^____Ft.No Maximum Prop^d Height ( ) Boathoi^ ( ) Screen Porch ( ) Gazdoo ;t. Yes No ( ) Storage Structure **Project/Lotlines/Right-of-ways Must be Staked Onsite Spoil Disposal □ Onsite (scale drawing required) □ Offsite □ Within Shoreland Area □ Outside Shoreland Area Grade/Fill/Excavation **Project/Lotl i nes/R I g ht-of-way s Must be Staked Onsite□ Yes (scale drawing required) 'SaNo CHARACTERISTICS OF LOT: Lot Area ^.Yes X No.Sq. Ft.Water Frontage .Ft.Bluff Onsite./ j/ Impervious Surface Ratio:o—'X100 =.%Total Impervious Surface Onsite (FT^)Total Lot Area (FTr)Impervious Surface Ratio TW/S /S A SUE 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 buiiding footings have been constructed. Signature j/^^roperty Owner Land S^esource Management Office Date: Date: 75PERMIT FEE $RECEIPT NO. Project/Lotllnes/Right-of-Way MUST be Staked Onsite Prior to Submission of Application.Comments: Form No. BK — 0500-0201 304,202 • Victor Lundeen Co.. Printers • Fergus Falls. MN • 1-600 LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE - Office GOLDSNROD - Inspector YELLOW - Owner (after issue) PINK - Assessor expired Permit No,PLEASE PRINT OR TYPE ALL INFORMATION SECTION TWP NO.RANGE /S5W' t/Cu) TWP NAMELAKE / RIVER NO, -J ic- LAKE/RIVER NAME LAKE/RIVER ^ I i i . I . CLASS.0-H-eriTa.\^3<■ *. E-911 ADDRESSPARCEL NUMBER (S) / SkLtfi^y'3}'dLt/Z6oc€0 ^.oci4cot \^fl-o3 \ ^LEGAL DESCRIPTION% su)'Ih, Ft-e-LS,ddir \352)APA’drL‘4 hc?rnrlc~ g_j;.S■t Mailing AddressLast Name Initial Daytime Ph^ne No.First '7^0^ SifXrneyj Tfa.\ IifiT hc:?tr c 0^ H O-ttgL io-t ( i~rxV^ Property Owner \^€X,44~I<£L i^kcL'^>\/V S'LSfS'-r Contractor Lie.# ■ -Y-1 ONSITE SEWAGE TREATMENT SYSTEM ( ) Permit No.___________ PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add’n to Dwelling ( 3 ) 'Replacement Dwelling (5) RCUAear. ONSITE WATER SUPPLY ( ) individuai ( ) Public ( ) None NOTE; MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a weli. (1 ) New Dweiiing ( 4 ) MH/YR_____ (7 ) Add’n To Non-Dweiling (^^SJjBtorage Structure (10) Other. ( 6 ) Detached Garage (9) WOAS 'Existing Dweiiing to be removed before_______ OTLSD * This permit is only valid after verification ■ from the O.T.LS.D. that a conforming sewage system will be installed to service this lot contact Rottie Mann at 864-5533. CHARACTERISTICS OF PROPOSED NON-DWELLINGCHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED WOAS Outside Dimension Setback to Lotiine Setback to Right ot Way ■' ' • Ft.” Setback to OHWL Outside Dimension Setback to totiine___ Setback to RighLot Way Setback to OHWL Elevation Above OHWL. Setback to Septic Tank. Setback to Drainfieid Setback to Bluff___ Maximum Proposed'Height Basement / Yes Waikout Basement______ Totai Bedrooms Outside Dimen^on_____ Setback td-Lotiine\ ---- Setback to Right ^f Way Setback to OHWL \ _ Eievation Above OHWL Setback to Septic Tank. Setback to Drainfieid / /Setback to Biuff //Maximum Proj^Sed Height ( ) Boathouse r ( ) Screen Porch ( )Ga/ebo (c‘y_ Ft. X i O Ft.”Ft. X Ft. X Ft.&Ft.”Ft.&Ft.” Ft;” 'H/t /■ I FtFt. >rEievation Above OHWL Setback to Septic Tank. Setback to Drainfieid _ Setback to Biuff Maximum Proposed Height Bathroom Proposed ( )Yes ()4) No Ft.Ft. Ft.Ft. 1Ft.Ft.Ft. %Ft. I_Ft.■t. ( ) Storage Structure **Project/Lotlines/Right-of-ways Must be Staked Onsite Grade/Fill/ExcavationSpoil Disposal □ Onsite (scaie drawing required) □ Offsite □ Within Shoreland Area □ Outside Shoreland Area '"‘Project/Lotlines/Right-of-ways Must be Staked Onsite□ Yes (scale drawing required) ^ No CHARACTERISTICS OF LOT: .Yes NoLot Area. Sq. Ft.Water Frontage .Ft.Bluff Onsite. Impervious Surface Ratio:X100 =.%Total Impervious Surface Onsite (FT^)Total Lot Area (FT2)Impervious Surface Ratio TH/S 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 ip 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 afl 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.; 4?///Date: Signature of Property Owner Date: Land & Resource Management Office _ ^7 17/jPERMIT FEE $RECEIPT NO. _ Project/Lotlines/Right-of-Way MUST be Staked Onsite Prior to Submission of Application.Comments: . Form No. BK — 0500-0201 304,202 • Victor Lundeen Co., Printers • Fergus Falls, MN • 1-800-346.467' 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.^ O Structure Set Back from Road Right of Way Ft.Ft./go — T<oo' Y S'O ^ Ft. & Uo<r^Structure Set Back from Lot Lines Ft.Ft. &Ft. > /Structure Height Ft.L~Ft. Ic/^Structure Set Back from Septic Tank Ft.Ft. 4-z-Structure Set Back from Drainfield Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level /Ft.Ft. Land Slope at Building Site % % Inspector’s Comments / Sketch: 0 V ■ 'T Vi V • r-• .. [. iw_ -h Inspector's Signature \- W-oV Date of Inspection Time of Inspection O Project Approved Date/Initial OTTER AVENUE 5 “O moQoaiTl o g rnro27404 BLARNEY TRAIL, BATTLE LAKE, MN 56515 c73n om218-864-5848 E-mail address; deforest@tekstar.com/ nMSBgggggBMBpli^OTTER AVENUE mm®i| .^gappawp ■" ■ HUMMINGBIRD HIGHWAY liiiBSEiSSWiPSBlSSQUIRREL STREET SQUIRREL STREET °-H ililH-»v pK^m3 n>!J<m c WOODPECKER WAY WHITETAIL LOOPROBIN ROAD m ^ ■ wmmmfmmmmmiPLAYGROUND J^m ROBIN ROAD 3 r* m^/^/-i / >r. a: A A . RE irichfes>.equcds feetfeet, orScale:.grid(s) equals JUL - 2 2001 JUN 2 f 2001 Please use this sheet for the required scale drawing of your proposal. Be sure to incfude 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) (A W' \ i T /H 1 Tj Signature A'7 Dated BK — 0500 — 029 304,678 • Victor Lundeen Co.. Prirrtefs • Fergus Falls. MN • 1-800-3404870 LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NO.RANGE TWP NAMESECTIONLAKE/RIVER CLASSLAKE/RIVER NAMELAKE / RIVER NO. I Hn I3 E-911 ADDRESSPARCEL NUMBER (S) LEGAL DESCRIPTION .. 'Pf .5 J:Lo/4, ^! Pi~ &-L V (l^ryi <i- 3 £- ASoOC'OS/Xi I 4cg!'I Daytime Phone No.Mailing AddressFirst InitialLast Name Property Owner ILContractor Lie.# ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY ( ) Individual ^Public ( ) None NOTE: MN Rules dipt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add'n to Dwelling ( 5 ) RCU/Year______ Storage Structure _ 'Existing Dwelling to be removed before. ( 3) 'Replacement Dwelling (6) Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4 ) MHA'R (7) Add’n To Non-Dwelling (10) Other____________ ( ) Permit No.(7^ OTLSD * This permit is only valid after verification from the OJ.L.S.D. that a conforming sewage system will be Installed to service this lot contact flollie Mann at 864-5533. CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension_________ ____ Setback to Lotline / ^ Ft. & /^ Ft." Setback to Right of Way Setback to Ordinary High Water Level 5orO Ft. Elevation Above Ordinary High Water Level ^ Ft. CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER^IENTED ACCESSORY STRUCTURE£Outside qci Dimension o\ Setback to Lotline \ Setback to Right of Way Setback to Ordinary High W)^er Ld(rel ___ Elevation Above Ordinary Higf^ater Level Setback to Septic Tank__ Setback to Drainfield / Setback to Bluff / Maximum Proposed^eight Basement____J Walkout Baseindnt Total Bedrooms__ Ft. X Ft."Ft. X Outside \ Dimension_______\ Setback to Lotline ____ Setback to Right of Way Setback to Ordinary High Water __ Elevation Above Ordinary High^t^evel Setback to Septic Tank Setback to Drainfield Setback to Bluff / Ft."Ft.&Ft."Ft. X Ft."Ft."Ft."Ft.& Ft.FX*Ft.Ft.Ft. Ft.Ft. Sho Ft.Ft.Setback to Drainfield Setback to Bluff /^/Ft. Maximum Proposed height Bathroom Proposed ( Ft. ft.Ft. if__Ft. )Yes NoYes Ft. NoYes Ft.Maximum Prooesed Height ( ) Boatf)0use ( ) Gazebo "Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Appiication / Inspection ( ) Screen Porch ( ) Storage Structure ' Must include on scale drawing Permit may be required Topographical Alteration / Earthmovino ^None □ 20 Cubic Yards or Less ' □ 21 Cubic Yards - 299 Cubic Yards'□ 300 Cubic Yards or More' CHARACTERISTICS OF LOT: /ilA.JLnoBluffYes.Ft.Sq. Ft.Water FrontageLot Area. T .%Impervious Surface Ratio:X100 =Impervious Surface RatioTotal Lot Area (FT*)Total Impervious Surface Onsite (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 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. /'LDate: Signature Date: Land & Resource Managemeftt Office, PERMIT FEE $RECEIPT NO. Comments: Form No. BK — 0500-0501 305,576 • Victor Lundoec Co., Prirttors • Porous Foils, MN • 1-800-346-4870 t APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 - FERGUS FALLS, MN 56537 WHITE - Office) GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor I i expired Permit No.PLEASE PRINT OR TYPE ALL INFORMATION : SECTION TWP NO.RANGE TWP NAMELAKE/RIVER CLASSLAKE / RIVER NO.LAKE/RIVER NAME - I HO . _ ,E.9„«»RESS ■ DlrU'/r&c/'TTkL/ / LEGAL DESCRIPTION .. / ~ ' KQVVfr PARCEL NUMBER (S) ASooooiooi*tcol Daytime Phone No.Mailing AddressFirst InitialLast Name Tr^T/___ /Y)a(___ ^co-iSi>~Lt7*fProperty Owner . - y / i Contractor Lie.# ONSITE SEWAGE TREATMENT SYSTEM ( ) Permit No. 1^OTLSD * This permit is only valid alter verification from the O.T.LS.D. that a conforming sewage system will be installed to service this tot 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. PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling (4 ) MH/YR ( 7 ) Add’n To Non-Dwelling (10) Other____________ ( 2 ) Add’n to Dwelling ( 5 ) RCU/Year______ Storage Structure _ 'Existing Dwelling to be removed before. (3 ) ‘Replacement Dwelling (6 ) Detached Garage (9) W.OA.S. CHARACTERISTICS OF PROPOSED NON-DWELLINGCHARACTERISTICS OF PROPOSED DWELLING CHAflACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) / Outside Dimension Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Wate^veK Elevation Above Ordinary High V)fClteXLevel Setback to Septic Tank Setback to Drainfield _ Setback to Bluff y \ 2.OutsideDimension___d Setback to Lotline Setback to Right of Way Ft.” Setback to Ordinary High Water Level Ft. Elevation Above Ordinary High Water Level Ft. Setback to Septic Tank !ii?0 Ft. Setback to Drainfield Setback to Bluff /^/ ff Ft. Maximum Proposed Height Bathroom Proposed ( Outside Dimension Setback to Lotline \ Setback to Right of WayN^. Setback to Ordinary High water ^el___ Elevation Above Ordinary High^ater Level Setback to Septic Tank__ Setback to Drainfield / Setback to Bluff / Maximum ProposedyKeight Basement____J Walkout Baserg^t Total Bedrooms__ 8 \Ft.”Ft. xFt. X t* Ft.&Ft.&Ft.”Ft.”Ft.”Ft. X Ft.”Ft.&Ft.” Ft.Ft.V Ft. Ft.Ft. Ft. Ft.Ft.'Ft. it.Ft. S Ft.Yes No Ft. Yes No )Yes ^)No Ft.Maximum Propgsed Height ( ) Boathouse ( ) Gazebo **Pro|ect/Lotlines/Right-of-ways Must be Staked Onsite Prior to Appiication / Inspection ( ) Screen Porch ( ) Storage Structure ' Must include on scale drawing Permit may be required Topographical Alteration / Earthmovinq 13 None □ 20 Cubic Yards or Less * □ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: mJa.HOY)Bluff____Yes y No.Ft.,Sq. Ft.Water FrontageLot Area, Impen/lous Surface Ratio:Xioo =Impervious Surtece RatioTotal Impervious Surface Onsite (FTr) Total Lot Area (FT') 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 responsibility to inform the Land & Resource Management office once the building footings have been constructed. Date: Signature ^Pwperty Owner Land & Resource Management Office j Date; 738 C:PERMIT FEE $RECEIPT NO. Comments: Form No. BK — 0500-0501 30S.S76 • Victof Lundeen Ca. Printers • Fergus Fells. MN • 1-800-346-4870 SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations S-oo^Ft.Ft.Structure Set Back from Ordinary High Water Level Ft.Ft.Structure Set Back from Top of Bluff Ft.Ft.Structure Set Back from Road Right of Way Ft.Ft.&Structure Set Back from Lot Lines Ft.&Ft. Ft.Ft.Structure Height Ft.Structure Set Back from Septic Tank Ft. -2.0 Ft.Ft.Structure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level 3'Ft.Ft. Land Slope at Building Site %% Inspector’s Comments / Sketch: \ i 4 + k V Inspector's Signature Date of Inspectioni' l ‘.20 Time of Inspectionft. / —2- I ^O^roject Approved Date/Initial '—I 10 feetjnch(es) equalsfeet, or.grid(s) equalsScale: ^ Please use this sheet for the required scale drawing of your proposai. Be sure to inciude lot dimension, water frontage, and setbacks from RW, lake, lot lines, sewage system, top of bluff, existing structures and ail 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) c,/V (r Dated 304,676 ■ Victor Lundeer) Co., Printers • Fergus FeHs. MN ■ 1-800-346-4670 ^ - -r OTTER TAIL LAKE SWIMMING BEACH 3mmE Boat Slips Otter ^IgRvTall Lake _ OTTER AVENUE ISHC2i i NING m ’mini tEOHT MOOSS O >5o •DzU mfCJ. eu so ost-*§ m ' thS .JOT 33P-IPSo i&o a <27404 BLARNEY TRAIL, BATTLE LAKE, MN 56515 218-864-5848 cXI mnrasam u U' OTTER AVENUE E-mail addresi. dedorest@tekstar.corn_j____/ -Si Mi. j li I=a fepli. LSI#: ^ is j •'i'S li HUMMINGBIRD HIGHWAYV. ‘ >‘c' '.'>1'■•-V *v^ SQUIRREL STREET ■■I fAir-: 2*^ ^ m- ^ ,».«,^x mkMmSd;'m fea;.r<I '>0 ••• SI V:.v« r-S’SQUIRREL STREET'•"X lisaa•_ Wm c WOODPECKER WAY WHITCTAIL LOOfROBIN ROAD m Itf-POP fc ■iiBsHa mi mr'‘ PHOHE ■T, PLAYGROUND ■71 ■-V' tr. ytr- Ma\■■•AROBIN ROAD 2,' S'-;.-p^i.1r- 7/Vr>/ X yV >-f RECEIVED JUN 0 6 2001LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE - OfTice GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor land & RESOURCE PLEASE PRINT OR |Permit No. LAKE/RIVER NAME SECTION TWPNO.RANGE ’ TWPI^E ; w I LAKE / RIVER NC LAKE/RIVER CLASS ShPARCEL NUMBER (S)E-911 ADDRESS . 450000.44)/)/4d0/ LEGAL DESCRIPTION /[.J4 Daytime Phone No.Mailing AddressOMh.'-VajJti i'/liynpM/5WD fi'i // -AcY Last Name First Initial H^roperty | Contractor Lie.# PROPOSED PROJECT (please circle the appropriate number) (2 ) Add’n to Dwelling ( 3) 'Replacement Dwelling (5 ) RCU/Year______ (7) Add’n To Non-Dwelling Utility/Stg Structure (9) WOAS (10) Other ONSITE WATER SUPPLY ( ) Individual ^)^ublic NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM ( ) Permit No.__________ (1) New Dwelling (4 ) MH/YR____ ( ) None (6) Detached Garage * •Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension Setback to Lotline ^ Ft. &___ Setback to Right of Way Ft." Setback to OHWL r. Elevation Above OHWL -3 Ft. Setback to Septic Tank Ft. Setback to Drainfield ^OCJ -^Ft. Setback to Bluff j Maximum Proposed Height y ^ Bathroom Proposed ( ) Yes CHARACTERISTICS OF PROPOSED WOAS Outside \Dimension\ Setback to Lotiine___ Setback to Right of Way Setback to OHWL___ Elevation Above OHWL. Setback to Septic Tank _ Setback to Drainfield / Setback to Bluff / Outside Dimension Setbacl^ to\pfline___ Setback to Rim of Way Setback to OHwK __ Elevation Above OHw(L. Setback to Septic TankN Setback to Drainfield__ Setback to Bluff___J Maximum Proposed^eight ( ) Boathouse { ) Gazebpr __Ft.xFt. X Ft."Ft.**Ft. X Ft." Ft.&Ft." Ft."Ft.&Ft." Ft.*> Ft. .Ft.Ft. Ft>Ft. Ft.Ft. Ft. Maximum Pressed Height Walkout Bp^ment Total Brarooms__ Ft.Ft.Ft. Yes ^^No ^roject/LoWne^^^^^WY^MiS^^5k&?^^te ^ Grade/fi1VExcav^ion □ Yes (scale drawing required) □ No No ( ) Screen Pqrch ( ) Utility StruemKe Spoil Disposal □ Onsite (scale drawing required) □ Offsite **Project/Lotlines/Right-of-(^ys Must be Staked Onsite \ hiio' Ft.Lot Area ^1)t -f Bluff Onsite____Yes r?<-No Impervious Surface Ratio 'P' I. Ft.Water Frontage Impervious Surface Onsite .Sq. 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 shaii become a part of this permit appiication. 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, empioyees 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. * This permit is only valid after verification from the O.T.LS.D. that a confoming sewage system will be installeddP service this lot contact Rollie Mann at 864-5533. Date: Signature^ Propotfy Owner Land & Resource Management Office Date: __o»i .PERMIT FEE $ ~~75 • RECEIPT NO. ProjectA-Otlines/Right-of-Way MUST be Staked Onsite Prior to Submission of Application.Comments: Form No. BK — 0500-002 300,767 ■ Victor Luitdeon Co . Pnniors • Ftrflus Fall#. MN • 1-600-346-4870. i « 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 - omce GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor EXPIRED Permit No.PLEASE PRINT OR TYPE ALL INFORMATION LAKE / RIVER NO.SECTION TWPNO.RANGE TWP NAMELAKE/RIVER NAME LAKE/RIVER CLASS j/0 iy,^0 PARCEL NUMBER (S)E-911 ADDRESS 500)0 ^/Ki/^dOf/OV ILEGAL DESCRIPTION Ul7^. r 7/1/lL < ■ ■'/ X-'L. Mailing Address Daytime Phone No.Last Name First Initial > '//// Ir 5Property Owner / ,A .-<\"f/ Heii// 9-{0 Contractor Lie.# LsL (7 PROPOSED PROJECT (please circle the appropriate number) (1) New Dweliing (4) MH/YR____ (7) Add’n To Non-Dwelling Utiiity/Stg Structure (10) Other ONSITE SEWAGE TREATMENT SYSTEM ( ) Permit No._________ OTLSD* ONSITE WATER SUPPLY ( ) Individual { ) Pubiic ( ) None NOTE; MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. (2 ) Add’n to Dwelling (5) RCU/Year_____ (3) 'Replacement Dwelling (6) Detached Garage (9)W0AS .!; >f 'Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED NON-DWELLING CHARACTERISTICS OF PROPOSED WOAS 1/Outside Dimension Setback to Lotline___ Setback to Right of Way _ Setback to OHWL____ Outside Dimension Setback to Lotline Outside Dimension Setback to Lotline___ Setback to Right of Way Setback to OHWL___ Elevation Above OHWL. Ft.x tU Ft."Ft.x Ft."Ft."Ft. Xi- Ff.&Ft."Ft."Ft.&Ft.”Ft.& Ft.*^Setback to Right of Way Setback to OHWL _1_ Elevation Above OHWL. Setback to Septic Tank ' ■'' •(', Ft. O'J Ft. Ft."Ft./ Ft.Ft. //,.• (___Ft.Elevation Above OHWL___ Setback to Septic Tank__^ Setback to Drainfield ___ Setback to Bluff Xft./ Ft.7^ / Ft.Setback to Septic Tank \ Setback to Drainfield__ Setback to Bluff Maximum Proposed Height ( ) Boathouse ( ) Gazebo' \ /Ft.Setback to Drainfield Setback to Bluff ,■ ■ v 5'Ft. Maximum Proposed Height '"P) ' Ft. . \Ft.F|. \Maximum Proposed Height Walkout Basement_____ Total Bedrooms Ft.Ft.Ft. Yes No Bathroom Proposed ( ) Yes | . ) No ( ) Screen Porch ( ) Utility Structure\**Pro]ect/Lotllnes/Right-of-ways Must be Staked Onsite Spoil Disposal □ Onsite (scale drawing required) a Offsite Grade/Fill/Excavation **Proiect/LotIines/Right-of-virays Must be Staked Onsite \□ Yes (scale drawing required) □ No A ■ ICHARACTERISTICS OF LOT:i Lot Area..Sq. Ft.Water Frontage ___Ft.Bluff Onsite____Yes No Impervious Surface RatioImpervious Surface Onsite .Sq. Ft.'ii 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. * This permit is only valid after verification from the O.T.LS.D. that a conforming sewage system wiil be instaiied to service this lot contact Rollie Mann at 864-5533.V t7/<r/\Date:o/ SiQtiaXum of Property Owner ' 5^/A AQ /Date; ' Land & Resource Management Office/ 7 PERMIT FEE $RECEIPT NO. Project/Lotiines/Right-of-Way MUST be Staked Onsite Prior to Submission of Application.Comments: \ Form No. BK ^ 0500-002 300.767 • VKtor Lurtdeen Co.. Printors • Fergus Fells. 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.'Do ; Structure Set Back from Road Right of Way Ft. Ft.( aoa> Structure Set Back from Lot Lines Ft.&Ft.Ft.&Ft. Structure Height Ft.Ft. Structure Set Back from Septic Tank Ft.Ft.I a Structure Set Back from Drainfield Ft.Ft.O Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. Land Slope at Building Site %% I Inspector’s Comments / Sketch: wc_~v-v cAV\o ■^/^ u- w \ 'L "Txr.Inspector’s Signature I 2-' I Date of Inspection i-4\oo Time of Inspeciton sfprr^ect Approved Date/Initial Scale:.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) lo %X 100 = Total Impervious Surface Onsite Total Lot Area (FT2) (FT2) P i rrt ri —f- t--- -t f • _ 4- r •[- u,. y i- P-f t - r-* 1-- T /y'r RECEIVED I i JUN 0 6 2001 LAND & RESOURCE Signature Dated 300.B16 • Viciof Lundeen Co. Pnnws • Fergus Falls. MN • 1 •800-346-4870 LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor / 7? 7/PLEASE PRINT OR TYPE ALL INFORMATION Permit No. RANGE TWP NAMELAKE / RIVER NO.SECTION TWP NO.LAKE/RIVER NAME LAKE/RIVER CLASS ai// fcu>er4'60 I 3 PARCEL NUMBER (S)E-911 ADDRESS LEGAL DESCRIPTION Daytime Phone No.Mailing AddressLast Name First Initial Property Owner Sc<?Vr lO-^aiL Lgg__ Or{.v/<it- bX>(cr-^C3009ccv.~trv<2- j __________a33^n IxJcrW, SE^FContractor Lie.# PROPOSED PROJECT (please circle the appropriate number) C("2 J^dd’n to Dwelling (5) RCU/Year_____ ( 7 ) Add'n To Non-Dwelling (8 ) Utility/Stg Structure (9 ) WOAS (10) Other, ONSITE SEWAGE TREATMENT SYSTEM ( ) Permit No.__________ ^^^TLSD * ONSITE WATER SUPPLY ( ) Individual "^^^blic ( ) None(1) New Dwelling (4) MH/YR____ ( 3) 'Replacement Dwelling (6) Detached Garage NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. •Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED DWELLING OutsideDimension ES Ft. x Ifa Ft.** Setback to Lotline ( 3 >~ Ft. & Ft.** Setback to Right of Way Ft." Setback to OHWL Xqo y-pt. Elevation Above OHWL *3 f~ Ft. Setback to Septic Tank t~ Ft. Setback to Drainfield ft. CHARACTERISTICS OF PROPOSED NON-DWELLING CHARACTERISTICS OF PROPOSED WOAS Outside Dimension____ Setback to Lotline Outside Dimension____ Setback to Lotline Ft. X Ft.**Ft.**Ft. X Ft.i Ft.**Ft."Ft. 4 Setback to Right of Way Setback to OHWL___ Elevation Above OHWL. Ft.**Ft.**Setback to Right of Way Setback to OHWL ___ Elevation Above OHWL. Setback to Septic Tank. Setback to Drainfield__ Setback to Bluff_____ Ft.Ft. Ft.Ft. Setback to Septic Tank Setback to Drainfield _ Setback to Bluff____ Ft.Ft. Ft.Ft. Setback to Bluff Maximum Proposed Height / 2- pt. Walkout Basement___ Total Bedrooms iJ*. Ft. Ft.Ft. Maximum Proposed Height Bathroom Proposed ( ) Yes ( ) No Ft.Ft.Maximum Proposed Height ( ) Boathouse ( ) Screen Porch ( ) Utility Structure XYes No ( ) Gazebo **Project/Lotlines/Rlght-of-ways Must be Staked Onsite Spoil Disposal □ Onsite (scale drawing required) □ Offsite Grade/FIII/Excavation **ProJect/Lotlines/Right-of-ways Must be Staked Onsite□ Yes (scale drawing required) □ No O ^ ' C>CHARACTERISTICS OF LOT: Lot Area..Sq. Ft.Water Frontage Bluff Onslfe.No,Ff. .Yes Impervious Surface Onsite .Sq. 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 responsibility to inform the Land & Resource Management office once the building footings have been constructed. * This permit is only valid after verification from the O.T.L.S.D. that a conforming sewage system will be installed to service this lot contact Rollie Mann at 864-5533. 9- / 9- tor>Date: SignaXure ofRuDpefly Owner O oDate: Land & Resource Management Office/3o9o(^ArPPERMIT FEE $RECEIPT NO. Project/Lotlines/Right-of-Way MUST be Staked Onsite Prior to Submission of Application.Comments: Form No. BK — 0500-002 300.767 • Victor Lundetn Co.. Printers • Fergus Falls. MN ■ 1-600-346-4870 i ^i 0 Office COLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMIT ■n • ;< ^79 7/Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWPNAMESECTIONTWPNO.RANGELAKE/RIVER CLASSLAKE / RIVER NO.LAKE/RIVER NAME /■ 1^5/vi t=c:r E-911 ADDRESS,PARCEL NUMBER (S) r 6'' c :t ^ V - /i.4. 'V.J ! /J’ : -V LEGAL DESCRIPTION] Daytime Phone No.Last Name First Initial Mailing Address Property Owner SqjVt (05^jX. Lg>g OriUg-Le '-‘Jib £.dbA Vcc-'trxiZ- . £;f';'aLW'7 Contractor Lie.# j i 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 ( ) Permit No.__________ ^^]X[OTLSD * PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling (4 ) MH/YR____ (^ ),Add’n to Dwelling (5) RCUAfear_____ (7) Add’n To Non-Dwelling (8) Utility/Stg Structure (9) WOAS (10) Other (3) ’Replacement Dwelling (6) Detached Garage i’Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension - . Setback to Lotline Setback to Right of Way ^ Ft.” Setback to OHWL , ' ^ A Ft. Elevation Above OHWL 3 t Ft. Setback to Septic Tank -t"-* Ft. P^Ft CHARACTERISTICS OF PROPOSED NON-DWELLING CHARACTERISTICS OF PROPOSED WOAS J Outside Dimension Setback to Lotline___ Setback to Right of Way Setback to OHWL___ Elevation Above OHWL. Setback to Septic Tank _ Setback to Drainfield__ Setback to Bluff_____ Outside Dimension Setback to Lotline___ Setback to Right of Way Setback to OHWL___ Elevation Above OHWL. Setback to Septic Tank _ Setback to Drainfield__ Setback to Bluff_____ Maximum Proposed Height ( ) Boathouse ( ) Gazebo FLx t . Ft.”Ft. X Ft.”Ftx Ft.” Ft.&Ft”FL&Ft”Ft”Ft& Ft”Ft.” Ft.Ft Ft Ft Ft Ft Setback to Drainfield Setback to Bluff___ Maximum Proposed Height (P / ^ Ft Waikdbt Basement Total Bedrooms Ft Ft e‘-Ft.Ft. FtMaximum Proposed Height Bathroom Proposed ( ) Yes ( ) No Ft. 2iYes No ( ) Screen Porch ( ) Utility Structure^^^Project/Lotlines/RIght-cf-ways Must be Staked Onsite Spoil Disposal □ Onsite (scale drawing required) a Offsite "Project/Lotlines/RIght-of-ways Must be Staked Onsite Grade/RII/Excavation □ Yes (scale drawing required) □ No k .6 YC j i /L>0 f:,bj L . C-CHARACTERISTICS OF LOT:o u/v>0 iLot Area,Bluff Onsite..Sq. Ft Water Frontage .Ft. .Yes No -o ■’i y Impervious Surface Onsite .Sq. Ft.Impervious Surface Ratio .% i 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 building footings have been constructed. * This permit is only valid after verification from the O.T.L.S.D. that a conforming sewage system will be installed toservice this lot contact Rollie Mann at 864-5533. /,^-/9--■' / , -y /fDate: SignalOm of Pmpe^ Owner y'' 6>0Date: Land & Resource Managfmen^ Office/ JO ?o(s>At/:PERMIT FEE $RECEIPT NO. Project/Lotlines/Right-of-Way MUST be Staked Onsite Prior to Submission of Application.Comments: , .-7 . -‘pZ’ J' / ______y -.^ / //I.J- Form No. BK — 0500-002 300.767 • Victor Lundeen Co., Printers • Fergus Fells. MN • 1-800-346-4870 SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations \ Structure Set Back from Ordinary High Water Level 7rr-Ft.Ft. Structure Set Back from Top of Bluff Ft.Ft. Structure Set Back from Road Right of Way Ft.Ft. /oStructure Set Back from Lot Lines Ft.Ft.Ft.&Ft.& (5^ /;z-Structure Height Ft.Ft. Structure Set Back from Septic Tank Ft.Ft./OA Structure Set Back from Drainfield Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. Land Slope at Building Site %% Inspector’s Comments / Sketch: 1- /ti^r Inspector'fSignature Date of Inspection /^<Jo Time of Inspeciton ~^llproject Approved Date/Initial Scale::-i feetinch(es) equals\a feet, orgricl(s) equals 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 =-f- Total Impervious Surface Onsite Total Lot Area (FT2) 1 r::(FT2) T. ■ ::::i - ^4 TS>r: VP3ocr f'ii &- 5 Ki \<?!i If'r.4..^(0 $ i!i A11•<A O— ^ §. >i T 0 1------- t- ■ O<0^ 5 r\ {% s rf-o- r <0 n^--- & -s-s* ;cl ««> Signature Dated BK — 0500 — 029-| :300.816 • Victor LuryJeen Co. Pfirws • Fergus Falls. MN • 1-800-346-4870 f 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 IHPermit No.Othe^ tVi'l LaK^ c?^ryf>jn?i^N</5LEGAL DESCRIPTION BLUFF ZONEAND □ YES NO LOCATION TWP NO.UKE/RIVER CLASS SECTION RANGE TWP NAMELAKE NUMBER LAKE/RIVER NAME S(> )3 HOly} PARCEL NUMBER (S)TOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS □ NO FIRE NUMBER Oe>c:> Cd 3 oo/f Oo/ IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and Zip CodeFirst (Daytime)Last Name Initial trjo ____C kri^Property Owner NameContractor State Lie. # ONSITE SEWAGE TREATMENT SYSTEM ( ) Individual Permit # ( ) Collector Permit #_ ( )OTLSD PROPOSED PROJECT ( ) New Structure(s) ( ) Addition(s) MH/RV PROPOSED USE (I^Dwelling ( ) Non-Dwelling ONSITE WATER SUPPLY Individual ( ) Public ( ) None CftLSO (\ ( ) Water Oriented Accessory Structure (WOAS)YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ( ) Garage ( ) Utility Structure CHARACTERISTICS OF DWELLING ( ) Screen Porch( ) Boathouse( ) Dwelling ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside Dimension ( ) Utility Structure( ) Gazebo( ) Other Outside Dimension ( ) Other, Outside Dimension Ft. X .Ft. Lt>IX .Ft..Ft.x Lotline Setbacks .Ft.&.Ft..Ft.x .Ft. Ft.&Lotline Setbacks .Ft.OHWL Setback .Ft. Lotline Setbacks .Ft..Ft.&15 .Ft.OHWL Setback Bathroom: ( ) Yes ( ) No (If Yes / a complying Sewage System Required).Ft.OHWL Setback Total Bedrooms Maximum Height / 30 Ft. (2 story)Maximum Height /10 ft. (1 story)Maximum Height /18 Ft. (1 story) Impervious Surface Ratio O .%.Sq. Ft. Impervious Surface Sq. Ft.Lot Area I3qo 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 lo 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 building footings have been constructed. Sd^ Dated: Dated: Land SHesourca Managament Otfica RECEIPT NO. IU^OC‘7PERMIT FEE $ Comments: Form No. BK — 0496-002 2B1.017 • Victor Lundeen Co.. Printers * Fergus Falls. MN • 1-800-346-4670 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 « /V r?')Permit No.LEGAL DESCRIPTION BLUFF ZONEAND□ YES S NO LOCATION TWP NAMETWPNO.RANGELAKE/RIVER CLASS SECTIONLAKE NUMBER LAKE/RIVER NAME arris3^0 FIRE NUMBERTOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS □ NO PARCEL NUMBER (S) Ooc^ 0 3 C'ol'i Oof TELEPHONE NO,IDENTIFICATION; Please Print All Information Mailing Address — No. Street, City, State, and Zip Code (Daytime)First InitialLast Name V BrtfU lAk-r HmC kriiN____C 4rl <Property Owner NameContractor State Lie. # ONSITE SEWAGE TREATMENT SYSTEM ( ) Individual Permit # ( ) Collector Permit #_ ( )OTLSD ONSITE WATER SUPPLY (V/lndivIdual ( ) Public ( )None PROPOSED USE (^'V^Dwelling ( ) Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT ( ) New Structure(s) ( ) Addition(s) (>4mh/rv_ OtLSO YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ( ) Garage ( ) Utility Structure CHARACTERISTICS OF DWELLING ( ) Screen Porch( ) Boathouse( ) Dwelling ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside Dimension Lotline Setbacks f ^ ( ) Utiiity Structure( ) Gazebo( ) Other Outside Dimension f ( )Other. Outside Dimension .Ft..Fl.x CO .Ft. .Ft.Ft.&.Ft.x Lotline Setbacks .Ft..Ft.x 10.Ft.&.Ft.OHWL Setback .Ft..Ft.&.Ft.Lotline Setbacks7 5 .Ft.OHWL Setback Bathroom: ( )Yes ( )No (If Yes / a complying Sewage System Required).Ft.OHWL Setback, Total Bedrooms Maximum Height / 30 Ft. (2 story)Maximum Height /10 ft. (1 story)Maximum Height / 18 Ft. (1 story) .%.Sq. Ft. Impervious Surface Ratio.Sq. Ft. Impervious SurfaceLot Area I3oq .Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage 'xo .%__________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. lOstructure setback to septic tank Dwelling setback to Soil Absorption System Non dwelling setback to'Soil Absorption System_______ THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit Is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. of Owrw Dated: Dated: Land & Resource Management Office iRECEIPT NO.PERMIT FEES OT^ F/-i A_/Comments: Form No. BK — 0496-002 281,017 • Victor Luttdoon Co.. Printort • Forgua Falla, MN • 1-800-840-4870 INSPECTION RESULTS Make all measurements and computations /nr/Structure Set Back from Ordinary High Water Level Ft.Ft. Structure set Back from Top of Bluff Ft. Ft. Ft.Structure Set Back from Road Right of Way Ft. ^ Ft.&S^?*^Structure set Back from Lot Lines Ft.Ft.&Ft. Ft. Ft.Structure Height Ft.Structure Set Back from Septic Tank Ft. Structure Set Back from Absorption System Ft.Ft. Eievation Of Lowest Floor Above Ordinary I i^igh Water Level__________ Land Slope at BuiiBindTjrie 5’ +Ft.Ft. %% T Inspector’s Comments / Sketch: ___ AJor A A Jv'Inspector's Signature Date of Inspection Time of Inspection OTTER TAIL COUNTY Grade & Fill Permits P’-I PC g^^. 1 M 'Ra-iHc, Lk rwtJ k ^OWNER’S NAME: ADDRESS—_____ LoCSltlOnS Lake No. Sec. 3 .____________QTTfeg^ T~Axo La^Ou t Twp._V33 Range Twp. Name_j§veerr IsSUed^2:2,£:__1 9^£L_, Work Authorized, 19-^ires_±±= 2. a-VO/1 sWoycA’qy<ms Ig c5(«cJl ,0\ Coy^A-’vjk ^ uV-*.. PvaVV VpkcVc CiVx cMr’vA K)0 v*jV*vsa^ ct iI Uts,<3 <r\ NOTE: This card shall be placed in a conspicous place not more than 4 feet above grade on the premises on which work is to be done, and shall be maintained there until completion of such work. NOTIFY DEPARTMENT OF LAND AND RESOURCE MANAGEMENT, TELEPHONE (218) 739-2271 WHEN AUTHORIZED WORK HAS BEEN COMPLETED. OTTER TAIL COUNTY, MINNESOTA Board of County Commissioners Land and Resource Mar^ement Official 9-/S'- ‘t.r1. Earthmoving shall be done between 2. Entire area shall be stabilized within 10 days of the completion of any earthmoving. & 3. Owner is legally responsible for all surface water drainage that may occur. 4. No fill shall enter or be taken from the beds of a public water without a valid permit from the State of Minnesota Department of Natural Resources. If tho >.♦ ♦U.ri .1 -A - r 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 13, '! 2^1Permit No.LEGAL DESCRIPTION BLUFF ZONEANDw c □ YES NO LOCATION RANGE TWP NAMETWP NO.SECTIONLAKBRIVER CLASSLAKE/RIVER NAMELAKE NUMBER 67Te.iL 3 B3 FIRE NUMBERPARCEL NUMBER (S) — 03 oo ( TELEPHONE NO.IDENTIFICATION: Please Print All Information (Daytime)Mailing Address — No. Street, City, State, and Zip CodeinitialFirstLast Name Cjy^nsi'O^kirSor, Lc.VO)r\.Property Owner iSal^U rr[ rJ f sre-cTNameContractor State Lie. # ONSITE SEWAGE TREATMENT SYSTEM (O^fidiMidual-Peffnit #_____ ( ) Collector Permit #_____ (V^LSD ONSITE WATER SUPPLY (viJfl^ividual ( ) Public ( ) None PROPOSED USE (vf*Dwelling PROPOSED PROJECT ( ) New Structure(s) ( ) Addition(s)( ) Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) f YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWE^NG ( ) Utility Structure / CHARACTERISTICS OF DWELLING ( ) Screen Porch( ) Bo^ouse ( ) Gazebo \ ( l^rage( ) Dwelling ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement utside imension ( ) Utility Structure( ) Other Outside Dimension ( ) Other, Outside Dimension .Ft. .Ft./ CO Ft.&.Ft..Ft.Lotline SetbacksFt. X Ft.Ft. X Lotline Setbacks .Ft. &Ft.OH WL Setback Ft.&Lotline SetbacksyFt.OHWL Setback.Bathroom: y' ( ) Yes ( yZif Yes / a complying Sewage S'toem Required) lo Ft.OHWL Setback Total Bedrooms Maximum Height / 30 Ft. (2 story)Maximum Height / 10 ft. (1 story)iximum Height /18 Ft. (1 story) Ft.Ft. Maximum depth of lot. Water frontageLot Area is (Sq. Ft.) 3'at .%Ft. Slope of lotElevation of lowest floor above OHWL (3 Ft. Min.) f"Z'C?Ft.Structure setback to right-of-way. 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 septic tank. I-2-dDwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. V . Dated: Signature of Owner /ZZ.Dated:bttic^Land S Resource Management RECEIPT NO.PERMIT FEE $ 'R, '-1 ond) A nComments: Form No. BK — 0295-002 275.386 • Vidor Lundeen Co., Printers • Fergus Fails, MN • 1-800-3^6-4870 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN $653^ q WHITE - Office GOLDENROD - Inspedbr YELLOW - Owner*' PINK - Assessor 4^ w ■ILEGAL DESCRIPTION BLUFF ZONE'Te-Xc. C‘i>v'Jl/“O vnAND □ YESLOCATION TWP NAMETWP NO.RANGELAKE/RIVER CLASS SECTIONLAKE NUMBER LAKE/RIVER NAME ^ c:^7T^ ^IB33 PARCEL NUMBER (S) • — 03 ~ oc I NO.IDENTIFICATION: Please Print All Information Mailing Address — No. Street, City, Stale, and Zip CodeFirst InitialLast Name E ^Property Owner [ ^cyy ^L-c. VO , IV' m/j NameContractor state Lie. # ONSITE SEWAGE TREATMENT SYSTEM (i>ffidividuaLPermit H____ ( ) Collector Permit #____ (V^TLSD ONSITE WATER SUPPLY (O'^'dividual ( ) Public ( ) None PROPOSED PROJECT ( ) New Structure(s) ( ) Addltion(s) PROPOSED USE (Vfowelling ( ) Non-Dweliing ( ) Water Oriented Accessory Structure (WOAS)YEAR I-MCHARACTERISTICS OF WOAS ( ) Boathouse ( ) Screen Porch CHARACTERISTICS OF NON-DWE^ING ( )'Garage ( ) Utility Structure / CHARACTERISTICS OF DWELLING i ( ) Dwelling ( ) Addition to Dwelling ( ) Basement ( ) Walkout Basement utside imenslon \( ) utility Structure( ) Gazebo( ) Other\ Outside Dimension 7 .Ft.( ) Other Outside Dimension .Ft.,/CO .FI..Ft. &.Ft..Ft. X Lotline Setbacks .Ft.\\.Ft. & ^ CJ Ft.\Lotline Setbacks .Ft.OHWL Setback,.Ft.Lotline Setbacks/7SL .Ft.OHWL Setback.Bathroom; / ( )Yes ( Yes / a complying Sewage S)istem Required) Maximum Height /18 Ft. (1 story) lo .Ft.OHWLSetbeckiLTotal Bedrooms Maximum Height / 30 Ft. (2 story) \ M^iftmum Height /10 ft. (1 story) Y-7 Ft.Ft. Maximum depth of lotLot Area is (Sq. Ft.).. Water frontage %Ft. Slope of lotElevation of lowest floor above OHWL (3 Ft. Min.) /Ft.Structure setback to right-of-way. /d '.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 septic tank. f Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STATE STATUTES. Agreement; I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit; Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed.\ 7-.Dated: Signature ot Owner Land & Resource Management Office ^XT ^ - 9 r~I(Dated; 11 i ISC')RECEIPT NO.PERMIT FEE $ 'R 1 P> nComments: J—Ot Form No. BK — 0295-002 278.386 • Victor Lundeen Co. Printers < Fergus Falls. MN • 1-800-346-4870 f1 INSPECTION RESULTS Make all measurements and computations too*Ft.Ft.Structure Set Back from Ordinary High Water Level Ft.Ft.Structure set Back from Top of Bluff lOo^Ft.Ft.Structure Set Back from Road Right of Way 5b'*Ft.Ft. &Ft. &Ft.Structure set Back from Lot Lines US Ft.Ft.Structure Height /5 tn Ft.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^Ft.Ft. %%Land Slope at Building Line Inspector's Comments / Sketch:. 05'“ i ^ 1^' ^ So H. l/vA E ■f \n8Q9dtof% Signatun Date of Inspection % Tune of Inspection r 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 LEGAL Permit No. DESCRIPTION AND \rouKyOOTfae T7;xc- mLOCATION LAKE NUMBER LAKE/RIVER NAME SECTION TWP NO.LAKE/RIVER CLASS RANGE TWP NAME 3 £i/£>e73.Yoc "T^x /33 PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No. Street, City and Slate Zip Code Telephone No. B c y.C-^v'is-|~o p h^rsc nJProperty Owner Soffits iJC . /y\tJ scars'1 NameContractor State Lie. # PROPOSED PROJECT PROPOSED USE RESIDENTIAL USE ( One Family Dwelling ( ) Multiple Dwelling # of Units ( ) NON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure ( ) Water Orientated Accessory Structure CHARACTERISTICS OF PROPOSED Basement (fO ) Walkout Basement ( tJ) Outside Dimension of Structure. vy;( ) New Structure ( ) Addition l3j)(yfMH/RV () Residential ) Non-Residential( Ft.YEAR TYPE OF FRAME ( ) Masonry ( pr^Wood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ( ) Public ( ''-^Individual Permit #_____ (v/) OTLSD ONSITE WATER SUPPLY ( ) Public ( yf Individual ( ) None ( ) Other Height of Structure. # Of Stories___ - Of Bedrooms Of Bathrooms Ft. ) OFFICE USE ONLY ( fO ) Bluff Impact Zone ( fJ ) Shore Impact Zone ( tJ ) Sensitive Area LOT SIZE AND SETBACKS:/ 1^00Lot Area is square feet. Water frontage is feet. Maximum depth of lot feet. 7S-' Building set back from ordinary high water level is feet. (String Test) 1Land height above ordinary high water level at building line is feet. Slope of lot % 2^0Building set back from road right-of-way feet. jTO'/ Lot line setback is and feet. Structure will be located .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). f2_0structure will be located THIS fS 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 accord ing to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months (I understand that it is my responsibility to inform the Land ft Resource Management office once the building footings have been constructed ) H ~ n 'tv ^^^ignature ol Owner ^ ^ Permit: Permission Is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agent, empioyees and workmen shali conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated: ]_sDated: Land & Resource Management Officio<3. Permit Fee $.Receipt No. IZ < (^5“ main.-m- ^i SCommentsrf~ L o <H vx-r £_ > p-( 2. g>e- )<1\ I( 5 I :l X If o'11a ( / -2l ge }is. Form No. BK — 0292-002 2 70.500 • Victor Lundeen Co Printers • Fergus Falls. MN • 1-800-346-4870 f APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WH/T* — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor Permit No.LEGAL DESCRIPTION r O lAK^ OOTTe-rz. TnXL^ COAND LOCATION SECTIONLAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS TWP NO.RANGE TWP NAME 3 Vo £LI/£^73OTTce PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER IDENTIFICATION: Please Print All Information Last Name First Irtitial Mailing Address — No. Street, City and State Bc>i L/ Zip Code Telephone No. Le^Vof^ ■CU > IS -|-g, p hBr-SO >JProperty Owner BohKjc iJcT . pptJ NameContractor State Lie. It PROPOSED PROJECT PROPOSED USE RESIDENTIAL USE ( One Family Dwelling ( ) Multiple Dwelling # of Units ( ) NON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure { ) Water Orientated Accessory Structure CHARACTERISTICS OF PROPOSED i ) New Structure ( ) Addition \3j)( y^MH/RV (() Residential ) Non-Residential Basement (■ ) Walkout Basement ( Outside Dimension of Structure______ Height of Structure_ # Of Stories__ ( a) ) Bluff Impact Zone -Ih Of Bedrooms ( ) Shore Impact Zone ) Sensitive Area J() Ft.YEAR TYPE OF FRAME ( ) Masonry ^ ( p-^Wood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ( ) Public (Individual Permit #_____ (v/) OTLSD ONSITE WATER SUPPLY ( ) Other Ft. )( ) Public ( \/^) Individual ( ) None OFFICE USE ONLY Of Bathrooms LOT SIZE AND SETBACKS: 3 2- • ^ ■/IHcdoLot Area is square feet. Water frontage is feet. Maximum depth of lot feet. Building set back from ordinary high water level is feet. (String Test) OK.3Land height above ordinary high water level at building line is Building set back from road right-of-^ay. Lot line setback is_______^^ feet. Slope of lot % feet.7 and feet. Structure will be located .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). 2_0 ' Structure will be located. THIS fS 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 accord ing to the provisions of the Ordinances of Otter Tail County. Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months (I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed.) Dated: Signature of Owner Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances.i M - /<ii -‘fY IDated: Land & Resource Management Office CoPermit Fee $.Receipt No. T 4-»c-V'Iz ^t s ,'Tm fli-i ov WyComments: C 2.6><2- ^n\ I(a IQ !11nlA Form No. BK — 0292-002 2 70.6CO-«* Victor Lundeen Co Primers • Fergus Falls. MN • 1-800-346-4870 INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft.1»oc-^Building Set Back from High Water Level Ft.Ft. I I oo^ 30 Ft.Building Set Back from Top of Bluff Ft. 20 Ft.Building Set Back from Road Right of Way Ft. Ft.Ft.Ft.Building Set Back from Lot Lines Ft.Ft.Building Height 10 FtBuilding Set Back from Septic Tank Ft. 20 FtBuilding Set Back from Absorption System Ft. IS^Elevation Above High Water Level at Building Line 3 Ft.Ft. Land Slope at Building Line o/o Inspector's Comments/Ske^ch:i ____ -•^5 ii lb j i '1f■i I J’ 5 ; '■ .V .1 • ;T f Inspector's SignatureI•t- Date of Inspection It i«• — Jimeot Inspection Department of LAND & RESOURCE MANAGEMENT COUNTY OF OTTER TAIL Phone: (218) 739-2271 Court House FERGUS FALLS. MINNESOTA 56537 January 31, 1995 LeVon Christopherson R#1 Box 4 Battle Lake, MN 56515 Site Permit #12627 for lot on Otter Tail Lake (56-242).RE: Dear LeVon Christopherson: To date our office has not been notified that your project was ready for inspection as is required. If your project is ready for inspection you should notify our office immediately. If your project has not yet been started and you still plan to proceed, you should contact our office as soon as possible. Please contact our office if you have any questions regarding this matter. Sincerely, \ Wayne Roisum j Inspector ■ / rWhite — Office Yeilow — 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.,(3-rxe \a ‘LEGAL tw 1'^ O DESCRIPTION AND LOCATION 6 0 .3 TWP NameSec.TWP RangeLake No.Lake Classlf.Lake Name IDENTIFICATION: Please Print Atl Information Last Name Mailing Address— No. Street. City and State Zip No.Tel. No.First Initial Rt- 3 ^3)04-~TW-Vyy^c^<,Owner NanieContractor Architect Name, TYPE OF IMPROVEMENT;RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE;r New Building / DLJ-One Family Dwelling ( ) Multiple Dwelling ( ) Other Specify:. ( ) Alteration Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL;' \) Public ' ) Individual Septic Tank, etc. t.~ WATER SUPPLY: ( ) Public ^^^Mndividual Well DIMENSIONS: ( )Yes VCno( ) Masonry ( ) Wood Frame Structural Steel ( ) Other — Specify Basement: Stories above basement: ..... Sq. feet (outside dimension) Bedrooms ............)................ /. \Baths Type of Roof;6uyt-(^ CHARACTERISTICS: •5^ A,,5oQ,square feet. Water frontage is Building set back from high water mark is.................... Land height above high water mark at building line is Lot Area is feet.Maximum depth of lot feet. feet. (Building Line) 3.feet 6^0.6.0.Building set back from State highway right of way and....L^............ feet — from road right of way is feet. IQ.Side yard is feet. ^ KDStructure will be located .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.)..a.^.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 forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewit shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. se THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUES.denature 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. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the Dated Shoreland Management Official doPermit Fee $. Av-Sc.OfPct Qrx ^ iJL Ujill (3<-ThAc j-v e cj >n OC.AT-)'vaJ -0~)lvC, C\\Comments: fi G {I -(, t C / ‘%e /lAoh'jp 195676®Form No. MKL-0771-002 VICTOR LUNOCCN CO.. PRINTERS. FERGUS FALLS. MINN White — 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 r-7^5A e i > • ( CjO rv- V*Permit No.,LEGAL t O DESCRIPTION AND LOCATION ."i\/ uTWPRange TWP NameLake No.Lake Classif.Sec.Lake Name IDENTIFICATION; Please Print All Information Last Name Tel. No.First Mailing Address— No. Street. City and State Zip No.Initial iC \ ^O .Air, ■'y'y \ *0 tr I‘ -V ^IOwner\ NameContractor Architect Name, TYPE OF IMPROVEMENT: ( -1 New Building / I ( ) Alteration RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: / U < 'SA (y ) One Family Dwelling ( ) Multiple Dwelling Specify:, Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: { ) Yes No Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Masonry ( ) Wood Frame (yS Structural Steel ( ) Other — Specify ) Public 'X) Individual Septic Tank, etc. r V WATER SUPPLY: ( ) Public (^^Individual Well I ■r-T \.1.Baths Type of Roof: (IK. CHARACTERISTICS: square feet. Water frontage is Building set back from high water mark is.................... Land height above high water mark at building line is feet.Maximum depth of lotLot Area is feet. feet. (Building Line) 3.feet Building set back from State highway right of way feet — from road right of way is feet. / i--’Side yard is and feet. ^ /u.Structure will be located .feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).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 forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewit shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. se THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA ST A TE ST A TUES.inature 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 ordinan County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted qpion the er Tail c Dated ■ ..)Shoreland Management Offici j it-OkPermit Fee $. 1l-I {/ i • I't Y r' ■ ■Comments; ■ I ^ ViLi.J.(.-. ✓if 'r. -<vVi (V . .(,3' ''X ■s - c • ■■0 <i ■ U'.r ' ^/- //((I /r / «r /;f,/V 19S676®Form No. MKL-0771-002 VICTOR LU.NOCEN CO.. PRiNTEE'.'i. F“r?CUS FA.LS. MiN'J 1 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. 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 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: Inspector's Signature Title Inspection Dated 19 Agency VlCTQIt LUNOCCH « CQ eBIMTl**. F[*«U« PM.LI. yiMM. 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 CLol^—^ J Permit No.LEGAL /(i J 7- i/~^5DateDESCRIPTION AND LOCATION 6^0 3 '33 Vo u- •€ 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. I AOwner 6,cni-e I ^ Slj2S NameContractor Architect Name. TYPE OF IMPROVEMENT: (Building ( ) Alteration RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling ( ) Multiple Dwelling Specify:,'^PFPTTJ./oUnits ('-1'^ther( ) Other Size VSZiD-ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL;DIMENSIONS: /( ) Yes (( ) Masonry ( ) Wood Frame ( kF^tTuctural Steel ( ) Other — Specify ( ) Public ( “TTndividual Septic Tank, WATER SUPPLY: ( IRublic ( ) Individual Well Basement: Stories above basement: Sq. feet (outside dimension) Bedrooms ....... etc. iT'srnmBaths MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central HEATING: ( ) Electric ( ) Coal Other: («-<NoType of Roof:( ) Gas ( ) None ( ) Oil(l>^0 ( ) Unit CHARACTERISTICS: ilAi S'00Lot Area is square feet. feet. (Building Line) 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 feet — from road or street is feet. 2::^.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. 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. Signatyir^ Dated. iwner 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 workmery sifall 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. Permit: 6/0 'LADated Shorela(ra Management Offici /Permit Fee $.State Surcharge $. A-PComments: i*orm No. MKL-0771-002 VICTOIt LUH6IIH 4 C4.. .158899•m r*Lt