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South Turtle Lake Resort_57000360226003_Shoreland Permits_
APPLICATION FOR SITE PERMITWHITE - Office, ' GOLDEfj^ROD - Inspector 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 YELLOW - Owner (after issue) PINK - Assessor 55011Permit No.PLEASE PRINT OR TYPE ALL INFORMATION ■'•■'I^L^E/RIVER NAME i/l>I^KE/RivER-i [Section itwp no. twpname ^ CLASS ^ _LAKE / RIVER NO ^(X^O^>(PO "3 ^ FT&C BG^SioyePsl' ^ (^7,07' M. ^ 5^<7 ^ ^ Tfp ^€>7: /Aic/tr^1L f3t, ^ AOORESS^.^^^^ T7'£c-/ ^ PARCEL NUMBER (S) LEGAL DESCRIPTION Daytime Phone No.Initial Mailing AddressLast Name First 't, P I _________(^durVt'lUSC\L£ lMe ~ Property Owner iX Contractor Name Lie.#9^t7 .y'ONSITE SEWAGE ^ TREATMENT SYSTEM / , miuimns' iXONSITE 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) (2) Add’n to Dwelling (5) RCU/Year_____ ( 7 ) Add’n To Non-Dwelling (8) Storage Structure (10) Other. ^^•Replacement Dwelii^, ^(1 ) New Dwelling (4 ) MHA'R____()0 Permit No. ( ) 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 Rollie Mann at 864-5533. ( 6 ) Detached Garage^ ( 9 ) WXl.A.S. A ^ -Cwf ‘Existing Dwelling to be ramavwFbefore i H Ft X Cp Ft.lX" X R^ISTICS OF PROPOSED W.O.A.S. IRIENTED ACCESSORY STRUCTURE) CJCHARACTERISTICS OF PROPOSED Outside Dimension CHARACTERISTICS OF PROPOSED DWELUNG Outside iQ / fXDimension >^c/ Ft. x ^ L? ft IK ^^-'Dirnension _Ft. X Ft."iX FtfX^FtX^Sq. Ft. Setback to Lotline Setback to Right of Way 3^ Setback to Ordinary High Water Level Elevation Above Ordinary HjgMVater Level Setback to Septic Tank / ^ Ftl/" Setback to Drainfield ?\\X Setback to Bluff F<X[ Maximum Proposed Height Basement Walkout Basement Total Bedrooms Sq. Ft. Setback to Lotllne Setback to Right of Way Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level _ Setback to Septic Tank Ft. Setback to Drainfield I Setback to Bluff h< A Ft.v<^ Maximum Proposed Height / ^ TxXX' Bathroom Proposed (7^) Yes ( ) No ■ <54/4'e7</ryi S- 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_______ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotl!nes/Rlght-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.&Ft," Ft."■7-^0 FtX" Ft. Ft. Ft. Ft.i B FtX^ No X^ yL No Ft.Yes xX Ft.Yes ( ) Screen Porch ( ) Storage Structure Topographical Alteration / Earthmovino lJL^^ □ 20 Cubic Yards or Less * Must include on scale drawini^iriTXw3‘ r/^, 30fY,T(pO Total Impervious Surface Onsite (FTJ) Total Lot Area (FT!) □ 21 Cubic Y bic Yards or More*None CHARACTERISTICS OF LOT: .Yes NoBluff.Sq. Ft.Water Frontage Ft.Lot Area Impervious Surface Ratio:xioo =Impervious Surface Ratio THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibiiity to inform the Land & Re|ptffce Managejnent^ffice once the buiiding footings have been constructed. /Date; of ffopert^ Ownerfamre ^j9Dlm 'llDate: ce Management OfficeLanq& tznn.f^s.n6.f)cpermittee $RECEIPT NO.PROJECT(S) TOTAL SQ. FT.. AiPjj) //)f/)tr/nfj. ^ ^ .j Comments: 1 # Form No. BK — 1003-0501 315,901 • Victor Lundsen Co.. Printers • Fergus Falls, Minne* APPLICATION FOR SITE PERMITWHITE - Office GOLDENR&D - Inspector y ■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 YELLOW - Owner (alter issue) PINK - Assessor 55011PLEASE PRINT OR TYPE ALL INFORMATION Permit No. '■ LAKE / RIVER NO. t--•LAKE/RIVER CLASS ^SECTION TWP NO.RANGE TWPNAMELAKE/RIVER NAME L-'I 775^/ 7 5 c/cc?F, V7 yr /{o ADDRESS "uxjO 5^ ^^ Goo 3 LEGAL DESCRIPTION^57- ^ 3 fQ ^f< NC V ^O f^7,07'M. P€~6>' C 5 C7 <7e&' e 7{ uy fY' Tc^ t= ^_aT /Aic/<^P^F€- /-<?T'5 / (L/y :Z. *7C N /3 ^ PARCEL NUMBER (S)4 7 5'^/ T>'cSi/ -it- Daytime Phone No.Last Name First Initial Mailing Address fi v)-i c /yxcProperty Owner Hay'/'t> P ______ (^duTj\TU\7\i£ i.t\\ce kt'F.oo\) ^-C-n <r/cye-'r;:/ F'Ff-cFj/3 0/Contractor Name Lie. It y T YY.yic:/yt'9yf77-1(i/ ONSITE SEWAGE ^ TREATMENT SYSTEM ()() Permit No. ( ) OTLSD * This permit is ortly valid alter verification from the O.T.LS.D. that a conforming sewage system will be installed to service this lot contact Rollie Mann at 864-5533. ONSITE WATER SUPPLY (;.--) Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add'n to Dwelling ( 5) RCUA'ear_____ (8) Storage Structure 'Existing Dwelling to be removed before 1/ ( 3 ) 'Replacement Dwelling' ( 6) Detached Garage ( 9 ) W.O.A.S. A ^ (1 ) New Dwelling ( 4 ) MHA'R (7 ) Add’n To Non-Dwelling (10) Other X 7 7~. ' /.it /CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside- Dimension CHARACTERISTICS OF PROPOSED NON-D©rCHARACTERISTICS OF PROPOSED DWELLIN Outside Dimension uFt.X 7 G Pt.'i^Outside Dimension f H Ft. X T* G Ft.t'- Ft. X Ft."oSq. Ft. Setback to Lotline Sq. Ft. Setback to Lotline Setback to Right of Way Setback to Ordinary High Water Level ‘iSOit. & FtK Setback to Ordinary High Water Level ^ ^ Tir y Elevation Above Ordinary High Water Level Sj'7- Setback to Septic Tank / ' Fti,/ Setback to Drainfleld 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_______ Maximum Proposed Height ( ) Boathouse ( ) Gazebo /-/ (y'Y Ft.*^Ft.&Ft."Ft.&/c 7 tffCrSetback to Right of Way Ft."'7-0(7 ^\iO ~TB Ft.F'Ft. Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield Ft. 7 o Fti^ sJ 4 Ft.u/ -Ft- ly ?\.]y Setback to Bluff A Ft. Maximum Proposed Height Ft.141Setback to Bluff Maximum Proposed Height Basement Ft. ____No Yes >4 No Ft./^_Ft.i^Yes Ft.Walkout Basement Total Bedrooms_ Bathroom Proposed (^) Yes ( JNo iy/' ' ' ' ^ < I ‘-'777 4'3^—^( ) Screen Porch ( ) Storage Structure **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Topographical Alteration / Earthmovina T/yG- O None □ 20 Cubic Yards or Less ' □ 21 Cubic Y 7.* Must include on scale drawing ^^rjni^ybepquirqd^/t- L -t.. |rd7-..299. Cubic Yards',^, , q^SOOK^ (y^'i 7^, i'y / ^ r 3c3/r ICT:' bic Yards or More' CHARACTERISTICS OF LOT: . ■--}Yes No/Sq. Ft. Water Frontage Ft.BluffLot Area. Impervious Surface Ratio;xioo =.%Impervious Surface RatoTotal Impenrious Surface Onsite (FT!)Total Lot Area (FT2) 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. 30u/Date: S^nature of Property Owner/v/V//O r;7/Date:7 Land & Resource Management Office iPR0JECT(S) TOTAL SQ. FT._j2ix^PERMIT FEE $ /RECEIPT NO.y Comments: JO (7 j j'OoMG V//7/X/ (.77.^ 7/ .3,01. /U2P^/.J/y I. 7a Y OJ ' /■ . I 37. o7y ''7 O 7-Lu 'O) y-y/U cyjii/.i ^ O'yio -! y/J /i f / Form No. BK — 1003-0501 315,901 • Victor Lundeen Co., Printers ■ Fergus Falls, Minnesota SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations ^ hh 17 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 7^ 't' Ft.&Ft. & Ft.Ft.Structure Set Back from Lot Lines Ft.Ft.Structure Height I r Ft.Ft.Structure Set Back from Septic Tank Ft.Ft.Structure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. Land Slope at Building Site %% Inspector’s Comments / Sketch: dr-ST1>A «y>o f Inspector's Signaiw Date of Inspection Time of Inspection L^^Pmject Approved ^ Date/lnitiai N ^qvroo" hi '■< 514.94 •h < '•c4' ■ / /—/N \, V. 'v I \/ /T —'S'-' N \ H\\-5s^\ \\\ \ \rvl5 '"-Pi % m \rr N \ ® 'i# oO^ ^ 0(>0 PlATJ t} 69*4/'/^" t 150 00 pr □ .• ’^B‘Lr UNB ■ OF LOT I -A- - " - ; \f^F'L r Line OF LOT ;■ ^tr- 1 .' (i-jO PLAT)5". i,T5d'5‘^"■ E AfQ \(T7t;;;' S^immin SOUTH turtle LAKE I i OTTER TAIL COUNTY Conditional Use Permit # [x^((c j>^v|Owner’s Name lAddress ] Location: Lake iYo^^ti Sec. Twp. Range ^1 Twp. Name 3ifi~0Z.Z(^-XX)^ I S"hOOO'?^-0 ^^9^000 ' Work AuthprizGcl! Q}h^\aL^ da^i'e. ■\Alule (\«,(QCaie k^yHt t)ajJ(~ b iM loctt-Kt^ AdJ ^ Z\/ iif^s h WAi MecT /zl l ^ Auil'^ U^ih f 7 4 Z _______ cUl (U^o, HL/st Y£^dV^ 6w \ /'9\J\.<^JS IhJ ^ f-c. (S>'^ 9^^*^to XTExpires:Issued: Lana ana Resource Management OKcial 1. 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. 5. If the terms of this permit are violated the entire permit may be revoked and the owner may be subject to legal prospcution. 6. This card shall be placed in a conspicuous place not more than 4 feet above grade on the premises on which work is to be dohe, and snail be maintained there until completion of such work. ^ ^ 7. NOTIFY DEPARTMENT OF LAND AND RESOURCE MANAGEMENT, TELEPHONE (218)' WORK HAS BEEN COMPLETED. 1 & •WHEN AUTHORIZED BK-1099-046 29«.ni • Vloof Lu«J»«b Co . Pr«M«* • Fifgui F«*«. MN • i a00-a46-*«70 -IP ■ ■■■*<<] APPLICATION FOR SITE PERMITWHITE - Offici' GOLDENROD - Inspector 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 YELLOW - Owner (after Issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION j/ LAKE/RIVEf|,/''section ^/fWPNO. ^ ^ Property (E-9ii)Ai^ESS ^y/' V>W7 (2,^7 0003(;::^X'^<SOd^ LAKE / RIVER NO. v/ LAKE/RIVER NAME RANGE P NAME PARCEL NUMBER (S) LEGAL D^CRIPTION k N G I^7.07 ^•e,10'70,( ' CO Daytime Phone No.Mailing AddressFirst InitialLast Name Property '.Aj-tudjv idrYtAfi. fTlxMih 1 CCt^£^-ey ^orpcf,I Contractor Name Lie.#0 Onsite WATER supply ^7*R6plac6rnent Dwelling ^ ^4jhdividual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT S.YSTEI PROPOSED PROJECT (please circle the appropriate numb ( 2 ) Add'n to Dwelling ( 5 ) RCU/Year_____ ( 8 ) Storage Structure _ ’Existing Dwelling to be removed befor 0 (1 ) New Dwelling ( 4) MHA'R ( 7 ) Add’n To Non-Dwelling (10) Other__________ ) Permit No. OTLSD * This permit is oniy vaiid alter verification from the O.T.L.S.D. that a conforming sewage system will be instaiied to service this tot contact Roitie Mann at 864-5533. ( 6 ) Detached Garage (9) W.O.A.S. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension Ft. X Ft.**Ft. X Ft.** Sq. Ft. Setback to Lotline Setback to Right of Way Sq.Ft.-------------- ________ Setback to Lotline Ft. &Ft.** „Setback to Lotline___ r //c .Setback to Right of WayFt.** „ . ,SetbacktoOrdinaryHighWaterLevel Set ac to Right of Way Elevation Above Ordinary High Water Level / Ft/'^ Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water LevelFt.Elevation Above Ordinary High Water Level Setback to Septic TankFt. „ , , „ . ^ ,Setback to Septic Tank__ Setback to DrainfieldFt.Setback to Drainfield___ Setback to BluffFt.Setback to Bluff_______ Maximum Proposed HeightFt.Walkout Basement_______ ___No' ^, , „ , ,Maximum Proposed Height >5 , / Bathroom Proposed ( ) Yes ( ) NoTotal Bedrooms fC. ^ i I ( ) Boathouse 71 / / od- A d/£ nh^ ' CJProiect/Lotlm^Fnght-of^ays Must be Staked Onsite Prior to Application / Inspection Ft.&Ft.** Ft.** Ft. Setback to Septic Tank_X Setback to Drainfield Setback to Bluff Maximum Proposed Height _ Basement Ft. Ft. .X Ft. Ft.Yes Ft. ( ) Screen Porch ( ) Storage Structure * Must include on scale drawing Permit may be required Topographical Alteration / Earthmovinq □ None Cubic Yards or Less *□ 300 Cubic Yards or More*□ 21 Cubic Yards - 299 Cubic Yards* CHARACTERiSTiCS OF LOT: £,H7 NoBluff.Ft.Yes.Sq. Ft.Water FrontageLot Area Impervious Surface Ratio:X100 =.% Impervious Surface RatioTotal Impervious Surface Onsite (FT^)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 lource Management office once the building footings have been constructed. 7- • cpyDate: 7//VZZDate: dnagement OfficeLand & Re^ufe PERMIT F^ $RECEIPT NO.PROJECT(S) TOTAL SQ. FT. Comments: Form No. BK — 1003-0501 315,901 • Victor Lundeen Co., Printers • Fergus Fails, Minnesota APPLICATION FOR SITE 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 WHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor 0<^ Permit No.PLEASE PRINT OR TYPE ALL INFORMATION •TWP NAMETWP NO.RANGELAKE/RIVER -'SECTIONLAKE/RIVER NAMELAKE / RIVER NO. ^y V. ■ 4 / / 'If'h('7 0-t PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) ooo;^(7^X7-(^ooppry <:■ 3 ^^5/ Daytime Phone No.First Initial Mailing AddressLast Name X.gTy-.i'fU pf<. I F ■Property Owner /AA-Yjf-ii CCyji/-fp F^Fp/-V / \/'_} Contractor Name Lie.# / Vv'-t- l:-/-. PROPOSED PROJECT (please circle the appropriate numbej) >J' ' ONSITE WATER SUPPLY 3)’Replacement Dwelling i ( ) Individual (6) Detached Garage (9)W.0.A,S. •Existing Dwelling to be removed before,'^'// ( H !ONSITE SEWAGE TREATMENT SYSTEM( ) Public ( ) None(2 ) Add’n to Dwelling ( 5 ) RCU/Year______ (1 ) New Dwelling (4 ) MHA'R____ ( 7 ) Add’n To Non-Dwelling ( 8 ) Storage Structure (10 ) Other (X) Permit No. ( ] OTLSD * This permit is only valid after verification from the O.TL.S.D. that a conforming sewage system will be installed to service this lot contact Rollie Mann at 864-5533. NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well.\ ' XiJ4U CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension ^ ^ Ft. X 3"O Ft."Ft. X Ft."Ft. X Setback to Lotline 'I '^00 Ft.** Setback to Right of Way r- ! ■ ?lF Sq.Ft. Setback to Lotline____ , Setback to Right of Way “'Setback to Ordinary Fligh Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height Bathroom Proposed ( ) Yes ( ) No 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________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo Ft.**Ft.&Ft."Ft.&/ -7 -2 At to . - Setback to Ordinary High Water Level t t 7 Elevation Above Ordinary High Water Level 7 H Ft. vF Ft.**Ft." Ft.Ft.P’'Ft. Ft. Setback to Septic Tank Setback to Drainfield ^ ~/ Setback to Bluff Maximum Proposed Height Basement______ Walkout Basement Total Bedrooms Ft. Ft.Ft. Ft.lX Ft. Ft.Ft. No Yes No Ft.Yes Ft.Ft. /( ) Screen Porch ( ) Storage Structure U !/1 <7 rh r'. ‘ ' ' **Project/Lbtlines/Rlght-of-ways Must be Staked Onsite Prior to Application / Inspection!t/i * Must include on scale drawing Permit may be required Topographical Alteration / Earthmovinq □ None □ 300 Cubic Yards or More*□ 21 Cubic Yards - 299 Cubic Yards*□ -20 Cubic Yards or Less * CHARACTERiSTiCS OF LOT: ’bl -• C-Lot Area^ ^SH7 X NoBluffYes.Ft.Sq. Ft.Water Frontage ,<4.;X100 =Impervious Surface Ratio:T Impen/ious Surface RatioTotal Lot Area (FTr)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 building footings have been constructed. Date: Signature of Prr^rty Owner ijA,-ry(./i-- Date:/ //./Land & Resource Management Office■,> /i Z-?3A2^RECEIPT NO.PERMIT FEE $PROJECT(S)TOTAL SQ.FT. Comments: 315,901 • Victor Lundeen Co., Printers • Fergus Falls, MinnesotaForm No. BK — 1003-0501k. < SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations f 11=!' -fe Ft.Ft.Structure Set Back from Ordinary High Water Level Ft.Ft.Structure Set Back from Top of Bluff hJonJ loo ^Ft.Ft.Structure Set Back from Road Right of Way lOD^ Ft. & }0C>'^Ft.Ft. &Ft.Structure Set Back from Lot Lines (SJl Ft.Ft.Structure Height ^3'Ft.Ft.Structure Set Back from Septic Tank Ft.Ft.Structure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level Ft.3-^-k.Ft. %Land Slope at Building Site % f'rt i~M T e/e/Inspector’s Comments / Sketch: "?v3t7v4.'l s ,y \\s 1 ^ Li_■* /C'O'^ T \33 i <0 ^ \2TTi T/w|i or CAlbM / Inspector's Signature Date of Inspection Time of Inspection 0')^ll^roject Approved Date / Initial OTTER TAIL COUNTY Conditional Use Permit # Sno^Tuyfl^. U-Ke. Rcarf-Owner’s Name Property Address ^ _______________ Location: Lake fcflrtlZL Sec. W Twp. I Range JfL Twp. Name ______ - 003________^ Work Authorized: Re^itcg. o>4>.r, »> Sl0^ LdHq or Z.^' wiJc. . 5oL>te iocjuft^ ^ fOOMs. (^Stte re|.nr«J.) Jj^, C y H|t<lo7Valid: il Expires: Land and Resource Management Official / Dale:- 1. Entire area shall be stabilized within 10 days of the completion of any earthmoving unless otherwise stated. 2. Owner is legally responsible for all surface water drainage that may occur. 3. If the terms of this permit are violated the entire permit may be revoked and the owner may be subject to legal prosecution. 4. This card shall be placed in a conspicuous 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. 5. NOTIFY DEPARTMENT OF LAND AND RESOURCE MANAGEMENT, TELEPHONE (218) 996-8095, WHEN AUTHORIZED WORK HAS BEEN COMPLETED.BK-1004-046 319.993 > Vidor LundMrt Co.. PrtniM • Forgut Fdk. I4N • l-aOD^MMaTp to? M? I /WTW' Hi/JKL/P & t SOiz^ieI/■I ?■ \/I"/\/ (\oqzr / ^00^7^7 yi.'ftf'' "Tip P l /‘^ Pt(<^4" 5 t/W£ <2 c^-e- tu tf^ ^ / ^&Z>/TLFtCL5A -ffa 7-0/^^ dZi^ Tl^ffc Co U C /- /. ROLF SON I \ 1 i' /!/>v ki ! .!>• ORDINARY NIGN HATER LINE ? £7/V)? ELEVATION APPLiCATiOi^ SITE PiUPilT 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 i9ionPLEASE PRINT OR TYPE ALL INFORMATION Permit No. RANGELAKE/RIVER SECTION TWP NO.TWP NAMELAKE/RIVER NO.LAKE/RIVER NAME ifi Ml^53 E-911 ADDRESSPARCEL NUMBER (S) ^ ^ 5" J / 13^ N'E- M O.E E^ LEGAL DESCRIPTION Daytime Phone No.Mailing AddressFirst InitialLast Name E /^/-/vV77~ ToProperty Owner A Contractor Lie.# 'T^UunjiutpU)ONSITE SEWAGE TREATMENT SYSTEM { ) Permit No. ONSITE WATER SUPPLYPROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add’n to Dwelling ( 5 ) RCU/Year______ ( 7 ) Add’n To Non-Dwelling ( 8 ) Storage Structure (10) Other. PfIndividual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ( 3 ) ‘Replacement Dwelling Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4 ) MH/YR_____( ) OTLSD * This permit is or/p^lid 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.‘Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED NON-DWELLINGCHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)Outside Dimension Setback to Lotline Setback to Right of Way 3 ? Ft.“ Setback to Ordinary High Water Level ^^0 Elevation Above Ordinary High Water Level__ Setback to Septic Tank ^ 0 Ft. Setback to Drainfield Setback to Bluff Ft. Maximum Proposed Height Bathroom Proposed ( ) Yes (^^ No Outside Dimension Setback to\.otline ____ Setback to R^t of Way Setback to OrdiiWy High Water Leve/'__ Elevation Above Oramary High W^r Level Setback to Septic Tan\ Setback to Drainfield \ Setback to Bluff_____Z Maximum Proposed Ij^ht Basemenf_____ Walkout Basemm Total Bedrooms__ Ft.x Ft.”Ft. X Ft.”.Outside \ Dimension \, 'Setback to Lotline N. _ Ft. Setback to Right of Wai Ft. Setback to Ordinary High Elevation Above OrdinaryJiH^h'^ter Level Setback to Septic TanI Setback to Drainfipra. Setback to Bluff____ 100 Ft”EC?Ft.&Ft.”Ft.&Ft. X •t.” Ft.”Ft.& Ft.Ft.” Ft. Ft..eve IFt. Ft.Ft. Ft.3-Ft. Ft.Ft. Yes No Ft. No Maximunn/roposed Height ( ) ^thouse (/f Gazebo Ft. ( ) Screen Porch ( ) Storage Structure **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Appiication / Inspection □ 21 CWfbic Yards - 299 Cubic Yards‘ □ 300 Cubic Yardsor More uid on scale drawingTopographical Alteration / Earthmovinq □ None j^20 Cubic Yards or Less ‘ Total Impwvious Surface Onsite (FT^) A NoBluffYesFt. 4/£,yo,‘d Total Lm Area (FT2) i .%Impervious Surface Ratio:X 100 =Impervious Surface Ratio THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibiiity to inform the Land & ^ource Management office once the building footings have been constructed. ignalLff^^^Kperiy Owner Land & Ff^ourceiManagement Office ^ Date: Date: RECEIPT NO.PERMIT FEE $ Comments: ___________________________________________^____________________________ 305,576 • Victor Lundeen Co., Printers • Fergus Falls. MN • 1-800-346-4870Form No. BK — 0500-0501 'Rta.dJLp 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-Offipe GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor -z. u> 1^1 onPermit No.PLEASE PRINT OR TYPE ALL INFORMATION SECTION TWPNO.RANGE TWP NAMELAKE/RIVERLAKE / RIVER NO.LAKE/RIVER NAME ^'31^7 UXt. 36 E-911 ADDRESSPARCEL NUMBER (S) /cr/^ C£?R Kf 4 5" £ LEGAL DESCRIPTION Daytime Phone No.Initial Mailing AddressLast Name First p.Property Owner ^ ^ (rtf ^ ^ Contractor Lie.# ONSITE SEWAGE TREATMENT SYSTEM 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) ( 2 ) Add’n to Dwelling (5 ) RCU/Year______ (8) Storage Structure _ 'Existing Dwelling to be removed before. j t(3) 'Repiacement Dwelling (^^Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4) MH/YR (7) Add'n To Non-Dwelling (10) Other ( ) Permit No. _ ( ) OTLSD * This permit is only valid alter verihcalion from the O.T.LS.D. that a conforming sewage system will be installed to service this lot contact Rollie Mann at 864-5533. CHARACTERISTICS OF PROPOSED NON-DWELLINGCHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)«n_^Ft.x_^ Setback to Lotline £^ Ft. & _ Setback to Right of Way 3 ^ Ft." Outside Dimension Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Water Level/ Elevation Above Ordinary High Wat^r Level Setback to Septic Tank',, / FI. Setback to Drainfield__ Setback to Bluff______ Maximum Proposed Height Basement______/ Walkout Basem^'t Total Bedrooms Ft."Ft.Ft. X Outside Dimension Setback to Lotline \ Setback to Right of Wa^x_ Setback to Ordinary High Waterlevel __ Elevation Above Ordinary High W^ter Level Setback to Septic TanJj Setback to Drainfield _ Setback to Bluff^ y' Maximum Proposed Height ( ) pp'athouse ( ^Gazebo ______________________________**Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Topographical Alteration / Earthmovina iIlY ^ ^ ^yC^-^-^^r^Must include on scale drawing □ None □ 20 Cubic Yards or Less * □ 21 Orfbic Yards - 299 Cubic Yards' □ 300 Cubic Yard^r More' required /4^t."Ft.&Ft."Ft."Ft. x Ft."Ft.&?) --yFt.Ft.Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank ^ Ft. Ft." Ft./f ^ Ft.Ft. FtFI.■X /Setback to Drainfield Setback to BluffZZL_.E£^^>.. /)/ Maximum Proposed Height Ft.C^ ^ Bathroom Proposed ( ) Yes (^^ No Ft.Ft. Ft.Ft. Yes No Ft./Yet No Ft. ( ) Screen Porch ( ) Storage Structure CHARACTERISTICS OF LOT: .Yes 0^ No —-------------- .Ft.Bluff.Sq. Ft.Water FrontageLot Area, Total Lot Area^Rz)Total Impenrious Surface Onsite (FTr) .%X100 =Impervious Surface Ratio:T Impervious Surface Ratio THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the building footings have been constructed. J . 00 y Date: SignaXure of Property Owner (Date:r VLand & Resource Management Office/JjJiLRECEIPT NO.PERMIT FEE $ ^ (4-[)d’ jAirm nHuJL.Comments: 305.576 • Victof Lundeen Co., Printers • Fergus Falls, MN • 1-800-346-4870Form No. BK — 0500-0501 SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations Ft.Ft.Structure Set Back from Ordinary High Water Levei "T-o Ft.Ft.Structure Set Back from Top of Bluff Ft.3^'Ft.Structure Set Back from Road Right of Way Ft.Ft.&Ft.Ft.&Structure Set Back from Lot Lines Ft.Ft.Structure Height Ft.Structure Set Back from Septic Tank Ft. 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: C / Ho $e^+r*~Ho^ V r-i Inspector's Signature \ Date of Inspection \ Time of Inspection ro/ecf Approved Date/Initial /■A {O feet.inch(es) equalsScale:.grid(s) equals feet, or 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) = o , ■=>X 100 =% Total Impervious Total Lot Area Surface Onsite ;r V b K DaXe6SignaXure 304,678 • VictDr Lundeen Co.. Printsrv • Fergus Falls. MN • 1-800-346-4670 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 Permit No..LEGAL DESCRIPTION AND LOCATION Pi')TWP Narrie ^%-dll Lake No.TWP RangeSec.Lake Classif.Lake Name IDENTIFICATION; Please Print Ail Information Tel. No.Zip No.Mailing Address— No. Street. City and State I ^ Fin InitialLast Name Owner IIINameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE;RESIDENTIAL PROPOSED USE;TYPE OF IMPROVEMENT; ()(^New Building ( ) Alteration Specify:.( ) One Family Dwelling ( ) Multiple Dwelling •(X) Other Units Size( ) Other ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL: ( ) Public Individual Septic Tank, etc. WATER SUPPLY; ( ) Public Individual Well PRINCIPAL TYPE OF FRAME: ( ) Yes (kr No( ) Masonry (^Wood Frame ( ) Structural Steel ( ) Other — Specify Basement;/ Stories above basement: Sq. feet (outside dimension) Bedrooms Baths Lot Area is CHARACTERISTI HotS26.Maximum depth of lot.....feet.feet.Water frontage is .square feet.10.0.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 ,J<3.£0..feet.feet — from road right of way is /A LO.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 STA TE STA TUTES. 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 dwlier 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. _______Shoreland Management Official /Q-'iL - nDated 9" 3s 3^/3—Permit Fee $.Receipt No.X Comments: A- Form No. MKL-0286-019 229971(g) VICTOR LUNDEEN CO.. PRINTERS, FERGUS FALLS, MINN, f i' , — Office ,iow — Owner •"ink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE tPhone: (218) 739 -2271 — Fergus Falls, Minnesota 56537 f APPLICATION FOR SITE PERMIT L Permit NoLEGAL ADESCRIPTION AND LOCATION TWP NameTWPLake Classif.RangeSec.Lake NameLake No. IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateFirstInitialLast Name Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:,( ) One Family Dwelling ( ) Multiple Dwelling ( )^New Building ( ) Alteration Units /( ) Other ( ) Other Size 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 ( .n) Individual Well ( ) Masonry ( 'LWood Frame ( ) Structural Steel ( ) Other — Specify I i. Baths CHARACTERISTICS; Maximum depth of lot feet.Water frontage is feet.square 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•S„. ■feet.feet — from road right of way is.in. .............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 ONLY 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: If' f Form No. MKL-0286-019 229971@ VICTOR LUNDGEN CO.. PRINTERS. FERGUS FALLS. MINN. • WVtj,- VX'T r< ■ 'V. S'-Vj--' %\ INSPECTOR'S CHECK LIST Make all measurements and computationsi* ACTUAL IS 4r MINIMUM Shall Be 4-Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. .-v-/OOBuilding 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. +-.1-7«Side Yard ?Ic.v^l\ v-c &Ft. oKRear 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_____________3 Ft.3 Ft. !~2} V 'A'L ^ "^ oysJL, —Inspector's Comments: £C^VV*I 'S \ Inspector's Signnure ) I Title Inspection Dated I C> -'h\19 Agency VICTOK LUMBIEH i CO.. MIMTIIII. riK«U> rM.k». Mtitll. L/iK e.