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Home My WebLink AboutSpanswick_46000210065900_Shoreland Permits_LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) 121 W. JUNIUS AVE. SUITE 130, FERGUS FALLS, MN 56537 www.co.otter-tail.mn.us APPLBCATION FOR SITE PERMITWHITE-Office ■ ' GOLDENROD^- Inspector YELLOW - dwner (after issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION SECTION TWP NO.RANGE TWP NAMELAKE/RIVER CLASSLAKE / RIVER NO.LAKE/RIVER NAME 57 OTT&e-r^/l t L.I O) j-f-S^IZ.TA /'2-/ I 137 PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) f-tfoOpu '3-! Cioi,<r900 30S-J-4 yt' LEGAL DESCRIPTION Prs-f-X ^ Hr <£az. Daytime Phone No.First Initial Mailing AddressLast Name Property Owner - 3C>7- Contractor Name Lie.# 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 PROPOSED PROJECT (please circle the appropriate number) ^^^dd’n to Dwelling ( 5 ) RCU/Year_____ ( 8 ) Storage Structure __ ‘Existing Dwelling to be removed before. (1 ) New Dwelling 14 I MHA'R (7 )'Add’n To Non-Dwelling (10 ) Other____________ ( 3) 'Replacement Dwelling ( 6 ) Detached Garage (9) W.O.A.S. ( ) Permit No. 4^/OTLSD * 77i/s permit is oniy valid after verilicatiort Irom the 0.T.L.S.D. that a cortlormirtg sewage system will be installed to service this lot contact Rollie Mann at 864-5533. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside 'Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING O'aiside Ditrlension CHARACTERISTICS OF PROPO Outside ' Dimension Sq.Ft.<§“7Z^ Setback to'Lotline (o h Ft. & /oh Ft." Setback to Right of Way o /■- Ft.” ' Setback to Ordinary High Water Level Ft. Elevation Above Ordinary High Water Level Ft. ' Setback to Septic Tank /O-^ Ft. Setback to Drainfield Ft. Setback to Bluff Maximum Proposed Height Ft. Basement_____ Walkout Basement Total Bedrooms _ I^^DW^NG Ft.x,,?,Ft."Ft. X Ft."Ft."Ft. X Sq. Ft\_______ Setback tbiLotline ___ Setback to RWit of Way Setback to Ordinary High Water Level __ Elevation Above Or^ary High Water Level Setback to Septic Tanl\ Setback to Drainfield__^ Setback to Bluff_______ Maximum Proposed Height Bathroom Proposed ( ) Yes ( Sq>0. Setba\ to Lotline ___ Setback flight of Way Setback to Oratnary High Water Level __ Elevation Above Olsdinary High Water Level Setback to Septic Tam Setback to Drainfield _ Setback to Bluff___ Ft.&Ft."Ft.&Ft." Ft."Ft." Ft.Ft. Ft.Ft. Ft.Ft. _Ft.Ft.Ft. il-Yes V No (A 0#>A-J Yes *y/ No Ft.Maximum Proposed Height ( ) Boathouse ( ) Gazebo Ft. No ( ) Screen Pbreh ( ) Storage Structure **Project/Lotlines/Right-of-ways Must be Staked Onsit^Prior to Application / Inspection Topographical Alteration / Earthmovinq . ■ □ None □ 20 Cubic Yards or Less * ' Must Include on scale drawing Permit may be required□ 21 Cubic Yards - 299 Cubic Yards'□ 300 Cubic Yards or More' CHARACTERISTICS OF LOT: ^No• Lot Area..Ft.Water Frontage .Ft.Bluff .Yes Impervious Surface Ratio:X100 =.% Total Impen/ious Surface Onsite (FT^)Total Lot Area (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 tor 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 yvhom 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 Managemen^ffice once the building footings have been constructed. 7/'^9/z>.7 Signature of property Owner _ .Date: Date: Land & nesource Management OfficeA4ro^J3Le-3JPROJECT(S) TOTAL SO; FT.. Z-PERMIT FEE $RECEIPT NO. ■ Comments: Form No. BK — 0203-0501 313.012 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095 121 W. JUNIUS AVE. SUITE 130, FERGUS FALLS, MN 56537 www.co.otter-tail.mn.us WHITE - Office GOLDENROD -Inspector YELLOW - Owner (after issue) PINK - Assessor . ^ 0{^ / sPLEASE PRINT OR TYPE ALL INFORMATION TWPNO.RANGE TWP NAMESECTIONLAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS 37cijr^j27/\iu /3YCd o PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) I Pr s Lt ^ fir Scz. 3osJ'^ Hui'f y/r LEGAL DESCRIPTION Daytime Phone No.Mailing AddressInitialLast Name First rProperty Owner - 1C^7 3irr/ Contractor Name Lie. # ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY Individual NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. PROPOSED PROJECT (please circle the appropriate number) ^^pAdd’n to Dwelling (5 ) RCUA'ear______ ( 7 ) Add’n To Non-Dwelling (8 ) Storage Structure ( 9 ) W.O.A.S. (10) Other. (3 ) 'Replacement Dwelling (6) Detached Garage ( ) Public ( ) None(1 ) New Dwelling (4 ) MH/YR_____( ) Permit No. OTLSD * This permit is only valid alter verilicatiort from the O.TL.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 W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside 'dimension sift. Setbafik^to Lotline___ Setback tbftight of Way Setback to Ordinary High Water Level __ Ordinary High Water Level CHARACTERISTICS OF PROPOSED NON-DWELUNG Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING Outside ^ Dimension tA Ft. x -7Z. Sq.FL.^'5^ 7 Z- Setback to Lotline /o f Ft. & /OP Ft." Setback to Right of Way 2 o Ft." Setback to Ordinary High Water Level Ft. Elevation Above Ordinary High Water Level Ft. Setback to Septic Tank i( j -*■ Ft. Setback to Drainfield OT Ft. Setback to Bluff Ft. Maximum Proposed Height ^ ^ 1 Ft. _ Yes y No f>D^) Yes 'y/ No Ft."Ft."Ft. X Ft. X Ft." 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 Bathroom Proposed ( ) Yes ( Ft.&Ft."Ft.&Ft." Ft."Ft." Ft.Ft. Ft.Ft.Elevation Above Setback to Septic Ta^Ft.Ft. \Ft. Setback to Drainfield Setback to Bluff___ Maximum Proposed Height { ) Boathouse ( ) Gazebo **Project/Lotlines/Rlght-of-ways Must be Staked Onsite'^Prlor to Application / Inspection Ft. i.t- Basement______ Walkout Basement Total Bedrooms__ Ft.Ft. No ( ) Screen Pbreh ( ) Storage Strubture \ Topographical Alteration / Earthmovinq □ None * Must include on scale drawing Permit may be required□ 21 Cubic Yards - 299 Cubic Yards'□ 300 Cubic Yards or More'□ 20 Cubic Yards or Less ' CHARACTERISTICS OF LOT: ./ /-'/ r>wSg. Ft.Bluff____Yes NoWater Frontage .Ft.Lot Area. 11%Impervious Surface Ratio:: X100 =.% Total Impervious Surface Onsite (FT^)Total Lot Area (FT^)Impereious Surface Ratio 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 buiiding footings have been constructed. 7/"X* Date:O f (. <. ^Land S fwsource ManagementOffice Date: PROJECT(S) TOTAL SQ. FT. <X7 Z-PERMIT FEE $RECEIPT NO. Comments: Form No. BK — 0203-0501 313,012 • Victor Lundeen Co.. Printers • Fergus Fails. Minnesota% 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. 7^5/Structure Set Back from Road Right of Way Ft.Ft. Ft. &Structure Set Back from Lot Lines Ft.Ft.&Ft. ^U2.Structure Height Ft. Ft. Structure Set Back from Septic Tank Ft. Structure Set Back from Drainfield Ft. Ft. Elevation Of Lowest Floor Above Ordinary High Water Level lAJi Ft.Ft. Land Slope at Building Site %% 1Inspector’s Comments / Sketch: k 22^ Inspector's Signature 3 Date of Inspection im.Time of Inspection □ Project Approved Date/Initial BOO'oo' / n'^I '0I I LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) 121 W. JUNIUS AVE. SUITE 130, FERGUS FALLS, MN 56537 www.co.otter-tail.mn.us APPLICATION FOR SITE PERMITWHITE - Office GOLDEHROD - Inspector YELLOW - Owijer (after issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWPNAMESECTIONTWP NO.RANGELAKE/RIVER CLASSLAKE/RIVER NAMELAKE / RIVER NO. GO PROPERTY (E-911)ADDRESSPARCEL NUMBER (S) LEGAL DESCRIPTION n C, I ' Daytime Phone No.Mailing AddressFirstInitialLast Name Property Owner 1:'M h ' ??1 ^Contractor Name Lie.# ONSITE SEWAGE 0/ J TREATM0W SYSTEM , / UX:£^+'CL ONSITE WATER SUPPLY ( ) Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) slructiue' setback to a well. PROPOSED PROJECT (please circle the appropriate number) (ft) New Dwelling (4 ) MH/YR (7) Add’n To Non-Dwelling (10) Other____________ (3) ’Replacement Dwelling (6) Detached Garage (9) W.O.A.S, ( 2 ) Add’n to Dwelling (5 ) RCUYear______ ( 8 ) Storage Structure _ ‘Existing Dwelling to be removed before. (jPauaii ) OTLSD * This pehwl is only valid alter verilica • IromJ^O.T.LS.D. that a conforming^^ ------sslBje system mil be installed to servied^ this lot contact Rollie Mann at 864-5533. ^ CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER^RIENTED ACCESSORY STRUCTURE)HAWCTERISTICS OF PROPOSED NON-DWELLING Outsid^ Dimensi^ CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension Sq. Ft. ^ ^ Setback to Lotline pt. & pt.” Setback to Right of Way /o ^ Ft.” Setback to Ordinary High Water Level 3 <5 Elevation Above Ordinary High Water Levelr?^ Ft. Setback to Septic Tank ^ Setback to Drainfield _ i.O " Setback to BlutVV^ 7? Maximum Proposed Height '2-^ Basement_______ Walkout Basement _ Total Bedrooms -3 C Ft.x Outside DimensionFt. X Ft.”Ft.” Ft. X Ft.” Sq. Ft. \ Setback to Lotline \ Setback to Right of Way Setback to Ordinary High WSiqr Level __ Elevation Above Ordinary High Wbt^r Level Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height Bathroom Proposed ( ) Yes ( ) No Sq. Ft._________ > Setback to Lotiine ___ Setback to Right of Way Setback to Ordinary High Water bevel __ Elevation Above Ordinary High Wat\ Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotllnes/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.”Ft.&Ft.”Ft.& Ft.”Ft.” Ft.Ft. Ft. Ft.Ft.Ft. Ft.Ft.Yes Ft.Ft.Yes K No ( ) Screen Porch ( ) Storage Structure * Must Include on scale drawing Permit may be required Topographical Alteration / Earthmovina □ None □ 300 Cubic Yards or More*□ 21 Cubic Yards - 299 Cubic Yards*■ 20 Cubic Yards or Less * CHARACTERISTICS OF LOT: 141 Yes X NoFt.BluffSq. Ft.Water FrontageLot Area.-2^ 4Impervious Surface Ratio:X100 =Impervious Surface RatioTotal Impenrious 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 & Resource Management office once the building footings have been constructed. Date: Signature of Property Own^ ^3Date: Land Si Resource Manageme^^ice Bu460134-1 PERMIT FEE $RECEIPT NO.PROJECT(S) TOTAL SQ. FT.. Coprtfnents: T Form No. BK — d?03-0501 313.012 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) 121 W. JUNIUS AVE. SUITE 130, FERGUS FALLS, MN 56537 www.co.otter-tail.mn.us WHITE-Office GOLDENROD - Inspector YELLOW-^ Owr.er'^after issue) PINK - Assessor ermit No.PLEASE PRINT OR TYPE ALL INFORMATION RANGE TWPNAMETWP NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTIONLAKE / RIVER NO. / 3 -IT.// ^Lx y PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) /LJ 7/^' C 'O O - ^ _ (J oLr-i ' ^ cJ o.u.LEGAL DESCRIPTION !,vi/i ^ ^ H n f /y^ O—JJ 4•vlADaytime Phone Noj vMailing AddressFirstInitialLast Name -4 ^3^ ^ la Jis.7 ■ y S3 IProperty Owner '/7/! i / o 4-^, jj.'’4-<-Y.44Contractor Name Lie.# 774?^ h ONSITE SEWAGE TREATMENT SYSTEM ( ) Permit No^ f ''^YoTLSD * This'pehriit is only valid alter veriScaSon ^ /\ Irom Ihe ’O.T.L.SD. that a conforming ------sewage system will be installed to service 7- d)is ht contact Rome Mann at 864-5533. ONSITE WATER SUPPLY ( ) individuai ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) struct setback to a well. PROPOSED PROJECT (please circle the appropriate number) (O ) New Dwelling (4 ) MH/YR_____ (7) Add’n To Non-Dwelling (8) Storage Structure (9) W.O.A.S. (10) Other. (3) 'Replacement Dwelling (6) Detached Garage (2 ) Add’n to Dwelling (5) RCU/Year______ . Ll \4tQ9' 'Existing Dwelling to be removed before..r' 3CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED NON-DWELLING Outside^ Dimensiotl'v CHARACTERISTICS OF PROPOSED DWELLINGOutside Dimension -7.: Sq.Ft. Setback to Lotline o Ft. & ^ Ft." Setback to Right of Way / o ^ Ft." Setback to Ordinary High Water Levelo c.-,, U-^R, Elevation Above Ordinary High Water Levelc2Jdll44. Ft. Setback to Septic Tank | O Ft. Setback to Drainfieid _ i-O Ft. Setback to Bluff 4 rf Maximum Proposed Height J-.4 Basement_______ Walkout Basement _ Total Bedrooms 3 Outside DimensionFt. X Ft."Ft. X Ft." Ft. X Ft." Sq. Ft. Setback to Lolline \ Setback to Right of Way Setback to Ordinary High Wat^Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfieid____ Setback to Bluff________ Maximum Proposed Height Bathroom Proposed ( ) Yes ( ) No Sq.Ft.________ Setback to Lotline Setback to Right of Way Setback to Ordinary High WaterLpvel __Ft Elevation Above Ordinary High Watar Level Setback to Septic TankR Setback to Drainfieid____ Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo "Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft."Ft.&Ft."Ft.& Ft."Ft." Ft.Ft. Ft. Ft.Ft.Ft. Ft.Ft.Yes Ft.Ft.4__NoYes ( ) Screen Porch ( ) Storage Structure ' Must include on scale drawing Permit may be required Topographical Alteration / Earthmovinq □ None □ 21 Cubic Yards - 299 Cubic Yards'□ 300 Cubic Yards or More'Q 20 Cubic Yards or Less ' CHARACTERISTICS OF LOT: HI Ah Yes A NoSq. Ft.Ft.BluffWater FrontageLot Area. Impervious Surface Rafio:X100 =.%Impervious Surface RatioTotal Impervious Surface Onsite (Ffr)Total Lot Area (FT2) 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. Date: ^ ^ *^1 ~ ^3 Signature of'Property Ownf^iik3/Date: Land & Resource Managem^^fffce PERMIT FEES f^Q RECEIPT NO.PROJECT(S) TOTAL SQJT., Comments: I'h,.'\j “f T7I ‘I'VIt ■7!/ VA, - \ Form No. BK — 0203-0501 313,012 • Victor Lundeon Co.. Printors • Fergus Falls, Minnesota.Ik I n .-.SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations 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./ 0^1"^Ft.Ft.&Ft.&Structure Set Back from Lot Lines i K Ft.Ft.Structure Height Ft, Ib +f=trStructure Set Back from Septic Tank FStructure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level }oi Ft.Ft. %Land Slope at Building Site % Inspector’s Comments / Sketch: P/ &MX Uif Inspector’s Signature fl Date of Inspection /foo Time of Inspection a Project Approved (9 Date/Initial 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 SECTIONLAKE/RIVER CLASSLAKE/RIVER NAME TWP NO.RANGE TWP NAMELAKE / RIVER NO.: dfrrt/h]BH 31ft I E-911 ADDRESSPARCEL NUMBER (S) ZDSZ^ //tuy7g-COO -s^Y- oo&s- ‘too LEGAL DESCRIPTION A-c tr- IN / Mailing Address Daytime Phone No.First InitialLast Name d-uij 7? Olitrtfn\ tin S&Sil , Property Owner 0/$OM - Q7X Contractor Lie.# PROPOSED PROJECT (please circle the appropriate number) (2) Add'n to Dwelling (5 ) RCU/Year______ 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(3) 'Replacement Dwelling (6) Detached Garage (9)W.0.A.S. (1 ) New Dwelling j 4) MHA'R_ (7) Add’n To Non-Dwelling ^^Storage Structure ( jT’ermit No.__j 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. 9 'Existing Dwelling to be removed before.(10) Other. CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED NON-DWELLING CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)Outside ^ _ Dimension TJ F*- x Setback to Lotline Setback to Right of Way I Ft." Outside : . -Dimension^- ______ - ; Setback to Lotline____ Setback to Right of Way Setback to Ordinary High Wafer Level ___ Elevation Above Ordinary High Water Level . Setback to Septic Tank___ Setback to Drainfi.eld____ Setback to Bluff ' Maximum Proposed Height Baserhent u_____ . Walkout Basement Total Bedrooms__ 160 Ft."Ft. X Ft."Outside Dimension _____ Setback to Lotline___ ~7S . Ft. Setback to Right of Way Ft. 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 ( ) Screen Porch ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Appiication / inspection 10\Ft. & Ft."Ft."Ft.&Ft."Ft. X Ft."Ft."Ft.& Ft. Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level 3 Ft." Ft. Ft,Ft. Setback to Septic Tank I / Q Ft. Setback to Drainfield / ^ Ft. Ft.Ft. Ft.Ft. ^0 Ft.Ft.Setback to Bluff Maximum Proposed Height 3.0 Ft. Bathroom Proposed ( ) Yes No Ft. NoYes Ft. Yes No Ft. ( ) Storage Structure ' Must include on scale drawing Permit may be required Topographical Alteration / Earthmovinq \ Q-.None □ 21 Cubic Yards - 299 Cubic Yards'□ 300 Cubic Yards or More'□ 20 Cubic Yards or Less ' CHARACTERISTICS OF LOT: Bluff No.Ft.Yes_Sq. Ft.Water FrontageLot Area. = 1. Impervious Surface Ratio:X100 Impervious Surface RatioTotal Lot Area (FT^)Total Impenrious 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 correcit and agree to do the proposed work in accordance with the description above set forth, , and according to the provisions of the Ordinances of OtterTail County, Minnesota. I further agree that any plans and specifications submitted herewith shall becpriie a part of this permit application. I also understand that this permit is valid frpr 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. h IDate:4/1 '0iaiure of Property^vwnet £> IUiDate:, fenof &_ Resource Management Office PERMIT FEE $RECEIPT NO. Comments: Form No. BK — 0500-0501 305,576 • Victor Lundeen Co., Printers • Fergus Falls, MN • 1-600-346-4870 '-TTi r-MT-Tl. ■ -J WHITE -l:)ffice GOLDENROD - Inspector YELLOW - Owner (after Issue) PINK - Assessor 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 6>lPermit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NAMESECTIONTWP NO.RANGELAKE/RIVER CLASSLAKE / RIVER NO.LAKE/RIVER NAME QljfKtAr\]31;ii E-911 ADDRESSPARCEL NUMBER (S) 4 6 -COO-il- <D06S- <^00 LEGAL DESCRIPTION hkJ.ni.gl Tr I N Daytime Phone No.Initial Mailing AddressFirstLast Name Hhi S6 5^/ Property Owner 0/$QM - :2.q - Q-\C, 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 ( 3 ) ‘Replacement Dwelling ( 6 ) Detached Garage (9) W.O.A.S. ‘Existing Dwelling to be removed before (1 ) New Dwelling ( 4 ) MH/YR_____ ( 7) Add'n To Non-Dwelling Storage Structure (10) Other. ( ) Permit No. OTLSD * This permit is only valid alter verificalion from the O.T.LS.D. that a conforming sevvage system will be installed to service this tot contact Rollie Maim at 86^5533. (5) RCUA'ear. CHARACTERISTICS OF PROPOSED NON-DWELLINGCHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)Outside Dimension Setback to Lotline lO Setback to Right of Way Ft.** Setback to Ordinary High Water Level 7 5 Ft. Elevation Above Ordinary High Water Level 3 Setback to Septic Tank / ^ Ft. Setback to Drainfield / 0 Ft. Setback to Bluff ^0 Ft. Maximum Proposed Height ZLO Ft. Bathroom Proposed ( ) Yes Outside Dimension 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 Basement______ Walkout Basement Total Bedrooms__ ^5 Ft. 1^0 Ft.**Ft.**Ft. X Outside Dimension 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 _ Sefback fo Bluff_____ Ft. & Ft.**Ft.**Ft.&Ft. X Ft.*‘ Ft.**Ft.&Ft.** Ft.Ft.** Ft.Ft.Ft.Ft. Ft.Ft. Ft.I_Ft. Ft.Ft. Yes No Ft. Yes No ^)No Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotllnes/Rlght-of-ways Must be Staked Onsite Prior to Application / Inspection Ft. ( ) Screen Porch ( ) Storage Structure ‘ Must include on scale drawing Permit may be required Topographical Alteration / Earthmoving □ None □ 20 Cubic Yards or Less ‘ □ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: LotArea_LiLll No.Ft.Bluff Yes,Sq. Ft.Water Frontage .Impervious Surface Ratio:X100 Impervious Surface RatioTotal Lot Area (FTr)Total Impervious Surface Onsite (FTj) 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 tor 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. w o IDate: signature of Properly Owner [ o »Date: Land & Resource Management Office 7^RECEIPT NO.PERMIT FEE $ Comments: r Form No. BK — 0500-0501 305,576 • Victor Lundeen Co.. Printers • Fergus Falls. MN • 1-800-346-4870 4 SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations Ft.;?6o '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.Ft.Structure Set Back from Septic Tank /Oo Ft.Ft.Structure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft.7^ Land Slope at Building Site %% Inspector’s Comments / Sketch: M’- 1 Inspector's Si^Mure Date of Inspection /S'/d Time of Inspection •c ■ ^Project Approved* : Date/Initial il- ■ JWHITE-Office APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor ■fij- 6-L I (^L Permit No.^<?N I » ' *LEGAL ■ DESCRIPTION BLUFFZONEANDI‘+^■5^□ YES. LOCATION LAKEfgUMBER TWP NO.LAKBRIVER NAME LAKE/RIVER SECTION RANGE TWP NAME15,y J.') (Xc.r T<=o-^CLASS \&l> =2( PARCEL NUMBER (S),SURFACE WATER DRAINAGE □ CHANGE, _____YRDS3, DRAINAGE PLAN REQUIRED NO CHANGE FIRE NUMBER ■■fe-rCW-a-l- 00(eS^-^DO IDENTIFICATION: Please Print All Information TELEPHONE NO. Last Name First Initial Mailing Address — No. Street, City, State, and Zip Code-_______ f)Lkrj(M\^ Ma/ i>lrS7l (Daytime) U%-Property Owner 3^7_- >35^/ State Lie. # ^ • r NameContractor ONSITE WATER SUPPLY (^^^Intfvidual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. PROPOSED PROJECT PROPOSED USE ( ) Dwelling ^^^n-Dwelling ONSITE SEWAGE TREATMENT SYSTEM ( ) Individual Permit #_____ ( ) Collector Permit #_____ J^LSD* ir<•flhe.. ( ) Addition(s) (-.)MH/RV__m ( ) Water Oriented Accessory Structure (WOAS)YEAR CHARA^RISnCS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED NON-DWELLING (^j^tility Structure CHARACTTOSTICS OF PROPOSED WOAS ( ) Detached Garage ( ) Boathouse ( ) Screen Porch( ) Dwelling , ( ) Replacement D^liing . ( ) Addition to Dwelling ( ) Existing Dwelling shall be^q(noved on or before. . Outside Dimension. ( ) Basement ( ) Waikout ( ) Attached Garage ( ) Gazebo (>l^Utility Structure( ) Other _ Outside Dimension _ /G 0 Ft. / 0 Ft. Ft. X ( ) Other__ Outside Dimension _laFt. X .Ft.Lotline Setbacks _,Ft.&Ft. X Ft. 7S-LotlineSetbacks .Ft..Ft.&OHWL Setback Ft. Lotline Setbacks Ft.&Ft.. . OHWL Setback .Ft.Bathroom: ( ) Yes (\^o (If Yes / a complying SeW^ System Required)OHWL Setback .Ft. ■Total Bedrooms_____________________ Maximum Height / 35 Ft. (2 story)IItMaximum Height Maximum Height / 10 ft. (1 story)Ft...story Ml..Sq. Ft. Impervious Surface .Sq. Ft.Impervious Surface Ratio: \ Lot Area % .Ft. Elevation of lowest floor above OHWL .Ft. (3’ minimum)Water Frontage .2^Structure setback to right-of-way____ Structure setback to septic tank_____________ Dweliing setback to Soii Absorption System___ Non dwelling setback to Soil Absorption System .Ft. Slope of lot__: Ft. (10’minimum) (Sewage System Permit required before installation).lo Ft. (20’minimum) (Sevvage System Permit required before installation). in Ft. (10’minimum) (Sewage System Permit required before installation). . 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. 1 also understand that this permit is valid for a period of six (6) months. Pei;mit: 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. * This permit is only valid after verification from the O. T.L.SD. that a conforming sewage system will be installed to service this lot... Contact Rollie Mann at 864-5533. Dated: Sig^ure .of Owner Land & Resource Managemo»f^ice Dated: IPERMIT FEE $RECEIPT NO. Comments: Form No. BK — 0597-002 296.178 • ViclOf Lundeen Co.. Printers • Fergus Falls, MN • 1-800-346-4870 uiHJ. WHITE ■ Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218) 739-2271 • FERGUS FALLS, MN 56537 ? (uLCPj C-L I Qr L.Permit No.I I > *LEGAL DESCRIPTIONt BLUFF ZONEAND □ YESLOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER SECTION TWP NO.RANGE TWP NAMEiL-yiX Qf(s>rTc,l c cc2l/ PARCEL NUMBER (S)SURFACE WATER DRAINAGE □ CHANGEYRDS^, DRAINAGE PLAN REQUIRED NO CHANGE FIRE NUMBER 700 7 IDENTIFICATION: Please Print All Information TELEPHONE NO, Last Name First Initial Mailing Address — No. Street, City, State, and Zip Code (Daytime) Kiel rx'i TIPProperty Owner in-nOi-rfe Vi VV57/1 3(; 7-M / state Lie, # ' T NameContractor PROPOSED PROJECT Structure(s) . • ( ) Addltion(s) ( )MH/RV__ PROPOSED USE ( ) Dwelling /^'^^on-Dwelling ( ) Water Oriented Accessory Structure (WOAS) ONSITE WATER SUPPLY F^ndividual { ) Public ( ) None NOTE: MN Rules Chpt, 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM ( ) Individual Permit #_____ ( ) Collector Permit #_____ J^TLSD* ■ ■ 6'i" YEAR Tv CHARACTERISTICS OF PROPOSED WOASCHARACTERISTICS OF PROPOSED DWELLING ( ) Dwelling ' ^ ( ) Replacement Doling ( ) Addition to Dwelling\ ( ) Existing Dwelling shall be Outside Dimension____________ CHARACTERISTICS OF PROPOSED NON-DWELLING ('^J^tility Structure( ) Detached Garage( ) Basement ( ) Walkout ( ) Attached Garage loved on or before ( ) Boathouse ( ) Screen Porch ( ) Gazebo (\^Utility Structure( ) Other Outside Dimension /go Ft. J 0 Ft. ^ S Ft. X__ / O Ft. & ( ) Other. Outside Dimension.Ft.Lotline Setbacks Ft. X Ft. ITLotline Setbacks .Ft.&.Ft.OHWL Setback .Ft. Lotline Setbacks Ft.&.Ft. OHWL Setback .Ft.Bathroom: ( ) Yes (\^o (If Yes / a complying Sew%e System Required)OHWL Setback .Ft.Total Bedrooms IMaximum Height / 35 Ft. (2 story)Maximum Height Ft.,Maximum Height / 10 ft. (1 story).story iMq. 57 M-Lot Area Sq. Ft. Impervious Surface Sq. Ft. Impervious Surface Ratio % Water Frontage Ft. Elevation of lowest floor above OHWL Ft. (3’ minimum) Structure setback to right-of-way..Ft. Slope of lot .% i_Qstructure setback to septic tank .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). Dwelling setback to Soil Absorption System ZONon dwelling setback to Soil Absorption System TH/S /S A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: 1 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. * This permit is only valid after verification from the O.T.LSD. that a conforming sewage system will be installed to service this lot... Contact Rotlie Mann at 864-5533. Dated: Signature of Owner Land & Resource Managertwt^'^ice Dated: SE.AiH *PERMIT FEE $RECEIPT NO. -i Comments: Form No. BK — 0597-002 296,178 * Victor Lundeen Co. Printers • Fergus Falls, MN ■ 1-800-346-4870 :" ■**T' INSPECTION RESULTS Make all measurements and computations i^QS tn SO}5K^3i a Ci S Structure Set Back from Ordinary High Water Levei ^ Ft.Ft. ^ Ft.Structure set Back from Top of Bluff Ft. Structure Set Back from Road Right of Way Ft.Ft. Structure set Back from Lot Lines ,Ft.&Ft. \t £/^ 2^0Structure Height Ft. Ft. Structure Set Back from Septic Tank Ft.Ft.~h/<=^ Structure Set Back from Absorption System Ft. Ft.^/cr C? Elevation Of Lowest Floor Above Ordinary High Water Level____________________Ft.Ft. Land Slope at Building Line % % Irtspector’s Comments / Sketch: y -*• /\ £Inspector’s Signature ‘)kih Date ot Inspection I Tune oNn^)ection iS'r Y .- . 'Jjl' 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 L. I , L 2. , S^f-z. SL'^h 3^ 5 ^ 5-^5 " t! y 'ho /3^ oh Car S^c^ 2^f /\/ 3/62, ^ 3<^0 AT 40“ nu\ 3L . S //-Tz' o-f KiL'/w H <f Permit No.LEGAL DESCRIPTION BLUFF ZONEAND□ YESLOCATION SECTION TWP NO.RANGE TWP NAMELAKE/RIVER NAME LAKE/RIVER CLASSLAKE NUMBER / 3^3 ?0~H~Jtr 7x,y($44enr^:/C^b TOPOGRAPHICAL ALTERATION □ YES It OF CUBIC YARDS Xno_______________ FIRE NUMBERPARCEL NUMBER (S) OdO-ch^t- IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and Zip Code (Daytime)InitialFirstLast Name l/iJrcJc ^ ^ <n~4- 3./^V Property Owner Kh I 3oa O-hh^-l- o_ 7 ( 5 7/ 5-^lhNameContractor State Lie. It ONSITE SEWAGE TREATMENT SYSTEM { ) Individual Permit #____ ( ) Colieclor Permit #_____ p^OTLSD ONSITE WATER SUPPLY ^^ndividual ) )Pubiic ( ) None PROPOSED USE ( ) Dwelling ^^p^Non-Dweliing ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT ( ) New Structure(s) ^^><)rAddition(s) ( )MH/RV___________YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ^^Utility Structure CHARACTERISTICS OF DWELLING ( ) Screen Porch( ) Boathouse( ) Garage( ) Dweliing ( ) Addition to Dweiling ( ) Basement ( ) Waikout Basement Outside Dimension__________ ( ) Utility Structure( ) Gazebo( ) Other Outside Dimension c2^ Ft.x KDc) c./osei'/' ^ ^oa' Lotline SetbacksFt. & ( ) Other. Outside Dimension .Ft. .Ft..Ft.x .Ft..Ft..Ft.x A^^Ft..Ft.Lotline Setbacks .Ft.&OHWL Setback .Ft.&.Ft.Lotline Setbacks Bathroom: ( )Yes ^(X)No (If Yes / a complying Sewage System Required) OHWL Setback .Ft. .Ft.OHWL Setback,Total Bedrooms__________________ Maximum Height / 30 Ft. (2 story)Maximum Height /10 ft. (1 story)Maximum Height /4// Ac^rzs < /o.Sq. Ft. Impervious Surface Ratio .%.Sq. Ft. Impervious SurfaceLot Area Ft. (3' minimum).Ft. Elevation of lowest floor above OHWLWater Frontage .Ft. Slope of lot .%Structure setback to right-of-way -h~ ^Ft. (10'minimum) (Sewage System Permit required before installation).Structure setback to septic tank Ft. (20’minimum) (Sewage System Permit required before installation). Ft. (10’minimum) (Sewage System Permit required before installation). Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System -H/D 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. ^gnature of Owner Dated: Dated: Land & Resource Management Office So^72^ 5PERMIT FEE $RECEIPT NO. * This permit is only valid after verification from the O.T.L.SD. thatComments: a conforming sewage system will be installed to service this lot... Contact Rollie Mann... 864-5533. Form No. BK — 0496-002 281,017 • Victor Lundeen Co.. Printers • Fergus Falls. MN • 1-800-346-4B70 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITE-Office j GOLDENROD - Inspector YELLOW - Owner PINK - Assessor C L f L X , o4 51 'V S L 'fn &<j •ho <t o 4 V 3/6Z ^ 3(^0 nC, ^0“ ji 0^7 ^ s /^sz' Permit No.LEGAL DESCRIPTION Car /V BLUFF ZONEAND□ YES S'NO LOCATION TWP NAMESECTIONTWP NO.RANGELAKE/RIVER CLASSLAKE/RIVER NAMELAKE NUMBER /- a ■'' '-h'h^r ~Tei.' /r T'6^ .' I / TOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS Xno______________ FIRE NUMBERPARCEL NUMBER (S) iJC- O&O-c^ /' OOC.5 - 92?0 TELEPHONE NO.IDENTIFICATION: Please Print All Information (Daytime)Mailing Address — No. Street, City, State, and Zip CodeFirstInitialLast Name 5-/4 ^4 / 7X0Property Owner jif-l u ; / ^ hi S Q s7! NameContractor State Lie. # ONSITE SEWAGE TREATMENT SYSTEM ( ) Individual Permit #_____ ( ) Collector Permit #_____ ^ OTLSD ONSITE WATER SUPPLY p4lndividual •( ) Public ( ) None PROPOSED USE ( ) Dwelling Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT { ) New Structure(s) Addition(s) ( )MH/RV____________ YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ( ) Garage CHARACTERISTICS OF DWELLING ^ Utility Structure ( ) Screen Porch( ) Boathouse( ) Dwelling ( ) Addition to Dwelling ^ ( ) Basement ( ) Walkout Basement Outside Dimension__________ ( ) Utility Structure( ) Gazebo( ) Other Outside Dimension ?t.x iOO .clowi-t kiis ^/io ^ Lotline SetbacksFt.& ( )Other. Outside Dimension .Ft. .Ft..Ft..Ft.x .Ft..Ft.x .Ft.&.Ft.Lotline Setbacks Ft.OHWL Setback .Ft.&.Ft.Lotline Setbacks Bathroom: ( ) Yes No (If Yes / a complying Sewage System Required) .Ft.OHWL Setback .Ft.OHWL Setback. Total Bedrooms__________________ Maximum Height / 30 Ft. (2 story)Maximum Height ^8 Maximum Height /10 ft. (1 story) Hi </o .%.Sq. Ft. Impervious Surface Ratio.Sq. Ft. Impervious SurfaceLot Area .Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage ir h/oo .%__________Ft. Slope of lot .Ft. (10’mlnlmum) (Sewage System Permit required before installation). .Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (lO’mlnlmum) (Sewage System Permit required before installation). Structure setback to right-of-way -F i C?Structure setback to septic tank Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System F / O 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. Dated: Signature of Owner Dated: Land & Resource Management Office RECEIPT NO.PERMIT FEE $ * This permit is only valid alter verification from the O.T.L.SD. thatComments: a conforming sewage system will be :l—taJleti to ;-oi-vice this lot... 'Co:r:i. RoLlie Mann... 864-5533. iI Form No. BK — 0496-002 281.017 • Vicior Lundeen Co., f rimers • Fergus Falls. MN • 1 •800-348-4870 INSPECTION RESULTS Make all measurements and computations GooStructure Set Back from Ordinary High Water Level Ft.Ft. Ft.Structure set Back from Top of Bluff Ft. lOO'^Ft. Ft.Structure Set Back from Road Right of Way Ft.,Ft.&Ft.Structure set Back from Lot Lines Ft.Structure Height Ft. 4-Ft. Ft.Structure Set Back from Septic Tank foo )0O-^Ft.Structure Set Back from Absorption System Ft. Elevation Of Lowest Floor Above Ordinary High Water Level____________________Ft.Ft. %%Land Slope at Building Line Inspector’s Comments / Sketch:, jf''f Ix^il i 'Ji' j <*\ \oo i r' inspector's Signature Date of Inspection ii:qo Tone of Inspection i. 'y,-r -'n- • 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 nPf )aPermit No.LEGAL DESCRIPTION AND LOCATION TWP NO. RANGE TWP NAME 7 FIRE OR LAKE ASSOCIATION NUMBER LAKE NUMBER LAKE/RIVER NAME Tail LAKE/RIVER CLASS_^ _ ,(K> 3-1 SECTION PARCEL NUMBER (S) IDENTIFICATION: Please Print All Information Mailing Address — No. Street, City and State Zip Code Telephone No.First InitialLast Name mkI SpatasiA/icifC^Property Owner ( NameContractor State Lie. # CHARACTERISTICSTDF PROPOSEDPROPOSED PROJECT PROPOSED USE RESIDENTIAL USE NON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure ( ) Water Orientated Accessory Structure Other ( ) New Structure ( ) Addition ( ) MH/RV ) Orle Family Dweiling Basement ( Walkout Basement { Outside Dimension of Structure______ ) Residential ) Non-Residential (( r ( ) Multiptt§tT^elling() * ig.. ft of Units )YEAR ONSITE W/^ATER SUPPLY <24TYPE OF FRAME ONSITE SEWAGE DISPOSAL SYSTEM Height of Structure. # Of Stories_____/) Masonry(( ) Public ( L<)Hf?dividuai ( ) None . OFFICE USE ONLY ( a/) Bluff Impact Zone ( y\J) Shore Impact Zone lf\j) Sensitive Area ( ) Public ( ) Individual - Permit #_ ( X) OTLSD Wood ft Of Bedrooms ) Structural Steel ( ) Other ft Of Bathrooms ( LOT SIZE AND SETBACKS: Lot Area is square feet. Water frontage is feet. Maximum depth of lot feet. feet. (String Test)Building set back from ordinary high water level is Land height above ordinary high water level at building line is feet. Slope of lot o/o Building set back from road right-of-way.feet. in 10Lot line setback is and feet. nStructure will be located feet from septic tank (Sewage System Permit must be obtained before installation). /OStructure will be located feet from soil absorption system (Sewage System Permit must be obtained before installation). THIS /S A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STATE STATUTES. Agreement: l 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 Gr Resource Management office once the building footings have been constructed.) ^jgnature 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. Dated: Dated: Land 4 Resource Manager^ertt Office Permit Fee $.Receipt No. ^ Hou\kiQ '■0 AmJ iScetHm- 'Yv ----------------- Comments: 7I Form No. BK — 0292-002 270.500 • Victor Lundeen Co Printers • Fergus Fails. MN • 1-800-346-4870 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT wfllTE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 565; pi ILEGAL DESCRIPTION /t//.r9 AAND LOCATION I^ANGE.LAKE/RIVER NAME . Toil LAKE NUMBER LAKE/RIVER CLASS ^(yO SECTION TWP NO.TWP NAMEblr^j V PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER i-j <( - (.yUO “ ^ 1"^ 00 0?:^ ~ Cj Qjj IDENTIFICATION: Please Print All Information InitialLast Name First Mailing Address — No. Street, City and State Zip Code Teiephone No. [yH- -U , ^ (/ 'XTTj 6 j 7 / : , I 1yProperty Owner NameContractor State Lie. It PROPOSED PROJECT PROPOSED USE RESIDENTIAL USE ( ) One Family Dwelling ( ) Multiple Dwelling# of Uriit^*'7s ) NON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure ( ) Water Orientated Accessory Structure Other CHARACTERISTICS OF PROPOSED/Basement ( / ') j/'■w/ Walkout Basement ( ) Outside Dimension of Structure______ Height of Structure # Of Stories______ ( ) New Structure ( ) Addition ( ) MH/RV () Residential ) Non-Residential( W loQYEAR (XONSITE SEWAGE DISPOSAL SYSTEM TYPE OF FRAME ( ) Masonry ONSITE WATER SUPPLY ( ) Public ( L--f1ndividual ( ) None / I OFFICE USE ONLY ( ^'7 Bluff Impact Zone (Shore Impact Zone ( N) Sensitive Area ( ) Public ( ) Individual Wood It Of Bedrooms ( ) Structural Steel ( ) Other # Of Bathroomsy Permit # ( X)OTLSD 7LOT SIZE AND SETBACKS: Lot Area is square feet. Water frontage is___feet. Maximum depth of lot feet. 7^Building set back from ordinary high water level is feet. (String Test) 3Land height above ordinary high water levei at building line is Building set back from road right-of-way. feet. Slope of lot % feet. m 10Lot line setback is and feet.70Structure 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).72Structure will be located THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STATE STATUTES. Agreement: l 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.) c'Q. 11.' r -C--'!' ■'Dated: 7Signature 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 1Dated: Land & Resource Management Office ■I ,.i Permit Fee $.Receipt No. nac/ufi-gComments: 0 T I mIP 1' ; TI rm No. BK — 0292-002 270.500 ■ Vidor Lundeen Co Printers ■ Fergus Fills. MN ■ 1-600-346-4870 r INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. I’Cro V-Building Set Back from High Water Level Ft.Ft. Building Set Back from Top of Bluff Ft.30 Ft. Building Set Back from Road Right of Way Ft.20 Ft. Ft. &Ft.Building Set Back from Lot Lines JX-Ft.Ft.Building Height 10 FtBuilding Set Back from Septic Tank Ft. 20 FtBuilding Set Back from Absorption System Ft. Elevation Above High Water Level at Building Line IP±Ft.3 Ft. %Land Slope at Building Line sn airInspector’s Comments/Sketch:, Inspector's Signature -*■ Date of Inspection 1/7 3a Time of inspection 4 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739-2271 • FERGUS FALLS, MN 56537 WHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor Permit No.LEGAL DESCRIPTION \(d c e «5 ^AND LOCATION LAKE NUMBER LAKE/RIVER NAME—-------- 044^^'kv I SECTION RANGELAKE/RIVER TWP NO./TWP NAME av FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER (S) ^ I - ooce^- ^1?!^ IDENTIFICATION: Please Print All Information First Mailing Address — No. Street, City and State Zip Code Telephone No.Last Name Initial ItnsiA/(.U< ^ cT 7>0Property Owner S'les T:fH-'lfcy+o (, X^iNameContractor State Lie. # fBasement ( fu) Walkout BasemenU___)— / Outside Dimension a/V'Y/Ox of Structure PROPOSED PROJECT ( New Structure ( ) Addition 'l ( ) MH/RV PROPOSED USE RESIDENTIAL USE non-residential use ( ) Garage (N<^ Utility Structure ( ) Water Orientated Accessory Structure characteristi OF proposed ( ) One Family Dwelling ( ) Multiple Dwelling # of Units ( ) ) Residential( ) Non-ResidentialQJ YEARUYl aONSITE SEWAGE DISPOSAL SYSTEM ONSITE WATER SUPPLYTYPE OF FRAME ( ) Masonry ( L,,^rC^d ( ) Structural Steel ( ) Other ( ) Other Height of Structure. # Of Stories______ Ft. 7( ) Public ( ^;_^)HfT3ividual ( ) None OFFICE USE ONLY ) Bluff Impact Zone ) Shore Impact Zone ) Sensitive Area OT^( ) Public ( ) Individual Permit #_ ( ) OTLSD It Of Bedrooms mmrj It Of Bathrooms LOT SIZE AND SETBACKS: Lot Area is square feet. Water frontage is feet. Maximum depth of lot feet. 73Building set back from ordinary high water level is feet. (String Test) r?s>Land height above ordinary high water level at building line is feet. Slope of lot % -20Building set back from road right-of-way.feet. m mLot line setback is and feet. Structure will be located feet from septic tank (Sewage System Permit must be obtained before installation). mStructure will be located. .feet from soil absorption system (Sewage System Permit must be obtained before installation). 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. Dated: ^nature 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. Dated; Land & Resi^urce ^^anagement Office // 'f(iW "-'-■AaK V^/lKcccHC/w ogSDPermit Fee $.Receipt No_ /Arf (>OnlComments: 'Y~y-IflxkLLir^' 7 ^ c or\AOpr \J^ ( i\g Qil/ijudiA5 Form No. BK — 0292-002 262,316 — Victor Lundeen Co., Printers, Fergus Falls, Minnesota LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMIT WHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor ; pi % i\Jtll4 s^V4 Permit No.LEGAL DESCRIPTION c e »AND *LOCATION ILAKE/RIVER NAME—j—-------0+4^ VI RANGELAKE/RIVER CLASS ,oO ^ SECTION TWP NO.,TWP NAMELAKE NUMBER (jj J'/ I / FIRE OR LAKE ASSOCIATION NUMBER 4 C\ \I PARCEL NUMBER (S) 7 I ~ OOCfS^- lot)7f/4 IDENTIFICATION: Please Print All Information Mailing Address — No. Street, City and State Zip Code Telephone No.First InitialLast Name I-M/U.(< j CICiH u i non ^______4Property Owner ;T r)M i"f^' ^ ^4-T ,LNameContractor llVState Lie. If RESIDENTIAL USE NON-RESIDENTIAL USE ( ) Garage Utility Structure ( ) Water Orientated Accessory Structure CHARACTERISTICS OF PROPOSEDPROPOSED USEPROPOSED PROJECT ( >- ) New Structure ( ) Addition ( ) MH/RV 4 { ) One Family Dwelling ( ) Multiple Dwelling # of Units { ) Basement ( ) Walkout BasemenLX——)—' / Outside Dimension /J<r i x of Structure_______ () Residential (/) U Non-Residential izONSITE WATER SUPPLYTYPE OF FRAME ( ) Masonry ( L^'Wood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ( ) Other Height of Structure. # Of Stories______ Ft. ' / ( ) Public ( j_^>mdividual ( ) None OFFICE USE ONLY ) Bluff Impact Zone () Shore Impact Zone ( p ) Sensitive Area ( ) Public ( ) Individual <r ,0 Permit If ( ) OTLSD It Of Bedrooms '€r# Of Bathrooms LOT SIZE AND SETBACKS: feet.square feet. Water frontage is.feet. Maximum depth of lotLot Area is feet. (String Test)Building set back from ordinary high water level Is Land height above ordinary high water level at building line is feet. Slope of lot % Building set back from road right-of-way..feet. in mLot line setback is and feet. .A/i iStructure will be located feet from septic tank (Sewage System Permit must be obtained before installation)../Ti Structure will be located.feet from soil absorption system (Sewage System Permit must be obtained before installation)./ 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. Dated:c—1 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. ‘h/0~4 '13 ! Dated: Land & Resource KfSmgemgnt Office i II ^ ! .7Permit Fee $.Receipt No. (TTTt V'gr1I in I irOl V.Comments: I r c a t A L [( I''C / erVuTu VLnhM rhj 7^yH 'Oi f—u+f/(('jilt ^1M_i m (: fi Form No. BK — 0292-002 262,316 — Victor Lundeen Co., Printers, Fergus Falls, Minnesota INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. 'f'7ooBuilding Set Back from High Water Level Ft.Ft. Building Set Back from Top of Bluff Ft.30 Ft. Building Set Back from Road Right of Way Ft.20 Ft.3oC> /-Ft. &'006Building Set Back from Lot Line Set Back Ft.Ft. Ft.Building Height Ft. Building Set Back from Septic Tank Ft. 10 Ft 0 kBuilding Set Back from Absorption System Ft.20 Ft Elevation Above High Water Level at Building Line +2^0 3 Ft.Ft. Land Slope at Building Line % I I « bXIQMInspector’s Comments: Sketch: . V •.•fv . ' > ' ' ■ rfon- •J‘tx iff- >.< • . i--:.r ■ Irtspeckr's Signature t \fV\ N7.-S3 Date of Inspection time of Inspection J 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 5>--^’sjLxV Ig W S5Permit NoLEGAL DESCRIPTION AND LOCATION c3^iY\^j-rT-T- 40 TWP NameRangeSec.TWPLake Classif.Lake No.Lake Name IDENTIFICATION: Please Print All Information Tel. No.Mailing Address— No. Street, City and State Zip No.Last Name First Initial - S\e-Vg^y~sOwner .SZ2U1 NameContractor Architect Name. NON-RESIOENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:)•7>\ ’ 15b_D ) New Building ( ) Alteration ( ) One Family Dwelling I ) Multiple Dwelling Specify: Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( )Yer>-)( ) Masonry —Li) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public I ) Individual Well NoBasement: Stories above basement: Sq. feet (outside dimension) Bedrooms ..............................Baths Type of Roof: CHARACTERISTICS: TJC)C>—Water frontage is ........ feet. feet. (Building Line) ..........................feet .....feet — from road right of way is Maximum depth of lotsquare feet.feet.Lot Area is •>:r\.S.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 vvay........ Side yard is .......\.^............. and Structure will be located ...! 3, .......^.b. ..............feet.3..Q feet: .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 se forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewiti shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Signature^f Owner 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. . IUT.CO 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 Permit Fee S ~~Z-Q * ^ CD 4Comments: J V f * 195676® VICTOR LUNDCEN CO.. PRiNTKRS, FERGUS FALLS, MINN.Form No. MKL-0771-002 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 p-//^Fr &c. \ J Permit No._Ll>» liLEGAL a'b' ii -4 o -('iJUDESCRIPTION rAND Ai" 1r err /<i> 6 7LOCATION ’A \\r \ TWP NameLake Classif.Sec.TWP RangeLake No.Lake Name tOENTIFICATtON: Please Print AM Information Tel, No.Last Name First Initial Mailing Address— No. Street, City and State Zip No. i'\1‘ -Owner j. NameContractor jj Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Specify:. Units () Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( I Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify Basement; ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well Baths Type of Roof:Xi r- •\ CHARACTERISTICS: A..:.:.:...;Itsquare feet.Water frontage is feet.Lot Area is Maximum depth of lot \feet. Building set back from high water mark is....................... Land height above high water mark at building line Is feet. (Building Line) %feet i'1.0t Building set back from State highway right of vyay feet — from road right of way is ,feet.r ^ : V+--W ♦ V **» t' Side yard is and feet. 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 STATE STATUES.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 0Permit Fee S O ~ ^ ~> Comments: V i ' - -- L J j 4-.i.'tH ■•« ' ^H./-~rT IN, 195676®Form No. MKL-0771-002 VICTOR LUNOtEN CO.. PRiNTF.r.S. Fv;:^CUS FA-L.S. MINN. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS I MINIMUM Shall Be 4 Sq. Ft. cog.Lot Area (Square feet)Sq. Ft.Sq. Ft. /OOWater Frontage Ft.Ft. 7^/ 20^Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway 50 Ft. Building Set Back from Street or Road Ft. 40 Ft. \0 & IV ^Ft. Ft.Side Yard 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: ^4^ cAB^ M- - ic E5B *7^7S*t ^ ‘ 71 ------- g Inspector's Signature Title Inspection Dated 19 Agency VICTOR LUNefCH t CO . fCOOUO riU.Lt. HIHM. GRID PLOT PLAN SKETCHING FORMfeet/inchesScale: Each grid equals 19Dated: /---- Signature Please sketch your lot indicating setba^s fn^rrrOSa right-obwayr lake and sideyard for each building currently on lot and any proposed structures. -/TP ------------ t \ S \ ^0-' 1 ! i 1 21S98 7@MKL-0871-029 VICTOft lUNOeCN CO.. PRINTCIIS. rCUCUS FALLS. UINM. White - 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._C.LEGAL rr 6 /DESCRIPTION AND LOCATION Xj_ 3oTTsfiTiRiu Oo TWP NameRangeSec.TWPLake Classif.Lake No. Lake Name IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street, City and StateInitialLast Name First ic —J Asou n S '-) (^Owner / NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE; QTYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: ( i/^ew Building f ( ) Alteration V ^ ^ 0 i ( ) One Family Dwelling ( ) Multiple Dwelling Specify:. Units /(Size jUl-f( ) Other (-pother ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( Si^TWood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public(VP^dividual Septic Tank, etc. WATER SUPPLY: ( ) Public ( l^/lndividual Well Basement: ( ) Yes ( Stories above basement; Sq. feet (outside dimension) Bedrooms Baths VOr\a i *\(Type of Roof: square feet. Water frontage is CHARACTERISTICS:'t feet.Maximum depth of lotLot Area is .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 right of way Side yard is Structure will be located feet. (Building Line) 3 feet V (yfeet — from road right of way is ■feet. fand feet. .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 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 Af six (6) months. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUES./Signature of OwnerI 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. ^ - 7 - ? ^Dated Shoreland Management Official2^Permit Fee $. Comments: 195676®Form No. MKL-0771-002 VICTOR LUNDEEN 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 Permit No„LEGAL DESCRIPTION , AND CK C^iro % S LOCATION /3 V 3? oTf^eizi-giL.r2a TWP NameRangeTWPSec.Lake Classif.Lake No.Lake Name IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateInitialLast Name First Iw'A kWC J:>^ pVYA S m 1^Owner t NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:TYPE C^MPROVEMENT: (O New Building V X 3 ^ avtl t| RESIDENTIAL PROPOSED USE;(f ( ) One Family Dwelling ( ) Multiple Dwelling Specify:. ( ) Alteration Units (t-T^her I ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Maspnry Frame ( ) Structural Steel ( ) Other — Specify ( ) Publjc' ( vF-^fndividual Septic Tank, WATER SUPPLY: ( )Yes (Y) NoBasement; IStories above basement: Sq. feet (outside dimension) Bedrooms ...........'.T........... etc. ) Publio^ O I ndividui Baths .miiiMK. Individual Well Type of Roof; square feet. Water frontage is CHARACTERIST|CS: Kf. .f!..O..Ofeet.Maximum depth of lotLot Area is 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 right of way.... Side yard Is Structure will be located feet. (Building Line)7 4.feet H ofeet — from road right of way is ■feet. I o f oand feet. I.Q..feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.).2..M.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 STA TE STA TUES.Signaturej»T 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 j / - j 6 - ^ /Dated Shoreland Management Official n-2.1Permit Fee $. Comments: V. 195676@ vtcroR lundeen co.. printers. Fergus falls. Minn.Form No. MKL-0771-002 SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANC\ White - Office Yeilow — Owner Pink — Assessor Goldenrod — Inspector i)i-Vyr Permit No. fA- LEGAL LDate.DESCRIPTION AND LOCATION nr'i! Lake No. Lake Name NameLake Classif.Sec.TWP Range tPENTIFICATION: Please Print AH Information Tel. No.Mailing Address— No. Street. City and State Zip No.Last Name First Initial /O f Ai,Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:^j/ftfevTsuilding ( ) Alteration M. i(( ) One Family Dwelling ( ) M^iple Dwelling liy/fother Specify:. Units ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents)/ PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masopry __ ( (LWltfo^ Frame I ( ) Structural Steel ( ) Public Basement: ( ) Yes ( Stories above basement:/(Tidividual Septic Tank, etc. WATER SUPPLY:Sq. feet (outside dimension]^, Bedrooms .............................( ) Other — Specify ( ) Publig,^— ( j^l^^Kl^ividual Well Baths MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Ye ( ) Central HEATING: ( ) Electric ( ) G^ I ) Coal Type of Roof: /I ^ ^Oil None ^ -------CHARACTERISTICS: LkoLot Area is square feet. Water frontage is. feet. (Building Line) ...............................feet feet. Building set back from high water ntark is................... Land height above high water mark at building line is Building set back from ^at^bighway is..............t"(p'....... Side yard is............ .....and........ Building will be located Building will be located feet — from road or street is feet. feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). feet. LO. 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. /^Signature of Permission is hereby granted to the above named applicant to perform the work oescribed in the above statement. This permit is granted upon the uDated. 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. Dated Shoreland Management Official Permit Fee $.State Surcharge $. ^-f-'( //I y /Q-c..-Comments:+I -G to- <3.-ir/ Form No. MKL-0771-002 VICTOII UUN»IIN « CO.. FRINTt*!. FCKOUO FM.L0. >158899 SHORELAIMD MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 -APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY\ Office OwnerWhite •Yellow I'ink — Assoasor <'.')o!clonrod — Inspector j/.^nO I 430 Permit No. fA' LEGAL Date.LDESCRIPTION AND LOCATION ^ V %} I 3H^ ^ Lake Name <4 2^2- TWP RangeLake Classif.Sec.Lake No. IDENTIFICATION: Please Print All Information Tel. No.Mailing Address— No. Street. City and State Zip No.Last Name First Initial /; f /h ! -V7 ""T^-LOwner NameContractor Architect Name. TYPE OF IMPROVEMENT;RESIDENTIAL PROPOSED USE;NON-RESIDENTIAL PROPOSED USE;^/f^ew^uilding ( ) Alteration M r!iT.k I(( ) One Family Dwelling ( ) Multiple Dwelling Specify;,0 Units <4(9a(^>c^( ) Other Other Sizei. ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME;TYPE OF SEWAGE DISPOSAL;DIMENSIONS; ( ) Public Basement: ( ) Yes ( Stories above basement: Sq. feet (outside dimensioii Bedroorhs ..............'4^....... I(ndividual Septic Tank, etc. { ) Structural Steel ( ) Other - Specify WATER SUPPLY: ( ) Publish--' ( )) J1<^ividual Well Baths MECHANICAL EQUIPMENT ; Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central HEATING: ( f) Electric ( ) Coal _ Type of Roof.(( ) Gas Oil None ( t -----CHARACTERISTICS. im.Lot Area is square feet.Water frontage is . feel. (Building Line) ...............................feet feet. Building set back from high water mark is................... Land height above high water mark at building line is .T5. .C.z>.Building set back from ^at^ighway is.............. Side yard is............ .....and..........'l!^...*rrr?.. Building will be located Building will be located feet — from road or street is feet. feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). feet. 10. %.e.. 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. ✓uDated Signature of Permission is hereby granted to the above named applicant to perform the work aescribed 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 ordiriances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Permit: /^. /f. Shoreiand Management Official Dated r-x! 1Permit Fee $.State Surcfiarge $. kJ T-.//T IComments: ^ ^H f\ +VG lo- PX~ff l2-31NO CERT ISSU LE Form No. MKL-0771-002 ,158899 ' ^ Nu SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY White — Office Yellow — Owner Pink — As%e$$or Goldenrob — Inspector X c.k I r I W 3^ ' li UT m)7 6 Permit No,.LEGAL m /. /fDate.DESCRIPTION /AND LOCATION g-p- vu f]' mod Lake Classif.Sec.TWP TWP NameLake No. Lake Name Range IDENTIFICATiON; Please Print All Information Last Name First Initial Mailing Address— No. Street^ City and State Zip No.Tel. No. fi^LTy 0d\ ■ ^ fy^QL-yJL^A^ ll l\ r\e\ I d A m /) S/)- ,>nU^AOwner /? INamefcvContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: ( iXJrTe Family Dwelling ( ) Multiple Dwelling NON-RESIDENTIAL PROPOSED USE: ( ) New Building ( M-'^eration t t/ ( ) Other Specify:. Units ( ) Other Size V g 00.ESTIMATED COST OF IMPROVEMENTS (omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( U-Wood Frame I ) Structural Steel ( ) Other — Specify ( ) Public ( tKTn^ividual Septic Tank, etc. WATER SUPPLY: ( ) Public (1,-Kindividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: ( ) Yes ( Stories above basement: Sq. feet (outside dimension) Baths...... / /Bedrooms HEATING: ( ) Electric ( ) Coal Other: ( ( ) None Co p ■Type of Roof:( ) Oil (No ( ) Unit CHARACTERISTICS: LiJJ±,2X:.Lot Area is square feet.Water frontage is , feet. (Building Line) ...............................feet feet. Building set back from high water mark is................... Land height above high water mark at building line is Building set back from State highway is........................ Side yard is Building will be located Building will be located 10.. .^.±.5..o.±feet — from road or street is feet. LZ../.c.and feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). feet. .LQ. ,»2..0. 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. I /9 72 n Dated,I / Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This peiPermit: 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./^^ N iff is granted upon the 02. J • 0 Dated Shor Management Official - D 0Permit Fee $.State Surcharge $. n .y/f /??/Comments:f Form No. MKL-0771-002 VICTOH UIHOCIH 4 M.. MtarCM. FC04U4 r«.ks.158899