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Home My WebLink AboutSunset Bay Resort_8087530_Shoreland Permits_otter Tail County oT^AiL Land & Resource Management CO>MTT-leiMMO«& W Shoreland Inspection Form .StK's m\j yc.Permit No.Contractor \\-B-7Dl\ “'”''"EUi»,SodVN Plttskr l9Type of Permit Sj Structure PermitDate of Inspection Shoreland Alteration Pemiit Structure Inspection Shoreland Alteration Inspection Dc>oc)'ftc} Type of Structure □ YES □ NO*Project completed per permit *lf no, explain in commentsGodfOGr Type of Excavation Structure Height ft ft □ Grading □ Filling □ Removing Material Off Site Type of Material UsedtmStructure Length ft ft □ Class V □ Asphalt □ Concrete □ Gravel □ Crushed Concrete □ Washed Sand □ Black Dirt14Hstructure Width ft ft ft □ Pit Run Material □ Natural □ Other SETBACKS yd^Estimate of total material moved L\00* •400+ •OHWL ft Erosion Control Erosion Control Provided Q YES O NO O N/AMIATop of Bluff ftft ft If Yes, type of erosion control provided □ Sod □ Turf Seed □ Hydroseed □ Straw Mat O Silt Fence500^Road R.O.W.ft ft ft □ Erosion Control Blanket □ Other Property Line Impervious SurfaceZo0+ *114-ftN S(\^ Impervious Surface Change □ YES □ NO Property Line 50+ '\00+ft N S Type of Impervious Surface □ Class V □ Asphalt □ Concrete □ Gravel O Wood\V2Septic Tank ft ft ft □ Crushed Concrete D Pavers □ Rock □ Pit Run Material □ OtherSoil Treatment Area ft ft ft Non-permeable liner under product?□ YES □ NO Property's Total Impervious Surface Coverage After Project CompletionLowest Floor to OHWL ft ft ft % V A'foac\iMap of Project /T^/N 3X)+ 1\': rO18^ 'r p I <—---- ^A- £A -C7-V' I ,1r ^ t'8_:5 jris ■ " g -T ' \V beoc\ %-%!)□ Photos Taken Comments: r.rs UFinal Inspector Signature 895704 • Victor Lundeen Co., Printers • Fergus Falls, MN • 1-800-346-4870 Firefox https://onegov.co.ottertail.mn.us/admst/viewcard.php?card=5&ap... OTTER TAIL COUNTY Land & Resource Management Phone (218) 998-8095 PERMIT TYPE SITE AND LOT ALTERATION PERMIT (COMBINED) PERMIT NUMBER 31690 PROPERTY OWNER J & K’s Sunset Bay Inc LAKE INFORMATION Dead DNR ID(S)383 LOCATION Parcel(s): 14000160135001 Township Name: Dead Lake Township Property Address(es): 38274 CO HWY 44 Section/Township/Range: Sect-16 Twp-135 Range-040 Legal: 12.20 AC S 550' OF LOT 4 WORK AUTHORIZED 7- 10' X 24' DECKS FOR THE LAKESIDE CABINS WHICH WERE APPROVED BY VARIANCE IN 1991 AND A 12' X 12' DECK FOR THE DWELLING BUILT IN 2018 IN TIER 2. TOP DRESS, SEED AND STABILIZE DISTURBED AREAS. MUST CONTROL AND STORE WATER RUN-OFF. Amy Busko 04/16/2021 11:51 AM 377dd939d757c1746415ffdf348930ec 3f601516718bc4866a6abc60a07f3f64 04/16/2021 04/16/2022 Land and Resource Management Official/Date ISSUE DATE DATE EXPIRES NOTE: • This permit must be placed in a conspicuous place not more than 6 feet above grade on the premises on which work is to be done, and must be maintained there until completion of such work. • If the terms of this permit are violated, the entire permit may be revoked and the owner/contractor may be subject to legal prosecution. • Property Owner is legally responsible for all surface water drainage which may occur. » Topographical Alteration projects shall be stabilized within 10 days of the completion unless otherwise stated. • Notify Land & Resource Management when building footings/foundation have been completed and/or when work authorized is complete and ready for inspection (218) 998-8095. r. 4/16/2021, 11:52 AM1 of 1 Land & Resource Permit Applications https://onegov.co.ottertail.mn.us/view.php?id=16751#option-results Land & Resource Management Government Services Center 540 Fir Avenue West Fei^us Falls MN 56537 QJTCHTflll Phone:218-998-8095 00(ltTT-«lt«lt0Til Site Permit Applications SITE AND LOT ALTERATION PERMIT (COMBINED) Permit # 31690, App. # 2280, UID # 16751 Valid: 04/16/2021 -04/16/2022 Applicant Information Applicant Information:Name: JAY EDWIN WEIHER Phone (218 )639 -0732 Email Address loghomes@wcta.net Mailing Address PO BOX 99 VERNDALE MN 56481 I am the:Contractor Property Owner's Contact Information Property Owner Contact Information: Name JIM WHERLEY Phone (218 )758 - 2080 Email Address info@sunsbay.com Mailing Address 38274 CO HWY 44 RICHVILLE MN 56576 Work Performed By (Site Permitl Work to be performed by (Site Permit): Contractor Contractor's Contact Information (Site Permit! Contractor Information:Name JAY EDWIN WEIHER Company or Buaness Name: JR CONSTRUCTION OF VERNDALE INC Contractor License Number BC270437 Phone Additional Phone: (218 >639 -0732 (218 ) 631 -1947 Email: loghomes@wcta.net Address PO BOX 99 VERNDALE MN 56481 Work Performed By (Lot Alteration Permit) Work to be Performed by (Lot Alteration): Contractor 4/16/2021, 11:52 AM1 of 5 Land & Resource Permit Applications https://onegov.co.ottertail.mn.us/view.php?id=l 675 l#option-results Contractor's Contact Information (Lot Alteration) Contractor Information:Name; JAY EDWIN WEIHER Company or BuanessName: JR CONSTRUCTION OF VERNDALE INC Contractor License Number BC270437 Phone;Additional Phone; (218 ) 639 -0732 (218 )631 - 1947 Email; loghomes@wcta.net Address PO BOX 99 1 VERNDALE MN 56481 Property Information Project Location: Property Attributes Property Address Legal Description Primary Name/Address CityParcel #Property Address City Legal Description Name Primary Address Line 1 38274 COUNTY HIGHWAY38274 CO HWY J& K’S SUNSET BAY INC RICHVILLE14000160135001RICHVILLE 44 44 Lot Area:630174 Square Feet Is the properly Developed or Undeveloped? Developed On Site Sewage Treatment System:L&R Cert, of Compliance within 5yrs. Onsite Water Supply NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. Indivdual Shoreland Information Associated Lakes: Lake ClassLake Name DNR ID LRCD Dead 383 NE 56-383 Water Frontage:657 Feet Bluff:No Proposed Project (Site) Proposed Dwelling:None Is there an Attached Garage?No Proposed Non-Dwelling:Deck(s) Proposed Water Oriented Accessory Stmcture: None Please list outside dimensions (in 7- 10' X24’ DECKS FOR THE LAKESIDE CABINS AND A 12’X12' DECK FOR THE DWELLING BUILT IN 2018 IN TIER 2 feet) of above items you are applying for: Characteristics of Proposed Deck Square Feet: 1824 Square Feet Maximum Proposed Height:3 Feet 20 FeetDeck Stbck Lot Line 1 (indicate (2) closest lot lines): 165 Feet Setback to Right of Way:375 Feet Setback to Ordinary High Water Level: ^ Feet Elevation above Ordinary High Water Level: 3 Feet Setback to Septic Tank:10 Feet Setback to Draintield:20 Feet Setback to Bluff:N/A Feet Proposed Project (Lot Alterationi Site Prep Other NO LOT ALTERATION FOR THIS PROJECTProject Type:Project Description: Post ConstructionFoundation Type: Area to be Cut/Excavated 0 Feet Width:0 FeetTotal Cubic Yards:0 Length:Length:0 Feet Average Depth: 0 Feet Calculate I •t 0 Feet0 FeetWidth:0 Feet Average Depth:Total Cubic Yards:Length:Width:0 Feet 0 Average Depth:0 Feet Total Cubic Yards:0 pitoteuiate I 4/16/2021, 11:52 AM2 of 5 Land & Resource Permit Applications https://onegov.co.ottertail.mn.us/view.php?id=16751#option-results Walk-Out Basement Project Length:00 Feet Width:0 Feet Average Depth:0 Feet Total Cubic Yards; , I Calculate I Area to be filled/Leveled Average Depth:Length;0 Feet Width:0 Feet0 Feet 0 Feet Total Cubic Yards;0 Length: [ Caloulati^ Width:0 Feet Average Depth:Total Cubic Yards:, 0 Feet0 Feet 0 Length;0 Feet Width: [ Catcuiata^ Average Depth: 0 Feet Total Cubic Yards:0 |calcaldte| Backfill at Foundation Linear Length:0 Feet Average Width:0 Feet Backfill Total:0.0 Feet Average Depth:I Calculate I Impervious Surface - Buildings Dwelling Existing;864 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet Dwelling Proposed; Attached Garage Existing;0 Square Feet 1958 Square Feet Attached Garage Proposed: Detached Garage Existing: Storage Shed Existing: Detached Garage Proposed: 0 Square Feet Storage Shed Proposed:0 Square Feet 0 Square FeetWater Oriented Accessory Structure Existing: 0 Square Feel Water Oriented Accessory Structure Proposed: Recreational Camping Unit Existing: 4419 Square Feet Recreational Camping Unit Proposed: 0 Square Feet 935 Square Feet Total Building Existing Imperious; 8176 Square Feet | Calcuja^ Miscellaneous Existing;0 Square FeetMiscellaneous Proposed: 0 Square FeetTotal Building Proposed Impervious; Impervious Surface Calculation - Buildings Total Building Existing Impervious; 8176 Square Feet Total Building Proposed Impervious; 0 Square Feet Total Building Impervious Surface: 8176 Square Feet right 630174 Square FeetLot Area; lmper^^ous Surface Ratio:0,0130 Buildings Impervious Surface Percentage; 1.30 % Impervious Surface - Other Deck(s) Existing:0 Square Feet 1824 Square Feet 0 Square Feet Deck(s) Proposed: Patio(s) Existing:0 Square Feet Patio(s) Proposed: Sidewalk(s) Existing:0 Square Feet 250 Square Feet 23040 Square Feet 620 Square Feet 0 Square Feet Sidewalk(s) Proposed:0 Square Feet 0 Square FeetLanding(s) Existing;Landing(s) Proposed: Driveway(s) Existing:Driveway{s) Proposed:0 Square Feet Parking Area(s) Existing:0 Square FeetParking Area(s) Proposed: Retaining Wall(s) Existing;Retaining Wall(s) Proposed:0 Square Feet Landscaping Existing;0 Square Feet 0 Square Feel 0 Square FeetLandscaping Proposed: Miscellaneous Existing:0 Square Feet 1824 Square Feet Miscellaneous Proposed: Other Existing Total:23910 Square Feet Other Proposed Total: Impervious Surface Calculation - Buildings & Other Total Building + Other Existing 32086 Square Feet Impervious: Total Building + Other Proposed 1824 Square Feet Impervious: Total Building + Other Imperious 33910 Square Feet Sur^ce: Lot Area: 630174 Square Feet Building + Other Impervious Surface Ratio; 0.0538 Building + Other Impervious Surface Percentage: 5.38 % Shore Impact Zone Impervious 0 Square Feet 1680 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 1680 Square Feet Building(s) Existing;0 Square Feet 0 Square Feet Building(s) Proposed: Deck(s) Existing:Deck(s) Proposed: Patio(s) Existing:0 Square Feet 0 Square Feet 130 Square Feet 1200 Square Feet 0 Square Feet 0 Square Feel 0 Square Feet 0 Square Feet 1330 Square Feet Patio{s) Proposed: Sidewalk(s) Exisiting;Sidewalks(s) Proposed; Landing(s) Existing;Landing(s) Proposed: Driv«way{s) Existing:Driveway(s) Proposed: Parking Area(s) Proposed:Parking Area(s) Existing; Retaining Wall(s) Existing:Retaining Wall(s) Proposed: Landscaping Existing: Landscaping Proposed: Miscellaneous Proposed:Miscellaneous Existing; Total Proposed Impervious in the Shore Impact Zone: Total Existing Impervious in the Shore Impact Zone: 3010 Square FeetTotal Impervious in the Shore Impact Zone: 4/16/2021, 11:52 AM3 of 5 https://onegov.co.ottertail.mn.us/view.php?id=16751#option-resultsLand & Resource Permit Applications Documentation File 1;PLEASE NOTE PROPOSED PROJECT AREA MUST BE STAKED sunset_bay_site.pdf Attach Supporting Documentation; Total Proposed Area to Determine 1824 Square Feet Fee; Total Earthmoving Request to Determine Fee: 0 Cubic Yards Applicant Approval Applicant Signature:WEIHER. JAY E Date Signed:03/29/2021 Please check to approve:I understand that checking this box constitutes a legal signature Terms MINNESOTA STATUTE 15.99, SUBDIVISION 2 I UNDERSTAND THAT IN ACCORDANCE WITH MINNESOTA STATUTE 15.99, SUBDIVISION 2, OTTER TAIL COUNTY HAS UP TO SIXTY (60) DAYS TO REVIEW AND APPROVE OR DENY THE PERMIT APPLICATION DURING THE COVID-19 PUBLIC HEALTH EMERGENCY DECLARATION, OR UNTIL DECEMBER 31, 2020, WHICHEVER COMES FIRST IN ACCORDANCE WITH MINNESOTA STATUTE 15,99, SUBDIVISION 3 (F), OTTER TAIL COUNTY HAS EXTENDED THE REVIEW TIME BY AN ADDITIONAL SIXTY (60) DAYS, AND HAS UP TO ONE-HUNDRED AND TWENTY (120) DAYS TO REVIEW AND APPROVE OR DENY THE PERMIT APPLICATION Notes Tbe lot lines and project area(s) must be identified & staked onsite. ; If project disturbs more than 1 acre of land, you must obtain a General Storm Water Permit from the MPCA. Site Permit Terms THIS IS A SITE PERMU 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 provsions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. Once Permit is approved, I also understand that this permit is valid for twelve (12) months from the date of approval unless otherwise Indicated on permit. Footings I understand that It is my responsibility to inform the Land & Resource Management office once the building lootings have been constmcted. Invoice #10372 (03/29/2021) Quantity TotalChargeCost $260.00Site & Lot Permit Fee #3A (1,001 or larger Sq Ft and 0 Cubic yds) added 04/13/2021 9 33 AM $260 Fee $260.00 X 1 Grand Total $260.00Total $260.00Payment 04/13/2021 $0.00Due Approvals Approval Signature #1 Received and Assigned Emma Barry - 03/29/2021 2:23 PM697a011ad2b6f54eel7b01219c727c0c 2954333c5df37f60fd51d958b809e80d #2 Permit Review Kyle Westergard - 03/29/2021 2:36 PM d7050ebf520acd9dalb2973ee8aaab60 36eflc7c5c3562bf81f979998b8d6e94 #3 Permit Review Amy Busko-04/16/2021 11:51 AMd84eab451b4e6efcle7484b255dbe471 74d0al347b7f355208f98cd6ce3550c4 #4 Permit Issuance Amy Busko-04/16/2021 11:51 AM 377dd939d757cl746415ffdf348930ec 3f601516718bc4866a6abc60a07f3f64 ^ublic Notes Text: 7-10'X24' DECKS FOR THE LAKESIDE File(s):;1 Internal Notes 4/16/2021, 11:52 AM4 of 5 https://onegov.co.ottertail.mn.us/view.php?id=16751#option-resultsLand & Resource Permit Applications Text: 'iFile(s):: 4/16/2021. 11:52 AM5 of 5 %mmr »w me. 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JSKne • IMA « r.n * i»ai— iAMT» r.TM-r* klT •CACAM 4UO«0 > r?4 MC.nA-Jt.S4/9us;.■r.* 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 - Insp^c^or YELLOW - Owner (efter issue) PINK - Assessor f Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NAMERANGESECTIONTWP NO.LAKEyRIVER NAME LAKE/RIVER CLASSLAKE / RIVER NO. /3^ o¥o//S' /h■JP3 E-911 ADDRESS ^PARCEL NUMBER (S) ^■iCCC/^OjSSOP/ ^ BSO'OF LPTH___________ Daytime Phone No.Mailing AddressFirstInitialLast Name OohkOu ‘yy’oUZ~ /y]/d<TceeurrJ ^ K ’ SuvoAeSf >-^7VProperty Owner Contractor Lie.#4 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) ^^New Dwelling {4 ) MH/YR____ { 7) Add'n To Non-Dwelling ( 8) Utility/Stg Structure (9 ) WOAS (10) Other. (3) "Replacement Dwelling (6) Detached Garage ( 2 ) Add’n to Dwelling (5) RCU/Year_____( ) Permit No. ( )OTLSD* * This permit is only valid alter verificatitxi from the 0. T.L.S.D. that a conforming sewage system witt be installed to service this lot contact Roltie Mann at 864-5533._____"Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED NON-DWEI CHARACTERISTICS OF PROPOSED WOASCHARACTERISTICS OF PROPOSED DWELLING Outside .1* . ^Dimension Ft. x ^ 50 Ft."" Setback to Lotline ^ ISO Ft. & t 2>SD Ft."" Setback to Right of Way Ft."" Setback to OHWL ^b-Crpn Ft, Elevation Above OHWL t, QD Ft. Setback to Septic Tank *T*Sjb Ft. Setback to Drainfield Setback to Bluff Ft. Maximum Proposed Height Basement Yes Walkout Basement Total Bedrooms Outside Dimension Setback to Lotline ___ Setback to Right of Way Setback to OHWL___ Elevation Above OHWL. Setback to Septic Tap/_ Setback to Draipll^d__ Setback to^ff_____ Maxirtjiitm Proposed Height BajIvoom Proposed ( ) Yes ( ) No Outside Dimension Setback to Lotiine ___ Setback to Right of Way Setback to OHWL___ Elevation Above OHWL. Setback to Septic Tank^ Setback to Draitifj^__ Setback to Bm_____ Maximurn/roposed Height ( ) Bdathouse (/) Gazebo Ft. X Ft. X Ft.&Ft.""Ft.&Ft."" Ft.""■V Ft.■t. Ft. Ft. Ft. Ft.Ft. Ft.Ft. Ft.Ft. Ft.Ft. Yes ( ) Screen Porch ( ) Utility Structure 3 **Proiect/Lotlines/Right-of-ways Must^ T Q ^ ^ ^ 1 ^ CTade/Fill/EWavation □ Offsite □ Within Shoreland Area □ Outside ShorelJLj Area **Project/Lotllnes/Right-of-ways Must be Staked Onsite Spml Disposal W^nsite (scale drawing required)□ Yes (scale drawing required) □ No CHARACTERISTICS OF LOT: Bluff Onsite ^ YesLot Areai^L^3yi^i_Sq. Ft.No.Ft.Water Frontage Total Impervious ^ Tbtar Lot Area Surface Onsite (FTQ________(FT^) .%Impervious Surface RatioX100.% 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: Signature of Pr^erty Owner Resoaiei^anaaementJDffice I Date: PERMIT FEE $RECEIPT NO. Project/Lotlines/Right-of-Way MUST be Staked Onsite Prior to Submission of Application.Comments: 301.934 • Victor LundMft Co, Primer* • F*rgu* Fall*. MN • 1-800-346-4870Form No. BK — 0500-002 LAND & RESOURCE MANAGEMENOTTER 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 i /5S" 0¥o TWPNO.RANGESECTIONLAKE / RIVER NO.LAKeRIVER NAME LAKE/RIVER CLASS A/e ky/ E-911 ADDRESS - /t^A/ S/^>S7/^ PARCEL NUMBER (S) yCoo/icO/3Soc>/ BSD OFLCT^____________ Daytime Phone No.Mailing AddressFirstInitialLast Name '■-s ! 6AOOthJCf WProperty Owner : fCJU//LLA /)')A/ {SioSy/s>-^Tc>BBLL|Af K m:.p I ^?AK 5U(>-‘ i Contractor Lic.«I ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY K) Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. PROPOSED PROJECT (please circle the appropriate number) ( 1); New Dwelling L_-- (4) MH/YR____ (7) Add'n To Non-Dwelling (8) Utility/Stg Structure (9) WOAS (10) Other. (3) 'Replacement Dwelling (6) Detached Garage (2 ) Add’n to Dwelling (5) RCU/Year_____( ) Permit No. _ ( )0TLSD* * This permit is only valid after verificatiort from the O.T.LS.D. that a conforming sewage system witi be instsiled to service this tot corttact Rollie Mann at 864-5533._____'Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED NON-DWELLING CHARACTERISTICS OF PROPOSED WOASCHARACTERISTICS OF PROPOSED DWELLING Outside Dimension Setback to Lotline ___ Setback to Right of Way Setback to OHWL___ Elevation Above OHWL. Setback to Septic Setback to Drainfield__A Setback to Bluff_____ Maximum Proposed Height Outside Dimension Setback to Lotline___ Setback to Right of Way Setback to OHWL ___ Elevation Above OHWL Setback to Septic T^l/ Setback to Drainfield _ Setback to Bluff_____ MaximurqProposed Height ( )pdath (/f^Gazebo Outside Dimension Setback to Lotline iSQ Ft. & i Setback to Right of Way Ft." Setback to OHWL : ^-.niO Ft. Elevation Above OHWL -f :? O Ft. Setback to Septic Tank ~ felj Ft. Setback to Drainfield T V-’-D Ft. Setback to Bluff Maximum Proposed Height Basement Walkout Basement_y. Total Bedrooms ^ / R.X - t>i‘ Ftr ~zFt. X Ft. X Ft."Ft." Ft."Ft. 4 Ft. 4 AvFt."A A\.Ft. Ft.Ft. Ft.Ft. Ft.Ft. Ft.Ft. Yes Ft.Ft. Yes ^throom Proposed ( ) Yes ( ) No ( ) Screen Porch ( ) Utility Structure ouse **Project/Lotlines/Right-of-ways Must be Staked Onsite : Spoil Disposal ^’'1^ □ Onsite (scale drawing required) y U ^ ^ H □ Offsite □ Within Shoreland Area □ Outside Shoreland Area P **Project/Lotlines/Right-of-ways Must be Staked Onsite Grade/Fill/Excavation □ Yes (scale drawing required) □ No CHARACTERISTICS OF LOT: Water Frontage X too =-^Oj_kZ Yes NoBluff Onsite.Ft..Sq. Ft. • = Lot Area. -impervious Surface Ratio■____ T .% Total Lot AreaTotal Impervious Surface Onsite (FT^)(FTP 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. ,7/ Date: SignatturB of Property Owner 01<Date: A,")Land & Resource ManagementpfficetI i tRECEIPT NO.PERMIT FEE $ ProjectfLotlines/Rigbt-of-Way MUST be Staked OosHe Prior to Submission of Appllc^n.I A Arn ■ jComments: yy1 ,i ijv A 301.934 • Victor Lundeen Co . Prmters • Fergus Fslls. MN • 1-800-346-4870Form No. BK — 0500-002 4. r. ^ <v- SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations Z7fX^^uqo XiiA mStructure 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 (00 Ft.Ft. Ft. & S-i^ Ft.Structure Set Back from Lot Lines Ft.&Ft. Structure Height ^35-Ft.Ft. Structure Set Back from Septic Tank Ft.Ft.r^( Structure Set Back from Drainfield Ft.Ft.Tbt — Elevation Of Lowest Floor Above Ordinary High Water Level 5-A Ft.Ft. Land Slope at Building Site % %6-/0 Inspector’s Comments/Sketch:^ ^ OAii'rC ■ A sei l> iS!±j ^'1 t Inspector's Signature Date of Inspection Time of InspectionY / Aroject Approved floA./(Date/Initial . « > I > i •>%fIf , r !■ f f f* . r/ -N UNE OF the S WO' OF THE N 770.7 OF GOV 1 LO^ 4/ LEGAL DESCRIPTION/■S89'54’19“W 862+/-/ 185 94 !298 50 50.00193. 127 The South 550 feet of Government Lot 4. Section 16. Township 135, Range 40, Otter Tail County. Minnesota. f97.49 .//aoin/f ■// /I'/i./AndSCALE; 1 INCH = 50 FEET kiSI 3BEARINGS ARE BASED ON AN ASSUMED DATUM.rt nm:.t I The South 100 feet of the North 770 7 feet of Government Lot 4, Section 16, Township 135, Range 40, Otter Tail County, Minnesota NOTE Underground utilities as shown are an approximation i-7 c',/• denotes iron monument found.i ■■isO denotes iron monument set marked RLS 13620"/I :.0 /1 Cl/-H UNE OF THE S 550 SI---- OF GOV T LOT 4 ]ch6rd length ~jARC LENGTHCHORD BEARING RADIUSNUMBER DELTA \50' 50' 03’ W' 40“S 02’05' 12"E 82 22 ''-.5 UNE of the S ’00' OF THE N 770 3 OF GOV T LOT 41482.39a :SEPVC TANK -L/rr station A i.: OISTRiBUT/CM box/■ '0 d>3/■"t /f/ V /,/I 1. '■'33 v' /./■ A \X kba Cj 35 i i Cfc rsjoj‘O13N.‘kb! K‘ Cii^ Lu a ato . Is •XV.‘ ji ; QOC§ o■ !1■5!iO Si u E-1( Co f i ? i o !! ‘ ii S0‘50’6--—1 ■» k: i. * 8 &«»8 o ■-v> ■■■■A„x-4 448 20 ' ■ . z -y-.’ ■t 'I I A-'*’- 15u«sst S/JM Reeoie:r 5 \V.\i't W«K 4 EToci Kmui SURVEYOR’ S CERTIFICATE \i HEREBY CERTIFY THAT THIS SURVEY, PLAN OR REPORT \%■ WAS PREPARED BY ME OR UNDER M) DIRECT SUPERVISION \50'AND THAT / AM A DULY REGISTERED LAND SURVEYOR CERTIFICATE OF SURVEY FOR:\\50'UNDER THE LAWS OF THE STATE OF MINNESOTA. DATED THIS 18TH DAY OP JUNE, 1996. '■t \ 1 s \i PAUL GRABARKEWITZ \ \ *DAVID A ANDERSON LAND SURVEYOR MINN. REG. NO. 1362G CONTRACT NUMBER FIELD BOOK ALS-70/68149-96INC.NDERSON LAND SURVEYING, 31 3 SOUTH MILL. STREET • <3LJ S P AL-L.S, MINNEISOTA S>6S3'7’ s) ■730-—saes COMPUTER FILE DRAWING NUMBER 201-83/'i 3404DISK NUMBERi ••■1 63 i- •iv .1^ 5 i LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE-Office GOLDENROD - Inspector YELLOW-Owner PINK - Assessor !L?,nPermit No.-■^>curH S^e> ^es£:r^ y^/Z. LEGAL DESCRIPTION BLUFF ZONEAND □ YES Btmo LOCATION SECTIONLAKE NUMBER LAKE/RIVER NAME lAKE/RIVER CLASS TWP NO.RANGE TWP NAME A/^ GRADING / FILLING if YES # OF CUBIC YARDS □ NO 7^ FILL SriJEM-HAM/MiCh 13& T^e’e /iccr' cKA^u>rK£> FIRE NUMBERPARCEL NUMBER (S) //- OfC> - /i>-0/3^-<P£>/ IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and Zip Code (Daytime)Last Name First Initial £r / AtY ^ /hJ s^7d>Property Owner NameContractor State Lie. # ONSITE SEWAGE TREATMENT SYSTEM (Individual Permit It ( ) Collector Permit # / // V ( )OTLSD* ^ 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 PROPOSED USE (i^^TNew Structure(s) ^ ( ) Dwelling( )AMbOT(s)*'^/PAf/e|!^^^ (iNon-Dwelling ( ) MH/RV _______ ( ) Water Oriented Accessory Structure(WOAS)YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING (S^Utility Structure RACTERISTICS OF DWELLING ( ) Screen Porch( ) Bdqthouse( ) Detached Garage (pfOther / J~ ^ -K A£> tr j/P Ft. X Lotline Setbacks ■^~iA Ft. & ( )Dw6«(|Tg ( ) Replacelh^t Dwelling ( ) Addition to D^lkng ( ) Existing Dwelling sh^ be remo^ on or before. Outside Dimension ( ) Basern^t ( )W^ut ( ^Attached Garage ( ) Utility Struetdre( ) Gazebo Outside Dimensio ( )Other. Outside Dimension .Ft. .Ft.1. X .Ft.FL.Ft. X jiap’.Ft.Lotline Setbacks .Ft.OHWL Setback .Ft.T&Lotline Setbacks .Ft.OHWL Setback Bathroom: ( )Yes ( ✓')No (If Yes / a complying Sewage Syslem Required)Ft.OHWL SetWek, Total Bedr Maximum Height / 35 Ft. (2 story)Ft. /Maxtmum Height /10 ft. (1 story)Maximum Height story Sq. Ft. Impervious Surface Ratio.Sq. Ft. Impervious SurfaceLot Area 3 .Ft. (3' minimum).Ft. Elevation of lowest floor above OHWLWater Frontage Structure setback to right-of-way____________ Structure setback to septic tank_____________ Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System <^o %__________Ft. Slope of lot Ft. (10’minimum) (Sewage System Permit required before installation). Ft. (20'minimum) (Sewage System Permit required before installation). Ft. (10’minimum) (Sewage System Permit required before installation). lA W/E. ID. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the 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. lo/nlsl 60-00 . Dated: Signature of 'MDated: Land & Resource Managenwnt Office . id/xL5TA-tkP ISOIRECEIPT NO.PERMIT FEE $ A .Afpnih) iQtirvnV - 68 m-umplL ha- Wn. mg f ^ Comments: thij am. 290.621 • Victor Lundeen Co . Primeri • Fergus Fall*. MN • 1-0OO-346-4870Form No. BK — 0597>002 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537^ WHITE-Office GOLDENROD - Inspector YELLOW - Owner PINK - Assessor■\ LEGAL DESCRIPTION BLUFF ZONE □ YES [Tj NO AND '^77/y LOCATION LAKE NUMBER UKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME I *■a3SGRAPARCEL NUMBER (S)'A m FIRE NUMBER a YES # OF CUBIC YARDS■7'--0/5^□ NO ) JELEPffoNE NO.IDENTIFICATION: Please Print All Information -ff Mailing Addl^ss — No. Street, CityTStule, anU Zip CuUwLast Name First Initial (Daytime) Property Owner >5i ■ TtAo■■777 U :/7l :■■ 7: A .71 A ■ / NameContractor State Lie. # PROPOSED PROJECT ( ) New Structure{s) ( ) Addition(s) ( )MH/RV_________ PROPOSED USE { ) Dwelling ( ) Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) 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 (■) Individual Permit #. ( ) Collector Permit #_ ( )OTLSD* __V^^ -y 7//7 /YEAR \ CHARACTERISTICS OF NON-DWELLING ( ) Detached Garage CHARACTERISTICS OF WOASCHARACTERISTICS OF DWELLING ( ) Utility Structure ( ) Boathouse ( ) Screen Porch( ) Dwelling (' j Replacement Dwelling ( ) Addition to Dwelling ^ ( ) Existing Dwelling shall be removed on or before. Outside Dimension. ( ) Basement ( ) Walkout ( ) Attached Garage '^■^ C/JjApJ/Jh ( ) Gazebo ( ) Utility Structure( fOther Outside Dimension X \21-.Ft. X .Ft.( )Other, Outside Dimension 7 ■rs.Lotline Setbacks ^ Ft. &77Ft. X .Ft..Ft..Ft.x .Ft. Lotline Setbacks ,Ft.&.Ft.OHWL Setback -Ft. Lotline Setbacks .FtlFt& OHWL Setback .Ft.Bathroom: ( ) Yes ( y) No (If Yes / a complying Sewage System Required)•Ft /OHWL Setback 7Total Bedrooms _____________ Maximum Height / 35 Ft. (2 story)Maximum Height / 10 ft. (1 story)Maximum Height Ft...story / -7 .Sq. Ft. Impervious Surface Ratio .%.Sq. Ft. Impervious SurfaceLot Area .Ft. (3’ minimum).Ft. Elevation of lowest floor above OHWLWater Frontage_____________ Structure setback to right-of-way..%__________Ft. Slope of lot .Ft. (10’minimum) (Sewage System Permit required before installation). .Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10’minimum) (Sewage System Permit required before installation). Structure setback to septic tank Dwelling setback to Soil Absorption System Non dwelling setback to Soil Absorption System 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 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 0. T.LSD. that a conforming sewage system wiii be installed to service this lot... Contact Roiiie Mann at 864-5533. ADated: Si^Oiture 0/ Owner Dated: Land & Resource Management Office tL.IpU'/r.PERMIT FEE $RECEIPT NO. ; Comments: /- i/f' Form No. BK » 0597-002 290.821 • Victor Luntfatn Co. Printers ■ Fergus Fells. MN • 1-600-346-48707 i \Si INSPECTION RESULTS Make all measurements and computations;I y 3. Ft.Structure Set Back from Ordinary High Water Level Ft. Ft.Structure set Back from Top of Bluff Ft. if Ft.Structure Set Back from Road Right of Way Ft. Ft.& COIflStructure set Back from Lot Lines Ft.&.Ft.V /OStructure Height Ft. Ft. Structure Set Back from Septic Tank Ft.Ft. Structure Set Back from Absorption System Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level____________________Ft.Ft. %%Land Slope at Building Line Inspector’s Comments / Sketch:. t' ■•T \W-^ Inspector’s Signature Dam ollnspection ' / Jd Time ot Inspection / «- ■ • .: , :.r.V —-» ■ ■> .' •- <1, ■ i '■' '■ ' . ' ^.'r .f--■j<"- '*».■ -V *■A,' .r V-,•** ;•'■H' • ♦ i0S% ^''4 o~^ \OjLj0^ (^P-a I^JLiuui j~ 2L 7m^ Mt 5 '; I TA ............\CHORO bearing radius ri ' ~Tr.V lO'40” s6y-05'lP"F 14PP / / / i S j. fcj i.aA Ut \■an 'HAnoN { „ Xk Vci O £3/ H !•/ •1k N .-'\f J aA>/? 5 \. }y'V S 89’56’2J" W 1309. 72....... 4w'-v i\V-'-rA-%-•f gs-% I I} I 3 SURVEYOR' S CERTIFIC I HEREBY CERTIFY THAT THIS SURVEY, P WAS PREPARED BY ME OR UNDER MY Of AND THAT I AM DULY REGISTERED LAI. ■■ - UNDER THE LAWS OF THE STATE OF MIN THIS 18TH DAY OF JUNE, 1996. iI \I if -■v? 4-^ \t‘ ‘A I 's^i'IIi ferliimil«vfLh^t DAVID A. ANDERSC LAND SURVEYOR MINN. REG. NO. /j , % i-t NDERSON LAND SURVEYINQ, INC. !' 313 SOUTH MiLL STREET ■ FEIRGUS FALLS, MINNESOTA S6S3T i 1 iii SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMIT VHITE — Office 30LDENR0D — Inspector YELLOW — Owner PINK — Assessor T^e. Sooi-k '5SO o'T Q.L. ^ /72>a/Permit No.LEGAL DESCRIPTION AND LOCATION RANGELAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP TWP NAMELAKE NUMBER I Ij?Ho khtS(2)5fj t FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER (S) i^-OGO- ^ooj IDENTIFICATION: Please Print All Information Mailing Address — No. Street, City and State Zip Code Telephone No.First InitialLast Name It Her. 9^Property Owner i ^xc/fuicc6 ^noAJ NameContractorhji^ TYPE OF PROJECT ( ) Alt^j^ion j^\OW3Af(k ( 1CAjS~KtviCrc£t'-> PROPOSED USE RESIDENTIAL USE (^) One Family Dwelling ( ) Multiple Dwelling It of Units ( ) NON-RESIDENTIAL USE. ( ) Garage ( ) Utility Sp*t6ture CHARACTERISTICS PC'New Structure Residential Basement Walkout Basement ( Height of Structure_ ) Non-Residential ) Ft, (MzL f, ) Wsrter Orientated /Accessory Structure ) Other (( ) Other TYPE OF SEWAGE DISPOSALTYPE OF FRAME WATER SUPPLY ( ) Public Outside Dimension of Structure) Masonry(OFFICE USE ONLY yi/^/^Bluff Impact Zone ) Shore Impact Zone ( ) Sensitive Area ( ) Public (X-) tt Of Bedrooms'^) Wood(e.°nilIndividual Permit #_# Of Bathrooms(( ) Structural Steel ( ) Other LOT SIZE AND SETBACKS:jz:t Ac^e%Lot Area is s^«ere^et. Water frontage is feet. Maximum depth of lot feet. /ooBuilding set back from ordinary high water level is feet. (String Test) 5Land height above ordinary high water level at building line is feet. Slope of lot % 2LOBuilding set back from road right-of-way.feet. JOJOLot line setback is and feet. !0Structure will be located __feet from septic tank (Sewage System Permit must be obtained before installation). 2-0Structure 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 PERMJf AS SET FORTH IN CHAPTER 16. MINNESOTA STATE STATUTES. ftJC/rDated: Signature pt Owner Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This p^mit 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. Date(j: Land <S Resource Management Office 50'odPermit Fee $.Receipt No.. # Mov;?-«o6 ^^rR.\jc-to£,€^ 'tci /b iAA^cT/A/(h Comments Form No. BK — 0292-002 260.770 — Victor Lundeen Co., Printers, Fergus Falls, Minnesota • SHORELAND MANAGEMENT — COUNTY OF OTTER TAILWHITE — difice COUNTY COURT HOUSEGOLDENROD — Inspector Phone: (218) 739-2271 • FERGUS FALLS, MN 56537YELLOW — Owner PINK — Assessor APPLICATION FOR SITE PERMIT ■FAe So(/-f4v 5 So o'C C).L. ^ LEGAL Permit No. DESCRIPTION AND LOCATION LAKE NUMSER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP RANGE TWP NAME I u wo kAKfrliSS' PARCEL NUMBER (S)FIRE OR LAKE ASSOCIATION NUMBER f^-ooo ~ -0/35-oo/ IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No. Street, City and State Zip Code Telephone No. £r '^/ /SgA 9^Property Owner KzcHuicct.mAJ ( !NameContractor TYPE OF PROJECT •X' ( ) Alt PROPOSED USE RESIDENTIAL USE One Family Dwelling ( ) Multiple Dwelling # of Units ( ) NON-RESIDENTIAL USE ( ) Garage ( ) Utility Stp«5fure CHARACTERISTICS New Structure eiwi L'/rlResidentialBasement |V\Oulw(i, ( rAjST«uCri4t’>) Non-Residential Walkout Basement ( ) Height of Structiire *30 pt. ZHiiZ.0 \is> ft. ion {) W^rer Orientated ^Accessory Structure ) Other ( ) Other TYPE OF FRAME ) Masonry ( Y') Wood ) Structural Steel ( ) Other TYPE OF SEWAGE DISPOSAL WATER SUPPLY ( ) Public ) Individual Outside Dimension of Structure(OFFICE USE ONLY ^^^ij^Bluff Impact Zone ) Shore Impact Zone ) Sensitive Area ( ) Public # Of Bedrooms ■! ( )C ) Individual ct i / ~7 ' ' Permit #_LLL_L 2-# Of Bathrooms(( (V-.r-'rtf LOT SIZE AND SETBACKS: Lot Area is square-feet. Water frontage Is___ Building set back from ordinary high water level is f OCi feet. Maximum depth of lot feet. feet. (String Test) 3Land height above ordinary high water level at building line is Building set back from road right-of-way. feet. Slope of lot % 2-0 feet. /OLot line setback is and feet. /oStructure will be located __feet from septic tank (Sewage System Permit must be obtained before installation). __feet from soil absorption system (Sewage System Permit must be obtained before installation).2-0Structure 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. /y^ ^/■P - Signature df 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: 30'o6 Dated; Land & Resource Management Office Permit Fee $.Receipt No- /l^ tAkhcT/AJCn Comments^ /WOUt-»u(j? 2-Lj V 2.0 9' ^T'/Pv/CTc-iffrS TiQ Form No, BK — 0292-002 J260.770 — Viclor Lundeen Co.. Printers. Fergus Falls, Minnesota r/ INSPECTION RESULTS Make all measurements and compulations ACTUAL MINIMUM Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. Building Set Back from High Water Level Ft.Ft. /y/^Building Set Back from Top of Bluff Ft.30 Ft. Building Set Back from Road Right of Way Ft.20 Ft. S’OFt. & FtBuilding Set Back from Lot Line Set Back Ft. ^ IS 3 aBuilding Height Ft.Ft. FtBuilding Set Back from Septic Tank 10 Ft ^SOBuilding Set Back from Absorption System Ft.20 FtfT Elevation Above High Water Level at Building Line 3 Ft.3 Ft. Land Slope at Building Line O-X % ■‘T \ \ ^ LyInspector's Comments: • « Sketch: TS\ A ! I 1/ uAr ' i: ; Inspector's Signature 4-/- ??.-1 . _ .-jDate of Inspection : I lime oi Inspection I >1 M 1 o8i a 2. a o.S 5- ■■ 0.5;§§• f?I til 3 mQ> o Q. O OCo n ■«-. Q.? ■£Sb 9:—<o X58 O ~. •“ s :N % :i:n;TjJT-U)-------- kzJzJ:'1 5f rrS .<.■I !-3 S-J.7"“'' ;i :I§:-i-i ! 7s_3zr -!T 1!'dLAl>T-'■•I- i T :.q T..r:o2 o;a■52 T3 o.;H-ft) s.~or“S'>z<bft)(/) Cr /mHCoi:I z'S"V »t a I'* Property ave« (whatever is gquite likely 1320 - feet on south boundary . It is 550 feet from N to S,:ages-about 900 feet E to W, g<yen for Government Lot 4)I t •nOIV3)3$ 5 S j ) White - Office Yellow r- Owner Pink — Assessor Slf7oldenrod — 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 Inspector JS/70 ~i/i9/ysPermit No.LEGAL Date.DESCRIPTION f ^ AND LOCATION /h ij.r vO jXff^jM. Lake No. Lake Name Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— NoyvStieet> City and State _______ /PU^ 'Tel. No-Zip No. |]o7>y LLiOwner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: (^TOne Family Dwelling ( ) Multiple Dwelling ( ) Other ( ) New Building ('-'l^lteration Specify:------- ------------^ .... Units m 7y/^( ) Other Size /ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry (i-^^ood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public (t>^dividual Septic Tank WATER SUPPLY: ( ) Public ( '4'^dividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central I ) Yes (Basement:/ Stories above basement: Sq. feet (outsid»dirransion) Bedrooms .....t......„J............ , etc. Baths HEATING: i ) Electric ( ) Gas ( ) Coal Other: C/fTY^-Type of Roof:(No ( ) Oil icYNo ( ) None ( ) Unit CHARACTERISTICS:/7~!z A 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 s:.5TBuilding set back from State highway is Side yard is Building will be located....... Building will be located....... feet — from road or street is feet.7Tz;^.......and feet. Rear yard is ......feet from septic tank (Sewage System Permit must be obtained before installation). ......feet from soil absorption system (Cesspool, Drainfield, etc.). feet. .... Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this^rmit application. I also understand that this permit is valid for a period of six (6) months. stftement. ^his permit is granted upon the all conform in all respects to the ordinances of Otter Tail Dated. Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the abovePermit: express condition that the person to whom it is granted, and his agent, employees and workmei County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. / Wl yi—Dated Shomlana Management Official Permit Fee $.State Surcharge $. H(T \Comments: Form No. MKL-0771-002 @ VlCTOIt * W.. PBINTtM. PCMM PaCL*. IIIHH.158899 Office 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 ^¥hjte Yellow^— Owner Pink — Assessor ^Gofdenrod — Inspector Permit No„LEGAL Date.DESCRIPTION /AND t', ;/4 .LOCATION Lake No, Lake Classif.Lake Name Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information Last Name First Initiai Maiiing Address— No, Street. City and State Zip No,Tei, No, Owner NameContractor 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 $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms Baths HEATING; ( ) Electric ( ) Gas ( ) Coal Other: Type of Roof:( ) No ( ) Oil ( ) No ( ) None ( ) Unit CHARACTERISTICS: Lot Area is square feet.Water frontage is. feet. (Building Line) ...............................feet feet. Building set back from high water mark is................... Land height above high water mark at building line is Building set back from State highway is........................ Side yard is.................... Building will be located Building will be located feet — from road or street is feet. and .......................................feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). feet. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Dated Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated Shoreland Management Official Permit Fee $.State Surcharge $. Comments: filed not calllu s :Z9 78 Form No. MKL-0771-002 @ VICTOM LUHeCCM 4 C».. PRIHTCM. rCKOuS ■INN 1S8899 j > INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 4 MINIMUM Shall Be 4 Sq. Ft Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. Building Set Back from Street or Road Ft.40 Ft. Side Yard &Ft.&Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank 10 Ft.Ft. Occupied Building to Absorption System 20 Ft.Ft. Elevation at Building Line above High Water Mark_____________Ft.3 FL Inspector's Comments: Inspector's Signature Title Inspection Dated :19 Agency s 1 VICTOR LURBCea i CO.. MlHTCRI. rCRflU* FALLO. HIMN. ?•v; .