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Home My WebLink AboutUnited Sportsman Club_14000270213000_Shoreland Permits_r APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us WHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) OTTER TAIICOVftTr-KINACfOTII Permit No.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED. TWP NAMELAKE/RIVER CLASS SECTION TWP NO.RANGELAKE / RIVER NO.LAKE/RIVER NAME InsM£ PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) f^OpOa-ToQ\l0OO LEGAL DESCRIPTION DEVELOPED, l^>rs 1.<-( i '/p.UNDEVELOPED Daytime Phone No.Mailing Address .InitialFirstLast Name •*r\ f4« O^S Property Owner L^ka.i/111^, DnAf 71 SkyContractor Name Lie.#m/J g37 -5/77 rwt> / 6?37 PflOPOSED PROJECT (please circle the appropriate number) (M^ew Dwelling ^ ONSITE SEWAGE TREATMENT SYSTEM { ) L&R Cert, of Compliance within 5 yrs. (y() Compliance Inspection Report within 3 yrs. ^ (Attached)^ fvt«o ft^Arw-S#* ( ) OTWMD 'Must have Sewage System Approval horn OTWMD prior to issuing Site Permit. Contact Rollie Mann at 218-864-5533 ONSITE WATER SUPPLY N^ndividual ( ) Public ( ) None NOTE; MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ( 2 lAdd’n to Dwelling/Attached Garage (3 ) Replacement Dwelling* (6 ) Detached Garage (9) W.O.A.S. rDlCU/Year;??OOi^(4) MH/YR ( 7) Add’n To Non-Dwelling f^Storage Structure (10) Non-Conf. ReplacemenfTwertf/fy)"_______ (11) Other (identify)______________________ (12) Deck______________________________ (13) Fence_____________________________( ) Undeveloped Lot '•Existing Non-Conf. Structure Verified by IJR . G r>>--^ifflACTEBtSTICS OP PROPOSED W.O.A-.S. ^ (WATER-OfllENTCD ACGCSSOnV CTRUCTUnE) Outside Dimension •Removal of Existing Dwellinayerified by L&R ifV^^HAliflfiTERISTICS OF PROPOSED DWELLING ^.--•(llllust Include Attached Garage) XI. (c Ft.x Sq. Ft. \ I 4H 6? 3-H Setback to Lotline _ Setback to Right of Way I yvwUFL^ Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level^------F>- / Ft. Inspector's Initial/DateInspector's Initial/Dale ^ ^ ^^AGTefenCSO^OPOSEDfl^DWELLIN Gutsids ^ j ^ f rt . / /\ i Dimension ^ • V _ R. x S6> R.** X * VX fyoQ^t.& fS°0fFt." U7 <,5.4 Ft. X ^ ^ Ft."Outside Dimension Sq. Ft. Setback to Lotline Setback to Right of Way Setback to Ordinary High Water Level 7-7 P Ft. Elevation Above Ordinary High Water Level 5 " ^ ^ Setback to Septic Tank Setback to Drainfield _ Setback to Bluff _____ Maximum Proposed Height Ft. Roof Change ( ) Yes ( ) No tSOC>*fR.& ^S^^'fFt."Sq. Ft. Setback to Lotline Setback to Right of Way Setback to Ordinary High Water Level ____Ft.& 1.7. , •a.'5p_Ft. Ft* l/ Setback to Septic Tank Setback to Drainfield Elevation Above Ordinary High Water Level ? Setback to Septic Tank / Ft. Setback to Drainfield / 7 ^ Ft. k? f ~ ^Maximum Proposed HeightFt. ' ( FSMjbcuse >f> Ft. i/' Setback to Bluff AV Ft. ^ ,-i-r Ft. fJ/A- Ft.Total Bedrooms _________ Maximum Proposed Height Roof Change ( ) Yes ( ) No Setback to Bluff Basement ( ) Yes (^ No Walkout Basement ( ) Yes (side profile required) ) No ( ) Seften Pprch ( ) Stqi;^ StructureBathroom Proposed ( ) Yes ( ) No I t«^/**Proiect/Lotlines/Right-of-ways MusttiC^takea C^site Prior to Application / Inspection Topographical Alternation / Earthmoving |7l| 7^12- y/ ^ 21 Cubic Yards - 999 Cubic Yards* oodlS * Must include on scale drawing, additional Permit may be required.□ 1,000 Cubic Yards or More*□ 20 Cubic Yards or Less *□ None Bluff ( )Yes ()()NoCHARACTERISTICS OF LOT:Sq. Ft.Water Frontage Ft.Lot Area. %% Impervious Surface RatioBuilding Surface Ratio TH/S IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months.Permit: Permission is hereby granted to the above named applicant to perform the work described in the aboye-«tatenr{ent.This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform itjjdfTMf^scfs to^e 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 & FUsoutceJManagejpem^ptff^onceJhe buiiding footings have been constructed. nlfli rDate: Signature oi^fepSrty Owner/Agei wner Date: Land & Resource Manager^nt Official SCOPERMIT FEE $RECEIPT NO.PROJECT(S) TOTAL SQ. FT. l|nS|0 IOjllO Su>>g^ ^jLvirysJ^ ^ Date StampComments: 1 L&R Initiall^israForm No. BK — 04-2014 354.252 • Victor Lundoon Co.. Printers > Fergus Fells, Minnesota APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us WHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) OTTCRTflll EXPIRE^ -;eouiTT-«iflni<OTi Permit No.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED. LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME YoNf PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) •?tc.o-7 Ave, 4c',cUu,lU. \‘-loooyio;i \2,ooo I ' LEGAL DESCRIPTION 1Ii DEVELOPED.L<,>rS- i ^ 'AAc reS\ \:UNDEVELOPED. Daytime Phone No.First Initial Mailing Address ■ irr-' Last Name ..... ....... w.Property Owner [/t \ , r*i/\f 7i o <7T^ 5f% S XJContractor Name Lic.« £:■ /Yl/j ^^V77 ^37 -^/77I ^RPPOSED PROJECT (please circle the appropriate number) ((jK^New Dwelling ( 4 ) MH/YR (7) Add'n To Non-Dwelling (10) Non-Conf. Replacement (identify)" (11) Other (identity) (12) Deck. (13) Fence Ot^lTE WATER SUPPLY p^lndividual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM ( ) L&R Cert, of Compliance within 5 yrs. (y.) Compliance Inspection Report within 3 yrs. (Attached)- . . ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Roliie Mann at 218-864-5533 (2.) Add’n to Dwelling/^ttached Garage f[^RCU/Year-^"'- Storage Structure (3) Replacement Dwelling* (6) Detached Garage (9) W.O.A.S. 4r V. ( ) Undeveloped Lot _____________________ **Existing Non-Conf. Structure Verified by LAR , _________________________ itapeclors^n^Ma^ ^ fT 11' ' inspector's initiai/Dale Dimension ^ ^ Ft. x •Removal of Existing Dwgpiijj^Verified by L&R________ -----------------CKARjfcTERISTICS OF PROPOSED DWELLING Include Attached Garage) -.4. 1, b Ft. X 5-M VT^ Ft ^Q.4 Outside Dimension Ft.xFt."Outside Dimension ' . ' 4 ij - f Ft.** Sq. Ft.Sq. Ft. Setback to Lotline Setback to Right of Way Setback to Ordinary High Water Level . Ft.&^^ Setback to Right of Way ' Setback to Ordinary High Water Level 3*^^ Ft. Elevation Above Ordinary High Water Level Ft. Setback to Septic Tank JQ Ft. Setback to Drainfield ^ ^ Ft. Setback to Bluff Total Bedrooms J ry^Ft.&^S^Sq. Ft. Setback to Lotline Setback to Right of Way Setback to Ordinary High Water Level C''Ft,"Setback to Lotline t.'O'FFt."Ft.& ' • Ft."i/ 77^ Ft. Ft. S^fl S'U Ft.Elevation Above Ordinary High Water Level. _Ft. Ft. Elevation Above Ordinary High Water Level HD^_Ft.I. ''\W y oyOv/isrA ,g y Setback to Septic Tank {) Setback to Drainfield _ T Setback to Bluff Ft. Maximum Proposed Height Setback to Septic Tank Setback to Drainfield i ^ Setback to Bluff Maximum Proposed Height (?oo( Proiova ' Ft. ' ; Ft._/<o Ft. X rJ/A Ft.Maximum Proposed Height Roof Change ( ) Yes ( ) No Basement ( )Yes (AT) No ( W Walkout Basement ( ) Yes (side profile required) ) No ^«^^^**Proiect/Lotlines/Righl-of^ways Musn>lTstaked Onsite Prior to Application inspection Topographical Alteration / Earthmoving fyfildJ ■* fli| Ft. ( ) Sclver^rch ( ) Stpr^ Structure use 0 1 * Must include on scale drawing, additional Permit may be required.i.A □ 1,000 Cubic Yards or More*□ 20 Cubic Yards or Less 21 Cubic Yards - 999 Cubic Yards*□ None * Bluff ( )Yes (X)NoCHARACTERISTICS OF LOT:Sq. Ft.Ft.Lot Area.Water Frontage hi re's %.% Impenrious Surface RatioBuilding Surface Ratio TH/S IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement; I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) monfhs. 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 con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in afl respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon vioiation of said Ordinances.I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. -i/f/i i.ADate: Signature atPnperty Owner / Age'frt tor Owner) Date:■A Land & Resource Management Offidsd/ JooPERMIT FEE $RECEIPT NO.PROJECT(S) TOTAL SQ.FT.,•.'J(- ‘ 0'r<\p 11 c ‘U NJ j; .O .St Comments: 1i '/NA P^lMY*ii!K|. 354,252 • Victor Lundeen Co., Printers ■ Fergus Falls, MinnesotaForm No. BK — 04-2014 SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and cpmputations _______________ 07 (Sas"' 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.Structure Set Back from Lot Lines 1C'Ft.Ft.Structure Height >6’'10 Ft.Structure Set Back from Septic Tank Ft.u> d&^Ft.Ft.Structure Set Back from Drainfield ■hElevation Of Lowest Floor Above Ordinary High Water Level____________________'1'^1 Ft. Land Slope at Building Site %% Jpspectoi^Comments / Sketch: /)l6\ Inspector’s Signature ).o> E3 Date of Inspection ]X'M< Time of Inspection Date / Initial f Project Approved, United Sportsmen's Club Site Permit 1 #1 Dereck Leyde 10 FT Setback Septic r'-Manufactured Home 50 FT Setback to Drain fiel i*• ' Y27.6 X 52.4 16 X18 Ground Rear Deck f 6X8 Front Steps Platform c * 37 Cement Pier>v. #2 Jim Leyde anufactured Horn 27.6X56.4. ^16 X 16 Porch , 18 FT Sett^^ to Sebtl 21 FT Setback to Drain mhait . 42 Cem^KtePiecs #3 Steve/Troy Troje '24X36 Poll Barn 10 X12 Sliding Door 12 FT Distance Between Garages /JUaal DMCription; Sectian-27 Township-135 Ran9e-040 118 90 AC LOTS 3, 4&N1/2NE1/4 UNITED SPORTSMEN CLUB ATTN TIM TROJE 16427 HARVARD DR UKEVILLE. MN 55044-6304 Department of LAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY governmckit Services Center - 540 west Fir Fergus Fauus, mn 56537 PH: 213-996-0095 Otter Ta«_ County s Website: www co.otter-tail.mn.us RECEIVED JUN 1 5 20*5OTTCR TflII eO««TT •••••lOT* Otter Tail County Compliance Inspection Form Addendum LAND & RESOUfICE This form is a required attachment to MPCA Compliance Inspection Form for all Existing Subsurface Sewage Treatment Systems in Otter Tail County as of June 1, 2011. Property Information Parcel Number: iHOdO 2^ ~?0Z13000 ___ Township: _____________________ Property Owner Name(s): ciui> Property Address: 3(f00~l S(,^7(o Reason for Inspection: Number of Bedrooms: ^ In Shoreland Area? Lake/River Name, Number, & Class Section:135' ;t 5up 0 □Yes No System Compliance Status: ^ Compliant ^ Non-Compliant Does the soil treatment area have less than 3 feet of vertical separation? Is the septic tank located less than 50 feet from any well? Is the soil treatment area located less than 50 feet from any deep well? Is the soil treatment area located less than 100 feet from any shallow well? Does any part of the septic system fail to meet the minimum OHWL setback requirements for the public water classification? Yes No Yes No Yes No KYes No Yes No "Yes" indicates that the system is failing to protect ground water and is noncompliant. If "Yes", describe the condition noted: Required Attachments: System drawing to scale on next page. Completed MPCA Compliance Inspection I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No determination of future system performance has been nor can be made due to unknown conditions during system construction, possible abuse of the system, inadequate maintenance, or future water usage. VV/DName:Phil Stoll Certification Number:7526 Business License Name & Number: Signature: Stoll Inspections 2982 Date: Excel/Compliance Form for OTC 1/15/2014 Page 1 of 2 Otter Tail County Compliance Inspection Form Addendum (cont.) Parcel Number: /^CVO 2’7b2~l300^ Date & Initial: System Drawing The system drawing must be to scale and include all septic/holding/llft tanks, drainfields, wells within 100 feet of system (Indicate depth of wells), dwelling and non-dwelling structures, lot lines, road right-of-ways, easements, OHWLs, wetlands, and topographic features (i.e. bluffs). - v'f<1-. 3U. 0 Oojciti»A “>* 0 Additional Comments: Page 2 of 2Excel/Compliance Form for OTC 1/15/2014 Minnesota Pollution Control Agency 520 Lafayette Road North St. Paul, MN 55155-4194 Compliance Inspection Form Existing Subsurface Sewage Treatment Systems (SSTS) Doc Type: Compliance and Enforcement For local tracking purposes:Inspection results based on Minnesota Pollution Control Agency (MPCA) requirements and attached forms - additional local requirements may also apply. Submit completed form to Local Unit of Government (LUG) and system owner within 15 days System Status System status on date (mm/dd/yyyy): 6/12/2015 ^ Compliant - Certificate of Compliance (Valid for 3 years from report date, unless shorter time frame outlined in Local Ordinance.) G Noncompliant- Notice of Noncompliance (See Upgrade Requirements on page 3.) Reason(s) for noncompliance (check all applicable) □ Impact on Public Health (Compliance Component #1) - Imminent threat to public health and safety □ Other Compliance Conditions (Compliance Component #3) - Imminent threat to public health and safety □ Tank Integrity (Compliance Component #2) - Failing to protect groundwater □ Other Compliance Conditions (Compliance Component #3) - Failing to protect groundwater □ Soil Separation (Compliance Component #4) - Failing to protect groundwater □ Operating permit/monitoring plan requirements (Compliance Component #5) - Noncompliant Property Information Property address: 36007 380**’Ave. Richville, MN 56576 Property owner: United Sportsman Club (Jim Le^de)__ Parcel ID# or Sec/Twp/Range: 140002701213000 ________ Reason for inspection: Permit ____________ Owner’s phone: ____________ or Owner’s representative:_______________ Local regulatory authority: Ottertail County Brief system description: 1000 gal, concrete tank, gravity flow to 630 sq.ft, chamber drainfield. Comments or recommendations: Representative phone: ___________ Regulatory authority phone: 218-998-8095 Certification I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No determination of future system performance has been nor can be made due to unknown conditions during system construction, possible abuse of the system, inadequate maintenance, or future water usage. Inspector name: Phil Stoll Business name; Stoll Inspections Inspector signature: Certification number: 7526_______ License number; 2982_______ Phone number: 218-839-1849 Necessary or Locally Required Attachments □ System/As-built drawing^ Soil boring logs D Other information (list): S Forms per local ordinance www.pca.state.mn.us • 651-296-6300 • 800-657-3864 wq-wwists4-31 • 3/16/12 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats Page 1 of 3 Inspector initials/Date: PJS | 6/12/2015Property address: 36007 380th Ave. Richville, MN 56576 (mm/dd/yyyy) 1. Impact on Public Health - Compliance component #1 of 5 Verification method(s): ^ Searched for surface outlet ^ Searched for seeping in yard/backup in home □ Excessive ponding in soil system/D-boxes 0 Homeowner testimony (See Comments/Explanation) □ “Black soil” above soil dispersal system □ System requires “emergency” pumping □ Performed dye test n Unable to verify (See Comments/Explanation) O Other methods not listed (See Comments/Explanation) Compliance criteria: □ Yes ^ NoSystem discharges sewage to the ground surface.______________ □ Yes S NoSystem discharges sewage to drain tile or surface waters. □ Yes ^ NoSystem causes sewage backup into dwelling or establishment. Any “yes” answer above indicates the system is an imminent threat to pubiic heaith and safety. Commehts/Explanation: 2. Tank Integrity - Compliance component #2 of 5 Compiiance criteria:Verification method(s): S Probed tank(s) bottom S Examined construction records □ Examined Tank Integrity Form (AtfachJ □ Observed liquid level below operating depth □ Examined empty (pumped) tanks(s) S Probed outside tank(s) for “black soil” Q Unable to verify (See Comments/Explanation) O Other methods not listed (See Comments/Explanation) □ Yes S NoSystem consists of a seepage pit, cesspool, drywell, or leaching pit. Seepage pits meeting 7080.2550 may be compliant if allowed in local ordinance. □ Yes ^ NoSewage tank(s) leak below their designed operating depth. If yes, which sewage tank(s) leaks: Any “yes” answer above indicates the system is faiiing to protect groundwater. Comments/Explanation: 3. Other Compliance Conditions - Compliance component #3 of 5 a. Maintenance hole covers are damaged, cracked, unsecured, or appear to be structurally unsound. □ Yes* H No □ Unknown b. Other issues (e/ecfr7ca//»azarrfs,efc.) to immediately and adversely impact public health or safety; □ Yes* 0 No □ Unknown *System is an imminent threat to public health and safety. Explain: c. System is non-protective of ground water for other conditions as determined by inspector. DYes* 0 No *System is failing to protect groundwater. Explain: www.pca.state.mn.us • 651-296-6300 • 800-657-3864 wq-wwists4-31 • 3116112 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats Page 2 of 3 ■L Property address: 36007 380th Ave. Richville, MN 56576 Inspector initials/Date: PJS | 6/12/2015 (mm/dd/yyyy) 4, Soil Separation - Compliance component #4 of 5 □ UnknownDate of installation: 10/1/2007 (mm/dd/yyyy) Shoreland/Wellhead protection/Food beverage lodging? ^mpliance criteria: _____ For systems built prior to April 1, 1996, and not located in Shoreland or Wellhead Protection Area or not serving a food, beverage or lodging establishment: Drainfield has at least a two-foot vertical separation distance from periodically saturated soil or bedrock. Verification method(s): Soil observation does not expire. Previous soil observations by two independent parties are sufficient, unless site conditions have been altered or local requirements differ. E Conducted soil observation(s) (Attach boring logs) □ Two previous verifications (Attach boring logs) r~l Not applicable (Holding tank(s), no drainfield) n Unable to verify (See Comments/Explanation) [~1 Other /See Comments/Explanation) S Yes □ No □ Yes □ No I E Yes □ NoNon-performance systems built April 1, 1996, or later or for non-performance systems located in Shoreland or Wellhead Protection Areas or serving a food, beverage, or lodging establishment: Drainfield has a three-foot vertical separation distance from periodically saturated soil or bedrock.* Comments/Explanation:1 ^ Ik □ Yes □ No“Experimental”, “Other”, or “Performance" systems built under pre-2008 Rules; Type IV or V systems built under 2008 Rules (7080. 2350 or 7080.2400 (Advanced Inspector License required) Drainfield meets the designed vertical separation distance from periodically saturated soil or bedrock. Indicate depths or elevations 20"A. Bottom of distribution media >56"B. Periodically saturated soil/bedrock C. System separation >36" D. Required compliance separation* 36" *May be reduced up to 15 percent if allowed by Local Ordinance. Any “no” answer above indicates the system is failing to protect groundwater. 5. Operating Permit and Nitrogen BMP* — Compliance component #5 of 5 ^ Not applicable □ Yes S No If “yes”, A below is required □ Yes S No If “yes”, B below is required Is the system operated under an Operating Permit? Is the system required to employ a Nitrogen BMP? BMP = Best Management Practice(s) specified in the system design If the answer to both questions is “no”, this section does not need to be completed. Compliance criteria a. Operating Permit number: ___ _________ _____Have the Operating Permit requirements been met? b. Is the required nitrogen ^P in place and properly functioning? Any “no” answer indicates Noncompliance. □ Yes □ No □ Yes □ No Upgrade Requirements (Minn. Stat § 115.55) An imminent threat to public health and safety (ITPHS) must be upgraded, replaced, or its use discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance. If the system is failing to protect ground water, the system must be upgraded, replaced, or its use discontinued within the time required by local ordinance. If an existing system is not failing as defined in law, and has at least two feet of design soil separation, then the system need not be upgraded, repaired, replaced, or its use discontinued, notwithstanding any local ordinance that is more strict This provision does not apply to systems in shoreland areas, Wellhead Protection Areas, or those used in connection with food, beverage, and lodging establishments as defined in law. www.pca.state.mn.us • 651-296-6300 • 800-657-3864 wq-wwists4-31 • 3/16/12 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats Page 3 of 3 OTTER TAIL COUNTY Grade & Fill Permit # 7412 PROPERTY OWNER LAKE NO. SEC. T.'l TWP. NAME VgVCa. , CiiO .U b i'JcO»4 nr\<NVN VLs AoLEGAL DESCRIPTION:\ WORK AIITHORIZER^T>^X^vv^-«Hl^W . ^o/ ty)%y\x^vV Va^wic- ^>o.V ^Vp(>V M^^Vo \ 1*2} vj\Vc,Cj><yv\/ «K\n>vVvU A■! «w\ L?-*^ X.f4^ YV^«^wvVKvV*<Mfi>.^ VoV^ \o^ ^ *Ovx‘\.V& * ‘YA P*<3 "jM 7^^Q> STo^ravv SVtw NOTt: This card shall be placea in a conspicrfous place not more than 4 feet above grade on the premises on which work MENT, Arvj^v \v^«^ Vo ^~\, O*’o>. Fut t-zO is to be done, & shall be maintained there until completion of such .wo^. NOTIFYkLAND & RESOURCE MA^GEf 218-99&«095 WHEN AUTHORIZED WORK HAS BEEN COMPLETED.. <Lm^ ^ m ^ S>rvw«N.p> , >0^0 x F*U\ IS X^d'^v^ 1. EARTHMOVING SHALL BE DONE BETWEEN//■ 2. Entire area shall be stabilized within 10 days of completion of any earthmoving. 3. Owner is legally responsible for all surface water drainage that may occur. 4. No fill shall enter or be taken from the beds of public water without a valid permit from the MN Department of Natural Resources. 5. If the terms of this permit are violated, the entire permit may be revoked and the owner may be subject to legal prosecution. 6. Erosion control measures must be implemented prior to any topographical alterations. APPLICATION FOR GRADE & FILL PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us Permit No.PLEASE PRINT OR TYPE ALL INFORMATION LAKE/RIVER #LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP. NO.RANGE TWP NAME JZ7 PARCEL NUMBER(S)PROPERTY (E-911) ADDRESS 3^coy/ ^ oo oiiouhooo LEGAL DESCRIPTION //s 9o . Last Name First Initial Mailing Address DAYTIME Phone No. ^//y T7 /^h ____________ / 0 ^7^~ Property Owner Contractor Name Lie.#t'y Cy/Z Date Stamp received jUN 3 0 2015 & resource NOTES: 1. The lotlines and project area(s) must be staked. 2. If project disturbs more than 1 acre of land you are required to obtain a General Storm Water Permit from the MPCA. L&R Initial PROJECT REQUEST (You may use the grid on back for required scale drawing): i Pr^(\ / Sa^A ■ ^ ^ ^ ‘DESCRIBE YOUR PROJECT(S): DETAILED INFORMATION: AREA TO BE CUT/EXCAVATED;Yds^Ft. X Ft. X Ft. -27 = Length Width Ave. Depth Yds^WALK-OUT BASEMENT PROJECTS; (Outside of the building foundation) Ft. X Ft. X Ft. - 27 = Length Width Ave. Depth Yds^AREA TO BE FILLED/LEVELED:Ft. X Ft. X Ft. - 27 = Length Width Ave. Depth 2l5i^3rds^TOTAL EARTHMOVING REQUESTED = BACKFILL AT FOUNDATION;Ft.Ft. Max. Depth Distance From Foundation ’1 f ULVERT:If Yes, must indicate size and iocation on drawing. Yes No , 7PERVIOUS SURFACE;% CvC_ JRE (^F^OPERTY OWNLr/AGENT FOR OWNER DAjt RECEIPT NUMBER HI : : : in \ ! i ^^‘// / \nf~c /? /r Cf^ ^ ^ M. ?/// A/-? /V' ^^'*^'ir o*n /X/ f /9-^of^oAjcX ^cccX! /9m£ Xj ^ C^f 'r ‘t -fr£>^f^ ^/ ^ ; i /''<-«i.. ✓/ c^-t' /A ' X ^'£>' " 7^ b~^ Xh/^ S/oj:!>'OS ^7^. ^o ^/// /OX (k:>^ X 3^" 97yd- - ^ VI », , y -i-ii- ^Ot'isrf'rue^ ^ pOLi!^.. ^/!>r /9-rJ^ ^X . (1 u-?!r_./^^/2_ /J LLLjB.J- / / __ / r-f yV* 'S./oyshA^z ^ OXM-^< ^ Z'^/^/L- ffl O^SyF /~~ _ y/Srptf^. 3G- //«/CtojriiJy^- y^cj^...y-g? n >~t-M i. /fy^ec',. £// •,✓/* ^ e/n ^j/p^!^_ C S»!XJA^X.-J.I>'- ■7V ^/"g X /^" 99.-ys-^. 3^.t20L&n^ iii 11 Ii i I!!! !i! ’ 'ill I I I t t 1■i-l-l- iii111 > 11iii111 ;,r-1-1-1III 111 ILL i \ I ■Iii- /I : I ..j.j.j— III(11 m III ! Ii ! : : I!!In III >x/B' X 6ox J3.\ ^'6- cct>-ec^ ^T //i M n 11 \\I ii il ; li ili i I!i i I I Ii iii United Sportsmen's Club Site Permit f^3Js w Steve/Trby froje 24 X 36 Poll Barn 10 X 12 Sliding Door >" i12 FT Distance Between Garages Ufl«l Section-27 Town*hip-135 Range-040 118 90 AC LOTS 3, 4 A N1/2 NE1/4 UNITED SPORTSMEN CLUB ATTN TIM TROJE 16427 HARVARD OR LAKEVILLE. MN 55044-6304 ■ PklvAra Mo A/.£ CcRfJeii oP tzi AC.R^ PaRC-^LS£T0A^t< QtSTA^C. £ S — poPi) R',&HT?0 -pT — A/£^ Se£T,c^ TfJifK yd PT — 9RP:AJA‘/£l^Cf VS‘PT' — A/j£xT AfeAfiesr' ^£Pn^ yrPT ■}. // i IW sepT/c. taa/K r TfiPtLeR i vKi, U)£U- HooSS.CAPPae AREA ra l£veL &RAt>£ fof Ri?tAc.efA£Afr zi'KS&' thajur R&UcA-rUP sffso T------1IIIstfeoI 0>ARAO£I Cl Ir\L,--1\"L-£X,STltJ£. r~RA'.ZeR its*i sePTiC. SfiXEA^ Garage garage Pfi£Viouse-Y SMAReO S£RUP- Prsri-AnbooPPA\A' ^ -!TRB^^iE^K .■ ]<v. Afor^:0,p7AA>c.£s FROAt L£\/eL. GRAs^e AReA 'T2> PRopepTY -j- f^aftrFeRAi LiA>e. /^pPfioX^ Z/oo — PASTIFRA/ " J!,73i ph" ■AT' sn9r pT -\. 0i£\/AT/OA/ A0OM0. oH<^L~ /y pT i *4 yjJesTFRh/ £^Vj£ -j- So\iTHeRA/ SRqRGU/jS,<42 .'=1 q S I- ;> ■< p" '• 7"^ C^UH— PP^-^pose D Rt?pvje^<^fAJ(S> ON 1-3.3. Ac^E — poktHPR.^^ ^/A :« — /BAST^PM — iMPSTBPAJ — So Tfre~ P fV — BU^AT:<^N oH'^JL p.ppfi^^y — ppopiBPrr AcceS'S (^RoA't MiB. •— /F Gprs fs ^oi.p(fS ^U. A/o^es I AfiPfii)f z,io? PT' 47 2Y -p-r^/f// //f/ SS yr-f-m H f T“ ‘®CCppeP AT ;f-J/.>CT,PP Op %80-H^ A'je ^ ^hO^i :r,-M LBYti-s- ^ s>iz- P&P- ?s~79 <s>/z. sCO oii faCh |l N£Cp!/^(S> fiks C0SS— T(fp/>Y y<pu. AU THe A.^DSTAZ-’^'S fN Th > S PPA-t « A TT^yJ /Si5s|s ®: cs > oatj g2 zs2 // /?5/; Psm-.-r YS?7 zfisw(rCei) SY-fTfC TAfjK TO fihc.c.c/^.No(;>fiT^ 3 BR f?BP(ACClV(ENT pUi£ijL,NQ, 'W ^ V-T6p £ piA c ?/^f/irr Qt/jec S !?ov£. G>FAY >Yf' Co£.o^ IN»SCO ll «\.«A'‘:N Ho’JSE Rfirr p RElAcAYBo S'MEr, ii.\ /? 'or\5 Qj ifi Opac lpkb2? ^ ri IMPERVIOUS SURFACE CALCULATION List & identify all existing & proposed onsite impervious surfaces on scale drawing. Lot Area (ft^):Signature: Buildings Other Impervious Surface Existing Proposed Existing Proposed Ft^Ft^Ft^Ft^ /VS-(c^3/7/Dwelling Deck(s) Attached Garage Patio(s) Detached Garage Sidewalk(s) storage Shed Landing(s) WOAS Driveway(s) RCU Parking Area(s) Miscellaneous Retaining Wall(s) Landscaping (Plastic Barrier) Miscellaneous /?sr A •'Vi- TOTAL BUILDINGS TOTAL OTHER Buildings Impervious Surface Percentage Maximum Allowable 20% Existing Proposed Total Lot Area Impervious Surface Ratio Ft^Ft^ Ft^Total Buildings Ft B'S’S'ini .5^%,S70S'<y . 005-100+-r X Buildings + Other Impervious Surface Percentage Maximum Allowable 25% Total Buildings + Other Impervious Surface Existing Proposed Total Lot Area Impervious Surface Ratio Ft^ Ft^Ft^ Ft^ ^9i>s7 ' QOS' 7 .S'*?100+-r X Impervious Surface Calculation Worksheet 03-25-2014 RECEIVEDWHITE r Office APPLICATION FOR SITE PERMIT GOLf^ENROD,- Inspector YEii^OW - Owner (after issue) PINK - Assessor JUL 2 6 2010LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR. FERGUS FALLS, MN 56537 RECEIVED LAND & RESOURCE218-998-8095 www.co.otter-tall.mn.us JUL 1 6 2010PLEASE PRINT OR TYPE ALL INFORMATION Permit N TwiiiAND & K&80UR(tSwPNAMELAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION QgpJ; LfiiLe,OeaASO I l-^S I PARCEL NUMBER (S)PROPERTY (E-911) ADDRESS1>!?007 pp/e K'^dno'',! \e, aX/zvi her oi—n SiH^ooO'ln' o^/3-'oQO.zz: Z.H n reLEGAL DESCRIPTION rJ fA - /y\*5( Last Name_______ .....Mailing AddressFirstinitial Daytime Phone No. Property Owner ¥9o-/fir ^7^^ ST,P.0, f-,cV1-Ve.vv>w g.v,\J(rvL^Contractor Name Lie.# ro PROPOSED PROJECT (please circle the appropriate number) (2 ) Add'n to Dwelling (5 ) RCU/Year_____ torage Structure ONSITE WATER SUPPLY jyi Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM ^/CcTl-O &/LJ{1 ) New Dwelling (4 ) MH/YR (7 ) Add'n To Non-Dwelling i{8yb (10) Non-Conf. Replacement (KjSntity)_ (11) Other (identity)______________ •Existing Dweiling to be removed prior to (3 ) *Replacement Dwelling (6) Attached / Detached Garage ermit No. ( ) OTWMD ‘Must have Sewage System Approval Irom OTWMD prior to issuing Site Permit. Contact Rollie Mann at 218-864-5533 ,^jP^9)W.0.A.S. CHARACTERISTICS OF PROPOSED W.O.A.S. [WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Out^Je Dimension___ Sq. Fl\. Setback to bqdine ____ Setback to RigfH,pf Way Setback to OrdinarWHigh Water Level___ Elevation Above OrdirWy High Water Level Setback to Septic Tank ^ Setback to Drainfield____ Setback to Bluff________ Total Bedrooms Maximum Proposed Height Roof Change ( ) Yes ( ) No \ Basement ( ) Yes ( ) No \ Walkout Basement ( ) Yes (side profile requiret CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension T'? r,.Outs\e Ft. X Ft."Dimen^Ft. X Ft.**TenSq. Ft. Setback to Lotline Setback to Right of Way Ft.** Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank M ^ Ft. Setback to Drainfield Ft. Setback to Bluff hJj/A Ft. . Maximum Proposed Height I i Ft. Roof Change ( ) Yes No Bathroom Proposed ( ) Yes (^ No Wf,. sio Sq. Ft. X Setback to LotliNe___ Setback to Right otWay Setback to Ordinary Hi^Water Level __ Elevation Above Ordinary\gh Water 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.Ft.F^ Ft. Ft.Ft. 3- ( ) Screen Porch \ ( ) Storage Structure( )No SS7/ I Cubic Yards - 299 Cubic Yards* Tyoqraphlcal Alteration / Earthmoving )^None □ 20 Cubic Yards or Less * □ 21 * Must include on scale drawing, additional Permit may be required.□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: Sq. Ft.Lot Area,Water Frontage Ft.Bluff ( ) Yes j>0 No ______Total Impervious Surface Onsite (FT?) O. 532.7Impervious Surface Ratio:xioo =.%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: 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 con dition 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. Date: Date: 7S-YPROJECT(S) TOTAL SQ.FT.PERMIT FEE $RECEIPT NO. Ki/WComments: Form No. BK — 1003-0407 329,582 * Victor Lundeen Co., Printers • Fergus Falls, Minnesota • WHITE ^Office APPLICATION FOR SITE PERMIT -\/GOLOENROO - Inspector YeLlOW - Owner (after issue) PINK - Assessor LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 eXPIRED 1 www.co.otter-tail.mn.us Permit No.-- ^ PLEASE PRINT OR TYPE ALL INFORMATION LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWPNO.RANGE TWP NAME ^0' "1 PARCEL NUMBER (S)PROPERTY (E-911) ADDRESS hJ^nn hero:x^'i'v£>o h] f ItLEGAL DESCRIPTION ^ pj f3^ - fj£ /V %1 Last Name First Initial Mailing Address Daytime Phone No.f 'in 7vi' /Vf /v/gProperty Owner / t f /k ^ ; >Y 1 ^Q o , { N n-I iContractor Name Lie.# H.pyvfvT i. -Kt.-riu .«T/ ''■'’.'S' t,--' PROPOSED PROJECT (please circle the appropriate number) (2) Add’n to Dwelling (3) ‘Replacement Dwelling ( 5) RCU/Year_______ (6 ) Attached / Detached Garage (7) Add’n To Non-Dwelling (8) Storage Structure ^0^ ®) W.O.A.S. (10) Non-Conf. Replacement (identify)______ (11) Other (identify)____________ ‘Existing Dwelling to be removed prior to 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(1 ) New Dwelling , (4) MHA'R____I .( ) Permit No. ( ) OTWMD 'Must have Sewage Systerr\ Approval from OTWMD prior to issuing Site F^rmit. Contact Roliie Mann at 218-864-5533i CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension__ 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_______ Total Bedrooms_______ Maximum Proposed Height Roof Change ( ) Yes ( ) No Basement ( ) Yes ( ' ) No \ Walkout Basement ( ) Yes (side proliie required) , ( ) No CHARACTERISTICS OF PROPOSED NON-DWELUNG Outside Dimension Outside DimensionFt. X Ft.“Ft. X Ft."Ft. X Ft." ‘ Sq. Ft.___ Setback to Lotline Ft. & 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 Roof Change ( )Yes (^No Bathroom Proposed ( ) Yes ( ^ No Li Sq. Ft. Setback to Lotting ___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank \ Ft. Setback to Drainfield___ Setback to Bluff_______ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection %ioFt.&Ft."Ft."Ft.&Ft.”Ft."Ft."Ft."Ft.3t6_f.. I i R.Ft.Ft. Ft.Ft. Ft.Ft. iif R. . Ft.14 Ft. Ft.\iFt.\'4\a Ft. \tt \( ) Screen Porch \ ( ) Storage Structure C7/Topographical Alteration / Earthmovina □ None ‘ Must include on scale drawing, additional Permit may be required.□ 21 Cubic Yards - 299 Cubic Yards‘□ 20 Cubic Yards or Less ‘□ 300 Cubic Yards or More‘ CHARACTERISTICS OF LOT: Lot Area 'Sq. Ft.Water Frontage Ft.Bluff ( )Yes (.! )Noi. : a 7Impervious Surface Ratio:xioo =.% Total Impcn/ious Surface Onsite (Ffr)Total Lot Area (FT^)Impenrious Surface Ratio THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition 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. //Date:1-^7 Signature of Property Owner / Agent for Owner */< --fV, ./ Date: Land & Resource Man^ement Office^76-Y c-PERMIT FEE $PROJECT(S) TOTAL SQ.FT.,RECEIPT NO. }-v \f i/V ^ CComments: A ) Form No. BK — 1003-0407 329,582 • Victor Lundeen Co.. Printers • Fergus Falls.-Minnesota • * SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations 3’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 3^00 Ft.Ft. /O Ft. &Structure Set Back from Lot Lines Ft.Ft.&Ft. Q /6Structure Height Ft.Ft. Structure Set Back from Septic Tank /0 7^Ft.Ft. /OStructure Set Back from Drainfieid Ft. Ft. Elevation Of Lowest Floor Above Ordinary High Water Level 3 Ft. Ft. Land Slope at Building Site %% 0Inspector’^ Comments/pk^ch: V ■ Qm Q uTk n.0 Date of Inspection Time of Inspection ^/TEroject Approved Date / Initial V ILL/*. RECEIVED mi 2 6 2010 d SGAUE DRAWING FORM APR 1 6 Z008 LAND&RtJ)GURC land & RESOURCE i ■■ Tax Parcel Number(s) The scale drawing must include the outside dimension (lotlines) of the property above the ordinary high water level, and must identify the type, size (square feet), and location of all existing and proposed structures, additional onsite impeij/ious surfaces, road^gl^fi^ay(s), ordinary high . water level(s), septic tank(s), drainfield(s), bluff(s) & wetland(s). Must also include allpfoposed tpp%raphical alteralj.5^. .........%Scale EECEniED HAY 1 4 2OQ0 I ^ Rc&OURCE To P/?{\/AT£ /^/1P rAoM M op /^ 3 RECEIVED JUL 1 6S.2010 LAND & RESOURCE r ••I!i -irfiC>isrA^c.B S — (?oAi! R':BNr- Z.06 dT' — A/jBAResr SjB/fra sys, ‘^o-fT — //eA^kSV sTRo^vdS. iyp ■A'T , 22 f TP— ^ l) Wf H li/rLTi^ it ^Ua^'C-A "Jt-AA-y <^yede— (p ^ ^ IkJ Hoos£-OAft.AO'e S/VEP \sHeo To Th!^ Boc/\7?e>/iy O ;; I i■ I i.:T.rCTi.-,v,j||8 W-"‘' -iA^fS ^ycCe_A1/ -J1 1 : SePTc, :TeAf/\ 6ARmf- \ /GarageA i ■f (tOo D/Gt'A' F>f- SBpri^ S'Y'sreA-/ RECEIVED MAY I 9 2010 LAND & RESOURCE r/?flUfR, QtuAi*A: toai.14- Po//f: O/STa/jcES PROa\ L£V^i, A^E^ 7& PROpBt^TY — M/W/ffSA'. IaAJS. . - . .h ei£vAr.-oA( A&ombjj?3i Pi' -nl ER'J ■E7~ ' J sj'T-r fr akiR^ L.....1^77". r>— E.AstTRAJ — [fJesVERr/ — S6 vTH eRfR SRi Re eiMi£\v ^0—' ^ 1 / ‘ /Signatu^jp^pTProperty Owner Date 339.0BS • Victor Lundeen Co. F’tlnters * Fetqus F;alls. MN * 1-§00-34fi4B70nu _ n?n7 i /«.>■/S' JTfiretftrpficPoSED T& fR^pf>gRr^ OfJ 17.3. /ic$E •— jA/6»ftr//£«AJ AfiP^ixr Zj/PO f7 — l/^rTZV^// J - V^S-STE^M -r-lSC OTtfBRf^^... fJ. ShdRei^B ^ i _'— oH'^L approx !(MoTe^;.i Y ■V1Iin tr ‘ 9\<i>L?|J g ^ > 5 ^;i Ic> ^ -5 r' ^ \■t. -£ e- tlp °■s «f i472V fr-i✓/i iiI!;;//ii\I3?\Mi —-“"t •1!i1 ^i w_£r: —. pRofiSPry AcclbsS )pRP/1 AP,e. \ CPPNBR 'AT ^^CTioR! oP SBOAAA^E S S77 —: /F &hT£. ,S ^oc.RbD Xv*f \LBX!>£. (2> : k\'L-'op 7933 rr 1? - . fl.iS = a ®S2 til i ?i n•S’ i 6 I U) o 1 i-•! »o^ s rs\ !i ^:-- rrffy^Jltr ViJU, FpR AU THS AST)stance^ (N U£C-PfA>& PPPiCBSS ■ This ^ATfo/Ky i i I ! i ■§5 oc 8 w| i i111 Q •S .2 2 O £ «I .2 ^0^ :!O II i iI \i L^f 1 ;5 ...1 ........-4.......0) <D 0>& g-S o .= a.II ^ ....i >T• •: l^«O I i i 35 I ii;?i : ‘Vor irz.•iiII |:ii__ 0.73.=§ S V ,i J■!\> R&f. P6RA;r n2?7 SBjPTc. rAA/A'-r»—\ e(7rt-re— \ pCPaCifi^C,<^'T’ B^Li Af © w/si4 HausE \ /My BytcSTaiJ f/lfi.,^C*,fi. 9uoe’Li~;p<5 aP V^iiir^ 7Pif>V£I CuOo w<I <£° £ «\ CC 3 3 ||2 ? tS 2. s|l k III i^E2 T) B c S° ’l2 <1 ® g 2 *5 = © 5 \SIII ;i rQ \,•\D 5 1cLUi’O p :I ::D :I<iiSput. ■oIp 6ARF&E. 3«^p c=[7\o Ei;31rMiu,c\<>Ic/>i P~|■ r 1?— -Zi i^-i2a®■h V u> ujeiP Ho^iSB\\;P*f>T;I RAAip/ 1 :■t T5 mp':; »j ST'i§if PecscATED EHBD ' ‘i ^ |T-1x /? ';s ! 5/^0/a^•3> ? 5I !i- .;n!i i 0£AD MK£:i OTTER TAIL COUNTY- Grade & Fill Permit #N2 cbsti PROPERTY OWNER S rv*^c*y*\q < LAKE NO. SEC. 2^1 TWP. NAME K t\/ 6” ^ 4/LEGAL DESCRIPTION: 32} QKV^t^WORK AUTLfORIZED ^ ClM OYN Qa''JcVrrw 7^ VI tOl~. Vo o .T\v.^ W ^yp Vio ^^^\«X.VO»s.->i. NOTE; This card shall be placed in a conspicuous place not more than 4 feet above grade on the premises on which work is to be done, & shall be maintained there until completion of such work. NOTIFY LAND & RESOURCE MANAGEMENT, 218-998-8095 WHEN AUTHORIZED WORK HAS BEEN COMPLETED. 1. EARTHMOVING SHALL BE DONE BETWEEN S'- 2Jj^io & l:~(~io 2. Entire area shall be stabilized within 10 days of completion of any earthmoving. 3. Owner is legally responsible for all surface water drainage that may occur. 4. No fill shall enter or be taken from the beds of public water without a valid permit from the MN Department ot Natural Resources. 5. If tl^e forms of tttis oormlt oro x/lolotod, ff^o ontiro oermit mav t30 ro\/ol<od aoci tVio ownot* mov-- .. - _L ___- fi-...........z zzi z r»* %«s-ssBsn mi m m» iiimj be subject to legal prosecution. 6. Erosion control measures must be implemented prior to any topographical alterations. r receivedAPPLICATION FOR GRADE & FILL PERMITI - MAY 1 9 2010LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 land & RESOURCE www.co.otter-tail.mn.us ST7iPermit No.PLEASE PRINT OR TYPE ALL INFORMATION LAKE/RIVER #LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP. NO.RANGE TWPNAME L-o\\ce 5\Ji^ PARCEL NUMBER(S)PROPERTY (E-911) ADDRESS LEGAL DESCRIPTION LcrVs z.H kI Vo, N)g Vm- Last Name First Initial Mailino Address DAYTIME Phone No.Kve NoT viyitW X LSI -=IKProperty Owner Co. .SV. fY\(0 ai/1 Contractor Name Lie.# NOTES: 1. The lotlines and project area(s) must be staked. 2. If project disturbs more than 1 acre of land you are required to obtain a General Storm Water Permit from the MPCA. Received L&R Official DATE PROJECT REQUEST (You may use the grid on back for required scale drawing): DESCRIBE YOUR PROJECT(S): ~P I \ \ > NfWilc^ r 3'^V 33 4oan\ /\ >- /pe (^\r^ -Al I u/U I U.Wc. SCk kA (over A\\bgrriev^ Tv-r fuA oTPI DETAILED INFORMATION: AREA TO BE CUT/EXCAVATED:^ Yds®Ft. X Ft. X Ft. - 27 = Length Ave. DepthWidth Yds"WALK-OUT BASEMENT PROJECTS: (Outside of the building foundation) Ft. X Ft. X Ft. - 27 = Length Ave. Depth Ft. X 3^ Ft. X rV Ft. - 27 = ~~)6 Yds" Ave. Depth Wdth 33^AREA TO BE FILLED/LEVELED: Length Wdth Yds"TOTAL EARTHMOVING REQUESTED = BACKFILL AT FOUNDATION;Ft.Ft. Max. Depth Distance From Foundation CULVERT:If Yes, must indicate size and location on drawing. Yes No IMPERVIOUS SURFACE:% 1//117 RECEIPT NUI^BEROWNER/AGENT FOR OWNER DATESIGNATURE OF PROPE BK02/09 I J_4 . I . |J H4ZO J5 pt ! 1 I I i [ I I I I ,I ■ U-)- ; I I ; ------j -j—I . I I I ,|. [■ I I I I |. I -|—J—I----->-) I I- - j-----1—I-- • Thfscale drawing-must tje|a-signed clrawing-wtiich-_includes and identifies a^graphiciscale[(feet),-all-existing-arjd/or-prop9sed structures,-septic tanks 'drainjie|ds? lotjiijiesr ro^^^~nght|Of-waysreasemer|tsr0HWL|sr v\|eljs;|wetla'nds|tc)pograptiic features~(i:erbluffs)hand'onsitejmpervi6us surface cajculation r 1 «wt77 iScale-4-I1 t i +ij;i'A i Li.■; .r' 1I i .1,rn i . ! 1 r i; ■■ 4'Y :1 1 Tii ■; ..... I1 j Lu ]| } 1 iBK^0209 •-1-800-346-4870•336.629-‘-Victor LundeenJ-U-l ■ ■ ' ' Co Printers-•-Fergus Palls.'MN]'I I !14t IIITIT ♦ SCALE DRAWING FORM __APRJ62008 LAND & RtJJGURC/y- - ^7 — - c7C>c7 Tax Parcel Number(s) The scale drawing must include the outside dimension (lotlines) of the property above the ordinary high water level, and must identify the type, size (square feet), and location ot all existing and proposed structures, additional onsite imp^ryious surfaces, road dg^^ii^ayfs), ordinary high ^ . water level(s), septic tank(s), drainfield(s), bluff(s) & wetland(s). Must also include all proposed topographical ailerons. O.so f/ 1 # ,»• impervious Surface (Must Complete Worksheet On Oltigfi^rae) s-= V -/e-e. /r/O % Scale EECail'ED HAY 1 4 2006 •J\ND & RLi?GURCf To P/?ivAT£ fficAi M e; c&dfjeK Acre \ M-S£T3AC-PiSTfS^C. £ S — f^ohO R'.rxH'ToF-j^h^ £.06 -{T ---Af^ARBSr SsfVc. sp. ‘=)o-fT — c? — s-TRUcTofiE -rr 22 i/o;u Qoupe-A CT-efiA-i^ Ci e. i. OAOhoeRo^S£- SitEP , .12.,;,'X.afS?RaC^CA-ft sti6D To TA/j PiCKf)oA/ o>fiRhQ>er1VTRfii:t.£R sePTiC, ^ycTe/n To/*f Garage QwpeA \ P:4A> /y (pOO •>f PPa’/Aj f;c Ca SYSTE./^ RECEIVED MAY 1 9 2010 LAND & RESOURCE TRfiUER, omjL/M j '£^ya(.TOA1, AYO/£'P,t7aa>ciES FPoa^ L£\/EL GRK9E At-EA 'TP FRoPERtY - - Faster A/ - \sJ6sTentF - So urH SRa R£ — E££VAT,oA/ ABo^S aHR-> c -L^-F-7~ L ?3Y frf* yt Si'rr' fT / 7 Sighatu^^^Property Owner Date BK — 0207 329,086 • Vicjoc LundMn Co, F^itmocs • P«fQu» P*U». MN • J-800-346-4870i„ receivedre - Office ’ .DENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor APPLICATION FOR SITE PERMIT APR 1 6 2008LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL__.GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, 5. RESOURCE 218-998-8095 MAY 1 4 2008www.co.otter-tail.mn.us RlibC/URCPefmitNo.PLEASE PRINT OR TYPE ALL INFORMATION TWP NAMESECTIONTWP NO.RANGELAKBRIVER CLASSLAKE / RIVER NO.LAKE/RIVER NAME ^6 ^0 PROPERTY (E-911) ADDRESS j 3Q?Oc>7PARCEL NUMBER (S) /y- coo -x?-o;>.is --O0O LEGAL DESCRIPTION GL 3^ y / A/^Y Da^^jm^Ph^e No. ^t-/ -ZciZ.<f yV/ ^9^/^ Mailing AddressFirst InitialLast Name g7~ AfM'Ta/h^s <Property Owner ST 6 7 OtT^jf ea/SAf < CZuA U)S>P PIA/ ^S//gU/if: Contractor Name Lie.# PROPOSED PROJECT (please circle the appropriate number) (2 ) Add’n to Dwelling ( 3) ‘Replacement Dwelling (6) Attached / Detached Garage (9) W.O.A.S. ONSITE SEWAGE TREATMENT SYSTEM (if Permit No. /9 3 77 ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rollie Mann at 218-864-5533 ONSITE WATER SUPPLY f^j^tndlvidual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. (1 ) New Dwelling ( 4 ) MH/YR (7) Add'n To Non-Dwelling (10) Non-Conf. Replacement (identify) _ (11) Other (identify)______________ ‘Existing Dwelling to be removed prior to. torage Structur CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELUNG / 2- Ft. X Ft.’ CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension___ Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary Fligh Water Level ___ Elevation Above Ordinary High Water Level Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff________ Total Bedrooms Maximum Proposed Height Roof Change ( ) Yes ( ) No Basement ( ) Yes ( ) No Walkout Basement ( ) Yes (side profile required) ( ) No “Project/Lptn^ Outside DimensionFt.“Ft. X Ft.“Ft. X Sq.Ft. ^Cs> Setback to Lotline ISS Ft. & Sr^^O Ft. Setback to Right of Wav LOCf Ft.“ u^ ^ ~ Setback to Right of Way Setback to Ordinary High Water Level cSJ Ft. ^ ^ . ^ Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level f 7 Ft.vK Setback to Septic Tank Setback to Drainfield _ Setback to Bluff Ft. Maximum Proposed Height___ Roof Change ( ) Yes ('^)TTlo Bathroom Proposed ( )Yes (‘j^No Sq.Ft. Setback to Lotline ..v/Ft.“Ft.& Ft.”Ft.&Ft.” Ft.”Ft. Ft.Ft. Ft.Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo s/Right-of-ways Must be Staked Onsite Prior to Application / Inspection R. ^0 Ft. ^6 Ft. V— Ft.Ft. Ft.Ft. Ft.Ft.// Ft. t/' Ft. ( ) Screen Porch ( ) Storage Structure * Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovim •STnone iOo Cubic Yards or Less *21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: Lot Area SP7^ Sq. Ft. Impervious Surface Ratio: Bluff ( )Yes C^NoWater Frontage .Ft. ^frd ^ Tot^ Lot Area (FT^) T-7f T-77 Total Impervious Surface Onske (FTr)X100 =.%Impenrious Surface Ratio TH/S /S 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 con dition 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. Ay-/J-afDate: Signaturj^if Property Owner /^ent for Owner Date: MiQO.Land & Resource Management Office RECEIPT NO.PERMIT FEE $PROJECT(S) TOTAL SQ.FT, jr/te.cA18-^ TTcA/9y-<~/1 /, ^Comments c ' 329,582 • Victor Lundaen Co., Printert • Fergus Falls, MinnesotaForm No. BK — 1003-0407 •‘i‘' WHITE ^ OWce Gd-DENROD - Inspector YELLOW-Owner (after issue) LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL PINK-Assessor GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 7 ^ 218-998-8095 EXfiZBEE^"' APPLICATION FOR SITE PERMIT www.co.otter-tail.mn.us PLEASE PRINT OR TYPE ALL INFORMATION TWP NO.RANGE TWP NAMELAKE/RIVER NAME LAKE/RIVER CLASS SECTIONLAKE / RIVER NO. Z?e .1 fSszy ^0A/£ \PROPERTY (E-911) ADDRESS j./4v*--PARCEL NUMBER (S);cJ^ t/,' /*fAJ.i / ooo -X?- o^i:^-ooo :<1 LEGAL DESCRIPTION ■‘iJ.(jpL- 3^ ^ ^ A/y Daytime Phone No.First Initial Mailing AddressLast Name I'•or-i ! /Vrx -/g>g.y 0Vr-/ - 9^/PT \ ^<L,Ct-C.6y/2-Property Owner 'TA/^fe S K cyuA ytfM 7 i -2 YLA/jfc^ / { LQZP /^AZ S'S/ZyiJ/j' AContractor Name Lie. # .i]PROPOSED PROJECT (please circle the appropriate number) {2) Add’n to Dweliing (SLRCU/Year_____ (7) Add’n To Non-Dweliing ;('8J Storage Structure/^ (9)W.0.A.S. (10) Non-Conf. Repiacement (identify)___________________________ (11) Other (identify)_________________________________________ •Existing Dweiiing to be removed prior to__________________________ ONSITE WATER SUPPLY fi);'lndividuai ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM (Ai Permit No.________ ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Route Mann at218-864-5533 (3) 'Replacement Dwelling (6) Attached / Detached Garage (1 ) New Dwelling (4 ) MH/YR_____'T CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension___ 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_______ Total Bedrooms Maximum Proposed Height Roof Change ( ) Yes ( ) No Basement ( ) Yes ( ) No Walkout Basement ( ) Yes (side profile required) ( ) No CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension / Ft. xFt.**Ft. X Ft. X Ft.** Sq. Ft. Setback to Lotline 2J?y Ft. & ^90 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 ( ) Boathouse 'T*' ; ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / inspection Ft.&Ft.** Ft.**Ft.&Ft.**Setback to Right of Way 7.^00 pt.**1Ft.**Ft. Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level. Setback to Septic Tank 7 6 Ft. Setback to Drainfield ^0 Ft. Setback to Bluff A//A Ft. Maximum Proposed Height // Ft. L'- Roof Change ( ) Yes ('^’No Bathroom Proposed ( ) Yes ('>-'j No Ft.Ft. Ft.Ft. Ft.Ft. Ft.Ft. Ft.Ft. Ft. //A ( ) Screen Porch ( ) Storage Structure V*' * Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovinq Ll None □ 20 Cubic Yards or Less *□ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: Bluff ( )Yes C^NoSq. Ft.Water Frontage .Ft.Lot Area. fL 7 , L / 7Impervious Surface Ratio:Xioo =.%Total Lot Area (FT^)Impervious Surface RatioTotal Impervious Surface Onsite (FT^) THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition 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. / J ■ cjp 4 VDate: A*'Signature of Property Owner / Agent for Owner o/yc 'Date: Land & Resource Management Officez 14 PERMIT FEE $RECEIPT NO.PROJECJ(S) TOTAL Sq/FT., \Comments} ri-e. ypf TV -,// f77 329,582 • Victor Lundeen Co., Printers • Fergus Falls. MinnesotForm No. BK — 1003-0407 i SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations U I 'Zoof-Ft.Structure Set Back from Ordinary High Water Levei Ft. Structure Set Back from Top of Bluff Ft. Ft. Ft.Structure Set Back from Road Right of Way /ooo 't'Ft. /oo i—Ft. & /oo i- Ft.Ft. &Ft.Structure Set Back from Lot Lines o Ft.Structure Height Ft. Ft.Structure Set Back from Septic Tank Ft. Ft.Structure Set Back from Drainfield Ft./Of- Elevation Of Lowest Floor Above Ordinary High Water Level ______________Ft.Ft. Land Slope at Building Site %%O- :T /2^/'j/py -Inspector’s Comments / Sketch: Kccjru I'^cb aIZ. Signature Date of Inspection Time of Inspection □ Project Approved Date / Initial RSGEfVED« » SCALE DRAWING FORM APR 162008■y LAr^D S. RhSGURCE/y— oo<^ - ^7 — — OO^ Tax Parcel Number(s) The scale drawing must include the outside dimension (lotlines) of the property above the ordinary high water level, and must identify the type size (square feet), and location of all existing and proposed structures, additional onsite impervious surfaces, road right-of-way(s), ordinary high - water level(s), septic tank(s), drainfield(s), bluff(s) & wefland(s). Must also include all proposed topographical alterations. J-/£>% Impervious Surface Ratio # (Must Complete Worksheet On Other Side) Scale RSCBfep MAY 1 4 2008 5, R£:60L'KCE To Af/i/A/ P/?;\/Ar£ RaAD e; CodNeR, eyf /ZS Acd£ i S£T3A C. K P £ S /Pofi'O R'fi>MT~ Z-0^ — A/ifAfie^r s/s. ^o-fT bo -RT’ az •fr' y vt/-^■9^ ^ sepT/c taa/K 5 aotttfeA <T^AAf Cf. y/^ rfiPiCBR ^ ^ Rd<jS£- 5HBP )z/X SHeo To 8£ Rc£oeAT££>R£U£ATt SAep To TRf'j; £oCfi77e>A/ □ 0>PRPQ,£ -i^oS 1 TR/ey.'LSd SePTiZ Syi.T£A^\ToAl \&ARfiGF0>u/ueA \ fioAJ A- &dx5 y DPa\/-> f‘t. ^<=* S£PTJ^ S’rSTEAl TPR\i£K <np£'o/s, rzx*i, 0,t7a/^c.£S FP0/>n L£'^PL CRhPE^ A^eA, -R> PRoPedTY 5 ~ r^tyPT/ieojj lijjc — e.Psrr^Rpj £>'/<>£ \£jesTeph/ — SauTHep^ SRoPe ~~ £££VA-r,oA/ Azovs OH^L -/-V A7“ J. 73Y -fT -AT 3 95^ fr 7 Signatu^^PPropertyOwner Date BK — 0207 329.066 • Victor Lurtdaen Co, Printers • Fergus Fails. MN • l-eOD-346-4670 4 , IMPERVIOUS SURFACE CALCULATION WORKSHEET: List of Onsite (Existing and Proposed) Impervious Surfaces (must be shown on scale drawing);( Z'f, Rg S-/2. FI^ Structure(s): Deck(s): ^ Ft= y Ft2 Driveway(s); d/<J r A/^>/ J-?0Patio(s):TiJ 7Sidewalk(s);■p’ ///7vT ^ R2 Landscaping: Ft^ (Plastic Barrier)Other; ^^^^^Ft^ XStairway(s); Retaining Wall(s): - Ft2 Ft2 ^ /';?3> Acf^eg TOTAL IMPERVIOUS SURFACE: LOT AREA: a, ^ / Z~Z2:~77 .I. 100 = LOT AREA % IMPERVIOUS SUI^ACE RATIOTOTAL IMPERVIOUS SURFACE ■‘7^(pi •-'sr 'V - P;st^ac«ls- -f/fo/^i pfioposEDrjj fpoPfRT'^ Cr(^e^ OAJ l-tZ /\C0£ Pfipd^u ^ P&(KTPil^P ~pA^S ~AWW^ 2775T77 — e/\sT£fifJ - vJs-sriEPN ^ s<^ortfeRf/\ ft sMRet^e. st^s'PT’ H fr pPopiSHTY A<^>^£SS ifPaAl MB. COPPBR AT <T'J^<Ti&N oP SeotA A^S f 3fc<5’^/i STT —; /F GhTt. ^5 Cf^^(K€D ^U. T,'/^ lBYl>£ <§> 6J^'?67-' OR il-L-3Pb^ 7933 i i ! UoT£.s;■ t V-1 ■T lij i iQ.;tCO ^i&Ii' oi o '£ S £. tl ■O O TO 2 47 3*/f7^o>////OJ --f ^ .y s/f f/iLi4 ^QGCI 1 I\S9 \Ibi ^ril —* BLBYATiOp ACcyi^ owi'/^L APPPOx \\kZi|O f I <s513IIu.o 6I111!S !?6 III 5 I f I s: JSs i — n/fiPfr YOU- Fe>p aU TH£ PST/STApc^ W UBCP\P& PPiCSSSThrs firPP^'i^ATio/^/ iQCIS?o !li 1\i !LL -J5 E .i.t^i iOg,i a|.^ I? ii« I- "PI i!i 5 1i yZ:V k,!n;\ pep. PetiAirm?? sepTic taaj« ,i\ r.ro,*i,ifoC‘i^Te- 3 BP PCMA0SA*C^ IT, MSU. ^^OUS£-'K p>efSK>^^ C.j<t77*0 DVJei-LiAXS . dP V —p<9y/c &KAY-rAi — W ^ £<I ° STO ■wTO aoc'SQ I TO$ "O ^ \ IIS 8 * g Q.°0 ^ ? W- «ill111." — <3 ^ OUJ<0 KI -j iA**P)<0 1 TO&ARh&e.I\ riu^UtC sO/ISAaji^CA s>(0 N‘J>i t //cu«y MooSC P«/»T‘ Rfl/i^pI S.y s ^ ® a p2 111 allF * ® L I ipecocAreD shbd ^caT^c^ N |i-X t2 K! S/jioM '■ S I!s !!>cCO Opad USKE\ RSCSSyEDWHITE-Office . GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN ^ 218-998-8095 www.co.otter-tail.mn.us APPLICATION FOR SITE PERMIT MAY 1 2 2008 ZW/3Permit No.PLEASE PRINT OR TYPE ALL INFORMATION SECTION TWP NO.RANGE TWP NAMELAKE/RIVER NAME LAKBRIVER CLASSLAKE / RIVER NO. -Z 7 /Js^ yoA/fL PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) )7000 Z70^ /Sooo LEGAL DESCRIPTION Loh^ 3, y z^/4. a/bVi) Daytime Phone No.First Initial Mailing AddressLast Name TT^T^^SO 7/^'St. -SpK^flSp^Qjrx; Property Owner /7is^ f[T)f^ Ss-g 7 7 Contractor Name Lie.# PROPOSED PROJECT (please circle the appropriate number) (2) Add'n to Dwelling 3) •Replacement Dwelling 3 (5) RCU/Year (6) Attached / Detached Garage (8) Storage Structure (9) W.O.A.S. ONSITE SEWAGE TREATMENT SY^^^^ ^ ONSITE WATER SUPPLY ^ Individual ( ) Public ( ) None NOTE: MN Rules Chpt, 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. (1 ) New Dwelling (4) MH/YR {7) Add'n To Non-Dwelling (10) Non-Conf. Replacement (identify) _ (11) Other (identify)______________ "Existing Dwelling to be removed prior to. ( ) Permit No, MD 'Musi have Sewage System Approval horn OTWMD prior to issuing Site Permit. Contact Rome Mann at 218-864-5533in 3©6 i'r^AUCt-. 1. ,4CL CHARACTERISTICS OF PROPOSEDW.a.A.S. (WATER ORIENTED ACCESSORY SWUCTURE,.,Outside ( A I K^iflOW DimensionFt. xFt.' . ‘ r - fl »o(C” ) CHARACTERISTICS OF PROPOSED NOH4>WELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached ^^ra^^) Outside Dimension Sq.Ft. //^i Setback to Lotline ~70^ Ft. & Setback to Right of Way Ft.** ^ Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level IS Ft. Setback to Septic Tank Ft. Setback to Drainfield Ft. Setback to Bluff ‘ToT £t ZjS Total Bedrooms Maximum Proposed Height Roof Change ( ) Yes (^) No Basement ( ) Yes (^) No Walkout Basement ( ) Yes (side profile required) ff>( ) No i(70 Ft. XFt. Xru ---------Sq.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 ( ) Boathouse ( ) Gazebo **Proiect/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Topographical Alteration / Earthmovinq ^ ^ ~~*"mus1 include on scale drawing □ None □ 20 Cubic Yards or Less * ^ 21 CubifY^/s - 299 Cubic Yai^ 300^ubic Yards or More* additional Permit may be required. Ft.**Ft.**Setback to Lotline' Setback to Right of Setback to Ordinary HigiVWat^evel __ Elevation Above Ordinary Hj|jp Water Level Setback to Septic Tank Setback to Drainfield / Ft. Ft.** kl Ft. Ft.Ft. (!■ Ft. Setback to Bluff / Maximum PropoMd Height Roof Chang^ ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No Ft.Ft.Ft. Ft. ( ) Screen Porch ( ) Storage Structure CHARACTERISTICS OF LOT; Lot Areax^ ! 7^ H Sq. Ft.2.COO Bluff ( ) Yes (^ No . .o/JTS .Ft.Water Frontage / ' Total Lot Area (FT?)Total Imfrervious Surface Onsite (FT') Impervious Surface Ratio:xioo =.%Impervious Surface Ratio THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition 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. ■2Date;cy« r ignature of Property Owner/Agent for Owner \ \7ri—Date: Land & Resource^nagement Office.OOh 2M RECEIPT NO.PERMIT FEE $PROJECT(S) TOTAL SQ. FT.. hn /|pr>l 3 -■ saem Wed Form No. BK^003-0407 I var i aw\titComment "O v> I f^edfoot/l 329,562 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota A# WHITE-Offico- GOLDENROD - Inspector YELLOW - Owner (after issue) PINn - Assessor LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us . APPLICATION FOR SITE PERMIT EXPIBEB 1PLEASE PRINT OR TYPE ALL INFORMATION mit No. LAKE/RIVER CLASS SECTION TWPNO.RANGE TWP NAMELAKE / RIVER NO.LAKE/RIVER NAME /)^.x3sg(yo-7 /J^NE,I \ PROPERTY (E-911) ADDRESSPARCEL NUMBER (S)-ri SC.007 Dc?8/ ¥ooC Z 70z /^ooo %\LEGAL DESCRIPTION *4J/8.S ^ s. iDaytime Phone No.First Initial Mailing AddressLast Name tj;r n L TT C^\7.i-C'7\Property Owner \JO--t'A^ S Uv>,iT~<e\ Sj>oc'~Si^c>y) <;I Contractor Name Lie.# PROPOSED PROJECT (please circle the appropriate number) _________ 3) ‘Replacement Dwelijnp J (6) Attached / Detached Garage (9) W.O.A.S. 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 i -A(2) Add'n to Dwelling (5) RCUATear______ (8) Storage Structure (1 ) New Dwelling (4) MH/YR (7) Add’n To Non-Dwelling (10) Non-Conf. Replacement (identify) _ (11) Other (identify)______________ •Existing Dwelling to be removed prior to. ( ) Permit No.__i ( 1 .OT^MD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rollie Mann at 218-864^5533 t —t-r/? UCt-. 1 , C2.0o^ V CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) i.t j , VU){\ CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension_______ Sq. Ft. . Setback to Lotline ; Setback to Right of Way ■Ft.” Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level )o> Ft. Setback to Septic Tank Setback to Drainfield _ Setback to Bluff Ti^~ _a Total Bedrooms . Maximum Proposed Height pj Roof Change ( ) Yes (X) No Basement ( )Yes (^)No Walkout Basement ( ) Yes (side profile required) pf) No ;Outside DimensionFt.*?Ft. XFt."Ft. X f :Ft.‘?Ft. X-/—^ Sq.Ft.l?G0 Sq.Ft. Setback to Lotiine___ 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_____ \Ft.&Ft.** 7-/ Ft." . Setback to Lotline S__ Setback to Right of Way\ /Setback to Ordinary High Water'Level __\ /Elevation Above Ordinary High Water Level Setback to Septic Tank r Setback to Drainfield / Setback to Bluff / Ft.**iFt.&_)^■1 Ft.**If Ft. Ft.Ft. \ Ft./Ft-Ft. Ft./Ft.Ft./ Maximum Proppsed Height1 Roof Change, ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No Ft.Maximum Proposed Height ( ) Boathouse ( ) Gazebo ( ) Screen Porch ( ) Storage Structure **Project/Lotlines/Rlght-of-ways Must be Staked Onsite Prior to Application / Inspection r-< - - • include on scale drawing, additional Permit may be required.j' her -7 4-..i ^ fG K 81/4 ^\ Ip ’ 3 21 Cubic Yards - 299 Cubic Yar^*' □ 300 tubic Yards Topographical Alteration / Earthmovina □ None or More*□ 20 Cubic Yards or Less * CHARACTERISTICS OF LOT: Bluff ( ) Yes (/s) No.Ft.Sq. Ft.Water Frontage__tr;Lot Area, / 7/g. o/JTft ^ Total Lot Area (FT*)/ r:S..rz.g Total Impervious Surface Onsite (FT^) Impervious Surface Ratio:.%xioo =Impervious Surface Ratio TH/S /S 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 accorrdance 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 con dition 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. / -Date:i -- ^Signature of Property Owner/Agent for Owner^ - Date:-I t Land & Resource Management Office iiniToIIZ-M V. ‘.7 0;RECEIPT NO./ PERMIT FEESPROJECT(S) TOTAL SQ. FT., ...^ Y.I.A/ TYCA'iy'l-> viA7I i\.‘qy lO'riCA-O. i'v...p i3 < (W 0 (I t'Y 'tt IComments:?/^ r .CiPilW uL<CiT\k-. 1170' fyO t-T OMW I— -4--u 1i g'H klA(X' *'—** 'v. j i .I 329,562 • Victor Lundoen Co., Printers • Fergus Falis, MinnesotaForm No. BK — 1003-0407 --r'— ,« ' SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations structure Set Back from Ordinary High Water Levei Ft.)0Q Ft. Structure Set Back from Top of Bluff Ft.Ft. Structure Set Back from Road Right of Way Ft./QaO 'i'Ft. /UP 4 Ft. &/OQ ?*•Ft.Structure Set Back from Lot Lines Ft.Ft. & c?Ft.Ft.Structure Height Structure Set Back from Septic Tank Ft.Ft. Structure Set Back from Drainfield Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. Land Slope at Building Site %% If Inspector’s Comments / Sketch: I/ll fo j I /> }> Inspector's Signature / 2/1/0 Date of Inspection Time of Inspection U'^roject Approved / y Date/initial April 3, 2008 Page # 3 Curtis Schachtschneider - Approved with a modification. (7:32 p.m.) Curtis Schachtschneider, part of Lot 8, Shirley Beach, Otter Tail Lake in Amor Township, requested the following: We would like to replace a non-conforming sipgie story cabin (28 by 40), same size, same location. The 85 year old cabin has had numerous additions to the roof and foundation making it inconsistent with modern buildings and codes. We would like to replace patch work of roofs and foundations with a single story rambler style roof so runoff can be drained away from the lake. (8/12 pitch) and a foundation depth of 8' for basement and storm shelter. The setback from the high water line is consistent with other homes in the area. The applicant is requesting a variance of 15' from the required ordinary high water level setback of 75’ for the location of a replacement dwelling 60’ from the ordinary high water level. The audience was polled with no one speaking for or against the varianoe as requested. After consideration and discussion, Steve Schierer made a motion, second by Michael Harris and unanimously carried, to approve the placement of a 28’ by 40’ (same size as existing) dwelling as depicted on the applicant’s drawing no closer to the ordinary high water level than what would be peimitted/allowed by the building line. This variance approval is consistent with past actions of the Board of Adjustment. David Geiszler- Approved as requested with a condition. (7:38 p.m.) David Geiszler, Lots A3 and A4 of the Survey Lots of Government Lots 8 and 9, Section 1 of Dora Township by Sybil Lake, requested the following; To have this substandard lot declared buildable for single resident use and a variance of 35’ from the required ordinary high water level setback of 100’ for the enclosure of a 9’ by 24’ patio located 65’ from the ordinary high water level. 1. 2. The audience was polled with no one speaking for or against the variance as requested. After consideration and discussion, Steve Schierer made a motion, second by Paul Larson and unanimously carried to declared Lots A3 and A4 of the Survey Lots of Government Lots 8 and 9 as a buildable lot for residential use and to approve a variance of 35’ from'the required ordinary high water level setback of 100’ for the enclosure of a 9’ by 24’ patio area being approximately 65’ from the ordinary high water level with the condition that the existing deck must in a legal location or brought into compliance before a permit can be issued for the proposed enclosure project. The legal status of the existing deck is to be determined/verified by the Land and Resource Management Department. It should be noted that the enclosed patio area will be no closer to the ordinary high water level than the lakeside of the existing 26’ by .48’ dwelling. .United Sportsmen Club - Approve as modified with a condition. (7:50 p.m.) United Sportsmen Club, Government Lots 3, 4 and the North Half of the Northeast Quarter, Section 27 of y Dead Lake Township by Dead Lake, requested the following; To replace existing trailer, storage building and patio with a new trailer and screen porch/deck. Reducing overall impervious surface and moving trailer 10’ to 12’ further back from lakeshore. Per phone call and drawing, propose to be 55’ to 59’ to ordinary high water level at the closet point, and request not to file a conditional use permit application for this proposal. The audience was polled with no one speaking for or against the variance as requested. After consideration and discussion, Randall Mann made a motion, second by Steve Schierer and unanimously carried, to approve a variance of 100’ from the required ordinary high water level setback nf 20Q’ for the replacement of an existing trailer, storage building and patio with a new trailer and screen, porch/deck 100' from the ordinary high water level and to approve the applicant’s request not to file a . conditional use permit application for the proposed development with the condition that David Hauser, Otter Tail County Attorney must approved the waiving of the conoitional use permit a noted that this is a large parcel and the applicant has adequate room to place the proposed development 100’from the lake. ucess. It was RSGEEVED MAY 1 2 2008Scale Va = 5'LAr:i3 RL;;-OUKCE 5,/^ 'T\ 5- 100’ “ “ k-10'^ Septic Lift 7 V U\66' 4PMHBi m \~ •a??o Q20' I ^ 10'^ 14'^100’ Ay tfp- zi>30^5 ho fhttse.hrsil^i' Ia!SSZg27fPf^paSft4 ! Ocjo^((Xt\cj:^ I ^ 't \ ^\\ ^ COprvj3^-tNf'S <% i n f-w>S5. >5uiviiui [^£3 Pescr'fjpflipyi of Club Frof^ey^ o\n /Wfi/ ^'H'000--27-0X13-00 0 L-iyKe^^^^-383^ Sei X7 7Wp 13S~ HO Fwp fJs^G. - Pi-Ke: H'»^& ^£"3^ Lsk-C, CJ<3^ /\/ UytlteJ SportsChh kolS S/^'t }\l^ ti Bif 'n^ Section $7 ^3 oF UK^ T^p, ^ ^ Fire, Ho. VU 7^ ^7" 13S^- HO -\XO-fS ^5 /1 o RECEIVED MAR 1 0 Z008 LAND & RESOURCE^EailacJ fea7g>j W\ 1 !ik : \':fi ^2.00^koU v?^V nt NB.-^0/^ o? .-. .:__ r RECEIVED MAY 1 2 2008 LAl'iD RitvURCE Adjacent dwelling separation, OHWL setback and excavation I Scale 1/8 in. = 4 ft. i \ 105' 100' from OHWL" rI. L-I Main fill area y-- n Nr.rSeptic lift tank l- ReplacementStiLcturet1 ■| •1 i Main cut area RECEfVED APPLICATION FOR GRADE & FILL PERMIT HAY 12 2008 * RiibOUKCcLAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 218-998-8095 www.co.otter-tail.mn.us Permit No.PLEASE PRINT OR TYPE ALL INFORMATION LAKE/RIVER #LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP. NO.RANGE TWP NAME 1-1 PARCEL NUMBER(S)PROPERTY (E-911) ADDRESS /yOOQ 2.76Z- /-loop 3cOQ7 DL78 LEGAL DESCRIPTION Last Name First Initial Mailing Address DAYTIME Phone No. 1-HXn 9/^r.sr E_____ j iT' //fc A/ C^2_202^24’Property Owner rl ^ r- M,.. _t .*■ (- .1.. J lr->rt 1 Contractor Name Lie. # NOTES: 1. The lotlines and project area(s) must be staked. 2. If project disturbs more than 1 acre of land you are required to obtain a General Storm Water Permit from the MPCA. Received L&R Official DATE PROJECT REQUEST (You may use the grid on back for required scale drawing): DESCRIBE YOUR PROJECT(S): Pc^p Cx\r\ pi Oe / V C, CL /yi^oln r! & k porcSf\,caJ/AX dL ■VVe-oV brri-m17 DETAILED INFORMATION: s o 2.Yds^AREA TO BE CUT/EXCAVATED:Ft. X Ft. X Ft. - 27 = Length Max Depth Yds"WALK-OUT BASEMENT PROJECTS:Ft. X Ft. X Ft. - 27 = Length Width Max Depth Yds"AREA TO BE FILLED/LEVELED:Ft. X Ft. X Ft. - 27 = Length Width Max Depth Yds"TOTAL EARTHMOVING REQUESTED = SLOPE OF BACKFILL AT FOUNDATION:Ft.Ft. Max. Depth Distance Extended From Foundation CULVERT:If Yes, must indicate size and location on drawing. Yes No TYPE OF SOILS AND/OR FILL MATERIAL: /tcs. cJ,uU S^rkx,,^ AIA1 ?3 DAtESIGNATURE OF PROPERTY OWNER/AGENT FOR OWNER RECEIPT NUMBER iK004/08 333.336 - Victor Lundeen Co. - Fergus Fells. MN - 218-736-M33 ‘-■rT'^.’'--i\ fj. -n *•■' i-.-«.- INSPECTION RESULTS Inspector must make all measurements ' SEWAGE DISPOSAL SYSTEM STATISTICS DRAINFIELDHOLDING SEPTIC TANK LIFT TANKCATEGORY Actual Minimum C.Capacity i0Oq> gLs.9 o^ c^cn\.\H‘!Vi/\/\a ‘i f FT=^GLS.FT 2 Distance from Nearest Weil ■^lLrC>H- [0-0 FTFTFT FT Distance from Buried Wafer Suction Pipe FT FT FT 50 FT Distance from Buried Pipe Distributing Water Under Pressure 4- XT-ftFTFT 10 FT Distance from Lake or River (OHWL)^7 I ‘^O ~ I ^ 0 pjkl F i’ 5 FT FT FT Distance from Dwelling FT FT FT 10/20 FT Distance from Non-Dwelling ^0 ft /y/2-2FT FT FT Distance form Nearest Property Line ^ />•> ^ ft -i-io D p-^FT FT10 Distance from Bottom to Water Table FT FT FT FT3 Holding Tank/Lift Alarm Old System Pumped & Destroyed NO NO Sewer Line to Well Separation DRAINFIELD CALCULATIONINTERPRETATION OF ABBREVIATIONS GLS. = Gallons FT^ = Square Feet FT = Linear Feet Actual Minimum FTX ^FT 4 Vo ft"FT 20 ROCK REDUCTION inspector’s Comments: inchesRock trenches with of rock under pipe for % .t. ft2 DF.reduction / equivalent to 3KETCH: -p Inspector's Signature Date of Inspection 3‘. SS Time of Inspection •270 — ^ YSf i aviT SCAl^E DRAWING FORM ; -000 -060 Tax Parcel Number(s) The scale drawing must include the outside dimension (lotlines) of the property above the ordinary high water level, and mpst identify the type, size (square feet), and location of all existing and proposed structures, additional onsite impervious surfaces, road right-of-way(s), ordinary high water level(s), septic tank(s), drainfield(s), bluff(s) & wetland(s). Must also include all proposed topographical alterations. I y"O,S0*f/%TImpervious Surface Ratio (Must Complete Worksheet On Other Side) i Scale i pEGEtVEE^;-v MAY: 1 4 2008~ &!!;.........Re-&GUR G&:--i I ;i;I^ <3 Ii ■ * ^ ^ ^C.4A !o r< TsI ; I y >>» I I ll Ii ~oSi —1;^.....-•3v»\^ ;t uioZi :■ S L ' * 1I R ^ 3 § S ia liil■: a;7b ... fs ^ r| iO ti ^ r*v>;fh ::is ^b'b. «ii!5 if' > A V!n\^ i ?0 N> I in, ^ i w I ^ i H krv i 51 tIV-VI :;;')(;ii'iO|iW I S' ^ ■ ): K. rrs. .... S';tSO' ■>> I $1i•9 W I^ ® I Nj O J........vl ^ i -am Vi S*'! ........ 5 'T>i H Cl) ilt T" ■ I •nUi Og (A I VI-OCoGo cT^/O -0 f' 9^€>T~ DateSignature of Pro Owner ;323,006 • Vtcm^ Lundean Co. Pnntsa • Fetgu& i^aUs. MN • 1-800-346 4S70BK —0207 } ■ T ;■• : I • ' ,\ I----r- Grade & Fill Permit #N2 _4to95 7o i- APROPERTY OWNER LAKE NO. c\kjS=>lw^I TWP. NAME VA^ .SEC.^?3 LEGAL DESCRIPTION: WORK AUTHORIZED ^ \\\ 'A\vv4 *\^t'<is.v^ ‘ivs v*-v SJV ct Ckio. ^A.V*- V~*=^<r'b NOTE: This card shall be placed in a conspicuous place not more than 4 feet above grade on the premises on which work is to be done, & shall be maintained there until completion of such work. NOTIFY LAND & RESOURCE MAN AGEMENT, 218-739-2271 WHEN AUTHORIZED WORK HAS BEEN COMPLETED. 1. EARTHMOVING SHALL BE DONE BETWEEN Co-qsr^o r 2. Entire area shall be stabilized within 10 days of completion of any earthmoving. 3. Owner is legally responsible for all surface water drainage that may occur. 4. No fill shall enter or be taken from the beds of public water without a valid permit from the MN Department of Natural Resources. 5. If the terms of this permit are violated, the entire permit may be revoked and the owner may he subiect to legal prosecution. X. j a„„ tnnoaraohical alterations. GRADE & FILL APPLICATION LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us ao.PERMIT NO./06Application Fee lecelpTNtnnber PROPERTY OWNER Z7 MAILING ADDRESS (o^/^ CITY.STATE.ZIP /i^cTs /^AJ ^0?G DAYTIME PHONE NUMBER ~ ____________ V LAKE NO. CLASS /V^LAKE NAME PARCEL NUMBER iS) d>oQ- ^7 — 0^/3 — <^0 0 SECTION ^7 TWP /3S' RANGE TWP NAME />g/9g/ g- G4 3 . ^ /K € - /i/£ ‘/O LEGAL DESCRIPTION 7 P^7S E-911 PROPERTY ADDRESS 3<o60 7 3^6 NOTES: 1. The lotlines and project area(s) must be staked. 2. If project disturbs more than 1 acre of land you are required to obtain a General Storm Water Permit from the MPCA. Received L&R Offlcial DATE PROJECT REQUEST (provide the scale drawing 6FT. MAXIMUM DEPTH OF FILL:MAXIMUM DEPTH OF CUT:FT. YDS®TOTAL CUBIC YARDS OF EARTHMOVING REQUESTED: DESCRIBE YOUR PROJECT BELOW: A/9-:/uA^lAjov^cY u/^'/fYAai'U A t^^sTT^Y'e ^4s~Y~ Xaa,^/u/ip o'f' '5> pY 6^<S'/L A/p c^uYAe-'^^ 7^ArA/Y<L- r>-f d>t-*->/ty^A-A4fy7 y?yy Y A^/Z. X" /Aa^J/s A ^IGNATURE OF PROPER^f^DATENER/AGENT FOR OWNER BK0404 318,312 • Victor Lundeen Co., Printers • Fergus Falls. Minnesota , . GRID PLOT PLANL___inch(^ equals _Jz^feet SKETCHING FORML__gridjg^y equals V feet, orScale: /v?<f)/tS'-Z( -OS'Dated:Signature Please sketch your lot Indicating setbacks from road right-of-way, lake and sideyard for each building currently on lot and any proposed structures. PRiunre /^<tti4ST /^e>Ap FROM /U,E. C£>fifj;^e> aF /S3 AcfKF. PARceC N 4 ^ £ r5 sepTic- Tnok. o \/Joo p s TfiAii-eH i-loMd Etr.jr/WG c^yA&fE. Q F!CL ARe/i ■::aIz: SA'iSfruG AfY TRp.te’fi Hot^e fix'; sTi'JG F>f/s7>-'6 &P/iAG£ SSPVc Tfuuk (sefi.me.e-s rkto TrfeXrfi) O TRPiLeR Fene FoTp; PfsrAeoces FRep\ pRofioseo AR£A- TO PRoPeRTY CieJBJS /Z-i A^R£ pARc.£Lo/J Ft>RT/)£RF APPROX, FASTeRAf vJesreR/s SeaThSRtS (ShofiSLlAJS^ ■2., ooe PT~ /^Aeo FT /,/oo FT~ rr t •///» 0*tp 06£vfiTi6A/ <Afco«/e. opWL APPROX f^T~ SZS"' FROA PfiiPo^tO STPue-TVfie TO £A5T-WFsT (AfoRTAEP!^ S'AtpeUA/E. oF 0£Ap OtkE. 278.428 • Victor Lundeen Co,. Printers • Fergus Falls, MN • 1*800-346-4870MKL —0871 —029 received 0 7 2005 resource A//W /2^cA/ S<z^c./l^//^ft.^ /S x/eUTi- 'Tl^o^'e^ (^c/A y.<s-tA^caJ^<- . .j €>/’/ 0^-e- / O'f' 20/T0-d i-Nnr M ,Z0-K lyioi APRIL MEETING 2005 CALLED TO ORDER 7:05 Members absent: George S., Dick C., Frank T., Mark T., Jerry L., Joe H., Bob Troje Jr., Joe Connors, Troy Troje, Dereck Leyde,Mike Troje, Joe Hauck Jr, Brett Troje. Trcas. Report: Beginning Balance $6,914.34 Ending Balance $14,209.31 1) Bob Troje made motion to accept treas. Report as read. 2“** By Tom Leyde (motion passed). Old B usiness: 1. Sears tractor up and running. 2. Cabin rental up date from Tim Troje 3. Jim H. to pick windows for cabin two. 4. Ken Williams distributed work for work call. 5. Joel Troje update on DNR project on club property 6. Discussion on tax credit on land, (1) (Mark Leyde made motion to give ok to DNR to move foreword With project. (2"**) by Bob Troje Motion passed. 7. Open discussion on personal property Insurance by club with Personal property on club land.( Mike Troje only member not Shown insurance proof as of this meeting. Issue tobe discussed at May meeting. 8. Discussion on eclectic company running new power line. 1. Jim Leyde Jr. asked permission to have gravel brought in to fill in a long side his garage. (Club discussed issue and voted.) 1. Motion made by Bob Troje 2“** by Ken Leyde, Motion passed, 2. Discussion on club Insurance, Members decided to leave as is. vv' New Business: Rick C. made motion to adjourn meeting at 8 pm. 2"** by Tom Leyde, motion passed. S0/20‘d £3:80 S002-i0-Nnr 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 ' GOU^ROD - Tnspector YELLOi^^wner (after issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION ^ LAKE/RIVER SE CLASS CTION PNO.^^NGE ^^JWPNAMELAKE / RIVER NO.KE/RIVER NAME I fit if ^ PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) 3i^007 /ftMY.ODP ~ QOO ----------------------------------------------------- (;L ijYd LEGAL DESCRIPTION Daytime Phone No.Mailing AddressLast Name First Initial ___fi/c ^fi'cr, iJ fiyi% ! y ^ oooisr'pp'j Property Owner X^C J /V fif $>/9jg PfAi O ^ ___________^e?(9(^c______________ / Pertnt*- [____ 6 r V"/tiTj Contractor Name Lie.# ONSITE SEWAG^^ jijJ^ TRE^ENT SYSTEM ^ ^ i2j 7 ONSITE WATER SUPPLY ^ Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. PROPOSED PROJECT (please circle the appropriate number) (2 ) Add’n to Dwelling (5) RCUA'ear_____ ( 7) Add’n To Non-Dwelling ^g^Storage Structure (10) Other. (3) 'Replacement Dwelling (6) Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4 ) MH/YR____ (^ Permit \ ) OTLSp *only validj^r ,Jy/Uf^^sswage syswt^mll be installed to service • this lot contact Hblljp Mann at 864-5533. for ’Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension Ft.x.'V^ Ft.” Ft."Ft. X Ft. XtmSq. Ft. Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Water^el ___ Elevation Above Ordinary HigprWater Level Setback to Septic Tank / Setback to Drainfield / Setback to Bluff / Maximum Prop^d Height Basement / Walkout B^ement Total Blooms_ Sq. Ft. Setback to Lotline UGC Ft. & Setback to Right of Way XCc C Ft. Setback to Ordinary High Water Level Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield / OC Setback to Bluff '7^ Ft. y Maximum Proposed Height Ft. t' Bathroom Proposed ( ) Yes No Sq. Ft. Setback to Lotline___ Setback to Right of Way Setback to Ordinary HioKl/Vater Level __ Elevation Above Onimary High Water Level Setback to Sej^Tank Setback to Drainfield _ Setback>o Bluff____ /^C Ff Fl/^ /*/ Ffc/ Ft.&Ft.” Ft.”I” Ft.”Ft. Ft.Ft. Ft.Ft.^ Ft.Ft.Ft. Ft.Ft.Ft. Ft.Yes No Ft.Maxiraiim Proposed Height ( /Boathouse ( ) Gazebo Yes No ( ) Screen Porch ( ) Storage Structure **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / inspection Topographical Alteration / Earthmovinq □ None y* 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: /x^3Ai^q Ft.% rhVJr Ft BluffWater FrontageLot Area. Impervious Surface Ratio:xtoo =.% Total Lot Area (FT^)Impervious Surface RatioTotal Impervious Surface Onsite (FT^) THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the buiiding footings have been constructed. zDate: ^ropetrty OwnerSignatun iiDate:-t. Land & Resourep Mar^ement Office . yiMon1^42 PERMIT FEE $PROJECT(S) TOTAL SQ.FT. RECEIPT NO. uSitL h)t& (ptuAceJ ^y fir/-jj^i/<~.Comments: Form No. BK — 0203-0501 313,012 • Victor Lundeen Co.. Printers • Fergus Fails, Minnesota WHITE^-orrice GOLDENRob - Inspector YELLOW - Owner (after issue) PINK - Assessor 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 Permit No.PLEASE PRINT OR TYPE ALL INFORMATION i/ RIVER NO.LAKE/RIVER CLASS y ^ IA ijr SECTION TWP NO.RANGE TWP NAMEUAKE/RIVER NAME 3S^-3 PARCEL NUMBER (S) ^PROPERTY (E-911) ADDRESS S(^oo7 3)(f)fhJ^/~ 0 00 ooo LEGAL DESCRIPTION Initial Daytime Phone No.Last Name First Mailing Address S f t>y\ I-4 A P ^ )0 ^/o Property Owner //tsy y>in '5' ^yyjp^ iT'd N PrAr^h 0 L ____P-^'^ i^cx9on_____________ DfyfO /in ____________________ / c 0 A-H T-V-r}tr< Bu ilj! OOO^'?P'1__________ Contractor Name Lie.#/ ! * /JJJ17ONSITE WATER SUPPLY jy'5 Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGES TREATMENT SYSTEM ^ (1.') Permit Nbs. ^ \ ) OTLSD * is only validtiaHer vertficalm / y ^ tte'OTL.S.n Dial a conforming/) f,y ,17^ sewage syskm will be installed to service this tot contact Roilie Mann at 864-5533. PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add’n to Dwelling (5 ) RCU/Year______ (7) Add’n To Non-Dwelling Storage Structure (10) Other. r ( 3 ) 'Replacement Dwelling (6 ) Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4 ) MH/YR____ 'Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING Outside Dimension d2L Outside DimensionFt. X Ft."Ft. X Ft." -.Ft."Ft. XIMi v'Sq.Ft. Setback to Lotline ,__ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary Hiatmater Level Setback to Septic Tank > Setback to Drainfield / Setback to Bluff / Maximum Propose Height Basement / Walkout Bpsement Total Bedrooms Sq. Ft. Setback to Lotline // 00 Ft. & OO Ft.'^'^ Setback to Right of Way rKOoO Ft.'t^ Setback to Ordinary High Water Level O Ffr^ Elevation Above Ordinary High Water Level ) */ (eO 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 Septid Tank Setback to prainfield____ Setback to Bluff_______ Maximum Proposed Height ( /Boathouse ( ) Gazebo Ft.&Ft."C&Ft."^Tt." Ft."Ft. Ft.Ft. Ft.Ft. Setback to Septic Tank Setback to Drainfield ) OO Ft. e/ Ft.Ft. Ft.Ft.75' Ft. Ft.*/ Ft.■Setback to Bluff Maximum Proposed Height Bathroom Proposed ( ) Yes No Ft.Yes No Ft.1YesNo ( ) Screen Porch ( ) Storage Structure 1 **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Appiication / Inspection Topographical Alteration / Earthmovinq □ None □ 20 Cubic Yards or Less ' □ 21 Cubic Yards - 299 Cubic Yards' ' Must Include on scale drawing Permit may be required□ 300 Cubic Yards or More' CHARACTERISTICS OF LOT: r Ft.Yes X No/ -'Sq. Ft.Water Frontage BluffLot Area. aImpervious Surface Ratio:X100 =.% Total Impervious Surface Onsite (FTr)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 for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. . -7—Date: Signatur^VToperty Owner ^ I \ \Date: Land & Resource Mana^ment Office \ IM.PERMIT FEE $PR0JECT(S) TOTAL SQ.FT.,RECEIPT NO. PUjACef h C>^ -j-hx Uy\i'\irJ uB> y>r\>i^hpy'Orf.i.'trComments:V Form No. BK — 0203-0501 313,012 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota I > • SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations ^(5 d -hStructure 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. 1 (j6 h Ft.ICr^ 'hStructure Set Back from Lot Lines Ft.&Ft.&Ft. 11Structure Height Ft. Ft. Structure Set Back from Septic Tank Ft. Ft. Structure Set Back from Drainfield Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level 5'/'Ft. Ft. Land Slope at Building Site.- '%% Inspector’s Comments / Sketch: J-, ^0 & 1‘ U- I U iifk Inspector's Signature Date of Inspection bill 3^ Time of Inspection a Project Approved X " Date /Initial I I i V* \ ^^ t_a ;'t "S’jo<*I A WND& RESOURCE )M^(Jl}tmi^ 9tSk9^ 5gJ Sidles ^'1 /II-VT*ur> 34007 Descr'ipi'hoyi of C/i/^ Prof’ey^ on ^sJ'Cel ^H-00O-X7-0X)3-O0o 5; -ov -p > fI;•i\' iTv^/9 /^~ ^ TW^ A/as-zHe - L:zJ(e, /^/C-e. CA'S’^S^ // JyilteJ Spori2m€^HS Clui Lo1s N Bif />, Secflo^i ^ T^p, Flr^ Ho. VL78^-'-^m uts J.I^ Nt NB.f ^7- HO - \XO-fS \\ ! i Vi I IV5 ■J IJV I '"■■•*'«V«l-‘>-V;-.«-;. l(oecoL-lA ^ S-\S-^l J OTTER TAIL COUNTY Site Permit n» 137^^ Location: Lake No. Sec. ^7 Twp. /.?.^ Range ^ Twp. Name Z^A/iL (^l^A^J im 2'4 A)'/a A)£'/^ //17 ______________ TTiujbOwner’s Name Lake MPlU/iL Tpjj'jifTTjJtJ. NOTE; 1. This card must be place 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 completiori of such work. 2. Notify Land and resource Management when building footings have been completed. (010 TO!D-£&ilUyja.2g9> 3. Property owner is legally responsible for all surface water drainage which may occur. Date: ind and Resource Mao/kgement Official BK-0700 301,768 • Victor Lundeen Co., Printers • Fergus Falls, MN • 1-600^e-4670 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION (WI^IVER NAME TWP NAMETWPNO.RANGELAKE/RIVER CLASS SECTIONLAKE / RIVER NO. PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) 3 A36 6>o 7 LEGAL DESCRIPTION - / //^ a/^ -Y ///. 7^l^rs 3 Daytime Phone No.Initial Mailing AddressFirstLast Name l/A//r^P ■' S3of^TS 6/^ -Property Owner 7^3/ P St-/M! V /7A/ S~S/P 7 J-ff'/7 L Of S 7 7 cContractor Name Lie.# ONSITE SEWAGE TREATMENT SYSTEM ( \ Permit tia. A S< 'P7^'S ( ) OTLSD * This perrrm is only valid after verificalion from the O.T.L.S.D. that a conforming sewage system will be installed to sendee this tot contact Rollie Mann at 864-5533. ONSITE WATER SUPPLY A Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add'n to Dwelling (5) RCU/Year_____ (7 ) Add’n To Non-Dwelling ^^Storage Structure (10) Other. (3) ‘Replacement Dwelling (6) Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4) MHA'R____ ‘Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED NON-DWELLINGCHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED W.O.A.S. (WATfeR^RIENTED ACCESSORY SfhUCTURE)Outside Dimension -7ff Ft. x Outside Dimensk J^Ft." y y Po Ft."-^Ft."Ft. x Outside \ Dimension_____\ Setback to Lotline _N Setback to Right of Way _ Ft.*^ Setback to Ordinary High Elevation Above Ordin^High W3t^r Level Setback to Septic Idnk Setback to Dr^ield Setback to Bluff___ Setback to Lotline -5~O Ft. &Ft.&Ft."Setback to byline ___ Setback to RigXof Way Setback to Ordina\High Water Level X_ Elevation Above OrdiiWy High Watef«level Ft."Ft. XjL c> Ft." yFt."Setback to Right of Way Setback to Ordinary High Water Level <=2rPff Ft. Ft."Ft.,/Ft.Ft."Ft. Elevation Above Ordinary High Water Level Setback to Septic Tank Ft. Setback to Drainfield /^ Ft. Ft.levelSetback to Septic Tank \ Setback to Drainfield____ Setback to Bluff_____/ Maximum Proposed tjpfght Basement Ft. Ft.Ft. FD Setback to Bluff Ft. AFt.Ft. Ft.Yes No Maximum Proposed Height Bathroom Proposed ( ) Yes (X) <A^ Ft. Yes NoWalkout Baser^t Total BedrooK^s_Ft.MaximuDX Proposed Height ( ) ^athouse ( ) Gazebo “Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection ( ) Screen Porch ( ) Storage Structure ‘ Must include on scale drawing Permit may be required Topographical Alteration / Earthmovina None □ 20 Cubic Yards or Less *□ 21 Cubic Yards - 299 Cubic Yards‘□ 300 Cubic Yards or More‘ CHARACTERISTICS OF LOT: / So. Ft. \A Water Frontage /V ^ Ft.Bluff .Yes NoLot Area. = /^Ss j/sImpervious Surface Ratio;X100 Impervious Surface RatioTotal Impervious Surface Onsite (FTr) Total Lot Area (FT!) THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibility to inform the Land {(Resource Managementydffice once the building footings have been constructed. ’ r~) Date: Land & Re^rce phnagement Office 9 • RECEIPTNo.^ /33n0u> /joTrA jjMjmDate: PERMIT FEE $ Comments:RECEIVED AUG 2 3 2002 LAND & RESOURCE Form No. BK — 0500-0501 306,638 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota iI FOR SITE PERMITWHITE^- Office, GOLDENROD - Inspector , YELLOW - Owner (after issue) PINK - Assessor & !LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 : : E r PLEASE PRINT OR TYPE ALL INFORMATIOl i RANGE TWP NAMELAKE / RIVER NO.LAKE/RIVER NAME •CLASS 3 PROPERTY (E-911) ADDRESS 3PARCEL NUMBER (S) 33 SO Ta a -----------^V ■ - *'i *II LEGAL DESCRIPTION 1T} - Y ^^///, 9^’ 3 \ 1Daytime Phone No.Mailing AddressInitialLast Name First .1 C^A/IT£D ' SYoi^JS P'\Property Owner C L Of B i U7r^^? p 6 lY je V A7a/r^5V- -^5Ti I 7Contractor Name Lie.# yf■:?VMA ;rc^ ml ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY jf\) Individual ( ) Public ( ) None NOTE: MN Ruies Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a weil. PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add’n to Dweliing ( 5) RCU/Year_____ : (7) Add’n To Non-Dwelling (T^Storage Structure (10) Other (3 ) 'Replacement Dwelling (6) Detached Garage (9) W.O.A.S. ' (1) New Dweliing (4) MH/YR____ i( ) Permit No. ( ) OTLSD * This permit is only valid alter veriticalion from the O.T.L.S.D. that a conforming sewage system will be installed to service this lot contact Roitie Mann at 864-5533. I 'Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED NON-DWELLINGCHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)Outside Dimension Outside Dimension 37 Ft.x ^3^ Ft." ''' Setback to Lotline tS'P Ft. & fV% Setback to Right of Way Ft." 7 Setback to Ordinary High Water Level PP Ft. Elevation Above Ordinary High Water Level B Ft.*^ Setback to Septic Tank /P Ft."Ft. X Outside Dimension____ Setback to Lotline /f Ft." fFL&Setback to Lotline ___ Setback to Right of Way 1 Ft."Ft.x /Ft^Ft." Setback to Ordinary High Water Level Elevation Above Ordinary High Wat^evel Setback to Septic Tank \ / Ft. V Ft. Ft.,/ Ft."Setback to Right of Way Setback to Ordinary High Water Level Ft.Ft. Ft.Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield Ft.Setback to Drainfield Setback to Bluff__ Maximum Proposed Hdight Basement \/Setback to Drainfield Setback to Bluff Ft. / Ft. Ft. f FbZ_Ft. Ft.Ft. Yes No Maximum Proposed Height Bathroom Proposed ( ) Yes {X) No Setback to Bluff_______ Maximurfi Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft. Yes NoWalkout Basement Total Bedrooms_ Ft. 4( ) Screen Porch ( ) Storage Structure I1 ti% ' Must include on scale drawing Permit may be required Topographical Alteration / Earthmoving □ None ■I □ 300 Cubic Yards or More'□ 21 Cubic Yards - 299 Cubic Yards'□ 20 Cubic Yards or Less '1CHARACTERISTICS OF LOT:3/^■1-P/J At Y4. A Ft.Bluff Yes No.Sq. Ft.Water FrontageLot Area /,, liSS. rf,nfiy JfJ <\Impervious Surface Ratio:X100 Impervious Surface RatioTotal Impervious Surface Onsite (FT^)Total Lot Area (FT^) ms IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County. Minnesota. This permit may be revoked at any time upon violation of said Ordinances.I understand that it is my responsibility to infornyhe Land & Resource Management c^fice once the buiiding footings have been constructed. Date: ( / ^ f ^ f! I / Signaiare of Property Owner ‘ I -nj¥r1 I 1 <5//i tDate: Land & Resource Manageinent Office ," , i _46^,00 Mi . 7 PERMIT FEE $RECEIPT NO. Comments: T I Form No. BK — 0500-0501 308.638 ■ Victor Luitdosrt Co., Printers • Fergus Felts, Minnesota SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations ;^oo-i'Ft.Ft.Structure Set Back from Ordinary High Water Level Ft.Ft.Structure Set Back from Top of Bluff Ft.Ft.Structure Set Back from Road Right of Way Ft.Ft.&Ft.&Structure Set Back from Lot Lines Ft.Ft.Structure Height Ft.Structure Set Back from Septic Tank Ft. Ft.Ft.Structure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level 5Jz.Ft.Ft. Land Slope at Building Site %% Inspector’s Comments £si >tch: L -ri- Inspector's Signature 30-Sl^7^5 Date of Inspection /5'30 Time of Inspection a Project Approved Date/Initial . //f^T /Scale;.grid(s) equals feet, or Jnch(es) equals feet Please use this sheet for the required scale drawing of your proposal. Be sure to include lot dimension, water frontage, and setbacks from RW, lake, lot lines, sewage system, top of bluff, existing structures and all imper vious surface. Required impervious surface coverage calculation (See definition in Shoreland Management Ordinance) X 100 =% Total Impervious Surface Onsite Total Lot Area (FT2) (FT2) * 7 *k i rt i I4 T I ('f Ci V T \•>?t "—^ o -1 Vr-.,i t sII: I*'i : u 3> ‘ f 3<1 .. i .f y. RECEIVED SEP 1 1 2002■ r ,y LAND & RESOURCE received AOG 2 3 2002 l4n , > ! D& RESOURCE Sin: BK —0500 — 029 304.678 • Victor Lundeen Co.. Printers • Fergus Falla. MN • 1-800-346-4870 J3o*t IID 'V.'-s -ego- ^vS‘1'-\1 N />/fr7W Pescn^tf(?y, Q-p duh Fs^ce! ^H-00O-Z7-0Zt3-Ooo /.•3-/(e ^vT^-3?5^ :2.7 7^ /s^"^ HO Twp /l/s^e - Z?ea^ FsJ(e. L^Kt A/-a^e Pe-s^ N L"sP(^ U^lt^d Si^oriim^^s Clui;) Ldts 3^ hi (^p ks^Ke^ Tw'P- Fire, Ho, VL 73 ^Lais 3, H} 4 • \ • • *> ■■ J ■ • ^ r •i,. »•_ ■k *,>•••• . - / V ? RECEIVED MAY 2 1 2001 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITE - Office ' G< i^pENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor LAND & RESOURCE JimPermit No.PLEASE PRINT OR TYPE ALL INFORMATION SECTION TWP NO.RANGE TWP NAMELAKE/RIVER CLASSLAKE / RIVER NO.LAKE/RIVER NAME IBS'^“7S(o“ E-911 ADDRESSPARCEL NUMBER (S) y4/-o<c>o '‘X~i - ooo 3(pOoi LEGAL DESCRIPTION Daytime Phone No.First initiai Maiiing AddressLast Name Sp<a<^viA.e.v>><; /IS^ Kvg. /l?SP/>L>n.. SS(I^ c/o (9cns) 9H5Q^i^'^ ^x. C SSOll ':st-<fSS'7S^3 (SeroJlA-J iQ3L~? So. KVIw ocQ-n^i ^ Property Owner Contractor Lie.#RR.^ 'Bo-k _____ ONSITE WATER SUPPLY Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM ( ) Permit N^ ( )OTLSD*™ PROPOSED PROJECT (please circle the appropriate number) (2) Add’n to Dwelling ( 5 ) RCUAear_____ j^^Storage Structure __ 'Existing Dwelling to be removed before. ( 3 ) 'Replacement Dwelling (6) Detached Garage (9) WOAS (1) New Dwelling (4) MH/YR (7) Add’n To Non-Dwelling (10) Other il is only valid alter verification from the '^StJL.S.D. that a conforming sewage systertsiiill be installed to service this lot contact Hm at 864-5533. CHARACTERISTICS OF PROPOSED NON-DWELLING Sih' iHARACTERISTICS OF PROPOSED DWELLINJ CHARACTERISTICS OF PROPOSED WOAS Outside Dimension Setback to Lotline IflO Ft. & Setback to Right of Way '2caoO Ft." Setback to 0HWL^3 I Ft. Outskje Dimenslsn Setback to rajline ___ Setback to RighNifWay Setback to OHWL X Elevation Above OHW^ Setback to Septic Tank _ Setback to Drainfield Setback to Bluff / Maximum Proposed Height Basement / Walkout Bapement Total Bedrooms _ ONade Dimehaon SetbackVuotline___ Setback to RIgW of Way Setback to OHt^ Elevation Above OHm.. Setback to Septic Tank _ Setback to Drainfield__ Setback to Bluff___/ Maximum Proposed^eight_____\ ( ) Boathouse/ ( ) Screen Porcl ( ) Storage Structur! mFt. X Ft.y Ft. X Ft."Ft."Ft. X Ft.&Ft."Ft."FI."Ft.& Ft."/ Ft.Ft. Elevation Above OHWL Ft. Setback to Septic Tank *73 Ft. Setback to Drainfield Ft. Setback to Bluff Maximum Proposed Height ^ Ft. )Yes ^^^No Ft.Ft. Ft.Ft. Ft.Ft./\/n FtFt.Ft. Yes No Ft. Yes No Bathroom Proposed ( ( ) Gazebo **Project/Lotlines/Rlght-of-ways Must be Staked Onsite Grade/Fill/Excavation ^Yes (scale drawing required) □ No 'V /O V /C? S **Project/Lotlines/Right-of-wa; Must be Staked Onsite Spoil Disposal Onsite (scale drawing required) Offsite □ Within Shoreiand Area □ Outside Shoreland Area CHARACTERISTICS OF LOT: )AA.\\ie. Ft./^3 Yes NoBluff Onsite..Sq. Ft.Water FrontageLot Area. -SIS'1.Impervious Surface Ratio:X100 =.%Impemous Surface RatioTotal Impervious Surface Onsite (FTr) Total Lot Area (FT!) THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County. Minnesota. This permit may be revoked at any time upon violation of said Ordinances.I understand that it is my responsibiiity to inform the Land & Resource Management office once the builif?Rg footings have been constructed. Date:T'I JL ^ Pmperty OwnerSii Date: Land & Rawurce f/anagement Office /3 31'Pd)75,00PERMIT FEE $RECEirr NO. Project/Lotlines/Right-of-Way MUST be Staked Onsite Prior to Submission of Application. cF LXY\,C^e-<\. vWtf-|A 5 CZJtjL.-ic\ tOvW. ir\€. A. tAA_gJVV\V>g «sComments: iCAn Aue, So Form No. BK — 0500-0201 304,202 • Victor Lundeen Co,, Printers • Fergus Falls. MN • 1-800-346-4870 ■ - Tf7-vr:- . V . .. APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITE -Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINff^ Assessor EXPIRED Permit No.PLEASE PRINT OR TYPE ALL INFORMATION RANGE TWP NAMELAKE/RIVER CLASS SECTION TWP NO.LAKE / RIVER NO. LAKE/RIVER NAME MO9^154'“ 3^3 IDecKi E-911 ADDRESSPARCEL NUMBER (S) 3^001y4/-OOC) '9.T - 03^\%-000 LEGAL DESCRIPTION ■iFir^Daytime Phone No.Initial Mailing AddressLast Name t //5V 55H^ 9H50^I^ r X.4.H. rKv^ 55077 Property Owner C/o J\yv^ t4<xu.ck ^Preg ) 6-eoc^lAJ dt 000:^1 "B) iSh95S-75H3 icon Aue So. mw />Sl-V5S-?V^ RR. d 'Boy ^50Contractor Lie.#iLs^1 r- -lA/~ 4o<* ^< X,WV \A\' ' V^ v-s ONSITE WATER SUPPLY Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM. ( ) Permit No. ■ ______ ( ) OTLSD * This ^^rmit is only valid after verification ' from the O.T.L.S.D. that a conforming sewage system will be installed to service this lot contact Rotlie Mann at 864-5533. PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add'n to Dwelling ( 5) RCU/Year_____ ^^Storage Structure __ ‘Existing Dwelling to be removed before. V -« 7(3) 'Replacement Dwelling (6) Detached Garage (9) WOAS (1 ) New Dwelling (4 ) MH/YR (7 ) Add’n To Non-Dwelling (10) Other CHARACTERISTICS OF PROPOSED NON-DWELLING ah'CHARACTERISTICS OF PROPOSED WOASCHARACTERISTICS OF PROPOSED DWELLING Outside Dimension Setback to Lotline ___ Setback to Righhjf Way Setback to OHWL \ Elevation Above OHWlX y Setback to Septic Tank \( Setback to Drainfield / \ Setback to Bluff / Ft.7 Maximum Proposprf Height/Basement / Yes Walkout Basement_____ Total Bedrooms______ % Outside Dimension Setback to Lotline Ft>& Setback to Right of Way 7000 Ft.” Setback to OHWL 331 Outside Dimension Setback to Lotline ___ i-Seffiack to Right of Way -SatbaektoOHWL___ Elevation Above OHWL Setback to Septic Tank Setback to Drainfield___z Setback to Bluff_______ Maximum ProposetHleight ( ) Boathouse/ ( ) Screen PorcR\ ^ ( ) Gazebo/ ( ) Storage Structul^y^ mFt. X Ft.”Ft.”Ft.xFt. X Ft.*;- Ft.& ^Ft.”Ft.”Ft.&Ft.” P<b**Ft.7I VOFt./,Ft. Ft. Ft. Elevation Above OHWL Setback to Septic Tank 33 Ft. Setback to Drainfield Ft. Setback to Bluff _/ Maximum Proposed Height ^ U L^ Ft. Bathroom Proposed ( ) Yes ^^^No Ft.Ft.Ft./ Ft.Ft. Ft. 4//f aFt.0NoFt. \Yes No ( **Project/Lotlines/Right-of-ways Must be Staked Onsite 7 **Project/Lotlines/Right-of-ways 2 ^ ^ ^ Must be Staked Onsite Grade/Fill/ExcavationSpoil Disposal C3 Onsite (scale drawing required) D Offsite □ Within Shoreland Area □ Outside Shoreland Area I^Yes (scale drawinp r^uiredj □ No'1 0^CHARACTERISTICS OF LOT: t<vV.\\i£. Ft./^3 -ftc:re5 fes NoBluff Onsite.,Sq. Ft.Water FrontageLot Area. 'SIS'IrImpervious Surface Ratio:.%xioo =Impenrious Surface RatioTotal Lot Area (FT')Total Impenrious Surface Onsite (FT')i 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. iVVA-Y ) 1.-2.001Date: _J Si^nertGreiOf Property Owner /.7 c ; 7 )Date: '^75' OO Land & Resource Management Office ./RECEIPT NO.PERMIT FEE $ Project/Lotlines/Right-of-Way MUST be Staked Onsite Prior to Submission of Application. Suwv\cik (jJ'.W be, O-Ctw/g. >AVg.w\.be-<vComments:3TVe LX>v\\~e,A 5>pof*t':gywat-v< : --r h^e So So. St, fia.uL,\ (Tv^v^ ^orm No. BK 0500-0201 304,202 • Victor Lundeen Co.. PrMers • Fergus Rdls, MN • 1 *000-346-4870 CN !SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations ■T: 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. Ft. &AStructure Set Back from Lot Lines _Ft.Ft.&Ft. .g /£Structure Height Ft.Ft. Structure Set Back from Septic Tank Ft.Ft. Structure Set Back from Drainfield Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft. Land Slope at Building Site %% Inspector’s Comments / Sketch: O / VV3 Inspector’s Signature \ Date of Inspection Zi^2o ^f^roject Approved Time of Inspection Date/Initial GRADE & FILL APPLICATION COUNTY OF OTTER TAIL * LAND & RESOURCE MANAGEMENT 121 W JUNIUS SUITE 130, FERGUS FALLS, MN 56537 218-739-2271 PERMIT NO.Application Fee $50.00 Receipt Number________1 1 ^PROPERTY OWNER SPa>4^vlo^-^^^ (2( uL,b__________________ __ 1 ^ ■ ;MAILING ADDRESS 7/S^ Av/fc. /. ^ Rvul Kw 55077 CITY, STATE, ZIP t i,l lAA-w____________________________ DAYTIME PHONE NUMBER—~ 937a LAKE NO. CLASSLAKE NAME PARCEL NUMBER(S) > /^-Ooo-a."1-oa.V3-QPO SECTION TWPNAMETwp RANGE M(^ LEGAL DESCRIPTION (^\ ^ hJ^ - K? C ^ E-911 PROPERTY ADDRESS/FIRE NUMBER /^/Z2Co/ __^NATURE OR PROPE'rTY OWNER/AGEnVfoS OWNER f/AT, °*^ECEIVED ?. 1 2001 DATEL&R Official land & RESOURCE-f DESCRIPTION PROJECT REQUEST BELOW (Provide Scale Drawing On Back) ll CX> 5.J8 "*r<ioT S.8 "fooT o-oiao- toCTVv HO Y«xrds O-^ CW.SS 5 fKr&A. ^Al be. L>-secl -Qx- o- A(o S'rora^e.c^cx.ro^'e^^ u>i\.V\. be o-AepVvv akicol^ '^‘v.rvc.VvG. b)»-0 CorntT b«- o- o-bovPT *5 aVc-NvS. 6>otV To TWe- eo-sT -Xo 3C»vV^<^S. "tAV cxceou be- bvr^e.'r TV^ NdoxVw'^'-*^^ o-'A'ci-'^be re^f*- 6obv>^^i'»e.s fbe ^eoL^ v>>v,b_ Xc> TKe 0 W I BKOS/00 Scale:.grid(s) equals .feet, or .Inch(es) equals..feet Please use this sheet for the required scale drawing of your proposal. Be sure to Include lot dimension, water frontage, and setbacks from RW, lake, lot lines, sewage system, top of bluff, existing structures and all imper vious surface. Required impervious surface coverage calculation (See definition in Shoreland Management Ordinance) A X 100 =%exes'ZZ Total Impervious Surface Onsite (FT2) Total Lot Area (FT2) oj'AL o-rBco p\(XVS-S // -0 'i 0^^6t.WOOio I, Dated >'-4.Sn • «a:w> lundnft Co. P'lnwi ■ Pwgut MN • '•-lDi>>4sr4o/U IsC. iSi L^»ck : US.l! ftaSa7‘■f,^'^ffFl3!"s ! £ Ln&n c"':=\ cARECEIVED\ \ «*::—-:::::j0^MAY 2 I 2001 ■«:, \ vCm I ^sr' nf' V'l"^ 30^7 Pescn^floyi of Cluh ?r<^pe^ L-i^e~ ^'H-000'-X7-OX\3-000 L’^Ke.^S-^-383^ Se4- X7 %fp I3S~ HO TwyP iV»«e - LzXe. L'i'Kc Pa's-c^ CX'a^ f<f Unltkei SfoAs.me.ns Clu^ LAs 3/i-*-h!'^ N B'if ip, SeAtot, Z7 ,f UK^ T^p. ^ Firo, Ho. VL 7$ ^*"1 X7~ }3S'- ^0 -\XO-fS' \i H !i V« S\ LAs Ht WEf I I i (3e<-o-i 'f ■'■ •• ....................¥•.........•[•.■!■-!•■•..■•» ■ ;■» ;...... j 'r: ■!, 'n',;,:l;::.;■ :..-;-»^eived . •'’ '*»••■» 't ♦ r- ♦ < ♦ j S" IH-61,*A_-4 "tfs,\r 2001 ^ I M I : : ; ; M : . L__ inchfe^ equals ¥i^ feet SKETCHING FORM ■T ■ • i :-f ; 1L__grlcipsj equals V feet, or iScale: s-n-s^oj iot'i !J1Of JDated: Slgnaium Please sketch your lot indicatirig setbad(s from road right-of-way, lake and sideyard for each building currently on lot and any proposed structures. t :•tJ, 1 ‘4znA/V f^ivere AcejfSS /foA0 Fftm MB. aF t&t PAFCBL \ *i W^.£- r f :5 1.\ 41 I s. ; T7144. Utlr“-::!i! ? ■ i 'i ii Woods ! # —-r *- •—*•- ■ f 3 j i-;1II tt.u.:. -t- 1 *1 * ’ ' iK-4 4 ~*f f- --S t?'■*?rji-r '1.,?It;i : ‘ ■ , ! ! >I \ s i .' I ' ." : I r . i r ^ ,,.! !, s t . i i ?..i L I i: 'illi' ! ' t t'*i-.-lI 1 i ': ; i ■ S' 1 ^ M„l, .;• {' 1' ■' ■ ► +—4—* t -! i'i (-|i j-1': l.rn;!': i iiI -iT- ! 5 r- — ' t I 4^i... ;.(.. .it .i.% i>Ui • l-i *iH'-i' l, !• j-IUSi i: fit ! i , ! j) , MsliH'S - hi 1, :,;. . !■ i;* i' i t ’’ i ’'fi' •'!1 IT!diii . I Ii4..< :L.l iJ .1 6^*t3£o^j s i' I i « i ! ' r -j- -r- ! ! -!'4H :G'M M "W 14l p r mr4i-•!::i 1] i-4 H fdf'■i :?.. ..i #:TXKlJfF I/*-**#i .j.lr:* fr:,.SS:.i ' Si? s ;aM' %::♦■ * V .i'llrii-ijlLUi, i: i 1 ! 14,; S' I**.' fS , > r i-J \i { .1 „4.M 4.hi 5 hi :'I t ij i'i ''Mi..' I , s i i'}i.■r.j.■ i h'l : I !■I ''!!■■ MI ; . -4 1 i ; i‘t T* tj:* 4>* -1 •» i 'I'i' i ^ i'hI; ’ h M i ti 1 * M !rbetST)*^ ■'if l. ' i r '<.1.i, .4..,;. .j.. I - 4' lvi-.| i‘ J .< ^ ' ., i-i f. : ; j. I ,p 4 ! i : ! i ■ ‘ ^ fl ^eAvttij. njo mintf) 1 iJAyisTi^e Mii-iffi. ' l.i'ill'il'rii;: i ?f' i ..1 :. Ml■ 1 i f '1 "H fS• • <ii: ir;, , . 1;---- i ifi ! i? 'm j ^ ■ t ^ -t-M i. .. 4. y.v|i,..4-_4.4...-^ r\i O :: M:r:t'-*- i ;i 4 's f iMiitiiMt.I L. . i’A! i ■M jr 1 .a-iTAAiieF' .IV' L ! - J -M , , 1 4 .[. .j l; ' i I i ::; it's-rf isrr’T ri:I'f' “ntf rrtT’irrtt’M f Ij ' -J }-I1.ih uJ'trPi ' -r-.!:.! ii■ I ...j fj'iii'M irn::|:.:M:MT;:i:iri H i M--1____. -|.:,j u JI n i.j,:.L I:i|:m:t .1 „.M^_M u ZJ-fl. IU-444 „4-s-y »—4-^. :-^..-, > r>’* -t I'l - • 1-t. i» I,.....*.[■ i -4.-.i * ‘ M.' ' M,.': 4! ■ i ,!V \r , , IK/FrfTBf ' Pisra/kces Fk»f\ pat>Pt>tep xwu«r*j?e’r®*» am \ )fl$ - Mke-rBL ' i M f M I M . • ^ M M ! j ■: M ' ' i ■ r* ^ '— f^oAT/iMAM AaW£ APPfiOX. ■ FT \ M M M ’ I 1 1 i I M ; i It s 1. j. t - i|M;Mjh|i'In,' ..;i:i:;M “ wbstbbm '*#!;' /^fP0 ff" jM UlMi i.s “ M i !'t ‘ - - . ! ; M I : ! B5l MM; 'Mi, : ■ J/Afcoirft. ■ >y/'rS ■|jj ; MM ?• ■ " I-------t ^ M !. i.i l.|-.!:h:!M'til ? M«Ml ** CaAtAML/MM)'"-•4 : N:t:i:.;'!<l.i •■PM Ll. : i Mjft4Mt4ii.:.l. I; .l-i'-iM-i-ii* ;M:*i» 4 [ :IK?1.Mill: M;i;iM.i4:;u .I i i 1'!'i i .I'M' j'i'f' 1 if - ; ; m i;. :f 'rAiAgilMi>Tmbi liM I -M'n.mM 'fl' HM|m : MJMi H''M'm i m; ^|. ... j., . ,^.j. 11.^ JI riCei • ^eiw UedMn C». Priresn -J; iI if.I iv’I I I i S It i • fi-- -i-'‘ I,1i -iP-T - 1 ^:ii" r' I' r M ^ !*!! ’ js’i;i .M!ittI ' 1 iMI «• k'l WHITL^^e GOijjjfA/ROe YELLHW - Owner (after issue) PINK - Assessor LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMIT 0 - Inspector PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.TWP NAMERANGE /J^ VD L>-r^Slo'S3 LJc <27 PARCEL NUMBER (S)E-911 ADDRESS IHOOOZI OAiJSiS^ LEGAL DESCRIPTION Lofs Z,r/J yVOzA/c/'^v J (J Last Name First Initial Mailing Address Daytime Phone No. / /$~ V CA-c^aIkProperty Owner 5~57/<p c 7^/' 9^93IL/H f..Contractor Lie.#y^A/SS-/PC. ^ y\ 1 PROPOSED PROJECT (please circlelhe aporop^e number) (1) New Dwelling to Dweiling (4) MH/YR ( 7 ) Add’n To Non-Dwelling ( 8 ) Utility/Stg Structure ( 9 ) WOAS (10) Other ONSITE WATER SUPPLY ( ) Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM ( ) Permit No.__________ ( )0TLSD* ( 3) 'Replacement Dwelling (6) Detached Garage(5) RCU/Year ‘Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED NON-DWELLING CHARACTERISTICS OF PROPOSED WOAS Outside Dimension Outside Dimension Setback to Lotline___ Setback to Right of Way Setback to OHWL ___ Outside Dimension Setback to Lotline___ Setback to Right of Way Setback to OHWL ___ V T Ft. X / ^ ■J- ^ Ft. &Ft."Ft. X Ft."Ft. X Ft." Setback to Lotline Setback to Right of Way •ir'Ili'Z) pt.** Setback to OHWL Ft. Ft."Ft.&Ft."Ft.&Ft." Ft."Ft." Ft.Ft. Elevation Above OHWL Ft. Setback to Septic Tank /9'0 Ft. Setback to Drainfield J ^ ^ Ft. Elevation Above OHWL Ft,Elevation Above OHWL Setback to Septic Tank. Setback to Drainfield _ Ft. Setback to Septic Tank Setback to Drainfield _ Setback to Bluff____ Ft.Ft. Ft.Ft. Setback to Bluff Ft.Ft.Setback to Bluff Ft. Maximum Proposed Height Walkout Basement Total Bedrooms Maximum Proposed Height Bathroom Proposed ( ) Yes ( ) No Ft.Ft.Maximum Proposed Height ( ) Boathouse ( ) Screen Porch ( ) Utility Structure Yes No ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Spoil Disposal □ Onsite (scale drawing required) □ Offsite Grade/Fill/Excavation **Project/Lotlines/Right-of-ways Must be Staked Onsite□ Yes (scale drawing required) □ No CHARACTERISTICS OF LOT: ±1^) ItLot Area. Sq. Ft.- • Water Frontage Bluff Onsite____Yes No . 4. 2.0%Impervious Surface Onsite Impervious Surface Ratio.Sq. Ft. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. * This permit is only valid after verification from the O.T.L.S.D. that a conforming sewage system will be installed to service this lot contact Rollie Mann at 864-5533. Slgnaiure of Property Owner ^ Date: 2,/ !d~0 Date: Land & Resource Management Office PERMIT FEE $RECEIPT NO. SJeSiyt tU Project/Lotlines/Right-of-Way MUST be Staked Onsite Prior to Submission of Application.(a,SComments: a. Form No. BK — 0500-002 300,767 • Victor Lundeen Co., Printers • Fergus Falls, MN • 1 •000-346-4870 i. LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone:(218)739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMIT EXPIRED0 - Inspector YEixo. Jwner (after issue) PINK - Assessor / Yt.PLEASE PRINT OR TYPE ALL INFORMATION Permit No. TWPNAMELAKE / RIVER NO.TWPNO.RANGELAKBRIVER NAME LAKE/RIVER CLASS SECTION Lo.(i //J ,T_ / (f'/C-' PARCEL NUMBER (S)E-911 ADDRESS !'I0cC21 D2uj<0c>d ,Dt- Tk LEGAL DESCRIPTION I {S' i(15 Daytime Phone No.Last Name First Initial Mailing Address ! ! ^ C 4^ !< /‘IProperty Owner 5~57/f?' i -'7 A Q4-oo1 A(pi-it, .-<■ ^ r 7 7/9^93Contractor Lie.*! L 9)(c*.y (/ )^^1 A./(/ < S' / (2 L PROPOSED PROJECT (pleaw circle the appropriate number) (2) Atid’n to Dwelling (3) ‘Replacement Dwelling (6) Detached Garage (7) Add'n To Non-Dwelling (8) Utillty/Stg Structure (9) WOAS ‘Existing Dwelling to be removed before :^IOk.L\ .Tf aV ONSITE WATER SUPPLY ( ) Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM ( ) Permit No.__________ ( )0TLSD* (1) New Dwelling (4)MH/YR____(5) RCU/Year. (10) Other. CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED NON-DWELLING CHARACTERISTICS OF PROPOSED WOAS Outside Dimension________ ________ Setback to Lotline -r 6 0 Ft. & ^0 Setback to Right of Way ^ >(^0 Ft" Setback to OHWL ^1^0 Ft. Elevation Above OHWL O Ft. Setback to Septic Tank /fO Ft. Setback to Drainfield / ? O Ft. Setback to Bluff Maximum Proposed Height Walkout Basement Total Bedrooms Outside Dimension Setback to Lofline___ Setback to Right of Way Setback to OHWL___ Elevation Above OHWL Setback to Septic Tank. Setback to Drainfield_ Setback to Bluff_____ Maximum Proposed Height Bathroom Proposed ( ) Yes ( ) No Outside Dimension Setback to Lotline___ Setback to Right of Way Setback to OHWL ___ Elevation Above OHWL. Setback to Septic Tank _ Setback to Drainfield__ Setback to Bluff_____ Maximum Proposed Height ( ) Boathouse ( ) Gazebo Ft. X Ft.“Ft. X Ft."Ft."Ft. X Ft.&Ft."Ft."Ft."Ft.& Ft."Ft." Ft.Ft. Ft.Ft. Ft.Ft. Ft.Ft. Ft. Ft.Ft. 'Of 5^,.Ft.Ft. X NoYes ( ) Screen Porch ( ) Utility Structure72^ **Pro|ect/Lottlnes/Rlght-of-ways Must be Staked Onsfte **Pro|ect/Lotllnes/Right-of-ways Must be Staked Onsite Spoil Disposal □ Onsite (scale drawing required) a Offsite Grade/Fill/Excavation a Yes (scale drawing required) □ No CHARACTERISTICS OF LOT: •// s_«,Bluff Onsite____Yes No .Lot Area..Sq.Ftr-Water Frontage .Ft. ^ c)%.Sq. Ft.Impervious Surface RatioImpervious Surface Onsite THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. * This permit is only valid after verification from the O.T.LS.D. that a conforming sewage system will be installed to service this lot contact Rollie Mann at 864-5533. TDate: -.^JZIIPZT JEXPIREP^^/^^RECEIPT NO. / 1/) c/< ‘>6, f 7 '^a\uTB of Property Owner^ 2- / /d Date: PERMIT FEE $ Project/LotlinesfRight-of-Way MUST be Staked Onsite Prior to Submission of Application./•^ t-.) 5 V, zS JTComments: Form No. BK — OSOO-002 300.767 ■ Victor Lundeon Co.. Pnntors ■ Forgus Fells, MN * 1-600-346-4 670 SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations tC'X'f 3<^l'Ft.Structure Set Back from Ordinary High Water Level Ft. Ft.Structure Set Back from Top of Bluff Ft. iOO Ft.Structure Set Back from Road Right of Way Ft. Ft.& 33f lOS Ft.&Ft.Structure Set Back from Lot Lines Ft. Ft.Structure Height Ft. Ft.Structure Set Back from Septic Tank Ft. 4 Ft.Structure Set Back from Drainfield Ft. Elevation Of Lowest Floor Above Ordinary High Water Level Ft.Ft.jupt- / 5 Land Slope at Building Site %% Inspector’s Comments / Sketch: U- oj /f. i Inspector's Signature 0 -Date of InspectionV /<?^3 Time of inspeciton ^ProjectApproved / 01 lo\ Date/Initial ^o3,r L^tfck \L> BSI@3I - //- N Pescnj}fioft of Pripet^ on /Wfi/ ^'H-00O-X7-0X13-0 00 /' * » \Tf:ij/n/-~~l L-3.pe.^S'^-3S3^ Sef X7 Twp IS3 R-a^ye. HO Twp A/s-we - Z?ea-</ laJCe i-.*-i*fe hl-a^e. P<S9^ LsP«. C/>£^ ^ £ Uyilt^tl SpartimMS C-lu/) PSts 3j ^'f' h! N ^ ij in 0-p P-e'S'd ky-Ke. Ty^P' MAR 1 1999VLTa^t^"^^ kois 3 H Hi. NB^if X7- -‘/o- IZO-9'S' Fire, Ho, '.inch(es) equals feetScale:.grid(s) equals feet, or > - Please use this sheet for the required scale drawing of your proposal. Be sure to include lot dimension, water frontage, and setbacks from RW, lake, lot lines, sewage system, top of bluff, existing structures and all imper vious surface. Required impervious surface coverage calculation (See definition in Shoreland Management Ordinance) %X 100 = Total Impervious Surface Onsite Total Lot Area (FT2) (FT2) O .0^ 0>7 ^Dated BK —0500 — 029 300.816 * Victor Lurxle«n Co. Printers ■ Fergus falls. MN * 1-800-346-4870 i \^HITE ■ Office ObLDENROD - Inspector YELLOW- Owner PINK - Assessor LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218) 739-2271 • FERGUS FALLS. MN 56537 APPLICATION FOR SITE PERMIT Permit No.LEGAL DESCRIPTION Lch /V) 2 7 0^ Icj^^ /lJP*BLUFF ZONEAND □ YES Kf NOLOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME ^^4-383 lak Ac./re/js- ^/d l~\K>pnJFc. PARCEL NUMBER (S)GRADING / FILLING □ YES # OF CUBIC YARDS ^ NO FIRE NUMBER Ol 38 IDENTIFICATION; Please Print All Information TELEPHONE NO. Last Name First Initial Mailing Address — No, Street, City. State, and Zip Code (Daytime) v<>g-l P Property Owner z>r<0 E.^\kx s^-n^ 2^SQ E., Mh) G-r/ ciz 9^/0'/rr NameContractor State Lie. # PROPOSED PROJECT 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 ()0 Individual Permit # ( ) Collector Permit # ( )OTLSD* ( ) New Structure(s) ( ) Addition(s) , I ,, (y MWRV 9P) YEAR HARACTERISTICS OF NON-DWELLING HARACTERISTICS OF WOASCHARACTERISTICS OF DWELLING (Ni Detached Garage (^Boathouse ( ) Screen Porch( ) Utility Sinicture( ) Dwelling (]C) Replacement Dwelling ( ) Addition to Dwelling ( ) Existing Dwelling shall be removed on or before. Outside Dimension. ( ) Basement ( ) Walkout ( ) Attached Garage ( ) Ga^bo ( ) Utility Structi( )Oth>s Outside Dimension .Ft.( ) Other, Outside Dimension23.Ft. X .Ft.Lotline Setbacks ,Ft.&.Ft.Ft.Ft. X 50Lotline Setbacks .Ft.&.Ft.OHWL Setback .Ft. Lotline Setbacks.Ft.&.Ft. OHWL Setback .Ft.Bathroom: X( ) Yes ylt Yes / a complying Sewage Syst^Required) ( ) OHWL SatCack Ft. Total Bedrooms Maximum Height / 35 Ft. (2 story)Tmum Height /10 ft. (1 story):imum Height Ft.swtry .T- ie>Impervious Surface ___________ Elevation of lowest floor atx>ve OHWL .Sq. Ft. Impervious Surface Ratio .%Lot Area IWater Frontage ^__Ft. (3’ minimum) pc?L €i/iSLFt. Slope of lot %Structure setback to right-of-way /C?Ft. (10’minimum) (Sewage System Permit required before installation).Structure setback to septic tank .Ft. (20’minimum) (Sewage System Permit required before installation).Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System IPl 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. 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 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 cantoning sewage system will be installed to service this lot... Contact Rollie Mann at 864-5533. MAR—Dated: ~<3 ignature of Owner ^0.00 Dated: Land & Resource Management Office dt PERMIT FEES RECEIPT NO. O-T'! drlc c> Ce p/n C txc_r/ZjLy<^ ^ G jp/?rXD\S^cO A______ ^lYlucXudC Uill’6€ 6M>m STH\MCL,ne" rbuxr S€ if^ HSi^hTyi/^cLupi/*<s h/£’LJ S7J9ucTL4fl£ mm t/rff c:>f^SfTn ufxru. Tne awo The Comments: tr /*ia0i£ Pe-A T’CLEPH^i- OOnyeosATiPr} Form No. BK — 0597-002 290.821 • Victor Lundeen Co Printers • Fergus Fails. MN • 1-800-346-4870 o f WHrfE-Office GOLDENROD - Inspector YELLOW-Owner -- PINK - Assessor LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMIT Permit No.J ^0 ■ LEGAL DESCRIPTION Lei" 3^ fJ'B r> 2 7 » BLUFF ZONEIAND■ □ YES K] NO LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWPNO.RANGE TWP NAME ■I '\\ecJ 2.0 L:ISS-L/27fV h ■'f PARCEL NUMBER (S)GRADING / FILLING □ YES NO FIRE NUMBER # OF CUBIC YARDS H/■\y ' K. //'VI..,./ IDENTIFICATION; Please Print All Information TELEPHONE NO.!Last Name First Initial Mailing Address — No. Street, City, State, and Zip Code (Daytime) ■c/7aProperty Owner vJ7xfy\eX M>Uc^k:' ( R Ssl/ii'Y<:~71Nf-J./t/U'er 'd'k- Mh] ‘S'~S017\ v~NameContractor State Lie. # PROPOSED PROJECT ( ) New Structure(s) ( ) Addltion(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 3 '*/ { ) Collector Permit # ( )OTLSD* iaYEAR pHARACTERISTICS OF NON-DWELLING Detached Garage CHARACTERISTICS OF WOAS ^) Boathouse ( ) Screen Porch CHARACTERISTICS OF DWELLING ( ) Utility Structure( ) Dwelling ( ) Basement ( ) Walkout ( ) Attached Garage \1t^) Replacement Dwelling ( ) Addition to Dwelling ( ) Existing Dwelling shall be removed on or before. Outside Dimension. ( ) Utility Structurd^( ) Gazabo( ) Other. Outside Dimension V \\/ .Fl'i .Ft.( )Other. Outside DimensionFt. &z_.Ft. X .Ft.Lotline Setbacks OHWL Setback / Bathroom: /( ) Yes (If Yes / a complying Sewage System Required) itpry .Ft..Fix .Ft. .Ft. &_a_Lotline Setbacks .Ft..Ft. Lotline Setbacks^.Ft.Ft.&C ' ^OHWL Setback .Ft.( )NQX 1 OHWL Setback .Ft. Total Bedrooms JMaximum Height / 35 Ft. (2 story)Maximum Height Ft..Maximum Height /10 ft. (1 story)3 -}CA --f" io__%■^5. '/,C sLot Area _^.Ft. Impervious Surface ___________ ^t. Elevation of lowest floor above OHWL Sq. Ft. Impervious Surface Ratio ^( 4Water Frontage '- / i\'i u. r Structure setback to right-of-way_ Structure setback to septic tank_ __Ft. (3’ minimum) Ft. Slope of lot / -.% .Ft. (10’minimum) (Sewage System Permit required before installation). Dwelling setback to Soil Absorption System .Ft. (20’minimum) (Sewage System Permit required before installation). .Ft. (10'minimum) (Sewage System Permit required before installation).Non dwelling setback to Soil Absorption System ;■i ms IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement; I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit; Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform In all respects to the 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 oniy valid after verification from the 0. T.L.SD. that a conforming sewage system will be installed to service this lot... Contact Rollie Mann at 864-5533. Dated: , Sigristure of Owner•V/'/ ?U'Dated: Land & Resource Management Office li^/h/ /PERMIT FEE $__^ !/■ RECEIPT NO.'^■IL 1 /f , p 2Comments: IPF ! ■ -C c rl. yi ' I c »-. //?/o C L_' W- . ! X > Form No. BK — 0597-002 290.B21 • Victor Lundeen Co. Printers • Fergus Falls. MN ■ 1-800 346-4870 4, INSPECTION RESULTS Make all measurements and computations 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 > Z.<j Ft.Ft. Ft.&>/o Ft.Structure set Back from Lot Lines R.&Ft. Structure Height / 5 rojee <r 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 % %2^ Inspector’s Comments / Sketch:, 1]1]V V 's\\ V \ vP n a n inspector’s Signature- ^//Af Date of inspection 0 Time of Inspection V ' THE ABOVE SPACE IS RESERVED FOR THE COUNTY RECORDER APPLICATION FOR VARIANCE COUNTY OF OTTER TAIL COURTHOUSE, FERGUS FALLS, MN 56537 (218) 739 -2271 •"COMPLETE THIS APPLICATION IN BLACK INK—/ - oo Application Fee Receipt Number Socir'W CluV^DAYTIME PHONE C»l2. 9Y? ‘\lcarH.<LS t4-cxvAjV. I.VS'C) G<\J. , /MaJ- -^.<X)77 lo^Wg noo >HPROPERTY OWNER ADDRESS LAKE NUMBER 5X~3&3 NELAKE NAME LAKE CLASS 'LlSECTION TOWNSHIP^RANGE TOWNSHIP NAME FIRE / LAKE I.D. NUMBER PL7flPARCEL NUMBER / -OOP •2-7 ■/.^S--QO-IZO~9S- LEGAL DESCRIPTIONSpori^A^en clv^b La\- v5^q jin^ 2-7 be<vo) U.k<s- TYPE OF VARIANCE REQUESTED (Please Check) structure Setback X Structure Size____Sewage System____ Subdivision Cluster Misc. SPECIFY VARIANCE REQUESTED Vv\Ac^ "'T'To.v\c^.v^A rec.\<-vc:_^ ccjAsI ; i“i 50 Y\ 'l o 'Ok.S.'i- 7^'^-Pi-vVv “b. ^J<iS ,, Mar 11993 IAVD S prr. I UNDERSTAND THAT 1 HAVE APPLIED FOR A VARIANCE FROM THE REQUIREMENTS OF THE SHORELAND MANAGEMENT ORDINANCE/SUBDIVISION CONTROLS ORDINANCE OF OTTER TAIL COUNTY. I ALSO UNDERSTAND THAT OTHER PERMITS MAY BE REQUIRED, IT IS MY RESPONSIBILITY TO CONTACT LAND & RESOURCE MANAGEMENT REGARDING THIS MATTER. y-13- ?fi- <Z ^ —______________ SIGNATLIRE OF PROPERTY OWNER(7 DATE APPLICANT MUST BE PRESENT AT THE HEARING (Applicant Will Receive Notification As To The Date/Time Of Hearing) /4 M.Accepted By Land & Resource L & R Official/Date P- i3. 9i-?: 2aDate Of Hearing Time Motion United Sportsman - Approved Motion was made by Randall Mann, seconded by George Walter and unanimously carried, to approve the variance as requested subject to the deck not exceeding 3' in height. It was noted that the proposal would place the structure a greater distance from the ordinary high water level than the existing structure. Chairman/Otter Tail County Board of Adjustment Permit(s) required from Land & Resource Management )>(. Yes (Contact Land & Resource Management) No Copy of Application Mailed to Applicant And the MN DNR LR Official/Date bk 0198-001 291,306 • Victor Lundtan Co. Ptini«(» • Fotgui Fllll. Mint cr>Proposed Park Model Trailer & Deck cncnf CCcS£ Approx 33'Pumphouse Cabin #5 ^---------29' 394 sqft Cabin #2 14-20'6'-^_J' ■ ^Cabin #1 '20' 6"-^•4----26'-Cabin #4 -4-20' 6"Cabin #3 ^20' 6"-^ 8'^22“ 2'Porch10x26 deck jjjj maybe less 14x60 “4 ■31'■43' 8" e y 66' 56' LAKE LAKE LAKE Present Trailer & Room V.crsCD C CD •t ■rHLi Ct a:c Pumphouse 4 3------29'' 245 sqtt Cabin #5 Cabin #1 '20' 6"-^Cabin #2 •^20' 6"-^Cabin #4 ^20'6”Cabin #3 ^20' 6"-^•+- 22' 2"-^Trailer 14x60 297 sqft ■31*■43‘ 8"•25*‘ e34' 4" 5ff 52' ; II % L^<fck J3ov-t O‘*iT?rn?lTrif7gfr7 5 U-25 Pn^pos/i4'■i. A, \f>«. 1 •s.^1\ XS& o ❖ - V' ^ 'vV\ ~0^{ 0/io<*o /<• N SJ>VT»/ I !>5\i ! il Q. S'I -o\ . > D^^ortpPtOy\ of C\uk on fztcel ^ H-000~-X7-OX}3-ooo L^K^^^6-383^ Sel X7 Tv/p 1ST HO his'MQ. " LjzJ^& J)s'3^ H ^ Sj^orfi^'e^^s C'l^h h! N B (j fy\ 0'^ Tw'p, bf.aAl£tjJ jleg^'/g^ \ I \ \ \V\ 1w, f^ii jr^iLwl Section %TJ [iulLlVLU MAR 1 1999 U,.UiVL7S Lais J^4 N£.'f ^.7- 13^-<i0 -)X0~9S' Ft re. Ho, i APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 WHITE - Office ' GOLDENROi^ - Inspector YELLOW - Owner PINK - Assessor Permit No.LEGAL DESCRIPTION BLUFF ZONE □ YESAND7"LOCATION RANGE TWP NAMETWP NO.LAKE/RIVER CLASS SECTIONLAKE NUMBER LAKE/RIVER NAME pQAdl Z7 ^c> FIRE NUMBERTOPOGRAPHICAL ALTERATION jBF YES # OF CUBIC YARDS □ NO PARCEL NUMBER (S) //- ooo ~ o;^/S - ooo PL 7^ TELEPHONE NO.IDENTIFICATION: Please Print All Information (Daytime) <fs-7 Mailing Address — No. Street, City, State, and Zip CodeInitialFirstLast Name Property Owner Cl7;A/i7<rs /¥auc./< 600S'7Kf____________ 7<~A^- z/Src/i. A, J.Sox' 9^^NameContractor state Lie. # ONSITE SEWAGE TREAflWet^ SYSTEM ( ) Individual PerrpH^ ( ) Colljctofwmit # MOT.SD ONSITE WATER SUPPLY ^^^ndlvldual ( ) Public ( ) None PROPOSED USE ( ) Dwelling (^Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT ^^ew Structure(s) ( ) Addition(s) ( )MH/RV____________ Wn_3_f -<Ai- YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ^^GarageCHARACTERISTICS OF DWELLING ( ) Screen Porch( )ithouse( ) Utility Structure( ) Dwelling ) Addition to Dwelling isement ( ) Utility Structure( )Gazel( ) Other Outside Dimension ( Ikout Basement LZ.( )( ) Other. Outside Dimension .Ft..Ft.x Outside Dimension Lotline Setbacks pt.& Z-OO Ft..Ft..Ft. ZSS'.Ft.Lotline Setbacks .Ft.OHWL Setback .Ft..Ft.Lotline SetbacJ Bathroom: { )Yes (^^^No (If Yes / a complying Sewage System Required) .Ft.OHWL Setbelbk OHWLgetback ■/ iev'U\cLn^> M^xiifium Height / 10 H (1 story) Tota|/6edrooms idaxlmum Height / 30 Ft. (2 story)sto^ Maximum Heigh T tJL'N-/J13 Ac,ASS?p- Impervious Surface AcKe. S So, Ft:— Impervious Surface RatioLot Area ^//O Ft..Ft. (3’ minimum)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 21^__________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). /OO 7//A THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County. Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. V.Dated: Sigriature of Owner Lv Dated; Land S Resource Management Office Mini/RECyp NO.PERMIT FEE $ loxC ^Comments: C A<f: Y e.<=/■ a 7^72 ,/Yx/. siroPL d/O Yr/-2<0£-Y________A Form No. BK — 0496-002 2B1.017 • Victor Lundeen Co. Printers • Fergus Fells. MN • t-800'346-4870 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 1 /- 7(C Permit No.LEGAL 0?12:!',DESCRIPTION /BLUFF ZONE2. -AND □ yes jia^NoLOCATION TWP NO.RANGE TWP NAMESECTIONLAKE/RIVER CLASSLAKE/RIVER NAMELAKE NUMBER i.Z7 ___FIRE NUMBER 5- ■*■V TOPOGRAPHICAL ALTERATION >jr YES # OF CUBIC YARDS □ NO PARCEL NUMBER (S) //- OOO -317 - o;?/S -PL 7^ TELEPHONE NO.IDENTIFICATION: Please Print All Information (Daytime)Mailing Address — No. Street, City, State, and Zip CodeFirst InitialLast Name y-r-7- OL.6»Z-Property Owner tIjLO a. _r7T g-/g A/AKJiLk ^ 7>^AT. /7e.XU/^ Y'eA^. Otypryfr/______________ rr~ PjtuL CT///? A- ^ . 7 /ZoiY 900______________7<C^~z)sONameContractor State Lie. # ONSITE SEWAGE TREATMENT SYSTEM ( ) Individual Permit #_□ ( ) Collector Permit # '-v. ’(/ItJtlsd ONSITE WATER SUPPLY ^^(^ndlvidual ( ) Public ( )None PROPOSED USE ( ) Dwelling ^Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT (>4(New Structure(s) ( ) Addition(s) ( )MH/RV____________ imn%j YEAR CHARACTERISTICS OF WOAS ( ) Boathouse ( ) Screen Porch CHARACTERISTICS OF NON-DWELLING p^Garage CHARACTERISTICS OF DWELLING ( ) Utility Structure( ) Dwelling ( ) Addition to Dweliing ( ) Basement ( ) Walkout Basement Outside Dimension ( ) Utiiity Structure( ) Gazebo( ) Other Outside Dimension/7rl Ft.x 7. 7 Ft- Lotline Setbacks / /£>cJ Ft. & /2.0a Ft. ( ) Other. Outside Dimension'\.Ft..Ft.x Ft.X .Ft..Ft.&Lotline Setbacks .Ft.OHWL Setback Lotline Setbara6k^ ( )Yes (^No (If Yes / a complying Sewage System Required) .Ft.OHWL Setb Bathroom: OHWL Setback Total Bedrooms Maximum Height / 30 Ft. (2 story)Meiximum Height /10Maximum Height /18 i^(1 story) AJOM- jq, Ft. Impervious Surface /K>/ iSq p* - Impervious Surfeice Ratio _Ft. Elevation of lowest floor above OHWL 7 2^/73 ___ ___^//o— Lot Area Ft. (3’ minimum)Water Frontage 2-^.%__________Ft. Slope of lot Ft. (10’mlnlmum) (Sewage System Permit required before installation). Ft. (20’minimum) (Sewage System Permit required before installation). Ft. (10'minimum) (Sewage System Permit required before installation). Structure setback to right-of-way. A//A structure setback to septic tank Dwelling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. /2^Dated: signature ot Owner / Dated:2 i 7? Land & Resource Management Office . . .7MlnllRECEIPT NO.PERMIT FEE $ >*t A. g.. /^r^A^rje <^7T TL-" L/->< u I'.rC- /-A Comments: (AA7: u g, yj-/-poz.y /-X. X.' Form No. BK — 0496-002 281.017 ■ Vieter LundMn Ce.. Printers • Fergus Falls. MN • 1 •800-340*4870 INSPECTION RESULTS Make all measurements and computations Structure Set Back from Ordinary High Water Level Ft. Ft. Structure set Back from Top of Bluff Ft.Ft. y-d------■1^'Structure Set Back from Road Right of Way I Tbpof Ft. & _/ff^Ft.Ft.&Ft.Structure set Back from Lot Lines Structure Height Ft.Ft. Ft.Structure Set Back from Septic Tank Ft. Ft.Structure Set Back from Absorption System Ft. Elevation Of Lowest Floor Above Ordinary High Water Level____________________/5^Ft.Ft. %%Land Slope at Building Line 1^0 Inspector’s Comments / Sketch:, Q>i I1^ iAa U- Inspector’s Sigrtature Date of Inspection IIV Time of ln^>ection 'wi'v:;' ■M* .-i I> • ;■ ■iS ,. .. .. . .: ■•?■ ■ • ■ "v: ':<\ ': • ' *•, ^ y*: ♦..'•V M- "■ ••■■ *v “ ••• 'i ■■.• i/'V ■> ' . \r-?W'. ;H'l.i ..JI ;■ (:) ;1^ ! i , GRID PLOT PLANjnch(^ equals .L_ia^feet SKETCHING FORM/L__gridpi(y equals V feet, or.Scale:I ; 7-Z3- fC>119 9(^ .Dated:SignMun Please sketch your lot Indicating setbad<s from road right-of-way, lake and sideyard for each building currently on lot and any proposed structures. ill: i i i I .....tblI ' ' I , ■ ! I , if -■) •f^/A' PRiumv f^tiAOIV tiFRCM MB. CCBM!fJ& aF tSLt AOLB. PAA.C.BL ■ \(I ,lI. J, i Aj.j;i !itV-;i ; ■ ! t i.;- .i; I I;I I 1 rI I;5i iII..!i.ii' f [i. 1(! i U- -«-L‘ SeWtt. TAmk '■ \;1 I !i.;I Iii4-:i:I ,!!;I '!iiII;i ;•rPi; i ' • :I ;!.i :■ i i . ■ - i i'...1 ’i1.1 , :I TMi^A i ;i • I • r ;•It1!!:. _!'i ;i 1 i ■ ■r1I.1 i:'i I. IiJt.I"I I I1!i i I !I : I- ii:ri i- L !,(I iI ' I!I I‘ I Ii1'f"f! •i I i'!I.;!I-;i i!,■i ...I .I^oa03 ' I ■ I ■ : | i •■*[!■ i ;t 1 i.-I 'i :’ rI(1,t;i-■ I I fI ;:!,1i !..j.I I I II-:•5-i;' !i.1....1.f...i:i f[;!1I 1 ';I iI-!d]T •r-I :•}l-U- 7-I;! M‘.| ! ‘!f(:f>R»fxtSep sr4»<riiM—1 .H:!:i:1 i ' i I| \riKA:u/t \h»m0 I i.!■I i , !: iI. l-i t ;Ui-^■| i--■ ■ I ^ i* Hi** y.i-r ■ t ■■* ' j I1t :I !! ^ * V ifI .M 'I,I I V I . t i ■ ‘:eyis77*j0 e>A0A&ti1;:. U .\; i, .!.\...... I-I l-i j \ Fxii7M& :|:.j \ AAkfi&E '■f.1.,i'i'-i r r« -r-I ;i .1 ! ! I !■ t'(I!stpvc nwk(seMctj. ri>M> f ' i.i !.. ,1 tUzi5 t.( ,;!-i 1-1 M :iL! i i !0I • rI '-41i....(•1-i i I !I !ii!;.L • •i !I i I’l TAAlLfU thne ijt ■ i I !1-I i !i;;I !i Ii Jt-J !■: : i IJ j-U -i 5I:r;,.L| j III.Jii... |-.-.i-I !I:I!I-I..f:.fi I i : .!ir;’I • •iii ' :U!I iv! h!:l:'■ I ' ' ! ' : !■tt'!t i 1 :'tI i ■,,J i,[■■■Isi•0!...1I :IH Mi]: I i:.lS; i |■■■:i :!It: I;:! ]-ff■hI: f \ P/srSiocts BP*ri pAfi fiptep sr/?O*ri0fie ' : ' i ] I I !. ! : ' , ! • ' ' ' i ! I ' : , ; I I t ■ ■ i 1APPfiox, -z.,ooc FTi-i £Asr£/tM I'i.ilkk. i i FT \ I ~; wesTekn ’ ! f 1 I ' ■ ''' ' ' I !\PficfeArr CJMBJS \tM ^ ■ I ' ■ ; 1..... ........'^ : i: i ..... i ... I . ■ 1..-. 1 .................. ji I ' I. I pe.eLPAi/i3i A*-PS- !i H!•;II 1IJ-..Mi • ■■ -'l ; :•si!Csf>oAtuA/0) A9r>ri,l : . ' ' i .!. I !.!l,.rii !ii1 » ,1 .-MSfUvFmtM Abo^lt. dHWL /y rn jj!tiS;•rI i.Ii i .t Pfitppsep' r77?wc7i><?e|r7*>| ^«r-M4rs7].CA^(t7?<i*jfAi) rAtprJMB'oF peAp lAkd 'S .................'Iri-fM'- i > !S!•L .j;....i...fi - - ■■ f □i-i-t r-MiI 1?I!- 4278,428 • Vicior Lundetn Co. Pfirwi • Feigu* FiHi. MN • 1-800-34<M870 i :sI.'"1 ill''i !!1IMkL —0071—029 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 Permit No.LEGAL DESCRIPTION BLUFF ZONEAND □ YES (X NO LOCATION TWP NO.RANGE TWP NAMELAKDRIVERSECTIONLAKE/RIVER NAMELAKE NUMBER 3f3 'utjsL-Ji-'^7 FIRE NUMBERPARCEL NUMBER (S) Dl tSiLj- dOO- -OOO TELEPHONE NO.IDENTIFICATION: Please Print All Information (Daytime)^_____________ Mailing Address — Np. Street, City, State, and Zip Code . ^ ^ 66/OL LtX First InitialLast Name Property Owner NameContractor State Uc. # ONSITE SEWAGE TREATMENT SYSTEM j ^ Individual Permit# 4»X0)>//J/A { ) Collector Permit #_____ ( )OTLSD ONSITE WATER SUPPLYPROPOSED USEPROPOSED PROJECT ^^^New Structure(s) ( )Addition(s) ( )MH/RV____________ Individual( ) Dwelling ^ Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) ( ) Public ( ) None YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ( ) Garage CHARACTERISTICS OF DWELLING ()^Utility Structure '/jC'’ ( ) Screen Porch( ) bSathouse( ) Dwelling ( ) Additibr<to Dwelling ( )BasementV ( ) Walkout Ba^ent Outside \ Dimension_________j { ) Utility Structure( ) Gazebo( ) Other ________ Outside Dimension X_^ Lotline Setbacks Ft. X ' Ft.( ) Other Outside Dimension.Ft..Ft.Ft. &Ft. X Ft.Ft. X Ft.Lotline Setbacks L&.Ft.OHWL Setback .Ft.Lotline SetbacI Ft. & Bathroom: ( ) Yes (If Yes / a complying Sewage System Required) .Ft.OHWLSetbi )No .Ft.OHWL^tback Total BeQrooms Maximum Height /10 ft. (1 story)Maximum Heigl^ 18 Ft.(xi)story).Maximum Height / 30 Ft. (2 story) . Water frontage Ft.Ft. Maximum depth of lotLot Area is (Sq. Ft.) .%Ft. Slope of lot.Elevation of lowest floor above OHWL (3 Ft. Min.) Ft.Structure setback to right-of-way. /o .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 /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. oi Owrw A-/7-^S^Dated: Dated: iMnd & Resource Management Office So.oo RECEIPT NO.PERMIT FEE $ iECEiyeComments: frWTTig^ a RESOURCE Form No. BK — 0295-002 1-800-346-4B70 Printers * Fergus Falls. MN £ N [ Jof Cluh Frop>et^ Fsj-ce! ^'H-000^X7-0X13-000< Sel X7 Tvfp 133 ^ Tw^ 4/3^e - ZPea^ Ld(e^ A/vme. /j&ZC-e CJy»^ R B. UifiltecI SpoAime-vis Clui) Adti 3/i'*'H B'ir Seidlot^ k-3^K&, T/^p- ' F/re. /^o. P/. 78 ;2.7- /^vT- ^0 Propos-^ S)z.e X8k3 Tt iS X^O -frOttt jliC>lr& % i>( (jSed -Far ■STi,r'a^e- 3>'< ■<•■■*:'* ' Aot!; wt /V£^ iMMmJ \Jm^^JLdl[ar70 0 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS. MN 56537 \NH\TB - Office GOLDENROD - Inspector YELLOW - Owner PINK - Assessor ff'-' Permit No.LEGAL DESCRIPTION BLUFF ZONE □ YES ^ NO AND LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER SECTION TWP NO. RANGE TWP NAME - ^7 USa- 3B 'Ue^JL PARCEL NUMBER (S)FIRE NUMBER TDl rS/if-DOO- 9^-6^73-000 IDENTIFICATION: Please Print All Information TELEPHONE NO. Last Name First Initial Mailing Address — Np. Street, City, State, and Zip Code______^________ diU E. -77/-ms'^ (Daytime) Property Owner ^ df'PjlaJ!, SS/OCy LlXNameContractor State Uc. PROPOSED PROJECT ^^New Structure(s) ( )Addition(s) ( )MH/RV_____________ PROPOSED USE ( ) Dwelling ^ Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) ONSITE WATER SUPPLY ONSITE SEWAGE TREATMENT SYSTEM / ^ Individual Permit # ( ) Collector Permit #_____ ( )OTLSD Individual ( ) Public ( ) None YEAR CHARACTERISTICS OF NON-DWELLING ( ) Garage CHARACTERISTICS OF WOASCHARACTERISTICS OF DWELLING ()^Utility Structure ( ) Screen Porch( ) BS^house( ) Dwelling ( ) Additibrvjo Dwelling ( ) Basement N. ( ) Walkout Basb(nent Outside \ Dimension__________^ ( ) Gazebo ( ) Utility Structure( ) Other Outside Dimension * Ft. x '"fTb ' Ft. Lotline Setbacks 4^0 FI. & Ft. { )Other, Outside DimensionFt. X .Ft.FI. X Ft. Lotline Setbacks .FI.L &OHWL Setback,.Ft. Lotline SetbacI Ft.&-Ft. Bathroom: { ) Yes (If Yes / a complying S^age System Required) OHWLSeIbi .FI.)No OHWL^Iback .Ft.Total Bedrooms Ij>rfl7 Ft.^stor^ .Maximum Height / 30 Ft. (2 story)Maximum Heig Maximum Height /10 ft. (1 story) . Water frontageLot Area is (Sq. Ft.)Ft. Maximum depth of lot Ft. Elevation of lowest floor above OHWL (3 Ft. Min.)FI. Slope of lot .% Structure setback to right-of-way.Ft. /n 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. .Ft. (20’minimum) (Sewage System Permit required before installation). Ft. (10’minimum) (Sewage System Permit required before installation)./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 responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. '0 yf Dated: Signatun of Owner Dated: Land A Resource Management Office 7/96o.ooPERMIT FEE $RECEIPT NO. QComments: i. 2 2 1995 a RESOURCE Form No. BK — 0295-002 1 800-346 4870'•rs • Fersui FsHs. MN >INSPECTION RESULTS Make all measurements and computations 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. i&rr f- Ft. g/ Ft.Ft. &Ft.Structure set Back from Lot Lines IX Ft. Ft.Structure Height / 65T5 ,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. ' L %%Land Slope at Building Line Inspector's Comments / Sketch:,! ; i ! t i ! Inspector^ Signature Date of Inspection [/'*•? Vme of Inspection\■t ■ r ( ' .V.T'. , *c * ^• '• 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 5p0rkHOA\.O cJUxt>Permit No.LEGAL DESCRIPTION AND LOCATION TWP NAME 7 j LxxM^ RANGESECTIONTWP NO.LAKE/RIVER CLASSAJg I I /35^ ^ LAKE/RIVER NAMELAKE NUMBER ARCEL NUMBER FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER (S) Oc 7 IDENTIFICATION: Please Print All Information Zip Code Telephone No.Mailing Address — No. Street, City and StateInitial.FirstLast Name Property Owner .Sh ^Ma/5/ SsJJ.NameContractor State Lie. # CHARACTERISTIC^ OF PROPOSED /V) NON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure ( ) Water Orientated Accessory Structure RESIDENTIAL USEPROPOSED USEPROPOSED PROJECT Structure Basement ( Walkout Basemont-(-----)------- Outside Dimension o \j2 / . of Structure -A j) rJ W pt. Height of Structure / n Ft. # Of Stories_____ ( ) One FSmily Dwelling ( ) Multiple D\i^lllng # of Units ( ) ) Residential Non-Residential ( ( ) Addition { ) MH/RV tetherONSITE WATER SUPPLYONSITE SEWAGE DISPOSAL SYSTEM TYPE OF FRAME ( ) Masonry ( U-'f^od ( ) Structural Steel ( ) Other (/ ( ) Public ) Individual ( ) None OFFICE USE ONLY Bluff Impact Zone Shore Impact Zone ) Sensitive Area ( ) Public (2 # Of Bedrooms ) Individual Permit # Y ' {(# Of Bathrooms ( ) OTLSD ( %0 /uiiL,LOT SIZE AND SETBACKS: feet.r^^-:-Maximum depth of lotWater frontage isLot Area is P~.QO 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 % feet.Building set back from road right-of-way 60JB SO feet.andLot line setback is in .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). Structure will be located 10Structure 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. if- L 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 expres' 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. rDated: XSignature of Owner Dated: Land & Resoi lanagement Office6^ Permit Fee $_^Receipt No.. Comments:Cw^""523i — , • 0 Ida Form No. BK — 0292-002 262,316 — Victor Lundoen Co., Printers, Fergus Falls, Minnesota T-- — APPLICATION FOR SITE PERMIT WHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 ■United - -Permit No.LEGAL f 'yDESCRIPTION y' AND LOCATION RANGESECTION TWP NAMETWP NO.LAKE/RIVER CLASS AJ£ I ^ / LAKE NUMBER LAKE/RIVER NAME / yc(olyS^ Ho PARCEL NUMBER (S) a FIRE OR LAKE ASSO^TION NUMBER Oc. 7^ IDENTIFICATION: Please Print All Information Zip Code Telephone No.Mailing Address — No. Street, City and State______ iInitialFirstLast Name T fouJTiaProperty Owner 7777 1NameContractor I State Lie. #I CHARACTERISTICS OF PROPOSED Basement (/ 7 ) Walkout BasemenH-------> Outside Dimension o \j? of Structure ^ J Ft. /.7 . NON-RESIDENTIAL USE ( ) Garage ( ) Utility Structure RESIDENTIAL USEifROPOSED USE ( ) Residential (^^^^LNon-Residential PROPOSED PROJECT (J^X^New Structure ( ) Addition 2 ) ( ) One Family Dwelling ( ) Multiple bt^lling # of Units ( ) 1-3^ ) Water Orientated Accessory Structure (( ) MH/RV ONSITE WATER SUPPLYONSITE SEWAGE DISPOSAL SYSTEM TYPE OF FRAME ( ) Masonry ( Wood ( ) Structural Steel ( ) Other Height of Structure. It Of Stories______/( ) Public ) Individual ) None OFFICE USE ONLY ( |^/1) Bluff Impact Zone ( fij) Shore Impact Zone ( f'J) Sensitive Area ( . ) Public # Of Bedrooms) Individual / / /V Permit # ^ V(# Of Bathrooms r> ( )OTLSD O.-' LOT SIZE AND SETBACKS: Q/ i ( jo\y ,/F^gqf(afr%t,7 Water frontage is y /^ / 77 QQ feet.rggn.. Maximum depth of lotLot Area is Building set back from ordinary high water level is Land height above ordinary high water level at building line is Building set back from road right-of-way_______ ____________ feet. (String Test) 3 %feet. Slope of lot .feet. SO feet.andLot line setback is in .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). Structure will be located instructure 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. TH/S /S A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. H /? u. i'Syn/2) ■ 77 ■ Ajr.iS/tJUS-Dated:/Signature of Owner Permit: Permission is hereby granted to the above named applicant to perform the work described Ih the above statement. This permit is granted upon the expres; 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. .7 /Dated: Management OfficeLand & Ra^o^ffeff 'h IReceipt No..Permit Fee $. Comments: 1 \ jn .pk n' // 262,316 — Victor Lundeen Co., Printers, Fergus Falls, MinnesotaForm No. BK — 0292-002 INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft. Ft. O ■Building Set Back from High Water Level Ft. Ft. Building Set Back from Top of Bluff Ft.30 Ft. 600?Building Set Back from Road Right of Way Ft.20 Ft. Ft. & Ft.Building Set Back from Lot Line Set Back Ft. O/Building Height Ft. Ft.i T Building Set Back from Septic Tank Ft.10 Ft Building Set Back from Absorption System 20 FtFt. Elevation Above High Water Level at Building Line L.3 Ft.Ft.A2__l mLand Slope at Building Line o/o Inspector's Comments: Sketch:, Ci- / "T?% '..J ■ t M .nI /t ! v‘...-I .7•!• i i I •/ : • ■V . l! "7/ ■ . • i U.....J i/ Inspector 's Signature Date of Inspection '4 dTime of Inspection White — Office Yellow — Owner Pink — /'•Sfessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 - Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Pjo'h S■ (JIPITeO Permit No..LEGAL DESCRIPTION AND LOCATION 22.2/n'3d3 C. Lake No.TWP NameTWPRangeSec.Lake Classif.Lake Name IDENTIFICATtON: Please Print All Information Tel. No.First Zip No.Mailing Address— No. Street. City and StateInitialLast Name /<3^4 3 M\je2'rqj<-Fra^\L \)rOwner Sy~ /hit//H/k 0ey2'f^P.yiUtr^NameContractor 'A; Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: (74-New Building ( ) Alteration Specify;.( ) One Family Dwelling ( ) Multiple Dwelling (k/Oina^Units ( ) Other Size( ) Other ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( )Yes i^No( ) Masonry ( ) Wood Frame Structural Steel ( ) Other — Specify Basement: Stories above basement; Sq. feet (outside dimension) Bedrooms .............................. ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well /fUdflM Baths CHARACTERISTICS:Mil ^ ..........feet. Maximum depth of lot feet. (Building Line) Water frontage is ...^2^- feet.feet.Lot Area is ...MQBuilding 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 3 feet 9dSQ.feet.feet — from road right of way is IQ.ID feet. ..........feet from septic tank (Sewage System Permit must be obtained before installation). ..........feet from soil absorption system (Sewage System Permit must be obtained before installation). and Structure will be located Agreement; I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STA TE STA TUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. ^ ^9- Signiture of Own^ Permission is hereby granted to the above named applicant to perform the work described in the above statement. Thrs permit is granted upon the /O^Tuy., SffDated. 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. /O \j !W-cA'IfijCDated Management OfficialShorelani00 Permit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971@ VICTOR LUNDEEN CO.. PRiNTKRS. FERGUS FALLS. MINN. ‘ \ ■w f ■ ■ } ; r ■' v:i> ■■ \->1.. -' ‘\ •n ^ t f \\ . V .' .' ■ , »> At STATEMENT A RECEIPT OF MISCELLANEOUS COLLECTIONS AUDITOR’S OFFICE, OTTER TAIL COUNTY, MINN. N2 86785 ___Fergus Falli, Minn.,__ To Treasurer of said County: You will receive from__3<0^ODOLLARS, $. _____ ^.o_.For \ 3D OC^T.UI (X____^.K^-_Fund mm l> and credit the amount to tlie Syhria G. Bergerud, Couaty Auditor •mM Um atoM mt IM OiMitf Steven D. Andrews. Co, Treas. m -----/A:_____DeputyBy-------- puty OiiMNfisiiseeaeacofvoaATioN ewMesoTA w r f j 4 H 2 SiiS 3 8 ^l5iUi -c ill•siso 2 8 s•«U]i§a < r gs| 5g> O u> - BM UI t. . 3-8 s S-S" S SM ISSs |lui •- i i i ^ u S02 U. 5 s * ■! >1 : SI 2oi 2^8 • a S •^•o » ^ 2^ 9 « Ot O£•- ..-S 4J 5ss£3 &8 ■ i«'^142300 PI a Ui 8 |i| diopo 2 iu C§“3|5S O ^o 9D o JD 3o5'S‘« ^ M ••o a. -o a s AS s-3“ s•s o* i i |0 *sOo aoa«g a «M 4 5^38 o H « o. d *H •. 5-"3 5sa-2. ? 1-83? i e 82KI Q 5* .'.Q2? 2 M «H y£8 -“9g <S|0 ^ 4J s4Ja .:»8 u o m W UJ = Ui •d *o •B 2 t u s «*4 • >t d «jo m •M o■“•SI s UJ S UiSSd Z O V s £ -8 s« a f4 _!-:kj I SllHi I 5 o d .d 4J « r* •*«^ >H «• « O, CU W 1:2?3 . d *o *u ce wSU «H 2 I 2•»>K Opi*"tr •HU M l« •i3 I3 j i ujS§3- 9 2 AfH W fH d1948»-a 1S o Sin isl . • j;V -.r. White - Office Yellow Ownerefc Pink — A^ti^ssor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Q/ ,( l1a-J i/7/ Permit No„P/oi 5" 6 - U/PI T£. 0 ^PORTS //// OP LEGAL >v CLU/iDESCRIPTION <2^5^ y AND LOCATION on IQS jfo oa£1M/y . TWP NameSec.TWP RangeLake Classif.Lake NameLake No, IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialFirstLast Name . /-i / / ■''f /jOwner A'/./ /I !‘, O ^ ,:v m r'.' 'NameContractor i Architect Name. NON-RESIOENTIAL PROPOSED USE; A/ V <■'Specifv:_C5A£_L2^ RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Units .y ( )Other Size( ) Other ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS;TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME; '*4 .Basement: ( ) Yes ('') No Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well ( ) Masonry ( ) Wood Frame Structural Steel ( ) Other — Specify /KJOfUT Baths CHARACTERISTICS; Lot Area is ___ •/3/u > s/Vi;feet.Maximum depth of lotfeet.Water frontage is .... ■' '' ... square feet. feet. (Building Line)Building set back from high water mark is. Land height above high water mark at building line is Building set back from State highway right of way..... Side yard is ..................... Structure will be located feet 90 ■feet.feet — from road right of way is ..............feet. ,feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation). and Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. I J n 1-j >Dated. Signature of Owner U', I 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. ' .Vj/-'t- ilU\jDated Shoreland Management Official Permit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971® VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS. MINN.k • \ ■> • INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS i MINIMUM Shall Be 4 Sq. Ft Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft.Ft. Ft.Building Set Back from High Water Mark Ft. i ■*-Building Set Back from State Highway Ft.50 Ft. Mo ^mBuilding Set Back from Street or Road Ft.Ft. I6>0 U) & !(>ftS{> Ft.Side Yard &Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspecjxu^ r.r , .■■- '•:jA -1 •'»> '■•i . r;- I / n5 /yInspection Dated n.19 Agency VICTOD UIDOtCII 4 CO . OOlHTfOO. *C*4W0 r*Lt.O. HIHH. A White — bffice Yellow — OwnerPink Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Assessor Permit No„LEGAL vjiJlTED. ,,-fc DESCRIPTION AND L.0 I LOCATION 13 t)e.AO LAkCe-Y4- 3S3 de^D hJ.E TWP NameTWPRangeLake Classif.Sec.Lake NameLake No. IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateInitialFirstLast Name ^ ^ V E* S c. Pau / C.ASsAi)t)p^A rf\ S‘£X>7S~Owner //5sc>ir NameContractor tiliCEIVED Nf)v 16 ia?Architect Name, S P5S0U??CE-------------------- NON-RESIDENTIAL PROPOSED USE: c/^ e !k) u vyi ri\F> iP RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: ( ) One Family Dwelling ( ) Multiple Dwelling ( ) New Building ( ) Alteration Units ( )Other( ) Other Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: (^No Basement: ( ) Yes Stories above basement: Sq. feet (outside dimension) Bedrooms ......4i4.r............ ( ) Public (y) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public Individual Well ( ) Masonry ( ) Wood Frame I ) Structural Steel ( ) Other — Specify ' O Baths CHARACTERISTICS: ^ _ f .............. square 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 v^y...... feet.Maximum depth of lot feet.Water frontage is.Z<}al.......Lot Area is feet. (Building Line)3'feet (1 2-0 .feet.feet — from road right of way isI1..Q.............feet. feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation). Side yard is and 1LOStructure will be located r.^.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. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. i / — / ^ 7Dated. 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. ________Shoreland Management Official \uDated 3a-Permit Fee $.Receipt No. Commentss^ Form No. MKL-0286-019 229971@ VICTOR LUNOCEN CO.. PRINTERS. FERGUS PALLS. MINN. T / //•t. < < 1 "■ ^>v *I V. fJ ',\-\»Vv>^\C. i :i •--v-v ■•.* ••■;••ii‘.-.- ,.. ;*,a:.r*.............% •' , t‘. 1 ■ SHORELAND MANAGEMENT - COUNTY Of OTTER TAIL COUNTY COURT HOUSE Pilone: (2181 739 -2271 — Fergus Falls, Minnesota &6537 APPLICATION FOR SITE PERMIT tm — Office Um !t';#rwod — ln«p«ctor Ow n«r r 4 44. Permit No,y^vSSKFj \ i rl ^C«-kE? 4, W Wr£ LEGAL SCRIPTiON 4ANDA<»i f . ; 3 \ *.S.> /. ' * 7 . >OCATION Sc - -^y ^ Oe io L-fiK<t.TJ.t:-,;)7 _iJX y<^>t » f> Uoka Main*TWP NomaSac.TWP Rafs<>aLake CtaMif.Laka NoV \JENTIFICATION: Mti— Print AM l><fofm»titft> Tet. No.Mailing Address- No. Stfgt. City T»d State Zip No.InitidIHit StLast Narrvi !<..(2.Sa. 5h Pthu /■7.yV f. Oaic- O^n..l.iilKi c- .'V (^P ' ■ 'i />' / I / y' ■'! I iL.Jwnar / /hul // Namaluactor ; ?■H ’chitaci Name.ii »; NON-REiilOENTIAL PROPOSED USE: U 'i I I') S <■( »7l /Tj ItJ lE=* RESIDENTIAL PROPOSED USE:>E OF IMPROVEMENT:;Spacify.I ) Ona Family Owallir>9 I ) Muttipla Dwelling f ) Nevv Building rof iUnitsI ) Alteraiion { I Other Sitei I Other i IMATLD COST OF IMPROVEMENT $ TYPE OF SEWAGE DISPOSAL:DIMENSIONS: NCIPAL TYPE OF FRAME;!><^No Basement: I ) Yas Stones above basement: Sq. faat (outsida dimansion).. - Bedrooms ( ) Public I Individual Septic Tank, ate. WATER SUPPLY; ( ) Public Individual Wall ; ) Masonry i ) Wood Frama ; ) Structural Steal . ) Other - Spacify y I'^^TALLBiJ Bathe....J.„. f-AHACTERISTICS:1 ^ ....Miuwe feet. Building ut beck irom high water mark .................................... L and hsight above high water mark at building line ia.. 1,1 ... faat.Maximum depth of lot.aaaaa^aaaaaaaaaaaaaaata. faat.Water frontage iaLot Area it I .w....... feet. (Building Line) feet — t > <) ..faat. .faat from s^tic tank (Sewage System Permit ntust be obtained before installation). . faet from soil absorption system (Sewage System Permit mutt be obtomed before mstallanon). <^-c,.........feat - from road right of way it •feet.Building set back from State highway right of wm I ' a ' Stda yard is ..........J.JL.'.............. and........— Structura will ba located........... Structure will be located euinani: I hareby certify that the irtfucnnation cortteined herain is conect and agiee to do the propotad work in accordance with the dascriplion above set h and according to the piovisions of the ordinances of Otter Tati County. Minnesota, f further agree that any pumi end si>«cificaiions suLmitttfd herewith i bveome a part ot this permit application. I also uiKlarstand that this permit is valid for a period of six (6) inonths. s /S' A s/Tf PeWAf/r 0/VCy aa/o docs /vot co^srlwrE a du/co/zve pe/jAt/r assetfo«7// w chapter ;s, M/A//vesorA statesTATurcs. iderstand that f hava bean granted a site permit in accordance with the raquiramants of the Shoraland Management Ordinenca of Otter Tall County. I understand i»lt contact my township in order tu determine whether or not any additioital permits are required by the township for my proposed proieet.ik ^ 0 >r /’ ■ i1 . Kopon -r?r i Aid. Sigrsture of Ownsr Permission Is hereby granted to the above named applicant to perform ^ work described in the above stetamant. Thii permit Is granted upon the -ess condition tliat ths person to whom it is granted, and hrs agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail lity. Minnesota. This permit may ba rt Acad at any time upon violation of said ordinances. r.lt: ShorakiTd Managerrtant Official U- - *8'^cQxf. \ Ttt Fee Receipt No.A /-A-i't I , t k.,. p ^ (.A Ui^-v( L.J~n,A.mentss 'j.I iI '■T ■:r \r/cf P~0:i’ m No. MKL-02BS 019 S1997I ^ VIC i«e bUNKtai re.. MiHTtss. rteews r*u.e, «hw. SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT , .i»ner. Assessor ^uidenrod — Inspector i Permit No„LEGAL DESCRIPTION /,/rfi AND I ./•L--f 1LOCATION 5 n Ml.)"y 0>? r:.-* TWP NameLake Classif.Sec.TWP RangeLake No.Lake Name IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateFirstInitialLast Name iii/Owner /i'r NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE: Specify:// : v: TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: '' ' >v,« C( ) New Building ( ) Alteration ( ) One Family Dwelling I I Multiple Dwelling I ' ■'■ /i t~' t>-Units • // ( )Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: ( ) Yes I ^ No Stories above basement: ....... Sq. feet (outside dimension) .... Bedrooms ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public (y) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public (V) Individual Well / V L ' L. a /Baths CHARACTERISTICS: Water frontage Is feet.Maximum depth of lot feet.square feet.Lot Area is feet. (Building Line)Building set back from high water mark is..................... Land height above high water mark at building line is Building set back from State highway right of way..... Side yard is ..................... Structure will be located feet •feet.feet — from road right of way is feet.and .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).Structure will be located Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. Dated.i.- Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated Shoreland Management Official Permit Fee $.Receipt No. Comments:_i. Form No. MKL-0286-019 229971® VICTOR LtfNDEEN CO.. PRINTERS. FERGUS PALLS. MINN. -.1 c.} INSPECTOR'S CHECK LIST Make all measurements and computations ACTUALIS X MINIMUM Shall Be X 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 50 Ft.Ft. Building Set Back from Street or Road 40 Ft.Ft. Side Yard &Ft.&Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. JLtxJLj A.U ^Inspector's Comments: •---------------> / l e £i I\ L___fci- i I IX/ / ■/ ^ /»ft ^I*' Inspector's Signature Title Inspection Dated 7- I'S"*19 Agency VICtOft kUH0((H t CO IIOTtl r / a/f t <55?<SE2 a f I 4c, Q bJ> U ohf Q i ^ C^/zn-T / 5l? *2-Z3 G3ir^^-C.^ / /?.*ar r White - Office Yeiiow — Owner Pink — Anessor Goldenrod — |,nspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Me 74 /7iJnlfsil SfortS/Mcn^S Permit No,.LEGAL DESCRIPTION *AND LOCATION e<xA Ln_k €.fitD eokA LolV. g HOsiciBaarQ~)135:TWP TWP NameLake Ciatsif.Sec.RangeLake No. Lake Name IDENTIFICATION: Please Print All Information Tel. No.Mailing Address— No. Street. City and State Zip No.Last Name InitialFirst ‘■iss-HIU~7Avg- St.L^yAe.Owner NameContractor Architect Name. TYPE OF IMPROVEMENT: I ) New Building ( ) Alteration (>d Other rVNo'mtl^ HotTv<° NON-RESIDENTIAL PROPOSED USE: Specify:___________________________ j rt Vl <» V~\o ■iTv g,_______ RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling ( ) Multiple Dwelling Units !4xsrjz I () Other Size ESTIMATED COST OF IMPROVEMENT $ PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: ( ) Yes No Stories above basement: .................................... Sq. feet (outside dimension) ...... Baths ...J............ ( ) Masonry (^ Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public (J<J Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ^ Individual Well .jb/i..Bedrooms Type of Roof: CHARACTERISTICS: aquapo foot.Water frontage is feet.Maximum depth of lot feet.Lot Area is Building set back from high water mark is.......(oOCl< Land height above high water mark at building line is... feet. (Building Line) auci feet .^0.00.....S.3s1s.OIding set back from S^te highway right of vjay Side yard is ......../.™........... and......../...™........ Bui ... feet — from road right of way is ....feet.) feet. /.oi .feet from septic tank (Sewage System Permit must be obtained before installation).! feet from soil absorption system (Cesspool, Drainfield, etc.). ) oivCt evfiTStructure will be located V-a..Q.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 herewitf 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 OwnerV 1 / TH/S IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. 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 ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Permit: N rIV-26sDated foreland Manslbemen^ Official i^ec.Permit Fee $ .30.00 \ro,\.Vg«- vx3\U hg seT tor) Te<gT Y\orTV\ c\M' JcL,'(Y\g< ~TTo-v\go^Comments: -ppfCT T\nrTV»w 1r\rsr~TVv e\trv<° orv 195676® VICTOR LUNDEEN CO.. PRINTERS. FERGUS PALLS. 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 \ OK i / '■Permit No..CLEGAL '4'ZDESCRIPTIONy.. AND / LOCATION I ■ V ^. V . .. - ■- <•' '-r ±2.! TWP NameLake No.Lake Name Lake Classif.Sec.TWP Range IDENTIFICATION: Please Print All Information i Last Name Tel. No.First Initial Mailing Address— No. Street. City and State Zip No. Owner NameContractor t "Architect «Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:i Specify: ^___________ ! ( \ W ■■■ ( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling ( ) Other Units I, I r -( ) Other ISize I j ESTIMATED COST OF IMPROVEMENT $1i PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL: ( ) Public f)() Individual Septic Tank, etc. WATER SUPPLY: I I Public Individual Well DIMENSIONS: Basement: ( ) Yes No Stories above basement: ......................................... Sq. feet (outside dimension) ....... 1 Baths..../. ■J ( ) Masonry (Z*) Wood Frame ( I Structural Steel ( ) Other — Specify 1 IBedrooms 11 Type of Roof: CHARACTERISTICS: square 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 Water frontage is ............ feet.Lot Area is Maximum depth of lot feet. V feet. (Building Line) :........... ..feet. feet from septic tank (Sewage System Permit must be obtained before installation).^ feet from soil absorption system (Cesspool, Drainfield, etc.). feet ifeet — from road right of way is ■feet. and ^ Peptv\'»T 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 herewitf 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 TUTES.\iSignature of Owner Permit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the Dated Shoreiand Management Official 1Permit Fee \ e r ■T (-p S. VComments:i.) ^ V •iv>\y 19S676@ VICTOR LtJNDEEN CO.. PRINTERS. FER0U8 PALLS. MINN.Form No. MKL-0771-002 1T'i '■/ >V INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS f MINIMUM Shall Be 4,Sq. Ft. Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft.Ft. t^QO'^ Ft.Building Set Back from High Water Mark Ft. Building Set Back from State Highway Ft.50 Ft. Building Set Back from Street or Road Ft.40 Ft. & 72) ? Ft.Side Yard &Ft. aKRear Yard Ft.Ft. fOOccupied 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. !ff ^ ~YS0 y>\o)D}Ct^ VxiyvJl'Inspector's Comments: ,1: Inspector 8 Signet Title Inspection Dated -7-2 1 19 Agency vicTAR LWRMCa « c*.. MiNitHi. riiieue r«LL*. Kmii. I feet/inchesScale: Each grid equals GRID PLOT PLAN SKETCHING FORM ?.-\H 19_S^2_.Dated r-—f ! Signature your Jot indicating setbacks from road right-of-way, take and sideyard for each building currently T a\d any proposed structures. ' 'Pleas on lo <P\^A i'^ a I 4 -1 E3! 0 0 s3ys' i [3 4- I [3 m E3 rX-l* *13 4o ✓ s I i o I\0 33 ■i-i-■■ / 1O ! I ev'9V C - C<xVmy\ H= WoukSe G" ! XX Sto *x 95^ 4: L/.ri. ----- i t 215987®MKL-0871-029 VICTOtt LUNOeCM CO.. PeiNTCRS. FCRCUS FALLS. IV ■, V '■ :,r , ^ ;-/t-v.'^r/V- :.-^|»a , I- W' ^ ■L ’**'‘>v.' *- ' i<*' «*;sTirr' ^■;j'Sf‘m 4- f* "K. teif‘, », .. .. . ^ \ Hs0>c^urce n^^oof\c^^xr.AK:X ~'yV.4 V = ; ' Co\xx\\u <3^ Ov^e'o ~V<v.s\ 'M 1 '1; ;-.•' -if &ISa m i j- *; ' ■ ','■ •.. i 1 if5^ni-s^iv- r'* T'' ’1! -K,’A 22i 1 t VI vV 4,? . ■,; :.m I'-M*^,1;. ;lif ^ r w'..!•' 7^SV: M r.^» ■-yi '■> v^l HIS"'ri i smm.1 Whito - Office Yellow — Owner Pink — Assessor Goldenrod — inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY S9 7 9 Gl ‘i Permit No„LEGAL /o/X/>h2Date.DESCRIPTION AND LOCATION iloSL - ■ ) Q. Cl7) Lake No,Lake Name Lake Classif.TWP Range TWP Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No. t/r.) Af^ I H u , i!/ Thn>C/u4r /n Ai pOwnerdsi S'7 LrNameContractor r 5T-//r^ uyArchitectName. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( iTOnT^Family Dwelling ( ) Multiple Dwelling ( ) Other ( ) New Building ( ) Alteration Specify:. Units ZVjLLr:( ) Other Size ESTIMATED COST OF IMPROVEMENTS (omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: ( ) Yes (( ) Masonry ( ) Wood Frame (\.>^tructural Steel ( ) Other — Specify ( ) Public(Mr’”Tndividual Septic Tank, WATER SUPPLY: ( ) PijWic ((^d'^mdividual Well MECHANICAL EQUIPMENT : Elevator: I ) Yes Air Conditioning: ( ) Yes ( ) Central / Stories above basement: ..... Sq. feet (outside jhmension) ... Bedrooms .....m?................... etc.SjA /Baths in No HEATING: ( ) Electric ( ) Coal Other: iUGcas ( ) None Type of Roof:( ) Oil (4>^o ( ) Unit CHARACTERISTICS: . Lot Area is ...square feet.Water frontage is feet. feet. (Building Line) ~imBuilding 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 MP...feet 7" feet — from road or street is feet. ^.1.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. -fn:D. 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. /o /x<i / Dated. Signature Permission is hereby granted to the above named applicant to perform thp workPermit: express condition that the person to whom it is granted, and his agent, employees ^nd workr County, Minnesota. This permit may be revoked at any time upon violation of said oranances. scribed in the above sta' TCn shall conform in all sent. This permit is granted upon the ^cts to the ordinances of Otter Tail iiJgmSji mDated Shorelanfd Management Offici^- Permit Fee $,State Surcharge $. 1<P/yiiiio'Lo a /'ffu./OL-/)/ L(y f.' Lv /) OComments: I i/( EAa I si Lk^ Form No. MKL-0771-002 ,158899 vierea uihbcch « u.. pmimtcm, Fcneui White - Office Yellow — OwnerPink Goldenrod — ^Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Assessor a.?'/? \ Permit No„LEGAL Date.DESCRIPTION AND LOCATION Lake No. Lake Name Sec.Lake Classif.TWP TWP NameRange IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Tel. No.Zip 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 iBaths HEATING: ( ) Electric ( ) Coal Other: Type of Roof:( ) No ( ) Gas ( ) None ( ) Oil ( ) No ( ) 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. .......................................feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). and 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 $. Comments: C/ LlED FOR IKSPFf^T Form No. MKL-0771-002 158899 VICTOt LUNOCEN t CO.. PKINTCti, FEHSUI EALL8. r 9 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS i MINIMUM Shall Be Sq. Ft Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft.Ft. Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. Building Set Back from Street or Road Ft.40 Ft. Side Yard &Ft.&Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft. 20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency VICTOK LVNBKH t C» . BRInnil*. rta«U* FALLS. HIMN. i I SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY White — Office Yellow — Owner Pink ~ A%$d»$or Goldsnrod — Inspector 6L Y Permit No,.LEGAL Date.DESCRIPTION AND LOCATION ' TWP N^e DjSnJ)C 2H US- Y£>Sec.TWP RangeLake Classif.Lake NameLake No. IDENTIFICATION: Please Print Ail Information Tel. No.Zip No.Mailing Address— No, Street. City and State ^ .First InitialLast Name -fr tL.7^ a iOwner /•Ml yin NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESiOEI^IAL PROPOSED USE: (L^ne Family Dwelling ( ) Multiple Dwelling TYPE OF IMPROVEMENT: ( Building ( ) Alteration Specify:. Units ( ) Other( ) Other Size Gooo.ESTIMATED COST OF IMPROVEMENTS (omit cents) DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes ( Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Public L-'Klndividual Septic Tank WATER SUPPLY: ( ) Public ('^T^dividual Well ( ) Masonry {(yY^ood Frame ( ) Structural Steel ( ) Other — Specify I, etc. /Baths MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central HEATIN^ (L-Fclectric ( ) Oil< ) Gas ( ) None (Type of Roof: ( ) Coal Other:( CHARACTERISTICS:7^ feet.square feet.Water frontage is. feet. (Building Line) •feet Lot Area is ?0Building set back from high water mark is Land height above high water mark at building line is t-Tja ^0a.feet.feet — from road or street isBuilding set back frorn State highway is ... ^nd....Zrtll;,:2:r:gr.±:.Side yard is Building will be located Building will be located 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 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. SignatureLof Owner L \ Y tied in\the above statement. Thjs permit is granted upon the shall conform in all respects/fo the ordinances of Otter Tail Dated. Permission is hereby granted to the above named applicant to perform the work descrjPermit: express condition that the person to whom it is granted, and his agent, employees and workmi County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. / J!/ (d Management Official Dated OO State Surcharge $.Permit Fee $. [/Hy. (fV\ yPUjjiyJL {l/[. faL > Comments: iForm No. MKL-0771-002 158899 vieraa cuHeedi 4 o«.. paianat. Fta«u4 rM.L*. hinh 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 — OwnerPink — As^se^sor Goldenrod — Inspector Permit No„LEGAL Date.DESCRIPTION AND LOCATION TWP NameRangeSec.TWPLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street, City and StateFirstInitialLast Name Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:.( ) One Family Dwelling ( ) Multiple Dwelling I ) New Building ( ) Alteration Units ( ) Other( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) DIMENSIONS:PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL: Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms I ) 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 Baths HEATING: ( ) Electric ( ) Gas ( ) None I ) Oil( ) NoType of Roof: ( ) No ( ) Coal Other;( ) Unit CHARACTERISTICS: square feet.Water frontage is. feet. (Building Line) ...............................feet feet.Lot Area is 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. .......................................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.and 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 State Surcharge $.Permit Fee $. Comments: "I LED NOT cAL-t tD S 2q 78 Form No. MKL-0771-002 158899 vipraa luhdccn « co.. PttHTtut. fc««u8 ratct. h<«n C ' »• INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS X 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 50 Ft.Ft. Building Set Back from Street or Road 40 Ft.Ft. Side Yard &&Ft.Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank 10 Ft.Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency VICTO* LUHtlCH 4 CO . MinTCIi.J- 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 — Assessor Goldenrod — Inspector 4E K n nLEGAL Date.DESCRIPTION AND LOCATION LhuJ)~Vk 30 ijj- yg TWP NameTWPRangeSec.Lake Classlf.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street, City and State_______Fyyt InitialLast Name 9 1ConOwner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE: Spe^fy:---------------------------------------------- Q /-OL j^_____________ RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: (•''l^evv Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling (i^y^ther Units<ISize( ) Other ESTIMATED COST OF IMPROVEMENTS (omit cents) DIMENSIONS:TYPE OF SEWAGE DISPOSAL^ _ ./i?'7PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes ( Stories above basement: Sq. feet (outside dimension) Bedrooms .......... /( ) Public fr--f^dividual Septic Tank, etc. ( ) Masonry ( ■'Twood Frame ( ) Structural Steel I ) Other — Specify 131WATER SUPPLY: ( ) Public (s..^><n^idual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central Baths HEATING: ( ) Electric ( ) Coal Other: it'nT ( ) Gas < ) Oil (tK^one (Type of Roof: ( ) Unit CHARACTERISTICS: ........square feet.feet.Water frontage is feet. (Building Line) Lot Area is 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 ,je..............feet 30,5251 feet.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.)._____________________ and T~ 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. s nature of Owner Dated. Permission is hereby granted to the above named applicant to perform the work deicribed in the above statemen^This :rmit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workrjren shill conform in all resptfcts to thi ordir^ces of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I I / j b/2Z VDated. , ShqfelanH Management Official ____________________________ 0 ccf- / 7 r ^ }\ f IState Surcharge $.Permit Fee $. ■llleCl 0Comments; /■ f(JL Form No. MKL-0771-002 , .... 1S8899VlCra* LUNDCEM 4 eo.. 'ALk 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 — Assessor Goldenrod — Inspector .1/Permit No,.'-1LEGAL J Date.DESCRIPTION AND LOCATION f TWP NameSec.TWP RangeLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateFirstInitialLast Name Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: Specify:,( I New Building ( ) Alteration ( ) One Family Dwelling ( ) Multiple Dwelling Units ( I Other ( I Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) TYPE OF SEWAGE DISPOSAL:DIMENSIONS:PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify Baths HEATING: ( ) Electric ( ) Coal Other: ( ) Gas ( ) None ( ) Oil( ) NoType of Roof: ( ) No ( ) 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.feet — from road or street is .......................................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.and 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 State Surcharge $.Permit Fee $. Comments: HOT CALLED FOR JNSPECT Form No. MKL-0771-002 L55«99 vieren lundech 4 ce.. Miittiia*. fcmsui raccf. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS I 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 50 Ft.Ft. Building Set Back from Street or Road 40 Ft.Ft. Side Yard &&Ft. Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: Inspector’s Signature Title Inspection Dated 19 Agency vicToi aiNDEEh 1 CO., phiiiteiii. eemue rALi*. hmim. 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 — Assessor Goldenrod — Inspector (nf;xifyL Permit No..LEGAL Date,DESCRIPTION AND LOCATION A/a /J.r V/) Sec.Lake No. Lake Classif.TWP TWP NameLake Name Range IDENTIFiCATiON: Please Print All Information Last Name irrt Initial Mailing Address— No. Street. City and StateFi Zip No.Tel. No. i 3 tJTt r\!________ ^ D(x/-e /yjfn' ^T//9 onn €r3Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: (L^’'^nT^Family Dwelling ( ) Multiple Dwelling NON-RESIDENTIAL PROPOSED USE: ( ) New Building ( ) Alteration Specify:. Units ( ) Other ( )Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( ) Wood Frame (\J,Sfructural Steel ( ) Other — Specify ( ) Public Individual Septic Tank, etc. WATER SUPPLY: Basement: ( ) Yes ( Stories above basement: Sq. feet (outside dimension) Bedrooms ..............................( )ilic Baths Individual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Ye; ( ) Central HEATING: ( ) Electric ( ) Gas ( ) Oil ( ) None Type of Roof: ( ) Coal Other: CHARACTERISTICS: Lot Area is —................square feet. p........jyr?:^?."fe^(BuildrnWater "'^ Building set back from high water Land height above high water mark at building line is Building set back from State highway is...................... Side yard is............^3^.................... Building will be located....... Building will be located..... ..c^.Q feet — from road or street is 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. Signature of Owner Dated. Permission is hereby granted to the above named applicant to perform the work»idB«ribed in the above statement. This permit is granted upon the irknvbn shall conform in all respects to the ordinances of Otter Tail Permit; express condition that the person to whom it is granted, and his agent, employees and County, Minnesota. This permit may revoked at any time upon violation of said ordinances. Dated eland Management OfKciel 029/Permit Fee $.State Surcharge $. Ly\ {?Comments: Form No. MKL-0771-002 158899 VICTM UMWCtN A W.. MHNnAt. MAAUA fALkA. !•■■■ 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 — Assessor Goldenrod — Inspector Permit No^:LEGAL i Date,DESCRIPTION > AND LOCATION ■■7I / Lake Classif.Sec.TWP Range TWP NameLake No.Lake Name IDENTIFICATION: Please Print All Information Initial Mailing Address— No. Street, City and StateLast Name First Zip No.Tel. No. %Owner NameContractor Architect Name, RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:NON-RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling ( ) Multiple Dwelling I ) New Building ( ) Alteration Specify:. Units ( )Other ( )Other Size ESTI MATED COST OF IMPROVEMENTS (omit cents) PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) 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 ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify Baths HEATING: ( ) Electric ( ) Gas ( ) Coal Other; ( ) NoType of Roof:( ) Oil ( ) No ( ) None ( ) Unit CHARACTERISTICS: Lot Area is square feet.Water frontage is .....feet. (Building Line) .....................................feet , feet.Itf.y. >- 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 I 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.and 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 State Surcliarge $,Permit Fee $. Comments; filed NpT CALLe0- 3 29 73 Form No. MKL-0771-002 vieroa Luaecin 4 ee.. nimtcii*. riReui fm.l4. ,158899 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUM Shall Be 4,Sq. Ft #w * Lot Area (Square feet)Sq. Ft.Sq. Ft. Ft.Ft.Water Frontage Ft.Building Set Back from High Water Mark Building Set Back from State Highway Ft. 50 Ft.Ft. 40 Ft.Ft.Building Set Back from Street or Road & &Ft.Side Yard Ft. Rear Yard Ft.Ft. 10 Ft.Occupied Building to Septic Tank Ft. Occupied Building to Absorption System 20 Ft.Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: inspector's Signature Title Inspection Dated 19 Agency VICTOR LUOftCCM ft C* . RRiaTEI rM.« 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 — Assessor Goldenrod ^ Inspector 3-j-GrL3 P-7 Permit No.LEGAL G /9/ "7 -TDate.DESCRIPTION AND LOCATION A/P X7 nc Vfi TWP TWP NameRangeSec.Lake Classif.Lake No.Lake Name IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateFirst InitialLast Name i ro 1 ^7*Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE: (^T^ne Family Dwelling ( ) Multiple Dwelling TYPE OF IMPROVEMENT: Specify:.( ) New Building ( L+^lteration I( ) Other Size( ) Other ESTIMATED COST OF IMPROVEMENTS (omit cents) DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes Stories above basement: Sq. feet (outside dimension) Bedrooms ............................. ( I Masonry (‘-I'DVood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ('-d'Tndividual Septic Tank, etc. WATER SUPPLY: ( ) Public ((.J-^hdividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central ■)z' .....Baths HEATING: ( ) Electric ( ) Gas ( ) Coal Other: ( ) OilType of Roof: LyHo ( ) None( ( ) Unit CHARACTERISTICS: feet.Water frontage is feet. (Building Line) ...........................feet squar^.Lot Area is 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 .....72^ 7^^0XZi±.feet.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.)._____________________ and 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. ^ HP ^Dated. Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permilMs 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. F N Dated Shorelanfl Management OffioTal State Surcharge $.Permit Fee $. Comments: i158899Form No. MKL-0771-002 VICTS* LUHBCI« A M.. PAItITIII*. r(A«U« fALLA. MIHn White — Office Yellow — Owner Pink — Assessor Goidenrod ^ Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCYm Permit No,./ILEGAL Date.DESCRIPTION AND LOCATION * Lake No.Lake Classif.TWP NameLake Name Sec.TWP Range IDENTIFICATION: Please Print All Information Last Name InitialFirst Mailing Address— No. Street. City and State Zip No.Tel. No. '^l C i I -C , 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 IMPROVEMENTS (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 ( I 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 Managennent Official P5EPermit Fee $.State Surcharge $. Comments: F > Led NOT CALLHD 29 78 Form No. MKL-0771-002 158899 vicToa uiaoccD « ce.. paiNTt*!. Fe*«u> falls. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS Jr MINIMUMShall Be i Sq. Ft Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. Building Set Back from High Water Mark Ft.Ft. 50 Ft.Building Set Back from State Highway Ft. 40 Ft.Building Set Back from Street or Road Ft. Side Yard & &Ft.Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank 10 Ft.Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft. 3 Ft. Inspector's Comments: Inspector's Signature' Title Inspection Dated 19 Agency VICTt IIHTII .* -i 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 — Assessor Goldenrod-— Inspector ‘r / 90 &r Permit No„LEGAL V Date.DESCRIPTION ciU piJ A/^ J^r ^/) ^ Lake No. Lake Nanr>e AND LOCATION Sec.TWPLake Classif.Range TWP Name IDENTIFICATION; Please Print All Information First Initial Mailing Address— No. Street. City and StateLast Name Zip No.Tel. No.fa/) ____; />iv>. rr//.a. fU bT ro;ylQ tj r\F'Owner f) --hi^ /( S NameContractor Architect Name. i^NT: 0^ ^ ' ) ^ p /Residential proposed use:TYPE OF IMPROVEM NON-RESIOENTIAL PROPOSED USE: (v-TOne Family Dwelling ( ) Multiple Dwelling ( ) New Building { ) Alteration Specify:, Unitsr{jhL_§:( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL;DIMENSIONS: (f( ) Masonry ( ) Wopd Frame (wl^ructural Steel ( ) Other — Specify ( ) Public ( 0'''Tn^idual Septic Tank, WATER SUPPLY: ( ) PuWie^ Basement: ( ) Yes Stories above basement:etc. Sq. feet (outside ^mension)....... Bedrooms /Baths (ndividual Well MECHANICAL EQUIPMENT ; Elevator: ( ) Yes ( Air Conditioning: ( ) Yes ( ) Central HEATING: ( ) Electric ( ( ) Coal Other: VrJType of Roo ( ) OilGas ( ) None ( ) Unit CHARACTERISTICS: Lot Area is square feet.Water frontage is feet. (Building Line) feet feet. / 0 0Building 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..........Am....... LO. feet — from road or street is ..................................feet. feet. 2ro..t:feet. Rear yard is .... feet from septic tank (Sewage System Permit must be obtained before installation). ... feet from soil absorption system (Cesspool, Drainfield, etc.). and 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 G^ner \ / C>Dated. 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 ordinance: /O 'y <■/ Dated 4-Sh^piandManagemepq Official fjAnFee S '"2-State Surcharge $,Permit /MO /a'JISZZLs k.jy>(1/vOLaComments: € Form No. MKL-0771-002 158899®VI«T»I UiaMIII 4 00.. PIMMTtMt. rt««U4 rM.Lt. KIHII 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 — Assessor Goldenrod**— Inspector Permit No..LEGAL Date.DESCRIPTION AND LOCATION Sec.TWP TWP NameLake Classif.RangeLake No.Lake Name IDENTIFICATION: Please Print All Information Mailing Address— No. Street. City and StateLast Name First Initial Zip No.Tel. 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) TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME:DIMENSIONS: ( ) 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 ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify Baths HEATING: ( ) Electric ( ) Gas ( ) Coal Other: ( ) NoType of Roof:( ) Oil I ) 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. .......................................feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). and 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 ot six (6) months. r-'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 State Surcharge $.Permit Fee $. Comments: not C-/U.L.ED i n,.HD4"2Q“7:. Form No. MKL-0771-002 1S8899 vievo* ujHBCCH k eo.. mihtcki. fE««ui INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS X MINIMUM Shall Be X Sq. Ft. Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft.Ft. Building Set Back from High Water Mark Ft.Ft. 50 Ft.Building Set Back from State Highway Ft. 40 Ft.Ft.Building Set Back from Street or Road 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 Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency VICTO* LUNttCM 4 «0.. 4IHIITIH4. rt44U« FALL*. HIHN. J f 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 ^^pwner Pink — ^Csessor Goldenrod — Inspector 0 Permit No..rLEGAL /oDate,DESCRIPTION AND LOCATION ^ Lake No. /7j£ X7 I3y u Lake Classif. Sec. TWP Range TWP NameLake Name IDENTIFICATION: Please Print All Information InitialLast Name First Mailing Address— No. Street, City and State Zip No.Tel. No. kOwner NameContractor Architect Name. TYPE OFIMPROVEMEN RESIDENTIAL PROPOSED USE: (W”^e Family Dwelling ( ) Multiple Dwelling NON-RESIDENTIAL PROPOSED USE: ( ) New Building ( ) Alteration Specify:, Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENTS (omit cents) PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ir-No /( ) Masonry ( ) Wood Frame ( vl^tructural Steel ( ) Other — Specify ( ) Public ( M-Tn^ividual Septic Tank WATER SUPPLY: ( ) Public Basement: ( ) Yes ( Stories above basement: Sq. feet (outside dimension) Bedrooms ........Smv:........... , etc.i22_.a. ........Baths ((ndividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Central HEATING: ( ) Electric ( ) Gas ( ) Coal Other: Type of Roof:(No<? 0^1 (( ) None ( ) Unit CHARACTERISTICS: Lot Area is........ “^Building set back from high square feet.Water frontage is . feet. (Building Line) ...............................feet feet. /..an.water mark is / 0Land 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. ^.......feet. Rear yard is ... feet from septic tank (Sewage System Permit must be obtained before installation). ... feet from soil absorption system (Cesspool, Drainfield, etc.). .... and feet. /..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. Signature of Owner f A' Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the / /Q 7^Dated, Permit: express condition that the person to whom it is granted, and his agent, employees and workrngn shall conform in all respeci County, Minnesota. This permit may be revoked at any time upon violation of said ordinance^ A do the ordinances of Otter Tail 1 O ? •00 Dated Shore/aticl Manage Permit Fee $.State Surcliarge $. 7hc~A ^)rrA/ "737) 'tr/60 0 Comments: uf Form No. MKL-0771-002 158899©VICT«« UIHSCtH 4 CQ.. MiDTIRt. RIR4U4 rM.Ll. r 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 White — Office Yellow PiiY-^ — Wssessor Goldenrod — Inspector I wner Permit No,,LEGAL Date.DESCRIPTION AND LOCATION Lake Classif.Sec.TWP Range TWP NameLake NameLake No. IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No, Street. City and State Zip No.Tel. No. Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: ( ) One Family Dwelling ( ) Multiple Dwelling ( ) New Building ( ) Alteration Specify:. UnitsXX' ? ( ) Other I ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry ( ) Wood Frame ( ) Structural Steel { ) Other — Specify I ) 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. ......................................feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). and 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 State Surcharge $.Permit Fee $. Comments: NuT CALLLiJ t ] Form No. MKL-0771-002 VICTOd kUHBCtN 4 CO . MIHTtOO. rCHOUl r*u.o.158899 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS jr MINIMUMShall Be i Sq. Ft Lot Area (Square feet)Sq. Ft.Sq. Ft. Ft.Ft.Water Frontage Ft.Building Set Back from High Water Mark Ft. 50 Ft.Ft.Building Set Back from State Highway 40 Ft.Ft.Building Set Back from Street or Road 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_____________3 Ft.Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency viereii iuhbceii « m.. rminEM. fcmu* witH. 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 — OwnerPink — AAessor Goldenrod — Inspector Permit No,.LEGAL 7 -2^- 7VDate.DESCRIPTION AND LOCATION iy s. ■ly QatJ- LcJ^c.TWPLake Classif.Sec.Lake No.Lake Name Range TWP Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No. 7: 7^3/uTa Ll (a^\^p ^Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE: (y-Y^ne Family Dwelling ( ) Multiple Dwelling NON-RESIDENTIAL PROPOSED USE: ( ) New Building ( ) Alteration Specify:. Units/ 0 V Ti / ( ) Other ( )Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL;DIMENSIONS: ( )Yes( ) Masonry ( ) Wood Frame ('“+'Sfructural Steel ( ) Other — Specify ( ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public t_>-Tndividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yet Air Conditioning: ( ) Yes ( ) Central /Basement: Stories above basement: Sq. feet (outside dimension) Bedrooms rxTi' /Baths HEATING: ( ) Electric ( ) Gas ( ) Coal Other: 7Type of Roof:( ) Oil(L>^ ( ) None ( ) Unit CHARACTERISTICS: .A:.Lot Area is square feet.-9 oO 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........i(.jQ Building will be located 7^ 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. T 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. •~7 - r. - 7*/ Signature of Own Dated. 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 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. permit is granted upon the 3.M.Dated Shorel^d Management OfMcial // t / /vAFee £ ^ t- (i O State Surcharge $.Permit JVComments: Form No. MKL-0771-002 ,158899vtrraa uinvkem « e»., ftiariRt. Fuaua k*kL8. 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 — OwnerPink — Assessor Goldenrod — Inspector ^ 1 Permit No„LEGAL DateDESCRIPTION AND LOCATION Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information Initial Mailing Address— No. Street. City and StateLast Name First Zip No.Tel. 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 1 ) 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 ( ) Oil ( ) None Type of Roof:( ) No ( ) No ( ) Coal Other:( ) 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 V ••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.and 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 the 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. 4^- Permit: Dated Shoreland Management Official Permit Fee $.State Surcharge $. Comments; NOT CALLED F1LED4-20-7T Form No. MKL-0771-002 158899 VICToa UIHBCCM t rcMBut Fall*. *■ INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUM Shall Be 4-Sq. Ft Sq. Ft.Lot Area (Square feet)Sq. Ft. Ft.Ft.Water Frontage Ft.Building Set Back from High Water Mark Ft. 50 Ft.Building Set Back from State Highway Ft. 40 Ft.Building Set Back from Street or Road Ft. Side Yard &&Ft.Ft. Rear Yard Ft.Ft. 10 Ft.Occupied Building to Septic Tank Ft. Occupied Building to Absorption System 20 Ft.Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. Inspector's Comments: Inspector's Signature Title Inspection Dated 19 Agency vietoii tuHOccH t CO . oiiMTtM. rcRous rM.1.0. mimh. A.