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Home My WebLink AboutWildwood Resort_16000360209004_Shoreland Permits_RECi3’V5D MAR 0 5 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 GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor LAND & RESOURCE /^Z/QPermit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP NAMERANGELAKE / RIVER NO.LAKBRIVER NAME LAKE/RIVER CLASS SECTION TWP NO. V/3L>/36 PARCEL NUMBER (S)E-911 ADDRESS )UoOO^(g 0Z09 dOH LEGAL DESCRIPTION Oc'^ yVt Co<r //SJ ' S t • I Daytime Phone No.Last Name First Initial Mailing Address pi 111 Djm^ hZj Id. Property Owner gyg iZ - Contractor Lie.# ONSITE WATER SUPPLY p^lndlvldual ( ) Public ( ) None NOTE: MN Rules Chpt, 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM PROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add'n to Dwelling (5) RCU/Year______ ^f^Stllity/Stg 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 ( ) Permit No. ( )OTLSD* * This permit is only valid after verificalion from the O.T.L.S.D. that a conforming sewage system wilt be installed to service this lot contact Roltie Mann at BB4-5533. CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED NON-DWELLING CHARACTERISTICS OF PROPOSED WOAS 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 Basement_____ Walkout Basement Total Bedrooms__ Outside Dimension Setback to Lotline ^ V Ft. & Ft." Setback to Right of Way ^ Ft.” Setback to OHWL ^33 Ft. Elevation Above OHWL 3 Setback to Septic Tank Ft. 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 /g FtxFt. X Ft."Ft."Ft."Ft. X Ft.&Ft."Ft.&Ft." Ft."Ft." Ft.Ft.Ft.Ft.Ft.Ft. Ft.Ft. Setback to Drainfield i~ > ^ Ft. Setback to Bluff Ft. Ft.Ft. Ft.Ft. <V^aYesNoMaximum Proposed Height Bathroom Proposed ( ) Yes (^ No Ft. Yes No ( ) Screen Porch ( ) Utility Structure **Project/Lotlines/Right-of-ways Must be Staked Onsite Spoil Disposal □ Onsite (scale drawing required) □ Offsite □ Within Shoreland Area □ Outside Shoreland Area Grade/Fill/Excavation **Project/Lotllnes/Right-of-ways Must be Staked Onsite□ Yes (scale drawing required) □ No CHARACTERISTICS OF LOT:4L 3 Yes NoBluff Onsite,Lot Area.Water Frontage Ft. 1.Impervious Surface Ratio .%xioo =.% Total Impervious Surface Onsite (FTq Total Lot Area(FTO 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 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. 27-o( Slbj O!______ Date; Signature of Property Owner Date: Land & Resource Management Office /32 73^PERMIT FEE $RECEIPT NO. Project/Lotlines/Right-of-Way MUST be Staked Onsite Prior to Submission of Appiication.Comments: Form No. BK — 0500-002 301,934 • Victor Lundeert Co.. Prrnters • Fergus Fslls. MN • 1-800-346-4870 APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE 121 W. JUNIUS AVE. • SUITE 130 Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 WHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) PINK - Assessor /^2/0PLEASE PRINT OR TYPE ALL INFORMATION Permit No. TWP NO.RANGE TWP NAMELAKE / RIVER NO.LAKeRIVER NAME LAKE/RIVER CLASS SECTION V/I3C,CTCL/vnr PARCEL NUMBER (S)E-911 ADDRESS iLoOOZGOZOT oo% LEGAL DESCRIPTION '■ ' ■ ; ^ a Vf Fi 6-L^ AJt Cdtr 3C> SS7/ yUvs^OfJ //Sj ' S 4^■1«; ■/} i * • I f' Daytime Phone No.Last Name First Initial Mailing Address I- ^ I!)Property Owner ji;I A/ /Uf Contractor Lie.# ONSITE WATER SUPPLY ^'individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM PROPOSED PROJECT (please circle the appropriate number) (1) New Dwelling (4 ) MH/YR (7 ) Add’n To Non-Dwelling (10) Other ;(2) Add'n to Dwelling (5 ) RCU/Year______ ^f^p>tility/Stg Structure __ 'Existing Dwelling to be removed before. (3) 'Replacement Dwelling (6) Detached Garage (9) WOAS ( ) Permit No. ( ) OTLSD T 7 7 * This permit is only valid after verification from the 0. T.LS.D. that a conforming sewage system witt be instatled to service this tot contact Rotiie Mann at 864-5533._____J iCHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension Setback to Lotline RT V Ft. & -/ Ft.” Setback to Right of Way ■/•'.$' Ft.” Setback to OHWL iSr 33 Ft. Elevation Above OHWL 3 Setback to Septic Tank A iP Ft. ■P ! O Ft. Setback to Bluff Ft. Maximum Proposed Height Bathroom Proposed ( ) Yes (^ No CHARACTERISTICS OF PROPOSED DWELLING CHARACTERISTICS OF PROPOSED WOAS 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 Basement______ Walkout Basement Total Bedrooms__ 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 . ai/£> Ft. X {Q *-/ Ft.”Ft. X Ft.”Ft.”Ft. X Ft.&Ft.”Ft.”Ft.& Ft.”Ft.” Ft.Ft. Ft.Ft.Ft.Ft. Ft.Ft. Setback to Drainfield Ft.Ft. Ft.Ft. veil Z-Ti.Yes No Ft. Yes No ( ) Screen Porch ( ) Utility Structure :] **Project/Lotlines/Right-of-ways Must be Staked Onsite A **Project/Lotlines/Right-of-ways Must be Staked Onsite Spoil Disposal a Onsite (scale drawing required) □ Offsite □ Within Shoreland Area □ Outside Shoreland Area Grade/Fill/Excavation 1□ Yes (scale drawing required) □ No ■ 1 ■i CHARACTERISTICS OF LOT:I430^-.Yes ^ NoBluff Onsite.Lot Area !.. 7 Water Frontage .Ft.■1 Impervious Surface RatioX100 =.% Total Lot AreaTotal Impervious Sutlace Onsite (FTq (FTP THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. ‘7 A /Date:’--A 4 Sigrrafui^of Properly Owner Date< Land & Resource Management Office / 73Y nL s'a ^fn.ArrPERMIT FEE $RECEIPT NO. Project/Lotllnes/Right-of-Way MUST be Staked Onsite Prior to Submission of Application.Comments: Form No. BK — 0500-002 301.934 • Victor Lundoon Co . Prinion • Forgus Foil*. MN • 1-800-346-4870 ---- SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations ir5S-Structure Set Back from Ordinary High Water Levei Ft.^ 3? Structure Set Back from Top of Bluff Ft.Ft.AJOJUt Structure Set Back from Road Right of Way Ft.Ft. ■■^2,0 Ft. & Ft.Structure Set Back from Lot Lines Ft.Ft.& Structure Height Ft.Ft.^ /2- r OStructure Set Back from Septic Tank Ft.Ft. 4- toStructure Set Back from Drainfield Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level 4^3 Ft.Ft. Land Slope at Building Site %%< S Inspector's Comments / Sketch: Inspector^ Sigr\ature Date of Inspection It SOr-; Time of Inspection da Project Approved Date/Initial