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Home My WebLink AboutWoodlawn Resort_29000060050000_Shoreland Permits_r WHITE - Office APPLICATION FOR SITE PERMIT GOLDENRpO - 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 www.co.otter-tail.mn.us Permit No. ^ 7 APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED. TWP NAMETWP NO.RANGELAKE/RIVER SECTIONLAKE/RIVER NAMELAKE / RIVER NO. Gr I < ACLASS oOC,0 PROPERTY (E-911) ADDRESS _‘foog-o KA _______________________________________________________________________________________________________________________ . ,-LLEGAL DESCRIPTION ^ $ o,./V T«ww$\rt.p OvNt. A la PARCEL NUMBER (S) d^^OOO ^^00^0*^00 Daytime Phone No.First Initial Mailing AddressLast Name 2JS yi2-slsoi4'OofrO 0i Av\6L.-g,a\a<-'f~v 4r jJA-> P 6 _____________ \A/q f Aww t^e5or^_________ Property Owner 54>S~iS~ BaT^E Contractor Name Lie.* H4Aa\S 1 PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling (4 ) MHA'R____ (7) Add’n To Non-Dwelling (8) Storage Structure {10) Non-Conf. Replacement (identify)" f t 1 i nthpp-(ide/ir/M Ai Si’ Y">cA -he aJA 7 ^ lir')iV'»'t’r>^TOON*--t {12) Deck ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY (Pffndividual ( ) Public { ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. 0^Mr ( 3) Replacement Dwelling* (6 ) Attached / Detached Garage (9) W.O.A.S. dd'n to Dwelling RCU/Year ( ) Permit No. (OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rollie Mann at 218-864-5533(^LPXT&A. /4^,?Yy.?) "Existing Non-Conf. Structure Verified by L&R‘Removal of Existing Dwelling Verified by L&R Inspector's initial/DaleInspector's tniliaPDale CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRU97IJRE) Outside\ Dimensioir CIMRACTERISTICS OF PROPOSED NON-DV^LING OuKtite Dimen^n CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension I ^ Ft. x SbI Ft." Sq. Ft._________ Setback to Lotline ?)CO+ r. & Ft.** Setback to Right of Way 1^00 f Ft." Setback to Ordinary High Water Level HC Ft. Elevation Above Ordinary High Water Level Setback to Septic Tank 2-0 Ft. Setback to Drainfield 3S~ Ft. Setback to Bluff Total Bedrooms 7- Maximum Proposed Height Roof Change (Yes ( ) No Basemenf ( ) Yes (No Walkout Basement ( ) Yes (side profile required) (^) No Ft. X Ft.> Ft. X Ft.> Sq. Ft. \ Setback to Lotitae ____ Setback to Right\way Setback to Ordinary Htah Wat^Levei __ Elevation Above OrdinarwMh Water Level Setback to Septic Tank/ Setback to Drainfiel/ Setback to Bluff/___ Maximum Pn/osed Height RoofCh/ge ( )Yes ( ) No BathroOT Proposed ( ) Yes ( ) No Sq. Ft. \ Setback to Lotlir\ Setback to Right of Way Setback to Ordinary Hi^W^r Level __ Elevation Above Ordinary/Sgh Water Level Setback to Septic Tani/ Setback to Drainfield____ Setback to Bluj/_______ Maximum ^posed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft."Ft.&,Ft.Ft.** Ft.**Ft.** Ft.tOT Ft.Ft. Ft. Ft.Ft. 72 Ft. T. Ft.Ft. ( ) Screen Porch ' ( ) Storage Structure * Must include on scale drawing, additional Permit may be required. Topoaraphical Alteration / Earthmovinq ^None □ 20 Cubic Yards or Less * □ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: Lot Area I 2 2- j Bluff ( )Yes ( ‘^o700 Ft.Sq. Ft.Water Frontage * Total Lot Area (FT') ^ 1! oLlImpervious Surface Ratio:xioo =.% Impervious Surface RatioTotal Impervious Surface Onsite (FT^) TH/S /S A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: 1 hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express 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 buiiding footings have been constructed. X /of^1/2^13 lCfj3ljl3 PROJECT(S) TOTAL SQ. FT.. X rtyLcZ-tU^..*^—Date: SignaXore of Prcmrly Owner / Agent for Owner fi 'MDate: Land S Resource Management Official PERMIT FEE $ 300 ■RECEIPT NO. AViLPs/e- S e.Ca*'v^-^lOoT* It ■ \ A- Ct'<*C»-'^AV sV*VY- IV b Lc,*>\'V&x-V Date Stamp jf* tJD CJUO^OL TT? CAHE OCT 3 ? 2013 LV.ND & RESOURGj^ Comments: mL&R Initial Form No. BK — 04-2013-05 . 351.158 * Victor Lundeen Co., Printers • Fergus Falls. Minnesota "P - Office APPLICATION FOR SITE PERMIT \dkji^,-,4ROD - Inspector yLAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER. 540 WEST FIR, FERGUS FALLS. MN 56537 218-998-8095 www.co.otter-tail.mn.us YELLOW - Owner (after issue) PINK - Assessor Permit No.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED. TWPNAMETWP NO.RANGESECTIONLAKE/RIVER CLASSLAKE/RIVER NAMELAKE / RIVER NO. G I V Aa\xC LAkfc PROPERTY (E-911) ADDRESSPARCEL NUMBER (S)^<1 c? QA u A. W ^ M A/ 5 1 ^. J f COioOo^OOoo ________ __________________LEGAL DESCRIPTION ^ ^ Ov> 44^ ^ 4s4 ^ T\o jjv\<:V^iy. ~t V\'«'c« C V 3^) ^ Vs CT9)-J VN,>r, .s.V Daytime Phone No.Mailing AddressFirstInitialLast Name ct.") ^6c4 q J a'-O fj i A-w c C Y- e<-^ D8 n_____________ Property Owner V ^ ^ Mhl ; i?51 S' S o’r'iVV/ o Jt IIf V « jifr- .A-Contractor Name Lie.# /-/• g.4 rTu:/' 1 :S'' PROPOSED PROJECT (please circle the appropriate number)ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY (■) Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. (3) Replacement Dwelling* (6 ) Attached / Detached Garage (9) W.O.A.S. (2 )'Add’n to Dwelling ( 5) RCU/Year_____ ( 8) Storage Structure (1 ) New Dwelling (4) MHA'R (7) Add’n To Non-Dwelling (10) Non-Conf. Replacement (identify)" (-11 ( Other Udentitvl j ^. . - ( ) Permit No. (• ■) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rome Mann at 218-864-5533y ^ -?v- IC ■'•.1 4- *■» .- 1 T- (12) Deck !t "Existing Non-Conf. Structure Verified by L&R'Removal of Existing Dwelling Verified by L&R Inspector's Initial/DateInspector's Initial/Date CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELUNG Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension :'T~ Ft. x > '. Ft." Sq. Ft. 4. Setback to Lotline Setback to Right of Way . - ■ T Ft.** Setback to Ordinary High Water Level__ Elevation Above Ordinary High Water Level Setback to Septic Tank xi. O Ft. Setback to Drainfield 2 _ Ft. Setback to Bluff ■----- Ft. Total Bedrooms Maximum Proposed Height Roof Change (Yes ( ) No Basement ( ) Yes ( ) No Walkout Basement ( ) Yes (side profile required) ( '^) No Fty-Ft. X Ft.;YFt. X//Sq. Ft.__ Setback to 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 **Pro|ect/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection L^e___ \Setback to Right b( Way R. & ^ • :■ - R."Ft.**Ft.Ft.Ft.” Ft." / Ft.**^V_LR. IOt Ft. //Setback to Ordinary High Water Level __ Elevation Above OrdinaryHigh Water Level Setback to Septic Tank /_\ __ Ft. Setback to Drainfield___ Setback to Bluff_______ Maximum Profiosed Height Roof Change ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No Ft. Ft. Ft. r-Jp cHArJCci ? 2 Ft.n->Ft. ^Ft.\\\ \( ) Screen Porch \ ( ) Storage Structure * Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovino El None □ 21 Cubic Yards - 299 Cubic Yards*□ 300 Cubic Yards or More*□ 20 Cubic Yards or Less * CHARACTERISTICS OF LOT: Bluff ( )Yes (''^)No.Ft.Water FrontageLot Area.Sq. Ft. . .7> L iImpervious Surface Ratio:.=_ri .%X100 =Impervious Surface RatioTotal Lot Area (FT^)Total Impervious Surface Onsite (FT^) THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express 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. Date: Signature of Property Owner/Agent for Owner ir'l Jill J>Date:_ '12 rf-KLand & Resource Management Official Cp(iyPERMIT FEE $ ^CC • OQ RECEIPT NO.PROJECT(S) TOTAL SQ. FT.. t/o CJ.jOCC/1Comments:VC* VjAiS V* J OVA< X vK V,, 1 . \ A (■ I V* A y '.VawU<?AA- vA r" < £lCq'r t V «u- < y L 'K\ti 14 \v-T Kt £ x~c jw* WvCxAv^V» v\ r at i 7 SCANNED'.A V,.A' !>_*•> ».* ♦tow Form No. BK — 04-2013-05 351,158 • Victor Lurtdssn Co., Prirtters • Fergus Falls. Minnesota SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations ^ r oJbStructure Set Back from Ordinary High Water Level Ft. Ft.Structure Set Back from Top of Bluff Ft. XO0 Ft.Structure Set Back from Road Right of Way Ft. Ft. &Ft.Structure Set Back from Lot Lines Ft.Ft.& Ft.Structure Height Ft. Ft.Structure Set Back from Septic Tank Ft. Ft.Structure Set Back from Drainfield Ft. F"Elevation Of Lowest Floor Above Ordinary High Water Level____________________(0 Ft.Ft. 4!£Land Slope at Building Site %% Inspector’s Comments / Sketch: Inspector's Signature Date of Inspection Time of Inspection Date / Initial i i mPERViOUS SURFACE CALCULATIONS^ f AREA OF GRAVEL DRIVE ACROSS PARCEL A - I3,£>35 S.F. ± AREA OF TENNIS COURT - 7,30P S.F. ± AREA OF ALL BUILDINGS - 7,H40 S.F. ± AREA OF ALL DECKS AND STEPS » 2,3&5 S.F. ± I f r TOTAL inPERVIOUS AREA ACROSS PARCEL A = 32,<=IOO S.F. ± OR £,.!%h AREA OF HETLANDS ACROSS PARCEL A - 5%3&0 S.F. ± TOTAL inPERVIOUS AREA ACROSS PARCEL A, EXCLUDING NETLAND AREA - 32, <=kX>ti : I 3 I I { w PLATBASKETBALL __«aap USE X TT TENNIS COJRT PLAT NSE PLATOROUND APPARATUSi’;,. i I •-rnL JDECK • •. * . • VI i**■ I IC>±' HIDE GRAVEL DRIVEf i ft i!■ STEPS i STEPSI / )/£■N 7!IN &/.CABIN 5i u-?: I STEPS \DECK DECK H CONC\S- Wo STEPS STEPS SURVEY LINEf I 37’5'^'SO'' IN &2I.7&* —•toR USE S i f-iis; 8 ;1 ;I ; SCALE DRAWINGi FORMI - poo - -yoS~b - ooO Tax Parcel Number(s) The scale drawing must be a signed drawing which includes and identifies a graphic scale (feet), all existing and/or proposed structures, septic tanks, drainfields, lotlines, road right-of-ways, easements, OHWLs, wells, wetlands, topographic features (i.e, bluffs), and onsite impervious surface calculations. 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Pfjntors r .F«(gusBK -^.0909 alii MN .* 1-UUO'3464Q70 .(1 OTTER TAIL WATER MANAGEMENT DISTRICT 27234 368TH AVE. Battle Lake, MN 56515 Phone (218) 864-5533 Mr. Bud Narveson 40080 Blanche Creek Rd Battle Lake MN 56515 Oct. 31,2013 Attention: Otter Tail County Land & Management Office This letter is in reference to the septic system that serves 2 small cottages at Woodlawn Resort 40080 Blanche Creek Rd Battle Lake, MN 56515 PN-29000990320000. I inspected the system that serves the cottage that is being remodeled, it is functioning properly at this time. Since the cottages will still have the same number of bedrooms when the remodeling project is completed. The District is not requiring any work to be done at this time. If you have any questions please feel free to contact me. Thank You Sincerely,, Roland R. Mann Administrator <.4% Message 10/30/13 8:04 PM ^ Reply 1 Reply-All | Forward 1 ^ Redirect 1 ^ ® H % fej To: "narveson@arvig.net" <narveson@arvig.net> ^ Subject: RE: site permit Date: Wed, 23 Oct 2013 10;31;15-0500 Status: Normal From: "Kaufman, David (MDH)" <David.Kaufman@state.mn.us> ^Cc: Reply To: "Kaufman, David (MDH)" <David.Kaufman@state.mn.us> ^ Attachments: Talked to Bill this morning. He is waiting on Roily for the sewer info. Once he gets that, he will grant a permit. I will need a copy of that and sewer info. Then we should be good to go. Dave —Original Message— From: narveson@arvig.net [narveson@arvig.net] Sent: Tuesday, October 22,2013 7:56 PM To: Kaufman, David (MDH) Cc: Tonneson, Rebecca (MDH); bkalar@co.otter-tail.mn.us Subject: site permit You asked me to send you a copy of the site permit for remodel of No. 6 at Woodlawn Resort. But Bill Kalar of Otter Tail County Land and Resources said today that ws must have a letter of approval from MDH before we will be issued the site permit. Robert (Bud) Narveson 218-862-5301 Bud and Phyllis Narveson 40080 Blanche Creek Rd Battle Lake, MN 56515 Phone: 218-862 5301 ■ i . i:: : : http://webmail.arvig.net/scripts/webmail.exe?cmd=show4uidl=4445SSfl...arveson!40arvig.net 140127.0.0. l!3A143_!7E2-d369a216eaba2flf06e600_0 Page 1 of 1 9 502432500 P . 0 1 /O 1 TRANSACTION REPORT OCT/31/2013/THU 17:00 FAX(TX) DATE COM.TIME PAGE TYPE/NOTE FILE#START T. RECEIVER 3852G3OCT/31 912183082122 0:01:40 2 OK00116:58 MEMORY Department of LAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY :i W Government Services Center * 540 West Fir Fergus Falls, MN 56537 Ph: 218-998-8095 Otter Tail County’s Website; www.co.cittertail.mn.us I. FACSIMILE TRANSMISSION DATE:%• TO: /W'A ________ , DEPT/ORG: UAI /> fi FAX NUMBER: \ FROM; Ru'll______________________ DEPT/ORG: Land & Resource Management FAX NUMBER: (218) 998-8112 -<7 NUMBER OF PAGES: (includiiig cover) COMMENTS: ( I M I N N E S 0 T A I MDH RECEIVED NOV 12313 LAND & RESOURCE IDEPARTMENTofHEAITHI Protecting maintaining and improving the health of all Minnesotans November 7, 2013 Robert Narveson 40080 Blanche Creek Rd Battle Lake, Minnesota 56515 Dear Mr. Robert Narveson: Subject:Woodlawn Resort, 40080 Blanche Creek Rd, Battle Lake, Otter Tail County, Minnesota, Project No. 140190 Thank you for submitting plans for remodel to the Minnesota Department of Health (MDH). We are enclosing a copy of our report covering an examination of plans and specifications on the above designated project. The plans appear to be in general compliance with the standards of this department and have been approved with the following changes. Please see the enclosed report for the changes and/or comments. Ten working days prior to completion of the project, please contact Rebecca Tonneson, Sanitarian with our Fergus Falls district office at 218-332-5142 or rebecca.tonneson@state.mn.us in order to arrange for a final opening inspection. If you have any questions, please contact me at 218-308-2113 or david.kaufman@state.mn.us. I look forward to working with you on the successful completion of your project. Sincerely, Dave Kaufman Environmental Health Services Section PO Box 64975 St. Paul, Minnesota 55164-0975 david.kaufman@state.mn.us DMK:jlb Enclosures CC:Ms. Rebecca Tonneson, Minnesota Department of Health Mr. Bert Olson, Building Inspector Mr. William Kalar, Zoning Administrator Mr. Rick Toms, Minnesota Department of Health General Information: 651-201-5000 • Toll-free: 888-345-0823 • TTY: 651-201-5797 •www.health.state.mn.us An equal opportunity employer MINNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT ON PLANS Plans and specifications on Rem Lodging: Woodlawn Resort, Project No. 140190 Location: 40080 Blanche Creek Rd, Battle Lake, MN 56515, Otter Tail County Date Approved: November 1, 2013 Date Received: September 23, 2013 Submitted by: Robert Narveson, 40080 Blanche Creek Rd, Battle Lake, MN 56515, (218) 864-5389 Ownership: No owner found Definitions Usable floor space. “Usable floor space” means all floor space in a sleeping room not occupied by closets, toilet rooms, shower or bathrooms. Good repair. “Good repair” means free of corrosion, breaks, cracks, chips, pitting, excessive wear and tear, leaks, obstructions and similar defects so as to constitute a good sound condition. Clean. “Clean” means the absence of dirt, grease, rubbish, garbage and other offensive, unsightly or extraneous matter. Scope of project: Remodel of cabin #6 All structures shall be smooth, easily cleaned, shall be kept clean and in good repair. Abrasive strips for safety purposes may be used to prevent accidents. 1. All floors shall be constructed as to be easily cleaned and shall be smooth.2. Every lodging facility shall be constructed and equipped as to prevent the entrance of pests.3. Wall and ceiling may not be studs, joists, or rafters unless suitably finished and kept clean.4. Rooms and public areas shall be well lighted and ventilated.5. 6.Every gas-fired or oil-fired room heater and water heater shall be vented to the outside air. Every room occupied for sleeping purposes by one person shall contain at least 70 square feet of usable floor space, and every room occupied for sleeping purposes for more than one person shall contain not less than 60 square feet of usable floor space for each occupant thereof Under no circumstances shall there be less than 400 cubic feet of air space per occupant. Usable floor space excludes closets and bathroom areas. 7. Number of rooms provided: ^ Square footage of each room: 120,180. Maximum occupancy: 2 for 120 sq ft and 3 for 180 sq ft. 8.Under no circumstances shall there be less than 400 cubic feet of air space per occupant. Beds placed side by side must be separated by a minimum of three feet.9. All sleeping places provided for quests shall be supplied with suitable pillow slips and under and top sheets. 10. Woodlawn Resort Rem Lodging Project No. 140190 Page 2 November 1, 2013 No sleeping quarters shall be provided in any basement having more than half its floor to ceiling height below grade. 11. All outside doors, windows and other openings shall be screened when flies, mosquitoes, and other insects are prevalent 12. Toilet facilities shall be available on each floor when not provided in each individual room/unit. Toilet, lavatory, and bath facilities shall be provided in the ratio of one lavatory and toilet for every ten occupants, or fraction thereof, and one bathtub or shower for every 20 occupants or fraction thereof 13. All rooms and bathrooms shall be shall be well lighted and ventilated either by mechanical or natural means. 14. All lavatories for public use or furnished in guest rooms shall be supplied with hot and cold running water and soap. Approved sanitary towels or warm air devices shall be provided for hand drying. 15. 16.A safe adequate supply of water shall be provided and shall be located, constructed, and operated in accordance with rules governing water supplies. Provide a certificate of compliance for all septic systems or sewage treatment facilities operated in conjunction with the licensed facility. According to phone message received on 10/31/13 from Roily Mann (218-864-5533), Ottertail Water Management, the sewer serving cabin #6 is in compliance. 17. All garbage and refuse shall be kept in watertight, nonabsorbent receptacles which are covered with close-fitting, fly-tight lids. 18. The temperature of hot water which is provided in any public area or guest room, including but not limited to lavatories, bathtubs or showers, shall not exceed 130° F. 19. 20.Submit plumbing plans on the plumbing system to the Department of Labor in Industry. For information call 651-284-5067 or visit their website at http://www.dli.mn.gov/CCLD/Plumbing.asp. Sanitarian will follow up to ensure that plumbing has been approved prior to allowing occupancy of cabin #6. Suitable fire escapes shall be provided. They must be kept in good repair and accessible at all times.21. Fire extinguishers shall be provided: Kitchen.22. No sleeping quarters shall be maintained in rooms which do not have unobstructed egress to the outside or to a central hall leading to a fire escape. 23. 24.Other Information: Contact MN Electrical Licensing & Inspection at 651 -284-5026 or visit their website at http://www.dli.mn.gov/CCLD/Electrical.asp for information on electrical requirements and the name of the electrical inspector in your area. Woodlawn Rdsort Rem Lodging Project No. 140190 Page 3 November 1, 2013 For information on the Minnesota Clean Indoor Air Act (MCLAA), contact 651-201-4601 or visit their website at http://www.health.state.mn.us/divs/eh/air. Sanitarian conducting inspection will ensure that all electrical has been approved by the appropriate authority prior to allowing occupancy. 25. A separate on-site inspection will be conducted by the State Fire Marshall to determine compliance with Minnesota Fire Code requirements. Contact them 651-201-7200 for information on fire code requirements. 26. Site permit granted from Ottertail County Land and Resource Management. Permit #27447. Sincerely, Dave Kaufman Environmental Health Services Section PO Box 64975 St. Paul, Minnesota 55164-0975 david.kaufman@state.mn.us Wh^lTE - Office GOLDENROD - Inspector APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us YELLOW - Owner (after issue) PINK - Assessor PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAMELAKE / RIVER NO.LAKE/RIVER NAME OOfeI 2-3So PARCEL NUMBER (S)PROPERTY (E-911) ADDRESS ^<=1 -oco'qC,-do To LEGAL DESCRIPTION ^ E. t/*f Vo-V5" FirstLast Name Initial Mailing Address Daytime Phone No. H~oo8"o Qi I . 7R ak£.£LdJ^U .V A4>pv^:v^rioA M L-l^ n Contractor Name Lie.# PROPOSED PROJECT (please circle the appropriate number) (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 ONSITE WATER SUPPLY (»rTindividual ( ) Public { ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYS ( ) Permit N^ Cl (*^ OTWMD wusLliak dd’n to Dwelling (3 ) 'Replacement Dwelling (5 ) RCU/Year________ ( 6) Attached / Detached Garage (8 ) Storage Structure ( 9 ) W.O.A.S.ysfem Approval from OTWMD prior to issumg Site Permit. Contact Rollie Mann at 218-864-5533 characteristics of proposed ^a.s. (WATER ORIENTED ACCESSORY SWUCTURE)CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension 4 H- Ft. x So.Ft. 33^ Setback to Lotline ilO Ft. & ^^0 FL" Setback to Right of Way Ft." Setback to Ordinary High Water Level *7 0 Elevation Above Ordinary High Water Level ^_____ Setback to Septic Tank 2.0 Setback to Drainfield 2.P Ft. Setback to Bluff '— Total Bedrooms Maximum Proposed Height 2.*/ _ Roof Change ( *^ Yes ( )No^^ Basement ( ) Yes (*^ No Walkout Basement ( ) Yes (side profile required) No CHARACTERISTICS OF PROPOSED NON-DWELUlQG lide Outside Dimension Dimeftsion> V- Ft."Ft. X Ft." Ft. X Ft." Sq. Ft. \ Setback to Lotline Setback to Right of W^ Setback to Ordinary High Watfei^evel __ Elevation Above Ordinary ^h WawN^vel Setback to Septic Tank/ Setback to Draintiek/ Setback to Bluff /______ Maximum Prg/sed Height Roof Chai^ ( ) Yes ( ) No Bathroo/Proposed ( ) Yes ( ) No Sq.Ft. Setback to Lotline __ Setback to Right of Setback to Ordina/High Water Level Elevation Abgye Ordinary High Water Level Setback yseptic Tank Setba/to Drainfield _ Sefoack to Bluff_____ Ft.&Ft."Ft.&Ft." Ft."Ft." Ft.Ft.Ft. Ft.Ft.Ft. Ft.Ft.Ft.Ft. Ft. Ft.Ft.Ft.Ft. ^(laximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft. ( ) Screen Porch ( ) Storage Structure Topographical Alteration / Earthmovinq □ None ®^0 Cubic Yards or Less ' □ 21 Cubic Yards - 299 Cubic Yards' ' Must include on scale drawing, additional Permit may be required.□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: ^00 Bluff ( ) Yes ( *^oSq. Ft.Lot Area Water Frontage .Ft. 3325^Cp tfV OG (Impervious Surface Ratio:X100 =.%Total Impervious Surface Onsite (FT^)Total Lot Area (FT!)Impervious Surface Ratio THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid 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. Yjidj 2oiO VIDate: Signature of Prj^rty Owner / Agent for Owner Land & ReSUffree ^nagement Office _ ^ ¥-1 nLdfP^. yuLVtfx^q^ [)vj L»Y4 T ^-50'^10 ‘ Date: PROJECT(S) TOTAL SQ. FT. 3 3 ^PERMIT FEE $RECEIPT NO. Comments: Form No. BK — 1003-0407 329.S82 • Victor Lundeen Co.. Printers • Fergus Falls. Minnesota WHITE - Office APPLICATION FOR SITE PERMIT GOLDENROD - Inspector YELLOW-Owner (after issue) LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL ^ PINK-Assessor ' GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us 0 / PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE O TWP NAME i i ‘' <- i- A PARCEL NUMBER (S)PROPERTY (E-911) ADDRESS Lf. O ^ O ■MK’ ^,7 IfI K Kjl^ 0 i' - 0 4. - U S‘0 ' O 0 I ?rv'>. LEGAL DESCRIPTION ( Vo4" Last Name First Initial Mailing Address Daytime Phone No. Property Owner i c vv<- C r « U i{•; ^ d Pi-, u tiA/A VyO’ cL. O'i O VJOOn ~ 6? -U A-WiNC[ r-^ Contractor Name Lie.# 1 PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling (4) MHA'R (7) Add'n To Non-Dwelling (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(2) Add'n to Dwelling (5) RCU/Year (8) Storage Structure (3) ‘Replacement Dwelling (6) Attached / Detached Garage (9) W.O.A.S. ( ) Permit No. (f ) OTWMD ‘Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rollie Mann at 218-864-5533 -T-.'t V CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE)CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension Outside DimensionFt. X Ft.”Outside Dimension Ft. X Ft."Ft. X Ft.” Sq. Ft.________ Setback to Lotline Setback to Right of Way Setback to Ordinary High Water Level _L7LL_If 6. Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff____ Total Bedrooms ■ Maximum Proposed Height .i H Sq. Ft. Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Waterlevel __ 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 Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level \ Elevation Above Ordinary High Water Level\ Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff________ ' Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection R.& ■ Ft.”Ft.& y Ft.” Ft.&Ft."Ft.”¥Ft.”Ft.” Ft.Ft.Ft. Ft.Ft.Ft. Ft.Ft.Ft. Ft. Ft.Ft. Roof Change ( ) Yes ( ) No;S<.'''Ft. Basement ( ) Yes ( ) No ( ) Screen Porch ( ) Storage StructureWalkout Basement ( ) Yes (sitle profile required) ( ) No Topooraohical Alteration / Earthmovinq □ None ‘ Must include on scale drawing, additional Permit may be required. i □ 20 Cubic Yards or Less ‘□ 21 Cubic Yards ■ 299 Cubic Yards‘□ 300 Cubic Yards or More‘ CHARACTERISTICS OF LOT: Sq. Ft.Lot Area.Water Frontage .Ft.Bluff ( ) Yes ( ) No Impervious Surface Ratio:xioo =.%Total Impervious Surface Onsite (FT^)Total Lot Area (FTr)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 building footings have been constructed. Date: Signature of Property Owner / Agent for Owner 1Date; Land & Resource Management Officei-.PROJECT(S) TOTAL SQ. FT.__1 PERMIT FEE $RECEIPT NO. _• i Comments: 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 ALL-tu ^ 7o__________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./oO'9~ S-0&- Ft.Structure Set Back from Lot Lines Ft.Ft.&Ft. Structure Height Ft.Ft. Structure Set Back from Septic Tank Ft. Ft./CH- 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: jn -i- #Jr 'jSsiU w-jO Inspector’s Sigm Date of Inspection J/^r~ Time of Inspection Si^roject Approved / ^ ^ ^ Date / Initial y I II W)| W I 1^2010 / vJOdj/cOA/in 11 ^ s Nia26^ •v/I92CV.2 024^/N /sVI326J''r V i5M.i_ ^ ^ -£US^£7B4tLHOOF HS s TfiVA//S COU/ifi---- PLAYuse PLAYtiROUNDAPPARATUSr-1 I33L& 1330.6 L Jc«c<1331 If«-o Po5<^ 1331.1 -t^ C^io'n 1330.^f 1331.6 I33(.4)0±' HIDE GRAVEL DRIVE 1331. 1331.21331.6 EteV. - 133^.*' 1331.41331.6 PROPOSED 12' * IS' ADP/TICN 1331.6 1 RVEX UNE ISA0.9S' (PV2 Tunj0(X? STEPSJw~'___—5 W ^1.76 T,336.3- T334;q----------^-0 1332.6I332.<1 13y*x>DSTEPS BLANCHE IAK¥13; hater EL£V.^^^we^‘‘~('IAf2^D^rV^OH 12/IS/O HUiH HATER ELEV. OF 1326.24' {ni2 DATUn) FORPIRARY OTTER TAIL WATER MANAGEMENT DISTRICT 27234 368™ AVE. Battle Lake, MN 56515 Phone (218) 864-5533 RECEIVED SEP 0 3 2010 LAND & RESOURCE Mr. Robert Narveson 40080 Blanche Creek Rd Battle Lake Mn 56515 TO: Otter Tail County Land & Management Office Aug. 25, 2010 This letter is in reference to the property owned by Robert Narveson P/n 29000990320000. The District has no problem with the addition to the cabin structure for a larger living area, as long as no more bedrooms are added. The septic system was enlarged in 1994 to the District & State codes. If you have any questions please feel free to contact me. Thank You Sincerely, Roland R. Mann Administrator LAufJ fi^S£>€T tJA & file memo & PARCEL # ^^(^OOOLCOSQ OCO (l^K^R river name & NO. ♦ ♦♦♦♦♦♦♦♦♦♦♦ ♦♦ ♦ ♦ ♦ ♦♦ ♦♦♦♦♦♦♦♦ Date ___________ L&R Official /her UxiH /hfi. y^fc: pu9J^ To dAJjfJ ^ L - rr l^fiT L£(^{^" /3< £imn»)c K APPli^aau^ - THE /^^AATjr /^z>r/Hl^;r Utu, FLdi^A EEA£.ci^ Uiul fi£ £x/i^«s^i3£i!) 7Z> /hcBT ALA /^£Ou/ig/>tif*^Z? f 7>^ l/kA(iPA /TP £%i^ijg Li^rr) UJiLL. hE ^ .<Tyiifi.uji'i ^ av M»;. HC/^LTH^ji-ThE 7' ^e/t/iv/<r^ ^/u. 5c i^iTh ^L^iutJcs) - IS TW5 <iASt . X A#/WdCO /TkA. /^ r/T^ P/XamT fyPPuofDOti«BteN^ ■ttLR0m«4________________________________________________________ ■' , G^iO <^£4:^/j^r c" cr/tztrJ SHeer) - X t^ju?Action/Comments.___ T)ji»r Hn Z\/EC/) TO A .<7n7rA)gh;T Ttic /hiJ, Qg/iTv >4crj^i.rn iS£: dEQuiiitAifjT j ^Ty^iiiuJAi ^ Action/Comments. 77/fc ■#* (tjip/ty^ uiji, i^i:::A\4^,j ^ ^ ^ Th£ f Date L&R Official Action/Comments. L&R OfficialDate. Action/Comments. ; L&R OfficialDate. ;Action/Comments. * « . • 4L&R OfficialDate. Action/Comments. L&R OfficialDate Action/ Comments. I . Pre-Application Site Inspection Request: ■ Twp NameLake/River Class SectionLake / River Nc. Lake / River Name DQ> Property (E-911) AddressParcel(s) No. ^OO^O i [cmche7^fom-a^-(vSO-ooo KBProperty Owner Information: ^ V/c)(jJ(cLumName(s): lilcMiiM Cy^/J. Ha.i^l.c4SLr l Address: T-l^-Daytime Phone: Type of Request: Bluff:Verify SetbackStake SetbackDetermination OHWL:Verify SetbackStake SetbackDetermination Stringtest:Determination Non-Conforming Repair or Replacement Structure:Confirm Consistency With Existing Structure Miscellaneous:______ Describe l^equest:Ts cixLin (Milk.. yc4vic^k<<f-~ Q/di^n U«-C€\ >Site Inspection Retquest & request must be staked onsite . -^ 5 .- \ p€tr 2 vA-<-L(|kbo/'-3 S-e-VbcLCJtc Vt t I DateProperty Owner yO Land & ResLifce Management StaffReceived By; INSPECTION COMPLETED (Inspection must be done within 10 days of receipt): />J ^ Date dnsite InspectorDate Property Owner Notified \ 4e (Inspector must provide site\drawing or fipid notes on other sid mbowman Application & Forms Pre-Application Site Insp Request FormlO/ 15^'^ tSN S I ■\X, f \PLAY USE NBASKETBALL __POOP s \TT ~ —TENNIS COUP f ■ PLAY PLAYGROUND APPARATUS r~i L_J yIiIOcII®^1330.5 1330 .ft 1331.1 .1 l-330.q 1332.2 1332.11331.ft SE^■JLR C/O 1331.6„I332.6 ^ SH-iER g) l3.3^Jj. 1331.61332.7 C/(133.1.2 1331.4\0±' HIDE GRAVEL DRIVE 1331,1334.0 133^32— -----1-U131& ' 1334.6 ,'13.34.6 1331.2I335.&-—^ 1335.3 1331.5T33SI 1335,2 FLOOR ELEV. - 1339.4-'1334,.. 7STEPS1337.1 I33l.fri33i.a:.i STEPS//CABIN 5 D 1336.4CABIN i//13^^1334.7 PROfXTSED !2‘ >t lt>' ADDITIONI33fr.0 1336,0 STEPS DECK 336.7 1332,3DECK 1331.6DECKPECK1339.7 1 /13.367 HEMJIElAfiK: SET NAIL .rrwf: I335.fr in e“ oak - elev. - BEET'S PUFIP USE 1332 6 I333.i£2^ j332.fl 1332.9 RVET LINE ISMi'Si' {ISI2 DATUnjUCOD imp-, -----------------31333 30 <&.?/. 7L,5 37"S^'50“ W ' 1335.3----------l33<- 9 "I332.fr B: HOOD ST EL'S 1 'blanche'^LAKE' ON 12/13/0 ELEV. OF Td2b.24‘ Cl^l2 DATUn) F HATER ORDINARY NIGH NATBR t!i(l 111 mmmIIIlit AREA. Or TENNIS CCKJRT - 7,30^ 5.F. ± AREA, OF ALL BUILDINGS - 7,S40 S.F. ± AREA. OF ALL DECKS AND STEPS . 2, «%5 S.F. ± %:I Of degret an feet I r I\l/NET LINE OF ALLEY Ij/cm * kir\ HL, I tyiitLfs aa’cps'ss' ] .///.3<? 1 Cbntcming , Bic£,che Cr\ an ■■saaemer ocr.jaa that Otter Tail each s ide c iJ/r-T-| Ahirs »rt. # LJ^i 'tL/\l/'v\■■ TOTAL IMPERVIOUS AREA ACROSS PARCEL A = 32,SOO S. ± OR &.!XUjA I I r-\^ 1 I. sI>p• PS \ 5^ 63.00 I I «N;N ac‘na<^»ItL_MiOo \AREA OF NETLANDS ACROSS PARCEL A - 5F360 S.F. ± TOTAL IMPERVIOUS AREA ACROSS PARCEL A, EXCLUDING ZETLAND AR£A » 32,‘iOO S.F. ± OR 6.8X I~~ r- N e6‘OS'33' H ' NH'LY CCW OF LOT C Comment certified degrees • said Seci said Gow along the thence N feet; the 156.63 fe thence n having a seconds < Hest, fa minutes . of-may I 250.00 >IrV 3IIIIELY LINE OF ALLEY I I NE'LY COR OF LOT C I\i/ ue. *• \132^ N /LV N V/V The skJeUnt on a One u 01 degree t centerline t southerly r // ■f i - \ "i -i f, ; e~ /laisj/• FENCE GENERALLY LIES ON PROPERTY LINE N.PLAT «se NBASneTBALL ----- HOOPt Ji K Ih I r~c'r\-r A . /V/// V/ VL_vJ W / /-I N \I IT N.hlEU.USE sPROPANE TANK CZD4 1329H CM I ■■■<nVEGETATION LINE fPOSSIBLE OCCUPATtON) I33i.5 ■H$52 I330.Sin(n%<0fn ly (33UCsSTEPSlO «nB I I330.<< CO E'LY LINE OF LOT C 5HB.L^ NSE yc^Ny !331.a<S/<TNIS SURVEY IS FOR CC EXISTING DEED DESCRIPTION - ' 1331.4II0±‘ HIDE GRAVEL DRIVEDECK 1331.5 I I 1331.21331.5CONC.i'-A'f H'L r LINE OF LOT C I F!J30R EL£V. - OIYU'-<N: t < H ^-^4 : C. *3 i i \ ___- 1^.2STEPS1331i— 1331-1334.3 A CABIN 5y A STEPS m3 0CABIN /!—>1338.'O' X IS' ADDITION i332.3 i: .0 13364)S'EPS L|P6CIC ■-----j 1331.67STEPS V//ADECK 1332.!DECK 133^.7 S HSTEEL FENCE POST 1337.(7^BENC^^^z set hail punp USE 1332.5 !333.2g2 ®32.5 1332.‘1 DECK -17------5 DECK Ki.! E 1336j.fc250.00 wCONS— V~ -~A- 1_'33<L fSTEPSV1332.6nOTOR NSE 1o_J^J>,1336.7I1533.60 fi63.00 * jp- !0±'"'BLANCHE'LAS^ RECREATIONAL DEVELOPTIENT HATER ELEV. OF I32S.34' (1912 DATUMJ ON 0/0X05 ORDINARY mON HATER ELEV. OF 1326.24' (FV2 DATUM) PE i63.00 \ i;-4/JiSf^'MnDNRORDINARY NKiN HATER LINE J ITjux *5. V\0«/v..a^-C4-*7v> ?/^4/(0 i^V^oio : -L -bo JtUM^ ^ MitiTV'^-San-■<■ ''H'^J hcM -fow I cbtij^efA^wn iiutf: x'\Vvi5 N N /N I324<3^/-\o H /Nn ■“N 1326J''V!•e Civf iSi:(acytf€n(<ckcAn vu«i •fo ^t(oW4 U (x-Kf-cesen-WbU^^ <X V^cw KPi>\riWS£-N1?OT.1_^--ELASKETBALL ___ WQOP V \TT Tf/VW5 COUfif-\----- PLAYPSE 1331.5PUATGROUND APPARATUS r~] L _Jm 1330.61331.1DEC<1330.7 13.30.8 1331,4 1331.1 Ca''o ' *'- . .rf: S ■ ,;i I330.<3 1332J?1332.11331.6 ^1332.8 :§L- '. 13 SEHER C/O \3rS2.1 1331,61331.6 1331.41333.4 "1334:0 ■. !0±' HIDE GRAVEL DRIVE 1331,14.5 (334.5’"^ -'-—Usai 1335.2 1334.6 11334.8 1331.21331.5,I332.“1 1335.3]STEPS IZP-, .FLOOR ELEV. - I33<^.6'1336.7 c1337.1STEPS!w;•t 1331.6|C> 1331.6!i332.0STEPS . 1338. /CABH 7/CABIN 5 /CABIN 6/ pxrrite7 1 ^ /1334.7 PROPOSED !2‘ X IS' ADDITION1336.336.0 13384)Z 4?h 1332.3STEPS338.T1DECK 1331.8DECKDECK^13OT.7 BENCL^^A^: SET NAIL ClTWC 1335.6 IN S" OAK - ELEV. - ISACKSi' (ISI2 DATUM) iSSS.S Tsa.o I PUMPK> 1332.'? RVET LINE NCOD STEPS^r.£W-‘^ 33n ___5 07'5‘?'5^7" H i>2l.7^IT____HOOD STEPS 1332.6 1311335.7 ----BLANCHE'LAKWi33W;a RECREATIONAL DEVELOPMENT HATER ELEV. OF I326.3A' {HIS DATUM) ON 12/13/0 ORDINARY NIGN HATER ELEV. OF I32&.24' {HI2 DATUM) F P*-— r WdiAjdU) ib jlaWMuL iJiU) doJyuo tjb ddb (Mtb i£pr r^£i^i<i£ f^R. t^huves^iJ ^jilto \jZ 9.L1-B3/)I HimJL ^ 1329.3, s Nlaaft.T'-\s/NI32«^^I329i,2 /■x /n"■s /<•I326J N\PLAY^USE NBASKETBALL ___ POOP V \TT TENNIS COURT------- PLAT PLAYGROUND APPARATUS r-i L_J 1331.5 1330.61331.1DECK 1330.7 I330A 1331.4 1331.1 J, 1330,3 1332.?1332,11331,6 1332.ftSEhlER C/O I33I.&i33t.a 1331.41333.4-~4^3.q!0±' HIDE GRAVEL DRIVE 1331,I334:p 1331.21331,5 STEPS FLOOR ELEV. - I3SS.V STEPS 1337.1 1331.61331.6 /CABIN 7/CABIN 5 /CABIN 6/PROPOSED !2‘ X »' ADDITION 1332.3 133645 1STEPSDECK\^eck\^I deck\^1331.6 I BENCL^I^! 'set NAIL 1337.0^punp 1332.9 1332.5 1332.9COWC 1335.6 IN e“ CAK - ELEV. - (340.96' (^(9(2 DATUtlJ 1535.3 laa.o iRVEr LINE LlOOD STfPSS Qy'SR'SO" hi i>2L 7&STEPSimphlOOD STEPS 1332.6 13:1533 3g ■1335,7 -----BLANCHE LAKE recreational developtient hater ELEV op 1326.34' 0‘>I7 DATUti; ON 12/13/0 ORDINARY NIGN INATER ELEV. OF 1326.24' (1912 DATUT1J Fr WdiAAiv ib JUjMiynxb -tkw tb (AimA dut mtbshAtU LCFT f^eiSf!<;b fvi. r>ft. tJhuMese^■S'l^liD (m :I ! I falM f^-6 U “>vii^rf3 lO w / ctoct^H^ia4<^Wn Vl^> ^ /'()kd^( |-|o ri«^f <> ^^^(krd (.S cxdctc^ 'V iii <7C(LMc{ tw 0^ K^^^se(A.4U^v/^ cy VrVc^ I lii- 13 ^■Xi i 3> ZH liD4/n-o y i>35 1:-r I r i. ■'? 0 r-. is l'^^' Oo ^ 1 ^ ^ i: '* 'P ''"■^4 sS*'1 A-l ^1 J >. I ArX^Jt^'h^ ( o^ir A.OQVvbQ V SlJ^ tXV* IVN zzs ■z^Fir-—‘-"V- ! k TI. ;it!!li! 1 1 r-!i. -T ->■IX t ti fwi. ;iI ;-i i:/!i Ni fi i?/K ^i- ft;,—=» '• f 'T^W- -y!?! i(-f * i -4 ' » l! fi H • (-1 u i: '".^aJl. \/v/ \^v/ O,Cl <T /Jk <1V* C »‘^vf I't I I I II !i': ss! n■-;; Ir’' 14 'j11 fIrI r »*1.- V■—r V y r BfS! Is'S’ I! f I i t II'-■‘f t i. C I!/v' / 1 f-rJ*. P ^ firV^:Srt— i--------^Fr:'' «-V ■ -1nI Jii i ;!3 * .. U1I:[-13i ti- ■r 1 ;■4f;{i S-i i i :i I; if T!\,i ; t ■f ii.•4 —--rtfc wi>vVA 4a i; .*1 j • W f ^Vr Nii«iv V C 2 I !I ■i 1J i i ri -1' ^■U._ .J.-.....L-JL ni—-+!f -:^1i -r-n I I \1 I I vAy :iIII 1 ?■5 i !!i\j_____ [■’rr- iL RECEiVtD NOV 1 2 2009 APPLICATION FOR SITE PERMIT• WHITE-Office GOLDENROD -Inspector LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us YELLOW - Owner (after issue) PINK - Assessor :AND‘<, RF.S';-..- Permit No.NOV 18 2009PLEASE PRINT OR TYPE ALL INFORMATION 7TWP NAMEs/RANGETWP NO.SECTIONLAKE/RIVER CLASSLAKE/RIVER NAMELAKE / RIVER NO.V ^4.-^40 5-?/J3IW PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) POS'D Gtc£\L tl£>^ LA OOP oy po^v OOP /LEGAL DESCRIPTION of Lp\ i Daytime Phone No.Mailing AddressFirst InitialLast Name 4-oo'9:^6 Qj/v-HH •, M A/ Sl^ST\0 Property Owner II'svrgt \ (S 1S~f X-a S' (■i'l i ^ t c ______________ Contractor Name Lie.* S'eVSI- L t c a A/E- <:S^5~o2- PROPOSED PROJECT (please circle the appropriate number) (2 ) Add’n to Dwelling (5 ) RCU/Year______ (7) Add’n To Non-Dwelling (8 ) Storage Structure (10) Non-Conf. Replacement (identitvl _____________________________other (identity) lAUtJMbi ^ <JD<LA(i£ ‘Existing Dwelling to be removed prior to_________________________________ ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY (♦^Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. (3) ‘Replacement Dwelling ( 6) Attached / Detached Garage (9) W.O.A.S, (1) New Dwelling (4) MH/YR_____( ) Permit No. (OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Roilie Mann at 218-864-5533 3^ P -filf [ i’ _T-5TLA > CHARACTERISTICS OF PROPOSED W.O.A.S. \ (WATER ORIENTED ACCESSORY STRUCTURjiOut^e Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING .. / SHARACTERISTICS OF PROPOSED DWELLING (MSst Include Attached Garage) OutsiaSiOimension___ Sq. Ft. \ Setback to L^e____ Setback to RightS(Way Setback to Ordinary'H(qh Water Level / Elevation Above Ordinary^igh Watej/Cevel Setback to Septic Tank Setback to Drainfield _ Setback to Bluff_____ Total Bedrooms_____ Outside Dimension Ft. X 2. 0 Ft.1 1F/‘Ft. X Ft. X Ft." Sq. Ft. Setback to Lotline Sq. Ft. \ Setback to Lo^e ___ Setback to Right^Way Setback to Ordinary fSgh Water Le^ __ Elevation Above Ordinarj^igh ^ter Level Setback to Septic Tank__ Setback to Drainfield / Setback to Bluff / Maximum Propop^ Height ( ) Boathopde ( )Ga^ **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection ( Ft. & J.OO-f Ft." (00+ Ft. Ft."Ft.& Ft.&Ft."..vFt.** Setback to Right of Way JFt.Setback to Ordinary High Water Level t OO'F Ft. ^ Ft/Ft. Ft. Elevation Above Ordinary High Water Level___ Setback to Septic Tank *F Ft. Setback to Drainfield '2.0 Ft. FL ytf Ft. / Ft.Ft. Ft.Ft. Ft. it- Setback to Bluff Maximum Proposed Height Roof Change ( ) Yes (X) No Bathroom Proposed (X) Yes ( ) No Ft.Ft.Maximum Propose^X®i9l^* Roof Change ( Basement {/y^ Yes ( ) No )Yes ( )No Walkout ^sement ( ) Yes (side profile required) ( ) ( ) Screen Porch ( ) Storage Structure Topographical Alteration / Earthmovinq ‘ vv^ □ 21 Cubic Yards - 299 Cubic Yards* * Must include on scale drawing, additional Permit may be required.aKNone □ 300 Cubic Yards or More*□ 20 Cubic Yards or Less * CHARACTERISTICS OF LOT: .!_-s^Lot Area i Z > ~L\Bluff ( )Yes ( PfNo = . C Gt .Ft.Water Frontage L - iTotal Im^r^oul Surface Oisite (FTr)' Total Lot Area (FT')Impervious Surface Ratio:X100 =.%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 responsibility to inform the Land & Resource Management office once the building footings have been constructed. V)Date: Signature of Property Owner/ Agent for Owner U ^ PROJECT(S) TOTAL SQ. FT. ^0 esource Management Office Date: Land PERMIT I^E $ • oca'RECEIPT NO. Af) fr1LAU\ v^f^Liy/ ot___SiUi__ -Cr>r\\l ■ Vjoj l^i\ i p *5T~^ -\tp y r*VrL.yN^ 'gxivygr? -hi (vblv\ (ii n-d.* & 0 Comments: Form No. BK — 1003-0407 329,582 • Victor Lundeen Co., Printers • Fergus Palis. Mh fsota w ■ WHITE-omce GOLDENROlf - Inspector APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER. 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us YELLOW - Owner (after issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION yTWPNAMERANGE y.TWP NO.LAKE/RIVER CLASS SECTIONLAKE/RIVER NAMELAKE/RIVER NO..^\/s/1 133ilO PROPERTY (E-911) ADDRESSPARCEL NUMBER (S)y I jPOKOoi^ OO^V DOO yLEGAL DESCRIPTION of Loi ^ (!3-!L Daytime Phone No.Mailing AddressInitialFirstLast Name jVsov^ . ^ 4-00'^^ft R/.-4-U > Mfv si?rtr Property , Owner '/ \ \ Contractor Name Lie.#I .' V. 'yPROPOSED PROJECT (please circle the appropriate number) ( 2 ) Add'n to Dwelling (5 ) RCU/Year______ (8 ) Storage Structure ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY ( ) Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. (3) 'Replacement Dwelling (6) Attached / Detached Garage (9) W.O.A.S. (1 ) New Dwelling (4) MH/YR (7) Add'n To Non-Dwelling (10) Non-Conf. Replacement (identify) ( ) Permit No. (V) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rotlie Mann at 2t8-864-5S33<J7JiIacX£ BuiiLviipC(11) Other (identify). 'Existing Dwelling to be removed prior to.0J i. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING / (Must Include Attached Garage) / Outside Dimension___ Sq. Ft. ,, Setback to Ldtiine ___ 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 ( 1 Yes ( ) No Basement ( ) Yes ( ) No Walkout Basement ( ) Yes (side profiie required) { )>Jo Ft." 'Ft. XFt. X Ft/'Ft."Ft. X Sq. Ft. _______ Setback to Lotline ■/ Sq. Ft. \ Setback to Lofline ___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield__p_ Setback to Bluff ' Maximum Proposed Height ( ) Boathouse ( ) Gazebo ‘ Ft. & i 00'^' R." Ft."'^ Ft.&Ft." Ft."Ft.&Ft.". Setback to Right of Way Setback to Ordinary High Water Level I 001~ Ft. V Fi;^Ft. Ft.Ft. Elevation Above Ordinary High Water Level Ft' '-^.o -F- Ft. Setback to Drainfield 'i.O Ft. Setback to Bluff Ft.Ft. ypt.Setback to Septic Tank Ft.tt. -Ft.y _R. Vr R. ^ Ft.Ft. Maximum Proposed Height Roof Change ( ) Yes () No Bathroom Proposed (x) Yes ( ) No . :"v FKy ( ) Screen Porch ( ) Storage Structure y \ X **Project/Lotline^ight-of-ways Must be Staked Onsite Prior to Application / Inspection I vv--Vi ' Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmovina □ None □ 20 Cubic Yards or Less ' □ 21 Cubic Yard's - 299 Cubic Yards'□ 300 Cubic Yards or More* CHARACTERISTICS OF LOT: Lot Area »I Bluff ( )Yes ( iff NoFt.Sq. Ftr Water Frontage V S3 . T 'Impervious Surface Ratio:.%X100 =1Total Impervious Surface Onsite (FT')Impervious Surface RatioTotal 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 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: Signature of Property Owner / Agent tor Owner i i Date:—i !Land S Resource Management Office RECEIPT NO. ‘ \j'-' ’ ; .PROJECT(S) TOTAL SQ. FT.PERMIT FEE $ Comments:y Form No. BK — 1003-0407 329,582 • Victor Lundeen Co.. Printers • Fergus Falls, Minnes :s-r V A hySITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations Structure Set Back from Ordinary High Water Level Ft.Ft. Structure Set Back from Top of Bluff Ft. Ft. Structure Set Back from Road Right of Way Ft. Ft. Structure Set Back from Lot Lines Ft.&Ft.Ft.&Ft. Structure Height Ft. Ft. Structure Set Back from Septic Tank Ft.Ft. ^3'Structure Set Back from Drainfield Ft.Ft. Elevation Of Lowest Floor Above Ordinary High Water Level ______________Ft. Ft. Land Slope at Building Site %% 3 I Z y-Inspector’s Comments / Sketch: Inspector's Signature 4- (1- 10 Date of Inspection Time of Inspection Date/Initial Ireject Approved r OTTER TAIL WATER MANAGEMENT DISTRICT 27234 368TH AVE. Battle Lake, MN 56515 Phone (218) 864-5533 MR ROBERT NARVESON 40080 BLANCHE CREEK RD BATTLE LAKE MN 56515 NOV. 2, 2009 TO OTTER TAIL COUNTY LAND & MANAGEMENT THIS LETTER IS IN REFERENCE TO THE SEPTIC SYSTEM AT 40080 BLANCHE CREEK KRDBATTLE LAKE MN 56515, P/N 29000990320000 ROBERT & PHYLIS NARVESON A SEPTIC SYSTEM HAS BEEN INSTALLED FOR A LAUNDRY & STORAGE BUILDING WITH A BATHROOM. THE SYSTEM MEETS DISTRICT & STATE CODES. ALL WELLS ARE THE OWNERS RESPONSIBILTIES. IF YOU HAVE ANY QUESTIONS PLEASE FEEL FREE TO CONTACT ME. THANK YOU SINCERELY, aROLAND R. MANN ADMINISTRATOR RECEIVED NOV 1 2 2009 •'fJD S RESOURCe \l/AREA OF TENNIS COURT - 7,30R S.F. ± AREA OF ALL BUILDINGS - 7,<^ S.F. ± AREA OF ALL DECKS AND STEPS - 2, <=165 S.F. ±N'LY LINE OF ALLEY S 66'Oq'36‘ E I ^yii.39rr L- r lj^i ^l/\ TOTAL inPERVIOUS AREA ACROSS PARCEL A = 32,<=K)0 S.F. ± OR 6.IXIM A I I'“'l.l.C. ICSI42.00 I 42.00 >33.00 I^ S6‘nai^p0 AREA OF WETLANDS ACROSS PARCEL A - 5%360 S.F. ± TOTAL IMPERVIOUS AREA ACROSS PARCEL A, EXCLUDING NETLAND A !N_ asjooN &6’OP'3a*NH'LY COR OF LOT A V)\NH'LY COR OF LOT C RECEIVEDE'LY LINE OF ALLEYNE'LY COR OF LOT C NOV 1 2 20090^received il LAND & RES0U?5CENOV 18 2009 • ;*•’ *, DKiyE ■ !'-AND & RESOO'RCe r~i A ir\r\ r\ L-VY^\^LVI ^ I/’''I It VV7L. I I f L Au -I I BLCXS.FENCE GENERALLY /PLAT/I I BASKETBALL USELIES ON PROPERTYk A I \ I s I r~C' 0\~'~ A ■ IVI I I V ( V L-O V_/ I r\-r-rr-^i KO ! I L-I \ -l- A I I I r^lL. ___ tAOOPI -------TENNIS COURT 2(T1 VEGETATION LINE ^POSSIBLE occupation; PLAYGROUND APPARATUS r-1 L_| U4 % "1 5 vn SA ; /CABIN 4/ IO±' HIDE GRAVEL DRIVE H'LY LINE OF LOT A stepsH'LY LINE OF LOT C STEPS /CABIN 5,CABIN I CABIN 6/ STEPSORIGINAL PLAT survey\line DECK DBX SURVEY LINE---------5 STEEL FENCE86'OP'3a"^ 250.00 -V POST(V--d:1^3^13 HOOD STEPS 3 --■0--------42.00 42.00 — A-33.00 ■ ^!0±33.00VJ-13: 5f4 ■lA^ORDINARY HIGH HATER LINE > , WHITE - Office GOLDENROD - Inspector APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us YELLOW - Owner (after issue) PINK - Assessor Permit No.PLEASE PRINT OR TYPE ALL INFORMATION ^/TWPNO. ^^6aNGE ^TWP NAMELAKE / RIVER NO.LAKE/RIVER NAME /LAKE/RIVER CLASS / SECTION<\/y G-v <'A-'rX(33AfWcXvC 02-40 7^PROPERTY (E-911) ADDRESSPARCEL NUMBER (S) Lf(508i> Cv<jtA(CU\ oooO &>00S'cDOO6 LEGAL DESCRIPTION SeV oS- LoVS- CiZcXl -ftc-x-e-s) Daytime Phone No.Last Name First Initial Mailing Address H-OOjf'O (3 t «V->^ CstJjUO ,Property Owner ' h/ An-S/^-g-SoVy L/vU-, MA/(y.^v'^Av■ V -<-Sos. Cc^sV«p»- y«*t ^ Contractor Name iT Lie.# 7*7 7ONSITE SEWAGE TREATMENT SYS PROPOSED PROJECT (please circle the appropriate number) ^^Add'n to Dwelling ( 5 ) RCU/Year______ ( 7 ) Add’n To Non-Dwelling ( 8 ) Storage Structure (10) Other. ONSITE WATER SUPPLY ( ) Individual ()i(0 Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. (1 ) New Dwelling (4 ) MHA'R_____ (3 ) ‘Replacement Dwelling (6 ) Detached Garage (9) W.O.A.S. { ) (PO OTWMD "Must have Sewage System Approval TWMD prior to issuing Site Permit. tRottie Mann at 218-864-5533 ‘Existing Dwelling to be removed before. CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROI^ED DWELLING Outside y' Dimension ^ Ft. x 1 ^ FIA ^ ^ F 7 V. |-40^.&‘^gPO Setback to Right of Way 5~QO Setback to Ordinary High Water Level ___ Elevation Above Ordinarv Hioh Water Level Setback to Septic Tank |D Vn., Setback to Drainfield Setback to Bluff PLi^ Total Bedrooms S Maximum Proposed Height Roof Change (X) Yes ( )No*^ Basement ) Yes ( ) No !»' Walkout Basement (X ) Yes (s/de profite required) ( ) No CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension Ft. X Ft." Ft. X Ft." Sq. Ft. Setback to Lotline Sq, Ft, Setback to Lotline___ Setback to Right of Way 8^ack 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 ^^^athroom Proposed ( ) Yes ( ) No Sq. Ft. Setback to Lotline ___ Setback to Right of Way Sefback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Sefback to Bluff_____ Ft.&Ft."Ft.&Ft." Ft."Ft." Ft.Ft. Ft.Ft. Ft.Ft, Ft.Ft. Ft.Ft. Ft. Maximum Proposed Height ( ) Boathouse ( ) Gazebo Ft, ( ) Screen Porch ( ) Storage Structure **Pro]ect/Lotllnes/Rlght-of-ways Must be Staked Onsite Prior to Application / Inspection Topographical Alteration / Earthmovina □ None ‘ Must include on scale drawing, additional Permit may be required.ar 20 Cubic Yards or Less ‘□ 21 Cubic Yards - 299 Cubic Yards‘ □ 300 Cubic Yards or More‘ CHARACTERISTICS OF LOT; ( ^ *(1TT. *'^^ater Frontage Bluff ( )Yes (X')NoLot Area. 7./S^Af th - S'3 2. <^00 Total Impervious 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 responsibility to Inform the Land & Resource Management office once the building footings have been constructed. V\n joCDate: Signature of Property Owner / Agent for Owner^hvooDate: Land & Peipura 7S£2£PERMIT FEE $RECEIPT NO.PROJECT(S) TOTAL SQ. FT. uMo 19,'KSli'rsfjY'Aj MhMAYr Or/iMB/Y. Yv,//h/'v> . <ty gtji/iAj /3A3vaU24 A/Comments: AS/9 Aid. CYJPrfr'y/vilr' Form No. BK — 1003-0506 326,151 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota WH/TH - Office .APPLICATION FOR SITE PERMIT GOLDENROD - Inspecto 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 www.co.otter-tail.mn.us PLEASE PRINT OR TYPE ALL INFORMATION Permit No. LAKE / RIVER NO.SECTION TWP NO.RANGE TWP NAME /LAKE/RIVER NAME LAKE/RIVER CLASSv/V C'V'CA'ri0% \ AcV\cU<oU (33Z-H 0 PROPERTY (E-911) ADDRESSPARCEL-NUMBER (S) . LfOOgD CvetWoooo feoosroooft LEGAL DESCRIPTION vZ Se V otLoVr Acres) Mailing Address Daytime Phone No.Last Name First initial H-00^0 BUvvcUe CveA R3Property Owner ^s/4r V < Sov\ * 0 t ^ L\-\-t s O'-.V -e £ o^.^I Hrv -si>rir .+ Contractor Name V Lie.# ~~ ^ VrV*Z.C'^-g1^-e t 3/ONSITE SEWAGE i / TREATMENT SYSTEM ONSITE WATER SUPPLY ( ) Individual lx) 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) ^^Add’n to Dwelling ( 5 ) RCUA'ear______ (7 ) Add’n To Non-Dwelling ( 8 ) Storage Structure (10) Other. ( ) ; .Persnjt,Np. t C ( 3 ) ‘Replacement Dwelling ( 6 ) Detached Garage (9) W.O.A.S. (1) New Dwelling (4 ) MHA'R_____(^) OTWMD ‘Must have Sewage System Approval , j ., from OTWMD prior to issuing Site Permit. (/ /j / /eorttad Rome Mam at 218-864-5533:‘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 CHARACTERIST^S, OF I^OI^ED DWELLING■.................................................Outside Dimension r( X i 2 Ft. X Ft.“Ft. X Ft. X Ft.“ZlLr i/' Too 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 Tank70-t- pZ .^.i Ft..L^ Sq. Ft. Setback to Lotline ___ Setback to Right of Way 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___ S^back to Drainfield____ Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( ) Gazebo Ft.&Ft."Ft.*^Ft."Ft.& (Ot Ordinary High Water Level G-v -Sf «•>•> 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 Ft."Si Ft." Ft.Ft. Ft.Ft. Ft.Setback to Drainfield Setback to Bluff Total Bedrooms__^ Maximum Proposed Height Roof Change ( ^ ) Yes ( ) No Basement (X ) Yes ( ) No ' Walkout Basement (-X ) Yes (sitie profile required) ( ) No Ft. Ft. ii I.} Ft.r !Ft.^7. Riy/Ft. Ft.Ft. ( ) Screen Porch ( ) Storage Structure **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Appiication / Inspection Topographical Alteration / Earthmovina □ None * Must include on scale drawing, additional Permit may be required.20 Cubic Yards or Less ‘□ 300 Cubic Yards or More‘□ 21 Cubic Yards - 299 Cubic Yards‘ CHARACTERISTICS OF LOT:I'Z.A.’f ''S''<(ei%K Bluff ( ) Yes (X') NoWater FrontageLot Area, th 32,<^00 C--1.Impervious Surface Ratio:X100 =.%i 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. Ij l 3 I Ot.-s. 0Date: Signature of.Property Owner/Agent for Owner A Date: m6isLand & Resource Ms^agement C^ce PERMIT FEE $ J]RECEIPT NO.PROJECT(S) TOTAL SQ. FT., nnrrtrrtenfs-^^'^ /^ " X3Z ‘ (M MZdJd lZtTld Z/ "i' iM/d/tdd d///Od ■t ) c- 7*d./Uyd/dci d/./-( i isi ■i. Form No. BK — 1003-0506 326,151 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations 51 Ft.Ft.Structure Set Back from Ordinary High Water Level Ft.Ft.Structure Set Back from Top of Bluff 100^Ft.Ft.Structure Set Back from Road Right of Way Ft.&_^So^Ft.&Ft.Ft.Structure Set Back from Lot Lines ''QaVwv.Ft.Ft.Structure Height Ft.Ft.Structure Set Back from Septic Tank 1^^ Ft.Ft.Structure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level __________________3>‘Ft.Ft. Land Slope at Building Site %% Inspector’s Comments /Sketch: AJd y<*4 JC SI ^— So*"'I tor’s Signature Date of Inspection Time of Inspection project Approved ^ ' Date/Initial OTTER TAIL WATER MANAGEMENT DISTRICT 27234 368™ AVE. Battle Lake, MN 56515 Phone (218) 864-5533 Otter Tail County Land & Management Otter Tail County Services Center 510 West Fir Fergus Falls, Mn 56537 Aug. 14,2006 This is notifying you that a permit to install a septic system at the Robert & Phyllis Narveson property 40080 Blanche Creek Road Battle Lake, Mn 56515, has been issued. The system will be comprised of 2-1000 gallon septic tanks, a 1000-gallon lift station and a 750 sq foot mound. The system is to be installed this construction season of 2006. If you have any questions please feel free to contact me. Thank You Rollie Mann Manager i-northa northcL second: feet rr along * OI degt ail fee 5I IAREA OF GRAVEL DRIVE ACROSS PARCEL A - 13,^35 S.F. ± AREA OF TENNIS COURT - 7,30P S.F. ± AREA OF ALL BUILDINGS - 7,940 S.F. ± AREA OF ALL DECKS AND STEPS = 2,9<f>5 S.F. ± I /II I \lvI I A kir\ 99L. I L^l «L/II Containini Blanche c an easerr, across th Otter Tai each side «I TOTAL inPERVIOUS AREA ACROSS PARCEL A = 32,900 S.F. ± OR &.!X I I I I IAREA OF NETLANDS ACROSS PARCEL A - 59,3&0 S.F. ± TOTAL IMPERVIOUS AREA ACROSS PARCEL A, EXCLUDING NETLAND AREA - 32,900 S.F. ± OR 6.3X I \Camm£ certifie degreei said Se said Gc along L thence feet; ti !5^.G3 thence haying i seconds Nest, i minutes of-ivay I I I I II I I\l/I ^ r\Vy\i/ ^ X N1526.7--'X X \l//N The sideli on a l ine O! degree centerline southerly I32«V 132-^^/ /N PLAT\use N.BASKETBALL __ LtOOP S N> \IT \V ------TENNIS COURf------ PLAY PLAYGROUND APPARATUS r~] LjDECK 1331.1 1330.7 1330.3 /CABIN A/1332.11331.3 01332.8SEHER C/O 1332.7 133^.3SEHER C/tI333.-4 THIS SURVEY IS FOR Cl EXISTING DEED DESCRIPTION - I0±' HIDE GRAVEL DRIVE 0 1333.DECK 33 .q 1331.5.6^i3^;o ■.' 1336.0 .3 .. i334.6'^ ---------- I334:< 1335.2 I3S4.6STEPS 1332.2 - V .1335 tSTEPS 1337.1 STE!^ XX XX . V.CABtN 5/ 1331.3 I33l.frSTEPS /'yCABIN fr / y y y 1333.41333.1 PROPOSED !2‘ X IS' ADDITION■*1336.0 1333.0 STEPS DECKCABIN 3 DECK 1333.7 1331.3 IDECK133q.7 1332.(12'33^1BENCNTIAliK: SET NAIL C0K*:l335..fc IN S’ OAK - ELEV. - STEPS OECK PUITP I332.q \SURVEY LINE l3AO.<^' C»I2 CATUnJHOODSTEPS_1533.80 15 37’59'50'' N &2i.7i>+'l . 1332,8 Ssl,nOTOR USE i3a:5____HOOD B STEPS M I332.fri536.3 I33fr.q I336.7 BLANCHE LAKEb;RECREATIONAL DEVELOPfTENT hater ELEV. OF 1326.34' fl9l2 DATUn) ON 12/13/06 ORDINARY NON MATER ELEV. OF 1326.24' CMI2 DATUM) PER MtDNR ! ; ♦-received^ “SEP 213W6 land & RESOUf^E c -i•v 1 7 I j. ittr •1 1 I/L_I i 1///■ »• V4u<t:'VilII!/ •/'-4^““f mIi/w i4J-:IL A t IX-,TT i tf1% iIfj £7nz1ZLi•■T*--r-'/yTr?^/• I %Ir f“74.r—T T i I-V A■t T v>•|rtTr-'-r—r ftr X _.. ...li. i -w -U -r--»■T ■” ■'t . -C i ^1 ’■A''a"iy !'^4!II V/->'y.Iftbr-i -f“t ~!i z i *I!i4i4.rr t r-■t I L !iiiI4.T7 t+t i fTsT a I :t 'C 1 ;fIvl ttTTTTt T !\l^TT-a- C'^-~\AL 1- i N;/■ .._4. ik U /4L po J I 4-0 K/o > ^^ 4t, /V<^^ V"V \;w»;-v\ S 0 u -f ^ C >r 4 ^ V«?^ i Ji J.■*n' ;1 «RECEIVED $^r^^2m LAND & RESOURCE i---I i ■I :i I.1-iX.i-4 ■f -;-i T!iI: 4-•-i„.-+•t- ii.1 i!r!I,™|_...J,_X.4.•r T1iiif •VJ.X 1:X-•-*?--•.*)d^tSuW3' u£k; i' ^-aAJijO/MgamcC. s^_ L(ig'yuM\M2iho ______________________ __ ........_.............. i!i.i:;{!I-.i !t X i-.-J...II1i 1i IiXt+t-X*■T ilho,i !1 I .1;i i j.4.t t U. I i-'V-4-X 4X -i.■f-+'i ..[•ri.-•til V-i :1 -4 tT”i ‘ ;i !1Iir:1 Xt!•if-4— \X-1 +J.X i;ii \.X...XX;1 ;!4.i4 +■4—r -■ ?-!ii ; tL.1 4H--t':!i)i -A-~S^■1 e' -w4 -Tir-i—X - ?■iTi4 v-yIj.-L t1- i?-.r>-iSirr i-^•--4 !:\1 t'i t*71 XXX U-•L.I I•»=«>>.-fc t - fi.X— V-Xii.M !4^ f*]>■ V ■*» "i 7:■!I 0,:L.VN!T II iJ.T IiIr'- •- ■!i .1 ii;1 Jt-------h- !r♦■T' 'i !i ■1-------r- !!;X.‘ci OC C V<*6 T 1*--H 1I(- -Vj- I i4.:[L t Ii(’:T ; !\J W!?IIJ:i x»—•I o"*'Eht't V''~^ ~£ jc t Ac'-L?'^ V I1II ;I Ii III iI J 4-I ----7" — ( ••I IIi: I -i-trV;'4!J.;I ^r■a T 4 */-f rI4f4V-f If(II t -j: t ------*1,?7 Hi>•Jt'U+Xk 1ra-4i-!;//X-.~4--1-7 A1l-X..♦-.+ -- LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE - Office GOLDENROD - Inspector YELLOW - Owner PINK - Assessor Permit No.LEGAL ofDESCRIPTION BLUFF ZONEAND □ YES 1^ NO LOCATION TWP NAMETWP NO.RANGESECTIONLAKE/RIVER CLASS 1^0 LAKE/RIVER NAMELAKE NUMBER (3-^ tK^CX^i 3 3 3? FIRE NUMBERTOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS PARCEL NUMBER (S) OC-oo^O oo<3 fa=^\X NO TELEPHONE NO.IDENTIFICATION: Please Print All Information (Daytime)Mailing Address — No. Street, City, State, and Zip CodeInitialFirstLast Name/\)cX/lYtSoKJ , ^\a iOProperty Owner )L<pc A/u NameContractor State Lie. # ONSITE SEWAGE TREATMENT SYSTEM V ) Individual Permit # ^7~ “7 P { ) Collector Permit #____________ ( )OTLSD ONSITE WATER SUPPLYPROPOSED USE Dwelling ( ) Non-Dwelling PROPOSED PROJECT ( ) New Structure(s) ^ Addition(s) ( )MH/RV____________ y)Individual ( ) Public ( ) None( ) Water Oriented Accessory Structure (WOAS)YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ( ) Garage ( ) Utility Structure CHARACTERISTICS OF DWELLING I ) Dwelling ^ Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside Dimension ( ) Screen Porch( ) Boathouse ( ) Utility Structure( ) Gazebo( ) Other Outside Dimensioh ( ) Other Outside Dimension .Ft.Ft. X /O Ft 5~t; Ft .Ft.Lotline Setbacks .Ft. &Ft. X .Ft.Ft. X 5^0Lotline Setbacks Ft.&Ft.OHWL Setback -Ft. ■Ft. &Lotline Setbacks7rOHWL Setback ( )NoBathroom: ( ) Yes (If Yes / a complying Sewage System Required).Ft.OHWL SetbackclTotal Bedrooms Maximum Height /10 ft. (1 story)Maximum Height / 35 Ft. (2 story)Ft.. Maximum Height D-/Sq. Ft. Impervious Surface Ratio .%Sq. Ft. Impervious SurfaceLot Area 7m.Ft. (S' minimum)Ft, Elevation of lowest floor above OHWLWater Frontage .%Ft. Slope of lotStructure setback to right-of-way /n Ft. (10’minimum) (Sewage System Permit required before installation). Ft. (20'minimum) (Sewage System Permit required before installation). Structure setback to septic tank Dwelling setback to Soil Absorption System A7k Ft. (10’minimum) (Sewage System Permit required before installation).Non dwelling setback to Soil Absorption System ms IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County. Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. (1 •>Dated: Signature of Owner Dated: Land & Resource Management Office RECEIPT NO. /,36-rPERMIT FEE $ “ CT La /l~fry L <.fComments: /Vccs //?9?-t Form No. BK — 0597-002 ■ .8C'0-3.:u-;a7(236.ilO • V.ciP.'L.njeeri Co. Printers • Feig_sFa 'S f.lN • APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE ^-----. Phone:(218)739-2271 • FERGUS FALLS. MN;S6537~^ WHITE ■ Office GOLDENROD - Inspector YELLOW - Owner PINK ■ Assessor Permit No.LEGAL DESCRIPTION s: u f cS' ^ ^ yp, p) 4c BLUFF ZONEAND□ YES □ NO LOCATION TWth^ l^-BANtfE ~TWP NAMESECTIONLAKE/RIVER CLASS il ’0 LAKE NUMBER LAKE/RIVER NAME . > 3 FIRE NUMBERTOPOGRAPHICAL ALTERATION □ YES # OF CUBIC YARDS □ NO PARCEL NUMBER (S) ~ oo <T<^ ~t . LP IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, State, and Zip Code (Daytime)First InitialLast Name f DProperty Owner '^\ o h f rt-f l<. ice K ^9/ NameContractor State Lie. # ONSITE SEWAGE TREATMENT SYSTEM ( ) Individual Permit # ( ) Collector Permit #_____ ( )OTLSD ONSITE WATER SUPPLY '(■<) Individual ( ) Public ( ) None PROPOSED USE ( ) Dwelling ( ) Non-Dwelling ( ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT ( ) New Structure(s) ( ) Addition(s) ( )MH/RV____________ YEAR CHARACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ( ) Garage ( ) Utility Structure CHARACTERISTICS OF DWELLING ( ) Screen Porch( ) Boathouse( ) Dwelling (') Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside Dimension ( ) Gazebo ( ) Utility Structure( ) Other Outside Dimension ( ) Other. Outside Dimension Ft. X Ft. /o■Y Ft. X .Ft.Ft.Lotline Setbacks Ft.&Ft. X Ft. 5 Cx Ft.Lotline Setbacks Ft.&OHWL Setback .Ft. Lotline Setbacks Ft.&.Ft.~1 /.Ft.OHWL Setback Bathroom: ( )Yes ( ) No (II Yes / a complying Sewage System Required).Ft.OHWL Setback ■ ... ^ iTotal Bedrooms Maximum Height / 35 Ft. (2 story) Maximum Height /10 ft. (1 story)Ft.Maximum Height Sq. Ft. Impervious Surface Sq. Ft. Impervious Surface RatioLot Area Ft. (3’ minimum)Ft. Elevation of lowest floor above OHWLWater Frontage______ Structure setback to right-of-way Ft. Siope of lot % 4l_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 Ft. (10'minimum) (Sewage System Permit required before installation).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 building footings have been constructed. VDated: I Signature of Owner y7- 7 9Dated:I Land & Resource Management Office ; PERMIT FEE $RECEIPT NO. ,r-J --'I C ■■Comments:t/I ~ 7 7 .' 9 Y 9 Form No. BK — 0597-002 286.110 * V*ctor Co Printers • Fergus Fa s MN • '-800-3J6-487f T,5*r*r■-.■■■■ 'w .- »■ INSPECTION RESULTS Make all measurements and computations /go/-Ft.Structure Set Back from Ordinary High Water Level Ft. Ft.Ft.Structure set Back from Top of Bluff Ft.Ft.Structure Set Back from Road Right of Way W Ft.Ft.Ft.&Structure set Back from Lot Lines Ft.& /r Ft.Ft.Structure Height Ft.Ft.Structure Set Back from Septic Tank 5^0 f Ft.Structure Set Back from Absorption System Ft. Elevation Of Lowest Floor Above Ordinary High Water Level____________________lo-t Ft.Ft. %%Land Slope at Building Line Inspector’s Comments / Sketch:, ho’ f I \ Inspector's Signature Date of Inspection Time of Inspection ^5 LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone:(218) 739-2271 • FERGUS FALLS, MN 56537 APPLBCATION FOR SITE PERMITWHITE - Office GOLDENROD - Inspector YELLOW - Owner PINK - Assessor U)0ccfUid>O Permit No.LEGAL DESCRIPTION BLUFF ZONEAND □ YES ^‘NOLOCATION SECTION TWP NO.RANGE TWP NAMELAKE/RIVER CLASS -HO \L LAKE NUMBER LAKE/RIVER NAME /C) L~CL^*Koi^^33 ^ FIRE NUMBERPARCEL NUMBER (S)OCf6-^(70 fS- ^ r IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City, Slate, and Zip Code (Daytime)First InitialLast Name / Jr^LftOl/ P C '0Property Owner r' NameContractor State Lie. # ONSITE WATER SUPPLY j)^'lndividual ( ) Public ( ) None ONSITE SEWAGE TREATMENT SYSTEM ( ) Individual Permit # ( ) Coilector Permit #_ ( )OTLSD PROPOSED USE (^)<C5welling ( ) Non-Dwelling { ) Water Oriented Accessory Structure (WOAS) PROPOSED PROJECT ( ) New Structure(s) ^^'Addition(s) ( ) MH/RV____________ /pry YEAR RACTERISTICS OF WOASCHARACTERISTICS OF NON-DWELLING ( >,Garage ( ) Utility Structure CHARACTERISTICS OF DWELLING ^.Dweliing ^(^Addition to Dweliing ( ) Basement ( ) Waikout Basement Outside Dimension ( ) Screen Porch( ) BoStiMuse ( ) Utiiity Structure( ) Gazebo( ) Other Outside Dimension Ft. X ( ) Other Outside Dimension .Ft. .Ft.Ft. X Lotline Setbacks Ft. &.Ft.Ft. X .Ft. SoSoLotline Setbacks .Ft..Ft. &OHWL Setback Ft. Ft. &.Ft.Lotiine Setbacksx7<rOHWL Setback .Ft.Bathroom: ( ) Yes (if Yes / a compiying Sewage System Re^|kiired) )No OHWL Setback Ft. Total Bedrooms__________________ Maximum Height / 30 Ft. (2 story) Maximum Height /10 ft. (1 story)Maximum Height /18 Ft. (1 story) Ft... Water frontage Ft. Maximum depth of lotLot Area is (Sq. Ft.) 3 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).Structure setback to septic tank. Ft. (20’minimum) (Sewage System Permit required before installation). Ft. (10’minimum) (Sewage System Permit required before installation). Dwelling setback to Soil Absorption System 4aNon 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: 1 hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. I understand that it is my responsibiiity to inform the Land & Resource Management office once the buiiding footings have been constructed. 7-Dated: Signature of Owner -y-xt-’yr-Dated; Land & Resource Management Office Ho. —/P-0 .7 yoRECEIPT NO.PERMIT FEE $ Comments: •». .775.386 « ^Victor Lundeen Co,. Printers • APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 • FERGUS FALLS, MN 56537 IVH/TE - Office GOLDENROD - Inspector YELLOW - Owner PINK - Assessor {JJOCcf LdCcH^ ^Permit No.LEGAL DESCRIPTION '(^SO BLUFF ZONEAND□ YES I5cr NOLOCATION RANGE TWPNAMETWPNO.SECTIONLAKE/RIVER CLASS ^dO L LAKE/RIVER NAMELAKE NUMBER A3 L~ct (S rX^33 rr FIRE NUMBERPARCEL NUMBER (S) 00'^" ^^0 IDENTIFICATION: Please Print All Information TELEPHONE NO. Mailing Address — No. Street, City. State, and Zip Code (Daytime)First InitialLast Name CLe t^ f 0AJnirtl/Property Owner nto 4-f t u IH r NameContractor State Lie. # ONSITE SEWAGE TREATMENT SYSTEM ( ) Individual Permit # ( ) Collector Permit #. ( )OTLSD ONSITE WATER SUPPLY pCi Individual ( ) Public ( ) None PROPOSED USE ()^Dwelling ( ) Non-Dwelling ( ) Water Oriented Accessory Structure (WbAS) PROPOSED PROJECT ( ) New Structure(s) Addition(s) ( )MH/RV____________ /Q/y YEAR CK^ACTERISTICS OF WOAS ( j Bdattjpuse ( ) Screen Porch ( ) Gazebo CHARACTERISTICS OF NON-DWELLING ( ) Utility Structure CHARACTERISTICS OF DWELLING Dwelling Addition to Dwelling ( ) Basement ( ) Walkout Basement Outside Dimension (^)Garage ( ) Utility Structure( )Other Outside Dimension .Ft.( ) Other Outside Dimension .Ft. X PY Ft..Ft.Ft.&.Ft. X Lotline Setbacks So Ft. &.Ft.Lotline Setbacks .Ft.OHWL Setback.Lotline Setbacks7<rOHWL Setback__IK .Ft.Bathroom: ( ) Yes ( ) No (If Ifes / a complying Sewage System Required)OHWL Setback Total Bedrooms Maximum Height /10 ft. (1 story)Maximum Height /18 Ft. (1 story)Maximum Height / 30 Ft. (2 story) .Ft.Ft. Maximum depth of lot.. Water frontageLot Area is (Sq. Ft.) 3 Ft. Slope of lotElevation of lowest floor above OHWL (3 Ft. Min.) Structure setback to right-of-way_____________ Structure setback to septic tank______________ ePO Ft. .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). Dweiling setback to Soil Absorption System___ Non dwelling setback to Soil Absorption System./n 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. 7- ?; TVDated: Signature of Owner 7-Dated: Land & Resource Management (yfice ^o- —/j? O yrORECEIPT NO.PERMIT FEES TU.hComments: ^ Form No. BK — 0295-002 375.386 ■ Victor Lundeen Co.. Printers ■ Fergus Falls. MN • 1-600-346-4870 ■:i4. V INSPECTION RESULTS 'S Make all measurements and computations 1<^ 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 'yV Ft. & jtf^Ft.Ft.Ft. &Structure set Back from Lot Lines Ft.Ft.Structure Height Ft.Ft.Structure Set Back from Septic Tank Ft.Ft.Structure Set Back from Absorption System Elevation Of Lowest Floor Above Ordinary High Water Level____________________4^ 5 Ft.Ft. %%Land Slope at Building Line Inspector’s Comments / Sketch:, ' 4'" —7 f i ' I, -7^ U-l^ I ;i Inspector’s Signature 9-/5-‘I y Date of Inspection j Time of Inspectiwi y9d- n VA/ 0 o i ( /\ u^rv^ -« r GRID PLOT PLAN SKETCHING FORM ! Scale: Each grid equals *2.0 feet/inchey Dated:193b£ 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. T <v- UJ 0ooD -f Ittt ” •»M r.t O O'hf I t*r r M: 0-1 / crt 5^ t>'(^ f O •«aS,«- I '>06-#' 4u Acce-SS YOfi,^X<5sT/' L A I -> I I I t ’f’Avlr1 I3of "it- <r-nJ !f r- ^ -ttrt 6N ^ < , O ft -IP 'T O f-’— 1 f 4- jp / I cO ", / T"U);. ( u)_£>13 - + - V? ^ \ A i- iMKL-0871 21598 7®VICTOR LUNDCCN CO.. PRIHTCRI. FCROUS FALL*. HINM. r LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMITWHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor 123 nS L/. Lo*^ ^ Lo*^ C_ (I Permit No.LEGAL V\ ejDESCRIPTION AND LOCATION SECTION TWP NO.RANGE TWP NAMEUKE NUMBER LAKE/RIVER NAME LAKE/RIVER /3:^Ce FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER (S) Q '8-r- a ostj- OZj-O IDENTIFICATION: Please Print All Information First Initial Mailing Address — No. Street, City and State Zip Code Telephone No.Last Name ^0^ t+ir-ssts-/V/^)Property Owner PW,tt.Y 6-/V/ Ayv/ <* i NameContractor State Lie. # PROPOSED PROJECT PROPOSED USE RESIDENTIAL USE NON-RESIDENTIAL USE ( X) Garage ( X ) Utility Structure ( ) Water Orientated Accessory Structure CHARACTERISTICS OF PROPOSED tJ,( 'X ) New Structure ( ) Addition ( ) MH/RV ( ) One Family Dwelling ( ) Multiple Dwelling # of Units ( ) ( ) Residential ( X) Non-Residential Basement ( Walkout Basement { Outside Dimension of Structure______ 2v«:3^Ft. YEAR Height of Structure. ^ 2. # Of Stories ONSITE WATER SUPPLYTYPE OF FRAME ( ) Masonry ( fO Wood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ( ) Other Ft. /( ) Public ( 1^) Individual ( ) None OFFICE USE ONLY ( ) Bluff Impact Zone ( fO) Shore Impact Zone (. fvJ Sensitive Area ( ) Public ( ) Individual Permit #_ ( l>^) OTLSD # Of Bedrooms # Of Bathrooms LOT SIZE AND SETBACKS: tl.Zl .squaro foef. Water frontage is Koo ^00 -f-r\/Lot Area is feet. Maximum depth of lot feet. /^rcrBuilding set back from ordinary high water level is feet. (String Test) 3 feet. Slope of lotLand height above ordinary high water level at building line is % Building set back from road right-of-way..feet. So^0 ^Lot line setback is and feet. I0 +Structure will be located feet from septic tank (Sewage System Permit must be obtained before installation). /OfStructure will be located feet from soil absorption system (Sewage System Permit must be obtained before installation). Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work In accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. TH/S /S A SUE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. (cX^ D. V\'0 tSA3Dated:t Signature of Owner Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. f-/o~ 73Dated: Land & Resource ManagernenTOdice ///3g:/Permit Fee $.Receipt No_ //)J )/ ^ ^ -Comments:__ ____,T~4^ ^ Form No. BK ~ 0292-002 2^,316 — Victor Lurtdoen Co.. Printers. Fergus Fells, Minnesota LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMIT WHITE — Office GOLDENROD^ Inspector YELCOW — Owner PINK — Assessor 123//SE-i, bs; L.-1 ^ u+ c Permit No. 'fc Cv o LEGAL DESCRIPTION AND LOCATION SECTION TWP NO.RANGE TWP NAMELAKE NUMBER LAKE/RIVER NAME LAKE/RIVER Cfj i /!> *1) 570C (jP' / ' / ij Q c. PARCEL NUMBER (S)FIRE OR UWE ASSOCIATION NUMBER G6c r< -6/r - o 0 Sd - oa o IDENTIFICATION: Please Print All Information First Mailing Address — No. Street, City and State Zip CodeLast Name Initial Telephone No. ^ J -i(V A\^KfcS/iv\C . I (300^1Property Owner 3<^!j 0 ( •<? U/iii -e „yfcr5TTfs/ r-W V .S 0A 10 Cl::' 3"I NameContractor state Lie. # PROPOSED PROJECT PROPOSED USE RESIDENTIAL USE NON-RESIDENTIAL USE ( X ) Garage ( X ) Utility Structure ( ) Water Orientated Accessory Structure ( ) Other CHARACTERISTICS OF PROPOSED I Basement (1 < ) Walkout Basement {) Outside Dimension of Structure______ Height of Structure. # Of Stories ( X ) New Structure ( ) Addition ( ) MH/RV ( ) Residential ( X) Non-Residential ( ) One Family Dwelling ( ) Multiple Dwelling # of Units ( ) ■ YEAR TYPE OF FRAME ( ) Masonry ( 1^) Wood ( ) Structural Steel { ) Other ONSITE SEWAGE DISPOSAL SYSTEM ONSITE WATER SUPPLY Ft. ( ) Public ( Individual ( ) None OFFICE USE ONLY ( ) Bluff Impact Zone ( hj) Shore Impact Zone ( Sensitive Area ( ) Public ( ) IndividualPermit ( ) OTLSD # Of Bedrooms # Of Bathrooms___^ LOT SIZE AND SETBACKS:A c e i squar»4eet. Water frontage is jfoo ^00Lot Area is ■feet. Maximum depth of lot.feet. Building set back from ordinary high water level is feet. (String Test) 7Land height above ordinary high water level at building line is feet. Slope of lot % P o ^Building set back from road right-of-way..feet. ^0 ALot line setback is and feet. /Oi-Structure will be located .feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation)./Of-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 Offer 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. \U V) , ’ \ \,.A \X \ 0Dated: i. ^0^ ^1 Signature of Owner Permit: Permission Is hereby granted to the above named applicant to perform the work described in the above statement. This permit Is granted upon the express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. V'^ - /O - ?3 .1.Dated: Land & Resource Management Dfliceou^O-///yyyPermit Fee $.Receipt No.. /yA /f, St2 r y rComments: 7~AjcCyiyCnnCj A-f 7/ Form No. BK — 0292-002 262,316 — Victor Lundeen Co., Printers, Fergus Falls, Minnesota m - INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. Water Frontage Ft.Ft. /OO'^Building Set Back from High Water Level Ft. Ft. Building Set Back from Top of Bluff Ft.30 Ft. Jooi-Building Set Back from Road Right of Way Ft.20 Ft. 10^ Ft. « /c^Building Set Back from Lot Line Set Back Ft.Ft. Building Height Ft.Ft. Ajo S6^cjifi2 F^/sr<^sBuilding Set Back from Septic Tank 10 Ft /Ot.Building Set Back from Absorption System 20 Ft Elevation Above High Water Level at Building Line 3 Ft.Ft. Land Slope at Building Line % Inspector’s Comments: Sketch:. |L>' [L ixi ■fo Insiectv's Signature i!o¥fe of Inspection \Time of Inspection 0 O ck. I AV'«-»v\ I' GRID PLOT PLAN SKETCHING FORMScale: Each grid equals ^feet/jpcft^ f nsy^iSl L vc*V ^ I9IIDated: 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.\”SC \ Co4 5- , C, 1T3 yvirv^ »- mrxtisr^ \ c f o ArvA^ '*■ -S Uop V o ; r i-(.L rJ!• I J l\ /Vo.l 3 MKL-0871-029 21S987@ VICTON LUNOCIN M.. MIHTCnt, rCR6U8 FAU.9. yiNH. It SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR SITE PERMIT WHITE — Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor SB <X\A b Permit No.LEGAL DESCRIPTION AND LOCATION SECTIONLAKE NUMBER LAKE/RIVER NAME LAKE/RIVER TO I (g TWP RANGE TWP NAME 5tr<^yo I Shw<ih./33 PARCEL NUMBER (S)FIRE OR LAK^^SOCIATION NUMBER -ODD- ^<^-OOS1>0(JO Y5 IDENTIFICATION; Please Print All Information Mailing Address — No. Street, City and StaleZip Code pz- Bc^3(fS , ,____ Last Name_______________________^ First______n!\lo~rV^^or\, l-hha^ -k ^Kif llis Initial Telephone No. Property Owner cs NameContractor State Lie. # CHARACTERISTICS OF PROPOSED aI) PROPOSED USE ( \/f^esidential ) Non-Residential RESIDENTIAL USE NON-RESIDENTIAL USE ( ) ^rage ( ) Utm(v Structure ( ) WaterTrientated Accessotv Structure PROPOSED PROJECT ( ) New Structure, / Addition ( ) Other ( ) One Family Dwelling ( ) Multiple Dwelling # of Units ( ) Basement ( Walkout Basement ( Outside Dimension of Structure______ (jrl 6/"^_Ft. J30 Ft.kTYPE OF FRAME ( ) Masonry ( ) Wood ( ) Structural Steel ( ) Other ONSITE SEWAGE DISPOSAL SYSTEM ONSITE WATER SUPPLY ( ) Other Height of Structure # Of Stories______3.( ) Public ( ) Individual ( ) None OFFICE USE ONLY ) Bluff Impact Zone ) Shore Impact Zone ) Sensitive Area I( ) Public ( ) Individual Permit #_ ( ) OTLSD (# Of Bedrooms /(# Of Bathrooms ( I square feet. Water frontage is r ■LOT SIZE AND SETBACKS:/(fOO-gex)feet. Maximum depth of lot feet.Lot Area is jeO feet. (String Test) ____________feet. Slope of lot Building set back from ordinary high wafer level is Land height above ordinary high water level at building line is % 2jQBuilding set back from road right-of-way.feet. K)l£x feet.Lot line setback is and JO feet from septic tank (Sewage System Permit must be obtained before installation).Structure will be located 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 ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Dated: Signature of Owner X Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated: Land £ Resource Managemnt Office Permit Fee $.Receipt No. Comments:^■fdaistm ydO-P Or Form No. BK — 0292-002 262,358 — Victor Lundoen Co., Printers, Fergus Falls, Minnesota SHORELAND MANAGEMENT — COUNTY OF OTTER TAILWHITE — Office COUNTY COURT HOUSEGOLDENPOD — Inspector Phone: (218) 739-2271 • FERGUS FALLS, MN 56537YELLOW — Owner PINK — Assessor APPLICATION FOR SITE PERMIT Permit No.LEGAL DESCRIPTION :)AND . LOCATION •J iRANGETWP NAMELAKE/RIVER CLASS7 f-~\ thi) I (g SECTION TWPLAKE/RIVER NAME '1 . LAKE NUMBER -1 ^ C±lrIu/FIRE OR LA^E ASSOCIATION NUMBERPARCEL NUMBER (S) )q-iSOV- oO^CrOOO 1/ I 5i/ IDENTIFICATION: Please Print All Information Zip CodeMailing Address — No. Street, City and State Telephone No.First InitialLast Name FjC{ t u /vurProperty Owner Vf f ■-f- fi-iMii /' h^.Ll f NameContractor t State Lie. # NON-RESIDENTIAL USE ( ) Garage ( ) UtiHly Structure ( ) Water Orientated Accessory Structure ( ) Other CHARACTERISTICS OF PROPOSEDRESIDENTIAL USEPROPOSED PROJECT PROPOSED USE Basement (( V' ) Residential ( ) Non-Residential ( ) One Family Dwelling ( ) Multiple Dwelling # of Units ( ) )) New Structure(/( .) Addilion 4 V 4,1(1^'’Walkout Basement (------) Outside Dimension/ / of StructureFt. j O Ft. ( ) Other ONSITE WATER SUPPLYONSITE SEWAGE DISPOSAL SYSTEM TYPE OF FRAME ( ) Masonry ( ) Wood ( ) Structural Steel ( ) Other Height of Structure. # Of Stories______( ) Public ( ) Individual ( ) None OFFICE USE ONLY ) Bluff Impact Zone ) Shore Impact Zone ) Sensitive Area I( ) Public ( ) Individual Permit #_ { ) OTLSD (# Of Bedrooms /(# Of Bathrooms ( :!___Lsquare feet. Water frontage is Building set back from ordinary high water level is r LOT SIZE AND SETBACKS:/(fQO--J(^0 feet.feet. Maximum depth of lotLot Area is \cO feet. (String Test) ^ ^ feet. Slope of lot %Land height above ordinary high water level at building line is feet.Building set back from road right-of-way. /O /o feet.andLot line setback is .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 ,-^C)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 Tall County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16. MINNESOTA STATE STATUTES. Dated: Signature of Owner Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit Is granted upon the express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. J£y_- / tDated: Land & Resource Management Office L Receipt No. i L i ' ;Permit Fee $. Comments: ‘ t.WT1t r-h 1- jy. —/(CaiLe\1 / Form No. BK 0292-002 262.358 — Victor Lundeen Co., Printers. Fergus Falls, Minnesota INSPECTION RESULTS Make all measurements and computations ACTUAL MINIMUM Sq. Ft. Lot Area (Square feet)Sq. Ft.Sq. Ft. t Water Frontage Ft.Ft. Building Set Back from High Water Level Ft, Ft. Building Set Back from Top of Bluff Ft.30 Ft. /oo-hBuilding Set Back from Road Right of Way Ft.20 Ft. /o4-fO-FBuilding Set Back from Lot Line Set Back Ft. &Ft.Ft. . Building Height Ft.Ft. ^6Building Set Back from Septic Tank Ft.10 Ft 9o-(-Building Set Back from Absorption System Ft.20 Ft Elevation AboveHigh Water Level at Building Line 3-^3 Ft.Ft. %Land Slope at Building Line Inspector's Comments: j -f- Sketch: f r-n 5Wvt__i SyLi'tl'y^ utn ohi' l * •— • c ! Inspector's Signature Data of Inspection\ » Time of Inspection SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT WHITE - Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor mmPermit No..LEGAL DESCRIPTION AND LOCATION WT) (n I5?i 3^ JUajulJ TWP NameTWP RangeLake Ciassif.Sec.Lake NameLake No. IDENTIFICATION; Please Print AH Information Tel. No.Zip No.Mailing,Address— No, Street. Citv/oand StateLast Name_______________________Firsl Initial Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT; , ,>RE^OENTIAL PROPOSED USE: ^6 ^ Specify:.( ) New Building ) One Family Dwelling ( ) Multiple Dwelling 0^) Other Alteration ( ) Other Units Size ESTIMATED COST OF IMPROVEMENT|$ DIMENSIONS: Basement: ( ) Yes No Stories above basement: Sq. feet (outside dimension) Bedrooms ......rrrt^^T......... Baths TYPE OF SEWAGE DISPOSAL;PRINCIPAL TYPE OF FRAME: ■4- /01‘j( ) Masonry Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public (^ Individual Septic Tank, etc. WATER SUPPLY: ( ) Public Individual Well CHARACTERISTICS: square feet....2.0..0.L.Ie0.a...feet.aximum depth of lot..Water frontage is .....Lot Area is f^t. (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 "3 feet 3.0,S.O..•feet.feet — from road right of way is LQ,J.0 and feet. lO ......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).M..Structure will be located Agreement; I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans^and specifications submitted herewith shall become a part nf thic pprmit apniirntinn. | also understand that this permit is valid for a period of six (6) months. . (tH/S 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 mv township in order to determine whether or not any additional permits are required by the township for my proposed pi-nier.!.7 \2ju3 "ADated. 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 II respects to the ordinances of Otter Tail Permit; express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. 7-A-^O) So-On> Dated Shoreland Management Official Permit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971@ VICTOR HJNOEEN CO., PRINTERS. FERGUS FALLS. MINN. T SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT WHITE - OfficeGOLOENROD —'Inspector YELLOW — Owner PINK — Assessor /rV,0/)Permit No„LEGAL DESCRIPTION AND LOCATION ,0 Ar TWP NameTWPRangeSec.Lake Clasalf.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialFirstLast Name /■ ' ? 1 AOwner / .-'.->/// rj uHiJ Ptx.:./' tf ) u/NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:.AESIDENTIAL PROPOSED USE:in'-TYPE OF IMPROVEMENT: ipiuf Specify:.(; ) One Family DwellingI ) New Building ( ) Alteration (/ f- -^6 Units( ) Multiple Dwelling / ,4? ' X ? -V( ■ ) Other Size( ) Other ESTIMATED COST OF IMPROVEMENtIs DIMENSIONS:TYPE OF SEWAGE DISPOSAL: ( ) Public ( Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( Individual Well PRINCIPAL TYPE OF FRAME: ( ) Masonry i^ Wood Frame ( ) Structural Steel ( ) Other — Specify Basement: ( ) Yes ( 'I No Stories above basement: ....... Sq. feet (outside dimension)..... Bedrooms X :x<-! /-t-Baths CHARACTERISTICS: feet.feet. _M?ximum depth of lot fe^^(Building Line) square feet. Water frontage 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 right of way.... Side yard is ................... Structure will be located Lot Area is feet .feet.feet — from road right of way is /A'.............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 sprecifications 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 proiect. /;/ aAt.'A ‘ ADated.v-«- 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.' t- Comments: Form No. MKL-0286-019 229971^ VICTOR LUNOEEN CO.. PRINTERS. PER0U6 PAULS. MINN. ^•5J!5',I7 ,s \ 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. CfiOO Ft_Water Frontage Ft. /<i>0Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. r 2-^ -40— Ft.Building Set Back from Street or Road Ft. /^ & /^ Ft.& ^ ^ Ft.Side Yard Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________3 'Ft.3 Ft. t . fZ ^ < •2-4Inspector's Comments: I nspector's Signature Title Inspection Dated U19 Agency VICTOR LUNOCCN « M.. MIHTCRR. RCMUR r«LI.I. HIUH. GRID PLOT PLAN SKETCHING FORMScale: Each grid equals___^feet/mchss 4/ 19^0Dated: 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. I f 1 '2 St,A ^ I I LoI?' I ^> I L— f >4».T \ Io I . <1 iiI*cA t-7O ■4% 1 1V otCO 0J-*o-VI o*■ S-o. cr:4- <9 cr-tv\ V \ -"J ^ V/j •^o --i. ^3- v5^ oct/1 o __ cn D 3 21598 7®MKL-0871-029 VICTOR LUMDCEN CO . PRINTERS. FERGUS FALLS. r tMV 0 9 13&9 ^ Ri:GQUBr,£ OfficeWhite Yellow — Owner, Pink —’Assessor 1pwl SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Golden rod Ins tor » lamo JMPermit No„LEGAL SE^ of Lots, 6-133-39 & Lot C Inglewood Woodlawn Resort on Blanche Lake, Blanche Creek Road Rt. 2 Box 365, Battle Lake, Minn. 56515 DESCRIPTION AND LOCATION 56-240 6 133 39 GirardBlancheRD TWP NameRangeSec.TWPLake Classif.Lake NameLake No, IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateInitialFirstLast Name Rt. 2 Box 365 Battle Lake, MN 56515 864-5389Narveson, Robert D.Owner selfNameContractor noneArchitectName. NON-RESIDENTIAL PROPOSED USE: resort rental unit RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:.I ) One Family Dwelling ( ) Multiple Dwelling ( ) New Building (X) Alteration Units (x) Other Size 18' X 24*( )Other ESTIMATED COST OF IMPROVEMENt|$10 » QQO DIMENSIONS: 18' X 24* ( )Yes (’S No Stories above basement: Sq. feet (outside dimension) ..4.32 Bedrooms ..2 TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( ) Masonry (x) Wood Frame ( ) Structural Steel ( ) Other — Specify ( I Public (x I Individual Septic Tank, etc. WATER SUPPLY: ( ) Public (X) Individual Well Basement: 1 Baths ...1.. CHARACTERISTICS: 700-F60013 acres .............feet. Maximum depth of lot. feet. (Building Line) ..........................feet .....feet — from road right of way is ..7.Q0. feet.square feet.Lot Area is 35 Building set back from high water mark is. Land height above high water mark at building line is.....4-r^' Building set back from State highway right of way.................... ,4- 80 Side yard is ..................... Structure will be located .JTG..feet. and ....5jOO..............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). .2.Q.+. 30-FStructure 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. QJUX D. V\S'/ > I §'‘1Dated 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 reveled at any time upon violation of said ordinances. Dated ShorelapB Mana^ment Official Permit Fee $.Receipt No. ^ \JmoMx. hoc.Ill ij^L- ^7Comments: Form No. MKL-0286-019 229971® VICTOR Ll/NOEEN CO.. PRiNTf-RS. FERGUS FALLS. MINN- White - Office Yellow 's <Owae^ Pink —♦‘Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Permit No„LEGAL SF^ of Lots, 6-133-39 (% Lojt C Iiip,1gwooc1 Woodlavm Kesort on Blanche Lake, HlancheCCree)< 1laad Kt. 2 Box 36S, Hattie Lake, Vinn. 56S1S DESCRIPTION AND LOCATION Nlaiiche 1 SSI)i'.*llTVlT'Sfl TWP NameTWPLake ClassIf.Sec.RangeLake NameLake No.' IDENTIFICATION: Please Print All Information Zip No.Tel. No.Mailing Address— No. Street. City and StateFirstInitialLast Name :;t, z ilox )0‘‘> SaT.tlP l.i'tf,■W> j i ').'1 VP.-ir-il., So' PI t 'j.Owner -> p 1)NameContractor ,. 1' 11PNameArchitect NON-RESIDENTIAL PROPOSED USE: r-'.TC-rt if'j.t.il unit RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: - \Specify:.( ) One Family Dwelling ( ) Multiple Dwelling ( ) New Building (•’') Alteration ' s \Unitsi Size I p ' y(' ) Other( ) Other ESTIMATED COST OF IMPROVEMENT $ ‘ ‘ ■ 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 ( ) Masonry () Wood Frame ( ) Structural Steel ( ) Other — Specify Baths ...i... CHARACTERISTICS: (,i)i I- p.crc'j feet.Maximum depth of lot feet.square feet.Vyater frontage isLot Area is 3')-X 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 I /(Hij •feet.feet — from road right of way is . and i I ..............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).i ■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, 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: II\1 '-4¥1 V V iT T Form No. MKL-0286-019 229971@ VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS, MINN. '■i i INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 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 40 Ft. & Ft.Side Yard & Ft. okRear Yard Ft.Ft. Occupied Building to Septic Tank 10 Ft.Ft. VoOccupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________/Ft.3 Ft. 4- h t-t - Foo-V^Inspector's Comments:I i5® Inspectc^'s Signature i_L Gv Title Inspection Dated 19 Agency VICTOI UINOtCH t CO . VIhHTfM. M*0US FALL*. HIHO. GRID PLOT PLAN SKETCHING FORMu\///•, v/ rv\o OcScale: Each grid equals__^_feet/infibe»-w ly Q I >vv\ ^ L Lct^ r^-AT^M>s, l v \ «y-v>Dated: ^uJb y o i\ r ^ Signature Please sketch your lot indicating setbacks from road right-of-way, take and sideyard for each building currently on lot and any proposed structures.fI IIV iit %<V' < „■ l'_l JIn - ‘"V'V # O <T O; ct ! I . I ■ki. Vi0-J) 4 ‘-Hr <r» Q 0 r*lr>cJ N Li \ 2--I uJ •<i,-si'y^ a /II.TI : ^ j-> > ^ icn >1))/<?/c 'I ---------I . / -fl V Ji -J7 . -4 a i"a 1 -?4 3 IOr ?li> 4 s Y r: Ir>li^ CO y®-V%)iX y0 r-\yi (VI o >>° -4-0 ::F_J o aoH i‘ %I 21S98 7®MKL-0871-029 VICTOD LUNDECN CO.. PHINTEMS. FERGUS FALLS. HIND. White - Office Yellow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739 -2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT Permit No..LEGAL / OF L.O)DESCRIPTION AND LOCATION Crj:gAiZ.C>3°) TWP NameTWPLake ClassIf.Sec.RangeLake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.First Zip No.Mailing Address— No. Street. City and StateInitialLast Name c,A//^<?ygso iOOwner i—C >J c. CJ ^N e NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT:/(vH^w Building ( ) Alteration iJ P( fi' FIDO. Specify:.( ) One Family Dwelling ( ) Multiple Dwelling Units f( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $ TYPE OF SEWAGE DISPOSAL: ( ) Public (»/Findividual Septic Tank WATER SUPPLY: ( ) Public ( ^/^ndividual Well DIMENSIONS:PRINCIPAL TYPE OF FRAME: (o4jo( ) Masonry ood Frame ( ) Structural Steel ( ) Other — Specify Basement: ( ) Yes Stories above basement: Sq. feet (outside dimension) Bedrooms I(, etc. Baths loo'CHARACTERISTICS: Maximum depth of lot feet.Water frontage is feet.square feet.Lot Area is feet. (Building Line)Building set back from high water mark is Land height above high water mark at building line is Building set back from State highway right of way....1 /Side yard is .....J..jCP............... and ^ ^ J?feet .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). T ofStructure will be located 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 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. Signatu^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. Permit: Shoreland Management Official Dated 3cfPermit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971@ VICTOR LUNDEEN CO.. PRINTERS. FERGUS FALLS. MINN. White - Office Yeiiow — Owner Pink — Assessor Goidenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 - Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT / Permit No„LEGAL / LDESCRIPTION /, t AND L I- ; ) !\LOCATION / TWP NameTWPSec.RangeLake ClassIf.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailing Address— No. Street. City and StateInitialLast Name First Owner NameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: Specify:.( ) One Family Dwelling ( ) Multiple Dwelling ( ) New Building ( ) Alteration Units> ( ) Other Size( ) Other ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS:TYPE OF SEWAGE DISPOSAL:PRINCIPAL TYPE OF FRAME: ( ) Yes ( ) No( ) Masonry ( > Wood Frame ( ) Structural Steel ( ) Other — Specify I ) Public ( ) Individual Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) Individual Well Basement: Stories above basement: Sq. feet (outside dimension) Bedrooms ..............................Baths CHARACTERISTICS: feet.feet.Maximum depth of lotsquare feet. Water frontage is Building set back from high water mark is........................................ Land height above high water mark at building line is...........1....... Building set back from State highway right of way......................... Side yard is ..................... Structure will be located Lot Area is feet. (Building Line) feet feet.feet — from road right of way is and ..............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).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 e site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. Dated. Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated Shoreland Management Official Permit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971® VICTOR LUNOEEN CO., PRINTERS. PEROUS FALLS. MINN. INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS i MINIMUMShall Be i Sq. Ft Lot Area (Square feet)Sq. Ft,Sq. Ft. Water Frontage Ft. Ft. -J^ r\ I ..'Ft.Building Set Back from High Water Mark Ft. 50 Ft.Building Set Back from State Highway Ft. Ft.Building Set Back from Street or Road 40 Ft. /d^ & Ft.Side Yard &Ft. O ^Rear Yard Ft. Ft. / oOccupied Building to Septic Tank 10 Ft.Ft. 2 o'Occupied Building to Absorption System 20 Ft.Ft. Elevation at Building Line above High Water Mark_____________fo'3 Ft. }&' fx^\f-oo”T~Inspector's Comments:(¥^ fpf OO 'v^Ip o vr.% j f f 1i Qs:> f \ X ^( Inspector’s Signature Title Inspection Dated 19 Agency victoa iu«»ica • c« . MiiiTta*. r(««va Fw.k>. Miiti). 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 no !SF ir ixloodk Permit No_LEGAL Date,DESCRIPTION AND QCOI^ LOCATIONi A /3-^ 3<f ri Lake Name Lake Oassif.Sec.Range TWP NameLake No.TWP IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street City and State ______________Tel. No-Zip No. ^rtfi ;?<o &rv*vOwner s»ugL5 NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: Qiii irn i^f 5^^ ( ) New Building (Obliteration ( ) One Family Dwelling ( ) Multiple Dwelling (t-)‘Other Specify; Units ( ) Other Size /<DnDESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: Basement: ( ) Yes (l^d^o” Stories above basement: .......... Sq. feet (outside dimension)....... Bedrooms ( ) Masonry ( (.FWood 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 (li-'KoType of Roof:( ) Oil ( ) Coal Other:( ) Unit CHARACTERISTICS: AS..:A1../?.2fSO.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 ...:sro..t .... 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. ./.a± 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. \P.A.JI, -yl ^nature of Owner * Dated. Si 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 respiects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upion violation of said ordinances. ShorelanpLManagiment Official No y/T /7YDated Permit Fee $.State Surcharge $, Comments: Form No. MKL-0771-002 ,158899 viersM uiHOdH t CO.. pmiiTttt. rcKsua rM.Lt. 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 Yeilow — Owner Pink — Assessor Goldenrod — Inspector ! Permit No..LEGAL Date.tDESCRIPTION4-~v_.AND LOCATION Lake No,Lake Name Lake Classif.Sec.TWP Range TWP Name 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: ( ) New Building ( ) Alteration ( ) One Family Dwelling ( ) Muitiple 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 ( I No Stories above basement: Sq. feet (outside dimension) Bedrooms / -,n Baths 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. Buiiding 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.................... Buiiding will be located Building will be located feet — from road or street is feet. and .......................................feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). feet. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. Dated, Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Dated Shoreland Management Official Permit Fee $.State Surcharge $. Comments; 7 - //- a Form No. MKL-0771-002 ViCTOfI LUNOCIN ( CO.. PRINTCHt. rCASUft ,158899 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS i MINIMUM Shall Be 4,Sq. Ft, A.~i Sq. Ft. 7uu :t Lot Area (Square feet)Sq. Ft. Water Frontage Ft.Ft. •4/7OBuilding Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. £lQO±Building Set Back from Street or Road Ft.40 Ft. Side Yard Ft. & Ft. Rear Yard Ft.Ft. /1/AOccupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________C' c Ft.3 Ft. Inspector's Comments: II ■1 Title Inspection Dated Agency VICTOR LUNOIEM A M . r*u OTTER TAIL COUNTY Grade & Fill Permit #5911 VJ Q Cs VPROPERTY OWNER ____ LAKE NO. SEC.__k w y 0, % o IT" TWP. NAME Clo+- ^s£ 'M OLEGAL DESCRIPTION; WORK AUTHORIZED C-t tc>v^V ^ ^ ^ ^ ^ g-ig—____Q H—- Cii - Ca VnA-'T• ____ A pQ—^'^OCD INo /•cxv>\v<.Ci VN z> 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, & shalfbe'maihtaihed 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 ~'Z?H 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 publio water without a valiO permjt from the MN Department of Natural FTesources. II the terms ol this permit are violated, the entire permit may h be subject to legal prosecution. 6. Erosion control measures must be implemented prior to any topographical alterations. hed and the owner maye revo ii till > V>s -M 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 0]Permit No.PLEASE PRINT OR TYPE ALL INFORMATION LAKE/RIVER#LAKE/RIVER NAME LAKE/RIVER SECTION TWP. NO.RANGE TWPNAME (p PARCEL NUMBER(S)PROPERTY (E-911) ADDRESS di> aosLEGAL DESCRIPTION SE/v Last Name First Initial Mailing Address DAYTIME Phone No. Property Owner ^ ov 'V0 \CkVjL-> V.\ Contractor Name ICNA Bc< )fOLLai6LA\Nl S'GS’lS eS'QMLie. # 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 th^MPCA. miReceived L&R Official PROJECT REQUEST (You may use the grid on back for required scale drawing): DESCRIBE YOUR PROJECT(S): 7o t>\(XCJL '^rVsi. fc rO C\CKi>S> h> I Y I u-g. ^QO \ i'v\ |■€V\^4V^, I d) w DETAILED INFORMATION: Yds"AREA TO BE CUT/EXCAVATED:Ft. X Ft. X.Ft. - 27 = Length Width Max Depth Yds"WALK-OUT BASEMENT PROJECTS;Ft. X Ft. X Ft. - 27 = Length Width Max Depth Qoo Ft. X /O Ft. X , 7S“ Ft. - 27= ^// Yds" Max Depth TOTAL EARTHMOVING REQUESTED = ^/S'O Yds" AREA TO BE FILLED/LEVELED: Length Width SLOPE OF BACKFILL AT FOUNDATION:Ft.Ft. Max. Depth Distance Extended From Foundation v/CULVERT:If Yes, must indicate size and location on drawing. Yes No TYPE OF SOILS AND/OR FILL MATERIAL: <2.\q5>5> S a>rc\v>ei \^Mi‘5~uno SI^ATURE OF PROPERTY 6ik/NER/AGENT FOR OWNER DATE RECEIPT NUMBER iBK004/08 333,336 - Victor Lundeen Co. - Fergus Falls. MN - 218-736-5433 1 !I-L gfl cSEtSwkS1i iii I <35ai Ti ■1 I ! I:i I i ;!i‘ U I :ST;71-1' P3 rt'-■? I : M I Il+i4TirI1I.i -s-3I i !ni 1 1 i I 1ig’l I i ; 'H' I M i i ! I i i M Mi I i ! , I t4 !.I1._i._s__-------—rTr I-: i I J..J.?iS-nii2-iO)1 1!1 1 I ~o ■2T i-4-1 -“—S-711-134 §11#:4- i 1 i_l TI 1 1 I•s!TI,!1 I1i s-illrtrv !1 !XI -i-LIXIXL_liii L;1J_I.XXr~i' !I Mil !I •*^0 MM1 1 1 iiM13iIiI ll-M T M!1 T TI!-4---------t•4-1IiiLj_I: "hiIT I•i ;!;__:I—:I I iIt—|tQ -O w -i — . 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