024-841-01-1303-LUP-2004-675 Application for Land Use Permit(*Non-shoreland*) o�
County of Sawyer � O
PO Box 676 -Haywazd WI 54843
715/634-8288 �
*Property that is not located within 300'of a creek,river or stream or within 1000'of a c
flowage,lake or pond or does not have any of the above waterbodies located within �
the property's boundaries. ,
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �
PRINT-USE BLACK INK OR PENCIL
b
HPS �'d��p�,���, t�� CJ,L� ���<<�ti� � � � �
Owner
Builder a'
i�3c�� w �{,�, �7 YlJS I,✓h1r&. (�� o' �
Mailing Address Mailing Address O
N,��W��. t,..�T J�i��13 lv��zaN,.�„`t wi �35�z� �
City,State,Zip City,State,Zip
')iS- `lG)- 3c,�7y c�c�Y - ?�S- ��`�`l
Daytime Phone Daytime Phone �
Additional Information: Zone District: C�/ -�
� �
�� ..�� s � - . � � o
. Lot Dimensions:
�,
Date lot was created: Acres: �9.5`/ n
0
Is there wetland near the proposed stnzcture?If yes,how far �
Building Land Use Floodplain-( j Yes �No CD ~
� r
�jQ New ( )Filling � (�
O Addition O Dredging Dxiveway access off of a(Check one): �
O Alterarion O Grading O Private Rd O Town Rd o
( )Moving On ( ) ( )County Hvvy ( )State Hv✓y �, �
� ) � ) o `�
r�
Primary Structure Accessory Building Addition � °
( )Dwelling ( )Garage-attached/detached ( )Deck W
( )Year round ( )#of caz stalls ( )Porch =
O Seasonal �Storage Building O Enclosed �
O Frame built on site O Screenhouse O Living room " �!
( )Modular/manufactured ( )Greenhouse ( )Kitchen (� �
( )Mobile/manufactured ( )Other ( )Bedroom `1-= �
( )Other primary smzcture ( ) ( )Relocate/enlarge � '
� � � � ( )#of new � �
� �"
AdditionalInformation: + A
c �
�
�
Type of Construction: �
( )Frame ( )Log (�Pole/metal ( )Block ( )Concrete � �
W
( )Other .ti .�
Construction Cost:Primary Structure$ -�Z�. � �
rn
Accessory Building:$ �a U�L} — Addition:$ � �
� 3t`i?95 CD
Deed:Vol l�S`� Pb�71-i i 77(Q45�ev.+s) Certified Soil Test# ►10�� i� lw i S 4Si�� tlQ Z
CSM:Vol Pg Lot# Sanitary Permit# o� �
Plat Bnvelope Or: N �
t.�,
Condo Vol Pg Year Installed: � �
�
Aff of ex septic Vol Pg Owner When Installed: "
G�
oz-7oz � \�
Previous office approvals/actions: ��_ I 88
Variance:# c�p_o�'� LUP:# 4�' {5(v SP:# CUP:# �,�
Inspection Report:# pp-I�8 Change of Zone District: O!-b�5 �\�
���dalo
� ,
Describe the construction using these columns. List the dimensions of each structure in a separate �•
�
column. List each story, each addition, each alteration in a separate column.
#1. #2. #3. #4. '
Size S i f[. wide ft. wide ft. wide ft. wide �
210 ft. long ft. long fr. long ft. long
.,
Floor area� sq. fr. sq. ft. sq. ft. sq. fr. -
Hgt.from gade �-3 to peak fr. hgt. fr. hgt. ft. hgt. � }
Stories�_ stories stories stories � �
# o£bedrooms�_ ' � '
' �
Rear Lot Line
4 �(l�il �^L IO�o,
S �,�; g�,�o,,.a
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15
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Fire Number and Name of Road 12 3r t �t � 7
1. Enter lot dimensions and indicate north by arrow. Signat�0 er r uthorized Agent:
2. Indicate the location and size of the requested construction \ � .�_�
SignaNre
activities. I
PnntName: �SRYc� � l�(��C�l�
3. Also, indlCatO tlle lOCatlOn and d15t3I1Ce to the WCII, The above ceN9es that the lis�ed intormation and intentions are
true and conect.,that all work shall be performed in compliance
se tic tank and drainfield, wetland azeas, lot lines and to the with the requirements of the Sawyer County Zoning Ordinance
p and ihe laws antl regulafions of the State of Wisconsin, and if
CCrit0i11RC Of t}10 I'02d. . acting as owner(s)agent, has the permission of the owner(s)to
�—, perform Ne work 2quested on this appliration. The above
�, r. `. ; ,� - L-° ' � personsls hereby give pertnission for access to ihe property for
onsiteinspec6on.
Permit fee: $ �> (� a .« O
December 1 , 2004 '
Issue Date Signature of I i g gent
December 1 , 2005 50% Rule: Average Road Setback: _
Expiration Date
Office Comments:
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. tGommerce.W1.gav
l sconsin
artment of Commerce
November 15, 2004
CUST ID No.837029
JOEL GERRITS
WICK BUILDINGS
405 WALTER RD
MAZOMANIE WI 53560
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 11/15/2006
Safety and Buildings
10541 N RANCH ROAD
HAYWARD WI 54843
TDD #: (608) 264-8777
www.commerc,--.wi.gov/sb/
www.wisconsin.gov
Jim Doyle, Governor
Cory L. Nettles, Secretary
ATTN.• Buildings & Structures Inspector
MUNICIPAL CLERK
TOWN OF HAYWARD
PO BOX 13260
HAYWARD WI 54843-3260
Identification Numbers
Transaction ID No. 1080449
SITE: Site ID No. 692266
Hayward Power Sports Please refer to both identification numbers,
12305 State Road 77 Labove, in all correspondence with the agency.
Town of Hayward, 54843
Sawyer County
FOR:
Object Type: Building ICC Regulated Object ID No.: 992201
Major Occupancy: Storage; Type VB Combustible Unprotected class of construction; New plan; 10,710 project sq ft;
Unsprinklered; Occupancy: S-1 Storage Moderate -Hazard; Component(s) submitted with this transaction: Truss, Roof;
Allowable area determined by: Unseparated Use
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
ewer sports
to Road 77
x7I 54843
ltorage
11 X 134" ICH
id snow Load
International Building Code Criteria
Use Group Classification........... S-1
Type of Construction ................ 5-B
Number of Occupants ............... 0
Actual Area...............................10,710 ft2
Allowable Area ........................... 9,000 f-1:2
Area increase due to frontage of
open space. Percentage of perimeter
(min. 25%).................................. 75%
Adjusted Allowable Area per floor
(sgft)(Per IBC 503)...................... 15,750 ft2
Building Importance Factor...... IV"
OOF Exposure Factor, Ce........ Sheltered
Roof Thermal Factor, Ct........... Unheated
sec gust) Exposure B
Soil Bearing "Classification of Building use:
ptive g Building Importance Factor - Category IV per IBC table 1604.5
oil Pressure Capacity (Minor storage facility - Low hazard to human life).
Key Ifem(s)
Page Index
• The submitted plans have been reviewed and conditionally approved pending receipt of the fees indicated. A
Cone7twntflly
copy of this letter has .been sent to all appropriate parties. The designer has been informed that the
conditionally approved plans will remain on hold within the Department until the required fees have been paid..
RLim
PP.
• No permits shall be released, nor work commenced on this project until plans are released and can be
IF Ihm wo
DEPARTM
provided on -site. If the conditionally approved plans are in the field, the inspection group can safely
171V�S OF SAFETY AND BUILDINGS
assume all required fees have been appropriately paid. Failure to pay within 30 working days will result in
/ram
a denial.
Reminders
5 COWMC s designed in accordance with the fohowia codes
/
• IBC 2303 As applicable, construction materials shall meet the minimum standards and quality requirements��f'
1997 National Design Specifications for Wood Construction
section 2303.
Wisconsin Building Code
lllliHlllll
• IBC 2303.1.8 Retain samples of inspection agency end tags for preservative -treated wood used in this
Drawn By: TC�
� oN
building for review by the building inspector or other Department representative.
Revised By:
• IBC 2304.9.5 Fasteners for preservative -treated wood shall be hot -dipped zinc coated galvanized steel,
stainless steel, silicon bronze, or copper.
Engineering Office:
• IBC 2902A Since this -building lacks toilet facilities, it is approved as unoccupied storage only,
405 Walter Road,
g &25787
MADWK
• IECC 101/Comm 63.0101/Comm 63.0002(2) This building is approved as an unheated storage building.
Mazomanie, Wisconsin 53560
Should the owner wish to heat this building at a future time, building alteration plans shall be required to be
Phone: 608-795-2294
O�
submitted and conditionally approved. The plans shall demonstrate building envelope compliance. After such
Fax: 608-795-2576s
fir` . ��n• of