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Home My WebLink About010-941-28-3314-INS-2004-018 Sawyer County Zoning Administration o O _ � � Inspection Report � � r-. . � ..� � Owner(s) William K. and Glaria A. Knutson dba WK Applinace 715 635-3040/3056 � � Address N4845 Highwav 63S Spooner WI 54801 '� (� � O Agent/Purchaser Z � Address � � Q � � � Bldr/Plber/CST � � Address x � Inspection � Private ❑ Public Violation ❑ Zoning ❑ Sanitation � 0 •� �' ❑ Dwelling ❑ Mobile Home � Commercial ❑ Garage ❑ Addition �, a ❑ Setback - Lake � Setback- Road � Setback - Lot Line ❑ Soils Verification � ❑ � �' � WD Vo1420 pg 471 C-1 1.44 acres #16288 W Stress Road �. � 0 � ��O �t�D�'��',��°� � ,� � u�'�' �QoN'oY � h �a � � � �oa. ��-�"Pc.�N) � � : ; . � : , � � � ; � �3 � G� . o � � � ` o r ; � � � o � , � '� ; 1 �o• ° � ; �. � . 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I I � � � , , ` � � i � � , I � � , � � i , t � � I ' � , I I � ^ , , , � , . , , , , � I , , , � , , . . � I , , � ; : � ., I � i ' � � i ` �� 0��" , ( � i � � � IC • r + ' � � �'N iN �i' � � I � � ; , ' � `� �yq -�I p� . � � � � ' i ` � ; ' � � �� N � � � � � ' , � . � � „ + ` � I N I� -j�\� �/// i I i `� i , , ' `` ♦ i ! i � = IA IZ , \ ,�/ I i � I , 1III � r � i ` : i , � � : , � � �� I � � ' � � � � � ' � � � � ID �Q � ,� �, /� I ' � � i " iif � . 1 � ' � 1 �/�� ! �i j � I � , . � 1 1 Ip ,� `� � , I � i � �� ; ; ' � ' ; ; ; � � ; j ,�. r � � . � i � ! ` ; � , � � . � � I,� 1 �� i � � i� l � � i ;' i ; � �� ( ' I � � � � � � � � i . , � ,�, � 38'-3�5/32"�� / � , I { �f � � � i i i j ' �,. D �0 u��i'i � r---- --, + i � ` j ;,;�� w I , , -�-� I � , � - ' A , , � � O g � D A �A \�� !-��/ � � ! . ' � rn rn N � � O ��\ � � �,�� i I I I '------I---- j� �' N U �� I ' I I , �' $ � � ., AGG�S DR. � � � � rn ��\ � � �,� � � i 3rn � r < �' � , � , • ' D NrnD ' � � , k � z `. � z pA � I ' � i'n I � � zg � J � I - ' , I D � rn � � � � � _ � i i � � U� � i i �: � � , ( ` � � ��j,n � � �F., � ' , � ) i I '� 'S,.,� / I ,�` �A � ( � � � , ,� �� , , �\ . f� � � , \ ' �� ,� �� i �" � ' i � s �,� , '� c�� \`��6 ti,y\� � � �,. _ ��s� �/ i \ �� v' ,��',/ � .� � / { � \'� � �/� t , � \ ,�, , � . � \�S \ � ; �y�G,s, `\ / � � ,� /, '� \'��' �� x �-� '�6�' ' '� ,/ �� ` � '/ : � ,J -.� - Application for Land Use Permit o o �/ County of Sawyer � /� - PO Box 676 -Hayward WI 54843 715/634-8288 � The undersigned hereby makes application for a Land Use Pernut and agrees that all work shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance � and the laws and regulations of the State of Wisconsin. NO CONSTRUCTION MAY BEGIN UNTIL ALL PERMITS HAVE BEEN ISSUED. PRINT-USE BLACK INK OR PENCIL r � ��ILL.1�1�'v1 � Klll,l I 5l7(1 W IC �PU A'Yl GE t t�JC- a Owner Builder �' � w1 t l�l aEY�l�.-�2a►"�oc�� AvE N4845 �fi�vv �3 s. �� o b4ailing Add:ess Mailing Address �eoo��- w� Sti(�l SPa�nc2- wl sla''el � � City,State,Zip City,State,Zip �I(7�5-30�F0 0� (�3S 3OS�o ]LS_�C�3S-�D�FO C Daytime Phone Daytime Phone J Additional Information: Zone District �-�� ' Lot Size � �� "'-' � Date lot was created (n-/�-87 Acres 1-N'f � � ;.. Is the property in a Shoreland District?(within 1000'of a lake or pond,within 300'of a river, / creek or stream) If yes,how far from the shoreline&water name: — Is there wetland near the proposed structure?If yes,how far �' � Building Land Use � ('�New ( )Filling Floodplain:( )Yes (Xj No # ;; ( )Addition ( )Dredging � � ( )Alteration ( )Grading Chippewa Flowage: ( )Yes ( )No � � r ( )Moving On ( ) , o t � - ( j Drivewa-y:� j Stat� ( j��anty ( j Tccrn R3. � Primary Structure Accessory Building Addition/ � ( )Dwelling ( )Garage-attached/detached ( )Deck ( )Year round ( )#of caz stalls ( )Porch � � ( )Seasonal ( )Storage Building ( )Enclosed O Frame built on site O Screenhouse O Living room W p ( )Modular/manufactured ( )Greenhouse ( )Kitchen � ( )Mobile/manufactured ( )Other ( )Bedroom � ( )Other primary structure ( ) ( )Relocate/enlarge (� Cpmme2u iu-Bt�G. ( ) ( )#of new > U�1��, _A'�e�1. � c�Di Additional I�formation: � � � rn Type of Cor�struction � �Frame ' ( )Log ( )Pole/metal ( )Block ( )Concrete � ( )Other � Construction Cost:Primary Shucture$��b(� � Accessory�B;uld:.-.g:$ Additien:� L z 7y Vol �� Pg �(�l( of Deed Certified Soil Test# O 3-O 3(o csM voi 1 Z Pg �p �rn a s�t�y re�c# 0 3 —yl�7 �0 Plat Envelope Or: � Condo Vol Pg Year Installed Aff of ex septic Vol Pg Owner When Installed: Gard Gazebo Vol Pg Previous Variance: LUP: Inspection Date: �I�� 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�ft. wide ft. wide ft. wide ft. wide �ft. long ft. long ft. long ft. long Floor azea_��sq. ft. sq. ft. sq. ft. sq. ft. Hgt.from gade o2 I ' to peak ft. hgt. ft. hgt. ft. hgt. Stories � stories stories stories # ofbedrooms Lot Line or Lake/River name: 5��. c��ac,Pn-e,c� . Fire Number and Name ofRoad � 7 $?� W SI a2.�� Zt �� 4-�'A'�/�t/A�'U� W( �d'�3 1. Fill in lot dimensions and indicate north by arrow. Signature of Owner or Authorized Agent: 2. Indicate location and size of exisring and new structures. 3. Indicate location of well, septic tank, drainfield. I �I /_ � � � ``�1� 4. Indicate distance to existing structures, lot lines, septic system. V' � �`�� 5. Indicate distance to the ordinary high-water mazk of any lake, pond, river, stream, creek, and name the body of water. P�n�Name: The above ceNfies Nat ihe listed infortna�on and intentlons are 6. Indicate any grading or clearing in excess of the construction site. we and wrrecc rne anove persons�s nereby yi�e permission ror access to Ne property(oronsite inspec6on. 7. Indicate distance to any wetland. Pernut Fee: � .,r�� November 6, 2003 ' _ � Issue Date Signature of Iss g g nt November 6, 2004 Expiration Date Office Comments: Inspection Date: 50%Rule Applies: Avg, Setback: Within ReservaUon boundaries: Restrictions and other information: �� IAC[ RL«RV[C F0A R[WRDIMO DATA pocuMENT No. sTATE $AgWARRANTYgDEEDA� 1 1ges � �j a, �a j � nevwer�OHfo' t + � � L. J _�-- ( _ . .,.- .=.__-- Sevn,et Camh' ) ____ � _ -, - d/1 d ,.— - _---- - p FRIE D . . N fo� rwad 1�" STEVEN.... •............N..SFiUFI•--• R AD19 e� �a� • D d mnde between ---�ad�jlE sinc�le men., _and. not. �.��`�� T�g @e . .. ...... -- - • and KENNETFI JACOBSEN_, .--.-•-_�- . . ... . . ' " m K,.:�,�a. oe vev �• . , Grnntor. ......... . .. ......... ....... .. restdeMs of £he 5tate of W�scons n.,-•--_....--•.�......- -- - - . . . . - ..._. .. •' " Recues+ ana..W�.LLIAM .K...ICNUTSQN..and..GLORiA..A.._-•KNUT.SOCl.----- � � .husband,.and,_wife.as. survivorship..marf3?!.-F�CQ��rtY.•-..... _ ••_ _...... Grantee� ........................•--'----..........------"--'--.......---�.-......---•..... �-----.-. . � _ _ --- for a valtiable coneideration....- . ____., . ..............��.-'--•-----'-----.That the said GranWr. . ---. Witnesseth� RfTU11N Ta ....o^4.:aoiiar,_end.,ocn�r..�a!�±nkta..�Qns�d�r.axtao...............�-...... � � oenwY�W�r�ntN!h�followlas daaribsd rul a�t�te in ......SA!ELY•�'............... �----- _--------"�_— CounLri StRte of W�ewnein: . • - ---- � � � . . .._......--•-- . . Ta�c Parcel No: ............"-""" Section Township Forty-one (41) North, Range Nine �9) H'Q3L, '�Part of the Southwest Quarter of the Southwest Quarter (SW�SW} , I Twenty-eight (ZS)• recorded ln Volume Tweive (12) of Certified Survey described as Lot Two (Z) • � Z866. Maps, page 50-51, Survey This deed is given in fulfillment of that certain Land Contract between t e Grantor and Grantee, dated, October 20, 1987 and recorded October 27• 198� fn Volume 411 , on page 95-96, bearfng doc. no. 206871 • Seller shall be granted a ,30 foot wide easement for access to Lot 1 , said er and seller. This access to be tocated at leasi 75 feet from the Northwest corner of the bu tank, or another location mutualiy acceptable to both buy easement shall run from Stress Road to Lot 7, south to north, across Lot 2• forsa'ccesis shall be deciared nulleand vofd!Y ThisHeasement is conveyed to theent Grantees, their heirs, successors and assigns. jRAya aR IS ttot .__,_,_,_,. homeetead property. J �� Thie -.•.•�1e)�'l;s not) urtenancee LhereunW belonging; ToQether wlth slt and sin¢ular the herodltamenU an ap ............................. . _..... Crantors - ' �{' - And...............................'---"---....._..................--'--.... ... ... .... ....... W�u�i�ect tohalF�teaseme^tsefezceptlonsiandareservatiOftSrOFet'eCOYd,�eaexe and w111 warrent and defend the eame. y , 19.--$a-• daY of ...................... .......Ma . Dated thie ........"-.'...� .........."'-""""""".' . ,C:.r.....-r-_`� f. -�,L::.r.-e�c.'C�CI...ISEAL) ...................... ..........................�-----••-...... .(3EAL) �..,�� .. ...,'. •S.T.FyV.E.N . ,...F.R.IENLlS.H'.UH................ �I . _ i " _ • �,.....-- - • .................................................................. KENNETH JACO.�.�.�.�:..(.: —tssat� � �_ / • � • ..............�--..........................._..---...................(3EAL) �� BSEN � • ..-----'-"----�--...---"---'-��--.......................'-'- i . .............................-'.-----'---'---"----'--'-...... I��I ACSNOWLIDD6MIDNT � AIIT88NTICATION j� 3TATE OF WISCON3IN 81i�atnr+(�) _.......--••-•••--•---•--...••--...--•.............•--..._. se. •••.............•••••••_-•••'.'.._...•••• .Couaty. . ...................................... .....5lktl .65.:_y•"-""'---' � �nOhmlie�t�d LAf� ........d+Y et.•••.............•••••••-- 19..•••• P Moeyt cama befox me thie ---..L�....----day ot •-...•--...••---- - --••••---....•----....� 19_..88. the ebove aamed ..............•••••......................._........••••..._.....•••...._...•-•-• _Siexea.A_..Friendshuh..and._Kenne.th--•••_- •................. ....•••----................_....._......•_........... Jacohsea....................--•_••----•-••--....._........-----••--- •••••.. I� TITLE: MEMBER BTATE BAR OF WIBCONSIN . - •••••-•..__._......_....._...••••................••-.._.....------....-----•- I (If nok ••••------••••••--....----•---.....••.................•-•••• ---• .t�,.;��,� :,...-••---......-----•• --- ......._..........••-----... i' •nthoriaed 69 4 708.08. Wie. StaGJ ;��j� '� {d be tha Pe ........ n- xecuted �'�. �'dr trumelit � wledge e same. i' ^ TH19 IN9TRUMENT WAB ORAFTCD BY � ""'"'"� . ." ;. ..: ' ....... .. ....... ."""............ � Norman L. Yackel � . . ...................................................................... ' ri -� Y k 1 Attorney at Law - .. ....., � ............................... - ��-------•--------------••-------••-•-----------••--------•-�-------••------.. :rtqis� ,ubtsa,_.--�-�`--�- .dk'Y?r.- -------co�nry-, wu. CO im3esi0a e e P anent. If not, state expiration (3ignatures may be euthenticated or ek owl�l. AotlfJ � ,� �.,o .' '' ..� ............ ..•--- --' ' "----'-' are not neceeearY.) .`�L A �'►�l � d&i�hf-��COicS��;°, . -- 19 ) y�� • • --�--�-� I� _: `�' _ _ __ _ qtrr�nuuti . �N�mw of D�d �� in �ny c�DaeltY �Fodd ba iyp�d or Drinted below lhdr �ko�turo. nT�Tx. nAR OF WIBCON9IN Wleeondn Lead Bieek Co. iv� Town of Hayward � County of Sawyer September 14, 2004 Date SUBJECT: Variance Application i}~' �� To: Sawyer County Zoning Administration �AN � 6 [OC�� , � P. O. Box 676 ----�- " Hayward, Wisconsin 54843-0668 �� Owner: William K. and Gloria A. Knutson 715 635-3040/3056 Address: N4845 Highway 63S Spooner WI 54801 Property description: Pazcel in part of the SW1/4 of the SW1/4, S 28, T 41N, R 09W 010-941-28-3314, Parcel . 11. 14 Lot 2, CSM Volume 12 Records page 50 #16288 W Stress Road Volume and page no. of deed: WD Volume 420 Records page 471 - Acreage and lot size: Approximately 180'/170' x 286'/429' containing 1 .44 acres Zone district: Commercial One (C-1) Application is for: an after-the-fact variance for the construction of concrete footings for a 60' x100' commercial building located 58' from the centerline of Stress Road (a Town Road). Variance is requested as: Section 4.21(3), Sawyer County Zoning Ordinance, would require a minimum setback distance of 63' from the centerline of a Town Road. a Name and address of agent: Signatures of property owner and agent and/or purchaser. The above hereby make application for a variance. The above certify that the listed information and intentions aze true and correct. The above person/s/ hereby give permission for access to the property for onsite inspections. Office of Sawyer County Zoning Administration P.O.Box 676 Hayward, Wisconsin 54843 (715)634-8288 URL:wwwsawyercountygov.org E-mail:zone.admin@sawyercountygov.org December 1, 2004 William K. Knutson %WK Appliance, Inc. N4845 Hwy 63 S Spooner, WI 54801 Re: Parcel .11.14, S 28, T 41N, R 09W: Application for Variance Dear Mr. Knutson: The office is in the process of reviewing those 2004 outstanding actions/requests that have not yet been finalized. One of those issues is the construction of your proposed commercial building at the intersection of State Hwy 63/Stress Road. At one time you were considering applying for a variance because the footings were too close to the centerline of Stress Road. Could you please let me or Mrs. Kitty Taylor know what you propose to do about this matter? Thank you, C!�. . William A. Christman Zoning Administrator Office of Sawyer County Zoning Administration . P.O.Box 676 Hayward, Wisconsin 54843 Tel: (715)634-8288 Fax: (715)638-3277 URL:http://www.sawyercountygov.org E-mail:zoning.sec@sawyercountygov.org September 7, 2004 William K. Knutson W7717 Beaverbrook Ave. Spooner, WI 54801 Re: Land Use Permit(LUP)#03-741: Footing Placed too Close to the Centerline of Stress Road Dear Mr. Knutson: This morning I flagged the 63' setback from the centerline of Stress Road on each side of the concrete footing. No part of the proposed building(i.e.,roof eave,wall etc.) may be closer than 63' to the centerline of the road. The corner of the footing is definitely encroaching on this setback. Based on our conversation on Friday, September 3, 2004 you sta.ted that you would remove the encroaching footing. Please contact this office if you have any questions or comments. Office hours are 8:00 A.M.to 4:00 P.M, Monday through Friday. Sincerely yours, C��..�� William A. Christman Zoning Administrator Office of Sawyer County Zoning Administration P.O.Box 676 � Hayward,Wisconsin 54843 (715)634-8288 URL:www.sawyercountygov.org E-mail:zone.admin@sawyercountygov.org September 14, 2004 William K. Knutson %WK Appliance, Inc. N4845 Hwy 63S Spooner, WI 54801 Re: Parcel .11.14, S 28, T 41N, R 09W: Application for Variance Dear Mr. Knutson: I have enclosed the following documents with this letter. • Board of Appeals Conclusions of Law Form(This is the form that the Board members will use to determine if your situation meets the requirements for the granting of the variance that you have requested.) and a completed • "Variance Application." If you believe that you meet the criteria for the requested variance you should review the inspection report and application for correctness. If correct, sign the application and return it to this office with a check in the amount of$250.00 made out to the"Sawyer County Zoning Administration"by Friday, October 1, 2004 for hearings in November 2004. The "Application for Variance -Additional Information" must also be filled out and returned with the Variance Application. Both documents together make up the entire application that will be reviewed by the Sawyer County Board of Appeals. Failure to return both of the documents or failure to complete either document in its entirety will cause the variance application to be rejected by this office. Mr. Knutson, based on our in-office discussion, you are going to prepare a"site plan" of the property indicating the proposed structure with setbacks, lot lines, road right-of-ways etc., for inclusion in the variance file. The site plan must be in this office when�u return the si ng ed application and fee. The "Variance Application"will be reviewed at two public hearings. The first hearing will be held by the Town of Hayward at 7:00 P.M., Tuesday,November 9, 2004. You should contact Jodi Longtine, Town of Hayward Clerk, at (715) 634-4123 (Town Hall)to confirm this date. The Sawyer County Board of Appeals will hold the second hearing at 7:00 P.M., Tuesday, November 16, 2004 in the large courtroom located in the Sawyer County Courthouse. You or your agent should attend each hearing, especially the hearing conducted by the Sawyer County Board of Appeals. Only the Board of Appeals can grant the variance, the decision of the Town of Hayward is advisory only. It is your responsibility to convince the Board of Appeals to grant the variance that has been requested. Therefore, you should consider using any means at your disposal (i.e., photographs, drawings, a good verbal presentation, etc.) as you present the facts to the Board. Please contact Mrs. Kitty Taylor if you have any questions. Office hours are 8:00 A.M. to 4:00 P.M., Monday through Friday. Yours truly, G�� G��Z7��11 William A. istman Zoning Administrator Safety and Buildings Division County � � � 201 W.Washington Ave.,P.O.Box 7162 �y� �scons�n Madison,WI 53707—7162 Sanitary Permit umber(to be filled in by Co.) De artment of Commerce CS�6o��26��1�1 428685 Sanitary Permit Application State Plan I.D.Number _- - In accord with Comm 83.21,W is.Adm Code,persooal infom�ation you provide 9 2 8 6 6 0 may be used for secondary purposes Privacy Law,s15.04(lxm) L Application Information—Please Print All Information Property Owiier's Name Parcel# Lot# Block# �i�-�- �c�� Gloria Knutson 010- 41-28-3314 Lt 2 O Property Owner's Mailing Address Property I.ocation ��6 1 N�$'�� /5�w �3 0 City,State Zip Code Phone Number `5� '�`� `S� '�'> Section � V oon e2 Ll�T �y�a/ �°"°' � T�N; R 9 E rW ----- ---- -- -- — -- — cu�ii��ision�.Tazr�e CS�ti:'vuiiiber ---- CSM Voi-�12 P 50 �City_�Village�Township of .S�JLc.�¢aof ��+R�. IIL Type of Permit: (Check oniy one boa on line A Complete line B if applicable) a New System ❑ Replaceme�System ❑ TrealmenUHolding Tank Replacement Only ❑ Other Moditication to Existing System B• ❑ Pernut Renewal ❑ Permit Revision ❑Change of ❑Pertnit Transfer to New List Previous Pemut Number and Date Issued Before E�iration Plumber Owner IV. Type of POWTS System: (C6eck all that apply) Non—Pressur'u.ed In-Ground ❑ Mound>24 in.of suitable soil ❑ Mound<24 in of suitable soil ❑ At-Grade ❑ Single Pass Sand Fiiter ❑ Constructed Wetland ❑ Pressurized In-Ground ❑ Holding Tanlc ❑Peat Filter ❑ Aerobic Treatment Unit ❑Recirculating Sand Filter ❑ Recirculating Synthetic Media Fitter ❑L.eaching Chamber ❑Drip Line �Gravel-less Pipe ❑Other(explain) V.DispersaUTreatment Area Information: Design Flow(gpd) Design Soil Application Rate(gpdcf) Dispersal Area Required(s� Dispersal Area Proposed(s� Sys�tem Elevation Z� .T t�G�.B� ��S 9i. � VL Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic , Gallons Gallons of Units Concrete Constn�cted Glass New Existing Tanks Tanks Septic�� /p00 / �/�14L�� X Aerobic Treatrnent Unit Dosing Chaznber VII. Responsibility Statement- I,the undersigned,assume re nsibility for installation o he POWTS shown on the attached plans. Plum��,C 8� EXCAVATI N um ignature MP umber Business Phone Number �a y 75 Plumber s �,j I � t 11lJ , VIIL County partmen se nly Sanitary Pemut Fee(includes Groundwater Date Issued ng gent, g a o S ps) �"Approved ❑ Disapproved Surcharge Fee) � ❑ Owner Given Reason for Denial �19 0.�0 11�6�0 IX. Conditions of ApprovaUReasons for Disapproval � IMPORTANT NOTICE: Wisconsin State Statute, Chapter 4 245 (3) , states you are required to have your septic ta pumped/inspected at least once every 3 years. . . i ; , Attach complet�plans(to the County only)for the syctem on paper not less than 812 z I1 inches In size � 10541 N RANCH ROAD HAYWARD WI 54843 TDD#:(608)264-8777 I��o�� www•commerce.state.wi.us/sb www.wisconsin.gov Department of Commerce Scott McCallum,Governor Philip Edw.Albert,Secretary July 23,2002 CUST ID No.263746 ATTN.•Buildings&Structures Inspector �� GERALD W KORTNESS MUNICIPAL CLERK ` �,� G W KORTNESS ASSOCIATES CITY OF HAYWARD ,� Df � PO BOX 366 PO BOX 969 � py � SPOONER WI 54801 HAI'WARD WI 54843-0969 E CONDITIONAL APPROVAL � , �� IdentificaribnNumbers �; ��.,„y.;: PLAN APPROVAL EXPIRES: 07/23/2004 "h�= Transaction ID No.765690 ." ``' SITE: Site ID No 647323 Please refer to both identificahon numbers,�``' W K Appliance = - �� Hwy 63 S ` above',�ui�all'correspondence"with`tlie agency;j City of Hayward, 54843 Sawyer County FOR: Object Type:Building Regulated Object ID No.: 859767 Class of Construcdon: 8 Wood Frame-Unprotected; New Plan; 6,510 Project Sq Ft; 1 Story Bldg; Unsprinklered; Occupancy:Mercantile/Commercial The submittal described above,received prior to July 1,2002,has been reviewed for conformance with applicable 2001 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 construcrion or installation and prior to occupancy or use: Key Item • COMM 63.01 Prior to installation,lighting plans and calculations shall be prepared in compliance with the code and properly signed and sealed.The plans shall be available at the job site as requested by the Department representative or local official. Also Address • COMM 54.12(2)(b)2. The public toilet rooms must be accessible directly from the areas occupied by the public. Access to the toilet rooms via store rooms and employee work areas is not permitted. Submit • COMM 50.12 This review does not include heating,venrilating or air condirioning. The owner should be � reminded that HVAC plans,calcularions,a completed SBD-118 application form and appropriate fees are required to be submitted for review and approval prior to installation. i �� • Submit,prior to installation,one(1)set of properly signed and sealed truss plans,a completed SB-118 ; application form including this transacrion number and signed by the building designer,and$100 submittal fee i to Safety&Buildings,P.O.Bog 7162,Madison WI 53707-7162. A copy of the approved plans,specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department,which may include local inspectors. All pernuts ' required by the state or the local municipality shall be obtained prior to commencement of � construction/installation/operation. t � ---- � .- _ - _ � _ -- _ � In granting this approval the Division of Safety&Buildings reserves the right to require changes or addirions should conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this � review shall relieve the designer of the responsibility for designing a safe building,structure,or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address on this letterhead. ��,.� Sinc y, Fee Required$ 650.00 Fee Received$ 650.00 �lt; Balance Due $ 0.00 -� �� R dall B.Mattison,P.E. Buildin Plan Reviewer Inte rated Services AEN7 g , g WiSMART code 7648 S FE (715)634-8964, Fax:(715)634-5150,Mon-Tues 7:45 am-430 pm � � rmattison@commerce.state.wi.us �RRf cc: W K Appliances Inc Teresa L Black,Building Inspector,(715)634-8114,Fridays,7:45 A.M.-4:30 P.M. . �� . � -_.• � � ` � . , . %1DE :SSIB iiNG SIBLE 1: 2t f i� �c i —�� iw �U �� ia i -�- � � � � _- -- --- � - ,�_t=�i =r�'r_-=i.�-�-M��` �_-_��_�_T-._�_�-- y�'T_i___� ��T�_��--_�-�� i____��-� -�--Z- ; ---__ ----__---- ------------- -�--�-- -- - -- -• . j'� - -'-'-� ----�----�----�------------'--------------------� /—�\� ,--_ [� n � � �' `� � I '��. �`� I��I � r\J � � f._ f-�', � \� , ; �� , , ;��.,_,, �„ � � / ��.� �I F— I � � I I Safety and Buildings � � 10541 N RANCH ROAD � HAYWARD WI 54843 � � TDD#:(608)264-8777 ►� www.commerce.state.wi.us/sb L— uwvw.wisconsin.gov rce Scott McCallum,Governor Philip Edw.Aibert,Secretary �v„E -------- ATTN.•Buildings&Structures Inspector �'ond`itionat�y MUNICIPAL CLERK ` �,p��,c�OV�� CES CITY OF HAYWARD �� . Of AftTIAENT OF COMButtDiNGS PO BOX 969 p� N 01 S FE�Y AND, HAYWARD WI 54843-0969 ' � �URRESPONDENCE � �:� Identification Numbers-°'.:�� ES: 07/23/2004 " , ,-; : Transaction ID No.765690 - Site ID No.647323 47'-53Y32 Please refer fo both identification numbers, — above,in all correspondence with the agency:< `��\ , `JE R!F Y R t Q U!R E D � � D!S?ANCE � � � _ __ . i : _ :_ I --- _ ) � Zegulated Object ID No.: 859767 - ,'� Jdood Frame-Unprotected; New Plan; 6,510 Project Sq Ft; 1 Story Bldg; Unsprinklered; _ - :. i,�� i 52'-1�;6" 'ommercial -; r — �' °,received prior to July 1,2002,has been reviewed for conformance with applicable �� e Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with �I�E vhiv PARK�iv� 1 be met during construction or installation and prior to occupancy or use: SS!�Lt ;�P:G WjSiGI� C�`��- 1'.� �•�G?( stallation;lighting plans and calculations shall be prepared in compliance with the � ----- and sealed.The plans shall be available at the job site as requested by the Department i�� --- - . _ -- ��. _ - �icial. - �_ - '�- --- CH. NR 812 VARIANCE NOTICE Document No. The LVisconsin Department of Natural Resources grants a variance pursuant to ch. NR 812, Wis. Adm. Code, for a private water system owned by William K. Kuntson on the property described as: Certified survey map 2866. Being part of the Southwest 1/4, the • 5outhwest 1/4, of Section 28, Township 41 North, Range 9 West, in the Town of Hayward, Sawyer County Wisconsin. Chapter NR 812, Wis. Adm. Code, requires a minimum separating distance of 1200 RETURN T0: feet be provided between a well or Bureau. of Drinking Water reservoir and the nearest edge of an and Groundwater existing, proposed or abandoned landfill P.O. Box 7921 site unless a variance is granted. Madison, WI 53707 The Department of Natural Resources has granted a variance for the construction PIN # 010-941-28-3314 of such a private water system upon the following conditions: 1. The well shall be constructed with a minimum of 220 feet of casing or cased at least 100 feet into the sandstone bedrock, whichever is greater. The upper enlarged drillhole may be constructed using one of the following methods: - - Rotary mud circulation. - Driving a temporary outer casing to the top of bedrock using a percussion method. - Turning temporary outer casing to the top of bedrock using a dual rotary (Barber) rig. If temporary outer casing is installed, it sha11 be removed during or following the grouting procedure. 2. The annular space shall be grouted with neat cement grout using the Bradenhead method or a Grout Shoe. 3. Notification of the selection of a drilling firm shall be given to the Department of Natural Resources Central office at 101 S. Webster, P.O. Box 7921, Madison WI 53707-7921. Contact Randell Clark at telephone number 608-267-7895, r�ot less than 48 hours prior to the beginning of the drilling operation. - - - __ - .. _ --=_- 1 - _ —.. 4. Notification of the proposed time of grouting shall be given to the Department of Natural Resources Antigo Service Center office at 223 E Stein£est Road, P.O. Box 310, Antigo WI 54409-2777. Contact John Sager at telephone number 715-623-4190, not less than 48 hours prior to the beginning of the grouting operation. 5. The drilling waste shall be containerized due to contamination expected during the driliing process. A WPDES discharge permit may be required for the containerized waste liquids. 6. The driller shall be OSHA Certifed and have 40 hour safety training. 7. That in the event that the actual construction of the well on the above-described property has not commenced within 2 years of the date of this approval, the approval shall become void. 8. That the property owner shall provide to the well driller contracted to construct the well with the enclosed we11 construction report assigning Wisconsin Unique Well Number RK163 to the well and that the well driller shall report the construction of the well on the enclosed form. 9. That this variance approval is conditioned upon the property owner having the enclosed, separate, original, notarized variance notice recorded at the Sawyer County Register of Deeds Office within 60 days of receipt of the approval letter. You are also responsible for any fees associated with the recording. 10. fihat all future owners of the property shall furnish no later than 10 days after acceptance of a contract of sale or option contract, to the prospective buyer of the property a copy of this variance approval. 11. That a water sample shall be collected from the well 3 months following well construction and analyzed for Volatile Organic Compounds (VOCs) , Manganese and Iron according to Safe Drinking Water Act (SDWA) laboratory methods. Within 15 Days of receipt of the results submit a copy of the results to the following: Randell Clark WDNR Mail Code DG/2 P.O. Box 7921 � Madison, WI 53707-7921 Please include your name and the county where the well is located on the copy of the laboratory results that you submit. The department also recommends that you continue to periodically collect a water sample for VOC analysis. , Failure to comply with any tex�n of this variance renders the variance void. (� l Dated this �-�'I�l day of '�� , 2�, � I . �. , ; �� .: , � , � Mark F. Putra, Chief Private Water Systems Section - _ __ _ - 2 - This instrument was drafted by the Department of Natural Resources. _ STATE OF WISCONSIN ) COUNTY OF DANE ) ss. � Signed before me this � day of , 20 �� L�,.,�-�' , No ' ry Fubl'�c State o Wi con in 6 .M co?:anissi�n expires �2 S ��D _ _ _ _— -_ _ _. ---- _ __ _ _ _ - 3 - — �'''`- �� CERTIFIED SURVEY MAP � _ Qrk �N�c h�fy�cE�c 4�f�4 eF y�ck�o�t ti� �(o�►►�sti�o �1��lor4h Q�n�c q W�,k �(e�,,� oF �1�v�,h�wv�rT � j �oOVld G7�cd itavt iQc 7��a • � �Phk Y�CoYdGY o��ID�I 2� 0 ' � � �4tis a��p yaQarc�cy P�vk;E�c� 4ur�c�Mae�2h�t -�+ Y�urbbd iv� Vslv+m� t1 ov� ��qu q q t�{90. '�� Prqrinq� rtFi�cv�tt� Yo�t tJ►�k lm� ak h,�ck�o� 2b, 9�a�u�a Yo ba�r �(erk4� oo••oo'•�o"�'sk. 5�,3z.�. 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