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HomeMy WebLinkAbout010-841-26-5513-LUP-2001-001 Application for Land Use Permit � ` ` r -; County of Sawyer 4 ° , PO Box 668 - Hay�vard `VI 54843 �;:; ;..� ._ _ . , _ _ 715/634-8288 � The undersigned hereby makes application for a Land Use Permit 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.CONSTRUCTION I�1AY NOT BEGI;V UNTIL THE PERi�1IT IS ISSUED. -' E�l Zce.,b e� �? � �?Cl� P��T — USE BLACK I�K OR PEtiCIL r' �- � � 1�i[7 �. �.C:�O�U�4�Z l� (�Nv r �l�T s�iz�zAt�.=� ; Pc.A N T'o _ o. � O�vner Builder o � iOp �4 CEM c�r N i ��- S a' . c-On�i�tcr Nt�. I<E�I ��c.�Y� ; Mailina Address Ma?i.ing Address � i�GL't-IESi��� , N�V J��1 c�Y City, State, Zip City, State, Zip ���,� ) �z�"�j — �L4-7 Daytime Phone Daytime Phone Buildin� Land Use � O I�'e«� O Fillin� Zone District 0\ �`� �-(�--�t�'I'[Ton ( ) Dred�in� i � � Alteration ( ) Grading Lot Size � I�, ( ) ��Io��ing On ( ) � ( ) ( ) Acres � � � , -, Primary Structure Accessoryr Buildin� �dditio:l �T ( ) D«�ellin� ara�e-attached!detached ( ) Deck � O �"ear round (1) tt of car stalls O Porch � � ( ) Seasonal ( ) Stora�e Buildin� ( ) Enclosed O Frame built on site O Screenhotise O Living room O l��todular/manufactured O Greenhouse O Kitchen t � ( ) 1�lobile/manufactured ( ) Other (� Bedroom �, I O Otller primary structure O O Relocate/enlar�e 1 y- ( ) ( ) (I) # of ne«� I Type of Construction �= (� Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � ( j Other v � � � Construction Cost S ` u�T' ���'K�iOu,►�l �_ �' � Vol�Pg t �� of Deed Certified Soil Test � � q -� CSM Vol / Pg� Sanitary Permit # Q'�`-�(�f� � z Plat Envelope �r� '��t�c. S�sTE�t iz���-� � ~ Condo Vol Pg Year Installed o`�aO � AfCof e� septic �' P O���ner When Installed: � S— ►����� �" 1,33s Application for Land Use Permit—Page 2 _ Describe Construction:List dimensions of each structure,sto addition,or alteration. _ f$j ��v4rZ/F6L fEDOJTKx, #ZCrZEHOl�'L- UIF57�A/G� SrA[L �+r� Size /2 r�ft.�� ��uT�t.��3d����) ft.wide ft.wide ��ft.lon� �!'o h.lon� ft.lon� ft.long Floor area 2b¢- sq.ft. /44 sq.ft. sq.ft. sq.ft. C ri�rJr l�ZES�It' H�.&om ga�e�to peak b' ft.hgt. ft.h�t. ft.hgt. Stories ( / stories stories stories #of bedrooms rear lot line or�caterfine of lake/river In the box sketch in: ��''�"' �' � Location and size of all � � existing and proposed structures. �"��'�±� � I Y -__ Location of septic system. '�" I F i9' ��{�/// /r";' '�� ti02�� Y ��_-__�j%//r�.i.'�2 �AJ��;T�C��1 Indicate distance ro: • ,��r k lb'aterline/Wetlands � `�"- Road r�� Lot lines vR4 +«< � Septic system�privy � �-��� \�"el l �� � Distance bet�veen stnutures. � `��-� Indicate�ordi. �'`' �� _� �� Fire\umber: /6E�b N i�Es12�r.% ��. -� J� � ��..-� Signature of O��ner The abo��e certifies that thz listzd inform�tion and intenrions are tnae and A� correct.Thz abovz personr's�hzreby -- -- _ _��^�;�.,� ti��� eivz pzrmission for access to thz propercv for onsice inspzccion. -------centerline of �EA R�cN road------- C�I�:(J�T16AJS:` 1�JU CCfLp4UsiO�U O��I�L�.(.lNEG-/�/l�¢/pE�1s'C'7p/Li,�i1, 2� Cou u�e�►��o�u o��t��u r�a�,z�r3��42�'I�-ry �-i�1�:r�/'c�,�L� 0,�cy,c�-a-� Issue Date January 2, 2000 Expire Date January 2 2002 OfficcComments: �.2�� �[�GZ''l�Zljr�.t�"i-i Si�naun�of Zonine Administrator . � r-���`�'""�'-- �.:�-.� � � r t �' 'u�..:� _t �- _ _ ._. .. - � .� �c�, h; �` • DEC � 1 ��.1`�� � �4 :,, � �""'": , , : t1 ;.:y I,,, Y - `*`r:L1��� Rr.yJrJrA`, _../`�,=-= �.�Q�1Sf+tU ALyM1�til51i�ii1C1�I� �---- _ _. i4o'�t� _ _ _ -__ _ �l r' i, /���±� � / r U � (G ;I ?EDRGY�it-t h�17/T/�X! �/// ���� � � C�*A�;:-r i 36� _�� , (lU��n� �e�i�'T7�_ I 7��; � / SC�PTIG T,qtU/< � 1,.�.�(,�.� i ' ,�R y wec-�- / i � � 48s' ' , k 4 Fo I 3,so'<t a � S � � i ! { �O� �� < ,c.! R T�. 1�.4, l.�o�tJ�D a,7Di�E2T`7 /^'.�, N /�'r1,��1 �a. f�l/t ycv�l`!�� �z�; � � �� ��� �� �� w� , ���� � ���a�1�` "r�`� ��- �,,�, � ��- .•��`�'"�""` � 'ry"�' �''r�ru'�' �� � ,2�.�,�.,- � ���f � � ���-� .� , ����- ��� �v � �c�.�:,�wc � �'Q`_ �„�- ��-'�''� � �`- d�� � `v-l'Ge 'u�,c, �'`�' ���� � .� ���. ��,/��- �'`��' � � � ��,�,,�, f� �-�- �/�-� ��'� �� � � � � � � � � � ��u�� ���'�-. � � �.- , '� �� - � c�a� xx� --�-� ���, . � �� 9 �� � ��� � �,� ��;�,� .,��.,�.�-� /�Gc"o ��- 'G� � �'.�`f- 3�'��`, .S� ur�� �� -�-�� � � �.`cvs"`ri� .�, �.c�•- ,��. � !��� �+cl�- �- .�-� l�?S�""a-�.w ��� � � k�-�.-� r '� /Z r ------- __ ____ _ _ � I � i N A � . � Z � � � � u � _° � � Z � N F� U �r' � � � 0 � � � � � � � y � � � N " � -, � --_ n _� v- i `o - 0. i D I -• i I i - I � n , ,_ —--- ___---- - ' t �_ . . _ _ _ � ___ _ z +; _ - C' � � �� � � � �y'� w �b i �-�'��`c-"'� �� i Oftice of Sawyer County Zoning Administration P.O.Box 668 Hayward,Wisconsin 54843 �n s�63a-szsa URL: www.sawyercounty ov.org E-mail: scezone(n�win bri�ht net FAX: 715-638-3277 December 5,2000 David&Elizabeth Leonard 100 Salem Point Drive SW Rochester,MN 55902 Dear Mr.and Mrs. Leonard: I have discussed your application with Merton(Mac)Maki, the Assistant Sanitarian for Sawyer County. Since your septic system has been improved this summer,he feels that it will probabiy be able to handle the extra use of an additional bedroom. The only thing we will require of you is to complete the enclosed Affidavit of Existing Septic System. Basically, this affidavit states that you are aware you are adding a bedroom to a system that is undersized for the number of bedrooms in the house. This document must be signed before a notary and notarized. Then return it to us with a check in the amount of$10.00 ro the Sawyer County Register of Deeds. Also,I will need the revised sketch for the alteration of the house. We will be able to issue your permit within a few days after we receive all to the information indicated. If you have any questions please contact me at the above address and phone number or by e-mail at z�oersec«��;�.br�eht net. Thank you, Debra Hammerel Permits Secretary Sawyer County Zoning Administration Encl. 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C.� � .::�, �-y � • D.E.YDT.EJ' /"x9a"IP , l�.i' ';:; " ; : �• :.,: �q �� v � O A.ENOT.ES /"x.2�"IP ' - .. .._. . � : �f1. :7f �: • . .a+. � � � PD.B—• • I, Ronald L. Peterson, Wisconsin Registered Land Surveyor, hereby certify that in full compliance with the provisions of Chapter 236 . 34 of the Wisconsin Statutes, and under the direction of Perry A. Risberg, owner of said land, I have surveyed, divided and mapped the land herein described and that such map correctly represents the exterior boundaries and division of the land surveyed; and that this land is located in Govt. Lot 5, Section 26, Township 41 North, Range 8 West, Town of Iiayward, Sawyer County, Wis . , described as follows: (description on page 2 of two pages) . I further certify that in surveying the above described lands I find discrepancies between some of the deed calls and the monuments as they exist, and that the monuments were accepted as best showing the intent of convey- ance. The discrepancies are noted on the location sketch (page 2 of two pages) . April 25 ��6(,,,'�NS ona�// � ��� -V� I,�. x Ronald L. Peterson • �� RONALD L. Wisconsin Registered Land Surveyor PETEiiSON � IIayward, Wis . 5-003 HAYI'l.4AD � l �'IS' � (Page 1 of 2 pages) ��� SURV��O �a a,..�.e u.. , �rc DOCUMENT NO. � QUR Ci.n7Y D�ID iTATE BAR OF W16CONi1N—FOqM f � THIi 6I'dCE N[BEMCO FOII 1�601101ryp- OAT� 246202 David A. Leonard and Elizabeth B. Leonard, ���� T � :...........:................. . :. .. ......................�----..-�-------- -------............-..;-----• i iysryss�c»rarr . . . I F husband and-wi.fe----•----••-•------------------••----....--•-------------� -�-------------- �,il v��res ki rr�sr,M � �r ..... ............... .•-•---------•-----••----------.. . - • - - - . � ��� A D 19 b , • ------ - ------•• --- - - •- •--�-------------'•- quit-cla�meto David A. Leonard and Elizabeth B. Leonard � yi id �uu����d �!- an d successors, as Trus[ees o f t he Davi d A. Leonar d ��, p1 bno�jy� oa p�� . ............•--•--...- �----.._.....----'•---•-•----'--'-----y------'-'------------•---•--------------'- � ' . Trust under a reement dated Januar 11 1��5 - "-------- -----'---- --' �i E � �9W1 --------------------------------------------••--•-•-------�-��--��---------�---�-��--�---- ----...--------�--- �� •--•-•----._.....g............ ..••------------------�--------�---'Saw er-�---�------------��---�------y iI .. - the followin described real eatrte in ---.-------•.--------Y---------------••-.--•---- Count � State of Wiaconaln: i -_——_--.. .-°. . ---.._ -.. ienunH ro �---- ' ------_---. __-. � I � ' P TaxKey No. --"-'-'---"-------'----------------- That par[ of Government Lot Fiv� (5) , Section Twenty—Six (26) , Township Forty—one (41) North, Range Eigh[ (8) West, described as Lo[ One (1) , recorded in Volume One (1) of Certified Survey Maps, Page 191. FEE � EXEMPT This ...J.�_.RQC-------------- homeetead property. (ie) (ie not) � �._, Dated thia .._..•••-................/3- ---------•-- da9 of .---------•--- ------ - ...cK,cvL,-------'•------ -....__, 19."��..�_. ..-•---- --�----��- ---......••----••--•----------------------•---....---------------..(SEAL) _. �C/lG'M^� l�( . �"'nn-'+l.-•----------------�SEAL) -----'-------'---------- � . David A. Leonard -•'------••_----......------'-•_••------......---•-------'--' -'------- ------------ ----------'--'----- ----------------"----- C n .• �f ' ..------...-----...-•-•----�----•------••----•--•-----------------(SEAL) Z� �L------�`--:-���.�.9�1GI..�---...---�SEAI.) Eliz�eth B. Leonard • --•-•..........................•---...-----------....---••-•----- � --------------------------------------------'--------'------•- AUTHENTICATION ACHNOWLED6MENT 3i aturea authenticated t6ia .................. day of 3TATE OF��I�HI'X MINNES�TA ..---------�------------------------•-------� 18..__.... ss. OLMST�D___.,.__..__County. , ----._..... •- --- --- ---'------------------------------••--�---------�---�--------�------------ Pereonal }.camE before me,thie -�---��---------day of . ' � �, �i�c. c_:t't' '(-�1�.�._ the above named -.-----------.------- -'-- ---------'----------------------------'--'--------------- � f'- -- TITLE: MEMBER STATE BAR OF WISCONSIN ' _David A_ Leonard_.and__Eli.�dk�Xh..I�,__laaana�d Qfnot- ------------------------------- � husband and wife .-------.- - - - ----------------------- ' ---------------------------------- - --'--'-"-'--------------- suthorized by $ 708.06, Wia. Stats.) ---'--------------------------------------...-----'----'------------------- TH18 INBTRUMENT WAS ORAFTED BV to me known to be the pereons__._.._._._. who ezecuted the Dorsey & Whitney, 201 Firs[ Avenue SW, fore ong i '`�e�t and agkno�ledge the aeme. .---- --- --------�-------�---- -------------- ------- ------- ----�--------- � ,�� , �� - , .--�- - -� �-=--- -- ---._�t,.---�--�-�-�-- �-� - - --�------..... Suite 340, Rochester� MN__55902_______________ - - - - - • . .. ...................�---....---.... . . . ....-- - - (Signatures may be authenticated or acknowledged. Both Notary Public .......... . ........... . .. ..County, Wie. are uot necessary.) My Cammissionii4npermanentt^.'� on The use of witncsscs is optioml. ��� � y�/� 'I �t�._._.. ,: s_j _._..�OHNR.WICKS 7g ) ' �„ r� 4 "� r•u i � 4 ;. fiUTARY PUBLIC-AIIHNE5�OL1 ��:�'� OLfl,�TED COUNTY - __ _ �;. •N�me� of Denov� �i¢nin¢ lo �ny uD�<�tY ehould be typed or pdnted below their ei¢neturen � � i.4yCer,��,CsaionEzpiros Apr.19,189! r:J,.J�.�::fJvUVJ.A.%J�,'�V��nNVJVHINVWNNV It r. AFFIDAVIT ���aGiD1. a�,,s.,_ : EXISTINC SEPTIC SYSTEM ` r a;: ONE AND TWO FAMILY sawyer Co�r,p Re eivetl for reCortl this /� .CBy OS Documcnt Nwnber �A D 2000 at � M and recorded as vol IF THE EXISTING SOIL ABSORPTION AREA DOLS MGET THG o sonpagca YrY� MINIMUM REQUIREMENTS FOR GROUND WATGR AND BEDROCK �-mn��i�' - Register DEPTHS AND 1F IT IS FUNCTIONING, AN ADDITION TO OR REPLACEMENT OF A HABITAIILE STRUCTURE CAN 6G MADE IN ��" � � �eouty MOST INSTANCES WITHOUT UPDATING TH8 SOIL ABSORPTION AREA. IF THE EXISTING SOIL AIISORP7ION AREA 1S 11TILIZED FOR THE ADDITION, EVERY ATTEMPT SHOULD BG MADE TO LOCATE AND RESERVE AN AREA WHICH IS SUITAQLE FOR A CODE COMPLYING REPLACEMENT AREA FOR WHGN THE SYSTGM FAILS. IF THB ADDITION WILL SUBSTANTIALLY INCREASE THE WASTEWATER DISCHARGE, THE EXISTING SYSTEM WILL BE �,. -,-; REPLACED WITH A CODE COMPLYING PRIVATE SHWAGE DISPOSAL ' �� SYSTEM. RE'CUItN 1'O: Sawyer County Zoning Administration 010-841-26-5513 P. O. Boz 668 Parcel Identification Number Ha ward Wl 54843 Owncr(s): David & Elizabeth Leonard Maiiing Address: 100 Salem Point Drive SW Rochester , MN 55902 Properiydescripcion: That part of Government�Lot 5 Sec 26 T4 N. RftW- dP��r;hP� — as Lot 1 of CSM Volume 1 Page 19 ��� �W�� DAvid and Elizabeth Leonard plan io �� Add 1 bcdrooms on to an czisting dwclling; O Add bcdrooms on to an czisting mobile homc O Replace an existing dwelling with a new dwelling/moUile home containing_bedrooms O Replace an ezisting mobile homc with a new dwclling/mobile home containing bedrooms The preser.! private sewagc has bcen workine satisCac�ority as far as disposing oC wastcs. I(the present private sewage systcm docs fail, it will be replaced with onp [hat is code�ompl i � J!J'iv�—Q G /� � C�L� � Date � � � ;� � �-� �r�Jl G� ( %� l�`�+ r n � [ � /� / Dare I have inspectcd thc cxisting privatc sewage system tank(s) and 1 havc detcrmincd thal iUthcy meet thc rcquircments of ILHR 83.055 (3) (g) "Detcrmination on tanks" (i.e., Icakage, condition of baf(lcs, tank cover, and tank capacity). I have also determined that ihe capaciry of thc czisting tank(s) is gallons and is/are sized (or a bedroom dwelling per currem ILHR 83 requircments. Master Plumber, Master Plumbcr Restrictcd Scwcr, Scptagc Pumper Liccnse Number Date Personalty came bcfore me this r'1 dayo! I�-C� .�j, �U�� L� jeYNMlM�fMT�NrReIk4G qt¢CMTIRRNk.�.+q f� ����-�it�/l/�^--� - . 1,' I •; ¢ ) ��� �� �� . .�. �� F� . y � Notary Pu�:ic - >,r; �� , ' `„�^5� �/— � /�1/�. .}. � .. �iY /VV�LW"�/' tb�.tYVSYpI001�i960ii.6�+A.;R�If�W6�A�vOi Counry , �Y'+ase i My Commission expires �— 3 � � -��'���� Existing septic systcm - Sanitary Pcrmii Date sysiem installed ZA or A7A datc This inswmcnt was drafted by: David and Elizabeth Leonard ���. � z � �� 4 � �