HomeMy WebLinkAbout016-637-21-1101-LUP-1999-709 - � ���;.�,�rf o r �r�- �,,..--,
. r' ' .
���� Application for Land Use Permit
r -; ,
County of Sa��y�r � < ,
.�
PO Box 668 - Hayward WI 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 MAY NOT �, �
BEGIN UNTIL THE PERti1IT IS ISSUED.
s
PRINT - USE BLACK INK OR PENCIL � �
� o
�
l��b ov�a(� (,. � ��.v /Lf i�� �r N �
Owner � Builder � o
<
$� ��!�� C ��-� — — �
Mailing Address Mailing Address
�c���r�__�,v_I_ S y� 3.�-- — -
City, State, Zip City, State, Zip '
9N3 - a331 �
Daytime Phone Daytime Phone �
�
Building Land Use
(� New ( ) Filling Zone District ���
( ) Addition ( ) Dredgin� ��
O Alteration O Grading Lot Size o �
(1C) Moving On ( ) �
( ) ( ) Acres .i(�_ �1'�/ � '
� !
-,
,,
Primary Structure Accessory Building Addition 'T ��
(� Dwelling ( ) Garage-attached/detached ( ) Deck
( ) Year round ( ) # of car stalls ( ) Porch ��
( ) Seasoilal ( ) Storage Building ( ) Enclosed ,�
O Frame built on site O Screenhouse O Livin� room
( ) Modular/inanufactured ( ) Greenhouse ( ) Kitchen � �
(� Mobile/manufactured ( ) Other ( ) Bedroom ti ;C`'
( ) Other primary structure ( ) ( ) Relocate/enlar�e � �
( � ( ) ( ) # of ne�v � _
� -,
IO �
T �pe of Construction � `
�) Frame ( ) Lo� ( ) Pole/metal ( ) Block ( ) Concrete !, �
( ) Other v �
= �I�
Construction Cost 5 ap M-�I—�___ �
Vol r��Pg �_ /�j_of Deed � Certified Soil Test# 7 I�"�� S-{- �-v y7 ,�
' CSM Vol _ Pg Sanitary Permit � - d yo �� 7-08� ! z
Plat Envelope Or� � '�
Condo Vol Pg Year Installed � �
AfCof ex septic �' P O���ner �Vhen Installed: � � ��
���
11� �,,�
��123 :a
� Application for Land Use Permit — Page 2 , .
. ,
� Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1 . .n?ob, � ,�/pm� #2. #3. #4.
Size�� ft. �vide y D ft. wide ft. wide ft. wide
�D _ ft. long �/ Q ft. lon� ft. lon
� ft. long
Floor area 1 G sq. ft. „2�p sq. ft. sq. ft. Sq. �}
Hgt. from g�ade J �, to peak /S , ft. hgt. ft. h;t. ft. hgt.
Stories � stories stories '
stories
# of bedrooms �_
�, ��.yy „ rear lot l�e or ���aterline of lake/river � ''
� c����i:0
In the box sketch in: �'
— �
Location and size of all � � v 1
existin� and proposed structures. ��' `� �
,
Location of septic system. �t .
. _ f �' ��j�1
� /
Indicate distance to: , � � ,
� �_��-�------_._�, _�
Waterline/Wetlands �� � �� �
Road � �C�k�~ 1
Lot lines � ' �' :�
Septic systenl/privy � �
��'ell ��� � �
Distance between structures. � � � . i il n � —•
�r�
Indicate I�'orth. �% ^ �� �'l`_�`�� / C � �
. T ��1� �C� �`� � • �;
F�re I���imber: �
��-' s
t�5�`�'i` � �% C��� (� '�
it�o �.0
� -
1
�
` �,
Sign re of O���ner y
The abo��e certifies that the listed �
i�iformation and intentions are true and �/
correct. The abo��e persoitiis/ hereby � 3 �.,
give permission for access to the
property for onsite inspection. ------- Centet'lltle of road-------
� � - V'V� �t�e n 1 � � � �} . � � v1 � �'�i ^ U �` -.�
L , � a
l. �� �t,�-� � ��:��z.�c �-cL� ,}�� ,. ►�L���-r ��1 N C'.t.�Ft� �1. r:� �� .�� l� � 7 � f i� i ('l�-
Issue Date December 8 , 1999 Expire Date December 8 , 2000
Off cc Comments: ��G/,,/����-,��� �'�
� �Wl pOt^ QP � � � C(CQ lM P�� �/ �'� � Si�rnature of Zonin�� Adminis[rator
� �.t � (,� � • �� ��V`� VI u �f�PN ���i C�i�r'O�'I
�7�,�� �.,� � ��-� �� ��- �a� .
� � � . .
. �� � ��.���� ,
<- 3t�-��. �k:.u� a� �
r —7�,
i
�/e�{
�
Q '
o� '
I
�ao '
� 4 ��� ,
�
i�o ' �a�u�-� s° I� a,�
9�0
�
� � I ( -OlJ
c
. • •� .
Department of Zoninn and Sanitation
Sa�vyer Cour.ty �
;�
Inspecti_on Report CD
�
c�
Owner Betty J . and Joseph P . Haske °
�
Address Exeland , WI 54835 �
�
x
Name of busi.ness Northern Bar �
-- x
rn
Builder � z
0
Address '�
_ �-,�
�
Plumber Russell Thompson �
�
�
Addre � s Route 1 Box 237 �xeland , tiaI 54835 �
— --- ---- --- �,
�
Inspect �_on
L� H
o O
( � Pri�.�ate �xj Public Property X �anitary - instal � �
Dwellin; �etback - lake
Vi.olat9_ on Mobile Hm �etback r. oad °
�
Garage Setback --lot li_ne
( ) �anitar,y ( ) Zoni_ ��g Privy
�
�
w
a
-- — -- -----_____ _,__,. __.�_ ------------------- o
,� �� � �
---- C' T l� rJ ----- — I � �
1 � �
0
I �
I �
I
��R,��,F:
�U
/� �' z
��, (��� i: k i r�t L� � rn
� �
� N�,R�t+ER��� � C t �
��� �, � �-i�
I Ic 11, ,'�� I ~, z
� ,-,�; f--� rn
,�,� �, ,
v�N�r � �3 c.�.
\ \\ /CT� �J] �Ir
� ' � L'�1.� I,L�L�-�,/� � �
;+� (1J��-1 � �L CD
f}cl�l�rit�. T.'tNK � '���.., ;Y ,J• n
' C
��i s� ,J,
cn N
�� ��� _ �, N
''��� � U> J
H
�
.;
�
w
V
Discussed taith owner yes no �
ni.scussed wi.th Bu�. lder yes no I �
D�_ scussed with plumber X' yes no
]� �_ scussed with JeS 11�
r � - I �
��.�.� �__S �.P_ _ 7 �-- -- ---- --
ip;nature �f Ofi i_cer ��/� ? ' � �'11 � -- -- ----- ------
------ /:-�,�r,f,1�J __
. .i .
3 i�
3 N. .�
�v � /,1
.p �
N 3'6�
•/.2
3 ,
N• �
•4 2
3 3
N.;6, 4,;m
22
,
z,
3
3 i—3 �a, ��,� 'm'�
N '0' l%4.� \���
9,�
N 3 a'
'/3.
-_37'm
� �6.
37 _37,
_� _37 � � a'
� m a�
��Z, /S.I �CS: 3.� `�/6.
N
��6.
• I
'^ �
28
SCALE : / /NCH = 400 F'FFT
� HOLDING TANK INSTALLATION 51 = 8 :
State Permit # __ 5179
�� � � � � State and County - ------_
'd �: Permit Application County Permit # __ 9 - 2 �4
for Private Domestic Sewage Systems County _ Saw�'er_- —
o �l� � 6 �� - o?/ - J� o- /
' DENOTES STATE APPROVAL REQUIRED CST 9 - 285
Date Approval Received from State if Required �8 - � 2 8 � 2 State Plan I .D. # � 3_ JUlX 1 g � g _ ___
— - - --- - - — -- -- ---
A. OWNER OF PROPERTY Mailiny Address:
, � � /
, - -
,
� �. -�
' ��_��' �' ��s: l� l=�� � . �-�� _ __ _— �_ 1 C� �- �� � ��w � �� �i--
� - - - -- - ---- - — --
. ✓ ''�( � .
� . LOCA IOIV�: ' ' � f Ya � �� Y4 , Section �� , T �� N , R � � (or) Lot# ___ _ City _ _ __ _ __ _
Subdivision Name, nearest road, lake or landmark Blk # __ _ _ Village _ _ _ __
_ �����
TownshiP //i!• :.:" z:�.�.�>c-,�
---- -- - ------- - — -- --
C. TYPE OF OCCUPANCY : `Commercial _ � " Industrial __ _ �Other (specify) __ � Variance __ _
.---
Single family _ Duplex _ No. of Bedrooms _�__ No. of Persons _ __
_ _ -- ------ - -- - _ - -- --_ __ ..
- --- -- -- --
D. TYPE OF APPLIANCES : Dishwasher YES � NO Food Waste Grinder YES � NO # of Bathrooms ___ _
— --
Automatic Washer �-�"YES NO Other (specify)
_ —._ ___ ---
--- --.. -- --- -- -- -
E. SEPTIC TANK CAPACITY Total gallons No. of tanks
c -- - -- - - __.
* Holding tank ca{�acity _ � � �'% � � Total gallons No. of tanks KJ
) � ( — _ -- - -
New Installation ��� Addition Replacement _ Prefab Concrete � �
---
* Poured in Place Steel ______ ___ Other (specify ) _ __ _ _____ . ____ _ _
--- --- -- --_
— --- _— _- -- -- --
-- -- - _-- ----
_ _ ---- - - -
F. EFFLUENT DISPOSAL SYSTEM : Percolation Rate 1 ) 2) 3) _Total Absorb Aiea __ __sq. .
New Addition Replacement _ _ _ " Fill System _ __
--
Seepage Trench : No. Lin . Feet __ _ _ __ Width Depth _ Tile Depth _ N�� . of Trenches __ __ _
Seepage Bed: Length __Width Depth _ Tile Depth __ ______ No. of Line ___ __
Seepage Pit: Inside diameter _ __ Liquid Depth __ Til � Size ___.
Percent slope of land Distance from critical slope
_ ___ _ _ _--- _
- _ - ___._ _ — — _. --
I , the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
Wisconsin Administrative Code, and that I Fiave sized the effluent disposal system from the EH-115 prepared
by the ��fied So41 + , ster, .,
NAME �=� � �� lT��=�L� � �'�r 'ry_---C.S.T. # `� and other information
obtained from � (owner/builder► . � � l „ , _ .� ��. � -� �
�
Plumber 's Signature � � � � �" � ' � �"1 �'�'��t11��lMPRSW# � �' � i � __ Phone # � ,� � _��__
P�-,.., .
-� � .."? -T __
Plumber's Address . �
PLAN VIEW: Provide sketch below of system ( include direction of slope and all distances in accord with
H62.20, including well) .
� -
' �< <
,_ _ - - --- - - --
) �
� �t � i, `2 j 1 ,, � ,._,\�
�
,
l�. �
�„�. ; � 1� . � ;►.- - _ ___ _
r�
�� �' � C�' �j
.. ` -: � : � �
. � -
• � 1
n� 1 ,
r�/.
L �'
� � �
�
l•� w ../
;
v
t;
.
�
�
Do Not Write in Space Below - FOR DEPARTMENT USE ONLY
Date of Application _��X��X��. Fees Paid: State 30 . 00 _ County 15 . 00 __ Date_ O1_9.5�91?_��'_-�-� 7� - -
Permit Issued/��.e�Fp�gt (date) 1 0 - 01 - 7 9 _Issuing Agent Name _ E�a ine _����-1-ll� - -- --—
Valid# Date Rec'd __ __ ----
Inspection Yes �SM� No ---
1 . county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. plumber (canary copy) Revised Date 6/1 /76
Office of
Sawyer County Zoning Administration �
P.o.soX��s
Hayward, Wisconsin 54843
(715)634-8288
URL: www.sawvercountygov.org
E-m111: scazone.�a�win.bright.net
FAX: 715-634-9038
June 22, 2000
Ray and Deborah Minaker
8579W County Road D
Exeland, WI 54835
Dear Mr. and Mrs. Minaker:
This letter is to inform you that the amendment to your land use permit number 99-709
has been approved for the construction of a pole building and shown on the sketch you
submitted.
A new tag and permit have been enclosed.
If you have any questions please contact me at the above address and phone number or
by e-1T1a11 1t znnersec c�win.bright.net.
Sincerely,
7, -�z2: <�•e�t �,�,,�'
� � .� �
���� I�mmerel
Permits Secretary
Sawyer County Zoning Office
Encl.
��. ��� - ,
�-�ilii�i - i���,�u�k��.�'�t�
�f2_�G �',t.�,.r:�i�,_., ' ' !�r .
� _�� � �,.
-�1'�- L����c` —�titv�
-_�[�L.:�o-h�fi ��� � (N,P' -
.� Y
����4'f. /-.,_��:1,�"it�_
' '/� / '�
__�l-___.Yl�.�1..��-_S¢�.L�'. _;,,j.�._{_� ..._
..___._... ...__... ...._. ._._..__ �7._.._ . . . ...___.
� �