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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._.._ . . . ...___. � �