HomeMy WebLinkAbout024-541-19-1204-LUP-1994-469 ��Iv+��S t�.�-cbea-��- ���jCe 1
•.'1pp'_i_cation for Land Use Permit ��
. . County ot Sawyer o
7'he under.�igiied hereby makes aPpli_catioii (or a Land Use Permit and agrees tliat �
all. work shall Ue done in comp� :iance wiCh the requirements of the Sawyer County �
7on_ing Ordinance atid tlie laws and reg�il_at9.ons oL the State of Wi.sconsj.n. ��'�
PRINT - USE BLACK INK OR P�NCIL �
T �
�.��,_�, Z� : � �'� S »i� �-
Owner� }3uilder
�� y � �2�z �
Mai`�ing Ad ress Mailing Address �
� �,��-��: G�,s S-' �""�
ity State , 'Lip City, State , 7.ip
r o
13u� i�ing ���i�and Use 7,one District fi��. -� o
(i�j New �PL ( ) Filling - ft �
� m
( ) Addition `bw' ( ) Dredging Lot size � �
( ) Alteration ( ) Grading
( ) Moving On ( ) Acres •� S
( ) ( )
New Construction tW
Size � � ft wide ' wide ' wide (�
,�� ft long ' long ' long
Floor area �' '" + sq f t sq f t sq f t �
� �
�
Total hgt ___-�_ to peak ' hgt ' hgt x' . _
U
Stories �_
No . of Bedrooms � rear lot line �-�-.w���l�-�tea o
C
( — (seasonal) - � rt
Type of Bldg , Addi_tion, Use a o
� Dwe]_1 ing �• rr
( ) Garage ( 1 ) ( 2) car t�'.
�
( ) Storage Building o•
( ) Boathouse � p
( ) Livingroom
( ) Bedroom �
( j Kitchen-Dining
( ) Porch (enclosed) (rooFed) CA
( ) Deck - open
( ) � � ��r�
( ) �
� �
Type of_ Construction � '� � -�- �
( ) Frame ( ) I31ock �� �� �
(� Log ( ) Concrete z ._ F�"
( ) Pole ( ) Steel .�
( ) ( ) Pole/Metal ` � �
: �SlC-' � �� �'V �
C n truction Cost �- �1��` � � �• � C�
o s $�_
� o �
Vol 12. Pg ( I'� of Deed � sS�r
�o' � ��wc,. 4 i.�
CS Vol '�
� �.� ' r � �
C e r . S o i l Te s t �(D - ���j (�'� _ �,c,+ � CC !o � �y 'C �
' � A-N•�C ry
�
.�Sanitary Permit �- O� �L road -------------- z �
---------- �
� A�-� �lvi �+1 i� ��� - � z
— 1���,, Z�a��� ;�c �.L.,�-�_ �
Issued 25 OCTOBER 1994 Denied �J
�
�, • t.�, �- - � �;
,. s
wner Zoning Admini tra or
J
T
0
0
0
D
SEC.
I 9 TWP 41 R. 5 W.
� �
2.4 � �, (
� �
.2 � j ,
�
����
s.i /� �
O 5. 1 J
� �.^
2 .a /' �� 1
O 1
� � r l
r� � . �
� �
S �
1 `
3.3 I
� 4. I � `
1 )I
,�.�J � 3.� � /
l� -- 1� /
7 � s. � �� � �/
S� ��
� 3. 2 � �
°L �- � �
Ra �,� ? 1
�w� � �� ��
,
f 1 L �� 4.z
rlooSE ��� 1.f�� ` � �_ �,� ✓�
, ../� �... � �
�-,.. -
Plb fi7 State and County State Permit # �'?].2`l
Permit Application County Permit # �-(�'7�
for Private Domestic Sewage Systems County S9.wv!�'_
`DENOTES STATE APPROVAL REQUIRED CST E)-1.09
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY JO G. eisenbach Mailing Address:
/��t Y /��> ��.� ��,s�, S"Y�'y3
B. LOCATION: J���t/ Y< i1,iC- Y4 ction �, T�[N, R � -� IN Lot# City
Subdivision Name, ne rest road, lake or landmark Blk# Village
Township �I d�i�'� �_a��
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 vN0 # of Bathrooms
Automatic Washer YES J�fVO Other (specify)
E. SEPTIC TANK CAPACITY �,�G Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation � Addition Replacement Prefab Concrete _
*Poured in Place Steel /i� Other (specify) _
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) � 2) �c 3) _�Total Absorb Area � o�� sq. ft.
New �Addition Replacement `Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length�ZWidth �Depth �(�_Tile Depth��No. of Lines _,�"� ��
Seepage Pit: Inside diameter Liquid Depth Tile Size�_
Percent slope of land �� Distance from critical slope�0o��
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 have sized the effluent disposal system from the EH-115 prepared
by the Certified Soil Tester,
. NAME G�i � -r � � -< r� !�'os� C.S.T. # " and other information
obtained from (owner/builder).
Plumber's Signature �_y�,u MP/MPRSW# �y3 Phone #�-�Y- �d d �
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
, , , , ,
' � ; i
G_ __ . ! , - - - - -- --
'
' ; ' I
�. � ; �
! -!- ! l, ' ' _- - -- --� � _�_- '_.... - ' ---i- --_-�.
— ;-_ �_ __.._-r - -f-_ __.. ; ._ . - f -j - --
� , -�--� � j_ � � _�_�_� _, � , , , � �
� � ' ; ; j , ' ; -
' � , , ' ,
,
._-�__ __�__---r -G- ____ ,��r/ 4 �D�. � '�_—Ii�_�-{--1-- -T .--_ _ -- --—
,
- -
� �- :-- ---
( , ; � � � i
I � � y� � I �. i � ! � ___, ..-- --..'�
f
_ _i.._�.� _i..._�.._-'- , (3✓ . .. . . �,}-- ;- _i _ i__' \ _. + _� . � . _�._
' � I
� � ' . . .-- --- ---
, i I 1�,} �`. _ � �
-� •- -- ; - ,_ __.. ,� \
� � i
- - I , � � t, ��D
��- 1 , , � _ __- - - -- --
, .
,
r�
� _ __ - --- -._ . _. _... __..t
_ . � .
.
,.
_ _
�._ �_. � �-� � ; �,�� - - �
� —a-- --1 ' � �p � ' �� ^1 l ' _ . ' '`�-+- -� - -
— -� -�-- --- -� ._ . � . _ _-_ ___ I- - -- i
I I I I ...� i I..__ ._ ... _, . _ __ .---*--_! � ,i . �/ ! ; ! ___._.}___- -__.
-_ --1----f-+- I I
--� ._--....�_ .� -j.__.� I. I {- � f-. __-�_�- \ r
� ( � � ' � � � i � i '
,
-- �..__�� - ----�-- - - • - • ,._.. _..._•__
�--- __�-_-4----�--�-i--� -�---�--} �- � � I
; � _�___t__ _. ; , ,
_ ,
,
� �_� �
---�- -i-- ..-�--� ._� _ �__t..!�__...f_ �_ .!.____� j_.--�-_. ; __;.__ i._ ;_ . i . _� �__�-. fi . . ---� --
.�
--�--- --� �- � I I � I � I : :
I-f- ► _--}____�--- ---�-_-�---a--�-- -fi— �-1 ! ! �___-�_;__�--f----�--I-- - -
` � �__ � � _ � � ' i _� � � � �—T � ---fi._ � , - -
. �
E � � � � � � — -- a -� - !--� -- __� _.
_ __,-_ -� ,_ ,_ � __ ---+ _� _ � �
--,---� __ _ _ —
, , � i � � ; , � � 1
, � � �
,
�
� I� � I , � � r� : _ _ : :_ _ -- � -r _- - -
, _
�.
.
,
,. _ __ -
_,— _— __ _ . __ . - _w —.—-�-- T
-- �
�� � i _I��D f: _ ' �;,'�c'.� ;l�-__..��i���__ ��1�: _ ',4� --- ; , - -- ----�
�
---�_�1_ � � _ �
;.
,
;
, r , � , , � � ; � � �
, ,
, ,
. , , � � . �
���_L� ; ,__ r__ __ __�_—,—�—,--- —�-- -. _ . _ _--�— -�-- _—�
, � ; � ' ��/ � I � fi , �; � � � i
�
' � _.0� k' �'...c`t"''"L
� �.�.}—_.j_. . �.� _.�. ! !_1_-C at h -!.�1''�L__._�.���,_-�-O__:_. r f- : � � -._� _I__-- -- ---
.��.�_. � '_� � �� � �
� , � � I � ,
4---�J-- ' i ' -i - - —, -- -- • —{—� � - —
� l � � ! � - -
� I
� � �___._ . .�
4 � �---r- _� -�---- ; ---- -- -; � —� i I i
i_ ' i ' ' '..
� ' ' �� ' � � � - --- - -� - - �- -�
� , . ,
� , �_ j _.l r_ � .�; _ .1__ _-+ _�. �
�.� � , _� _
� � --�
�_ I _—� --� , ---t— i 1----t-- �—--�- , ; --1 � _.—�-[ �__�_.� ;— � — `-- -- —F- — -
_ _ _ i }__ ;
;
� � � ' �
—�___ --�__�_ � _a_ _�. .___ �- -� _; � � � _; � ,
k____ ' ' ,
-,— �---� ,
. , ,
; , �_ . .
, l ! j � � � � � I i i ; t i � � � __ _. _ _� _------------
! � � I { � � � � �
,
--- -- _.- --— _.._V__ _._------- - --
� -- -- --� .----�-- _._ _. . _—-- ----
Do Not Write in Space Below - FOR DEPARTMENT USE ONLY
Date of Application 06-1.1�76 Fees Paid: State 1.00 County ].0.00 Date J'Uri@ ].ls 1476
Permit Issued/�EB� (datel 06-11-76 Issuing Agent Name Robyn Kepha,rt - Deputy
Inspection Yes �No Valid# Date Rec'd ':�
�(n-- 1S-7Co 1:�(�,S �
1. county (white copy) 3, owner (green copyl DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 �
2. state (pink copy) 4. plumber (canary copy) Revised Date 3/1/75
Department of Zoning and �anitation
Sawyer County "
Inspection Report r
Owner JG vl 1�/e��en 6�c.� Address �. ��, L-�Cc��i r� L(/�S �`fy y3
De s c ript 3 on �Lr� r�1� �ytl- l� ,� �� �.G, � �j . � �{l l� f ('�,.!; Vr,�
Name of business
Builder Address
Plumber �, 5 �/(i L� Address
=nspection
(� Private ( ) Public Property Sanitary installation
Dwelling Privy
Violation Mobile home Setback - lake
Garage Setback - road
( ) Sanitary ( ) Zoning Setback - lot line
0
�� ���
1�
1 ,
�
ad
1h '7 5� 5µl
'Cu►^l�
�,�r
Z
NpusL
N o i/1/� l� e 7- �
. �
IH` �
, 3
�
>
Y .
�
Discussed with owner � yes no
Discussed with builder yes no
Discussed with plumber yes no
Date ��i/1 b�7 (o
Signature of Officer��„rt,(��, �a,�
�+ z �-
DOCUMENT NUMBER � AL'TTDAVIT
2 `� Lf �5��33 -
EXISTING S�PTIC SYST�M
ONE AND TWO PAMILY �
Roc�Mr. CNtk� , /
.St7!.:_� ',•,w'f_ri� 4.�'
If the existing septic system does meet the minimum re- �z:�,f,� �,,,,,ti; ;i, � �cie�� ei
quirements for groundwater and be�rock depths and if it �� � r;;,���ai.2�o'c�oo�
is functioning, an addition to or replacement of a hab- �t,; �.;.:^,.�.�.���,-c: e;- n,l. �5 y�
itable structure can be made in most instances without a! N,�:xa .: ;�� �°`S�
updating the existing system. If the existing system �-�_�?-4^_�;�.�`_`="��..�.,�
is utilized for the addition, every attempt should be �'��
made to locate and reserve an area which is suitable •,r,.,,,,�,..M.,_ �
for a code complying replacement system for when the
system fails. If the addition will substantially in-
crease the wastewater discharge , the existing system RLT[iRN `10
will be replaced with a code complying private sewage Sawyer County Zoning Adrnin
system. P.O. Box 668
Hayward WI 54843
024-541-19-1204
owner(s) _ Lawrence T._Briggs
Mailing address Route 4 Box 4212
Hayward Wisconsin 54843 _____ _
Property description Part NW 4 of the NE 4 S 19 , T 41N, R 5W._ _Parcel __
. 2 . 4 . Vo1 412 Records P� 114 . Town of Round Lake . _ _ _
(z) (,�ge� Lawrence T. BTiggs __ _ plan to
( ) Add onto existing dwelling
� ( ) Add onto existing mobile home
(�' Replace existing dwelling
( ) Replace existing mobile home
The present private sewage system has been working satisfactorily as far <<s clisposing
of wastes. If the present private sewage system does fail, it will l�e replaced wi�h
one that is code com�lyinq.
` --�lL,�J �- ��� �� -�-�'�-
Lawrence T. Br g s date
-------- t�a te
�---_
�,���;Z,��.��\\111Et
Personally came before me this 4�•.����1NEAi�U`V�^t,'
�� day o f �� L� , �9'� `C�''��0
P
, �� pTAR �i.
-�' , .��''�'' �'�-�-y �`l�
Nota +�; liq�UBL�G �
, � �i �.
�!'Zj' County, Wi��s� c���
�-�;.
�j�Z � �l��r�QF W IS���
�
My Commission is expires '' , �"'�:""��
Existing septic system - sanitary Permit 7 6-07 4
Date system installed 0 6-15-7 6
1���� ��{��� ZA or AZA
/�`; -_,� -yy
date
This instrument was drafted by
Lawrence T Brip�gs �� � � x � � � �
eA
i
li
� GOCUh1GPdT NO. ;I S'. P l3AIt OF \��ISCnNS[N l��l)I�AI 1—��52 r�+i:, vi•wCE �+�_:.n<�t.n roH RF�JFP''1.; �aT♦
;i WARRANTY DEED '
KT ��; �';� '� !' .ulT ' �! '
L� . � . .� Y � . .
..� -��_ .�/�Ji�� � '
TI11S eCl made between THE PEOPLES NATIONAL E7.�y,nzCoimt�. '
----- --------------�----�----- -:---- -....- --- -------
BANI< � HAYWARD, a_ Ban!<inc� Coi-poration, by E. E. Rao-�.���� r�o,� �ba �`�_' � �
� ._ SIh10NS_,_ Senior Vice President and SANDRA W. SHEEHAN �1/;,. A D 19 �et�._`,_ o��
. . - - - I
- - -- ___. . -- -- - - -
Assistant Corporate Secretary . _ .� c�•;,,,�o,•, �C�,D�and r_��t�rci� tn r-t.��'�
,,,,�1 LAWERENCE T. BRIGGS. d Recorde on p,�4� �� �
. .. ............ ........ . �- -- ---- . _. .
, ......._.._. .-.... .... ... ......_-----. .._......_. -�----- -..-.--..._.._. i ��
- - - . ...._ .--.- , .
.�, l°�r� �'� �- �
-•-•------ - - ------------- ---- --------••.-------- ---..._, Grantee, � , �',_1-, ,-,. �� ''�''�1
__... --- - - - „
Witnesseth, Tluil the cai�1 Crantor, for n valt�nblc considcrtition.. .._ ( , ;F-.��
._One dollar and other valuable consideration. � �.
......... ..............'__.___......_.._ .._......__. . '. . ' ' . . . _...__.__'_'___"" � C7 RN TO
r. u
i�onve��s to Craulcc the 1'ollowing described renl �stnte i� . .............Sawyei-__.__ �i� �
Countp, State of �i'isconsin: . �u��« G/= <�t'�,`�t:�r�
�C .3:� ,�I< �-.,,,;_�.1�i
Tax Parcel No: -------•-•--••------•---•---•--••--
�Thnt prirt of tlie N�rth�vest (lllarter of tlie N�i't11CilSt Cj.iltll•tei• <N�V1/�(NE1/-�) of Serti�i�
Nineteen (19) , Township Forty-one (41) North, Rnn�;e Five (5) �1'est , descriUed ns
f��llc�ws: IIC�;llllllll(; nl llic Noi•tli�vcsl coriicr of s;iicl Noi•tllwest C�u�ii•ter uf tlle Not•the�,ist
G�unrter (N�vl/4NI;l/9); thence South on the �vest line �f s�id Northwest (1u�rter of tlie
Northe�st �uarter (NW1/4NE1/4) , a dist�nce of 200 feet; thence ��st at right nn�les �nd
par,�llel to t11e North line of the Nortll�vest C?iiarter of the Nortlle.nst CJt�t�rter (N�1'1/4 \E1/4)
which is variation North 83°45' East magnetic from the point of beginning, a distance of
�pproximntely 275 feet to the West bound�ry line of tlie riglit-of-tvay of the present and
existing Town Road; thence running Northerly and Nortliwesterly along said �Vest
boundary line of said rip�ht-of-way to the intersection with the North line of the NZ1'1/4�1E1/4;
�thence West on s�id North line bacic to the point of beginning. ���F�R
� � .�`,
Subject to all easements, e�ceptions and reservztions of record . � -' �_______
FEE
'rliis deed is given in fulfillment of that certain Land Contrnct Uetween the Grantor and
, Grantcc , dnted nctoUcr 8, 1985, and recorded in Volume 380 of Records pages 180-181
as document No. 197588.
T��is _IS IIOt__ _____________ }�omestend property.
(is) (is not)
Together with all and singular the hereditaments and appurtenances thereunto belonging;
p„� Gi�antor
.- --------�----�-----------�-----�-� -------------- - . _ .... _ _ ._ ._.. . _.. _...._ ...
�v�u•rnnts that the t.itle is good, indefeasible in fee simple nnd 1'ree nn�l clear of encumhr�inces ex�ept
s�n�i will wnrr�int nnd defend the snme.
>>,�i��d �I�iS _ _...... ........ d,��� ot _.. ---- November ..._., is .87
.. _.. ...-- -- -
. _ . _ .... ... . _ _ ... . _.
THE PEO j ES N TIONAL BANK OF HAY�VARD
----- -- --- ....-- - -----•-------------�--------------(SEAL)
�y" ._,./r___r...��*t-�'.r-z l s E.a L�
� * . _ E. E:% SIAIONS Senior 1,'ice Presiden;
� - --�-- - - --- - - ------�---�---------------...- ----- ---�-- . , .. .. . .
;
-( ) r� � � � -�"Y-I• /�%�....1��%ir=�'.-�L�
----• � - -• - ---- ---- --�----•--•-•-------�---------- - --- SEAL - -'�C��4����2c.L �
► . SANDRA W. SHEEHAN,. Ass. Corporate
...-� - --�----- �-- . .---- - --�-------------------�---------- - - - -�-----�� - .. -_....
Secretary.
AUTFiENTICATION ACIiNOWLEDGMENT
� Signature(s) ---••-----------•---.....---••---•---•-•----•-•............. STATE OF �i�ISCONSIN
` ss.
----•---------------------------------------------------------------------•---•- Sa�v y e r- �
--------------- ----------------------County. —r/
�, authenticnted this .--••---day of--•-•----•--•-------------- 1�J------ Person;ill�� c:ime before me this .---•-9.�.-----da�• of
November 87
------------------- ------------------, 19-------- the above named
----------------------------------------------------------4����.•S�fi�l�a°s, The_Peo.pl�s._f�lational._B.ank_of_Nay.warcirhy
• _ ____________________________ �,��_:��_,��ry��F��,,� E._E.__Simons,__Senior_.Vice._President_and_._
---------------------- - ;, a
TITLE: 1�i�bIBER STATE BAR OF`�'1t�3 z�#Q�IN °.,,� �, Sandra W._ Sheehan_�_ Assistant_Corporate_
w �/� ,�� � � - - - - -
(If not- -- ------- ---------•---••----�-----���1�'• - -. :'' *'•, FSecretar-Y'--
4 f �t nr1;�'--'. ��-- ----- -- ------ •--•- - --- --------- ------ •----•--
' authorized by § 70G06, Wis. Stats.�},' �''' ; '•
' S
�„� , , . •,',��_�o me known o he t e �erson _ .___.___ ���ho e�ecuted the
Y:"'=,^� w;`. Y 's�'�regoing in ru � a d ack ledge the same.
. � 'e r'::y A`� ���� �f
' •-•-•--•---- - - - - ... �', fX- ---_:r,'�..�y;:' ;� .
� THIS INSTRUMENT WAS DRAFTED":1�3Y �" �� �
� ✓, - c.1,s'I.
;� Norman L. Yackel, Attoi':�aeY,`',at,a-�w''° ;`,°'" ------------------- --�--------- -- ----�---�-- -- -- --- ---- - -
- ----- - ---- ------�---- -------------- -- � , � � � .,��` m�. W. H. chlafke
I , .� c ., 1. i.�•'• a� *------------------�----------- - --._....--•- -----------•-----------�--- - ..
� 312 Main, Box 748, Haywarct��::ylrl„$-�'���3
' - - ---------------•-------••--------•-----------------• -- - ----����...:' ----• Notarti� Public --------- - ���'-��----- --------------Count}, R'is.
(Signatures may be ai�thenticated or acknowledged. Bcth n7�" Commission is permanent. (if not, state espiration
,; are not necessary.) date: ------••-Septem}�r--1-------- -...-------, 19._9�.._.)
'' 1 1
� `��ig � 12_.
'I •Names ot pereona signing in any capacity ehould be typed or printed bcloH• their siRnntures. ��+✓'^ �� �
WARRANTY DEED STATF. ItAR OF WISCONSIN \Ciscon�in Lecal Bian> Co. Iz�
FOR9t No. 1—1982 !�lilnnukee, �1'is.