HomeMy WebLinkAbout008-130-00-4100-LUP-1990-401 1lpplication for Land Use Fermit �
County of Sawyer ,� ,
U
1'lie undersigned hereby makes application for a Land Use Permit and aqrees �
that all work shall be done in accordance with the requirements of the Sawyer � '
County Zoning Ordinance and t}�e laws and regulations of the State of Wisc�nsin.
FRIN'P - USL ONLY f3L11CK INY./PLNCIL
,�e q 6 F�f" �' �t y�.�N G`I£. S T�'�ff/J!�'Y E �t�..,6-�--� � i S 7/P 0!f/y�/I`I @�' a
(hvner Builder T— �
�[��L�`t �fi� . 130� I� � �
mailing address mailitig address
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city, state, zip city, state, zip
Buildinq Land Use Zone District � � �
( ) �lew ( ) Filling
(V� nddition ( ) Dredging Lot size � �
( ) Alterztion ( ) Grading � N �i
( ) Moving on ( ) 7lcres �ii��C �/O�X ���o2X ���� v r�
( ) ( ) �
New Construction ' ��
Size _�� ft wide _�ft wide �`'
�
�LI f t long � f t long ��
Floor area .��'�p, sq ft / sq f t �
_�
/ � 1
� Total hgt �_ to peak to peak x �
k
Stories �_ \ _ �:���_��,,C ��
l..Ac�€,
No. of bedrooms .��.- rear lot line �r waterling �'
.-Y '1 .✓'\.. .' �. �"'�
(_ye��r round) or (seasonal) ��--�-�- -- -- -- i
.._ _ .�._. , K, i Li
Type of bldg or addition �', , � �
i �
( ) Dwelling ij , i �' �+
( ) Garage (1) (2) car �' � �'' �'
i�` � N. ,
( ) Storage building � � � �r
i � �� � ��n
( ) Boatl�ouse �
i ' i _�N
( ) Liv�ngroom i � v.
� i �
(� Bedroom ''���:� b � ��:__ � �
i o i
( ) Kitchen-dining � � �' �
if � �
( ) Porch - enclosed/roofed i � ; �i
( ) Deck - open wl ' ---1�FC��,i
( ) �i -� �tiC. , ��
�,i .31 � �,
i � a.
\i . ������� � �
Type of construction �,. i � �
('/� Frame (l) Block � i � o� i
( ) Log ( ) Concrete � ,� � �
( ) Pale ( ) Steel � �i, K 'j i �''
( ) Metal ( ) j � �
► �
i � i �
Construction cost $� �' :';;� ;" ;' i M � �
�� � "� i
Vol '� � �� Pg ��- �;., •'"� of deed i i ,
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csri voi LRT ��/��_ i � �` �v
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Cer. Soil 'I'est � �] - �'�� ���; 4� i 1 m �
��' �'=E:f-��p��CL road --'��='-------------� z �'i
Sanitary Permit �]� — �� '` a o
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Issued 11 �'�� .�_�, I��b Denied � �
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, owner 7oninq I�dmini trat
25. ! I �
E I 5' LOT 18' LOT 17. I �
21. I
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25. 2 I
TOWN ROAD I
25.4 �
GOV'T LOT - 2 I
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� 26
1`` 27
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LAKE 3 0
(� S �
CNETAC HAY S �"�
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SEE EAST SHORE CONDO.
f SUB OF F
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J� I 34 GOV�T LOT q 'i � � �
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36 ! � _ � �� . L
� 35. �
36
� 37
/
/ 38 v
�/� 39
/ / 4� LOT 41
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SCALE : I INCH = 2op FEE
DRAWN BY : CK p
�\ COLON (:) INDICATES GO
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SEE EAST SHORE CONDO.
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SCALE: IINCH=400 FEET FOR ASSESSMENT USE ONLY N�
DRAWN BY:p,G..Ca✓ fL-�� DATE:7-3- 84 INTENDED TO SHOW GONCLUSI'
COLON (:) INDIGATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
BOUNDARY �OGATIONS
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"I. C � ��+ • �� �— Iren P,}.
�CUMENT NUMBER AFFIDAVIT
' EXISTING SEPTIC SYSTEM �
� .L :J :1 '� "e'
� ONE AND TWO FAMILY he�eler�Cfbe� � � .
Sewyei C«mh
If the existing septic system does meet the minimum re- ����� {Oi 'eO°T'3 tE�eJ �3 de� �1
quirements for groundwater and bedrock depths and if it «��� A D 197�eL�o'dool
is functioning, an addition to or replacement of a hab- M and racordea fn voL�
itable structure can be made in most instances without of�ecords on page _ �
updating the existing system. If the existing system ��"� �
is utilized for the addition, every attempt should be R��
made to locate and reserve an area which is suitable ��
for a code complying replacement system for when the
system fails. If the addition will substantially in-
crease the wastewater discharge, the existing system RLTURN TO
will be replaced with a code complying private sewage Sawyer County Zoning Admin
system. P.O. Box 668
Ha ard WI 54843
owner(s) Nancy E. and Herbert J . Strohmayer
Mailing address Route 1 Box 164
Birchwood Wisconsin 54817
✓
Property description Lot 41 , Hays Hermitage of the Woods S 4 , T 37N, R_9W.
Parcel -7 . 41 . . 47 acres . Vol 407 Records Pg 36 & Vol 420 Records Pg _
119 . 008-130-00-4100 . Town of Edgewater . _
fy¢) (We) Nancy E. and Herbert �H'�j, Strohmayer p1an 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 as disposing
of wastes. If the present private sewage system does fail, it will be replaced with
one that is code complying.
//, � �����/� ss � a 3�- j'D
—r Herbe -H� Strohmayer aate
� �' � '"' - y �
Nancy E . Strohmayer date
Personally came before me this
p���u�uu.��.
" � � day of , 19�(j ���P�t\AN D�Oq'�.
`�.� ..............'9�f�'-.
Notary Public t`����T��'�S� ?
Q /J -�'�> .,e, � -
I,( //�y2'""" '^//�� County, Wisconsin �.�PU�L9G�.����
< <r .
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My Commission is expires `f9,,�° �� qp`' ,�`
� ,, ,�Y�'ISCgp ��as
Existing septic system - Sanitary Permit 77-192
Date system installed 28 October 1977
�c�d�'.� ZA or AZA
David Heath
� � 3 �- 90
date
This instrument was drafted by VOL 4 5 4 �G 8 '�
Herbert J. Strohmever
�
� _,c,
......
Plb 67 �� State and County State Permit # 20858 �
• � Permit Application County Permit # 1- 1 92
for Private Domestic Sewage Systems County Sawyer
CST 7-229 �
"DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Robert BO1Z Mailing Address: 61111
~ � i � � �2�z-' � �AY'e'h�f/LIJ�✓ L/��°.. I� G�('.'�'�CY� � / l .
B. LOCATION: ' Y4�_ Y4 , Section �, T� N, R � Lot# � City _
Subdivision Nam�art Of GOVtne�61;� �ad, lake or landmark Blk# �S� 5�� G i �Village_�_ ,
Township ' � L� j,(,! 7'�-'�''
Hays Hermita�e of the Woods Subdivision
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
*Holding tank capacity Total gallons No. of tanks
New Installation � Addition Replacement _ Prefab Concrete�___
*Poured in Place Steel Other (specify) _
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1 ) '� 2) �� 3) .� Total Absorb Area sq. ft.
New� Addition Replacement *Fill System
Seepage Trench: No. Lin . �Feet Width Depth Tile D�pth No. of Trenches __
Seepage Bed: Length _��Width _— � '� Depth ��'Tile Depth � No. of Lines �'
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land .�y°'�E> 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 have sized the effluent disposal system from the EH-115 prepared
,n n ��,
by the Certified Soil Teste � � �
�7f Z NAM E � � !I .��� � S �D w s 1�� C.S.T. # .3 � � �c+� � and other information
obtained from � (owner/builder).
Plumber 's Signature . ' ,. � M� �/�� /_t�� 'S � Phone # � _3���.� �
PLAN VIEW: Provide sketch be ow of s stem (include direction of slope and all distances in accord with
H62.20, including well).
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Do Not Write in Space Below - FOR DEPARTMENT USE ONLY
Date of Application 10-28-77 Fees Paid: State 10 . 00 County ].5 . 00 Date 28 October 1977
Permit Issued/1�� (date) 10-28-77 Issuing Agent Name LOz'1 Carr�l
Inspection Yes 'Ire---- a8 C��������p� , /���/alid# Date Rec'd
wTJ / /
1 . county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) � T� 4. plumber (canary copy)
�
Department of Zoning and Sanitation
Sawyer County
Inspect ion Report � ��1�
�
Owner � f���./� �"�n �Z. Address 5�'��r� C��a�:e%vcicv� �r; �c�1i �:�1 TL�-
Description �L �/ .5��� ��C. �� / ,1 � j1/ )�j l�� (r-��7� L�� %
Name of business
Builder Address
Plumber f-�4.,���W � eS ��;�� Address ��� ( j �c��� r�%+� 4- �% .
Inspection
(G�Private ( � Public Property �' �Sanitary install
Dwe 11 ino Pr ivy
Violation Mobile Home Setback-lake
Gara�e Setback-road
( ) Sanitary ( ) Zoning Setback-lot line
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__ -- -- - - -
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_- _ _
Discussed with owner yes no
Discussed with builder yes no
Discussed with plumber yes no
Date jv -- � �' - �? 7
� �
C - ,� .^�
Signature of Officer ,:.��,��.L� �- c���%��-