HomeMy WebLinkAbout032-539-03-5208-LUP-1994-004 I
Application for Land Use Permit
� County of Sawyer �� '�
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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 o
Zoning Ordinance and the laws and regulations of the State of Wisconsin. ►fi �
PRINT - USE BLACK INK OR PENCIL
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Owner Builder
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1'�ailing Address I�ailing Address
��(�!� . 1,�: s"��t��- ��c��9�..n. c�.,�. ����3
City, State , 7ip ity, State , Zip
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Building Land Use Zone District R-1 ° �
( ) New ( ) Fillirig .�. �
( ) Addition ( ) Dredging Lot size 100 ' x 274 ' � �
( ) Alteration ( ) Grading
( ) Moving On (� 1��.Pi1� Acres . 60
( ) (?�" .��
New Construction , ��
�v-� L�N�.. J��.�.� !,,�-�� s�d� Dfci�- 3--s���� ' ,
Size �j� ft wide Z � ' wide ��� ' wide �•
(n �+ ;;� ft long � �- ' long � ' long �
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Floor area ?"�'='- sq ft � � sq ft t �� sq ft �
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~ �'�
Total hgt �t��peak _ ' hgt j`�i ' hgt x' U
Stories �1��'
No. of Bedrooms ' ( c�
rear -��ta�ki�°e or waterline o
�
(year round) or (seasanal) � �*
'Q��i i—�t<� v t�
Type of Bldg, Addition, Use , a o
( ) Dwe 11 ing `-'� ti� �' �*
( ) Garage (1) (2) car e� ��,�' �•
( ) Storage Building � ' �/B°' �. �'
( ) Boathouse � � �,�� ��,�,t �
( ) Livingroom � J �,�
( ) Bedroom , �� --
5� < • �
( ) Kitchen-D 'n'n Ex�s�-� - ` �� w �
� Porch. ( se (roofed) �. '� rdv�;sE -� ;' ;
(� Deck - open j�% �� � - �' '
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( ) .F-« ���L �o a�-'
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Ty e of Construction � ��`���`� ��` � �
� Fr_ame O Block c� 3� �v �
( ) Log ( ) Concrete � ' � � ���
( ) Pole ( ) Steel � � �C- Stp�- F,£�0
( ) ( ) Pole/Metal � �
d� � �
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Construction Cost $�
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Vol 474 Pg 258 of Deed
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Cer. Soil Test 87-173 � �
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Sanitary Permit 92-049 __________ �L road -------------- z '�
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Issued 02 February 1994 _ Denied .
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Zaning Administ ato .
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Application for Land Use Permit
County of Sawyer o
The undersigned hereby makes application for a I,and Use Permit and � �
agrees that all work shall be done in compliance wi.th t:he require- o
ments of the Sawyer County Zoning Ordinance and the laws and regu- '''
lations of the State of Wisconsin . �
PRINT - USE BLACK INK OR PENCIL z
H�C�i
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John C. fi Janet V. Topp ��,�`���(� � O � ��� �
Owner Bui�er ��
2725 Dewy Court
�
Mailing Address Mail.ing Address
Middleton, WI 53562 �.(JQ.�� t.C/�- �'���c�C
City, State , 7.ip City, State , Zip
Building Land Use Zone District � � o �
(�New ( ) Filling �*
O Addition O Dredging Lot size ��O x c� � � __ v� n
( ) Alteration ( ) Grading
( ) Moving On ( ) Acres . 600 ,�
( ) ( ) b
New Construction
��cLk �/�RJ��j�. ro
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Size � ft wide 10 ft wide --- �
�_ ft long 25 ft long — �
Floor area `a.3c� sq ft 25� sq ft —
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Tota1 htg �� to peak 18" -�a-geak oS� ����- — �
Stories � Stories
No . of Bedrooms �_ rear lot line or waterline c�
0
(�jrr�d) or (seasonal j ���;� Y�_', ��J-_'V �—C�`�< m rt
Type of Bldg or Addition '� a' r
(�Dwelling "' °
C• rt
( �Garage ( 1 ) (2) car r,
O Storage Building I N �,
( ) Boathouse � o�
( � Livingroom ' �
( ; .Bedroom �
( i Kitchen-Dining �
( ) Porch - enclosed/roofed
( �' Deck - open ��j'
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t )- I<,�� — f,� � N
c > 4�' ------�'—; � �
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Type of ConstYuction ` I i—� �-�4LL `� ~ ��!� �J - `W°
ly�Frame ( ) Block � ii � � � �' w r�
( ) Log ( ) Concrete ----
( ) Po1e ( ) Steel '� v�
( ) Metal ( ) .��SC� �`� i . �1i' � p') o �
�� ' . , �.;��i.li'2V' 'i'i���-c�1[.� co
Construction Cos� $ C�a� OUb.�� �
Vol 474 rg 25Fi of deed \' I � _ W
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CS Vol � Pg — r � ro �
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Cer. Soil Test �� -��3 I I � r0 � � ,,,
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Sanitary Permit �g ��z-��-`�-CL Road ' G� ~
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Issued � �����, [ � Q2— Deni.ed �,
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�— ohn C. Topp ' Owner Zoning Administ ato
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� DOCUMENT NO. $TATE BAR OF WISCONSIN FORn1 1-1982 T���s erwce reesexveo eoa xecoxoiHe owre
��I � 1 J WARRANTY DEED �
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11qMd�OYfo� 1
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This Deed, �»ua� Letwcen JAMES _ [i_ _ _ , . � p 19 Y ,� ,°"�'
........ . ...E.._ ANKTN_anJ.. I)nNNA._ C. .,6C� <7
.J. [tANKIN, Lls wife ----...-�-�...................... ----- - -... -._ � e�3 n..u�1�d m�oL � �
_.._..... --
_ - --...- -- - - - -- -- - - - -� -- - - - - -- __ . .. `�
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._._"'-_...-'--------------.__.......-"------.-".-------��----�-----."--��-�----� Grantor, . �� �. .. � `..
and...JOt1N__C,___TOPP_ans1..JAN��..Y.....TQPP,..hushand..and_Wife........ � ���
as,.&urviyorsl�iP_mdX�tr�.1..8SAAer.ty- � -- - -..._._... - -- ��... .. .
.......___ - _ -............ - - - - --- - - - - - -- �
.......-"'--.'.-�------�--------------"'---.....----"'------....-�----�-�---� Grantee, .
W1tri2S52t11, Thnt the seid Grantoq for a valuable consideration...__
Sz�..one. do.l.laz.-an.d..nZU�r_valuable._cons.ider.ations---------- ---___.____---__—_-_-___
neruRn ro
conveys to Grantce the following described real estate in _..._Sauy.er---.----..--
County, State or w�s�o»s�n: Boncler Realty
P.O. Box 98, Radisson, WI.
T¢�c Parcel No: 3--39.5_z.8 ..--- - .
A parcel of ].and lying in Government Lot Two (2) , Section TLree (3) , Township Thirty-
nine (39) North, liange Five (S) West, known as I.ot Number Ten (10) , oF a non-recorded
Plat, more particularly described as follows: Commencing at tl�e Eust Quarter corner
of Section 3; thence West on the East a�:id West 1/4 line 500 feet to an iron stake;
thence variation S40°00'W, 344.6 feet to a stake for the point of Ueginning; thence
continuing same line a distance of 100 feet to a stake; thence running S50°00'E, a
distance of 274 feet, more or less, to a stake on tl�e shore of Barber Lake; thence
running in a northeasterly direction along the shore of said lake a distance of 102
feet, more or less, to a stake which is S50°00'E, and 256 feet more or less from
the point of Ueginning; thence running North 50°00'W, a distance of 256 feet more
or less to the point of beginning.
"(�f?,;:+�...i`1:i�1"�,�ti
� .a�Y;�.. _
This ..___is_.nqt___,____ homestead property.
(is) (is not)
Together witl� all and eingular the hereditamente and appurtenances Chereunto belong�ing;
AncL.gran_t.�r
................-----..............-------..._..._......_...._._._....__.__......_..._........---�--�----..........--..--._.
warruntn thut the LiUc is good, indefeasible in fee aimple snd free and clear of encumbranccs except
all easements, exceptions, and reservations of record
and will warrant und de(end the sam�.
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Datedthis .._------------...../�.--�.--'_......... day of .....__�[ .. ___...__.._........_._.._ ......_._., 19_..l..�..
....................._.__...._------��--�'-----........------�SEAL)/f.�`.-.-,�---...�"��.-:"�-........(SEAL)
* _..'-�----`-....._---��-----..."_-.'----'---'-'-_.. / ' ..� 1��..�+�--.H Il .. _...._._`-- ---....---
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�C. ..... . - � --- .......(SEAI,)
..............---------._...-------�-----------.....------(SEAL) . . . . .. ... - ---_.. .
� ... - � _...... - -- ----........... .....-........ " . Panna_,I_..Rankin....._....._.._......_._.......
AUTHENTICATION ACKNOWLED6MENT
Signature(s) STATE OF WISCONSIN
-'---------'--'---"--'---"-------------"------'--'--'
ss.
----"'_•"-""'------...'------------""""_'•"""-"-----"-"-.•-
'----' - ' '-"-'-"'... ounty. d .�{7 .
authenticated this ._..._..day oP........................... 19...._. so ally came Lefore me thie ...�/1':S_.___.day of
��-- C'
µ���ur�a'�.;:..'- - L4GC..�.�<-----�---....., 19..f.1- the a6ove named
-"-�*'�`,' ' ��
...--��-----��--------------------------�-�---------�------ ��i• �..f�;��TanleS--�,...&.�?P.it17s1._,1.4_.Hs']I7k�n---------------------
dr ,.,,.. ::.. ...
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���-'-I•- -`s^;-�-r-"--_"----'---"-'-----'------------'--"_'-"'-------
TITLE: MEMBER STATE BAR OF WISCON `t�da�{��'�G?-;=.,q�:------------.----------...._---------------------------------
:
(if not, _--_.......---'-'------------------------ -----t-'---'- � -------"---------'----------...._- --'----
authorized Ly § 70�.06, Wis. Stats.) � -+aa.:�..-------?--�--�'-----...--- '
i � 'Eo metknown to Le the person ..._,�G/ wlio executed the
������� �q��oipg_instrument and acknowledge the saroe.
THIS INSTRUMEDIT WAS DRAFTED BY � ��1€�i,• ':' ��- '.. _"""'"'"__"' "'" _""_"'"'__
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���tVlYitll:'t. . �J""""""' '. � /._ ..� _. .. . .
Hayward._.IJI---�!{843--------..._....------------ NotarY Public .-'---..�. . �C.lC��.County, Wis.
. .�eluot��c��s,�nr�l)e anqienticated or ac�l�5�_Bo��..���}�e�'un_issio�` i��icn�� not' state 19PL�) ... li
4 J> >�'�
zr III 'Numce aI 1 �y �� ::iguing in uuY <nP:��itY nhuuld Lc IYP��I m' P���lcd : .uw tl .ir nih��uLiuc�. �
ADDITIONAL COMMENTS AND SKETCH
, SANITARY PERMIT NUMBER: .
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wisconsi�oepanme�tof i�d�st�y, PRIVATE$EWAGE SYSTEM county:
LaborandHumanRelations INSPECTION REPORT
SafetyandBuildingsDivision _ Ww ,�.
(ATTACH TO PERMIT) sanitary Permrt o.:
GENERALINFORMATION Gy30�n- �a--oyy
Permit Holder's Name: ❑City ❑Villaqe Town of: State Plan ID No.:
O 1 O
C5T BM Elev.: Insp.BM Elev.: BM Descripiion: Parwl Tax No.:
�3a-53�-�3-saos
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic P � Benchmark
Dosing
Aeration Bidg.Sewer
Holding St/Ht Inlet
TANK SETBACK INFORMATION St/Ht Outlet �.�
TANKTO P/L WELL BLDG. ventto ROAD Dt Inlet
Airintake
Septic 5 i ��� S� — NA Dt Bottom
Dosing NA Header/Man. �
Aeration NA ��Dist Pipe
Holding Bot.System
PUMP/SIPHON INFORMATION Final Grade
Manufacturer Demand �� � , �
Model Number GPM
TDH Lift �riction Syztem TDH Ft
fi
Forcemain Length Did. Dist.Towell
SOILABSORPTION SYSTEM
BED/TRENCH `Nidth Length No.Of Trenches pIT NOAf Plts Inside Dia. Liquid Depth
DIMEN I N a — DIMENSION
SETBACK
SYSTEMTO P/L BLDG WELL LAKE/STREAM LEACHING Manufacwrer.
INFORMATION TypeO CHAMBER Modelnlumber:
System��(/ 5� �ZS �s° 7'`-'a� ORUNIT
DISTRIBUTION SYSTEM
Header/Manifold DistributionPipe(s) x HoleSize x HoleSpacing VentTOAirintak�
Length_ Dia. Length_ Dia._ Spaung_
$OIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded/Sodded xa Mulched �
Bed/TrenchCenter Bed/TrenchEdgez Topsal ❑Yes ❑No ❑Yes ❑No .
COMMENTS: (Indude code discrepancies,persons present,etc.)/ /
o�-y 5�irn ,L rvJ//2 CLv-//�n O�1 iPecia ti7� t`'�'^�-(�!�,b�e�¢ ,b J b u.�T
✓�n,7' No� o N D-{. ,t�7`��'f�'-7�"�
Plan revision required? ❑Yes ❑ No � � ya �, „ / �,�,� a �
Use other side for additional information. C�cd�/i6LP,c�� d �
SBD-F' ��S191) Date ins^e<tnisSignature Cert Na
�
�r DILHR SANITARY PERMIT APPLICATION N
COUNTY �
_ In accord with ILHR 83.05,Wis.Adm. Code �
s CST 87-ll3 Saw er �
STATE SANITARY PERMIT#
-Attach complete plans(to the county copy only)for the system,on paper not less than 164306
8�fz x 11 InChes In SIZe. ❑ Cneck if revision to previous applicatlon
-See reverse side for instructions for completing this application. srnrE PUN i.o.NUMSEa
I. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION.
PROPERTVOWNER _--. t PROPERNLOCATION
- � 4 � 'E" �RN� �J �'/.�'� Ys� S 3 T� . N� R S— E (o W
PROPERN OWNER'S MAILING A DR SS / LOT# BLOCK q /
� W 2 C T / /� /
CITY,S A E ZIP CODE PHONE NUMBEfl SUBDIVISION NA OR CSM NUMBER
�` �_-� GCJ/ .�' S� �
II. TYPE OF BUILDING: (Check one CiTv NEARES7 oAD
1 State Owned VILLAGE: � � r � � Q � �
❑ PUbIIC � 1 or 2 Fam. Dwellin�#of bedrooms � PARCELTAX NUMBER( )
111. BUILDINGUSE: (Ifbuildingrypeispublic,checkallthatapply) 032-539-03-5208
1 ❑ ApUCondo
2 ❑ Assembly Hall 6 ❑ Medical Faci�ity/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ RestauranUBar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. � New 2. � Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.❑ Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit# — Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 � SeepageBed 21 ❑ Mound 30 ❑ SpecifyType 41 ❑ HoldingTank
12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ PitPrivy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1.GALLONS PER DAY 2.ABSORP.AREA 3.ABSORP.AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
� REQUIRED(sq.ft.) PROPOSED(sq.k.) (Gals/day/sq.ft.) (Min./inch) ELEVATION
�Z C� O(� � l� �� �S` Feet Feet
cnanciry
VII. TANK Site
in allons Total #of Prefab. Fiber- Exper.
INFORMATION New istin Gallons Tanks Manutacturer's Name oncret Con- Steel 91ass P�astic APP
Tanks Tanks structed
Se ticTankorHoldin Tank " -> � �
LiftPum Tank/Si honChamber
VIII. RESPONSIBILITY STATEMENT
I,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name(Print): Plumber' ignature:( o Stamps) MP/MPRSW No.: Business Phone Numbar:
- 0 N O Sc�i � � �
Plumbar's Address(Slreet,City, tale,Zip Code�:
- , r /-! `� �'C�i' it/ v '-C/�` S-r dx.
IX. COUNTY/DEPARTMENT USE ONLY
� Q Disapproved Sanitary Permit Fee pncivaes Grounawatar ate ssue Issuing Agent Signat re(No Stamps) �
�A o ea Sum�erge Fee) -
pp ❑ Owner Given Initial �11 5 . Q�
ndverse oete�mination 5-14-9 2
X. CONDITIONS OF APPROVALIREASONS FOR DISAPPROVAL:
SBD-6398 Qormerly PID-67)(R.11/BB) DISTRIBUTION: Original to Counry,One Copy To:Salety&Buildings Division,Owner,Plumber