HomeMy WebLinkAbout032-539-29-2301-LUP-1994-011 Application for Land Usc Permi_t / �
County of Sawyer �y
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The undersigned hereby makes application for a l.and UFe Permit and agrees th:it p �
all work shall be done in compliance wiCh the requirements of the Sawyer County a
Zoning Ordinance and the laws and regul.ations of the State of Wisconsi.n. '-'�
PRINT - USE BLACK INK OR PENCIL E '
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Mailing Addre s Mailing Address
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Cit�te, Zip City, Stat�
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Bu'lding Land Use Zone District �
(� New ( ) Filling I � �
O Addition O Dredging Lot size 12�j�' �( ��jzC�' `� �
( ) Alteration ( ) Grading v H
( ) Moving On ( ) Acres 5io �
( ) ( ) t�y
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New Construction
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Size ,� %' ft wide ' wide ' wide
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f:�;F ft long ' long ' long ''�
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Floor area �f1� sq ft sq ft sq ft
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Total hgt �_� to peak ' hgt ' hgt
Stories
No. of Bedrooms --� rear lc�t l i:�e �!--� o
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(year round) or (seasonal) � r*
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Type of Bldg, Addition, Use N � �q;_ . � r
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( �� Dwelling , ��' ��--� � o
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(y� Garage j�j (2) car -- �3�� �� i
( ) Storage Building r. ;
( ) Boathouse ° '
( ) � �
Livingroom
( ) Bedroom o
( j Kitchen-Dining u'
( ) Porcf� (enclosed) (roofed) \ � I �
( ) Deck - open �,
( ) 0 �o v
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( ) \ � �
Type of Construction n,
(✓) Frame ( ) Block N w
( ) Log ( ) Concrete � � ,
( ) Pole ( ) Steel -� � � � �
( ) ( ) Pole/Metal " �— " - �
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Construction Cost $ �,4� , "�✓5
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Cer. Soil Test r�i-1-�(,W '; RN n
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Sanitary Permit _ f � � r �
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Issued 24 February 1994 Denied .
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�� Owner Zoning Administ ato�
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REFERENCE DATA � SCALE : I INCH = �;00 FEE
AERIAL PNOTO - 1970 - N 12
DRAWN B Y : R:1�1:5• �
. �J$GS QUADRANGLE - 1472 - WINTER COLON ( : ) INDI�.CAYES GO
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DOCUMENT No. STATE BAR OF WISCONSIN POItM 7.—1982 r���s tiPACE RESERVED F'OR RECORDING DATA I
2 3 3 �4 0 2 WARRANTY DEED
r�eot��•.ckt�. ,
`+.:. Sawye,r County
.�,. Thia Deed� maao botwo�n ......S���A.ki�...�XAN..+��...AK�9�A�.Y.- R ��,��`'+ ��j =� �►f.�-� ��
_.......�1}-�'�c-�--Por_,T(i0MA9,.J_t__HASKE,._WILLIAM_J_,_. 11A�KG..anci.-•••- �z==�--- A U]9��..��'b�ak�ol
..-•----I�QI`IAI,�A--I`-I-•--HA_$�E-�---.�_��__a_dU.�.C.$...-----• -••-----• --••----- -�-•----•----•-•-- � bf nrid aec.urda�� yu �n�.__S o
--------------------------------------------------•-•---••--•----....------ , Grantor, ot 17woTda o� peqe 5
-----•-----•---•--••-•• ' .._
and_...---RQBER�__I�__.SZNI2�H_,..an._adu�t__man------------�---------------------------- � ' - � `
........--•--......---�--•---�--�-------•-•-•-••-•---•----•...._...-•-•------------------------------------------ �
-•-•...............•••---.....-•--••--••-....._._....--•--•--..._._..__....--•--••--• , Grantee, .
•----•--•----
Witnesseth, That the eaid Grantor, for a valuable coiisideration..____
------- --- —_--
....._..:o ..flne...do.11ar...and._nther..valuahle._cansidezazians_.._____._ - ��� �Q�
RETURN TO
conve��s to Grantee tlie foilowing described real estate in ______SaGtXer................
County, State of VYisconsin:
�
Tnx Parcel No- --------------•---•-------•-- -•-•-
The South I�alf (S 2) of tite Northwest Quarter (NW'-�) , Section Twenty-nine (29) ,
Township Thirty-nine (39) North, Range Five (5) West, Sawyer County, Wisconsin
Description obtained from Commitment No. 3933S prepared by Banana Abstract & TiCle
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This ______________is not homestead property.
(is) (is not)
Together with all nnd aingulnr the hereditamente aii<t appurtenunces thercunto belongin6;
And..............grantor
. ._..-•...................•-----•---------••-------- -•----------------•--•-•---------- �----------�-•--- -----••--•--••---.
wat•rantia that the title is good, indefeasible in fee simple and free and clear of encumbrauces except
all easements, exceptions, and reservations of record
and will warrant and defend the same.
Dated this .••---------------=J�.GI. �NI�G<_fl�_�-----•-�-----------�---. 19_It_.
•-----••----••-- day of --------�- ------- --- -------- - --J , . �
_ � �� -
..-•-••--••••--•--•-•-•----•------•-•--------------•----.._--•-----..(SEAL) .---•--- � -. �4�%"��L:�---- -`-�
�-- -• •...
� i �[_�:�,..(SEAL)
' --••-•---....__... St��Xa__M.._.Ryan._as._a.t.tQxri: .y-�n-�a_ct for
..................�---------------------•
Thomas J. Haske, William J. IIaske and
•••-••-•••-.._....-•-------...--
•-••-•-----•--•----...-•-•-----...._.(SEAL) .------�---------------------------•-----�----_....----•----�--...._(SEAL)
Donald M. Haske
" ..............••------......------------------••---•---•------•-•• ` ---- ---�---�----�--------�-------��-�---�-- -----...---�-----�---
AUTHENTICATION ACKNOWLEDGMENT a
Signature(s) ------•-•--------------------------------------------------- STATE OF WISCONSIN
-------------------------------------------•------•--•-------------•-----.......
ss.
_.�. .. _._ ��� _ County. /
._._.._.. 19_._.__ Person 1 came G i ''ifhl . �__
- - - - -•--- - l�l
authenticated this _._.____day of_________________ , y y,�} '� � ' ��_.�____day of
------ �w�s��L' -- ��1-`�`� � ��i�'�
��. P `!��. . � � above namec
-------------------------------------------------------------------------------- ' Z���s3__M_...�,Y��--��•��_G9_����_��C�__.�Q�.
+----------------------------------------•--•-----------------•---------------- . �hQtoas--=�-•--�I' k��} .__I� ke__�t1sl_..
TITLE: MEMBER STATE BAR OF WISCONSIN � � ������ �
. M
_.�on�1d--��--�i -- ----•---•- - �-----:.----•---•---•--
(If not, -----•-•---•-•---•-------•--------------•---...--•-•----•--• � - •� • ---�------•--+-��-=.-•----...-----
-------•----••---••-•- -
authorized by § 706.06, Wis. Stats.) � ���1-��•�: ,�
to me known to Ue�he i �, � wlu�executed the
foregoi � strumer�. ��"�y` �o lgji�� )iQ.Same.
THIS INSTRUMENT WAS DRAFTED BY
, `i � r • "� l`�
------,: :�'�'1�.�''�, ��;i► � �-----------------
..............Auff.y--�a�a_.O.f.f_�.ce---•--•---•----...-----•--------- / � -
+ tli`� . - i�_,._, . .r/�
- -------�---�s____ S��s--------------------------------�
-----•-------•Hayw_ar-d�---��-----,��ls4�-----•----•--------------••-- t� Public ,.. _����=�.:�Li�....-----County, Wis.
(Signatures may be authentica e ac o��•ed. � ������missio _is permune�r� ([f not, state expiration
are not necessary.) � � l• dute ----•----•- • ���ti--- ��.. , 191..� .)
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_ _ _- - - _ . .
_ -�F�.� � -- ------ - ---—-
•Nsmea ot peraona et¢ning in any capaclty ahould be tyDed or printed bcluw tLeir eiKnutu ca.
Office o[ � ,
Sawyer County Zoning Administration f w a„ -,
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� P.O.Box 668 '� " �'
Hayward, Wisconsin 54843 w � �
p15)634-8288
O1 February 1994
Robert L. Sinden
N5540 Co. Rd. "W"
Winter, WI 54896
Re: Violation, no land use permit for garage construction
CTH W, Winter Twp; S 29, T 39N, R 5W
Dear Mr. Sinden:
I see that you have constructed a garage this past summer/fa11
of 1993. We do not have a land use permit on file.
Enclosed is a land use permit (LUP) and sample. Please complete
and return to our office along with the $60.00 application fee.
I expect to receive the application within 60 days or no later
than April 4, 1994.
Your cooperation is appreciated. Should you have any questions,
please feel free to write or ca11.
Sincerely,
�.1—��,- i--t�o.`
Merton Maki
Assistant Sanitarian
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WSO�^��^ -� APPLICATION FOR SANITARY PERMIT
.�
�rDILHR A
SAWYER couNr� '
(PLB 67) �'
oEcwv�mEnroc UNIFORMSANITARVPERMIT i A
if1Ol�5TFV.lRBOR6HUTRfIqELqTIOf15 � �.f�
CST 84- 165 57441
—Attach complete plans in accord with s. H 63A5, Wis. Adm. Code for the system, on paper not less than 8%x 11 inches in size.
—See reverse side for instructions for completiny this application. PLEASE PRINT
PROPERTY OWNER MAILING ARDF3�SSa
-�� Robert R n � �ti � 3�/���
PROPERTV LOCATION CITV:
w �/a�+�ult/a, s . T�. N. R r'E (of� VOWN GE CtJ� ` -�r
OT NUMBER BIOCK NUMBER SUBDIV ISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER
� 8406386
TYPE OF BUILDING OR USE SERVED ' �
�' 1 or 2 Family Number of Bedrooms: � ' 1 Public (Specify�:
THIS PERMIT IS FOR A:
❑ NewSystem � Tank Replacement ❑ Repair
❑ Replacement Soil Absorption System ❑ Revision ❑ Privy
❑ Altemate System ❑ Reconnection ❑ Petition for Modification
IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK.
❑ Seepaye Bed ❑ Seepage Trench � Seepa�e Pit � Holdiny Tank
� System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy
❑ Existing, For Which A Previous Permit Is On File, Permit = issued
❑ An Existing SYstem That Has Been Inspected And Is Compliant As Far As Soil Conditions.
Total -of Prefab. Site S:eel Fiberglass Plastic
Gallons Tanks Concrete Constructed
Septic Tank Capacity
Lif� Pump Tank/Siphon Chamber
Holding Tank capaciry �Q(j � x
Manufacturer.
IF THIS IS AN ALTERNATIVE SYSTEfJI COUIPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure
Total qof Prefab. Site Steel Fiberglass Plastic
Gallons Tanks Concrete Consttucred
Septic Tank Capacity
Lift Pump/$iPhon Chamber
Manufacturer.
PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA �n/ATER SUPPLY:
(Minutes per inch�: REQUIRED (Square Feetl: PROPOSED ISquare Feet): - .
� — -'—' Q Private ❑ Joint ❑ Pubiic
I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
Name of Plumber (Printl: Sign e: MP/MPRSW Nn : phone Number.
� �G6� ����
Plumbe/r's Address: Name of Designcr:
T 3- � �c /J J, -2 V i I S cY G?--�--�
COUNTY/DEPARTMENT USE ONLY
Signat of lssuing Agent: Fee: Date: � p��PP�OVe�
�� 1,� ❑ Owner Given Initiul
v� $95 . 00 10- 3- 84 � aav�o�ea
Adverse Determinstmn
Reason for Disap val: J
Aiternate coursels) of Actlon Available:
DILHR�SBD-6398 (R. 5/821 DISTRIBUTION'. Orlginal m County, One Copy To; Bureau o� Plumbing, Owner, Plumber
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY& BUILDINGS
LABOR & HUMAN RELATIONS pRIVATE SEWAGE SYSTEMS oivisioN
P.n.BOX 7969 BUREAU OF PLU'461NG
MADISON,WI 53707
❑CONVENTIONAL ❑ALTERNATNE s�a�eria�i.o.H�me<,�
111 asyigneEl
�Holding Tank ❑ In�Ground Pressure ❑Mound
NAME Oi PEFMIT NOLDEfl: y� pD�RE550F PERMIT HOLOEH�. INSPECTION OHTF.
/ ✓ �� ��/V � V �J `U C/
BENCH q (Peimanmi�ekrtnceooin�lO LRIBEIF�ffFEFENTFflOMGLAN�. REEPLELEV.' CSTFEF PT ELEV
NameolPlumber: . MPIMPqSWNn� Counry SanuarvPermi�Num�er:
a w �'�u/y� �y— l y [,
SEPT(G�711pC/HOLDING TANK:
MANUFACTURER: LIpUIOCAFNCITV. TANKINLETELEV. TiINN OUTLETELEV. WAR�'1�NG LABEL LOCKING COVER
^ �RIpOVIIDEO�. PROVIOEO�.
-e�'/ � p" 4 �O U . Q r+�YES ❑NO YES ❑NO
BEDDINU. VENTpIN.. VENTMATL�. HIGNWATEN NUM6EROF ROAP. GROP[RTV WE�L'. BUILDING�. VENTTOFiiFSM
q�qRM�. LWE� 1 1 HIR INLET�
FEET FROM Z,� 7lS
' ❑VES ❑NO /� YES ❑NO NEAREST -- 7
DOSING CHAMBER:
�MANUGACTURER�. BEO�ING� LIQUIOCPPiILITV VUMVMOOEL VUM11Gl51P���ONMl�NUFl�QI�HEH WARNINGLNBEL LOCKINGCOVER
- PFOviOE�: PROVIOEO�.
❑YES ❑rvo ❑ves ❑rvo ❑ves ❑No
'GALLONSPERCYCLE � vumvn�vocoNrao�soveanriorvn� NUMBEROF PA��oE"Tv weu auaowc vervTrovaesN
�IDIFFERENCEBETWEEN FEETFROM ��"E 41R1NLET
PUMP ON AND OFF) ❑YES ❑NO NEAREST�
SOILABSORPTIONSVSTEM.Checkthesoilmoistureatthedepthofplowing iervcn� oinmereu marenia�amomnHrcir�c
or excavation. (If soil can be rolled into a wire,consttuction shall cease until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONALSVSTEM:
WIOTH LEN6TH NO.OF p15iR.PIPCSPNCING COVEH INSIDE 01�1 #PIIS U�UID
IBED/TRENCH tasr�a�es ninrriunv. P�T oevlr�.
DIMENSIONS .
GRAVE�DEFTM FILLDEGTH IIISTII.PI1'F pISTR.VIPE OISTR.PIPEMAiEFIFL. NO.�ISiH NUMBEROF PNOFEFTY WE�C 6VILDING' VENiTOFRESM
dE�owvivEs� qeovEcovEN E�ev.iN�Ei E�Ev.EHo � '�"Es FEETFROM ��"F�. A1i1NLET�.
NEAREST��
MOUND SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM
.and furrows thrown upslope: mound systems to make certain that it ON REVERSESIDE.SHOW ELEVA�
meets the criteria for medium sand. TIONS MEASURED.
❑YES ❑NO
SOIL COVER TE%TURE PEHh1l�NENT Ml�flKEF$ OBSEFVFiION WELL$
❑VES ❑NO ❑YES ❑NO
OEFTNOVERTFENLNI9ED �EPTI�OVEH (NENCM/BEU OEPTIIOFIOVSOIL SOI)I)LU SEEULO MULLNEO
CENTEq� E�GES
❑YES ❑NO ❑YES ❑NO ❑YES ❑NO
PRESSURI2ED DISTRIBUTION SVSTEM:
BED�TRENCH ��'��WIOTH� LENGTn. jqENCMES. �'4TERALSPqCING. GRl�VEL�EVTHBELOWGIPF FlLLDEPTMqBOVECOVEH�.
� DIMENSIONS '
MANIF01.0 PUMP M�INIFOLD DISTR.PIPE Ml�NIFOL[IMATEHIHL NOOISTH �ISTFPIPE p15TRIBU11pNPIPEMqTEFI/+L&MqRKING
ELEV.. ELEV. OIq.�. ELEV.�. - P�PES DII�.�.
ELEVATION AND
DISTRIBUTION
�NFQRMAT�ON . MOLESIZE HOLESP�ICIN4� �FILLE�CORRECTLY COVERMATERIAI. VERTICHLLIFiCONHESPON�STONPVqOVCU
PLANS
� ❑VES ❑NO ❑YES ❑NO
COMMENTS: VERMANENTMARKEflS' OBSEFV�ITIONWELLS: NUMBEROF PAOVEflTY WELL B111L�INC.
FEET FROM ��"E�
❑YES ❑NO ❑YES ❑NO NEAREST
Skecch Syscem on Retain in county file for audit.
Reverse Side.
SIGNAT i1TLE
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DI LHR SBD 6710 (R.Ol/82)
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