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HomeMy WebLinkAbout002-940-16-2108-LUP-1992-045 Application for Land Use Permit � County of Sawyer o The undersigned hereby makes application for a Land Use Permit and � � agrees that all work shall be done in compliance with the require- o ments of the Sawyer County Zoning Ordinance and the laws and regu- � lations of the State of Wisconsin. PRINT - USE BLACR INK OR PENCIL , Fannie A. and J.ess H. Ingbretson Robert Kutz Owner Builder / i Mailing Address Mailing Address I i - City, State, Zip City, State, Zip Building Land Use Zone District RR-2 0 � ( ) New ( ) Filling rt ( �") Addition O Dredging Lot size 324'/354' x 827'/944'v� n (� Alteration ( ) Grading ( ) Moving On ( ) Acres � .�i��,.� � � N � � Ctit� �x.>�,��;�.�:� .,i. k New Construction ro 0 Size ft wide ft wide � H ft long ft long Floor area sq ft sq ft ta Total htg � to peak to peak � Stories Stories No, of Bedrooms � rear 1ot line or waterline o � (year round) or (seasonal) _ _ �--' %, .' �1 � G rt Type of Bldg or Addition a o ( ) Dwelling � ,; r• n O Garage (1) (2) car I � � r. � O Storage Building �'�/��, - o Y, i ( ) Boathouse � � /� �� �� (45' i o ( ) Livingroom �/; � i.- � � � ( ) Bedroom � � 6 ` � ( ) Kitchen-Dining �, � � � ! � � �as�� (,� Porch - enclosed/xi�at�ed � � / � �-yy, ,�:' � ; � ( ) Deck - open �`� � �' �, � { ) ... f 28� t:'; �t'�� i o c�' / � � ,_ ! £x :9+ � � ,� I i Type of Const�uction �' ' � (a') Frame ( ) Block 4-��' I—�o-�� ; i � _� ( ) Log ( ) Concrete .. �� j � ( ) Pole ( ) Steel ;1 i__ � ' � (� ) Meta1 ( ) . ;� � �, � - � Construction Cost $ / % ��� �; {. Vol � ' Pg � of deed �,�;�' �� � CS Vol �� Pg �1� � b � � w n Cer. Soil Test �-/ ��j-�.;. '�,� � � � r Sanitary Permit �/��'" �`� ----------CL Road --------------- z 0 • z � Issued 03 April 1992 Denied �„ 0o I- ��� y.,_.�..- ���U�I �c��� -d7�DUT�-1 � " �—Zoning Adminis rato Jess H. Ingbretson, �actor , . 16� J15 �, � Register's Office _, .. Sawy,.: County }� . Rec�l�'ed for cacxd the �� day oE �.�Gt L�� :1 D 19� c�t��T+�`b'clock �p"���.r.�J r"a�_w� �.��cJ In vol. Ui ol 1_v�,� ' cyu�w{_on poya '/0 ✓ �_��� ���' Acyister — .—_____ _ DepulY —.—_ O 2��� _ O ��' ��� O O, N. �'Z�"W. 314.�ti .c �• R. �' R � c. `'`,`����inn��(q� ','' Z �� Y m :S6`� � �n : jj,: � w :Q, yb t�: � t� �Sy�� (P:. N � ' � ���y� O� F T � � : n b � � `�'r'� ': • O�j � 5yi� �rJ aNi N o0 ',����iN��uNN�, D v A t� A `� b A A 4 � � W � TRUE , Z T—�• � O �w, O,�p � H �^ �.+_ b 1\` O ) . \£52 S W 3 % � n .. 5f H � on oti�' �2 V A � ` � N a , �,o� - r� o � �� oy N"'oi " I 2 i N �o� m ° °° I � � o u a a � E cn n *� m "� � � n c D ' n � O 8 y 6. �' �. � �<Q u 329.58' �0-- I U� `5� 2�03' W � � b O +�� u o A 2 n T Page l of 2 pages C:at��,d Su1Ytl1� N� .]4 �� / TOWN OF BASS LAKE SEC. 16 TWP 40 N. R. g w. 6.3 A 5.1 5.7 v ---- I.I 6. I 5.8 2 � .1.3 6.4 5.2 WILLIAMS. RD. 12 6.2 .6.6 6 5 5.6 .5.4 ,5.3 .5.5 .8.5 .8.4 .7.1 .8.1 .8.7 .8.6 .8.8 7.5 I 7.2 � .8.3 3. I .4.I oQ .7.3 .82 a .7.4 . i �� DOCUMENT NO. � ' � STATE BAR OF WISCONSIN — FORM 2 I �� � Y� I WARRANTI DS6D - i I THIS SPACE FESEflYED fOR NECORDIN'v P�TA . . II_. . . ._ _. __. ___ _ _ . __.._ __.�_ .J .:_.__ _. .: .. . _ . . . . .:__ .:�.. _ _ _ . _ . IdepYJBt'!Otlfo� � . D�an C, Pea�s�� ar?_ �du�t _Ii43J1---.---.-- Sawper Camfr .. - - �� - .. . . - - � .a 1« �.a m. � dn► d � - --- .. _... ..---'-�-....................._.......---......_..___....................................._------' [c ust AD197�et3��z'o ...... '-----.._-'-----...--------'---'--._..---........__........................."-'---�--'---"-- �_ M nnd recorcled In tol. 3 d conveys nnd warrante co ...._Rol�ert.Rutz..and..Fannie..A...Kutz,...._... a �,d. on peqe � ....�715.-4+T1f2�<lS_}O].Rt._tP113T1tS.....-----'-'-----'--'---------------------------_..._'- 'll f � ,._ � ....._.......................................................................:.""'..."""""""'....._.... �I� .__..'_.'__.....__.__..___."""'._..___......._....__.__.................."'_"'_"___"'.'__ li . ......_._....._.._...._..........................'......._........................ .........""'.._....._ �I .............. . . . . ........._..... . . . . .. .._...... . ................. I fl TURN TO — L.�.aJ E ................. ...._........... ' ... . ' . . .......... ............ . . II - - - - -- -- ---�---� - -; -S --eT� ----- --- � -- -- ----� � � �b �� the following described real estate m ...__.�'_....................__....._..County, i�__a�._.��' '"� � ' � State of Wisconsin: M �� l i : TaxKey No. .---------......................... �'' Z'hat part of the Northwest Quarter (NW 1/9) of Section Sixteen (16) , Tormship / I'orty (40) North, Range N�ne (9) W�st irore particularly described as Lot NLmiber iWo (2) as necorded in Voliune Six (6) of Certified Survey Maps on Pages 9-10. Described as Survey # 1116. This canveyance is subject to all reservations, restrictians and eas�rents of re�rd. ,�iSgsR � �� This ____1S ri0't. homestead property. (is) (is not) lixception to wnrrnnties: Dated U�is -----„—'--...._._.__.....3:�_.. dny oF .. ..._ .. Y..._'--�- - --.__.....� 1 ....7.4.. ._----- ------------"—�--------......-----------ISEAL) _'------ - -J _. L) ' �- - - - ... - ._.........._-- --��--- -- - -- ' - - .�`I.C...PF.AFt�SXV_._..__...-�--- - - ............ ..--........_._�-----.._...----...---...----.(S�AL) --------------------------------------�-------------ISEAL) . ..__._.._._..---------�---�--'---------------�----- �-----�--...............-------......-------'-"-------- AUTHENTICATION ACKNOWLEDGMENT . Signuturea uuthenticnted thie .................. duy of STATE OF �NISCONSIN 1 ._......-----................."---........� 19.._..... ) ss. Sawyer. - - County. � __._.._........_._....'.-..'.._......_'......._._.__....__._._......_ ... ..Persminll cnme Lefore me, this ......._�1.'-_daY ot -- JUlx- 19�9 ._.. the above named ......_................ � - -.. _... ------ --- �- - - -- 1'1'fI.L: MliMUER STATE BAR OF WISCONSIN -��---��-�C�..�eaxson.,_an.aduLt.man..........._ (If not, -------'-.-"""'-'....................................... .....---------------...._..........-�--- � --- --.......----..-_._ nuLhorized by § 70fi.06, Wis. Stats.) .................,_ . ... . . . THIS INSTRUMENT WAS ORAFTED BV t � � � "_' _ '_ _ _'_"'_.. .... ............."'___ to me knolv o:$e ie pef5 .......,.:'. who executed the toregoing ' �tif»ent� nowledge the same. _..._-.- Dean..C.--Pearscan-Broker ----�---�---.....- � , - .. - ,�X111" ` ;�..� .',1l.'--�- , -�- ,,:� -..._... ,� , _ - . ._...................... . . -- - , . .... ... . � •. Y . ...._........._.._._.._.__........._._�....i:_.:�......_... � . .� . (Si;:natures may be nathenticuted or uckno�vledged. Both VotnrY Public _-_....._.._ _......___. ',:�.....�{'�pQ�pS', �R'is. �. � ure nnt necessnr��.) �Iy Commission is permnnent. (If��iot,�Qn'[e espirnGoy j dnte: -----._..,�IOfi{AS-i4SHiJMATt�-;.�.__�.�19,Ci..j.t� c ' Nd�Y Public. Sawyez County. Wbp U Q�. � ; � c . . . . ._ . _ . MY Commisslon E:picea MoY.4l�;�Qa r�V S •Nnm�.w o[ Prre�ins eiRning In envi ceDnciry' xL�mIJ Lo. qne,l m� w'intm_I hoOL ci�ei�nntan��� � � �-- - - - , ` ' ��5 : y V 9 Qrf..oF..� .,.. , .,�� � � ' .�. � P L B 6 7 State and County State Permit # 13939 � ° Permit Application County Permit # _ 9 - �14 .__ for Private Domestic Sewage Systems County Sati�'eT "DENOTES STATE APPROVAL REQUIRED CST 9 - 136 Date Approval Received from State if Required State Plan I.D. # __ A. O R OF PROPERTY Mailing Address: � GU � �y�'' 4�� � � � -- 6 � �e �- .�C u,c� B. LOCATION: �,�Y< Y< , Section , T� N, R__ -F-for) W Lot# �--City Subdivision Name, nearest road, lake or landmark Blk# Village ( Township ��� /`� /— �lid �U� C. TYPE OF OCCUPANCY: Commercial ndustrial "Other (specify) *Variance Single family �uplex No. of Bedrooms � No. of Persons �.�---- D. TYPE OF APPLIANCES: ' washer YES NO Food bVaste Grinder YES 0 # of Bathroom� Automatic Washer ES fV0 Other (specify) E. SEPTIC TANK CAPACITY JL ��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. EFFLUEN DISPOSAL SYSTEM: Percolation Rate 1 ) . f,�2) __� 3) _LTotal Absorb Area _�sq. ft. New�Addition Replacement *Fill System Seepage Trench: No. Lin . Feet Width Depth Tile �yDepth No. � Trenches Seepage Bed: Length �� �Width L .�/ Depth � � ��Tile Depth ` ! ` � No. of Lines `� Seepage Pit: Inside diameter Liquid Depth Tile Size � �/ Percent slope of land � e_ Distance from critical slope 4 T 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 tiave sized the effluent disposal system from the EH-115 prepared by the Ce ' ied Soil T ster, NAME �lses n C.S.T. # �`� ../�/�iJand other information obtained from ( wner/builder). Plumber 's Signature �-' MPRSW# ���Phone # 6.�1(-- � �-.� � Plumber's Address PLAN VIEW: Provide sketch below of system (include 'rection�f slope and all distances in accord with '�"Pf8`� , . -_�, i � ( �� / ,�j0 � � _1 ; __.._ _ , ' i � i � �l/D �-�- � � �2� ; _ _ � . b _ _x'`' � `� � �.a� � �t / __. � �v p ._; o ° C ; / � b � �, — � ; , � : . _ , !- . __ � o ,. _ _ .� ..._ ,.... �__ � . ' � � � I ' ; I . i _ .� �_ _; a __ . _ . , ��+C, � —_� --_�—_ -- j.._ . � _ �_.__ j_ � ' ! . � � � � j � . , _ __ ._.' . . ,___ ...�. 1_._..._ ,._ ! ; �_.. i . . . i. �- - � � i i � 1 ' ; I i � , ! � � � .. .._� _.1 --�__....._.._ - ; . ... . � ��._ t __.; J__... 4_... _ _ ..__. _ . . 1- r_ ; , � � ; i , , , , __ {_- ; - --i __ ,---._�- __ . _ i � ___ _ �__ l.. ._� _._! ...._ � i..._ � , /"l �� ' ; � �. � _. 1 _ _ � �—_� _ , j � I i i � , , _ . .. _ _�.. _.._._r _ --.._— --,.. .._ : � � , ; , i i ; , ' ; I ; ; , , ; ; , � : ,_....;_ � :. . _ L_._.� . ---�--- - .... _..... _ _ __ ._.. }-- �— —, — — ..._ _ _. __ t � I I i , . r . � +.. �._. I — - - ;_. , i i ; ; { ; ; , ' ' __i__4...-- ` -- —� _ —`—_ _i i._ � —i_ --r._ ..� _.... -- —� -!.._ __ _.�..-- 1 � — f._ ... _ .i.__ : � � � ;� i � � � , � � ' �� � � .. . � ' ' i I , � � _ .�._�.t_._ _ .___..1_.. __.—__� .__ _. _._,.. •_---+ --- !-- *-- --. ..._� ... _._ a ._ .� -- • ' --__ _ _ _ � ; , , I ' � ' ' , � � ; , , � , , ; ; � � ' I --- ---- -- - _ � i--:-.--�" -- �!--._.+_ _1..._ ..—:.� ..�.._. ___. __.�_..i� __.�... _ -�-...._ i . � .. �. ; _._._' __'}._� i . .. , , , . , i . i ;. � ' , : , , � � � � _ _ i ' , ; i ! f : � � I ' i s � ; , , � __.: ; ___ ---i_ _._._... �____ .___ f , ._ ___ __ ; � _ _ �__... _._ _ . ,. __..�. _ _ _ � : __ j.� _1 , � , , i y � ; � _ ` � , I ! ' , i � � Do Not Write in Space Below - FOR DEPARTMENT USE ONLY Date of Application 10 - 12 - 79 Fees Paid: State 15 . 0 0 County 15 . 0 0 Date 12 OCt ob eT 19 i 9 Permit Issued/�g���� (date) 1 0 - 1 2 - 79 Issuing Agent Name R1 i n . N .hrl i nlo Inspection Yes�_No Valid# Date Rec'd _ 1. county (white copy) 3. owner (green copy) ' DIVISION OF HEALTH, P.O. BOX 309, MADISON, W� 5370i 1 �.iY.� �I Vt'Nv J� . r � V 2. state (pink copy) 4. plumber (canary copy) Rov��n`I Ilnto (�-.l� /7Fi . � Department of Zonin� and Sanitation Sawyer Cour.ty � � � Inspection Report y Ooaner Pannie A. and Robert Kutz � 0 � Address Route S Hayward, WI 54843 � �+ Name of busi.ness x � �+ Builder N Address Plumber Lawrence Lamphear Addrees Route 8 Box 163 Hayward, 1VI 54843 _ Znspecti_on r y OO Private ( � Public Property Sanitary�instal � E Dwellin; 3etback - lake � Violation X Mobi.le Hm Setback - road ° � Gara�e Setback-lot line N ( ) Sanitary ( ) Zoning Privy � w N N �oT � INe. � � t� � loo'* �' m veKr 4�� s'Pvo , � �4c,i, I5� �6'r,i. i25e ��sh 7M� ro �, -�o'c,i, � z m � N ����,Q 350± F,� QNHLLINq / � I< 3 �i� i � NO W�l�`I�T � p J (n � R. N Da�vEwA � Q C m G,5g A�a�s o � � H E � A O Discussed with owner yes no � Discussed with Bui_lder yes no Di_scussed with plumber �( yes no � ri:iscussed with yes no Date /`�r_I� i�nature of Officer �/'�� // `�'�r'c`'�------- . .. ,. . v v !-i U - - _ - ._ . _ -- ___ . __- - __-- --- _ . -- - _.._- ----- ----- - - - - - - � "' . � � . 9 . � . � SEC/TN/RNG Z#M# SCHOQl. ACRES FRT NE NSJ & 1 3 . 370 3 � �, 00 - --- -- �� JACK & CHRISTINE lb140/09 2475 3 . 370 � � � � `' � __ ES.SENBURG___. -------- , �----�- _ ------_---k1I_�LQRY_ �:----.----- - - - ---- -. ----- -------- - ------- --- -------— - - �:. iS52� �AIRVIEW 467/ 110 - -- - - ---- -- LOMBARD IL fi014� CHG : b/2b/�Ii CHV : 8/�9/$G HO �---- _ - - _ , -- _ -- ----- -_ __ -------- --- -- _ _ . ....-- -- ---------- - - - - - --- _ _ ---- '. �`'� �-�]�0- 16 2104 Ib . 40 . 9 . 5 . 4 �EC/TNlRNG Z#M# SGHOOL ACRES RRT NE NW X4 2 . 000 - � � 70WN OF BASS LAKE 16l40l09 247$ � . 000 i--- � ,��:;: ____- - .. - - -- ---------- -- ---_-__ ----------- -- -- - --N_� STORY _ ---------- 1 - -- _ ---- _ 1 0 6/31 ------ --- ---- _ _ 00000 CHG : / 00/00 CHV : �00/00 HQ _ _ _ , __ -- __ _ -- - --- -- --- -- -------- °` '': �-940- 1 6 21 OS 1 b . 40 . 9 . 5 . 5 SEC/TNlRNG Z#Mi� SCHOOi. ACRES PRT NE NW --- --- 61 — . 980 2 , 900 3 , 900 � �3 BERT E . 16/40/C9 " 2475 . 980 �� ------ ----ARM�TB_01��----= ------ - - - HISTORY -------- ---------- R 0 U T E 2 31 6/5 48 ---- --- - ----- -- HAYWARD , WI �4�343 CHG : 6/25/90 CHV : 6/25/90 HO , - - _ _ _ _ _ _------ ---_ - _-- -- ----_ _------ -� 2-940- 15 2106 16 . 40 . 9 . 5 . 6 SEC/TN/RN6 Z#M# SCHOQL ACRES PRT NE NW Gt 3 . 040 4 , 50A 38 , � 00 , .' SHIRLEY i6/40/09 247$ 3 . 040 L 1 CSM 4l371 °:, __ FISCHER_ ETAL_- __ __ __ -------- ----------- yL�TORY-=_------- I ROUTE C BOX 2007 277/4�2 332/492 -- _' HAYWARD , WI 548�3 CHG : 3/ 13/8G CHV : / 00/ 00 HO - �NS< .. . . __. ... _ .. . . _ _. _. . _ . _. _____..___ . . . . .. . .. _ �-940- 16 2107 16 . 40 . 9 . 5 . 7 SEC/TN/RNG Z#M# SCHQOL ACRES PRT NE NW G1 � . 440 6 , 700 - DARRELL J . 1b/40/OR E478 $ . 440 L I �SM 1115 b/7 i � --- - i.ES _KA----- ------ -- _ _- -- -- - -------__ HISTORY ---------- L 3 CSM 1 1 17 6/ 1 1 , 4620 S PRAIRIE 297/329 --- -- ------- --- - -- -- - BROOKFIELD , ILL 60513 CHG : 1114/90 CHV : 100/ 00 HO -- w -------- ------ _ __-- -- - --- ------ � - - . . --- ------ ----- - ------ ------------- 2-940- ib ? i0$ 1G , 4a , 9 , 5 , 8 SEC/TN/RN6 Z�M# SCHOOL ACRES PRT NE NW C� 1 G . 580 5 � 800 50 , 100 � ROBERT 16/40/49 2478 b . 580 � 2 CSM 11i6 G/9 I � -- _ KU3Z,--�IUX._----_ ----------- --------- ; _ _ _ - ___ __----- ---- _HISTARY - BOX 33 309 /444 - --- ---- ---- -- -------__ .� HAYWARD , WI 54843 CH6 : /00/ 00 CHV : /00/00 HO " . , - - --------- ------- ,..r 2-940- ; 5 � - - -- - - - _ - - - -- t 1 b . 40 . 9 . 6 . 1 SECtTN1RNG Z#M# . SCHQOL ACRES PRT NW NW - - --- - - --�6----20 . 580 --- 7 , 30-0 - - ,,:., JOHN 1 fi/40/09 2478 ZO . 6Z0 - ,;: _ SJR LZAK- ---- ----------- H I STORY ---------- ---- ___-- - - -- --- _ -_ # 1 0037 N . 1 03RD AVE . 94/73 ---------- --- ---- ,< ` ' SUN CITY , AZ 85351 CH6 : / 00/00 CHV : / 00/ 00 NO ;. -- —_ __�--._1 , � N, ��'X' ' -; ' gg2 , 8 : 03 AM PAGE TOTALS : ACRES 51 . 400 LAND VALUE 36 , 300 IMPROVE VALUE 92 , 80q PA�� ��^ `