HomeMy WebLinkAbout010-941-16-4303-LUP-1992-064 �� � �
Application for Land Use Permit �
County of Sawyer o
The undersigned hereby makes application for a Land Use Permit and � �
agrees that all work sha11 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 BLACK INK OR PENCIL
Michael Haremza �
�,� �-� � �
Owner Builder
�7 �� � ��� S� �
Mailing Ad res Mailing Address
�i��Cl�rtiY��� � S��7� -5�-ly! �
City, State, Zip City, State, Zip �
Building Land Use Zone District �—� r �
0
(VJ' New ( ) Filling r*
O Addition O Dredging Lot size 220' x 227' N n
( ) Alteration ( ) Grading
( ) Moving On ( ) Acres ��.��
( ) ( )
New Construction �
Size - ft wide ft wide
ft long ft long
Floor area �],''! sq ft sq ft
td
Total htg �5 to peak to peak �
Stories � Stories
No. of Bedrooms " rear 1ot line or_�aa�erYine o
( a-� 2�' cn r�r
Type of Bldg or Addition N. � r'
( ) Dwelling /) a r�i
( ) Garage (1) (2) car � N.
(VrStorage Building �'
( ) Boathouse ~
0
( ) Livingroom ��Z� �
( ) Bedroom jD�
( ) Kitchen-Dining ,�� �
( ) Porch - enclosed/roofed 5 N a �
( ) Deck - open �! ?g —�`-O � �� �
f lO' I.� .. � � r\
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Type of Construction `� N I� ( ``r �� � � ��
(�/J Frame ( ) B1ock � �L�.gS`—s�'; _ '� ��-
( ) Log ( ) Concrete ��, p,g•
( ) Pole ( ) Stee1 - A � - � -� cn
( ) Meta1 ( ) ^ �
�
Construction Cost $ ' � ' i .i ^
= ��� I o , - �P
Vo1 ���Y Pg 3 36 of deed : �
CS Vo1 � Pg �� ��T'3� i �'�, w �
Cer. Soi1 Test 7��//z � �
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---Y--C Road ----� ~ �
Sanitary Permit `7Q-llS 3�- - - L ---------- z �
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Issued 30 April 1992 Denied ln
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Owner Zoning Adminis rator�
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SAWYER i5� ROAD
SCALE: I INCH= 400 FEET FOR ASSESSMENT USE
DRAWN BY: S.R.D. DATE: _ 3✓27/84 INTENDED TO SHOW C�
COLON (:) INDIGATES GOVT. LOT g0'UNDARY�LOCATIONS
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Sawyer County
I'
8eceived tor zecord the 2 9�-doy oE
�_A D l9�(at,?'a.focloc4
�_M md recorded in vol._�_
Page 1 Of 2 pages ac�„�r.�,,,,..,w,� onPa9a .�45'-3z9
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-- -� � ReUiater
' Depury
L'.t�[titied Survay NL�g `f"`',
�` '-�
Lots i , 2, & 3
I , Robert R. Swanson, Wisconsin Registered Land Surveyor, do
Hereby certify under the provisions of Chapter 236.34 of the
Wieconsin Statutes and under the direction of Fay E.znd luiichael
Sawyer, owners of said land, I have surveyed, divided, and mapped
iihe land herein described and that said land lies in the southwest
} of the southeast � of Section 16 , Township 41 North, Range 9
West , Town of Hayward, Sawyer County, Wisconsin described as followsa
Commencing at the south * corner of Section 16-41-9� thence
North 0°17 '46" West along the west line of said forty 526.40 feet
to an iron pipe which is the point-of-beginning - said iron pipe
lies on the center-line of the proposed Town Road.
Thence North 0°17 '46" West along the west line of said forty
260.65 to an iron pipe.
Thence East 672.20 feet to an iron atake.
Thence South 0�00' 38" East 260. 28 to a point on the centerline ,
of the proposed 66 ' Town Road.
Thence South 89°56 'S2" West along the centerline of the pro-
posed Town Road 671 .00 feet to the iron pipe which is the point-of-
beginning.
Said lots are subject to easementa and reaervationf o� record.
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� t' AOBERT A. '-
=I�;? SWANSON �_
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Page 2 �''� d Surve ,,•`•
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Department of Zoning and Sanitation o
Sawyer County ,��s
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Inspection Report
Owner Gary Roqstad
Address p,0. Box 341 Lake Naba4amon, Wisconsin 54849
a
Name of business ��
a
Builder "
Address
Plumber _ Lawrence Lamphear
Address Route 8 Box 163 Havward, Wisconsin 54843
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Inspection `
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(� Private ( � Public Property Sanitary--instal ,°�
Dwelling 5etback - lake
Violation Mobile Hm Setback - road
Garage Setback-lot line
( ) Sanitary ( ) Zoning Privy a
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Pr��..�t Cl�'.�t
Discussed with owner yes no �
Discussed with builder yes no
Discussed with plumber yes no �
Discussed with yes no
Date g ^ 1� - ,nb
Signature of Officer � ��, __
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P �,
g 7 � State and County State Permit # 14917 —_
� � - Permit Application County Permit # _$�.ZJ_—
' for Private Domestic Sewage Systems County S3 .r ____
CST 8-112
`DENOTES STATE APPROVAL REQUIRED
Date Approval Receiveri from State if Required State Plan I .D. # —
A. OWNER OF PROPERTY Gary Rogstad Mailiny Address:
�ll �— 1 1 C� � .S� ' /,' � �?',�` �.:i G� �`' � y .� 'C '/l�'t`♦ G, < i� :�" �'Y
� ; � Y/. � c ,� � �G I4 >� � �'' l
B. LOCATXON: Si2:!'� Y4 _5�- Y4 , ection �►�, T�l N, R�-E"-�Or) W Lo�ty _ �—
Subdivision Name, nearest road, lake or landmark Blk# Village
Township � ��
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) "Variance
Single family ��Duplex No: of Bedrooms _.� No. of Persons
D. TYPE OF APPLIANCES: Dishwasher ES NO Food Waste Grinder YES �--AfO— # of Bathrooms�---
Automatic Washer �i�`fS NO Other (specify)
E. SEPTIC TANK CAPACITY Total gallons No. of tanks ____�
*Holding tank capacity Total gailons No. of tanks
New Installation �"` _Addition _________ Replacement __________ Prefab Concrete __ _ __.___ _
"Poured in Place Steel _ �.I _ Other (specify) ____ ___ _ ____
F. EFFLUENT ISPOSAL SYSTEM: Percolation Rate 1 ) 7y-2) Z- 3) �.Total Absorb Area � % s" sq. ft.
New_ Addition Replacement *Fill System
SeepageTrench: No. Lin . �eet Width Depth Tile D�pth No. of Trenches _
�
Seepage Bed: Length �Width � Depth _ 3� Tile Depth ..�14 No. of Lines �___ r�
Seepage Pit: Inside diameter ' Liquid Depth Ti1e Size �
Percent slope of land �-- 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 tiave sized the effluent disposal system from the EFi-115 prepared
by the Certi .ied Soil Tester,
NAME � � ; � � •" , � � � C.S.T. # o_ � 5�_y� ►' and other mformation
obtained from (owner/builder).
Plumber 's Signatu, ��G''�� � c.._ MPRSW# _ r�. 1 � Phone ���1— �/� 3�_~_'
Plumber's Address ��< "� _ < ' -r ' '/ � S
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, inciuding well►.
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Do Not Write in Space Below - FOR DEPARTMENT USE ONLY
Date of Application 8-04—T8 Fees Paid: State 10 . 00 County 15 . 00 Date 04 AuquBt 1978
Permit Issued (date) 8-04-�79 _Issuing Agent Name LOZ'1 CaYyl
Inspection Yes _No Valid# Date Rec'd
1 . county (whi �y) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701: : :�
2. state (piflk O 4. t�liimhar Ica�ary rnnvl
�
,, r-- __
PARCEL NUMBER --------- VALUATIONS ---------
�p�pUTER� N0 . NAME/ADDRESS OF OWNER �EGAL DESCRIPTIOP� CODE ACRES LAND IMPROVE
,: �p_gq; -1G 4301 tb . 41 . 9 . 15 . 1 SECITN/RN6 Z#M# SCHOOL ACRES PR' SWSE G1 7 . 480 1C, 000
ALVIN R . . 1G/41 /49 247$ 7 . 480 L0i i CSM 13/28G
:. GIDLEY -----------� S70�tY ---------- _
R-$ BOX �234 � �� %Yd� _
NAYWARD, WI ��8�43 CHG : 914G/ 1 CHV : 9/OG191 HO
; � p-g41 -1G 4302 16 . 41 . 9 . 15 . � SEC/TN/RNG Z#M# SCHOQL ACRES PT _ SWSE G1 7 . 580 12, 10Q
CAREY A . lb/41 /49 2478 7 . 580 LOT S 1 � � CSM 13/1Q� ;
GIDLEY ----------- NISTORY ---------- __
; _ - - _ _ _ . -- ------ - -- -- - --
-
P . 0 . BOX 2fi 454/2G7 ---__--
HAYWARD , WI . 54g43 CH6 : 9/06/91 CHV � 9/OG/91 HO
___ _ . __ __
� 0-941 -1G 4303 1G . 41 . 9 . 15 . 3 5EC1TN/RNG Z#M# SCHOOL ACRES PRT . SWSE G1 1 . 30Q 9,200 58, 400
MICHAEL 1G/41 /09 2478 1 . 300 L 3 t�SM #843 4/328
� HAREMZA ----------- HISTORY ---------- _ _ _ _ -- --
,...
_ _ _ --___ ---- - ----. -..---- ------
R-1 0 BOX 378 41 �/330 ___ _..
HAYWARD , WI 54843 CHG : 9106/�11 CHV : 91QG/91 NO
-- _
10-941 -1G 4304 16 . 41 . 9 . 15 . 4 SEC/TN/RNG Z#M# SCHOOL ACRES PRT . SWSE 61 1 . 320 9 , 2fl0 G9 ,300
i
JEFFREY 8 . & PATRECIA L . 9fi/4] /09 247$ i . 320 L 3A CSM $/14G
---- HISTORY ---- ---- ----- __ ____-------- -- --- ..__----- _ -- __----
MOSER ------- _ _ . _ �
R-i0 BOX 3p1 -A 4b1 /233
HAYWARD , WI 54843 CHG : 9/OG/91 CHV : 9�OG/91 HO
-- _ _-_ _
____ _ _ ---___--
-- --
<: 10-94i -1G 4305 16 . 41 . 9 . iS . 5 SEC/TN/RNG Z#M# SCHOOL ACRES PRT . SWSE G1 1 . 180 9 , 100 55, SQ0
R4BERT & BARSARA 16/41 /09 247$ 1 • 18�
GRUEtiN -------- -- HISTORY ----------
-- __ - -- _ ___ ___- - - --- - - --- ----- -
RT . 10 , BQX 383 �09/23b - _ -- — — -
HAYWARD, WI 54843 CHG : �7/06/91 CHV: 9/06l�?t NO
- _ - __ _ ---__-- --
-__ . _ _ ._.. ---- - -- _--------
'� 10-94i -1G 430G 16 . 41 . 9 . 15 . G SEC/TN/RNG Z#M# SCHOOL ACRES PRT . SWSE G1 1 . 180 9 , 100 57, 900
MICHAEL W . 1GJ41 /0� 2478 i . l $0 PCL . 4 CSM 2/274
', SAWYER ETUX --- ------- HISTORY ---------
__ __ _ -- ---__ _ __ _
--------------
SOX i 39 _ _ 240/39� -_...----._.
HAYWARD, WI 54593 CHG : 9/06/91 CHV : 910619# HO
_ _ -- _ __ -------- ----
10-941 -iG 4307 16 . 41 . 9 . 15 . ? SEC/'fN/RHG Z#M# SCHOOL ACRES PRT . SWSE 61 1 . 1$0 5, 600
.�. ; HARRY F . t fi/41 /09 2478 i . 1 $0 PCL . � CSM Z/�74
41EST ----------- HISTORY ----------
_ .. ----_ ---- - --- -- --- -- ----- -
1 �47 RICHARDS QRIVE 30b/292
PALATIIVE, IL . b0067 CNG : 9/OG/�1 CHV : 9/4G/91 HO
--- - ------------_- ------------------- -
__ - - --- --- - --
,� :10-941 -1G 4308 16 . 41 . � . 15 . 8 SEC/TN/RN6 Z#M# SCHOOL ACRES PRT . $WSE G1 1 . 230 9 , 100 50, 700
�.
STEPNEN L . 16t41 /09 2478 1 . 230 PCL 1 CSM 3/14i
.
uAx�n FTUX HISTORY ----------
DOGUMENT NO. STATE IIAR OP WISCONSIN ROR11I 1-1983 � rH�s erwcc ncscnvco roa nccono�nc o+rw
N r� Z � ,7 E WARRANTY DEED ,
�I
---- -----------------------._-------- ----_.___.. �I flWbter'.OHfce
h n Sauye� Count7 } �
ALANTJ'1�.AW��'���bb�A�'�FZ'iCIA'A:'�LAAEtENCE;..H[l"S'BAND"......-- Aeceioaa fo� record the �/�'-�t dc- a.
�i '-----------............... ' �A D 19� el o'doc!
....------ - -- '
� AND WYEE - - -- -- - ...--. . ............... I �
_._......____._...............__............_...._.."._-'.....__._.'..""'......"........_'."."_.' �b1 an recordad fa ccl. yr�
--------------------------------�-----'••---------'-'--"'----"'--'-'-'---'-'-----'---.., Grantor� ol Reco on page J
and.._.MICHAEL__HAREMZA�..an adult single man � `� �Q
' d-c�
..... ......... --- ......... ---- -..._......._..---��---�-----------------�---.....---�-----�• Re7iha
_- -_...... - ....... - . ..............................- -� �-- - --�� --� -- .........
---•-------��------....----�--�----.......---�...................._---�-----�-----.� Gran'see,
��.
Witnesseth, Thnt the anid Grnntoq for a vnlunblc consideration......
e ollar and other valuable consideration - - - - -
4f..on....d.._ - --- '--
--- ..............-- - � --�-� - � � - -- - - -�� - 3.Ct�
� Sawyer _ wc.�aH ro
convcya to Gruntcc the following deecribed renl estate in ..........................._.
County, State of Wiaconain: �
. I_�W_���-- _ —_:_
LE7;aF1L Taz Parcel No- ------------------------------•--
PART OF Tf� SOUTIn^IGST QUARTER OF TE� SOVPf�P QUARTER (SW1/45E1/4) , SFZTION SI\'PEIId
(16) , 'I'OWNSHIP FORTY-ONE (41) NORTH, RANGE NINE (9) 6VEST, DESCRIBID AS L,dP TEIRF�F: (3) ,
RECt�I�ID IN VOLiIME FOUR (4) OF CERTIFTID SCIRVEY b1APS, PPGE 328-329, SIJRVEi' I�O. EY3.
' (TAX PARCa #316.41.9.15.3)
�i'��1��3�
� /�E �+
is not
This ..._.............."""--' homeatead property.
(ie) (ie not)
� Together with ell and eingular the hereditamente and appurtenancea thereanto belonging;
. . And..---'---gTdRL.9C.......-�-----'-•---'--"---'---"---'....................................`-...-------'-�---.....--'----'---"------'-
warranta that the title ie good, indefeaeible in fee eimple and free and clear of encumbrancea except
and will werrant and de.f,{efyd the eame.
Gj/i-'
Datedthia -------...I....,...----'---'-----........ dey of - -.-"��.--................---.......__, 19�.�
X /� ' / ' '/
- X...>i�CC_�/ti�.LtJ(_/ I1lcCL��'.�l;��..C-L (SEAL)
..CIr.NCh!2 . :....i . _ . ..r�!?!i- ��-`'--'---�---(SEAL)
��ALAN ,T. LA EN� PATRICIA A, LAIJRENCE
.
................ . .......� � -��--�-----��-- �---.............. •
....... --�-- - ��--------------- ----- ------------
— .... - .... -.......- -�--��-�---------�--•-�-�-- �-�-- --(SEAL) -- --...- --�---��--�------(SEAL)
-..........-- ............ .
.
- -- .........--.... ....-.-- �-' --��- -� ��-- "
.............. - - - -
_....... - -�- -�--� �---
w.��:i�1�1.�:�,Y:a4jl, ..
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AUTHENT3'�ATYOYJ' '����_, t:, ACHN WLED(}MENT
:. ,..-..._...-. , 4
of A "n 1 �LAwrenc `�; "� h'/It� !�
Signature(s) ---'-----.--'-� -- f------ r----'---�;•:_'��f-- STATE OF ]�8 �
. and Patrici A. �L1wre�n�2..;, `� `.�� '�
--'-' -
, ,.
----- ' /e
""___i' __�'"__'�""""'""_""' "" Y! "" '{__�"':w `� 68.
n �p�`� j_ --' : 8� -- I --lG--�if���--'-"_County. •/�-.
uthen icnted this :.29�u � ___�,; _ ______. g ,. p
.� ���,�y�/;� '- ' ( 1.��� ,4 �'Sr}s,opally cume before me Lis ....L..--""-.day of
�" �yC��'4�%1 .. - l�G� -1��-• -�-- <N .I"-�--- -�----�--�---- 1 - the above aamed
- � --
„ .lac eline Amun��,dtt^ �' �� � HUSBAND APID[dIFE �p� �� �C.IA..k�.__GA��'REN ,
-�- -��L�--- `-__-.. M . __ _
. .. . _�----�-��-�--- . . �.�- --� ---..
� - --�-----�--�--------------_...----...- --�----------------------- -- --
II �X�2�k� �df�l� #�
`•ct: -�--- -...-�---- --------- ----�-�- - - - ---------------------- ---�- -
(If not, __.Notary Public, ffbw*�v�=r:Co. Wi
- • -----• -----�- -- ---�- - ----- -- �--�----- --
autlwrized by § 706.06, Wiy. Stats�) ' - ------ ----------�-
My commission expires 12-1-tf9 to m known to be the perso ..,.___ __ who zecuted the
fore 'ng inatrument and c wl ge th ame.
THIS INSTRUMENT WAS DRAFTED BV
�rantor - ----- ---...--
� ��--�---- ---------�--�--�----------•-•--------------•-----...--�--....
• ......._.... -- � - -.... - ... .
�- -� - -�--- ......
._.....----��----�--�--"'----"-"""'•-. . ......_ Notnry Public ----I..�rc.S.�. �C1'111T11E1$
-'----------------'---- " . Count}-� R"is.
�- �- �--- ...
ignatures may be authenticated or acknow]edged. Both Tiy Commissjen,,,�sP�ot�ni�lh±jh.y,�f�p���['{�te expiration
are not necessary) 11 i9��
-�3387 -- ------�`�`{,}�/+,���1 (/��. Rey�/f_� - ,-�'/ C9mmissioaF�qltrt5_A�E•- ' , 19---.....)
rNfTP IY � �� •.�ll�.� ��, � • . . -_
•Nnmee of Oe�eone eigning In �nY ��Paeity �hould be LyD�d or printed below lhelr e1an�Wre�.
�.�nnnn..�r.. nnm 9TATF, IIAR OF WI9CONSIN �i,;,,,,,,,,;,, �_„_� ��__�, ,._ ,__