HomeMy WebLinkAbout010-941-28-1309-LUP-1992-168Application for Land Use Permit
County of Sawyer
The undersigned hereby makes application for a Land Use Permit and
agrees that all work shall be done in compliance with the require-
ments of the Sawyer County Zoning Ordinance and the laws and regu-
lations of the State of Wisconsin.
PRINT - USE BLACK INK OR PENCIL
�►„o }hy D• See4�e }�•e2�
Owner
��. moo- a3c�
Mailing Address
�AAIWPal.a, u9', . 5�8�l3
City, State, Zip
Building Land Use
(-) New ( } Filling
( ) Addition ( ) Dredging
( ) Alteration ( } Grading
( ) Moving On ( )
New Construction
Size 3(. ft wide
7d f t long
Floor area a5 2kO sq ft
Total htg /�� to peak
Stories f
No. of Bedrooms O
(year round) or (seasonal)
Type of Bldg or Addition
( ) Dwelling
( ) Garage (1) (2) car
(Jj Storage Building
( ) Boathouse
( ) Livingroom
( ) Bedroom
( ) Kitchen -Dining
( ) Porch - enclosed/roofed
( ) Deck - open
Type of Construction
(V) Frame ( ) Block
( ) Log ( ) Concrete
( ) Pole ( ) Steel
( ) Metal ( )
Construction Cost $ &3.CW.
&n &eq j Ct r%6Q 06
Builder
Mailing Address
¢ LOa.rdl' L Q :
City, State, Zip +
Zone District C
Lot size 155-2 X 4(�a
Acres • S("
f t wide
ft long
sq ft
to peak
Stories
rear lot line or
*. 242
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SEC. 28 T 41 N. R. 9 W.
.5.3 .5.4 5.6 5.8 5.9
.6.2 .5.10 .5.2 .5.5 5.7 i
.s.i �st. ADD.
HlL Ll/lEW JOHNSON
AGI�ITION ADDITION
.3.3 .3.4
.7.2 .32 � .
3.6
.3.18 �, .3.17 ' ,
CITY � -3.� CITY
.7.I .3.I 37 .3.15
3.8
3.9
3.10
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.7.3 8.2 .13 312 .3.11 { .3.14
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S'�
� ; `�. ', SAFF.'1'Y & BUILDINUS DIVISION
209 West First Street
Route 8 Box 8072 -
Hayward , WI 54843
State of Wisconsin
Department of Industry, l,abor and Human Relations
June 18 , 1992
TIM SEEHUETTER ARROW BUILDING CENTER
DR . TIM ' S SALES & SERVICE JOE JALOWITZ
ROUTE 8 , BOX 8236 HWY . 63 SOUTH
HAYWARD WI 54843 HAYWARD WI 54843
RE : STORAGE BUILDING
TIM SEEHUETTER
DR. TIM ' S SALES
HWY 63 SOUTH
HAYWARD County of SAWYER
Plan Number 92-06-0826-B
File Number E-165167
Volume : 27 , 720 cubic feet
Suprv . Professional , Building :
Suprv . Professional , HVAC :
Your Building and HVAC plans have been conditionally approved .
The above-referenced plans have been stamped CONDITIONALLY APPROVED based upon
review for conformance to the current edition of the Wisconsin Administrative
Building and Heating , Ventilating and Air Conditioning Code , chapters
ILHR 50-64 . The plans have NOT been reviewed for conformance to the Plumbing
Code (chs . ILHR 81 -86 ) , the Electrical Code (ch . ILHR 16 ) and any other ILHR
code not specifically mentioned .
Subject to local regulations , construction may proceed except for those
conditions listed below . The necessary corrections must be made before
construction begins . The owner , as defined in chapter 101 . 01 (2 ) (e) ,
Wisconsin Statutes , is responsible for compliance with all code requirements .
The owner shall notify the state building inspector and local officials before
taking possession of the building . The building will be inspected during and
after construction .
ILHR 50 . 15 EVIDENCE OF APPROVAL . The architect , professional engineer ,
designer , builder or owner shall keep one set of plans bearing the
appropriate stamp of approval at the building site .
SI3D-W'l3 iR OI/UU �
�� "
� SAFE'I'Y&BUII.DINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
TIM SEEHUETTER
June 18, 1992
Page 2
This approval does not include approval for installation of boiler,
pressure vessel and appurtenance. Contact boiler safety (608) 266-1904.
ILHR 50. 12 (4)(b) The plan submittal did not include the required thermal
performance calculations.
ILHR 51 .03 (8)(d) The plans indicate this building is located closer than
10 feet to an adjoining property line and/or another building on this
property. This is not acceptable. Buildings of this construction class
cannot be set back less than 10 feet unless the wall facing the building
and/or property line is an unpierced 4-hour fire division wall .
Provide 10' min. property line clearance or submit 4-hr design.
ILHR 51 .01 (124) In order to support fire fighting equipment, streets are
required to be all-weather and hard surfaced.
Streets must be 30' wide & 50� of building length on 1 side.
ILHR 54.01 (5)(a) The nearest edge of the street's all-weather hard surface
is required to be within 50 feet of a building.
ILHR 54. 12 (1 ) This building is approved as an unoccupied storage building
as toilet facilities have not been provided.
Also ventilation is not proper for other than storage use only.
ILHR 51 .02 (18)(a) Access to each attic compartment is required by means of
20 inch by 30 inch openings.
ILHR 63. 12 (3) The plans do not indicate adequate slab-on-grade perimeter
insulation for this building.
Provide minimum R=9.3 for 48" vert. or horz. or a combination.
ILHR 64.20 (3) Heating equipment used on this project must be listed, and
the plans and specifications are required to include the manufacturer's name,
and the make and model number of the equipment.
Submit this for the boiler used to heat this building.
ILHR 50. 12 (4)(a) Wind load resistance requires larger anchor bolts and/or a
closer spacing. It also requires proper truss to wall fastening and gable end
bracing. Please submit anchor bolt and truss attachment designs to be used.
siio-tw���H.uuau
� `G� `�Y
SAFETY&BUILDINGS DI VISION
e
State of'Wisconsin
Department of Industry, Labor and Human Relations
TIM SEEHUETTER
June 18, 1992
Page 3
Also submit the door header lumber size and type (grade & species).
ILHR 54. 14 (1) Heating plan showsa boiler less than 30 feet from the building
for the hot water required; submit the rated enclosure provided to isolate
this hazard or submit alternate design to show code compliance.
This building is classified as No. 8, wood frame construction.
Sincerely,
< ��.i����[��
JACK A. MILLER
Plan Examiner
(715) 634-8964
JAM:vs:2152
cc: State Building Inspector: R-4 Black (715) 634-4870 Fridays
Building Inspector, HAYWARD
S8D-W'L'3 iN.III/9U
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�DILHR SANITARY PERMIT APPLICATION �
In accord with ILHR 83.05,Wis.Adm.Code couNn a
— � Saw er °�
CST 92-098 STATESANITARYPERMIT#
—Attach complete plans(to the county copy only)for the system,on paper not less than 16 4323
8'�4 x 11 inches in size. ❑Check if revision to previous application
�ee reverse side for instructions for completing this application. sTnTE P�nN i.o.NUMeER
I. APPLICANTINFORMATION-PLEASEPRINTALLINFORMATION. 592-20348
P PERNOWNER PROPERTYLOCATION
V tJ �i< �i4,sa8' r�// ,N.R ��l W
ROPERTY OWNER'S MAILING ADDRESS LOT# BLOCK#
CITY,STATE 21P CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
11. TYPE OF B ILDING: (Check one) ❑State Owned ❑VI AGE NEAREST ROAD
��4a , �3 So
�Public ❑1 Of 2 Fflfll.DW@IIIf1J—#01 b@dfOOfllS— A CELTAXNUMBER( )
III. BUILDINGUSE: (Iibuildingtypeispublic,checkallthatapply) 010-941-28-1309
1 ❑ApUCondo
2 ❑Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑Outdoor Recreational Faci!ity
3 ❑Campground 7 Merchandise: Sales/Repairs 11 ❑Restaurant/Bar/Dining
4 ❑Church/School 8 Mobile Home Park 12 ❑Service Station/Car Wash
5 ❑Hotel/Motel 9 ❑ OHice/Factory 13 ❑Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A.Check line B if applicable)
A) 1.�New 2. �Repiacement 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 ❑ Pit Privy
13 ❑Seepage Pit Pressure 43 ❑Vault Privy
14 ❑System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1.GALLONS PER DAY 2.ABSORP.AREA 3.ABSORP.AFEA 4.LOADING RATE 5.PERC.RATE 6.SYSTEM ELEV. 7.FINAL GRADE
REQUIRED(sq.tt.) PROPOSED(sq.ft.) (Gals/day/sq.ft.) (Min./inch) ELEVATION
4Z' �� � /�`>" Feet Feet
CAPACITY
VII. TANK Site
in allons Total #ot Prefab. Fiber- Exper.
INFORMATION New xis[in Gallons Tanks Manufacturer's Name Concrete Con- Steel 91ass Plastic APP
Tanks Tanks structed
Se ticTenkorHoldin Tank �1 9�1
LiftPum TanWSi 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): Plu er's Signature:(No Stamps) P/MPRSW No.: Business Phone Number:
O Y� � V � � ���'°
PI mber's A dress(Street, ity,State;Zip Code):
Q� Lv�
I . COUNTY/DEPARTMENT USE ONLY
❑Disapproved Sanitary Permit Fee��surchsrge�Feej wa�er ate ssue Issu�ng Agent Slgnature No Stamps)
�Approved ❑OwnerGivenlnitial
AdverseDetermination $115.�� 5-29-92
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398(formerly PIb�7)(R.11/88) DISTRIBUTION:Original to Counry,One Copy To:Safery&Buildings Division,Owner,Plumber
FAGE' T— GF
�NS�-� gE1NAGE SYSTEM
� . . S92 °� 2 � � � 8 .�
� -
EtAT14NS
P A� � _ _ . .
pEppATMENT Of 1 USTRY, LAB�R AND NUM �.
DNI OF SAFEIY A�N.,tQ BUILQINGS
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SEE RRESPONDEN E ��`�:
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CROSS SECTIOtiI OF A BED S � STEM
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SOIL FILL
DISTR16L1TIOA1 P1PE —
- APPROVED Sy►.ITHETIC GOV�R
� ~—'!'1ATERIAL OR 9�� OF STRAW "
2" OF AGGREGATE � � S� � ' �' (•S� OR MARSH HAy '
�
� (.� OF %L -��.� AGGREGATE ; ,����'�
ELEV. OF�� FEET_.,,,. ��'���-\�.G;�
DISTfZ18UTI0►J PIPE TO DE A7 LEI�ET � IIJCNES BELOW ORIGIAJAL GRADE
h►JD AT LEASTZO 11JCHES BUT i.10 MORE THAU '12 IAICHES 6ELOW FIAlAL GRADE
MAXIMUM D�.PTH OF EXCAVATfO1J FROM ORIGI �,JA.L GKAbE. WIL�. BE �q II.ICHES
MINIMUM a� PTH oF excavATlo ►J FROM OiCIGIF.IAL GRAOE WIL� 6E �_ INCHES
S I G 1J E D : �.� �rv� l�l'1. �� ,1r+� :s�. �_^ �_ n��M.;�.?
LIGEIJSE 1�lUMBER : �� � � �
DAT E : �/�c� � � �
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. . . .. . . 'i e -',l
rib: #' 60 ,
_ ,/78
� � � � � PROJEC? DETAIL DI�TA Sf��EET � �`��`� � � ' �
�� ��� � � � � S 9 � � �2 0 � :4���8 ����� � �-
NAME OF BUSINESS '�j��_j�j�_
LEGAL DESCRIPTION S(,,�� �t,r�' %,T� +� e,-.__�.Q�._�.�1�f_
,:';
OWNE ;m�c4-�,y ���,�c )�, J��r ���•�_ „A I L;�!G ADGPESS
ZIP :
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, A R�I T E C T, E N G I,l`!� R, ��yl�_�.�,,5-�Y_��1�-�cL.S__.._.. A�D R E S S �,�- � �• s .t S a��L � � ,
,
1�LUMBER �OR�DES�_GN ,� ���_s---�,
k�a�J �v� ,��Z I P � ��l�� -
TELEf HON� NUMgER �j�//�"� �.3h1- �G �o �( >"� � �` `:
„<
l . Check appropriate building usage(s) and fill in the information requested opposite � �
each usage listed. Please consult Section H 62 .20. � � .
, �
i� . '��'
Existing building � New buildinci ___� Addition •,�� t�'� . ���;'
o N ' ' s:
Anartments and condominiums . . . . Number of hedrooms _�;� ��a �,�, ;� ,�"' �5 ' ��
r �i�� ,: 7 't
) Assembly hall . . . . . . . . . . . Seating capacity ` :� s�s �, �
( ) gar , . . . . . . . . . . . . . . Seating capacity � of ineals served t ; t�, , ,�
� r ) Bowling alley . . . . . . . . . . . Number of lanes ( ) With bar ;; �° ¢ Y
; ) Campground and camping resorts . . . Number of sewered sites � ' ' �:�.
Number of unsewered sites ��.
Total numher of sites - � �`
,. -,
( ) Camps . . . . • • • • • • • • • • • ( ) Day use only Number of persons ' " �;
O Day and night Number of persons � � "
js ,
( } Catchbasin . . . . • • . • • • . . . Number ' �,S ;
'� Church . . . . . . . . . . . . . . . � No kitchen Number of persons �X. 3 G�� ; .�
� ( With kitchen Number of �persons ` ,f��tij��;�.; ;�
p'�e�:>�AF I��J�,i i
� ) Dance hall . . . . . . . . . . . . . Number of persons . �^�F; { :�
( ) Dining hall . . . . . . . . . . . . Number of ineals serve� daily ;� 'H r; , ;
( ) Dog kennel s . . . • • • • • • . . . Number of encl osures � � ' �=�n��"` ����-" °�
( ) Drive-in restaurant . . . . . . . . Inside seating capacity ' `- ���
• Car-service -- Number of car spaces � � ' ;� ������` `} �
' `'�
( ) Dump station . . . . . • • . • . . . Number of dump stations ` '
. � �,=. ,f� , r
(3) Employees ( total of all shifts) . . Number of employees ��26_ 6� �
O Hotel { ) Motel O Cottages . . . . Number o` units with 2 persons per unit 4�
Number of units with 4 persons per unit' ' ''{ �! ��Y `'�
O Medical and dental office bldgs . • • Number of doctors , nurses , medical staff t ,;;, ' :�
Number of office personnel '`" ``�
�
�Jumber of patients ;;'.
( ) Mobile home parks . . . . . . . . . ��aumber of sites
( ) Nursing homes . . . . . . . . . . . Number of beds
( 7 Parks . . . . . . . . . . . . . . . Number of persons ( ) Toilets ( ) Showers
� ) Restaurant . . . . . . . . . . . . . Seatinc� c��acit,y �'`
( ) Dishwasher and/or disposal ? `` '
( ) ?_4-Hour service ' �3 �
� Retail store . . . . . . . . . . . . Total numher of customers _� �( J.S C��.
, Schools . . . . . . . . . . . . . Numbe�� of classrooms Meals ( ) Showers
� ) Self s2rvice laundry . . . . . . . . Total rumher of machines
( ) Service station . . . . . . . . . . Numher cf cars served daily
( ) Swimming pool bathhouse . . . . . . Numher of ;,ersors ____
l ) OTHER . . . (Speci f_y) . . . . . . . -------..----- _
COMPLETE OTNER SIGE �
._ _ � ,•.:
e� ���t1 �e,,"r�
� ?'�. 2. ?ndicate whether the following facilit.ies are present. � > ;�y
' Floor drain yes no � Number of drains `F
Food waste grinder yes _ no �_ Y, ',
Dishwasher yes no � , , :
Automatic clothes washer yes _ no �_ Mumber of clothes washers �,, �` ��`
^,s,.r
3. Septic tank capacity
Holding tank capacity� _ �,�
Septic or ho�d.iag-�a��r-manufacturer_�u_F��,� :cr,t,.-,.;,
' `4«:
.. SEEPAGE TRENCHES: total square feet width of trenches
length of trenches depth
number of trenches
�O b .Y.i
SEEPAGE BEDS: total square feet r�21.�, �i•�''�width la �
length of bed ___�Q _ _ depth L� � _
SEEPAGE PITS: total square feet outside diameter
depth below inlet
total depth from top to hnttcm of pit
�..
::i,'.�_� � .,
iianature of person completing form: FOR DEPARTMFNTAL USE ONLY ,
\'�'�ra ���—�-�`T'E,�-d�Q�.� --
Address �,�-..,� �j o,[ � p pfa=�— ---
N4��.,S�Z ��n_ z; ���' `° , '
Telephone Number(2��4til-l- �� �� R --
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RON SPRECKELS CONSTRUCTION C0 .
ROUTE 2 BOX 2006•A HAYWARD, WISCONSIN 54843
(715 634-8250
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