HomeMy WebLinkAbout010-841-19-3305-LUP-1992-436 Application for Land Use Permit �
County of Sawyer o
The undersigned hereby makes application for a Land Use Periait and � �
agrees that a11 work sha11 be done in complia^.ce with the require- o
ments of the Sawyer County Zoning Ordinance and the laws and regu- M
lations of the State of Wisconsin. � ,
YRINT - US� BLACR INK OR PENCIL �
C-�-1��L �. � , , � �
\
��cpl�ert.1' �l�dc� S+a,�,er ��o�'
Owner I�uilder `
�'+ I ;3�x �v83A :_ � �;ax � - ,�39
Mailing Address Mailing l�ddress
HC�:/_4�11�.) .,,/ .. �t_'� _,: '.0 , -Y'� �,?
City, State, 'Lip City, State, Zip
Building Land Use Zone District �� —I � �
(� New ( ) Filling �
( ) Additior. ( ) Dredging Lot size c� H
( ) Alteraticn ( ) Grading
( ) Moving On ( ) Acres � �j� �l
( ) ( ) -a--
,)
New Construction v` �J
Size �(, ft wide __ ft wide �
a� ft long ___ ft long
Floor area �c2� sq ft __ sq ft i
� �.
Tota1 htg _ 3� to peak ___ to peak � �
Stories / __ Stories � ,
- I '�
No. of Tsedrooms �-'� rear 1ot line or waterline I o L
(year round) or (seasonal) 2¢-`� `'
Grt
Type of B1dg or Addition , a o
( ) Dwelling � rt
(� Garage �i �L car r• I
( ) Storage Building !� �L� �, I
( ) Boathouse -' I �
( ) Livingroom ;„�'` '� �
( ) Bedroom y � ,„ ; p (/1
( ) Kitchen-Dining ���k ' - �
( ) Porch - enclosed/roofed „ � � ��_ "' �,.ko� � � 0
( ) Deck - o en �f ' �
c � p - ' �,�n� �,� w' _:� ' 93 � � ��
,
��w� N �
( ) � —
' �� ��, -__L ..--- �
Type of Construction ' " ��
(Vj Frame ( ) Block � � �
1-- � r�"
( ) Log ( ) Concrete
( ) Pole ( ) Steel �' �
( ) Metal ( ) �
� C n
� � �n
Construction Cost $ �;��� �U
Vol -� Pg of deed '��\ \
i '
CS Vo1 � Pg t w �
: f �
Cer. Soil Test - ',� °
�I � _C_
Sanitary Permit -j�- -fC� ----------CL Road --------------- z
0
�-r�-, �—� . z
-- " -- � �
Issued Z`1 �u2P�'�C�. ��QZ Denied _ ,—
Ul
����Q�,�, ,���—�w-�.e ���ti �
�� Owner Zo�iing Administ ato
" • I '. '...._l�___"' . I .L
._�_..._t._._._._..' .
.4.3 �vo
.13.7 13.1
.l45
.14.I �y �
.�7.3 y
.13.4
.10.1 .9. � .143
.13.
.14.4 .13.2 .13.6
N.7 P s� �
.14.
i�.a � � .13.5
/ 7 3 Y
.it.io .11.6 11.7 .11.5 :�' .i�.3 .I2,I
� '� .16.4
/,1/ /.6i i.!" — 1i
,.�z ,.« -- -- Hwr '��' .15.4
.15.2
.I�.q I1.2 .12.2 '' .I 6.3
`
.I1.4
.12.3
.II.I .15.3 .�s.i� .16.2 .� ^
155
�
16.1 y
� x
SCALE: I INCH= �oo FEET FOR ASSESSMENT USE ONLY Na
DRAWN BY: ,3'/�'G DATE : 3/rs�ea INTENDED TO SHOW CONCLUSIV
COLON (:) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
BOUNDARY LOCATIONS
. �cf++m°016cv 1 - -
Sow�yvr County y' 7-f � "
krceived (or recotd��""" �� �
� ��._A D 1Q 7y R/0•/Spr�ak �
� h: ond �b��
°�_� �,�K �,�3y�
ReQfeter
N N
'n t N. 1° 50' 30"W.
�----_i
-� � � i oz3.8o' .
�
Lo c�s
�
� '
�
N. 1`34' �"µi. 256.g5�
� ��o6.oro• 190.80' �
�
� �9• � O
O �
�
�, m
d O �
- �� N mz n
tn cn m in # o m � � D
SW � — .F o � -o o r
w N � D ro rT� Z m
� • vi ..
� O Z � —
ti p � Ri � '
� y �o � �l U
y � ° D O
-� v
u� s, r, r o
-� a�e 6. 05' oi l 4.54� r� � -n
m r� m
I ��5��' .�� � —i
s �
-i .
�
O
N �
� N
�
"� � N Ui p
� y O
\ ,,,., ..,`: .
v � ,,�.
n,�D`� �9 (0 c,'��..s.:' •.._ ��-.
o � Oe � � " •� • %
s ti �'
� o � � ' S'���o i "r=
(n 9 )v = :�i I F-_�m . �:_
I ^ C in,-'� f'7
66. 05' i s, ' < m�py . O` ..
� B�cN. 1° 34'W. 2z3.03' 0� v � -i;o�Qy t���J�
e � � � .
S`' �q ''����hpu���P°�,�o,
W
�� � a$ O � � � ?�
s y � — � v
—_ , N N e r
� �
I � R r
I �� \ � �
a �
�, o0
ti
y s� �
• 's.
S 1' 33' E zO � Z
— 9 ' tA
N
C
5 0� 5 O' 3
m
' v
• Page i of 2 pages
c���a s„rv�r rra l� �9
� ys
� �-� - ,
� � �� � State and County State Permit # 13989 �
P LB 6 ? � PermitA lication County Permit # 9 - 269
� PP co��c Sawyer `
for Private Domestic Sewa e S stems Y
9 Y
"DENOTES STATE APPROVAL REQUIRED CST 9 - 207
Date Approval Received from State if Required State Plan I .D. #
A. OWNER OF PROPERTY Mailiny Address:
�/�"f�-N L . � ONN.ES EgD,�'S8 � f�•�i YGt/.�.e,A, �tI/.S• 55�8 �3
B. LOCATION: Sj�,LY4 S,^/ Y4 , Section f� , T� N, R �,p� (or W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
�/. �D /��t • .�► �S � 3f�'��i Township �
C. TYPE OF OCCUPANCY: "Commercial " Industrial 'Other (specify) "Variance
Single family �_ Duplex No. of Bedrooms Z No. of Persons 3►
�• SEPTIC TANK CAPACITY �DD Total gallons No. of tanks �_
HOLDING TANK CAPACITY Total gallons No. of tar�ks
Prefab concrete � Poured-in-Place Steel Fiberglass Other (specify)
New Installation �C Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
-- ------------- -- — ------ - - ---- -- — - ---- - - — —
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate s Total Absorb Area sq. ft.
New � Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed:_,�.,.—Length �S � Width �� � Depth " Tile depth (top)����No. of Lines �`
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land � � Distance from critical slope
WATER SUPPLY: Private Joint ❑ Community ❑ Municipal ❑
Owners name as listed on EH 115 if other than present owner:
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 fiave sized the effluent disposal system from the EH-115 prepared
by the Certified Soil Tester, �j
NAME �,�/�//1//S /�•S7SMU.SS��✓ C.S.T. # SS- �3 � and other mformation
obtained from /�.�i✓�Y G (owner/buitder►.
Plumber 's Signature Mp�����c# 3 938 Phone #G 3� � 7•��
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca-
tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors
property. If well has not been drilled please indicate.
. . . � � , � 9, j
�
�
.. . ..:r.-.�.�.y...�«� . . .._.....
` 'F�'/VCE L/NF ' ; �__
; ; �._... � i ; � � ' �
� . _r--��_��._.._ ._. .._._._
__�- __. . "..__ . .. . . �._ , _ _
� ,
: ' {
� d ;m.... ... _..___�w .. > _.�.. . _ _._� _ ��.__ _ ���., .__w{� �_.._.. i �.�..__� . _.._
. _ ' . 9 t i I � 1
i � � � i
�__._�_ _ .,d .__ . '_. __ ? ._._ �---�...' "_'
, � � ; '�.. _
,,
����.�
, � ` � �
. , , � .
, , , � < ; t �
� ..�.a--_.;u_�_�_�_ , �PN. 4 � �_._�._ �_�_._.
. _. _ _ '
� �� ' ��� �� ���� � � RL�"' � ' � � - ---
...�. � _�
__ � _
; ' PROvcSEd „� � I I ---� /3 a ; ;
a__ _ yy�<L. � � � _ � s � y�--- ,--------
, � �, a
�
� T ,J I
�_ _ � - _
�pL F � �„_� � � � ���� , . � ;�.
,
1 �
. _.. ._ _ev � _._.���_ _, ��y � _. � §�..�_._�_
� ; � ; � . � ; ;
i j ; , � i (
, +
�_P ;_ _ _,.__ . r_.�._._,�.�__..._.__ _ . ��_-- �-.—�.— _._'�___ ,___. _.�� __�.__�_�.__...f.__.
� i � 4 � � � �
f �
.�._ ..r.a�..� . : ..�. ..+...,� .. ,� �.. _ _,.. ., � �. � :. _ .,�__�.. _�._...__�.____i__�� �_.... _
� ; � � �
�.�
t t 7 � �
__._ ...�_,�... _. �_._�... . ��. ,.......,_. .,... . � . . . . .... . , . .._��.. _._ _.. ._ .. . _
. � k � � . . ( ii... ..,L ... 3 _� .�.......... � .�..�.,.._.. N--
-. i l � . f ' � ! E i � � } i E ! I ! � � �
.,._.__,�;,.__.._.,�..._._..,.�._....a... . . . . ._._., � � �._. .... � �,.. �,.>_. .. _�_. »,..,...r_ Q_,.....» �. h...__.._.„q�_,� »......j e...�._ '.
. .,,�._..� . ..... ..
1 � � � ;
� � � ' i ` � � i �
: g i � :, i { ( ( � : i � ` �
�_._ _{�}...�.�..�.._.._ . . .�.� ._.,.;_ ` _ _ h- _ � > _ .�....K. e � _ ._�._�. � 3_.._._,.,.p..
�-
( ...
. � t ,
1 i
� � �
' � ' � ; � � ( i � ; � �
� � { � • � �
,
,.._..� .. ,_r..._..�.._,.�.. .�.}—._� -d- q-.. .i. ..� ,}_ ..-.. . .._ �„_.-,�_..__y�_. __
�
.__!___i_"'__ ' � 3 = � ; ! _ _ i
�' ;
� �
;
��_ �___w-_-�___ � � . .._ _ a. _��__. ; _� ` � � -
, � � � - - .. . ____�---j— _._._
_. _ __,.
` __.____..
,
�� ' � � � �
� � � , �
� ,
._-- �- --- - _ ._ � �
_ _ _ __�_{_.._._�.
�� � � �� , � �
_. _ , _
,
i�.�6y 7aN��V � e _ __ _ ;_—_T__ _ _._..
1
� � . . . - - . � � � - �
Do Not Write in Space Below - FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application 12 - 11 - 7 9 Fees Paid: State 15 . 0 0 County 15 . 0 0 Date 11 De c emb er 1.9 7 9
Permit Issued/F��a3�CdC (date) 12 - 11 - 79 Issuing Agent Name Elaine Ne�rling
Inspection Yes�.No State Valid# Date Rec'd
1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2 �tate (pink COpV) 4. olumher (canary cnnvl
, ���
Department of Zonin� and Sanitation
Sawyer County �
�
Inspection Report �
1er Jean E. Tronnes
�
dress P•0. Pox 58 Hayward, WI 54843 w
�
me of business rn
ilder '�
�
0
idress �
�
m
�
Lumber Andry Rasmussen
3dre�s p,0. Box 66 _ Cable. W�54R21
Inspectior
r y
�) Private O Public Property }( Sanitary-instal h �
X Dwelling ;�etback - lalce �
Violat9_on Mobile Hm Setback road °,
Gara�e Setback-lot li_ne �'
) Sanitary ( ) Zoning privy
-- ---- - �
� �
r� w
n' �s
a
�or j.INB
— — — — — — — — '�— — --- — —
8'
V�Nr �ANPY So�L
W
35' � cn
ao��.�. � �
i 9'�.;. �
t ---�
�0 7a �-i�
4 sjr �a' s�oP�
lu�l.� u�r iu i.oa � �,
cntt�,v goo �
oweuiu� Couc
FI�
�
G
a rn
a �o
�
�
m
N
p co
�
H
S
�
a
Y
5TN '�77'�
Discussed with owner yes no �
Discussed with Builder yes no
Discussed with plumber X yes no o�
D_scussed with yes no
Date ��D.��._ '7 9
ignature of Officer __����'��----- --
�