HomeMy WebLinkAbout012-739-04-4214-LUP-1992-248 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- M
lations of the State of Wis�onsin.
PRINT - USE BLACR INK OR PENCIL '
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C�as;� �;
Owner ' Buil er �
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Mailing Address Mailing Address
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City, Stat , Zip City, Stat , Zip
Building Land Use Zone District �-I�� 2 o �
( ) New ( ) Filling rt
.� m
(�j Addition O Dredging Lot size m n
( ) Alteration ( ) Grading
O Moving On O Acres � 3�70 A
( ) ( ) � —I
New Construction v.
� � �
Size `� ft wide ft wide 2
�(; ft long ft long
�'�
Floor area �2.� sq ft sq ft �
� �
Total htg I� to peak to peak x �
(��
Stories � Stories
No. of Bedrooms rear lot line or waterline c�
0
(year round) or (season �
� rt
Type of Bldg o��dd oii�` d r'
( ) Dwelling � �
C rt
( � Garage (1) (2) car r.
( ) Storage Building �'
r•
( ) Boathouse o
( ) Livingroom C.,� �
( ) Bedroom J�- �
( ) Kitchen-Dining �
( ) Porch - enclosed/roofed — �-�¢C�� _
( ) Deck - open
fx) uD,�,��, i� AI S�o� cF ci.ARAC,F � o\
( ) -� l/�
w �
Type of ConstYuction �0
(� Frame ( ) Block � ��-
( ) Log ( ) Concrete � �
( ) Pole ( ) Steel
( ) Metal ( ) � �
i �
Construction Cost $ � Z� � �
Vol 4�` Pg `S� of deed -P
CS Vol 12 Pg S?i w �
Cer. Soil Test 8� -��8 �
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Sanitary Permit 8� -��2 ----------CL Road --------------- z
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x
Issued �� Q�2- Denied -�
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Owner Zoning Admini trator
CERTIF/ED SuRVEY MAP
I`t.►+i i4 o F S,E. ¢ „
2� � 1 � � SECT/oN .¢-39-7
T�WH of HuN7ER -SAWY£R cn,WiSt.
Register'a OfEice l
Sawyer Coun[y �y _/ ,,��pN���+�'+
Re�eived Eor record the 7 L�( day af ���C��Sf,���,`y
A D 19��at� o'alock , L �g 'Y�•.�
^� :
and recorded in vol. � � ROBERT A. �
of on pa9e� �1�' $WAN$O�T �;{=
� . 5-1048 ;
' + Fi�YVVJIRD,
Register � Y�]$. .?
,� S �
Deputy �����+ S ur�e��`��.
yhM�rt�,��,+.
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CfRT/F/ED SuRVEY MAP
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ToW/i of NuN7ER -SAWYfR co�Wi3C.
Register'e Office
Sowycr Counly ' � N���
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Ae�cei"ved �or record the day of � �,C���'ll�'�sf ,y
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DOcuMENT No. IS E BAR OF WISCONSIN FORDf 1-1985 T��s sP"�E AESE^�Eo ron RccoFc�..=.-.
WARRANTY DEED
�� , _ ��
�i F���v�� II
�� ApMd�Otfb
This Decd, �,,,,a� i��������•�� John S,_Wi ley er__ II ���^N � � -�
and_Chest
Bancler...1r �..bath atlult meo�_as.tenants �n common �i A�.�o ��o:«.-���n. a�.,.
,
_ - -
� , i � �, n n i����iJ'�,�.,�,
I I . . . . _. . ... . . . ... . � . . . Grflntor� �� M nnd ro:a�rztnd tu v�i. Y�•
..... __._..
_.
I' „„<i Michael J Whetstone .dad Dldnna L,.Whetstone as � A��a � ��-
hus�and and wif.e ._ I �-���� �y--
. .... .. . ...
a�:
------- �-�.------.......-�------�-��--'--�-------.....-------�-.... .......... Grantec, �I ��
��1tIIES50t�1�Thnt the said Grnntor,for n valunhlc consideration._._ �'I
� __..$L�4..or._QLher...good..&..v.al.u.a.b.le...c9n�ideration---. ----- -----
-
- --- --- _ I�
PETUNN TO
conveys to Gr¢ntec the following described renl estate in ._$dWJ��.C_.__
County, SCate of w�5�on9��: Boncler Realty �/�
� Radisson, �t1Y54867
� -
i' Taz Parcel No:."""'......-•'--'_'-."........
i�l Part of the Northwest Quarter of the Southeast Quarter (NW9�SEY,), Section Four (�1.
,, Township Thirty-nine (39) North, Range Seven (7) West, described as Lot One-A (1A),
recorded in Volume Twelve (12) of Certified Survey Maps, page 12-14, Survey No.
2545, together with an easement over and across Easterly 10 ft. of Lot Four (4)
i� to alueberry Lake for walkway and access to the lake and right to construct boat
'i dock within said easement.
��
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j TRANSF J R
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'��� This 1S flOt homesteud property.
�I (is) (is not)
�I I
Together with xll nnd singulnr the hereditnmente und nppurtennnces Chereunto belong�ing;
II
n���i. grantor..___.___ __ __. __..._. _ _...... ._._ _._ . __........._..__... ___.
�i warrants Lhat the title is good, indefeasible in fee simple nnd free nnd clear of encumbrauces except
ISubject to all easements, exceptions and reservations of record.
II and will warrttnt and defend the same.
IDated this -....- 16th --- - --- day ot ... - October _ _..____'__......,isa7.....
�Q///��
I�II�', ....._...._-----------�--��-----...--...-----�-----....---.(SEAL) ......._,lll�i�.��C'.-"-L�`-'�`-��----------(SEAL)
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� * •.,��n..S,�.Wl1ey ...._.._ /- -...--.
- - -- ---- ----- ---_
II ....... _..-- -�--� - �-- -....._(SEAL) (�.,� 1.� �%-f L.�-.� .. . . �:EdL)
...��,'A' "'�..
� __ • Chester Boncler,_Jr_ _ �•`'��C � �''.
-- r1� ....::,'°�`��,
;.'C, f•'�� •.
„ar•���,.n �;;.�'=
AUTHENTICATION ACKNOWLEDCi�E�N�"1 �'-"3 •
, .� Fx:
Signature(s) ------------'-----------'-'----'---'--'-"--------" STATE OF WISCONSIN • ' � :
. . rj�t_
. •
i 9g, "-�i._ r;•
�----- ----�----�---� -- -��--... -----�--�------�----- ----�- •.�r ••., � ;
SdWYeC-�-- �--.County. d .�.:�:. \ ,�:
---�-�- E, �
authenticated this....__..day oi._..............___...., 19...... Personally came betore me tLis�{��!���;'�3H3j��Qi''
i .
- - - --�- - -.._..._......- - ......
-------October------............. ts$L-- ttie'lf�M4�w3a�ed
John..S.._,Wi_l.ey__and_Chester.Bonc_er.,..)r,,
- ---� -- -..._._...........__ --.-._............... �--�-• �� ... ..---------....... --
T1TLE:NIL11iBElt STATE BAIt OF WISCONSIN
---------'"----------------------------------------------'--------'
i, (If not�--�-----��---��--�-�-'-��----�---------------"-------'..
'_""__..._......._._'_...'_........._"..'___'."_____..__.....__.'.'
,�� authorized by§706.06,Wis.Stats.)
� to me known to 6e the person.._S-..__n-ho eaecuted the
foregoing instrument nnd ncknowledge the same.
THIS INSTRUMENT WAS DRAFTEO BV ^/^/ " C
�, ..2G�-_.```� �' -�Z'� ---- - -
Boxicler-_Realty__....___--- ------- -�-
j «.Patricia M' Pet.it......._.. - - - -
! ....------------------------------'--...-----'------'---""' Notar}•Yublic_._...__._...$dWYel'_-- -County.R'is.
� (Signatures may be authenticated or acknowledged.Both n7Y Convnission is permanent(lf not, state expirution
�,�� arc not neccssnry.) :.��c _..�-y.._ _.._MdC'.Ch__z4...._._...._, 1g4.�.....)
`�L� X 1- -
II� •xames or ne�sa�s s�R���a��e�,��nn�=��v ynowd n�i>�i�ea u rinted below the�r a�aonw��sl
�„nnnnNTv ric=:n s�rn�eia i�n¢nr wisnorvs�N ���.,�..,-i„�.,,i m..�i_.r. �..�
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( The following is a revision of a C . S . M . originally owned by
Ron Mills and recorded in Vol . 10 - Pages 108 & 109 )
I , Robert R . Swanson � Wisconsin Registered Land Surveyor �
do hereby certify under the provisions of Chapter 236 . 34 of the
Wisconsin Statutes , and under the direction of Chester Boncler Jr .
and Spence Udiley , owners of said land , I have surveyed , divided , and
mapped the land herein described , and that said land lies in the
northwest of the southeast one -quarter (N . W . 4 of S . E . 4 ) of Section
four (4 ) , Township thirty-nine ( 39 ) North , Range seven ( 7 ) West �
Town of Hur�ter , Sawyer County , Wisconsin described as follows :
Corr,�encing at the west 4 corner of Section 4-39-7 : thence
North 88 20 ' East along the east-west 4 line 2623 . 62 feet to the
center corner : �hence South 2°18 ' East 297 . 58 feet to a spike :
thence South 68 08 ' East 212 . 23 feet to the iron pipe on the south
R . O .W . line of County C . C . which is the point-of-beginning.
Thence South 75°3� ' East along the south R . O .W . line of County
C . C . on a chord of a 2 03 ' curve to the right 186 . 35 feet to an irori
pipe ;
Thence South ? 1 °58 ' East along the south R . O . W . line of County
C . C . 175 • �1 ' on a chord of a 2°03 ' curve to the right to an iron pipe ;
Thence South 17��9 � East 387 . 60 feet to an iron pipe on the
meander line of Blueberry Lake ;
Thence South 78°32 ' West along the meander line of Blueberry
Lake 175 • 30 feet to an iron rebar from which the sideline to the
Lake bears South 33°47 ' East ;
Thence South 68°43 . 5 ' West along the meander line of Blueberry
Lake 183 . 45 feet to an iron rebar ;
Thence North 2°18 ' West 177 • 12 feet to an iron rebar ;
Thence South 76°52 ' West 101 . 81 feet to an iron rebar ;
.Thence North 2°18 ' West 417 • 55 feet to the iron pipe which is
the point-of-beginning .
Said Lots are to include all the land between the meander line
and the water ' s edge between the side lines extended .
Said Lots are subject to the joint use of the 20 foot driveway
easement and Lot 4 is subject to a 10 foot walk easement as shown
on the map .
Said Lots are subject to easements and reservations of record .
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� DILHR SANITARY PERMIT APPLICATION COUNTY —
In accord with ILHR 83.05,Wis. Adm. Code SAWYER �
��'�"""''"'�'�"""""""�' STATE SANITARY PERMIT# l v
CST 87-118 '
—,4ttach complete plans (to the county copy only)for the system, on paper not less than STATE PLAN I�.D.NUMBER �'
8'/x 11 inches in size. N
—See reverse side for instructions for completing this application.
PETITION
I. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR vARiANCE ❑YES ❑ No
PROPE OWNER hn . W� & Ches ter PROPERTY LOCATION
Boncler Jr. �cJ Y4 %4, S T,� , N, R €�sr) W
PROPERTY OWNER'S MAIL NG ADDRE LOT NUMBER BLOC NUMBER SUBDIVISION NAME
Rt . 2 Box 2001 Ha ward WI --
CI STATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD,LAKE OR LANDMARK
VILLAGE :
S .1' C°.G�, C�
II. TYPE OF BUILDING OR USE SERVED:
Number of Bedrooms if 1 or 2 Family OR ❑ Public (Specify):
ill. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4, if applicabie)
1. a.�ew b. ❑ Replacement c. ❑ Replacement of d. ❑ Reconnection of e.❑ Repair of an
� System System Septic Tank Only an Existing System Existing System
2. ❑ A Sanitary Permit was previously issued. Permit# Date Issued
3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements.
4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy.
IV. TYPE OF SYSTEM: {Check oniy one in#1 and only one in#2)
1. a.�Conventional b. ❑Alternative c. ❑ Experimental
2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP
In-Fill Tank
V. ABSORPTION SYSTEM INFORMATION: (Check one)
1. a. See a e Bed b. ❑ See a e Trench c. ❑ See a e Pit
2. PE COLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY:
(Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet):
9� i �
l v o'-c' i Feet �Private ❑Joint ❑ Public
CAPACITY
VI. TAMK Site
in allons Totai #of Prefab. Fiber- Exper.
INFORMATION New xisting Gailons Tanks Manufacturer's Name Concrete Con- Steel 91ass Plastic App
Tanks Tanks structed
Se tic Tank or Holdin Tank U � ❑
Lift Pum Tank/Si hon Chamber ❑ ❑ ❑
VII. RESPONSIBILITY STATEMENT
I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans.
Plumber's Name(Print): Plum 's Signature:(No tamps) MP/IvFPfl�S14��.: Business Phone Number:
be T /� � 0 � _ ' �?/�'
umber's Address(Street,City,State,Zip Code : Name of Designer:
��
VIII. SOIL TEST IN ORMATION
Certified �I Tester(CST)Name CST#
p �jQ � s
CST's A DRESS(Street,City,State,Zip Code) Phone Number:
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IX. COUNTY/DEPARTM NT USE ONLY
� Disapproved Sanitary Permit Fee Groundwater ate Issui Agent Signat e(No Stamps)
�A roved SurchargeFee
pp ❑ OwnerGiven Initial �+ �. 00 $25 . �� ]—15—87
Adverse Determination Y
X. COMMENTS/REASONS FOR DISAPPROVAL:
SBD-6398(formerly Plb-&7)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Pium��ng.Owner,Plumber
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DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY& BUiLDINGS
LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O.BOX 7969 BUREAU OF PLUMBING
MADISON,WI 53707 '
I,�CONVENTIONAL ❑ALTERNATIVE s�a�ePia�i.o.rv�m�e,:
i������Q�e�i
❑Holding Tank ❑ In-Ground Pressure ❑Mound
NAME OF PERMIT HOLDER�. ADDRESS OF PERMIT HOLOEFi�. INSPECTION DATE
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BENCH MARK(Permaneni reference po�n��DE RIdE IF DIFFERENT FROM PLAN 5���� REF.P7.ELEV.� C5T REF PT.ELEV
N,ii�i�•�rl Pliiiiil���r _ _____._..__.___—__..._.__..__—_________
MP/MVIiSW N�� 1:������iv $.���i�.�ry Perinii Nuniliei.
lZ0 7` �f .S- /O ffa u/ -�c1 8 7— ��7�
SEPTIC TANK/HOLDIPJG TANK:
MANUFl�CTUHER LI(�UIUCAV�1(:ITV 1ANK�NLEiEIFV 1ANKOUTLFiELEV WAHNIN(iLABEL LOCKINGCOVE�i
J PROVIDED PFpVIDED'.
� �(� �, � f� � `��YES ❑NO ❑YES C�NO
BEDDING�. VENT DIA. VEN7 r,anli HI(;H WATEH NUMBER OF ROAD�. PROPEH7V WELL� BUILUING: �VENT tOFRESH
a�atvn� FEET FROM uNe � aia iN�er
❑YES ❑NO ❑YES CINO NEAREST �S' � rs'� �b` —
DOSING CHAMBER:
M1AANUFACTURER BEDUING l.l()Vlf)(:n�'nC:l�v Vl1P.�VA���1)El �'I;L�P.51i'H()NMnNU�.�l:it�f7F�1 WARNINGlABEL LOCKINGCOVEH
PFOVI�ED� PROVIDED'
❑YES ❑NO ❑YES ❑NO ❑YES ❑NO
GALLONS PER CYCLE: vuMcnNocoNrr+o�sovtant�orvn� NUMBER OF �'����vF�+ry we�� aui�oirvc veNT roFaes�
(DIFFERENCE BETWEEN FEET FROM `�"F AIR INLET
PUMP ON AND OFF) ❑YES L�NO NEAREST—�
SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing ��N�,i�� ���n�,f i��� ^.inrE H�n� nNo nnaNKw<,
or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE
the soil is dry enough to contin��.) MAIN
CONVENTIONAL SYSTEM:
WIDTH LENG�H NO O� UISiH PIPE SPn(:W�� CnvFH IfvSlllt Uln =pliS LIQUID
��BED/TRENCH � � r�+Frvci�Es � �inrEt+�,n�� p�T oerrr+�
DIMENSIONS /� 3,S' � -'— � ��`�a cv
GRAVELDFVTII f��ILLDEVTII IIISIi� I'IV'I UISI�i f'If'( DISTR_PIPF Mn7EftIAL Nn 171�II1 NUMBER OF PHOVEHTv WELL BUILDING� VENTTOFRESH
HELC)W PIPES � AH()VE COVtIi L 1 E V INI I I t lF V !NU VIPE S LINE � AIF IhLET.
��O FEET FROM
� Z Z 1� V Z NEAREST--► S � S o 7� _
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 REVERSE SIDE.SHOW ELEVA-
meets the criteria for medium sand. TIONS MEASURED.
❑YES ❑NO
SOILCOVER rexruRE �r�+nin�titrvin+nuKF��s o�+se«vnrir�rvwe��s
C�YES ❑NO ❑YES ❑NO
DEPTH nVER TRENCI�k3'eD vEPi!I�JVCV�iNEN(:�� HEi1 I)Cf'/��()f i��f'S���L 5���11)f IJ �EFUf 11 MULCHED
CEN7ER EDGE;
❑YES ❑NO ❑YES ❑NO ❑YES C�NO
PRESSURIZED DISTRIBUTION SYSTEM:
WIDTH LENC;T11 NO OF LATFI7AL SPACINC� ������VEL l)EPTH HEL(7VJ PINf� FILL DEPTH AHC)VE COVEH
BED/TRENCH raENCHEs
DIMENSIONS
MANIFOI(� PL1MP MANI�(lLf) UISTR NIPE MANIFnLI)M.'al Efill�L Nn l)�STH U�STH PIPE UISTIIIyU�InN PIPE MATEi31AL&MARK NG
ELFV FIfV 17In FIEV �'If'ES DI�
ELEVATION AND
DISTRIBUTION
INFORMATION HOLE SIZE HpLE SPA(:INC, �=��ILLf l)(f1�1V1E(:1l V (:()VEH 11ATEM2IA� VEHTIC'AL LIFT CnRHESPONDS TO APPftOVEO
PLAN$
❑YES ❑NO ❑YES ❑NO
COMMENTS: PEHMANENT MARKEHS�. OBSERVATION WELLS� NUMBER OF PROPERTY WELL: BUI._DING:
FEET FROM ��"E
❑YES ❑NO ❑YES C�NO _ NEAREST _
Sketch System on Retain in county file for audit.
Reverse Side. sicrvnTu ��-�09 r�r�E
DILHR SBD 6710 (R.01/82) � �—
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CounCy c�l. Sawyer. y�
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The undersigned hereby makes application for a t-and Use I�eemit and aqree.^> �
that all woYk sl�all be done in accordarice wiCh Che requi.remenCs of Che Sawyer �, �
County Zoni.ng Ordinance and the laws and regulnlions ot Clie SC.ote o[ Wisconsin.
PR7NT - USE ONLY DLACK INK/FENCIL
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Owner 73ui.lder �
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mailin addres� mail'ng address
i /St, Paitl , P4innetiOY� fi�9 ��U_lsr✓1� YV� JT�'V �/�
city, state, zip city, sCaCe, zip
6uilding Land Use 7ocie DisCr.icC ��� - 'L _
( ) New ( ) Filling C-�
(� Addition ______—.—__— �
( ) Urc�lgi.uy LuC :size rt�
( ) niteration ( ) Gradin9 �n n
( ) Moving on ( ) Acres _� 3G�____
( ) ( )
New Constructi.on
r
Size __'�_ fC wide ft wide �
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�� fC lony ft ]ony
Floor area �--� , sq ft sq ft
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1'otal hgt �_ to peak Lo peal: . x
Stories �_ __
4
No. of bedrooms _� ___ rear loC line or waCerline
(yea.r round) or �easo� ,_-- — �
i ��__ � i �
Type of bldg oi a�ldition i `�' � i N o
O Dwelling � � 1 ��p.3.�.�h\� i rr
( ) Garage (1) (2) car ���� : I ��' ��� � �s
S�x/6' � � � �
( ) Storage building � I ��r- ��'_� o��'` j r rt
( ) Boathouse q�� � i � , . - - � ;,� i N_
( ) Livingroom rY�Sf/n/�^ i F � ' J� i OI
4AfC/JG^� C� Y � �
( ) 13edroom � � � �� �
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( ) Kitclien-dini.�i9 i` qA��,G �"�� � �
O Porcl� - enclosed/roofed i�1i J � � 5C� S� i
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( ) Deck - open i �: ,� , -' �
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(X) �l ' S 2 A S!Y+'� r ��- I\ i''ir___�'C`�` �n j°— i �
O i G X�S�i VY� � '✓"yl� � i
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; I r,c�b;� u kxld�fi�,,,!, ; � °"
'Pype of constructivn � L_
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(� Framc ( ) i37ock i � ��V.3 �T`�'6 i � E'''
( ) I,oy ( ) Concrete i ���� � i �� �
( ) Pole ( ) Steel i '� ° i
( ) Metal ( ) i � i .
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Construction cost '� ���t ���� i �� g� � i �
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vol _ 411 P9 Qi_ �f deed � �
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CSM Vol � _ _ Pg '� i i w
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CeY. Soil 'PesC 7-._---------------- i- .
--------CL road ---------------- o .
� Sanitary Permir ���_�. ��� /� . u�
t Li'Gr�'S,�Jr, C A�i P rJ�.)1 G� i5` �. Af �C4^<,:J���!: 1l1S�F�:lt7. z
.�j�.��-1C ,�.1`f,.�''?�__t����^_ --�-- '+- ' � � � .
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Issued X.�t�P_f-_(Z �� _ Dei�icd__ �
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