HomeMy WebLinkAbout002-940-36-1303-LUP-1991-143 �, _
Application for Land Ose Fermit �
County of Sawyer N �\
o � i 1
1'he undersigned hereby makes application £or a Land Use Permit aud ayrees � \�
that all work shall be done in accozdance witli the requirements of L-lie Sawyer °
County Zoniug Ordinance and tlre laws and regulations oE the State of W{9COI15111. I
PRIN'f - USL OIJLY UL71CK 1NK/k'ENCIL `
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Owner Builder - / � �
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mailing address mailing addzess
"ri�C':�E.�SPU�Q G l.4 Sl` -.•=� �:
city, State, zip �� city, state, zip
�uilding Land Use Zone District ��-�Z.
(�New ( ) Filling ' �, �
O nddition O Uredging Lot size �r �
( ) Alteration ( ) Grading ,�^ H
O Moving on l ) I�cres � .S
( ) ( )
h�
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New Construction •
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Size � fC wide ft wide e
� ft long ft long
. �
Floor area ��_ sq ft _ sq ft :
Total hgt ��;�5� to peak to peak �� x�
b
Stories __L_ � ,`�
No. oE bedeooms ..� '-•a-�z.�.�„rer waCer1 ine
(year round) or (seasonal) � ���"�J __. �.-.s--
. ....-_ _. ' .
Type of bldg or addition �-- � �"�-�� � ��O� ----.- � ..y� o
��--------
� � C�WE!1�_1f1V �
i � r�
(/�''Garage (1) �vcar � i �
i
O Storage building i i a r*
( ) �oatliouse � � r�
( ) Livingroom �� (pg' i �
( ) Uedroom � i I
( ) Kitchen-dining � i
( ) Forch - enclosed/roofed � � i
O Deck - open � ���� i� �
c ► hj � �j,,. `"�— � , �t
� � .� ;`--3b ,�X q4' —d,� A�.
� �a� ,.
Type of construction N i �W 30 5 �'e �w
(1�Fzame ( ) dlock (�,� � �4��� � �p� i�1 W �
( ) �9 ( ) Concrete �i --d' . i ♦ �1
( ) eole ( ) Steel � N�' � i R »-
( ) Metal ( � _�'i6�.2�/� � _ pD �i t�
� .- D a i G'"
Construction cost $ L�QpQ�D."' � �� i �a
I 1 I
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Vol 3sy Pg ,�c�Z of deed � � i �
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Csa1 Vol 2 �'9 _/D_5— i � i w
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NPJ�'R4����9�.�soil 't'est = �; •-,- J'�� � ----------'- z �
� �, anitary Permit 7a - .-, . 1 � - L � ----- o
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Iss�ed 23 July 1991 Denied
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owner. Zoning ndministraP.ur w
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JUN 10 1991
SAI�JYER �OJ^JTY
ZONING ADMINISTR�TION
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b Ro,aO � EASEMENT b To yigNLAN0�3 Qo,qD -�
7° 9° 9°
Z = I, Hobert R.. Swanson, P;isconsin f7egistered
h � Lxnd Surveyor, hereby certify that in full com-
� � pliance with the provioions of Chapter 236.34
° O oi the Wiaconsin Stntutea, and nnd�r the direc-
� h tion of Richard Warder� of Hayeard Lake� Rexlty�
y �o � owners of eaid land, I Have eurv�yed, divided,
M and mapped the land herein deecribed and that
b �j �° such map correctlq represente the ezterior
ry �o N boundarie� and diviaion of the lwnd eurveyed xnd'
N that thie land ia located in th• southrrest } of
the northexst } of Section 36� ToMnahip 40 North,
Rang� 9 Weat� To�vn of Baes Lwke, Sapy�r County,
Fisconsin described as folloea:
3 Beginning at the center corner of Section
bb�k 9'%,. 36-40-9: thencs north 546.85 fe�t along the
Pad , //0,03� / 36.62' no th-eoutha} line to a meander corner lying
} 5. 8d'43� . 246 65' �8� 8outh of the ehore of Johnson Lake.
CENTER CORNER Y'hencs north $3�42.5' east ttlong the
meander line 110.66 fe�t to an iron stake.
SEC7/oN 36 - 4�- � Thenc• north 65°35.5' east aloag the
meander line 150.00 feet to an iron otak�.
Thence south 615•72 feet to an iron etake.
Thence south 8R°43' xest 246.65 feet to the center corner of the Section
Rhich is the point-of-beginning, and including all the land between the
Hater's edge and the meander line, betw�en th� parcel lines extended� Sub�ect
to and together with the �oint use of the four rod road easement as shopn
on the map which extends easterly to the '1'own Road known as the Highland 's
Roxd.
Also sub�ect to easements and reservatione of record,
July 3, 1972 n n I�
'lhis inr>trument drafted by Hobert H. Swansoa 7L ��I�u,�V _
7/�-
140831 Wisconein Hegistered Land Surveyor in.c�
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c•.TyPc Coun[Y f
cd fcr reccrd Lho .S���Y��
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— Decutv
� APPLICATI�N FOR SAWYER COUNTY
SANITARY PF.RI,IT
O Application # �,��C Date '1 � ; - � ��
_�Q Fee of $Z0. 00 received t:" ! ", •- 7 � �`. >'a . +
v I D�—' ��— County CLer
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`+;" Application is hereby made for a�Sawyer County Sanitary
Pe'rr�it for work to be done on the premises, described herein.
E�ASr:L. ..:�u. .L�.l�:_.i{:J� :1Ls.�...��.��Yt
Owner Address TeZephone
Tke � o f the �. Sec. � Twn. tF(} a• R. 9 a,
� or
Lot • Block Sub-division ¢�p,�� L�
Iu::i Wor •: i';t. . . �;:.i,it;�t,t: ;°:.:TC:,iF -
k contempZated To be performed by
Number of Bedrooma � Number of Bathrooms q
Dishmasner Garbage Grtinder ri.; ,
Automatic Washer ;y;,
SoiZ Description A�t to;-,co�7 ;0° send & �,-ravel
Septic Tank Size :� gal.
Seepage Pit Hezght Dzameter
Seepage �'��'K�h �_:u Length �! bJidth 2�! Depth ty0"
Septic Tank Permit # ,; � .' '/
--r
Percolation 2est Form PLB 43 attaehed Y
Yes No
Contemplated completion date
Appltication Approved Permit �l�ZC)��
Senitarian � � . , , �_ � , .. �
�Or�tter Agent I;�o 2 ie Date-T
Remarks
Final Inspeot 'on . ,- / � _L
� - F�
Sanitarian � �? � �ti �� ' �-Gr ;: T�i -� � -� �
Owraer/Agent Notiftied (Date)
Remarks
*'�'� Serad originat-a.nd three copies vith , * ** �-- .
fee of $Z0. 00 to County Clerk
Plb �67 7/71
4fisoonsln Departaent oC Health and Sooial Servioos
� DivlsSon of Hea1Lh
SEPTIC TANK PERMIT APPLICATION
TYPE OR USE BLACK INK - PLEASE PRINT
A, O1MEA OF PROPERTY
Namq Addrese (StD�et, City� ZSp Code)
1L1i.11�_.... ..�..LL'�.��.L .J�1'LitL{a�� C..�„liUaxOl
B, LOCATION OF PROPERTY IJFIERE SYST AILL BE CONSTPUCRED ALTERED OA E%TEND�'D COUNTY ' �'G"!Ji
Cheok Onei
CITY YILWGE LEGAL OESCRIPTZON
TONNSHIP xr,�C,:; l,,.r.::� (Blook� I.ot, Seo.).;.;�. Ol' Lx:E U.c.. ::eC j� 1. 4�� T�, R, cw
C, IS [ACAL PEAMIT REuUIRED FOR TNIS HORK7 � YES No PERMIT N[t'�ER
D, SEPTIC TANK CAPACITY �.ti�GALLONS NEH INSTALLATZON X REPWCII'gNT� ADDITION_�
NATERIALSt PAEFAB CONCAETE POURED IN PLACfi_ STEEL . OT}�RR�
Nll1BEA OF TANKS TO HE INSTALLEDt J1iF.
E. TYPE OP OCCOPANCY
Cheok Ones One or 'Iko Fami�y Residenae_Commercial�_ Industrial_ Other X (Speoit�) J�h,i:C.R Cii:ti �
Number of persoas to be Accouvoodated�� Number oC Bedrooms�_
F, APPLICkNCES, ETC� Food Waste Grinder YES �NO Autamatic Clother Washer YES �NO
Dis}erasher YES h_NO Automatio Potato Peeler YES ]�_NO
OTEiER (specity� YES X TIO
G, MhSTER PLN7BEA NV+KING INSTALLATION
.. n,-
Namet w� � Addreaaeaiiicii��7;r r: L'.::;1�:�.L.� iil.;�..11
e �j - /,�//�
,,�j' �j �!." ;!Y' ti�:i.9;:,iiU. �. .�,.i, .:11Y 54`ict�
SIGNATURE OF APPLICAN7't� �1��/!* -a;�`,��!,� , �
�� � / Ltoense Nuaber� riP lb.Cf;
AD�AESSt k ': 6 A,.Y�., >t:;� :T.CO�,r� in.i MP RSM' �
H, (TO BE COMPI.ETED 8f ISSUING AGENT� ,,.�rl�
Dete of Applioation �i � /� � � Z.. Fes Paid
/ ��
�� Ti �'T
Permit Iesued (date) Z.. P�rmlt Numb�r, G
0
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Ageni (mme) � � � e � Pori
town� vi ag�, oit aouirty� �to, speoity)
���C�1�.� �.,...f�.��-J
NVfE� The Ap ation oennot ne ooneidend for Piling uatil ell of the ebwe quesLl s aamnred
and the fee pald, Agenta will Po=xard applicatlon� the Pes of :1.00 for eaoh septlo tenlc and
I the third ooyy of Lhe pe�it (canary) to ths Division of Health. Cheoks and money ordeM should
� b� made payabl� to tM Divieion of Hea1Lh,
. COMPI.LTS OTNER SIDC
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Indicate Lo size and shape, Zoeation of dmeZ ing (D) , septic tank
(ST), septie fieZd (SF) or se2page pit (SP) a d distanee of any
portian of septic sy�tem from dwellingy �eZZ and property Zine .
If property Zies wit,'ain 50 f��t of a Z¢ke, river or a stream so
indieate and slaow distance tnerefrom.
If anu portion of the contemp2ated construction will lie vithin
25 feet of dmellisxg, �aeZZ, septic tank, septic fieZd or seepage
pit o f abbv.tti-rcg o�aner so indicate.
Tl1e undersigned agrees tnat aZ2 mork performed and equipment
installed shaZl be in accardance with the Sanitary Code of Sawyer
County and aZZ appZicable Zai�s and regulations of tlze State of
Wisconsin arzd recommendations of the Samyer County Sanitarian.
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Owner, Agent ( ignature)�
NAME s
COiR1TYt
SEP7IC TANK PERMTT NUMBERt
REPORT ON SOIL PERCOLATION TEST
AND SOIL BORINGS
TO
DIVISION OF HEALTN � PIDMBING SECTZON
P.O.HOX 309� Hsdieon� Mis. 53701
Pursuant to H 62,20, Wie, Adminiatravive Code
P E A C 0 L A T I 0 N T E S T
7EST DEPTH CHARACTEN OF SOIL HOURS WATER TESY 4II� DROP IN NATER L5:VEL INCHES MIN(ITBS
NUI�EA INCHES THICKNESS IN INCNES SINCE HOLE II7 HOLE INTERYAL SECOND 70 EXT TO LAST TO FALL
lst BE1'TED OVERNIGHT IN MINUTES LAST PERIOD LAST PEftIOD PERIOD ONE INCH
EXAM�LE
P — 0 36'� TOP SOIL 10" CWY 26'� 25 YES Op NO 30 60
i 40" 8" t.�. 2" ravel lb NO 10 6 6 2
2 40" 8" t a 2" aavel lb No l0 6 6 2.
3 " " " NO
RECOAD DATA PAMS MINIMUM OF 3 TfiST FtOLES
COCpUTE SIZE OF ABSORpTION AAEA IN ACCORD NIRH H 62,20 WIS� ADMItdISTRATION CODE.
S 0 I L .B 0 R I N G S - MIIJIMOM 36^ BELOIJ PAOPOSEO ABSORPTION SYSTEM
BORIH3 TOTAL DEPPH DEPTH TO GROUND WATER DEPTN RO BEDAOCK
NUMBER INCHES OBSERVE➢ ESTIIIATED OBSFd2VED ESTIMATm CHARACTER OF SOIL HITH :HICKNESS IN INCH6S
EXAMP
g � p n � n CK 0 OZ n � e�n gn p n
1 u i 11 II
y 80" NO 30i 8" topsoil 72" gravel
s 0" NO Or 8" to soil ,2" ravel
HECORD DATA FROM ININUNM OF 3 13
TYPE OF OCCUPANCYt
RF.SIDENCE: NUM.ilEA OF BmR00M5 L OTHEFit (SPECIFY) S� C�� NOtIDER OF P6ASONS 3
F000 HASTE GRINUEA; YES�NO��DISHHAS}iER: YES� NO�� AUTOMATIC CLOTHES HA51¢:At YES� NO
� EFFLUENT DISPOSAL SYSTEMt NENx_ E7CTENSION� ADDITIOH_REPLACFMENT_
TII£ SIZE__ N0, LIN, FEET TRENCH WIDTH DEPTH� NUMBER OA LINES_�
SEfPAGE B&�: LENGTH 15� NIOTH� DEPTH �{�Ot� TILE SI2E ��� N0. LINES_'j�
� SEEPAGE PZTt INSIDE DIAMETFA LIQUID DEPTH�
I, the uridersigned, hereby aerti}y that Lhe percolation tests reported on thia form were made by me or under eyy super— �
vision Sn ecoord wlth the procedures end method specified in Chapter H 62,20 (3 ), WiseonaSn Administrative Code� ead
that the data recorded and location of test holes are correat to She bast af �y Imcwledge and belief.
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TYPE or PRINT)
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MDRESS �
MAY 12 1 � � � � � �
DATE a S�rI2 SIGNATNiC - �%/ i�i ����i-Y���
UO NOT NRITC IN SPACE BEIAW - M1R DEPAR1TtENP U ONLY
DATE pECSIVED ACCEP7ED HY pg��p
FEE R£CENED yALIO N0, p�TT Np�
REYIENED BY AppROVED Dp�
INITZALS 1TiS 03 NO