HomeMy WebLinkAbout004-146-01-0100-LUP-1991-290 Application for Land Use Permit ��
County of Sawyer o
The undersigned hereby makes application for a Land Use Permit and � `
agrees that all work shall b�� done in compliance with the require- o
ments of the Sawyer County Z��ning Ordinance and the laws and regu- '�'' �
lations of the State of Wiscunsin.
PRINT - USE BLACR INK OR PENCIL n �
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Owner Builder � p
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Mailing A dress Mailing Address �
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Ci'ty, tate, Zip City, State'; Zip
Building Land Use Zone District ��--Z r �
"� New ( ) Fi11in�; �
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O Addition O Dredging Lot size 12c{� /JF� � n
( ) Alteration ( ) Gradin�;
( ) Moving On ( ) _ Acres �,�
( ) ( ) _ —
New Construction � � �.: �i �.,U.i;,! `� (J
�ar�t%rl�-�
Size �_ ft wide 2 ft wide
Zg' ft long �_ ft long y
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Floor area (p�Z sq ft (DS sq ft
m �
Total htg l3 , to peak �2� to peak x
Stories pN� I Stories 0
No. of Bedrooms �(} ��
�� rear 1ot line or waterline c�
0
(year round) or (seasonal) �.RK� m rt
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Type of B1dg or Addition � r'
( ) Dwelling __ a o
Crt
(� Garage (1) 2 car �,�� r.
( ) Storage Building �'
( ) Boathouse G o
( ) Livingroom �Z� �k� � �
( ) Bedroom �
(�Kitchen-Dining � ��
( ) Porch - enclosed/roofed 5 ''� �c )
( ) Deck - open ` � o �\
{ ) �`= -- --- �
( ) � ., �.3s� o
_ _ o
Type of ConstYuction ° �1
(� Frame ( ) Block �
( ) Log ( ) Concrete `��� �� �
( ) Pole ( ) Steel �- � �
( ) Metal ( )
� �---� �
Construction Cost $ �j��,x'� _ i 4�,i fV
�� S Vv
Vol �_ Pg ZS of deed ; ��K � � 0 0��
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Sanitary Permit g2-IO :!, --- CL Road -I - o
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( wner Zoning Administrator
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SAWYER COUNTY ZONING ADNIINISTRATION
INSPECTION REPORT o �
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Owner Ronald Schreiber
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Address P . O . Box 875 Hayward WI 54843-0875 �
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Name of Business �
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Builder
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Address �
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Plumber
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Address
InspecLioi: ( ) Property �Q Setbacic - lake
( ) Dwelling ( ) Setback - road
(� Private O Public O Mobile Hm O Setback - 1ot line r, F�
O Garage (jy. Aoi�����:�r�� Tc� o 0
Violation �* �
( ) Addition ( ) �u����.�����- „ �
( ) Sanitary ( ) Zoning � o
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S i gn a t u r e o f o f-!=i c e r ��2-��u!�''r-�z'�,� —
(DEPARTMENT OF �' APPLICATIQN � SAFETY 8i BUILDINGS
\J 1'�V�USTRY, FOR SANITARY DIVISION �
���BOR AND PERMIT P.O. BQX 79F9 �
�HUMAN RELATIONS (PLB 67) MADISON,W1 53707 0
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Attach pians for the system on paper not less than 8Yz x 11 inches in size. Include a plot plan that is dimensioned or dsawn to scale. Horizontal
and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter
H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. IF designed by a Master
Plumber, the date, signature and license number must be shown.'A legible reproduction of the soil test i-eport or the ou�rner's cop�• must be
included.
Ronald Schreiber Route 6 Hayward, WI 54843
Pro e Owner: ' Nlailin Address: /
p `� � 9 � . � /^ `� ,./��`� �1 ,4��f�c�r� �
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Property Location: 6req�-�Fege�r i o l�ship: Coun y: •
% '/a�� '/aS J �T, `% N�R (or) W L . ,� �,�Zl��' / � .i„ , .
Lot Number: Blk No:: Subdivis' "n Name: � Nearest Road, or Landmark� State n I.D.NuRiber:
� / � - / . �� .. (�a n `Y�
,' �. �, l ./."�t�-: '' L� � J/
TYPE OF BUILDING
'� Number �f
❑ Public" ❑ Variance" ❑ Other (specify)" Bedrooms:
� 1 or 2 Family *State Approval Required. �
TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHEF?
GALLONS OF TANKS CONCRETE PLACE INSTAI_LATION MENT (Specify)
SEPTIC TANK CAPACITY
HOLDING TANK CAPACITY �}� �
LIFT PUMP T�4NK/SIPHON CHAMBER / i
MANUFACTURER: �
EFFLUENT DISPOSAL SYSTEM •
PERCOLATION RATE ABSORPTION AREA
� (Minutes per inch): PROPOSED (Square feet): ❑ NeW ❑ Replacement ❑ Experimental ❑ Seepage Bed ❑ Seepage Pit
+—,
� �- /�. ❑ Alternative (specify) ❑ Saepage Trench
// .% _
Wa er Supply: Owner's Name as Listed on Soil Test Report (If other than present ownerl:
Private ❑ Joint ❑ Public
I,the undersigned,hereby assume responsibility for installation of the private sewage system shown on the attached pians.
Name of PI mber: � Signat / , �, MP/MPRSIN-No.: Phone Number.
s" — " � �, i ' '`,�- �' :�%�.' r�l�i�L��fl.
Plumber's Address: ` Name f Designer:
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COUNTY/DEPARTMENT USE ONLY CST 82- 054
Si tu f Issui A t: Fee: Date: � qppROVED Sanitary Permit Number:
�6� . �� �- �-4- g2 ❑ DISAPPROVED 29460
Reason for Disa oval
Alternate course(s)of Action Available:
Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in-
stallation. Failure to comply will void the sanitary permit.
DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Go!denrod-Plumber
DI LHR-SBD-6398 (R.07/81)
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DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY& BUILDINGS
LABOR & HUMAN RELATIONS pRIVATE SEWAGE SYSTEMS oivisiory
P.O. BOX 7969 BUREAU OF PLUMBING
MADISON,WI 53707
❑CONVENTIONAL ❑ALTERNATIVE StarePlanLD.Numben
Iltass edl
�Holding Tank ❑ In-Ground Pressure ❑Mound �'� � 3/ � �
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLOER: INSPECTION DATE:
IJ N;9`!(ti���p . � , 1�l cTu.L �2
BENCH MARK(Permanenc relerence pointl DESCRIBE IF DIFFEFENT FROM PLAN�. FEF.PT.ELEV.: CST REF.PT.ELEV.
� �d.� 02PEL� �� �lU. t�ieqf�f3� ���
Nam��of Plumher: MP/MPRSW No.. Couniv: Sanitary Permit Number�.
AU�r� � �r • � v q '60
9iF�G�4K/HOLDIfUG TANK:
MANUFACTUHER�. LI�UID CAPACITV. TANK INLEI ELEV.. TANK OUTLET ELEV. W/�RNING LABEL LOCKING CC VER
T�� s (�� PROVIDED PROVIDED
p�O � � 7 7; �j �YES ❑NO YES ❑NO
BEDDING�. VENT DIA.. VENT MATL. HIGH WATEF NUMBER OF � ROAD- PROPERTY WELL�. BUILDING. VEVT TO'rHESH
"LPRN1 FEET FROM � C � �'"E'�� � IAIH WLET:
❑YES ❑NO ❑YES ❑NO NEAREST J I
DOSING CHAMBER:
MANUFl�CTUREH BEODING� LI()U117 CAPACITv PUMV M()DEL PUMP!SIVHnN Ml1NUFl�CTIiREft WARNING LABEL LOCKING CC VER
PROVIDED�. PqOVIDED�.
❑YES ❑NO ❑YES ❑NO ❑YES ❑NO
GALLONSPERCYCLE: cumParvocoNT�o�soPer�ariorvn� NUMBEROF �'F��>�'EHTv we�� aui�oiruc IvervrroFResN
(DIFFERENCE BETWEEN FEET FROM ��"E Ai�t iN�ET
PUMP ON AND OFF) ❑YES ❑NO NEAREST—�
SOILABSORPTIONSYSTEM.Checkthesoilmoistureatthedepthofplowing ��N�r�, nin��,�rEr� ti�aiEaia�arvonnAr�rcirvc
or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
WICJTH� �ENCTH NO.OF pISTR.PIPE SPACIN(� COVEH �� INSIIJE DIA tPITS LI�UID
BED/TRENCH THErvcHEs tiinTEHiA�: P�T �ePrr+:
DIMENSIONS
GHi1VEL D`ePTH FILL[7EPTH UISTH PIVE� DISTP.PIPE OISTR.PIPE MATERIAL. NO.DISiR. NUMBER OF P'��pERTV WELL�. BUILOING�. VENT TO FRESH
HF lr)L7 PIPES ABOVE COVEH ELEV INLF� ELE�/_END PIPES FEET FROM i LINE� AIq INLET:
� NEAREST ��—s�
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 MEASURE�J.
❑YES ❑NO
SOIL COVER TEXTURE PERMANENt MARKEft$�. OBSERVATION WELLS.
❑YES ❑NO ❑YES ❑NO
UFPiV1(7VEH THEN(:VI HED UEPT11()Vf H TfiEN(:H.BEU U[PTH nF Tf)VS(71L Snf)UEf) SEEUFI7 MUICHED
CFNIf�H EDCiES
C�YES ❑NO L�YES ❑NO ❑YES ❑NO
PRESSURIZED DISTRIBUTION SYSTEM:
WI(Jifl I.EN(��III NO.OF Ll�TLHl1L SPl1CINC� (iHAVEL IJLI'711 H[LC)W I'IV'1 f-ILL UF1'TI111(ipVE COVFH
BED/TRENCH raerva+es
DIMENSIONS
MAMFOLD PUMP MAMFOLD DISTR oIPE MANIFOLD MATERIAL. NO.DISTR. DISTF.PIPE DISTHIBUTION PIPE MATERIAL&MF RKING
ELEV.. E�EV. DIA ELEV. PIPES DIA.�.
ELEVATION AND
D15TRIBUTION
INFORMATION F10L[SIZE HOLE SPACING DRILLED COHRECTLY COVEF7 MA7ERIAL vEHiICAI LIFT CORRESPONDS TO��PPROVED
P�l1NS
❑YES ❑NO ❑YES CNO
COMMENTS: PERMANENT MARKERS: OBSEHVATION WELLS: NUMBER OF PROPERTY WELI: 9UILDWG:
FEET FROiVI ��"E
❑YES ❑NO ❑YES ❑NO NEAREST
Sketch System on Retain in county file for audit.
Reverse Side.
SIGN IHE TITLE
D I L H R S B D 6710 (R.01/82) �af���tit/t:CL�j1,�J����?�'ll� v' �''�
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Office of
Sawyer County Zoning Administration
P.O. Box 668
Hayward. Wisconsin 54843
(715)634-8288
22 March 1991
Ronald L . Schreiber
Post Office Box 875 .
Hayward , Wisconsin 54843=0875
Dear Mr . Schreiber :
On March 21 , 1991 , the Sawyer County Zoning Board of Appeals
approved your application for a variance on the following described real
estate to wit :
Lots 1 and 2 , Block l , Lake Ashegon Heights S 23 , T 39N , R
8W. Parcels -l . l . l and 2 . LC Vol 331 Records Pg 425 and Plat
Envelope 59 . Parcel size is 124 ` x 72 ' / 116 ' containing 1 . 04
acres . Property is zoned RR-2 . Application is for the
construction of a 3 ' /8 ' x 35 ' addition onto the back of an
existing dwelling at a wtaerline setback of 54 feet from the
normal highwater mark of Lake Ashegon. Variance is requested
as Section 4 . 49 , Sawyer County Zoning Ordinance , would require
a waterline setback of 75 feet from the normal highwater mark
of the lake as an average setback is not available .
The Board of Appeals approved the variance with the following stipulations :
Construct 3 ' /8 ' x 44 ' addition onto the back side with the removal of the 12 '
x 22 ` front side ; and no deck can be constructed on the water front side of
the dwelling in the future .
Findings of Fact of the Board of Appeals : There is no change in the use in
the zone district ; It is not sel-created , we are getting closer to the
compliance with zoning by approving this variance .
Any person or persons jointly aggrieved by this decision of the Board of
Appeals may commence an action in the Circuit Court for Writ of Certiorari to
review the legality of this decision within 30 days after the date of this
notice .
In future correspondence , or in applying for permits , please refer to
Variance 91-004 .
Yours truly ,
�.,t�. l.�-�t-�.�
Robyn K . Thake
Deputy Zoning Administrator