HomeMy WebLinkAbout002-124-00-0502-LUP-1988-216 y1i. �.-. ,:i,..._ �t� ,�J:: ;�c:".t, i?:✓F ��f=:1_Tf11.7_.
. COLliI'f.� O'F Sd43ZT�'�' y
O
E _
The undersigned he�reby makes application for a F1an.d Us� P�rmit and agrees '�
that a�i wark shall be c3ane in ac�crdanc� with the requirements of the Sawyer FC.,, '
Coun�y Zoning Ordinance axzd t�.e i�GFs aixd regu:E.ata.pns �f fihe State of �Jisconsin.
FRI�`I' - USE ONZY BI,ACK �NK/P:ENCIL �
r
�I, A N N r�-ivn L�
��...i� � . �Yt1LLrrZ _ � �, G2 �iNc—; rL.. r
�,
Owner Builder �: �
�
_l�����___._��-nt ��T 3 �o,c 3,3 t �.
.�________�-________
mai.Z�ny a:id:�esa mawlincr address (
i
W C��'Q�'L_. �(�(}_N �'v--�1"2� _ f�•T�,�1-r�'t.� �(,c� i � `�' � `�', (
city; sta�ce, Zk�T _ .` C3_iC1i, s#:ate, z.iP
Building Land UsE Zone Di��rict ��.- 2
( ) New ( ) Filling �' �
(>Q Add.ttion ( ) Dredging Lo�. si,ae __L��62 � �? � .3.��.1,y.�'
( ) �lteratzoz� ( } Grading � �
( � Maving on ( 1 �cres �__ � 2 �- �
� � � � � ___- �J
New Canstructian ��2 f}(��' �U.�p?�t'� °�G': � �
Size ,.3,5 ft wide 2 Z ft wide
� ft long 2 � ft long
�
Floor ar�a ��Z G� sq ft �T� 7 L sq ft
� a3 ,�--
► +-'
TotaZ hgt 1_�_____ to geak __��T_ to peak � ��' r�
�
�,
Stories � �O�'
i LRc Cou,:^, p'2i�.����
N�. of bedroams i waterline
(Year round) s- �---_�"_, ) -
�
� t °8 � �
TyPe of pldc} or addition � � i � �
( � I7wel�ing /� �. /�' � � `�
(� Garaqe �3-�. (2} car 1 E
t �'� ����
( } Storage building ' ` � i � �
� � 3.r' , � ��r�� � �.
( ) BoathQuse �� i r•
{.�-Lzvingroom � i ADp��i�a �� , � �
i
E �edroom R�PI.s��►� o ,- �.�-. �
( ) Kitchen-dining av i -�2 _� _ ,_"`3f�'C,64-t-��tiG � F O
( } Porch enclose�/roofed ,M � , „� / i �
(� Deck - open I 2�X 3 Z ` � � �e - �� t �
t�—+C��T-��m 6 Q. , � ,.
' � �Cy,•� � j '�
� ) � � �/,� W� � , i
t i �
Type of canstruction �` a1 � 3 i -, �
� Frame ( ) �lcck i �, � ,�
( ) �g ( ) Concrete `�%t,y � i ' � ' .; i i �
( , ) Fole t Stee�. ¢',y�� ' � �h ; � ; �
( ) Metal ( � �_ � i �,y • � � f j� �
E � z 2 �3 s,----�/ � c�a
Constr�zc�.ion cost $ S C�bc� � � N�,,,� ,�� i
i �! ���1� y6 � ��
Val �j� � F9 r � �R o� c�eed � �, ,f���. �[J
� �— � �,b y F , �
CSM Vo�. �� P9���1 c�� � _ �
� � N n
� �� � �
cer. Soil Test 86 - ' E � @
_ ,
. _ ��
. � '�
----_-----C7, r ad ------------------ C �
Sanita�y Permzt ��j - � �7 � G
'�-- � ,� � C z
7'��9i�'C` r�� j SC�I� - 1 = So U� �
_ ��',�,�,�,,,�„ �_._�, __ �
,�
Zssue� _�_S��m.—��' 1 GI�. neniea—__�_��. _._., N i
�Y ��
� � - o (�. U�l
. �
��r �� r ) � � 7N
��,�; . �'�,�,��y, � �•�.; ���F'_. l � Zo�ng Administ ato
�_,'
' .wv�aae��
�'S= �
" °�^_�^ qppLICATION FOR SANITARY PERMIT
� �� DILHR �
SAWYER rou v �
(PLB 67) "'
' eea+s,,,nen.os UMFORMSANITARVPER'^IT ��1
�i� IfIOViTRV,IRI�URAML1R1i�IlRE�RTIUI�5, ��� ��-��� ��OL� �
L
Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'i,x 11 inches in size.
See reverse side for instructions for complctiny this aUPlicution. PLEASE PRINT
'NOPEHTV OWNER ' � MAILING ADORESS
fi'n.vn�o G d /ipivis' !� /�1iil cft /f��Z ��c�z�arz-T/ l3�y �t�<o� �ii�Y /t'lN•
AOPERTV LOCATION .ClTY� SS��S
' f��._.� ,L�,�c
'/4 1/4, S :3_S, T4 ,C1V, R 9 C�lor rowN oF:
-OT NUMBER BLOCK NUMBER SUBDNISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN LD. NUMBER
".C. 3d4 — - C'n. << lt ��> � ���Uy
�YPE OF BUILDING OR USE SERVED
�-7 or 2 Fainily Number of Bedrooms: T1N0 �J PuLlic (Specify�: �l�
"HIS PERMIT IS FOR A:
�� New System '�� I Tank Replacement C� Repai�
i.��J--Replacement Soil Absorption SVstem L: Revislon U Privy
J Altemate System � Reconnection '�.J Petition for Modification
F THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK.
❑ Seepaye Bed L.1 Seepage Trench LJ Seepaye Pit �Holdiny Tank
J System-ImFill ❑ ImGruund Pressure Li Vault Privy U Pit Privy
❑ Existing, For Which A Previous Pennit Is On File, Permit # issurci
;� An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditiuns.
Totel #of Prefab. Site Steel Fiberglass Plastic
Gallons Tanks Concrere ConsVucred
�eptic Tank Capacity
_Ift Pump Tank/S�phon Chamber
foldiny Tank capanry e2Gn(� vl �C-
I;,nutacturer. f . La S �-/L/_SS ��.-� � C�IVs�, ti'�✓
F THIS IS AN ALTERNATIVE SYSTEf�I C01/IPLETE TH�S BLOCK: ❑ Mound � In-Ground Pressure
Total #o� Prefab. Site Sieel Fiher9lass Plasbc
Gallons Tanks Concrere ConsVucted
eptie Tank Capaciry
If; Pump/Siphon Chamber
Sanufacturer:
PEFCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY:
(Minules per inchl: REQUIRED ISquare Feetl: PROPOSED (Square Feet):
N� - �- Private LJ Joint L� Public
. the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
:ume of Plumber (PrinN: Signature: MP/MPRSW No.' Phone Number�
�N�,o '�sn+eitfe�t/ �~��-�-��` ,.�-.—,,...._._.�.�_._ .393 .4 17�517��-33�3
lumb��r's Address: � Name of Designer
l? C' • rt�X G•G, ��-f;L � i /�c�/ s�.y� _�eNn//S �>�;m!/Ssr'1/
COUNTY/DEPARTMENT USE ONLY
,��gnat of Issuing Agenc Pee: Date'. LI Disapproved
L� Owner Given�nitial
�9 S . �� 5 ' 16- �(l '�APP�O°a� Adverse Determination
'cason for Disap val:
.I�ernate murse(sl of Aa��on Avniluble;
'��.HPSBD-6398 IA. 5821 UISTRIBUTION: Original to Couniy, One Copy To; Bureau of Plumbing,Owner, Plumber
. f�o�v��.c� G. /`7iGLF'�i �I
. /��2 EIi�RG����/ �Y � � �
Gr/000 e c%tz y, /�1�v ss�2s � �,
,��y` ���;�:;.", j,
��.°O PQ�z1 "���
e��`�� ;- �,
— �t,o r �� �s�v — N e��'.n
���� i �- 40 ' ,, F
� ._ ;.,�._ �:
�.�� ' ° �
,: ,
��
_ . . .��_ .. . i
• , . . - / ;,
. _ ��
� r:�, . . ;H,;r,;v8 ,/
� �;, � �.. �r , ;_ . � ;�� I
' - . :- - � L6.��
�._: '..� .. l
� <<:� _.� .�-_----�----, ,C,a P.��erp,eitt��5�:
�� ` �'
� �,
��
_ \� ,;
�.�GKiti/G G�B � i��.
�2eQ ��
�
• WFLL J '
' �b/ � I
I
��,<�i,r �3�8 hJ(�� �
��"'��," (
l ;
�r ,c"`f�r.•i „ i
. , Y F', � S- �, �i
Y.ilr'A V-�.lu �iJL11 ��E.�� '�
Pig. - Hta • C��cre�s �e-t:c t�:�±�; Q
Cahle, �'lis. . �'&21
����ers # 211i68 • Ph. 715-733•33��
�13;t,�t PI!;m�er # 3?33
� ./�;,-.Lw1 ��----<- ---
Sawycr County Zoning /ldministration !
Inspection Report � 1
. �
H
Owner V. Ann and Ronald L. Miller
Address � 1762 Evergreen Bay Woodbury Minnesota 'S5125 H
r
Name of business �
�
Builder �
0
Address a
r
Plumber d
r
Address
Inspection
(✓� Private ( ) Public ( ) Property ( �'SetUack-lake
Violation � ) Dwelling ( ) Setback-road E
( ) Mobile Iim ( ) Setback-lot line �
( ) Sanitary ( ) Zoning ( ) Garage ( �Addition to
( ) Privy ( ) dwellinQ o °,
r
RR-2 . WD Vol 334 PQ 109 . 1 . 37 ac . _ _ �
w
n �
��� l'��� rt �
v+ r
w
x
.�-- :_�-�--- �•-� -�. — _-._'_` '—.� -� fD
_` ���� __ I �-� _
�� �
N
r r
� �� � ,
,
, �
715 �-�- �y n° £n�c.k , � � I �
�- �3-' e '
�i o� ` is• ' f.x , s —�2 tn r
I 3 oF� -t � ,v� _ _ � , C o
�� � J�0 1 Q•_._ 77J� C� �
� L . �
1 I
1
� I ' ( O F
�� �c�� I � � "
� �� ' � I ,
Ne�b�-� � � � �o��ly� w �
� ii � �
N II
�_,� � �
�� 3i .�r �. �.
�`� I`�� �) v�
II I
Average setback is I �
75 feet. ( � I
l � ��
IUS� Nw
��lir1� �.n� t�. . ' y I
riscussed-r�ith oi��ner ( } r� �
Discussed t��ith builder �
Discussel with pluniber ( ) , ~�
Piscussed with "J p
�
� I�
n;ite _�13 — 8 � ' �,
Signaturc of Officer �a.cu1��A ,
David Heath, �ZA '
4 1 F�(r - �0.�
�.n � i ;�4. _. 0•:'1
� ) � 9. 1
/
9.3 �
�� 8 2 ,.
� ,. 9. �
., f
�u ( ' 7 � f
s � � /
Q f
( 6 7, 2 /
�� �J �
� f�Q �� 5 � /
> >
r 4. I
1 4.2 � 5.2
� 3.1 '� � /
� �
�� 3,2
OURT OREILLES
f ' ? 3. 3 C
/
� 2 . 1
_l-.f-�--r�-_i� LAKE
��f r �- �J i . t �
f�� LOT - - - I T - - - 2 /
8 7 6 5.2 5. 1 4 3 1.2 I1
\
SCALE : I INCH ' FEET FOR ASSESSMENT USE ONLY NO"
DRAWN BY : DAT� : INTENDED TO SHOW^CONCLUSIV :