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020-639-23-5704-LUP-2020-037SUBMIT C0MPLET6D APPLICATION AND PEE TO: Sawyer County Zoning & Conservation Depart. 10610 Main St Suite 49 Hayward, WIS4843 t715) 634-8288 APPLICATION FOR LAND USE PERMIT , =-5(^V!^EAX;QUNTy^WJS^CONSl^ .-n:i MAR 1 8 2020 Date 3/R jlOZO Chtf#. INSTRUCTIONS: No permtts will be Issued untilall fees are paid, V ."SAWYl'R COUNT^ Checks are made payable to: Sawyer County Zoning Department. ^ MUMIIIIoTi^M'riCIO PONOTSTARTCONSTRucr,ONUMrkACLPEE.MjTSHAVE„ Original Application MUSI be submitted Rcpt# 10^4- FIUOUTININK (NO PENCIL) Ownef(s)Name: (^EGOy^V X 5HUE£LT contractor,., Nam. R |LLH Af? I750H TWM LAK£S BU(LP£f?.5 e6.bV7 4,(0th AVfr. MEHOMOMiG wi 54-751 3073c CT7 HW7 F MEW AOBuRM \X/1 54Tr7IfitCpnOnd '*'1 i cellphone; C? 2i>9 ' S4S0 eolPPhone:C7/5)^?2&-7597 Slteaddreas: W 5l CT Y HWV G ^' OrDateappned for; IWCyWN# 0'2.O- loAQ - 7 Tt- 5'~?04 Town of: OCT 1 BWA PermHdeltvery Method cCallOwner X"*"®""'" - Call Contractor u Mail Contractor N 0 1 o (IJ N < i Shoreland —^ - Is Pfoperty/Und within 300 feet of River, Stream imd. imflmimrtj Creek or Landward side of FloodplalnT if yo._.,.«»tlniin Distance Structure Is from Shoreline : feet itysurProperty in Floodplain Zone? Yes No Are Wetlands Present? Yes No Is Property/Land within 1000 feet of lake. Pond or Flowage If yes—continue Distance structure Is from Shoreline: feel XfPN'Shoretand UaTtf* TSma dt( Completion " include donated time & material Dwelling ■AD.M A<inwry 9ldc WdlUon/Ahention Project New Construction Addition/Alteration Conversion ~ Relocate (existing Wdg) ' Change of Use Project A of Stories X l-Story l-Story + Loft Z-Story Project Fourtdatlon Basement Crawlspace < 5' )Csiab Total A of bedrooms Post construction X None What Type of Sewer/Sanftary System(s) Is ort the property ^ Will be on the property? X Septic System Specify Type; & Capacity ror^VCrVffOwAL.>\F.Ln Vj/1^ AaL rAt4\C Privy (Pit) or gallon) Vaulted (mln 200 Portable (w/servlce contract) Other: Type of Water on property XWell None Proposed Use 3 Proposed Structtire Dimensions Square Footage Height: Lowest Grade to Highest Peak ' 1 Principal Structure ( X ) Ft. U Residence ( X ) Ft. with Loft ( X ) Ft. with a Porch m "O ^ C 0) 3 1 X ) Ft. xd CO 0With (Z""} Porch 2 2 C C. ( X ) Ft. With a Deck ^ ^( X ) Ft. ^ hJp with (Z"*") Deck .Q c ^ 0} <D ( X ) Ft. with Attached Garage .C m T « - ( X ) Ft. 0 Mobile Home (manufactured date)( X ) Ft, □Addition/Alteration (explain)( X ) Ft. X Acce$soryStructure(e*pl8tr) GARAG"&< 30 * 50 '1500 Ft. n .. 1 ■) 'i Total Habitable: Total Non-habitable: — 0 — I.^CO X Residential Use □ Agricultural Use U Commercial Use □ Municipal Use □ Other Original Application MUST be submitted Attach a Plan or Sketch yout Property on 8.5* x 11" or 8.5" x 24" paper: •Must* Include location and setback of proposed and existing structure^ roads, drfvewav, sanitary components, w^i, lake, Huer, stream, and wetlands. Description Setback Measurements Description Setback Measurements Setback from the Centeriirte of Platted Road and/or no Feet Setback from the Lake (srdlniiyhigh-wjter mrik)W/A Feet Setback from the Established Rleht-of-Way Feet Setback from the River, Stream, Creek N /A Feet Setback from the Bluff if apgioiM N/a Feet Setback from the North Lot Line )70 Feet Setback from the South Lot 1 ine / Feet Setback from Wetland W/A Feet Setback from the West Lot Line Feet Slope within area of construction/disturbance V> . X Slope Setback from the East Lot Line (Feet Elevation of Floodplain Feet Setback to Septic Tank or Holding Tank 60 Feet Setback to Well ran Feet Setback to Drain Field l/)0 Feet Setback to Privy (Portable, Composting)— Feet Prii^t tu Tlir [jl.icirrriFrit ui cunttiuction cf a str,,(nuJr Wbitnii fiwe IS} feet of Ifir tinitirtiijiii rt'guited selu^cli, tlo> Uoundory ling from swhico the sulOock mott tin nie.itured mull be visible from one RicviOully ii'iveyrucciriic' to the other previously luivcyeil miner or merkcil by e licensed suiveyoi et the owiici't rsiirrise. Prior to Ihe placemcnf or construction of a structure more than five(S) feet but less than ten (10| feel from the minimum required selbadr, the Oounclaiy line from winch the setback mutt be measured must be visible from one previously surveyed comer to the oltier previously surveyed corner, or verifiable by the Department by use of a corrected compass from a known comer within SOU feel of the proposed site of the structure, or must be marked by a licensed surveyor at the owner's exwnse. •Foi Sliorelantl property, complete the impervious surface woikshaet below" Calculate Impervious surfaces. (Roofed, concrete, paved, and other surfaces that water cannot penetrate. The Zoning Office can help you determine if a surface Is considered Impervious) Calculate lot area: Indicate lot size from CSM or NOVUS (circle one):._Acres; Multiply by 43,560 = Lot area;_.Square Footage Calculate impervious surface area: Determine the total size, In square feet, of your projects listed above [Include eaves):. Determine the total size, in square feet, of all existing roofed structures (Include eaves};. Determine the total size. In square feet, of all existing paved/brlcked/blocked surfaces:_ Add these measurements to determine total impervious surfaces:_ Calculate Impersdous lot percentage .sq ft. _sqft. _sqft. sq ft. Total impervious surface:..f-Lot area:_Sq ft. X 100 = Impervious surface > (Miticit(or) l5 required if total exceeds 159() '•Notice a separate grading permit needs to be obtained If disturbed area is*** Grading on a slope greater than 20K • Grading of more than 1.000 Sq. Ft, on 12%.20% slopes • Grading of more than 2,000 Sq. Ft. on Slopes less than 12%• Grading is in excess of 10,000 Sq. Ft. FAILURE TO OBTAIN A PERM IT qr STARTING CONSTRUCTION WITHOUT A PERMIT WILL RESULT IN PENALTIFS I (we) declare Ihal this apslication (including any accompanying information) has been examined by me (us) and to the best of my (our) knowledge and belief it is true, correct and complete. I (we) acknowledge that I (we) am (are) responsible for the detail and accuracy of all information I (we) am (are) providing and that it will be relied upon by Sawyer County in determining whether to issue a permit. I Iwe) further accept liability which may be a result of Sawyer County relying on this information I (we) am (are) providing In or with this application, i (we) consent to county officials charged with adminlstciing county ordinances to have access to the above described property at any reasonable time for the purpose of Inspection. Owner Signature Owner Printed name.GB£6of?V TTSHUFfclTTatn s/l&/Zo2-o ^J.^r•y0 fkSA I Li'Arsil n(Signature and vririted Name required) All Uiitl Use Permits Expire One (1) Vcor from the Date of Issuance. Fur the Constiuction 01 New One ^ f wo F.tmily Dwelling* A^ Vumcipjl lies Are Hetiuired To Enforce The Uniform Dwelling Code The Inc.'il 1 own. State or Feder.vl agencies may aiso require perrnrts You are responsible for complymg with the requirements of the Sawyer CouniingZoningOtdinances and law and regulations of the State of Wisconsin. You are also responsible for complying with State and Federallaws concerning coitsirunlon near or on wetlands, lalies, and streams. Failure to comply may result in removal or modification of constrtmlon that violates the law or other penalties or costs For more Information, visit the department of natural resources wetlands identification web page or contaaa department of natural resources seniice center {60S) 267-3125 Issuance Information (County Use Only)Sanitary Humbert # of bedrooms: Permit Denied (Date):Reason lor Deniid: ; 1? ' Permit N;Issuing ag^ Date; Is Parcel a Sub-Standard lot Is Parcel In Common Ownership Is Structure Non-Conforming riYeS (iWrfllfRrinrrtl "V No 1 1 Yes (Fuied/Contlguous Isi(s)) ^ No n V« yNo l4ltlgation Required Mitigation Anached U Yes y No U Yes U No Granted by Variance (B.OA) OYes'WNo Case if: Granted by Conditlona) Use□ Yes y'Ho Case «; Was Parcel Legally Created Was Proposed Building Site Delineated Hves No Yes ^No Were Property lines Represented by Owner Was Property Surveyed ■jfves r Yes GNo ;6nd office Comments:;Zoning District; Hold For Sanitary: •luizoao Hold ForTBA:Hold For Affidavit:Hold For Fees: L j 3/19/2020 Real Property Listing Page Real Estate sawyer county Property Listing Today's Date: 3/19/2020 ' Description Updated; 10/28/2011 Tax ID:21427 PIN:57-020-2-39-06-23-5 05-007-000040 Legacy PIN:020639235704 Map ID::7.4 Municipality:(020) TOWN OF OJIBWA SIR:S23 T39N R06W Description:PRT GOVT LOT 7 Recorded Acres:4.890 Calculated Acres:5.141 Lottery Claims:0 First Dollar;Yes Zoning:(RR2) Residential/Recreational Two ESN:427 Tax Districts Updated: 2/6/2007 1 State of Wisconsin 57 Sawyer County 020 Town of Ojibwa 576615 Winter School District 001700 Technical College * Recorded Documents Updated: 10/17/2018 WARRANTY DEED Date Recorded: 10/16/2018 414907 WARRANTY DEED Date Recorded: 1/23/2017 4OS0SS WARRANTY DEED Date Recorded: 11/25/1975 153609 766/775 ai Ownership Property Status: Current Created On: 2/6/2007 7:55:36 AM Updated: 10/17/2018 GREGORY J SHUFELT MENOMONIE WI Bliiino Aririrpgg! GREGORY! SHUFELT E6597 610TH AVE MENOMONIE WI 54751 Matilno Address: GREGORY 3 SHUFELT E6597 610TH AVE MENOMONIE WI S47S1 Site Address ' Indicates Private Road 5785N COUNTT HWY G WINTER 54896 Property /Vssessment Updated: 8/20/2013 2020 /Assessment Detail Code Acres Land Imp. GI-RESIDENTIAL 4,890 10,700 94,000 2-Year Comparison 2019 2020 Change Land:10,700 10,700 0.0% Improved:94,000 94,000 0.0% Total:104,700 104,700 0.0% ' Property History N/A las.sawyercountygov.org/system/frame8.asp?uname=Valerle+Healh 1/1 ' ^ f Iff I, -gf ■• -(Tvr^^i. sifep.^-^^^gagjgy.-^T?''^02'06392357.12S'i.NJ0'C-n<'2}5707iaTOlNa-rt:020639235708CC06392357045).rt'r>7o7. ©.ti/Ki^^.i'.C020639235709'^^if V'*:-v":3 '^^-T •vv:c>tii'J235IU5'S:'- -Jfei•■0 --, .'- scg. -iv.' Dls&j«iK.i.auu4<«. cdffaM,•-» "V-^?''-.. 020639235 7 0g^ste Surface Water Data Viewer Map.'■fLegendZONSt-9^0.10.060.1 MilesNAD_19e3 HARM Wisconsin TM1: 3,960Disclaimer Thi» inf0fma:<cri &r>3>sri00 cn^semaps nas wse^i fftxn vanous&PUPUS. ar\p j(e of and rcsoiuiio.') T^.ese rr.aps d^e oo( intendi^ luus«j 'y navQaiiOO. nof arc These rn-ips an nmnpniaiive scwce of informaton about legal (and<h».T>e*shg Of public liocess Nowan'arjy expressed or im?(«ed is made regarding accutacyappi'ca&iity for a particuia' use compiojoooss, or legal ly cf the irformanon oepicicd onmap Fo» mare infotmnnon soc the ONR Legal Nobces a«3 page: http /'Onrvw gowrogai'DamsDamswlh FERC Ucenseg DamsRoodplain Analysis Lines_ OtnarMM Flpod Insurance StudyLeRer of Uap RevisionCase By Case Anafysis« BndgaFloodplain Analysis Points^ Other^ Rood Insurance Study0 Lenar of Uap Revision# Case By Case Anatysis^ Bndge' Floodplain Storage3 FERC Project AreaBoundaries— Cross SectionsFloodplainsRood FnngeROOdwayQ Statewide Non-dlgitzedFIRM IndexMunicipality: State Boundaries[j County BoundariesMajor Roadswm Interstate Hignway« State ^es^twayB US t-fcjhwayCounty and Local RoadsCaintyHWY: LocaRsadRailroadsNotes