HomeMy WebLinkAbout002-940-05-1120-LUP-2020-109SUBMIT COM»>intO APniCATION AND
FEE TO:
Sawyer County
Zoning & Conservation Depart
10610 Main St Suite 49
Hayward, Wl S4S43
(71S] 634-B2S8
APPLICATION FOR LAND USE PERMIT
SAWYER COUNTY, WISCONSIN
INSTRUCTIONS; No permits will be Issued untilill fees are paid, y
Checks are made payable to; Sawyer County Zoning Oepartment SAWVEfl C.
DO NOT START CONSTRUCTION UNiiLAU£ERMii$j<we^ENj$iUM^'ppi^A?'^''^CWgli^l ftfiuST be Submitted
\
FluotniNiNK (NO PENCIL)
Owncf($) NaiTte;ContractorlslName ^ Ijy \ C V
MmimgAddress: l^X
P'rOe Z/V*
Ma.imgAddress: J^/ g hf 1^H ^ 3
HAy/UJArfP /U-^rT.Telephone: -y JS - ^3 V- ^
Cell Phone;
T.,„hon.: y,s-sss -5-7^^/
Cell Phone:
Site address:
L/U.
Or Date applied for 2. ^
Leaaev PIN n Town of:
PBrmltdelhreryMethod uCaliOwner -^jlMail Owner r Call Contractor u Mall Contractor
I'i Shoreland —^
' Is Property/land within 300 feet of River, Stream [iixi.
lnt«rmi(t«nt) ^
Creek or landward side of Fioodplain? if yes—continue
Distance Structure Is from Shoreiine :
feet
Is your Property
in Fioodplain
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:
feet
< ' Non-Shoreiand
Value at Time of
Completion
* include
donated time &
material
Project Project
0 of Stories
Project
Foundation
Total 0 of
bedrooms
Post
construction
What Type of
Sewer/Sanitary System(s)
Is on the property or
Will be on the property?
Type of
Water on
property
Dw«Btec
3
"5^ New Construction y- 1-Story Basement 1 Well
Aiiiiition/AIteratlon
l-Story +
loft
.? Crawlspace
< 5'
" 2
Septic System
SpeclfyType: S Capacity None
. Conversion 2-Storv Slab 3
Privy (Pit) or ' Vaulted (min 200
Raiion)Accnsory Sli^i
$~ Relocate {oisimg
bidg)1 ' Portable (w/servlce contract}
Adtfltlon/AKefftlon j Change of Use
1" None :? Other:
Proposed Use 3 Proposed Structure Dimensions
Square
Footage
Height:
lowest
Grade to
Highest
Peak
Residential Use
□ Agricultural
Use
U Commercial
Use
□ Municipal Use
D Other
□Principal Structure 1 X )
Ft.
□Residence
111 ^
( X )
Ft.
_ IX)
with Loft O 3 ( X )
Ft.
with a Porch c ^
" Tn
( X )
Ft.—i <1>with (2"®) Porch —' .Q C
02 — O
( X )
Ft.
with a Deck iS ^ ®
~ ~
( X ]
Ft.O-i fO yWith (2'"') Deck .^-§(13
r-
( X ]
Ft.
with Attached Garage ( X )
Ft.
□Mobile Home (manufactured date)( X )
Ft.
□Addition/Alteration (e«piain)( X )
» *Ft.
Accessory Structure (explain)WS'
1
Total Habitable:
Total Non-habltabie:
Original Application MUST be submitted
Attach a Plan or Sketch your Property on 8.S* x It" or 8.5" x 14' paper: *Must* Ittdude location and setback of proposed and existing structures, roads,
driveway, sanitary components, well, take, ri ver, stream, and wetl3nd&
Description SetbKk
Mesfurements
, < • t Description Setback
Measurements
Setback from the Centeriine of Platted Road and/or Feet Setback from the Lake (ordinary hi|h-wiler mark)Feet
Setback from the Established Right-of-way Feet Setback from the River, Stream, Creek Feet
Setback from the Bluff ifaDoHcabN Feet
Setback from the North lot Line 7a O Feet
Setback from the South Lot 1 ine "JaP Feet Setback fiom Wetland Feet
Setback from the West Lot Line Feet Slope within area of construction/disturbance K Slope
Setback from the East Lot Line I'k? Feet Elevatior) of Floodplain Feet
Setback to Septic Tank or Holding Tank } ^ 0 Feet Setback to Well 7T Feet
Setback to Drain Field UO fwt
Setback to Privy (Portable. Composting)Feet
F'flO" It, the r.l.icrmcni or toiiiituciiori of .1 iirurigfr witfuii live (S) ft'rl nMhe inifiiiiiuiii ir-tiijif i.'d sc'i.oci.. Thf r.OLrfli-, l.no frodj whj<h toe setback musi De rrtrssured must bevisibre from one
C'i.ici.iiv-,jrv-,pi) :; r c ii.coinn u.ciouil/iuivceil turner or milked oy alitcmml surveyor iune owner's eioense.
Prior to Ihe piicement or conjlruction of istrucigre more tnan five (S)fi'rt tuJl less thjntcr [lO] friet from the m nimum rcauired setOadc, the BOundarv l.ne from whicti the setbrscfc mutl br
meiiureamust be uiSiblet'om one previously surveyed corner to ttiy other previously surveyed cornet, or verifiable by the Department by use Of 3 Correaed compass from a known corner
wiiriin iOO leci cr ine yrojosrd site of The siructurn, or riiusi he marked by a licensed surveyor at the owner's evpense.
'For Shcrelsnd property, comoiete the Impervious surface worksheet 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);.
Calculate impervious surface area:
Determine the lota! sise, in square feet, of your projects listed above (Include eaves):
.Acres; Multiply by 43,560 = Lot area: ^ Square Footage
_sq ft.
' ..«■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 measurefnents to tietetrnine total impervious surfaces:.
Calculate impervious lot percentage
Total impervious surface: ^ ^^ v. lqj area:. X 100 = impervious surface
IMiti^ation is required if leUl eiiceeds IS%)
.sqft.
_sq ft.
***Notice a separate grading permit needs to be obtained If disturbed area Is**
• Grading on a slope greater than 20%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 PERMIT £1 STARTING CONSTRUCTION WITHOUT A PERfvllT WILL RESULT IN PENALTIESI (we) declare that this application (including any accompanying Informallon) has been examined by me (us) and to the best of my (our) knowledge and belief it ts true, correct and
complete. I |we) acknowledge thai I (we) am (are) responsible lor 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 (we) further accept liability which may be a result o( Sawyer County relying on tnts information I (we) am (arc) providing In or
with this application. I (we) consent to county officials charged wlh administering county ordinances to have access to the above deschbed property at any reasonable time lor the
purpose of Inspection.
Owner
Signature
Owner
.Printed name.r^AUr 7?A/rf^/i n.v. 2c7
(Signature a.nd Printed Name lequiredl
NOTICE All Land Use Permits E«pife One (I) Ye.ir front the Dale of Issuance
Pgi trie Lonstruction Of New One tk Two Eariiiiy toweling Municipoiites Are Heqjireo To Enforce Tne Uniform Oweling Cede
Tin- loc.innwn, stall' or kntlrral ai;e'icies fiijy .use 'cqu.rc permits
You are responsible for complying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the State of Wisconsin. You are also responsible for
complying with State and Federal laws concerning construction near or on wetlands, lakes, and streams. Failure to comply may result in removal or modification of construction
that violates the law or other penalties or costs. For more information, visit the department of natural resources wetlands identificstlon web page or contact a department of
natural resources service center (608) 267-3125
Issuance Information (County Use Only)Sanitary Number:A of bedrooms:
Permit Denied (Date):Reason for Denial:
Permit A:Issuing ag^ ^ Date:
Is Parcel a Sub-Standard lot
Is Parcel In Common Ownership
Is Structure Non-ConformIng
n Vet mi.fTliilRr>rnrrll SrtiO
^CVes (Fused/Contiguous Lot{i|) 11 No
n Yes Vno
Mitigation Required
Mitigation Attached
UVes \/No
□ Yes UNO
Granted by Variance (8.0.A.)
UVes Vno Case A:
Granted by Conditional Use
□ Yes V No Case A:
Was Parcel Legally Created
Was Proposed Building Site Delineated
Wet Nr>
Vet V><0
Were Property Lines Represented by Owner
Was Property Surveyed
VYet DNo
fvret HNo
Office Comments::Zoning District:
HolflFnrSsnilarv; IJ Hrtlrl FnrTBA: ,Hnlrl Frrr Affirlavilt f Hold For Feet: □-
•JonZOZO
-h
wees
- -l<
5/13/2020 Real Property Listing Page
Real Estate sawyer county property Listing
Today's Date: 5/13/2020
Description Updated: 1/23/201S ® ownership
Tax ID:
PIN:
Legacy PIN:
Map ID:
2812
57-002-2-40-09-05-1 01-000-000200
002940051120
.1.20
Municipality:(002) TOWN OF BASS LAKE
SIR:SOS T40N R09W
Description:PRT FRAC El/2 NEl/4 LOT 4 GSM 6/69
#1150
Recorded Acres:1.600
Calculated Acres:1.385
Lottery Claims:1
First Dollar:Yes
Zoning:(R-1) Residential One
ESN:406
^ Tax Districts Updated: 2/6/2007
1 State of Wisconsin
57 Sawyer County
002 Town of Bass Lake
572478 Havward Community School District
001700 Technical Colleoe
* Recorded Documents Updated: 1/30/2018
WARRANTY DEED
Date Rernrripd: 11/7S/1997 264592 619/196
CORRECTION INSTRUMENT
Date Recorded: 1/26/2018 4104832
CONVEYANCE RECORDED NOT USED
Date Recorded: 9/8/2017 408536
DALE H & CHERYL A BAKER
Property Status: Current
Created On: 2/6/2007 7:55:06 AM
Upd^: 9^9/2011
HAYWARD m
Billinq Address:
DALE H & CHERYL A BAKER
16144W PINE LN
HAYWARD Wr 5^1843
Mailina Address:
DALE H & CHERYL A BAKER
16144W PINE LN
HAYWARD WI 54843
F Site Address • Indicates Private Road
16144W PINE LN *HAYWARD 54843
^ Property Assessment Updated: 9/13/2012
2020 Assessment Detail
Code Acres Land Imp.
Gl-RESIDENTIAL 1.600 15,200 113,900
2-Year Comparison 2019 2020 Change
Land:15,200 15,200 0.0%
Improved:113,900 113,900 0.0%
Total:129,100 129,100 0.0%
m Property History
N/A
ta8.8awyeroountygov.org/9ystem/ffames.asp?unanie=Valefie+Heath 1/1
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