The URL can be used to link to this page

Home My WebLink About024-741-31-1206-LUP-2020-074 SUBMIT COMPLETED APPLICATION AND FeETo: APPLICATION FOR LAND USE PERMIT . , Sawyer County IN Zoning&Conservation Depart. � �_:,,.,; �; 1, ! ��, �-. - , 10610 Main St Suite 49 i----' '�'��Rp�'°`�'- ` Hayward,WI 54843 � � (715)634-8288 A�� 2 3 �� _.-- ; O �:'�.,'p-`� C....,. . �. INSTRUCTIONS: No permits will be issued until all fees are paid. '"5�'�`' '� t'�"�"�`�w ' Checks are made payable to:Sawyer County Zoning Department. DO NOT START CONSTRUCTION UNTIL ALL PERMITS HAVE EIEEN ISSUED TO APPLICANT. OYlglllal AppliCatiOn MUST bf SUbn'1itt2d FILL OUT IN INK (NO PENCIL) � Owner�s)Name: Contrector�s)Name y ��C�`'�.�/��'`/� �CI�YI�1/I�/1JC i �"�I� C�� -�Z� .� �. Mailing Address: Mailing Address: � �on'?5�� S�9/li-�� P��h� �� w . �. c,.�o� s-�- � � Telephone: ��5'� (�(f�_ c��,�� /� . / t Telephone: / �`� ? "�l s� �� c�� 3 Cell Phone: ��—SS3 �� Y7�j Cell Phone: %o c�`7 S�1i s��v1�� /S P�9�1� Site address: . Or Date applied for: Legacy PIN t! �p�.�� /� ,— � ` l�C��p Town of: ��+.ri� �� Permit delivery Method _Call Owner �(Mail Owner -Call Contractor Mail Contractor Is Property/Land within 300 feet of River,Stream (�nci. Distance Structure is from Shoreline: Is your Property Intermittent) ' � feet in Floodplain Are Wetlands Shoreland Creek or Landward side of Floodplain. If yes---continue Zone? Present? Is Property/Land within 3000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: Yes Yes if yes---continue --� feet No No �Non-Shoreland Value at Time of Total#of What Type of Completion Project Projed bedrooms Sewer/Sanitary System(s) Type of *include Project Water on donated time& #of Stories Foundation Post Is on the property or material construction Will be on the property? property New Construction 1-Story Basement 1 ' 'We►i S Dwelling 1-Story+ Crawlspace /� Septic System Addition/Alteration Loft < 5� 2 Specify Type:&Capacity None $ � ) _ �✓.�.ic"��•�.•.-�.i� � �I� "`%�� Privy(Pit) or Vaulted(min 200 accesso Bidg Conversion 2-Story ��Slab 3 gallon) $ Relocate(existing bldg� Portable(w/service contract) Addition/Alteration Change of Use None Other: Height: Square Lowest Proposed Use ✓ Proposed Strudure Dimensions Footage Grede to Highest Peak LJ Principal5tructure ( X � Ft. ❑ Residence ( x � Ft. with Loft ( X � Ft. �Residential Use with a Porch ( x � Ft. X with(2"d)PorCh , Ft. ❑ Agricultural Use with a Deck ( x � Ft. ❑ Commercial with(z^d)�eck ( X � ft. USe ( X � with Attached Garage Ft. � Municipal Use ( x � ❑ Mobile Home(manufactured date) ' Ft. Other ( X � - ❑ Addition/Alteration(explain) Ft. � Accessory Structure(explain) ( `(U x �� N�.% i� Ft. i': ,.:,-:'�:�%SSGi�y SiCIICtUC2S Total Habitable: Total Non-habitable: � �'�c..� '� _ _ _,.r.�-- �.., Original Application MUST be submitted Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:*Must*Include location and setback of proposed and existing structures,�oads, driveway,sanitary components,well,lake,river,stream,and wetlands. Setback Setback Description Description Measurements Measurements Setback from the Centerline of Platted Road and/or Feet Setback from the Lake(ordinary high-water mark) Feet Setback from the Established Right-of-Way Feet Setback from the River,Stream,Creek Feet Setback from the Bluff if applicable Feet Setback from the North Lot Line �i Feet Setback from the South Lot Line '� Feet Setback from Wetland Feet Setback from the West Lot Line t G G Feet Slope within area of construction/disturbance 9'o Slope Setback from the East Lot Line Q Feet Elevation of Floodplain Feet Setback to Septic Tank or Holding Tank Feet Setback to Well Feet Setback to Drain Field Feet Setback to Privy(Portable,Composting) D Feet Prior to the placement or construction of a structure within five(5)feet ofthe minimum required setback,the boundary line trom which the setback must be meawred must be visible from one previously surveyed comer to the other previously surveyed corner or marked by a licensed surveyor at the owner's expense. Prior to the placement or construttion of a structure more than five(5)feet but less than ten(10)feet from the minimum required setback,the boundary line from which the setback must be measured must be visible from one previously surveyed corner to the other previously surveyed comer,or verifiable by the Department by use of a corrected compass from a known corner within 500 feet of the proposed site of the structure,or must be marked by a licensed surveyor at the owner's expense. � • - � • •�• • • • �- � � �- � Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrete.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): sq ft. Determine the total size,in square feet,of all existing roofed structures(inciude eaves): sq ft. Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: sq ft. Add these measurements to determine total impervious surfaces: sq ft. Calculate impervious lot percentage Total impervious surface: =Lot area: Sq ft.X 100=impervious surface % � (Mitlgation is required if total ezceeds 15%) ***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 or STARTING CONSTRUCTION WITHOUT A PERMIT WILL RESULT IN PENALTIES I(we)declare that this application(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(we)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 administering county ordinances to have access to the above described property at any reasonable time for the purpose ofinspection. Owner � Owner ,� � r �r��7^r��Q Signature Printed name 9d�� v, � ��/��Date �� (Signature and Printed Name required) NOTICE: All Land Use Permits Expire One(1)Year from the Date of Issuance. For the Construction Of New One&Two Family Dwelling: ALL Munlcipalities Are Required To Enforce The Uniforrn Dwelling Code. The local Town,State or Federal agencies may also require 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 identification web page or contact a department of naturalresourcesservice center(608)267-3125 Issuance Information(County Use Only) Sanitary Number: #i of bedrooms: Permit Denied(Date): Reason for Denial: Permit#: Issuing age t: Date: ac�-- C�-7`f - �� ' a7 ,�oac-�. Is Parcel a Sub-Standard Lot _ Yes (�eed of Record) — �° Mitigation Required Yes �No Is Parcel in Common Ownership �lYes (Fused/Contiguous Lot(sp No � � Mitigation Attached Yes �No Is Structure Non-Conforming Yes �CNo Granted by Variance(B.O.A.) Granted by Conditional Use Yes �No Case q: Yes No Case ft: Was Parcel Legally Created �Yes No Were Property Lines Represented by Owner �Yes No Was Proposed Building Site Delineated Yes No Was Property Surveyed �Yes No Office Comments:: Zoning District: 1� —� Hold For Sanitary: _' Hold For TBA: Hold For Affidavit Hold For Fees: � �7an2020 Original Application MUST be submitted Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:*Must*Include location and setback of proposed and existing structures,roads, driveway,sanitary components,well,lake,river,stream,and wetlands. Setback Setback Description Description Measurements Measurements Setback from the Centerline of Platted Road and/or Feet Setback from the Lake(ordinary high-water mark� Feet Setback from the Established Right-of-Way Feet Setback from the River,Stream,Creek Feet Setback from the Bluff if applicable Feet Setback from the North Lot Line � Feet Setback from the South Lot Line '"� Feet Setback from Wetland Feet Setback from the West Lot Line (G(r Feet Slope within area of construction/disturbance 9'o Slope Setback from the East Lot Line Q Feet Elevation of Floodplain Feet Setback to Septic Tank or Holding Tank Feet Setback to Well Feet Setback to Drain Field Feet Setback to Privy(Portable,Composting) D Feet Prior to the placement or construction of a structure within five(5)feet ofthe minim�m�eywred setback,the boundary line from which the setback must be measured must be visible from one previously surveyed corner to the other previously surveyed corner or marked by a licensed surveyor at the owner's expense. Prior to the placement or construttion of a structure more than five(5)feet but less than ten(10)feet from the minimum required setback,the boundary line from whith the setba�k must be measured must be visible from one previously surveyed comer to the other previously surveyed comer,or verifiable by the Department by use of a corrected�ompass from a known comer within 500 feet of the proposed site of the structure,or must be marked by a licensed surveyor at the owner's expense. • • • . . •�- . . • •- . • .- . 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): sq ft. Determine the total size,in square feet,of all existing roofed structures(include eaves): sq ft. Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: sq ft. Add these measurements to determine total impervious surfaces: sq ft. Calculate impervious lot percentage Total impervious surface: =Lot area: Sq ft.X 100=impervious surface % (Mitigation is required if total exceeds 15%) ***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 or STARTING CONSTRUCTION WITHOUT A PERMIT WILL RESULT IN PENALTIES I(we)declare that this application(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(we)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 administering county ordinances to have access to the above described property at any reasonable time for the purpose ofinspection. Owner � Owner �� ri` ��/� Date J �-/U C ��v Signature Printed name U (Signature and Printed Name required) NOTICE: All Land Use Permits Expire One(1)Year from the Date of Issuance. For the Construdion Of New One&Two Family Dwelling: ALL Municipalities Are Required To Enforce The Uniform Dwelling Code. The local Town,State or Federal agencies may also require 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 identification web page or contact a department of natural resources service center(608)267-3125 Issuance Information(County Use Only) Sanitary Number: #of bedrooms: Permit Denied(Date): Reason for Denial: Permit#: Issuing age t: Date: a,c�-- o-7�fi - 0�� '� a� ,�aa.� is Parcel a Sub-Standard Lot Yes (Deed of Record) �° Mitigation Required Yes �No Is Parcei in Common Ownership �(Yes (Fused/Contiguous Lot(s�) No Mitigation Attached Yes �No Is Structure Non-Conforming � Yes �CNo � Granted by Variance(B.O.A.) Granted by Conditional Use i Yes �No Case#: Yes � No Case#: Was Parcel Legally Created �Yes No Were Property Lines Represented by Owner �Yes No Was Proposed Building Site Delineated Yes No Was Property Surveyed �Yes No Office Comments:: Zoning District: 1� —� Hold For Sanitary: Hold For TBA: Hold For Affidavit: Nold For Fees _ �Jun2020