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Home My WebLink About026-839-07-5207-LUP-2020-316 SUBMIT COMPLETED AppLICATION AND � FEETo: APPLICATION FOR LAND USE PERMIT k � Sawyer County SA Y �N '�j O Zoning&Conservation Depart. �ate_, � 4 �/2� �� • 30610 Main St Suite 49 (R e D w....,,.,,,,�� v, ( Hayward,WI54843 ;y�L# ar>In (715)634-8288 AUG 1 7 2020 R \.l UC � r.A.�y •\ .� V - �L�:i-� 3 1 INSTRUCTIONS: No permits will be issued until all fees are paid. SAWYER COUIVTY �� ,( - I Checks are made payable to:Sawyer County Zoning Department. � � r DO NOT S7ART CONSTRUCTION UNTiI ALL PERMITS HAVE BEEN ISSUED TO APPLICANT. Original Application MUST be submitted FILL OUT IN INK (N P C� � Submittal of this application or receipt of fees does not tonstitute permit issuance. Owner(s)Name: Contrector(s)Name jj��A,v kN/f 'rNf�GS'A �ppL�, .�aJ11� C� U/�C�- Mailing Address: Mailing Address: �0 4 n� �A��n � �. ��lMw 3 7 Zo .�t1 �r�rY �D L Glt�p, wl S�v s Telephone: Telephone: � Cell Phone: L�D"� � V!D 1" `�73 Cell Phone: '�I�S Z�IL -(L3S�-I Site address: I �O `i UJ � L/� d � �► Or Date applied tor: p l7 jOLTj Legacy PIN# �l (7jZ rown of: NA''(l,t) Permit delivery Method ❑Call Owner ❑Mail Owner �Call Contrector aS.Nlail Contractor C Is Property/Land within 300 feet of River,Stream ��nd. Intermit[ent) Distance Structure is from Shoreiine: Is your Property Creek or Landward side of Fiood lain? If es---continue � feet in Floodpiain Are wettands L' Shoreland p Y Zone? P�esent? _' Is Property/land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: Yes Yes �f yet—�r,nntinue --� feet Mo 'ti'�o � Non-Shoreland Describe Project Value at Time of pro'ect t Total#of Com letion � YPe Foundation What T e&Ca acit is the P Number YP p Y *. (House,garage,shed,deck, Basement, bedrooms include donated of Stories ( Post Sewer/Sanitary System(s) time&material Addition,etc...) Crawlspace, List separately Slab) construdion $ �L�k._5�+�, �� Ne� NDi15e W - � 3 ,��j�jlCw�. �ck(�on�fk. Dwelling $ /� ,� V � Accessory Bldg s Addltion/Alteretlon Height: Total Square Lowest Proposed Use ✓ Proposed Structure Dimensions Footage Grade to (multiply per Highest story) Peak ✓ Residence � "��-� �� x �`� � LZy� �a� Ft. with 2"d story or loft � X � Ft. � with Basement � C��LS�� ( X ) Ft. Accessory Structure(expiain) ( '� X Zy ) � Residential Use (detached garages,sheds,boat houses,eta) ��V��G �i.�� 2� Ft. (I 1 .� Deck/Patio ( x � � Agricultural Ft. Use Porch ( x ) Ft. ❑ Commercial � Attached Garage �� '_�� p� �ol� ( �� X � V� � 2 , , �f Use ^a�-- �-�^� Ft. ��j ,�, (2"d)Porch/deck/patio h�� "��J�� ( X � ❑ Municipal Use G ti!Y.� GC�\'Cc��.r• Ft. Othel'(explain) ( X � ❑ Other Ft. � x �. > Principal Structure(Agr�cuiturai,Commercial,Municipal,Etc.) - Ft. Addition/Alteration(exPiain) ( x ) Ft. Total habitable square feet: �a�� Total Non-habitable square feet: �� S (decks,patios,garages,sheds,storage area&other structures) Originat 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, driv�way,sanitary components,well,lake,river,stream,and wetlands. �, Description Setback Description Setback � 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 \`'� Feet Slope within area of construction/disturbance %Slope Setback from the East Lot Line �_ Feet Elevation of Floodplain Feet Setback to Septic Tank or Holding Tank C' Feet Setback to Well Feet Setback to Drain Field � Feet Setback to Privy(Portable,Composting) Feet Prior tu the place�n��nc or construction of a structure wlthln five(5)feet of the minimum reyulrrd seiback,the boundary line from which the setback must be meawred must be visible from one previously surveyed corner to the other previously surveyed corner or marked by a licensed surv2yor at the owner's expense. Prior to the placement or construction of a structure more than five(5)feet but less than ten(10)feet from the minimum required setback,the houndary line from which the setback must be measured must be visible from one previously surveyed corner to the other previously surveyed corner,or verifiable by the Department by use of a correc[ed compass from a known comer vaithin 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 it total exceeds 15%) ***Notice a separate grading permit needs to be obtained if disturbed area is within the Shoreland district as indicated on previous page and meets criteria below*** 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 PEHMIT or STARTING CONSTRUCTfON WITHOUT A PERMIT WILL RESULT tN 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 C`� �� Owner �Ys'�,._. �� C)1%��'d Signature Printed name Date (5: ,t ,'�>rinted Name required) NOTICE, All Land U;�, r,� .;>ire One(1)Year from the Date ot Iss�iance. For the Construction Of New One&Two Family Dwelling: ALL Municipalities Are Required To Enforce The Unlform Dwelling Code. The local Town,State or Federal agencles 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 vlolates 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: N of bedrooms: � Permit Denied(Date): Reason for Denial: Permit#: Issuing agent: Date: ZO - ��j �'/� a�a� Is Parcel a Sub-Standard Lot �Yes (Deed of Record) �NO Mitigation Required [.;Yes `x/No Is Parcel in Common Ownership �Yes (Fused/Contiguous Lot(s)) '�NO Mitigation Attached "Yes /�,No Is Structure Non-Conforming ❑Yes No � Granted by Variance(B.O.A.) Granted by Conditional Use ❑Yes No Case#i: ��Yes No Case ii: Was Parcel Legally Created i Yes ❑No Were Property lines Represented by Owner �G Yes ❑No Was Proposed Building Site Delineated �Yes �_�No Was Property Surveyed �LYes '�:No Office Comments: Zone District: Fee: $ycr-•t 9�7Sfi �� `\�\ �� y; Hold For TBA: �l Hold For Affidavit: �_� Hold For fees� I �-� Hold For Sanitar (_� 0Jan2020