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Home My WebLink About012-106-00-0400-LUP-2021-398 N SUBMIT COMPLETED APPLI[ATION AND , FeEro: APPLICATION FOR LAND USE PERMIT �! ZvZ I ► �� SawyerCounty C-�f�PF�'r-1�.1S�Q . V,�,,�� `J„ Zoning&Conservation Oepart. ; ; f�� aatCSt�ntrlR�ce�ved( . � �7 V 10610 Main St Suite 49 �-..-- ; �..�I.0 L � Hayward,WI54843 �I ~ �!� ' '� � (715)634-8288 j�� O � (�q'� � R��# � f l� � � ----L 1 � ��,'•;1'u°Y;��i a r'��' �r.�_.; INSTRUCTIONS: No permits will be Issued until all fees are paid. ,�,�.:,,d,�,� r � Chetks are made paya6le to:Sawyer County Zoning Department. � ,� ,,i� � i� . DO NOT START CONSTRUCTION UNTIL ALL PERMITS HAVE BEEN ISSUED TO APPUCANT. Original Application MUST be snbmitted FILL OUT�N INK (NO PENCIL) �p � ___ _ _.__... _. __ .._ Submlttal of tfiis applicaUon or receipt of fees does not constltute permit issuance. Owner(5J Name: � � Contrector(s)Name � JE�Zc��477��21�/� 7J��l�so�tJ �� Mailing Address: (,�(S�U�.kS IN /2�1�1 DS� �T Mailing Address: ip �? �. �o X. ! � �3 �37/yps -i Phone: �� a 2�_�-r�� Phone: �V l � � ' � Emaii: �/G„J C°s� W C.L�s,Y��Z Email: V Sfte address: / /v a rr7v� P(7/�( ,fl � Or Date applied for: � Lega PIN# V�Z '— �U '" U� � V`"1 V� Town of: � �r 1 / Permit delivery Method ❑Call Owner ail Owner o Call Contractor ❑Mail Contractor � . j`tl l � �. � . — �1 ;�Is Property/Land within 300 feet of River,Stream �tncl. Distance Structure is from Shoreline: i�your eropetty Intermittent) _� prn UVrtlands � feet in flooda�ain Creek or Landward side of Floodplain? If yes--cantinue PrcSrnt? '�Shoreland v��r? -.. Yes �es � Is Property/land within 1000 feet of lake,Pond or Flowage Distance Structure is from 5horeline: � If yes--continue —� z�d feet ��^ � — _. �J ::� Non-Shoreland � J ---- ,_�_. ----- ---- !, Describe Projed � Value et Time of Total#of Project type Foundation What Type&Capacity is the Completion Number bedrooms � t include donated (Heuse,garage,shed,deck, (Basement, Sewer/Sanitary System(s) � !, Add(tion,etc...) of StoNes ��n:t tlme&material Crawlspace, '�� List separately Slab} construrt�� S �Q-1L�.1� � �'G•,413 N � Dwelling $ � �= C,�`C�U Accessory Bldg $ AdditiOnJAI[era[ion Height: Total Square Lowest Proposed Use ✓ Proposed Structure Dlmensions Footage Gradeto (muitiply per Highest stary� Peak Resfdence ( x � Ft. x with Z"d story or loft ( , Ft. with Basement ( X � Ft. Attached Garage ( x � �Residential Use Ft. ✓. ACCESsory Structu�e(explain� ( 3z x �� 1 J�7 X� ❑ Agrieultural (detachedgaages,sheds,boathouses,etc) / ^"� Ft./� Use Temporary Guest Quarters or Bunkhouse(cir�ie cype) x Ft. ❑ Commercial/ Deck/Porch/Patfo ( x � Ft. industrial Use � x � (2"a)Deck/Porch/Patio Ft. � Municipal Use Other(explain) ( x ' Ft. ❑ Other � x � Prineipal Strueture(ngr��imrai,Commercial,Munlcipal,Etc.) Ft. Addition/Alteration(exPia�r,� ( x � Ft. Total habitable square feet: Total Non-habitable square feet: �, � � (decks,patios,garages,sheds,storege area&other structures) �L, (J �� _ i Ori�;inal Application MUST be submitted ---- —---------__ Attach a Pian or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:xMust'Include location and setback of proposed and existing structures,roads, drlveway,sanitary components,well,lake,river,stream,and wetlands. Description Seiback pescrlption � Setback Measurements Measurements Setback from the Centerline of Platted Road and/or feet Setback from the Lake(ordinary hlgh-water mark) Z� Feet Setback from the Established Right-of-Way Feet Setback from the R(ver,Stream,Creek Feet Setback from the Bluff if applicable Feet Setback from the North Lot Line Feet Setback from the South Lot Line C7 Feet Setback from Wetland Feet Setback from the West Lot Line �� ' 1S Feet Slope within area of co�struction/disturbance %Slope Setback from the East Lot Line Z'�nFeet Elevation of Floodplain Feet Setback to Septic Tank or Holding Tank Feet Setback to Well Z`�—� Feet Setback to Drain Field �7j Feet ~ � Setback to Privy(Portable,Composting) Feet Prior tu the placement or consUuctian of a structure within(ive(5)feet of thr.min��mum required setback,the 6oundary line from which che setbNck must he measured must be visi6le from one prevluusly surveyed corner tu tlie other przviously surveyed corner or marked by�Ilcensed surveyor at ihe owner's expense. Prior to the placemen[or cons[�uctlon 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 visi6le from one previously surveyed corner to the other pieviously surveyed corner,or veriflaGle by the Departrnent by use oi a corrected compass frorn a known comer within 500 teet of the proposed site of the structure,or must be marked by a licensed surveyor at the owner's expense. � - • � - • � Calculate Impervious surfaces.(Raofed,co�crete,paved,and other surFaces that water can�ot penetrate.The Zoning Office can help you determine if a surface is constdered impervious) Calculate lot area: \ / � 1 J '1 Indicate Iot size from CSM or NOVUS(circie one):__l.�� Acres;Multiply by 43,560=Lot area; b � � k�d— Square Footage Calculate impervious surface area: Determine the total size,in square feet,of your projects listed above(include eaves): �J � � sq ft. Determine the total size,in square feet,of all existing roofed structures(include eaves): �Z�� 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: 3 v�� / sq ft. Calculate impervious lot percentage � Total impervious surface: �S 7 =l.ot area: -�Sq ft.X 100=impervious surface • i� % (Mi[igation is reyuired if rotal exceeds 15%) "'Notice a separate grad'+ng 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 slo�e�reater than 20% ~ _��^ • Grading of more than 1,000 Sq.Ft.on 12%-20%slopes � Grading of more than 2,000 Sq.Ft.on Slopes fess than 12% Gradi�g is in excess of 10,000 Sq._Ft. h,�. '^r;'_ �'.';:fFlliv.: �,hlai� �1:�.iCIiN(Sl.l.lNSiliU(:11pNOJ.�..i .;��'�Pf`IfMil v':�I�,.Iiiv.iLi i(�P't,V,1li't', 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 ln 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 ordinantes to have access to the above described property ai any reasonable time for the pur of inspection.Addi ionally,the underslgned person(s)hereby give permisslon for access to the property for onsite inspection by Municipal Officials. Owner � t ��^ �.�/ Signature � ��`�'�C-- Pr nted name v C�E � ��``��5 C`�4Date L � '�� (Signaiure and Printed Name required) NOTICE: All Land Use Permitr Expire One(1�Year from the Dafe of Issuance For the.Construr.tion CF New One&Two family Dwelling: ALL Municipalities Are Required To Enforce Thc Uniform Dwelling Code. The lo<al Town,State or federal agencies may also reGuire permits. You are responsible for complying with the requlrements 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 penaltles or costs. for more information,visit the department of naturai resources wetlands Identification web page or contact a department of natural resources service center(608)267-3125 Issuance Information(County Use Oniy} Sanitary Number: t!of bedrooms: Permlt Denied(Date): Reason for Denial: � —_. --- --- -------- Pefmit#f: � I — � � �ssuing agent: Date: ��j `� �' » a�a � Is Parcel a Sub-Standard Lot 'i Yes (oeed of Record) ��.No Mitigation Required Yes � No Is Parcel in Common Ownership ' Yes (Fused/Contiguous Loqs�) +�Na �:Yes �No � Mitigation Attached Is Structure NomConforming �'Yes �No Granted by Variance(B.O.A.) Granted by Conditional Use '`Yes��No Case#: Yes No [ase#: Was Parcel Legally Created �(Yes No Were Property Llnes Represented by Owner �I Yes :.=Na was Proposed Building Slte Detineated \iYes No ' Was Property Surveyed 1/Yes �i No r Offite Comment5; Zone District: Fee: ��-\ � 2.�� Nold for Sanitary: Hoid For TBA: ; . Hold For Affidavit: Hold For Fees: _: 07an2020 � ::_..�