HomeMy WebLinkAbout030-737-03-5311-LUP-2021-480 SUBMITCOMPLEfEDRPVIICATIONAND �K1�'Y�� ��" I �' - ����� " �J ��'\T� �"" """"��
Feero: APPIICATION FOR LAND USE PERMIT -�,S��{ (p I a'jr�'� r�t1; �
SAWYER COUNTY,WISCONSIN ���
Sawyer County _�
Zoning&Conservation Depart. _, �% ��' �S— --—
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1O630MainStSuite49 �'�',, Date 'I � ���I
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INSiRUCTiorvS�.NopermNswilibeissueduntilallfeesarepaid. � � -�- �
Checksaremadepayableto:5awyerCounryZoning�epartmen[. Z��NGA n,��N� �p�
oor�orsraatcorvsruuciior+�.!niuni�Peami�sHavePeervissuEoronveucaQY' �Trgmai��licationMUSibezubmitted FILLOU71NiNK (NOPENCIL)
5ubminal of this app'�ic�t.on or ri�ci;pi oi fees do_no[const'itute permit�issuance.
ownerys)Name: Contractorys�Name
,¢��raw .K �rte�.so�, Se�-�'
3e�,�•;�ar L. Si-�bev
MailingAddress: c� , MailingAddrers:
'��75 (,a.wrQNGC S� C.ua�Cla�rC ��70.3
Phone: 7�5_�'a�:9S g'g' Phone:
Email: VrOw k�•rsfa�•se�. �9w�d� �.CO�+n
Email:
Site atldrcss: a 3�3 S�'�C S G�G R ol�� Or Date a001fed tor.
LegacyPlN# 0 30 73 703 53 1o't o�07370353<< ro.ow: �,�E �-Cl��--
VermittleliveryMethod r.Call Owner j�Mail Owner �Call Contractor -�Mail Contrector
I?�5
Is Property/Land within 300 teet o River, tream I��n. Distance Structure is from Shoreiine: Is your Property
`��) �G'S � /�O �"� feet in FloodO�ain pre Wetlands
Creek or Wndward side of Flood0lain? If yes--contin��e L Zone? Presen[?
�Shoreland -
Is Property/Land within 1000 fee[of Lake,7ond or Flowage Distance Structure is from Shareline:
ves Yes
Ifyes--m�t��nue—� feet �Nol No �
�.
I�i Non-5horeland
Describe ProJect Total N of
value at nme of project type Foundation What Type&Capacity is the
tompiee�on Number bedrooms
(House,garage,shed,deck, (Basement, Sewer/Sanitary System(s)
� � ��� � � �� � Addition,et[...) �StO�iBS Post
.� ,� �� Crawispace,
�'� �- "' �� Listseparately Slab) construction
Sso�ao" �..(o�s� ! /a (3�.f��,..s.. ! 02 �\�;\��, ��..�V�
Dwellins
5
Acceswry BId6 O �
SAddkion/Altration ��•` v,• ���
Height:
Total Square Lowest
Vroposed Use ✓ Proposed Strudure Dimensions Footage Grade to
(mukiply per Highest
story) Peak
Residence �e20�X ,36�� 7a Q
F�. /C�
w�tn z�a 5to.v ioft � �a' " r,' � � 3 a F�.
with Basement �rl.6,x l g/) ��� Ft.
�Residential Use Attached Garege ( X �
Ft.
Accessory Structure�e.pia��) � x )
�Ag�itultu�al �a�ea�n�aa..,z.:,:n�a:,�aeno„s.:..e�1 p{,
Use Temporary Guest 4uarters or Bunkhouse(crde ryoe) � X ' Ft.
�. Commercial/ oeck/Porch/Patio � x �
Industrial Use
Ft.
( x �
(2n°)Deck/Porch/Patio Ft.
C7 Municipal Use
Other(e.Piai�1 � x �
Ft.
_� Other ( x �
Prineipal Strueture(aqricwm.ai,commerc�ai,nn„mcivaL eio) Ft.
Addition/Alteration(e�Pia���� ( x �
Ft.
Total habitable square feet P��1(��� Total Noo-habitable square feet: ��
UU'� � (decks,patios,garages,sheds,storage area&other structures)
Original Application MUST be submitted
Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:'MusN Include lootion anA utback of proposed and existing structures,roads,
driveway,sanMary components,well,lake,rlver,stream,and wetlands.
-� DeuAption Setback Descriptlon Setback
MeasuremanK MeawremenK
Setback from the Cente.line of Platted Road and/or � � (Dd Feet Setback from the Lake�o�d�o.ry m¢n-w,u.m„k) — Feet
Setback from the Estab�ished Right-ot-Way y!OO Feet Setback from the River,Stream,Creek � �� Feet ���
� Setbatkfromthe8luff �r,00r,<.m� � O Feet
Setback from the North Lot Line � /DO Feet
Setback from the South lot Line � f 00 Feet Setback from Wetland " Feet
Setback from the West Lot Line (00 Feet Slope within area of construction/disturbance #�(J %Slope
Setback from the East Lot Line T !00 Feet Elevation of Flaodplain p ' feet
Setback to Septic Tank or Holding Tank Feet Setback to Well Ya j Feet
Setbackto Drain Field Feet
Setback to Privy(Porta6le,Composting) Feet
Prbr ro the p'acemrnt or�omrt�rben of a stvRure wiIDl�6ve�5�`eet of[he mimmum requlred se[back,[he boun0ary ilne from which Ihe setback mu5[be meamretl must be vivC-^b��n- ,,e
� y�evloutilysurve�e;�o�re�tolneo�hrV'ewousl;�drveyo�Jm�nerormarkedbyahcenseCsurveyora[t�eowner'sexpense.
Prrr�c:�e p'�n�_�rrvrt o�mnsouo.ro��o(s o:ruau�e more.han five�51�eet but les�i��on ten�101(eet trom tbe mmlrrum reqmred setback.!�.e boundary I��ne f�om wMch the setback mcn Cc
saserec r.�s'oe visi�le from one p�eviaus:V sarveyed comerto tne o[Pe�pevlouoiy surveyetl corner,oi venfiable by Ilre Department�V use o"r a co�rected compass from a known come�
wiNl��500 teet of Me pmposad si�e of t�e 5 V uRure,or murt be marked oy a Ilcensetl surveyor at the owner'z expense.
Calculate impervious surfacez.(Roofed,concrete,paved,and other surfaces that water cannot De�etrate.The Zoning Office wn help you determine if a
wrface is considered impervtous) �
Calculatelot area:
Indicate lot size from CSM or NOVUS(cirde one): �• � � Acres;MWtiply by 43,560=Lot area: �a 5J � � � Square Footage
Calculate impervious surface area:
Determine the total size,in square feet,of your projects listed above(include eaves): Z� 3� sq ft.
Determine the total slze,in square feet,of all existing roofed structures(include eaves): �6O 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 surfate: / �b +Lot area:�O�5�gg Sq ft.X 100=impervious surface • 7� 3'0
(Mitigatien is reduired if[obl exceeEs 15%)
•••Notice a separate grading permit needs to be obtained if disturhed area is within[he Shoreland district as indicated on previous page and meetr criteria below"'
Grading on a slope greater than 20% 6rading of more than 1,000 Sq. Ft.on 12%-20%slopes
Grading of more[han 2,000 Sq. Ft.on Slopes less than 12% Groding is in excess of 10,000 Sq. Ft. �
fPJLU9LI( l T+".ql':F� .., ' "! "�N- . . N '. r,,,,. �il. uv,�_h� � ". � f^I�:II�S
I(we)dedare that this apDlication(including any acmmpanying information)has been examined by me(us)and m[he best of my(our)knowledge and bellef it is true,mrrec[and
comvlete. I(we)acknowledge that I(we)am(are)responsible for the detail and accuracy of all information I(we)am(are)O�oviding and that it will be relietl upon 6y Sawyer
County in determining whether to issue a permit. I(we)further accept liabiliry w�ich may be a result of Sawyer County relying on this information I(we)am�are)providing in or
with[his application.I(we)<onsent ro counry officials charged with administering counry ordinances to have access to the ahove descri6ed property at any reasonable time fo�the
purpose of inspection.Additionally,the undersigned Derson�s)hereby give permission fot acceuto[he Oroperty for onsite inspection by Municipal Officials.
Sgnature!/ - � � Pnntedname n^�"�OW ! I• �nvS78Nf�NDate �/ A� aoar
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rv0il[[ .¢L,���: . .. .. •..1����L �. u.ei -.
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You are responsible for mmplying with the requirements of the Sawyer CounBng Zomng Ordinances and law�and regulations of the Stare of Wisconsin.You are also responsible for
complying wi[h State and Federol laws concerning constm<tion near or on weUands,lakes,and streams.Failure ro mmply may resWt in removal or modif¢ation of mnstruaion
tha[violates[he law or o[her penalties or rosts. For more information,visit the department of natural resources wetlands identification we6 page or contact a deDartment of
natural resources service center(608)2673125
Issuance Informatian(County Use Only) Sanitary Number: P\ _��� #of bedrooms:
Permit Denied(Date): Reason for Denial:
Permit 4: Issuing agent Date:
ZI — q�0 �:�� ,� ) 3 /a�a� j
,
Is Parcel a Sub-Standard Lot I'�.Yes (Deed of aemrd) �No Mitigation Required ��Ves �o
I5 Parcel in Common Ownership 7QYes �Fused/Contiguous loqs)� '� 'No Mitiga[ion Attached �- Yes Na
Is Struc[ure Non-Conforming !�Yes �No
Granted by Variance(B.O.A.) Granted by Conditional Use
�lYes _ o UseN: �":YesXNo CaseN:
W as Parcel Legally Created �Yes .-'�No Were Property Lines Represented by Owner '�Yes No
WasProvosedBuildingSiteDelineated \�Yes ':No wasPropertySurveyed `/Yes Na
Zone DistricC Fee: �
OfficeComments: ��. �, ���;�� w:a� �_y,t:����. (�
���-.�.�.� -� ��a-3��� ��- a
Hoid FOr$ani[dry: Hold ForTBA: Hold For Aff�,aav�C Hold For Fees'.
�Feb2o21