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024-541-30-5208-LUP-2022-030
SUBMIT COMPIETED AVPIICATION AND �I Feero: APPLICATION FOR IAND USE PERMIT 5awyer county `��R'����Y�����^ _ • � Zoning&Conservation Depart. � ' � '� ` r' i , I - _DitfSM�^P{Relttive� 1 . ��� ,�, 10610 Maln St Suite 49 ' ----- �i Hayward.WI 54843 r� �.�1` � }; Cr ,��5�b�.aZ88 _:�_� Ma��? 1 1 2�22 � .:,,_._,=r-------- � INSTRUCTIONS: No permits will be issued until all hes are paid. '"���"�` '� -�� � �- � -%'`�,-,� Checks are made payable to:Sawye�County Zoning Department. . , ,n, DO NOT START CONSTRUCTION UNTIL ALL PERMITS HAVE BEEN ISSUED TO APPLICANT Original Application MUST be submitted FILL OUT IN INK (NO PENCIL) Submittal of this applicatlon or receipt of(ees does not mnstitute pe�mit iccuance. Owner(s)Name: Contrector(s)Name �M��s C. -�j��h �G 2 Sa,�� Mailing Address: Maiflng Address: Ic��fz� 1J.U��(�� 2p l� 5��� Phone: %/s_�1./_� _Gi � Phone: c � r�o � Email: T�,�C,�2�"r I��E 1�—�J�1 ��J �w`" �- Email:��� ISite addrcss: ��. Or Date applled for: Le6acy PIN A L,�.�"�' Sl"�` '� - ���.i c Tow�of: ` 1(��.� 1.-�.�/ Permit delivery Method p(�all Owner �Mail Owner n Call Contractor -Mail Contrector Is Property/Land within 300 feet of River,SVeam (�nci. Distance Strudure is from Shoreline: Is your Property �nee�ma<anc� Are Wetlands 4 feet in Ftoodplain C i Creek or Landward side of Floodplaln? If yes--continue F�> Present? �I Shoretand zo�e� Is PropeKy/Land within 1000 feet of lake,Pond or Flowage Distance Structure is from Shoreline: Yes Y� If yes--continue � feet f'hl�' No J Non-Shoreland Describe ProJect Total#of value at Time of Project type Foundation What Type&tapaciry is the Completion Number bedrooms (House,garege,shed,deck, (Basement, Sewer/Sanitary System(s) {md.,e�d.� �r��,= Addition,etc...) of 5tories Crawlspace, Post t�me�ti-��atc��,,�� Listseparately Slab construction ) $ � ��/v� �L��"J� Sh�o � s��� � Dweiline —5 ��—Ut—.�C A[ct+ssory Bldg ,S Addition/Alteration Hefght: TotalSquare lowest Proposed Use ✓ Proposed Structure Dimensions Footage Grede to (multfply per Highest story) Peak Residence ( x � Ft. with 2^a story or loft ( X � Ft. with Basement ( X � Ft. Attached Garege ( x � ,�Residential Use Ft. , / Accessory Structure(exeia��) � �Z x ��p � /y� S/� ❑ Agrieultural V (detachedganges,sheds,boathousas,etc) ` Ft. Use Temporary Guest Quarters or Bunkhouse(o�cie�ype) � X } Ft. ( X ) i—i Commercial/ Deck/Porch/Patio Ft. Industrial Use ( x � (2"d)Deck/Porch/Patio Ft. J Municipal Use � x � Other(explainl Ft, ❑ Other ( x 1 P�i�CiPeI StR1CtU�0(Agricultural,Commerdal,Municipal,Etc.) Ft. ( X ) Addition/Alteretion(exPia��) Ft. Total Non-habitable square feet: /(�� Total habitable square feet: � (decks,patios,garages,sheds,storage area&other strudures) • Original Application MUST be submitted ' Attach a Pian or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper.'Must•Include lotation and setback of proposed and existing strudures,roads, idHveway,sanitary components,well,lake,river,stream,and wetlands. u Description Setback pe�riPt�a� Setbadc Measuremenu Meawrements 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 Li�e Feet Setback from Wetland Feet Setback from the West Lot Line Feet Siope within area of construction/disturbance %Slope Setback from the East Lot Line feet Elevation of Fioodplain Feet Setback to Septic Tank or Holding Tank Feet Setback to Well Feet � Setback to Drain Field Feet Setback to Arivy(Portable,Composting) Feet � P���o��c�Pe�d�e �e�'_c�c����str�;;:�on of a s'vucYure wittin flve;51`eet o`tre�irmmur�reqwred setnark,the nci,nhary Lne��om whlch the ietback�riust be measu�ed must be visible from one p�rv���usly surveyea�orne�[o t�e oih?r prev��ou51y surveyed cemer or�narkFd by a��cens=d Surveyor at the ownei's expense. Pnor to the placement or construdion of a struRere more than five(5)feet but less[han ten{SO)feet from the minimum required set6ack,the boundary line from which the setback mus:Ce measured must he visible frem one previously surveyed come"o the o[her pre�%ou;l�su�veyed comer,or ve�!fiable by the Department bv use ot a corrected compass f�om a known corne� within 500 teet of the proposed site�`the str�c[we,or must be marked by a I�censed surveyor at the owner'S e.t�<�nse. � � • •�' • � • • � •' � Calculate impervious surfaces.{Roofed,convete,paved,and other surfaces that water cannot penetrete.The Zoning O�ce can help you determine if a wrface is considered imperviaus) ' Calculate lot area: � ��� �/� Indicate lot size from CSM or NOVUS(circle one):�_ Acres;Muitiply by 43,560=Lot area: �� Square Footage Calculate impervious surface area: Determine the total size,in square feet,of your projects listed above(indude eaves): ��Z sq ft. , Determine the total size,in square feet,of all existing roofed structures(include eaves):__ �Pi /Q� sq ft. Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: �6 7G� sq ft. Add these measurements to determine totai impervious surfaces: `V, � U � sq ft. Calculate impervious lot percentage Total impervious surface: =Lot area: Sq ft.X 100=impervious surface_��, I !Mirig�r��..s re; i:ed if!ota!e....�c..s..9£} "=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 209� Grading of more than 1,000 Sq.Ft.on 129'a-20%slopes Grading of more than 2,Q00 Sq.Ft.on Slopes less than 12% Grading is in excess of 10,000 Sq.Ft. fP,�LUhc i;7 Ui3`I Alfv -„_, „���r STl4F1�Nv CON$TRUCTION VVITH(;�'T;A ptRMl7 VIL�FCSU�I IN PCNALTIFS 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,correc[and complete. l w acknowledge that I(we)am(are)responsible for the detail and acaracy of all information I(we)am f are)providing and that it will be relied upon by Sawyer County in d ermi 'ng whether to issue a permit. I(we)further accept liability which may be a result of Sawyer County relying on this information 1(we)am(are)providing in or with this app cation. (we)consent to county officials charged with administering county ordinances to have access to the above described property at any reasonable time for the p r ose f inspection.Ad iY ally,the undersigned person(s)hereby give permission for access to the property for onsite inspection 6y Municipal Officials. Owner Q� Owner T�►'� /�/� ( r 9 ,7 Signature O Printed name I' ��" `�v `�b�h��.e Date ! `^'� — ;� , �. :�._ < ,n� � , , NOTICE "i i_.n�C, .._(.i niC {�F��� � Ya,�r t� ��"-i: � „�,cu,ii�,�.;. F: ih� ..;e�� u�t o;., .,_ ._ � .... ..,, . ,. �.�i� ...��. if �.��ri_:�, ,.., i. ,�_Ent�;r �'n�...,, , ,i i�we�� :.�odc�. Ih� w a. .. ,i.r(t�:. ..;...31.��� i��:;�����iy i ,i��a�;rt.. ���rirut°, � .. 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 wfth State and Federal Iaws concerning construction near or on wetfands,lakes,and streams.Failure to comply may result in removal or modification of construdion that violates the law or other penalties or wsts. For more information,visit the department of natural resources wetlands identification web page or contact a department of , naturalresourcesservice center(608�267-3125 I i Issuance Information(County Use Only) Sanitary Number. 7t of bedrooms: Permit Denied(Date): Reason for Denial: Permit#: Issuing agenL^- Date: �-- - 03� � ���.�� � 3 >�� a�,�� Is Parcel a Sub-Standard Lot I i Yes �Deed of Record) �No Is Parcel in Common Ownership �i Yes (Fused/Contiguous Lot(s)) No Mitigatipn Required 'Yes o Is Structure Non-Conforming !'Yes �Na Mltigation Attached !'Yes o Granted by Variance(B4O.A.) Granted by Conditional Use :;Yes o Case li; !Yes �No Case tl: Was Parcel Legally Created �Yes '; No Were Property Lfnes Represented by Owner �Yes No Was Proposed Buitding Site Delineated �Yes _'No Was Properry Surveyed �Yes No Office Comme�ts: ���� r�-� �.-�;»�y-,��; �` �� ���� �` ZoneDistrict: Fee: `/cJ� �t 1�n.•.�� ].v �+t.'.�\ �_- •��_` � �r , � t./ Hold For Sanitary: Hold For TBA: Hold For AffidaviL _ Hold For Fees: �Feb2021 �-_ r �__ �__ �_ t_. � _ T_� + j _�_ r i._ T � �__ �. _ f �- - ; ; -�----1- � � ( 1,�� I � . 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C _ _.______ ._. __ i , �, ._._...._ 1 ' � ' � � � . � I_ i T _,_ + i i I , ' - 1-- ,_ _�__ � -i-- � - i_.�. ; i , _ �._. �� �__ I_ � _ I_ -- - �.__..�_ I- . j. . � . - _� I_ ' � � I � ---_ I_ ___ __ �-_ (_ I I__ .. .._ . _ �- -� -__� _ ' - � � -- - � I I ' I i I I � � . � �— -, �---- 1 , , i -�— �- - �_ � ,_ � , r j_ � � ; � �_- -- � � I ..._ � ` i (_ � � ! � � I � ; ...� � i__ r � ,_.. , _. , . _ , -- - i ; i . ., , i , I I 1 � I i � i I ; i � � �' � � I � � � � ' � i ' !__ - - , __ __ ___ I , � i r r . -- . _ ,-. ,.. t �- i , __� � I i � � ; ' i ' I 1 I I ' � __ . _ __ ___ _ __ ._�_ 1 -- -- _ _ , ; __ , __1_ ' � � � ' � � I i ��-- i ' i i j i � i I i i i � � � _ � �_. i-- -__ �-____ _'._ --- ----( - I ,_.. j. � _ . �__ � t ' _i _ i _ i_.,. � i � � I_ ( I � 1 I � � , I ' � I � , � � i � I ! i 10421 N Mallard Lane - Impervious Surfaces Home Sq.Ft. Eaves Garage 25 26 650 61 2 122 Entry 8 24 192 16 2 32 Kitchen / Dining 17 26 442 34 2 68 Main Room 33 33 1089 66 2 132 Master bedroom 17 26 442 60 2 120 Bump out - small 9 2 18 4 2 8 Bump out - small 9 2 18 4 2 8 Bump out - large 16 2 32 4 2 8 Front Porch 16 12 192 40 2 80 RearPorch 12 12 144 36 2 72 3219 650 Wood Shed 8 12 96 40 2 80 Big Garage 36 48 1728 168 2 336 Total Structure 5043 1066 6109 Driveway- Top 26 59 1534 Driveway- Narrow 153 11 1683 Front Patio 10 10 100 Front Patio 10 2 20 Rear Patio 12 12 144 Rear Patio 15 4 60 W a(k out Concrete 23 8 184 Total Paved/ Paver 3725 3725 �, .���F ���� �+�*`� � ���`''� "a � ''Mt7 ^���xfr ;,��,� '{ A� ti` �►... 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'7" � r 'r v :��°`� ',.'�, t�� F.S�^ i.��c'��.e a :k. � D �... �-�-�'� :.w9 , "Y� !�.'�L,j- �' x:.'.��- ...?!� �� � ��..: � ..�Fi� ..`�J;�.' ..�.t .:f�' � � 1 11 1 � .� •� Real EStdte Sawyer County Property Listing PropertyStatus: Current � Today's Date: 3/11/2022 Created On: 2/6/2007 7:55:40 AM �'Description Updated: 10/1/ZO10 '� Ownership Updated: 1/6/2022 Tax ID: 23974 KOEHLER TRUST HAYWARD WI PIN: 57-024-2-41-05-30-5 05-002-000080 legacy PIN: 024541305208 Billing Address: Mailing Address: Map ID: :2.8 KOEHLER TRUST KOEHLER TRUST Municipality: (024)TOWN OF ROUND LAKE 10421N MALLARD LN 10421N MALLARD LN STR: S30 T41N R05W HAYWARD WI 54843 HAYWARD WI 54843 Description: PRT GOVT LOT 2 LOT 3 CSM 25/5 #6649 t� Recorded Acres: 1.280 �` Site Address * indicates Private Road Calculated Acres: 0.952 10421N MALLARD LN * HAYWARD 54843 Lottery Claims: 1 First Dollar: Yes �;...� Property Assessment Updated: 9/4/2019 Waterbody: Moose Lake 2022 Assessment Detail Zoning: (RRl)Residential/Recreational One Code Acres Land Imp. ESN: 402 G1-RESIDENTIAI 1.280 211,400 421,500 � Tax Districts Updated: 2/6/2007 2-Year Comparison 2021 2022 Change 1 State of Wisconsin Land: 211,400 211,400 0.0% 57 Sawyer County Improved: 421,500 421,500 0.0% 024 Town of Round Lake Total: 632,900 632,900 0.0% 572478 Hayward Community School District 001700 Technical College �Property History a� Recorded Documents Updated: 1/6/2022 N/A SPECIAL WARRANTY DEED Date Recorded: 12/8/2021 436365 WARRANTY DEED Date Recorded: l0/23/2003 316563 CERTIFIED SURVEY MAP Date Recorded: 9/4/2003 314933