HomeMy WebLinkAbout002-840-28-5409-LUP-2022-048 SUBMIT COMGLEfED APPUCATION ANO , •
FEETo: APPUCATION FOR LAND USE PERMIT . �
Sawyer tounq SAWYE ^
2oning&Conservavon Depart. I �� � �
30610 Main St Suite 99 oacq � ed R
J��`..%zl��.-_ � v
Hayward,WI54843 - C'
� (7I5)634-8288 ��``��---- i. �
�_ :', ��� � � 2022 �
INSTRURIONS:No permits will be issued untii ail fees are paid. \ .
Checks are made payable to:Sawyer Counry Zoning Department. / (�lf�J p_t �
�O NOT START CONSTRUCTION UNTII.Af.L PERMITS HAVE 6EEN ISSUEO TO ASPtYA1�1T4 '-�^r�fi��fF]�tili�c�typn.Afli16T be 5ubrtlittfd FILL OUT IN INK (NO PENCIL)
� SubmitcalotthisapplicationorreceiptotfeesdoesnotconsUtuteper-rNrissuAjtifC.{��'�,ti;����;�yi�JZF� ��I~����-
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'�. Owner(s)Name: Contraaor(s)Name
` �
C�r��-�� ��vs �d� � s �N' ��c rn�s
'�, Mailing Address: ���s V�� /�; �% Mailiog Address: `L/ ,� Ls�
c� Z 3 ! > " �it w S `�/3 �
Phone: Phone:
� 08- 7sI - 4s-ti� 1�� - 1�3y - s-zz �z ^
Emaii: Email: . ��Yi L GC{'✓I G�� L�4�� I �{��t,f/'�'L LL�`E•� l.- �,�
Site addresr. (�t� � � {�(L�i`L� ��t-�- Or oatc a red for. r� ��
Le acyPlN# ��L"� D ( Q� D ,� y Townot: ��S S l..-R r`
Permk delivery Method =��Cal�Owner r Mail Owner �cali Contractor '�lail Contrector
/�
�=Is Property/Land within 300 feet of River,Stream p�d. Distance Structure is from Shoreline: is your vropem
i��e�mme��) � Are We[lands
feet in Floodplain
Creek or Landward side of Floodplain? If yes--continue Present?
�Shoreland Z°"e'
�Is Property/Land within 3000 feet of Lake,Pond or Flowage I Distance StruRure is from Shoreline: Y8S vYes
If yes---con!inue —►� feet �20 /��-�
Non-Stroreland � � � �-.� .
Describe Projed
Value aiTime of Total H of
Project type foundation What 7ype&Capacity is the
Completion Number bedrooms
`include donated �House,garage,shed,deck, (Basement, Sewer/Sanitary System(s)
nddition,etc...} of Stories ��awispace, Post
time&maceriai ��n�Paretely Slab) �onstruction
5 �' � �v �o!.�� i �s�'rr►�� � -3 he�(ro o/�I
Dwe ling
S
Attessory Bldg
5
addition/niteration
Height:
TotalSquare Lowest
Footage Gradeto
Proposed Use ✓ Proposed Struaure Dimeasions �multipiy per Highest
story) Peak
� Residence (�� X 5.7; ) (��� ��
Ft. ��D
with 2nd story or loft ( x �
� Ft.
- �/ with Basement (Z� %;� , r,��0 �
Ft.
'��� Accessory Strutture(e.pia�o) ( X )
�Residential Use �aeta�neag.ae�,,.nees,co,�n��u.,«<.� Ft.
� Deck/Patio ( � X 2� ) 1 Gl l� FL 1�!1
, 0 Agriculturel ��'
Use Porcn � �(, X L'� � p��
Zp Ft.
I Commercial/ Attached Garege ( X � n/
Industrial Use �t� IX
L/ (2nd►Porch/deckJpatio ( 'S X b , ,�L} Ft. ��/
C Municipal Use
Other(exp�ain) ( X `
Ft.
r Other ( x �
, PfIfICIP3I St�UCIUIe�Agriculturel,Commercial,Municipal,Etc.� Ft.
Addition/Alteration(expia�n� � X )
Ft.
7otal habitable square feet: � I � Total Non-habitable square feet: �l//'-
(decks,patios,gareges,sheds,storage area&other structures)
ariginal Applitation MUST be submitted �
Attach a Plart or Sketch your Property on S.S"x 11"or 8.5"x 14"paper.'Must'loclude lotation and setback of proposed aod existing structures,roads,
driveway,sanitary components,well.lake,river,stream,and wetlands.
Description Setback p��ption Setback
Meawremenu Measuremenu
I
Setback from the Centerline of Platted Road and/or 0 Feet Setback from the W ke(o�d��a,Y h�gn�wa.e�ma�k) V Feet
. Seiback from the Established Right-of-Way Feet Setback from the River,Stream,Creek Feet
Setback from the Bluff�i aocccacie Feet
' Setback from the North Lot Line p Feet
Setback from the South Lot Line Q Feet Setback from Wetland Feet
. Setback from the West Lot Line yD Feet Slope within area of construction/disturbance Y Slope
Setback from the East Lot Line S� feet Elevation of Floodplain Feet
Setback to Septic Tank or Hoiding Tank Feet Setback to Well Feet
. Setback to Drein Field O Peet
�. Set6ack to Privy(Portable,Composting) Feet
� ��'o�te thP p a-e�ner,�,r .,_,uuc;or;(a sVuctcre v.�iihtn f,ve{Sj fee�e`the r�.�r - ��e�z.•�hac>,the beur�ary�ine from which the secaack must be measuree mc<t bevlsible from�ne
'��. u ��%��sty s eyeu i.;:n_ t�..he��ther p+ev..,tly,urv�yca comcr or mi-.ed by a�c m��f.�,rreyoi at the owner"}expense.
Prio�totFepa,eme�.c nstr�ct�orofastruct�rem�r_thanfive .�[�u±lessth�.antenilC�fe< foi�t���em .. �nrep���.¢�se�bac.mebour.daryl��nef�n�r,whicnthesetbackm;u[Ge
._ .. .�.hle f,.. ,,,..pr.��.�-Y su ve�td corrcr to th�„l��_r pi� .. . .��.eYr�i '. . ... h��6r thr:icp ,.�,._bf.s�� a._rr2.d c�....,,a��f i_.�,.,� ...r.�
� u,l��. SpOfeFtc`ine��Qpos'ds:Ec�cl,.s��..��_ure.orm�s'nem�rk.d..yzL=_en .d .rveyc-ttt .o'+r.rPsFxpense-
�� 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)
'� Calcula[e lot area: � 9
, Indicate lot size from CSM or NOVUS(circle one�: �� Acres;Multiply by 43,560=Lot area: �/ L � � Square Footage
����, Galculate impervious surface area:
'� Determine the total size,in square feet,of your projects listed above(indude eavesJ:, � ��� sq k.
�', Determine the total size,in square feet,of all existing roofed structures(indude eaves�: sq ft.
� Determine the total size,in square fee[,of all existing paved/bricked/blocked surfaces: / sq ft.
Add these meawrements to determine total impervious surfaces:_ �� � "' sq R.
Calculate impervious lot percentage �,'
22cv�. 2'� �a� 3vo
i Total impervious surface: -Lot area: Sq ft.X 100=impervious surface /
�Mitigation Is required if totalexceeds 15%)
'•'Notice a separate grediog permit needs to be obtained if distur6ed area is within the Shoreland district as indicated on previous page and meetz 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 O(3TAIN A PFRMIT or STARTING CONSTRUCiION WITHOUT A PERMIT WILL RESULT IN PENAlTIES
I(we)dedare that this application(induding any accompanying information)has been examined by me(us�and ro the best of my(ou•)knowledge and bel�ef it is true,correct and
, complete.I(we)acknowiedge that I(weJ 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 lia6ility which may be a result of Sawyer County relymg on thls informatlon I(we)am(are)providing in or
with this application.1(we)consent to counry officials charged with administering county ordinances to have access to the above described property at any reasonable time for the
purpose of inspecti Additionally,the undersigned person�s)here6y give permission for access to the property foronsite inspection by Municipal Officials.
� Sgnature V�� Prnntedname"�`��"� ���,����� Date �2 �� Zy
(S'�±naturr and P�Ir,tcd Nam=required)
� NOTICE��111 Laru Gse Permlts&pire qne(l)Year,4om the D3te o�Iss�ance.
fo�the Consvcction Ot Nevi Ore&Tm F �-.��.7�=Dweilirg�.ALL Mun ripaflies are Requ�-red Tu E�,ferc?The J�i�orm D� elfnt Code.
' 7he loca�Towr,State o�Fed�ral a�encies may also requlr?pe�mlYs
vou are responsible for complyingwlththe requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the State ot Wiscons�n.You are also responsible for
icomplymg with State and Federal laws concerning constroction near or on weNands,lakes,and streams.Fa-ilure to comply may resuR in removal or modifiwiion of construction
� that violates the law or other penalties or msts.Por more information,visit the department of naiurel�esources weHands identiflcation web page or contact a department of
� naturalresourcesservice center(608)267-3125
Issuance Information(County Use Only) Sanitary Num6er: �^ ��-, n of bearooms:`3
' Permit Denied(Date): Reason for Denial:
i
� Permittl: Issuingagent: Date:
2-� -o y � ; _i�'-� ` � �a
is Parcel a Sub-Standard Lot �-�ves (oeed of aemrd) o
. Is Parcel in Common Ownership �j'es (FusetlJContiguous Lot(s ;j Mitigation Required CI Yes No
� Is Struc[ure Non-Conforming �C Yes �No Mitigation Attached 'J Yes : o
'��. Granted by Variance(B.O.A.) Granted b Conditional Use
�-'�.ves � o Case#: `.:�Yes o Case!t:
�� Was Parcel Legally Created �Yes _No Were Property lines Represented by Owner Yes No
Was Proposed Building Ske Delineated �Nes G No Was PropertySurveyed _ es No
' Offce Comments: Zone Distria: Fee:
`��-� �6oc�
� Hold For$anitary: . Hold For TBA: . Hold For Affldavit: � Hoid For Fees: . `�, �'����'� � ,�'
m7an2ozo
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AMERICAN HOMES HAYWARD
`nterimn?fanes
� Customer: �� v�e'�ce r�✓� � /-�e ���i `��j S Date: Z�l � f z Z--
Soil/Rock conditions:
Special requirements:
Check List
power lines � E � "
phone lines
TV cables
natural gas
propane � 1�. . (�
we I I JC
sewer !
easements
fuel lines
sprinklers
tile drain i
transformer
lake or pond
drive way �
tree's �, i
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can Homes lot layout form (3)
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2/11/22, 10:21 AM Reai Property Listing Page
R2al EState Sawyer County Property Listing PropertyStatus: Current
Today's Date: 2/11/2022 Created On: 2/6/2007 7:55:05 AM
�'Description Updated: 10/9/2019 � Ownership Updated: 10/9/2019
Tax ID: 2348 GREENE BROS HOLDINGS INC JANESVILLE WI
PIN: 57-002-2-40-08-28-5 05-004-000090
Legacy PIN: 002840285409 Billing Address: Mailing Address:
Map ID: :4.9 GREENE BROS HOLDINGS INC GREENE BROS HOLDINGS INC
Municipality: (002)TOWN OF BASS LAKE PO BOX 8062 PO BOX 8062
STR: 528 T40N R08W JANESVILLE WI53547 JANESVILLE WI53547
Description: PRT GOVT LOT 4 LOT 1 CSM 23/295
#6445 AFF CSM 24/142 � Site Address * indicates Private Road
Recorded Acres: 0.505 N/A
Calculated Acres: 0.505
Lottery Claims: 0 '�..� Property Assessment Updated: 9/13/2012
First Dollar: No
Waterbody: Lac Courte Oreilles 2022 Assessment Detail
Zoning: (RRl) Residential/Recreational One Code Acres Land Imp.
ESN: 445 G1-RESIDENTIAL 0.505 110,200 0
2-Year Comparison 2021 2022 Change
� Tax Districts Updated: 2/6/2007 Land: 110,200 110,200 0.0%
1 State of Wisconsin Improved: 0 0 0.0%
57 Sawyer County Total: 110,200 110,200 0.0%
002 Town of Bass Lake
572478 Hayward Community School District
001700 Technical College �
Property History
, N/A
. Recorded Documents Updated: 10/8/2019
WARRANTY DEED
Date Recorded: 9/30/2019 420169
WARRANTY DEED
Date Recorded: 6/3/2002 300619
tas.sawyercountygov.org/system/frames.asp?uname=Valerie+Heath 1/1