HomeMy WebLinkAbout010-941-28-2104-LUP-2022-055 SUBMIT COMPLETED APVIICATION AND �
FEero: APPLICATION FOR IAND USE PERMIT �
Sawyer County SAWYER COUNTY,WISCONSIN '
Zoning&Conservatlon Depart, oa�c stamP�R�«��ed1 O
30630 Maln St Suite 49 `
Hayward,WI 54843 �
(715)634-8288 �Lr - � '�
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INSTRUfTIONS: No permits will be issued until all fees ar8 peid. � ' �
Checks are made payable to:Sawyer County Zoning Department _ _ .
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DO NOT START CONS7RUCTipN UNTIL F�LL PERMITS HAVE BEEN ISSUED TO APPLIf.F1NT -_��J�jn'�Applieation MUST he submi`ted FILL OUT IN INK (NO PENCIL)
. .__.__ __ .__ __—._ . .
_.
Su6mit[ai of this applicatlon o.rviceipt of fees does not constitute permit issuance. ;��-���
, .,;hA�T'IOE�
Owner(s)Name: Contrector{s)Name
� �� � G �� il��� iU�����,�;� r,�-
MailingAddress: N�yW�+� �� Maili�gAddress:
IG�tS"�" k: C.c�n�TY h �/! 1Z�Ac� �
.S'�!�s
Phone: ��s� 5���$ ' �y�U fi Phone:
7f
email: G�' " u��Ir�t � �j,� •N�T, /tJ�' T email:
Site address: � �i'j S w �.�w"'� �'�• �( 0�� Or Date applied(or:
LeBac PIN# ��v- `"�L�� - .�',�-al�i' Town of: � 1-✓.:.f�
Permit delivery Method Call Owner Mail Owner o Call Contractor �Mail Contrector
Is Property/Land within 300 feet of River,Stream (�nd. Distance Structure is from Shoreline: Is your Property
Intermittent) _♦ Are Wetlands
feet in Flood lain
Creek or Landward side of Floodplafn? !f yes--continue p Present?
i Shoreland - - zoRe?
- Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: �Y�e-s^ Yes
If yes---continue --� feet ( rvo ) �
\�/
Non-Shoreland
Describe Project
Value at Time of Total t#of
Project type Foundation What Type&Capac(ty is the
Completion Number bedrooms
�incl��de donac�d (House,garage,shed,deck, (Basement, Sewer/Sanitary System(s)
Addition,etc...) of Stories Post
time K n,aterla� Crawlspace,
Listseparately Slab) cnr,str�,ct�on
$ „ ;�, � d
�. S'h�� Sr� s
Owelling
$
Accessory Bldg
S
Addition/Alteration
Hefght:
TotalSquare Lowest
Proposed Use ✓ Proposed Structure Dimensions Faotage Grade to
(multiply per Highest
story) Peak
Residence � X �
Ft.
with 2"d story or loft ( X �
Ft.
with Basement ( X �
Ft.
Attached Garage ( X �
�Residential Use Ft.
� ACtessory StruttufE:(explain) ''
(detached garages,sheds,boat houses,etc} � '� X �`• � ���„� Ft. �3
0 Agricultural
Use Temporary Guest Quarters or Bunkhouse(cr.�ie type) � X �
Ft.
❑ Commercial/ Detk/Porch/Pdtio � X �
Ft.
Industrial Use ( x �
(2"d)Deck/Porch/Patio Ft.
0 Municipal Use � x �
Oth2�(expfain)
Ft.
❑ Other � x �
Prineipal Strueture(ngricuiturai,Commerdal,Munidpal,Etc.) Ft.
Addition/Alteration(explain) ( x ) Ft.
Total habitable square feet: Total Non-habitable square feet: �
(decks,patios,garages,sheds,storage area&other structures� �
Originaf Application NIUST:De submitted
Attach a Plan or SKetct,your Property on 8.5"x 11"or 8.5"x 14"paper:•Must•Intlude lotation and setback of proposed and existing structures,roads,
� driveway,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�ake(ordinary high•water mark) ` FBOY
Setback from the Establlshed 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 F e tb ck om Wetland Feet
Setback from the West Lot Line e o ((iithin area of construction/dlsturbance %Slope
Setback from the East Lot Line Feet Elevation of Floodplain Feet
Setback to SepNc Tank or Nolding Tank Feet Setback to Well Feet
5etback to Drain Field Feet
Setback to Privy(Portable,Composting) Feet
Pr�ro�to the p!aeemenc or cons[ruction of a ztructure within five(5)feet of the minimum required setback,ttie boundary line from which the setback must be meawred murt be visible from one
prevlously sur�eyeo corne�to the other prev�ousiy surveyed torner or marked by a license�i surveyor at the owner'S expense.
Prior to the placement or consVuction 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 mus;be
measured must he visible from one previously surveyed comer to the other previously surveyed comer,or verifiable by the Department by use of a corrected compass from a known coi ner
within 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 penetrete.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 43,5G0=Lot area: Square Footage
Calculate impervious surface area: -
Determine the total size,in square feet,of your projects listed above(include sq ft.
Determine the total size,in square feet,of all existing roofed ures(incfudE eavesl: sq ft.
_.
Determine the total size,in square feet,of all e ' g paved/bricked/blocked surfaces: - sq ft.
Add these me�sufements to determine total impervious surfaces: sq ft.
Cafculate Impervious lo etcentage
Total impervious surface: +Lot area:_ Sq ft.X 100=impervious surface %
(Mltigation Is requlred I(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 209� � Grading of more than 1,000 Sq.Ft.on 129'0-20�o slopes
� Grading of more than 2,000 Sq.Ft.on Siopes less than 12% Grading is in excess of 10,000 Sq.Ft.
r�IUF��- l�;i.:?��� I:A:;_fiR' � ��r>Y�.F.1.(CG C:UWS HUGiGN �!i N�.l,'?A i�Ft<h91� „ ._ . . �'1!clLfli 5
I(we)declare that this app�ication(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 ali information I(we)am(are)providing and that it will be relied upon by Sawyer
County In determining whether to issue a permit. 1(we)further accept liability which may be a result of Sawyer County relying on this information 1(we)am(are)providfng in or
wi[h this application.I(we)consent to county officials charged with administering county ordinances to have access to the above descri6ed property at any reasonable time for the
urpose of inspection.Additionally,the undersigned person(s)hereby give permission for access to the property for onsite inspection by Municipal Officials.
Owner " ../ � Owner n /
Signature �� Printed name /�AN/i° f— Date — �
�Sl��na[u�e�nd Pnnte:l Name�equired)
NOTICE. Atl L�nid Us�-Pennits Expire One(1)vct�r from ihE•Date ot Issuance.
Fur the CorisUuc[lon Oi�Je�-Onc k Two'-anid��;w�=ilirvg� AI I.Muniiip;�l�[i��s Aie R�.�yulied To En(arce Thr Unlrc rr i C�woll!n�Code.
1h-iu�,i�_:bi .la:���. -a�,dld(; n_ir.�.n��.�1 i o rE,r;uir�urnni!�, � �
You are responsible for complying wlth the requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the State of Wisconsin.You are also responsible for
complying wlth State and Federal laws concerning construction near or on wetlands,lakes,and streams.Failure to comply may result in removai or modification of construction
that violates 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: �{� #of bedrooms:
/v
Permit Denied(Date�: Reason for Denial:
Permit#: Issuing agent: Date:
�� �' oss ' y �� a
Is Parcel a Sub-Standard Lot i i Yes (Deed of Record) ° M' gation equired C�Yes I_;No
Is Parcel fn Common Ownershlp Cl Yes �Fused/Contiguous lot(s�) � itigation Attached Li Yes C,No
Is Structure Non-Conforming :i Yes �No
Granted by Variance(B.O.A.) Granted by Conditional Use
;Yes i'No Case#: !Yes C'No Case N:
Was Parcel legaily Created .::Yes ;?No Were Property Lines Represented by Owner f;Yes No
Was Proposed Building Site Delineated �Yes I_i No Was Property Surveyed 'I Yes No
Office Comments: Zone District: Fee:
ow�++5 e,� ks�' � �c, �,�.I, G,} Zm� ILR"I �'7 S
Hold For Sanitary: Hoid For TBA: ___ Nold For Affidavi,: Hold For Fees:
�Feb2021
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4/4/22,8:32 AM Novus-Wisconsin Access rev. 13.1108
Real Estate Sawyer County Property Listing Property Status: Current
Today's Date: 4/4/2022 Created On: 2/6/2007 7:55:22 AM
;_i
i�'Description Updated: 5/21/2012 '� Ownership Updated: 5/21/2012
___ __.____ ------
Tax ID: 12929 _ _ DANIEL L GUILLE7TE ____ HAYWARD WI
PIN: 57-010-Z-41-09-28-2 01-000-000040
Legacy PIN: 010941282104 Billing Address: Mailing Address:
Map ID: .5.4 DANIEL L GUILLETTE DANIEL L GUILLETTE
Municipality: (010)TOWN OF HAYWARD 16155W COUNTY HILL RD 16155W COUNTY HILL RD
STR: S28 T41N R09W HAYWARD WI 54843 HAYWARD WI 54843
Description: PRT NENW
Recorded Acres: 0.366 � Site Address * indicates Private Road
____ _______�
Lottery Claims: 1 16155W COUNTY HILI RD HAYWARD 54843
First Dollar: Yes
Zoning: (R-1) Residential One
ESN: 405 �� Property Assessment Updated: 11/9/2015
2022 Assessment Detai)
Code Acres Land Imp.
� Tax Districts Updated: 2/6/2007 G1-RESIDENTIAL 0.366 11,700 77,800
_ _ _
1 State of Wisconsin
57 Sawyer County 2_Year Comparison 2021 2022 Change
O10 Town of Hayward Land: 11,700 11,700 0.0%
572478 Hayward Community School District Improved: 77,800 77,800 0.0%
001700 Technical College Total: 89,500 89,500 0.0%
�� Recorded Documents Updated: 1/6/2010
—___ , ,.
0 WARRANTY DEED ' Property History
Date Recorded: 6/3/2004 322091 N/A
https://tas.sawyercountygov.org//Access/master.asp 1/1