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002-940-11-5111-LUP-2022-067
SUBMIT COMPLETED AP7UCATION AND � FEero:� APPIICATION FOR LAND USE PERMIT Sawyer County SAWYER COUNTY,W ISCONSIN � Zoning&Conservation Depart. oa�e ScamP(Receroed) ' / 30610 Main St Suite 49 I Hayward,W!54843 (715)634-8288 � �, INSrRUC7I0N5: No permits wili be Issued until all fees are paid. J Checks are made payable to:Sawyer Counry Zoning Department. 00 NOT START CONSTRUC7iON UNTII ALL PERMITS HAVE BEEN ISSUED 70 APPLICAN7� Original Application MUST be submitted FILL OUT IN INK (NO PENCILJ . .._. ._---- Su6mittal of this application or receipt o(fees does not constitute permit issuance. Owner(s)Name: � " Contractor(s)Name � � ' V T� � �t,�� �b b�, ►��.��-��l. �� �;� c e k= L�;v�.�-�, Mailing Address: � � Mailing Address: � 14941 �I �Ac�;�a La.�_�Df, -�-�.y1,U�.r�-VlJ� �'�� �jr�v c� k (.�' � Phone: ��t_p�.3 Phone: �'� �;j {' T,� � (�D�--7�D 27'L Z-- T� ..��� � 7. Email: �V�I/ISt 1 R'J�t7 V`^��7 i L b�'� Ema�l: d-I �C IGiFL-�i O 1�5�'l..�S W�GL'��f l�✓ ��� Site address: ���.e-. Or Date applied for: - 1�L � Z-L�C� Z C c- legacy PIN# ���a' ) 'U \� ���� Town of: Permit delivery Method �Cali Owner u Mail Owner o Call Contractor r!Mail Contractor • . inci. Distance Structure is from Shoreline: Is vour Property nt rmittent) r _� Are Wetlands feet +n Ftoodplain Creek or Landward side of Floodplain? ' c'�esent? �Shoreland - --- -- — zo�e? Y� Yes �s Property/Land within 1000 feet of lake,Po r Flowage Distance Structure is from Shoreline: � I y_s-con'in�;e �► �Lj� feet o � J Non-Shoreland Describe Project Value at Time of Totaf#of Projed type Foundation What Type&Capacity is the Completion House, ara e shed,deck, Number bedrooms � nclude donar��d ( g g ' of Stories lBasement, �ost Sewer/Sanitary System(s) addition,etc...) Crawispace, time&matcrial c�nstruetior� List separately Slab) s , Ccn-�.��v�r`;cn-ru � ,3 6�✓'ar D�� �c��t3 �uCfr�n., . , . � Dwelling G��'t ' �f i C'Y7 O e � 5 Aaessory Bldg s3��c'U A dd itio n/AI tera ti o n � Height: Total Square lowest Proposed Use ✓ Proposed Structure Dimensions Footage Grade to (mult(ply per Highest story) Peak Residence ( X � Ft. with 2nd story or loft � x � Ft. with Basement � X ! Ft. ,,J Attached Garage { x � y�l Residential Use Ft. � � f x ) ACCe55ory Struttu�e(explain) ❑ Agrieultural (detachedgarages,sheds,borthouses,etc) Ft. Use Temporary Guest Quarters or Bunkhouse(orde cype) � X � Ft. 0 Commercial/ Deck/Porch/Patio �%�'�vy� ( r,/X �'-7' �) l/Z Ft. �� Industrial Use _ ( X � (2"d}Deck/Porch/Patio a���� � ��' �� Ft. I� Municipal Use ( - x � OthOr(explain) Ft. � Other -�' f x ) Principal Structure(agricuiw.ai,Commercial,Mun�ci�ai,Ecc.} Ft Addition/Alteration�exPia��> � x � cz�',;� pc-�r�z Ft. Total habitable square fee4: — � Total Non-habitable square feet: ` ,.` - (decks,patios,garages,sheds,storage area&other structures) � \C� ' Original A��lication MUST be submitted Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:*Must"Include location and setback of proposed and existing structures,roads, driveway,sanitary components,well,lake,river,stream,and wetlands. , Description Setback Description Setbatk Measuremenis Measurements Setback from the Centerline of Platted Road and/or � �Feet Setback from the Lake(ordinary high•wa[er mark� /O(p Feet Setback from the Established Right-of-Way �J Feet Setback from the River,Stream,Creek Feet Setback from the Bluff if applicable Feet Setback from the North Lot Line 0 Feet Setback from the South Lot Line D Feet Setback from Wetland Feet Setback from the West Lot Line /jt� Feet Slope within area of construction/disturbance 35 Slope Setback from the East Lot Line Feet Elevation of Floodplain Feet Setback to Septic Tank or Holding Tank Q� Feet Setback to Well Feet Setback to Drain Pield Feet Setback to Privy{Portable,Composting) Feet Pri��te;he ul,�.e��,en;o��unstrucucn u(a stru�ture within we(5)feet of the�� �in�ur��,required'>et6ack,Un�boundary line fiom whlch the setback niust be rneasureA must be visible fiorn one prevluusly�uivcyed corner to Ihe uther pr�viously su�veyed corner or marked by n�icensed surveyoi al the ownei's expense. Prior to the placement or construction of a structure more than five(5)feet but less than ten(10)feet from the minimum reqwred setback,the boundary line from which the setback musi be� measured must be visible from one previously surveyed corner to the other previously surveyed comer,or verifiable by the Department by use of a correCted cornpass from a known�orner within S00 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: �' q �/�; �,.� Indicate lot size fr m CS or NOVUS(circle one): /�f ��(/�l/� , �Ac e�s;Multiply by 43,560=Lot area:�� ��Square Footage Calculate impervious surface area: Determine the total size,in square feet,of your projects listed above(include eaves): �7'� Sq ft. de�� - Determine the total size,in square feet,of all existing roofed structures(include eaves}; -3���t' sq ft. Oetermine the total size,in square feet,of all existing paved/bricked/blocked surfaces: �2� � sq ft. Add these measurements to determine total impervious surfaces: � / � � sq ft, Calculate impervious lot percentage y/'`� �>��"✓� �i Z7 0 Total impervious surface: =Lot area: Sq ft.X 100=impervious surface /o (Mitigation is required if total exceeds 15%) "`Notice a separate grading�ermit needs to be obtained if{listurbed area is within the Shoreland district as indicated on previous page and meets criteria below"' /�` �cr.z�!/�� vr 5��i/�fis�ur,f'Jl.��1.C� Grading on a sio{? reater than 20% Grading of more than 1,000 Sq. Ft.on 12%-20%slopes Grading of more than 2,000 S . Ft.on Slopes less than 12% Grading is in excess of 10,000 Sq. Ft. FAIIURL (U );''�lv�: - � ,.,.. 'JNSTRUCT!O:v ���i"��i.iUl �'.i'iKfvlll .�,L�k�'�U�i iN{'Ef aLlit� 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 1(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 liability which may be a result of Sawyer County relying on this information 1{we)am(are)providing in or with 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 purpose f inspection.A ' ' nally,the Gndersigned person(s)hereby give permission for access to the property for onsite inspection by Municipal Officials. Owner Owner �— p c I,, Signature '► Printed name � h l���u S 1 . ��.J��V��. Date +� ' � �L��/ (Si�mtUr��and Printt�d N�nie r,�qi�ired) ��i NOTICE�. All Land Use Pe�rn�it>E�xpir�One(1)Yoar trurn Ihi�Dat��ut Issuance- Fur th��Con�IrucLion U�New Urn�&iwu Family rmlhn�t �11,L fvluniciFi.illti��Are Rocuire�i Ib I n�urce fho Ur�lfornt Dv�elling Code. i�����.i:_� .. :�rv:n , �n�!=t�+..:il:���e�i' ..,ni,�y al;n���yuur i�rrni�i�,. - - 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 with State and Federal laws concerning construction near or on wetlands,lakes,and strearns.Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more inforrnation,visit the department of natural resources wetlands identification web page or contact a department of natural resources service center(608)2673125 Issuance Information(County Use Only) Sanitary Number: N of bedrooms: ...._._.. _ _____��__ �____., Permit Denied(Date): Reason for Oenial: Permit tt: � Issuing ag� �� �� � � Date: ^ i ��-v�� � ;g a�a-a_ Is Parcel a Sub-Standard Lot I i Yes (Deed of Record) ''�fVo 4� Mitigation Required L:Yes I No Is Parcel in�ommon Ownership �'�!Yes (Fused/Contiguous Lot(s)) I No Mitigation Attached !J Yes �No Is Structure Non-Conforming !I Yes �S No Granted by Variance(B.O.A.) Granted by Conditional Use �7 Yes �No Case p: 1 Yes ^�No Case N: �_� _ - -- - -- -- Was Parcel legally Created �Yes :'No � Were Property Lines Represented by Owner '1?�Yes _ No Was Proposed Building Si4e Oelineated `�Yes I:�No _ Was Property Surveyed 'I`Yes _ No _ _Y-. __,f� - -----_ - _ -- Office Comments: Zone District: fee: ��-\ � ��.J Hold for Sanitary: Hold For TBA: Nol�i For Affidavit Nold For Fees: �Feh2021 _ __ ._.. �-�-'� . 6G� EASEMENT ADINA L,�K,c DRlVE 200.5;�� � , I �n � D RA{�Iv -"' 25` WELI� ; �� . , __ FIE41b _ _ '. --�, � EY i f n `- �- -- �-_; 1 L � t� � I GARAG�. a ► �� � �:�pos«/ 1 �w. ' de . , � - Qad,t� � ' 2��c�4� ' fl0 •�__ _ -- - : - ..__ � ct �,. �y�- S 2 , � , � _ ' _ 2 O' , � - --- co ', _a,., _ ____ �� 4�' _ __t ``' `v � rl'� -� i 5' . �------ � j` � � � ,��� �` �O� tQ � '\���' �.\� � �j � '--`-1 � o � �yOUSE` /�' � SEPTIC � �' � TANK � d" O C�,,�r�c s�=d• . I i; �l e cic Qd d��'i b�'t. ' ��x r4-. O � �OT � r � 4c,700 SQ. FT_ ( ! � 200°00 , � �------_ _- _ __ ___--- -- --- - � ': �`-�..�.�..,��_... ,` '`��__..s-�=ti ,; �...-'-� �Y ..�� ;. ��-.._. __, � •4DI�q �___ -.� _ .__. LAKE ` ;•�,,� .�_., _ �__ CERTIFIED SURVCY �202 S�WYER COe 1�15�2�01 \v G P LOT PLA�I '" �,� 3/5/2019 1"=�0' S ; � :- _ R ; .,. , rr , , ��� +r _ � .�>,�- ,rr• � s, '� ..^' � �� �w ,�" '. �". w � _ - _ rF . � �'r ,� �' r �- ;� �� t�. r � � _ .. + '. ¢�.... �� .l ' �;T� � -� f �•�4- _ _ _ � . �'r��� �.. "� w+'�1 � '+�� F��� r ' �� � ��+ �� f __ . �.� � � •�.�� � +� .� .. � . . :r� y �•�.1� .. .t. .. �b^'. � � . ••��s �.l�.µW,--'��y. - + ..��. �;..�'=�� +~.'' _ . - t ,"a r �'" •r � ..-;,r i 7'. ': 4 �� ' � � y� � _ :r �-_. _a .� � � �,,�.,,��,. �p"-.� o � ,-'"��'go : � f."a- . = s y�., �� �,� ; - � ,��.�� u.,?� ��'fw} Y�j �" � ' .;�'.E'f� �eii� T _ r'"' � te�'S' � ,R,'F. . 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ESN: 406 N/A 2-Year Comparison 2021 2022 Change � Tax Districts Updated: 1/3/2022 Land: 0 0 0.0% 1 State of Wisconsin Improved: 0 0 0.0% 57 Sawyer County Total: 0 0 0.0% 002 Town of Bass Lake 572478 Hayward Community School District 001700 Technical College ��, Property History Parent Properties Tax ID . Recorded Documents Updated: l/3/202� 57-002-2-40-09-i1-5 05-001-000060 3091 CERTIFIED SURVEY MAP 57-002-2-40-09-11-5 05-001-000070 3092 Date Recorded: 12/13/2021 436464 WARRANTY DEED Date Recorded: 4/30/2021 431586 SPECIAL WARRANTY DEED Date Recorded: i/30/2020 422317 WARRANTY DEED Date Recorded: 9/4/2015 397521 WARRANTY DEED Date Recorded: 7/11/2014 391232 TRANSFER ON DEATH DEED Date Recorded: 3/28/2014 389810 TERMINATION OF DECEDENTS INTEREST Date Recorded: 3/28/2014 389809 WARRANTY DEED Date Recorded: 8/20/2013 386774 WARRANTY DEED Date Recorded: l0/11/2007 349570 WARRANTY DEED Date Recorded: 9/19/2001 294182 CERTIFIED SURVEY MAP Date Recorded: l/15/2001 288695 HISTORY 0 Expand All History White=Current Parcels Pink=Retired Parcels D Tax ID: 3092 Pin: 57-002-2-40-09-11-5 05-001-000070 Leg.Pin: 002940115107 Map ID: :1.7 �Tax ID: 3091 Pin: 57-002-2-40-09-11-5 05-001-000060 Leg.Pin: 002940115106 Map ID: :1.6 44344 This Parcel Parents Children