HomeMy WebLinkAbout026-939-09-3301-LUP-2022-126 SUBMIT COMPLETED APPLICATION AND
Feero: APPLICATION FOR LAND USE PERMIT N
Sawyer County SAINYER COUNTY,WISCONSIN \
Zoning&tonservation Depart. o�ce s�amP�ae����d� � J
10610 Main St Suite 49
Hayward,WI 54843 S' S 1 '�V "Z 2 j
(715)634-8288 `!
f. )
( `
INS7RUCTi0N5 No permitt will be issued until all fees are paid. `p\
Chetks are made payable to:Sawyer County Zoning Department.
DO NOT START CONSTRUCTION UNTIL Al l UFRM17S HAVE BEEN t5$UED TO APPL�CAN�. Qriginal AppficaUon MUST b2 Submittsd FILL OUT IN INK (NO PENCIL)
Submittal of this application or receipt of fees does not constitute permit issuance.
Owner(sJ IVame: Contrector(s)Name
� R�t (, t v'TI( / � if} s?�
R � � � P2 c o�5T�2 ���-, ��
MailingAddress: �, /C/ ,A�iY Mailing�(►�dd`r'e'�ss: (,�J�� �wY �
� .�a� � Oc.D 2� �� s "� `'�rKr S v V l O w `T �
Phone' �' c�` /,.,� _O /v� Phone:
J Vr MqcSTd�Vry1��rna�f ���� SZ.d ' ?.7�03
Email: 1'♦ ('•C{'L �, '. COYh- Email: Q✓ `C r !� � � ,( • �'Q
Site address: I`� V�•� � �� Or Date applied for:
Legacy PIN# �Z.� ` ✓ �� �/ Town of: �'ry� C
Permit delivery Method II Owner �Mail Owner r.Call Contrector �Mail Contrector
. Is Property/Land within 300 feet of River,Stream I��a. Distance Structure is from Shoreline: Is your Property
Intermittent} —� � feet in Floodplain Are Wetlands
Creek or Landward side of Floodplain? if yes---continue Present?
�Shoreland zone?
`n Yes
� X�6 Property/Land within 1000 feet of lake,Pond or Flowage Distance Structure is from Shoreline: Yes
--� feet �Nr� ! N�
i
' Non-Shoreland
Describe Projed
Value at Time of Total#of
Projed type Foundation What Type&Capacity is the
Completion Number (gasement, bedrooms Sewer/Sanitary5ystem(s)
• , :- ,r c, (House,garage,shed,deck, p{Stories Post
Addition,etc...) Crawls ace,
�",,��' � ""���` List separately Slab construction
)
s S7'o�'K�
Dwelling � J,��
S 0��
Accessory Bldg
�
Addition/AI[eration
Height:
Total Square Lowest
Proposed Use ✓ Proposed Structure Dimensions Footage Grade to
(multiply per Highest
story� Veak
Residence ( x �
Ft.
with 2"d story or loft ( x �
Ft.
with Basement ( X �
- Ft.
', Residential Use Attached Garege ( x � Ft.
ACCeSSory StfuGtu�e(explain) � x �
� Agricultural (detached garzgez,sheds,boat houses,etc) Ft.
Use Temporary Guest Quarters or Bunkhouse(cir�ie c�Pe) ( X � Ft.
�i,Commercial/ �eck/Porch/Patio � x �
Ft.
�Industrial Use � x }
(2"d)Deck/Porch/Patio Ft.
L Municipal Use. ( x �
Othe�(explainl FL
� Other y" ' /
,� Prineipal Strudure(Ag��cuiturai,Commercial,Municipal,Ett. ( y$ X Z 1�, //� �• 2. Ft. � V
a��^t 1.• r�
( X )
Addition/Alteration(expiain) . Ft.
Total habitable square feet: Total Non-habitable square feet: ,�� �!�
(decks,patios,garages,sheds,storage area&other structures) l�
. ,..
Originai Application MUST be ��;btT�i!iPCI
Attach a Plan or Sketch your Property on 8.5"x li"or 8.5"x 14"paper:'Must•Include location and setback of proposed and existing strudures,roads,
driveway,sanitary components,well,lake,river,stream,and wetlands.
Description Setback Descriptton Setback
Measurements Meawrements
Setback from the Centerline of Platted Road and/or y(� 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 Line ()Q Feet Setback from Wetland Feet
Setback from the West Lot Line L� Feet Slope within area of construction/disturbance 9�Slope
Setback from the East Lot Line . �eet Elevation of Floodplain � � Feet
, • . . �, . . , . , •
Setback to Septic Tank or Holding Tank Feet Setback m WeIF . QQ Feet
Setback to Drain Field Feet � `
Setback to Privy(Portable,Composting) Feet � �
, , . . � . -;feet_.�hr�minimum r�Qi,�re^�etba�i � . .. � . ��.._. .. _'
, . . - �. ;-�i�,�vea,c,r,.�ro. r•=,.edCp�i':ce�ceds:nveYora't'. _ . . �
� . �. �• +,orcona . • � �-.�e more than five(5�feei but less than ten(10)feet'ro����.r� � ,_��ed sr�h,;;�- �� � ... . .. � - . � .r�-r�rhe .c. ... . ,
,�.�nle fron ��rey2d[omer to the other pir viou.iy surveVed come•,nr,,,.. . . . � r:.y�.�ii �r b,:;., ,, . , _ .��y .. x .�+:ur-„��.
� �;:.� r_., . :i e,or must be marked by a hcense0 surveYor at the oc•.�.. . . � •� �
• • ' . • • • • - .• . • •• �
Calculate impervious surfaces.(Roofed,concrete,paved,and other wrfaces that water cannot penetrate.The Zoning dffice ean help you determine if a
surface is considered impervious�
Calculate lot area: l , ' t
indicate lot size from CSM o NOVU ircle one): D _Acres;Multiply by 43,560=Lot area: ��7 T Z� T�� Square Footage
Calculate impervious surface area:
Determine the total size,in square feet,of your projeds listed above(include eaves): �2� � !� sq ft.
Determine the total size,in square feet,of all existing roofed structures(include eaves):� ��O 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: Z�. "[ �� sq ft.
Calculate impervious lot percentage . ,
Total impervious surface���=Lot area:r 7���q ft.X 100=impervious surface � ' � % ',. � M ` ' ;
(Miti gation is re quired if 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 slo e greater than 20% Grading of more than 1,000 Sq.Ft.on 12�0-20�slopes
Grading of more than 2,000 Sq.Ft.on Slopes less than 12% Grading is in excess of 10,000 Sq.Ft.
}i, iP,� ' r �q-.. . i�.li )I` . , � , �'�:�It _ . � .. �_ ,�.^.'ll �'_.. ., � .
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 detaif 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 liability which may be a result of Sawyer County relying on this information I(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 described property at any reasonable time for the
purpose f inspection. dditionally,the undersigned person(s�hereby give permission for access to the property for onsite inspection by Municipal Officials.
Owner - Owner —}�
Signature �� Printed name �- " ' �q�� Date J �2-Z.
NOTICf :�,II��, ;r..� . . . . - - � . .,. _ . . .�. �
,��,.�,� r ��i,�r�.,ri r ��t^.t., . �r.--.� - �-:,� . -_ �' . ii . , ., , �- .. �..
. .. . . .. . .!��r; .. � �. . � , . ... :�,v-. � ..
You are responsible for complying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the State of Wisconsin.Vou are also responsible for
complying with State and Federal laws concerning construction near or on wetlands,lakes,and streams.Failure to comply may result in removaf 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 Onty) Sanitary Number: N A tt of bedrooms:
Permit Denied(Date): Reason for Denial:
Permit tt: Issuing agent: Date:
22 - � ''L� ' � /� ��
Is Parcel a Sub-Standard Lot ';Yes (Deed of Record� Mitigation Required Yes No
Is Parcel in Common Ownership :;Yes (Fused/Contiguous Lot�s►) � Mitigation Attached Yes !:No
Is Strudure Non-Conforming �'Yes ;i No
Granted by Variance(B.O.A.) Granted by Conditional Use n
'Yes "'No Gse p: s ":No Gse tt: j� �� � �
Was Parcei Legally Created Yes No Were Property Lines Represented by Owner Yes f'No
Was Proposed Building Site Delineated Yes No Was Property Surveyed Yes :J No
Office Comments: � � . ' ' - Zone District: Fee:
�a�me�c,z.l Sfio��• �N:I �,�, �ura�Pro�►I :� �.� /4— i �� las
Hold F"or Sanitary: Hold For TgA: .__,___ N;�'r,4�,r f�tfidav�t Hold For Fees:
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5/18/22, 10:01 AM Real Property Listing Page
Real EStat2 Sawyer County Property �isting PropertyStatus: Current
Today's Date: 5/18/2022 Created On: 2/6/2007 7:55:47 AM
.i
�'Description Updated: 8/3/2005 � Ownership Updated: 2/6/2007
Tax ID: 28106 DARRYL M &RUTH ANN MAST STONE LAKE WI
PIN: 57-026-2-39-09-09-3 03-000-000010
Legacy PIN: 026939093301 Billing Address: Mailing Address:
Map ID: .11.1 DARRYL M&RUTH ANN MAST DARRYL M&RUTH ANN MAST
Municipality: (026)TOWN OF SAND LAKE 6506N OLD 27 RD 6506N OLD 27 RD
STR: S09 T39N R09W STONE LAKE WI 54876 STONE LAKE WI 54876
Description: SWSW
Recorded Acres: 40.000 � Site Address * indicates Private Road
Calculated Acres: 31.252 6506N OLD 27 RD STONE LAKE 54876
Lottery Claims: 1
First Dollar: Yes t� Property Assessment Updated: 4/13/2021
Waterbody: Unnamed Lake 2022 Assessment Detail
Zoning: (A-1)Agricultural One Code Acres Land Imp.
ESN: 423
G1-RESIDENTIAL 1.000 5,000 67,200
G2-COMMERCIAL 1.000 5,000 98,500
� Tax Districts Updated: 2/6/2007 G4-AGRICULTURAL 20.000 1,700 0
1 State of Wisconsin G5-UNDEVELOPED 14.000 4,200 0
57 Sawyer County G8-AGRICULTURAL FOREST 4.000 4,000 0
026 Town of Sand �ake
572478 Hayward Community School District 2-Year Comparison 2021 2022 Change
001700 Technical College Land: 19,900 19,900 0.0%
Improved: 165,700 165,700 0.0%
.� Recorded Documents Updated: 9/12/2014 Total: 185,600 185,600 0.0%
WARRANTY DEED
Date Recorded: 3/3/2004 319753
�Property History
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https://tas.sawyercountygov.org/system/frames.asp?uname=Jay+Kozlowski 1/1