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010-841-36-5117-LUP-2022-141
SUBMIT COMPLE7ED APPIiCAT10N AND Feero: APPLICATION FOR LAND USE PERMIT � Sawyer County `� , Zoning&Conservation Depart. i ' '.ti/�t!, n a r�-�, `� ` •' �<: ?;� � ' �i •--_!�`..�.� �5�.�P:S�re�'i�)i._._'_:�)'' � 30610 Main St Suite 49 � - - ._... �; f� Hayward,WI 54843 ���� � � ���� �� � (715)634-8288 ,� � s,4ww�r�;R c�urJrr iNS7RUCriONS: No permiu will be issued until all fees are paid. Z�N�NG Checks are made payable to:Sawyer County Zoning Department. DO NOT START CONSTRUCTION UNTIL ALL PERMITS HAVE BEEN ISSUED 70 APPLICANT Orig��al Application MUST be submitted FILL OUT IN INK (NO PENCIL) -----� � - -- —.. _- Submittal of this appllcation or receipt of fee�does not constitute permit i<suance. Ownens)Name: T'�5�n F���� (� �v .T-r�S,�" Contractor(s)Name Fr n l( T� �'1 ti ,� � Go� ' ' C i �r Mailing Address: Mailing Address: � � � n d A L✓L1/ ����Y / ��� � /�V � �' /l!/� Wl,/c� �� O�> Phone: '�7�C� �5��'���Cf� Phone: �7ILJ -��b _� (ll� ! Email: Email: GE(�*Y'(,' Sl� (�✓��Y C��/��il� G�� / //� J� L� � � Site address: J � // ��,'I(^61 /� /���(,✓q f Or Date applied for: /�.2 - " �, Legacy PIN If �/ J �I Town of: �,� � Permit delivery Method n Call Owner u Mail Owner �Call Contractor �Mail Contrector '. Is Property/Land within 300 feet of River,Stream ��nd. Distance Structure is from Shoreline: Is your Property intermittent) -� Are W2tland5 feet in Floodplaln Creek or Landward side of Floodplain? If�P�--cc,ntinue Fresent7 �Shoreland — --- zone? Yes Yes 1�Is Property/Land within 1000 feet of lake,Pond or Flowage Distance Structure is from Shoreline: No !f�e�s--�o�rinuP � �S feet No J Non-Shoreland Describe Project Value at Time of Total q of Projed type Foundation What Type&Capacity is the Completion �House,garage,shed,deck, Number bedrooms 'inc(;,� Addition,etc...) of Stories (Basement, post Sewer/Sanitary System(s) r,,,,t.; . Crawlspace, List separately Slab) �onstruction 5 ._ _Dwellin� C�c,�-v� c� � 5/c�� (�' �!�o nC $�Ll� .ct1 AccessoryBldB -�- r �� . <;�a S . :3t@C) �.. AdditiOn/AI[eration , _, Height: TotalSquare Lowest Proposed Use ✓ Proposed Strudure Dimensions Footage Grade to (multiply per Highest story) Peak Residence { X � Ft.1�,S with 2n4 story or loft ( X , Ft. with Basement ( x � Ft. '�1 Residential Use Attached Garege t x l Ft. ,/ Attessory Strudure(explain) n j ` � { 3'�� X ,�BI ' �J✓� Ft�b�h ,� �i (detached garoges,sheds,boat houses,etc J �/��T(t t J Agricultural �G G.a �, Use � Temeererv-6rre�4-Gu�_►s or Bu ouse a�c e ���:.�- � i-� X f`�; � L'+7� Ft. � Commercial/ Deck/Porch/Patio � X � Ft. Industrial Use ( X � (2"d)Deck/Porch/Patio Ft. `i Municipal Use ( x � Other(explain) Ft. '� Other ( x ) Prineipal Strudure(ngricuiw�ai,Commercial,Municipal,Etc.) Ft. Addition/Alteration(exPiain) ( x � Ft. Total Non-habitable square feet: I � t �-, 7otal habitable square feet: ,� � (decks,patios,garages,sheds,storage area&other structures) v� � � . ----_'-1 --��_ :� Original Application MUST be submitt�_:� Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:"Must•Include locatio�and setback of proposed and existing strudures,roads, driveway,sanitary components,weli,lake,river,stresm,and wetlands. Description Setback Description Setback Meawremenu Meawrements Setback from the CeMerline of Piatted Road and/or Feet i 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 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 Floodplain Feet Setback to Septic Tank or Holding Tank � Feet Setback to Well Feet Setback to Drain Field � ` Feet Setback to Privy(Portable,Composting� Feet � -.�i_:;�F ,. ,�.rr�,.- � �rorstru.r en ef a strucYure within five(5)feet of�he•n n�.n,�r�requ,rcd��t:.ark,;he uoi,ndary I:ne from�vh�ch tt���.-�1_�.��� m�.,c�be measured r-wst be visible from one pr�viously;urvcyro����ne:to the o[her previou5ty surveyed cOmer or marked by a I�iensed sur�eyor at the owner's expense. Pr�or to the placement or construction of a struRure more than five 15�feet but less than ten(10)feet frer���h��-�,rimum requlred setback,the boundary line from which the setback must be mPasured must�e v�vble from one previously survey-� � �'o the other previously surveyee mn�� � ��v±he Departmen�h�,u,-_�=�corrected cornpass fi_n��-�r�,;.^.n comer witi�ri S^.r�feet of t`ie propos-�' . ..�the�r•,.,,...� � -marked!;�a I�re��sed���vevor-i"i �. . . ., � � r . •. � • • • • �- • 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: Sl / Indicate lot size from SM,r NOVUS(circle one): � C�� Acres;Multiply by 43,560=Lot area: / f (0��� �� Square Footage Calculate impervious surface area: Determine the total size,in square feet,of your projects listed above(include eaves): '1 /� sq ft. Determine the total size,in square feet,of all existing roofed structures(include eaves): 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: sq ft. Calculate impervious lot percentage � Total impervious surface: =Lot area: Sq ft.X 100=impervious surface �o (Mitigation is reauired 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 slope greater than 203� Grading of more than 1,000 Sq.Ft.on 129'0-20%slopes Grading of more than 2,000 Sq. Ft.on Slopes less than 129'0 � Grading is in excess of 10,000 Sq. Ft. FAfLURETO OIsTAiN A Pf:RN��i or STARTING CC" ,.. .bViTHOUT A PFitMIT WILL RESULT IN PENALTitS I(we)declare that this application(including any accompanying information)has been examined by me(us)and to[he 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 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 of inspection.Additionally,the undersigned person(s)hereby give permission for access to the property for onsite inspection by Municipal Officials. Owner � � „ Owner �j � � �/'� Signature � � � 6� Printed name .��G1• �L�/� �A" F'Yi'71/ Date � �-� �� ,� r e req �� �� - � . , i Nam ui edi NOTICE All Ldn� � 11 Year tr� ,the ��._, � .r�.tr �t,. . ,��, i ne= , �hi� �Tn��Jnr�rrn�� , _.��1��- ,. - ._ � . .�.i.�t� �� r,. . , , � � ��:.. _ .� ._ 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 streams.Failure to comply may result in removal 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: 1t of bedrooms: Permit Denied(Date): Reason for Denial: Permit#: Issuing agent Date: ��- - 1 �i I .� ,�.�-� s a�� a�aa Is Parcel a Sub-Standard lot '�Yes (Deed of Record) ' No Mitigation Required Yes �No Is Parcel in Common Ownership �(Yes (Fused/Contiguous Lot(s)) No Mitigation Attached I Yes No Is Structure Non-Conforming �Yes '�ti,...���.�-� ;No Granted by Variance(B.O.A.) � Granted by Conditional Use �Yes No Case#: `;Yes 'No Case tl: Was Parcel Legally Created �Yes -'No Were Property Lines Represented by Owner ^�Yes No Was Proposed Building Site Delineated '�Yes ':= No Was Property Surveyed ' Yes >'No Office Comments: ��`, p.�,,_�,. `-jG ? ,5 ' �j S;�_ 1 f` Zone District: Fee: / ��_ � �.Z�p Hold For Sanitary: Hold For TBA: __ __ Hold For Affidav t: ____ Hold For Fees: �Feb2021 �°--- --- — — �� ___________________________________________�� c " : � e � . 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G1-RESIDENTIAL 0.910 515,600 183,400 � Tax Districts Updated: 2/6/2007 2-Year Comparison 2021 2022 Change 1 State of Wisconsin Land: 515,600 515,600 0.0% 57 Sawyer County Improved: 183,400 183,400 0.0% O10 Town of Hayward Total: 699,000 699,000 0.0% 572478 Hayward Community School District 001700 Technical College ,� Recorded Documents Updated: 11/7/2012 �Property History � QUIT CLAIM DEED N/A Date Recorded:7/17/2013 386137 O WARRANTY DEED Date Recorded:8/30/2004 324621 https://tas.sawyercountygov.org/IAccess/master.asp �/�