HomeMy WebLinkAbout010-173-00-0600-LUP-2022-248 SUBMITCOMVtETED AVFUCqTION AND
FEero: APPLICATION FOR LAND USE PERMIT
SawyerCounty SAWYF�$,C N,TY,,LIIISCO IN �
Zoning&Conservatlon Depart. 1 � �� � `�� �
SO610MaIn5t5uite49 - , oeirslqrrio�ae<.i..d� �
....... ..:__'__.—'._—._..
Hayward,WI54843 ���J �
(715)634-8288 ,1UL 0 1 2022 �
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iNsraucnoNc ruone.mi�wninei::�eaoneaauree:a�ece�a. SAWYERCCUNTY �
Ch�cks are made paysbie to:Sawyer Co�nH Zoning Depertment.
uorv�rsrnRrcor�s-RucriorvuNii�n��=ERn�itSr+nvEnEEN_iSwEoronvo��cnn1 OriginalApplicationMUSibezubmitted FILIOUTININK (NOPENCIL)
Su�niil[alof[hisapPl�icit�onorn.coi�toifet��daesn consfilue0ermit'i�xi�a.cc_
Owner(s)Name: Contractor(s)Name
��.�:�.� a I Vh. ChY- �
J�e.,�c—wi c�o 1���V�
MailingAddress: � MaIIIngAdtlress:
�
Ol2 �r. '¢
Vhone: 6b,,,�— 32���3�.{� Phone:
ema�l: r' "I�O Email:
Site address: q Or oate�o Iled lor: 1 '
�ese�y rw a 610—(13—00—06 0O row�ot: t�w. w ean
Permft delivery Method �Call Owner l�(Mail Owner n Call Contractor n Mail Controctor
C.Is Property/Land within 300 feet of River,Stream(md. Dlstance Structure is from Shore�ine: iz your vmperty
in�erm�nem) —► feet in Flootlplain Are Wetlands
Creek or Landward side of Floodplain7 If yes--continue N � 2one? vresmN
�Shoreland --� ves
'_Is Property/Land wlthin 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: Yes
If tinue—► feet No ��
ycs--wn
:7 NamShoreland
Describe Projed Total p of
valueatrmeof projecttype Foundatlon WhatType&Capacltyisthe
complet�on Number bedrooms
•�:,d�,ne den�iod (House,garage,shed,deck, of Stories (Basement, post Sewer/Sanitary System�s)
nddl2ion,etc..,) Crawlspace,
rrne c r�a:�����:3i ��st separately Slab ���str��ct�on
1
5
Dwelling ������
��
S
Accessory Bldg
S���r��
�'�
Pc����j
Height:
TotalSquare Lowest
✓ Pro osed Structure Dlmenslons footage Grede to
Vroposed.Use P (multiply per Hlghest
story) Peak
( X �
Residence Ft.
x )
with 2n°story or loft ( p�.
( X �
with Basement Ft.
� X I
Attached Garage ft.
�Residential Use
Aecessory Strueture(ezpiain) � x , Ft.
❑Agricultural �ae�a�nsea,�+sa.,�n�as,coa�no�..�.<r��
( x 1
Use Temporery Guest Quarters or Bunkhouse�a�ne ryPe) Ft.
� x )
�l Commercfal/ Deck/Porch/Patio Ft.
Industrial Use ( X )
(Fd)Deck/Porch/Patio Ft.
❑ Munfdpal Use ( x 1 y 3y�
Other�e.piaml � Ft.
x r�ve u� au,,�
❑ Other ( x �
Prineipal Strueture(ng���o¢��al comme���ai,M���<iva4 Et�.) Pt.
( X 1
Addition/Alteretion(exviai�) Ft.
Totai Non-habitable square feet: u 3���
Total habitable SqUBfe feet: (decks,patios,garages,sheds,storage area&other structures)
Original Applitation MUST be submitted
Attach a �'��n Or Sketth your Property on $.S' x 11" ar 8.5" x 14" paper: *Must" Include location anQ setback of proposed and existfng structures, roads,
driveway, sanftary componants, well, lake, river, stream, and we4lands.
Oescrl tlon SetbackA Setback
p Measurements Description Measurements
Setback from the Centerline of Platted Road and/or Feet Setback from the lake (ordinary high-water mark� Feet
Setback from the Estabtlshed Right�of-Way Feet Setback from the River, Stream, Creek Feet
Setback from the Bluff if applicable FE'2i
Setback from the fVorth Lot Line Feet
Setback from the South Lot Line Feet Setback from Wetland Feet
5etback from the West Lot line feet Slope within area of constructlon/disturbance 9� Slope
Setback from the East Lot Line Feet Elevation of Floodplain Feet
Setback to Se tic Tank or Holding Tank feet Setback to Well feet
Secbatk to Drain field Feet •
Setback to Priv (Portable, Compost�ng� Feet
Prior te the placemen; or construction ef a sti ucture within five (S) feet of the minimum required setback, the boundary line from which the setback must be meawred must be visib from unc!
previously surveyed corner to the other prev�ousiy surveyed corner or marked by a licensed s�rveyor at the owner's expense.
Prior to the placement or construction of a sVucture more than five (5)feet but less[han ten (10) feet from theminimum required setback, the boundary line from-which the setback must be
measured must be visible from one previously surveyed corner to the other previously surveyed corner, or verifiable by the Department by use of a sor;ected compazs from a known corner
within 500 feet of the proposed site of the structure, or must be marked by a litensed surveyor at the owneCs expense.
. • � . • . • . . - . - . . • • .
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)
Calculate lot area:
Indicate lot size from CSM or NOVUS (circle one); Acres; 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): sq ft.
Determine the total size, 1n square feet, of all existing roofed structures (includ� eaves}; sq ft.
Determine the total size, ln square feet, of all existing paved/bricked/blocked surfaces: sq ft,
Add these measurements to determine total impervious surfaces: sq ft,
Calculate impervlaus lot percentage
Total Impervious surface: + Lot area:_ _. Sq ft. X l0U = impervious surface�.__%
(Mitigati�n it reqWad if totyl exceeds 15°/a)
•'•Notice a separote grading permit needs to be obtained it disturbed area is within the Shorelar�d district as indicated on previous page and meets criteria below"••
• Gradin on a slope reater 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
r:�iLukE i0 0131�AIN A 4�i:�-.'. � r,I�NG CONSTItU�TION 4'VI l�HOU�I� =A PEHMIT VJILI RCSUL( IN PENi�LTiF�
I (we)declare that this app�lcation (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 I (we) am (are) providing and that it will be relied upon by Sawyer
County in determining whether to issue a permlt. I (we) further accept Iiability which may be a result of Sawyer County relying on this information I (we) am(are) providing in or
wlth 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.Additionaliy, the underslgned person(s) hereby give permission for access to the property for onsite inspection by Municipal Officials.
Owner Owner �
Signature --��C Printed name��Qv� t ). �nr: p Q�� Date _ � I t '2 Z
(Signalure and Printea Name req�,iir�d) �
NOTICE: Ali land Use Permits Explre One (1) Year rro^� [he Dat� ��+ h��.u�nce-
For the Construction Uf New On�° & Two Family Dwelling: ALL MunicipaliUes Are Requlre-.I (� E�ntore Th�� U��i'crm D��c'ling Code.
'hr� ��. n �.�,wn, SCat� r�r F� d'erai a�;enCies m;�ti u�, rf�i�u�r�;� Fr-rnuts.
You are responsible for complying with the requlrements of the Sawyer Counting Zoning Ordinances and iaw and regutatlons of the State of Wisconsin. You are also responsible for
cnmpiying with State and Federal laws concerning construction near or on wetlands, lakes, and streams. Pailure to compiy may result in removal or modiflcatlon of construction
that violates the law or other penaltles or costs. For more information, vislt the department of natural resources wetlands identificatian web page or contact a department of
natural resources service center (608) 267-3125
Issuance Information (County Use pnly) Sanitdry Number, q of bedrooms: ""f
Permit Denied (Date). Reason for Denlal; � �����
Permit �: Issuing agent; Date:
�� - �� � � � ,,��s�w �7 l �3 �,�c,d.�.
Is Parcel a Sub-Standdrd Lot ! i Yea (Deed of Record) �No
Is Parcel in Common Ownership bi Yes (Fused/Contiguous lot�s)) ; I No Mitigation Required Yes !J No
ts Structure Non-Conforming I 1 Yes ,.,�Na Mltigation Attached : Yes C� No
Granted by Variance (B4O.A.) Granted by Conditional Use
�:1 Yes _� o Case q: ` 1 Yes �. o
Case#I:
Was Parcel legally Created � Yes ;' No Were Property Lines Represented by Owner �Yes
Was Proposed euilding Site Delineated Yes i� No No
Was Property Surveyed �Yes No
Offfce Comments:
Zone District: Fee:
���- � $ �S
Hold For Sanitary: I Hold For TBA: ' Hold For Affidavit: , Hold For fees:
mFeb2021
Redl EStdt2 Sawyer County Property Listing Property5tatus: Current
7oaay's Date:6/6/2022 � Created On:2/6/2007 7:55:18 AM
�Descripdon Updated;5/27/2022 �Ownership Updated:5/27/2022
�------____—...— ---------------- ---._ _ _ . . ___.__-._-- .._- - . _. . _ __.._--...------ ---
Tax ID: 10062 DANIEL D&7ANElLE M NORTHFIELD MN
PIN: 57-010-2-41-08-14-515-ZZ7-000600 LHRISTOPHERSEN
Legacy PIN: 010173000600
Map ID: � -5.6 Bllling Address: Mailing A dres :
Municipality; (OSO)TOWN OF HAYWARD DANIEL D&7ANELLE M DANIEL D&]ANELLE M
STR: S14T41N R08W CHRI570PHERSEN CHRISTOPHERSEN
Description: ROUND LAKE RETREAT LOT 6 2012 ONTARIO DR 2�12 ONTARIO DR
NORTHFIELD MN 55057 NORTHFIELD MN 55057
Recorded Acres: 0.550 �
Calculated Acres: 0.593
Lottery Claims: 0 �Site Address *indicates Private Road
.______ ....___._.._ _...__. . ____.__._______'_._--
First Dollar: Yes 11096N LINDEN RD HAYWARD 54843
Waterbody: Round Lake
Zoning: (RRl)Residential/Recreational One Q Property Assessment Updated:11/9/2015
_---__._ _ .. . ___. _.._ __._---- --..
ESN: 444 2022 Assessment Detail
Code Acres Land Imp.
'��Tax Districts Updated:2/6J2007 G1-RESIDENTIAL 0.550 300,000 186,400
------------------ ... ._ __ . .
1 State of Wisconsin
5� Sawyer County 2'Year Comparison 2021 2022 Change
O10 Town of HaYWard Land: 300,000 300,000 0.0%
572478 Hayward Community School District Improved: 188,400 188,400 0.0%
O01100 Te�hnical Colle e TO��� 488,40D 488,400 0.0°/a
'J�Rewrded Documents Updated:11/15/2016
WARRANTY DEED � � � ----- �' Property History
. . . .. _ _ .._
Date Recorded:11/9/2018 435361 N�A
WARRANTY DEED
Date Recorded:9/5/2013 387099
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STATEWIDE SURFACING & CONSTRUCTION INC. � � �' �
� . ` �=`� W2478 Highway 63 • Springbrook, Wisconsin 54875
'' 1 800-262-6029 or t715) 766-2031
.-
'� `�� �'�"� Fax (715) 7b6-2042
sstatewide�centurytel.net • www.state�ridesurfacingandconstruction.com
O • � V� S�r/ I D�! �i.� �' ' �V li/ DA� — � ����
STREET � �. 41.^++� ��`../# , ��� JOBNAME
C4TY, ATE ar,d ZIP CODE � / �� � ,I�IOCATION
�T
ARCHITECT • DATE OF PLANS J08 PHONE
D � . /�I � S �'Yra,��f � G�YrI
We hereby submit specrfi tions and estimates for,
� �radr� � �c.b �s� . �c� a���i Q.s � ��d,eal.
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�`n� a r�►�� . r,r>a�Y G�al � G�rn�ac�: �a.�� u� G-�
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--�?I��rI�SS D-� v� �a� .� . -
If accepte�please sign. � '� � —
� � �.,;r �� I +. ,
`' • > Reep yellow coPY jor your � ` -- ---_. ._
v records and return pink �' �,� ���_ � ? ,��2
back to us. Thank You!
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��uit s '. +��v �1��w►t du�t -i-a -ft�vF�,��,i�.ru,�e.-1- �
W@ Pt'OpOS@ hereby to fumish material and labor — complete in accordance with above sp�fications, for the sum of:
Payment due upon completion ��e� �$ � � �� ���� �.
PaymeM to be made as follows:
Rayment due�an cortpletia+.AmouMs ove��deye are suDject to A FlNANCE CHARGE at 1 vz�,per month(18'�o per annuml�me unpaid balance from date d invoice. H paymeM is not mede
es outFnad.a satislactory artengemeMs are made with our office,tha undersigned agrees to PeY ap bqei experises, indudfng reasonabfe attomeys tee resulting ftom turttier tegal proceedngs.
,41(� materiai is guaranteed ta be as specrfied. AN work to be completed in a workmanNke
manner according to standard practices. Any atteration or deviation from above specitica A��Zed
tions irndving extra costs will 6e executed only upon written orders, and wilt become an Signature
extra charge over and above tlie esUmate. Ad agreements contingent upon strikes, acciderKs
or delays beyond our controt. Owner to carry fire, tornado, and omer necessary insurence. Note: th�s p�oposa� m8y be
Our workers are fuay covered by wwkmen's Compensation Inw�ance. wlthd►awn by us if not aCCepted within deYs•
Acceptance of Proposal _ „� � �es, ���,5
�nil nnrviifiMc ��u caFieforMni �nil e�n 1w���i �rrer.�n�l Vi... vn ��.M�nri-'n.1 M M �.
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. -US�B�CK INK ON�Y s I I III illl,ll fIIII III lII
I� III
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SHORELAND lVfiTIGATf4N AGREEi�ENT Tx:4G:.�92�6
. 44U142
Owner's tdame{s}as shcwn on deed: PAULA CHISSER -
REGISTER�F DEEDS
DGn��� p. � �o��e�le It'n• Ch�r�s-�o���rs�v� �AWYERCt}UNTY, wi
Paral tdentibra5en Number. �7/13/2fl22 02:40 PM
{uo���o� D I O - ( �1 3 - C�o _ C3(� O O �ECORDING FEE 3Q.Of!
?t►�s Agreemen!must ina(�de the follaeving��ibit�: PA{�ES: 6
F�chlbit A:)saal De9 tiar�of Qu real estafe fcr whIth thia Agreemer�i app5es CP�P��Y} ,
E�chJblt 8:}�C'gaGor►Checki�-Prefcmd mk3gaGon praciiccs must bo selecteQ al Gma
daaiment}s rocotded. �
Exhib3t C:locafinn�i,�sl—sho�rs an acrurate focatEanjs)of each m9igaCmfl practtc�(s) .
seled�d and acrved by this AgrcemenL .
Retum tn: &awya�County Zonlnp and Cansamilon Department
10610 Maln St,SutW�i9,l�Iayward,yV1�gq�
I ���n��\ D. �l S�hQ l I2 U`(1. �'��r,- ����by Qnter into an Agreemen!forSharef(na M1Qgatlon
on(date of agreeme�tj � � a 022
far property located at(address) N ' � �,"�v �
as descrtbed and atiached her�to. '
This agreement,slgned by ownerot PmP�N��ed,herebycertlfies that the selecied mltfgation pradicas on said proPerty
will be compleiedim�3ntained.Mi�gation praGices sfrall b8 selecied try signer of this agreemertt and iniG�aled on fo�owin9 Ra9�•
The owner(s)hereby agrees ttte pro�ert}r subject to this A�reemenl shaA have aq sefec�eed mlBgaaL'on campfeted s[x months
aRe�Land Use�'ermr�is issued. The property ts subject tn Lhi�Agr��mant M perpetalty.regardtess of ownership
transfer. .
The owner(s)further agrees to allow authorized representa6ves of lhe Gavemmental Unit to enter onto the owne�s property at
lhe above descrip�fln between the hcurs of 8:OOAM and 6:OOPM,Manday through Friday.(Sec�ion 9.13(1)POWE"ftS,Saveyet
Cotutty Zoning 4rdmanceJ to dstermine if selected mfHHga�on is camplete and that R is being p�served. .
Yotation of thls Agreement witi autharize,In addition ta other pn.�altl�s and relief requfred under the Savryer County Zoning
Ordnance,inJunc�ve reGet,re�torat�an ai satd property,cllatian far Falsitying Permit AppGcaUons. A!1 partles agree that tt�is
Agteement sha�be fifed with ttte Savvyer Caunty 2orring&Conservation D�partmenl and rewrded wifh�e 5aYvyer Caunty
Register of Deeds.
-on one owner si aturo nr ulred- ACKNOWLF�GMENi'
Owner's Signature: ' State of: l,����.�s:>�
Cotmty oF ����.r—
Ovmer's Name{Printj: Subscn'bsd and swom to before me on ih(s
��v�t�� � . C r�s�- C�erS2 V1 a9 day of _ ���►L ,20 �-
Oate: I sY(Uwners Name}: ,,,� r� ��- �. G - h����
� f 2� '2d 2� Nocary Public Slgnature: � '
Orafted by: �"' .
��.v���� �• ��n�rS� ef y� r•°���,�� �.Name(Print• _ L�Y V�w�:
` PJ y�comrr�fo''�„�xxpires or� _
= 1. ,�p'(Af�y•. _
_ _�� _
Personat inlormafion you pruaae may be used for sc�condary purpases !(�va�.l.��/8��j I • = it8v.04114/16
"s,��y�.'• .... �•'G�
�''•�•`,��F���S••�`'.
Lot 6 Round Lake Retreat, Town of Hayward, Sawyer County,
Wisconsin.
S�m oadded
�Pture image
Mitigation points are required for developing Property owner optfons to eam mitigation poinu
property under the following conditions. include:
• Impervious surFace coverage is greater Removal of a stnuture within shoreland setback
than 15%but less than 2D35-3 points ❑ ❑ 5100 Ft2-1 Pt.
❑ 101 Ft�—250 FtZ-2 Pts.
❑ 2251 Ft'—3 Pts.
• Impervious surface coverage is greater �nstallation of a rain garden
than 20%but less than 309'o-4 points � � Treats 0-250 Ft'-1 Pt
❑ Treau 251-SOD Ft2-2 Pts.
'� Treats greater tha�500 Ft�-3 Ats.
• 5 200 ftZ Laterel Expansion of ❑ Passive Restoretfon (Natural Recovery) of a
Nonconforming princtpal structure within compliant shoreland buffer- 1 point
che shoreland set-back-2 point� ❑ ❑ Reducing width of allowable view and
access corridor(s)- 1 point for every 10
foot reduction
• Relocation of Nonconforming principal � �ncreasing depth of an existing compliant
structure within the shoreland setback- shoreiand buffer-1 point for every 10 feet of
depth
1 point ❑
�,Eliminate shoreline lighting 5 35'from lake
shore-1 point(Must submit before and aker
• Open sided structure requiring at least photographs)
70%of the half of the shoreland setback � ���ng compliant shoreland buffer-2 points
area that is nearest to the water is covered
by a vegetative buffer zone as per ❑ Active Restoration {Accelerated Recovery) of a
5.59.692(lv),Stats. 35'shoreland buffer-2 points
❑ ❑ Sea Wall Removal and Bank Stabilization-2
points/DNR permits may be requlredJ
❑ Replacement of steei septic tank-2 points
(Tank must be instalied before SMA is
recorded}
�
)nstallation of a Storm water Infiltration
System-3 poinu
❑ Increasing Shoreland Setback-1 point for
every 15 foot increase beyond required.
(maximum of 3 points)
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