HomeMy WebLinkAbout010-941-23-3417-LUP-2022-273 SUBMIT COMPLETED APPIICATION AND n '\
FEETo: APPLICATION FOR LAND USE PERMIT `�..J
Sawyer County '}-� '9�0�� �
' !
Zoning&Conservation Depart. � ��`,'•�/\���� �4 j
10610 Main St Suite 49 � 1 �1�; }
Hayward,WI 54843 �I�L 19 2022 L N
(715)634-5288
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INSTRUCTi0N5: No permits will be issued until all fees are paid. QN��jU A�UINIS�R/-l!�JN
Checks are made payable to:Sawyer County Zoning Department.
DO NOT START CONSTRUCTION UNTIL ALL PFRM�TS HAVE BEEN_ISSUED TO APPLICANT. Original ApplitatiOn MUST be submitted FILL OUT IN(NK (NO PENCIL)
Submittal of this applicatlon or receipt of fees does not constitute permit is5uance.
Owner(s)Name: �/� Contractor(s)Name
���� �Z-� ��J 1/1�Z�/��l'� S �L-��� CC� �l S�fj7�!�-
Mailing Address: / � Mailing Address: �-
i
�D,�2 � _ /1�a�t e������ %� �`�� �- t�-�
Phone: /_��, ��S _/�/7 Phone: �/ (^ // � ., � � � / �
«� z a� Y 'Y
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(��7 /� ��. /
Email: `��-- d" � l�� ��/��/�' ��v ' Email:
Site address: G(fi�"� Or Date applied for:
LeBaty PIN# �`�'�'���� � �-3 � ��I� Town of: tr� ��Gd-r'`-�J
Permit delivery Method ❑Call Owner �Mail Owner c Call Contractor ❑Mail Contractor
_''Is Property/Land within 300 feet of River,Stream f�d. Distance Structure is from Shoreline: Is your Property
Intermittent) � Are Wetlands
feet in Floodplain
Creek or Landward side of Floodplain? If yes---continue Presgnt?
i.�oreland --- — zo�e? �
'�s Pro e g Yes �
p rty/Land within 1000 feet of Lake,Pond or Flowa e Distance Structure is from Shoreline:
If yes---continue � feet �q�` No
7� r` ;
`-! Non-Shoreland
Describe Project Total q of
Value at Ttme of Project type Foundation What Type&Capacity is the
Completion Number bedrooms
°�nciude donaced (House,garage,shed,deck, of Stories (Basement, post Sewer/Sanitary System(s)
time&material Addition,etc,..) CfawlSpaCe,
List separatefy Slab) construction
S
�welling
�
Accessory Bldg
s ��,� ���i�� �� y �� � �
�
Addition/AI[eratlon �� �L� �� r
IfClght:
Total Square lowest
Proposed Use ✓ Proposed Strudure Dimensions Footage Grade to
(multlply per Highest
story) Peak
Residence ( X �
Ft.
with 2^d story or loft ( x �
Ft.
with Basement ( X �
Ft.
�Residential Use Attached Garege ( X � Ft.
AtceSsory Strudure(explain) ( X �
❑ Agricultural (detachedgarages,sheds,boathouzes,etc) Ft.
Use Temporary Guest Quarters or Bunkhouse{arcie type) � x �
Ft.
L� Commercial/ Deck/Porch/Patio � x �
Ft.
Industrial Use
(2"d)Deck/Porch/Patio ( x ,
Ft.
❑ Municipal Use � X j
Othe�(explain) Ft.
0 Other � X )
Principal Structure(ngri��ic�rai,Commercial,Muni[ipal,Etc.) Ft.
xAddition/Alteration(eXPia��� ( � x � �) � - Ft. ` — 1 �\�
Total habitable square feet: Total Non-habitable square feet; ��
(decks,patios,garages,sheds,storage area&other structures)
Original Application NtUST 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,weli,lake,river,stream,and wetlands.
Descriptfon � Setback Description Setback
Measurements Measurements
Setback from the Centerline of Platted Road and/or Z feet Setback from the Lake(ordinary high•water mark) � FE@t
Setback from the Established Right-of-Way 2 � 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 ____L�, Feet Setback from Wetiand Feet
Setback from the West Lot Line � Z�� Feet Slope within area of construction/distuebance %Slope
._,r _ ,,...__:__ -�— _ _.._., _. _..
Setback from the East Lot Line feet Elevation of Fioodplain Feet
Setback to Septic Tank or Holding Tank Feet Setback to Well� l feet
Setback to Drain Field � Feet ���
Setback to Privy(Portable,Composting) Feet Y
4��r.o•;o[hc ol�.o��n��n+,or coni[ruction of a structure within five(5)feet of the m�n�.rnnm required setb.uk,the boundary line from which the s^tback n��ust be meas�v�.A must be•✓'u��ble from one
p�eviously s�,irveyed cornrr to the other previously surveyed corner or marked by a licensed surveyor at[hr_owner's expense.
"�ior m the placement or construction of a structvre more than five(5)feet but less than ten(10)feet from the minimum required setback,the boundary line from which the setback mus?r,e
�>>easured musi be visible fiom one previously surveved corner to the other prevrousty surveyed mrner,or veritinble by the DeF�artment by uce of�corrected tompass from a known tomer
�^rhin 500 feet of the propesed site of the cbuaure,or must be marked by a licensed surveyor a?the ovmer'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)
Caiculate lot area: (l/
� �L�
Indicate lot size from CSM or NOVUS(circle one);_ C "t / � 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,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.
talculate impervlous lot percentage
Total impervious surface: =Lot area: Sq ft.X 100=impervious surface %
(Mitigation is required if[o[al 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 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.
Fn,.,r;; �,,a EHr„��� � �c �c�,�s�i�.-..,;_,n�v:����-� ���_:�:n,in � i� ��;�;�- r�;:-,;,;_-�ts
I(wef declare that this applicatio (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)acknowle e t at 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 6y Sawyer
Caunty in deter ing wh er issue a permit. I(we)further accept liability which may be a result of Sawyer County relying on this information�(we)am(are)providing in or
with this applic io .I(we cons n to county officials charged with administering county ordinances to have access to the above described property at any reasonable time for the
p pos of in pecti . dditiona ,the undersigned person�s)hereby give permission for access to the pro y for onsite inspection by Municipat Officials.
Owner Owner ��-/ �2,
Signature Printed name �/' Date
(Slgna;urr_and PrinCed ame re uir )
N0710E: All Land Use Vennits Expire One(1)Year rom the Date of I�,suance
For tha Conslruction Of�lew One&Two Family Dwellln�: AL�Munieipalities Are hfquired To EnforcE�The Uniform�well'vig Code
'he iocal Town,State or Federal agencie�may also require permits.
You are responsible for complying with the requirements of the Sawyer Counting Zoning Ordinances and Iaw and regulations of the State of Wisconsin.You are also responsible for
tomplying 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)2fi7-3125
Issuance information(County Use On{y) Sanitary Number: #of bedroom5:
Permit Denied(Date�: Reason for Denial:
Permit#: Issuing agent: � Date:
�`- �`�'3 - ,��---_ � a�laa-
I5 Parcel a Sub-Standard Lot ''.Yes (Deed ot Record) �NO Mitigation Required es 'No
Is Parcei in Common Ownership X':Yes (Fused/Contiguous lot�s�) No Mitigation Attached �Yes �:No
Is Structure Non-Conforming I'Yes �No
Granted by Variance(B.O.A.) Granted by Conditional Use
'1 Yes�'No Case#: Ves . No Gase p:
Was Parcei Legally Created 1 Yes No Were Property Lines Represented by Owner Yes No
Was Proposed Building Site Delineated �`es No was Property Surveyed �Yes �:No
Office Comments: G//�f� Zone District: Fee:
71� O�
'�- 1 N �
Nold For Sanitary: Hold For TBA: ' Hold For Affidavit: _______ Hold For Fees: __.____ _
�Jan2o2o
R2dl EStdte Sawyer County Property listing Property5tatus: Current
Today's Date:7/26/2022 Created On:2/6/2007 7:55:22 AM
i
�'Description Updated:1/7/2006 '�Ownership Updated:5/12/2017
... . . _. . .. .... . ..__.____.-_._
7ax ID: 12622 CORY 5&NANCY D ANDREWS HAYWARD WI
PIN: 57-010-2-41-09-23-3 04-000-000170
Legacy PIN: 0109412334ll Billing Address: Mailing Address:
Map ID: .12.17 CORY 5&NANCY D ANDREWS CORY 5&NANCY D ANDREWS
Municipality: (�10)TOWN OF HAYWARD 10528N NAMEKAGON TRL 10528N NAMEKAGON TRL
STR: 523 T91N R09W HAYWARD WI 54843 HAYWARD WI 54843
Description: PRT SESW LOT 3 CSM 4/46#689 m
Recorded Acres: 1.100 r Site Address *indicates Private Road
Cakulated Acres: 1.116 10528N NAMEKAGON TRL HAYWARD 54843
Lottery Claims: 1
First Dollar. Yes U property Assessment Updated:6/28/2018
Waterbody: Unnamed Lake 2022 Assessment Detail
Zoning: (R-1)Residential One
Code Acres Land Imp.
ESN: 444 Gl-RESIDENTIAL 1.100 14,500 107,000
��Tax Districts Updated:2/6/2007 2-Year Comparison 2021 2022 Change
1 � State of Wisconsin Land: 14,500 14,500 0.0%
57 Sawyer County Improved: � 107,000 107,000 0.0%
OSO Town of Hayward Total: 121,500 121,500 0.0%
572478 Hayward Community School Distrid
001700 Technical College {�
l'�Property History
.� Recorded Documents Updated:5/12/2017 N/A �
WARRANTY DEED
Date Remrded:5/10/2017 406672
WARRANTY DEED .
Date Recorded: 309301 WD843/13
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Mitigation paints are required ior developing Propertyowneropffons to eam mitigation poincs
property under the following conditions. include:
A Impervious surface coverage is greater Removal of a stnicture within shoreland setback
than 15% but less than 20yR- 3 potnts [a ❑ 5100 FtZ -1 Pt.
❑ 9.0� Ft'-250 Ft� -2 Pts.
❑ 2251 f-t'-3 Pts.
� Impervious surface couerage is greater �nsYallation of a rain garden
than 20% but less ihan 309b-R poinfs (] � Treats p-250 FtZ-1 Pt
❑ Treau 2S1-SOD FtZ-2 Pts.
❑ Treats greater than 500 Ft�-3 Pts.
� 5 200 ftzLatera) Expansion oP ❑ Passive Restoration (Naturel Recovery) of a
Nonconforming princtpal structure ��ithin compliant shoreland buffer- 1 poiM
the shoreland set-back-2 pain�s � ❑ Red�.+ring vaidYh of allowable view and
access con idor(s)- A point for every AO
fqoR reductinn
A Re�ocation of Nonconforming principal � Increasing depth oE an existing compliant
structure within the shoreland setback- shoreland buffer-J. point for every 7.0 feet of
1 point � depti�
❑ Eliminate shoreline lighting 5 35' from Iake
shore- � point (Must submit before and aher
a Open sided structure requiring af least p��oCographs)
7Q% of the half of the shoreland setback
area that is nearest io che water is cmrered ��isting compliant shoreland buffery 2 paints
by a vegetative buffer zone as per ❑ Ackiue Restoration {Accelerated Recovery) of a
5.59.692{Iv), Stats. 35' shoreland buffer-2 paints
❑ ❑ Sea Wali Removai and Bank Stabilization-2
p�ints /DNR permits may be requiredJ
❑ Replacement of steel septic tank- 2 potnts
(Tank musf be installed before SMA is
recorded}
❑ Installation af a Storm water Infiltration
System• 3 poinlz
�� Increasing Shore(and Setbaek-1 point for
euery 7.5 fAOY increase beyond required.
(maximum of 3 points)
, -US�B1.A�K INk�ONI_Y- _—__--- IIII II�'Illllll�lilll IIIIiIIII�II I I
� SHQR�L.ANl� f1t11TIGATIOI� AGR��M�N i o .ix�aQ395g5 6
440388
- Owners tdamc(i}az ahown on deed: � ppULA CHISSER �
��� S � � REGIS7ER OP DEEDS
- �e.,C. � Ae��.�-e.�y� SAWYER COUNTY, WI
Pajccllde ' tianNumbcr. � � ---- 07/26J2022 10:19 AM �
� . (iz��qntew�y�0) .C,�,7 \ �-��j �.,�3 „ 3 �( 1 '-� RECORD3NG FEE 30.00
this qgreemont muFe fnaluda Phc fallq�ving�xhidl9^.: PAGES: 3
Eshtblt A:I.eanl De9Ctiption of 11�C real osUfo fw whlch Ihia Agttr.moM a�jpfie;('�roperty'y . �
Eshfb)t 8:M'rHonf�on Checkfal.Pte(emd mltlgnlinn praclicra m�MR bn seiect�cl nl Gmo
dowmcnt k rxordad. . �
. Eshitilt C:�o�11on Maofs)-ahmvs an raurate Ic�llan(s)aPcach mNgatron pr�dlca(s)
salaqeAmndscrvedpythisAg�xemenL � � . . .
R6hun to: SawysP Counry Tanln9�nd Conannallon Unp�rtmnnf
� tAS10 Maln SL Sulto�,Ma,yuartl,Mt159A.1� �
�— �"cC�' S A`^�""�� � hereby en4erinlo an Agreement for Shnreiine MfUgadon
on (date otagreemenU \�\^. �q �-��1
�,_...0
(o�ProPe�1Y�ocated at(addrsss) �b`j�� h_l tJc�n..� o� �
as desaibed and aUached hereto,
This agreement,signed by awnerqt property altachea her�r.e�lfies phat Ihe seleded mlUgaGon practices an said proper4y
wtll be compleledlma(npined MiUgation practir�.s MhaU ba selected py slgner of this agreemertt and'm�6aled an fo0wring pages,
The ovmer(s)hereby agrees khe property subJec4 lo Ihis Agmement sha11 havo a0 seJected miUge6on completed stx months
afle�Cand Use Pertn�is issued The propar�y Is subjnat Ro 4his A�reomooS In parpetvity,regardless of ownershlp
transfer.
The ovmer{s)furiher agrees to aliow authorized represenkaGves oP phe Gavemmental Un(t to enier onlo tha ownr.�s property at
Ihe above descriptlon betwcen tha hours af tS:A9AM cand F,:ppPM,Manday Ihmugh Friday.GSectian 9.13(1J PpWERS,gavryet
County Zoning Ord'mancej to delortnine If selcGted mlHgatlon(s crompleRo and lhat Il Ic being preserved.
V olalion of Ih1s Agreemenl wip aulhorize,(n ad�Gon ta othar pr.nalpas»nd refi�f requfred under fhe Savryer County Zon(ng
O�nance, injvnctive refief,restoration of sa(d property,c(latlan for Falslfying PemuR AppficaAons. All parUes agree Ihat this
Agreement shalt be filed wilh the Sawyer Caianty zaning&Canservation tJepartment and[ecorded with 6ie Sawyer County
Register oI peeds.
_onl nq u '8rci naGroro ulrad- ,q �Qy�,�GM
Ovme s fgnaWr ��Q�q� G y � ,
.
Own me(Print): �tmry r�f: o ,L,,� �
� `` {/'`QUL� Suhscn'hed Lnd dw �ie of}l�ls
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Da�e: � � � ! 2 � By(Qwnet"sJ�yW�qe}!� , ��'-�—:x's'�.�j,rf
Drefted by,� No[ary Pubp6�Si��nature: % •' -- .t....�—
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\c� ��`�� T My cnmmf:,sion expYtCsoin�",,,,• 7�YL�2o2.G�
Pcrsanal tnfortnatian you proriae may ba usM for sewnnary purposet[�mncy Il��ww,§95.p4(p(m)1 RoY.04I14116
Lot Three (3) of Certified Survey Map No. 689. Volume 4, Pages 46-47, as Document
No. 152598, a part of the Southeast Quarter of the Southwest Quarter (SE'/4-S v�' ��4) of
Section Twenty-tluee (23), Township Forty-one (41) North, Range Nine (9) West (in the
Township of Hayward), Sawyer County, WI.