HomeMy WebLinkAbout026-179-05-0300-LUP-2022-288 SUBMIT COMVIETED A7VlICAT10N 11ND — � 1� 1 [ v I 1 � 1{����
ce¢ro: APPUCATION FOR LAN�� � �, �'� (��� ����';^': `
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Sawyer County I Sfl11 ` ,; -- — — �,
Zoning&Conservation DepaR. )^ ��"' _ -. `�'� .
c,,�t����.� - i'i � J�I t,. 2 1 �:'`� E �--�
10630 Main St Suite 49 f`{t.r,,:_—= ' k� ' —
Hayward,WI54843 �'���`��r � 1
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�nt �-r. NopemRswillbe sueduntJaOfeesarepad --- _�_ �.,� - (`At p n�/,��if:?T�� " �y�
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Chetks arc ntade payah�e to.5a ye Caunty Zoning DepartmeM � .� , l`.� •�V
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���jNG aDM1NIS�►��j��'� ,,,b,,,;ttea FIIL OUT IN INK (ti�, . .. �
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�Owner(sl Name: ' Contractohsl Name
'ca ���,�r �� � I.�CK�`�T6iJE 'gU���RS IN C, ,
Mailing Address: Malling Address:
��� Da�py ��► i��.��zs ��. �oo�,�� Zti�o H�R,-�na�� R.� M�i�i-.� i� E�1�2
�ahone:A`�� 3��J SS�C/ vhone: ��1 433 42 �
. Email:�(:��/vk.l�. ,JM��i l'v� I Email:.���=T�'M�L�'� P�Su . tL►^�'t
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' �_�'� Q L'.{p� � ���D�L'�`' or oate arw�ied io.: � o�-
� Site addresr. `, .
....._I�rPINM I �'V�.�D'�'�° -o9�Ojr7 ��^� r Townof: �I�NJ "1"'�
'� Vermit delivery Method I r.Call Owner �Mail Owner —Call Contractor 'Mail Contractor
I
��� � � Is Property/land within 300 feet of River,Stream(��d. �
Distance Structure is from Shoreline:
I i��z,m�ne��) —i feet . ,��
� _CreekorlandwardsideofFloodplain? ' .�-- .ontinue ��
�,/Shoreland -- �
� is Property/Land within 1000 feet of Wke,�ond or Flowage Distance Structure is from Shoreline: � � �
i t,
I _- .�,rhiu� —1 �✓� �� � ;
�!Non-ShoreWnd __,_._. . -.— -
—__�
I Describe Project Total M of
value at Time of PfOJe��� Foundation What Type&Capacity is the
Completion Number bedrooms
(House,garage,shed,deck, of Stories (8asement, Sewer/Sanitary Syrtem(s)
Addition,e[c...) Crawlspace,
List separately Slab)
S��tVt,�; fiG..�t � JLnt�� � ..
Dwellin6
S
Attessory&d5
$
Addftbn/Altnation
HeigM:
Total Square Lowest
./ Pro sed Structure Dimensions Footage Grede to
Proposed Use Po (multiply per Highest
I story) Peak
Residence ( Z—v x �'� ' J�' Ft?U ��
with 2n°story or loft ( X ,
Ft.
( X )
with Basement Ft.
f u Q ��ti �U
�Residential Use Attached Garage ( 7 V x c, '' ' ��vQ� Ft.��� �
� '� �� Accessory Structure(e.Pia��n) ( x �
'[� � � � Agfi[ultu►01 �aeia�n�an�•eQ:,�n�as.eoa:eo�:.:,���t F�•
# X )
� U� Temporary Guest Quarters or Buokhouse(c.detype) ( Ft.
� X ) \��
�' � � �- Commercial/ � �eck/Porch/Patio ( j Z- E'" ��.,� pt.!f`�"
� � U Industrial Use � x )
� (2nd)Deck/Porch/Patio Ft.
p a, J Municipal Use ( x �
.; r Other�e�p�ain� Ft.
(y � _ Other ( X 1
� P�IBCIP01$tfUCLUfO IAg��ahural,Commercial,Municipal,Etc) Ft.
� � � X �
� Addition/Alteration le.via�n� Ft.
� V� Total Non-habitable square feet: ,rJ �y
�� J TOtal habitable Square feet: (��(1 (decks,patios,garages,sheds,storage area&other structures) _I ��"
✓
Q? —�4—
- - - - ---
Attath a or vour Property on 8.5"z 11"or 8.5"x 14"paper:•Must•Indude location and setback of proposed and existin`structures,roads,
driveway,sanitary comporre�ts,wel1,bke,river,stream,a�wetlands.
----- --- — ---__— -----_----
� � Setback �� I Setbadc
� MeawremeMs � ��� � Meawrements
Setback from the Centerline of Platted Road and/or � (; � Feet Setback from the Lake(ord��rye�en�w,c«m,�) Feet
Setback from the Established Right-of-Way Feet Setback from the River,Stream,Creek Feet
' Setback from the BIuH a aPc�Kad� Feet
Setback from the North lot Line �L Peet
Setback from the South Lot Line p f Feet , � Setback from Wetland Feet
Setback from the West Lot Line ��� Feet � Slope within area of construction/disturbance 76 Slope �
! Setback from the East Lot Line y Feet Elevation of Floodplain Feet
Setback to Septic Tank or Holding Tank Feet Setback to Well FeM
Setback to Drein Field FeM
Setback to Privy(Portable,Composting) Feet
. � � � . . -.ef a structure wrtAin five(S)feet of the minimum required selback,the bc�,� � � .r�di�he setback must be meawred must be vislble from one
� � �� � �� � � - ; :v ouslY s��NeyeA cerne•nr mark���1 hv.�I�rnsrrl turveyor at the own ,...
Pr�or to the plece��e��i � ^!;0)ket from Me minimum requiredsetback,Me boundary Ifne tr�m whirt�� _.�!bnck m�,s!h�
measured must be��i•�.� , . - . �.,:�r1�.. h=Departmem by usr�'a cr,^r.�� � „ ,-...
wrth�mS00feetof��,..� . ..._-. . ..:-.,,-�� , . ..,��......
_ ��. . � - � . ..� � • • '�•
ICalculate impervfous surfaces.�Roofed,concrete,paved,and other surfaces tlwt water caonot penetrate.The Zoning OfRce wn help you determine N a
� wrface is considered impervious)
Calculate lot area: � �` ���
iIndicate lot size from CSM or NOVUS(circle one)� �� Acres;Mukiply by 43,560=Lot area: 1 Square Footage
; Caiculate impervious surface area:
Determine the total size,in square feet,of your projects listed above(include eaves): s�i��+ sq k.
�, Determine the total size,in square feet,of all existing roofed structures(indude 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: S���, sq ft.
ICalculate impervious lot percentage
I
Total impervious surface:tJ C`��� a Lot area: Sq ft.X 100=impervious surface�_%
, (Mitigation is repuired if toal ezceeds IS%)
� "'Notice a separete gnding permK needs to be obtairred'rf disturbed area is within the ShweWnd district as indicated on previous page and meeu aiteria bebw'•'
�� � Grading on a siope greater than 20% � Grading of more than 1 000 Sq Ft on 12Y-20%slopes
� Grading of more than 2,000 Sq.ft.on Slopes less[han 12% Grading is in excess of 10 000 Sq Ft �
I(we)declare that this application(induding any accompanying information)has been examined by me(us)and to the best of my(our)k�owledge 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)providmg d that it will be relied upon by Sawyer
Counry in determining whether to issue a permit. i(we)further accept liabiliry which may be a result of Sawyer County relyi on thi nformation I(we)am(are)providing in or
I with thfs application.I(we)consent m county officials charged with administering county ordinances to have ccess to the e de ibed property at any reasonable time for the
purpose of i pection.Additionall ndersigned person(s)hereby give permission for acce o the prope or o �e inspection by Municipal�cials.
Owner � p��
I Signature � '� Printed�ame �-�ate � �
You are responsible for complying with the requirements of the Sawyer Counting Zoning Ordinances and I and re�ations 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 resuit in removal or modiflcation of construction
that vlolates the law or other penalties or msts.For more informat�on,visit the department of natural resources wetlands identiHcation web page or contac[a department of
� naturalresourtesservice center�60S)267-3125
. Issuance Information(County Use Only) Sanitary Number: p of bedrooms:
' Vermit Denied(Date): ' Reason for Denial:
Permit tt: ' issuing agentV, Date:
' a..� �,t 8 cS � ��,'`�_. `'� a ao 3
Is Parcel a Sub-Standard Lot f !Ves (Deed ot Recor 1(''No I
�s Parcel in Common Ownership �Yes (Fused/Comiguous Lorysp �. No Mkigatioo Required ��Yes
Is Struc[ure Non-Conforming !'�.Yes - � Mitiga[ion Attacbed I '�. Yes ..No
Gra�ted by Variance(B.O.A.) Granted by Conditional Use
���1 Yes �"'�No Use it: �'�Yes i'No Case N:
Was Parcel Legally Created �Yes :-'�No Were Property Lines Represented by Owner �(Yes No
Was ProDosed Buiiding Site Delineated 1r Yes _'No Was Property Surveyed Yes yQYo
1
Office Comments: Zone District: Fee; 1
No ��Z�S•C,2�Z l.._.�•-� c-��-S'�ie.. til
�U�'� ��� �.�-a:�� -�-.� ��_ � �l7.`"��
Hold For Sanitary: Hold for TBA�. Hqld For Affid.�u��;� . Hald Fa+F•ies�
mFeb2021
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QUIT CLA/M DEED Tx:ho3si90
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P.�GLSTfR 4)F F�FEPS
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Nico E.Genet,Nancy M.Gorski,Carl D.Gorski,Elizabeth A. Q7/06/2022 10:sa nM
Gorski n/k/a Elizabeth A.Fratus and Laura].Gorski ;2CCC�ptpYfdG f=E[ 3p.00
quit daims to TB2ANSFER FEF_ 1,195.50
TP EXCMPT OIIPq
Nico E.Genet and Nancy M.Gorski,as husband and wife,as P�GeS:5
joint tenants,an undivided 1/2 interest,and Laura J.Gorski '
and Nina Gorski,a married couple with right of
survivorship,an undivided 1/2 interest,as tenants in
common
the following described real estate in Sawyer County,State of
Wisconsin:
As Described in Attached Addendum/Exhibit A RErURry TO:
Nancy M Gorski
1028 Dairy Lane
Inverness,IL 60067
File No.223458
This is not homestead property. ,
Dated this �day of i�,2022. I
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NiEo/E.Genet / Nancy M.Gorski --�
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State of��Li�yr�. .� )
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County ) —
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Personally came before me this�_day of I ,2022,the above named Nico E.Genet
and Naney M.Gorski to me known to be the person(s) ho executed the foregoing instrument and hereby
acknowledge the same.
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_ `NOTARy`.. "� ;��
= � �'— Notary Public,State of f_6Jr
rn�s insvument drarted by: 'cn'. A �, ;��y Commission Expires: "1-S�-/
Michael5.8randner ���'' UB�+ -
Gowey Abshact&Title Company Inc',��F''����.....�''���:
.,�OF W 15�0�.
Deed Signature Addendum
Genet et al to Gorski
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Laura ]. G rski �
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Personally came before me this � day of / ; , 2022, the above-named Laura ]. Gorski, to
me known to be the person(s) who executed the foreg ing instrument and hereby acknowledge the same.
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N� !�'` y`�...�``'``_-
Notary Seal * �j� �_�� 1 ---.-
Notary Public, State of � e�
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Deed Signature Addendum
Genet et al to Gorski
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Carl D. Gorski ��
STATE OF�� )
) S.S.
COUNTY )
Personally came before me this�day of�' 'i� , 2022, the above-named Carl D. Gorski, to me �I
known to be the Nerson(s) who executed the foregoing rument and hereby acknowled�e the same. I
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Notary 5eal * r� i� ''�----
Notary Public, State of�
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Genet et al to Gorski
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Elizabet�l�A. Fratus
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STATE OF i'� ) � �I
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COUNTY ) ���--"'" � �
Personally came before me this�day of � � , 2022, the above-named Eiizabeth A. Fratus, i
to me known to be the person(s) who executed t e foregoi g instrument and hereby acknowledge the same.
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Notary Seal * ��
Notary Public, State of �e�/
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__ (800) 673-8710 • www,goweytitle.com
File Number: 223458
ADDENDUM/EXHIBIT A
Parcel 1:
Lot Three (3), Lot Four(4), and Lot Five (5), Block Five (5) Original Plat of Victory Heights, Town of Sand
Lake, Sawyer County, Wisconsin; AND
Lot Four (4), Block One (1), Original Plat of Victory Heights, Town of Sand Lake, Sawyer County, Wisconsin.
For Info�mational Purposes Only, the above described lands are designated with the fol%wing:
Tax ID Number(s): 026-179-05-0300
026-179-01-0400
Property Address(s): 15398W Victory Heights Circle
Stone Lake, WI 54876
Parcei 2:
Lot Six (6), Block Five (5), Victory Heights Subdivision, Town of Sand Lake, Sawyer County, Wisconsin; AND
Lots Five (5), Six (6), and Seven (7), Block One (1), Victory Heights Subdivision,Town of Sand Lake, Sawyer
County, Wisconsin.
For Informational Purposes Only, the above described lands are designated with the fol%wing:
Tax ID Number(s): 026-179-01-0500
026-179-01-0600
026-179-05-0600
Property Address(s): 15404W Victory Heights Circle
Stone Lake, WI 54876
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RE�RImVECOVENANTS II IIIIII�IIIIIIIIIIII III
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IN RE: Tx:4C3y761
440517
PAULA CHISSER
REGISTER OF DEEDS
SAWYER COUNTY,WI
OS/02/2022 11:58 AM
RECORDING PEE 30.00
PAGES:2
Retum W:
bwyer CouMY IaNni
10610 Miln Street
HiyWard,WI SI813
STATE OF WISCONSIN )
14
COUNTY OF SAWYER )
vareN ho.n�%�' I"l 'i t��c7�.c�cJ
v��ei�o.o�6�-,;c�so3c.v
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�f�,��lj'=��'°,'.'KI ���I'�L �-`'�s' ,being first duly sworn on oath depose and state that they are
the owners of the property described hereinabove,and further state that the following restridive covenants shall run
with said property described herein:
1)The above described parceis may not be sold separateiy without permission from the Sawyer Coun Zoning Office.
Dated this � day of -1��-r ,20�.- j�
i
/ �r � _ �' -s�t
•PrintOwnersnan� •PrintOw�ersname fro
/
ACKNOWIEGEMENT
STATE OF WISCONSIN )
) g
SAWYER COUNTY )
Personally came before me this�_day of�, ,:�7 .20=�.the above named individuals,
�y�`�^)`d�`��`.�"�F��y ��;Cl (.��l�cT�� to me known to be the persons who executed the
foregoing instrument and acknowledged the same.
��l vv� �1,'1��.�aM-�� �'
(Print Notary N7me) �� �� • �Q�Y���J��
Notary Public,State of Wiu nsi mudowmMcaon�a q..
Mycommissionexpires: � � � t��G.c���=C`_`�,
Otticial Seal
qm M Nooncaster
Notery PubAc,State oi Iltlnols
My Commission Expires 03/OB/2025
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Lot Three (3}, Lot Four (4), and Lot Five (S), Bloc€c Five (5) Originai Plat of �ctary Heights, Town of Sand
Lake, Sawyer County, Wisconsin; AND
�ot Six (6), Block Five (5), Vic�ory Heights S�bdivision, T�wn af Sand l.ake, Sawyer County, W9sconsin;