HomeMy WebLinkAbout010-841-26-5505-LUP-2022-291 SUBMIT COMPLETED APPLICATION AND
Feero: APPL{CATION FOR LAND USE PERMIT
SawyerGounty ,,,'� ,1�,, NSMt; �
Zoning&Conservation Depart. ,/� �'-" R � ;���`.�� 1 (1 1
10610 Main St Suite 49 ��� �LJ� Date � �3 J�`�" ,_.o_ 7�
Hayward,WI54843 `9,� ^ 0 nOn��
(715)634-8288 J U L L � f CM k# �l��-�
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SAWYER COUNTY RCp## '`��-w W�r�A��1�� �
No permiu will be issued until all fees are paid. QN1NG ADMINISTRATION � �—
Checks are made payable to:Sawyer County Zoning Department.
?rlrina!Aop!icar.�^MUST be>ub�,itte�d FILL OUT IN INK (NO PENCELI
Owner(s)Name: Contractor(s)Name
.�,, s�- �a� Cla��y /�eQ��,, G���-;�„ ��.� ---- �
�
Mailing ddress: ��� �jN 5Sy2'I MailingAddress
y3�� c�t:a�N� S�-,�.� ���s �o ��x. Si Z h�j�--� � s�lB�,F.3
Phone: Phone: /I� - �9�� �gLl�
�/2 709 J9oo ,
fmail• ,�-`�nG he.r1�1 i r1 S• C-vM Email: a7/)CL '��e. /�GaM n� S� � • �^'�
( i
Site address• �OZ /J � �O Or Date applied for:
Legacy PIN# ���� 0 y� � 2(p S'J�OS Toqm of: j '�C� c.J f�l��
Permit del'nery Method _�Call Owner �Mail Owner �all CoMractor ❑Mail Contractor I
I
'Is Property/Land within 300 feet of River,Stream 1�nd. � Distance Structure is from Shoreline• ;�r s=� �. �, ,,,ds
tntermittent� —�� feet �
Creek or Landward side of Floodplain? �
�Shoreland �
�s Property/land within 1000 feet of lake,Pond or Flowage f Distance Structu�e is from Shoreline:
--►� � n feet ✓ � � =
l�
I Non-Shoreland
Describe Projed Total#of
value at Time of Projed type Foundation What Type&Capacity is the
Completio� Number bedrooms
(House,garage,shed,deck, of Stories (Basement, Sewer/Sanitary System(s)
Additio�,etc...) Crawlspace,
list separately Slab) ��L��P
s, o o� �vr� l S � � N' .4-
Dwellmg
�
$
Accessory Bldg
S
�C�S
Addtion(Altera[ion
Height:
Total Square Lowest
✓ Aro osed Structure Dimensions Footage Grade to
Proposed Use P (muhiply per HighesY
story� Peak
( X )
Residence Ft.
with 2nd story or loft ( X , Ft.
( X )
with Basement Ft,
( X )
� Residential Use Attached Garage Ft.
/ ACCe55ory StfudU�E(explain) ( �{/ X �O � '/ /, /� �/ ,�l-OL
�/
� Agricultural (detached garages,sheds,boat houses,etc) �� � y t' ��
( x )
Use Temporary Guest Quarters or Bunkhouse(ar�ie cyPe) Ft.
( X )
� CommerCial/ Deck/Porch/Patio ft.
Industrial Use ( x )
(2nd)Deck/Porch/Patio Ft.
C Municipal Use ( x )
Other(explain) Ft.
� Other i x 1
Principal Structure(ag�icuitu�ai,commerciai,Munitipal,Ecc.) Ft.
( X )
Addition/Alteration(eXPia��� Ft.
Total Non-habitable square feet: `t�70
Total habitable square feet: � (decks,patios,gareges,sheds,storage area&other structures)
Ori�inal Applica.. . .. ...
Attach a or � your Properry on 8.5"x 11"or 8.5"x 14"paper:•MusN Include location and setback of proposed and ezisting struRures,rwds,
driveway,sankary components,well,Wke,river,stream,and wetlands
� Setback I Se[back
Desai Measuremenu �X�Pt�� Meawrements
Se[back from the Centerline of Platted Road and/or 7 Feet Setback from the Lake(o�d�oa�v n��g,-wa�e�ma.k) ' .O Feet I
Setback from the Established Righbof-Way f Feet Setback from the River,Stream,Creek �I Feet �.
� Setback from the Bluff��rac�i���anie � Feet j
Setback from the NORh lot Line j � Feet �
Setback from the Souffi Lot Line i/� Feet Setback from WeNand Feet
$etback from the West Lot Line Feet Slope within area of construction/disturbance %Slope
Setback from the East Lot Line p Feet Elevation of Floodplain Feet
Setback to Septic 7ank or Molding Tank Q Feet Setback to Well Feet
Setback io Droin Field T Q Feet
Setback to Privy(Portable,Composting) Feet
GlcuWte Impervious surfaces.(Roohd,ca�crete,paved,and other wrfaces that water cannot penetrate.The Zoning O(flce cen help you determine H a
surface is considered impervious)
Calculate lot area: y`� 2
Indicate lot size from CSM or NOVUS(cirde one): !. / A[res;Multiply by 43,560=Lot area: � /./�0 Square Footage
Calculate impervious surface area:
Determine the total size,in square feet,of your projects listed above(indude eaves): I D�� sq ft.
Determine the total size,in square feet,of all ezisting roofed structures(indude eaves): L 7J"/ sq h.
Determine the total size,in square feet,of all e.isting paved/6ricked/blocked surfaces: L��90 .sq ft. i
Add these measurements to de[ermine total impervlous surfaces: 0.3�._sq k. '
Calculate impervious lot percentage
Total impervious surface:a�'Lot area�.V l�✓p Sq ft.X 100=impervious surface�_%
�M�tigat on iz required'if[o[al evueds 15%j
'••Notice a separate gnding permit needs to be abtained if disturbed area is wRhin the ShoreWnE dirtrict as indicated on previous page and meets criteria below•^ I,
Gradin on a slo e reater than 20% Grading of more than 1,000 Sq.Ft.on 12%-20%slooes III
Gradin of more than 2,000 SQ.Ft.on 5lopes less than 12% Grading is in excess ot 10,000 Sq.Ft.
i(we)dedare that[his application(induding any a<companying�nformation)has been examined by me(us�and to the best of my(our)knowledge and bel�ef it�s:rue,correct and
complete.i(we)acknowledge that I(we�am(are�responsible for the detail antl accuracy of all in(ormation I(we)am(are�providing and that it will be relied upon by Sawyer
Courrty in de[ermining whether to issue a permit.I(we)further acrept liabllity which may be a result of$awy¢r CouMy relying on this-informa[ion I(we�am(are�providing in or
with this application.I(we)consent to munry off�cials<harged with aEministering coun[y ordinances ro have access to the above described property at any reasonable time tor the
purpose of i/nspection.Addi'onally,the underslgned person(s)hereby grve perm�ssion for access[o the property fo�onslte inspection by Muniupal Officials.
Owner // Owner T �
Si nature ` ��-' Printed nameJ US��� n o n/�/�_ Date� (� �
6 �
�
I
You are responsible for complying wi[h the reQuirements of the Sawyer Counting Zoning Ordinances and law and reg�lations of the 5[a[e of wisconsin.vau are also responsible for
omplYing with State and Fede211aws mnceming construction near or on weHands,lakes,and streams.FaiWre to mmpty may result in removal or modification of construction
cthat violares the law or other Oenalties or msts.For more information,visit the department of natural resources weNandS iden[ification web page or contact a department of
natural resourres service center(608�267-3125
Issuance Information(County Use Only) sanrtary Number: n of bed�ooms:
Permit Denied(Date�: Reason for Denial: �
Permit G: �ssuing age : Date: I
a a -a� ► �;����-�-- ���/at�3� i
is Parcel a SubStandard Lo[ '-Yes (Deed o1 Recor0l �NO Mitigation Required .Ves �`�10 ���
I5 Parcel i�Common Ownership �Ves (Fusea/ConUguous Lotlsl) �NO Mi[igation Attached '��Ves �":% li
Is 5[ruc[ure Non-Conforming ��'Ves '�.�Na ��
Gronted bY�ariance(B.O.A.) Granted 6y Conditional Uze
..Ves No Case M: �.ves -. o Case a:
Was Parcel LegalN Created yYcs No Were Property Lines ReOresented by Owner .Yes . No
Was ProposeE Building Si[e Delineated yYes No Was Property Surveyed �Yes �'No
O�ce Comments: ' 2one District: Pee� '"���
�R_� C7��„
Hc..,:. .an��.tary: __ Hoid PorTBA�. Hc'�.o=or i r.a�.,t No'tl ror Fe... __ ___._...._—_. �
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� p � N ���;s����� �u�����°�"��3'�'� JIM B AMl' �' cWi ' g � � �"t�
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7/20/22,12:54 PM Novus-Wisconsin Access rev.13.1'108
Real Estate Sawyer County Property Listing Vraperty5tatus:Current
Today's Date:7/20/2022 Created On:2/6/2007 7:55:20 AM
�Description Updated:7/28/2010 +�Ownership Upda[ed:7/28/2010
Tax ID: 11327 AMY]&]AMES CLANCV SAINT LOUIS PARK
PIN: 57-010-2-41-08-26-5 OS-005-000050 MN
Legacy PIN: 010641265505
Map ID: :5.5 Billing Address: Mailing Address:
Municipality: (O10)TOWN OF HAYWARD AMY J&JAMES CLANCY AMY J&JAMES CLANCY
STR: 526 T41N R08W 4363 COLIDGE AVE 4363 COLIDGE AVE
Description: PRT GOVT LOT 5 SAINT LOUIS PARK MN 55424 SAINT LOUIS PARK MN 55424
Recorded A[res: 1.45�
Lottery Claims: 0 �Site Address '�indicates Grivate Road
Firs[Dollar: Yes 10206N PEARSON RD HAYWARD 54843
Waterbody: Round Lake
Zoning: (RR3)Residen[ial/Recrea[ional One
-� Property Assessment Updated:4/16/2022
ESN: 444
2022 Assessment Detail
Code Acres Land Imp.
�Tax Districts Updated:2/6/2007 G1-RESIDENIIAL 1.450 356,500 Sfi3,900
1 State of Wis[onsin
9 SawyerCounty 2-yearComparison 2021 2022 Change
O10 Town of Hayward Land: 356,500 356,500 0.0%
572478 Hayward Community School District Improved: 131,200 163,900 24.9%
001700 Technical College Total: 487,700 520,400 6J°/
+ Remrded Documents Updated:3/24/2014 y�
O WARRANTY DEED N,Z Property History
Date Recorded:l2/16/2003 316021 N�q
https:lltassawyercountygov.org/IAccess/master.asp ���
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POWER OF ATTORNEY
Know to all Men by these presents, that we, James Clancy and Amy Clancy, property owners, of
10206 N Pearson Rd, Town of Hayward, Sawyer Countv, part of Sec 26, Tn 41 , Rg 08, State of
Wisconsin, have made, constituted and appointed Justus Keenan of Keenan Construction LLC,
in the County of Sawyer, State of Wisconsin, my true and lawful agent for me and in my name,
place and stead to do any and all things necessary for the application for, negotiation of, or
obtaining of state, county and local permits with the County of Sawyer, Wisconsin, giving and
granting hereby unto said agent full power and authorize to do so and perform all and every act
and things whatsoever required and necessary to be done in about said premises, as fully to all
intent and purposes as I might and could do if personally present, reserving full power of
substitution and revocation, hereby ratifying all that my said agent of his substitute shall lawfully
do or cause to be done by virtue thereof.
In itness whereof, I have hereunto set my hand and seal this �9 � `"° �,�
(� � , 2022. �
N
C
_. Nam �
Notary: ��.n n:r ¢r I �r�c�,s
State of: � ������
County o£ ��� ��
Personally came before me this � -1 � day of��.,�1 .. _, 2022
The above named James & Amv Clanc�_to b the person whd executed the foregoing
instrument and acknowledged the same.
�� U �
- - � Notary P blic County State
J�NNIFE�i LYNN THOMAS
Notary Fublic My Commission expires: -3 � ��
State cf Wisconsin