HomeMy WebLinkAbout024-641-23-1105-LUP-2022-293 SUBMIT COMPLETED APPLICATION AND �
FEErq: APPLICATION FOR LAND USE PERMIT
SawyerCounty R ,,�1/���ONSIPI ., Q�
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Zoning&Conservation Depart. D � � � `� �� 3 ��a �
10610 Main St Suite 49 ��-=1Ve�-�--- ,I Date �,��
Hayward,WI 54843 i,..,�� C )
J�.�L 2 � �22 Chk# ,��
(715)634-8288 - -
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INSTRUC710N5: No permits will be issued until all fees are paid. ���:"-:��`�� � �
Checks are made payable to:Sawyer County Zoning Department. _t ,; jy�;. !.. �
.,,. ,
DO NOT START CONSTRUCTION UNTIL ALL,PFRMITS H�VE BEEN_I$5_UED TO APPLICANL OYigindl ApplitdtiOfl MUST be SUbTitted PILL OUT IN INK �NO PENCIL)
Submittal of this application or receipt of fees does not wnstitute permit issuance. — — -- �
Owner�s)Name: Contractor(s)Name �
._��.,--� ��� �-� _ �I � ;�
Mailing Address: Mailing Address:
7�0` !-c� � - l
Phone: Phone:
�og�Y3� r��
Email: ,� - . �v/ Email:
q/� �v ^
Site address: � I' � 5Z �—� ` �� Or Date a plied fer:
leqacy PIN k ' � � I"' ./� 1�� Town of: yky�G �
Permit delivery Method +o Call Owner �btail Owner Call Contractor ❑Mail Contractor
'�Is Property/Land within 300 feet of River,Stream ��nd. Distance Structure is from Shoreline: Is your Property
Incermiecent} _� Are Wetlands
Creek or Landward side of Floodplain? If yes---continue lj 7 feet in Floodplairr , present?
�Shoreland - �" zone? � yEs �
Is Property/Land within 5000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: Yes ! �
If yes---continue —► feet No No
�
`:� Non-Shoreland
__.___
Describe Project Totai st of
Value at Time of project type Foundation What Type&Capacity is the
Completion Number bedrooms
''Include don7fed (House,garage,shed,deck, (6asement, Sewer/9�nitary System(s)
Additlon,etc,..) of SYories Rost
time&material Crawlspate,
List separately Slab) construction
S p '
i�,l (��
bwelling --
$ ���Y� S�� Gr�:.�P � .
Accessory Bldg
s �C . ���� `�
Additioo/AI[eretion
Height:
Total Square Lowest
Proposed Use ✓ Proposed Structure Dimensions Footage Gradeto
(multlply per Highest
story) Peak
Residence � x �
Ft.
with Z"d story or loft � X �
Ft.
with Basement � x �
Ft.
Attached Garege ( x �
� Residential Use Ft.
X Accessory Structure�expl�i�) ( �j.s�X p2�I � �'7(o '/'L, . —�j
❑ Agrieultural (detachedgarages,sheds,boathouses,etc.} Ft.
Use Temporary Guest Quarters or eunkhouse(ar�iecyP�) ( x �
Ft.
[� Commercial/ �( Deck/Porch/Patio (r(� X �� ' � O Ft. �
Industrial Use � x }
(2"d)Deck/Porch/Patio Ft
❑ Municipal Use —
Other(exptain) � x �
Ft.
O Other � x �
Principal Structure(�6�t��ic�r,i,Commcrcial,Municipal,Ett.)
Ft.
Addition/Alteration(eXPia��� � x �
Ft,'
Total habitable square feet: Total Non-habitable square feet; �.�G � 5 h°�
(decks,patios,garages,sheds,storage area&other structures) � ,1 _ u ��
V
Originai Appiication MUST be submitted
Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper,:'Must'�nclude loca4ion and setback of proposed and exisNng structures,roads,
driveway,sanitaey componencs,well,lake,river,stream,and wetiands.
Desceip4ion S�4back --�^_�—�- pescrfp4ion Secback
Meas�rem�nts �__�,_____ Measurements
Setback from the Centeriine of Platted Road and/or 4 Feet Setback from the Lake(ordinary high-water mark� Feet
Setback from the Established Right-of-Way Feet Setback from the River,Siream,Creek Feet
Setback fro fie Bluff �s applicable Feet
Setback from the North Lot Line �� Feet �
Setback from the South Lot Line � Feet Setba from W d � Feet
Setback from the West Lot Line Feet Slope within a of nstruc n/disturbanc %Slope
Setback from the East Lot Line W feet � Elevatio f oodplai �� feet
Setback to Septic Tank or Holding 7ank Feet Setback to Well � Feet
Setback to Drain�ield Feet �
Setback to Privy(Portable,Composting) Feet �
Pi inr io the placrment or construction of a structure�vithin fwe(5)feet of the minimum required setback,the boundary Ifne from which the setback must be measured must be visible(rom one
previously su�veyed corner ro the other previously surveyed corner or marked by a Ilcensed surveyor at the uwner's expense.
Prior to the placement or construction of a structure more Uian five(S)feet hut Iess than ten(lU)feet from the minimum required setback,[he boundary line from which the setback must be
measured must be visible from one previously surveyed corner to the other previously surveyed comer,or verifiable hy the Oepartment by use of a corrected compass from a known corner
within SUO fect of the proposed sitc of the strur.ture,or must 6e m�rked by a li[ensetl surveyor at the owner's expensc.
. . . • ..• • r • �• • • • .
Calculate impervious surfaces_(Roofed,concrete,paved,and other surfaces that water cannot penetrate.The Zoning OfPice can help you determine if a
surface is consfdered impervious)
Calculate lot area: /� � � � �L/ �J
Indicate lot size from CSM o;iNOVUS circle one):____ � Acres;Multiply by 43,SG0=Lot area: 1 � 1 �l Square Footage
Caiculate impervious surface area: �
Determine the total size,in square feet,of your projects listed above(include eaves):____��� __ __sq ft.
Determine the totai size,in square feet,of all existing roofed structures(include eaves):______�.��V_.___�,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 1 ��� sq ft.
Calculate impervious lot percent2ge
Total impervious surface: =Lot area: Sq ft.X 100=impervious surface �I.O %
(Mi[igation is requlred ii mtal exceeds IS%)
"'Notice a separate grading permit needs to 6e obtained if di5turbed-ared75'aNiWltt'the:ShOtE�and district as indicated on previous page and meets criteria below•"
Grading on a slo e greater than 20% Grading of more than 1,000 Sq.Ft.on 12%-20%slopes �
Grading of more than 2,000 Sq.Ft.on Siopes less than 12% Grading is in excess of 10,000 Sq.Ft.
FNLUftC 1�0��D'CF;I� ..-,=i:fvr�! ur.S��i�RIINI;CONS I,UCCO�a�.l iUU; .���'tflMll��'JILL HES'�.. � f-1,'�_N;n.l�'L:i
I(we)declare that this application(including any accompanying information)has been examined by me(us)and to the bes[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 t(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 6e a result of Sawyer County relying on this information I(we)am(arej provlding 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 ,�' `� C q
Signatur�—, � / __ �.`_,. printed name J v�'1___ w ��r�L R Date / �J v(Z
(Si�nature and Printed Name required)
N0710E; All Land Use Permits[xpire One(1)Year from the Date of Issuance
f-or the Cc�nstruction Of New One&Two Family Dwelling: ALL Municipa�ities Are f�eyuired To Enforce The Uniform Dweiling Code.
The local Town,State or Pederal agencies may also require permits.
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 responsibie for
complying wi[h State and Federal laws concerning construction near or on wetlands,lakes,and streams.Failure to comply may result in removal or modification of constructlon
that violates the law or other penaities or costs. For more information,visit the department of naturel resources wetlands identification web page or contact a department of
natural resources service center(608)267-3125
Issuance Information(County Use Onty) Sanitary Number: t�of bedrooms:
Permit Denied(Date): Reason for Denial:
Permit#: Issuing agent Date:
�-a - �-� 3 � 8 3 a�
IS Parcel a$ub-Standafd Lot ':Yes (Deed of Record) � Mitigation Required Yes �'No
Is Parcel in Common Ownership f:Yes (Pused/Contiguous Lot�s)) ;IV
Mitigation Attached !�Yes I�IVo
Is 5trudure Non-Conforming I'Yes ^_�_ J No
-- ----_ _
Granted by Variance(B.O.A.) Granted by Conditional Use
';Yes "?No Case#: Yes "No Case lJ:
Was Parcel Legally Created Yes fdo �,� Were Property Lines Represented by Owner i:Yes !'No
Was Proposed Buiiding Site Delineated Yes Mo __.___..,_____a_._____.__ was Property Surveyed �!Yes (i No
----_ _. —,._._.._._ ____—__--_ -----__—�- �
Offi[e Comments: � �one District: Fee:
d��![,, +nc.t�! �S c 41u` S�� S�'I�t�+�- - �I -� � 5 � � � /-
�x �w�_...__bs,�a"�?75'_- -- ----z_,_�_ �_�.--- - -1____
Hold For Sanitary; Nold For T4A: � HoIU For Ai(idavit: _, _�Nold For Fees;� �� _____ _ .
���L
�7an2020
7/25122,9:54 AM Nows-Wisconsin Access rev.13.1108
Real Estate Sawyer County Property Listing PropertyStatus:Current
Today's Date:7/25/2022 Created On:2/6/2007 7:55:41 AM
�Description Updated:I/21/2016 y Ownership Updated:1/21/2021
Tax ID: 24438 ]OHN W BROWN HAYWARD WI
PIN: 57-024-2-q1-06-23-1 01-000-000050
Legacy PIN: 024641231105 Billing Address: Mailing Address:
Map ID: .1.5 )OHN W BROWN JpHN W BROWN
Municipality: (024)TOWN OF ROUND LAKE 10995N LOUIES LANDING RD 10995N LOUIES LANDING RD
STR: 523 T41N R06W HAYWARD WI 54843 HAYWARD WI 54843
Description: PRT NENE
Remrded Acres: 1.020 �Site Address *inditates Private Road
Lottery Claims: 0 7702W MOOSE LAKE RD �� HAYWARD 54843
First Dollar: Yes
Waterbody: Moose Lake
Zoning: (RRI)Residential/Recreational One �Proper[y Assessmen[ Upda[ed:7/16/2019
ESN: 402 2022 Assessment Detail
Code Acres Land Imp.
�Tax Distritts Updated:2/6/2007 G1-RESIDENTIAL 1.020 113,600 81,700
1 SWte of Wismnsin Z-year Camparison 2021 2022 Change
57 SawyerCounry Land: 113,600 113,600 0.0%
024 Town of Round lake Improved: 61,700 81,700 0.0°a
572478 Hayward Community School Distnct To[al: 195,300 195,300 0.0%
001700 TethnicalCollege
• Retorded Documentr Updated:11/20/2008 �property His[ory
0 TRUSTEES DEED � N�A -- �
Da[e Remrded:1/18/2021 429364
O EASEMENT
Da[e Remrded:1/18/2021 429363
O WARRANTY DEED
Da[e Recorded:10/20/2008 356458
O QUIT CLAIM DEED
Da[e Recorded:7/29/1991 224387 469/50
https:l/tassawyercountygov.org/IAccess/mastecasp 1/t
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DISCLAIMER�.T�is map is noi guaranteetl�o�e
accura�e,correcl,curren�,or complele antl
conclusions tlrawn are ine responsibilily of Ihe
user.
- �S� B I I I�IIII , II II I II ill I I
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SHORELAND MiTIGATION AGREEMENT 8 Tx640�39541� �
- 440358
Ownets Name(s) as�hcwn on deed: PAtJLA CHISSER "
�C7L��Z �U �j�c.;ilZ FtEGISTER OF DEEDS
SAWYER CQUNTY. WI
ParaltdentibtaGonNumber. Q7/25%2022 1Q:48 AM
(uo�ta��y�D) U:Z `{ - � �I � _ Z 3 _� / Q � RECORDING FEE 30.00
�_ .,�..._ r__..
This Agreernent�nust tnclude the fallowing exhtbits: PAGES: 4
�nmre a�.��+o��;�or me rea�es�ae ror w�u�rg a�,o��,�a cvroa�m�7 .
F�chlbtt 8:�C'ga�ort Chte�i'�-Orefertzd mklgaGon prattias must be sel�ctad st G:na
doarmeru Fs rocorded �
Ext�ft C: ecatTan MaMs1-�ho�rs an axurate EocalFori(s)ot¢adt mHigaHcn pract�(s)
aelectcd and aetved by Ihis AgreemenL �
Retum to: Savvypt Co�mty Zonlnp and Cansemtlon Degadmeni
10610 Mafn SL Sutio 49, tiayvrard,WI 54843
� �'�'` l �"`-' ��� �� hereby enter into an Agreement for Share(ine hfitiga�on
on (date of agt�ement) _ _ '� � � :2 �-
for property located at (address) _ 7 ��'�W �'�'lc�SP ��a 1��' r��
as desafbed and atfache� heteto. '
This agreement, signed by ewner o!property attaacf�ed, hereb}r ceNfias that ihe setec�! mitfga6on practices on said property
wtll be wmpfetedlmaintained. Mi�ga6on pradices sfrati be selected try�gr�er of this agreemertt and ini6afed on foQawing Pages.
The owner(s) hereby agrees tt� property subJed to ttus Agreemenl shaA have aq selecfed mI�galion compfeted stx mflnths
aRe�Land Use �'ermn is tssued. The property ls subject to thIs Agreement in perpetvity, regardfess ef awriership
transfer. .
The owner(s) futther agrees to atlow authorized representaGves at Ihe GovemmentaJ Unit to entec onto the owne�s property at
the above desaiption batween the haun of 8:OOAM and 6:OOPM, Monday ttucugh Friday. [Section 9.13(1) POWEFtS� Sawyet
Courtty Zoning OrdmanceJ to deiermine if selected mfHgatlon is complete and that ft is being preserved. . ,
Votation of thls Agreement v�n'�auihcrfze, in addition tQ olhsr penafUes and refef required under the Savryer Caunty?.oning
Ordnance, �,Junarre r�rer, restarat3an ot sald property, citatlon for Falslfytng Pemut AppG�aUons. All patUes agree that tt�is
Agreement sha� be fited with the Saysryer Caunty Zar�ing 8 Cortservation Departmenl and recorcSed with �e Sawyer Caunty
Regtster of Deeds.
. . �
-on one owner sF awre ro ulied • ACKNOWLEbGMENT
Owner'cs _.._ l� ,�j� State of: W �Sc�^ n y ;r�
Own�s.Name (Print): County of: �+�w Y�_
��`.� � �� f-� � � Sub ed and swom to bef�� me on th(s � ��
day of S� ,
Date: � S � � By (Owne�s Name): �C h n i �;'ti, w�
Notary Pubiic Slgnature: �J
Orafted by: .� ,-, Pub!(c Notary Na�rn�dP,qAj): �o�` �t.=�(=�w�L :
,��
,,.1� �Z C.c..� (.� �� c'� (iMy cammis�i�°�� k� ���'��. � � �__.__
r y"(�"`t'.'. . . .�
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Persanaf informatian you proaae may be used for seconda�Y Pv� IP��7�� § 15.�(� (fi)I A�/B1'�G .•. 2? Rev. Q4/S4(16
i N ''
.
'�. � '., ,.• ��•
.,��y�,�OF �SG a,,r�,
, ���/II�IIIH NN��',,,
Mitigation pointr are required for developing Propertyowneropt(ons to eam mitigation points
property under the following conditions. include:
• Impervious surFace coverage is greater Removal of a stnuture within shoreland setback
than 15%but less than 20%-3 points ❑ ❑ 5100 Ft�-1 Pt.
❑ 101 Ft2—250 Ftj-2 Pts.
❑ 2251 FtZ-3 Pts.
• Impervious surface coverage is greater �nstallation of a rein garden
than 20%but less than 309'0-4 points ❑ ❑ Treats 0-250 Ft�-1 Pt
❑ Treats 251-500 Ft2-2 Ptr.
❑ Treacs greater than 500 Ft�-3 Pts.
• 5 200 ftZ Laterel Expansion of ❑ Passive Restoretion (Natural Recovery) of a
Nonconforming princ3pai structure within compiiant shoreland buffer- 1 pofnt
the shoreland set-back-2 points � ❑ Reducing width of ailowabie view and
access corridor(s)- 1 point for every 10
foot reduction
• Relocation of Nonconforming p�indpal � Increasing depth of an existing compliant
strutture 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 after
• Open sided strudure requiring at least photographs)
70%of the half of the shoreland setback �rt�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 requlred)
❑ Replacement of steel septic tank- Z points
{Tank must be installed before SMA is
recorded)
❑ Installation of a Stortn water Infiltration
System-3 points
❑ Increasing Shoreland Setback-1 point for
every 15 foot increase beyond required.
(maxlmum of 3 points)
������ �.�:, r�n. a��-6�� �2�..1105
Le�al De��iiption:
1-��� t�i�t ��.r�t o�' fkz� E�s� 48a fe�t a� il�� �1�oitiheast �I/4 :of t�.e �iorthe�st �/4 0:� SectiQia
23, '.T'ci"rvz�zshi� � � No��lh� Ra��ge 6 't�V�s1;, lo�at�c� i�� th� "�`own c�f Rc�u.nd: T��k�, S�.wyer
Caunty, �'iscc�nsiti, d�s.cri��cl �s �ollaws, Cam�nen�in� a� th� wi�z�c�ss corn.er o� tla�
West���ly �hore of Moose �,ake betwe�n �ectzo�,s 23 �.nci 1 �:, tlae�ce �I 8�° ��' �4�" W,
�la�� t�ze Nn�•�� lin� t�f sa�d �NE 1/� N� 1/�} 25�.56 feet Ca ar� �ror� p�ipe o��,.th� Ea�t�rly
�:�1ax•� o�IVlc�o�e �ak� �nc� tb� a�t��al �aint o�be�inning; thenee � $S° �S' ��7" E� 1�6.0�
��et ta an i�o�. �i�� on `�he. �?V'e�terly edg� ��' a �:a fdot wide F��vate Road easei�z�e�,t;
tia�ence S S'° 48' 40" E; �.ion� th� �esi�z�ly �d�e of said �ri�vate �oad ease�-rie�f I74:�1
f��t ta an z��Q�� stake; thenc� � 0° 4�' ?Q" W, a�ong the `W�ste�iy :edg� o� sa�d P�•ivate
Rc�aci �ase���ent, l�5.02 �`�et to a� i�ic��� �i��e on �h� Ncr�h����y side a��Iao�e L��e �:c�ad;
1:�aen�� � 73° �4` 40�t '�� �lori� the �a�l� sic�� of:M�oSe L�.k� F.oad, 17C,60 �'��t�tc�: �rr:
i�o�ri pip�;-�h�1�Ee N {?° 2S' ��" E, �9.73 ��_�x.to ari ix�n `pip� an ��e �ou��i�rly �haii� �f
M�ose :L�k�� th��:ce in � �c�r.t��.�as�erl:y an�:�Ioz•t�e����r dz�•ecfiaon al��:g th� w°atez°s �dge
of Moc�se Lak� 7'70 �'eet n�o�� or le�s tc� tkz�.poirat 'of be�;inn��lg.