HomeMy WebLinkAbout026-939-30-2102-LUP-2022-304 SUBMIT COMPLETED APPLICATION AND
pEETo: APPIIGATIOfV FOR LAND USF PERMIT Q >
Sawyer County � /\�
2oning&Conservation�epart. Date � S ao� �
10610 Main St Suite 49 �� ���'n CCC1Vr`� {
Nayward,WI54843 ��� Z 6 2p22 Chk#�I � w
(715)634-8288
SAWYER COUNTY Rcpt#N.�,w V�l or 1 d �' o�c�5 3� �
�NSTRU[7�ON5: rvo permits will be issued until all fees are paid. ZONING ADMINISTRATION _,r°� �
Checks are made payable to:Sawyer Gounty Zoning Department. " ���
DO NOT START CONSTRULTION UNTII AI.L_PERMITS HAVE BEEN_ISSUED TO hPPLICANT� Ofl�irial AppllCatl0tl MUST(7f SUt7Mlt�@d PILL�UT IN INK (NO PENCIL)
Submittal of this application or rr.ceipt of fees does not constitute permit Issuance.
Owner(s)Name: Con�ractor(s)Name
�a�� C�.s��_�- - ---���
Mailing Address: C� Mailing Address:
1��bG�� �,� �� �
Phone: � Phone:
����-Z��l� ���b�
Emaii: YYI�QCC�i�� �V�C.3�UV�O�`)1- �CX�ti� Email:
SRe address: 1� oG��>��'�� S� � Or Date a plied ter:
Legaty PIN# V�.�Q� ��� l— G � �l v� Town of: ��N� ��
PermitdeliveryMethod �.�ell Owner ❑Mail Owner ❑Call Contractor ❑Mail Contractor
v
'Is Property/Land within 300 feet of River,Stream {;�d. Distance Structure is from Shoreline: Is your vroperty I
Intermittentj _� i ArE WBtland5
feet fn floQdplain
Creek or Landward side of Floodplain? If yes---continue Present?
�;Shoreland --- -- -------_ -V--�-- zone? I
Yes ; Yes �
Is Property/land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreiine: No
If yes-•-continue --► feet No
� Non-Shoreland
_ __ _ __ ._.
Describe Projett Total kt of
Value at Tlme of project type Foune��tlon What Typ�&Capacity is the
Completion Number (gasement, bedrooms �
�Include donated (House,garage,shed,deck, Qf Storie5 Sewer/Sanitary System(s
Addition,etc,..) Crawls aCe Post
time&material List sep�rately Slab} �onstruction
5
bwelling — ----""—
�abi ble Livir�g zrea.
$ l�� n, ,�, �
�''\�o;-���� 1 1
Accessory Bidg `� ` �`�� �'n � �V��
$
Addition/�I[era[ion
Height:
TotalSquare Lawest
Dlmensions Footage Grade to
Proposed Use ✓ Proposed 5tructure (multlply per Highest
story) Peak
( X 1
Residence Ft.
( X 1
with Z"d story or loft Ft.
W � x )
with easement Ft.
� X )
Attached Garage Ft.
L Residential Use — X �
Accessory Structure(e��,��i�) �� ��. U fC�� 7vUj Ft. ��
❑ Agrieultural (detachedgaragei,sheds,bo�thouses,etc)
� x )
Use Temporary Guest Quarters or Bunkhouse(a�detyp�) Ft.
( X )
[I Commerciai/ Deck/Porch/Patio Ft'
Industrial Use � x �
(2^d)Deck/Porcf�/Patio Ft.
❑ Municipal Use � X �
Other(exPia�n) FL'
Other ( x � Ft.
Principal Structure(ag�i�uic�rai,Commercial,Municipal,Ett.)
-- � X )
Addition/Alteration(exPia��) Ft'
7otal Non-habitable square feet; �Q�p
Total habitable squaYe feet; (decks,patios,�arages,sheds,storage area&other structuras)
Originai Application MUST be submitted
Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x lA"paper:'Must;Include loca4ion and se4back of proposed and exisqng structures,roads,
driveway,sanitary componenes,well,lake,riveeY,s4ream,and wetiands.— � i_ - -
Descrip4ion � Se4back ---�__��--- p�scPip4lon � Setback
Me�s�rements Measurements
Setback from the Centerline of Platted Road and/or ~. D feet Setback from the t.ake(ordinary high•wuter mark) F2eY
Setback from the EstaDlishtld Right-of-Way 3��__Feet Setback from the River,Stream,Creek Feet
-- ------ _
Setback from the Bluff if applitable Feet
Setback from the North Lot Line ��,__ ���Feet �� ro
Setback from the South Lot Line �luC Feet Setback frorn Wetiand feet
Setback from the West Lot Line � � Fe2t Slope within area of construction/disturbance %Slope
�, __ . .,. ._��� � ---,�..,___.__
Setback from the East Lot Line (� Feet Elevation of Floodplain Feet
Setback to Septic Tank or Hoiding Tank Feet Setback to Well • Feet
Setback to Drain Field v� � Feet �
Setback to Privy(Portable,Composting) Feet �
Prlor to the Ulacrment or construction of,i strucwre within five(5)feet of the minlmum requlred setback,[he boundary Ilne hom which the setback must be measured must be visible from one
previously surveyed corner tu tl�e other pieviously surveyed corneror marked by a licensed surveyor at[he owner's expense.
Prior m the placement or conslruc[ion of a structure mnre than flve(5)feet but less than ten(lU)(eet frorn the minimum reqWred setback,the boundary line from�vhich[he setback must be
n,easured must be vtsible frorn one previously surveyed corner to the other previously surveyed comer,of�erifinble hy the Oepartment by use of a corrected compass from e known corner
v�ithin 500 feet of the proposcd site of the structure,or must Ge marked by a licensetl surveyor at the owner's expense.
. � • • ..- � � • �• r � .• .
Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penecrate.The Zoning Offiice 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.
Oetermine 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 measurementr to determine total impervious surfaces:____.___ �„sq ft.
Caltulate impeYvious lot percentage
Total impervious surface: �Lot area:_ _Sq ft.X 100=impervious surface %
(Mitigation is requlred if to[al exceeds 15%)
•••Noticr a separate grading permit needs tn 6e obtained if disturbed are�is within the:�'hOr,�land district as indicated on previous page and meets criteria below'•'
Grading on a sio e greater than ZO% 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
F�ILUfiE 1�0 OIiCAIN f�S�f�HMil�r S1�AR1'ING GONSfRUCI�,ON�Wfii10U1',�i�t�:ftMll+NILI R[SUL1 W PENALI'I[S
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 I(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 be a result of Sawyer County relying on this information I(we)am(are)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 reasonabie time for the
purpo of inspection.Additionally,the undersigned person�s)hereby give permission for access to the property for onsite i�speciion by Munidpal OHiclals.
Owner Owner �-r ��
Signature Printed name ��� �-�-U �'��- �Z
Date
(Signature and Prhrted Name required)
NOTICE; Ali Land Use Permits[xpire One(1)Year from the Date of issuance
t or the ConsUuction Of New One R Two Farnily Dwelling: ALl Municlpalitles Are Feyulred To Enforr.e The Uniforrn Dwelling Code.
The local Town,State or Federal agencies may also require permits.
You are responsible for complying wi[h the requirements of the Sawyer Counting Zoning Ordinances and law and regulations 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 result in removal or modification of constructlon
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 resourc2s service center(608)267-3125
Issuance Information(County Use Oniy) Sanitary Number: q of bedrooms:
Permit Denied(Date): Reason for Denial:
Permit#: ------- ---
Issuing agent:
Date:
� � - 3 o y ��s"�a�aa
Is Parcel a Sub-Standard Lot 'i Yes (Deed of Record) '�ryo
Is Parcef in Common Ownership �Yes (Fused/Contiguous Lot�s�) ;ryo Mitigation Required !:Yes o
Is Structure Non-Conforming I'Yes ._ a� �No Mitigation Attached ��Yes �No
Grante�i by Variance(B.O.A.) Granted by Conditional Use
';Yes �No Case 7i:
—------- ;Yes�`JNo Case i!:
Was Parcel Legally Created JFY�s No Were Property Lines Represen[ed by Owner ��Yes
Was Proposed Building Site Delineated '�fYes tdo _ : No
-= WasPropertySurveyed 74.Yes
Office Comments; �--""�""`---- _ �i No
Zone District: Fee:
� v'� � � ��
Hold For Sanitary: I Hold For TBA: I_.r Hold For Affidavit: (
- _�_.___,. Hold For Fees;I.� �
0Jan2020 - - - --
�
7/26/22,9:23 AM Navus-Wisconsin Access rev.13.1108
Real Estate Sawyer County Property Listing Property5tatus:Current
ToEay's Date:7/26/2022 Created On:2/6/2007 7:55:49 AM
��Description llpdated:8/30/2016 'y Ownership Updated:B/30/2016
Tax ID: 29201 MA77HEW R&LINSEV]CAREY STONE LAKE WI
PIN: 57-026-2-39-09-30-2 O1-D00-000020
Legacy PIN: 026939302102 Billing Address: Mailing Address:
Map ID: .5.2 MATTHEW R&LINSEV] MATTHEW R&LINSEY]
Muni[ipality: (026)TOWN OF SAND LAKE CAREY CAREY
STR: 530 T39N R09W 16807W 4TH ST SOUTH 16807W 4TH ST SOUTH
Description: PRT FRAC Wl/2 NW LOT 1 CSM 27/213 STONE LAKE WI 54876 STONE IAKE WI 54876
7t7095
Recorded Acres 5.000 w Site Address 'indlcates Private Road
Lottery Claims: 1 ���-----����
16807W 4TH ST SOUTH STONE LAKE 54876
First Dollar. Yes
Zoning: (A-2)AgrimlWral Two
ESN: 435
'.J proper[y Assessment Updated:9/28/2017
2022 Assessment De[ail
Code Acres Land Imp.
Tax Districts Updated:2/6/2007 G1-RESIDENTIAL 5.000 32,000 100,300
I State of Wisconsin
57 SawyerCounty Z_YearComparisan 2021 2022 Change
026 Town of Sand Lake Land: 32,000 32,000 0.0%
572478 Hayward Community School DistriR Improved: 100,300 100,300 0.0%
001700 Technical College TotaL• 132,300 132,300 0.0%
657020 Stone Lake Sanitary District
• Recorded Documents Upda[ed:9/24/2014 �property History
0 WARRANTY DEED N�A
Date Recorded:8/26/2016 402670
0 ORDER
Date Recorded:11/18/2016 404001
O PLAT
Date Recorded:5/3/2016 400650
O WARRANTY DEED
Da[e Recorded:8/30/2005 332990
1/1
https:llta s.sawyercountygov.org/IAccess/m aster.asp
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