HomeMy WebLinkAbout012-740-04-4317-LUP-2022-312 SUBMIT COMPLETED APPLICATION AND � l
FeEro: APPLICATION FOR LAND USE PERMIT `iJ
J-
Sawyer Counry =- E Q �
�....
Zoning&Conservation Depart. �? f� /�
10610Main5t5uite49 ,,,� Ce1 C��; Date�!,...�v!��__�...,.�..__.. �
Hayward,WI54843 �t� 'I �
(715)634-8288 _.. „J��, �8 LOLL � ��R#��� �
C_+ - �cpt#iv�.� W o� d�a�oa �.
INSTRUCTIONS: No permits will 6e issued until all fees are paid. VAWYER io�J9..�''���. " ��
Chetks are made payahle to:5awyer County Zoning Department ky..,.,.,� j,
DO NOT S7ART CONSTRUCTION UNTIL AI.I.PFRMITS HAVE BEEN ISSUED TO APPLKnrvt. Original Applitation MUST be submitted FILL OUT IN INK f NO PENCIL)
Submittal of this application or receipt of fees does not conztitutr.permit issuance. �
Owner(s)Name: Contractor(s)Name
��e.t�n�ere �,n�e �rnprc�e rhe�.fS
�AvL. C�c�d
MailingAddress: �_---_.�� �,�s MailingAddress: �j�5 m�
�a�,,, � �^ ss��a �� �, sf .��a
Phone: ��V � lS� 1.� r ��� Phone: �Q_Q�t0� 7 '� `Z Z �y
(J
Email: Email: (1/�1 �1N1LJ � T'�✓� VY"'C:� y �
� \ G��
Site address: �-✓ ei� � Or Date applied tor: , ____
Legaty PIN# `�s ���^ �y J I� Town of:
Permit delivery Method ` all Owner �Mail Owner all Contrector ❑Mail Contractor
_'Is PropeRy/Land within 300 feet of River,Stream ��nd. Distance Strudure is from Shoreline: �s your Property
intermitcenc) —� feet in Floodplain Are Wetlands
Creek or Landward side of Floodplain? If yes--continue Present?
��Shoreland ----- zone?
Yes Yes
Is Property/Land within 1000 feet of take,Pond or Flowage Distance Structure is from Shoreline: No
If yes---continue --► feet No
' on-Shoreland
Describe Project Total#of
Value at T1me of project type Foundatlon What Type&Capacity is the
Completion Number bedrooms
��ndude donated fHouse,garage,shed,deck, (Basement, Sewer/Sanitary System(s)
addition,etc,.J of Stories Crawlspace, Post
time&materi.�l construction
List separately Slab)
$ WU, ���e-- CanC�G C
Dwelling
S
Accessory Bldg
S
nddition/AI[era[lon
Height:
Total Square Lowest
Proposed Use ✓ Proposed Structure Dimensions Footage Grede to
(multiply per Highest
story) Deak
Residence ( x �
Ft.
with 2"d story or loft � x �
Ft.
with Basement � x )
Ft.
Attached Garage � x �
Residential Use Ft.
Accessory Structure(expiain) ( X �
❑ Agricultural (de[achedgarages,sheds,boathouses,etc} Ft.
Use ( x �
Temporary Guest Quarters or eunkhouse(ci�cie cy�e) Ft.
� �] x � � �1�
❑ CommerCial/ Deck/Porch/Patio � � Ft. f
Industrial Use ( X �
(2"d)Deck/Porch/Patio Ft.
❑ Municipal Use ( x �
Othe�(explain) Ft,
� Other ( X }
PtI�CIpdI SYfUCYUI'E(Agricultural,Commercial,Municipai,Etc) Ft.
( X )
Addition/Alteration(eXPia��) Ft.
Total Non-habitable square feet: ���
Total habitable square feet:
(decks,patios,garages,sheds,storage area&other structures)
1
Original Application MUST be submitted
Attach a Plan or Sketch your Properiy on 8.5"x 11"or 8.5"x 14"�aper:•Mus4•Include location and setback of proposed and existing structures,roads,
driveway,sanitary components,weii,lake,river,stream,and wetlands.
T Description � Setback pescelption ~ Setback
Measurements Measurements
Setback from the Centerline of Platted Road and/or Feet Setback from the lake(ordinary high-water mark) Fe@t
Setback from the Established Right-of-Way Feet Setback from the River,Stream,Creek Feet
� Setback from the Bluff if applicable FCCt
Setback from the North Lot Line Feet
___.__._._��_ ---,.--- ..�..T� ___
Setback from the South Lot Line Feet Setback from Wetland Feet
Setback from the West Lot Line � O Feet Slope within area of construcNon/disturbance %Slope
_, _ ..__.. _.._�_.�.____,...- --_.� -.-
Setback from the East Lot Line `�O Feet Elevation of Floodplain Feet
Setback to Septic Tank or Hofding Tank �Feet Setback to Weil Feet
Setback to Drain Field {Ob Feet
Setback to Privy(Porcable,Composting) Feet
. ��tt ,�I�.�.r n� , ;r,niinirtlun nf a Str�CturF:sith n f�ve r��fp-r uf rF�-,.�i mur,r�quired;�t7r[k th��hc�.und=.rV hc�•frnm whict 'hE.clb;�r�,:mUst hC n�.p�<urod m�:st be•.. �..�e finm one
pre�.�o�isl� .ir;,,ycd c�r�cr���thc orher p�evlou5ly sur�� c.i�orr�r ,r m.,-�...d hv�•��•vr c i s�n�ey. at t�e uw.er's er�ens�:.
Prior m the placement or construction of a structure more than five(5)feet but less than ten(SOj feet from the minimum required setback,[he boundary line from which the setbac4:mu�t nc
measured must be visibie from one previousty surveyed corner to the other previously surveyed corner,or veritiable by the Oepartment by use of a mrrected compass from a known corn�•r
within 500 feet of the proposed slie of the:hurcure,or must be marked by a ficenseA surveyor atthe oWner's expensr
. . • � . - • .
�alculate impervious surfaces.(Roofed,concrete,paved,and other surFaces that water cannot penetrate.The Zoning Office 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.
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.
Calculate impervious lot percentage
Total impervious surface: =Lot area: Sq ft.X 100=impervious surface %
(Mitigatlon is required if to[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 slo e greater than 20°/a 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. �
�� '�_.. ..,k;"�ilh:.i'rR14 1 cr S-�t�ft11NG CONSII �..��,N L.i".��UT/a PEFR411�WILL kl-`:L;i_'•J��'�_�lnLT'ES
I(we�declare that this application(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)acknowledge that I(weJ am(are)responsible for the detail and accuracy of ail information I(we)am(are)providing and that it will be relied upon by Sawyer
County in determining whether to issue a permit. 1(we)further accept liability which may be a result of Sawyer County relying on this information I(we)am(are)providing 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 I (.� T 9 �
Signature Printed nafl�e l� v Date �r�U— �
(S;hn,aturi�and PrinCed Name required)
NOTICE�. All Land Use Permit5 Expire One(1)Year from tho D:�te of Issuance
f-or thc Co�utr�xtion Of�leva Onn&Two Family Dwelling: ALI,MuniGipaliYies Are RPyuued To Enfnrce The Unifnnn�wr�lling Codo
ihe local Town,State or�ederal agencies may also reqiiire per mits.
You are responsible for compiying with[he requirements of the Sawyer Counting Zoning Ordinances and iaw 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 cost5. For more information,visit the department of natural resources wetlands identification web page or contact a department of
naturalresourcesservice center(608)267-3125
Issuance Information(County Use Onty) Sanitary Number: #of bedrooms:
Permit Denied(Date): Reason for Deniat:
Permit N: Issuing age Date:
�,a- 3 I a ;�� � �' a�a�
� �
Is Parcel a Sub-Standard Lot ':Yes (Deed of Record� � No Mitigation Required ':Yes No
Is Parcel in Common Ownership �Yes (Fused/Contiguous Lot�s�) ' ryO Mitigation Attached i;Yes �j(No
Is Structure Non-Conforming I`Yes �fVo
Granted 6y Variance(B.O.A.} � Granted by Conditional Use
''Yes No Case it: Ves o �ase it:
Was Parcel Legally Created �Yes No Were PropeRy Lines Represen[ed by Owner i�:Yes ff'No
Was Proposed Building Site Delineated 7 Yes No Was Property Surveyed �TYes �J No
Office Comments: Zone District: Fee:
� �r- � _\
\l�. ` �` �i L'
i
Hold For Sanitary: Hold For TBA: Hold For Affidavit Hold For Fees:
�Jan2o2o _. . _ � �
7/28/22,8:16 AM Novus-Wisconsin Access rev.13.1108
Real Estate Sawyer County Property Listing PropertySta[us:Current
Today's Date:7/26/2�22 Created On:2/6/2007 7:5525 AM
�Description Updated:11/5/2019 'L Ownership Updated:4/25/2022
TaxID: 14822 � � PAUL GRAY SAN�STONE MN
PIN: 57-012-2-40-07-04-4 03-000-000170
Legacy PIN: 0127400443ll Billing Address: Ma_ling Address:
Map ID: .15.17 PAUL GRAY PAUL GRAY
Municipaliry: (012)70WN OF HUNTER 513 WASHINGTON ST 513 WASHIN6TON ST
STR: 509 T40N R07W SANDSTONE MN 55072 SANDSTONE MN 55072
Description: PRT SWSE LOT 9 CSM 2/20fi#345
Remrded Acres: 1.555 �Site Address *indicates Private Road
Lottery Claims: 0 11134W KELSEY RD HAYWARD 54843
FirSt Dollar: Yes
Zoning: (RRi)Residential/Recrea[ionai One
ESN: 443
J property/lssessmen[ Updated:9/26/2016
2022 Assessment Detail
Code Acres Land Imp.
7ax Districts Updated:2/6/2007 Gl-RE9DENTIAL I555 11,400 129,700 �
1 Sta[e of Wisconsin
57 SawyerCounty Z_yearComparison 2021 2022 Change
012 Town of Hun[er �and: 11,400 11,400 0.0%
SR478 Hayward Community Sthool DistriR Improved: 129,700 129,700 0.0%
001700 TechnicalCollege Total: 141,100 141,100 0.0%
• Recorded Documents Updated:4/23/2014
O QUIT CLAIM DEED �Property Mistory
Date Remrded:9/5/2022 438465 N�A � � �-
O SHERIFFS DEED
Date Remrded:11/4/2019 4209ll �
O WARRANTY DEED
Date Remrded:Z/19/2016 399926
O SPECIAL WARRANTY DEED
Dafe Recorded:l0/9/2015 398066
O SMERIFFS DEED
Date Remrded:9/4/2014 392085
O WARRANTV DEED
Date Recorded:6/30/2004 322859
0 CERTIFIED SURVEY MAP
Date Remrded:12/12/1972 142691 '
httpsOtas.sawyercountygov.org//Access/master.asp 1/1
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