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Home My WebLink About026-839-07-5102-LUP-2022-315 SUBMIT COMGLETED APPLICATION AND FEETo: APPLICATION FOR LAND USE PERMIT � Sawyer County SAWYER COUNTY,WISCONSIN Zoning&Conservation Depart. � 10610 Main St Suite 49 � (R` e� Date �,��a..___ .. � Hayward,WI54843 SS �� t'15'63'_g288 JUL 2 9 202Z chk# �.. (� Rcpt#Ne,w Wo. �tol �?�� INSTRUCTIONS: No permits will be issued until all fees are paid. N�'1/ �yy�µ,1 � Checks are made payable to:Sawyer Counry Zoning Department. �� 1fiVG ADMINISTRATION DO NOT 57ART CONSTRUCTION UNTJL AtL PfRMITS Ht1VE BEEN iSSU__ APPUCANT. O�igindl AppliCat{On MUST bf suhmitt�j Flll OUT IN INK (NO PENCIL) Submittal�f this application or receipt of fees does not constitute permit issuance. Owner(s)Name: Contrector(s)Name , .� � . ' �`�✓�"(.I��G►�1 � : - ,� - _ , Mailing Ad�ress: . � � T � � Mailing Address: ', �l►"1 U�1 t t.� �-!� �� .�� -�b�� ; ,--, _ .� � �� ,>� Phone: �� V�(,�� ,�%� Phone: U Email: , • ` ' ` Email: Site address: Or Date a plied for. Legacy PIN# Town of: d ��.,' Permit delivery Method �Call Owner �Mail Owner c Call Contractor �Mail Contractor 'Is PropeRy/Land withi�300 feet of River,Stream ��na. Distance Structure is from Shoreline: Is your Property Intermittent) _� Are Wetlands feet in Floodpiain Creek or Landward side of Floodplain? If yes---continue � Present? '�i Shoreland zone. Yes Yes °-Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: No if��es---cant�nue --► feet No :.' Non-Shorela�d Describe Project Total tt of Value at Time of Project type Foundation What Type&Capacity is the Completion Number bedrooms R�ndude donaced (House,garage,shed,deck, (Basement, Sewer/Sanitary System(s) Addition,etc,..) of Sto�ies Post tirne&material Cfawlspate, List separ Slab) construction $ �"p��3 �welling $ �""�;_'�J �� Atcessory Bldg S Addition/Altero[ion Height: Total Square Lowest Proposed Use ✓ Proposed Strudure Dimensions Footage Grade to (multiply per Highest story) Peak Residence � x � Ft. with 2"d story or loft ( x ) Ft. with Basement ( � � Ft. � Residential Use Attached Garage ( x � Ft. Accessory Structure�eXPia��i � 1 � X � ❑ Agricuitural (detachedgaragez,sheds,boathouset,etc) � h.OjrS,Q, Ft. Use Temporary Guest Quarters or Bunkhouse(ci�de cype) ( x � Ft. � Commercial/ Deck/Porch/Patio � x � Ft. Industrial Use � x � (2"d)Deck/Porch/Patio Ft. C Municipal Use � x y Othef(explain) Ft. 0 Other ( X ) Principal Structure(ngricuicurai,Commercial,Municipal,Etc.) Ft. ( X ) Addition/Alteration�exPia�n� Ft. Total Non-habitable square feet: Total habitable square feet: (decks,patios,garages,sheds,storage area&other structures) � Original Application MUST be submittad Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:'Must'Include location and setback of proposed and existing struccures,roads, driveway,sanitary components,well,lake,river,stream,and wetlands. Description � Setback Description Setback Measurements Measurements Setback from the Centerline of Platted Road and/or � Feet Setback from the Lake(ordinary high-water mark) r§� Feet Setback from the Established Right-of-Way Feet Setback from the River,Stream,Creek Feet �� Setback from the Bluff if applkable Feet Setback from the North Lot Line � Feet Setback from the South Lot Line ' 'l.11� feet u Setback from Wetland Feet 5etback from the West Lot line � Feet Slope within area of construction/disturbance %Slope Setback from the East Lot Line Feet Elevation of Floodplain r�`13.°� Feet Setback to Septic Tank or Holding Tank Feet Setback to Well Feet Setback to Drain Field Feet Setback to Privy(Portable,Composting) Feet Prlor to'r� I c��m�;nt or�onitruction nf a structu�e�;�iihin(v,;5}feet nf[ r-�.n�mum iequired v�thack,[he tioundary line from which the setback must be measured must be vlsible fr'om one previously suiveycd cor ner to the othei pt eviously surveye�i corner ur marked by z Gcensed surveypi at the own2r'S expCnse. Prior m the placement or construction of a svucture more than five f5)feet but less than ten�10)feet from the minimum required setback,the boundary line from which the setback mus2 be measured must be visihie from qne prevlously wrvevr,d corner to the other previously wrveYed mmer,or veritiable hy the Department by use of a correcte0 tompass from a known comrr within 500 feet of the proposed site of the stru�.ture,or must he marked by a litensed wrveyor at the owner'z expense. . � . • � • .� • • • . Calculate 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: " �"�"x� IndiCate lot size from CSM or NOVUS(circle one):____ �V 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: ��J =Lot area: �� Sq ft.X 100=impervious surface 0 � % (MI[igation Is required if total 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 slope 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. �� ii;UH 1'�fSTAl4: � �� .i.:11NGCGNC�I�',_�l:�Of`.'= +;��iHf;4lt 't�l,.��l �'� 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(we)am(are)responsible for the detail and accuracy of all information I(we)am(are)prov)ding 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 1(we)am(areJ providing in or with this application.I(we)consent to county officials charged with administering counry 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 ��Q„� Owner 'g„q,.,,,,,,� � �p�,� p Signature � �-- Printed name rV'v� �LiU '�'�� Date �t C�� (Si�eatur<�,ind Print2d NamB uifed� N0710E All Lanc Use Permi[s t_xpire One(1)Year from the Date of Issuance Por the Const�uction Of New One R Two Famlly Dwelling: ALL Municip�litles Rre Fequired To Er.force The Unifbrn�Uweliing Co:i� 1 he local Town,State or Federal agencies may also require permrts. 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 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 construction 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 resources service�enter(608)267-3125 Issuance Information(County Use Only) Sanitary Number: N of bedrooms: Permit Denied(Date): Reason for De�ial: Permit#: Issuing agent: Date: aa--3 rs . 8 r�- � Is Parcel a Sub-Standard Lot :Yes �Deed of Record) N • gation Required Yes � No Is Parcel in Common Ownership f!Yes (Fused/Contiguous Lot�s�) ° Mitigation Attached �;Yes �:No Is Structure Non-Conforming �'Yes �No Granted by Variance(B.O.A.) Granted by Conditional Use 1 Yes ''No Case k: ?Yes ''No fase it: Was Parcei Legally Created Yes No Were Property Lines Represented by Owner L:Yes No Was Proposed Building Site Delineated Yes No Was Property Surveyed !Yes I:No Office Comments: Zone District: Fee: ' �Ca�d � �F F � 3a� Hold Fcr Sanitary: Hold for Ti3A: Hold For Affidavit: Hold For Fees �Jan2020 -v Sawyer County Application for Grading � 10610 Main St. Suite 49 � � Hayward WI 54843 �4j 715/634-8288 � c� CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN � ISSUED. SIGNATURE OF PROPERTY OWNER IS REQUIRED. o � � � �� u�� '-� °�,�s h Owner: J `�- -� Contractor: � Mailing Address: �3(,s� 1�� '� Mailing Address: � Cit , State, Zi : �'� �Y°J� � �^� SS�`� Cit , State, Zi : � � Phone: �r��y �"��'�" �S�J �- �'�'� Phone: � , v EmaiL��```.u.�' t'��-�5�.�,p ,��,,,�-�.��'�=�� EmaiL CD � O yl r �� ' �../a �J i � Site address: �3� � F� ��3��:`� .� 6' : � Calculate radin area: Total area disturbed includin excavation fill radin q' J 9 � 9 , , 9 9, W landscaping, equipment rutting, and/or other areas vegetation will be removed resulting � in exposed soil) � Determine width of disturbed site in feet: ft. x depth of disturbed site in feet: ft. U� Total = sq. ft. (this is the area calculation) �, Determine Slope of disturbed area: Vertical height in feet = Horizontal distance in �j�� feet = Slope X 100= % Slope � (1 V/1 H= Slope X 100= Percent Slope) � � *For any filling or grading of any area which is within 300 feet landward of the ordinary � high water mark (OHWM) of navigable water and which has surface drainage toward the = water and on which there is either: (1) Any filling or grading on slopes of more than 20%. � (2) Filling or grading of more than I,000 sq. ft. on slopes of 12% 20%. � (3) Filling or grading of more than 2,000 sq. ft. on slopes less than 12%. (4) A Grading Permit is required for any filling or grading in excess of 10,000 sq. ft p within 1,000' OHWM of navigable lakes, ponds, or flowages OR within 300' of OHWM of � navigable rivers or streams. Date activity will begin if permit is issued: date to be completed: Attach engineering design or complete the following using additional sheets: 1. Describe proposed erosion control installation, construction phases, and finished site grading. v� Inc►ude timeline, methods, and materials. (Silt Fence alone is not ample erosion control for c most sites) �� , _ __ ;��,LI/1�t0� ��/ S m'r`` . � ��,�`: �'y�GtAY�I�C.I►-�.� +�:,� � i � ` � � �v� �� ',�� . [�,�S�l,� ��°� � _ . � ��°�°�I� C�. , ��o� �o�" ��..�,d t v,da� �'�.,_ i �� 2�� ba�� r c�''e� '�4'� S°..r`d� �'��`�0� � �' �d�a�l�i�►-. '�l�l'� �� .�✓Yyc.u,�l�, av�c,� ��..��o c(L C�.►�D� �- 2 `P p 0 v � � � -_. ^ � � 2. List temporary seed type and rate, permanent seed type and rate, fertilizer type and application rate (if applied), and mulch type and application rate. 3. Attach a plot plan of project area including location of any wetland(s) and/or waterway(s) (indicate area between grading project and water body to be left undisturbed), location of excavated material, location of all storm water and erosion control Best Management Practices (BMP's), property lines, existing drainage, post grading drainage pattern, and north arrow. (Silt Fence alone is not ample erosion control for most sites) EROSION —— —— CONTROL PU1N SAMPLE EROSION � LEGEHD COHTROL Pl/lN � � FOR 1 OR 2 �. i \ � aROPEft7Y F4A11LY � i � UNE DVYElLINGS I ` I N Ekion�c . I � ---i�--- Toaooi� � 'Dwvn4c-e � � ._. �-TD TEh1aOFifRr � DIVERCION �` � � _pt�/.INA[;o FINGHED ` LNMLE � DFiNN4GE , I � ` . � � '— ~� —_— GMqNG ro ,. �� ' , � � • --.-- ��, �� .., n, ,. � ; I - PefJce AR:A T6 BE TOaGQ�Cb, y��y OEEDEDANONlVLC`iED � -�"— �� BY CVJNER AT TI-� � HbJfiE � t.�OMPLETIONCW Cpq�,E TDI � GRAVEL CCN,^iTRUC7/0N ITp , „ CCIF'7RUCT79H ��'eGE7AT�ON � "` -'� . ,.. c7.fTRWJCEIE%1T � SPECIPFCATqN l �a _—"'_ �` O � �ae- I TREE ` ��Q�: I � PftESERVATl04 170� � � � '6'�-�tr 1� _'�__ _ �srocaai�eo s�.dr:�: r�— �+� u Y.�`^ • • RMfUHE.-- Y '�..''ti.'� ' � s�dQ SCALE:7"=ao' a�.z,FcT ux.�.nori: - oa�nw„c�ae PPo7'ERTYOI•.NER :A�L TYF"+E::JiTY l'UV �TR=T HNlE !Wp GU7TER uiT�aR4TED t'.L1ft77NG LWE: �lhliftAGTOR' '��P�� ANTIUFKTED CO\/PLEf10N D\TE: PREW.�7EDBY pq�: 4. Attach a cross sectional view of project area including the existing and proposed slope of the bank, water level of any existing waterway, and horizontal and vertical scale. Initial below All BMP's and erosion control devises will be inspected weekly and after rainfall of'/z' or greater within 24hr period. In accordance with the Sawyer County Zoning Ordinance section 4.281(Adverse Effects On Adjacent Properties). I hereby declare that the construction and/or grading permitted under this permit will not affect or interfere with neighboring properties drainage patterns. Any change in drainage patterns which are determined to be detrimental to neighboring properties will be corrected at the expense of the property owner referenced on this permit. The undersigned certifies that the listed information and intentions are true and correct, that all work shall be performed in compliance with the requirements of the Sawyer County Zoning Ordinance and the laws and regulations of the State of Wisconsin. The undersigned person(s) hereby give permission for access to the property for onsite inspection. Original Signature of property owner(or agent with Power of Attorney). Permit Fee: Rev-1/2020 7/29122,2:31 PM Novus-Wisconsin Access rev.13.1108 Real Estate Sawyer County Property Listing Property Status:Current Today's Date:7/29/2022 Created On:2/6/2007 7:55:46 AM •�Description Updated:8/17/2016 �Ownership Updated:8/20/2019 Tax ID: 2737fi AMY K PETERSON MAPLE GROVE MN PIN: 57-026-2-39-08-07-5 OS-001-000020 SUSAN M TIBSTRA MAPLE GROVE MN Legacy PIN: 026839075102 ANTHONY T TOUSLEY MAPLE GROVE MN Map ID: :1.2 � Municipalityr (026)TOWN OF SAND LAKE eilling Address: Mailing Address: STR: 507 T39N R09W AMV K PETERSON AMY K PE7ERSON Description: PRT GOVT LOT I 9536 PMEVIEW W NORTH 9536 PSNEVIEW LN NORTH Recorded Acres: 0.500 MAPLE GROVE MN 55369 MAPLE GROVE MN 55369 Lottery Claims: 0 First Dollar: Yes �Site Address 'indica[es Priva[e Road Waterbody: Lac Courte Oreilles 6849N NORWAY SHORE LN ' STONE LAKE 54876 Zoning: (RRl)ResidentiaURecreational One ESN: �8 J property Assessmen[ Updated:9/28/20ll 2022 Assessment Detail �Tax District5 Updated:2/6/2007 Code Acres Land Imp. 1 State of Wlsconsin G1-RESIDENTIAL 0.500 137,500 74,700 57 Sawyer County 026 Town of Sand Lake Z_Year Comparison 2023 2022 Change 572478 Hayward Communiry School Dis[rict Land: 137,500 137,500 0.0% 001700 Technical College Improved: 74,700 74,700 0.0% Total: 212,200 212,200 0.0% +�Remrded Documents Updated:9/29/2008 �QUI7 CLAIM DEED Date Re[orded:9/2/2008 5 46 �property History O PERSONAL REPRESENTATIVES DEED N�q Date Re�orded:8/13/2008 355317 https:l/tassawyercountygov.orgl/Access/master.asp 1�� C � -ii� �� _� ��a"" l— _ ��' '� _ T = �, :--.�_ _--- -- ------ --- _ � ,�� -�; � ��<� -- � l�l : �' ` , �, � �� In.��l�vat� � ��11�, ' � � � i 0 �� t , , — ==---i.k � 1 , �n� � n�1V{ Jp�°i°`i�`n v ' \ � 1 I � '.g, ^ \ �� J �I p�. P-�0. �'��y�� `�O � vf-, , Ma� \6�� o ,,J1 :. �3 �,� I d� � �6 �' � � l�l • � �C.a. F°�d��c' � • (J � . � ^ � J � f � �✓ � ...� < ! . ��(�2.:�., i � � ._ 7 � �- ' �� . ':. i . . L �h(/D � � l. : �� . � U . ' i. . ' �'� J rV c� J O ''! .. __'_� � � ' �. ` � ,� ' . �� ✓� � �. .� i , �� i i , ' \ a�i� ,`"« 1 � j i� �� ` � � �� j . i �/�'/ � � � � <, i% i i �� v i�' �� \ q , a ,- �, b � � i � i %� L � i � �' / / � � I // �� ` \ �� '� � j/ i% i � / � /�_ � � �� - /! ��/ i �v / �� (� � l �-�-� ;= - �- �.�,� � � � , � - �..�t�z,�-c� k�°"'`U' � �, ;,, , % - - -- � � , � ; / � �. � �� C� �"��i �-f a r� � G '1 � �,l — r ' . �,. ( �-�.t/ r�.q[, � _ G0. J �� ;� 1� I � I __"__ _.___'_�_.....- '� i I 1�� WW �rv� 7/5/22,930 AM Nows-Wisconsin Access rev. 13.1108 Real Estate Sawyer County Property Listing Property Status:Current Today's Da[e:7/5/2022 Created On: 2/6/2007 7:55:46 AM ��Description Updated: 8/17/2016 � Ownership Updated: B/20/2019 7ax ID: 27376 AMY K PETERSON MAPLE GROVE MN PIN: 57-026-2-39-08-07-5 OS-001-000020 SUSAN M TIBSTRA MAPLE GROVE MN Legacy PIN: 026839075102 ANTHONY T TOUSLEY MAPLE GROVE MN Map ID: :1.2 Municipality: (026)TOWN OF SAND LAKE Billing Address: Mailing Address: STR: 507 T39N R08W AMV K PE7ERSON AMY K PE7ERSON Description: PRT GOVT LOT 1 9536 PMEV[EW LN NORTH 9536 PINEVIEW LN NORTH Rerorded Acres: 0.500 MAPLE GROVE MN 55369 MAPLE GROVE MN 55369 Lottery Claims: 0 First Dollar. Yes � Site Address *indicates Private Road Waterbody: Lac Courte Oreilles 6849N NORWAY SHORE W * STONE LAKE 54876 2oning: (RRl)Residential/Recreational One ESN: �8 J propertyl�ssessmen[ Updated:9/28/2017 2022 Assessment De[ail Tax Districts Updated: 2/6/2007 �ode Acres Land Imp. 1 State of Wisconsin G1-RESIDENTIAL 0.500 137,500 74,700 9 Sawyer County 026 Town of Sand Lake Z_year Comparison 2021 2022 Change 572478 Hayward Community School DistriR Land: 137,500 137,500 0.0% O01100 Technical College Improved: 74,700 74,700 0.0% Total: 212,200 212�200 0.0% •� Recorded Documentr Upda[ed: 9/29/2008 0 QUIT CLAIM DEED Date Recorded:9/2/2008 355646 �p�operty History 0 PERSONAL REPRESENTATIVES DEED ry�q Da[e Recorded: 8/13/2008 355317 https:l/tassawyercountygov.org//Accesslmaster.asp � �� s � �� uR vE y _. ____ ____ _ _ _ _ ��R B�AT HOUSE CONSTRt1CTIQN- PETERSON, TIBSTF�A, TOUSLEY PR�PERTV N 6849N NORI�AY SHORE LANE STONE LAKE, WI 54876 W �' `�__ E r ,� . , � �,�� Q�� y S ,��t E -, �� r4 ' G eL'?�"' ' /'' � !4: �� vOt3Y� .; - ' � � r e,, �.-- , , � . , � , ., � � � . _, ___ _ . r r V �F .�> > .. , . ,T> > ', c �P t" �.,_: . __ __ � taA�G:7 � __- � _ k i ...._ t^1"H�V�� x`��.��,A�., _.�� " G�`ty r�L�,'�. _ - ;.'� '� '� � / ' �� '/ � j �. 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