HomeMy WebLinkAbout014-842-16-2204-LUP-2022-323 SUQMIT COMPLETED APPLICATION AND
Feero: APPLICA710N FOR LAND US�PERMIT'
Sawyer County ��C�
�_.� ./��:�_�,� �
Zoning&Conservation Depart. .'�—; � � • i� i �a�� �� , � '� ��
10610 Main St Suite 49 �"'�'�A�--'1 i i r ��'1�
Hayward,WI 54843 V ��-{-�� ' r,
(715)634-8288
A��' 0 3 ?022 ��c�s 1� cas1�_ �_.
_ SAWYER CG�uNTY RCpt#1;�� �- � "�'aj d �'
INSTRUCTIONS: No permits will be issued until all fees are paid. ZONING AD � � �
Chetks are made payahle to:Sawyer County Zoning Department. � �}
DO NOT START CONSTRUCTION UNTIL AI:I.PFRMITS HAVE_BEFN ISSUED TO APPLICANT. OYIRIf13I Appll�atlOtt MUST bB SU�Y711tt2f� FILL OUT IN INK (NO PENCIL)
Submlttal of this applicaHon nr recript of fees does not constitute permit Issuance.
Owner(s)Name: Contractor(s)Name
��a�k i��u 5���« � s���
Mailing Address: ��� �^� Mailing Address
3�l � l d�uST LtjN� ��u �la��✓� l�Jl .�y70.�
Phone: ���� �j (j O, � (J/ { Phone:
1S O /l0 I
Email: `�k(/�F�YCf,$Cf�u� � O� �-�QI � ��� [ntail:
Site address: ( � 5��7/ w 1 1 0 P�Y1 PS ��'1 S7�/3 Or Date a plied for:
Legacy PIN# �l / 6 7��(D p� �� � Town of: L e l� /��G t
Permit delivery Method �Call Owner o Mail Owner �Call Contractor ❑Mail Contractor
Is Property/Land within 300 feet of River,Stream (�nci. Distance Structure is from Shoreline: Is your Property �
Intermittent) � Are Wetlands
Creek or Landward side of Floodplain? If yes--continue feet in Floa�iplain present?
i"i Shoreland — -- -a-- zo�e.
Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: yes i Yes ;
If yes-••eontinue --► feet No NO
� �
Non-Shoreland
Describe Project Total�of
Value at 71me of Project type foundation What Type&Capacity is the
Completion Nurnber bedrooms
(House,garage,shed,deck, (aasement, Sewer/Sanitary System(s)
"include donated Addition,etc,..J of Stol'les Post
time&material Crawlspaee, construction
List separately Slab)
5 �h ed �. Y�i+�t
bwelling ----.-----—'_---.--._v_____,_
$ ���D,DO Ha�� :{►,` Li�f��-�g �re�,
���� ��-_ �r� crea e
Accessory Bldg ��
�
nddition/Alteratlon —
Height:
Total Square Lowest
Proposed Use ✓ Proposed Structure Dimensions Footage Grade to
(multlply per Highest
story) Peak
I X )
Residence Ft.
with 2"d story or loft i x ) Ft.
_ � x )
with Basement Ft.
( X )
�Residential Use Attached Garege _ Ft.
� � Accessory Structure(ex�i�i�) �`� � _i ( /� x /� � % ��
(detached garages,sheds,boat houses,etc) 7 �L / Ft. /
0 Agricultural � X �
Use Temporary Guest Quarters or eunkhouse(c�«ie ty��) �t,
— ( x )
❑ Commercial/ Deck/Porch/Patio Ft.
Industrial Use ( x )
(2"d)De�k/Porch/Patio Ft.
❑ Municipal Use ( X }
Other(explain� Ft.
0 Other ( X )
P�InGip01$t�uetUr2(Agriculwral,Commercial,Municipal,Etc.) Ft.
( X )
Addition/Alteration(exPia��) Ft.
7otal Non-habitable square feet; / /��
Totai habitable square feet: (decks,patios,�arages,sheds,storage area&other structures) r
Ori�in�!Rpplication MUST be submitted
Attach a Plan or Sketch your Properiy on 8.5"x 11"or 8.5"x 14"paper:'Must`Inciude location and setback of proposed and exisNng structures,roads,
driveway,sanitary componenes,well,lake,river,stream,and wetlands.
� ,(Z,�� Descrip4fon Ss4back ' Descrip4ion Setback
V Meas�arements Measurem�nts
� - - __-_._�.__�,._ _ _ �_� -
Setback from the Centerline of Platted Road and/or Feet Setback from the lake(ordinary high-water mark� Feet
Setback from the Established Right-of-Way f-eet Setback from the River,Seream,Creek Feet
� Setback from the Bluff if applicable Feet
Set6ack from the North Lot Line � Feet ���
Setback from the South Lot Line �� Feet� Setback from Wetland Feet
Setback from the West Lot Line _��J'� Feet Slope within area of construction/distuebance__ %Slope
Setback from the East Lot Line Feet Elevation of Floodplain feet
Setback to Septic Tank or Halding 7ank Feet Setback to Well �� � Feet
Setback to Drain�ield Feet II��
Setback to Privy(Portable,Com osting) �eet ��
Prior to the placement or<onstruction o(a structure withln five(5)feet of ehe minirnum required setback,the 6oundary line(rom whic:h the setbar,k must be measured must be visible from one
prevlously surveyed comer to the other previous�y surveyeA corner or marked by a qcensed surveyor at the owner's expense.
Prior ro the placement or wnstruction of a structure more than flve(5)feet hut less than ten(lU�feet(rorn the minimum requlred setback,thr.boundary line from�vhich the setback must bc
measured must be visible(rom one previously surveyed torner to the other previously surveyed corner,or veritieblr,hy the Oepartment by�se of a correeted compass from a known comer
within SUO fect of the proposed 5ite of the strudure,or must be marked by a lir.ens2d surveyor at the owner's expense.
. � . s.• � � - � • • • .
Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannot peneerate.The Zoning Of4ice 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 h3,560=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.
Caltulate impervious lot percentage
Total impervious surface: _ =I_ot ared: __ Sq ft.X 100=impervious surface _ _ %
(Mitiga[ion Is required if m[al exceeds 1S%)
"'Notire a separate grading permit needs to t�e obtained if disturbed are�161ti1U11it:thE��OrBland district as inditated 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 Slopes less than 12% Grading is in excess of 10,000 Sq.Ft.
FiliLUkC���..f;�f:ilN d F�E Rftqll ur Si�AI(1lNG 40NS1�IZUCIION�V.'inGU i 4 �Ei2foill WI�L RFSI '�N PEiVA'�_1'GS
I(we)declare that this application(induding 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 accurecy of all information I(we)am(are)provlding and that it will be relied upon by Sawyer
County in determining whether to issue a permit. I(weJ further accept liability which may be a result of Sawyer Counry 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.Ad 'ionally,the under gned person�s)hereby give permission for access to the property for onsite inspection by Municipal Officials.
Owner Owner �/L y/
Signature ! •� � Printed name��yY _ �" 7 `"'� Date � ��� ��
(Signature and Printed Nar.ie reryuir��d)
NOTICE: �II Land Use Prnnits Expire One(1)Year from th�Date of Issuance
Por the Consiruction O(New One&Two Pamily Dwellin�: ALl Munleipalitles�re Reqi.iired i o Enforce The Unilorm D�velling Code
1 he local 7own,State or Federal 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 Wisconsfn.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
naturel resources servite center(608)267-3125
Issuance Information(County Use Only) Sanitary Number: N of bedrooms:
Permit Denied(Date): Reason for Denial:
Permit#: Issuing agent: Date:
�� - � �3 %��� � /6 ��2
Is Parcel a Sub-Standard Lot 'i Yes (oeed of Record) � �S;IVo �
Is Parcel in Common Ownershi Yes Fused/Conti uous Lot s !:No Mitiga[ion Required Yes '�o
p �� ( � ( �) Mitigation Attached !�Yes V.No
Is Structure Non-Conforming I:Yes _ __ �No
Granted by Variance(B.O.A.) � Granted by Conditional Use
';Yes � No Case p: Yes �'No Case�:
Was Parcei Legally Created �Yes _ No Were Property Lines Represented by Owner �Yes :'No
Was Proposed Building Site Delineated �Yes No _ _ ____ Was Property Surveyed �jiP Yes �;No
Office Comments: �` Zone Oistrict: Fee:
1—�— , �SV
Hoid For Sanitary: � Hold For TE3A: t: �HoW For Affidavit; ! . Hold For Fees;i � ;
�7an2o2o - T -- —
R2al EStdte Sawyer County Property Listing PropertyStatus: Current
Today's Date:8/3/2022 Created On:2/6/2007 7:55:29 AM
�Description Updated:SO/14/2020 '�Ownership Updated:10/25/20ll
Tax ID: 16925 ��� � MARK S&DEBRA L BRUSCHUK EARLVILLE IL
PIN: 57-014-2-42-08-16-2 02-000-000040
Legacy PIN: 014842162204 Billing Address: Mailing Address:
Map ID: .6.4 MARK S&DEBRA L MARK S&DEBRA L
Municipality: (014)TOWN OP LENROOT BRUSCHUK BRUSCHUK
STR: 516 T42N ROBW 612 WEST WINTROP ST 612 WEST WINTROP ST
EARLVILLE IL 6�518 EARLVILLE IL 60518
Description: PRT NWNW LOT 20 CSM 26/310 lt6968
Recorded Acres: 5.000 m
Calculated Acres: 5.001 r Site Address *indicates Private Road
Lottery Qaims: 0 13695W WILD PINES LN * HAYVJARD 54843
First Dollar. No
Zoning: (F-1)Forestry One J Property Assessment Updated:9/26/2014
ESN: 400 2022 Assessment Detail
Code Acres Land Imp.
��Tax Districts Updated:2/6/2007 G1-RESIDENTIAL 5.000 29,000 0
1 State of Wisconsin
57 SawyerCounty Z-YearComparison 2021 2022 Change
014 Town of Lenroot Land: 29,000 29,000 0.0%
572478 Hayward Community S�hool Distrid Improved: 0 0 0.0%
O01100 Technical College Total: 29,000 29,000 0.0%
�+� Recorded Documents Updated:10/14/2020
WARRANTY DEED �Property History
Date Recorded:10/5/2020 426980 N/A
LAND CONTRACT
Date Re�orded:10/20/2017 409320
MPL WITHDRAWAL ORDER
Date Remrded:9/24/2012 380851
MFL CORRECTION ORDER
Date Recorded:7/19/2012 379710
CERTIFIED SURVEY MAP
Date Recorded:2/22/2005 328713
MFL AMENDED ORDER
Date Re�orded:1/16/2004 318747
WARRANTY DEED
Date Re�orded:6/16/2003 312199 855/936
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