HomeMy WebLinkAbout002-840-21-5216-LUP-2022-339 SUBMIT COMPLETED APPLICATION AND
FeEro: APPLICATION FOR LAND USE PERMIT
Sawyer County S � �
Zoning&Conservation�epart. � � "'°� 4 t�ate � a'��a �
10630 Main St Suite 49 a ;' --�.�., �
Hayward,WI 54843 �
(715)634-8288 A�G 15 2022 �hk#_4 3 ��I..._ �
,� c��}�5��'��� Rcpt# FJ.2w W ort� '� 3�� VJ
INSTRUCTtONS: No permits will be issued until all fees are paid. jA��"G� J �'�(_,:;J � �
--�a;
Chetks are made payahle to:Sawyer County Zoning Department. ZO � �
DO NOT START CONSTRUCTION UNT�L ALI.PFRMITS HAVE BEEN__ISSUED TO APPLICANL Orlgirldl AppllGattOfl MUST b2 SUbmittBd fILL OUT IN INK (NO PENCIL)
Submittal of this application or reteipt of fees does not constitute permit is5uaace.
Owner(s)Name: Contractor(s)Name /
-jih �.fD.e �6�1 �I��� � �tG %c.?-�-<Son Go�s'�
Mailing Address: Mailing Address:
��� 7/!/ GO L�l /��
Phone: ��/� ���� 7 j �� Phone: �/!"��Q� //✓1�
� /J � (J L O �
Email: ! , �,� mI' G d�• C a Email: (j ��.7�•Cf'jf �!/�i/2�'C �}� ���N�'�� ' Cd`�i
Site address: / h �- �Y 'tf�'�^ �`e Or Date a plied for: 7^��` � Z
legaty PIN ft D � �`/ v� ( 7own of: /7SJ �'7/�-
Permit delivery Method ❑Call Owner o Mail Owner Call Contrector ❑Mail Contractor
_'Is Property/Land within 300 feet of River,Stream I�na. Distance Structure is from Shoreline: is your Property
Intermittent) _� Are Wetland5
feet in Floodplain
Creek or Landward side of Floodplain? If yes--continue Present?
i�horeland -- zone?
�'�, Yes �
Is Property/Land within 1000 feet of Lake,Pond or Plowage Dist ce Structure is from Shoreline: es ',
If yes---continue --► 0 feet NO ' N�
� +
'.! Non-Shoreland
Describe Project
Value at Time of Total#of
Project type Foundation What Type&Capacity is the
Completion Number (gasement, bedrooms Sewer/Sanitary System(s)
`include donated �House,garage,shed,deck,
addition;etc,..) of Stories �rawlspace, �'ost
time&material construction
list separately Slab)
$ . . . � �x������
�welling
s
Accessory Bidg
�5�/ �� C� Le,. o�G s
Addition/Altera[ion ��� �
� K����� a � � �9S��i�c�
Height:
Total Square Lowest
Footage Gradeto
Proposed Use ✓ Proposed Strudure Dimensions �multiply per Highest
story) Veak
Residence � X �
Ft.
with 2nd story or loft ( x �
Ft.
with Basement ( x )
Ft.
Attached Garage ( x �
� Residential Use Ft.
Accessory Strudure(exPtai�) ( x �
❑ Agricultural (detachedgaregez,sheds,boathouses,etc} FY.
Use � x �
Temporary Guest Quarters or eunkhouse{c��ciP type) Ft.
( 8 x � )
❑ Commercial/ Deck/Porch/Patio �`� 4���,.. 'b0 Ft.
Industrial Use � X �
(2"d)Deck/Porch/Patio Ft.
❑ Municipal Use � x }
Other�explain� Ft.
� Othef ( X )
P�I�CIPBI SYFUCLU�2(Agricultural,Commercial,Munitipal,Etc.) Ft.
Addition/Alteration(eXPia�r,� � G � �" ( l � X /� , �� Ft. �s
Total Non-habitable square feet: � ��
Total habitable square feet: ^
p�( (decks,patios,garages,sheds,storage area&other structures)
GDn�e.�� sc►�. Pe+'v�. ,�-!� a�d>�,.o� �, reP�a c:�� ek oLe c ct.
Qriginal Application MUST be sutrmitted
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 strudures,roads,
driveway,sanitary components,well,lake,river,stream,and we4lands.
DescNptton Setback Descelption Setback
Measuremants Measurements
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 Feet Setback from the River,Stream,Creek Feet
Setback from the Bluff if applicable Feet
Setback from the North Lot Line Feet
Setback from the South Lot Line 4 feet Setback frorri wetland Feet
Setback from the West Lot Line Feet Slope within area of construction/disturbance �Slope
Setback from the East Lot Line � feet Elevation of Floodplain Feet
Setback to Septic Tank or liolding Tank �Feet Setback to Well Feet
Setback to Drain Field Feet �
Setback to Privy(Portable,Composting) � Feet
. ,_�.r;;�I,�.�;�merr n�c �.�r���+��.����� .��,:<turF�vithin five(5)feet of the m��n��„��n �eauired seiback,the houndary line frnm���hich the setback must be measured must be visble(rom one
previously surveyeU curner te i��r ors�e�{rev�o�s�y wrveyed corner or marked by z i:r�=nsetl surveyo�at the owner's expense.
Pnor to the placement or construc6on of a structure more than five(S)feet hut less than ten(10j feet from the minimum required setback,the boundary line from�.vh��ch the setbac4:mus2 be
measur��d musi be visible from nne previousiy surveVed corner to the other pieviously surveyed corner,or veriflable by the Department 6y use of a cnrrec[ed compasc�rom a known corner
v,ith�n 500 feet of the proposed zite of rhe st�ucture,or must be markr�d by a lirensed surveyor at the ov,ner's expense.
. . � . ..• • • - .• • . .• .
�alculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that wate�cannot penetrate.The 2oning Office can heip 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. ��
,n C/Y.�►,Z
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. ���r5•� ��
Add these measurements to determine total impervious surfaces: sq ft. S��CI� P�r`� r_
p
Calculate impervious lot percentage ����� ��� ,
•�'.V�n
Total impervious surface: =Lot area: Sq ft.X 100=impervious surface /o
(M�rtigation is reqwred if total exceeds IS%)
"'Notice a separate grading permit needs to be obtained if distwbed 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.
rN�URE TO OfsTAIN A PERMII or S��fRTING CONSII�UC"i�P 4t � �:1�'Fi;p,11�� �nliLL I?E;i �5�.:�i_T'LS
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 all information I(we)am(are)providing and that it will be re�ied 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)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 ins n. dditionally,the undersigned person�s)hereby�ive permission for access to the property for onsite inspection by Municipal Officials.
Owner ���� "�'��� '�. �� Z Z Z
Signature � �—�� Pr nted name �� ��~�Date � . �f �
!Sirn:�t.r;�:��id Print2d PJaina rea�.iirrd)
NOTICE. All Land Use Permits[xpire One(1)Year from the Date of issuance
f-or 16�Co�istruction Of�lew One Y Two Famlly Dwelling: AL�Municipalities Are Fequlred To Enforr.e The Unlforrn p�vel;in�Co:���
Thr 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 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 ihe 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 center(608)267•3125
Issuance Information(County Use Only) Sanitary Number: q of bedrooms:
Permit Denied(Date): Reaso�for De�iai:
Permit tt: Issuing�agent: � Date:
aa - 33� - � � g �
Is Parcel a Sub-Standard Lot I;Yes (oeed of Record) i' ation Required ':Yes �'No
Is Parcel in Common Ownership '!Yes (fused/Contig�ous Lotls�) itigation Attached i;Yes �:Na
Is Structure Non-Conforming I'Yes . !No
Granted by Variance(B.O.A.) Granted by Conditional Use
'1 Yes ''No Case Jt: Yes 'i No fase p:
Was Parcel Legally Created Yes fVo Were Property Lines Represented by Owner Yes ;;No
Was Proposed Building Site Delineated Yes No was Property Surveyed Yes f 1 No
Office Comments: Zone District: Fee:
��5����l
� r�.
Hold For Sanitary: Hold For TEIA: Hold For Affidavit: Hold For fees
�Jan2020
. � � - � . • a . . . . .- ... . �� � . -
8/15/22,3:09 PM Novus-Wisconsin Access rev.13.1108
Real Estate Sawyer County Property Listing Property Status:Current
Today's Date:8/15/2022 Created On:2/6/2007 7:55:05 AM
y
�'Descrip[ion Updated:7/17/2013 �Ownership Upda[ed:3/4/2019
______.. .._...
Tax ID: 2308 �� TIMOTHY&JO ELLEN BOHANNON INVER GROVE
PIN: 57-002-2-40-OB-21-5 OS-002-000160 HEIGHTS MN
Legacy PIN; 002840215216
Map ID: :2.16 Billing Address: Mailing Address:
Municipality: (002)TOWN OF BA55 LAKE TIMOTHY&]O ELLEN TIMOTHY&]O ELLEN
STR: 521 T40N R08W BOHANNON BOHANNON
Description: PRT GOVT LOT 2 SEC 21, PRT GOV�LOT 8677 ALVARADO CT 8677 ALVARADO CT
5 SEC 26, �OT 1 CSM 22/12#6106 �NVER GROVE HEIGHTS MN INVER GROVE HEIGHTS MN
Recorded Acres: 1.350 55077 55077
Lottery Claims: 0
First Dollar: Yes �Site Address `indicates Private Road
. ...______
. _—
Waterbody: Lat Courte Oreilles ffi 17N PiNE CREST RD HAYWARD 54843
Zoning: (RRl)Residen[ial/Recreational One
ESN: 445 �Property Assessment Updated:9/13R012
� 2022 Assessment Detail
�7ax Districts Updated:2/6/2007 �ode Acres Land Imp.
1 State of Wismnsin Gl-RESIDENTIAL 1350 288,900 480,000
57 Sawyer County
002 Town of eass Lake 2-Year Comparison 2021 2022 Change
SR478 Hayward Community School District Land: 288,900 Z88,900 0.0%
001700 Technical College Improved: 480,000 480,000 0.0%
Total: 766,900 768,900 0.0%
* Recorded Documents Updated:3/ll/2008
�WARRANTY DEED . ....... . .. . .. �y
Date Remrded:3/1/2019 416704 L�8 Property History
. . __. .. . .. ___.._ _._...__.
O WARRANTV DEED N/A
Date Recorded:2/26/2007 351987
�CERTIFIED SURVEY MAP
Da[e Remrded:6/15/2000 284651
https:lltas.sawyercountygov.org/IAccesslmastecasp 1l1
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