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HomeMy WebLinkAbout010-941-33-4223-LUP-2022-355 SUBMIT COMPLETED APPLICATION AND FEEro: APPUCATION FOR l�� MIT' � Sawyer County � , � , Zoning&Conservation Depart. .-t �'�"��(i � � __"_�� __ 1 10610 Main St Suite 49 ate Stamp IRecerved) M i r Date—.,��2 0�.� ._ . Hayward,WI54843 A11� 1 2 2�2Z � (715j 634-8288 fj� _ _ Chk#_. �S`��_W__._..____ � ;,;.,...; SAW'YEP C�Cxi� µ � f� INSTRUC710N5: No permits will be issued until all fees are paid. Z,ONING ADMIIVia�!�r�i���)� �C��x�Q'� �br l���� " � Checks are made payable to:Sawyer County Zoning Department. ��Yt T � 00 NOT S7ART CONS7RUCTION IINTIL Al,l PFRMITS Hl1_VE BEEN_ISSUED TO APPLICANi'� (�f��in�l AppllCatiOfl MUST b0 SIJ�mitt2d fIL6 tlUT IN INK (NO PENCIL) Submlttal of this application or rrceipt of tees does_aot mnstitute permit Issuan[e. � Owner�s)Name: Contractor(s)Name �� ��i � � `� � � �'�"� \ �� Mailing qd ress: Mailing Ad res \ �; � 'S �t� �i � 'C' '\ � \ r l,� . � �,� , A Phone: Phone: �0-1- �-13--Ss5`�3 --� �5 - 53p- �'S�� � Emai1: `10.'C��\G1� C�.V' �-�����V.\�. LO'�� [mail: \�'�. �". p Site address: � �� � Q ��(.. G �Q C� Or Date applied fer: Legacy PIN# U�O-- ��N I- 3��--t-!��3 Tow�or: �, ` p,� Permit delivery Methad o Call Owner ?�Mail Owner o Call Contractor n Mail Contractor� 'Is Property/Land within 300 feet of River,Stream (�nd. Distance Structure is from Shoreline: is your Property Intermittent) � pre Wedands feet Sn Ploodplain Creek or Landward side of Floodplain? If yes---continue Present? ;"�Shoreland --- -------- -�...- zo�e? I Is Property/land within 5000 feet of Lake,Pond or Plowage Distance Structure is from Shoreline: Yes , Yes If yes---continue �--� feet No No � Non-Shoreland Describe Project rotal#of Vaiue at T1me of project type Foundatlon What Typ�&Capacity is the Completion Nurnber gasement, bedrooms "include donated (House,garage,shed,deck, ( Sewer/Senitary System(s) Additfon,etc,..) Of Stol'185 Post time&material Crawlspace, List separately Slab) construction S Dwelling — � Accessory Bidg S C«.;.'S\\ �: L� G\1 ` � $ ,�. nddit n/AI[er�ation ��\�r111C ��„�� � ��S�� � b Y`Q-V�� keight: Total Square lowest Proposed Use ✓ Proposed Structure Dimensions Footage Gradeto (multiply per Highest story) Peak Residence ( x � Ft. with 2"d story or laft ( x � Ft. with Basement a ( X ► Ft. Attached Garege � ( x � � Residentiai Use Ft. Accessory Structure�exPiai�) ( x � OAgricultural (detachedgarages,sheds,boathouses,etr..) Ft. Use ( x � Temporary Guest Quarters or Bunkhouse{ardecyne) Ft ❑ Commercial/ Deck/Porch/Patio � x � Ft. Industrial Use � x � (Z^d)Deck/Porch/Patio Ft. ❑ Municipal Use --- "� ✓ Other(exp�ain�`S C�C'�L"\1\��� `�Z-�I-\S�-'�\L� � x � � � Ft. 1 O Other � ( X ) Principal Structure(ng�r�uic�rai,Commcrcial,Municipal,Ett.) Ft. ------ ����X ) Addition/Alteration(ex�ia��� F� 7otal Non-habitable square feet; Total habitable square feett �� (decks,patios,Barages,sheds,scorage area&other structures) 3 ;-� � .:� _ / Origin;�;Applicatian ivt_UST 5e submitted Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:'Must'Inctude location and setback of proposed and existing strudures,roads, driveway,sanitary componen4s,well,lake,eiver,stream,and weilands. � Descelp4tan ��Yb��k Descrlp4fon Setback Msasurements Measurements Setback from the Centerline of Platted Road and/or 4 Feet Setback from the Lake(ordinary high-water mark) FeCt Setback from the Established Right-of-Way _ q fAet Setback from the River,Stream,Creek Feet Setback from the BIuH if applicable Feet Setback from the North Lot Line � _'�_"'1� Feet ���� Setback from the South Lot Line Feet Setback from Wetland Feet Setback from the West Lot Line ^� � �eet Siope within area o6 consfruction/disturbance %Slope ��_.._�-�. � __.�, Setback from the East Lot Line �� Feet Elevation of floodplain �_ � feet �—_ � Setback to Septic Tank or Hblding Tank `$� Feet Setback to Well feet Setbackto Drain Field Z Feet � Setback to Privy(Portab e,ComposUng) Feet Prlor to the plar.ernent or consvuction of a struaure:vithin five(5)feet of the minlmurn required setback,the bou�idary flne from which the setback must be measured must be visible from one previously}urveyad corncr to tha other p!eviously surv�=yed corner or marked by a Ilcensed survey0r at tbe owner'S expense. Prior to[he placement or construction of a structure more than flve(5)feet but less than ten(lU)feet From the minimum required setback,[he boundary line from which the setback must be measured must be visibte from one previousty wrveyed corner to the other previously surveyed comer,or verifiabte by the Department by use of a corrected compass from a known comer viithin SUO feet of the proposed site of the structure,or must 6e marked by a lirensed surveyor at the ovmer's expense. . � . • ..• � � • � . . • . � • .-, .:. _ ,.:. ^!: Calculate impervious surfaces.(Roofed,concrete,paved,and other surfates that water cannot penetrate.The Zoning OfEice ca�help you determine If a surface is considered impervious) Calculate lot area: indicate lot size from CSM or NOVUS(circle ane):__ Acres;Muitiply by 43,560=Lot area: Square Footage Calculate impervious surface area: Determine the total size,in square feet,of your projects lisfed above(include eaves): `sq ft. Determine the total size,in square feet,of all existing roofed structures(indude eaves�: _ __ @._„_sq ft. Determine the total size,in square feet,of all existing paved/hricked/blocked surfaces: sq ft. Add these measurementr to determine total impervious surfaces: sq ft. Calculate impervious lot percentage Total impervious surface: �Lot area: _5q it.X 100=impervious surface _._ / (Mitigation is required if total exceeds 15%) `"'Notice a separate gradinp,permit needs to be obtained if disturbed are0 is within the Shorel3nd district as indicated on previous page and meets criteria below•" Grading on a slope 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. �,11�Uk[ ��UUIS?AII�A't�FfiMll�ynSfAk7lNliCONS�HUC'�VltivVfii�IGU�t�4PFfff41:11'VI�IKf�SI , �f�i�ErJ,i�,_. F� I(we)deciare that this application(including any accompanying information)has been examined by me(us)and to the best of my(our)knowledge and beliei it is true,correct and complete. I(we)acknowiedge 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. 1(we)further accept liabllity 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 ro the above described property at any reasonable time for the se of inspection.Additionally,the undersigned person(s)hereby give permission for access to the property for onsite inspection by Municlpai Offidals. Owner Owner �� � � ^ �,,�_ Signature � Printed name �C`.Q�i'� L^�!�(j, S� Date (Signature and Printed Name ra ired) NOTICE: l�II Land Use Permits[xpire One(1)Year from the Date of Issuance Por the Construction Of New One&Two Farnily Dwr.11ing: ALL Municipalities Are Reyuired To Enforr.e The Uniforrn Dwelling Code. The local Town,State or fede�al agencies may also require permits. You are responsible for complying with the 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 conceming construction near or on wetlands,�akes,and streams.Failure to comply may result in removal or modification of constructlon that vioiates 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 naturalresourcesservice center(608)267-3125 Issuance Information(County Use Only) Sanitary Number: q of bedrooms: Permit Denied�Date}: Reason for Denial: Permit N: Issuing age Date: a� - 3ss ,, ��a�/�aa Is Parcel a Sub-Standard Lot ';Yes �oeed of Record) `� No Is Parcel(n Common Ownership P�Yes (Fused/Contiguous Lot�s�) ; ryo Mitiga[ion Required Yes No Is Structure Non-Conformin g I'Yes __ _ _ �No Mitigation Attached ��Yes �No Granted 6y Variance(B.O.A.) Granted by Conditional Use ';Yes 'No Case Jt: :Yes '�lo fase tt: Was Parcei Legaily Created �Ves No Were Property Lines Represen[ed by Owner �Yes :'No Was Proposed Building Site Delineated Yes fVo �rt^^m_ Was Property5urveyed �Yes (;No Office Comments: � Zone District: Fee: � I � �� Hold For Sanitary; � Nold For TBA: i Nold for AffidaviL• ! �.. Hold for Fees:I ' I �aa�zo2o -T. - -- 8/12/22,121 PM Novus-Wisconsin Access rev.13.1108 Real Estate Sawyer County Property Listing Property5[atus:Current Today's Date:8/12/2022 Created On:2/6/2007 7:Si23 AM �Description Updated:11/1/2021 �Ownership Updated:11/1/2021 . ..._. .. .. ... .. . ..... __ __.___ Taz ID: 13305 ROGER W JR&ELLEN A DOMASK HAYWARD WI PIN: 57-010-2-41-09-33-4 02-000-000230 Legacy PIN: 010941334223 8illing Address: Ma_ling Address: Map ID: .14.23 ROGER W)R&ELLEN A ROGER W JR&ELLEN A Municipality: (O10)TOWN OF HAYWARD DOMASK DOMASK STR: 533 T41N R09W 16025W PARK RD 16025\N PARK RD Description: PRT NWSE LOT 3 CSM 25/13 u6653 HAYWARD WI 54843 HAYWARD WI 54843 Recorded Acres: 1.540 Lottery Claims: 1 w Site Address `indicates Private RoaO First Dollar: Yes 16025W PARK RD HAYWARD 54843 Zoning: (R-I)Residential One ESN: 444 'i7 p�operty Assessment Updated:ll/9/2015 2022 Assessment Detail � � �i 7ax Districtr ._ . UOdated:2/6/2007 Code Acres Land Imp. 1 � SWte of Wisconsin Gl-RESIDENTIAL L540 23,200 170,800 57 Sawyer County O10 Town of Hayward Z-year Comparison 2021 2022 Change 572478 Hayward Communiry School District Land: 23,200 23,200 0.0^/0 001700 Technical Coliege Improved: 170,800 170,800 0.0% Total: 194,000 194,000 0.0% +�Recorded Documents Updated:4/10/2014 ���WARRANTY DEED {� Date Remrded:1/13/20ll 404918 tl�property History 0 CORRECTIONINSTRUMENT N/A � Date Remrded:6/23/2022 439841 0 WARRANTY DEED Dafe Remrdedd 2/24/2005 328751 O CERTIFIED SURVEY MAP Date Recorded:9/10/2003 315164 https:l/tas.sawyercountygov.org/IAccesslmaster.asp ��� � —_ ____ __i I -. __ -T -� - ; _ — - -- _ _ , ,- T= , / / i i- i -�-- `- �-— i _ � - r -- I , ---- --- - -- -. . — I i I . . - -t 1 � , , ,- �-- �- - �- � � � _ _ _ __ _______ _ _ _ __ , -- - �,� WERNER Eleatric ���Su ��� 1 � '; - -- ---- - � pp�.Y � _ - --- -- _ _ _ __ _ - ---- --- -- -- � -- - - - - - --- - - _ _ _ � ; ; � �' � ;� ��_ _ _ _-�-- -- --- _ -- - -- --- - - _ _ � - -- _ - -- -- I -- i '--I '� I � _ � - - --- -- - --- �� � � � � f � '� _�1 C ! 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Hastings Way 101 Mohr Drive 190 Main Street 1000 24th Avenue NW 3919 Hwy 14 West Cot[age Grove, MN 55016 St Cfqud, MN 56301 Eau Claire, WI 54703 Manka[o, MN 56001 La Crescent, MN 55947 Owa[onna, MN 55060 Rochester, MN 55901 Toll Free: 1-800-769-3701 Toll Free: t-800-769-3705 ToU Free: 1-800-769-3704 Toll Free: 1-800-769-3702 Toll Free: 1-877-855-3654 Toll Free: 1-800J69-3707 Toll Free: 1-800-769-3703 Direct: 651-458-3701 Direct: 320-253-5440 Direct: 715-835-5176 Direct: 507-388-6245 Direct: 507-895-3523 Direct: 507-455-1670 Direct: 507-288-3061 Fax: 612-676-2578 Fax: 320-251-6560 Fax: 715-835-3936 Fax: 507-388-6248 Fax: 507-895-9400 Fax: 507-455-0103 Fax: 507-288-4257 �' %+ v.. . , . � ' �t,;�i�r'�,�:��;T�. . _i . . v��"�` T.Y. :r� , Mr�,� -` �$�� '::w... . •: � �¢ . . _ i'i,��, *T*�y�' ;�s. �,f� ,y�- 5. . ,,. - �.i� g'"a, � ��,L':y • �,yyry y�F .p, si }t.�r;r �' -"°����^M t,. t - ' i+`� ..+ �'' � .�� � ,jF,�� f j_#. �R,. �y >•,� ,"�� - r zr� . � ��C�.���4'� �y..s:`. �'-,� . � ��d� ��y '. - � �=,� , , .� :� s.� 'a � °"� { •� �rt �' � w: .:�' �;'�. 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