HomeMy WebLinkAbout020-639-26-5511-LUP-2022-357 SUBMIT COMPLETED APPLICATION AND
FEEro: APPLICATION FOR LAND USE PERMIT
Sawyer County SAWYER COUNTY SIN Q�
Zoning&Conservation Depart. �� � r
R, �
1Q630 Main St Suite 49 �v 1: s� �ved{
Hayward,W I 54843 R '�`;;, ....�-r-=J�P( _—_• � �1�:: ��o�CF I.� 1
{715)634-8288 � LJ,�' A!I�± � 7 20�Z ,..� t W
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INSTP.UCTIONS: No permits will 6e issued until all fees are paid. r;K��,j`•(�� �,�-'��"'� ' ��/ (��r`d �- 3 r co a �
Checks are made paya6le to:Sawyer County Zoning Department. `��,�� a •
DO NOT START CONSTRUCTION UNTiI ALl PFRMITS HAVE BEEN ISSUED TO APPLICANT. .1�igin;,�;=�p��J:Caiior,iVi�JS�De Suomi�ieci FILL OUT IN II�lK �� ':�LIV�IL�
Submittai o`Yhis applic�tion or receipt of fees does not consYitute permit issuance.
Owner(s)Name: Contractor(s)Name
f - C�
�� �";�-� Q��z..z,� ��,;i�' v
MailingAddress: � ����� MailingAddress:
� � �J '��,/� / .
�/�,G_ N'TP-'U �� /C%. ��(/bl �i� ��n/ ' S�e- .
Phone: / �� /��� C)c/t�Z Phone:
�! <J ! !C�
EmaiL• ����/��10�� ����� • �-d�"L Email:
Site address: i 5�!p hr���'1 CI� � u���'��'� �� Trc T� Or Date applied for:
/ /�i p �)/�
Legacy PIN# , - (��� ' ^��Z.lp��!� Town of: (�� �)��•�!� i
Permit delivery Method �Call Owner o Mail Owner ❑Call Contractor ❑Maii Contractor
Is Property/Land within 300 feet of River,Stream �inc1. �
� Distance Structure is from Shoreline: ,.yo��?ro,��rc; ��.,,,„,.�tlands
Intermittent) —�; �_ . —
feet ir, =:oacuiai�, �
Creek or Landward side of Floodplain? If yes--continue I r�(�� .�resenc.
�Shoreland c0i1�^
Yes �
Is Property/Land within 1000 feet of Lake,Pond or Flowage � Distance Structure is from Shoreline: -- �,o
I`yes---continue --� feet :be I
I
:J Non-Shoreland �
Describe Project
Vaiue atTime of Total#of
Project type Foundation What Type&Capacity is the
Completion Number bedrooms
(House,garege,shed,deck, of Stories (Basement, ,�osti Sewer/Sanitary System(s)
' �;�ici�_�c�-��e���iec; qddition,etc...) Crawlspace,
�:it�;e; :n�,�;.r!�I co�s.ruction
List separately Slab)
s ���� �� �-�;��w.�- �.�,��-L ;, 5l�� �I �`='c c� :,���ff �.�:.-<<,�.-�.��
, �-
�'-� r�
Owelling
C��� e
$ � �� �/. � � {--�.� �,.:;
ccessory Bldg
�
Addition/AI[era[ion
i
Height:
Total Square Lowest
Footage Grede to
Proposed Use ✓ Proposed Strudure Dimensions (multiply per Highest
story) Peak
Residence � X �
i 3�-�2 Ft.
with 2"d story or loft ( X , Ft.
with Basernent ( X �
Ft.
Attached Garage ( X �
� Residential Use Ft.
Accessory Strudure(explain) ( 1 C, X \�- } ��7ic% Ft.� ��`
❑ Agrieultural (detachedgarages,sheds,boathouses,etc.)
Use � X �
Temporery Guest Quarters or Bunkhouse(ardetype) Ft.
( X )
" Commercial/ Deck/Porch/Patio Ft.
Industrial Use � ( X )
(2"d)Deck/Porch/Patio Ft.
C Municipal Use { x }
Othe�(explain) Ft,
'� Other ( x }
Prineipal Structure(ngriculturai,Commercial,Municipal,Etc.) Ft.
( X )
Addition/Alteration(eXPia��> Ft.
Total Non-habitable square feet:
Total habitable square feet: ��i ' n (decks,patios,garages,sheds,storage area&other structures) ��
-C L�
'!, "7:. � ,.:�... '-''� -'_ - i . ..:__ .
Attach a'.'��u+or`�i.eEc��your Property on 8.5"x 11"or 8.5"x 14"paper.#Must'Include location and setback of proposed and existing structures,roads,
driveway,sanitary components,well,lake,river,stream,and wetlands.
Setback Setback
Description Descrfption
Measurements Measurements
I
Setback from the Centerline of Platted Road and/or ` 'I L Feet Setback from the Lake(ordinary high-water mark) Feet �
Setback from the Estabiished Right-of-Way Feet Setback from the River,Stream,Creek � d Feet �
�� Setback from the Biuff �taPoiicabie Feet
� Setback from the North Lot Line Feet
Setbackfrom the South Lot Line Feet Setbackfrom Wetland Feet
Setback from the West Lot Line �7. S Feet —; Slope within area of construction/disturbance �� %Slope
Setback from the East Lot Line � "� (�Q Feet , Elevation of Floodplain Feet
i
Setback to Septic Tank or Holding Tank I Feet � Setback to Well - Feet
Setback to Drein Field �� Feet
Setbackto Privy(Portable,Composting) Feet
Pricr,o:he placement or construction or e s2rudure wlthin five;5)feet of the minlmum reqwrzd seibad:,the boundan,�line from which the setback must be measured must be visible from one
prevlous�,y wr�eyed corner Lc the u�her previously surveyed corner or mzrked by a licensed surveyor at tne owner's expense.
Prior to the placement or construction of a structure more thar five(5)feet 6ut less than ten(10)feet rrom the minimum required setback,the bounda��line from whlch thz seibad�mus;be
measured musi be visible from one prevlously wrveyed cornerto the ofher previously surveyed corner,or verifiable by the Cepartment`uy use of a carrected compa,s from a kno�^m comcr
vi�F�in 500 ieet ofthe ur000sed size of the sirueturc,or must be marlred by a licensed surveyor at the owner'c expersc-
� --- - --_ — -
-- - - - - - - --
�;u'lq1 A �_iiU ��Id9�,a ° ,°� .751�li �(i.: u ���.= I .ln[u � � �o�.r;;
. .._..-- ""'--- ....._._ . .....___ _ .�--'-- -._..:.......,_.z,.,,.'...:.�,_�,w�...._l.,e_.�..�..�_._ - -- _..__ ._..._ . . . . . .. .._--''�-
'1
�- -- --. .._.__ ''�
Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrate.The Zoning O�ce can help you determine if a
surface is considered impervious)
, Calculate lot area: /,, � C.{l
Indicate lot size from CSM o NOVU (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): ��S .7 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 I
Total impervious surface: =Lot area: Sq ft.X 100=impervious surface %
(Mitigation Is requlred 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% - Grading of more than 1,000 Sq.Ft.on 12%-20%slopes
Gradin�of more than 2 000 Sq.Ft.on Slopes Iess than 12% Grading is in excess of 10,000 Sq.Ft. �
� �/-AILUI;F_TO 06T1`Jf�+�:?cliiv%IT nr;TA,Rl�li�!G CDNSTRUCTIO�I����Ii'�In'�IT^ °�^piilT�NiLL RcSUI_l"'.���PrI��A�_�1':S
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)providing 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 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
i purpose of ins ection.Addjtionall ,the undersigned person(s)hereby give permission for access to the property for onsite inspection by Municipal Officials.
./
i Owner � Owner r�
� Signature ������ Printed name��%�.� �� ������ Date � � a
(Signature and Pr.nted Name required)
i�1p71£E; All Land Use Permits Expire One(1)Year from the Date of Issuance
For the Construction O(i�lew One&Two Family Dwelling: ALL Municipalities Are Required To Enforce The Uniform Dwelling Code
The Iccal Town,Siate 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 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 center(608)267-3125
{
Sanitary Number: � � #of bedrooms:
9ssuance Information (County Use Only) ��-a-3lo ; ��-
Permit Denied(Date): Reaso�for Denial:
I
Permit#: _ i Issuing agen • Date: �
a� 3 s� ' � --- � 2-�, a��� ,
� ,��
� .-� --
Is Parcel a Sub-Standard Lot !1 Yes (Deed of Record) �NO Mitigation Required I :Yes \�fVo
I Is Parcel in Common Ownership �C Yes (Fused/Contiguous Lot(s�) ' 'NO Mitigation AttaChed Yes ��No
Is Structure Non-Conforming 'Yes `�No
Granted by Variance(B.O.A.) Granted by Conditional Use
Case#: l Yes No �ase#:
''Yes '�No —
� 'No
Was Parcel Legally Created 1�Yes No ! Were Property Lines Represented by Owner '�(Yes -
Was Proposed Building Site Delineated r'g'es No i
Was Property Surveyed '�;Yes :No
Office Comments: ' Zone District: Fee:
I
��-�- I � 3 S�
�� ` � I
I Hold For S�nrtari
� yold For TBA' I f-lold For Affidavit: Nold For�ees: _ j
07an2020
Real Estate Sawyer County Property Listing PropertyStatus: Current
Today's Date:8/26/2022 Created On:8/15/2007 ll:47:04 AM
�Description Updated:9/24/2007 �Ownership Updated:1/28/2021
. . . .._..._ .
7ax ID: 39395 THOMAS C&REBEKAH A WORLEY MINNEAPOLIS MN
PIN: 57-020-2-39-06-26-5 OS-005-000110
Legacy PIN: 020639265511 Billing Address: Mailing Address:
Map ID: :5.11 THOMAS C&REBEKAH A THOMAS C&REBEKAH A
Municipality: (020)TOWN OF O]IBWA W�R�E�' WORLEY
STR: 526 T39N R06W 4722 GIRARD AVE N 4722 GIRARD AVE N
MINNEAPOLIS MN 55430 MINNEAPOL[S MN 55430
Description: PRT GOVr LOT 5,LOT 11 CSM 29/238
#7443
Recorded Acres: 6.690 �Site Address *indicates Private Road
_..__....._
Calculated Acres: 6.877 5598N COUNT'HWY G O)IBWA 54862
Lottery Claims: 0
First Dollar. No �-..�property Assessment Updated:8/20/2013
Waterbody: Chippewa River 2022 Assessment Detail �
Zoning: (RR2)Residential/Recreational Two
Code Acres Land Imp.
ESN:
G1-RESIDENTIAL 6.690 57,200 0
��Tax Districts Updated:8/15/2007 Z-Year Comparison 2021 2022 Change
1 State of Wisconsin Land: 57,200 57,200 0.0%
57 Sawyer County Improved: 0 0 0.0%
020 Town of Ojibwa Total: 57,200 57,200 0.0%
576615 Winter Schoal Distrid
001700 Technical College
�Property History
.� Recorded Documenks Updated:1/28/2021 parent Properties Tax ID
QUIT CLAIM DEED 57-020-2-39-06-26-5 OS-005-000030 21505
Date Recorded:1/27/2021 429615 57-020-2-39-06-26-5 OS-005-000040 Z1506
CERTIFIED SURVEY MAP 57-020-2-39-06-26-5 OS-005-000060 21508
Date Recorded:7/27/2007 347983
WARRANTY DEED
Date Recorded:11/6/1996 257658
Lhild History Rerord Count�3-
HISTORY O Expand All History White=Current Parcels Pink=Retired Parcels
O Tax ID:21508 Pin:57-020-2-39-06-26-5 OS-005-000060 Leg.Pin:020639265506 Map ID::5.6
O Tax ID:21506 Pin:57-020-2-39-06-26-5 OS-005-000040 Leg.Pin:020639265504 Map ID::5.4
O Tax ID:21505 Pin:57-020-2-39-06-26-5 OS-005-000030 Leg.Pin:020639265503 Map ID::53
39395 7his Parcel Parentr Children
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