HomeMy WebLinkAbout014-942-21-3107-LUP-2022-379 SUBMIT COMPLETED A7PLICATION AND �
FEero: APPLICATION FOR LAND USE PERMIT
Sawyer County SAWY �
Zoning&Conservation Depart. � � eC. � !�ate�������..--.-..--- . �
10610 Main St Suite 49 � c �
Hayward,WI 54843 Ch�(# I���- "
(715j 634-8288 AUG 2 6 2022
f�Cpt#,�c,vJ Warlc� �339J� �
iNS7RUCTiONS: No permits will be issued until all fees are paid. SAWYER COUrRti�� �
Checks are made paya6le to:Sawyer Cou�ty 2oning Department. ZON�NG A�
DO NOT START CONSTRUCTION 11NTIL ALL PERMITS HAVE BEEN ISSUED TO A7PLICANT Original Application MU57 be submitted FILL OUT IN INK (NO PENCIL�
Suhmittal of this appliwtlon or receipt of fees does not constitute permit issuance.
Owne�(s)Name: Contrador{s)Name
MI c�,c,c.( 9 �Ih � �^-�1� Cfe�.��� �c�� �ncn� ��
Mailing Address: Mailing Address: fS�5�7 � �+�.�Gr�Q..s�'
3�-I ZU Gt�.�Ch'�hi,✓•� fc�
�vSe�a ti-�� s�� s �u wa� r S`�8 y
Phone: Phone: ^��,5_ 6�� _ a�6
9s Z- �ev�-s�jo y' �
Email: yvti �� Wt$ � y►'1� le LJ/s G <. /✓� Email: C' a.� /-�� � . •"+
Site address: � ,70�f"') � ��y�� �L. �d� . Or Date applied for.
LeBacy PIN 1f �1 Li— ����` �� " ���� Town of: G.P vf�"i�o�
Permit delivery Method �Call Owner u Mail Owner �Call Contractor �Mail Contractor
Is Property/Land within 300 feet of River,Stream ���d. Distance Structure is from Shoreline: Is your Property
ince�mrt<enc) —► feet in Floodplain Are Wetlands
Creek or Landward side of Floodplain? I'yes—continue Present?
�horeland Z°"e'
Yes Yes
- Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance StruRure is from Shoreline: �
If yes---continue � feet No � I
! Non-Shoreland
Desc�ibe Projed Total#of
Value at Time of projett type Foundation What Type&Capacity is the
Completion Number bedrooms
�i��ci�,de do��.�icd (House,garage,shed,deck, o{Stories Igasement, post Sewer/Sanitary System(s)
addition,etc...) Crawispace,
rime&�,ate��.�i List separately Slab) construction
$ per��, �l S I ab
C-onc.t�-e S�-Izt i�'�
Dwelling
S
Atcessory 81dg
$ (��C'�
Addition/Aiteration
Height:
TotalSquare Lowest
Proposed Use ✓ Proposed Structure Dimensions Footage Grede to
(multiply per Highest
story) Peak
Residence ( x )
Ft.
with 2^a story or loft ( X ) Ft.
( X )
with Basement Ft.
� x )
�Residential Use Attached Garege Ft.
ACCe55ory StruCYurC(explain� { x )
❑ Agrieu Itural (detached garag¢s,sheds,boat houzes,etc 1 Ft.
Use Temporary Guest Quarters or Bunkhouse(a�de cyPe� � X �
Ft.
L Commercial/ Deck/ orch Patio � ( �� X z � � �$� Ft.
Industrial Use � x ) .
(aa��cl , P 'o � Ft.
'J Municipal Use ( X )
Other(exp�ainl Ft.
� Other ( x 1
Prineipal Strueture(ngriculturai,Commerdai,Munidpal,Etc.) Ft.
( X )
Addition/Alteretion(eXpia��) Ft.
Total Non-habitable square feet: -
Total habitable square feet: (decks,patios,garages,sheds,storage area&other structures) „
Original Application MUS7 be submitted
Attach a Vlan or Sket<h your Property on 8.5"r 11"or 8.5"x 14"paper:'MusN Indude loration and xtback of proposed and existing rtructures,roads,
driveway,sanibry components,well,lake,rlver,stream,and wetlends.
Description SetWck Dettriptian Sethack
MeasuremenTs Meawremen[5
Setback trom the Centerline of Platted Road and/or e c� Feet Setback from the Lake(o�d��.ry m¢n-w.ve�mxk) I�-(� Feet
Setback from the Established Rightrof-Way Feet Setback from the River,Stream,Creek Feet
SetbackfromtheBluff�raooit•bi� Feet
Setback from the North Lot Line y Feet
Setback from the Souch I.ot Line a Feet Setback fram Wetland ^ Feet
Setback from the West Lot Line � � � Feet Slope within area of construRion/disturbance %Slope
�Se[back from the East Lot Line (o Feet Elevation of Floodplain Feet
Setback to Septi<Tank or HOldingTank Peet Setback to Well Feet
Sethackto Orain Field -r Feet
Sethack to Privy(Portable,Composting� Feet
...,�,� _ � .�. � r „r w����r,.e15���.. rc���.,�.����r .���zaze�oT��.,�i_Pn�,��o�rvi.r.e��mwr��ti�nese�backm�s�eemeasuea���s�br�st�etromo�e
.�_...��.. .,,t�z ��P��vo v .- .o ni. .,k�i�,..ir__ . y�iattreownersexpens..o
�.�-.'�eF��cr .. -s.ur. .t �,. _ nlre,I� �tl�,.i _ �;i0�feetfo.the, - re,lsiteack.!�ehn�:.�rnryfne r>n�wl��t�.�esetbtrkm�s'h+.
. ...r . .E r�,. ,�p.,�-� �. c . i y-e:�,;�. ._�irl�or r.,rve�.fablebVl�eUepartment�� e acorecteticomya.sl�... wnco,rF
. .�C eet� epop�sr..si.. li����c.ue. . 2pe�.ia�V i al�.c��see' ��Ti�heo .rse.oense_
Ulculate impervious surfaces.(Roofed,convete,paved,and other wrfaces that water wnnot penetrate.The Zoning Office can help you detertnine if a
wrface is tonsidered impervious)
Calwlate lot area: ! / C
Indicate bt size from CSM or NOVUS(cirde one): 1'�S Acres;Multiply by43,560=Lot area: I I�D 7� Square Foo[age
Calcula[e impervious surface area:
Determine the total size,in square teet,of your projects listed above(�mdude eaves)� '7 b Z sq k.
' Determine Ihe total size,in square feet,of all eaisting roofed structures(indude eaves�: �5�— sq h.
Determine the to[al size,in square feet,of all existing paved/bricked/blocked surfaces: y�� sq k.
Addthesemeasurementstodeterminemtalimpervioussurfaces: —7,3� b sqft.
Calwlate Impervious lot percentage
Totalimpervioussurface: � 3.J :Lotarea� /��D7� Sqk.%100=impervioussurface �`�g %
�Mlciyafion Is reQuired if tot�l e�ceetlz 15%)
•"No[ice a seDaa[e grading permit needs to be obtained if disarbed area is within the Shoreland district as indicated on previous page and mee[s criteria bebw"'•
Gradin on a slope reater than 20% Grading of more than 1,000 Sq.Ft.on 12%-20%slo0es
Gradin of more than 2,000 5.Ft.on Slopes less than 12% Grading is in excess of 10,000 Sq.Ft.
�a�IURCtO['i'.i��inHF_RMIIorSTARIINGCOh;iP,UC.IOVevIliC�T f "...-�YiLLiC�ui i�;l�CNnLi'4ti
�(we)declare that thls application(including any accompanying informat�on)has 6een examined by me(us)and ro Me best of my(our)knowledge and belle�it is�rue,correct and
como�ete.I(we)acknowledge that I�we)am(are)responsible for the detail and accurary ot ali information I(we)am�are)prov'�ding and that II will be relied upon by$awyer
Counry in tletermining whether to issue a permit I�we)furthe�a[cept liabillty whlch may be a result of Sawyer Counry relying on this information 1�we�am(are)provlding in or
with this apolication.i(we)mnsent to rounry okcials charged w�th administering co�nty ordinances xo have access�o Me above desvibed pro0erty at any reasonable time for the
purpose of inspection.Additionally,[he undersigned person�s)hereby give permission for access ro ihe property for onsite inzpection by Munlcipal OHitial5.
Owner /�-�/ /� pw,ner /j� ��,'�a/ /'�
Signature 0 � / Printednamc�"�"""`�( �GV/S Date L �Z
r�, �
jNoilcE r,��,l�., i .��� �':li rir�:,:; .�,.�,�
i ��.ri,i�_ ti.�i.,l _..-,.. .. L,.. .. . �.�4,i�I I 1 .�r��i . n[J�.�r'�s"��;]r
,. - . ,, � I_ . . . _ .. . ,. .i
You are rezponi ble for complying with tne requ rements of the Savryer Counting Zon ng Ord nances and law and regulat ons of the 5[ate of Wiscons n Vou are also responsible for
comply�ng wkh 5[ate and Federai laws concemmg mnstructio�near or on weUands,lakes,and streams.Fa�lure ro comply may resWt in removal or modifca[ion of wnstruction
that v�iolates the law or other penalties or costs.For more Informatlon,visit the departme t of na[ural reso�rces wetlands identification we6 page or contac[a department of
natural resourres service center�608)26]-3125
Issuance Information(County Use Only) 5ani[arynumter: xofbedraoms:
Permit Denied(Date�: Reason for Denial:
Permit q: Issuing agen/t: �- Date�
�a- 3� �' � ti' �3 aa
Is Parcel a Sub-Standard Lot ��.Yes (OeeE of Remrd� ��No Mi[igation RepuireC '�'Yes
Is Parzel in Common Ownership `�Ves �Wsed/com�guous�arys)) '��Na Mitigation Attached '� Ves �
IsStructureNan-Cantorming� ��.'Yes �rya
Granted by Variance(B.O.A.) Granted by Canditional Use
-:Yes � o Gse N: ���:Yes No ��p;
Was Parcel Legally Created �Yes ��No Were Property Lines Represented by Owner �,Ves No
Was Proposed Building Site Delinea[ed t Vn ._No Was ProOerty Surveyed ^f Ves No
Office Comments: Zone Distritt: Fee: �
�'-�-I �S
Hold For Sanitary: Hold ForTBA: Hold For AHidavit'. Hold For FeeS:
OFeb202]
8/26122, 12:71 PM Novus-Wisconsin Access rev. 13.1108
Real Estate Sawyer County Property Listing Property SWtus:Current
Today's Date:8/26/2022 Created On:2/6/2007 7:5531 AM
�Description Updated: 8/3/2010 'y Ownership Updated: e/22/2016
7ax ID: 18236 MICHAEL D&BETH A LEWIS ROSEMONT MN
PIN: 57-014-2-42-09-21-3 01-000-000070
Legacy PIN: 014942213107 Billing Address: Mailing Address:
Map]D: .9.7 MICHAEL D&BE7H A LEWIS MICMAEL D&BETH A LEWIS
Municipality: (014)TOWN OF LENROOT 3420 COUCHTOWN PATH 3420 COUCHTOWN PATH
STR: 521 T42N R09W ROSEMONT MN 55068 ROSEMONT MN 55066
Description: PRT NESW LOT 6 CSM 9/430#2068
Recorded Acres: 1.650 � Site Address 'indica[es Private Road
Lottery Claims: 0 13047N MINNESOTA RIDGE LN * HAYWARD 54843
FirSt Dollar: Yes
Waterbody: Nelson Lake
Zoning: (F-I)Forestry One J Property Assessment Upda[ed: 9/26/2019
(RRl)Residential/Recreational One 2022 Assessment Detail
ESN: 400 Code Acres Land Imp.
G1-RESIDENTIAL 1.650 150,000 140,000
�� Tax Districts tJpdated: 2/6/2007
2-YearComparison 2021 2022 Change
1 � State of Wis[onsin �and: I50,000 150,000 0.0%
57 Sawyer County Improved: 140,000 140,000 0.0%
014 Town of Lenroot
Total: 290,000 290,000 0.0%a
572478 Hayward Community School District
001700 Technical College
tl:i Property History
�• Recorded Documents UOdated:9/8/2021 . . . . .
O WARRANTY DEED N�A
Date Recorded: 8/19/2016 402577
O SHORELAND RESTORATION/PRESERVATION AGREEMENT
Date Recorded:9/7/2021 434490
O DESIGNATION OF TOD BENEFICIARY
Date Remrded: 7/23/2020 425216
O EASEMENT
Da[e Recorded: 7/6/2009 361499
O WARRANTV DEED
Date Recorded: B/28/1997 262806
O CERTIFIED SURVEY MAP
Date Recorded: 11/IS/1983 189332
https:lltas.sawyercountygov.org//Access/master.asp ���
Mitigation Plan
Property Owner: Michael 8 Beth Lewis
Home Address: 3420 Couchtown Path
Rosemount, MN 55068
Property Address: 13047N Minnesota Ridge Lane
Hayward, WI 54843
Phone: 952-486-1119
Summary: A round (16-18 feet in diameter) concrete firepit will be installed in the backyard of
the house and will come within 60 feet of the shoreline Approximately 10-15 stairs will be
installed next to the firepit, which will also come within 60 feet of the shoreline Below is an
overview.
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