HomeMy WebLinkAbout026-939-27-5208-LUP-2022-391 SUBMIT COMPLETED APPIICATION AND
FEETo: PLICATION fOR LAND USE PERMIT �
Sawyer County iJ �
Zoning&Conservation Depart. � � /` S I �.a
10630 Main St Suite 49 ��t�"""' 1�'"'-"'r "- �
Hayward,WI 54843 AUG 3 0 2�1�2 Chk# ")� � - ��
(715)634-8288
�/�+�`�'ER C011P��"Y Rcpt# ��n.,�, 1�.90 r t�� �3�l I q —�
irvSiRUCTiOnIS: No permits will be issued until all fees are paid. � U�INl7 ADMI '���� �J
Checks are made paya6le to:Sawyer County Zoning Department.
DO NOT START CONSTRUCTION i)NTIL I1LL PERMITS HAVE BEEN ISSUED TO APPLICANT Original Application MUST be submitted FILL OUT IN INK (NO PENCIL)
Submittal of this application or receipt of fees does not constitute permit issuance.
Owner(s)Name: I Contractor(s)Name
..�-� �1 �� ��\�
Mailing Address: f Mailing Address:
5��� �. tl o�� J�2 �� -
Phone: /,�� -7 L�� ny,� ^ Phone:
lJ L J C".�j�;
1 '
Email: 1_�Q�(�' Im 7 � Q j ' V-'�1 Email:
Site address: J ��� Or Dace applied for.
Le6acy PIN# v ci�p^� L��CI y ��- ��"� � Town of: �(��p l�G�l{�--�.
Permitdelivery Method Call Owner �Mail Owner �Call Contractor r Mail Contractor
Is Property/Land within 300 feet of River,Sueam (��d. Distance Strudure is from Shoreline: Is your Property
in�z�maeenc) -� feet in Floodpfain Are Wetlawds
Creek or Landward side of Floodplain? If yes--continue Zone? Pre Yes I
�Shoreland
�Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: Ye5 � I
o �
If yes--continue -► .� i� ��. feet (�d 1 �
v
J Non-Shoreland
Desc�ibe Project Total#of
value at Time of projed type Foundation What Type&Capacity is the
Completfon (House,garage,shed,deck, Number (gasement, bedrooms Sewer/Sanitary System(s}
•ind�.,dP d��,:�ied of Stories Post
Addition,etc...) Crawlspace,
trme&matenal ��n separately Slab) �OnStfuCtion
$
Owelling
�5 � /,
// > }1�y-�
Accessory BIdB `� ' � I `�„�
�
Addition/AI[eratien
Height:
TotalSquare Lowest
✓ Pro osed Structure Dimensions Footage Grade to
Proposed Use P (multiply per Highest
story) Peak
� x )
Residence Ft.
( X )
with 2"d story or loft Ft.
( X )
with Basement Ft.
� x 1
�,Residential Use Attached Garage ft.
� Aecessory Strueture(eXPia��) � G.C%X �� � LC�� Ft. �, �,
'u Agrieu Itural (detached garages,sheds,boat houtes,etc.)
( X �
Use Temporary Guest Quarters or Bunkhouse(c�rcie tyae) Ft,
( X )
C Commercial/ Deck/Porch/Patio Ft.
Industrial Use ( x 1
(2"d)Deck/Porch/Patio Ft�
❑ Municipal Use ( x 1
Oth2�(explain) Ft•
� Other ( x }
Prineipal Strudure(ngr�cuic�ra�,Commercial,Municipal,Etc.) Ft.
( X )
Addition/Alteration(exPia�n) ft.
Total Non-habitable square feet: �O�
Total habitable square feet: (decks,patios,gareges,sheds,storage area&other structures)
Original Application MUST be su6mitted
Attach a Vlan w Sketch your Property on 8.5"x 11"or S.5"x 14"paper:•MusY Indude luatim and setback of proposed aid exirting rtructures,rwds,
driveway,sanitary componen[s,well,lake,rlver,stream,and wetlands.
L DescNptlon — SetWck Dettription Setback
Measuremenu Meawrements
Setback trom the Centerline oi Platted Road and/or $(� Feet Setback from tM1e lake(o�a�,rvn�¢n�wa:e�mne) zOC� Feet
Sethack from the Established Right-of-Way Feet Se[back from the River,Stream,Creek Fee[
Setback from the Bluff a appr��.eie Feet
�Setback from the Nonh Lot Line Feet
Setback from the South�ot Line 4 �Q Peet Setback from Wetland Feet
Setback(rom the West Lot Line 0 Feet Slope within area of construction/disturbance %Slope
Setback trom the East lot Line �Q� Feet Elevation of Floodplain
Feet
Setback to Septic Tank or NOldingTank /V Feet Setback to Well Feet
�.Sethack to Drain Pield Feet
;Sethack to Privy(Portable,Composting� Feet
.��.- r � i,.. .,fas ucur�w. nf�ivel5'�,� iur ��.�eeset^.�� .;-.i e �r,.r_�r�eset�ackmust�emea�uedmu�bevsb.e�rnn�e�¢
. . .�_�_ � �. �p_�.,i��iv .��1c_.n�rn�ark�f[�.. . .ri�..t �.i_��V=,i�_
I t c
. .��cp.i�:i� . �i,.ii. . .�a�t�u:tu re;Fan(re�._�(eetbu�les>tl�r. n(lOffeett�o�nl'Pm- red��tback!I;obuundaryl�.efom�x��cY;hes+tbarkm� �
r m . �_�_ , , p i�lys��"e�rticorne�:ot�e �.h.p . .eyi�,or .� e.liblebyt�eJUrpartmeni���se.�.3conectedcompnsslome�.nownco�ie �
S...f�ta( p y..�tiiii.,isl�.ue.o must6emar4 c10VaI�CPnSeCV. . at[heen ,e=c�nse
Calculate impervious sufieces.(Roofed,convete,paved,and other surfaces that water wnnot penetrete.The Zoning Office can help you detertnine if a
wrface ls considered impervious)
Calculate lot area: �j
Indicate lot size from CSM or NOVUS(cirde one�:___�_�Acres;MWtiply by 43,560=Lot area: S Z� / � Square Footage
iCalalate impervious surtace area:
�i Determine the total size,in sQuare feet,of your projec[s listed above(indude eaves): 2�D sq k.
� Determine the[otal size,in square feet,of all eaisting roofed structures(indude eaves�, ��OOO sq k.
Determine the total size,in square feet,of all eaisting paved/bricked/blocked surfaces sq ft.
Add these measurements to determine mtal impervious surfaces: J L-lJ� sq ft.
Calculate Impervious bt percentage
� Total impervious surface: �Z� -Lot ares G��Sq ft.X 300=impervious surface �✓ %
�v�na,noo�s rca�n�d u romi e.«<es isx�
"`No[ice a seDante grading permit needs to be abtainetl if disturbed area is within ihe Shoreland district as indiwted an previous page and meets criteria below""•
Gradingon a slope reater than 20% Grading of more than 1,000 Sq.Ft.on 12%-ZOY siopez
Grading of more than 2 00�Sq.Ft on Slopes less than 12% G ad'R' ' ezcess of 10 000 5 Ft
�.IIURCI.('.TAN�V,IA�I . .�N -OtSTIiUCTICNVIl .�TAVhIiMITWILLRE�l1�IINICNFL111�S
I(we)dec are that th'S appl cat o ( 'd g any p Y g / t'o)has 0 ' d by ( � nd to Ue best of my(our�knowledg and bellef it iT true,corrett and
omplete.I(we)acknowledge Ihat I(we)am(are)responi ble far the deta'I and accuracy of all-nformation I(we)am(are�providing antl that It will he relied upon by Sawyer
Counry in determining wheMer ta issue a permiC I�we)further accept Ilabiliry which may be a resWt of Sawy¢r Counry relying on this information I�we�am(are)providing in or
with this avPlication.i(we)co ent te ounty offic�als charged wrth adminlsrer�ng county ordinances m have access ro the above described property at any reasonable time for the
purpose of inspe 'o tionally,[he undersigned person(s)hereby give permission lor access to t e property for onsite lnsce�tion by Munidpal Officlals.
Owne� Owner 'm ,p ^,I 7�
� Signature Printed name� I' ' l� Date_���V V Cz LL�U.Z
I r.�
NOiI[F :.il.. . I ,�. ,:li. ri �. ... . .�.n��
�.�i.i_ t r t..�..� . .�.... ..-. , i.i.� � ._���el l L I�_eTn�U ..r,Cii. ;'ode
��' . . 1 I . �.� � . . -.. ..:
Vou are respons ble for comply ng w th tne requ e t f the Sawy Co t g Z g O d an d l d eg I t ns of th Stare f W o - V also responi ble for
omplying wkh State and Federal laws conam g t ct wetla d lak nd st eams Fa lure ro tomply may resuit n removal or modi(cation of construc[on
C!hatvolatesthelaworot�erpenalt'esor�osts.Formore'nformator,vsltthedepattmencofnaturalr¢so�rceswetlandsitlentificationwe6pageorcontactadepartmen[of
natural resources servlce center�608)26�-3125
Issuance Information(County Use Only) Sanitary Number: #of 6edroom5:
Permit Oenied(Date�: fteason for Denial:
Permit p: Issuing agent:
a a-3 9 I I � yate:J`/
/' �,,.�-d�� a�
Is Parcel a Sub-StandarE Lot �.Yes �oeetl oi Recard) }�fJo
Is Parcel in Cammon Ownership ���Yes �Fused/Conuguous lorys�) �;.No Mitigation Required -'Yes \�Tio
Is 5tructure NomConforming �'.Ves .,;,�� Mdigation Attachetl �.Yes l No
Granted by Variance(B.O.A.) Granted by Conditional Use
:i Yes�No Wse M: !Yes<jNo �Q p;
Was Parcel Legally CreateA i+FYes �'�No Were Property Lines Represen[ed by Owner }�Yes No
Was Proposed Building Site Delineated �C Yes i�..No Was Property Surveyed }Yes ryo
Office Comments: -� �
'- W•�-E_. C's-��.�. �,�f,_�J ��� �y� Zone Distritt: Fee:
�3p !e�.�^�..+,— a:� C�.a.L'� ot-�Gc,.Z, � �S
�IZ-I
HoldForSanitary: HOIEForTeA: HOldforAff�idavit:
Hold Far FeeS:
oF�emz�
8/30/22, 11:52 AM Novus-Wisconsin Access rev. 13.1108
Real Estdte Sawyer County Property Listing Vroperty Status:Current
7oday's Date: 6/30/2022 Created On: 2/6/2007 7:55:49 AM
�Description Updated: 10/5/2020 +�Ownership Updated: 10/5/2020
TaxID: 29050 � HELEN AJOHNSON STONELAKE WI
PIN: 57-026-2-39-09-27-5 OS-002-000080
Legacy PtN; 026939275208 Billing Address: Mailing Address:
Map ID: :2.8 MELEN A JOHNSON HELEN A)OHNSON
Municipality: (026)TOWN OF SAND LAKE 5640N HAM-HOLLY DR 5640N HAM-HOLLY DR
STR: 527 T39N R09W STONE LAKE WI 54876 STONE LAKE WI 54676
Description: PRT GOVT LOT 2 LOT 4 CSM 5/396
#ll09 � Site Address *mdicates Private Road
Remrded Acres: 1100 5640N HAM-HOLLY DR STONE LAKE 54876
Lottery Claims: 0
First Dollar. Yes
Waterbody: Ham Lake � Property Assessment Upda[ed: 9/28/2017
Zoning; (RRl)Residential/Re[reational One 2022 Assessment Detail
ESN: 423 Code Acres Land Imp.
Gl-RESIDENTIAL 1.100 74,600 216,200
� Tax Districts Updated: 2/6/2007
2-YearComparison 2021 2022 Change
1 � 5[ate of Wisronsin Land: 74,600 74,600 0.0%
57 Sawyer County Improved: 216,200 216,200 0.0%
026 Town of Sand Lake
Total: 290,800 290,800 0.0%
572476 Hayward Community School Dis[rict
O01100 Technical College
�• Recorded Documents Updated:9/23/2014
C::�'Property History
O TRUSTEES DEED N�A
Date Recorded:4/30/2020 423614
O QUIT CLAIM DEED
Date Recorded: 2/24/2014 389440
� WARRANTY DEED .
Date Recorded: 8/8/1983 187917 353/228
� CERTIFIED SURVEY MAP
Date Recorded: 7/21/1978 165702
https:lltassawyercountygov.org/IAccesslmaster.asp ���
�� ��R`�'
LINE OF LOT 3 OF �`ti� ����
TED IN PART OP � � A�•.
TOWNSHIP 39 `a p, �i��
OF 5AND LAKG, �'`��y^�� �'o.��
�� L� J ��
��` �`93'•
?4' `� �
e-� !� S+� ` �
O�� a��2!�S, ��NI'ERCINe r \ �
a4y/ �� F 2� RA�L\ \ 0' 60' 120
h4� �� 0`N'�� —9� , jtj' �
g�NTER�'��� 2 #�'j, �L.P. TANK\ � \ SCALE IN FEET 1 " = 60'
/ � GARAGE �GENCRATOP �\
' � �
�� s � LOT 3 \
, �S j / C.S.M No,1909 \
r
\ r- `�r �?ri� �
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� �\`''�,.� C.S.M. No.1>09 � `��90• �
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� y� SAUNA� �
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\ ' � � HAM ' �EGEND
�./� J ` LAKE' � Found .625" Iron Rod
i
� O Found 1.25�� O.D. Iron Pipe
O Calculated Posikion
(xxxx) Recorded Data
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