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010-941-25-4401-LUP-2022-393
SUBMIT COMPLETED APPLICATION AND FEero: APPLICATION FOR LAND USE PERMIT Sawyer County SAWYER COUNTY,WISCONSIN � Zoning&Lonservation Depart. � _���'��� � 1 ta � 1// y� 10610 Main St Suite 49 _�, t_� � Hayward,WI 54843 {��5,6�-$28S � �EP 0 Z Z�122 � -----�._�___ � INSTRUCTIONS No permits will be issued until all fees are paid. ��b�t;"f, L� r�r ,. , Checks are made paya6le to:Sawyer County Zo�ing Department. �� �� , w DO NOT START CONSTRUCTION U^lTll Al i.VFRMITS HAV�BEEN ISSUED TO APVUCAN i��fi �e, ��� ll . r. Original Applic`�ti�n MUST be subm tted Flll OUT IN INK (NO PENGL� -- ___ Submittal of this application or:ece:pt of fees aoe5 no:conitltute permrt izsuance. Owner(s)Name: �� Contractor(s)Name SCt,��.F.r A ` r� C-_� `'_,� "� e o✓� . T s;�- �;cc. -� I'11a,� � $�� ,v�X-�- C i�2 r w u-T� MailingAddress: Q� ��� I� MailingAddress:�Or, �S rn� l o(olo �'r1�`^ � S\h.c.l� � c,c�/ S`/�7 Phone: Phone: �JS'tJ��'�� '115-(�3y-y8(�C� � Email: �) ���I�ls�� • Email: Q�� �I�c> Site address: 7�p� l..o Or Date applied for: Legacy PiN p V� a yy� Town of: t.JO..f� PermitdeliveryMethod ❑Call Owner �Mail Owner �Call Contractor n Mail Co�trector .�'Is Property/Land within 300 feet of River,Stream lina. � Distance Structure is from Shoreline: Is your Propercy Intermittent) �� Afe Wetldnd5 Creek or Landward side of Floodplain? If yes--continuf° feet in Floodplain t�resent> '.; Shoreland ZO"P' Yes Is Property/land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shareline: Yes Nn �`'y�°� � � �� � --► feet 'Jo Non-Shoreland Describe Project Value at rme of Total tl of Project type Foundation What Type&Capacity is the Completion Number (Basement, bedrooms Sewer/Sanitary System(sj ' �u uae donacea �House,garage,shed,deck, �{Stories Post Addition,etc...y Crawlspace, Ume&materia� to�5truction list separateiy Slab) CAncre.�, $ Dwelling �� � ��� $�(JlY�1JI,� Accessory Bldg $ Addition/AI[era[ion Height: Total Square Lowest Proposed Use ✓ Proposed Strudure Dimensions Footage Grade to (multiply per Highest storyj Peak Residence � X } Ft. with 2nd Story or loft ( x � Ft. with Basement � x � Ft. C Residential Use Attached Garage ( x , Ft. Accessory Strudure�exPia+�� ( X ) '� Agrieultural (detachedgarages,sheds,boathouses,etc.) �_ Ft. X Use Temporery Guest Quarters or Bunkhouse(circle cype) ( , Ft. � Commercial/ Deck/Porch/Patio ( x } Ft. Industrial Use � x � (2"d)Deck/Porch/Patio Ft. C Municipal Use /� OthE'f(explainj GrOI.U,�CJ I�l(�J'�.I GO �7..�KA.! ( �0 X 3 y � / �c 3(�o Ft. J 3 � Other ( X } Prineipal Strueture�agricuit��ai,Commercial,Municipal,Etc.) Ft. t x ) Addition/Alteretion(exPiain� Ft. Total habitable square feet: Total Non-habitable square feet: /,, (decks,patios,garages,sheds,storage area&other structures) I 3 ul� Ori�i�-�«� *'�;��lic�3ticf;; n:9i_F°�T be seabm�ttFcS Attach a Plan or Skeccn your Property on 8.5"x 11"or 8.5"x 14"paper:•Must'Include locateon and setback of proposed and existing structures,roads, driveway,sanitary components,weli,lake,river,stream,and wetlands. Descriptian Setback Description Setback Measurements Meawrements Setback from the Centerline of Platted Road and/or � _ �rj J v Feet Setback from the Lake(ordinary high-water mark� Feet Setback from the Established Right-of-Way Feet Seiback from the River,5tream,Creek Feet Setback from the Biuff if applicable Feet Setback from the North Lot Line � - (p�O Feet Setback from the South Lot Line �' - y C7 Feet Setback from VlCat�lenQ(�„� GM�� t - `�5(,) Feet Setback from the West Lot Line t - Sj,sl� Feet Slope within area of construction/disturbance 9�Slope Setback from the East Lot Line } - c�0 Feet Elevation of Floodplain Feet Setback to Septic Tank or Holding Tank i� - Feet Setback to Well Feet Setback to Drein Field Feet Setback to Privy(Portable,Composting) Feet � � ��:�-„_•��. . - . Calculate impervious surfaces.(Roofed,toncrete,paved,and other wrfaces that water cannot penetrete.The Zoning Office can help you determi�e if a surface is considered impervious} Calculate lot area: fndicate lot size from C5M or NOVUS(circle one): Acres;Multiply by 43,560=Lot area: Square Footage Calculate impervious surFace area: Determine the toYal 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): 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 Total impervious surface: �Lot area: Sq ft.X 100=impervious surface % (Mitigation is required if[otal ezceeds 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*'• Gradin on a slope reater than 20% Grading of more than 1,000 Sq.Ft.on 12�a-20�slopes Grading of more than 2,000 Sq.Ft.on Slopes less than 12% Grading is in excess of 10,000 Sq.Ft. 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 1(we}am(are)providing and that it will be relied 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 f inspection.Additionally,the undersigned person(s)herehy give permission for access to the property for onsite inspection by Municipal Officials. 1�1�n�ox..�a,Ksi� � Owner � �M Owner � ��� �,����te ��� '��" Signatu ��� r Printed name��P�� f� � P Nt7?I(f ... . . . . ., _ ,F-r_.:. . .. , 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 contad a department of naturel resources servfce center(608)267-3125 Issuance Information(County Use Onty) Sanitary Number: #of bedrooms: Permit Oenied(Date): Reason for Denial: Permit#: Issuing agent: Date: a�- 393 � � � Is Parcel a Sub-Standard Lot '':Yes (oeed of Record) 'N i' ation Required Yes "No Is Parcel in Common Ownership ':Yes (Fused/Contiguous Lot(s)) tigation Attathed ' Yes l,No Is Strudure Non-Conforming 'Yes o Granted by Variance(B.O.A.} Granted by Conditional Use ''Yes "'No Case if: ;Yes "I No �ase A: Was Parcel legally Created Yes No Were Property Lines Represented by Owner ' Yes 'No Was Proposed Building Site Delineated Yes No Was Property Surveyed Yes i No Office Comments: Zone District: Fee: � O �o Hold For Sanitary. Hold For TBA: Hold For Affidav�t Hold For Fees: �Tan2020 �� ��� ��^� 9I14/22.3:57 PM Real Property Listing Page Real Estate Sawyer County Property Listing Property5tatus: Current Today's Date: 9/14/2022 Created On: 2/6/2007 7:5522 AM �Description Updated: 3/31/2022 � Ownership Updated: 3/4/2022 Tax ID: 12769 SAWYER COUNTY HAYWARD WI PIN: 57-010-2-41-09-25-4 04-000-000010 Legacy PIN: 010941254401 Billing Address: Mailing Address: Map ID: .16.1 SAWYER COUNTY SAWYER COUNTY Municipality: (O10)TOWN OF HAYWARD 10610 MAIN ST STE 10 10610 MAIN ST STE 10 STR: 525 T41N R09W HAYWARD WI 59843 HAYWARD WI 54843 Description: PRT SESE Remrded Acres: 36390 � Site Address * indicates Private Road Calculated Acres: 32.472 14760W COUNTY HWY B HAYVJARD 54843 Lottery Claims: 0 First Dollar: No i.� Property Assessment Updated: 4/18/202Z Zoning: (Gl) Commercial One (R-1) Residential One 2022 Assessment Detail ESN: qq4 Code Acres Land Imp. X3-EXEMPT COUNT' 36390 0 0 �+� 7ax Districts � Updated: 2/6/2007 Z_year Comparison 2021 2022 Change 1 State of Wisconsin Land: 0 0 0.0% 57 Sawyer County Improved: 0 0 0.0% 010 Town of Hayward Total: 0 0 0.0% 572478 Hayward Community School District 001700 Technical College '�� Property History �+� Recorded Documents Updated: 3/31/2022 N/A WARRANTY DEED Da[e Recorded: 9/18/1990 220403 455/278 https://lassawyercountygov.org/systemlframes.asp?uname=Jay+Kozlowski i 11 a� ' +� ' - �!�y��.s',` f , . � 4 � � . .d wl�M+��`'f��.i�� i� Y! r""b` /t�hy � L !t"� s. "e. `� ",.iP � . 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' _' � i I ;�o II I `o' ! ___.______________________.______________________________________ � �. IQ , � ARRAY SPECIFICATI0�1�� INVERTER SPECIFICATIONS FEE�ER SCHEOULe GENERAL NOTES I I I 9,?CkW M�G� SYMO (DPROVI�E}g�0 AWG(�). 3 g10 AWC (-)PV i � 20? HANWHA 465 WATT M,7DEL SYM� 10.3-206 vnRE iN t'C(-4a'J. (1) MINIMUM PERMANENT SIG4AGE (YELLOW PLACARD, B�ACK , 'I �I LETTERINGj: '�, zl I PV MODULES �UTPUT: 9.995 kW '� 1 STRING �'�F 6 MODULES VOLTAGE� 208 V mPROV7�E A µ6 AwG BARE CROUN�. lA) ON COVER OF VISIBLE UTILITY DISCONNECT - ��� c STP.INGS 0� 7 M�JDULES A�MPS� 27J q 'PHOTOVOLTAIC SYSTEM DISCONNECY' I, _ - , mPRo��cE a ga nNc n-iwh, i ;s nwc(c)ih n !B) ON FRONT COVER OF MAIN SERVICE PANEL "WARNING: � � ' M�1 �SPECIFICATIONS CONTINUOUS CURRENT: 34,63 A t'C(-5'). TFIIS PANEL ALSO FED BY SOLAR ELECTR!C SOURCE" I I �� MFG��� HPNWHA EOUIPMEN?SCHEDULE ; � M�DEL GPEAK DLI� XL-GL0,3 485 OO(20)HnNwrn O.aEnK Duo x�-cto.3 aes (2) SIGNAGE OTHER iHAN THAT GIVEN IN (1) ABOVE �IAY BE ! V�C'� 53.63 VdC SOLAR MODULES. i � VMP�� 45.63Vdc REQUIRED � �. iS"''� 11,15 P Q2 FRONIUS SYMO 10.0��3, TNP.EE PHASE GRIO-T��E i, wvER1Ea,2oevqC Ournui, w�ni w�cRniEo POWER S�URCE CALCULATIDNS (3) PV FAODJLES, STRING COMB IvERS, GFI, DC DISCONNECT, m I�MP�. 10,63 P DC DISCONnEC7, AND nRC FaU�T aROTECTiON. INVERTER, AC DISCONNFCT, AND UTILITY DISCONNECT ARE I � I 1 aVL�Ci -0,27%/'C UL 1�47 AND IEEE 1547 COMPLAINT. OPERATING CURRENT'� i � i ��� 10,63 A x 3 r 1.25 = 39.86 A UL-LIST�D. i � ��'> � ; OPERATING VOLTAGE '� z >-� I � 45,63 V x 6 x L15 = 314.85 V (4) ALL GKOUNG SYSTE:MS ARE BONDED TOGElHtR. Q �`°� I ! 45.63 V x 7 x 115 = 367,32 V ' q� j� . � MAXIMUM V�LTAGE�� (5) MTEFCONNECTiON WILL BE PER LOCAL UTILITY REpUIREMENTS '�, �Z O 3 i 53.63 V x 6 x 1,15 = 370.05 V rTRIPLE-POLE CB OR LINE SIDE TAP). � O U I �I 53.63 v x 7 x 115 = 431,72 v I Sa 3� ,, SHORT CIRCUIT CURRENT�� (6) SYSTEM CA�NCT BE TESTED ON �_WE UNTI� APPROVED BY ��, Y Q � i115 A x 3 x L25 = 365G A 'Jn�l7y. �I o� I �3 I ' '�, (7) THE PHOTO'v'OLTAIC SYSTEM 'M�L BE INSTALLED '�N COMPLIANCE � Z I �I I : � WITH ARTICL 690 OF ,THE 2017 NEC. � toe xa. i VO)LTAGEWDRGP_MUST 3E COPPER AND SIZED �OR A MAXIMUM 2A7, �i,. p�� 8/4/22 i �. I� I E1 .0I ' � _____- __ _ __-- ----- - ____- -_-- ___ __- ___--- - __ -- --_—-_ _ - _ _ _ i To - UTILITY I --�LINE I �3 M � =y ; - I � I I o ���. i '� _ _ - _ ; � u _ __ _::- _ _ a a 5oA ; �. ' I .. il 100A . ___._ $ I I o o � $SOA I I -L 0 o I � 0 o Io- 0 0 FRON INVERTER 1 ° ° I � �� i (SHEET E1,0) � .. o a I 4 o- o � FROM INVERTER 2 ° � � (SHEET E1.0) � � � � , ' � � i , __� � '� . , � FROM ALL INV�R?ERS -- -- -- �-�' � �� � � �� I CSHEET E1.0) ��� G ' �I � � �� � , O`�. .... .�_ i � a i� �II ! <„ � � ' I �� ��I ; ARRAY SPECIFICATIONS EOUIPMENT SCHEDULE FEEDER SCHEDULE GENERAL NOTES i , 19�4C':`.J �l PROVIDE A i00A,208vAC,3PH MniN WG mPROVIDE 4 q4 AWG THWN.1 p6 AWG(C) (1) MINIMUM PFRMANENT SICNAGE (YELLOW PLACARD, BLACK � , ' cnc> r�.aNw:ia a85 waTr oN�v PnNe� vnrH (zx)a-ao�e asa aRcuir in� n i t/a" Pvc c (-ioo'). LErTERiNG)� ' : . � F'� MODULES BRE.�KERS. (A) ON COVER OP VISIBLE U'1LITY DISCONNECT - o �I � 2 S7RINGS �F 6 MODULES mPROVIDE 4 #4 AWG THWN IN A 1 1/4" C I ^ �PRO�DE A 3-POLE 100A.208vAC OUT�OOR. "PH010VOLTAIC SYSTEM DISCONNECT'" �I , 4 SIKINGS OF 7 MODULES NEr�n JR SER�nCE RATED D6CONNECT WiTH �^'S�)� (B) ON FRONT COVER OF MAIN SERVICE PANEL "WARNING� '�, � � . (ax)7en FuSEs.aHoiovo�inic oiscoNhE�- hilS PANEL PL.SO FED BY SOLAR ELECTRIC SOURCE." �� '' M�DULE SPECIFICATI'JNS SNALL BE VI515LE.READILY ACCESSIBLE, �PRONDE A �/6 AWG BARE GROUNC. �I I � MFG� HANW'rIA LOCKABLE,LABELED"VHOLOVOLTAIC UTILITY AC �' 'I MODEL�� �.PEAK DUO XL-G10,3 485 DiSCOnNECY'wRHIN 10'OF UnGTY ME7Eft. (2) SIGNPGE OTHER THAN THAT GIVEN M (1) ABOVE MAY BE � I ' vOC�� 53.63 Vdc Q�iNE 9DE wrERr_oNNecnoN or� cusTouER REQUIRE� m ��� VMPi 45,63VdC SIDE OF IAETE?BEFORE MAIN BREAKER IN �� �� ( :SG 11,16 A exiSnNc 2oev pc Mnw E�Etrnica�PnNE� (3) PV MODULES, STR�NC COMBINERS, GFI, DC DISCONNECT, i F. ��� � IMP� 10.63 A N9TF; 250A MAIN BREAKER AND 25oA BUSS. IN4ERTER, AC UISCONNtCT. ANU UTILIiY UISCONNECT ARE , � � � avOG -0,27%/°C UL-L'SiED. ��,, z >�a ! ''�. Q —� ��� INVERTE��C�IC�i�yS. (4) ALL GROUND SYSTEMS ARE BONDED TOGETHER. � �� I MFG: FR�NIUS I I MODEL�� SYM❑ 10.0-3 208 � �z ��I ��� '�. OUTPUT� 9.995 kw' (5) WiERCONNECT10fJ W1LL BE PER LOCAL UTICTY REQUIREMENTS , � ' � V�7LTAGE�� 209 A (TRIPLE-POLF CB OR LWE SIDE TAP). ''�, ISQ 3� �'�. AMPS: 27.7 A I �W i �3 i CONTINUOUS CURRENT� 34.63 A (6) SYSTEM CANNOT BE TESTED ON LWE UNTIL APPROVED BY ',, �p I l:Tl�1TY. �', �Q � �Q i Z I �_ (7) THE PHOTOVOLTAIC SYSTEM WILL BE INSTALLED W COMPLIANCE I roe tto. � WITH ARTICLE 690 OF THE 2D17 NEC. OAT6 I I (81 ALL WIRES MUST BE COPPER AND SIZED FOR A MA%IMUM 2.0� B 4�2Z VOLTAGE DROP. _ j SHBCE N0. I I ' I � E1 .0 I � _ --- --_ _ _- — --___ ____ ____— _ ___ —_ _ — _— '