HomeMy WebLinkAbout010-941-14-4304-LUP-2022-438 SUBMITGOMPLETED APPIICATION ANb �
FEero: APPLICATION FOR LAND USE PERMIT
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Sawyer County t"-��S�CWgE�R�I���T,�y�!
2oning&Conservation Depart. - e"�' '- -at� � I 1
..o;te .. rve �9' eF-C� � d
10610 Main St Suite 49 � /-
Hayward,WI54843 �� ' ��� �� q11�A2 ��k#_�-7 I a 3 -.L_
(715)634-8288 � �t�L ..�.__., .,_ _.
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r ��1=',�%=.'.l COUNTY HC�t��e�f I�lor ld 3 Cv�'1�7 �
INSTRUCT�ONS: No permits will be issued until aU fees are paid. J��"� �-�. . �^���-�����-�
'V STRATI(�N �,+
thecks are made payable to:Sawyer County Zoning DepaRment.
DO NOT START CONSTRUCTION 11NTIL ALL PERMITS HAVE BEEN ISSUED TO APPLIfANT. Original Applicatinn MUST be submitted FILL OUT IN INK (NO PENCIL)
Su6mit[al of this application or receipt of fees does not constitute permit issuance.
Ownet(s)Name: Contractor(s)Name
�� 6ti`�G ��C, ��J�E��� �
Mailing Address: Malling Address:
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Phone: Phone:
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Email: ' y� ,.� . $'E ��� � C , �. L Email:
Site address: � J a-t%�l.-� � ,3.-�� �� Or Date appUed for:
Legacy PIN# �� " ��1� '� � \ � -`��� Town of: �� w��
Permlt delivery Method �Call Owner u Mail Owner ❑Call Contractor c Mail Contrector
'Is Property/Land within 300 feet of River,Stream (�nd. Distance Strudure is from Shoreline: Is your Property
Intermittent) --► feet in FtoodD��+ Are Wetbnds
Creek or Landward side of Floodplain? If yes--continue � Prrsent?
I Shoreland zon`
Yes
; Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: Yes
If ycs---continue —► feet N�� �� I
�4 Non-Shoreland
Describe P���e� Total tl of
value at Time of project type Foundation What Type&Capacity is the
completioe Number bedrooms
(House,garage,shed,deck, (Basement, Sewer/Sanitary System(s)
'indude donated of StOri25 Post
Addition,etc...J Crawispace,
time&material cnnstrur.t ion
List separately Siab)
5
Dwelling ��� �
S �. 7�
Accessory Bldg
$
Addition/Alteration
Height:
Total Square Lowest
Footage Grade to
Proposed Use ✓ Proposed Structure Dfinensions (multipiy per Highest
story) Peak
Residence � X �
Ft.
with 2^a story or loft ( x �
Ft.
with Basement ( X �
Ft.
Attached Garage { X )
❑ Residential Use Ft.
ACCQSSOry St�uCtu�e(explain) ( x �
❑ Agrieulturai (detachedgarages,sheds,boathouses,etc.) Ft.
Use Temporary Guest Quarters or Bunkhouse(c�rcie rypel � X i
Ft.
� Commercial/ Deck/Porch/Patio � X �
Ft.
Industriai Use
( X )
(2"d)Deck/Porch/Patio Ft.
❑ Municipal Use t X �
`� Other�explain) ��x7 ��� �''' � Ft
i�
�Other � X )
Printipal St�utture(Agricultural,Commerdal,Munidpal,Etc.) Ft.
Addition/Alteretion(exPia�r,) ( X , Ft.
Total habitable square feet; Total Non-habitable square feet:
(decks,patios,garages,sheds,storage area&other structures)
Original App�icat+on MUST be submitted
Attach a Plan or 5krcch 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.
Description Setback Setback
Measurements Description
Measurements
Setback from the Centerline of Platted Road and/or Feet Setback from the lake(ordinary high-water mark� Feet
Setback from the Established Right-of-Way Feet Setback from the River,Stream,Creek Feet
Setback from the Bluff if applicable Feet
Setback from the North Lot Line ' ' feet
Setback from the South Lot Line , r— eet Setback from Wetland Feet
Setback from the West Lot Line '� Feet Slope within area of construction/disturbance %Slope
Setback from the East Lot Line � Feet Elevation of Floodplain Feet
�
Setback to Septic Tank or HoldingTank Feet Setback to Well Feet
Setback to Drain Field Feet
Setback to Privy(Portable,Composting) Feet
Prior to the p!acement or constructfon of a structure wlthin Flve(5)feet of the minlnium required setback,the'ooundary fine from�vhich the setback must 6e measured must be visible from one
previously surveyed corner to tne o[her prevlouzly surveyed cumer or marked by a I�,censed wrveyor at the owner's expense.
Prior to the placement or construction of a structure more than five�5)feet but less than ten(SO)feet from the minimum required setback,the boundary line from which the setback musc be
measured must be visibie from one previously wrveyed comer to the other previousty surveyed corner,or verifiable by the Department by use of a corrected compass from a known corner
within S00 feet ofthe proposed site of the structure,or must be marked by a licensed surveyor at the owner's expense.
• • � . •.• • . • .' . . •• •
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 imperviaus)
Calcutate lot area:
indicate lot size from CSM or NOVUS(circle one): 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�: 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{�.
Caiculate impervious lot percentage
Total impervious surface: =Lot area: Sq ft.X 100=impervious surface %
(Mitigation is required 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 meetr criteria below"•
Grading on a slope greater than 20� Grading of more than�.,000 Sq.Ft.on 129�-20%slopes
Grading of more than 2,000 5 .Ft.on Slopes less than 12% Grading is in excess of 10,000 Sq.Ft.
:qIt.UR! l i„�T.���,v ���.t!��;I; �i j'1i,F?.N'�COIV`iTRUCTION L^JI frlvUi l PEiiivllT. �VIL�I�E�OLI IN pCPJlLLTIES
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 belief it is true,correR and
cornplete. 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(we)further accept liability which may be a result of Sawyer County relying on this information I(we)am(are)providfng in or
with this application.I(we)consent to county officials charged with administering county ordinances to have access to the above descri6ed property at any reasonable time for the
purpose of inspection.Additionally,the undersigned person(s)hereby give permission for access to the property for onsite inspection by Municipal Officials.
Owner -- � Owner I / f,
Signature Printedname� �Vt�2 ����'l% z ¢ �Z,Z
Gr� �ate �
(Signa[ure and Pnnted Name required)
NOTICE �11 Lund Use Permits[xplre One(1)Year from the Date of Issuance.
for the Construc[iori Of Ne�,v One&Two Fanilly Cwelfing: ALL Munlcipalities Are Required To Enforce The Uniform Dwelling Code.
The local lown,Slate or Federal agenCies may aLo require permits.
You are responsible for complying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulations ofthe State of Wisconsin.You are also responsibie for
complying with State and Federel laws concerning construction near or on wetlands,lakes,and streams.Failure to comply may result in removal or modification of tonstr�ction
that violates the law or other penalties or costs. For more informatlon,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: ti of bedrooms:
Permit Denied(Date); Reason for Denial:
Permit�: Issuing age . Date:
�� -- �13 � `��� /a�
.
Is Parcel a Sub-Standard Lot ;i Yes (Deed of Record) �'f No
I5 Parcel in Common Ownership �1 Yes (Fused/Contiguous Lot(s)) i No Mitigation Required C�Yes o
Is Structure Non-Conforming !I Yes No Mitigation Attached LI Yes No
�-
Granted by Variance(B.O.A.) Gra�ted by Conditional Use
_�Yes , No Case tt: ''j(�es �'No Case#: � — Qa�
Was Parcel Legally Created �Yes �No Were Property Llnes Represented by Owner �Yes No
Was Proposed Building Site Delineated . Yes I�No Was Property Surveyed I Yes xNo
Office Gomments: ��� 5���� ���_�� � G�� 2one District: Fee:
���� �5�
Hold For Sanitary: I Hold For TBA: _ . Hold For AHidavit: ' Nold For Fees:
�Feb2D21 -------�
9/28/22.223 PM Novus-Wisconsin Access rev.13.1108
Real Estate Sawyer County Property Listing PropertyStatus:Current
Today's Date:9/28/2022 Created On:2/6/2007 7�55:21 AM
=�Description Updated:12/12/2019 '�Ownership Updated:12/12/2019
7axID: 12074 � ZACHARY&SAMAN7HA STUHR HAYWARD WI
PIN: 57-01�-2-41-09-14-4 03-000-000040
Legacy PIN: 010941144304 Billing Address: Mailing Address:
Map ID: .15.4 ZACHARV&SAMANTHA ZACHARY&SAMANTHA
Municipality: (O10)TOWN OF HAYWARD STUHR STUHR
STR: 514 T41N R09W 15202W HOSPITAL RD 15202W HOSPITAL RD
Description: PR7 SWSE HAYWARD W[54843 HAYWARD WI 546q3
Recorded Acres: 0730
Lottery Qaims: 1 �Site Address 'indica[es Private Road
First Doliar. Yes 15202W HOSPITAL RD HAYWARD 54843
Zoning: (RRl)Residential/Recreatlonal One
ESN: �4 .J Property Assessment Updated:6/28/2018
2022 Assessment Detail
��Tax Districts Updated:2/6/2007 �ode Acres Land Imp.
1 State of Wismnsin Gl-RESIDENTIAL OJ30 16,600 19,300
57 Sawyer Counry
O10 Town of Hayward 2-year Comparison 2021 2022 Change
572478 Hayward Communiry School DishiR Land: 16,600 16,600 0.0%
001700 Technical College Improved: 19,300 19,300 D.0%
Total: 35,900 35,900 0.0%
•�Recorded Documentr Updated:4/11/2014
�QUI7 CLAIM DEED
Da[e Recorded:11/25/2019 421326 �property History
O QUI7 CLAIM DEED N/A
Date Remrded:9/1/2017 408463
O WARRANTY DEED
Date Remrded:10/11/2004 325735
https:l/tas.sawyercountygov.org/IAccess/master.asp ���
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