HomeMy WebLinkAbout010-171-00-4701-LUP-2022-448 SUBMIT COMPLETED RVPUCATION AND
FEETo: APPLICATION FOR LAND USE PERMIT
Sawyer County SAWYER COUNTY,W ISCONSIN a`
ioning&Conzervation Depart. �� ' ' � . ���
�D�te Sbmp(nK�iwE)�
10610Main5t5uite69 ' • . . . �)3�'-.......'.�.��y_'a� �
HaVward,WI54643 . . h. . . ... . .
(715�634-8268 .. . -� � Chk$t �aa'1 �
... ,,, .__ s
Rcpt#IVPM/ Wo�ld �- 3�3�I _[
INSTRU[rioNs�NoOermitswillbeissueduntilallhesarepaid. . . .. "'�"�� �
Checks are maCe psyable to:Sawyer Counry Zoning Departmenc �L}>
ooNorsTaarcorv��'a�,;�'ioNi�rvri�n.��currirsH�vE9EEni55uEo�onvvtKprvl OriginalApplicationMU5i6esubmitted FlLLOUTININK (NOPENCIL)
submrz�a�oi�h�c aooi�c,r��o�n.��.cc�n'oi re,..�iocz no�co�s����u�e ve�m�i asua�ce-
owner�s)rvame: [ontractm�s�Name
r S Yl �-�- k1 E�'Y c�: w - .£�
Mailing drcss: Maili Address:
�a��w�nJ i�� "� f'SqNS�lS NR�u.�A� �IJ�S
10 �. 1 1 6 1'�c72 r c ti/R�
Phone:�D�— � I I���C:L� Vhone: „7" .7l(�_ I 1��
email:YSLF1z. ..�.0�r 20 J � mq�\ , ema�i: ci� o '�'Yr� o YhA��, �%
Site addrcss: �� R Or Dau appifed�or:
Lega[ PIN# O� �U ' � Town of: �,7.)
VermitdeliveryMethod r Call Owner ❑Mail Owner �Call ContraRor �.Mall Contnctor
Is Vroperty/W nd within 300 feet of Riveq Sbeam p��i.
Distance5tructure isfromShoreline: isyourvrovercy
=�e) -� nre weuana:
Creek or Landward side of Floodplain? if yes--continuc (eet in Floodplain presen[?
Y!Shoreland z���'
Yes
Is Property/land within 3000 feet at lake,Pond or Flowage Distanre SWRure is from Shoreline: �es �
I(y�s--con;inue—� teet VO �
ff I NomShoreWnd
Desc�be Vroject Total k of
value at Tme of project type Foundation What Type&Capacity is tAe
Completbn Number bedrooms
(House,garage,zhed,deck, (Basement, Sewer/Sankary System�s�
, '; :� ��� nddition,etc...) of Stories Crawlspace, Post
� - �� Listseparately Slab) construction
S
Dwellin5
C�OA�1" L�x�ft�1'
f5i ,����e ��� s�.r�b i� N
_ACLn•wryBid6
$
nEEI[bn/Alcen[lon
Height:
Total Square Lowest
Pro osed Use ✓ Footage Grede to
P Proposed Structure Dimensions
(multiply per Highest
story) Peak
Residence � x �
Ft.
with 2^�story or loft ( x �
Ft.
with Basement ( x �
Ft.
}YReSidential Use Attached Garege ( x �
v Ft.
Aecessory Strueture(e.pia���) � X )
n Agri[ulturel �e.�,�n.aa,,.e•:,,n�e:,eo.�no�..:,e«i Ft.
Use 7emporery Guest Quarters or Bunkhouse(a.�ie ryoe) � x �
Ft.
� Commercial/ Deck/Porch/Patio ( x �
Industrial Use Ft.
(2nd)Deck/Vorch/Patio ( X �
�Municipal Use
Ft.
J� otner(e.P�a��l �C7{�1 �U�. � ��P x ZQ 1 /l
�Other � �2 v Ft. I �
Prineipal Strueture(ngr�wiw.ai,commer��ai,M�mc�pai,e��.� ( x �
Ft.
Addition/Alteretion(expiain) � x �
� Ft.
Total habitable square feet: Total Non-habitable square feet:
(decks,patios,garages,sheds,storage area&other struc[ures) 3��
Original Application MUST be submitted
Attach a Plan or 5kecch your Property on 8.5"x 11"or 8.5"z 14"paper:•Must•Induda loutlon and setMck o}propos�d and azlstin��tructures,ruds,
dAvaNny,anlury compomnb,wnll,Iska,riwr,rtra�m,md wstlands.
DeuApLlon s�ta�k D�ttNptbn Setba&
Maasunm�na Meawrements
l� r
Setback from[he Centerllne of Platted Road and/or V Feet Setback from the Lake(orm�.ry men-w,ur m..k) Feet
Setback from the Esubllshed Right-ot-Way Feet Setback from the River,Stream,Geek Feet
Setback from the Bluff ��r.pm��.bi� Feet
Setback from the North Lot Line Feet
Setback from the South Lot Line Z Feet Setback from Wetland Feet
Setback from the West lot Line � Feet Slope within area of construc[lon/disturbance %Slope
Setback from the East Lot Line �� Feet Elevation of Floodplaln Feet
Setback to Septic 7ank or Nolding Tank /v✓�' Feet Setback to Well ieet
Setback to Drein Ffeld n1 11 Feet
Setback to Prlvy(Portable,Composting) Feet
Gno�[otheF'�acemento�consVucbonofaSVuriure�ui.lnfve:�j��e', .1��•� n,.- .ued�etcarlJ_ 000-oaarylne`wmwh<hthesetbackmu5tbemea5uretlmustbevis.Jef�im.�.�e
previouslysurveyed mmer to lhe o�he�prwicusy swveyetl iori�e�ni 'narkeJ by j��anSeC saveyora�the o�rv�icr s expense.
Pnor tc ffie o a�emect or mnsV uction oP a structure more[han five�5�feet but les��nan ten(10)feet fmm[he minimum reqmred setback,the boendary line from whlcF[he set�ack mc,st be
measered must^e visi0ie Irom one previously su�veyetl rornerm Ne offier prevlously zurveyed comer,orvenfiable Oyt�e Department b�me of a corrected compass from a krown comer
withln 500 feet of Me pmposed s[e of t�e s[mcwre,or m ust he marked oy a Ilcense0 surveyor at the owner's expense.
� -
Glculate impervlous surfaces.(Noofed,concrete,pavad,and other surfaces that water cannot penetrate.The Zoning Office wn help you determine if a
surface is considered Impervlous)
Calcuhte lot area: 1p
Indicate lot slze fro CS or NOVUS(circle one): Acres;Multiply by 43,560=Lot area: J O1� �5 Squa�e Footage
Calculate impervious surface area:
Determine the total size,in square feet,of your projects listed above(include eaves�: y 3 �JZ ��� sq ft. a6 j�+ ��U�Q
Determine the total size,in square feet,of all ezisting roofed structures(include eaves�� 'r0 b{ ne.'�Mb sq k. l9� j� � I
Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: v sq ft.
Add these measurements to determine total impervious surfaces: `�J � . 1�sq ft.
Calculate impervlous lot percentage
Total impervious surfaw:`IP�3z"1�+Lot area3�s7yi. IS Sq k.x 100=impervious surface r Z..v� %
(MitlQacion ie requireE-if iotal exceede 15%�
•••Notice a separate grading permi[needs to be obtained if disturbed area is within the Snoreland district as indicated on previous page and meett criteria below'•'
Gradin on a slope reater than 20% Grading of more than 1,000 Sq.Ft.on 12%-20%slopes
Gradin ot more than 2.000 Sq.Ft.on Slopes less than 12% Grading is in excess ot 10,000 Sq. Ft.
v�,,�ou:�o,mrnry n v�annn o�srna� .vc�orvsriwcrioN wirHo�r�rFennirwu�r,�z�i��i in�r�Nn�Tits
1(we)dedare that this appllcation(induding any accompanying informatlon)has been ezamined by me(us)and m the best of my(our)knowledge and belief It is true,mrrect and
complete. I(we)acknowledge that I(we)am(are)responsible for the detail and accuracy ot all information I(we)am�are)providing and that it will be relied upon by Sawyer
Counry in determining whether to Issue a permlL I(we)further accept Ilabiliry 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 m<ounry officials charged with administering countY ordinances to have a<cess to Ihe above described property a[any reasonable time(or the
inspecti . dditionally,the underslg d person�s)hereby give permission for access tothe property for onsi[e inspec[ion by Municipal O ¢lals.
Owner Owner - ,
Si`na re � � Pdnt�d nartie � � � ate
(Signafure ard�nr�- . �
(� NOTICE �111 Ldnd Gs�0=rmit=_Evp.ry �.ie rr i=.=„-+r-�
� :. t�.,",..L ., ..'V�,. . .. e . �.�Ile.� Vlf. � . r 'i �.rmit. �J�.
Vou are responsible for complying wlth the requlrements of the Sawyer Coun[ing Zoning Ordinances and law and regulations of the State of Wismnsin.You are also responsible Por
complying wRh State anC Federal Iaws wncerning construction near or on wetlands,lakes,and streams.Failure ro comply may result in removal or modif¢ation of construction
Ihatviolatesthelaworotherpenaltiesormsts. Formoreinformation,visitthedepartmentofna[uralresourceswetlandsidentifitationwe6pageorcontactadeDartmen[of
natural resources service center�608�267d125
Issuance Information(County Use Only) Sanitary Number: Nof bedrooms:
Permit Denied(Da[e�: Reason for Denial:
Permit a: Issuing agent: Date:
a.�- Ny 8 � �a � a�
Is Parcel a Sub-Standard Lot �.'�,Yes (oeed of Recortl) igation Required "��.Yes ��..!No
Is Parcel In Common Ownership I'��Yes (fused/COMiguous lot�s�� � Mltigati0n Attached '. Yes �,.���No
Is Structure Non-Conforming I�Yes ��N�
Gn�ted by Variance(B.O.A.) Grented by Conditional Use
�l Y�s "I No Gse p: '�!Yes _'No Use M:
Was Parcel Legally Created ���.:Yes �,.-'�No Were Property lines Represented by Owner '� ��.Yes No
Was Proposed Building Site Delineated '�..�Ves �:�No Was Property Surveyed ��.'�,Yes No
office Comments: g�-�d•n�� .� Zone Distric[: Fee:
� rGY'�'ki'f ln[.lU
�,,,fi �,a;,.x — no .�u6l.a, a+'�. 1Z(L t 37S
Fold Far$aoitary�.
Hc!o FortBA�. Nola ForAfhcav: Hold Forfees.
�Feb2o2t
�
Sawyer County Application for Grading � �
10610 Main St. Suite 49 '� �
�
Hayward WI 54843 � k � �
715/634-8288 9 0 �
i
� � S
CONSTRUCTION SHALL NOT BEGI�1 UN71L ALL REQUIRED PERMITS HAVE BEEN � � � �
4J
ISSUED. SIGNATURE �F PFtOPERTY OWNER IS REQUIRED. o
�
Sc, e +.�ew��-r1� S �U 5-firo r� Cr✓ �r�'"-1�'�'L �
Owner. W tj _ Contr _ctor: �
�3 0 27 N '►��,�-s e� R c� s
Mailing Address: 21y _ Mailing Address: �
lQ db �A�v; t�Y��O 5 �`�'`� �.'� �
Cit , State, Zi :8 A� W� 1,,,3 _C. N A Cit , St te, Zip: �
Phone: � � 5�1 - Phone:_L -'�5 " � 1 l� �
�( y-n,��1., • �-C>rm � Cc'r►n �
Email: L � �Qt,�.J� Z,� ` Email: ' ` n.�q j,
-- � �.
Siteaddress: ] 2�y �, iJI/ �.�1V I l�I.JSU�j R � U�-JF��''� �l s G
.
�
Calculate grading area: (Total area disturbed including excavation, fill, grading, .-
landscaping, equipment rutting, and/or other areas vegetation will be removed resulting �
in exposed soil) •
..C"
Determine width of disturbed site in feet: �_ ft. x depth of disturbed site in feet: �_ ft. -�
Total =_� sq. ft. (this is the area calculation) �
Determine ope of disturbed area: Vertical height in feet = Horizontal distance in 0
feet = Slope X 100= % Slope g
(1 V/1 H= Slope X 100= Percent Slope) �
�
. . ��
*For any filling or grading of any area which is within 300 feet landward of the ordinary C�
high water mark (OHWM) of navigable water and which has surface drainage toward the �
water and on which there is either: S
(1 ) Any filling or grading on slopes of more than 20%. `�°
(2) Filling or grading of more than I,000 sq. ff. on slopes of 12% 20%. �
(3) Filling or grading of more than 2,000 sq. ft. on slopes less than 12%. F
(4) A Grading Permit is required for any filling or grading in excess of 10,000 sq. ft
within 1 ,000' OHWM of navigab{e lakes, ponds, or ffowages OR within 300' of OHWM of
navigable rivers or streams. �
Date activity will begin if permit is issued: �� - � 7 Z6Z?.�late to be �
completed: �,p-3v -2a ;�� �
Attach engineering design or complete the following using additional sheets: �
�
1 . Describe proposed erosion control installation, construction phases, and finished site grading. v, �
Include timeline, methods, and materials. (Silt Fence alone i� not ample erosion control for c
most sites) ��
�
-}w� ao�5 vF 5� 1t ��.N« �
��rx�t�v �a �� i �vc, s E�t ��.�„l�, v �F o��' 11 �
c:.atic.�� s�,� b � ►i, �-��1�-�d f ha + ��� K �4�5�
� r r�d -� (!r�u x�� 5 L. � � -#' S�-�� �-- 1'�+1,r � < ►-� �1� � ,✓� S i'f�-1'
�J �� �'� d r N� � �e ��r i 1 �' c�G� I-;�►�.� w L�r � w� I�hv�,,,-1`.�1
� `
a�� �v ►�.��t1�� � -3 v 1� ��-3
0
.4- ^`
W
�T--F•
\V
��^
v
1
r
'\
�
�
_ _ _ �
�
2. List temporary seed type and rate, permanent seed type and rate, fertilizer type and application rate
(if applied), and mulch type and application rate.
�eec�'� ��� ��n;b s�t�-�� n►��ich ��cr v" o� �%p so i l
O�er� rw►q�.y-� i�l �`re-�-S y�vu� S h rvb.5
i
3. Attach a plot plan of project area including location of any wetland(s) and/or waterway(s) (indicate
area between grading project and water body to be left undisturbed), location of excavated material,
location of all storm water and erosion control Best Management Practices (BMP's), property lines,
existing drainage, post grading drainage pattern, and north arrow. (Silt Fence alone is not ample
erosion control for most sites)
EROSION
SAMPLE Ei20510N \ CONTF20L PIAN
COHTRCtLPIAN � � � LEGEND
FOR 1 OR 2 � i � ` F�tpoER7y
�An���v I � � � N -- �He
, UV4ELLING3 � � � I exionNc
� \ ���-1.--"- TO?.^iO1L 'DR0.1114GE
� \ ��a;� __ - �,,.Tp TEMPOfiPRY
� I�..'� DI�rRCION
` � i _ORAINh^,E PIMGNED
� $yy.�e DR/JN4GE
I � � .� -I--
� _-� LINAT.^,OF
iro � `� � ��-I� GRAOING
��\) I /, , j f31LT
! iri n� � !i � ��_.� FENI�
AR_A TO BE TOh;q�ED, mi �7�,�y
OE2DE0 AND/AVLCHED �y��
BY04'JN2R/1TTF1E I H�� �
cuvP^ra�rroN I enru�e� I � c�+v.V�.
TD TD O^�EGETATION
CtlIF.,7RUCTON
� �____�ee__ .--v -_'— EIfTA4W'ElE7UT � ..PECIFICATION
`�4�`.'
��
TNEE
� � �\� `�8��, � � PREGEftVAT10N
ITb� � �,1��'X� �� .",TOCHPILED
——�—— — b.��;� . iol _ �:,a�l
, -��a:Q�. �
RNf IINE.-- ���� SCALE:i"�40'
sAO�O
— Pid�JEC:T LUl;hT10fJ:
IXICIING CURB PfaDPERTY q1VNER:
301LTYPE:GIITYCLAV ,77REETfW�E ---PNOGITfER MITIGR4TE�.^.7AR71 Gp47E:
4'.OMRPG'ICf�t:
GIAPE:3°b ANTICIR47ED COMPL V MT8'
�RETi'UiEO BY. 0.4TE
4. Attach a cross sectional view of project area including the existing and proposed slope of the bank,
water level of any existing waterway, and horizontal and verticai scale.
Initial below
��All BMP's and erosion control devises will be inspected weekly and after rainfall of'/z' or
greater within 24hr period.
�In accordance with the Sawyer County Zoning Ordinance section 4.281(Adverse Effects On
Adjacent Properties). I hereby declare that the construction and/or grading permitted under
this permit will not affect or interfere with neighboring properties drainage patterns. Any change in
drainage patterns which are determined to be detrimental to neighboring properties will be
corrected at the expense of the property owner referenced on this permit.
The undersigned certifies that the listed information and intentions are true and correct, that all work
shall be performed in compliance with the requirements of the Sawyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin. The undersigned person(s) hereby give
permission for access to the property for onsite inspection.
�
'�_
riginal gnature o o erty owner(or agent with Power of Attorney).
Permit Fee:
Rev-1/2020
70/6122,12:35 PM Real Property Listing Page
R2dl EStat2 Sawyer County Property Listing Property5tatus: Current
Today's Date:10/6/2022 Created On:6/19/2019 9:07:58 AM
�Description Updated:5/6/2020 �Ownership Updated:4/22/2021
Tax ID: 43577 SCHENEWERK FAMILY TRUST BALDWIN CITY KS
PIN: 57-010-241-08-23-5 15-112-004701
Legacy PIN: 010171004701 Billing Address: Mailing Address:
Map ID: SCHENEWERK FAMILY TRUST SCHENEWERK FAMILY TRUST
Municipality: (010)TOWN OF HAYWARD 626E 17TH RD 626E 17TH RD
STR: 523 T91N R08W BALDWIN CIN KS 66006 BALDWIN CITY KS 66006
Description: ROUND LAKE PARK PRT LOT 47 LOT 1 �
CSM 14/292#3573 �Site Address *indicates Private Road
Recorded Acres: 0.880 12856W PENINSULA RD HAVN/ARD 54843
Calculated Acres: 0.000
Lottery Claims: 0 �1.�Property Assessment Updated:4/16/2020
First Dollar. Yes
Waterbody: Round Lake 2022 Assessment Detail
Zoning: (RRl)Residential/Recreational One Code Acres Land Imp.
ESN: 444 G1-RESIDENTIAL 0.860 349,900 112,200
2-Year Comparison 2021 2022 Change
��Tax Districtr Updated:6(19/2019 Land: 349,900 349,900 0.0%
1 State of Wisconsin Improved: 112,200 112,200 0.0%
57 Sawyer County Total: 462,100 462,100 0.0%
OSO Town of Hayward
57Z478 Hayward Community School District
001700 Technical College
Property History
Parent Properties Tax ID
. Recorded Documents Updated:4/22/2021 57-010-2-41-08-23-5 15-112-004700 10050
QUIT CLAIM DEED
Date Recorded:4/7/2D21 433050
WARRANTY DEED
Date Recorded:1/29/2019 416376
LAND CONTRACT
Date Recorded:7/17/2015 396733
QUIT CLAIM DEED
Date Recorded:1/il/2008 351269
WARRANTY DEED
Date Recorded:1/il/1994 239843
CERTIFIED SURVEY MAP
Date Recorded:9/21/1992 231151
Child History Remrd Count�1-
HISTORY 0 Expand All History White=Current Parcels Pink=Retired Parcels
O Tax ID:10050 Pin:57-010-2-41-OB-23-5 15-112-004700 Leg.Pin:010171004700 Map ID:-4.47
43577 This Parcel Parents Children
https://tassawyercounrygov.org/system/frames.asp?uname=Jay+Kozlowski ���
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