HomeMy WebLinkAbout010-840-26-4409-LUP-2004-503 ��
Application for Land Use Permit(*Shoreland*) o 0
County of Sawyer �
PO Box 676 -Hayward WI 54843 �
715/634-8288
*Property that is located within 300'of a creek,nver or stream or within 1000 of a y �
flowage,lake or pond or has any of the above waterbodies located within
the property's boundaries. �
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � '
PRINT—USE BLACK INK OR PENCIL � �
,Jel�.a �. cu+a l�tb.c N�e�xca�� `Qh�l SOJppe�i �sH�JY'1<sf-crl c�
Owner Builder F� a O
`f �II�G Dr N
$,1� W<2,5`tY(. �ccrr�s ���k�aKa �,<J.y�3 ti�a��l
o� �
Mailing Address Mailing Address � O
W0.ilIGtSIn4^ �Z- 5 J�00 �`1�iScJc �L'� �J�l��� CaD
Citg State,Zip City,State,Zip
(��a) SJ-1- q33'� �.�-) �-`14 -�35�. Ij
Daytime Phone Daytime Phone f
:'J
Additional Information: Zone District: �1Z-l p
x
o-
Lot Dimensions: 5 y y,�S x l 11��-9
Date lot was created: 3�a-a-� a-C�O� Acres:_ I•�� �
Is there wetland near the ro osed structure?If es,how far 1`�I�� G�r �k Q�tw��- n
P P Y FI���,�z o
Building Land Use Floodplain:( )Yes ( )No ����s9� ,.��c�3 �
(�QNew OC)Filling Chippewa Flowage:(�Yes O No co �
O Addition O Dredging Driveway access off of a(Check one): � r
O Alteration O Grading O Private Rd (�)Town Rd. ? �
( )Moving On ( ) ( )County Hwy ( )State Hwy "�
� ) � ) � o
in C-'
Primary Structure Accessory Building Addition o 0
QQ Dwelling ( )Garage-attached/detached ( )Deck �
O Year round O#of car stalls Q�1 Porch L,
(k�Seasonal ( )Storage Building ( 1 Enclosed �
O rrame built on site O Screenhouse O Living room rn I,
�
( )Modular/manufactured ( )Greenhouse ( )Kitchen � �ny
( )Mobile/manufactured ( )Other ( )Bedroom �
( )Other primary structure ( ) ( )Relocate/enlarge �
� � ( ) ( )#of new � t�
� �
AdditionalInformation: -�� p
0
�
4' `°
�
�
Type of Construction: � �:
OO Frame ( )Log ( )Pole/metal ( )Block ( )Concrete s �
r
( )Other �'
�
� r �
Construction Cost:Primary Structure$ �`�f�G 0
ro
Accessory Building4$ Addition:$ � G
� �
Deed:Vol �U 3 Pg�f Certified Soil Test#_ Qy-z C?� _ �, z
CS:�1:Ve?�_Pb J-��B` Lct# � Sw:i.a;,,n�:mit"_Q V���p�J -- � %"
Plat Envelope ��`�'�'� Or: o�
oC
Condo Vol Pg Yeaz Installed: N �
"Loads and Flows": Vol Pg Owner When Installed: �
�
Previous office approvals/actions: �
Variance:# LUP:# SP:# CUP:#
s
Inspection Report:# Change of Zone District: q'ql�
lo��l�-
Describe the construction using these columns.List the dimensions of each structure in a separate
column.List each story,each addition,each alteration in a separate column.
#1. #2. #3. #4.
Size �b ft.wide ft.wide ft.wide fr.wide
�� ft.long ft.long ft.long ft.long
Floor area q'Zb sq.ft. sq.ft. sq.ft. sq.ft.
Hgt.fmm gade I(e�4" to peak ft.hgt. fr.hgt. ft.hgt.
Stories .�- stories stories stories
#of bedrooms�_
Lake/Pond/Flowa eBiver/Stream ame
��� 0.��0.c�t2.� ��1a��
Fixe Number and Name of Road C�-pral�E�k ,(e~L ��C�P�-�� >��6�;�
1. Enter lot dimensions and indicate north by azrow. ' ature of Owner or Authori;ed Agent:
2. Indicate the location and size of the requested constnzction IP �
gnaNre
activities. ��kH I
PrinlName: p� N.P!'t��z-r(F
3. Also,1ndlCatC the IoCatlOn and cllStanCe to the Well, The above certifles lhat the Ilsted intormatlon and tentions are
We and correct.,that all work shall 6e performed in compliance
septic tank and drainfield,wetland azeas,lot lines, with fhe requlrements of the Sawyer County Zoning Ordi�ance
and Ne laws and regulations of the State of Wisconsin,and if
Centerline of the Toad 3rid waterbodles. acting as ovmer(s)agent,has the pertnission ot the owner(s)to
pedortn the work requested on this application. The above
personsls hereby give permission for access to the property for
onsite inspedion.
00
Permit fee:$ �75
Total land area within 300'of the waterbody:(A) 36,�ag�.
Total impervious surface area[including this project](B) �7�d
b
(B)/(A)x 100=%Used ���� b (Sh�ll not exceed I S%[or 25%witb a conditinna_1 use perr+it;.l
Pro�x.-1� i:..,��c: �f� .'�,��v� b�_ .,,��
Sboxeline Vegetation Protection Area:Mitigation Required?O Yes (�No J,+� �W ky. ���s.'µ,u�, �.-<:"°
September l5 2004 "
Issue Date Signature ofIs in gent
September 15, 2005 50%Rule: AverageRoadSetback: _
Expiration Date
Office Comments:
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,�ot A�e4 = 55a�x ei�- � �I��oo 9�A
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1.�S tuo -_
( p_c.�_ 43,S�o
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SHORELAND PRESERVATION AGREEMENT .
(Shoreline Ve�etation Protection Area)
Land Use Permit No. �—J'ra� (To be entered by the Zoning Office) � Index No. Q�-���
-
r
WHEREAS, (list all owners) �.!Uk� ��� � a�� �cb�-a (Uc e,�czy�c
�
owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and
WHEREAS, in order to secure a Land Use Permit.
NOW, THEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Permit, that
the SHO£:ELINE VEC�ETATION PP.OTECTION AIZEA on said real estate is intact to a minimum depth of
35' landward from the ordinary high-water mark of the waterbody.
� The owner(s) hereby agrees to comply with the shoreland vegetative protection area requirements of Section
4.410 SHORELAND VEGETATION PROTECTION AREA, Sawyer County Zoning Ordinance, in effect on
.�„�- the date that the land use permit is issued by the zoning office. The owner(s) further agrees to allow authorized
� representatives of the Governmental Unit to enter onto the owner's property at the following description
� between the hours of 8:00 A.M. and 6:00 P.M. [Section 9.13(1) POWERS, Sawyer County Zoning Ordinance]
1� to inspect the structure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE
� VEGETATION PROTECTION AREA exists and that it is being preserved. This authorization shall terminate
� on the date of expiration of the land use permit. However, the owner's obligation to maintain the SHORELINE
VEGETATION PROTECTION AREA in accordance with Section 4.410 SHORELAND VEGETATION
� PROTECTION AREA, Sawyer County Zoning Ordinance remains in effect. Violation of this Agreement will
..— authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance,
Z injunctive relief, restoration of said real estate, the revocation of said Land Use Permit and the removal of all
� structures approved by the issue of said Land Use Permit and the revocation of any other uses approved by the
O issue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County
� Zoning Office.
�
� Legal Description of Property: _ � � �( , � �r �y � 5 e�. a-f� , 7�ow,� s �.c�o �D �ll '��q Q fi� t��sT�
O - �.O `�" � a f Ce��c.� Sv�*Vu.1 l�i�-PS fU.rr���ca t� Vof�e+�.t a-(� �e5 �� `a-�t I
SUr ✓� �- f�0 �g Q�n � � 7V ���L/ r y�o d
Dated this �� day of S�p'fc-� l��-e r , �a `�
(O er) � (Owner) �.
� -
;
(O e (Owner)
(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning Office
State of Wisconsin \ DEPARTMENT OF NATURAL RESOURCES
Hayward Service Center
Jim Doyle, Governor 10220N Hwy 27 S.
Scott Hassett,Secretary Hayward,Wisconsin 54843
WISCONSIN John Gozdzialski, Regionai Director Telephone 715-634-2688
DEPT.OF NATURAL RESOURCES FAX 715-634-9232
September 14, 2004
Deb Hammerel
Permits Secretary
Sawyer County Zoning
P.O. Box 676
Hayward, WI 54843
Dear Deb,
I have reviewed the building permit application submitted by John P. and Debra Niemczyk to construct a
new seasonal home on property located in SE'/a of the SE'/a of section 26,Town 40 North, Range 8
West, Town of Haywazd, Sawyer County,Wisconsin. The property is further identified with Saywer
County tax id#010-840-26-4409 parcel .16.9.
This property is not covered by a Chippewa Flowage buffer zone restriction.
All other county and state codes and pernuts apply to the subject property and must be applied for and
adhered to.
Please contact me if you have any questions.
Sincerely,
.�
Neal Kephart,
Chippewa Flowage Property Manager
CC: Steven Bade-Ashland DNR
Town of Hayward
Paul Bruggink—Woodruff DNR
www.dnr.state.wi.us -- Quality Natural Resources Management �
- - ---
www.wisconsin.gov _ Through Excellent Customer Service __ _ P���edo�
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SCALE: � INCH=4p0 FEET FOR ASSESSMENT USE ONLY NOl
DRAWN BY: DATE: INTENDE� TO SHOW GONCLUSIVE
COLON (:) INDICATES GOVT. LOT EVIDENGE OF OWNERSHIP OR
BOUNDARY LOCATIONS
. . �
SAWYER COUNTY CER7IFIED SURVEY MAP , N � �
LOCATED IN THE SW 1 \4 OF THE SW 1 \4 OF SECTION 25 D e e�uNa ,,RE Ro-�ENcm �,,:g� �
AND THE SE 1 \4 OF THE SE 1 \4 SECTION 26, T40N, RBW, '° TME S°uT" u"E oF TME �bo�6 .
TOWN OF HAYWARD, SAWYER COUNTY, WISCONSIN � ���4 SEC, 26, T40N—REW �Z�f�„s �
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Q � Q � CI 49.81 333.06 24.95 49.76 N71•50'S0'E OB•34'06'
C2 272.01 333.06 144.11 264,51 N44'09'S9'E 46'47'36' O
C3 321.82 333.06 309,45 N48'27'02'E 55'41'22' Z
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APFX SUHVEYING
PO BOX 607 SqWYER COUNTY PLANNING AND ZONING �
HAYWARD W154843 DEPARTMEPIfAPPROVAL v
715-6343435
715d343864 FAX , 1 ,, � � �� � �
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