HomeMy WebLinkAbout012-640-17-4201-LUP-2004-129 Application for Land Use Permit(*Shoreland*) o � ,;�
County of Sawyer �, �
PO Box 676 -Hayward WI 54843 �
715/634-8288
*Property that is located within 300'of a creek,river or stream or within 1000'of a �
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 �
���r G� �,vc�7111�Gttea n�Cr Se� G �
Owner Builder �
5b�0 L.� /yl�^es ,'d�, l��. �
o� �
Mailing Address � Mailing Address � O
�/�i�/Am� lf�• S'�G�'S(� �
Cit ,State,Zip City,State,Zip �
y!�- ��yz �
Daytime Phone Daytime Phone �
Additional Information: Zone District: ��Z �
Lot Dimensions:
Date lot was created: Acres: /,�/.� �
Is there wetland near the proposed structure?If yes,how faz 7'7� o l�
Building Land Use Floodplain:O Yes O No � (�
O New O Filling Chippewa Flowage:(X)Yes O No c� vy-/ �
O Addition O Dredging Driveway access off of a(Check one): x� r �
( )Alterarion ( )Grading ( )Private Rd (�Town Rd. �
( )Moving On ( ) ( )County Hwy ( )State Hwy °0
(�Q��1►- ( ) o G�
.I�' �j �3��JC�aSL � o
Pnmazy tructure Accessory Building Addition o
( )Dwelling ( )Garage-attached/detached ( )Deck �
O Yeaz round O#of caz stalls O Porch W
( )Seasonal ( )Storage Building ( )Enclosed
O Frame built on site O Screenhouse O Living coom c� �
( )Modular/manufactured ( )Greenl�ouse ( )Kitchen °
( )Mobile/manufactured ( )Other ( )Bedroom �
( )Other primary structure ( ) ( )Relocate/enlarge 9.� '
( ) ( ) ( )#of new � (Q
� '1
Additional Information: p
1
�
v �
Type of Construction: �
(�ame ( )Log ( )Pole/metal ( )Block ( )Concrete � '�
O
( )Other �
�
Construction Cost:Primary Structure$ ro �
Accessory Building:$ Addition:$ � iC
�? V
�
Deed:Vol�Pg 2D Z Certified Soil Test# 86—/93 9q-�3q� z
CSM:Vol al Pg 12°i Lot# c� Sanitary Permit# b3-3 x0 � %h
Plat Envelope �' S�� Or: o, �
Condo Vol Pg Yeaz Installed: �:,
"Loads and Flows": Vol Pg Owner When Installed: � �
0
�
Previous office approvals/actions: �
Variance:# LUP:# SP:# CUP:#
Inspection Report:# Change of Zone District:
4'j3�
i�ln 9'1
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. 2� #3. #4.
Size wide /O ' �t wide ft. wide fi. wide
. long ��ft. long ft. long ft. long
Floor area sq. ft. �(�sq. ft. sq. ft. sq. ft.
Hgt from to peak ,a • fr. hgt. ft. hgt. fr. hgt.
Stories —' stories stories stories
# of be ooms
Lake/Pond/Flowa e/River/Stream Name
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Fire Number and Name of Road g�� ���.�1 l��L
1. Enter lot dimensions and indicate north by azrow. SigLtature of Owner ot'Au orized Agent:
2. Indicate the location and size of the requested conshuction �� (� (,_��.��
SignaNre
activities.
PrinWame: '= '�C_'-1U�- �,,, !�'} ��F��-�I)
3. Also, indicate the location and distance to the well, rne e�o�a�amre9 met ma ogied mror�anoo aod ��ceocio�5 are
We and correct., that all work shall be pedormed in compliance
septic tank and drainfield, wetland areas, lot lines, with the requiremenGs of the Sawyer Counry Zoning Ordinance
and the laws and regulations of the State of Wisconsin, antl if
CenteTllne of tlle T'o3Cl and WateTbodles. acling as ownef(s)agent, has the permission ot the owner(s)to
perfortn the work 2quested on this application. The above
personsls hereby give permission for access to the property for
� onsite inspectian.
Permit fee: $ '7 S �
Total land azea within 300' of the waterbody: (A) y5^ 2
Total impervious swface area [including this project] (B) �
(B) / (A) x 100 = % Used��v (Shall not exceed 15% or 25% with a conditional use permit].)
Shoxeline Vegetation Protection Area: Mitigation Requiced? O Yes (�o
May 5, 2004 —
Issue Date Signa ure of Iss ng ent
May 5, 2005 50%Rule: AverageRoadSetback:
Expiration Date
Office Comments:
State of Wisconsin \ DEPARTMENT OF NATURAL RESOURCES
Hayward Service Center
Jim Doyle, Governor 10220N Hwy 27 S.
Scott Hassett, Secretary Hayward, Wisconsin 54843
WISCONSIN William H. Smith, Regional Director Telephone 715-634-2688
DEPT.OP NATURAL RESOURCES FAX 715-634-9232
May 13, 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 Eugene and Janet Mittlestadt to construct an
enclosed porch onto their house located in the NW'/a of the SE'/a of section 17, Town 40 North, Range 6
West, Town of Hunter, Sawyer County, Wisconsin. Their property is further identified as parcel # 012-
640-17-4201.
This property is not covered by a Chippewa Flowage buffer zone restriction, so no special approvals are
necessary.
All other county and state codes and permits apply to the subject property and must be applied for and
adhered to.
Please contact me if you have any questions.
Sincerely,
. y�� (
Neal Kephart,
Chippewa Flowage Property Manager
CC: Steven Bade - Ashiand DNR
Town of Hunter
Paul Bruggink - Woodruff DNR
["��f- 1 � i �,' ;�,
www.dnr.state.wi.us Quality Natural Resources Management �
www.wisconsin.gov Through Excellent Customer Service Prin�edon
Recycled
Paoer
SHORELAND PRESERVATION AGREEMENT •
� (Shoreline Ve�etation Protection Area)
� Land Use Permit No. ��f-l�9 (To be entered by the Zoning Office) Index No. �- ��9
a WHEREAS,(list all owners)CGr6e,t� � � ��-�-f � /�'��'7TL�/�A�
�
� —
downs real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and
� WHEREAS,in order to secure a Land Use Permit.
9�
� NOW,THEREFORE,the owner(s)hereby certifies that,as a wndition of issue of said Land Use Permit,that
'� the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a minimum depth of
� 35'landwazd 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
`� 4A10 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]
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 Ordinazice,
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
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: ifl� $��'� S'�7�fZ���.e�C� l��
4<�•14�r���7- Ye?O/ _
Dated this ���1 day of �i�tc_ c�GY�y
(��r � � (Ownec)
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(Owner) (Ownec)
This insVumen[was drafted by:
Sawyer County Zoning Office
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