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HomeMy WebLinkAbout010-841-15-1403-LUP-2022-462 SUBMIT COMPLETED APPIICATION AND Feero: APPLICATION FOR LAND USE PERMIT Q � SawyerCounry SAWYER COUNiY,WISCONSIN n�` � Zoning&Conservation Depart. ,v Dete Stamp(Received) f :��"'�N. � � 10610 Main St Suite 49 "�"--�� �,.._...__..._: Hayward,WI 54843 I a I a �715)634-8288 Chk#.�.,.�..6 e.�.a,�..___.._ _ � INSTRUCTIONS: No permits will be issued until all fees are paid. �o �y a a Rcpt#�.._.e,�!.._.1ckC�l��,� � Checksare made payahle to:5awyerCou�tyZoning Department. DO NOT START CONSTRUCTiON UNTIL ALL PERM�TS HAVE BEEN ISSUED TO A7PLIf.nNT. Original Application MUST bC submitted PILL OUT IN INK (NO PENCII) Su6mittal of this application or re�eipt of fees does not constitute permit issuance. Owner(s)Name: Contrector(s)Name ��� f So.rU.� bC�Z(A W S I.c,; M:� — �: �,k�1 4��s f�•�L�t� Mailing Address: Mailing Address: 31 bo w 1� el' L•,^�-- Phone: �(S��s,O_ ��O� Phone: c�. v 'l15 " J�c`�' ( Slol Email: �'�.�G�.. ��Q ��"'�O. �Alf� Email: Site address: ��� Or Date ap lied for: legacy PIN# p 1 d� 0 ��� ' S- I�-10 3 Town of: �T� W rC Permit delivery Method �';all Owner u Mail Owner o Call Contrector ❑Mail Contrector ' Is Property/Land within 300 feet of River,Stream I���i. Distance Structure is from Shoreline: �s yo�r aroperty Intermittent) —► feet in Flaodplain Are wet�.nds Creek or Landward side of Floodplain? �f yes--continue Prexn•? l Shoreland 7or`'' Ye� - Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: Yes Nr If yes---continue � feet No �Non-Shorelend Describe Project Value at Time of Total k of Project type Foundation What Type&Capacity is the completion Number bedrooms 'indude donated (House,garage,shed,deck, (Basement, Sewer/Sanitary System�s) of Stories Post Addition,etc...) Crawispace, time&material List separately Sldb construction ) 5 � �R�-4�0 1. �l:�k r �U� Dwelling � Accessory Bldg �u Additlon/Alteration Height: Total square Lowest Footage Gradeto Proposed Use ✓ Proposed Structure Dimensions (multiply per Highest story) Peak Residence � X � Ft. with 2"d story or loft � X � Ft. with Basement ( x � Ft. Attached Garage ( x � �Residential Use Ft. Aecessory Strueture(explain) f X ) ❑ Agrieultural (detached garages,sheds,boat houses,etc.} Ft. Use Temporery Guest Quarters or Bunkhouse(a�de cype� � X � Ft. 0 Commercial/ Deck/Porch/Patio � X � Ft. industriai Use ( X ) (2"d)Deck/Porch/Patio Ft. ❑ Municipal Use � x � OthE�(explain) Ft. ❑ Other ( X ) Principal St�udure(ngricultural,Commerdal,Municlpal,Etc.) Ft. xAddition/Alteration(exPlain) ��.� .� On f,('a � � � � X a � 3'� Ft I O Total habitable square feet; Total Non-habitable square feet: (decks,patios,garages,sheds,storage area&other structures) 3i� Original Appiication MUST be submitted Attach a Piar,or Sketch 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 Meawrements l�" Setback from the Centerlir►o-efPletted�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 d O Feet Setback from the South Lot Line }(�p Feet Setback from Wetland Feet Setback from the West Lot Line � Feet Slope within area of construction/disturbance 96 Slope Setback from the East Lot Line }y ` Feet Elevation of Floodplain Feet Setback to Septic Tank or Holding Tank � Feet Setback to Well .1 S 1 Feet Setbackto Drain Field • Feet Setback to Privy(Portable,Composting) Feet Prior to the placement or construction of a structure within five(S)feet o the minunum required setback,the boundary line from whlch the setback must be measured must be visible from one previously surveyed corner to the other previously surveyed corner or markedby n licensed surveyor at the owner's expense. Prior to the placement or cons[ruction of a struRure more than five(S)feet but less Ihan ten(10)feet from the minimum required setback,the buundary line from which the setback must be measured must be visible from one previously surveyed corner to the other previously surveyed comer,or verifiable by the Department by use ot a corrected compass ironi a known corner within 500 feet of the proposed site of the struc[we,or must be marked hy a licensed surveyor at the owner's expense. • • • � . •.• • . • •• • .- . Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrate.The Zoning Office can help you determine if a surface is considered impervious) Calculatelot area: Indicate lot size from CSM or NOVUS(circle one): Acres;Multiply by 43,560=Lot area: Square Footage Calculate impervious surface area: Qetermine the total size,in square feet,of your projects d above(include ea sq ft. Determine the total size,in square feet,of all existing roofed struc de eavesM; sq ft. Determine the total size,in square feet,of all existin ed/bricked/blocked surfaces: _sq ft. Add these measure s to determine total impervious surfaces: sq ft. Calculate impervious lot percenta 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 meets criteria below'•• Grading on a slope greater than 20% Grading of more than J.,000 Sq.Ft.on 12%-20%slopes Grading of more than 2,000 Sq.Ft.on Slopes less than 12% Grading is in excess of 10,000 Sq.Ft. FAILURE 70 013T�IN�P�RMIT or>7AR11NG CONSTftUCTION WiTHOUT li PEKMIT WIL�RESULT IN PENAlTtFS I(we)declare that this application(including any accompanying informatlon)has been examined by me(us)and to the best of my(our)knowledge a�d belief it is true,correct and complete. I(we)atknowledge 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 Iiability 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 a6ove described property at any reasonabie time for the purpose of inspection.Additionally,the undersigned person(s)hereby give permission for access to the property for onsi[e inspec[ion by Municipal Officials. Owner � Si nature Owner L c� g Printed name ^� ��L��V.J�w Date �/ �� �� (Signatun:and Printed Name required) NOTICE: tlll Land U5e Perniits Explre One(1)Year trom the Date of Issuance. For the Constructlon Of Ne+.�One&Two Family Dwelling: ALl Municipalities Are Reyuired To Enfarce The Uniform Dwelling Code. 7he iocal i"own,St�te ur Federal agencies may also requir�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 responsible for complying with State and Federal laws concerning construction near or on wetlands,lakes,and streams.Failure to comply may result in remova(or modification of construction 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 natural resources service center(608)267-3125 Issuance Information(County Use Only) Sanitary Number: p of bedrooms: Permit De�ied(Date�: Reason for Denial: Permit#: Issuing agen[: Date: ����c� � !� � �' �o �y a��� Is Parcel a Sub-Standard Lot ;i Yes (Deed of Record) �No Is Parcel in�ommon Ownership �1 Yes (Pused/Contiguous Lot�sj) ;i ryo Mitigation Required !!Yes o Is Structure Non-Conforming :i Yes ;Na Mitigation Attached LI Yes o Granted by Variance(B4O.A.) Granted by Conditional Use �Yes _ No Case p: 7 Yes No Case N: Was Parcel Legaliy Created �!Yes r�No Were Property Lines Represented by Owner Yes No Was Proposed Building Site Delineated '�'Yes I_i No Was Property Surveyed �(i Yes rya Office Comments: Zone District: Fee: ��� \ � �S Hold for Sanitary: (_� Hold For TBA: ._ Hold For Affidavit: I Hold For Fees:i ' J �Feb2021 10/14/22,11:05 AM Real Property Lisling Page Redl EState Sawyer County Property Listing Property5tatus: Current 7oday's Date:10/14/2022 Created On:2/6/2007 7:55:19 AM �Description Updated:6/30/2010 �Ownership Updated:7/19/2018 -----._ ____ __. .. ._._ _-- Tax ID: 10961 � � ]AY H&SARAH M KOZLOWSKI HAYWARD WI PIN: 57-010-2-01-08-15-1 04-000-000030 Legacy FIN: 010841151403 Billing Address: Mailing Address: Map ID: .4.3 JAY H&SARAH M JAY H&SARAH M Municipality: (O10)TOWN OF HAYWARD KOZLOWSKI KOZLOWSKI STR: S15 T41N ROBW 13160W KREYER LN 13160W KREYER LN HAYWARD WI 54843 HAYWARD WI 54843 Description: PRT SENE&NESE LOT 1 CSM 21/254 #6054 10 Recorded Acres: 3.930 r Site Address *indicates Private Road _. . .___--- —..____�_..___ Calculated Acres: 3.972 13160W KREYER W * �� � HAYVJARD 54843 Lottery Claims: 1 '�1 First Dollar. Yes U Property Assessment Updated:6/28/2018 Zoning: (RRl)Residential/Retreational One Z022 Assessment Detail � �� � � � � ESN: 444 Code Acres Land Imp. GI-RESIDENTIAL 3.930 23,800 159,100 ��Tax Districts Upda[ed:2/6/2007 --_____. _._... ____ 1 � State of Wisconsin 2-Year Comparison 2021 2022 Change 57 Sawyer County Land: 23,800 23,800 0.0% O10 Town of Hayward Improved: 159,100 159,100 0.0% 572478 Hayward Community School District Total: 182,900 182,900 0.0% 001700 Technical College � ��•�Rewrded Documents Updated:4/4/2019 p�'property Nistory ....--- - —_.. ._ . __ . . . QUIT CLAIM DEED � � � N�q Date Recorded:7/16/2018 413330 WARRANTY DEED Date Recorded:12/29/2017 410465 SHERIFFS DEED � Date Recorded:10/6/2017 409111 WARRANTY DEED Date Recorded:3/1/2011 371574 CERTIFIED SURVEY MAP Date Recorded:2/22/2000 282512 https:Ntas.sawyerwuntygov.orglsystem/frames.asp7uname=Jay+Kozlowski �/� ,� � . � r � y � � h� � � �, -. . � -�����.. w : � i � ' .'F'� *t M ""�� .>: .l' l+RR yi4Y _.. i 0� j na., � . ' * . J ��'. , 1{ �l � A,�" ' ' �� �Y �.�' ��+i �h.� �� _ r+�AT.. s f � i. � � "��„� :r" '�Y ♦ r + s � ,� . � " ' ' ' r� ., - . . . � � .' � ' . ,�c r : .� `� `+y _., = a,,, ,g� r �`+ �"w tyyg s,* � ; ✓s� �i�; �._' ^,+. ; E: . �y .� .r `�} ��1 . . �.f" '� . Yi � M�"_R� "£ . �"'��'�Y' f ,� N '� #y, �..:" , . � r # � t.i k r.. H ..yY4. - •�, P-� ''4' .' Tt1 +� d� O r S• A� �A ��. 4��44�� I PY •� � y. � s.M� rlq �� 't + l �'� , � + 1 �q�J . 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