HomeMy WebLinkAbout024-741-30-5313-LUP-2022-464 SUBMI�COMVLETED RVVUCATION AND
cc¢ro: APPLICATION FOR LAND USE PERMIT
SaxryerCounry SAWYER COUNTY W 5 NSIN �
Zoning&Conservation Depart. G ! ^` ' '��'- '�'
10610 Main St Suite 49 -' o,Kse mp�n a�ad) 1 � I�� _� �\
, .
HaVward.WI54843 --- � '. i,ia':c_ ,��a_ ��
(715)634-9288 _..... �
� ��-P 2 2 2�22 j= i:hk#� lo�`�� _.__ __ �
iNs,auc�ior�s rvone.m��wwne�s,�ed��i�i.uhe:a a�d. � ','�i Y Rcpt# Ne.0 W er�d �3$aS �
Checks are made payable ro:Sawyer Co ty Zoning Dep rt ent ����`; ,J (�
+Li)IJ v '"!r'
oorvorsrna-consT3ucronuN��n gevcsNn ..s=.eryi55uEotonvurnNl originalApplicat�onMU57besubmitted FILLOUTIN;�PENCIL�
Sub�nittalofth��zvol��ci�ionorr�e'iptollec��docsnotconsr�i�u�epermiii�suanci.
Owner(s)Name: � COntraRoryS)Name
�� .� KU�3c�W�GZ I�O�Trf�TA2C�.
Mailing Address: Malling Address:
30Z CP,�lk �rbGE�2,NU(�,�N IJ�I ISG77W Crti 2D �3
Phone: / I� "rJSV��Ll(/I Phone:�'� ��/, _,p��jQ
(D � "t �3 [ r
Ema��: �'a�ke midwestamer�com.com Email: If�`o orthsrar��a a�ct.co�n
5�«.aa.�,�: IOZCo7N S�4uDY C3v�eN l�R OrDateap011edfor:
�eea<YP�N« 0297413�53�3 T,„,�,,: (�o��D LaK�
Permit delivery Method r�.Call Owner �Mail Owner �Call Contractor xMail Contrector
Is Property/Land within 300 feet of River,Stream 1i��i. Distance StruRure is from Shoreline: is your Property
i �ttem) � feet in Flaodplain pre Wetland5
Creek or Landward side of Floodplain? It yes--continue Present?
�Shareland zo�e?
Ye5 Ye�
xs Property/Land within 3000 feet of Lake,Pond or Flowage Distance StruRure's from Shoreline: �No`
Ifyes—co��lnue � ��G' teet �No_
"J
❑Non-Shoreland
Describe Project Total#of
Value at Time of project type Foundatlon What Type&Capacity is the
Completion House, ara e shed,deck, Numbe� bedf0om5
'-�� ��-�'� ( g g' of Stories (Basement, post Sewer/Sankary System�s�
� � � ��� ' Addition,eta..) Crewlspace,
� �� ��� '� Listseparately Slab) mnstruction
S 1 t� � ��
o.du�6
���J ��,
s t� � pu�,-.1-
�e
s
Addltbn/Alteration
Height:
TotalSquare Lowest
Proposed Use � Proposed Structure Dimensions Footage Gradeto
(multiply per Highest
story) Peak
Residence ( X �
Ft.
x
with 2nd story or loft ' Ft.
with Basement ( x �
Ft.
�esidentialUse AttachedGarage ( x �
Ft.
Accessory Strudure(expia�n� � x )
J Agrieultural ia«a�n,aa.,.e.,,,�ee:,�,�no�,.,,a.�; F�,
Use Temporery Guest Quarters or Bunkhouse(c.ae ryve) ( X ' Ft.
C Commercial/ oeck/vorch/Patio ( x ) '`�j O Ft.
Industrial Use
(2n°)Deck/Porch/Patio ( X �
Ft.
� Municipal Use ( X '
Other�e.oia��� Ft.
❑ Other ( x �
P�IfICIPdI SS�U[IUfQ(AgritWtural,Commercial,Monicipal,Eff.) Ft.
Addition/Alte�ation�exPia��) � x �
Ft.
Total habitable square feet: Total Non-habitable square feet: ��
(decks,patios,garages,sheds,storage area&other s[ructures)
Originai Application MUST be submitted
Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:•MusN Include location anA setback of proposed and existing structures,roads,
driveway,sankary components,wNl,lake,river,stream,a�d wetlands.
Descrlption SetWck DescriPtion ���
MeasuremeMs MeawremeMs
Setback fiom the Centerline of Platted Road and/or Peet Setback from the W ke(o,m�,ry n�en-w,�e,m,.k) Feet
Setback from the Established Right-of-Way Feet Setback from the River,Stream,Creek Peet
Setback from the Bluff ��.PpiK,bk Feet
Setback from the North Lot Line Feet
Setback from the Sou[h Lot Line Q Feet Setback from Wetland Feet
Setback from the West Lot Line Feet Slope within area of construction/disturbance %Siope
Setback from[he East Lot Line Feet Elevation of Floodplafn Feet
Setback to Septic Tank or Holding Tank Feet Setback to Well Feet
Setbackto Drain Field Feet
Setback to Privy(Porta6le,Composting) � Feet
P��,�t 'I �. ,,�ri_n;ormm�ructonnfas�•u1�re hmfi�e;51/ee[oft�eminimv,. �,uca�et^a 1 i ......, r �m..h�ciiCesetbackmustbemeasureGmurtbevlslblebomone
pr�-, ,�, mnertotneoSi n�-��cusiy� vc��o�r.�ormarked�yalicens=Csuve.o�.t F ��.+�v�'yexpense�
Prio�[o the p acement or:onsvucion of a svuace more tFan five(51 feet but less Uan ten�10�feet from the mir.lmum requl,cJ erthar4,Na Loi.nAary Ilne'�om whicF cFe se!back mist te
measured r�us:be vi5i01e trorr,one p c ious.p srveyeri r, _-b tne o;�er o�evlously suvayed mmer,or venfiable Oy the Oepartment�y u�e o`a m��-.0 .tl compms Irpm a known mme�
withln 500 feel of the p�oposeA SitP n.f t�e nri,Cine,oi n u...�. marketl Oy a Ilcensetl surveyoratthe owneYs expense.
•
Glculate imperviout sunc�es.(Roofed,concrete,paved,and other wrfaces that water cannot penetrate.The Zoning�ce wn help you determine if a
wrface is considered Impervlous)
Calculate lot area: � �� � Q ,/_
Indicate bt size trom CSM or NOVUS(circle one): Acres;Multiply 6y 43,560=Lot area: I `-�'�_Square Footage
Calculate impervlous surface area:
Determine the total size,in square feet,of your projects listed above(include eaves): �U� sq ft.
Determine the total size,in square feet,of all existing roofed structures(include eaves): sq ft.
Determine the rotal size,in square feet,of all existing paved/bricked/blocked surfaces: sq ft.
Add these measurements to determine total impervious surfaces: sq ft.
Calculate impervious lot percentage /
Total impervious surface:�-Lot area:l1q��10�5q ft.x 100=impervious surface��%
�Mitigabon is requir<d if roul exceeds 15%�
•••Notice a se0ante groding permit needs to be obtained if disturbed area is within the Shoreland district as indicated on previous page and meets criteria bebw•••
�- i G'od�e�"�s!c^:grea er than 20': Grau'ing of mcrz ttan S,C00 Sq.Ft.on 32id40%slopes �
� Grading of more than 2,000 Sq.Gt.on Stopes less than 12% G ading is in excess of 10 000 Sq Pt —�
FAIIUR[ f0 UBTA W A{'LHM��or}T�FI i,^1G CONSTNUCTION WI�HOUI�VFHMI�W!ll FESULT IN PEN/�t11FS
I(we)declare that this application(induding any aaompanying information)has been examined by me(us)and ta the best of my(our)knowledge and helief it is true,wrrea and
comple[e. I(we�acknowledge that I Iwe)am(are�responsibie for the detall and accurary of all information I(we)am(are�providing and that it will be relied upon by Sawyer
Counry In determining whether to issue a permlt. i(we)further accept liability which may be a result of Sawyer Counry relying on thls information 1(we�am(are)providing in or
wlth this appli<ation.I(we)consen county officials charged with administering counry ordinances to have access to[he above descri6ed property at any reasonable time for Ihe
purpo�e of Inspectlo dditionally,the undenigneE Oerson�s)hereby give permission for acceu to the property(or onslte inspection by Municipal Officials.
Owner i Owner � r_ C i
„ � - �t �y
Signa[ure / Printednamel��i-i�� c.�1G���,% 1 Date
� � ��ed1
��- NOTICC _.i . .. ,i..-.inaUateoriti.u.r.rn
F t�q,-= tu •_ i'N2..,: . .. . . =Cqu . r . r i _. . -�._.
.. . . i�... . ...�,r ��i.- �, .
You are responsible for wmplying with the reqWrements of the Sawyer Counting Zoning Ordinances and law and regulatlons of the State of W isronsin.Vou are also responsible for
mmplying with 5[ate and Federal lawz concerning mnstruction near or on wetlands,lakes,and streams.Failure to comply may result in removal or modifcation of construction
[hat violates the law or other penal[ies or costs. For more information,visit the department of natural resoorces weHanAs identlfication web page or�ontact a de0artment of
natural resources service center�608)26�3125
Issuance Information(County Use Only) Sanitary Number: pof bedrooms:
Permit Denied(Date�: Reason for Denial:
Vermit a: Issuing agent: Date:
aa-�c�� � g �.��a�
Is Parcel a Sub-Standard Lot I I Yes (oeed ofRewrtl) ' igatlon Required ���.Ves .�:No
IS Parcel in Common Ownership I'�Yes IFused/Canuguous Larysp Mitigatian Attached I Yes .- No
IsStruc[ureNon-Confarming '�. '�Yes -'.No
Granted by Varlance(B.O.A.) Granted by Conditional Use
�.�IYes ':No GseN: -�!Yes i��No UxM:
Was Parcel Legally Created i;Yn �.:��No Were Property Lines Represented by Owner ��;Yes No
Was Proposed Building Site Delineated t Ves .:No Was Property5urveyed Yes No
OfficeComments: u ZoneDistrict: Fee:
SPC�Cw�.., �r.v.;� a�—��o E �-a:y �r..i� K�+`GP.�j P�kS {� p
pr�1. �Ni S *'r'��'O 5'�'n"G�'Iw f'L I"I�' ' .��1�
Hoid For$anitary: Hold For TBA: Hold Por Affidavit', Hold For FeeS:
oFeb2ozl
4121/2021 Real Property Listing Page
R2dl ESt8t8 Sawyer County Property Listing PropertyStatus: Current
Today's Date: 4/21/2021 Created On: 2/6/2007 7:55:44 AM
�Description Updated: 5/IB/20ll � Ownership Updated: 30/28/2009
Tax ID: 26007 DEAN R&]ULIE S IAKUBOWICZ �HUDSON WI
PIN: 57-024-2-41-07-30-5 OS-003-000130
Legacy PIN: 024741305313 Billing Address: Mailing Address:
Map ID: :3.13 DEAN R&]ULIE S DEAN R&]ULIE S
Municipali[y: (024)TOWN OF ROUND LAKE JAKUBOWICZ )AKUBOWICZ
STR: 530 T41N R07W 302 CROIX RIDGE DR 302 CROIX RIDGE DR
HUDSON WI 54016 HUDSON WI 59016
Description: PRT GOVT LOT 3 PRT LOT 2 CSM 5/385
#1103&OUTLOT 1 CSM 28/205 #7264
Recorded Acres: 2.660 � Site Address ' indica[es Private Road
Caltulated Acres: 2.747 10267N SANDY BEACN RD HAYWARD 54843
Lottery Claims: �
First Dollar: Yes �.� property Assessment Updated: 7/16/2019
Waterbody: Round Lake 2021 Assessment Detail
Zoning: (PUD) Planned Unit Development Code Acres Land Imp.
(RRl) Residential/Recreational One
ESN: 404 G1-RESIDENTIAL 2.660 441,700 306,700
2-Year Comparison 2020 2021 Change
`� Tax Districts Updated: 2/6/2007 Land: 44Y,700 441,700 0.0%
1 State of Wisconsin Improved: 306,700 306,700 0.0%
57 Sawyer County Total: 746,400 748,400 0.0°/o
024 Town of Round Lake
572478 Hayward Community School Dis[rict
001700 Technical College j� property History
N/A . . . . . . . .
-+ Recorded Documentr Updated: f0/28/2009
WARRANTY DEED
Date Recorded: 312658 WDit312658
AFF#312657
tassawyercountygov.orglsystemlframes.asp?uname=Valerie+Healh ���
l v
�ate �� 2 Q Z I -� 1
(� �l Sawyer County Application for Grading `D
��.-! lv �
Chk# - - - 10610 Main St. Suite 49 ��.� �,_
^ Hayward WI 54843 � — �
Rcpt# 715/634-8288 �
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN Q
ISSUED. SIGNATURE OF PROPERTY OWNER IS REQUIRED. o
Owner. �GM � fv�;� Sw�l,v6ow�cZ Contractor: �� �XG�v..�%h `[ C �
Mailin Address: 3�� C!'a�X R�S�e Dr' Mailin Address: �$?y '� ��✓' �7 � Z
Ci State Zi : }{✓dSv t✓i Syal�O Cit , State Zi : 'J�""� /��- '"',' �y'� � V
Phone: Phone: ��' �'�- n73� �
w
�
c�
Email: Email: CD
�
Siteaddress: �dZ� 7� J"^dY 3e�6� �� C)
Calculate grading area: (Total area disturbed including excavation, fill, grading, `
landscaping, equipment rutting, and/or other areas vegetation will be removed resulting J
in exposed soil) ,�j
Determin idth f disturbed site in feet: � SO ft. x depth of disturbed site in feet: I 7� ft. �
Total =�NS, S°a3 sq. ft. (this is the area calculation) �
Determine Slope of disturb�d area: Vertical eight in feet � = Horizontal distance in
feet SO = Slope . j X 100= M3• � % Slope � �
(1V/1H= Slope X 100= Percent Slope) � (�
� �
"For any filling or grading of any area which is within 300 feet landward of the ordinary d �
high water mark (ONWM) of navigable water and which has surface drainage toward the � (f�
water and on which there is either: � �,5
(9) Any fiNing or grading on slopes of more than 20%. � Z
(2) Filling or grading of more than I,000 sq. ft. on slopes of 12% 20%. -�
(3) Fiiling or grading of more than 2,000 sq. ft. on slopes less than 12%.
(4) A Grading Pertnit is required for any filling or grading in excess of 10,000 sq. ft
within 1,000' OHWM of navigable lakes, ponds, or flowages OR within 300' of OHWM of G
navigabte rivers or streams. _ (-
Date activiry will begin if permit is issued: 7'26- Z� date to be � �
completed: N
Attach engineering design or complete the following using additional sheets:
1. Describe proposed erosion control installation, construction phases, and finished site grading. m
inciude timeline, methods, and materials. (Silt Pence alone is not ampie erosion control for c
most sites) �
�
D
.�..I1S�I� s�f�-��Cs A���n � ���'�ihG�c� O� �1 �'� 0.1jp �
c
�5�.�} SF-rh�,, W�dd�rf � ac�/� S' �-e S�o,W 1�� �v ron o-F-F-
�ros'Nl✓) c.Oh�/'o� P'1�n�'�lir �e P a vle�
s1 :1 f
l�rrp an� S�'�/F,C� �F-d�Svi � � f'� 1 ��L`^ � �2
1 r
S f �'2 G�/a� k Cu►.�Q'Q� 1�� rCg{'ow�'� 1'/Q��`}���b� .
��RL2 a�� S�� �� C� �o.�" 9 fotln d O�Gla� �ro�► S �m�eS . �
o �
r I 1 �l �( ( �
� � � �
51`TG JS �fnnCS,Y �l"��L� t✓ll� rlel(� 1�/w, T�` >�a � ry� ,� `,` � ! ",_, _ r ti "�
;; � �
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� � ' :. � ` � � � + i �
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S1d�� S��� -�� P����- ��►�o � -�����- l� �� [ ����"�- � _�..��_�.:� ; )I
��._.---.�.___z�.�� __)�-,
�►V1lY��i CG�;i,,��(-•,•
\� � �{,�i14iGAI7A�i1Nl�l"HATIO�I
2. List temporary seed type and rate,permanent seed type and rate,fertilizer type and application rate
(�y L ,�01� �cr.� /��rkv �1�I�� o� s�r�,�., N�� �..�bl;J
a 1S �G � Tec���.�
6�.�-s �
�`�� �e�% � �� c�ar� wl,e� �..�S��P�� C���� 1�-fe
�
3. Attach a pfot pfan of project area induding location of any wetland(s)and/or waterway(s)(indicate
area between grading project and water body to be leR undisturbed),bcation of expvated material,
loption of all storm water and erosion control Best Management Pradices(BMP's),property lines,
EROSION
SAMPLE ERO:itptF �— COMHbLPV4H
H
�:rM"lRiLPLAH ' ` t.EUF1�lo
ORIOF2 � `
FAM;LY I � � ` � I � ——_uF�T_4T'v
brt'.c:L:•I::^ 1 � ' �%
I �-., . ..._. � .... n>>:'. .. . .� ,ft'..'e
I \ , � � T�74fAAJN
\
�t� � �F�1:�x M `
p '�3�iF
� � *\ ��J' I� _ INIT:R
I � ��'--�•i I — Ota�t:
_ i I� ( ,n w, . /� 1�I __
nG.To BLE Cr.O'��R __.�—._ ^iP.Hv
�F r 55 _
1 .W-= _.J 1
csr��u..r�.n` 1ro� �-� I � ec+rbw
I (_«.__ '__.; � � O _:r.=,
� � �.�£,TFW;TAN E V C�1TpA
.� —E:Tb�V..£�T
� •+v (�.� �,�„� L.�
Ir� d� � ^ioCrca�
___}—__ —__' �e.?,.�;_'J _—`." �rr
s••_._ ' RnA"i°.ia\�� SCAIE:i'�qo•
, _ _i�i..�.. _�n-. .... .,v.._ �„ _,.,�a.._�.-...___---
;i4oe:ar. wm,_iwv-;.��.
' ,wt•
4. Attach a cross sedional view of project area inGuding the existing and proposed slope of the bank,
I ial I
� Alf BMP's and erosion control devises will be inspected weekly and after rainfall of'/z or
In acoordance with the Sawyer County Zoning Ordinance section 4.281(Adverse Effects On
� dj nt Properties).I hereby declare that the construdion and/or grading pertnitted under
thi permit will not affect or interfere with neighboring properties drainage patterns.Any change in
correded at the expense of the property owner referenced on this permit.
shatl performed in co pliance with the requirements of the Sawyer County Zoning Ordinance
and laws and regu tions of the State of Wisconsin.The undersigned person(s)hereby give
r�" / -
�/'� i
r' inal Signa re o prope owner or agent with Power of Attorney).
/
ROUND LAKE �i f warE���t��E
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