HomeMy WebLinkAbout010-277-00-2200-LUP-2022-475 SUBMIT COMPLETED APPLICATION AND
Feero: APPLfCATION FOR LAND USE PERMIT ll 1
Sawyer County SAWYER COUNTY,WISCONSIN �`'
Zoning&Conservatio�Depart. ` - o��m 'k��7 +��1� �
10610 Main St Suite 49 ��; ��,°i�e �� r ,�'� I \
Hayward,WI54843 � ,4 r � .. --_—_� ii� -` -'�'._..�_n l � �'� J -� �
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INSTRUCTIONS: No permits will be issued untii all fees are paid. � Z y+.��`� O,
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Checks are made a able to:Saw er Coun Zomn De artment. - 4_� ,Q��,-3� 11/\N- •3 O ��
DO NOT START CONS7RUCTION UNTIL ALl PFRMIIS HAVE BEEN ISSUED fib APVLICANI. Ofl glnal A(J PIIC8t1011 MUST b0 SUbT1Yt0d FILL OUT IN INK (NO PENCIL)
Submittal of thii application or receipt of fees does not constitute permit Issuance.
Ow�er(s)Name: Contractor(s)Name
1 v�f�$ I'�o vJ� �.L� �GLn �f1S� 'uc��'"�b�t�.
Mailing Address: Mailing Address:
1 �S F� �r o�. t�L 4 c�fs 3' �o Z�� �c3�Z � �r�d �z- S�18"`�3
Phone:/_p FS— ��J(�^ 6l� 'rJ�O Phone:^`� � 1 1 'O�
Y I
Email: m 'G� MG�C���J�Gt� '� � , Emaii: Om1 C.Q '�.ee nc-�Co ,e W� •�M
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Ske addreu: p �f ' � Or Date applied for.
Lega PIN It p Z,'� o v ZZ�v Town of: W�
Permit delivery Method o Call Owner ❑Mail Owner �all Contractor �Mail Contractor
'Is Property/Land within 300 feet of River,Stream I��ci. Distance Structure is from Shoreline: Is your Property
�ntermittent) � Are Welldnd5
Creek or landward side of Floodplain? If yes---continue feet in Floodplain p�esent?
ii Shoreland zone7
Yes ���5
Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Strutture is hom Shoreline: h��
�'ye�- -contiwe ---� feet No
Non-Shoreland
Describe Projed Total�of
Va1ue at Time of Projed type Foundation What Type&Capacity is the
Completion Number bedrooms
� nr��;,� conac�a fHouse,garege,shed,deck, p{Stories (Sasement, post Sewer/Sanitary System(s)
Addition,etc...) Crawlspace,
time&matenal construetion
List separately Slab)
5�����' ��us�� � S 1 P � � :S n ,'t r
Owelling
IO170 'o l
$ p �� . `//''
Accessory Bldg r-��r(L S`�!Q�-�'
�
Addition/Alterotion
Height:
Total Square lowest
Footage Gradeto
P�oposed Use ✓ Proposed Strudure Dime�sions ��uRiply per Highest
story) Peak
X
Residence (]` L� � � � �� _ Ft:`/�� 1.��Y;
y X
�� with 7^d=tnT;�ft" ( �
��ti1 �' 1 I � Ft.
with Basement � X �
Ft.
Attached Garege ( x �
Residential Use Ft•
ACCe55ory St�uCture(explainy ( x n } � d�
� Agrieu Itu ra I (detached gaages,sheds,boat houses,etc) r�f�+�� ;3� ! �r� f�e � FY.�
l�se � x )
Temporery Guest Quarters or Bunkhouse(circie cype) Ft.
( X )
`' Commercial/ Deck/ orch/ atio S C �h�`-� a p ��� � ,�� Ft. ���
Industrial Use � x �
(2^d}Deck/Porch/Patio Ft.
C Municipal Use � x �
Othe�(explain) Ft.
7 Other ( X }
Principal Structure(agricuiw�ai,Commercial,Municipal,Ett.) Ft.
( X )
Addition/Alteration IeXPia�n� Ft.
�� � � Total Non-habitable square feet:
Total habitable square feet: ���� �
(decks,patios,garages,sheds,storage area&other structures) �
Original Application MUST be submitted
Attach a Plan 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 Description Setback
Measurements Meawrements
Setback from the Centerline of Platted Road and/or Feet Setback from the Lake(o�er�ary r,�gn•wate�mark) Feet
Setback from the Established Right-of-Way Feet Setback from the River,Stream,treek Feet
Setback from the Biuff it apv���able Feet
Setback from the North Lot Line Feet
Setback from the South Lot Line � Feet Setback from Wetiand Feet
Setback from the West Lot Line Feet Slope within area of construction/disturbance %5►ope
Setback from the East Lot Line Feet Elevation of Floodplain Feet
Setback to Septic Tank or Hoiding Tank Feet Setback to Weil Feet
Setback to Drain Field � Feet
Setback to Privy{Portable,Composting) Feet
� � � ���.,�rient or[on5bu�ti�n nf d 5tr�:. . ..� �- -� � � . � .- 'he boundary'i���t�rr� n,�.t�tht�<<�bac� n,�: hc m,:�;�, ..�..,�..i bF v�s�b��e f����„ee
. -�,��, ..� �ed torna••tn thF other prewuus:v wry�. � �� �� - �� .s i��."n5r�d s�irvev�`��tne owne.r's expec���
F�r�or to the placement or construction ot a structure more than five(S�feet b.,�� � �� ��10)feet from th��.�����•�� ��� ���d;e'bacK f n��bn��r�d,,�. � �,� •.r�<7 r•w set:�acti n�i,s�ae
measured must be visfble trom one prevtously surveved comer to the other p�- ��ved comer,orve�����. _:d�;me�[bv u��.ri a�-��.��� �� , � . � � :cn��wn corn<<
vnth�n;00 f�et��`rh�.e :. ...r.�+c�,� .,"h� . _c-ure,or mus[be marked by a i�� ,.r ir•he�owne���,.,r�.
� • . . ••• • . - �• • - • •• .
Calculate impervious surfaces.�Roofed,concrete,paved,and other wrfaces that water cannot penetrate.The Zoning Office can help you determine if a
surface is considered impervious)
Calculate lot area: y /
Indicate lot size from CSM or NOVUS(circle one): �� / Acres;Multiply by 43,560=Lot area: �G( Square Footage
Calculate impervious surface area:
Determine the toial size,in square feet,of your projects listed above(include eaves): "/� ! � sq ft.
Determine the total size,in square feet,of all existi�g roofed structures(include eaves): �f Q �� sq ft.
Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: ��- sq ft.
Add these measurements to determine total impervious surfaces: �1� / � sq ft.
Calculate impervious lot percentage
Total impervious surface: �Y�% �Lot area: �r !"[ Sq ft.X 100=impervious surface c 9'0
(Mitigation is required if mtal 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 reater than 20% Grading of more than 1,000 5q.Ft.on 129'0-209�slopes
Grading of more than 2,000 Sq.Ft.on Siopes less than 12% Grading is in excess of 10,000 Sq.Ft.
'��'�OR( 'ri tl(�TA��!� '. -R14i1 ,,r SU�F;i INt,i'�N�i��t ` . , MI' :1'iLL N{���Li 'P,I��� 1� "�t.`
I(we)declare that this application(including any accompanying information)has been examined by me(us)and to the best of my(our)knowledge and belief it is true,correct and
complete. I(we)acknowledge 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 Sawye�
County in determini�g whether to issue a permit. I(we)further accept liability 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 above described property at any reasonable time for the
purpose of inspection,A�ditionally,the undersigned person(s�hereby give permission for access to the property for onsite inspection by Municipal Officials.
/
Owner � � � � � Owner � �,/
Signature ��� �� %. � Printed name ��CC,s��' S /Z��!� �/� Date � �8 ��'
'/ • .. .� I- �'i(�I'..�1. i �Jc3fllrs fP(�lll(P(j�
�=' NOTICE nn ��. � . .I v� . � t ���tr �tFr�� i, ;� � ��
�...r'hr ! �•i�;ri.rti`�n Of'Jr�r�"irr,Y. :�� I.:��� ,. .. __ �^u^. . �li.r . .�k.,.:i, ,7`c �rt� ��The�Unifr,rm Dv.e ..ir,t o0e
I��ir.a�T;�;;..� a•;..•.•f .�rr.i 3R-r'i . -�,-�� ai�rri::'nn�-:err'liL`-.
You are responsible for complying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the 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 removal or modification of construd�on
that violates the law or other penalties or cosu. For more information,visit the department of natural resources wetlands identification web page or contact a department of
natural resources service center(608)267-3I25
Sanitary Number: #of bedrooms:
Issuance Information(County Use Only) a 2-3 p a 3
Permit Oenied(Date): Reason for Denial:
Permit#: Issuing age Dat�:
��2-�'I'7 ] l' �'•-,;d 1� 1'7 c�;3..�
.
Is Parcel a Sub-Standard Lot '',Yes (oeed of Record) �° Mitigation Required Yes �(�lo
Is Parcel in Common Ownership �Yes (Fused/Contiguous Lot15)) N� Mitigation Attached '!Yes f�lo
Is Structure Non-Conforming Yes �`No
Gra�ted by Variance(B.O.A.) Granted by Conditional Use
`'Yes 1`No Case#: Yes Case A:
Was Parcel Legally Created �(�Yes No Were Property Lines Represented by Owner Yes No
Was Proposed Building Site Delineated � �fes No Was PropertySurveyed 'YYes 'No
Office Comments: Zone District: Fee:
��� � ���v
Hold For Sanitary: Hold For TBA: Hoid For�lffidavit: Hold For Fees: _
�Jan2020
9/28/22,1:22 PM Novus-Wisconsin Access rev.13.1108
Real EState Sawyer County Property Listing Property5tatus:Current
7oday's Da[e:9/28/2022 Created On:9/26R018 2:30:07 PM
�Description Upda[ed:9/27/2�18 �Ownership Upda[ed:2/23/2022
TaxID: 43264 NORDSKOGENLLC MADISON WI
PIN: 57-010-2-41-OB-19-5 15-277-002200
Legacy PIN: 010277002200 Billing Address: Mailing Address:
Map[D: NORDSKOGEN LLC NORDSKOGEN LLC
Municipality: (O10)TOWN OF HAYWAR� 1175 FARWELL DR 1175 FARWELL DR
STR: 519 T41N ROSW MADISON WI60633 MADISON WI60833
Description: HATCHERY CREEK SUBD LOT 22
Recorded Acres: 2.570 �Site Address *indicates Private Road
Lottery Claims: 0 14530W BIRKEN TRAIL RD HAYWARD 54843
Firs[Dollar. No
Zoning: (RRl)Residential/Recreatlonal One J property Assessment Updated:7/9/2019
ESN: 444
2022 Assessment Detail
Code Atres Land Imp.
�Tax Districts Updated:9/26/2018 Gfi-PRODUCTNE FOREST L570 4,400 0
I State of Wisconsin
57 Sawyer County Z-year Comparison 2021 2022 Change
O10 Town of Hayward Land: 4,400 4,400 0.0%
572478 Hayward Community School Distric[ Improved: 0 � 0.0%
001700 TeChniCal C011ege Total: 4,400 4,400 0.0%
+�Recorded Documents Updated:3/17/2014 �
O WARRAN7Y DEED 1.J7 Property HiStOry
Date Remrded:2/Il/2022 437572 parent Properties Tax ID
O WARRANTV DEED 9-010-2-41-OB-19-2 03-000-000040 43242
Da[e Re�orded:11/30/2020 428345
O MINERAL CLAIM
Date Recorded:B/13/2020 425698
O AFFIDAVIT
Date Recorded:8/13/2020 425697
O COVENANTS
Date Recorded:10/23/2018 415054
O SUBDIVISION PLAT
Date Recorded:9/18/2018 414423
0 WARRANTY DEED
Date Recorded:6/16/2015 396218
O WARRANTY DEED
Date Recorded:5/3/1993 234781 506/450
HISTORY O Expand All History White=Current Parcels Pink=Retired Parcels
�7ax ID:12695 Pin:57-OSO-2-41-09-24-4 O1-000-000010 Leg.Pin:010941244101 Map ID:13.1
O Tax ID:43241 Pin:57-010-2-41-09-24-4 01-000-000030 Leg.Pin:010941244103
�Tax ID:11081 Pin:57-010-2-41-08-19-3 02-000-000010 Leg.Pin:010841193201 Map ID:.10.1
O Tax ID:43239 Pin:57-010-2-41-08-19-3 02-000-000030 Leg.Pin:010641193203
O Taz IO:11078 PIn:57-010-2-41-08-19-2 03-000-000010 Leg.Vin:010841192301 Map ID:.7.1
O 7ax ID:43237 Pin:57-OSO-2-41-OS-19-2 03-000-000030 Leg.Pin:010641192303
O7ax ID:1Z696 Pin:57-010-2-41-09-24-4 02-000-000010 Leg.Pin:010941244201 Map ID:.14.1
O 7ax ID:43242 Vin:57-010-2-41-�B-19-2 03-000-000040 Leg.Vin:010841192304
43264 This Parcel Parents Children
https:l/tassawyercountygov.org/IAccess/master.asp ���
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POWER OF ATTORNEY
Know to all Men by these presents, that I, Michael Lee, Member of Nordskogen LLC, and
property owners, Town of Hayward, Sawyer County, Hatchery Creek Subd Lot 22, State of
Wisconsin, have made, constituted and appointed Justus Keenan of Keenan Construction LLC,
in the County of Sawyer, State of Wisconsin, my true and lawful agent for me and in my name,
place and stead to do any and all things necessary for the application for, negotiation of, or
obtaining of state, county and local pennits with the Counry of Sawyer, Wisconsin, giving and
granting hereby unto said agent full power and authorize to do so and perform all and every act
and things whatsoever required and necessary to be done in about said premises, as fully to all
intent and purposes as I might and could do if personally preseut, reserving full power of
substitution and revocation, hereby ratifying all that my said agent of his substitute shall lawfully
do or cause to be done by virtue thereof.
In witnes whereof, I have hereunto set my hand and seal this � ✓v `h•day, of
�S�.i��, 2022.
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Michael Lee
Notary: � ��'"( �4W/a b�fiJ k��L�N
Stateof. /,,)� („;,�,,;ti.
Counry of: � i�y��
Personally came before me this ��day of �� � � , 2022
The above named Michael Lee to be the person who ex cuted the foregoing instrument and
acknowledged the same.
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