HomeMy WebLinkAbout002-940-04-1218-LUP-2022-479 SUBMIT COMPLEfED APPIICATION AND
Feero: APPLICATION FOR LAND USE PERMIT p �
SAWYER COUNTY,WISCONSIN �v
Sawyer County �
2oning&ConServation Depart. pate5tamp(Rece�ved) Q � ��� �
10610 Main St Suite 49 � -- �
Hayward.WI 54843 t.,��(#�.._...1_�.�.,l..L..,�>,........_.
(715)634-8268 �
i=t�pt#�1.�.�!�N_o r�� �38�q -J
iN57RUCTIONS: No permits will be issued until all fees are paid. �+ �
Checks are made payable to:Sawyer County Zoning Department. _
DO NOT START CONSTRUCTION UNTII ALL PERMITS HAVE_BEEN ISSUED TO APPLICANL�� OriginBl Application MUST be SUbmltted FILL OUT IN INK (NO PENCII�
- _ �
Submit[al of this application or receipt of fees does not constitute permit issuance.
owner(s)Name: Contrector(s)Name
�a,� o �- � ��
Mailing Address: Malling Address:
i�'��S' w �J r�L� e?4 f�� �-la�cJ�w�SYgy
Phon�/� � Phone:
`�- aas�
Email: S � � -r�* Email:
51te address: � Yt �l Q.� Or Date applied for: I v 7 r2
!� �-
Le ac.PIN# Ci�i � t�-1 lJ "' �� '� f� Town of: L S �� �`�
Permit delivery Method �all Owner u Mail Owner ❑Call Contractor c Mail Contractor
'.'Is Property/Land within 300 feet of River,Stream I�nc�. Distance Structure is from Shoreline: Is your Property
�Intermittent) � Are Wetlands
feet in�toodptain
Creek or landward side of Floodplain? If yes---continue Prcxnc?
�1 Shoreland Zone?
- Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline:
Yes Yes
If yes---continue � feet No N�
�on-Shoreland
Describe Project
Value at Time of Total#of
Project type Foundation What Type&Capacity is the
Completion Number' bedrooms
'indude donated (House,garage,shed,deck, (Basement, Sewer/Sanitary System(s)
Addition,etc...) of Stories Crawis ace, Post
time&material i,ist sepa�ately 51ab �onstructio�
)
$ �
=-���� ��U�5� l �i�A W�S�q� 1 ���,�. ����C.�� ��, ���.�. �
Dwelling
S �„SO
Accessory 81dg
S
AddiNan/Alteration
Height:
TotalSquare Lowest
Pro osed Use ✓ footage Grede to
p Proposed Structure Dimensions
(multiply per Highest
story) Peak
�/ Residence ��� X �� � ` � � - � � � ?� ;
-� Ft.�i
with 2"a story or loft � X �
Ft.
with easement ( X �
Ft.
Attached Garage � x �
f� Residential Use Ft.
Aecessory Strueture(exPia��) ( x )
❑ Agrieultural (detachedgaroges,sheds,boathouses,etc) Ft.
Use Temporary Guest Quarters or Bunkhouse(cr�de type) � X �
ft.
0 Commercial/ � Deck/ orch Patio �L -c�_,� ;�v-i(.� ( /02 X IF{ � � C.L Ft.l S� ; � S `
Industriai Use
(2"d)Deck/Porch/Patio ( x �
❑ Municipal Use
Ft.
Other(explain) ( x �
� Other Ft.
P�Incipal St�uctu�e(Agricuhurel,commeraai,Municipal,Etc.) t x )
Ft.
Addition/Alteration(explam� ( X �
Ft.
Total habitable square feet: Total Non-habitable square feet: �
� C C�' (decks,patios,garages,sheds,storage area&other structures) �� �%
Original Application MUST be submitted
Attach a Pian or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:'MusN'Include location and setbatk of proposed and existing structures,roads,
driveway,sanitary components,well,lake,river,stream,and wetlands.
Description Setback Deseriptiun Set6ack
Measuremenu Measurements
Setback from the Centerline of Platted 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 Feet
Setback from the South Lot Line Feet Setback from Wetland Feet
Setback from the West Lot Line Feet Slope within area of construction/disturbance 9b Slope
Setback from the East Lot Line Feet Elevation of Flood in Feet
Setback to Septic Tank or Holding Tank Feet Setback to Well � Feet
Setback to Drain Field Feet �
Setback to Privy(Portable,Composting) Feet
Prior to ihe pla�ement or constructlon of a strucwre within Flve(5)feei of the minlmum requlred setback,the boundary Iine from which the se[back must be measured must be visible from one
previuusly surveyed corner to the o[her previoosly swveyed corner or marked by a licensed surveyor at the owner's expense.
Prior to the placement or construction of a structure more than five(5)feet but less than ten(S0�feet from the minimum required set6ack,the boundary line from which the setback must be
measured must be visible Gom one previously surveyed corner to the other previously sur�eyed corner,or verifiable by the Department by use of a corrected compass From a known comer
within 500 feet of the proposed site of the structw e,or must he marked hy a(icensed surveyor at the owner's expense.
. • � . •.• � • • . . •- .
Calculate impervious surfaces.(Roofed,toncrete,paved,and other surfaces that water cannot penetrate.The Zoning Office can help you determine if a
wrface is considered impervious)
Calculate lot area:
Indicate lot size from CSM or NOVUS(circle one): Acres;Multiply by 43,560=Lot area: Square Footage
Calculate impervious surface area:
Determine the total size,in square feet,of�our projects listed above(include eaves): sq ft.
Determine the total size,in square feet,of all exis roofed structures(include eaves�; -- ' sq ft.
�,"_.
Determine the total size,in square feet,of all existing paved/br "ed surfaces: sq ft.
Add these measurements to det ne totai impervious su sq ft.
Calculate impervious lot percentage /'�
_�
Total impervious surface: =Lot area: Sq ft.X 100=impervious surface %
(Mitigation is requlred if total exceeds 15%)
"`Notice a separate grading permit needs to be obtained if disturbed area is within the Sho�eland district as indicated on previous page and meets criteria below"'
Grading on a slope greater than 209'o Grading of more than�.,000 Sq.Ft.on 12%-20%slopes
� • Grading of more than 2,p00 Sq.Ft.on Slopes less than 12% Grading is in excess of 10,000 Sq.Ft.
FHILURE IO Of3TFlIN W F"tRMIT or STARTING CONSTftUCiION WtTHOUT A.PEHh11T LNILL RESULT IN PENALTIES
I(we)declare that this application(including any accompanying informationj 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)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 Sawyer
County in determining whether to issue a permit. I(we)further accept liability which may be a result of Sawyer Caunty relying on this information I(we)am(are)providfng 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 reasonabie time for the
purpose of inspec' n.Additionally,the undersigned person(s)hereby give permission for access to the property for onsite inspection by Municipal Officlals.
Owner Owner >
Signature Printed name ��'� ��c�-� Date /t]"" �—a�'
fsignatur�and Pnnte�i Name required)
NOTICE: All land Use Permits Expire One(1)Year from the Date of Issuance.
For the Construction Of New One&7wo i-amily Dwelling: ALL Municipalities Are Reyuired To Enforce The Uniform Dwelling Code.
The local Town,State or Federal agencies may also require permits.
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 S[ate and Federal laws concerning construction near or on wetlands,lakes,and s[reams.Failure to comply may result in removal or modification of construction
that violates the law or other penalties or costs. For more information,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 Onlyj Sanitary Number: � � a�� #of bedrooms: �
Permit Denied(Date►: Reason for Oenial:
Permit tt: Issuing agent � Date:
��- ��9 ��-� � �� �� a����
Is Parcel a Sub-Standard Lot I i Yes (Deed of Record) �NO Mitigation Required C'Yes V.; o
Is Parcel In Common Ownership �i Yes (Fused/Contiguous Lot(s)) ��� Mitigation Attached L�Yes ;�No
Is Structure Non-Conforming :i Yes �'*Na
Granted by Variance(B.O.A.) Granted by Conditional Use
;Yes - No Case N: 'Yes No Case N:
Was Parcel legally Created Yes :�No Were Property Lines Represented by Owner T�Yes No
Was Proposed Building Site Deiineated �Yes I_No Was Property Surveyed �Yes Na
Office Comments: Zone District: Fee�
.��— \ � �v�
Hold For 5anitary: ' Hold For TeA: Hold For Affidavit: �' Hold For Fees:' �
�Feb2021
Real Estdte Sawyer County Property Property Status: Current
Listing
Today's Date: 10/7/2022 Created On: 6/3/2016 8:52:10 AM
Description Updated: 2/22/2018 Ownership Updated: ll/22/2020
Tax ID: 42358 TERRY N & SARAH HAYWARD WI
P�N: 57-002-2-40-09-04-1 02-000- E WALPORT
000180
Legacy PIN: 002940041218 Billing Address: Mailing Address:
Map ID: TERRY N & SARAH TERRY N & SARAH
Municipality: (002)TOWN OF BA55 LAKE E WALPORT E WALPORT
STR: 504 T40N R09W 15828W FUN 15828W FUN
VALLEY RD VALLEY RD
Description: PRT FRAC W1/2 NE LOT 2 HAYWARD WI 54843 HAYWARD WI 54843
' CSM 34/102 #8113
Recorded g.400 Site Address *indicates Private Road
Acres:
Lottery N/A
Claims: �
First Dollar: No Property Updated: 5/18/2017
Zoning: (RR1) Residential/Recreational Assessment
One 2022 Assessment Detail
ESN: 406 Code Acres Land Imp.
G1- g.400 25,100 0
Tax Districts Updated: 6/3/2016 RESIDENTIAL
1 State of Wisconsin
57 SawyerCounty 2-Year z021 2022 Change
002 Town of Bass Lake Comparison
Hayward Community Land: 25,100 25,100 0.00%
572478 Im roved: 0 0 0.0/o
School District p
001700 Technical College Total: 25,100 25,100 0.0%
Recorded
Documents Updated: 6/2/2016 Property History
CORRECTION INSTRUMENT Parent Properties Tax ID
Date 57-002-2-40-09-04-1 42356
Recorded: ll/6/2020 42�842 02-000-000160
CONVEYANCE RECORDED NOT USED
Date q27639
Recorded: 10/30/2020
QUIT CLAIM DEED
Date 410519
Recorded: 1/4/2018
CERTIFIED SURVEY MAP
Date 399765
Recorded: 2/4/2016
QUIT CLAIM DEED
Date 257404
Recorded: 10/21/1996
__— — -- - - --.- -- --- --- —__
_ __-- - __ -
HISTORY Expand All History White=Current Parcels Pink=Retired Parceis
Tax ID: 2752 Pin: 57-002-2-40-09-04-1 02-000-000080 Leg Pin• 002940041208 Ma�
ID: .2.8
Tax ID: 2746 Pin: 57-002-2-40-09-04-1 02-000-000010 Leg Pin• 002940041201 Ma�
ID: .2.1
Tax ID: 42356 Pin: 57-002-2-40-09-04-1 02-000-000160 Leg Pin• 002940041216
42358 This Parcel Parents Children
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Notes
�.� � Q�3 �.� MI�OS DISC�AIMER�. The informaUon shown on these maps has been obtained from vanous
sources. and are of varying age.reliabihty and resoWtion. Thesa maps are not intended to be
used for navigation, nor are these maps an authoritative source of information about�eyal land
ownership or public access. No warranty,expressed or implied. is maAe regarding accuracy,
NAD_1983_HARN_Wisconsin_TM � : � 980 appUcabiliry(or a panicular use_corople�eness.or legality otthe ioPonn�tion depiaed on this
� map. For mme Infonnapor. �ee ihe DNR Legal Notices weh p:i�e hup.u�inr.wi.yov�leyal,