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Home My WebLink About010-941-22-1108-LUP-2022-487 SUBMIT COMPIETED APPUCATtON AND � FEETO: _�R LAND USE PERMIT Sawyer County � '� � � Zoning&Conservation Depart. -% E I i Dete a l Cj L'�1 I�� 10610 Main St Suite 49 � �•.��j �� ,...y_ (^ Hayward,WI 54843 i O�r � /. (715)634-8288 : f 2022 Chk# S o S�t �. � �` � ,zAe��Y;,� c�� Rcpt# �1 ew w� �� `-looc� A_,._;:�.�-B�� INSTRUCTIONS: No permi�t will be issued until all fees are paid. �r��(j/.�[�M��,jS - ��Y`i� Checks are made payable to:Sawyer County Zoning Department. DO NOT START CONSTRUCTION UNTIL�LL PERMITS HAVE BEEN ISSUED TO APPLIfAN7. Original Application MUST be submitted FILL OUT IN INK (NO PENCIL) Submittal of this application or receipt of fees does not constitute permit issuancc. Owner(s)Name: Contractor(s)Name �n,�,� Tr J�1� ,C.�ou9�1 �� o� Mailing Address: Malling Address: /�SS� w f�SP�tA�- � Phone: �`s �Q�-� _��,`7cj Phone: Email: Email: Site address: � S� � S�I��+L � Or Date applied for: Legac.PIN t! � ,� ��t 1� � ^\\� O Town of: � �� PermitdellveryMethod �all Owner u Mail Owner n Call Contrector a Mail Contractor 'Is Property/Land within 3Q0 feet of River,Stream (�nd. Distance Structure is from Shoreline: �s your aroperty Intermittent) --� feet in Ftoodplain Are Wettands Creek or Landward side of Floodplain? If yes---continue Present? 1 Shoreland zoi�' Yes Yrs -: Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is irom Shoreline: n� If yes---continue —► feet No Non-Shoreland Desc�ibe PrOje� Total#of value at Time of project type Foundation What Type&Capacity is the completion Number bedrooms 'indude donated (House,garege,shed,deck, (Basement, Sewer/Sanitary System�s) of Stories Post addition,etc...) Crawlspace, time&material �ist separately Slab) construCtion $ S�re� � �'��,.� I� �A-- Dwelling S �.��U .'! ,�-t1.if�: �.._. °_��.l�n� ^'...��,Ti. Aaessory Bldg � S AdditiOn/Alteration Height: TotalSquare Lowest Footage Grade to Proposed Use ✓ Proposed Structure Dimensions (multiply per Highest story) Peak Residence ( x � Ft. with 2^a story or loft ( X � Ft. with Basement ( x ) Ft. Attached Garage ( x � � Residential Use Ft. Aecessory Strueture(exPia��) { '�� X \� ) ,`ry y � ❑ Agrieu ltu ral (detached garoges,sheds,boat houses,etc) \�� Ft. \ 1 � Use Temporary Guest Quarters or Bunkhouse(Circle type) � X } Ft. ❑ Commercial/ Deck/Porch/Patio � X � Ft. Industrial Use ( X ) (2"d)Deck/Porch/Patio Ft. ❑ Municipal Use t x � Oth2t(explain) Ft. ❑ Other � x ) Prineipal Strueture(ngricuiturai,commerciai,MUNdpal,Ett.) Ft. Addition/Alteration(eXPia��) � X � Ft. Total habitable square feet: Total Non-habitable square feet: �� (decks,patios,garages,sheds,storage area&other structures� Original Apptication MUST be submitted Attach a Plar�or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:''Must"Include location and setback of proposed and existing strudures,roads, driveway,sanitary components,we�l,lake,river,stream,and wetlartds. Descri tion Setback Setback p Measurements Description Measurements Setback from the Centerline of Platted Road and/or �j 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 eluff 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 %Slope Setback from the East Lot Line Feet Elevation of Flaodplain Feet Setback to Septic Tank or HoldingTank �c� .- Feet Setback to Well Feet Setback to Orain Field Feet Setback to Privy(Portable,Composting) Feet Prfer t;.the pla�ement or construction of a struaure withln flve(5)fee[u,'the minimum required seti�ack,the'ooundary line from whleh the setback must6e measured must be visible from une prevluusly surveyed corner to the oeher'prevlously surveyed�omer or marked by a Ilcensed surveyor at the owner's expense. Prior to the placement or construdion of a struRure more than five�S)feet but less than ten(10)feet from Me minimum required selhack,the boundary line from which the setback mus[be. measured must be visible from one previously surveyed comer to the other prevlously surveyed corner,or verifiable by the Department by use uf a corrected compass from a known corr�er within 500 feet of the proposed site of tbe structure,or must be marked 6y 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 heip you determine if a wrface is considered impervious) Calculatelot rea: Indicate lot size CSM or NOVUS(circle one): Acres;Multiply by 43,560=Lot area: Square Footage Calculate impervious surfac ea: � Determine the total size,in square fee, f your projects tisted above(include eaves): sq ft. Determine the total size,in square feet,of all exi ' g roofed strucfures(include eaves�; sq ft. Determine the total size,in square#eet,of all exis� pave ricked/blocked surfaces: sq ft. Add these meas ments to determine total impe � s surfaces: Sq{�. Calculate impervious lot centage Total impervio urface: =Lot area: Sq ft.X 100=impervious surface % (Mitigation is required if total ezceeds 15%) "�Notice a separate grading permit needs to be obtained if disturbed area is within the Shoreland district as i�dicated on previous page and meets criteria below'•• Grading on a siope greater than 20% Grading of more than 1,000 Sq.Ft.on 22%-20%slopes Grading of more than 2,000 Sq.Ft.on Slopes less than 12% Grading is in excess of 1D,000 Sq.Ft. FAILURE IC��;fsT,VN4PLRfvlil5�ry7F,R?WGCONSTRUCTIONWITHOUTAPERMITWILLRESULTINPENALTIES I(we)declare that this application(including any accompanying Informatlon)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 Sawyer County in determining whether to issue a permit. 1(we)further accept Iiabllity 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.Additionally,the undersigned person(s)hereby give permission for access to the property for onsite inspection hy Municipal Officlals. Owner Owner �� ] n Signature printed name �«+�� /�� Date ��/ � (�ignature and Pnnted Name required) NOTICE FlI�L�nd Use Perniits Cxplre One(I)Ycar from the Date ot Issuance. For the Construction Of New One&i�wo f amily D�velling� At l Munlcipalities Are Requlred To Eniorce The Uniforrn Gweliing Code. The local 1 own,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 State and Federal laws toncerning construttion near or on wetlands,lakes,and streams.Failure to comply may result in removal or modification of construdion 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 Only) Sanitary Number: t1 of bedrooms: Permit Denied(Date): Reason for Denial: Permit it: Issuing agen� � ��y �� Date: ,�� a� �� Is Parcel a Sub-Standard Lot f i Yes (Deed of Record) �{do Is Parcel in Common Ownership `�iYes (Pused/Contiguous Lot(s)) �rya Mitigation Required !:�Yes o Is Structure Non-Conforming ;i Yes Na Mitigation Attached !_I Yes i.:No Granted by Variance(B.O.A.) Granted by Conditional Use �Yes .. o Case q: 7 Yes 'No Case tl: Was Parcel Legally Created Yes :�No Were Property Lines Represented by Owner Yes No Was Proposed Building Site Delineated es I_ No Was Property Surveyed �CYes No Office Comments: 2one District: Fee: '�-\ � �l� Hold For Sanitdry: !.� Hold For TBA; Hold for Affidavit: ' Hold For Fees: ' , �Feb2U21 10/24/22,129 PM Novus-Wisconsin Access rev.13.7108 Real Estdte Sawyer County Property�isting �ropertyStatus:Current Today's Date:10/24/2022 Created On:2/6/2007 7:5521 AM �Description Updated:11/9/2021 �Ownership Updated:ll/9/2021 Tax ID: 12437 EMMETT A JR&JEAN S BROWN HAYWARD WI PIN: 57-010-2�11-09-22-1 01-000-000080 Legacy PIN: 010941221108 Billing Address: Mafling Address: Map ID: .1.8 EMMETT A]R&JEAN 5 EMMETT A JR&JEAN S Muni�ipality: (O10)TOWN OF HAYWARD BROWN BROWN STR: 52Z T41N R09W 15551W HOSPITAL RD 15551W HOSPITAL RD Description: PRT NENE LOT 2 CSM 18/128#5442 HAYWARD WI 54893 HAYVJARD WI 59843 Rerorded Acres: 2.040 Lottery Claims: 1 w Site Address 'indicates Private Road First Dollar. Yes 15551W HOSPITAL RD HAYWARD 54843 Zoning: (R4)Residential One ESN: 405 :..�property Assessment Upda[ed:ll/9/2015 2022 Assessment Detail ��7ax Districts UpOated:2/6/2007 Code Acres Land Imp. 1 State of Wismnsin 61-RESIDENTIAL 2.040 26,100 154,600 57 Sawyer County O10 Town of Hayward Z-year Comparison 2021 2022 Change SR478 HaywardCommunitySchoolDistric[ Land: 26,100 26,100 0.0% 001700 TechniralCollege Improved: 154,600 154,600 0.0% To[al: 180,700 180,700 0.0% • Recorded Documentr Upda[ed:3/17/2014 �WARRANTY DEED � Date Remrded:7/7/2004 323031 CJ'Property History �7RANSFERtON DEATH DEED N/A Date Recorded:ll/12/2021 435846 �CERTIFIED SURVEV MAP Date Recorded:7/9/1996 255296 https:lltas.sawyercountygov.org//Accesslmaster.asp �� o�P ,� C � . � x " 1. 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