HomeMy WebLinkAbout010-841-14-5115-LUP-2022-504 SUBMIT COMPLETED APPIICATION AND
FEETO: �.AP.� TI N FOR LAND USE PERMIT q �
� � .r���._ r-:' �/`-'
Sawyer County � �� T-..,
2oning&Conservation Depart. ..��-s!-=_�,.`�!..�..T � i �
10630 Meln St Suite 49 oetc Stamp �«��aT '�
Nayward,W154843 NOY O �7 LOLC � `t ��1��11 —��.----__._... �
(715)634-8288 �� � f
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SAINYE� �;:;`; -. � '� �aO(c �f�
INSTRUCTIONS: No permiLs will be issued until all fees are pald. �ONING A7MII�;';�i;-.. , ��t�`���� �'�( 1�� y
Checks are made payable to:Sawyer County Zoning Department. � ��� {�-
DO NOT START CONSTRUCTION UNTIL AlL PERMITS HAVE BEEN ISSUED TO APPLICANT. Ofig1O01 AppliCatiOh MUST be Suk1rt11ttCd FILL OUT IN INK PENCIL�
Submittal of this appiication or receipt of fees does not constitute permit issuance.
Owner(s)Name: � Contractor(s)Name
�c����-� ,� �i v� J v�� C: , h
Mailing Address: ' y�N N � Mai ng Address:
�� / � G� J/ G�-'�� �� ��57� �� , �O �C. D� ��G ii'G�l 1� SL�"��l`
Phone; � _ z z _ S L/ Ct Z Phone: �IS��- ', l �` �� .�
� T
� / ' �`'� f l h ^A r/�t1<`�/t-� C=0 Y'
Email: /�/H� � �Q � Email: G�C-G�� �� k'�In!lu 1�� V�
Site address: Z 7�S , �� j ti �1�(- G G��� Or Date applied for:
Legac PIN p � ��J � O -I �- �"1 ' S ��S Town of: �,1�Q rC�
Permit delivery Method ❑Call Owner u Maii Owner �Call Contractor r_Mail Contrector
's Property/Land wfthin 300 feet of River,Stream pnci. Distance Strudure is from Shoreline: Is your Property
�tniarmrt�ent) ---► feet in Floodplain Are 1Netlands
Creek or landward side of Floodpiain? If yes---continue zoRe� PreseM?
" Shoreland Yes
�Is PropeRy/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is lrom Shoreline: Ye
�� It yes---continue � / / � feet ''�N� 'N��
� !
.l Non•Shoreland
Desc�fbe Project Total ti of
value at T1me of project type Foundation What Type&Capacity is the
completlon Number bedrooms
'indude donated (House,garage,shed,deck, (Basement, Sewer/Sanitary System(s)
Addition,etc...) of Stories �rawispace, Post
time&material Lfst separately Slab constructio
)
S
Dwcli�ng
$
Accessary Bldg
$q7 n � p
/°Cj�`',C'� ���G���ID�'� 1 DS s � � ����1c• (�fJK✓t�Y lO�7Q,
Additlon/AI[era[fon
;`v�,�� '�UflW�)
Height:
TotalSquare Lowest
Footage Grade to
Proposed Use ✓ Proposed Structure Dimensions (multiply per Highest
story) Peak
Residence ( x �
Ft.
with 2"d story or loft ( X ) Ft.
with easement ( x �
Ft.
Attached Garage' � � x �
� Residential Use Ft.
.
ACCf5501y$t�UCtUrO(ezplain) f x )
❑ Agrieultural Idetachedgarages,sheds,6oathouses,etc.) Ft•
Use Temporary Guest Quarters or Bunkhouse(circie type) � X �
Ft.
❑ Commercial/ Deck/Porch/Patio { X �
Ft.
Industrial Use � X �
(2"a)Deck/Porch/Patio Ft.
0 Municipal Use � x )
Other(exp�a�n� Ft.
0 Other ( x )
Principal Structure(agricuic�rai,commerciai,Munidpal,etc,) Ft
� C� x j )
dditio /Alteration�ezplain� ( � / � � ,� Ft.�
Total Non-habitable square feet:
Total habitable square feet:��� (decks,patios,gareges,sheds,storage area&other structures)
,��h. �
driginal Application MUST be submitted
' Attach a Pian or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:*Must"Include location and setback of praposed and existing strudures,roads,
driveway,sanitary components,weil,lake,rlver,stream,and wetlands.
Oescri tion Set6ack Sethack
p Measurements Descrlption Measurements
Setback from the Centerline of Platted Road andJor Feet Setback from the Lake(ordinary high-water mark) ��� F82t
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 90 Slope
Setback from the East Lot Line ' Feet Elevation of Floodplain Feet
Setback to Septic Tank or Holding Tank Feet Setback to Well "Q Feet
Setback to Drein Field �Feet
Setback to Privy�Portable,Composting) Feet
Prior to the placement or wnstruction of a structure withln five(5)feet of the minimum required setback,the houndary line from which the setback must he measured most be visible from one
previousty zurveyed comer to ihe other prevlously surveyed corner or marked by a licensed surveyor at the owner's expense.
Prior to the placement or construtlion of a structure more than five�5�feet but�ess than ten(10)feet from[he minimum required set6ack,the boundary line from which the Setback must be
measured must 6e visible from one previously surveyed comer to the other previously surveyed corner,or verifiable by the Uepanrnent by use of a corretted compass from a known corner
within 500 feet of the proposed site of the structure,or must 6e marked by a licensed surveyor at the owner's eYq��nse.
,.,. .,... . . .
� � � � ��• • _
Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrete.The Zoning O�ce can help you determine If a
surface Is considered impervious}
Calculate lot area: py
Indicate lot size from CSM OVU circle one): CJ� � Acres;Multiply by 43,560=Lot area:� O I O Square Footage
Calculate impervious surface area:
Determine the total size,in square f2et,of your projects listed above(include eaves): �� � sq ft.
Determine the total size,in square feet,of all existing roofed structures(include eaves}: ��� Sq�
Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: S� sq ft.
Add these measurements to determine total impervious surfaces:����_sq ft.
Calculate impervious lot percentage
Total impervious surface:�/ =Lot area:�7' 'tll Sq ft.X 100=impervious surface � � %
(Mitigation is required i�[otal 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�0% ( Grading of more than 1,000 Sq.Ft.on 12%-20%slopes
Grading of more than 2,000 Sq.Ft.on Slopes less than 12% Grading is fn excess of 10 000 Sa Ft
� fA;LUkE iD(JL;�AIN A FtfiMiT�or STARTING CON5�RUCTION WITHOUT A PF.RMIT WILL RESULT IN PCNALTtES
I(we)declare that this application(including any accornpanying lnformatlon)has been examined by me(us)and to the best of my(our)knowledge and bellef It is true,correct and
complete. I(we)acknowledge that I(we)am(are)responsible for the detall and accuracy of all informatlon 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 liabllity which may be a result of Sawyer County relying on this information I(we)arn(are)provlding in or
with this application.I(we)consent to county officials charged with administering county ordlnances to have access to the above described property at any reasonable time fo�the
purpose of inspection.Additionally,the u dersigned person(s)hereby give permission for access to the property for onslte Inspection by Munlclpal Offlclals.
Owner � —
Signature � Owner ` i '
Printed name Date 1 1��� ����
(Signature and Printed Name required)
NOTICE: All Land Use Perrnits Expire One(1)Year from the Date ot Issuance.
For t e Construction Of New One&Two Famity Dwelling: ALL MunicipaGties Are Required To Enforce The Uniform Dwelling Code.
The local Town,State or Federal agencies may also require pennits.
You are responslble for complying with the requirements of the Sawyer Counting Zoning Ordlnances and law and regulatlons of the State of Wlsconsin.You are also responsible for
complying wlth State and Federal laws concerning construction near or on wetlands,lakes,and streams.Fallure to comply may result in removal or modification of construction
that violates the law or other penalties or costs. For rnore information,vislt the department of natural resources wetlands identlflcation web page or contact a department of
naturalresourcesservice center(608�267-3125
Issuance Information(County Use Only) Sanitary Number. � ���` 1�O` p of bedrooms: .
v �
Permit Denied(Date): Reason for Denial:
Permit p: fssuing agent:
� --� _ �� , l Date:
�3� L��
�� �b
Is Parcel a Sub-Standard Lot I�Yes (Deed of Record) '�!CNo
Is Parcel in�ommon Ownership `ytYes �fused/Contiguous Loc(s)) I No Mitigation Required I:!Yes o
Is Structure Non-Conforming :I Yes �Na Mltigation Attached Li Yes No
Granted b Variance(B4O.A.) Gran ed b Conditional Use
;Yes . o Case#: ]Yes No Case il:
Was Parcel Legally Created "�Yes �!No Were Property Lines Represented 6y Owner �Yes No
Was Proposed Building Site�elineated �,rYes I_i No Was Property Surveyed �Yes No
Office Comments: 2one District: Fee: �
{� �1 � ��
I�
Hold For Sanitary: Hold For 78A: I Ho�d For Affidavit: � Hold For Fees: . �_
�feb2021 �
11/9/22, 12:58 PM Novus-Wisconsin Access rev. 13.1'108
Real Estate Sawyer County Property Listing PropertyStatus:Current
Today's Date: 11/9/2022 Created On: 2/6/2007 7:55:19 AM
�='+'Description Updated: 11/16/2�10 � Ownership Updated 2/15/2021
Tax ID: 10921 LUND REV LIVING TRUST MINNETONKA MN
PIN: 57-010-2-41-08-14-5 OS-001-00�150
Legacy PIN: 010841145ll5 Billing Address: Mailing Address:
Map ID: :1.15 LUND REV LIVING TRUST LUND REV LIVING TRUST
Municipality: (O10)TOWN OF HAYN/ARD 15540 WILLOWOOD OR 15540 WILLOWOOD DR
STR: 514 T41N ROBW MINNETONKA MN 55345 MINNETONKA MN 55345
Description: PRT GOVT LOT 1 LOT 3 CSM 6/334
#1293 � Site Address *indicates Priva[e Road
Recorded Acres: 0.600 12725W FABMY W * HAYWARD 54843
Lottery Claims: 0
Firs[Dollar. Yes
Waterbody: Round Lake -J Proper[y Assessment Updated: ll/9/2015
Zoning: (RRl)Residential/Re�rea[ional One 2022 Assessment Detail
ESN: 444 Code Acres Land Imp.
G1-RESIDENT]AL 0.800 336,400 126,300
� Tax Districts Updated 2/6/2007
2-YearComparison 2021 2022 Change
I State of Wismnsin Land: 336,400 336,400 0.0%
57 Sawyer County Improved: 126,300 126,300 0.0%
OSO Town of Hayward 7otal: 462,700 462,700 0.0%
572478 Hayward Communiry School Dlstrict
001700 TechnicalCollege
• Recorded Documents Updated: 11/16/2010 �Property History
0 QUIT CLAIM DEED N�A
Date Remrded 2/15/2021 429970
O TRUSTEES DEED
Date Recorded: 10/9/2020 4D144
� CORRERION INSTRUMENT
Date Recorded: 3/18/2016 400270
O SPECIAL WARRANTY DEED
Da[e Recorded: 11/3/2010 369653
O WARRANTV DEED
Date Remrded: 9/14/2005 333428
� CERTIFIED SURVEY MAP
Date Remrded: 7/23/1979 170597
� 1/1
https://ta s.sawyercountygov,orgllAccess/ma ste r.as p
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_ Notes
0.3 0 0.13 0.3 M110S C�I�i ��ir.'c� �i i i �nn�,�:i� i �i ur.��� on u �,e�naps 3s eee��oo�a n��'*o���� . �=o�,r,
soumes. and .ue of v�rying aye. rehobili�y and resolubon.Thesr, maps nie nut intendeil to be
used for navigation, nor are these maps an authorrt�tive source of informatlon about leyal land
ownership or public access. No warranty,expressed or implied, is made regarding accuracy,
n�qp �gFy3 HARN WisCOnsin_TM 1 : 7 920 �nnlicabiliry(or a particular use. completeness. or legality of the information depicted on this
_ _ — m,ip. For more tnfonnation. see the DNR Leyal Notices web paye�. http-ildncwl.povdeg�C