HomeMy WebLinkAbout026-939-17-5219-LUP-2022-506 SUBMIT COMPLETED APPLICATION AND
FEero: APPLICATION FOR LAND USE PERMIT Q `
Sawyer County SAWYER COUNTY,WISCONSIN N
2oning&Conservation Depart. ( �r�—qQ s��(P�e�'��';lre � ��� �,J
�a�e�
10610 Main 5t 5uite 49 l � ;`� f� !,�p��=��,j`J � \
Hayward,WI 54843 i _-��.`'!�� u p ( /�
(715)634-8288 � v �..h�� � a�� -. " �
e_ OCT 2 4 2022 ��;�t# �, wo�- E� ��`���t `� �
irvS7RUCnONS No permits will be issued until all tees are paid. -- r���'
Checks are made payable to:Sawyer[ountyZoning Department . _,.;��� ;
'� �I�:..f ' '�
.. _
DO NOT START CONSTRUCiION UNTIL ALL PERMITS HnVE_BEEN iSSl1E,A jO�1PP#iGAt�� �� �Qi�'{�cati�n MUST be submitted FILLOUT IN INK (NO PENCIL)
. __--- � ---._
Submittal ot this appllcation or receipt of fees does not constitutP permit issuance.
Owner(s)Name: Contractor(s)Name
/q�8�'�" �,t��� �.�
MaiUng Address: Maiiing Address:
��a Z 4�o �� 70
Phone: ��` q��' ��, �!� Phone:
.7 'i4M� �L.:J
Email: /'7 BO J"',�}c�c�1��mA/s. ��� Email:
Site address: � Or Date applied for:
legacy PIN# o�.� - `i 3� - ��- s a�� Town of: �G �� —
Permit delfvery Method ,o�,all Owner �Maii Owner o Call�ontractor c Mail Contractor
c �
�Is Property/Land within 300 feet of River,Stream pnd. Distance Strudure is from Shoreline: is your Property
Intermittent) � Are Wetlands
Creek or Landward side of Floodplain? If yes--continue feet in Ftoodplain PreSpnt?
i Shareland zo�e?
Yes Yes
-:Is Property/Land within 1000 feet of Lake,Pond or flowage Distance Structure is from Shoreline: Nn
If yes---continue —► fE2t No
Non-Shoreland
Describe Project Total#of
Value atTime of project type Foundation What Type&Capacity is the
completion �House,garage,shed,deck, Number �gasement, bedrooms Sewer/Sanitary System(s)
`indude donated Of$tori@S Post
Addition,etc...) Crawlspace,
time&material ) canstruction
List separately Slab
$ ����, � l z ��a R�
�Dwelling
���� s�'^ ��-�7�
s
Aaessory B�dg
�
Addltlon/Alteration
Height:
TotalSquare Lowest
Pro osed Use ✓ Proposed Struckure Dimensions Footage Grade to
P �multlply per Highest
story) Peak
Residence ( X )
Ft.
with 2"a story or loft � X ) Ft.
( X )
with easement Ft.
( X )
❑ Residential Use
Attached Garage Ft.
Accessory Structure(exPia��) { X )
❑ AgCICU ItU�8I (detached garoges,sheds,boat houses,etc.) Ft•
U5e � X �
Temporery Guest Quarters or Bunkhouse�circie type) Ft.
( X )
� Commercial/ Deck/Porch/Patio Ft.
Industrial Use � x )
(2"d)Deck/Porch/Patio Ft.
❑ Municipal Use ( x )
Other(explain) Ft.
❑ Other Principal Strudure(Agricuiturai,commerciai,Munlclpal,Etc.) f��� x 9�0 , ) ��Q d Ft.Z 6,
I X )
Addition/Alteration�exPia��) ft.
Total Non-habitable square feet: ����'
Total habitable square feet:
(decks,patios,garages,sheds,storage area&other structures)
Original App�ication MUST be submitted
Attach a Plan or Skecct,yQur Property on 8.5"x 11"or 8.5"x 14"paper:"Must•Include location and setback of proposed and existing struccures,roads,
driveway,sanitary components,well,lake,river,stream,and wetlands.
� Descri tion Setback Sat6ack
P Measurementa Description Measuremencs
Setback from the Centerline of Platted Road and/or Feet Setback from the Lake(ordinary high-wa[er 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 �f p Feet Setback from Wetland Feet
Setback from the West Lot Line S feet Slope within area of construction/disturbance %Slope
Setback from the East Lot Line s Feet Elevation of Floodplain feet
Setback to Septic Tank or Haiding Tank �— Feet Setback to Well feet
Setback to Drein Field 1 Feet
Setback to Privy�Portable,Composting) Feet
Prlor to the placement or consuuetlon of a svutture within flve(5)feet of tne minimum required setback,the boimdary I���n<f:orn whlch the setback must Be meawred must be visible frorn one
previously surveyed corner to tne other pi ev�ously surveyetl corner or marked by a licensed surveyor at the owner's expense. �
r^nor to the placement or construction of a struaure more than five(5)feet but less than ten(10)feet from the minimum requiied set6ack,tfie boundary line from which the setback must be
measured must be visible Gom one previously wrveyed corner to the other previouzly surveyed mmer,or veritiabie by the Department by u,e of a corrected compass from a known corner
within 500 feet of the proposed site of the structure,or murt Ge marked by a licensed surveyor at the owner's expense. - �
� ' r . •.• • • • .• • . •• .
Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrate.The Zoning Office can help you determine if a
wrface is considered impervious)
Calculate lot are
Indicate lot size from M 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 your projects listed above(inciude eaves): sq ft.
Determine the total size,in square feet,of all existing•roofed structures(include eaves�: sq ft.
Determine the total size,in square feet,of al.ekistin �
J g{�raved/bricked/blocked surfaces: sq ft.
i
Add these measuvements to determine total impervious surfaces: Sp{t,
Calculate impervious lot perce,ntage
Total impervious surface' J =Lot area: Sq ft.X 100=impervious surface %
(Mitigation is required if total 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'••
6rading on a slope greater than 209� Grading of more than 1,000 Sq.Ft.on 12%-20%slapes
Grading of more than 2,000 S .Ft.on Slopes less than 12% Grading is in excess of 10,000 Sq.Ft.
-��JWRE �CC�i3i;U�AFI"ntJ; r,�jTAR�INGCGNSTRUC71GNW17N0UTl�{rlti��ilTL'iIL�� 1'E�GLTINf'ENl�LIIES
I(we)declare that this application(including any accompanying information)has been examined by me(us)and to the best of my f our)knowledge and belief it is true,correet and
complete. I(we)acknowledge that I(we}am(are)responsible for the detail and accuracy of all information I(we)am(areJ providing and that it will be relied upon by Sawyer
County in determining whether to issue a permit. I(we)further accept liabllity whith may be a result of Sawyer County re�ying 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 by Municlpal Officlals.
Owner
Owner �f
Signature Printed name "b$�J�� � � �r+ /ar -�,Z�f�,/..�z
,_„�_Date_
(Signa[ure and Printed PJame required)
TICE: All Land Use Perniits Esplre One(1)Year from thP Date of Iss�ance.
For the Construc[ion � e�,v pne&Two f-amlly Cwelling: AI L Munlcipalities Ar2 Reyuired To Enforce The Uniforrr�Dwel(ing Code.
�he local lc>�vr�,,Stat��ur Federal agencies may als�requlre 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 Federel laws concerning construction nea�or on wetlands,lakes,and streams.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
naturai resources service center(608)267-3125
issuance Information(County Use Only) Sanitary Number: #of bedrooms:
Permit Denied(Date�: Reason for Denial:
Permit tt: Issuing agent: � Date:
o�n � L Co , /"�-�- "� �� �� �
Is Parcel a Sub-Standard Lot ;i Yes �Deed of Record) '� �No
Is Parcel in�ommon Ownership �I,Yes (Fused/Contiguous Lot�s)) I No Mitigation Required C:Yes No
Is Structure Non-Conforming ;I Yes � Mitigation Attached LI Yes ���No
0
Granted by Variance(B.O.A.) Granted by Conditional Use
❑Yes �_ o Case q: "',Yes� No
Case#:
Was Parcel Legaily Created �Yes :�No Were Property Lines Represented by Owner �Yes No
Was Proposed Buiiding Site Delineated Yes I_�No Was Property Surveyed �es
No
Office Comments: 2one District: Fee:
C--�- � � I o� �
Hold For Sanitary: ' Hold For TBA; _ Hold For Affidavit: Hold for Fees:I J
�Fe62021
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10/24122,1:58 PM Novus-Wisconsin Access rev.13.1108
Real Estate Sawyer County Property Listing Property Status:Current
7oday's Date:10/24/2022 Created On:4/29/2010 9:3929 AM
�Description Updated:8/23/2021 �Ownership Updated:8/23/2021
Tax ID: 40746 � ROBERT N BERG STONE LAKE WI
PIN: 57-026-2-39-09-17-5 OS-002-000190 R08ERT]BERG RICE LAKE WI
Legacy PIN: 026939ll5219
Map ID: :2.19 Billing Addreu: Mailing Address:
Municipality: (026)TOWN OF SAND LAKE ROBERT N BERG ROBERT N BERG
STR: 517 739N R09W 16206W S7ATE HWY 70 16206W S7ATE HVJY 70
Description: PRT GOVT LOT 2 LOT 3 CSM 31/72 STONE LAKE WI 54876 STONE LAKE WI 54876
7t7680
Remrded A[res: 1J50 �Site Address *indicates Private Road
Lottery qaims: 0 16206W STATE HWY 70 STONE IAKE 54876
First Dollar: No
Zoning: (A-1)Agrialtural One
(C-1)Commer[ial One
J praperty Assessment Updated:9/28/2017
ESN: 423 2022 Assessment Detail
Code Acres Land Imp.
�Taz DistricLs Updated:4/29/2010 GbCOMMERCIAL 1J50 10,400 0
1 State of Wis[onsin Z�Year Camparison 2021 2022 Change
57 Sawyer Counry �and: 10,900 10,400 0.0%
026 Town of Sand Lake Improved: 0 0 0.0%
SR478 Hayward Community School Distric[ Total: 30,400 10,400 0.0%
001700 Technical College
.Recorded Documents Updated:4/29/201�
�WARRANTV DEED � � � � � �P�oPerty History
Date Recorded:1/5/2021 429042 Parent Properties Tax�ID
O TERMINATION OF DECEDENTS INTEREST 9-026-2-39-09-ll-5 OS-002-000010 28637
Date Remrded:5/3/2013 384833 57-026-2-39-09-ll-5 OS-002-000120 28640
9-026-2-39-09-ll-5 OS-002-000130 28641
0 WARRANTY DEED 57-026-Z-39-09-17-5 OS-002-000140 28642
Date Recorded:4/26/2010 366155 57-026-2-39-09-17-5 OS-002-000150 28643
�CERTIFIED SURVEY MAP
Date Remrded:1/19/2010 364770
_ . — ._._.____ .___. _— :
HISTORY O Expand All History White Nrrent Parcels Pink=Ret ed Par[els
�Tax ID:28643 Pin:57-026-2-39-09d7-5 OS-002-000150 Leg.Pin:026939175215 Map ID::215
O Tax ID:28642 Pin:57-026-2-39-09-17-5 OS-002-000140 Leg.Pin:OZG939175214 Map ID::Z14
O Tax ID:28641 Pin:57-026-2-39-09-17-5 OS-002-000130 Leg.Pin:026939ll5213 MaD ID::2.13
O Tax ID:28640 Pin:57-026-2-39-09-17-5 OS-002-D00120 Leg.Pin:026939175212 MaD ID::2.12
OTax ID:28637 Pin:57-026-2-39-09-17-5 OS-002-000010 Leg.Pin:02fi939175201 Map ID::2.1
40746 This Parcel Parents Lhildren
https:l/tassawyercountygov.org//Access/master.asp ���