HomeMy WebLinkAbout012-739-04-5101-LUP-2022-514 SUBMIT COMPLETED APPLICATION AND
FEETo: APPIICATION FOR LAND USE PERMIT O 1
Sawyer County , ~
Zoning&Conservatfon Depart. � r. �
10610 Maln StSuite 49 j j '����`"� � �a �� --�---� �
Hayward,WI 54843 �V ' Q 9Q24 V � o�k 3
(715)634-8288 �� � �hk# .�..e_ �1
SAV�,�r�R CQU�!i\� Rcpt# N�w,r,� �L�as5 �
INSTRUCTIONS: Mo permitr wlll be issued until all fees are paid. 7 .--�-,- ~��
Checks are made payable to:Sawyer Counry 2oning Department.
DO NOT START CONSTRUC710N UNTIL ALL PERMITS HAVE BEEN ISSUED 70 APPL�CANT. O�iQinel AppliCatiO�MUST b0 SUbRlitted FILL OUT IN INK (NO PENCIL)
Submittal of this application or receipt of fees does not constitute permit issuance.
Owner(s)Name: Contrector(s�Name
^,� u�::' I-t �C 1'! �� S e l-�
Malling Address �C{�'�� Mailing Address:
� h IV C r. 1 ,, /'
li � �I�� �J u r": ��,r l v u(�1'6�1 W�'�.
Phone: � i�r���� c"0(�,� Phone:
J -1
EmaiL• V._ ;Gj ' � �1 <-:� � Yltc _� : �.L �' Email:
r
51te address: ��, 11'i� Or Date applied for:
legac PIN Jt d, � -��(� ��L1�� �� � Town of: �-K�
Permlt delivery Method 6�Call Owner u Mail Owner o Call Contractor r_Mail Contrector
"Is Property/Land within 300 feet of River,Stream f��ci, Distance Strudure is from Shoreline: Is your Property
incarm�ccenQ —► feet in Floodplain A�e Wetla�ds
Creek or Landward side of Floodplatn? If yes---mntinue � Prcsent?
,�Shoreland --- zo�e.
Yes Yes
; is Property/Land within 3000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: N�
If yes---continue —p feet N�
J Non•Shoreland
Desc�ibe ProJect Totai q of
value at�Ime of p�oject type Foundation What Type&Capacity is the
Completfon Numbe� bedrooms
'include donated (House,garage,shed,deck, (Basement, Sewer/Sanitary System(s)
Addition,etc,,,) of Stories Crawispace, ►'ost
time&material ��st separately Slab) �onstruction
5
� �
Dwclling —
5
Accessory Bldg
S `�f�"���
AddfNon/Alteratlon
�( �\F ��-.� r-��,L' , � `�(4 �
Height:
Total Square Lowest
Footage Grade to
Proposed Use ✓ Proposed Strudure Dimensions (multiply per Highest
story) Peak
Residence � x �
Ft.
with 2^d story or loft � x �
Ft.
with Basement � X , Ft. �
Attached Garage� { x �
�7 Residential Use Ft•
ACC055ory StruttUre(explaln) � ( x )
❑ Agrieu ltu ral (detached garages,sheds,boat houses,etc) Ft.
Use Temporary Guest Quarters or Bunkhouse(circie type) t X )
Ft.
�� ommer Deck/Porch/Patio ( X �
Ft.
Industrial Use t x )
(2"d)Deck/Porch/Patio Ft.
L7 Municipal Use
Other(expla�n) ( x �
Ft.
❑ Other ( x }
Principal Structure(ngr�cuicurai,Commerdal,Munidpal,Etc.) �t.
t x J
� Addition/Alteration�exPlain) :{ M''� v. � �� W Ft.
Total habitable square feet: � Totai Non-habitable square feet:
( `rj (decks,patios,gareges,sheds,storage area&other structures)
O�iginal 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 exlsting structures,roads,
driveway,sanitary components,well,lake,river,stream,and wetlands.
Oescri tio� Setback Setback
P Measurements Description Measurements
__.._.__�.----
et ack from the Centerline of Platted Road and/or Feet Setback from ihe Lake(�rdinary high•water mark) Feet
Setback from the Established Right-of-Way Feet Setback from the River,Stream,Creek Feet
Setback from the Bluff i/applicable Feet
Setback from the North Lot Line Feet
Setback from the South Lot Li�e Feet Setback from Wetland Feet
Setback from the West Lot Line Peet Slope within area of construction/disturbance %Slope
Setback from the East Lot Line Feet Elevation of Floodplain Feet
Setback to Septic Tank or Holding Tank Feet Setback to Well Feet
Setback to Drein Field Feet
Setback to Privy(Portable,Composting) Feet
Prior to the placement or construction of a struaure wi!hin five(5)feet of the minimum required setback,the boundary line from which the setback must be measured must be visible from one
previously surveyed corner to the o[her previously surveyed mrner or marked by a licensed surveyor at the owner's expense.
Prior ro the placement or mnstruction of a structure more than five(5)feet bul less than ten(10)feet from the minimum required selback,the boundary line from which the setback must be
m�asured must be visible trom one previously surveyed comer to the other previously surveyed corner,or verifiable by the Department by use of a corrected compass from a known corner
within 500 feet of the proposed site of the structure,or must be marked by a licensed surveyor at the owner's expense.
. . � . •.• • • • . . �_ � — - -
Calculate impervlous surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrete.The 2oning Offite can help you determ{ne lf a
surface 1s consldered impervfous]
Galculate 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 your projects listed above(include eaves): sq ft.
Determine the total size,in square feet,of all existing roofed structures(include eavesj:_ 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: ________ Sq{t,
Calculate impervious lot percentage
Total impervious surface: =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 indicated on previous page and meets criteria below"•`
Grading on a slope greater than 20% 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 in excess of 10,000 Sq.Ft.
� FA�LURE TO QBT�IN A P:_RM�i or�TARTING CONSTRUCTION WITHOUTA PERMIT WILLRESULT IN PENAL1lF5
I(we)declare that this application(including any accompanying Informatlon)has been examined by me(usj and to the best of my(our�knowledge and bellef lt is true,correct and
cornplete. I(we)acknowledge that I(we)am(are)responsible for the detall and accuracy of all informatlon I�we)am(areJ providing and that It will be relied upon by Sawyer
County in determining whether to issue a permiL I(we)further accept liablllty which may be a result of Sawyer County relying on this information I(we)am(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 for the
purpose of inspection.Additionally,the undersigned person(s)hereby give permission for access to the property for onslte lnspection by Munlclpal Offlclals,
1+ � ��
Owner � �� ` _ ,
c r� � Owner � ' � ` � � , } �
Signature � '1� .�,�}'� r ��' 'k.�._. _ printed name � J� + � , � Date
� (Signature and Printed Name required)
NOTICE: All Land Use Permits Expire One(1)Year from the Date of Issuance.
For the Construction Of New C�ie&Two Family Dwelling: ALl Municipalities Are Required To Enforce The Uniforrn Dwelling Code.
1 he��local Town,Staie or Federal agencies may also require permlts.
You are responsible for complying with the requirements of the Sawyer Counting Zoning Ordlnances and law and regulatlons of the SYate of Wisconsin.You are also responslble for
complying wlth S[ate and Federal laws concerning construction near or on wetlands,lakes,and streams.Fallure to comply may result in removal or modlfication of construction
that violates the law or other penalties or costs. For more informatlon,vislt the department of naturel resources wetlands identlflcation web page or contact a department of
naturalresourcesservice cenYer(608�267-3125
Issuance Information(County Use Only) Sanitary Number: ���#of bedrooms:
�
Permit De�ied(Date): Reason for Denial:
Permit�: Issuing agent� Date:
��- S i 1� �� aa v��-
�
Is Parce)a Sub-Standard Lot 'i Yes (Deed of Record) �No Mitigation Required I_!Yes �No
Is Parcel In Common Owne�ship �Q Yes (Fused/Conciguous Lot�s)) 'No Mltigation Attached !_i Yes L..No
Is Structure Non-Conforming �i Yes �lo
Granted by Varfance(B.O.A.) Granted by Conditional Use V
7 Yes _ o Case p: ]Yes r'�No Case q;
Was Parcel Legally Created �Yes C!No Were Property Lines Represented by Owner �Yes No
Was Proposed Building Site Delineated ^:�Yes I_!No Was Property Surveyed y,'Yes No
OHice Comments: �. �.� G,���� Zone District: fee:
�,�-� ,�-a ��s
Hold For Sanitary: Nold For TBA: ' Hold For Affidavit: I Hold For Fees: 1
�Feb2071
J
11118/22,12:12 PM Novus-Wisconsin Access rev.13.1108
Real Estate Sawyer County Property Listing Property5tatus:Current
Today's Da[e:11/18/2022 Created On:2/6/2007 7:55:25 AM
�Description Updated:9/S1R006 'y Ownership UDdated:2/6/2007
7axID: 14577 � � MICHAEL N&]UDI7H A PAYNE COUDERAY WI
PIN: 57-012-2-39-07-09-5 OS-001-000010
Legacy PIN: 012739045101 Billing Address: Mailing Address:
Map ID: :1.1 MICHAEL N�JUDITH A MICHAEL N&JUDITH A
Municipality: (012)TOWN OF HUNTER PAYNE PAYNE
STR: 504 T39N ROTN 7042N LAKE SHORE DR 709ZN LAKE SHORE DR
Description: PRT GOVT LOT 1 LOT 1 CSM 26/35 COUDERAY WI 54828 COUDERAY WI 54828
#6835 CSMAFF 324980 CSMAFF 329655 ,e
Recorded Acres: 3.310 r Site Address indicates Private Road
Lottery Qaims: 1 7042N LAKE SHORE DR * COUDERAY 54828
First Dollar: Yes
Waterbody: Blueberry Lake �Vroperty Assessment Upda[ed:9/26/2016
Zoning: (A-2)Agriml[ural Two
(RRl)Residen[ial/Recreational One 2022 Assessment Detail
ESN: 412 Code 'Acres Land Imp.
G2-COMMERCIAL 3310 160,100 123,400
�Tax Dis[ricts Upda[ed:2/6/2007
1 � � � State of Wisconsin Z'Year Comparison 2021 2022 Change
57 SavuyerCounty Land: 160,100 160,100 0.0%
012 Town of Hunter Improved: 123,400 123,400 �.0%
572478 Hayward Communiry School Distrit[ Total: 283,500 283,500 0.0%
001700 Technical College
+ Recorded Dacuments Updated:4/4/2008
G7 Property History
�WARRANTYDEED ...........____. .._ _. N�A
Date Recorded: 325212 WD325212
AFFCOR325279
httpsl/tassawyercountygov.org/IAccess/master.asp 1/1
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