HomeMy WebLinkAbout014-841-07-2107-LUP-2022-516 SUBMIT COMPLETED APPIICATION AND
FeEro: APPLICATION FOR LAND USE PERMIT �
Sawyer County �
2oning&Conservation Depart. 1 i P�lj� �.=� ; � �
10610 Main St Suite 49 � � '`"=_' j '_���C�„_��„_� �� '�` �
...�-._�.,�.����.__. �
Hayward,WI 54843 ���# ( `
��ls►6�_$Z$$ SEP 2 3 2022 —�3—� � �
i�is'RUCriDr�S No permits will be issued until all fees are paid. SA��ER COU.N�AT� Rcpt# N� wo��� ��9 a �
Checks are made payahle to:Sawyer County Zoning Department. �
DO NOT START CONSTRUCTION UNTIL ALL PFRMITS HAVE BEEN f55UED TO APPLICANT. O�igi�dl AppllCdtiOfl MUST b2 SUbTitt2d FILL OUT IN INK (NO PENCIL)
Submittal of this application nr receipt of tees does not const!tute permit Is<uan<e.
Owner(s)Name: `` S ' � ��e/l/ Contractor(s)Name
l G� VUYI / I
/7� er;, � s `�o g�e.v (,l,P NO2� 1�.�-fi�G�-S
MailingAddress: � Mailin Addresr.
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Phoae:�/� — 3 P(P — L// �S Phone:
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EmaiL• �'��`.S CJ rf N �— 9��G�i�• C C/')'�'� Email: r—
Site address: i �/ "7 N / / ,� LLcr1� Or Date applied far. � ,__
Legacy PIN tf ' (.� � 7 a �/ ��/Q Town of: �"f/v�U 6 /
Permit delivery Method ❑Call Owner ❑Mail Owner �ail Contractor ❑Mail Contractor
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�Gz--x, .Z� � L 3 y/ ---
Is Property/Land within 300 feet of River,Stream p�ci. Distance Structure is from Shoreline: Is your Property
�ntermittent) � Are Wetlands
feet in Floodplain
Creek or Landward side of Floodplain? If yes--continue Present?
; Shoreland zone? i
Yes Yes
Is Properry/Land within 1000 feet of lake,Pond or Flowage ' Distance Structure is from Shoreline: No
If yes--continue --� feet NO
� '
_ Non-Shoreland
Describe Project
Value at Time of 7otal#of
Project type Foundation What Type&Capacity is the
Compietion Number bedrooms
, , � , ,i � (House,garage,shed,deck, (Basement, Sewer/Sanitary System(s)
addition,etc...) of Stories Crawis ace, Post
time&matenal �ist separately Slab �OnStfuttion
�
S � �p(� i3 u.�-�.-F.c l� wi'//
�� � � r�-rciq L � 5/A-/� � s �
Owelling
$ � C.�3v��t�s(��i a/t�.� )
Ac[essory Bldg
S
Addition/Altera[ion
Height:
Total Square lowest
Proposed Use ✓ Proposed Structure Dimensions Footage Grade to
(multiply per Highest
story� Veak
Residence ( x �
Ft.
with 2"d Story or lOft ( x �
Ft.
with Basement ( X �
Ft.
x �1 ) � v
�Residential Use ✓ ��'arage ( o'Ll U��i y(i '1i FL / �O
Accessory Strudure(exPia��� ( X �
J Agricu Itural (d=tached garages,sheds,boat houses,etc� Ft.
Use Temporary Guest Quarters �BUnI(F10U52(Grdetype) ( �� x 3 } a�� � �
Ft.
r Commercial/ Deck/Porch/Patio ( x �
Ft.
Industrial Use � X �
(2nd)Deck/Porch/Patio Ft.
L Municipal Use ( x �
Other(explain� Ft.
� Other ( x )
Principal StruCture(Agricultural,Commercial,Municipal,E2c.)
Ft.
Addition/Alteration�exPia��� ( x '
Ft.
Total Non-habitable square feet: yli2.
Total habitable square feet: a �� / (decks,patios,garages,sheds,storage area&other structures)
Original 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 existing structures,roads,
driveway,sanitary components,well,lake,river,stream,and wetlands.
— — -- --- -----.
Oescription 5etback Description Setback
Measurements Meawrements
--- �
— - —__ — ---
Setback from the Centeriine 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 l� Feet
Setback from the North Lot Line Feet
Setback from the South�ot Line / U Feet Setback from Wetland / 0 Feet
Setback from the West Lot Line 2/D Feet i Slvpe within area of construction/disturbance �Slope
Setback from the East Lot Line /'Z feet ; Elevation of Floodplain Feet
Setback to Septic Tank or Holding Tank �j Feet Setback to Weli feet
Setback to Drain Field �!J Feet
Setbackto Privy(Portable,Composting) �Feet
. ..., . . � . . � � . -���ithin flve(5)tee:�f;F�mi;��-ricm reqolred setback,She boundary hre from a�hlch;he setback musr 6e R�easured must be v��s�b'e from one
. ., ., �. - � . -.�rveyetl comeror ma�a�-d-,=I-�ensed s,irveyor atthe owner's eXpense.
� ��. Gacement or constructlon of a structure more than five(5)feet 6ut iess than ten(10�feet from the minimum requ�red se:brck,the bo������.-t�,-�;��r����c���„�r.��;�the sethack mu,t oe
� ��.�st be wsible from one prewously surveyed comer to the other previo�sly surveyed comer.or verifiabte by the Depdrtrnent by u<e oi, ,� ..,� ����:,��+ �������ecwn mrner
- ��et of the prepr,sed site of the structure,or must he rnarked by a hceoseC s�.mieyor at-hP owoe�'s expense
i
i � � ' � � •�• • • • �' • • �• �
Calculate impervious surfates.(Roofed,concrete,paved,and other wrfaces that wate�cannot penetrate.The Zoning OfRce can help you determine if a
wrface is considered impervious)
�---
' Calculate lot area:
i Indicate lot size from CSM or NOVUS(circle one): Acres;Multiply by 43,560=Lot area: Square Footage
i
i 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 eaves�: sq ft.
� Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: sq ft. i
i ;
', Add these measurements to determine total impervious surfaces: sq ft. !
� Calculate impervious lot percentage
', Total impervious surface: =�ot area: Sq ft.X 100=impervious surface %
j (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 o�previous page and meets criteria below"'
Grading on a slope greater than 20�o 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.
� -1 ..�. -�� � _;.p•..i .:- - � . �.�;CONSTRLC"uf. -r._� �. � . .�....I���,':
i i(we�declare that this application(includmg any accompanying Information)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 accurety 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 County relying on this information I(wej 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 Municipal Officials.
� Owner Owner Sn G p
Signature Printed name ��rr� / B/�� Date / � 23�aZ—
� ���.,. . � � �. � . . ��;me raqwre:!;
N0710E. All Lai.c��e� � � I�ea�tro�r tt����:i� ,� .
.. � _. . , ��it .��,Gne&TwoFar-�.ilyDs�r � _.._ ,"�r _::dlitiesAreRCc��C., <,-rr:. i,-_-�i'.�.rnit.r.,: i� __.._
-Fe local Town,SYate cr�Feder i agencies may akc reywre perr���t.
You are responsible fo�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 concerning construction near 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
natural resources service center(608)267-3125
�ssuance�nformation(�ounty use only} sa��ca��N�mbe�:�� _ .3 3 y � a ot bedrooms:
� Permit Denied(Date): ; Reason for Denial: (`.e C.p Yt N1 PG{- � 9 U�'�LL�.-2 � k7(.�-}'�1v0.�
I
Permit#: � Issuing agent: Date:
�� - � ) � ! -
l� �7 ��
Is Parcel a Sub-Standard Lot '!Yes (Deed of Record) N '
Mitigation Required Yes �'No �� ��Q I��
Is Parcel in Common Ownership I!Yes (Fused/Contiguous Lot�s�) N Mitigation Attached 'Yes �:No V
Is Structure Non-Conforming 'Yes No
Granted by Variance(B.O.A.) Granted by Conditional Use
'Yes "'No Case#: Yes ' No tase tt:
Was Parcel Legally Created Yes No j Were Property Lines Represen[ed by Owner Yes No
Was Proposed Building Site Delineated Yes No � was Property Surveyed Yes �:No
Office Comments: Zone District: Fee:
12+�- � i � a�(�
Hold For Sanitary: Hold For TBA: ' ' Hold For AH,da�:,t Hold For Fees:
�San2o2o
9/22/22,12:36 PM Novus-Wisconsin Access rev.'13.7108
Real Estdte Sawyer County Property Listing Property Status:Current
Today's Date:9/22/2022 Created On:2/6/2007 7:55:28 AM
��Description Updated:Ll/27/20ll �Ownership Updated:4/20J2020
..._ ..---__-_._ ...-._. _. .......- -__. _.. _.. ____.__.----._._....--- ..._._.
Tax ID: 16341 AARON 7 SJOGREN LIVING 7RUST ��� GOLDEN VAILEY
PIN: 57-014-2-41-OS-07-2 01-000-000070 MN
Legacy PIN: 014841072107
Map ID: .5.7 Billing Address: Mailing Address:
Municipality: (014)TOWN OF LENROOT AARON T S]OGREN LNING AARON T SIOGREN LIVING
STR: S07 T41N ROSW- TRUST TRUST
Descrip[ion: PRT NENW LOT 56 CSM 27/199#7088 517 MEADOW LN NORTH 517 MEADOW LN NORTH
Recorded Acres: 3280 GOLDEN VALLEY MN 55422 GOLDEN VALLEY MN 55422
Lottery Claims: 0
First Dollar: Yes �Site Address *indicates Private Road
___..._-----------._..___------______.._
Zoning: (RRl)Residential/Recreational One 11670N BROOK LN * HAYWARD 54843
ESN: 400 �a
�+Property Assessment Updated:5/6/2022
� __. __ .--______ ...-_._ .__.
� Tax Districts Updated:2/6/2007 Z022 Assessment DeWil � � �
_. ._..__..--� ------- -.___----
1 Sta[e of Wisconsin Code Acres Land Imp.
57 SawyerCounty Gl-RESIDENiIAL 3.280 29,100 166,300
014 Town of Lenroot
572478 Hayward Community School Distnct 2-Year Comparison 2021 2022 Change
001700 TechnicalCollege Land: 29,100 29,100 0.0%
Improved: 0 166,300 100.0%
�•��Recorded Documeats Updated:4/20/2020 TotaL• 29,100 195,400 571.5%
___.._---------------�-----------..
�WARRANTY DEED
Date Recorded:3/27(2020 423159
� ROAD MAINTENANCE AGREEMEN7 �Property History . _ . __
Date Recorded:10/19/2020 427359 N//+ �
�WARRANTY DEED
Date Recorded:2/6/2007 344537
�CERTIFIED SURVEV MAV
Date Recorded:8/16/Z005 332646
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--- �UNKHOUSEITEMPORARY GUEST QUARTERS p,�l,; :���v�,�w�,;
AGREEMENT Tx :�+0�#1376
OwnePs Name(s) as shown on deed: 441$51
��� ` ' r� �n �� �. ✓ . � �y S� PAULA CNISSER
V wC � h REGISTER OF DEEDS
SAWYER COUNTY, WI
Parcel Identification Number: 10/ 14J2022 02:42 PM
(12DigitLeyacylD) Q � Y - g � L - QZ - .� L �.. � RECORDING FEE 3fl.00
This Agreement must include the following exhibite: pp{;F�; 4
Exhibit A: l�eqal Descriotion of the real estate for which this Agreement applies ('property")
Exhibit B: Land Use Permit Mao(s1 —shows an accurate location and layout of designated
bunkhouse or temporary guest quarters.
Retum to: Sawyer County Zoning and Conservation Dapartment
10610 Main St. Suite�9, Hayward,WI 64843
I, f1��� J� �R'�� hereby enter into an Agreement for BunkhouselTemporary Guest
Quarters on (date of agreement): OC i d l�� ���, 2�Z2 for property located at (address):
��li�� liR�o +� li!'i✓_ �y/y�(a� {✓JT �yp�� as described and attached hereto.
This agreement, signed by owner of propecty attached, hereby certifies that the requested bunkhouse or temporary guest quarters
meets the requirements as specifled in the Sawyer County Zaning Ordinance Secti� 4.26(4) including:
The independent �nd,alone Bu�khouse Accessory Strudure dces not exceed 250 square feet of footprint measured as the
exterior wall. The creation of walled otf bedroom areas are prohibited. Enclosed porches and entryways will be included in the square
footage not to exceed 250; decks will not be induded in these amounts. NQ other Accessory Structure oomponents allowed as part of
this structure (i.e. no garage portion, no bathroom portion, etc.). Plumbing af the Bunkhouse Accessory Structure is prohibited. Cooking
and Food Preparation facilities are prohibited. A Bunkhouse shall require a voluntary Uniform �welling Code (UDC) tnspection. The
height limit of the Bunkhause Accessory Stn�cture shall not exceed si�cteen (1 B) feet from lowest grade to highest peak. Leasing, rental or
use as a residence is stridly prohibited.
Temoorary Guest Quarters which are located within or as part ot an Accessory Structure shall not exceed 50 percent of the gross
floor area of the accessory structure with a maximum of 499 square feet of temporary guest area. Guest areas induding bathrooms,
utiliry rooms, entryways, and closets wlll be inGuded in the square footage not to exceed 499. The creation of walled off bedroom
aira� are Niui�iuiied. Siuieye area must be separate and segregated from any guest area (can have a door irom the guest area to the
storage area). Plumbing, if installed, in the Temporary Guest Quarters Accessory Structure shall conform to the State & Sawyer
County Sanitary Codes. If there is an existing Private Onsite Wastewater Treatment System (POWTS) on the lot it must be sized to
handle the number of occupanls in the Temporary Guest Quarters. Cooking and Food Preparation Facilities are prohibited. A
Temporary Guest Quarters Accessory 5tructure or bunkhouse shall require a voluntary Unitorm Dwelling Code (UDC} Inspection.
Leasing, rental or use as a residence is strictly prohibited.
The owner(s) further agrees to allow authorized representatives of the Governmental Unit to enter onto the owner's property at the
above description between the hours of 8:OOAM and fi:00PM, Monday thraugh Friday. [Section 9.13(1) POWERS, Sawyer County
Zoning Ordinance) to determine N Bunkhouse Accessory Structures or Temporary Guest QuaAers meet specified ordinance
requirements and may be subject to intemal inspection by the Sawyer County Zoning Department.
Violation of this Agreement will authorize, in addition to other penalties and relief required under the Sawyer County Zoning
Ordinance, injunctive re{ief, restoration of said property, atation for Falsifying Permit Applications. All paRies agree that this Agreement
shall be fifed with the 5avryer Co ty Zoning & Conservation Department and reco�ded with the Sawyer County Register of Deeds. The
property is subject to this A me n perpetuity, regardless of ownership transfer.
-onl one si re ro uired - ACKNOWLEDGMENT
Owner's Signature: . State of: (itJ� S �'r�ri S� �
County of: 5�.� � e r
Owner's Name (Prin : Subscribed and sworn to befg re me on this
G � -�r w��� /�,_day of OG�v b�� , 20 ZZ
Date: By {Owners Name): � vn S ' o .c ..�
/d ' Z- Notary Public Signature: `�C.L�.� ��-�-�- _-
Drafted by: � Public Notary Name (Print): _2h.,�c+k F�s Sn( f
� Z �dwS�• My commission expires
RHONDA K. PASSOLT
Personat infortnation you provide may be used tor set:ondary purposes [Privacy Law, § 15.04 (t) (m)] NO�y �����
State o l�Visconsm
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�� ��el �. n "rha� par� o� �h� IVnrthe�st (�uar�ter o� �he IVorthwe�t Quar�er
(IVE1/�. NV1/1/� }, Section S�ven ( 7) , Townsl�ip Forty�on� (4� �. ) North, Range
Eight ��) West, located in the �'own of Lenroot, �awyer Coun�y, Wiscon�in ,
mor�e partic� larly de�cribed as Lot 56 as r�corded i � �dolume Twen�yssev�r�
(27) of Cer�ffied Survey Maps, page �. 9g- 200, as Survey Na. 70�8 as
Dacument N�. 332E��GA
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