HomeMy WebLinkAbout010-941-33-4301-LUP-2022-522 SUBMIT COMPLETED APPLICATION AND
FEETo: APPLICATION FOR LAND T �
Sawyer County ��
Zoning&Conservation Depart. �I
10610 Main St Suite 49 amp eceived� ` ` 3 c t a� �
Hayward,WI 54843 NOV 2 9 2�22
(�is)6aa-szss � C Q$�` � �
SAWYER COUNT�� R��t#�e-i•� �J����:� �" `�33 3 �Q �
INSTRUCttONS: No permits wiil be issued untii aU fees are paid. (v aDMINISTRATION � /�-'
Checks are made payable to:Sawyer Counry Zoning Department.
DO NOT START CONSTRUCTION UNTIL ALL PERMITS HAVE BEEN ISSUED TO APPLiCANT, Otigin0l Application MUST b2 subtnitted FILL OUT IN INK (NO PENCiI)
Submit[al of this application or receipt of fees does not constitute permit issuance.
Owner(s)Name: Contractor�s)Name
f��� /v0/`�W`�t -y/�i'G,l1�l'i�S' �'c�G
Mailing Addr s: Maliing Address:
q6 D`f � �iu J`t,Ia r;`y e /dt�d 3 �w 27 l�
Phone: �I�JJ C� ^�s—"/ Phone: �/.S^ �'3y� /�7'�!�
Email: � (/N �(,Co�7 Email:
Site address: Or Date applied for:
Le acy PIN it �,V_,L-1 l�' ���(_ _ Town ot: (J
PermitdellveryMethod �Call Owner u Mail Owner ❑Call Contractor ❑Mail Contractor
�Is Property/Land within 300 feet of River,Stream (�nd. Distance Strudure is from Shoreline: Is your Property
Intermittent� --� feet in floodpla� Are Wedands
Creek or Landward side of Floodplafn? If yes--conti�ue � Vrcsent?
�.I Sho�eland Zone.
Yes Ye�
; Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: N
If yes--continue —► feet No
�Non-Shoreland
Describe Project Total#1 of
value at7ime of project type Foundation What Type&Capacity is the
[ompletion Number bedrooms
'include donated (House,garage,shed,deck, (Basement, Sewer/Sanitary System�s)
of Stories Post
Addition,etc...) Crawispace,
time&material List Separately Slab) ��nstruction
$ ��i e� f y'�y
Dwelling
s y�.�� ,
Accessory Bldg
5
Addltion/Alteration
Height:
TotalSquare Lowest
Proposed Use ✓ Proposed Structure Dime�sions Footage Grede to
(multiply per Highest
story) Peak
Residence � x �
Ft.
with 2"a story or loft � X �
Ft.
with Basement ( x �
Ft.
Attached Garage i x J
�Zf Residential Use Ft.
Accessory Structure(exPiai�) ( �� x �� )
❑ Agrieultural � (de[ached ganges,sheds,boat houses,etc} �„� � l�I� Ft. �
Use Temporary Guest Quarters or Bunkhouse(cr��ie eype) � X i
Ft.
❑ Commercial/ Deck/Porch/Patio ( x ' Ft.
Industrial Use
( X )
�Znd)Deck/Porth/Patio Ft.
❑ Municipal Use � X �
Other(explaln) Ft.
� Other � x )
Principal StruCture(Agrtcultural,Commerclal,Munlclpal,Etc.) Ft.
Addition/Alteration�exPia��) � X � Ft.
Total habitable square feet: Total Non-habitable square feet: `��
(decks,patios,gareges,sheds,storage area&other structures) �
Original Application MUST be submitted
Attach a Pian or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:wMust*Include location and setback of proposed and existing structures,roads,
driveway,sanitary components,well,lake,river,stream,and wetlands.
Description Setback Set6ack
Measurements Deuriptian
Measurements
Setback from the Centerline of Platted Road and/or ,g�; Feet Setback from the Lake(ordinary high-water mar Feet
Setback from the Established Right-of-Way d Feet Setback from the River,5tream,Creek Feet
Setback from the Bluff if applicable Feet
Setback from the North Lot Line p Feet
Setback from the South Lot Line p Feet Setback from Wetland Feet
Setback from the West Lot Line Feet Slope within area of construction/dist ance 9�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 Drain Field S/D Feet
Setback to Privy(Portable,Composting) ,/� Feet
Priw to thr plarement or construction of a struaure within five(5)feet of the minimum required setba�k,the boundary li�ie from which the setback must Ge measured must be visible from one
pr eviuusly surveyed corner to the oth2r previously surveyed corner or marked by a licensed surveyor at the owner's expense.
P�ior to the placement or construttion of a strudure more than five(5)feet but less[han ten(10)feet from the minimum reqwred sethack,the boundary line from whlch the setback must be
mr;�sured must be visible from one prevlously suiveyed corner to the oYher previously surveyed comer,or verifiable by the Department by use ot a corrected compass from a knuwn�orner
wltnin S00 feet ofthe proposed site of the struc[we,or must he marked by a licensed surveyor at tl;e owner's expensr.
. � . ..• • �
Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that wat cannot penetrete.The Zoning Office can help you determine if a
wrface is considered impervious) �
Calculate lot area: \
Indicate lot size from CSM or NOVUS(circle one):__ \ Acres• ultiply by 43,560=Lot area: Square Footage
Calculate impervious surface area:
Determine the total size,in square feet,of your projects listed above( c de eaves): Sq{�.
Determine the total size,in square feet,of all existing roofed structur s 'nclude eaves): sq ft.
Determine the total size,in square feet,of all existing paved/bric d/block d surfaces: sq ft.
Add these measurements to determine t al impervious urfaces: sq ft.
Calculate impervious lot percentage
Total impervious surface: =Lot area:�_Sq ft.X 100=impe 'ous surface /
, (Mitigation required if rotal exceeds 15%)
"`Notice a separate greding permit needs to be obtained if disturbed area is within the Shoreland district as indicated on previous page and meets cfiteuabQlnw"•'
Grading on a slope greater than 20% Grading of more than 7.,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.
FAiLURE TO CJUTAIN A VEkMii or STAR?ING CONSTkUC�ION WITHOUTl1 PERMIT WILL R'cSULT W PENALTIES
I(we)declare that this application(including 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 accuracy of all informatfon 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(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 Municipal Officlals.
Owner �yv�/�/�/J Owner /� �7
Signature—�=�a—��f Printedname ��5�/!J (7 �Q/'fIlV Date �Z�Z�—�li
�Signatu«�ar�d Pnnted Name�equired)
NOTICE: All Land Use Pennits Expire One(1)Year from the Uate of Issuance.
Fur the Construction Of New One&Two Farni�y Dwelling: ALL Municipalities Are Reyuired To Enforce The Uniform Dwelling Code.
The local lowr,Sl�te or Federal agencies may aLo 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 Federel laws toncerning construttion near or on wetlands,�akes,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
Issuance Information(County Use Only) Sanitary Number: tt of bedrooms:
Permit Denied(Date�: Reason for Denial:
Pecmit tt: Issuing agen[� Date:
� �- � � `"�_ --- ''��' .-�- . \1 ?�,(a a�
Is Parcel a Sub-Standard Lot I i Yes (Deed of Record) �No
Is Parcel in Common Ownership 1fFYes (Fused/Contiguous Lot(s�) I No Mitigation Required I::Yes I_�No
Is Structure Non-Conforming I I Yes �No Mitigation Attached Li Yes �No
Granted b Variance(B.O.A.} Granted by Conditional Use
i�Yes '_`�No Case q: 'Yei No Case i!:
Was Parcel Legally Created "�Yes ;�No Were Property Llnes Represented by Owner i'�Yes No
Was Proposed Building Site Delineated �l'es Cl No Was Property Surveyed �C'es No
Office Comments: Zone District: Fee:
� � � � �
Hold ForSanitary: �_; Hold ForTBA: Hold For Affidavit: '. Hold For Fees: ;
�Feb2021
11/29/22.10:41 AM Novus-Wisconsin Access rev.13.1108
Real EState Sawyer County Property Listing Property Status:Current
Today's Date:il/29/2022 Created On:2/6/2007 7:55:23 AM
�Description Updated:8/9/2021 '�Ownership Upda[ed:8/9/2021
. . . .. .. . ._ _.___... .
TaxID: 13308 ARLYN G MARTIN HAYWARD WI
PIN: 57-010-2-41-09-33-4 03-000-000010
Legacy PIN: 010941334301 Billing Address: Mailing Address:
Map ID: .15.1 ARLYN G MAR7IN ARLYN G MARTIN
Municipality: (O10)TOWN OF HAY4VARD 15950W SAVITSKI RD 15950W SAVITSKI RD
STR: 533 T41N R09W HAYWARD WI 54843 HAYWARD WI 54843
Dexription: PRT SWSE&PRT NWSE �OT 1 CSM 'e
16/89#4048 r Site Address *indicates Private Road
Recorded Acres: 0.890 9g04N FAIRWAY DR � � HAYWARD 54843
Lottery Claims: 0
First Dollar: No
Zoning: (R-1)Residen(ial One �Proper[y Assessmen[ Updated:11/9/2015
ESN: 444 2022 Assessment Detail
Code Acres Land Imp.
��Tax Districts Upda[ed:2/6/2007 G1-RESIDENTIAL 0.890 18,500 0
1 State of Wis[onsin Z.Year Comparison 2021 2022 Change
57 Sawyer County Land: 18,500 18,500 0.0%
O10 Town of Hayward Improved: 0 0 0.0%
92478 Hayward Communiry Schooi District To[aL• 18,500 18,500 0.0%
O01100 Technical College
• Recorded Documentr Upda[ed:10/16/2019 �
� � G;L'Property History
0 WARRANTV DEED � � - ----
Date Re�orded:B/6/2021 433811 N�A
�CONVEYANCE RECORDED NOT USED
Da[e Remrded:12/3/2021 436300
O TRANSFER BY AFFIDAVIT
Date Recorded:10/15/2019 420523
O WARRANTY DEED
Date Recorded:1/6/2003 306981
0 CER7IFIED SURVEY MAP
Da[e Recorded:8/16/1994 243452
https://tassawyercountygov.org/IAccess/master.asp ���
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