HomeMy WebLinkAbout012-740-03-2207-LUP-2022-527 SUBMIT COMPLETED APPLICAiION AND
FEero: APPLICATION FOR LAND USE PERMIT �,,,
Sawyer County p� �
Zoning&Conservation Depart.
10610 Meln St Suite 49 e am i ,
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Hayward,WI 54843 �['f� O 7 9o�f�f � � �n,'
(715)634-8288 G�� � � LL Chk#_- �� c `
— N
�AWYER GOt!,RRTY Rc t# New w , �y�(3q -J
INSTRUCTIONS: No permits wlll be Issued until all fees are pald. - �,-{ADM�NISTRATIS�N p "`��---E'���,
Chetks are made payable to:Sawyer Counry 2oning Depertment,
DO NOT START CONSTRUCTION UNTIL ALL PERMITS.HAVE BEEN ISSUED TO APPLICANT. Ofigin0l AppliCetiOn MUST be SUbRlltted FILL OUT IN IN PENGL)
Submittal of this application or receipt of fees does not constitute permit issuance.
Owner s)Name: Contractor(s)Name
!/�/r/'
1 �
l
Mai�ing Address: Mailing Address:
7 ' � '�, �
; . ____
Phone: Phone:
�i�- �� �i - 7it,,7 (�
Email: i 7 "�' J? �{'l D(� •GD� Emafl:
51te address: ��,j'�,�� Or Date applied for:
Legac PIN# �\�� /—1�� �— "� ��� Town of: �J
Permit delivery Method IQ Call Owner u Mail Owner o Call Contractor r_Mail Contrector
. �
- Is Property/Land within 300 feet of River,Stream (md, Distance Structure is from Shoreline: is rour aroperty
incerm�nen�) � feet in Ploodplain Are Wetlands
Creek or landward side of Floodplaint If yes---continue P�M?
I Shoreland za�e?
Yes Yes
Is Property/Land wlthin 1000 feet of Lake,Pond or Flowage Disiance Structure is from Shoreline: No
If yes---continue � feet No
Non-Shoreland
Descrlbe ProJect Total#of
value at nme of Project type Foundation What Type&Capacity is the
Completion Number bedrooms
°indude donated (House,garage,shed,deck, of Stories �gasement, post Sewer/Sanitary System(s)
Addition,etc...) Crawispace,
time&material �(st separately Slab) construction
5 owclling �
$ AOc esso�g
�
Addition/Alteration
Height:
TotalSquare Lowest
Footage Gradeto
Proposed Use ✓ Proposed Structure Dimensions (multiply per Highest
story) Peak
Residence ( X �
Ft.
with 2"d story or loft ( X �
Ft.
with Basement ( X �
Ft.
�1 Residential Use _
Attached Garage { X � Ft.
X Accessory Structure(expi�ir,) ( 2n x � �/J)
❑ Agrieuitural (detachedgar�ges,sheds,boathouses,etc.) .lv �� l �J (/ F
Use ( X }
Temporary Guest Quarters or Bunkhouse�a�cie cype)
Ft.
❑ Commercial/ Deck/Porch/Patio ( X � Ft.
Industrial Use ( x �
(Z"d)Detk/Porch/Patio Ft.
0 Municipal Use ( x �
Other(explain) Ft.
0 Other ( x )
Principal St�ucture(ngriculturai,Commerclai,Municipal,Etc.) Ft.
Addition/Alteration(eXPia�n) � X � Ft.
Total habitable square feet: Total Non-habitabie square feet: C
(decks,patios,garages,sheds,storage area&other structures) 1�0 �
Originai Appticatian MUST be submitted
Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:*Must'Include Iocation and setback of proposed and existing structures,roads,
driveway,sanitary components,well,lake,rlver,stream,and wetlands.
Oescription Setback Sethack
Measurements Description
Measurements
Setback from the Centerline of Platted Road and/or 5S �� Feet Setback from the Lake(urdinary Migh•watermark) m FLEt
Setback from the Established Right-of-WaY Feet Setback from the Rfver,Stream,Creek feet
` Setback from the Biutf if applicable Feet
Setback from the North Lot Line %1' Feet
Setback from the South Lot Li�e �j Feet Setback from Wetland Feet
Setback from the West Lot Line G j'j Feet Slape within area of construction/disturbance 9�Slope
Setback from the East Lot Line Feet Elevation of Floodplain Feet
Setback to Septic Tank or Holding Tank �. �j Feet Setback to Well �'�> feet
Setback to Drain Field Feet
Setback to Privy�Portable,Composting) Feet
Prio�to tlie placement or construction of a struaure wlt�in five(5)feet of the minimum required setback,the boundary line from which the setback must he measured must be visible from one
previ�usly surveyed mrner to the other previously wrveyed corner or marked by a licensed surveyor at the owner's expense.
Prior to the placement or construction of a structure more than five(5)feet but less than ten(10)feet from the minimum required setback,[he boundary line from which the zetback must be
measured must be visible from one previously suroeyed corner ro the oUier previously surveyed corner,or verifiable by the Department by use of a torrected compass From a known corner
within 500 feet of the proposed site of the strucwre,or must 6e marked by a licensed surveyor at the owner's expense,
. � . .•- . . - ,-
Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrate.The Zoning Office can help you determine If a
surface is considered impervious)
Calculate lot area: rJ
Indicate lot size from CSM or NOVUS(circfe one): ��� { Acres;Multiply by 43,560=Lot area:_��l����j Square Footage
talculate impervious surface area:
Determine the total size,in square feet,of your projects listed above(include eaves): 1��� sq ft.
Determine the total size,in square feet,of all existing roofed structures(indude eaves):__, sq ft.
Determine the total size,in square feet,of all existing paved/bricked/biocked surfaces: sq ft.
Add these measurements to determine total impervious surfaces:��L, sq ft.
Calculate impervious lot percentage
Total impervious surface: � -%�L> =Lot area: �3�r��S 3 Sq ft.X 100=impervious surface �G�, El %
(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•••
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.
� 'rA�LURE TO OBTAIN A FERMi7 or STARTING CONSTRUCTION WITHUUT A NEKMIT WILL RESUIi IN PLNALI Ih5
I(we)declare that this application(including any accompanying fnformatlonj 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 detail and accuracy of all informatlon I(we)am(are)providing and that it will be relied upan by Sawyer
County in determining whether to issue a permit. I(we)further accept Iiability which may be a result of Sawyer County relying on this information I(we)arn(are)providing 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 onsite Inspection by Munlclpal Officlals,
Owner ��� � � � > / Owner �/�( r��, _�D
Signature ��'"�L�u�� � "1 Printed name T!f vr wifS� ��rn'l�i'�—i t l Date�" ��
(Signature and Printed Name required)
NOTICE: All Land Use Permits Explre One(1)Year from the Date of Issuance.
For the Construc[ion Of New One&Two Family Dwelling: ALL Municipalities Are Required To Enforce The Uniform Dwelling Code.
ihe local Town,State or Federal agencies may also require permits.
You are responsibie 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 wlth 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 identlfication web page or contact a departrnent of
naturalresourcesservice center(608�267-3125
Issuance Information(County Use Only) Sanitary Number: � #of bedrooms:
Permit Denied(Date): Reason tor Denial:
Permit ti: Issuing agent: Date�
��i-� � ::�"1
�a ». ���
Is Parcel a Sub-Standard Lot 'i Yes (oeed of Record) �No
Is Parcel in Common Ownership �Yes �Fused/Conciguous�ot(s�) i No Mitigation Required I_!Yes o
Is Structure Non-Conforming !i Yes �No Mltigation Attached LI Yes No
Granted by Varfance(B.O.A.) Granted by Conditional Use � ��
[�Yes ..` o Case q: ]Yes No Case N:
Was Parcel Legally Created Yes ;:'No Were Property Llnes Represented by Owner �Yes No
Was Proposed Building Site Delineated Yes I_'No Was Property Surveyed �Yes ryp
OHIce Comments: �QS,1-Y�C-f�-v� �-L'�'�T�ty�.fis c� —Z2D(v Zone District: Fee: , \
�t-- � � �v
Hold For Sanitary: ' Hold For TBA; ' Hold For Affidavit: L: Hold Por Fees: ' ,]
�Feb2021
12/7/22,12:52 PM Novus-Wisconsin Access rev.13.1108
Real Estate Sawyer County Property Listing Property5tatus:Current
Today's Date:12/7/2022 Created On:2/6/2007 7:5525 AM
'�Description Updated:11/17/2022 �Ownership Updated:il/17/2022
. . . ...._.___.....
Tax ID: 14784 � � RICHARD C&LINDA]CAMVBELL HAYWARD WI
PIN: 57-�12-2-40-07-03-2 02-000-000070
Legacy PIN: 012740032207 8flling Address: Mailing Address:
Map ID: .67 RICHARD C&LINDA] RICHARD C&LINDA]
Municipality: (012)TOWN OF HUNTER CAMPBELL CAMPBELL
STR: 503 T40N R07W 9532N COUNN HWY CC 9532N COUNN HWY CC
Description: PRT FR4G Wl/2 NW l0T 4 CSM 29/5 HAYWARD WI 548q3 HAYWARD WI 54843
#7336 'e
Remrded Acres: 1.680 r Site Address *indicates Private Road
Lottery Claims: D 9532N COUNIY HV✓Y CC � HAY4VARD 54843
First Dollar: Yes
Zoning: (RRl)Residen[ial/Recreational One
ESN: �Property Assessment Updated:7/29/2022
2022 Assessment Detail
Code Acres Land Imp.
�� 7axDistricts Upda[ed:2/6/2007 Gl-RESIDENI]AL 1.660 11,700 245,400
1� � � �S[ate of Wisconsin
57 Sawyer County Z_Year Comparison 2021 2022 Change
012 Town of Hunter �and: 11,700 11,700 0.0%
572478 Hayward Communiry School District Improved: 10,100 245,400 2,3297%
001700 TechNcalCollege TOWL• 21,800 257,100 1,079.4%
• Recorded Documents Updated:4/23/2014
�WARRANTY DEED � � �Property History
Da[e Re�orded:10/26/2018 415086 N�A � � � �
O COVENANTS -
Date Recorded:4/29/2021 431575
O CERTIFIED SURVEY MAP
Date Recorded:10/D/2006 342568
O WARRANTY DEED
Date Recorded:10/18/2006 342383
https://tas.sawyercountygov.org/IAccess/master.asp i 11
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GRAPHIC SCALE
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Habitable Living area
shall not be created
m accessory structures
New house location
per Graphic Scale
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