HomeMy WebLinkAbout010-841-14-5107-LUP-2023-006 SUBMIT COMPLETED APPIICATION AND
Feero: A�P,L1,C�4TION FOR LAND USE PERMIT �
Sawyer County R`COI�[IITY�;W�'.S�OfVs 'vJ
Zoning&Conservation Depart. + ` - �—� ' L' i i�,, + \
�
f�`' _. DafCStamP�ReEewau�-'_���_—.� � /
10610 Main St Suite 49 � : � � Date , I �� I a 3 �
Hayward.wi sasa3 '� ' •�,�,� `'' I/ ;�h k#_ `��'i01 C7
(ns)esa-az8s , � �
- _ t�c t#�Ue�,•� �1or i� ��l�C� �
INS7RUC710N5: No permics will be issued until all fees are paid. � """�-^----�
Checks are made payable to:Sawyer County Zoning Department. '�
DO NOT START CONSTRUC7iON UN71L aLL_PERMITS HAVE BEEN ISSUED TO APPUCnNT. Original Application MUST be submitted FILL OUT IN INK (NO PENCIL)
_-_ ..-- -- -----
Su6mittal of this application or receipt of fees does not constitute permit issuance.
er(s)Name: Contrector(s�Name
1�41-MG��'t LLG
�tn i tl t ��.w�• �r Pd-�/'� U'' GIH�I?/� 1 ' �1`�
Mailing Address: Mal ing Address:
�O�'SSN Mc(�i10►��� (l� �-(ayt�.r�
Phone:��C�L� ���C�'' Phone:
7 � J
Email: WII�IIQF� ( �Q.f vvm Email:
Site address: I Q . FQ �7 4�� Or Date ap Ifed for:
LCgaty PIN tf �"' � � � ��i Town of: ����
Permit delivery Method �Call Owner u Mail Owner ❑Call Contrector o Mail Contrector
�Is Property/Land within 300 feet of River,Stream (�n�i. Distance Structure is from Shoreline: is your Property
Intermittent) ---► feet in fioodD�am Are We��.lands
Creek or Landward side of Floodplain? If yes---continue Present?
1 Shoreland ZORB�
Y a5
; Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: Yes
If yes---continue —� feet No
�e
�an-Shoreland
Describe Project Total#of
value at Time of project type Foundation What Type&Capacity is the
[ompletion House, ara e shed,deck, Number bedrooms
'include donaced ( g g ' of Stories 1Basement, post Sewer/Sanitary System(s)
Addition,etc...) Crawispace,
time&material ��st separately Slab ��nStruCtion
�
s ��' ;� __^� � ��4
Dwelling
$
Accessory Bldg
s �' ��v
AddiNOn/Alteration
Height:
TotalSquare Lowest
Proposed Use ✓ Proposed Structure Dimensions Footage Grade to
(multiply per Highest
story) Peak
Residence � x �
Ft.
with 2"d story or loft � X �
Ft.
with Basement � x �
Ft.
Attached Garage ( X )
❑ Residential Use Ft.
ACCQSSory StruCtufe(explain) � x 1
❑ Agrieulturel (detachedgarages,sheds,boathouses,etc) Ft.
Use Temporary Guest Quarters or Bunkhouse(c�rde tyPe� � X �
Ft.
�ommercial/ Deck/Porch/Patio ( X J Ft.
Industrial Use � X �
(2"d)Deck/Porch/Patio Ft.
C7 Municipal Use � x �
Other(explain�
Ft.
❑ Other ( X }
Prineipal Strueture(ngricuiturai,commerdai,Municipal,Etc.) Ft
� Addition/Alteration(expia�r,) �� �f��,1� ���I�� � , � X I � � � �;�� Ft 1� `
Total habitable square feet: Total Non-habitable square feet: /
(decks,patios,garages,sheds,storege area&other structures) l b J
Original Application MUST be submitted
Attach a Plan or Sketch your Property on S.5"x 11"or 8.5"x 14"paper:"Must�Include lotation and setback of proposed and existing structures,roads,
driveway,sanitary components,well,lake,river,stream,and wetlands.
Descri tion Setback Set6ack
P Measurements Description 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-af-Way Feet Setba<k 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 Feet Setback m etland Feet
Setback from the West Lot Line Feet Slope wi ' re o ction/disturbance 96 Slope
Setback from the East Lot Line Feet Elevaiion a' Feet
Setback to Septic Tank or Holding Tank Feet Setback to W I Feet
Setback to Drain Field Feet
5etback to Privy(Portable,Composting) Feet
Pror ro Ihe pla�ement or construction of a structure wlthin five(S)feet ofthe minunum required setback,the houndary line from which the se[back must be meaw�ed must be visibie from one
previuusly surveyed corner[o the other previously su�veyed comer or marked by a licensed surveyor at the owner's expense.
Prior to the placement or construction of a struRure more than five(5)feet but less than ten�10)feet from the minimum required setback,the boundary line from which the seiback must be
measured must be visible from one previously wrveyed comer to the other previously surveyed corner,or verifiable by the Department by use nf a corrected compass from a known cm ner
within 500 feet ofthe proposed site of the structure,or murt be marked 6y a licensed surveyor at ihe owner's ezpense.
. � . •.• • . • .' .
Calculate impervious surfaces.(Roofed,concrete,paved,and other surFaces that water 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;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{�.
Determine the total size,in square feet,of all existing roofed structures(include eaves): sq h.
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 ft. �' V �
Calculate impervious lot percentage
Total impervious surface: =Lot area: Sq ft.X 100=impervious surface %
(Mitigation is required if total exceeds 15%)
"'=Notite a separate grading permit needs to be obtained if disturbed area is within the Shoreland district as i�dicated on previous page and meets criteria below"'
Grading on a slope greater than 20% Grading of more than 7.,000 Sq.Ft.on 12%-20%sl�pes
6rading of more than 2,p00 Sq.Ft.on Slopes less than 12% Grading is in excess of 10,000 Sq.Ft.
fNJLURE i0 OLTAIN A V'�AMi?or�Ti",R11NG COWSTRUCTION WITHpUT i1 PEHMIT WILL RESULT IN PCN�LTIi=S
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
cornplete. 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 upon by Sawyer
County in determining whether to issue a permit. 1(wej further accept liabllity which may be a result of Sawyer County relying on this inFormation I(we)am(are)provldfng in or
with this application.I(we)consent to county Is charged with administering county ordinances to have access to the above described property at any reasonable time for the
pur nsp�e�troq)Addl' a ly,t undersigned person(s)hereby give permission for access to the property for onsite inspection by Municipal Officlals.
Owner / � fl
� �/ Owner � ` I ��� IX
5'gnature Printed name ���C 0 � Date — /V ~�
(Signature and Pnnted Name required)
NOTICE: All Land Use Pennits Explre One(1)Year from the Date of Issuance.
For the Conslruc[ion Of New One&Two Family Dwelling: ALL Municipalities Are Required To Enforce The Uniform Dwelling Code.
The local Town,Siate or Federal agencies may also 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 Federal laws con�erning 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
naturalresourcesservice center(608�267-3125
Issuance Information(County Use Only) Sanitary Number: �- #of bedrooms:
Permit Denied(Date�: ReaSon for Denial:
Permit it: Issuing agent: Oate:
� �� � V`��/ `
3
Is Parcel a Sub-Standard Lot I i Yes Ioeed of Record) itigation equired C!Yes C:No
IS Parcel In Common Ownership ❑Yes (Fused/Contiguous Lot�s)} N Mitigation Attached !_I Yes C;No
Is Structure Non-Conforming I I Yes �;No
Granted by Variance(B.O.A.} Granted by Conditional Use
�Yes "'No Case M: 7 Yes _No Case 11:
Was Parcel legally Created ,:!Yes �No Were Property Llnes Represented by Owner I;Yes No
Was Proposed Building Site Delineated �!Yes I�No Was Property Surveyed ''Yes No
Office Comments: 2one District: Fee:
� V in - t�0�� }- M a ✓
( — n� � a.. to r^cr�c: ( L — ( ;?�
Hold'ror Sanitary: ' Hold For TBA: __ Hold For Affidavit: ', Hold for Fees: i
�Feb2021 ��� �'� �(i�S� PJPi's,5) —
Wt„��1.;� �00�� (�ftas
1118123,12:38 PM Novus-Wisconsin Access rev.13.1108
Real Estdte Sawyer County Property Listing Property Swtus:Current
Today's Date:1/18/2023 Created On:2/6/2007 7:55:19 AM
�Description Updated:1/9/2020 '�Ownership Updated:11/3/2020
TaxID: 10914 PAL MAR7LLC HAYWARD WI
PIN: 57-010-2-41-OS-14-5 OS-001-000070
Legacy PIN: 030841145107 Billing Address: Mailing Address:
Map ID: :1.7 PAL MART LLC PAL MART LLC
Municipality: (O10)TOWN OF HAYVJARD 10435N MC CLAINE RD 10435N MC CLAINE RD
STR: 514 T41N R08W HAYWARD WI 54843 HAYWARD WI 54843
Description: PRT GOVT�OT 1
Recorded Acres: 0.290 �Si[e Address 'indicates Private Road
Lottery Claims: 0 12701W 5?ATE HWY 77 � HAYWARD 54843
First Dollar: Yes
Zoning: (RRl)Residential/Recreational One
ESN: 404 J Property Assessment Updated:4/IS/2022
2022 Assessmen[Detail
Code Acres Land Imp.
�� Tax Districis Updated:2/6/2007 G2-COMMERQAL 0.290 19,300 107,000
1 State of Wismnsin
57 Sawyer County Z-year Comparison 2021 2022 Change
O10 Town of Hayward Land: 19,300 19,300 0.0%
572478 Hayward Communiry School District improved: 99,800 107,000 7.2%
001700 7echnicalCollege Total: 119,100 126,300 6.0%
. Retorded Dowmentr Updated:6/4/2020 �
O WARRAN7Y DEED � tl,;�Property His[ory
Da[e Recorded:10/15/2020 427293 N�A � � �
�COVENANTS
Date Recorded:3/29/2022 438358
O QUIT CLAIM DEED
Date Remrded:3/D/2013 384214
O PLAT OF SURVEY
Date Recorded:7/10/2009 14418-43
0 PLAT OF SURVEY
Date Recorded:7/10/2009 11418-5
https://tas.sawyercountygov.orgllAccess/mastecasp ���
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