HomeMy WebLinkAbout010-841-29-3105-LUP-2023-028 suerorm con+v�reo�wvucsnoN,eHo
F�To: - APPLICATION FOR LAND USE PE@MR �
Sawyertounty SAWYER COUNTY,WISCONS�IV �^� � �. 3 , `,
Zoning&Conservatlo�DepaR. [� /"` `{��,,�,�� s t"'"i O ��.,, 7 � �/"
30610MainStSuite49 ! �,lti�� ���IR-T�T"��:'.,�.." ' i �s�~��.P...
Hayward.W154843 '. i_ J �µ-_ r ,.� cnk# a�s � � ��tisg `
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INStRUtTIONS:No permifs will be iswed uMil all feesare paid. ��F��` � � ���� - . Rept#.j�.. �r ��� �
Checkf are made payable to:Sawyer County Zonin�Departm�M. ----__.__._'_�__ „
00 NOi START CONSTRUCTION UNTIL ALL VERMITS HAVE BEEN ISSUED�9.�f,JCAH7;i? ,�Ofigind�AppliC3tiOf1 MUST bE SubmiK2E FILL Ol1T IN INK (NO PENCIL)
Submittal af tfiis aDP���ation or receipt of tees does not constitute
�J`'K1i1�'�,"-ekGtJi;':.
Owner(s�Name: Contractor�s Name
� l� U S � , J�' C''L��G'�'�'l ! !V 1�S CJL
M�ilingAddreu: ")G�✓JC� � MailingAddrets:
3 s. I-I�c�r Pl r �'��l s'`t ' � 57.� J-1�. < � w
- Phone:���S � > /�G ' T�.7/ Phone:�/`_. i-3�I �ZL �.
J V
� Email: EmaiL f'I e C{(��-eti� ( �G� l� l/��
Ske address: L I� T � ni Or Date a br. �1 CLS � c�� u���-
�. LlgacY PIN A �' OQ � Town of:
'� Permk delivery Method c Call Owner n Mail Owner - II Contrector �ail Contnctor
� .Is Property/land within 300 feet of River,Stream pnd. Distance Structure is from Shoreline: Is your Property
m�e.marenQ .--� Are Wetlands
. Creek or Landward side of Floodplain7 if yes---continue feet in cloodplain p�esent?
Shoreland zone.
Yes Yes
L�s Property/Land within 3000 feet of take,Pond or Flowage Distance Structure ls from Shoreline: NQ
If yes---mr.tinue --► feet No
!Non-Shoreland
Describe Projed Total#of
, Value atTme of project type Foundation What Type&Capaaty is the
Completion Number bedrooms
•indude donated (House,garage,shed,deck, af Stories (Basement, post �N'er/Sanitary System(s)
. � Addition,etc...) Crawlspace,
r�me&material �}�separately Slab) construdion
S �� 'D� 64 S� � �IGr SCri'iCn � Z �"Ja�v✓1-�
w.�nh�
s �►S� �t 1� cA n�n-1-t�o ��
� �lcrnwry 61d�
S
� MdlUon/1lhnatlon
Heigfit:
Total Square Lowest
Footage Gradeto
Proposed Use � Proposed Strudure Dime�sions (mukiply per Highest
story) Peak
Residence t��J x�/ � , L�,) Ft. ��` •'�
with 2^'story or loft ( X � 1�v
Ft.
'zg X�� � IZ�"b'
with Basement Ft.
ACcessory Stlutture Ieaplain� ( x �
�1 Residential Use w.�+�n.a�,....,,:n.a.,eo.era�,..s,.m� Ft. �
eckJ atio ( x �
��- d e c_k.s �Z Ft. �„
❑ Agrfculturel � X 1 \`-%
Use (� parch � �(� L� z'� � Ft.
( x )
I Commercial/ Attached Garage p�,
Industrial Use ( X �
(2"a�Porch/deck/patio Ft.
❑ Municipal Use ( X �
Oth2�lezp�a�n) Ft.
❑ Other ( x �
PfIOCIP2I SLfuC[u�2(AgnmRunl,Commercial,Munl6Dal,Etc.) ft.
( X )
Addition/Akerotion�e.oia��) Ft.
Total Non-ha6itable square feet: 3� Z�
Total habitable square feet: ���C��'- L idecks.Patios,Barages,sheds,storege area&other strucW resl
/�
Originai Applicaticn MUST�e submitted
Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:•Must•Indude(oation a�d setbadc of proposed and exisUng strudures,rwds,
drfveway,saninry componenu,well,lake,river,stream,and wetlands.
Setback Setback
���� MwwremeMs ���P� Measurements
Setback from the Centerline of Platted Road and/or Feet Setback from the Wke(ordinary hlQh-water mark) Feet
Setback from the Estabiished Right-of-Way Feet Setback from the River,Stream,Creek Feet
. Setback from the Bluff�r,PPr�,bi� Feet
Setback from tMe North Lot Line Feet
Setback from the Sou[h Lot Line Feet Setback from Wetland Feet
� Setbatk from the West Lot Line Q Feet Slope wiihin area of construction/disturbance %Siope
��. Setback from the East Lot Line Feet Elevation of Floodplain Feet
SetbacktoSepticTankorHoldingTank Feet SetbacktoWell O FeM
. Setback to Dreln Field ZO Feet
Setback to Prlvy(Portable,Composting) Feet
�^<.�,to tt.�•F�la.,.mzet n;c.. �.r�c.�,. nf a tui�.:�c w.th�m f.ve Ul te=t ct thP r�eir��m rtq..�_.., r::tn�,<.thz be�rdz.ry ur.e G m wh�ch the se!oack mu;t be meascreo must be vlsiG;e fmm;;^e
Of+'�t:'�Sljt� C-v=�'.-'r?�t `tc,."^�iGcv�.c�..>I'y>��rv�Y,�[�'r�fr0�r�i�''vE•dGyel2f'..tl;-.��-2�e.�atLh20w!tersexp^nse.
P,��crV,IpzF ,n., ...orc. ,�.�._, ,.x.i .. ...x�t�a�t�.e(5`izetbot�ess;hanr-r(10'. .e�f�cmt�em.. , r.�edse'baci th�6cundaryC. f-cmw��.cht^�esetCackm�stbe
ne.s..•e�r-.�.._ �r6!e fr, o_y�.v�- , . _..�r t,the n;'e,pre���o���y s�rveyPd c..mer.o�verif�S e ty tns Cep?r ne�•t��s��f a corretted:.o�.C���from a kro�++n corner
',hnSiCfee.o .. cru^, ,..,..._�f.- , �.,r.� . .._m.��kcdtva�icers�d ��;���_�a:t^zowrer'S?xpe.�se.
Caltulate impervious wrfaces.(Roofed,canaete,paved,and other wrfaces that water onnot penetrote.The Zoning Offlte an help you determine ff a
, wrface is considered impervious)
Calculate lot area:
Indicate lot size from CSM or NOVUS(circle one): Acres;Muhipiy by 43,560=Lot area: Square Footage
� Giculate impervious wrface area:
Determine the total size,in square feet,of your projects listed above(indude eaves�: sq k.
, Determine the total size,in square feet,of all ezisting roofed structures(indude 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 ft.
Calculate impervious bt percenhge
Total impervious surfare: =Lot area: Sq k.X 100=impervious surface %
, (Miti�atbn n rcquired rf mhi eyceeds 15%)
�'�, •'•Notice a separate gading permit needs to be obtained'rf disturbed area is within the Shareland district as indicated on previous page and meets criteria below•"
Grading on a slope greater than 20% Gradin of more than 1,000 Sq.Ft.on 12%-20%slo es
Grading of more than 2,000 Sq.Ft.on SloOes less than 12% Groding is in excess of 10,000 S .Ft.
FNIURE TO Of3TAIN A P[P.M�T or STARTISG CONStRUCT!ON W�7NOVT A PERMR VJILL RFSULT'�.N PENALTIES
I(we)dedare that this applicatioa(induding any accomparrying informatlon)has been examined by me(us)and to the best ot my(our)knowledge and bellef it is true,cortett and
�� complete.I(we)acknowledge that t(weJ�m(are�responsible for the detail and accuacy of all information I(we�am�are)Droviding and that R will be relied upon by Sawyer
�� CowHy in determining whether to issue a permit.I(we)further accept liability whith may be a result of Sawyer County reiying on this in(ormation I(we�am(are)Drovid'+ng in or
with this appliwtion.I�we)mnsent to munty officials cbarged with administering county ordinances to have access to the above described property at any reasonable time for tbe
. purpose of inspectan.Additionally,the undersigned person(s)here6y give permission for acceu to the property for onsite Inspection by Municipal Officials.
._-/� �/{/.��� jn� •—�''I- �'�,, i
Sg aturei�?� �`J'�""Ci'C P�nted name I ✓I ff/Vt:-.J ���� Date 7,��T���'3
(S�namro_a�d Fr,rrted Name r=qulredj
� NOTICE�. Ail LanC Use Parmits Explre Oru�(1)Year f�om th=Date c`IssuanCe.
Fc•*.h=Ca�struttlrn Of Ne�.v One&1 wo Fa,-..-.'�.q Du�eillrg.A_;Municipalities Arz Requ:r=d i o Ertorce The Un�orn U�rcli�n•e Cede.
The local Town,Sta!e or Fede;a!agencles^=ay also requlre perm�"s
You are responsible for complying with the requirements of the Sawyer Courrting Zoning Ordinances and law and regulatlons of the State of Wisconsin.You are also responcible for
' complying with State and Federal laws concerning construttion near or on wetlands,lakes,and streams.failure to comply may resuR in removal or modif cation of construRion
� that vioiates the law or other penalties or cosu.For more information,Wsit the department of naturai resourca weNands identifKation web page or contact a department of
' natural rewurces service center(6Q8�267-3125
Issuance Informatio�(County Use Only) �^��'Number:�1`�, �`� a of bedrooms:�
/• .
Permft Denied(Date): Reason for Denial:
Permit M: Issuing ager�Y.' Oate:
C :� -o�� �i��,,�.,L��------ �/�s �a
Is Parcel a Sub-SW ndard Lot (-Yes (Deed of aecord) `TN� Mi[igation Required ❑Yas�o
Is Parcel in Common Ownership �Yes (Fused/CoMiguouz lot�s)) ���'�O Mitigation Attached 0 Yes No
Is Structure Non-Conforming I�Yes �
Granted by Variance(B.O.A.) Grented by Conditional Use
I.i Yet ' Case tt. U Yes ��
Was Parcel Legally Created ��Yes ��No Were Property Lines Represented by Owner �es �'10
Was Proposed Building Sice Delineated `�.Yes C No Was Property Surveyed es �
Offce Comments: Zone Distrla: Fee:
��-\ `����'�
Hold For Sanitary: Hoid For TBn: Hold For Affldavit ���.- Hold For Fees: �
oJont02o
REdI EStdt2 Sawyer County Property Listing Propertystatus: Current
Today's Date:3/8/2023 Created On:2/6/2007 7:55:20 AM
�Description Updated:3/30/2020 '�Ownership Updated:3/1/2022
Tax ID: ll519 THOMAS A&DEBRA L HARD � GORDON WI
PIN: 57-010-2-41-08-29-3 01-000-000050
Legacy PIN: 010841293105 Billing Address: Mailing Address:
Map ID: .9.5 THOMAS A&DEBRA L HARD THOMAS A&DEBRA L HARD
Municipality: (O10)TOWN OF HAYWARD 15193 S HAEGELE RD 15193 S HAEGELE RD
STR: 529 T41N ROBW GORDON WI 54638 GORDON WI 54838
Description: PRT NESW LOT 1 CSM 22/45#6123
Recorded Acres: 2.440 �Site Address *indicates Private Road
Calculated Acres: 2.121 � � ���
Lottery Claims: 0
First Dollar. No lJ property Assessment Updated:11/9/2015
Zoning: (RRl)Residential/Recreational One � � �
2023 Assessmen[Detail
ESN: 444 Code Acres Land Imp.
G1-RESIDENTIAL 2.440 20,100 0
-�Tax Districts Updated:2/6/2007
1 � State of Wisconsin 2-Year Comparison 2022 2023 Change
57 Sawyer County Land: 20,100 20,100 0.0%
O10 Town of Hayward Improved: 0 0 0.0%
572478 Hayward Community School District 7ota1: 20,100 20,100 0.0 0
O01100 Technical College
-• Recorded Documents Updated:3/I/2022 ty Property History
.. .__. . .. ... .
WARRANTY DEED N�q
Date Recorded:2/22/2022 437743
QUIT CLAIM DEED
Date Recorded:2/24/2021 430133
WARRANTY DEED
Date Recorded:6/2/2003 311708
COVENANTS
Date Remrded:8/15/2000 285849
CERTIFIED SURVEY MAP
Date Recorded:7/12/2000 285156
Star� dard Erosion cor� trol Plar�
for 1 - � 2-Family Dweiling Construction Sites
According to Chapters Comm 20 bt 21 of the Wisconsin Uniform Dwelling Code, soil erosion
control information needs to be included on the plot plan which is submitted and approved prior
to the issuance of building permits for 1 - bz 2-family dwelling units in those jurisdictions where
the soil erosion control provisions of the Uniform Dwelling Code are enforced. This Standard �
Erosion Control Plan is provided to assist in meeting this requirement.
Instructions:
1 . Complete this plan by filling in requested information, completing the site diagram and marking
appropriate boxes on the inside of this form.
2. In completing the site diagram, give consideration to potential erosion that may occur before, during, and
after grading. Water runoff patterns can change significantly as a site is reshaped.
3. Submit this plan at the time of building permit application.
, �
PROJECT LOCATION �- ��� I Ea � i �r-�"< <- �' '� ' �` i��, �:, s f � �r� �, ;, �.��t �Z �"�
Please indicate north
BUILDER �1"ti"1�'6� � �"!i �� 1 � ���J�ti"1 � � OWNER�v'�'ti'f '� ��t' {�t%<�1 �,t��� by completing the arrow. i
�
WORKSHEET COMPLETED BY Il F I I �' �- � DATE �? � �; � C �� I� ���
- N -
SITE DIAGRAM scale: � inch = _feet �
� �
,
EROSION
CONTROL PLAN
LEGEND
' PROPERTY
P •; � LINE
' � EXISTING
___ . _ _ —� DRAINAGE
C 1 � v, —�. Tp TEMPORARY
� DIVERSION �
� i
� - - i FINISHED '
-- � �� —' DRAINAGE �
�� J
G1 � J__ _ LIMITS OF
- �,� '� ;� GRADING !
� I
� � SILT
� ' �� FENCE I
� �� STRAW
- � '�, BALES
'� � � GRAVEL
r�
0
O VEGETATION
; SPECIFICATION
i —
' � TREE
PRESERVATION
STOCKPILED �
� . SOIL
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