HomeMy WebLinkAbout026-938-18-1402-LUP-2023-039 SUBMIT COMPLETED APPLICATION AND
FEero: APPLICATION FOR LAND USE PERMIT
SawyerCounty SAWYER COUN7Y,WISCONSIN �
Zoning&Conservation Depart. � - �
10610 M01�15t SUite 49 � Date Stamp(Rece vetl� i i
Hayward,WI 54843 ' r;''' : �f� :����_.��� Z 3 '
(715)634-B288 � � � - ' �� ;;hk# �a� � �
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+ `�{ i°If'i�� O �J �SJ�� i �
INSTRUC7iON5: No permits wlll be Issued until all fees are paid. ' _� R��t� J�t. �4 Z���'�r i�`�—J-��r,—�-a �
Checks are made payahle to:Sawyer Counry Zoning Department � � � y��
c r ,v ,r; ,' 1;��� �--�—
DO NOT S7ART CONSTRUC7iOtv UNTIL ALL vERMITS,HAVE BEEN ISSUED TO"A�¢�.LC��F�7 ��CSFi�,i�,��lpq�tion MUST be submitted FILL OUT IN INK PENCIL)
rvr:
Submittal of this application or receipt of fees does not constitute pe �if S. fiic�.
Owner(s)Name: Contractor(s)Name
���LF� � �(J/L ,��25 �T�
,_T/'G,�'� /�j i��SS��v (�',2
Mailing Address: Mailing Address:
�3 U��tJ ✓�L���L7,� L,eJ �'��,� ��5� �c
Phone: lv/UjZ (�f�K�! �� � y,�.7� Phone: �� —d �
7/S— �C/S`'- �/S` O
Email: � � _�� � Email:
� L.tJ
Site address: �����b G��� /ti,=Z ��� 7 Or Date applied for:
Legac PIN# D Z�9'3�% ( ��v Town of: � 1 V� L �(��
Permlt delfvery Method �(Call Owner u Mail Owner ❑Call Contractor r_Mail Contractor
/'
`Is Property/Land within 300 feet of River,Stream (md, Distance Structure is from Shoreline: Is your Property
Intermitten�) —� feet ��p�apdp�� AreWetlands
Creek or Landward side of Floodplaln? If yes---continue P��t�
�Shoreland - z°"e?
Yes Ye�
�s Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: No
If yes---continue —� ] � % feet No
!�
'J Non-Shoreland
Describe ProJect Total#of
value at rlme of project type Foundation What Type&Capacity is the
Completfon Number bedrooms
°indude donatr.d (House,garage,shed,deck, of Stories (Basement, post Sewer/Sanitary System(s)
Addition,etc...) Crawlspace,
time&material Lfst separately S�db ConSt�uCtion
�
5 ��G� f��s�t,D� l �
Dwcll�ng
� • � /
Acce�
$
Addition/Alteratlon
Height:
Total Square Lowest
Footage Grade to
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.
Attached Garage � ( x �
�SI Residentiai Use Ft.
�/ Accessory Structure(explain) � x � /
❑ Agrieultural !` Idetachedgaroges,sheds,boathouses,atc) � B — 111_�y Ft.
Use Temporery Guest Quarters or Bunkhouse(c�de rype) ( X }
Ft.
� Commercial/ Deck/Porch/Patio � X �
Ft.
Industrial Use � X �
(2"d)Deck/Porch/Patio Ft.
0 Municipal Use
OthE�(explain) ( X ,
Ft.
❑ Other � x �
Principal Structure(agricuicurai,Commercfal,Municlpal,Etc.) Ft.
Addition/Alteretion(exPia��) � X �
Ft.
Total habitable square feet: Total Non-habitabie square feet:
(decks,patios,garages,sheds,storage area&other structures) I � � 2
shall not �:
�n accessory structur��
Original Appiication 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,weU,lake,river,stream,and wetlands.
Descri tion Setback Sethack
P Measurements Descript(on Measurements
Setback from the Cenierline of Platted Road and/or Feet Setback from the Lake(ord�r,ary n�en•wacer mark) � Feet
Setback from the Established Right-af-Way Feet Setback 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 from Wetland Feet
Setback from the West Lot Line eet Slope within area of construction/disturbance %Slope
Setback from the East Lot Line eet Elevation of floodplain Feet
Setback to Septit Tank or Holding Tan Feet Setback to Well Feet
Setbackto Drain Field Feet
Setback to Privy(Portable,Composting) Feet
Prio�to the placement or construction of a structure within five(5)feet of the minimum required setback,the boundary line from which ihe se[back must be measu�ed must be visible trom one
previously surveyed mrner to tne other previously surveyed corner or marked 6y a licensed surveyor at the owner's expense.
Prior to the placement or�onstruction of a structure more than five(5)feet but less than ten(10)feet from the minimum required setback,the boundary line from which the setback must be
measured must he visible from one previous�y wrveyed corner to the other previously surveyed comer,or verifiable by the Department by use of a corrected compass from a known corner
within 500 feet of the proposed site of the structure,or must he marked hy a litensed surveyor at the owner's expense.
. - � . •.• • . • .• � . .- .
Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrete.The Zoning Office can help you determine If a
surface is considered impervious)
Calculate lot area: � An
Indicate lot size frq�r NOVUS(circle one): �� ��b v 1� Acres;Multiply by 43,560=Lot area:�y (�� , �� Square Footage
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. 11 � t—I
Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces:_`� � ��_sq ft. �/ 3 y�
Add these measurements to determine total impervious surfaces:�_c� � Sq{t,
Calculate impervious lot percentage
Totalimpervioussurface: / �S� • Lotarea: ���,�5 0
;�,r____' � q ft.X 100=impervious surface �� /o
(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 an 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.
� FAiLURE f0 013TAIN A Pi_fttJ�1T OrSTARTING CONSTRUCTION WITHOUT A NERMIT WILL RESULT iN PENALTIES
I(we)dedare that this application(including any accompanying Informatlon)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 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 liabllity which may be a result of Sawyer County relying on this information I(we)am(are)provlding 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
purp se of inspection.Additionally,the undersigned person(s)hereby give permission for access to the property for onslte inspection by Munlclpal Officials,
, �.J �i��2%=�� / / `
Owner Owner
Signatur _printed name (�'�Z�C� w- ��•�S�ir.(/��te����
(Signature and Printed Name�equired)
NOTICE: All Land Use Perrnits Expire One(1)Year from thP Date of Issuance.
for the Construcfion Of New One&Two fainily Dwel�ing: All Municipalities Are Required To[nforce The Unirorm Dweliing Code.
The local Town,State or Federal agencies may aiso require parmits.
You are responsible for complying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulatlons of the State of Wisconsin.You are also responslble for
complying with State and federal laws concerning construction near or on wetlands,lakes,and streams.Fallure to comply may result in removal or modiflcation of construction
that violates the law or other penalties or costs. For more information,vislt the department of natural resources wetlands identiflcation web page or contact a department of
natural resources service center(608�267-3125
Issuance Information(County Use Only) Sanitary Number: A)/�_ � #of bedrooms:
iv�T
Permit Denied(Date�: Reason for Denial:
Permit�t: Issuing agent: Date:
�`��-•- l; 3�i .
3i� �.3
is Parcel a Sub-Standard Lot I i Yes (Deed of Record) ' � M' gation Required C!Yes L No
Is Parcel in Common Ownership Il Yes (Fused/Contiguous Lo[(s)) � itigation Attached Li Yes C No
Is Structure Non-Conforming !I Yes No
Granted by Varfance(B.O.A.) Granted by Conditional Use
7 Yes i'No Case q: !Yes �1 No Case N:
Was Parcel Legally Created f: Yes '!No Were Property Lines Represented by Owner I:;Yes No �
Was Proposed Building Site Delineated i.I Yes Ci No Was Property Surveyed 'I Yes No
Office Comments: Zone District: Fee:
�.- � a� �
Hoid For Sanitary: ' I f TBA: ' i Hold For Affidavit: L Hold For Fees:! ' J
�Feb2021
in accessory structures
3/8/23,2:45 PM Novus-Wisconsin Access rev.13.1108
Real Estate Sawyer County Property Listing PropertySWtus:Current
Today's Date:3/8/2023 Created On:2/6/2007 7:55:47 AM
�Description Upda[ed:6/24/2020 '�Ownership Upda[ed:2/6/2007
Tax ID: 28037 GREG W�LYNN C KISSINGER STONE LAKE WI
PIN: 57-026-2-38-09-18-1 04-000-000020
Legacy PIN: 026938181402 Bflling Address: Ma_ling Address:
Map ID: .4.2 GREG W&LYNN C KISSINGER GREG W&LYNN C
Muni[ipality: (026)TOWN OF SAND LAKE 3908N ALBERTA LN KISSINGER
STR: 518 T38N R09W STONE LAKE WI 54676 3908N ALBERTA LN
Description: PRT SENE LOT 1 CSM 27/218#7098 AFF STONE LAKE WI 54876
CSM 333280
Recorded Acres: 2.350 �Site Address 'indicates Private Road
Lottery Claims: 1 3908N ALBERTA LN STONE IAKE 54876
First Dollar. Yes
Waterbody: Little Sissabagama Lake
Zoning: (RRl)Residential/Revea[ional One '—��roperty Assessment Updated:9/26/2017
ESN� 2023 Assessment Detail
Code Acres Land Imp,
��Tax Districtr Updated:2/6/2007 Gl-RESIDENTIAL L3W 8,400 142,400
1 State of Wismnsin 2-year Comparison 2022 2023 Change
57 Sawyer Counry �and: 8,400 8,400 O.D�
@6 Town of Sand Lake Improved: 142,400 142,400 0.0%
650441 Birchwood Schooi District To[al: 150,800 150,800 0,0%
001700 Technical College
• Recorded Documentr .Updated:9/12/2014 �property History
O WARRANTY DEED N�A � � �
Date Recorded:10/31/2005 334628
0 AFFIDAVIT OF CORR CSM
Date Recorded:9/9/Z005 333280
O CERTIFIED SURVEY MAP
Da[e Re�orded:8/23/2D05 332616
https:llta s.sawyercou ntygov.org//Access/m a ster.asp
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