HomeMy WebLinkAbout010-841-14-5508-LUP-2023-056 SUBMITGOMPLETED APPLICATION AND
FEETo: APPUCATION FOR LAND USE PERMIT yJ
Sawyer County � UJ
Zoning&tonservation Depart. �. ^� �
30610 Maln St Suite 49 r ���� ����-�o�3 �
Hayward,WI 54843 MAR 14 2023 i '�G� ' �
(715)634-8288 �..hk# �
SAWYER COIi��i Y RCnt# I D�N
INSTRUCTIONS: No permits will be Issued untii all fees are peld. O ,� Y ��
Checks are made payeble to:Sawyer County Zoning Department. /�! �
DO NO75TART CONSTRUC710N UNTIL.ALL PERMITS HAVE BEEN ISSUED TO APPLICANT. O�iginel AppliCetiO�MUSTbB Subrtlitt2A FILLOUT IN INK (NO PENCIL)
Submittal of this application or receipt of fees does not conttitute permit issuance.
Ownerts)Name: [ontractar(s)Name
i�0��-�..s�p ���-O�N�� %l�l�.
C' �. �-�•�- �
Maliing Address: Mailing Address: 3�� � < ,Q����Q� �,��
S(v�.� ✓�.�.
Z Z � �i S� l�� � .� �`8 C�
_._
Phone: 7� 7r— Ip�� — �7.S � Phone: ���-- � -I� S �('i ��
s
Email: '[a„ ¢c� ��C� ` t- a�� Email:
Site address: ��-7��V,3 C9 t'I S� �� Or Date applied for. . ,� -
Legac PIN# 1 �7 � 'C� Town of: /� S:�'"�"��
Permit dellvery Method a Cali Owner �Mail Owner o Call Contractor c Mail Contrector
' Is Property/Land within 300 feet of River,Stream pnd. Distance Structure is from Shoreline: Is your Property
in�ermieeanc) --► feet in Floodplain Are Wetlands
Creek or landward side of Floodplain7 If yes--continue Prosent?
1 Shareland — zo�e?
Yes Yes
' Is Property/Land withln 1000 feet of lake,Pond or Flowage Distance Structure is from Shoreline: No
If yes---continue —► 11� feet No
7[
Non-Shoreland
Desc�ibe Project Total q of
value at nme of project type Poundation What Type&Capacity is the
Completion Number bedrooms
°indude donated (House,garage,shed,deck, of Stories �Basement, post Sewer/Sanitary System(s)
Addition,etc...) Crawlspace,
time&material �tst separately Slab) �onstfuCtion
s able Livin�y �;
owclitng ��
$ S�Za�°�°� � �-�-�6� l ��- �� ��t— 1�-►� :
s
AddlUon/AI[eradon
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.
( X )
with Basement Ft.
---- { X )
;�Residential Use Attached Garage Ft. _
✓ Accessory Structure(eXPi�i�) r� { 7�-' � x �-�f� `Z p� Ft. � 1
� Agrieultural (deta<hed garogas,sheds,boat houses,efc) ��� �j� � ,
( x )
Use Temporery Guest Quarters or Bunkhouse�a�cie cype) Ft.
( X )
❑ Commercial/ Deck/Porch/Patio Ft.
Industrial Use ( X )
(Z"d)Deck/Porch/Patio Ft.
❑ Municipal Use � X )
Other�explaln� Ft.
X )
❑ Other Princlpal St�ucture(ngricuicurai,commerc�ai,Munidpal,Etc.) � Ft.
( x 1
Addition/Alteration(exPiai�) Ft.
Total Non-habitable square feet: � �Q(j
Total habitable square feet: (decks,patios,garages,sheds,storage area&other structures)
Originai Appfication MUS7 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,well,lake,river,stream,and wetlands.
Description Setback Description Setback
Measurements Measurements
- -__.. — --
et ack from the Centerline of Platted Road and/or vQ Feet Setback from the lake(ordinary high-watermark) Feet
Setback from the Established Right-of-Way Feet Setback from the River,Stream,Creek feet
Setback from the eluff if applicable Feet
Setback from the North Lot Line � (}Q Feet
Setback from the South Lot Line Feet Setback from Wetla�d Feet
Setback from the West Lot Line � Feet Siope within area of construction/disturbance 9�Slope
Setback from the East Lot Line Feet Elevation of Floodplain jJ- Feet
Setback to Septic Tank or Holding Tank Feet Setback to Well Feet
Setback to Drein Field � Feet
Setback to Privy(Portable,Composting) Feet
Prior tc the placement or construction of a struaure within five(5)feet cf[he minimum required setback,the houndary line from which the setback must 6e measured must 6e visible from one
previously surveyed corner to tne other previously surveyed mrner o�marked by a Iicensed surveyor at the owner's expense.
Pnor to the placement or construction of a structure more than five(5)feet but less than ten(SO)feet from the minimum required set6ack,the boundary line from which the setba�k must be
measured must be visible from one previously surveyed comer to the other previously surveyed corner,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 be marked 6y a licensed surveyor at the owner's expense.
. • r . �.• • . • .• . . ,- .
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:
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 ft.
Determine the total size,in square feet,of ail existing roofed structures(incfude 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 lot percentage
Total impervious surface: =Lot area: ____Sq ft.X 100=impervious surface /,
�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
6rading of more than 2,000 Sq.Ft.on Slopes less than 12% Grading is in excess of 10,000 Sq.Ft.
� rv.�lUkE TO OUTAIN A FLRM�T or STARTNG CONSTRUCTION WITHOUT�A PEKMIT WILL RESULi W PCNALTIFS
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 bellef It is true,correct and
complete. I(we)acknowledge that 1(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. I(we)further accept liability 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 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 Munlcipal Offlclals.
Owner � Owner
Signat Printed name 3
� � - Date�_�_a,.Z.,.�,.,.��
(.�gn�ture and Printed Name reyuired)
NOT�CE: All nd Us Pennits Expire One{1)Year from the Date of Issuance.
For the Construc[ion Oi New One&Two rnily welling: ALL Municipalities Are Required To[nforce The Uniform Dwelling Code.
The local To te or Federal agencies may aiso require permits.
You are responsible for complying with the requirements of the Sawyer Counting Zoning Ordlnances and law and regulatlons 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 informatlon,visit the department of natural resources wetlands identiflcation web page or contact a department of
naturel resources service center(608)767-3125
Issuance Information(County Use Only) Sanitary Number 1t of bedrooms:
Permit Denied(Date): Reason for Denial: —
Permit#7:
Issuing agent:. =
Date:
���� �C�(c /� -
- , __ �/ �a�a;,�3
Is Parcel a Sub-Standard Lot ' Yes �Deed of Rewrd) �'No
Is Parcel in Common Owne�ship �Yes �Fused/contiguous Lot{s)) ;I No Mitigation Required I:!Yes I No
Is Structure Non-Conforming ?I Yes Mitigation Attached !J Yes ��No
0
Granted by Variance(B.O.A.) Granted by Conditional Use �
�Yes : No Case q: 1 Yes !'j�No
Case p:
Was Parcel Legally Created Yes C'No Were Property Lines Represented by Owner r`Yes
Was Proposed Building Site Delineated : Yes IJ No No
Was Property Surveyed �Yes rya
Office Comments:
Zone District: Fee:
� 12 ( � Z� . pp
Hold For Sanitary: ' Hold For TBA; Hold For Affidavit: �J Hold For Fees: '
,I
�Fe6z021 �-
' _ - - �
3/14/23,12:13 PM Novus-Wisconsin Access rev.13.1108
Real Estate Sawyer County Property Listing Property Status:Curtent
Today's Da[e:3/14/2023 Created On:11/25/2014 1L 19:06 AM
�Description Updated:12/6/2019 y Ownership Updated:8/5/2019
7ax ID: ��� 41937 DAVID V&SOPHIE M RANDBY HAYWARD WI
PIN: 57-010-2-41-OB-14-5 OS-005-000080
Legacy PIN: 010841145508 Billing Address: Mailing Address:
Map ID: DAVID P&SOPHIE M RANDBV DAVID P&SOPHIE M
Municipality: (O10)TOWN OF HAYWARD 12758W GEIST RD RANDBY
STR: 514 T41N R08W HAYWARD WI 54643-6468 12758W GE[ST RD
Description: PRT GOVT LOT 5 LOT 2 CSM 33/201 HAYVJARD WI 54843-6468
#8016
Remrded Acres: 5.410 �Site Address '�indicates Private Road
Lottery Claims: 1 1D58W GEIST RD HAYWARD 54843
First Dollar: Yes
Zoning: (RRl)Residential/Recreatlonal One
ESN: 444 J Property Assessment Updated:7/9/2019
2023 Assessment Detail �
�7ax Districts lJpda[ed:11/25/2014 Code Acres Land Imp.
G1-RESIDENTIAL 5.410 24,600 245,500
1 5[ate of Wisconsin
57 Sawyer County Z-Year Comparison 2022 2023 Change
O10 Town of Hayward Land: 24,600 24,600 0.0%
572478 Hayward Communiry Sthool DistriR Improved: 245,500 245,500 0.0%
001700 Technical College 7otal: 270,100 D0,100 0.0^/0
+ Recorded Documents Upda[ed:8/17/2021
O WARRANTY DEED �Property History
Date Remrded:7/18/2016 4�?4�6 parent Properties Tax ID
O TRANSFER ON DEATH DEED 57-010-2-41-OB-14-5 OS-005-000030 30950
Date Recorded:8/13/2021 433956
O EASEMENT
Date Remrded:6/5/2017 407642
O CERTIFIED SURVEY MAP
Date Recorded:10/30/2014 392658
O WARRANTY DEED
Date Recorded:1/3/1995 245948
HISTORY�O Expand All History White=Current Parcels Pink=Retired Parcels
O Tax ID:10950 Pin:57-010-2-41-OB-14-5 OS-005-000010 Leg.Pin:010841145501 Map ID::5.1
41937 This Partel Parentr Children
https:Otas.sawyercountygov.org/IAccess/master.asp ���
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