HomeMy WebLinkAbout010-841-32-2116-LUP-2023-069 SUBMIT COMPLETED APPIICATION AND
FEETO: I �IO F LAN USE PER IT
Sawyer County �h J
Zoning&Conservation Depart. oaie scamP ae�ei�ed� w
10610 Main St Suite 49 �,�b� �-{� )� �> �� i
Hayward,WI 54843 APR 0 4 2023 � .—��
(�15�634-8288 �''�k# ���3 O
�uAWY�R COUNTY .; � � �
iNS7RUC7iON5: No permits will be issued until all fees are paid. ��Q ADM{NISTRATION y",%��� ��
__.....___., _.. .__.
Checks are made payable to:Sawyer Couaty Zoning Department. ��.� �
DO NOT START CONSTRUCTION UNTIL ALL PERMITS_HAVE BEEN ISSUED 70 APPLICANT. Original ApplicatiOn MUST be submltted IN INK (NO PENCII)
Submittal of tbis application or receipt of fees does not consti[ute permit issuance.
Owner(s)Name: / Contractor(s)Name
` �7 � �
�p�PN i rhsr�' ����e.., ., e �.,r�wc�fi�., � � L �
Mailing Address: / � �f `�3 Mailing Address:
(�.Z �� � /`bJ��ol �tl��i- SCI�So� /C�� �7t-+c �c��%yr1J �o�•.�.e( �wG�_ Si.�a..� �f �wr..+l � �
4a r3
Phone: � �- �(�f-O 7�-1 S Phone: �-7��� 6�y— o �K.�
Email: ( J ,,'P.e�K 7>� f'�+�an.. �, eo� Email: ( ��'�P.-��G ?S � fc�,�c�,' (. Gor--�
��Se�^ �`�� Or Date a lied(or: + /�� .�3 -
Site address: � P
Legaey PIN# ��� -- g y r — 3 Z _ z i�'6 Town of: I�7`^�"`_`�
Permit deilvery Method Call Owner u Mail Owner o Call Contractor c Mail Contractor
'Is Property/Land within 300 feet of River,Stream pnci. Distance Structure is from Shoreline: is your Properey
tntermittent) � Ate Wetlands
Creek or Landward side of Floodplain? If yes---continue feet in FtoodD�ain p�n+?
I Shoreland z°"e'
Yes Ye�
- Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: Nc
If yes---continue � feet No
'_ Non-Shoreland
Describe P�OJe� 7otal q of
value ac Tme of project type Foundation What Type&Capacity is the
Completion (House,garage,shed,deck, Number (gasement, bedrooms Sewer/Sanitary System(s)
'indude donated Of StOr105 Post
Addition,etc...) Crawlspace,
time&materiai �(st separately Slab �onstruction
)
5 3�� ,c�• �-(�,,:')� � S �Q� 3 3 Q 2 C.��V..+fi':,.,�,,1
Dwelling
�-,� � s�us l 000 Qi .
s �'�, c��,
A[cessory Bldg
5 �oi J C'i u �
-c�1.c�v � S�4 b
ration
V `���bc+
Height:
TotalSquare Lowest
� Footage Grede to
Proposed Use Proposed Structure Dimensions (multtply per Highest
story) Peak
�j Residence 36 � 3G X 7�' � �Z�� �, v`'
— 4 3� rr Ft. ��
X
with 2"a story or loft Ft.
with Basement � X �
Ft.
Attached Garage ( � y X l.'1 � S 7 6 ��v
Residential Use Ft.
Accessory Structure(exPia��� S�� ( �� X L 4 ) � �� 1 3 l�
❑ Agrieulturel (detachedgarages,sheds,boathouses,etc} �j—AytiJ L L � Z � H 4 Ft. I I
Use Temporary Guest Quarters or Bunkhouse(Circie type) � X �
Ft.
❑ Commercial/ Deck/Porch/Patio � x �
Industrial Use
Ft.
(2"d�Deck/Porch/Patio ( X �
Ft.
❑ Municipal Use t x �
Other(explatn� Ft.
❑ Other � X �
Prineipal Strueture(agricuiturai,Commerciai,Municipal,Etc.) Ft.
Addition/Alteration(expiain)
( X )
ft.
Total habitable square feet; ] r/� Total Non-habitable square feet:
t/`�`�°C (decks,patios,garages,sheds,storage area&other structures) /��y
__ _ _ �� _
Original Appiication MUST be submitted
Attach a Pian or Shrtch your Property on 8.5"x 11"or 8.5"x 14"pap0r:'"Must•Irtcludelocation and setback of proposed and existing structures,roads,
driveway,sanitary components,well,lake,river,stream,and wetlandS. '
Description Setback ; t 3'� Set6ack
Measurement5' ' � • � �euriptlon
Measurements
Setback from the Centerline of Platted Road and/or Feet Setbackfrom the Lake(ordinary high-water mark� Feet
Setback from the Established Right-of-Way �{C F'eEt "Setbatk from theRiver,Stream,Creek Feet
Setback from the Bluff if applicable Feet
Setback from the North Lot Line C� Feet
Setback from the South Lot Li�e "7 c�L �(p 1 Feet Setback from Wetland Feet
Setback from the West Lot Line v Feet Slope within area of construction/disturbance %Slope
Setback from the East Lot Line z � p t Feet Elevation of Floodplain Feet
Setback to Septit Tank or Holding Tank !O Feet Setback to Well Feet
Setback to Drain Field 'j a Feet
Setback to Privy{Portable,Composting) Feet
Prior to Ihe placement or construction of a structure w��thin five(5)fee[of the minlmum required retback,the boundary Ilne from which the setback must 6e measured must be visible from one
prevlously surveyed corner to the other previously surveyed mmer or marked by a Ilcensed 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[he minimum required setback,the boundary line from which the setback must be
meawred must be visible from one previously wrveyed corner to the other previously surveyed comer,or verifiabie by the Department by use of a corrected compass From a known mrner
within 500 feet of the proposed site of the structure,or must he marked hy a licensed surveyor at the owner's expense.
-- ___._---- �
� � � � •�• • • � �- �
Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water can�ot penetrete.The Zoning Office can help you determine if a
wrface is co�sidered impervious)
Calcuiate 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 all existing roofed structures(include eaves): 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,
Caiculate impervious lot percentage
Total impervious surface: =Lot area: Sq ft.X 100=impervious surface %
(Mitigation is required if rotal exceeds 15%)
""Notice a separate grading permit needs to be obtained if d'+sturbed 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 129'0-20%slopes
6rading of more than 2,p00 Sq.Ft.on Slppes less than 12% Gradfng is in excess of 10,000 Sq.Ft.
FAILUHE�O COTAIN A V'tNMlT orS7ARTWG CONSTRUCTION WITHOUT A PEHMIT WILL RESULT IN PENALTIFS
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 information I(we)am(are)providing and that it will be relied upon by Sawyer
County in determining whether to issue a permit. t(we)further accept liability 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
purpose of inspection.Additionally, e undersigned person(s)hereby give permission for access to the property for onsite inspection by Municipal Officlals.
�
Owner Owner // ' I'
Signatur / _�G printed name `�-���e"'� �� /�N"Q1 Date 7 3 _ L 3
45ignature and Printed Name requiredJ
NOTICE: All Land Use Permits Expire One(1)Year from the Date of Issuance.
For the Construction Of New One&Two Family Uweiling: ALL Municipalities Are Required To Eniorce The Uniform Dwelling Code.
The bcal Town,State or Federal agencies may also require pennits.
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 concerning construction near or on wetlands,lakes,and streams.Failure to comply may result in removal or modification of construdion
that violates the Iaw or other penalties or costs. For more informatlon,visit the department of natural resources wetlands identitication web page or contac[a department of
naturalresourcesservice center�608)267-3125
Issuance information(County Use Only) Sanitary Number: �-� �•�� 3f of bedrooms: �
Permit Denied(Date): Reason for Denial:
Permit ti: Issuing agent: Date:
� 3 --c� � �� `� a���-�
Is Parcei a Sub-Standard Lot I i Yes (Deed of Record) �No Mitigation Required C!Yes I o
Is Parcel in Common Ownership 1`FYes �Fused/Contiguous Lot(s)) i!No
Mitigation Attached !_I Yes No
Is Structure Nan-Conforming !I Yes '�i No
Granted by Variance(B.O.A.) Granted by Conditional Use
C�Yes No Case M: ]Yes _ o Case#t:
Was Parcel Legaily Created �Yes :�No Were Property Lines Represented by Owner '?�Yes No
Was Proposed Building Site Deiineated `�Yes I�No Was Property Surveyed YYes No
Office Comments: Zone District: Fee:
.�-�. � � �?o 0
Hold For Sanitary: ' Hold For TBA: _ Hold For Affidavit: �_' Hold For Fees i
�Feb2021
R2dl EStdte Sawyer County Property Listing Property5tatus: Gurrent
Today's Date:4/26/2023 Created On:2/6/2007 7:55:20 AM
�Description Updated:12/15/2017 �Ownership Updated:3/ll/2023
.._.._...._ . . . . ...__ . ._ .. .._ ___
TaxID: 11647 LOREN G&LOURDES KILMER HAYWARD WI
PIN: 57-010-2-41-08-32-2 01-000-000160
Legacy PIN: 010841322116 Billing Address: Mailing Address:
Map ID: .5.16 LOREN G&LOURDES KILMER LOREN G&LOURDES KILMER
Municipality: (O10)TOWN OF HAYVJARD 10299N ROUND LAKE SCHOOL RD 10299N ROUND LAKE SCHOOL RD
STR: 532 T41N R08W HAYWARD WI 54843 HAYWARD WI 54843
Description: PRT NENW LOT 3 CSM 25/87 176691
Recorded Acres: 1.020 �Site Address *indicates Private Road
Calculated Acres: 1.024 �- � �
Lottery Claims: 0
First Dollar. No C.�property Assessment Updated:11/9/2015
Zoning: (RRl)Residential/Recreational One Z023 Assessment Detail
ESN:
Code Acres Land Imp.
G1-RESIDENTIAL 1.020 19,000 0
-�Tax Districts Updated:2/6/2007
1 � � State of Wisconsin 2-Year Comparison 2022 2023 Change
57 Sawyer County Land: 19,000 19,000 0.0%
O10 Town of Hayward Improved: 0 0 0.0%
572478 Hayward Community School District Total: 19,000 19,000 0.0°/o
001700 Techni�al College
a�Recorded Documentr Updated:3/17/2023 �property History
WARRANTY DEED N/A
Date Recorded:3/14/2023 443702
WARRANTY DEED
Date Recorded:6/13/2022 939639
WARRANTY DEED
Date Recorded:10/18/2004 325926
CERTIFIED SURVEY MAP
Date Recorded:11/13/2003 317181
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